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COLLABORATION AGREEMENT <br />PREHOSPITAL STROKE ASSESSMENT PILOT PROGRAM <br />`6 - <br />THIS COLLABORATION AGREEMENT (this "Attreement") is dated'—Y�t7 <br />(the "Effective Date"), and is by and between THE CHARLOTTE-MECKLENBURG <br />HOSPITAL AUTHORITY d/b/a CAROLINAS HEALTHCARE SYSTEM NORTHEAST <br />("CHS") and CABARRUS EMERGENCY MEDICAL SERVICES ("EMS"). CHS and EMS <br />are sometimes referred to herein individually as a "Ear ' and collectively as the "Parties." <br />BACKGROUND <br />CHS and EMS recognize that stroke interventions and therapies demonstrate improved <br />outcomes the sooner they are administered. The parties acknowledge that the pre -hospital <br />ambulance setting has been identified as an effective venue to complete certain steps in the stroke <br />evaluation process, enabling more rapid stroke treatment upon arrival at the hospital. The CHS <br />inpatient neurology team and EMS have developed a quality improvement project aimed at <br />providing more rapid care to patients in Cabarms County. This project will be implemented as a <br />pilot program using telemedicine to examine and triage stroke patients while they are in the EMS <br />ambulance prior to hospital arrival. <br />The Parties therefore agree as follows: <br />I. The Proeram. The collaboration among the Parties pursuant to this Agreement is <br />referred to herein as the "Program." Each Party will use best efforts to work collaboratively with <br />the other Party to advance the following key objectives (the "Program Obiectives'): The objective <br />of this two (2) yearproject is to provide more rapid acute stroke care to patients in Cabamrs County <br />by reducing the total "Door to Needle" time for patients with Stroke Symptoms transported by <br />EMS. This will be accomplished by implementing the appropriate technology, developing <br />protocols and guidelines and hardwiring certain steps during transport by EMS, including the <br />following: <br />a . EMS Activates Stroke Alert - Page sent to on-call neuro-hospitalist. <br />b. Neurologist Logs onto Tablet Video Feed - Patient name and DOB to be communicated <br />over secure video transmission. Family/witness contact information to be relayed and <br />family/witness contacted. <br />c. EMS completes stroke work-up – completion of pre -hospital stroke assessment, past <br />medical history and tPa contraindications reviewed while patient is en route to CHS <br />Northeast ED. <br />d. Neurologist to complete review – on-call neurologist is able to review electronic medical <br />record when available for additional medical and medication history. <br />e . Information derived during transport to be included in the EMR as appropriate. <br />f . Patient arrival – transport completed to CHS Northeast ED. <br />2. Advisory Group. EMS and CHS will establish a collaborative advisory group to <br />oversee the operation of the Program and to evaluate its success in accomplishing the Program <br />Aftchmenl number 2 \n <br />F-4 Page 64 <br />