Minutes from January 12, 2016 Open Board Meeting-Dignity Health/St. Bernardine’s Stroke Center

Tuesday, January 12, 2016

 Open Board of Directors Meeting

 San Bernardino Community College District
114 S. Del Rosa Drive
San Bernardino, CA 92408



Present: Deborah Barmack, Peter Barmack, Carole Beswick, Tom Brickley, Mike Burrows, Rachelle Bussell, Ken Coate, Scott Davis, Louis Goodwin, Erik Johnson, Al Karnig, Lowell King, Bill Lemann, John Mirau, Dan Murphy, John Prentice, Jan Remm, Kristine Scott, Paul Shimoff, Darryl VandenBosch and Ray Wolfe.

Guests:  Matt Liebman

Announcements: 1) Inland Action Member BNSF Railway is leading an effort to assist the San Bernardino Police Department acquire much needed equipment. Inspired by the tragic events of December 2nd, they are raising funds for the San Bernardino Police Foundation. A letter with details of how to be a part of this important project by adding funds to the $25,000 committed by BNSF was circulated. A copy will be emailed to the membership. 2) A signup sheet for the January 23rd Strategic Planning Session was circulated. 3) A public meeting will be held on January 14 in Riverside.  The California Transportation Commission is convening this meeting to discuss transportation needs and the future of transportation in San Bernardino and Riverside Counties.  John Mirau will be testifying at the meeting on behalf of Inland Action.  Please feel free to join us in this meeting.

M/S/P: Minutes from January 5, 2016.

Bill Lemann introduced Dana Roesler, St. Bernardine Medical Center & Dr. Dwayne Thomas, Dignity Health Inland Empire.

The number of stroke victims continues to grow in our region. Specialty centers are needed for the immediate assessment of this time sensitive condition.  Typically the patient has four hours from the onset of the first symptom for medical professionals to effectively treat the clot(s) or hemorrhage.  The Stroke Center at St. Bernardine’s began two years ago and became accredited January 4, 2016.

Time is of the essence with a stroke case and St. Bernardine’s average time from door to treatment is 54 minutes. During that time they obtain a CT scan, neurological evaluation and lab results to identify the type of clot and location.   They have rapid neuro consulting 24/7.

The drug tPA has proved very successful in patients who had rapid assessment. The St. Bernardine Center has treated 35 patients with a clot-dissolving drug tPA.  They have experienced improved outcomes in 85% of their cases and 25 patients have been discharged to home and self-care.  Less than 11% of their patients have required skilled nursing care.  Their treatment rate is 14.2% which is considerably higher than the national average of 6-10%.

The tPa drug is effective for clots, not hemorrhages for which other methods are utilized. Advanced Neuro-intervention includes Thrombectomy and Coiling.

Now that St. Bernardine is accredited and approved as a Comprehensive Stroke Center they plan to further reduce their treatment time and equip themselves with a Biplane Angiography. The Biplane (costing some $3.5m) uses two cameras allowing them to see more than one angle of the brain.  It is faster and safer than a single camera and the Biplane suite will double as an operating room.

As obesity and diabetes are prevalent in our region, the likelihood of strokes is high. Anyone experiencing signs of a stroke should call 911 as ambulance personnel are aware of all available Stroke Centers.  A stroke is time sensitive and the health effects severe. St. Bernardine is striving to be the best Stroke Center in the Inland Region.

St. Bernardine continues to address the needs of the community and their Stroke Center is off to an impressive start.

A Q & A period followed.

Meeting adjourned at 8:17 a.m.