Title
Emergency Medical Services, a division of the Chief Administrative Office, recommending the Board adopt and authorize the Chair to sign Resolution 123-2025, which:
1) Approves the use of the attached Application for Advance Life Support (ALS) Non-Transport Unit or ALS Assessment Unit Permit/Agreement, to allow the Emergency Medical Services Division to tender permits to Advance Life Support non-transporting and assessment unit operators; and
2) Delegates authority to execute said Advanced Life Support Permits/Agreements to the Chief Administrative Officer, or designee.
FUNDING: County Service Areas 3 and 7 special tax and benefit assessment revenue and ambulance fees.
Body
DISCUSSION / BACKGROUND
County Ordinance Section 8.74.060 specifies that the provision of Advance Life Support (ALS) services utilizing Emergency Medical Services (EMS) personnel certified at the ALS or Limited ALS level requires a contract with the County. On July 17, 2018, to fulfill the ordinance contract requirements, the Board of Supervisors approved the use of an application and permitting process for the County’s EMS Agency, specific to ALS Non-Transport Units/ALS Assessment Units, and signed Resolution 134-2018 delegating authority to execute said agreements to the Director of the Health and Human Services Agency, or designee (Legistar File 18-0524). On December 11th, 2018, the Board directed Emergency Medical Services to be transferred from the Health and Human Services Agency to the Chief Administrative Office (CAO) (Legistar File 18-1740). To maintain compliance with County Ordinance Section 8.74.060, the EMS Division is requesting approval of the updated Application for ALS Non-Transport Unit or ALS Assessment Unit Permit/Agreement and the proposed resolution, which delegates authority to execute ALS Permits/Agreements to the Chief Administrative Office.
ALTERNATIVES
There is no viable alternatives available. The County’s EMS Plan requires ALS Non-Transport Agreements.
PRIOR BOARD ACTION
July 17, 2018, the Board approved Advanced Life Support Non-Transport Unit and Advanced Life Support Assessment Unit Permitting Application/Agreement boilerplate and Resolution 134-2018, delegating authority to execute said agreements to the Director of the Health and Human Services Agency, or designee. (Legistar File 18-0524)
December 11, 2018, the Board approved the transfer of the Emergency Preparedness and Response and Emergency Medical Services program functions from the Health and Human Services Agency to the EMS Division of the Chief Administrative Office (Legistar File 18-1740).
OTHER DEPARTMENT / AGENCY INVOLVEMENT
County Counsel
CAO RECOMMENDATION / COMMENTS
Approve as recommended.
FINANCIAL IMPACT
The only financial impact is the staff time required to process permitting applications. The estimated cost of staff time required to process permitting applications is difficult to estimate, as it will vary based on the number of applications received.
CLERK OF THE BOARD FOLLOW UP ACTIONS
Clerk of the Board to obtain Chair signature on attached Resolution and send one signed copy to the Chief Administrative Office, Central Fiscal Division, Attn: Serena Lemmons.
STRATEGIC PLAN COMPONENT
N/A
CONTACT
Sue Hennike, Acting Chief Administrative Officer