HomeMy WebLinkAboutMINUTES - 09261989 - 2.1 To; BOARD OF SUPERVISORS
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FROM: Mark Finucane, Health Services Director Costa
DATE: September 15, 1989 Courly
SUBJECT: Measure "H" Implementation
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION
1. Accept report on implementation of Measure "H".
2. Approve the "Supplement to the Proposal and Service Plan To
Create a County Service Area for Emergency Medical Services"
(Exhibit "A") which describes how enhanced emergency medical
services would be provided within Emergency Response Area III
(Moraga Fire Protection District) and Emergency Response Area IV
(San Ramon Valley area) and forward this Supplement to LAFCO for
inclusion as a part of the application to establish CSA EM-1.
3. Direct the Emergency Medical Services Director to file with the
Clerk of the Board a map showing the boundaries of the two
proposed assessment rate zones as described in the Supplement
(Exhibit A)
FINANCIAL IMPACT
The establishment of a County Service Area for emergency medical services
will enable the Board to place annual assessments on real property to fund
the costs of improvements in the emergency medical services system. The
actual assessments would be set by the Board following creation of the CSA.
Based upon the budget illustration contained in the Board approved service
plan, an assessment of $5.35 per. benefit unit would raise approximately
$2,568,000 for FY 1990-91, $2,140,000 of which would be used to fund service
improvements. The remaining funds would be for administrative and
collection costs ($214,000) and a contingency reserve ($214,000) .
BACKGROUND
On November 29, 1989, in response to voter approval of advisory Measure "H"
on the November ballot, your Board approved the development of an emergency
medical service program to upgrade paramedic, emergency medical
communications, and other emergency medical services countywide.
Implementation of the measure entails the formation of a County Service Area
(CSA EM-1) for the purpose of establishing benefit assessments. T e CSA
will need to be established by the Board following consent by th c ty
councils and LAFCO approval .
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S).
ACTION OF BOARD ON September 26, 1989 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
XX UNANIMOUS (ABSENT III ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
C C: Health Services ATTESTED September 26, 1989
County Counsel Phil Batchelor, Clerk of the Board of
County Administrator
Supervisors and CountyCountyaR11DtStJ2tOr
Auditor-Controller
`M3e2/7-e3 BY ___ DEPUTY
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On March 21, 1989, your Board accepted a report on Measure "H"
Implementation from the County Administrator and Health Services Director
containing a timetable for implementation of the measure and directing the
Health Services Department to coordinate implementation. Your Board also
directed that quarterly reports be made to the Board on the implementation
process.
IMPLEMENTATION
Implementation of Measure "H" is proceeding in accordance with the general
timetable approved by the Board on March 21, 1989. On July 18, 1989, I
reported to your Board on implementation activities as of that date,
including:
- Establishment of an Implementation Task Force
- Identification of EMS priorities and endorsement of the proposed CSA by
the Emergency Medical Care Committee (EMCC)
- Identification of EMS priorities and endorsement of the proposed CSA by
the County Fire Chiefs
- Work with the cities including presentations to the Mayors' Conference,
the Public Managers' Association, and Police Chiefs' Association.
- Presentation of a draft service plan to LAFCO (for informational
purposes) and at a public meeting held June 29, 1989
- Certificate of Exemption obtained for compliance with California
Environmental Quality Act (CEQA)
- County Counsel opinion obtained regarding Property Tax Exchange (no
exchange requirement)
Since July 13, 1989, the following tasks have been completed:
- Board invitation to cities to adopt resolutions for inclusion of their
territories within proposed CSA (July 18)
- Board approval of Proposal and Service Plan to create a CSA for
Emergency Medical Services (Aug. 1)
- Second presentation to Mayors' Conference (Aug. 3)
- Board Resolution of Application to LAFCO (Aug. 22)
- Resolutions of endorsement by Moraga Fire Commission (Aug. 10) and by
San Ramon Valley Fire District Board of Directors (Aug. 29)
- City council resolutions approved (15 approved, none rejected as of
Sept. 12)
El Cerrito (Aug, 7)
Moraga (Aug. 16)
Antioch (Aug. 22)
Brentwood (Aug. 22)
Hercules (Aug. 22)
Orinda (Aug. 22)
Martinez (Aug. 23)
Richmond (Aug. 28)
Lafayette (Aug. 28)
Concord (Sept. 5)
Clayton (Sept. 5)
San Pablo (Sept. 5)
Pinole (Sept. 6)
Danville (Sept. 7)
Walnut Creek (Sept. 12)
The following activities are planned to complete establishment of the CSA by
December 31, 1989, a requirement if assessments are to be levied for FY
1990-91:
- Complete city council resolutions (3 cities remaining)
Pleasant Hill - 2nd meeting (Sept. 18)
Pittsburg (Sept. 18)
San Ramon - 2nd meeting (Sept. 25)
- LAFCO review and approval (public hearin scheduled for Oct. 11)
- Board public hearing and final approval ?Dec. 6 or 12)
- Recordation and filing with State Board of Equalization (by Dec. 31 ,
1989)
Exhibit "A"
Supplement to the
Proposal and Service Plan to Create a County Service Area
for Emergency Medical Services
CSA EM-1
September 15, 1989
I. EMERGENCY RESPONSE AREA III (MORAGA FIRE PROTECTION DISTRICT)
Paramedic ambulance service is provided under County contract in ERA-III by
the Moraga Fire Protection District. The Fire District has provided
ambulance continuously since 1971 and has provided this service at the
paramedic level since initiation of paramedic services in Contra Costa
County in 1977. More recently, the Fire District has undertaken a pilot
first responder paramedic program making Advance Life Support service
available out of both Moraga Fire stations.
