Title
Chief Administrative Office, Emergency Medical Services and Emergency Preparedness & Response Division, recommending the Board:
1) Approve the use of the attached Advanced Life Support (ALS) Interfacility Transport (IFT) and Critical Care Transport (CCT) Permitting Application/Agreement boilerplate, to allow the Emergency Medical Services Agency to tender permits to private ambulance companies to provide non-exclusive IFT and CCT services to destinations outside of El Dorado County in accordance with County Ordinance 4991, Chapter 8.74.080 which requires contracts with the County to provide ALS Medical Transport services; and
2) Adopt and authorize the Chair to sign Resolution 116-2020 replacing Resolution 032-2018 to delegate authority to execute said boilerplate agreements to the Chief Administrative Officer, or designee.
FUNDING: N/A
Body
DISCUSSION / BACKGROUND
On February 26, 2013, the Board of Supervisors approved County Ordinance No. 4991, the County Emergency Medical Service and Medical Transportation Ordinance (that added Chapter 8.74 to the County Ordinance Code) which established operating areas, standards and requirements for emergency and non-emergency medical services including personnel and training, equipment and supplies, response times, communications and medical transportation in accordance with Health and Safety Code Section 1797.200 et seq.
On March 28, 2017, the Board of Supervisors approved the use of an application and permitting process for the EMS Agency, specific to Interfacility Transfers (IFTs) and Critical Care Transports (CCTs) (File ID: 17-0258; Agenda Item 20), and also adopted a Resolution delegating authority to execute said agreements to the Director of the Health and Human Services Agency (HHSA), or designee, which has been an efficient and effective process. Due to the reorganization of Emergency Medical Services to the Chief Administrative Office effective July 1, 2019, the delegation of authority needs to be shifted from HHSA to the CAO.
ALTERNATIVES
The Board could choose to decline to authorize the attached ALS Interfacility Transport/Critical Care Transport Application/Agreement boilerplate agreement which would require the EMS Agency to negotiate each agreement individually and to return to the Board for approval of each contract.
OTHER DEPARTMENT / AGENCY INVOLVEMENT
County Counsel and Risk Management
CAO RECOMMENDATION
Approve as recommended.
FINANCIAL IMPACT
There is no fiscal impact associated with issuing permits for Interfacility Transports and Critical Care Transports.
CLERK OF THE BOARD FOLLOW UP ACTIONS
Clerk of the Board to obtain signature of Chair on attached Resolution, and provide two (2) signed copies to EMS at 2900 Fairlane Court, Placerville
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
Sue Hennike, Deputy Chief Administrative Officer