HomeMy WebLinkAboutMINUTES - 06051990 - 1.136 BOARD OF SUPERVISORS /Y!
FROM: Mark I'inuca.ne, Director Contra
Health Services Costa
DATE: May 24 , 1990 County
SUBJECT Request .for Proposals -
Emergency Ambuiance Services
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
1 . Authorize distribution of the Request for Proposal
(RFP) for Emergency Ambulance Service;
2. Direct the Health Service Director to report back to
the Board on the recommendation for emergency ambulance
service providers for Emergency Response Areas 1, 2, 4 ,
and .5;
3 . Authorize the Health Services Director to negotiate an
emergency ambulance service agreement with Moraga Fire
Protection District for Emergency Response Area 3; and
4 . Authorize Health Services Director to extend the
existing emergency ambulance service agreements through
January 2, 1991 .
FISCAL IMPACT:
No General Fund impact. It is anticipated that, as a result of
this selection process, the County will enter into agreements
which identify a subsidy for increased levels of emergency
ambulance service. Funds for this subsidy will be available
through the benefit assessment for County Service Area EM-1
(Measure "H" ) .
CONTINUED 011 ATTACHMENT: X _ YES SIGNATURE:
RECOMMENDATIO OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON JUN .1990-_.' APPROVED AS RECOMMENDED OTHER
1.
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT _ ) I HEREBY CERTIFY TI4AT 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.
Cc: Health Services Department ATTESTED
IN___=51990__—j
Emergency Medical Services Department NO Batchelor, Clerk of the Board of
County Administrator Supervisors and County Adminishator
M382/7-e
BY _
-._.. DEPUTY
BACKGROUND:
On November 28, 1989 , the Board of Supervisors adopted Resolution
No. 89/742 establishing CSA EM-1 to provide enhanced emergency
medical services countywide. This followed the passage of
Measure "H" in November 1988 calling for a property assessment to
fund increased paramedic services and other improvements in the
Countywide EMS system and the subsequent agreement of each of the
18 cities for inclusion of their respective territories within a
countywide CSA for emergency medical services . The attached RFP
solicits proposals for emergency paramedic ambulance service for
four of the County' s five emergency response areas :
ERA 1 - All of west County; and the central County cities
of Martinez, Pleasant Hill, Lafayette, Orinda,
Walnut Creek west of I-680 , and surrounding
unincorporated areas . (Currently served by
Regional Ambulance. )
ERA 2 - Central County cities of Concord, Clayton, Walnut
Creek east of I-680, and adjacent unincorporated
areas . (Currently .served by Regional Ambulance. )
ERA 4 - Danville, San Ramon, and unincorporated areas of
the San Ramon Valley. (Currently served by San
Ramon Valley Fire. )
ERA 5 - All of east County. (Currently served by Regional
Ambulance . )
Moraga Fire Protection District, the paramedic provider for ERA
3 , is exempted by statute (Health & Safety Code Section 1797 . 201 )
from the competitive selection process and intends to continue
providing paramedic ambulance service within ERA 3 at a level
with meets or exceeds countywide standards .
Some of the increased performance standards set by the RFP
include:
- paramedic level ambulance response to all medical
emergencies (except multiple unit response) within 10
minutes for urban areas or 20 minutes for rural areas
(response time standard to be met for 95 percent of calls ) ;
- three-person staffing of ambulances during long transports
(over 15 minutes ) or critical patients to the trauma center;
and
- establishment of a physician or nurse directed quality
assurance program.
In order to assess the feasibility of further enhancing our
response time standard, proposals are required to include a
deployment plan and associated subsidy requirement for both a 10-
minute and a 8-minute response time standard.
The selection process will include appointment of a Proposal
Review Committee to make recommendations to the Health Services
Director regarding ambulance provider selection. ' The Proposal
Review Committee will include members of the Measure "H" Steering
Committee and other knowledgeable individuals, including persons
from outside Contra Costa County. Recommendations will be
presented to the Board for authorization to negotiate emergency
ambulance contracts . It is anticipated that these agreements
will be for a term of two years with an option to renew for an
additional two year period.
The RFP contains a provision for a formal annual performance
evaluation to be conducted by a committee including two
representatives each from the Health Services Department, the
contract provider, and the Emergency Medical Care Committee. The
evaluation committee will report its finding to the Health
Services Director and to the Board within 90 days following the
end of each contract year..
Existing emergency ambulance service agreements expire June 30,
1990 . In order to provide adequate time for preparation and
review of proposals, selection of contractors, and startup of
operations, a six month extension of these agreements through
January 2, 1991, is being recommended.
cc: Moraga Fire Protection District
San Ramon Valley Fire Protection District
Regional Ambulance