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Health Services Department recommending the Board take action to designate County Service Area 7 an exclusive operating area, “grandfather” the County as the provider of ambulance transport services under Health and Safety Code section 1797.224, and identify which service components are included in the exclusivity designation. (Refer 7/19/11, File 11-0785, Item 43) (Est. Time: 30 min.)
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Background: On July 19, 2011, the Health Services Department reviewed the structure of ambulance transport services in County Service Area (CSA) #7 with the County of El Dorado Board of Supervisors. The presentation included the history of ambulance services in CSA #7, background on exclusive operating areas, and options for the Board’s consideration pertaining to future ambulance transport service system design in CSA #7.
Following Board discussion and input from the public, the Board voted unanimously to have the Department return on August 16, 2011 with an action item to create an exclusive operating area (EOA) for CSA #7, and to include recommendations on what components would be included within the EOA.
Subsequent to the July 19, 2011 Board meeting, the Department met with representatives from Marshall Medical Center (MMC) and Gold Country Retirement Community to discuss each of their respective facility’s needs in terms of establishing an EOA for inter-facility transport services on the Western Slope of the County. Representatives from MMC expressed concern with the cost of inter-facility transports to within-County and out-of-County destinations. Both MMC and Gold Country require these inter-facility transports on a frequent basis. With the assistance of the consultant from the Polaris Group, we continued to meet and discuss the needs of these important partners to ensure that the EMS system design provides response time reliability, clinical competence and is financially cost-effective for the County’s contractor as well as those served by the system.
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