To: Board of Supervisors
From: Executive Office and Health and Human Services Agency
Meeting Date: October 16, 2018
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Department Contact: |
Carmel J. Angelo |
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463-4441 |
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Department Contact: |
Tammy Moss-Chandler |
Phone: |
463-7885 |
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Item Type: Regular Agenda |
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Time Allocated for Item: 90 min. |
Agenda Title:
title
Discussion and Possible Action Regarding Emergency Medical Services (EMS) in Mendocino County, Including but not Limited to Potential Local Emergency Medical Services Agency (LEMSA) Models
(Sponsors: Executive Office and Health and Human Services Agency)
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Recommended Action/Motion:
recommendation
Receive update regarding Emergency Medical Services in Mendocino County, including potential Local Emergency Medical Services Agency models, and approve the creation of three Mendocino County EMS positions to support EMS services, including an EMS Administrator, EMS Specialist and EMS Medical Director (part time) and provide further direction to staff as appropriate.
End
Previous Board/Board Committee Actions:
On August 15, 2017, the Board of Supervisor approved an updated timeline regarding Requests for Proposals (RFPs) for an Exclusive Operating Area (EOA) for ambulance services and dispatch services for Emergency Medical Services (EMS) and Fire Services. On September 19, 2017, the Board of Supervisors reconsidered the action taken on August 15, 2017 and approved the process for the issuance of an RFP for an EOA for ambulance services with the understanding that County staff will continue meeting with City of Ukiah staff to address concerns of the City of Ukiah. The Board of Supervisors also directed staff to negotiate with CALFIRE to ensure enhanced dispatch services that compliment and optimize benefits of an EOA contract. Further, the Board of Supervisors directed staff to prepare an agenda item for the next available Board meeting regarding the formation of an ad hoc committee to meet with the City of Ukiah to consider development of a unified approach regarding contracting for dispatch services.; October 3, 2017, the Board of Supervisors formed Ad Hoc Committee to Meet with the City of Ukiah to consider a unified approach regarding contracting for dispatch services for Emergency Medical Services (EMS) and Fire Services. Along with these prior Board actions, a discussion of the County’s existing EMS model, in light of the fire emergencies our County has experienced in the last two years, has led to today’s Board item.
Summary of Request:
The Executive Office and HHSA have been working with the various EMS stakeholders, the Board of Supervisors Dispatch Ad hoc, and the current LEMSA provider, Coastal Valley’s EMS, regarding the various LEMSA models, including roles, responsibilities and essential elements of a LEMSA. Various models include:
• Coastal Valleys EMS Agency Model
• Join another regional LEMSA (e.g. North Coast EMS Agency or Northern California EMS Agency)
• Create a single county, Mendocino County LEMSA
The Executive Office is presenting the following factors for Board consideration and discussion:
• Financial considerations for each of the above proposed models
• County staffing resources that will be necessary under each LEMSA model
• Estimated timelines associated with hiring local staffing resources and transitioning into each model
• Overview of current legal and regulatory requirements associated with each proposed LEMSA model
• Update regarding an assessment being conducted through the Sonoma County Department of Health Services regarding the provision of EMS services in Sonoma and Mendocino Counties
Alternative Action/Motion:
Provide alternative direction to staff.
Supplemental Information Available Online at: n/a
Fiscal Impact:
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Source of Funding: n/a |
Budgeted in Current F/Y: N/A |
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Current F/Y Cost: $250,000 General Fund/estimated |
Annual Recurring Cost: $600,000 Estimated ($500,000 General Fund) |
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Supervisorial District: All |
Vote Requirement: Majority |
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Agreement/Resolution/Ordinance Approved by County Counsel: N/A
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CEO Liaison: Janelle Rau, 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: Meribeth Dermond |
Final Status:Approved |
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Date: October 17, 2018 |
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