Title
Approve and authorize the Director of Health to sign and execute Amendment No. 6 to Agreement No: A-11610 for a fourth one (1) year contract extension with American Medical Response - West (AMR) for the period of January 31, 2018 through January 31, 2019.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health to sign and execute Amendment No. 6 to Agreement No: A-11610 for a fourth one (1) year contract extension with American Medical Response - West (AMR) for the period of January 31, 2018 through January 31, 2019.
SUMMARY:
The Emergency Medical Services (EMS) Agency is seeking Board of Supervisor approval to authorize the Director of Health - to sign and execute the fourth one (1) year ambulance contract extension with American Medical Response - West (AMR) for the period of January 31, 2018 through January 31, 2019, and amend the contract, in accordance with the recommendation received by the Emergency Medical Care Committee.
DISCUSSION:
On December 15, 2009 the Board approved and authorized the Director of Health to enter into a five (5) year agreement, effective January 30, 2010 with AMR, to provide Advance Life Support Ambulance Services that includes the option for five one-year additional extensions.
AMR submitted their fourth extension request on October 30, 2013 (Attachment A), pursuant to section 6.0 of agreement No. A-11610. Additionally, pursuant to section 17.2 of the agreement, a rate increase is to be requested by November 1 of each year. AMR will not be requesting a rate increase for 2014.
The EMS Agency, with concurrence of the Emergency Medical Care Committee (EMCC), has determined under contract Section 6 "Renewal Provisions" (Attachment B) AMR has met and exceeded the minimum requirements under the provision of earning the fourth one (1) year contract extension in the following areas:
AMR:
· Has exceeded 90% contract response time compliance for each Priority each month of the last contract year.
· Is in compliance with clinical performance.
· Is in compliance with financial requirements.
· Has been able to limit response-time disparity by region of the county.
In addition, the EMS Agency is seeking to amend section 4.2.5 of the contract and replace Exhibit D (Attachment C) to better refine county response time requirements. Amended section 4.2.5 is language included in the Citygate report presented to the board on November 5, 2013. The updated response zone maps (Attachment D), another recommendation of the Citygate report, were developed with input from the EMS Agency, AMR-West and the affected fire district - Monterey County Regional Fire District.
The EMCC provided a final review of the contract extension request including the minimum requirements needed to earn an extension and contract amendments at its January 2014 meeting. The EMCC has recommended approval of the fourth extension to the contract amending the contract as proposed.
While this work is not directly in support of a Health Department strategic initiative, it is in support of one or more of the ten essential public health services, specifically: (6) Enforce laws and regulations that protect health and ensure safety and (7) link people to needed personal health services and assure the provision of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
County Counsel has approved this one year extension and contract amendment as to legal form. Amendment and attachments are on file with Clerk to the Board.
FINANCING:
This one year extension will have no impact to the County General Fund.
Prepared by: Kirk Schmitt, EMS Agency Director, 4964
Approved by: Ray Bullick, Director of Health, 4526
Attachments:
A - AMR-West letter dated October 30, 2013 on file with Clerk of the Board
B - Contract Section 6. Renewal Provision on file with Clerk to the Board
C - Amendment No. 6 on file with Clerk to the Board
D - Response Zone maps on file with Clerk to the Board