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  Consent-Health & Human Services   # 19.       
Board of Supervisors Meeting Health Services  
Meeting Date: 04/07/2015  
Brief Title:    Yolo Emergency Medical Services Agency Agreement Templates
From: Jill Cook, Assistant Director, Health & Human Services
Staff Contact: Marilyn Gordon, Senior ASA, Health Services, x8687

Subject
Approve the Air Ambulance Dispatch, Air Ambulance Provider, Non-Exclusive Basic Life Support Ambulance, Non-Transport Advanced Life Support, Paramedic Base Hospital, S-T Elevation Myocardial Infarction Out of County, Stroke Center, and Trauma Center Level II contracts as template contracts for use by the Yolo County Emergency Medical Services Agency; and grant authority to Health Services Director or her/his designee to approve any and all changes to the template contracts with contracting agencies not to exceed a greater than 15% differential in designated fees. (No general fund impact) (Cook)
Recommended Action
  1. Approve the Air Ambulance Dispatch, Air Ambulance Provider, Non-Exclusive Basic Life Support (BLS) Ambulance, Non-Transport Advanced Life Support (ALS), Paramedic Base Hospital, S-T Elevation Myocardial Infarction (STEMIOut of County, Stroke Center, and Trauma Center Level II contracts as template contracts for use by the Yolo County Emergency Medical Services Agency.
     
  2. Grant authority to the Department of Health Services Director or her/his designee to approve any and all changes to the template contracts during negotiation periods with contracting agencies not to exceed more than 15% differential in designated fees, and to sign all agreements and amendments to those agreements.
Strategic Plan Goal(s)
Collaborate to maximize success
Enhance and sustain the safety net
Provide fiscally sound, dynamic and responsive services
Reason for Recommended Action/Background
On December 4, 2012 the Board approved withdrawal from the Sierra-Sacramento Valley Emergency Medical Services Agency Joint Powers Agreement. On June 4, 2013 the Board designated the Health Department (now the Department of Health Services) as the Local Emergency Medical Services Agency and established the Yolo County Emergency Medical Services Agency (YEMSA) effective as of July 1, 2013. YEMSA is responsible for establishing agreements with all providers who desire and are qualified to operate performing Emergency Medical Services in Yolo County, including both In-County and Out-of-County providers. By approving the template agreements the Board grants YEMSA the authority to work with all interested providers who desire and are qualified to perform Emergency Medical Services in Yolo County. These agreements will ensure that YEMSA is in compliance with all 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. Authorizing the Department of Health Services Director to negotiate and sign the agreements will facilitate the timely execution of agreements that will best serve the people of Yolo County.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved these template Agreements as to form

Fiscal Impact
No Fiscal Impact
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 agreement templates for the Yolo Emergency Medical Services Agency (YEMSA) does not directly have a cost impact to the county. Each provider agreement will eventually generate revenue to the county through designee and licensing fees which will be used to support YEMSA operations.
Attachments
Att. A. Agreement Template Air Amb Dispatch
Att. B. Agreement Template Air Amb Provider
Att. C. Agreement Template Non-Exclusive BLS Amb
Att. D. Agreement Template Non-Transport ALS
Att. E. Agreement Template Paramedic Base Hospital
Att. F. Agreement Template STEMI Out-of-County
Att. G. Agreement Template Stroke Center
Att. H. Agreement Template Trauma Center

Form Review
Inbox Reviewed By Date
Financial Services hnewens 04/01/2015 01:57 PM
County Counsel Phil Pogledich 04/01/2015 09:37 PM
Form Started By: mgordon Started On: 03/13/2015 11:25 AM
Final Approval Date: 04/01/2015

    

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