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  Consent-Health & Human Services   # 25.       
Board of Supervisors Health  
Meeting Date: 06/04/2013  
Brief Title:    EMS Agency Template Contracts
From: Jill Cook, Director, Health
Staff Contact: Hoa Tan, Program Manager, Health, x8583

Subject
Approve the Air Ambulance, Base Hospital, Stroke Designation and STEMI Designation contracts as template contracts for use by the Yolo County Emergency Medical Services Agency; and grant authority to the Yolo County Administrator to sign and approve any and all changes to the contracts during negotiation periods with contracting agencies, not to exceed more than 15% differential in designated fees. (No general fund impact) (Cook/Tan)
Recommended Action
Approve the Air Ambulance, Base Hospital, Stroke Designation and STEMI Designation contracts as template contracts for use by the Yolo County Emergency Medical Services Agency; and grant authority to the Yolo County Administrator to sign and approve any and all changes to the contracts during negotiation periods with contracting agencies, not to exceed more than 15% differential in designated fees.
Strategic Plan Goal(s)
Champion job creation and economic opportunities
Collaborate to maximize success
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
Background

On December 4, 2012, the Board approved withdrawal from Sierra-Sacramento Valley (S-SV) Emergency Medical Services EMS Agency Joint Powers Agreement. In addition, the Board approved the creation of a Yolo County Local Emergency Medical Services (EMS) Agency. The Yolo County Health Department has been working on establishing the Yolo County Emergency Medical Services Agency (YEMSA) effective July 1, 2013. The YEMSA is responsible for establishing agreements with all Agencies who plan on operating in Yolo County, both in County and Out of County entities.

Reason for Recommended Action
 
By approving the template contracts, the Board shall grant the YEMSA authority to work with all interested agencies who want to operate in Yolo County with respect to EMS services. Maintaining these agreements shall ensure the YEMSA is in compliance with applicable Federal, State, and local regulations as well as establish a standard fee structure for such agreements. The fees will be maintained and updated in the County's Master Fee schedule.
Other Agency Involvement
County Counsel

Fiscal Impact
Potential fiscal impact (see notes in explanation section below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $  
Amount budgeted for expenditure:    $  
Additional expenditure authority needed:    $  
On-going commitment (annual cost):    $  
Source of Funds for this Expenditure
$0
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
Approving these template contract agreements for the Yolo EMS Agency (YEMSA) does not directly have a cost impact to the county.  Each provider agreement will eventually generate revenue to the county through franchise, designee, and licensing fees which will be used to support YEMSA operations.
Attachments
Att. A. Acute Care Hospital Template
Att. B. Ambulance Dispatch Template
Att. C. Ambulance Svc Provider Template
Att. D. Base Hospital Template
Att. E. Stroke Center Template
Att. F. UCD Trauma

Form Review
Inbox Reviewed By Date
Financial Services hnewens 05/29/2013 01:56 PM
County Counsel Hope Welton 05/29/2013 02:00 PM
Form Started By: htan Started On: 05/17/2013 04:07 PM
Final Approval Date: 05/29/2013

    

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