Agenda

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D. 2

To:	Board of Supervisors
From:	William Walker, M.D., Health Services
Date:	February 12, 2013

Contra

Costa

County

Subject:

Extension of Contract with American Medical Response

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 02/12/2013

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

NO:

Candace Andersen, District II Supervisor

Contact:

Dorothy Sansoe, 925-335-1009

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: February 12, 2013
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Amendment Extension #23-024-25 with American Medical Response Ambulance, effective March 31, 2013, to extend the term of the Contract from June 30, 2014 through December 31, 2015.

FISCAL IMPACT:

None. (No rate increase)

BACKGROUND:

On June 28, 2005, the Board authorized the Health Services Director to enter into an agreement with American Medical Response to provide emergency ambulance services to all areas of Contra Costa County except those served by the San Ramon Valley and the Moraga-Orinda Fire Protection Districts. The agreement, which followed a competitive selection process, was for a five-year term from July 1, 2005 through June 30, 2010 with an automatic extension through June 30, 2014, which was approved by the Board of Supervisors upon a finding that AMR was in “substantial compliance” with contract provisions.

BACKGROUND: (CONT'D)

The EMS System currently finds itself in the midst of many changes, including changes in fire first response capabilities and upcoming opportunities and challenges arising from the implementation of health care reform. On December 11, 2012, the Board authorized a comprehensive EMS System re-evaluation to address these issues and if necessary extend the AMR contract to allow sufficient time to conduct the system review. It is anticipated that the results of this review will be available in late 2013 and will serve as the foundation for a future ambulance competitive process.

To conduct a competitive process to select a 9-1-1 ambulance provider requires approximately twelve (12) months from the time a Request For Proposals (RFP) is released until a provider is selected and a contract in place. To meet the existing contract expiration date, the RFP would need to be issued in July 2013. By extending the current contract for an additional 18 months (as allowed under Regulation 1 of the Contra Costa Ambulance Ordinance (Ordinance No. 83-28), the County will be able to review the findings of the system re-evaluation and integrate any desired options in to a Request For Proposal.

Approval of Amendment Extension #23-024-25 will allow the Contractor to continue providing services through December 31, 2015.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, the County will not receive the necessary findings on the EMS System reevaluation arising from the implementation of health care reform.

CHILDREN'S IMPACT STATEMENT:

Not Applicable.

CLERK'S ADDENDUM

Speaker: Leslie Mueller, American Medical Response.