Agenda

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D.6

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:

Alliance Ambulance Service Periodic Report

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
,

BY:	, Deputy

RECOMMENDATION(S):

ACCEPT a report from the Fire Chief on ambulance service response times, payer mix, and revenue received to date.

FISCAL IMPACT:

Status report only. No fiscal impact.

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 (EOAs) 1, 2, and 5 in Contra Costa County. The District effectively provides emergency ambulance service through a sub-contract with American Medical Response West (AMR). This service model has been termed the Alliance.

BACKGROUND: (CONT'D)

Citygate Associates, LLC was retained by the County to conduct an independent financial review of the Alliance's proposal. One of the recommendations in the financial review was to have the District report back to the Board periodically on response times, payer mix, revenue-to-date, and near-term revenue-to-expense forecasting.

Patient accounts for transport service take at least 6-9 months to mature from the date of service. While this report includes data points for the first six months of Alliance transport service, any revenue-to-expense analysis should be limited to the first quarter of calendar year 2016. It should also be noted that the District was not able to bill most payers immediately after transitioning the service to the Alliance due to the length of time involved in becoming an approved provider for commercial and governmental payers. Additionally, while the District was recently approved as a Medi-Cal provider, no revenue has been received to date for services provided to Medi-Cal beneficiaries.

CHILDREN'S IMPACT STATEMENT:

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