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Agenda Item
ASR
Control 23-000847 |
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MEETING
DATE: |
10/31/23 |
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legal entity taking action: |
Board
of Supervisors |
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board of supervisors district(s): |
2 |
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SUBMITTING Agency/Department: |
Health
Care Agency (Approved) |
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Department contact person(s): |
Tammi
McConnell (714) 834-2791 |
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Mindy
Winterswyk (714) 834-5052 |
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Subject: Individual Contract for Designated
Emergency Services
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ceo CONCUR |
County Counsel Review |
Clerk of the Board |
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Concur |
Approved
Agreement to Form |
Consent
Calendar |
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3
Votes Board Majority |
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Budgeted: N/A |
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: N/A
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Prior Board Action: 3/28/2023 #18, 7/19/2022 #15,
12/14/2021 #S39A, 3/23/2021 #43 |
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RECOMMENDED
ACTION(S):
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1. |
Approve the individual Contract with The
Regents of the University of California, A Constitutional Corporation, on
behalf of University of California, Irvine Medical Center for provision of
Designated Emergency Services, effective upon Board approval through June 30,
2028. |
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2. |
Authorize the County Procurement Officer
or Deputized designee to execute the individual Contract as referenced above. |
SUMMARY:
Approval of the individual Contract
for Provision of Designated Emergency Services with the Regents of the
University of California, a Constitutional Corporation, on behalf of University
of California, Irvine Medical Center will allow for OC Emergency Medical
Services to designate hospital emergency receiving centers and equip hospitals
with communications/emergency preparedness equipment and bi-directional data
exchange capabilities to facilitate the receiving of ambulances and transfer of
patients via the 9-1-1 system.
BACKGROUND
INFORMATION:
On March 28, 2023, your Honorable
Board of Supervisors (Board) approved the Master Contract with various
hospitals for provision of Designated Emergency Services (DES) for the period
of July 1, 2023, through June 30, 2028, for an aggregate amount not to exceed
$1,960,724. The proposed Contract with the Regents of the University of
California, a Constitutional Corporation, on behalf of the University of
California, Irvine Medical Center (UCI) includes nonstandard contract terms
that differ from the Board approved Master Contract. Nonstandard terms were
approved by Risk Management, See Attachment C for Risk Assessment Form.
Earlier Board actions to support
this project are listed below:
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Board
Date |
Contract |
Action |
Term |
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June 5, 2018 |
Master Agreement |
Board Approved
Master Agreement |
July 1, 2018 -
June 30, 2023 |
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March 23, 2021 |
N/A |
Board-approved
Epidemiology and Laboratory Capacity (ELC) expansion grant |
January 15, 2021
- July 31, 2023 |
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December 14, 2021 |
Individual
Agreement |
Board-approved
ELC grant funded contract with ImageTrend, Inc. |
January 15, 2021
- June 30, 2023 |
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July 19, 2022 |
Amendment No. 1 |
Board Approved
Amendment No. 1 |
July 1, 2018 -
June 30, 2023 |
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March 28, 2023 |
Master Agreement |
Board Approved
Master Agreement |
July 1, 2023 -
June 30, 2028 |
Scope
of Services
The Health Care Agency (HCA) established
the DES Master Contract to formalize the partnership between Acute Care
Hospitals and the County of Orange (County) for emergency medical and disaster
response. As part of its regulatory responsibility on behalf of the County,
HCA’s Emergency Medical Services Division designated hospitals as Emergency
Receiving Center (ERC) that met qualifying criteria. There are 24 Acute Care
Hospitals that are designated ERCs which permits those hospitals to receive
patients via ambulance from the 9-1-1 Emergency Medical System (EMS).
The proposed Individual Contract with UCI
is one of several such contracts under the Master Agreement. Contracts with
these providers allow for continuation of the existing relationships for
disaster and emergency response between participating Acute Care Hospitals and
the County. This individual Contract will allow UCI to continue to develop and
have in place disaster plans and equipment necessary to respond to and mitigate
disasters, which may include many casualties. The County works collaboratively
with Acute Care Hospitals in disaster training exercises, participates in
communications equipment interference testing and provides equipment.
In addition to the Hospital Emergency
Administrative Radio system (HEAR) and 800mHz capabilities, which is the same
mHz system utilized by first responders, UCI Medical Center’s designations
include Base Hospital, Emergency, Cardiovascular, Stroke Neurology and Trauma
Receiving Centers.
The ability to rapidly identify the
appropriate level of emergency treatment and transport is possible through a
coordinated communications system with the Acute Care Hospitals and field
providers. There are approximately 290,000 9-1-1 calls annually within the
County. During Calendar Year 2022, there were 186,477 9-1-1 patients
transported to County designated ERCs. Of those, 21,545 involved radio contacts
between field paramedics and Base Hospitals.
This Contract does not currently include
subcontracts or pass through to other providers. See Attachment B for Contract
Summary Form, The Orange County Preference Policy is not applicable to this
Contract.
This Contract contains a mutual
indemnification provision, which varies from the County standard of sole
indemnification. CEO/Risk Management has approved the indemnification provision
and determined the risk to be acceptable for these services. See Attachment C
for Risk Assessment Form.
HCA requests that the Board approve the
Contract with the Regents of the University of California, a Constitutional
Corporation on behalf of University of California, Irvine Medical Center for
the provision of DES as referenced in the Recommended Actions.
FINANCIAL
IMPACT:
Should services related to this
Contract need to be reduced or terminated, the Contract contains language that
allows HCA to give 30 days' notice to terminate services and either request the
return of all County property or enter into a separate agreement for the use of
County property loaned to the hospitals.
STAFFING
IMPACT:
N/A
ATTACHMENT(S):
Attachment
A – Individual Contract MA-042-22011444 with University of California Irvine
Medical Center for Designated Emergency Services
Attachment B - Contract Summary Form
Attachment C - Risk Assessment Form
Attachment D - Redline Version to Master Contract