To: Board of Supervisors
From: Health and Human Services Agency
Meeting Date: June 10, 2020
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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: 15 Minutes |
Agenda Title:
title
Discussion and Possible Action Including Approval of Retroactive Agreement with Sonoma County In the Amount of $1,182,221.62 to Provide Emergency Medical Services Administration in Mendocino County, Effective July 1, 2019 Through June 30, 2022
(Sponsor: Health and Human Services Agency)
End
Recommended Action/Motion:
recommendation
Approve retroactive Agreement with Sonoma County in the amount of $1,182,221.62 to provide Emergency Medical Services administration in Mendocino County, effective July 1, 2019 through June 30, 2022; authorize the Health and Human Services Agency Director or designee to sign any amendments that do not increase the maximum amount; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
Ongoing since 1994; noteworthy past dates include:
April 5, 2016, Item 4(o), approval of BOS Agreement No. 16-011 for Administration of EMS services through June 2019;
May 8, 2017, Item 6(b), report and update regarding Emergency Medical Services referrals;
August 15, 2017, Item 5(h), approval of updated timeline regarding the Request for Proposals for Exclusive Operating Area services and Fire Dispatch services;
September 19, 2017, Item 5(i), reconsideration of Board of Supervisors approval on August 15, 2017, of updated timelines regarding the Request for Proposals for Exclusive Operating Area services and Fire Dispatch services;
October 16, 2018, Item 5(i), presentation regarding Local Emergency Services Agency models;
March 12, 2019, Item 6(a), exploration of transitioning the Local Emergency Medical Services Agency partnership with Sonoma County to a Joint Powers Authority;
May 14, 2019, Item 4(d), approval of Emergency Medical Care Committee by-laws;
June 18, 2019, Item 4(af), approval of Amendment to Agreement No. 16-011 to allow additional time for negotiations with Sonoma County.
Summary of Request:
Pursuant to Health and Safety Code 1797.200, each county may designate an Emergency Medical Services (EMS) Agency to oversee pre-hospital care within its jurisdiction. Since January 1994, Mendocino County has contracted with Sonoma County to provide EMS Agency Administration. Services include, but are not limited to:
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• Planning, implementing, and evaluating designated components of the EMS system |
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• Contracting with or employing a physician to serve as the EMS Medical Director |
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• Establishing policies and procedures to ensure medical control of the EMS system |
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• Approving and monitoring training programs related to EMS personnel |
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• Evaluating any alleged violations and taking corrective actions where necessary |
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• Approving alternate base stations to provide medical direction to advanced life support personnel |
Over the past two years, the Board of Supervisors, the Executive Office, and the Health and Human Services Agency (HHSA) have explored options to refine and improve the County’s EMS systems. This process included issuance of a Request for Proposal to establish an Exclusive Operating Area for providers of emergency ambulance services (which is overseen by the EMS agency), exploration of other EMS Agency models (including transitioning the partnership with Sonoma County to a regional Joint Powers Authority), and further negotiation with Sonoma County.
The proposed Agreement supports Mendocino County’s continued relationship with Sonoma County for administration of EMS services through June 2022. Due to the complexity and breadth of EMS-related issues, and the need for additional negotiations with Sonoma County, HHSA requests retroactive approval of the Agreement.
Alternative Action/Motion:
Return to staff for alternative handling.
Supervisorial District: All
vote requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: Budget Unit 4016 |
budgeted in current f/y: Yes |
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current f/y cost: $344,801 |
if no, please describe: |
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annual recurring cost: FY 20-21, up to $426,484.45; FY 21-22, up to $437,811.17 |
revenue agreement: No |
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budget clarification: The Fiscal Year 19-20 cost includes $25,309 to support the EMS data system and $26,875 from the amendment to Agreement No. 16-011, amended on June 18, 2019, to allow additional time for negotiations with Sonoma County. Fiscal Year 20-21 and 21-22 costs include $26,574.45 and $27,903.17 respectively for the EMS data system. |
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: June 15, 2020 |
Executed Item: Interim Agreement Number: *20-080 |
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Note to Department Number of Original Agreements Returned to Dept: 1 Original Agreement Delivered to Auditor? No |
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