HomeMy WebLinkAboutMINUTES - 04232013 - C.19RECOMMENDATION(S):
APPROVE Appropriation Adjustment No. 5080 authorizing the transfer of $170,000 from the General Fund-Reserve
for Contingencies to the County Administrator and appropriating it for contract expenses associated with the
evaluation of fire services related to emergency medical services.
FISCAL IMPACT:
$170,000 in County General Fund Reserve will be transferred to the County Administrator's Office and all costs
related to the portion of the services provided by Fitch & Associates, LLC to perform an evaluation of fire services
related to Emergency Medical Services will be charged to the County Administrator's Office.
BACKGROUND:
On December 11th, 2012 the Board of Supervisors directed Contra Costa Health Services Emergency Medical
Services (EMS) to conduct an independent EMS System re-evaluation and to report findings and recommendations to
the Board of Supervisors. The Board further directed EMS and County Administrator to work together to expand the
study to include an evaluation of fire services related to EMS. This project is envisioned to identify strategic
objectives to assist in making
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 04/23/2013 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Dorothy Sansoe,
925-335-1009
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the
Board of Supervisors on the date shown.
ATTESTED: April 23, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc:
C. 19
To:Board of Supervisors
From:David Twa, County Administrator
Date:April 23, 2013
Contra
Costa
County
Subject:Appropriation Adjustment for Evaluation of Fire Services Related to EMS
BACKGROUND: (CONT'D)
public policy decisions for the future delivery of EMS and community health care to residents and visitors of
Contra Costa County. Including but not limited to:
• Evaluate current and alternative fire first responder and ambulance EMS service delivery to effectively respond
to
incidents of acute illness or injury
• Establish mechanisms to achieve appropriate response to disasters, multiple casualty incidents, and other events
requiring additional surge capacity of providers
• Review and update ambulance ordinance to support EMS System enhancement
• Review dispatch procedures and protocols based on best evidence beneficial to patient outcomes
• Strategically enhance EMS services to match health care resources with patients’ illnesses, injuries, or social
needs
• Integrate EMS service delivery into County’s system to include prevention, early identification, resource
allocation,
care delivery, transportation, and definitive care
• Prepare system for modern out-of-hospital initiatives for EMS providers such as, treat and release, alternative
destinations, referral to most appropriate resources, community para-medicine, etc.
• Expand funding sources and allocate resources to further accomplish system objectives
On February 12, 2013 the Board of Supervisors approved an amendment to the contract executed between the
Health
Services Department and Fitch and Associates to cover the costs of the additional services to be provided as
described above. In addition, the Board authorized the County Administrator to transfer funds from the General
Fund
Reserve to the Health Services Department to cover the portion of the costs associated with the evaluation of fire
services related to Emergency Medical Services.
Since that time it has been determined that it is more expedient to provide the funding from the Reserve to the
County Administrator instead of the Health Services Department and to process payments for the services
provided by Fitch and Associates, LLC against these funds. Therefore, the County Administrator is
recommending the Board approve the request to transfer the funding to the County Administrator's Office from
the General Fund Reserve for this purpose.
CONSEQUENCE OF NEGATIVE ACTION:
If this request is not approved the County will not be able to make appropriate payments to the contractor for the
services being provided.
CHILDREN'S IMPACT STATEMENT:
Not applicable.
ATTACHMENTS
Appropriation Adjustment