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TO; BOARD OF SUPERVISORS c4q
FROM- William B.Walker,M.D.,Health Services Director Contra
DATE- September 21,1
County
S EVT: Authorize Partial Reimbursement to Sart Ramon"§tansy Fire Protection
District for EMS Enhancements
SPECIFIC RFQ ST€ l OR RECOMMENDATION(S)&#AtalfGRg8€MD AND JUSTtF1CAT*N
RECOMMENDATION-
Authorize payment orf$150,000 to the San Ramon Valley Fire Protection District(SRVF'PD)to partially offset costs for EMS enhancements,
FISCAL IMPACT,.
Funding for this item will be made ftom County Service Area EM-€ Zane A Tarsals designated for PMS system enhancements in the Sail,
Ramon Valley area. There is no General Fi d impact.
BACKGROUND:
SRVI^PD,the Comity's emergencyarnbulance service coptraetor for CSA,ESS-I Zone A(the San Ramon Valley avea),has undertakena
program of expansion and opgradingof EMS services, This has included the hiring ofexperienced paramedics to fill a number offirefighter-
paramedic positions,tr°ainingofsix existing firefighters as paramedics,and the;provision of special EMT team training to EMT-I firefighters
working with paramedics. $150,000wa's approved by yonr Board on June 1, 1999 from FY 1998-99 CSA ESI--I Zone A funds to parially
offset these costs. During the coming year,SRVFPD plaits to: (1)to purchase a new ambulance to replace a cttrrent high-mileage reserve unit;
(2)to upgrade EMS equipment used by paramedics and EMT's;(3)to engage in additional training for its paramedic and EMT personnel;'and,
(4)to upgrade or replace the patient case reporting computer system enabling SRVFPI3to provide complete and accurate data to the Co3anty.
SRVFPD is rcgvaestittg S I50,t t3 front f:Y 1999-2000 CSA EIS-I Zone A funds to offset costs for these EMS enhancements.
SRVI`PD provides bath first responder and ernergencyambulance services within CSA Elul-I Zoite A(San I Ramon Valley). Ambulance
services are provided trader an exclusive operating area agreement between the County and SRVF"PD similar to eontrac s in effect with
American Medical Response(AMR)and with l oraga-0rinda Eire for CSA EM-1 Zone B(covering all of the county except the Sate Ramon
Valley area). Unlike the AMR and Moraga.-Orinda Fire contracts,the SRVFPD contract does not provide for an annual emergency ambulance
subsidy,and a lower CSA EM-I assessment rate has therefore been established for Zone A. Sufficient CSA EM-I Zone A funds are available
to cover tltisrequest. CSA EM-1 Zane A fun€ls can be usedonly for EMS enhancements benefiting the San Ramon Valley area
rr
CONTINUED ON ATTACHMENT- NO SIGNATt1lf
REC€3MMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD CONOITTEE
APPROVE
ACTION OF SOARD ON October 5, 1999 _ APPROVED AS RECOMMENDED XX OTHER
VOTE OF SUPERVISORS
€HEREBY CERTIFY THAT THIS I A Tl
UNANIMOUS'(A#3SEi+1T AND CORRECT COPY OF AN ACTION TAKEN
AYES._� NOES, ,A.td€�>ENTERED(XPi THE MINUTES of THE BOARD
ABSEtd` . - Ata TBal l OF SUPERMSORS ON THE DATE.SHOWN,
Ctntact:Emergency Medical Services 64SA690
CC: County Administrator ATTESTED. October 5. 1999
County Counsel PHIL BATCHELOR,CLERK OF THE BOARD t
Auditor-CoMrolier SUPERVISORS AND 0 TY Ali fNI sTRAT
OR
Amsessor
Health Services Administration
13Y DEPUTY