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File #: 21-1669    Version: 1
Type: Agenda Item Status: Approved
File created: 10/13/2021 In control: Board of Supervisors
On agenda: 11/16/2021 Final action: 11/16/2021
Title: Chief Administrative Office recommending the Board consider the following: 1) Authorize the CAO to issue a Request for Qualifications to select a consultant to perform a comprehensive assessment of the County’s emergency medical services and ambulance transport system, develop a strategic plan to address findings from the assessment and assist in the development of a Request for Proposals for prehospital emergency medical services and ambulance transport and dispatch services in County Service Area (CSA) 7 on the West Slope; and 2) Authorize the CAO to negotiate an amendment to Agreement 2298 with the El Dorado County Emergency Services Authority (JPA), the current prehospital ambulance transport contractor in CSA 7, to extend that agreement through June 30, 2025. FUNDING: CSA 3 and 7 (ambulance transport fees, dedicated ad valorem property tax, special tax and benefit assessment).
Attachments: 1. A - Correspondence
Related files: 22-1014
Title
Chief Administrative Office recommending the Board consider the following:
1) Authorize the CAO to issue a Request for Qualifications to select a consultant to perform a comprehensive assessment of the County’s emergency medical services and ambulance transport system, develop a strategic plan to address findings from the assessment and assist in the development of a Request for Proposals for prehospital emergency medical services and ambulance transport and dispatch services in County Service Area (CSA) 7 on the West Slope; and
2) Authorize the CAO to negotiate an amendment to Agreement 2298 with the El Dorado County Emergency Services Authority (JPA), the current prehospital ambulance transport contractor in CSA 7, to extend that agreement through June 30, 2025.

FUNDING: CSA 3 and 7 (ambulance transport fees, dedicated ad valorem property tax, special tax and benefit assessment).
Body
DISCUSSION / BACKGROUND
The County currently contracts exclusively with the JPA for the provision of prehospital emergency medical services and ambulance transport and dispatch services in CSA 7 on the West Slope of the County. The term of the current agreement is July 1, 2018, through June 30, 2023. The agreement provides for a flat annual rate that is inclusive of all services (“base rate”) and increases annually by the Ambulance Inflation Factor. The base rate for the first year was $11,300,000. The current rate for FY 2021-22 is $11,687,271. The agreement also provides for an additional payment of $500,000 per year for the first three years for the repair and replacement of capital assets.

On June 17, 2021, the JPA notified the County of its belief that the current agreement does not provide sufficient compensation to “administer the medic units and purchase appropriate capital assets.” In response to the letter, the CAO and County Counsel staff met with the Chair of the JPA and the JPA’s executive staff to ask for assurances that there was no immediate threat to p...

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