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HomeMy WebLinkAboutMINUTES - 10111994 - 1.43 To: BOARD OF SUPERVISORS / FROM: Mark Finucane, Health Services Director �k - / Contra By: Elizabeth A. Spooner, Contracts Administrator Costa DATE: September 26, 1994 County SUBJECT: Approve Contract Amendment Agreement #23-024-12 with Regional Ambulance, Inc. (dba American Medical Response) SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director to execute on behalf of the County, Contract Amendment Agreement #23-024-12, effective September 1, 1994, to extend Ambulance Service Agreement #23-024-11 with Regional Ambulance, Inc. (dba American Medical Response) , from January 2, 1995 to January 2, 1996, for provision of emergency ambulance services in County's Emergency Response Areas 1, 2 , and 5. This document includes provision for an automatic contract extension through May 2 , 1996. II. FINANCIAL IMPACT: There is no County General Fund impact. Subsidy payments are funded under CSA EM-1 (Measure H) and are not being increased under this Amendment Agreement. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On May 31, 1994, the Board of Supervisors authorized the Health Services Director to negotiate a one-year extension of Ambulance Service Agreement #23-024-11 (effective June 1, 1993 through January 2, 1995, with an automatic extension through May 2, 1995) with Regional Ambulance, Inc. (dba American Medical Response) , to provide emergency ambulance services for the County in Emergency Response Areas 1, 2, and 5. over the years, the Request for Proposal process to recruit service providers has proved to be lengthy and complex. Therefore, the Health Services Director requested the Board's approval, and on May 31, 1994, was authorized by the Board, to negotiate a one-year extension of Ambulance Service Agreement #23-024-11 in order to assure that the County's emergency ambulance services continue uninterrupted and to provide an opportunity for County Emergency Medical Services to: 1. Complete preparation of a new EMS System Plan which the State has requested all local EMS agencies to submit by December 31, 1994; 2 . Assess the potential impact on emergency ambulance services of changes in the health care system; 3 . Assist the County Fire District in reviewing its role as an EMS provider; and 4 . Prepare and initiate a new RFP and complete a competitive bidding process for the County's emergency ambulance se ices. CONTINUED ON ATTACHMENT: YES SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME ATI N OF BOARD OMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON UIA I APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS _ UNANIMOUS (ABSENT ) 1 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. Contact: Art Lathrop (646-4690) OCT 1 g CC: Health Services (Contracts) ATTESTED Auditor-Controller (Accounts Payable) Phil Batchelor, Clerk of the Board of Contractor SupwvinisedGwItyAdmmistraW M382/7-83 BYDEPUTY Contra Cos.ta County Standard Form 1/•87 CONTRACT AMENDMENT AGREEMENT (Purchase of Services) Number 23-024-12 Fund/Org # 7406 Account # 2310 Other # 1. Identification of Contract to be Amended. Number: 23-024-11 Effective Date: June 1, 1993 D mKs" A qty' Department: Health Services - Emergency Medical Services Subject: Emergency Ambulance Services (Emergency Response Area(s) 1,2, and 5) 2 . Parties. The County of Contra Costa, California (County) , for its Department named above, and the following named Contractor mutually agree and promise as follows: Contractor: REGIONAL AMBULANCE, INC. (DBA AMERICAN MEDICAL RESPONSE Capacity: California corporation Taxpayer ID #94-2258148 Address: 41300 Christy Street, Fremont, California 94538 Mailing Address: P.O. Box 7780, Fremont, California 94537 3 . Amendment Date. The effective date of this Contract Amendment Agreement is September 1, 1994 4 . Amendment Specifications. The Contract identified above is hereby amended as set forth in the "Amendment Specifications" attached hereto which are incorporated he f . 