Recommendation R10
By April 1, 2027, the Board should consider requiring the County LEMSA to notify any hospital in the County when its APOT Reduction Protocol cites a standard longer than the County LEMSA standard.
Jury report: Ambulance Patient Offload Delays: Time Is of the Essence · PDF page 24
Permanent linkOfficial response
Contra Costa County Board of Supervisors
Agency declines implementationDeclines hospital notification for the same asserted lack of statutory review authority.
Read official response · PDF page 6Reasoned refusal; does not establish whether notification necessarily requires approval authority.
This review evaluates the response document. Implementation claims have not been independently verified.