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Consent-Health & Human Services # 18.

Board of Supervisors

Health

Meeting Date:	05/07/2013
Brief Title: AMR Interim Contract
From:	JIll Cook, Director, Health
Staff Contact:	Jill Cook, Director, Health, x8550

Subject

Approve interim agreement with American Medical Response West to provide continued emergency ambulance services in Yolo County. (No general fund impact) (Cook/Tan)

Recommended Action

Approve and sign the interim agreement with American Medical Response West for emergency ambulance services in Yolo County effective July 1, 2013.

Strategic Plan Goal(s)

Enhance and sustain the safety net
Preserve and ensure safe and crime free communities
Provide fiscally sound, dynamic and responsive services

Reason for Recommended Action/Background

Yolo County recently terminated its contract with Sierra-Sacramento Valley (S-SV) Emergency Medical Services Agency and is currently working on creating its own Local Emergency Medical Services Agency (LEMSA) effective July 1, 2013. As part of this process, Yolo County Health Department intends to submit a Request for Proposal (RFP) to competitively select the most qualified candidate to provide exclusive emergency ambulance service for the County of Yolo. It is anticipated the RFP process will take a significant amount of time, possibly up to one year, to determine the best candidate; hence the need for an interim contract with the existing vendor, American Medical Response (AMR). The interim contract contains three Emergency Response Zones (ERZ) which help define the County by ambulance call frequency. In turn the ERZ help create emergency response time limits for the ambulance provider to adhere to. In addition, the interim contract has a pre-defined penalty structure to track compliance and set accountability standards for AMR.

Yolo County needs this interim contract in place to ensure a smooth transition from S-SV to Yolo Emergency Medical Services Agency (YEMSA) effective July 1, 2013 and provide continued emergency ambulance services to its residents.

Other Agency Involvement

YECA, County Counsel

Fiscal Impact

Fiscal Impact (Expenditure)
No Fiscal Impact
Total cost of recommended action:		$ 0
Amount budgeted for expenditure:		$ 0
Additional expenditure authority needed:		$ 0
On-going commitment (annual cost):	$ 0

Source of Funds for this Expenditure

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

There is no general fund impact from approving this agreement. The ambulance provider is expected to pay a franchise fee sufficient to offset the administrative costs of operating the local EMS agency. The related revenue and expenses have been included in the department's FY 13/14 requested budget.

Attachments
Att. A. AMR Interim Contract

Form Review

Inbox	Reviewed By	Date
Financial Services	hnewens	05/01/2013 05:14 PM
County Counsel	Hope Welton	05/02/2013 10:09 AM
Form Started By: htan		Started On: 04/19/2013 04:48 PM
Final Approval Date: 05/02/2013