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Home My WebLink AboutMINUTES - 11052002 - C99-C103 a - Contra TO: BOARD OF SUPERVISORS FROM: John Cullen, Director f Costa Employment and Human Servic epartment County DATE: October 11, 2002 V 7; im` SUBJECT: APPROVE and AUTHORIZE the Employment & Human Services Department Director, or designee, to EXECUTE a non-financial agreement with the Contra Costa Community College District for Department staff training for the period October 1, 2002 through September 30, 2005. SPECIFIC:REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: APPROVE and AUTHORIZE the Employment & Human Services Department Director, or designee, to EXECUTE a non-financial agreement with the Contra Costa Community College District for Department staff training for the period October 1, 2002 through September 30, 2005. FINANCIAL IMPACT: This is a non-financial agreement setting forth the framework for providing Department staff training. This master agreement establishes course format and the responsibilities of the parties. Separate financial agreements will be entered into for the payment of training. BACKGROUND: For the last two years representatives of EHSD Staff Development and the Contra Costa Community College District, Los Medanos College have researched methodologies of providing Department staff training. The result is a master agreement providing the framework for staff training either at District campus' or through County offices using a variety of instructors. The master agreement's flexible framework will serve as the basis for the offering of courses for Department employees and contractors to meet Department needs without the requirement of negotiating each course. Separate financial agreements will be entered into for the payment of training, but course format and the responsibilities of the parties will be set in this master agreement. CONTINUED ON ATTACHMENT: Y SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE PROVE C>THER SIGNATURE(S): r ACTION OF BOAR C) ,r„� APPROVED AS RECOMMENDED QT# � VOTE OF SUPER ORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ASSENTi ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact: cc: EHSD(CONTRACTS UNIT)-TM COUNTY ADMINISTRATOR BY ,DEPUTY AUDITOR-CONTROLLER ` CONTRACTORS TO: BOARD OFSUPERVISORS FROM: William Walker,M.D.,Health Services Director By: Ginger Marieiro,Contracts Administrator Centra Oct ober 23, X3{72 I Costa DATE: County SUBJECT: Approval of Ambulance Service Agreement#23-055-17 with San Ramon Valley Fire Protection District SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONN: Approve and authorize the Health Services Director, Or his designee (Art Lathrop) to execute on behalf of the County, Ambulance Service Agreement #23-055-17 with San Ramon Fire Protection District, an independent Fire Protection District, to provide emergency ambulance services in County's Emergency Response Area 4,for the period from 12:01 a.m. on November 3, 2002 through 12:00 midnight on November 2,2007. FISCAL IMPACT: There is no County General Fund impact. BACKGROUND/REASONS)FOR RECOMMENDATION(S): On December 2, 1997, the Board of Supervisors approved Ambulance Service Agreement #23-055-14 (as amended by Administrative Amendment Agreements #23-055-15 and #23-055-16) with San Ramon Fire Protection District, for the period from 12:01 a.m. on November 3, 1997 through 12:00 midnight on November 2, 2002 for the provision of emergency ambulance services in County's Emergency Response Area 4. The Contractor has requested a reciprocal indemnification clause, as a matter of equity, to cover reimbursement for damages and injuries arising from the County's negligence. In the view of County Risk Management this indemnification will create a minimal potential loss, The Health Services Department desires to expedite approval of the Agreement as written. Approval of Ambulance Service Agreement #23-055-17 will allow the Fire District to continue providing Emergency Ambulance Service in the County's Emergency Response Area 4 through November 2, 2007,unless sooner terminated as specified in the Agreement. CQNTINUED QN AT -A M NT• YES SIGNA 4ZO Y { .,--RECOMMENDATION OF COUNTY ADMINISTRATOR RECOM NDATION OF BOARD COMMITTEE APPROVE OTHER SIGNA?'UBEt ACTION OF BOARD O r APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ? a ham AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES:_ AND ENTERED ON THE MINUTES OF THE BOARD ABSENT —_ -- _ ABSTAIN:—� OF SUPERVISORS ON THE DATE SHOWN. ATTESTED JO N SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Peron: Art Lathrop 646-4690 CC: Health Services Dept. (Contracts) rF' Auditor-Controller Risk Management i _ ,�- ••._ DEPUTYDEPUTYContractor BY�,��'� TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director rf � By: Ginger Marieiro, Contracts Administrator Contra Costa DATE: October 23, 2002 County SUBJECT: Approval of Hospital Agreement #23076-7 with John Muir/Mt. Diablo Health System (dba John Muir Medical Center) SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director to execute on behalf of the County, Hospital Agreement #23-076-7 with John Muir/ Mt. Diablo Health System (dba John Muir Medical Center) , for the period from November 1, 2002 through October _31, 2005, for the County' s designation of John Muir Medical Center as a Base Hospital for County' s Emergency Medical Services (EMS) . FISCAL IMPACT: This is a non-financial agreement . There is no County General Fund impact . BACKGROUND/REASON(S) FOR RECOMMENDATION(S) : Base Hospitals provide on-line and