Item Coversheet

SAN BENITO COUNTY

AGENDA ITEM
TRANSMITTAL FORM

Mark Medina

District No. 1

Anthony Botelho

District No. 2

Peter Hernandez

District No. 3

 

Jim Gillio

District No. 4
Vice-Chair

Jaime De La Cruz

District No. 5
Chair


Item Number: 20.



MEETING DATE:  5/7/2019

DEPARTMENT:
EMERGENCY MEDICAL SERVICES

DEPT HEAD/DIRECTOR: K. O'Neill

AGENDA ITEM PREPARER: K. Mangano

SBC DEPT FILE NUMBER: 1068

SUBJECT:

EMERGENCY MEDICAL SERVICES - K. O'NEILL

Approve contract amendment #5 with American Medical Response West, dba: American Medical Response, for 911 ambulance contract extension through June 30, 2020.   Delegate authority to the CAO to execute the contract.

SBC FILE NUMBER: 1068



AGENDA SECTION:

REGULAR AGENDA

BACKGROUND/SUMMARY:

American Medical Response (AMR) is the 911 contracted ambulance provider for the Exclusive Operating Area (EOA) in San Benito County.  The previous agreement was effective October 1, 2014 through June 30, 2019, and includes a provision for a five year extension.

 

However, at this time, we are requesting a one year extension while American Medical Response works through a nationwide paramedic shortage and an internal realignment that would transition the San Benito Division into the  Santa Clara County Division, instead of Santa Cruz County as it is now.  The alignment with Santa Clara County will provide many more staffing options for San Benito County as they work through the paramedic shortage.  Provisions of this extension include adding a transporting unit to the EMS System thirty-six hours per week, to include weekends and holidays.  In order to place the additional ambulance in the system a  subsidy of $15,000 for the 1st year will be provided to AMR.  This agreement also contains provisions requiring specific EMS related online training for supervisors and incident reporting requirements were streamlined.

 

County EMS & AMR will continue to meet on a regular basis to work on a new 5 year contract that will take effect at the conclusion of this proposed extension.

 

A draft contract was presented to the San Benito County Emergency Medical Care Commission (EMCC).  After a motion from the Hollister Fire Department representative and a second from the San Benito County Health Officer, the EMCC unanimously voted to recommend approval of this one-year contract extension.

 

Minor changes to the recommended contract (including in the Board's version attached) are under legal review by AMR. It is recommended that the Board grant authority to the CAO to approve the contract once final approval is obtained by AMR, including any necessary changes.



BUDGETED:

Yes

SBC BUDGET LINE ITEM NUMBER:



CURRENT FY COST:



STAFF RECOMMENDATION:

The Emergency Medical Services Agency respectfully requests the following:

 

1)    Approve Amendment #5 to the Agreement with AMR for a one-year contract extension and;

 

2)    Grant authority to the CAO to approve the contract once final approval is obtained by AMR, including any necessary changes.



ADDITIONAL PERSONNEL:
No


BOARD ACTION RESULTS:

Approved per staff recommendation (5/0 vote) and directed staff to add the following language to the contract, as Section 2.2(c):

 

"AMR will attempt to staff the third unit with a Paramedic and an EMT (ALS). Using an internal matrix, AMR will contact all paramedi personnel in the region and must provide verification of this effort to County EMS before the authorization of staffing at a BLS level will be granted". 

 

Directed staff to report to the Board of Supervisors on a biannual basis regarding the staffing levels of the ambulances. 

 

 

ATTACHMENTS:
DescriptionUpload DateType
Contract Amendment5/1/2019Contract Amendment