Title
a. Support authorizing the Auditor - Controller to amend the FY 2017-18 EMS Operating’s adopted budget 001-4000-HEA006-8109 to increase appropriations by $175,93; and
b. Support authorizing the Auditor - Controller to amend the FY 2017-18 EMS Operating’s adopted budget 001-4000-HEA006-8109 to increase revenue by $175,930; and
c. Support authorizing the Auditor-Controller’s office to incorporate, and the County Administrative Office to reflect, these approved modifications in the FY2017-18 adopted budget.
Report
RECOMMENDATION:
It is recommended that the Budget Committee of the Board of Supervisors:
a. Support authorizing the Auditor - Controller to amend the FY 2017-18 EMS Operating’s adopted budget 001-4000-HEA006-8109 to increase appropriations by $175,930; and
b. Support authorizing the Auditor - Controller to amend the FY 2017-18 EMS Operating’s adopted budget 001-4000-HEA006-8109 to increase revenue by $175,930; and
c. Support authorizing the Auditor-Controller’s office to incorporate, and the County Administrative Office to reflect, these approved modifications in the FY2017-18 adopted budget.
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.
The EMS Agency administers the CSA-74 (Fund 092) fund and the Maddy Fund (Fund 016). These funds provide the primary source of funding for the operation of the EMS Agency. For Fiscal Year 2017-18, the EMS Agency will receive approximately $175,930 in additional revenue that was not anticipated. This additional revenue is from performance penalties for late response times that have been assessed to the contracted ambulance provider from August 2016 through December 2017 pursuant to the current ambulance agreement. The EMS Agency did not assess penalties during this period due to a change in the vendor used for adjudicating penalties for late response times. A transition period was needed to work with AMR, the contracted ambulance provider, and FirstWatch, the new vendor, to ensure that the system was working properly so that, if penalties should be assessed, they would be calculated accurately.
While this Board action is not directly in support of a Health Department strategic initiative, it is in support of one or more of the essential public health services, specifically: 4) Mobilize community partnerships and action to identify and solve health problems, and, 6) Enforce laws and regulations that protect health and ensure safety.
OTHER AGENCY INVOLVEMENT:
The Auditor-Controller and County Administrative Budget Office have reviewed this report.
FINANCING:
This action does not impact General Fund contribution as the changes will be contained within the approved Health Department’s FY 2017-18 adopted 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, Management Analyst III, x7082
Approved by: Ezequiel Vega, Assistant Director of Health, x4622