retrospective medical direction and control to paramedic units and are required as a part of an EMS system providing Advanced Life Support . Base Hospitals provide medical direction without regard to patient destination, and therefore, provide services for patients who may be transported to facilities other than John Muir Medical Center. This agreement designates John Muir Medical Center as the EMS Base Hospital for Contra Costa County and sets standards and requirements for base hospital personnel and base hospital activities. Approval of Hospital Agreement #23-076-7 will allow John Muir Medical Center to be the designated Base Hospital for Contra Costa County, through October 31, 2005 . CONTINUED ON ATTR HMENI: wfRECOMMENDATION OF COUNTY ADMINISTRATOR _ RECOMME ATION OF BOARD COMMITTEE -°' APPROVE OTHER SIGN URE(SI: l ACTION OF BOARD O APPROVED AS RECOMMENDED t7T3P!f VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ` }- - AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: - OF SUPERVISORS ON THE DATE SHOWN, ATTESTED__ d� JOIN SWEETENL ERK OF THE BOARD OF Contact Person: Art Lathrop (646-4690) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services Dept. (Contracts) r ' Auditor-Controller f Risk Management BY Contractor DEPUTY To: BOARD OF SUPERVISORS CONTRA COSTA COUNTY r From: William B.Walker,M.D. Health Services Director / Date: November 5,2002 Subject: EXTENSION OF EMERGENCY DECLARATION AND AUTHORIZATION OF THE COUNTY HEALTH DEPARTMENT IN SUPPORT FOR NEEDLE EXCHANGE PROGRAMS SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION Rge2mmendation: CONTINCJE with the emergency action originally taken by the Board on.December 14, 1999 based on the increasing/epidemic number of AIDS/I-IlV and Hepatitis C cases among injection drug users in Contra Costa County. Background: Continued.Need for Emergency The spread of disease, particularly HIV and Hepatitis C, through the sharing of needles continues to be a grave concern in Contra Costa County. 30% of all people living with AIDS in Centra Costa were infected by injection drug use with the highest number of AIDS cases in West County. As of December 1997, Richmond had the highest cumulative incidence of AIDS (4.8 per 1000 population) among Contra Costa cities, with at least 50 cases. Injection drug use was the estimated mode of infection among 40% of all individuals diagnosed with AIDS in Richmond. Among African Americans diagnosed with AIDS in Richmond 1982-1998 53%were most likely infected through injection drug use. Contra Costa Health Services does not currently provide needle exchange services(it is prohibited from doing so absent a declared public health emergency). CCHS does provide services focused on injection drug users including: I-HIVIAIDS Outreach and Education, 2-11IV antibody testing, 3-Substance Abuse Treatment, 4-Health on Wheels Van, and 5-Substance Abuse Counseling and Treatment for HIV-infected clients. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADM]NISTRATOR RECONEE IENDATION OF BOARD COMMITTEE APPROVE OTHER. SIGNATURE(S): ACTION OF BOARD ON NC gffl t 5.2002 APPROVED AS RECOMMENDED K OTHER. VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS NCW (ABSENT AND CORRECT CONY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: ATTESTED . JOHN SWEETEN,CLERIC OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact.Person: Wendel Brunner,M.D. 313-5712 CC: Health Services Director j Public Health Administration 1 , BY ! � -- DEPUTY Board of Supervisors Page 2 .Emergency Declaration for Support of Needle.Exchange Programs Exchange 'Works, a community-based needle exchange service currently in operation in Contra Costa currently distributes clean needles on a one-to-one basis. Their volunteer staff currently exchange 5,000 needles per week at two sites. There are no established needle exchange program in East or Central County. PROGRESS SINCE EMERGENCY ON DECEMBER 14, 1999 At the Board of Supervisors December 14, 1999 meeting, CCHS was directed to take four actions. As of January 7, 2000 the following has been completed: • CCHS has entered into discussions with Exchange Works in West County. • Supplies for the ongoing provision of the services have been identified. • CCHS staff have been identified to assist with the provision of information and referrals. • Documentation forms are being reviewed and revised as necessary to ensure that specific information is available to the Board. • Planning for an East County process will begin later this quarter after the preliminary process in West County is completed. This emergency action was renewed on December 20, 1999, January 11, 2000, January 25, 2000, February 15, 2000, March 7, 2000, March 21, 2000,April 11, 2000, May 16, 2000, June 6, 2000, July 18, 2000, August 8, 2000, September 12, 2000, September 26, 2000, October 10, 2000, October 24, 2000, November 14, 2000, December 5, 2000, December 19, 2000, January 9, 2001, January 23, 2001, February 6, 2001, February 27, 2001, March 13, 2001, March 27, 2001, April 10, 2001, April 24, 2001, May 8, 2001, May 22, 2001, June 5, 2001, June 19, 2001, July 10, 2001, July 24, 2001, August 7, 2001, September 11, 2001, September 25, 2001 October 9, 2001, October 23, 2001, November 6, 2001, December 4, 2001, December 18, 2001, January 8, 2002, January 22, 2002, February 5, 2002, February 26, 2002, March 12, 2002, March 26, 2002,April 9, 2002, April 23, 2002, May 7, 2002, May 21, 2002, June 4, 2002, June 18, 2002, July 9, 2002, July 23, 2002, August 6, 2002, September 10, 2002, September 24, 2002, October 8, 2002 and October 22, 2002.