Title
Approve and authorize the Director of Health, the Assistant Director of Health, or the Emergency Medical Services (EMS) Agency Director, to execute Amendment No. 4 to extend the Paramedic Service Provider Agreement with Monterey County Regional Fire District on the same terms and conditions through January 31, 2022.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health, the Assistant Director of Health, or the Emergency Medical Services (EMS) Agency Director, to execute Amendment No. 4 to extend the Paramedic Service Provider Agreement with Monterey County Regional Fire District on the same terms and conditions through January 31, 2022.
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 November 1, 2011. The Paramedic Service Provider Agreement with Monterey County Regional Fire District was executed on March 28, 2012 for a period of four (4) years.
On March 7, 2017, the Monterey County Board of Supervisors approved and authorized the EMS Agency Director to execute an amendment to extend this Paramedic Service Provider Agreement retroactive to March 28, 2016 up to June 30, 2017 (Agreement to Retroactively Renew Agreement). On June 27, 2017, the Board approved and authorized the EMS Agency Director to execute Amendment No. 2 to extend this Paramedic Service Provider Agreement for another year through June 30, 2018. And on June 26, 2018, the Board approved and authorized the EMS Agency Director to execute Amendment No. 3 to extend this Paramedic Service Provider Agreement for another year through June 30, 2020.
Monterey County Regional Fire District 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 through January 31, 2022 to coincide with the termination of the current ambulance agreement.
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 County Counsel has approved Amendment No. 1 to the Paramedic Service Provider Agreement as to form.
FINANCING:
There are no General Fund Impacts resulting from this Board action.
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, Interim EMS Director, 7082
Approved by: Elsa Jimenez, Director of Health, 4526
Attachments:
Amendment No. 4 to Paramedic Service Provider AGM is on file with the Clerk of the Board
Amendment No. 3 to Paramedic Service Provider AGM is on file with the Clerk of the Board
Amendment No. 2 to Paramedic Service Provider AGM is on file with the Clerk of the Board
Agreement to Retroactively Renew AGM is on file with the Clerk of the Board
Paramedic Service Provider Agreement is on file with the Clerk of the Board