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HomeMy WebLinkAboutMINUTES - 01101995 - 1.53 TO: B`OAkD OF SUPERVISORS FROM: Mark Finucane, Health Services Director Contra Costa DATE: December 15, 1994 County SUBJECT: Approve Standard Agreement #29-392-5 with the State Emergency Medical Services Authority SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Chair, Board of Supervisors, to execute on behalf of the County, a Statement of Compliance, the required Drug-Free Workplace Certification and Standard Agreement #29-392-5 (State #EMS-3030) with the State Emergency Medical Services Authority, in the amount of $30, 000, for the period June 25, 1994 through June 24, 1995, for the fifth year of .,,funding for the Regional Medical Disaster Planning Project. ~ II. FINANCIAL IMPACT: Approval of this agreement by the State will result in $30, 000 of State funding for the Regional Medical Disaster Planning Project. No County funds are required. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On June 8, 1993, the Board of Supervisors approved State Standard Agreement #29-392-3 (as amended by Standard Amendment Agreement #29-392-4) for the Bay Area/Regional Medical Disaster Planning Project. Standard Agreement #29-392-5 will continue State funding for Medical Disaster Planning Project services for the fifth year, through June 24, 1995, and will allow staff to make necessary program modifications to enhance the County's disaster preparedness by improving coordination between cities, hospitals, Emergency Medical Services and State Emergency Medical Services Authority in the event of an earthquake. The Board Chair should sign nine copies of the agreement, eight of which should then be returned to the Contracts and Grants Unit for submission to the State Emergency Medical Services Authority. CONTINUED ON ATTACHMENT: YES SIGNATURE: — RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS UNANIMOUS (ABSENT ) 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. Contact: Art Lathrop (646-4690) JAS 1 i� ' CC: Health Services (Contracts) ATTESTED State EMS Authority _. . _. ._ Phil Batchelor, Clerk of the Board of SU�ryj�g�pdG4ttAtyAdminisVa� - M382/7-e3 BY J . DEPUTY i sSTATEUFCALIFORNIA STANDARD AGREEMENT= ATTORNEY BY THE ATTORNEY GENERAL CONTRACT NUMBER AM.NOe. STD.2(REV.5-91) EMS-303Q 1 July 94 TAXPAYERS FEDERAL EMPLOYER IDENTIFICATION NUMBER THIS AGREEMENT,made and entered into this_ day of ,19 in the State of California,by and between State of California,through its duly elected or appointed,qualified and acting TITLE OF OFFICER ACTING FOR STATE AGENCY Director Emergency Medical Services Authority ,hereafter-called the State,and CONTRACTOR'S NAME Contra Costa County EMS Agency 2 9 — 3.9 2 — 5 ,hereafter called the Contractor. WITNESSETH: That the Contractor for and in consideration of the covenants,conditions,agreements,and stipulations of the State hereinafter expressed, does hereby agree to furnish to the State services and materials as follows: (Set forth service to be rendered by Contractor,amount to be paid Contractor, time for performance or completion,and attach plans and specifications,if any.) 1. The Contractor shall complete the objectives as identified in the Section entitled "Objectives." These are made a part of this agreement by this reference. 2. The period of this Agreement shall be from June 25, 1994 through June 24, 1995. 3. The total amount payable by the State to the Contractor shall not exceed $30.000. 4. The attachment entitled "Budget" is made a part of this Agreement by this reference. CONTINUED ON SHEETS,EACH BEARING NAME OF CONTRACTOR AND CONTRACT NUMBER. The provisions on the reverse side hereof constitute a part of this agreement. IN WITNESS WHEREOF,this agreement has been executed by the parties hereto,upon the date first above written. STATE OF CALIFORNIA CONTRACTOR AGENC.tmergency Medical Services Authority CONTRACTOR(if other than an individual state whether a corporation,partnership,eta.) BY(AUTHORIZEIGNATURE) / BDY(AUTHO D SIGNATURE) /l PRIN NA R IGN G PRINTED NAM NO TITLE OF PERSON SIGNIN �}'os E. ora�es, M.D. Chair, Board of Supervisors TITLE Director A651SSPine Street, Martinez, CA . 94553 AMOUNT ENCUMBERED BY THIS PROGRAWCATEGORY(CODE AND TITLE) FUND TITLE Department of General Services DOCUMENT Federal nnn Use Only 30,000 (OP NAL USE) PRIOR AMOUNT ENCUMBERED FOR THIS CONTRACT VJ ITEM CHAPTER TATUTE FISCAL YEAR 4120-101-890 55 1 1993 93/94 TOTAL AMOUNT ENCUMBERED TO DATE OBJECT Or1111U111dgF,a a0//ff TITLE) .