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Home My WebLink AboutMINUTES - 09111990 - 1.6 (2) To BOARD OF SUPERVISORS FROM: Mark Finucane Director Contra Health Services Department Costa DATE'. August 20, 1990 Cou* SUBJECT: Emergency Ambulance Provider Selection SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION L RECOMMENDATION• Approve selection of emergency ambulance providers and authorize Health Services Director to negotiate contracts for Board approval as follows: ( 1) Regional Ambulance, Inc. , for -Emergency Response ,Areas I, II, and V as currently served by Regional'; and (2 ) San Ramon Valley Fire Protection District for Emergency Response Area IV as currently served by ''San Ramon Valley Fire. FISCAL IMPACT: These contracts will have no General Fund impact. The contract with Regional Ambulance will involve a subsidy to be paid from service charges assessed in County Service Area EM-1, Zone 'B. BACKGROUND: On June 5, 1990, Your Board authorized the distribution of the Request for Proposals (RFP) for emergency ambulance service" and directed the Health Services Director to report back to gYour Board on recommendations for emergency ambulance providers . ;A copy of the RFP was distributed to all providers who had expressed interest and to the California Ambulance Association. Additionally, announcements regarding the RFP were sent to all ambulance providers licensed in the State of California. On June 19 , 1990, a bidders , conference was held to answer questions prospective bidders might have regarding the RFP or the County's EMS system. X CONTINUED ON ATTACHMENT: YES SIGNATURE: ._ RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOAR COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON SEP 1APPROVED AS RECOMMENDED OTHER _ VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS (ABSENT ) AND CORRECT COPY :OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON SER EDATE SHOWN. CC: Health Services Administration ATTESTED SEP 1 1990 Emergency Medical Services PHIL BATCHELOR, CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR BY ,DEPUTY M382�7-83 Although active interest had been expressed by a major outside provider, proposals were submitted only by Regional Ambulance and by San Ramon Valley Fire for their existing service areas . (Hartson' s Ambulance of San Diego had expressed an intent to bid and attended the bidders ' conference. Prior to the proposal due date, however, Hartson's was selected as the new primary provider in San Mateo County and notified us that they would not be bidding in Contra Costa . ) Both the Regional and the San Ramon Valley Fire proposals have been reviewed by Health Services Department staff and by a,; Proposal Review Panel consisting of persons knowledgeable in EMS from, both within and outside Contra Costa County. The Report and Recommendations of the Review Panel (attached) rated both proposals very highly and recommended selection of these providers . 1 I i 'I I` �I CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT Emergency Medical Services Agency Ambulance Proposal Review Panel Report and Recommendations August 16, 1990 Background The Ambulance Proposal Review Panel was appointed ;l'by the Health Services Department to review proposals submitted in response to the Request for Proposals (RFP) to provide Emergency Ambulance Service issued May 21, 1990 . The panel included 15 persons with expertise in various areas of EMS . Members were selected from both within and outside Contra Costa County: The following 13 panel members participated in all deliberations and recommendations : Chief Peter Barraza, El Cerrito Fire Leveron Bryant, Asst. City Manager, Richmond Tom Charron, M.D. , Health Officer, Solano County Chief Jim Cole, San Leandro Fire, Alameda County Chief Jerry Fender, Consolidated Fire Protection District Ellen Folkens, R.N. , Nurse Manager, Kaiser Hospital, Martinez Sherry Handy, Sheriff ' s Dispatch Lt. Roy Kinion, California Highway Patrol Peter Lakes, EMS Director, Marin County Allen Longshore, M.D. , Consumer, EMCC Lorraine Olson, R.N. . Base Coordinator, Mt. Diablo Hospital , Ted Schreck, C.E.O. , Delta Memorial Hospital Chief Joe Tovar, Oakley Fire Two proposals were received in response to the RFP:1' 1 . Regional Ambulance to serve Emergency Response Area (ERA) I (West and West-Central County) , ERA IIi (East-Central County) , and ERA V (East County) 2 . San Ramon Valley Fire Protection District to serve ERA IV (San Ramon Valley) Both proposals were from existing providers and were for the geographic areas currently covered by those providers . Charge The charge given the Panel was to make recommendations to the Health Services Department on selection of ambulance, providers and to make other recommendations it deemed appropriate'iregarding the specific proposals recommended for selection. The Panel was 1 i directed to base its recommendations on the 1110-minute response time" option contained within each proposal . Process The Panel held two meetings which included interviews with representatives of each of the proposing agencies. in addition to copies of the RFP and each of the proposals, the Panel was provided a staff prepared summary highlighting key features of each proposal, written material which had been submitted by each of the proposing agencies in response to questions raised by the Panel following its first meeting, and copies of questionnaires returned to the EMS Agency from hospitals and public safety agencies regarding their recommendations . The Panel was assisted throughout its deliberations by members of the EMS Agency staff . Following the Panel's deliberations and interviews with the prospective ambulance providers, the Panel: ( 1) Determined if each proposal met the minimum standards set forth in the RFP; ( 2 ) Determined if each . bidder was qualified based upon experience, resources, and financial structure to provide the services identified in the RFP; ( 3) Scored each service proposal according to the rating system set forth in the RFP; and (4 ) Evaluated the extent to which each proposal provided a realistic implementation plan and reasonable budget. .i Conclusions and Recommendations The following were the conclusions and recommendations of the Panel: ( 1 ) Both applicants are extremely well qualified and appear committed to providing the service requested in the RFP. (Each applicant received average ratings of over 95 out of 110 possible points . ) ' ;i ( 2 ) Both proposals meet all minimum requirements set forth in the RFP. !I ( 3 ) The Panel recommends, therefore, selection of Regional Ambulance and San Ramon Valley Fire Protection to provide services in accordance with their respective proposals . 2 'i .i (4 ) With respect to the San Ramon Valley Fire proposal, County staff should require that the FireDistrict make a clear distinction between the role John Muir Medical Center staff will play in the District's in':ternal medical quality assurance program and their ole as base hospital. (5) With respect to the Regional Ambulance proposal, County staff should: (a) review the components of profit or loss of the company' s various operations as they -pertain to the emergency services to be provided in Contra Costa County, and (b) monitor and place adequate controls on profits derived from the new medications restocking and patient billing program to avoid any windfall in this area. AL:ph anbrpt . 8 9 0 y 3