5. Signatures. These signatures attest the parties' agreement hereto: COUNTY OF CONTRA COSTA, CALIFORNIA ATTEST: Phil Batchelor, Clerk of BOARD OF SUPERVISORS the Board of Supervisors and County Administrator By Chairman/Designee Deputy CONTRACTOR By By (Designate business capacity A) (Designate business capacity B) Note to Contractor: For corporations (profit or nonprofit), the contract must be signed by two officers. Signature A must be that of the president or vice- president and Signature B must be that of the secretary or assistant secretary (Civil Code Section 1190 and Corporations Code Section 313) . All signatures must be acknowledged as set forth on page two. Contra Costa County Standard Form 1/87 APPROVALS/ACKNOWLEDGEMENT Number 23-024-12 APPROVALS RECOMMENDED BY DEPARTMENT FORM APPROVED By By Designee APPROVED: COUNTY ADMINISTRATOR By ACKNOWLEDGEMENT State of California ACKNOWLEDGEMENT (By Corporation, Partnership, or Individual) County of The person(s) signing above for Contractor, personally known to me in the individual or business capacity(ies) stated, or proved to me on the basis of satisfactory evidence to be the stated individual or the representatives) of the partnership or corporation named above in the capacity(ies) stated, personally appeared before me today and acknowledged that he/she/they executed it, and acknowledged to me that the partnership named above executed it or acknowledged to me that the corporation named above executed it pursuant to its bylaws or a resolution of its board of directors. Dated: [Notarial Seal] Notary Public/Deputy County Clerk -2- AMENDMENT SPECIFICATIONS Number-23-024-12 In consideration for Contractor's willingness to continue providing services for an additional year under the Contract identified herein, County agrees to extend the term of the Contract. County and Contractor agree therefore to amend said Contract as set forth below while all other parts of the Contract remain in full force and effect. 1. Extension of Term. The term of the Contract set forth in Paragraph 3. (Term) is hereby extended from 12:00 midnight on January 2. 1995 to 12:00 midnight on January 2. 1996, unless sooner terminated as set forth herein. 2. Patient Charges. Subparagraph 2. of Service Plan Paragraph S. (Patient Charges if hereby amended to read as follows: "2. Contract Manager will approve annual increases in patient charges identified in Exhibit B, on or after January 3, 1995, based upon changes in a composite index consisting of three components of the All Urban Consumers Price Index, San Francisco-Oakland-San Jose since March, 1993. The composite index shall include the following components: (1) Medical Consumer Price Index, 50%; (2) Transportation Consumer Price Index, 25%; and (3) Consumer Price Index 25%) . In addition, if changes in governmental third party payer programs result in significant reductions in payments for services rendered, Contract Manager may authorize increases in patient charges to affect potential revenue losses. Any rate increase under this provision shall not take effect until 15 days following written approval by Contract Manager. " 3. Exhibit B. Exhibit B. (Patient Charges) attached to the Contract is hereby deleted in its entirety and replaced with a new Exhibit B. (Contra Costa Rates, effective 1/1/94) which is attached hereto and incorporated herein by reference. 4. Exhibit C. Exhibit C. (Payment Schedule) attached to the Contract is hereby deleted in its entirety and replaced with a new Exhibit C. (Payment Schedule) which is attached hereto and incorporated herein by reference. Initials: Contractor County Dept. 1 AMENDMENT SPECIFICATIONS Number-23-024-12 5. Automatic Contract Extension. Special Conditions Paragraph 2. (Automatic Contract Extension) is hereby modified to read as follows: 112. Automatic Contract Extension. Notwithstanding Paragraph 3. (Term) of this Agreement, unless this Contract is terminated by either party pursuant to Paragraph 5. (Termination) of the General Conditions prior to January 2, 1996, the term of this Contract shall be automatically extended from January 3, 1996 through May 2, 1996. During its extended term, this Contract is nevertheless subject to all the terms and conditions applicable during its initial term, including but not limited to General Conditions Paragraph 5. (Termination) . The purpose of this automatic contract extension