$ 1V1 I hereby certify upon my own personal knowledge that budgeted funds 11 T.B.A.NO. B.R.NO. are available for the period and purpose of the expenditure stated above. SIGNATURE OF ACCOUW ING FFICER DATE �r V I e oL CONTRACTOR F-1 STATE AGENCY E] DEPT.OF GEN.SER. r-1 CONTROLLER �' JLUJIUdIU I=11G11L Page 2 5. The Contractor may make changes in any individual line item in the budget without prior authorization,.provided that such changes in the aggregate as to'a.ny line item shall not exceed $2,000. If changes exceed $2,000, the Contractor must submit an explanation of the need for such excess and specifically identify the line item(s) to be reduced in order to increase the excess line item(s) and provided further that the State reserves the right to deny any such claim for any excess reimbursement on any item. It is further understood that in no event shall the maximum amount specified in Paragraph 3 of this Agreement be exceeded. 6. In consideration of duties performed in a manner acceptable to the State, the State shall reimburse the Contractor, upon submission of an invoice, stating the time period covered and the contract number, for actual expenditures in accordance with the Budget (as shown at Exhibit F) to: State EMS Authority, 1930 Ninth Street, Suite 100, Sacramento, CA 95814. 7. Pursuant to Health and Safety Code Section 1797.110, the State may pay up to twenty-five percent (25%) of the total amount payable under this Agreement in advance upon request of the Contractor. This advance payment will appear as a credit to the contracting agency's account, and costs incurred by the contracting agency will be deducted from the credit until the advance funds are exhausted or the contract period expires. In the event there is a credit surplus at the end of the term of this Agreement, or in the event there is a credit surplus and the Agreement is canceled by either party, the Contractor will reimburse the credit to the State. 8. The content and language of State Standard Form 17A (Nondiscrimination Clause), as shown at Exhibit A, is adopted and is fully effective for all operations and services called for in performance of this contract. 9. The content and language of State Standard Form 19 (Nondiscrimination Compliance Statement), as shown at Exhibit B, is adopted and is fully effective for all operations and services called for in performance of this Agreement. 10. The content and language of State Standard Form 21 (Drug Free Workplace Certification), as shown at Exhibit C, is adopted and is fully effective for all operations and services called for in performance of this Agreement. 11. Exhibit D entitled "Federal Contract Funds" is made a part of this agreement by this reference. .)tanaara Agreement Page 3 ' 12. The Contractor agrees to abide with the following policies and procedures: A. The Contractor shall allow the EMS Authority, or its duly authorized representatives, (a) to inspect or otherwise evaluate the quality, appropriateness, and timeliness of services performed under this Agreement, (b) to inspect, evaluate, and audit any and all books and records maintained by Contractor or any subcontractor pertaining to such services at any time during normal business hours. Books and records shall include, but are not limited to, all physical records originated or prepared pursuant to performance under this Agreement including working papers, reports, financial records, and books of account. Upon request, at any time during the period of this Agreement, the Contractor shall furnish any such records, or copies thereof, to the State EMS Authority. Any reproduction costs which result from such a request will be paid by the Contractor. B. The Contractor shall prepare and maintain such books and records as may be necessary to disclose the manner in which it discharged its obligations under this Agreement. These books and records shall include records of employee time devoted to work under this Agreement, the amount of payment made for that time, the services performed by subcontractors, and the manner and amount of payment made for those services. Such books and records shall include, but are not limited to, all physical records originated or prepared pursuant to the performance under this Agreement, including working papers and financial records. These books and records shall be maintained for a minimum of three (3) years from the termination date of this