Title
a. Receive a status report on Senate Bill (SB) 658, Automated External Defibrillators; and
b. Provide direction as appropriate.
Report
RECOMMENDATION:
It is recommended that the Budget Committee:
a. Receive a status report on Senate Bill (SB) 658, Automated External Defibrillators; and
b. Provide direction as appropriate.
SUMMARY:
SB 658 modifies existing statute and regulation to the placement, training and use of Automatic External Defibrillators (AED), and the creation and operation of Public Access Defibrillation (PAD) programs. SB 658 removes requirements from existing law that a board coalition of medical, emergency services, hospital and cardiac care advocates considered restrictive, complicated and inhibited the creation and expansion of AED/PAD programs.
A Public Access Defibrillation (PAD) Program is a program that places an AED, usually at a fixed location, such as a pool, health club, school or office building, with personnel trained in the use of the AED. PAD programs are usually operated by building owners, business organizations or government agencies.
Effective January 1, 2016, SB 658 modifies existing law related to the placement, training, and use of an AED and operation of a PAD program, resulting in the following changes:
• A medical director or physician and surgeon is no longer required to be involved in the acquisition or placement of an AED
• Use of the AED does not need to be reported to the licensed physician affiliated with the AED program and the local EMS Agency
• There is no requirement that a certain number of employees complete CPR and AED training
• Acquirers of AEDs are no longer required to have trained employees available to respond to an emergency during normal operating hours
• A written plan that describes the procedures to be following in the event of an emergency is no longer required
• Building owners are no longer required to provide a brochure describing the proper use of an AED annually
DISCUSSION:
Monterey County does not have a formalized AED/PAD program. Several departments own and maintain AED’s however there is not a standard practice for procurement, installation, maintenance or reporting.
The project team reviewed and analyzed a facility list (166) of owned and leased properties. The list was categorized by department/address. Health Clinic Services and NMC were not included in the analysis. Six departments: Child Support Service, Emergency Communications, Information Technology, Parks, Probation and Sheriff have a combined total of 71 AEDs of varied manufacturers.
Tyler Heart Institute’s AED program supports non-profit organizations and schools for partial or complete grants to enhance and increase the survival chances of an individual who experiences cardiac arrest. The County of Monterey applied for a grant, requesting three additional AEDs, and was approved for $1,700 per AED. The County of Monterey would pay $300 per AED. The grant program provides the initial site visit, AED, and off-site training for eighteen staff members. The three AEDs would be installed at the following locations:
• Government Center, Board Chambers, 168 W. Alisal Street, Salinas
• Schilling Place, 1441 Schilling Place, Salinas
• Department of Social Services, 1000 S. Main Street, Salinas
The project committee recommends that one department be assigned oversight of the County of Monterey PAD Program and process and procedures be created for procurement, installation, and maintenance and reporting. There is no annual cost for the maintenance support or enrollment in the Tyler Heart Institute AED Program for the three new AEDs. The only ongoing cost to the County after installation of the AED is to replace the battery/pads every 2.5 years which is approximately $125.00 per AED.
On-going maintenance costs for the 71 existing AEDs have been absorbed by departments. Staff recommends that departments identify maintenance costs and report to the Budget Committee so expenditures are duly accounted.
OTHER AGENCY INVOLVEMENT:
The CAO Budget & Analysis, Intergovernmental & Legislate Affairs Divisions, County Counsel Risk Management, Health, Resource Management Agency, Social Services and Sheriff Office have been involved in project development, analysis, recommendations, and grant application.
FINANCING:
The project was led by County Administrative Office - Department 1050, Intergovernmental & Legislative Affairs Division - Unit 8054. Staff recommends that the Utilities budget under RMA, Fund 001-3000-8182, Appropriation Unit RMA098 be the source to pay for the AEDs installed at the Government Center, Board Chambers and Schilling Place as these facilities are occupied by multiple County Departments. Staff is recommending that Social Services Fund 001-5010-8262, Appropriation Unit SOC005 be the source to pay for the AED installed at the Social Services facility located at 1000 S. Main Street, Salinas as this facility is occupied by a single Department. The $300 per AED was not included in the FY 2016-17 Adopted Budget.
Prepared by: Joann Iwamoto, Management Analyst, x3017
Approved by:
__________________________
Nicholas E. Chiulos
Assistant County Administrative Officer