Agenda

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C.1

To:	Contra Costa County Fire Protection District Board of Directors
From:	Lewis T. Broschard III, Chief, Contra Costa Fire Protection District
Date:	July 20, 2021

Contra

Costa

County

Subject:

Contract Amendment for American Medical Response West (AMR)

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 07/20/2021

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, Director
Candace Andersen, Director
Diane Burgis, Director
Karen Mitchoff, Director
Federal D. Glover, Director

Contact:

Terry Carey, Assistant Chief 925-941-3300

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: July 20, 2021
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Fire Chief, or designee, to execute a contract amendment with American Medical Response West (AMR), effective July 13, 2021, to facilitate the provision of on-scene telemedicine services to patients and require clinical education training related to the facilitation of telemedicine services, with no change to the contract term or payment limit.

FISCAL IMPACT:

There are no additional costs associated with this contract amendment.

BACKGROUND:

Effective January 1, 2016, the Contra Costa County Fire Protection District (District) became the exclusive operator of emergency ambulance service within Exclusive Operating Areas 1, 2, and 5 in Contra Costa County. The District contracts with American Medical Response West (AMR) to provide the emergency ambulance services. The District intends to implement a telemedicine program utilizing qualified telemedicine service providers. The District, with the approval of Contra Costa County Emergency Medical Services Agency, will develop protocols, policies, and procedures for the provision of telemedicine services. Under the program, the on-scene field provider and patient can be connected to a qualified healthcare provider for evaluation and patient navigation.

This contract amendment will provide for AMR to facilitate the provision of on-scene telemedicine services to patients, in accordance with all applicable District and CCCEMSA protocols, policies, and procedures. It will also require paramedic personnel to receive additional training specific to the facilitation of telemedicine services, including but not limited to: proper identification of patients appropriate for telemedicine services; the relevant protocols, policies, and procedures; and use of technology to initiate, establish, and conduct an on-scene telemedicine contact.