Agreement, or in the event the Contractor has been duly notified that the EMS Authority has commenced an audit or investigation of the Agreement, or such time as the matter has been resolved, whichever is later. C. All subcontracts entered into by the Contractor to carry out the terms of this Agreement shall be in writing.and contain all of the following: 1. Full disclosure of the method and amount of compensation or_other consideration to be received by the subcontractor from the Contractor; 2. specification of the services to be provided; 3. a statement that the subcontract shall be governed by and construed in accordance with all laws, regulations, and contractual obligations binding on the Contractor; 4. subcontractor's agreement to submit reports as required by the Contractor; and, 5. the provisions of Exhibit A, B, C, and D of this Agreement. �)tanaara Agreement Page 4 13. Subcontracts over $10,000 must contain language stating that they meet the requirements of Public Contracts Code Sections 10115 et seq. This section requires state contracts to have participation goals of not less than 15 percent for minority business enterprises and not less than 5 percent for women business enterprises. 14. A subcontract entered into shall not become effective until it has been approved by the EMS Authority in writing, unless the State has acknowledged receipt of the proposed subcontract and has failed to approve or disapprove the proposed subcontract within thirty (30) days of receipt. Subcontract amendments shall be submitted to the EMS Authority for prior approval at least forty-five (45) days before the effective date of any proposed changes. Any such amendment shall become effective unless the EMS Authority expressly disapproves in writing such amendment and written notice thereof is received by the Contractor within said 45-day period. 15. Subcontracts entered into by the Contractor pursuant to this Agreement and all information received in accordance with this section shall be public records on file with the EMS Authority. 16. The Contractor shall secure the agreement of any subcontractor to make all of its books and records, pertaining to the goods and services furnished under the terms of the subcontract, available for inspection, examination or copying by State, as follows: at all reasonable times at the subcontractor's place of business, or at such other mutually agreeable location in California; in a form maintained in accordance with the general standards applicable to such books or record keeping; and for a term of at least three (3) years following the close of the calendar year in which the subcontract was terminated. Further, any agreement with a subcontractor shall also contain: subcontractor's agreement that assignments or delegation of the contract shall be void unless prior written approval is obtained by Contractor from the EMS Authority; subcontractor's agreement to maintain and make available to the EMS Authority upon request, copies of all written subcontracts and make applicable items 13-C-1 through 13-C-5, hereinabove to its subcontractors; and subcontractor's agreement to hold harmless State in the event Contractor will not pay for services performed by the subcontractor pursuant to the subcontract. 17. The Contractor agrees to abide by all policies and procedures as stated in the "Funding of Emergency Medical Services Agencies With State General Funds and Federal Block Grants" (August 1991). 18. The Contractor or subcontractors shall not be authorized to copyright any documents related to this project without written approval of the Director of the EMS Authority. 19. Publication rights to any documents produced as a result of this Agreement are reserved to the EMSAuthority. Ntanaard Agreement Page 5 ' 20. All materials and information collected or prepared under this Agreement shall become the joint property of the EMS Authority and the Contractor. 'The EMS Authority shall have access to information collected as a result of this Agreement. 21. Any printed materials'or videos developed for distribution with grant money awarded by the EMS Authority must include the following statement: "Funding provided by the State of California Emergency Medical Services (EMS) Authority under Special Project Grant #EMS-2028." 22. No equipment may be purchased by the Contractor for this project without prior approval from the EMS Authority. All equipment purchased with funds received through this contract will become the property of the State of California. 