File #: A 13-254    Name: Citigate Presentation
Type: BoS Agreement Status: Passed
File created: 10/21/2013 In control: Board of Supervisors
On agenda: 11/5/2013 Final action: 11/5/2013
Title: a. Receive an oral report from Citygate Associates, consultants to Health Department - EMS Agency, regarding the final report developed on Ambulance System Issues Review and Analysis of Options. b. Approve and authorize the Director of Health to sign and execute Amendment No. 5 to Agreement No.: A-11610 for a (1) year contract extension with American Medical Response - West (AMR) for the period of January 31, 2017 through January 31, 2018.
Sponsors: Ray Bullick
Attachments: 1. Monterey County EMS Agency Briefing (10-01-13).pdf, 2. Citygate - Monterey County EMS Final Report (09-24-13).pdf, 3. AMR Amend. 5.pdf, 4. Completed Board Order, 5. PowerPoint, 6. Revised Completed Board Order
Related files: A 22-012, A 23-005
Title
a. Receive an oral report from Citygate Associates, consultants to Health Department - EMS Agency, regarding the final report developed on Ambulance System Issues Review and Analysis of Options.
b. Approve and authorize the Director of Health to sign and execute Amendment No. 5 to Agreement No.: A-11610 for a (1) year contract extension with American Medical Response - West (AMR) for the period of January 31, 2017 through January 31, 2018.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Receive an oral report from Citygate Associates, consultants to Health Department - EMS Agency, regarding the final report developed on Ambulance System Issues Review and Analysis of Options.
b. Approve and authorize the Director of Health to sign and execute Amendment No. 5 to Agreement No.: A-11610 for a (1) year contract extension with American Medical Response - West (AMR) for the period of January 31, 2017 through January 31, 2018.

SUMMARY/DISCUSSION:
This oral report will provide information regarding the findings developed by Citygate Associates, a consultant contracted by the Health Department - EMS Agency to engage EMS system stakeholders on issues raised during American Medical Response's (AMR) last request for a contract extension.
Citygate Associates were engaged to offer a 'third party' consultant review of issues raised during the Board hearing on January 29, 2013 regarding the third request of a one year extension to AMR's contract providing Advanced Life Support Ambulance Services. The final deliverable to be provided by Citygate Associates is a written report and briefing to the EMS Agency Director and the Board of Supervisors summarizing:

* Areas where agreements have been reached and identified barriers to change
* Remedies to on-going-issues
* Proposed Ambulance Contract amendment language
* Future recommendations
* AMR billing issues

Citygate Associates presented the Final Report to the Emergency Med...

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