Recommendation R2
By April 1, 2027, the Board should consider using the County LEMSA’s ambulance exceedance fine collections for the cost of an emergency department throughput consultant.
Jury report: Ambulance Patient Offload Delays: Time Is of the Essence · PDF page 23
Permanent linkOfficial response
Contra Costa County Board of Supervisors
Agency declines implementationWill not implement now because fines support LEMSA operations; remains under evaluation.
Read official response · PDF page 4Current refusal is explicit despite possible future reconsideration.
This review evaluates the response document. Implementation claims have not been independently verified.