23. This Agreement maybe terminated at any time for breach and the EMS Authority may terminate unilaterally and without cause upon thirty (30) working days written notice to the Contractor. All work performed pursuant to the Agreement and prior to the date of termination may be claimed for reimbursement. 24. The Contractor shall not assign or transfer interest in this Agreement without the prior written consent of the EMS Authority. 25. This Agreement maybe canceled at any time by either party, by giving thirty (30) days advance written notice to the other party. 26. The Contractor agrees that, in the interest of enhancing public participation and knowledge, meetings of it's governing authority will be open to the public. Meetings which deal with legal or personnel matters shall be exempt. Notice of each public meeting shall be in accordance with Government Code Sections 54950 through 54961. 27. The Contractor agrees to maintain a mailing list of interested individuals and organization contacts. If there is a reduction in federal funds supporting the program under which this Agreement is financed, the Contractor agrees to inform these individuals and organization contacts of the funding reduction. 28. In addition to the final project report required in Section II of the "Funding of Emergency Medical Services Agencies With State General Funds and Federal Block Grants," the Contractor shall, within sixty days following the end of the contract period, submit to the EMS Authority, a Project Abstract Report. This separate report shall be 10 to 15 pages, double spaced and submitted on an IBM compatible computer disc (WordPerfect format preferred). This document shall be suitable for reprint/publication for distribution to all appropriate EMS constituents. This report shall include all of the following sections: Introduction, Project Description; Tasks/Methodology; General Discussion; Results and; Conclusions. STD.17A(FEV.2.93) 1. During the performance of this contract,contractor and its subcontractors shall notunlawfully discriminate, harass or allow harassment,against any employee or applicant for employment because of sex,race,color, ancestry, religious creed,national origin,physical disability(including HIV and AIDS),mental disability, medical condition (cancer), age (over 40), marital status, and denial of family care leave.Contractors and subcontractors shall insure that the evaluation and treatment of their employees and applicants for employment are free from such discrimination and harassment.Contractor and subcontractors shall comply with the provisions of the Fair Employment and Housing Act(Government Code,Section 12900 et seq.)and the applicable regulations promulgated thereunder(California Code of Regulations,Title 2,Section 7285.0 et seq.). The applicable regulations of the Fair Employment and Housing Commission implementing Government Code,Section 12990(a-f),set forth in Chapter-5 of Division 4 of Title 2 of the California Code of Regulations are incorporated into this contract by reference and made a part hereof as if set forth in full. Contractor and its subcontractors shall give written notice of their obligations under this clause to labor organizations with which they have a collective ba gaining or other agreement. 2. This contractor shall include the nondiscrimination and compliance provisions of this clause in all subcontracts to perform work under the contract. STD.19(REV.}91) COMPANY NAME The company named above (hereinafter referred to as "prospective contractor") hereby certifies, unless specifically exempted, compliance with Government Code Section 12990 and California Code of Regulations, Title 2, Division 4, Chapter 5 in matters relating to the development, implementation and maintenance of a nondiscrimination program. Prospective contractor agrees not to unlawfully discriminate against any employee or applicant for employment because of race, religion, color, national origin, ancestry, physical handicap, medical condition (cancer related), marital status, sex or age (over forty). CEATIRCAMON I, the official named below, hereby swear that I am duly authorized to legally bind the prospective contractor to the above described certification.I am fully aware that this certification,executed on the date and inthe county below, is made under penalty of perjury under the laws of the State of California. OFFi=L'S NAME OATS EXEC:ITEO EXECUTED IN THE CCLXrY OF CONTRA COSTA PROSPECTI CONTRACTCR'S$I NATURE PROSPECTIVE NTRACTCR-S TRLE Chair,* Board of Supeivisors PROSPECTIVE CCNTRACTCPS FEDERAL EMPLOYER IDENTIFiCATICN NUMBER i'•"r r L 1L L„ gMPANWORGANIZATION NAME The contractor or grant recipient named above hereby certifies compliance with Government Code Section 8355 in matters relating to providing a drug-free workplace. The above named contractor or grant recipient will: 1. