To: Board of Supervisors
From: Health and Human Services Agency
Meeting Date: August 27, 2019
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Department Contact: |
Tammy Moss Chandler |
Phone: |
463-7774 |
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Item Type: Regular Agenda |
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Time Allocated for Item: 5 Minutes |
Agenda Title:
title
Discussion and Possible Action Including Approval of Retroactive Amendment to Revenue Agreement No. PH-13-049 with Mendocino Coast District Hospital In the Amount of $10,994, for a new Agreement Total of $60,994, to Serve as an Emergency Medical Services Base Hospital for the Period of July 1, 2013 through a New End Date of June 30, 2019, Effective July 1, 2018; and Approval of Retroactive Revenue Agreement with Mendocino Coast District Hospital in the Amount of $33,647 to Serve as an Emergency Medical Services Base Hospital for the Period of July 1, 2019 through June 30, 2022
(Sponsor: Health and Human Services Agency)
End
Recommended Action/Motion:
recommendation
Approve retroactive amendment to revenue Agreement No. PH-13-049 with Mendocino Coast District Hospital in the amount of $10,994, for a new Agreement total of $60,994, to serve as an emergency medical services base hospital for the period of July 1, 2013 through a new end date of June 30, 2019, effective July 1, 2018; approve retroactive revenue Agreement with Mendocino Coast District Hospital in the amount of $33,647 to serve as an emergency medical services base hospital for the period of July 1, 2019 through June 30, 2022; authorize the Health and Human Services Agency to sign any future amendments that do not increase the maximum contracted amount; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
December 18, 2018, Item 4(o), BOS Agreement No. 18-171, Amendment with Adventist Health Ukiah Valley to serve as a Base Hospital in Fiscal Year 2018-19;
January 8, 2019, Item 4(o), BOS Agreement No. 19-003, Amendment to Agreement with Adventist Health Howard Memorial to serve as a Base Hospital in Fiscal Year 2018-19.
Summary of Request:
The State of California authorizes each county to develop an Emergency Medical Services (EMS) program and to designate a Local Emergency Medical Services Agency (LEMSA) to oversee delivery of EMS within its geographical area. As documented in California Health and Safety Code (Division 2.5, Chapter 6, Article 1, Sections 1798.100 - 1798.105), Base Hospitals must be designated by the LEMSA in order to provide medical control, direction, and accreditation, certification, and supervision of personnel delivering emergency medical services. Pursuant to those guidelines, Mendocino County’s LEMSA has consulted with the Health and Human Services Agency and cosigned the Amendment and Agreement presented for Board approval today.
As designated by Mendocino County’s LEMSA, Adventist Health Howard Memorial, Adventist Health Ukiah Valley, and Mendocino Coast District Hospital have served as Base Hospitals for EMS providers. The Board of Supervisors approved amendments to the Base Hospital Agreements with Adventist Health Ukiah Valley and Adventist Health Howard Memorial to include Fiscal Year 2018-19 in December 2018 and January 2019 respectively. Although the Fiscal Year 2018-19 amendment with Mendocino Coast District Hospital was drafted and processed within a similar timeframe, staffing changes at Mendocino Coast District Hospital’s executive level caused delays, and the signed amendment was only recently returned. The Health and Human Services Agency requests Board approval of this retroactive amendment to cover costs associated with the LEMSA’s administration of EMS Base Hospital services through Mendocino Coast District Hospital in Fiscal Year 2018-19.
Today’s item also requests retroactive approval of a newly-drafted Agreement allowing Mendocino Coast District Hospital to serve as a Base Hospital from July 2019 through June 2022. The Health and Human Services Agency worked closely with County Counsel and the LEMSA to refine the original 2013 Agreement. This process required additional time for consultation with all parties and necessitated the retroactive start date.
One additional agreement combining the two Adventist Health Hospitals is currently being reviewed by Adventist Health; the Health and Human Services Agency will submit that Agreement for Board approval at a future date.
Alternative Action/Motion:
Return to staff for alternative handling.
Supervisorial District: All
vote requirement: Majority
Supplemental Information Available Online At: <https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=HSC&division=2.5.&title=&part=&chapter=6.&article=1.%20%20>
Fiscal Details:
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source of funding: Revenue |
budgeted in current f/y: Yes |
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current f/y cost: $10,994 for FY 2018-19 |
if no, please describe: |
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annual recurring cost: $10,994 for FY 2019-20; up to $11,214 for FY 2020-21; up to $11,439 for FY 2021-22 |
revenue agreement: Yes |
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budget clarification: The 2018-19 contracted amount is payable directly to the LEMSA. Contracted amounts for the Agreement beginning July 1, 2019, are payable to Mendocino County, which will facilitate payment to the LEMSA.
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Darcie Antle, Deputy CEO |
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CEO Review: Yes |
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CEO Comments:
FOR COB USE ONLY
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Executed By: Lindsey Dunham, Deputy Clerk I |
Final Status:Approved |
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Date: August 29, 2019 |
Executed Item Number: Agreement Number: 19-218 AND Agreement Number: 19-217 |
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Note to Department Number of Original Agreements Returned to Dept: 19-218 (5) AND 19-217 (5) Original Agreement Delivered to Auditor? 19-217, yes AND 19-218, yes |
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