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Agenda Item
ASR
Control 25-000209 |
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MEETING
DATE: |
05/06/25 |
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legal entity taking action: |
Board
of Supervisors |
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board of supervisors district(s): |
All
Districts |
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SUBMITTING Agency/Department: |
Health
Care Agency (Approved) |
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Department contact person(s): |
Veronica
Kelley (714) 834-7024 |
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Mindy
Winterswyk (714) 834-5052 |
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Subject: Approve Extension for 911 Emergency
Ambulance Transportation Services Contracts
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ceo CONCUR |
County Counsel Review |
Clerk of the Board |
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Concur |
Approved
Agreement to Form |
Discussion |
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3
Votes Board Majority |
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Budgeted: Yes |
Current Year
Cost: N/A |
Annual Cost: N/A |
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Staffing Impact: |
No |
# of Positions: |
Sole Source: No |
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Current Fiscal Year Revenue: $83,000
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Prior Board Action: 1/28/2020 #15 |
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RECOMMENDED
ACTION(S):
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1. |
Approve Amendment No. 1 to extend the
Contract with Emergency Ambulance Service, Inc., for the Provision of 9-1-1
Basic Life Support Emergency Ambulance Response Transportation and Related
Services for the term of June 1, 2025, through August 31, 2025, for Exclusive
Operating Area A. |
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2. |
Approve Amendment No. 1 to extend the
Contract with Care Ambulance Service, Inc., for the Provision of 9-1-1 Basic
Life Support Emergency Ambulance Response Transportation and Related Services
for the term of June 1, 2025, through August 31, 2025, for Exclusive
Operating Area B. |
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3. |
Approve Amendment No. 1 to extend the
Contract with Care Ambulance Service, Inc., for the Provision of 9-1-1 Basic
Life Support Emergency Ambulance Response Transportation and Related Services
for the term of June 1, 2025, through August 31, 2025, for Exclusive
Operating Area C. |
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4. |
Approve Amendment No. 1 to extend the
Contract with Care Ambulance Service, Inc., for the Provision of 9-1-1 Basic
Life Support Emergency Ambulance Response Transportation and Related Services
for the term of June 1, 2025, through August 31, 2025, for Exclusive
Operating Area D. |
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5. |
Approve Amendment No. 1 to extend the
Contract with Care Ambulance Service, Inc., for the Provision of 9-1-1 Basic
Life Support Emergency Ambulance Transportation Services for the term of June
1, 2025, through August 31, 2025, for Exclusive Operating Area E. |
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6. |
Authorize the County Procurement Officer
or Deputized designee to execute the Amendments with Emergency Ambulance
Service, Inc. and Care Ambulance Service, Inc. as referenced in the
Recommended Actions above. |
SUMMARY:
Approval of Amendments for the
extension of the Agreement with Emergency Ambulance Service, Inc. and Care
Ambulance Service, Inc. will provide Provision of 9-1-1 Basic Life Support
Emergency Ambulance Response, Transportation and Related Services for five
exclusive operating areas.
BACKGROUND
INFORMATION:
In accordance with Health and
Safety Code section 1797.224, the Orange County Emergency Medical Services
(OCEMS) division of the Orange County Health Care Agency (HCA), is authorized
to create one or more exclusive operating areas (EOAs) for emergency ambulance
transport within the County.
Accordingly, OCEMS created five regions comprised of 19 cities and
unincorporated areas to serve as EOAs. These regions include all adjacent
unincorporated areas of the County and are integrated in their respective
contiguous EOAs. In addition, OCEMS must ensure a competitive process is
utilized to procure these services and furthermore, must secure approval of the
competitive process by the California Emergency Medical Services Authority
(EMSA).
On January 28, 2020, your Honorable
Board of Supervisors (Board) previously approved the Contracts with Emergency
Ambulance Service, Inc. (Emergency Ambulance), and Care Ambulance Service, Inc.
(Care Ambulance) to provide 9-1-1 Emergency Ambulance Transportation Services.
