To: Board of Supervisors of Sonoma County
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Tina Rivera, 707-565-7876
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Emergency Medical Services Agency Administration Agreement
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Recommended Actions:
Recommended action
Authorize the Director of the Department of Health Services to execute an agreement with the County of Mendocino for the County of Sonoma to provide Emergency Medical Services Agency administration through June 30, 2023 and to receive revenue in the amount of $343,358.
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Executive Summary:
The County of Sonoma Emergency Medical Services Agency is responsible for oversight and regulation of the local Emergency Medical Services system of coordinated emergency medical care, injury prevention, and disaster medical response. The Sonoma County Board of Supervisors has designated the Sonoma County Department of Health Services (hereinafter “DHS” or “the Department”) as the local Emergency Medical Services Agency for Sonoma County. The Coastal Valleys Emergency Medical Services Agency, which falls administratively within the Sonoma County Department of Health Services, serves as the local Emergency Medical Services Agency for Sonoma County and also for Mendocino County through an agreement between Sonoma and Mendocino counties. This partnership between Sonoma and Mendocino has been in place since 1993.
The current agreement between Sonoma and Mendocino counties expired on June 30, 2022. This item requests approval to execute a one-year agreement through June 30, 2023. The Department plans to work with Mendocino County over the next few months to identify needed revisions to the current arrangement and to perform an assessment of the costs associated with providing services. The Department plans to bring a new three-year agreement that will provide for full-cost recovery to the Board in Spring 2023 for services beginning July 1, 2023.
Discussion:
Pursuant to the California Health and Safety Code, the County of Sonoma Emergency Medical Services Agency is responsible for oversight and regulation of the local Emergency Medical Services system of coordinated emergency medical care, injury prevention, and disaster medical response. The Sonoma County Board of Supervisors has designated the DHS as the local Emergency Medical Services Agency for Sonoma County. The Coastal Valleys Emergency Medical Services Agency, which falls administratively within the Sonoma County Department of Health Services, serves as the local Emergency Medical Services Agency for Sonoma County and also for Mendocino County through an agreement between Sonoma and Mendocino counties. The partnership between Sonoma and Mendocino has been in place since 1993.
Under the terms of the agreement with Mendocino County, Sonoma County staff performs Mendocino Emergency Medical Services administration functions for Mendocino County including medical control and oversight, certification and accreditation of personnel, approval and oversight of base hospitals, authorization of advanced life support programs, and responsibility to maintain the Mendocino County portion of the regional hospital communications system. Mendocino County provides clerical services and supplies necessary to support the Mendocino Emergency Medical Services program office including the purchase and maintenance of an Emergency Medical Services vehicle in compliance with County of Mendocino fleet standards.
The current agreement between Sonoma and Mendocino counties expired on June 30, 2022. This item requests approval to execute a one-year agreement through June 30, 2023. The Department plans to work with Mendocino County over the next few months to identify needed revisions to the current arrangement and to perform an assessment of the costs associated with providing services. The Department plans to bring a new three-year agreement that will provide for full-cost recovery to the Board in Spring 2023 for services beginning July 1, 2023.
Prior Board Actions:
On June 2, 2020 the Board approved an agreement with the County of Mendocino for the County of Sonoma to provide emergency medical services agency administration services from July 1, 2019 through June 30, 2022 and to receive revenue of approximately $1,182,223.
On June 11, 2019 the Board approved the first amendment to an agreement with the County of Mendocino for the County of Sonoma to continue to provide Emergency Medical Services Agency administration through September 30, 2019 and to receive additional revenue in the amount of $26,875.
On May 17, 2016 the Board approved an agreement with the County of Mendocino for the County of Sonoma to provide Emergency Medical Services Agency administration for the period July 1, 2016 through June 30, 2019 and to receive revenue in an amount not to exceed $322,500.
Fiscal Summary
|
Expenditures |
FY 22-23 Adopted |
FY 23-24 Projected |
FY 24-25 Projected |
|
Budgeted Expenses |
$343,358 |
|
|
|
Additional Appropriation Requested |
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|
|
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Total Expenditures |
$343,358 |
0 |
0 |
|
Funding Sources |
|
|
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|
General Fund/WA GF |
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|
|
State/Federal |
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|
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Fees/Other |
$343,358 |
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|
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Use of Fund Balance |
|
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Contingencies |
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Total Sources |
$343,358 |
0 |
0 |
Narrative Explanation of Fiscal Impacts:
Revenue for the agreement is included in the FY 22-23 budget.
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Staffing Impacts: |
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Position Title (Payroll Classification) |
Monthly Salary Range (A - I Step) |
Additions (number) |
Deletions (number) |
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Narrative Explanation of Staffing Impacts (If Required):
N/A
Attachments:
Attachment 1 - EMS Agency Administration Agreement with the County of Mendocino
Related Items “On File” with the Clerk of the Board:
None