Recommendation R9
By April 1, 2027, the Board should consider requiring the County LEMSA to notify CCRMC that its APOT Reduction Protocol does not cite the applicable LEMSA APOT standard of not to exceed 20 minutes 90% of the time.
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 implementationDeclines notification, citing Section 1797.120.6 and asserted lack of hospital-protocol review authority.
Read official response · PDF page 6Explains refusal through agency statutory interpretation, not an independent ruling.
This review evaluates the response document. Implementation claims have not been independently verified.