Title
a. Approve and authorize the Director of Health, the Assistant Director of Health, or the Emergency Medicals Services (EMS) Agency Director to execute a Coordination Agreement for Cardiac Arrest Registry to Enhance Survival (CARES) Services for the provision of cardiac arrest data between the Monterey County Emergency Medical Services (EMS) Agency and the County of Sonoma for a period retroactive to July 1, 2021 to June 30, 2026, in the amount of $2,467 per year with annual fee adjustments by the December Bay Area Consumer Price Index as per Exhibit B of the Agreement; and
b. Approve nonstandard indemnification provisions as recommended by the Director of Health.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health, the Assistant Director of Health, or the Emergency Medicals Services (EMS) Agency Director to execute a Coordination Agreement for Cardiac Arrest Registry to Enhance Survival (CARES) Services for the provision of cardiac arrest data between the Monterey County Emergency Medical Services (EMS) Agency and the County of Sonoma for a period retroactive to July 1, 2021 to June 30, 2026, in the amount of $2,467 per year with annual fee adjustments by the December Bay Area Consumer Price Index as per Exhibit B of the Agreement; and
b. Approve nonstandard indemnification provisions as recommended by the Director of Health.
SUMMARY/DISCUSSION:
The Health Department seeks authorization to execute a Coordination Agreement for Cardiac Arrest Registry to Enhance Survival (CARES) Services for the provision of cardiac arrest data between the Monterey County Emergency Medical Services (EMS) Agency and the County of Sonoma for a period retroactive to July 1, 2021 to June 30, 2026 in the amount of $2,467 per year with annual fee adjustments by the December Bay Area Consumer Price Index as per Exhibit B of the Agreement. The agreement contains non-standard indemnity provisions but given the agreement is only sharing data concerning cardiac care which contains no personal identifying information, liability is limited.
The Health Department’s Emergency Medical Services (EMS) Bureau is designated by the Monterey County Board of Supervisors as the local Emergency Medical Services Agency (LEMSA), pursuant to California Health and Safety Code, Section 1797.200. The EMS Agency is responsible for planning, implementing, and evaluating the local EMS system throughout Monterey County. In addition, Pursuant to California Code of Regulations, Title 22, Section 100404 (a), the local EMS agency is responsible for developing, implementing, and overseeing, in cooperation with other EMS system participants, a system-wide EMS Quality Improvement (QI) program.
CARES is a national registry for the collection and reporting of data on patients suffering from cardiac arrest. CARES Registry compiles a detailed report specific to local EMS systems and sends it to Local EMS Agencies (LEMSAs) that have entered into a contract to receive the data. The report gives comparisons statewide and nationally to similar systems for comparisons, and gives data such as bystander CPR, survival statistics, and demographics of this group of patients. This Agreement will allow the EMS Agency to meet it responsibility of developing, implementing, and overseeing the system-wide EMS Quality Improvement (QI) program. The reports will help the EMS Agency in the monitoring of indicators related to clinical care and patient outcome.
This work supports the Monterey County Health Department 2018 - 2022 Strategic Plan Initiative: 2. Enhance public health & safety through prevention and 4. Engage MCHD workforce & improve operational functions to meet current & developing population health needs. It also supports two of the ten essential public health services, specifically, 3. Inform, educate, and empower people about health issues, and 9: Evaluate effectiveness, accessibility, and quality of personal and population-based health services.
OTHER AGENCY INVOLVEMENT:
The Office of the County Counsel has reviewed the Agreement as to form.
FINANCING:
This action does not impact General Fund contribution. The cost of services to be provided under the proposed Agreement would be covered by CSA-74 special tax (fund 092). The funds for this Agreement for FY2021-22 were included and for FY2022-23, and FY2023-24 will be included in the Health Department’s Emergency Medical Services Bureau (HEA 006, Unit 8109) respective FY2021-22, FY2022-23, and FY2023-24 Recommended Budgets.
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: Debra Hopgood, EMS Analyst, 755-4920
Approved by:
_______________________________Date:__________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachment:
Agreement