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C.5

To:	Contra Costa County Fire Protection District Board of Directors
From:	Jeff Carman, Chief, Contra Costa County Fire Protection District
Date:	September 13, 2016

Contra

Costa

County

Subject:

Contract Amendment for Ambulance Program Oversight and Training

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 09/13/2016

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, Director
Candace Andersen, Director
Mary N. Piepho, Director
Karen Mitchoff, Director
Federal D. Glover, Director

Contact:

Jeff Carman, Fire Chief (925) 941-3500

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: September 13, 2016
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Fire Chief, or designee, to execute a contract amendment with AP Triton, LLC to extend the term from November 1, 2016 to April 30, 2017, increase the payment limit by $45,000 to a new payment limit of $105,000, and amend the Service Plan to include a staff training component in addition to oversight and monitoring of the District's fire-based emergency ambulance service program.

FISCAL IMPACT:

$45,000: Budgeted; 100% EMS Transport Fund

BACKGROUND:

The Contra Costa County Fire Protection District (District) entered into a contract with AP Triton, LLC effective November 1, 2015. At that time the District contemplated that as of January 1, 2016, it would become the exclusive operator for emergency ambulance service in Emergency Response Areas 1, 2, and 5 within Contra Costa County. The contractor, AP Triton, LLC, had experience in establishing and managing a fire-based emergency ambulance program, including resource deployment, recovery of federal reimbursement funds, monitoring legislative activity and industry trends, and other related services.

BACKGROUND: (CONT'D)

This amendment extends the contract term and payment limit for the services described above. Moreover, the amendment adds an hourly staff training component to the Service Plan. On August 17, 2016, the District appointed a new Assistant Fire Chief to oversee the District's ambulance transport service. Under the amended Service Plan, at the request of the District, contractor will provide hourly training for the District's new Assistant Fire Chief (and potentially other relevant program personnel) on efficient operations of EMS and ambulance service. This includes guidance on the daily, weekly, monthly, and annual reviews necessary to assure the District's EMS and ambulance programs are efficient, including but not limited to deployment models, unit hour utilization, and billing policies and collections.

CONSEQUENCE OF NEGATIVE ACTION:

The District's will be without the contractor's current professional services as of November 1, 2016, and the District will not be able to take advantage of the contractor's expertise to train a new senior staff member with significant programmatic responsibilities.

CHILDREN'S IMPACT STATEMENT:

Approximately 10% of emergency medical service responses involve children under the age of 15.