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Health and Human Services Agency, Public Health Division, recommending the Board approve and authorize the Chair to sign Amendment 4 to Agreement for Services 200-S0811 effective upon execution, with El Dorado County Emergency Services Authority, for the provision of ambulance transportation, to define the roles and responsibilities of the parties for implementation of electronic Prehospital Care Report (ePCR) software and tablets.
FUNDING: County Service Area 7 - Benefit Assessment (West Slope Area); Special Tax; and fee for ambulance services.
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DEPARTMENT RECOMMENDATION:
Health and Human Services Agency (HHSA) recommending the Board approve and authorize the Chair to sign Amendment 4 to Agreement for Services 200-S0811. This Amendment 4 to that Agreement defines the roles and responsibilities of the parties for implementation of electronic Prehospital Care Report (ePCR) software and tablets.
In accordance with County Ordinance Section 3.13.030, HHSA determined that the nature of ambulance transportation involves emergency services, and the contractor will provide equipment, materials, facilities, administration, and support services related to providing work that may not be feasibly provided by the County.
DISCUSSION / BACKGROUND:
El Dorado County Emergency Services Authority (West Slope JPA) has provided contracted ambulance transport services via Agreement 200-S0811 since 2006 and the last Amendment 3 was approved by the Board on September 29, 2009 (File ID: 09-0452)
Currently, the West Slope JPA utilizes a manual (paper) method of reporting Prehospital Care Reports. To maintain compliance with El Dorado County Emergency Medical Services (EMS) Agency Quality Improvement Plan, the EMS Agency has committed to implementing an electronic Prehospital Care Report System (ePCR).
The implementation of an ePCR System is a State requirement, identified in the California Health and Safety Code, Section 1797.227, which requires each emergency medical provider to use an electronic health record compliant with the current version of the National Emergency Medical Services Information Systems (NEMSIS) and the California Emergency Medical Services Information System (CEMSIS). The electronic health record system must be integrated with the local EMS agency’s data system, and the local EMS agency must be able to collect data from the provider.
On September 13, 2016, the Board awarded Request for Proposal No. 16-918-060, to the successful proposer, ImageTrend, Inc. for ePCR software licensing and support. HHSA will purchase mobile computing devices and other hardware for the EMS service agencies. In turn, the current Agreement with the West Slope JPA is being amended to reflect the new ePCR provisions and procedures for use and implementation of the ePCR system before training and distribution of the tablets to the emergency response vehicles.
This Amendment will hold the West Slope JPA responsible for all maintenance, upgrades, repairs, and necessary replacements of the mobile computing devices and other hardware, and their accessories (hard cases, screen protectors, etc.). Furthermore, West Slope JPA will be responsible to ensure ImageTrend software is integrated into the contracted dispatch agency Computer Aided Dispatch (CAD) system.
ALTERNATIVES:
Disapproval of Amendment 4 to Agreement for Services 200-S0811 will result in HHSA’s inability to successfully implement the ePCR system, which would cause HHSA to be out of compliance with requirements under California Health and Safety Code, Section 1797.227.
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
County Counsel and Risk Management.
CAO RECOMMENDATION:
It is recommended that the Board approve this item.
FINANCIAL IMPACT:
There is no Net County Cost associated with this Agenda item. Sufficient appropriations were included in the fiscal year 2017-18 budget, and will be included in future budgets for the term of the Agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of Chair on two (2) original Amendments 4 to Agreements for Services 200-S0811.
2) Clerk of the Board to return one (1) fully executed Amendment 4 to the Chief Administrative Office Procurement and Contracts Division.
STRATEGIC PLAN COMPONENT:
County Strategic Plan Goal #1 - “Public Safety: Protects the community, prevents crime, enforces the law, administers justice, provides rehabilitative services, and promptly responds to emergencies and calls for service.”
CONTACT
Patricia Charles-Heathers, M.P.A.,Ph.D., Director