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession,or use of a controlled substance is prohibited and spe 'crying actions to be ta'_ken against employees for violations, as required by Government Code Section 8333(a). 2. Establish a Drug-Free Awareness Program as required by Government Code Section 8353(b), to inform employees about all of the following: (a) The dangers of drug abuse in the workplace, (b) The person's or organization's policy of maintaining a drug-free workplace, (c) Any available counseling,rehabilitation and employee assistance programs,and ,'(d) Penalties that maybe imposed upon employees for drug abuse violations. 3. Provide as required by Government Code Section 8353(c),that every employee who works on the proposed contract or grant: . (a) Will receive a copy of the company's drug-free policy statement,and (b) Will agree to abide by the terms of the company's statement as a condition of employment on the contract or grant. CERTIMCATiON I,the official named below,hereby swear that I am duly authorized legally to bind the-contractor or grant recipient to the above described certification.I am fully aware thatthis certification,executed on the date and in the county below, is made under penalty of perjury under the laws of the State of California. CFFiC:AL's NAME OATSEXECUTED I EXECJTM IN THE=LINTY CF CONTRA COSTA C,^,NT.'iAC or GnANT REC:PIE IGNA i',E TITL If Chair, Board of Supervisors F=:;Er7AL I.O.NUMSFA 91 60653 Exhibit.D FEDERAL CONTRACT FUNDS 1. It is mutually understood between the parties that this contract may have been written before ascertaining the availability of congressional appropriation of funds for the mutual benefit of both parties in order to avoid program and fiscal delays which would occur if the contract were executed after that determination was made. 2. This contract is valid. and enforceable only if sufficient funds are made available to the State by the United States Government for the purposes of this program. In addition, this contract is subject to any additional restrictions, limitations, or conditions enacted by the Congress or any statute enacted by the Congress which may iffect the provisions, terms, or funding of this contract in any manner. 3. It is mutually agreed that if the Congress does not appropriate sufficient funds for the program, this contract shall be amended to reflect any reduction in funds. 4. The Department has the option to void the contract under the 30-day cancellation clause or to amend the contract to reflect any reduction of funds. 2 . Project Description The first year of the project focused on EMS/ Hospital Coordination issues. Some of the key components that were completed in the first year included a reporting form and guidelines for hospital assessment following an earthquake, testing of these procedures .during the State exercise BayMed 91, a communications assessment and report on the status of disaster communications in the Bay Area, and funding to the Hospital Council to present three classes on Hazard Mitigation for Hospitals and to Alameda County to present a two-day class on Casualty Collection Points. The objectives of the second year of the project were to improve EMS/Hospital Coordination and begin to develop medical mutual aid policies. The EMS/ Hospital Coordination objectives were completed during the first part .of the second year of the project. The key components include a revision of the forms and guidelines for . hospitals, assistance to Alameda County with the presentation of a one-day class on Casualty Collection Points, development of procedures for use when the State issues a short-term earthquake advisory, and funding to the Hospital Council for a hazard mitigation class. The remainder of the second year of the project was spent on developing written procedures for Contra Costa County Health Services staff to use when Coastal Region is activated by the State, and on developing a written BayA Area Medical Mutual Aid plan. The focus of the third