Title
a. Authorize the Director of Health, the Assistant Director of Health, or the Emergency Medical Services (EMS) Director to execute Amendment No. 1 to the Agreement between County of Monterey and Dr. John Beuerle, M.D., M.S., for the provision of Medical Director Services to the Emergency Medical Services Agency for a new term from August 1, 2019 through June 30, 2022 and revise the total Agreement amount from $249,183 to $317,693 which represents an increase of $68,510.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Director of Health, the Assistant Director of Health, or the Emergency Medical Services (EMS) Director to execute Amendment No. 1 to the Agreement between County of Monterey and Dr. John Beuerle, M.D., M.S., for the provision of Medical Director Services to the Emergency Medical Services Agency for a new term from August 1, 2019 through June 30, 2022 and revise the total Agreement amount from $249,183 to $317,693 which represents an increase of $68,510.
SUMMARY/DISCUSSION:
Pursuant to the California Health and Safety Code, Section 1797 et seq., the Monterey County Department of Health’s Emergency Medical Services (EMS) Agency is designated by the Monterey County Board of Supervisors as the local EMS Agency. The EMS Agency is responsible for emergency medical services (EMS) system coordination, medical oversight, and coordination of the delivery of EMS by provider organizations in Monterey County. The EMS Agency is also responsible to establish policies and procedures approved by the Medical Director of the Local EMS Agency to assure medical control of the EMS system as well as for regulating Advanced Life Support (ALS), Critical Care Transport (CCT), and Basic Life Support (BLS) air ambulance services and EMS service providers within Monterey County, and for authorizing ALS, CCT, and BLS air ambulance response and transport within the county.
Pursuant to California Health and Safety Code Section 1797.202, Every local EMS Agency is required have a full- or part-time licensed physician and surgeon as Medical Director, who has substantial experience in the practice of emergency medicine, to provide medical control and to assure medical accountability throughout the planning, implementation and evaluation of the EMS system.
On July 23, 2019, the Board of Supervisors approved the Agreement between County of Monterey and Dr. John Beuerle, M.D., M.S., for the provision of Medical Director Services to the Emergency Medical Services. Amendment 1 increases the Dr. Beuerle’s level of service to the EMS Agency to ensure consistent and appropriate medical control of pre-hospital personnel, and medical guidance in the overall planning and management of the EMS Agency, and increases the total agreement amount to cover the additional costs.
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 the Agreement as to form.
FINANCING:
There are sufficient funds in the Health Department’s Emergency Medical Services Bureau FY 2020-21 Budget (HEA006, Unit 8109) to cover the costs for FY 2020-21. Funds for services in FY 2021-22 will be included in the Health Departments FY 2021-22 Requested Budget.
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, 783-7082
Approved by:
______________________Date:_________
Elsa Jimenez, Director of Health, 755-4526
Attachments:
Amendment No 1 is on file with the Clerk of the Board
Agreement is on file with the Clerk of the Board