The current contracts expire May 31, 2025. The proposed amendments will be for
a three-month extension of services from the term of June 1, 2025, through
August 31, 2025, and is necessary to allow for the extension and continuation
of services and release the Request for Proposals (RFP). HCA released the RFP
for the replacement of these services on March 3, 2025.
The proposed Agreements will allow
services to be extended and continue through August 31, 2025. In
accordance with the current Contract, each provider will reimburse HCA for
expenses related to the monitoring and managing of the agreements.
Scope
of Services:
Contracted ambulance service
providers provide 9-1-1 Basic Life Support Emergency Ambulance Response,
Transportation and Related Services to the awarded EOA's and also perform
related services which include, but are not limited to, Billing for Advanced
Life Support/Basic Life Support services, Patient Satisfaction Program, Public
Education, Data management and all other requirements found within the
contract. The primary goal of the Services is to provide quality 9-1-1 Basic
Life Support Emergency Ambulance medical care and ambulance transportation
services to County visitors and residents.
Performance
Outcomes:
Performance is in part based on the
contractor’s compliance with the Response Time Standards set at 95 percent.
9-1-1 contracted ambulance providers “Response Time Compliance” is a
combination of dispatch, operations, and field operations. An error in one
phase of operations (e.g. ambulance dispatch, system deployment plan, ambulance
maintenance, etc.) is not the basis for an exception to performance in another
phase of operations (e.g. clinical performance or response time performance).
Response Times shall be measured in minutes and integer seconds and is “time
stamped” by the contractors’ computer aided dispatch systems. The standards
include two code priorities and three geographical EOAs that will be used for
response time monitoring, reporting, and compliance purposes. From Fiscal Year
(FY) 2020-2023, performance outcomes were affected by COVID-19 with increased
911 responses, sick EMS workers, closed EMS education programs, EMS equipment
shortages, etc.
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Emergency
Ambulance Service Region
A |
Care
Ambulance Service Region
B |
Care
Ambulance Service Region
C |
Care
Ambulance Service Region
D |
Care
Ambulance Service Region
E |
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FY 2020-2021 Response
Time Compliance |
97.3% |
96.8% |
96.6% |
97.8% |
97.1% |
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FY 2021-2022 Response
Time Compliance |
96.8% |
93.3% |
90.8% |
91.6% |
91.4% |
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FY 2022-2023 Response
Time Compliance |
96.8% |
93.0% |
91.2% |
92.9% |
92.7% |
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FY 2023-2024 Response
Time Compliance |
97.5% |
96.6% |
96.1% |
96.5% |
96.4% |
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FY 2024-2025 Response
Time Compliance (July 1, 2024 to December 31, 2024) |
96.8% |
96.2% |
96.0% |
96.6% |
96.1% |
These Agreements do not currently
include subcontracts or pass through to other providers. See Attachments F for
Contract Summary Forms.
The Contractors’ performances have
been confirmed as satisfactory. HCA has verified there are no concerns that
must be addressed with respect to Contractors’ ownership/names, litigation
status or conflicts with County interest. The Orange County Preference Policy
is not applicable to these amendments.
These amendments are being presented for
Board approval less than 30 days before the effective date due to a delay in
receiving California EMSA approval of the RFP document. The approval includes
an agreement extension with exclusive operating rights until August 31st, 2025.
HCA requests your Board's approval
of the Amendments to continue to provide services in support of the OCEMS
Program, as referenced in the Recommended Actions.
FINANCIAL
IMPACT:
Revenue from these Agreements is
included in Budget Control 042 FY 2024-25 Budget and will be included in the
budgeting process for future years.
Reimbursement from the providers
will cover the County’s cost for administering the Agreements and is expected
to be funded through contractor operating revenue.
STAFFING
IMPACT:
N/A
ATTACHMENT(S):
Attachment
A - EOA A - Emergency Ambulance MA-042-20010604
Attachment B - EOA B – Care Ambulance MA-042-20010617
Attachment C - EOA C – Care Ambulance MA-042-20010710
Attachment D - EOA D – Care Ambulance MA-042-20010714
Attachment E - EOA E – Care Ambulance MA-042-20010715
Attachment F - Contract Summary Forms for Attachment A-E
Attachment G - Health and Safety Code section 1797.224