year of the project was to complete written medical mutual aid documents for Coastal Region. One of the two written documents that was completed during year three is the Coastal Region RDMHC Response Plan. This plan was designed for a Coastal Region medical response to a disaster in another part of the state. It includes standard operating procedures for each Coastal- Region county' s Disaster Medical Coordinator to offer and/or provide medical mutual aid; medical resources available within each county and 24-hour emergency contact lists. The Coastal Region RDMHC will coordinate with Coastal Region OES wherever feasible to maximize the use of all available resources for a. more effective medical mutual aid response. The other written document that was completed during year three of the project was the Bay Area Medical Mutual Aid Resource Directory. Although use of the Directory does not necessarily involve the use of the RDMHC as the mutual aid coordinator, the Coastal Region Disaster Planning Project staff put together the Directory as part of the RDMHC' s leadership role in the region' s medical disaster preparedness. The project will hold communications exercises to test both documents. The focus of the fourth year of the project was the Bay Area Medical Mutual Aid committee of the Bay Area Regional EMS Council. This committee of the 12 Bay Area Counties has proven to be exceptionally effective in establishing uniform disaster medical concepts, policies and procedures over the last three years. Written procedures and forms for coordination between Coastal Region RDMHC and Coastal Region Disaster Medical Coordinators were developed. The EMS Resources Directory developed during the 3rd year grant was completed with all Coastal Region counties' information. Hospital evacuation planning guidelines were developed and presented to the BAMMA committee and the Contra Costa County Hospital Disaster Forum. The focus of the fifth year of the project will be to revise and modify the RDMHC procedures and checklists, and get them implemented Region-wide. Experiences both from the statewide RDMHC exercise on January 13th (with Coastal Region component on January 12th) and from the actual activation of the RDMHC during the Los .Angeles earthquakes in late January, 1994 will be incorporated into the revisions. Implementation efforts region-wide will begin with the development of a "Disaster Medical Coordinator's RDMHC Packet" and its use during exercises. 3. Proposed Objectives The proposed objectives for year five of the project are: 1. To revise and update standard operating procedures and forms for the RDMHC / Contra Costa County EMS Agency staff to use when activated by the State EMSA. A County Disaster Medical Coordinator packet and manual will be developed for coordination between the Coastal Region RDMHC and Coastal Region Disaster Medical Coordinators. Forms for use between each county' s Disaster Medical Coordinator and potential medical mutual aid providers will be developed. 2. To coordinate Coastal Region OES plans into the Coastal Region RDMHC written response plan wherever feasible in order to maximize an effective medical mutual aid response to another region of the state. 3. To staff the Bay Area Medical Mutual Aid committee of the Bay Area Regional EMS Council. This committee has been meeting monthly to promote the establishment of written policies and procedures for accessing medical mutual aid. Existing policies and procedures have been 4,rompiled in a standard format and distributed to each county Disaster Medical Coordinator. 4. To hold ongoing Coastal Region RDMHC communications exercises to test procedures, forms and standard operating procedures. 5. To develop an annual update and maintenance of the EMS Resource Directory, which includes Coastal Region counties and member counties of the Bay Area Regional EMS Council. The following tables summarize the project's objectives, evaluation methodology, resource needs, implementation schedule and outcomes: Objective l: To revise and update standard operating procedures and forms for the RDMHC/Contra Costa County EMS Agency staff to use when activated by the State EMSA. Activityf Eualuation -: Resources Implemen Outcome Task Nfethodblogy: Needed ': tatian, Schedule 1. 