RECOMMENDATION: SUMMARYIDISCUSSIONIFINDINGS: ALAMEDA COUNTY HEALTH CARE SERVICES. AGENCY ALEX BRISCOE, Director

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1 ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY ALEX BRISCOE, Director The Honorable Board of Supervisors County Administration Building 1221 Oak Street Oakland, CA AGENDA,December 21,2010 AGENCY ADMIN. & FINANCE September 1, San Leandro Blvd, Suite 300 San Leandro, CA Tel: (510) Fax: (510) Dear Board Members: SUBJECT: Approval of Amendment to Interfacility Transport Agreement between American Medical Response West Corporation, and the Public Health Department, Emergency Medical Services Contract RECOMMENDATION: Approve and authorize the President of the Board to sign in original signature six (6) copies of the Interfacility Transport Agreement Amendment # C between the Alameda County and American Medical Response West Corporation (Principal: Gerald Sousa, General Manager; Location: San Jose, CA), extend the service period through June 30, 2013, to provide interfacility paramedic transport services. SUMMARYIDISCUSSIONIFINDINGS: On May 10, 2005, your Board approved the first Amendment to Interfacility Transport Agreement between Alameda County and American Medical Response (AMR) for the period July 1, 2005 through June 30, 2009, to provide paramedic interfacility medical transport of patients in Alameda County. The department has requested a no cost extension of the agreement through June 30, Under this contract, AMR agrees to pay the participation and transport fees established by the County. The State Emergency Medical Services Authority (EMSA) allows paramedic interfacility transport of patients and requires that Alameda County Emergency Medical Services (EMS) monitor and regulate all paramedic pre-hospital care. Interfacility transport is used to transport patients who have been medically stabilized at one hospital and need to be transferred to another hospital for higher-level care. EMS ~as adopted the use of national interfacility transport standards to monitor and regulate this program. The lnterfacility Transport Agreement incorporates County EMS guidelines and standards, patient transfer protocols, data collection and reporting requirements that ensure patient safety.

2 The Honorable Board of Supervisors Page 2 of2 SELECTION CRlTERlAIPROCESS: On January 27, 1998, your Board approved the use of paramedic interfacility transport in Alameda County and established a fee schedule for local emergency medical transport providers. The fee schedule includes a $10,000 participation fee per provider every three months, and $50 for each transport after the first 200. The AMR has always met the program requirements in the past and program recommends that the contract be extended with AMR. FINANCING: Approval of this contract amendment will have no impact on net County costs. Very truly ours, B'SC~ A " Health Care Services Agency AB:hc cc: Auditor-Controller County Counsel

3 Contract Reference No. C SECOND AMENDMENT TO INTERFACILITY TRANSPORT AGREEMENT This Second Amendment is made by the COUNTY OF ALAMEDA, a body of corporate and politic ofthe State ofcalifomia, and AMERICAN MEDICAL RESPONSE CORPORATION, with respect to that certain agreement titled Interfacility Transport Agreement, entered into by them on July 10, 2001 ("Contract") and amended by Amendment to Interfacility Transport Agreement executed June 30, 2005 (First Amendment') and is entered into this day of Said Contract is hereby amended as follows: Term of Contract: The term of this Agreement begins on the 1st day of June 2001 and ends on the 30 th day ofjune All other contract terms and conditions shall remain in full force and effect. In Witness Whereof, the parties hereto have executed this Amendment this 1st day of December, COUNTY OF ALAMEDA President, Board ofsupervisors T Division ve. # 107 Approved as to fonn: Richard E. Winnie, County Counsel By: ~~- Deputy County Counsel I hereby certify under penalty of perjury that the President of the Board of Supervisors was duly authorized to execute this document on behalf of the County of Alameda by a majority vote of the Board on ; and that a copy has been delivered to the President as provided by Government Code Section ATTEST: Date CRYSTAL HISHIDA GRAFF, Clerk of the Board of Supervisors, County of Alameda, State of California By

4 EXHIBIT A - SCOPE OF SERVICE INTERFACILITY TRANSPORT AGREEMENT AMR CCT NORTHERN CALIFORNIA Contractor shall provide non exclusive Interfacility paramedic transfer services in Alameda County. Contractor Interfacility Transfer policies and procedures must be submitted in writing and approved by Alameda County Emergency Medical Services. Contractor shall adhere to all Alameda County Emergency Medical Services policies regarding Paramedics including: Accreditation / Certification Training in optional scope components-transport and interfacility transfers Individual Paramedic Evaluations Education County EMS Orientation Contractor shall systemically monitor and collect data to be used for evaluation of the care provided and shall provide quarterly reports to County EMS with the following information regarding transfer request: Date of Call Time of Call Assessment/protocoI Transferring facility Receiving facility Accompanying personnel (Paramedic, Nurse, Medical Doctor, EMT) Medications administered Procedures Copy of PCR for each call Contractor shall develop criteria for sentinel events and high-risk calls: Transport records will be reviewed for completeness and accuracy; care provided; patient response and outcome. Sentinel events shall be reviewed by Contractor's medical director Clinical personnel will provide necessary counseling and insure appropriate feedback Corrective Action - if applicable Contractor shall notify Alameda County EMS Contractor shall participate in unusual occurrence process per Alameda County EMS Contractor shall participate on EMS Committees as specified by Alameda County EMS

5 EXHIBIT B - PAYMENT SCHEDULE INTERFACILITY TRANSPORT AGREEMENT AMR CCT NORTHERN CALIFORNIA Payment Schedule: Contractor will submit to the County CCT-Paramedic Coordinator a quarterly report on the number of interfacility transports completed for the previous three months. The fee schedule includes a $10,000 participation fee per provider and $50 for each transport after the ftrst 200. Contractor shall remit payment to County within thirty (30) days of receipt of County invoice.

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