is to allow for continuation of services to patients during which time County may complete its Competitive Request for Proposal process and finalize its negotiations as the result of the competitive bidding process for the next contract period. If this Contract is automatically extended, Contractor shall continue to provide services as set forth in the Service Plan, subject to any amendments thereto, while all other conditions of the Contract shall remain in effect. " Initials: Contractor County Dept. 2 EXHIBIT B Contra Costa County Rates effecttve(1121194) Current Increase ZA% Base Rate BLS 312.53 320.03 Base Rate ALS 511.40 523.67 Oxygen Administered 46.46 46.55 Mileage, Emergency(per mile)-BLS 10.23 10.48 _ Mileage. Emergency(per mile)-ALS 10.23 10.48 Night Charge 51.15 52.38 Waiting Time per 15 min. 113.65 116.38 Extra Handling 45.46 46.55 Extra Attendant(ALS) 170.47 174.56 Extra Attendant(BLS) 85.24 8729 EKG Monitoring 68.19 69.83 Bridge Tolls Cost Cost BLS Supplies: Aspiration Supplies(Disposable) 17.05 17.46 Oral Airway 5.69 5.83 Nasal Airway 11.36 11.63 Resuscitator Valve(Dlsp) 11.36 11.63 Ambu Bag (Disp) 4.4.32 45.38 Mask- Pocket 7.39 7.57 Nonrebreather Mask 5.69 5.83 Multi-Trauma Dressing(10X30) 5.69 5.83 Triangular Bandage 5.69 5.83 Cold Pscks 4.54 4.65 08 Kit 17.05 17.46 Bum Sheets 11.36 11.63 Cervical Collar-Rigid 39.78 40.73 Leg Splint(Disp) 7.95 8.14 Arm Splint(Disp) 7.95 8.14 Sterile Water 11.36 11.63 Sterile Saline 11.36 11.63 Urinal 5.69 5.83 Bedpan 5.69 5.83- Infection Control 12.50 1280 Disposable Blankets 11.36 11.63 ALS Supplies: Esophageal Airway 56.82 58.18 Endotracheal Tube 17.05 17.46 Pleural Decompression Kit 31.82 3258 PTV Kit 30.19 30.91 Blood Draw Supplies 11.36 11.63 05W IV Solution 5Wcc 51.16 52.39 Lactated Ringers IV Solution 1000cc 45.46 48.55 Adenosine 8mg 2cc ' 0.00 61.75 Alupent 0.3cc.06%/2.2ccN 11.36 11.63 Atropine 1 mg/5cc preload 27.27 27.92 Benadryl 50mg/1cc 11.36 11.83 Bretylium 500mgh0cc 63.64 65.17 Calcium Chloride 1 gr 17.05 17.46 Dextrose 50 25mg/50cc preload 22.73 2328 1 EXHIBIT B Dopamine 400mg/5cc preload 11.36 11.63 Epinephrine 1:1000 1mg/1cc 11.36 11.63 Epinephrine 1:10,000;1 mg/10cc 14.77 15.12 Epinephrine 1:10001mg/30cc 2273 23.28 Glucagon 51.16 52.39 Ipecac 5.69 5.83 - Isuprel 1 mg/5cc preload 28.42 29.10 Lasix 40mg/4c c preload 11.36 11.63 Lidocaine 18.19 18.63 Narcan 2.0 mg preload 11.36 11.63 Sodium Bicarb 44.6/50m Eg/50cz 2273 23.28 Glucose paste 30.0 gm(40%) 17.05 17.46 Morphine Sulfate 10 mg/10C 11.36 11.63 Valuim 10 mg/2 cc 11.36 11.63 Defib Pads 11.36 11.63 EKG Electrodes 11.36 11.63 Cricothyroidotomy Kit 34.09 34.91 Activated Charcoal 11.41 11.68 Headbed Immobiiizer 8.05 8.24 Intraosseous lOr 50.10 51.30 Defib Pads-Pedi 7.14 7.31 'Kit contains:llO needle,Volutroi S sterile gloves "'Adenosine 6mg 2cc-new charge of 1194 2 EXHIBIT C PAYMENT SCHEDULE BASIC PAYMENT FOR EMERGENCY AMBULANCE SERVICE. In consideration for the provision of services described in this Agreement, COUNTY shall make payments to CONTRACTOR according to the following schedule: A. January 3, 1995 - January 2, 1996 1. Monthly Payment. County shall pay Contractor $208,532 per month, not to exceed $2,502,384 for the period of January 3 , 1995 through January 2 , 1996; and 2 . First Responder Paramedic Unit. County shall pay Contractor for first responder paramedic units authorized by County at the rate of $26.58 per hour, not to exceed $19,776 per month. NOTE: This rate is not intended to cover the cost(s) of providing housing for first responder paramedic units. B. If this Agreement is automatically extended pursuant to Amendment Specifications Paragraph 4. (Automatic Contract Extension) in Contract Amendment Agreement #23-024-12, payments shall be as follows during said extension period: 1. Monthly Payment. County shall pay Contractor $208,532 per month, not to exceed $834,128 for the period of January 3 , 1996 through May 2 , 1996; and 2 . First Responder Paramedic Unit. County shall pay Contractor for first responder paramedic units authorized by County at the rate of $26.58 per hour, not to exceed $19,776 per month. NOTE: This rate is not intended to cover the cost(s) of providing housing for first responder paramedic units.