1 Revise Written EMSA LA EQ July - Current and update SOPs debriefing. September SOPS RDMHC SOPS Project .1994 reflecting consultant. changes in Coastal Region & LA EQ's lessons 1.2 Written RDMHC September - Packet and Develop a documents Project November Manual County Consultant 1994 received Disaster by each Medical Coastal Coordnator Region (DMC) .4 county Packet and Manual 1.3 Written RDMHC Nov 1994 - Standard- Develop forms EMS staff January 195 ization of forms for Consultant informat'n use between between counties Co.DMCs and RDMHC and medical mutual aid providers 1.4 To Meetings CCC Medical July 1994 - Medical work with held. Ops staff June 1995 Ops staff CCC med- Completion EMS staff oriented ical staff of review. Checklists to the to support Orientat'ns RDMHC role the RDMHC to the during RDMHC role activation held. Objective 2: To coordinate Coastal Region OES plans into the coastal Region RDMHC written response plan wherever feasible in order to maximize an effective medical mutual aid response to another region of the state. Activity/ Evaluation .' Resources Implemen Qutcome 'bask Methodology. Needed taton . Schedule 2 . 1 Review Completion Consultant August 1994 Identify State of review coordinatn DES's LA needs EQ After- between :Action RDMHC and Report OES 2 .2 Meet Completion OES staff October 94 Identify with OES of meetings EMS staff - March 95 coordinatn Coastal RDMHC needs Region between staff RDMHC and OES Objective 3. To staff the Bay Area Medical Mutual Aid (BAMMA) committee of the Bay Area Regional EMS Council. Activity/ Evaluation Resources Impleafenta Outcome Task Methodology Needed:: tion, S` h e edule 3 . 1 Hold Meeting EMS July 1994 - Meetings monthly minutes. Director June 1995 held meetings EMS staff Consultant 3 . 2 Write Written EMS Aug 1994 - Standard- mutual aid documents. Director June 1995 ized processes EMS staff processes Consultant for Mutual aid for Level I & II type incidents Objective 4: To hold ongoing Coastal Region RDMHC communications exercises to test procedures, forms and standard operating procedures. Activity/ Evaluation: Resources Implementa Outcome .-Task MethodoS`ogy Needed; tion Schedule 4. 1 Hold Exercise RDMHC. January & Familiar- an held. Region Feb 1995 ity with "Advisory counties. RDMHC Alert" EMS staff. procedures Exercise Consultant. forms and checklists 4.2 Hold a Exercise RDMHC. April & May Familiar- "Response held. Region cos. 1995 ity with Activat'n"' EMS staff. RDMHC Exercise Consultant. procedures forms and checklists S. To develop an annual update and maintenance of the EMS Resource Directory, which includes Coastal Region counties and member counties of the Bay Area Regional EMS Council. Activtyf Evaluation ; Resources >Iinplementa Outcome ;:Task Methodolo tion gy Schedule 5. 1 Update Updated Current February - Completed Directory written lists. June 1995 Directory document Consultant. Printing services. 3 . Objectives: Implementation Timetable and Milestones The following table lists the project objectives and timetable. The anticipated completion date for each task is the last day of the month listed in the timetable. Disaster J Planning u u e c a e a'` a .; a p a u: Project:, i g . :P t Objectives 1.RDMHC Plans 1. 1 Revise SOPS X X X 1. 2 Develop Co. X X X DMC Packet 1. 3 Develop Co. X X X Mutual Aid docs 1.4 RDMHC X X X X X. X X X X X X X Support by CCC 2. Coordinate Coastal Region OEs/RDMHC 2 . 1 Review LA X X EQ Aft-Action 2 .2 Meet with X X X Coastal OES- 3 . Staff BAMMA 3 . 1 Monthly X X X X X X X X X X X X meetings held 3 . 2 Write t X X X X X X mutual aid docs 4 . Hold RDMHC Exercises 4 : 1 Advisory X X Alert Exercise 4 .2 Response X X Activation Ex. -5:. Update EMS X X X X X Resource Directory 4. Project Evaluation . The successful completion of objectives in the stated time identified in the implementation timetable will be used as the performance indicators. Ongoing progress will be measured by feedback obtained from Bay Area Regional Council members and Coastal Region Disaster Medical Coordinators during the course of the project. The data to be used in the evaluation of the project will be as follows: • the Coastal Region Response RDMHC Plan, the Resource Directory and the Disaster Medical Coordinator Packet and Manual and forms as evidence of completion •meeting notes •exercise evaluations by Bay Area Regional Council members and Coastal Region Disaster Medical Coordinators, the RDMHC, Coastal Region OES and EMSA participants . exercise evaluation reports The project will be considered successful if written plans, checklists, forms and charts are developed for the Coastal Region RDMHC and local Disaster Medical Coordinators, and if the Coordinators feel more prepared to deal with the RDMHC in a disaster. 