DATE: October 18, 2016
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Resolution Recommending the Designation of an Exclusive Operating Area for Emergency Ambulance Services
RECOMMENDED ACTION(S):
TITLE
Adopt Resolution recommending that the Central California Emergency Medical Services Agency designate a single provider agency for all emergency ambulance services in the Exclusive Operating Area.
REPORT
Approval of the recommended action will provide a formal recommendation from your Board to the Central California Emergency Medical Services (EMS) Agency to designate the emergency medical services which include: 9-1-1 emergency responses, 7-digit emergency responses, advanced life support (ALS) ambulance, all critical care transport (CCT) services, ALS inter-facility transports, and stand-by services with transport authorization within the Exclusive Operating Area (EOA) to a single ambulance provider, with no Net County Cost. A resolution from your Board recommending the establishment of an EOA is required by the California Health and Safety Code, Division 2.5.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. The existing EOA provider agreement will expire on December 31, 2017. If your Board declines to recommend that a single provider agency be designated for the area, the EMS Agency would need to draft agreements for a non-exclusive operating area with multiple provider agencies. An EOA often provides multiple advantages to residents when compared to non-exclusive systems including, but not limited to, improved cost effectiveness, reliability and quality of care.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The EOA provider selected through the competitive bidding process will charge user fees to patients and responsible third parties for ambulance transportation, medical transportation services and emergency medical care provid...
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