Title
Approve and authorize the Emergency Medical Services (EMS) Agency Director to execute Renewal and Amendment No. 4 to extend the Paramedic Service Provider Agreement with Carmel-by-the-Sea on the same terms and conditions retroactive from January 31, 2022 through July 31, 2027.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Emergency Medical Services (EMS) Agency Director to execute Renewal and Amendment No. 4 to extend the Paramedic Service Provider Agreement with Carmel-by-the-Sea on the same terms and conditions retroactive from January 31, 2022 through July 31, 2027.
SUMMARY/DISCUSSION:
The Emergency Medical Services (EMS) Agency is designated under California law by Monterey County as the local Emergency Medical Services Agency responsible for planning, implementing, and evaluating the local EMS system throughout Monterey County. Under California law, no person or organization may provide “advanced life support,” also known as “paramedic services,” unless that person or organization is an authorized part of the emergency medical service system of the local EMS agency.
Accordingly, under California law, a paramedic service provider must have a written agreement with the local EMS agency to participate in the EMS system and to comply with all applicable state regulations and local policies and procedures, including participation in the local EMS agency’s Continuous Quality Improvement (“CQI”) program.
The original Paramedic Service Provider Agreement was reviewed and approved by the Emergency Medical Care Committee (EMCC) on September 14, 2011 and by the Monterey County Board of Supervisors on September 25, 2012. The Paramedic Service Provider Agreement with Carmel-by-the-Sea was executed on December 5, 2012 for a period of four (4) years.
On August 29, 2017, the Monterey County Board of Supervisors approved and authorized the EMS Agency Director to execute an amendment to extend the Paramedic Service Provider Agreement retroactive to October 6, 2016 up to June 30, 2018 (Agreement to Retroactively Renew Agreement). On June 26, 2018, the Board approved and authorized the EMS Agency Director to execute Amendment No. 2 to extend the Paramedic Service Provider Agreement on the same terms and conditions to January 31, 2020. And on January 28, 2020, the Board approved and authorized the EMS Agency Director to execute Amendment No. 3 to extend the Paramedic Service Provider Agreement on the same terms and conditions to January 31, 2022.
Carmel-by-the-Sea asserts it has status as California Health and Safety Code Section1797.201 jurisdiction; meaning that it is not required to have a paramedic service provide agreement to provide paramedic services, if it maintains its 1797.201 status. The EMS Agency believes it is more desirable to have a limited medical control agreement rather than not having an agreement. Therefore, parties wish to amend the Paramedic Service Provider Agreement to extend it on the same terms and conditions to January 31, 2027.
This work supports the Monterey County Health Department 2018-2022 Strategic Plan Initiatives: 2. Enhance public health and safety through prevention; and 4. Engage MCHD workforce and improve operational functions to meet current and developing population health needs. It also supports one of the ten essential public health services, specifically: 7. Link people to needed personal health services and assure the provision of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
The Office of the County Counsel has reviewed and approved the proposed Amendment No. 4 to the Paramedic Service Provider Agreement as to form.
FINANCING:
This agreement will have no impact on the General Fund Contribution.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Teresa Rios, EMS Director/Bureau Chief, 783-7082
Approved by:
______________________________Date:_____________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachments:
Amendment No 4
Amendment No 3
Amendment No 2
Agreement to Retroactively Renew Agreement
Agreement