44 The project evaluation will be prepared by the Project Coordinator, under the direction of the Project Director and the RDMHC. 5. Statement of Intent The successful completion of this project will result in written plans and checklists for Bay Area Medical Mutual Aid and for the Coastal Region RDMHC in the event of a disaster in another part of the state. Contra Costa County is committed to continued support of medical disaster preparedness and to the RDMHC concept. 6. Proposed Budget Budget Narrative Regional Disaster Medical / Health Coordinator: The Contra Costa County Health Services Department Medical Director / Health Officer is the currently designated RDMHC for OES Coastal Region. This position, budgeted at 0.05 FTE, will be provided as a part of the local match. This position will serve in an overall advisory capacity to the project, and will participate in the Coastal Region staff training, exercise, and evaluation. Project Director: The Project Director will be the Contra Costa County EMS Director. - This position, budgeted at 0. 1 FTE, will be provided as part of the local match. The Project Director will have overall administrative and fiscal responsibility for the project. Project Clerk: Existing EMS support personnel will provide day to day clerical support for the project. This is budgeted at 0.2 FTE (clerk, senior level) and will be provided as part of the local match. Benefits: Personnel benefits have been es$# imated as 25% of salary costs and will be provided as a part of the local match. Travel and Mileage: Travel and mileage will be paid in accordance with existing county policies for travel within California while carrying out the objectives of the project. office supplies: Estimated cost of office supplies, printing, and postage for the project. Building Occupancy: Estimated cost of office space which will be required for the Project Coordinator. Telephone: Estimated cost of an additional phone line and charges. Project Coordinator: The project coordinator will be a . 45 FTE contract position. This is budgeted at 30, 000. / year. No county benefits are provided. Departmental indirect cost: Departmental indirect cost is calculated at 12 . 5%. 6. Proposed Budget, Cont'd. Budget Categories and Detail Budget Categories Block;-Grant: In-kind Total Funds Personnel: RDMHC (0. 05 FTE) $5550 Project Director 6700 (0. 1 FTE) Project Clerk 6350 (0.2 FTE) Personnel. Subtotal: 18600.: $18,..600 Fringe Benefits (at 25%):. 4650 4650 Travel Mileage.. 350 350 Equipment Operating Costs.- Supplies osts:Supplies 3136 Building occupancy 2900 Telephone 350 Operating: Costs:< Subtotal 6386 6,:386 Contractual (Project $30,.00030,000 Coordinator-:::4`5 FTE) `Total. Direct. Costs :.30,000 29;98& 59,986 :.Indirect/Admin. Costs '(at 12..5°6: of Total:. Direct: Costs) 7498 7,498 GRAND TOTAL $30,000 $37,484: $.67`,:484 CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT 8/93 Emergency Medical Services Agency r . Organization Chart Board of Advisory Bodies: Supervisors State EMS: Emergency Medical Care Committee California Emergency Medical Services CSA EM-1 Oversight Health Services Commission Committee Director Medical Advisory Committee California Emergency Medical Services Authority Transfer Review County Health Officer/ Panel Medical Director Trauma Audit Committee EMS Staff: Emergency Medical Services EMS Providers: Director Fire Services Ambulance Services Hospitals Dispatch Program Coordinator Medical Centers Consultants Police and (0.75 FTE) Sheriff Medical Helicopter Services Prehospital RN/First Data Training Care Coord./ Responder Management Institutions Hosp. & O.A. Programs Specialist support Prehospital RN/Trauma staff Care Coord./ Coordinator (2.0 FTE) Ops. & Persn'l. Special Projects EMS Functions: Provide overall coordination of County EMS - Provide medical disaster planning and System. . coordinate medical disaster response. Regulate emergency ambulance services. - Review interfacility patient transfers. Regulate County Trauma System. - Review and approve training programs for prehospital personnel. Establish prehospitat treatment protocols. Conduct certification program for - Approve and monitor paramedic programs. prehospital personnel_ - Approve and monitor first responder defibrillation - Administer Canty Service Area EM-1 to programs. provide enhancements to the EMS system.