Moraga does not charge for ambulance service and has supported its level of
emergency medical service through a fire flow tax passed by a majority of
Moraga voters in 1978. While the Moraga Fire Protection District has
participated in the County's competitive bidding process for emergency
ambulance contracts, no competing proposals have been received for ERA-III.
Furthermore, Health & Safety Code Section 1797.201 provides that "Upon the
request of a city or fire district that contracted for or provided , as of
June 1 , 1980, prehospital emergency medical services, a county shall enter
into a written agreement with the city or fire district regarding the
provision of prehospital emergency medical services for that city or fire
district. "
In order to provide for the equitable participation of Moraga within the
proposed CSA for Emergency Medical Services, the the County will enter into
a noncompetitive agreement with the Moraga Fire Protection District for the
provision of paramedic ambulance, first responder, and certain other
emergency medical services in accordance with the level or standard which is
set countywide. The agreement will include a subvention to the Fire
District for those enhanced emergency medical services provided by the Fire
District. The Fire District will in turn reduce the annual fire flow tax
levy to District taxpayers by the actual amount of the subvention, which is
estimated to be approximately 85 percent of the benefit assessment fees
collected within the territory of the Fire District. This plan, which has
been approved by the Town of Moraga, will enable Moraga to participate in
the CSA while avoiding a situation in which Moraga residents are taxed twice
for enhanced EMS services.
II. EMERGENCY RESPONSE AREA IV (SAN RAMON VALLEY)
ERA-IV includes all of the unincorporated areas of San Ramon Valley Fire and
Tassajara Fire Districts and the incorporated areas of Danville and San
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Ramon. Emergency ambulance services within ERA-IV is provided under County
contract by the San Ramon Valley Fire Protection District (SRVF) . Under a
unique arrangement including SRVF, Dougherty Fire, Tassajara Fire, and John
Muir Medical Center, a high level of prehospital emergency medical response
has been achieved involving integrated medical dispatch, first responder,
basic life support ambulance, and advanced life support ambulance services.
The San Ramon Valley area will benefit from many of the enhancements
proposed under Measure "H", including first responder defibrillation,
medical dispatcher training, enhancements to the communications system,
disaster medical supplies. However, with the recent establishment of a
second paramedic unit and the planned establishment of a third paramedic
unit, SRVF will meet or exceed the paramedic ambulance response standard
established countywide. Based upon the recommendation of SRVF and the
concurrence of the Town of Danville and the City of San Ramon, separate
assessment rate zones will be established within CSA EM-1 and a lower
assessment rate will be established within ERA-IV reflecting that no subsidy
will be provided for additional paramedic ambulance subsidy within ERA-IV.
Since ERA-IV extends beyond the SRVF District boundaries to include the
territory of Tassajara Fire and that portion of the City of San Ramon served
by Dougherty Regional Fire Authority, ERA-IV will continue to be included as
an area subject to a competitive selection process.
The countywide County Service Area for Emergency Medical Services will
therefore be comprised of two assessment rate zones, defined as follows:
Zone A - All of the territory within the San Ramon Valley Fire
Protection District, all of the territory within the Tassajara Fire
Protection District, and all of the territory within the City of San.
Ramon.
Zone B - All of the remaining territory within Contra Costa County not
within Zone A as described above.
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