Title
a. Approve and authorize the Director of Health, the Assistant Director of Health, or the Emergency Medical Services (EMS) Agency Director, to execute the Emergency Medical Technician-Expanded Scope Service Provider Agreement between the County of Monterey and Monterey County Regional Fire District for the provision of EMT-Expanded Scope services for a period of five years effective once signed by authorized representatives for all parties; and
b. Authorize the Director of Health, the Assistant Director of Health, or the EMS Director, to sign up to three (3) amendments to this Agreement where the combined amendments do not significantly change the scope of the Agreement.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health, the Assistant Director of Health, or the Emergency Medical Services (EMS) Agency Director, to execute the Emergency Medical Technician-Expanded Scope Service Provider Agreement between the County of Monterey and Monterey County Regional Fire District for the provision of EMT-Expanded Scope services for a period of five years effective once signed by authorized representatives for all parties; and
b. Authorize the Director of Health, the Assistant Director of Health, or the EMS Director, to sign up to three (3) amendments to this Agreement where the combined amendments do not significantly change the scope of the Agreement.
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 and Monterey County EMS policy, no person or organization may provide EMT-Expanded Scope skills unless that person or organization is an authorized part of the emergency medical service system of the local EMS agency.
Accordingly, under California law, an EMS 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 Monterey County EMS Medical Advisory Committee (MAC) provided support for Monterey County Regional Fire District to provide EMT-Expanded Scope services at their January 24, 2023 meeting. It was determined that EMTs with EMT-Expanded Scope training would be better able to support the provision of paramedic services and bring additional life-saving care when the EMT was functioning without a paramedic.
This work supports the Monterey County Health Department 2018-2022 Strategic Plan Goals: 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 the County Counsel has approved the 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: Steve Brooks, EMS Analyst, 755-4948
Approved by:
______________________________Date:_______________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachments:
Board Report
Agreement