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  Regular-Health & Human Services   # 32.       
Board of Supervisors   
Meeting Date: 02/26/2019  
Brief Title:    American Medical Response 911 Ambulance ALS and CCT Inter-facility
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Brian Vaughn, Community Health Branch Director, Health and Human Services Agency, x8771
Supervisorial District Impact:

Subject
Approve first amendment to Agreement No. 14-25 with American Medical Response West, d.b.a. American Medical Response to extend the term for an additional five years for the provision of emergency ambulance services, advanced life support services, and critical care transport services; and increase maximum compensation for a new contract amount of $3,000,000 for the County of Yolo expenses in administering this agreement for the period February 1, 2014 through February 28, 2024. (No general fund impact) (Larsen)
Recommended Action
  1. Approve first amendment to Agreement No. 14-25 with American Medical Response West, d.b.a. American Medical Response to extend the term for an additional five years for the provision of emergency ambulance services advanced life support services, and critical care transport services; and increase maximum compensation for a new contract amount of $3,000,000 for the County of Yolo expenses in administering this agreement for the period February 1, 2014 through February 28, 2024; and
     
  2. Delegate authority to the Director of Health and Human Services Agency and/or her/his designee to sign and execute any additional forms, documents and/or amendments as necessary relating to this agreement, provided there are no significant programmatic or financial changes.
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
Pursuant to Division 2.5 of the California Health & Safety Code (“Health & Safety Code”), the County has designated the Yolo County Health Department (now a part of the Health and Human Services Agency) to be the Local Emergency Medical Services Agency (“LEMSA”) for the purpose of the administration of emergency medical services (“EMS”) within the County. 
 
Division 2.5 of the Health and Safety Code confers specific authorities and responsibilities upon a LEMSA, including but not limited to developing a local plan through which it may establish one or more exclusive operating areas (“EOAs”) and, through a competitive process approved by the State Emergency Medical Services Authority (“State EMS Authority”), contracting with one or more ambulance providers for the provision of ambulance services in the designated EOA or EOAs pursuant to the local plan. 
 
Yolo County EMS Agency (“YEMSA”) has developed a local plan, approved by the State EMS Authority, for the establishment of a single EOA covering the entire County, and the selection of a single ambulance provider to provide specified ambulance services, including Emergency Ambulance Services, ALS services, and CCT services for all areas within the EOA.
 
On February 25, 2014, the original contract with American Medical Response was approved by the Board awarding complete exclusivity of the emergency ambulance services, advanced life support (ALS), and critical care transport (CCT) for a five (5) year period, with an optional (5) years extension.
 
This renewal agreement will allow these services to continue with American Medical Response for an additional five (5) years.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Agreement as to form.
Yolo County Fire Chiefs
Yolo County Emergency Medical Care Committee (EMCC)
Woodland Memorial Hospital
Sutter Davis Hospital
American Medical Response
Competitive Bid Process
On July 1, 2013, YEMSA started the procurement process seeking a qualified and experienced provider to furnish emergency ambulance, advanced life support, and critical care transport.
 
On February 25, 2014, at its regular meeting, the Yolo County Board of Supervisors issued the Contract Award to American Medical Response after determining this provider had submitted the proposal that attained the highest over-all point score under the RFP scoring methodology and best serves the overall interests of the County.

Fiscal Impact
No Fiscal Impact
Fiscal Impact (Expenditure)
Total cost of recommended action:    $  
Amount budgeted for expenditure:    $  
Additional expenditure authority needed:    $   0
One-time commitment     Yes
Source of Funds for this Expenditure
$0
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No general funds are required by this action.  This agreement will generate revenue for YEMSA to cover costs of administration, compliance, and reinvestment in emergency services for the county. The related funding will be included in the requested budget process for future fiscal years.
 
The following is the breakdown of funding for this agreement.
 
March 1, 2014 through February 29, 2015 - $300,000
March 1, 2015 through February 29, 2016 - $300,000
March 1, 2016 through February 29, 2017 - $300,000
March 1, 2017 through February 29, 2018 - $300,000
March 1, 2018 through February 29, 2019 - $300,000
March 1, 2019 through February 29, 2020 - $300,000
March 1, 2020 through February 28, 2021 - $300,000
March 1, 2021 through February 28, 2022 - $300,000
March 1, 2022 through February 28, 2023 - $300,000
March 1, 2023 through February 29, 2024 - $300,000
                                                             Total $3,000,000
 
Attachments
Att. A. Agreement
Att. B. Presentation

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 02/18/2019 11:36 AM
County Counsel cscarlata 02/19/2019 08:36 AM
Form Started By: ccontreras Started On: 02/15/2018 03:49 PM
Final Approval Date: 02/19/2019

    

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