County of El Dorado - File #: 15-0016

• File #: 15-0016
• Version: 1
• Type: Agenda Item
• Status: Approved
• File created: 12/22/2014
• In control: Board of Supervisors
• On agenda: 1/27/2015
• Final action: 1/27/2015
• Title: Health and Human Services Agency, Public Health Division, recommending the Board consider the following: 1) Approve and authorize the Chair to sign Memorandum of Understanding 268-M1510 with Barton Healthcare to designate Barton Healthcare as a Level III Trauma Center with a term that will begin upon final signature, end on October 10, 2020, with a potential maximum revenue of $10,000 during the term of the contract; and 2) Approve and authorize the Chair to execute further documents relating to Memorandum of Understanding 268-M1510, including amendments which do not increase the maximum dollar amount or term of the contract, and contingent upon approval by County Counsel and Risk Management.

Date	Ver.	Action By	Action	Result
1/27/2015	1	Board of Supervisors	Approved	Pass

Title
Health and Human Services Agency, Public Health Division, recommending the Board consider the following:
1) Approve and authorize the Chair to sign Memorandum of Understanding 268-M1510 with Barton Healthcare to designate Barton Healthcare as a Level III Trauma Center with a term that will begin upon final signature, end on October 10, 2020, with a potential maximum revenue of $10,000 during the term of the contract; and
2) Approve and authorize the Chair to execute further documents relating to Memorandum of Understanding 268-M1510, including amendments which do not increase the maximum dollar amount or term of the contract, and contingent upon approval by County Counsel and Risk Management.
Body
Fiscal Impact/Change to Net County Cost
There is no Net County Cost associated with this Agenda item. This Memorandum of Understanding (MOU) includes a provision for the County to bill Barton Healthcare for costs incurred for conferring and administering the Barton Level III Trauma Designation as well as for conferring and maintaining the County's trauma plan in an amount not to exceed $10,000 for the term of the MOU.

Background
Advanced life support (paramedic) programs were established as a county option in California in 1971 by the Wedworth-Townsend Pilot Paramedic Act (SB 772). The Emergency Medical Services (EMS) Systems and Prehospital Emergency Medical Care Personnel Act (CA Health and Safety Code §§ 1797 et seq.) created the Emergency Medical Services Authority in 1980, which authorizes each county to develop an EMS program and to designate a Local EMS Agency (LEMSA) to oversee the delivery of EMS services within that geographic area. This level of governance allows for local control of emergency medical services that is desirable in a state as large and diverse as California.

The County of El Dorado established an Emergency Medical Services program and the provision of Ambulance Services under a public utility model in the early 1970s. The program...