Resolution 11654 and Staff ReportCITY OF ALAMEDA RESOLUTION NO. 11654
APPROVING AMENDED AGREEMENT WITH ALAMEDA COUNTY
FOR TRAUMA AND EMERGENCY MEDICAL DEFIBRILLATION
OVERSIGHT RESPONSIBILITIES
WHEREAS, on October 20, 1987, the Council of the City of
Alameda approved Resolution No. 11324 authorizing an agreement
between the City of Alameda and Alameda County for oversight
responsibilities by the county for Alameda Fire Department
EMT - Defibrillation and Trauma Triage programs; and
WHEREAS, the County is responsible, as the oversight
agency, to review all tapes, transcriptions, pre - hospital
care reports and outcomes and in reviewing medical quality
assurance and medical control systems and procedures in the two
programs; and
WHEREAS, the City is responsible to reimburse the
Emergency Medical Service District for costs related to oversight
of these programs; and
WHEREAS, an agreement has been negotiated between the
City and the County which lowers the cost from $1,100.00 per
month to $700.00 per month;
NOW, THEREFORE, BE IT RESOLVED by the Council of the City
of Alameda that the Mayor and the City Clerk be, and each hereby
is, authorized and directed to execute and to attest to,
respectively, on behalf of the City, a Modification of Agreement
. between the City of Alameda and Alameda County for Trauma and
: Emergency Medical Defibrillation Oversight Responsibilities.
o
y y y y y
I, the undersigned, hereby certify that the foregoing
Resolution was duly and regularly adopted and passed by
the Council of the City of Alameda in regular meeting
assembled on the 21st of February, 1989,
by the following vote to wit:
AYES: Councilmembers Arnerich, Camicia, Monsef, Thomas
and President Corica - 5.
NOES: None.
ABSENT: None.
IN WITNESS WHEREOF, I have hereunto set my hand and
affixed the official seal of said City this 22nd day of
February, 1989.
City of Alameda Ca.aornia
February 9, 1989
To: Honorable Mayor and
Members of the City Council
From: Robert La Grone
Fire Chief
RE: RESOLUTION APPROVING AMENDED AGREEMENT WITH THE COUNTY
FOR TRAUMA AND EMERGENCY MEDICAL DEFIBRILLATION OVERSIGHT
RESPONSIBILITIES
Background
The City of Alameda and Alameda County entered into an
agreement in October of 1987 for oversight responsibilities by
the county for Alameda Fire Department EMT - Defibrillation and
Trauma Triage programs.(attachment).
For a number of months the City has been negotiating a new
agreement with the County for present and future oversight
responsibilities.
Discussion /Analysis
The County is responsible, as the oversight agency, to
review all tapes, transcriptions, pre - hospital care reports and
outcomes and in reviewing medical quality assurance and medical
control systems and procedures in the two programs. The City is
responsible to reimburse the Emergency Medical Service District
for costs related to oversight of these programs.
An agreement has been reached between the City and the
County which lowers the cost from $1,100.00 per month to
$700.00 per month. The agreement uses the same wording as the
previous agreement (attachment) with the following modifications:
A. Paragraph 8 shall be deleted and replaced as follows:
"CITY shall pay COUNTY monthly for EMS District services
at a rate of $700.00 per month."
B. All other terms of the Agreement shall remain in full
force and effect.
C. This Modification of Agreement shall be effective July 1,
1988.
Inter - department Memorandum
Re: Resolutions #1 -F CC
2 -21 -89
Honorable Mayor and Page 2
Members of the City Council February 9, 1989
Budget Consideration /Financial Impact
The City and Hospital have agreed to share in these costs
which, from the City's standpoint, will be paid from revenues
generated by the ambulance transport program.
Recommendation
It is therefore recommended that Council, by resolution,
approve the amended oversight agreement as submitted.
Respectfully submitted,
Robert La Grone
Fire Chief
By:/41, a444./...--c
Paul Barneich
Administrative Fire Chief
FORWARD
(attachment)
AGREEMENT
THIS AGREEMENT is made and entered into the day of
, 1987 by and between THE COUNTY OF ALAMEDA,
hereafter referred to as COUNTY, and the CITY OF ALAMEDA AND
ALAMEDA HOSPITAL, hereafter referred to as CITY /HOSPITAL,
WHEREAS, COUNTY has established a local EMS agency as
authorized by Health and Safety Code Section 1797.200;
WHEREAS, COUNTY has established the Emergency Medical
Service District, County Service Area EM 1983 -1, to fund its
local EMS agency;
WHEREAS, CITY has declined to join County Service Area EM
1983 -1 and participate in COUNTY'S program for countywide
emergency ambulance service;
WHEREAS, CITY provides at its own expense basic life
support (BLS) prehospital emergency ambulance service in the City
of Alameda;
WHEREAS, HOSPITAL desires to be designated as base
hospital only to direct CITY'S BLS emergency ambulance service
and the EMT -1A Optional Defibrillation Skill;
WHEREAS, CITY intends to add the optional EMT -1A
defibrillation skill as permitted by State laws and regulations
requiring-the approval and monitoring of the local EMS agency;
WHEREAS, COUNTY has established a system of trauma care
and has designated certain hospitals as trauma centers; and
WHEREAS, CITY /HOSPITAL desire to coordinate the
Fire Department operated BLS Emergency Ambulance Service with
COUNTY'S Trauma System.
NOW, THEREFORE, BE IT RESOLVED THAT:
1. CITY /HOSPITAL shall submit for the approval of the
EMS Medical Director a proposal and plan for development and
operation of the EMT -1A optional defibrillation skill program by
CITY'S Fire Department in accordance with State laws, regulations
and COUNTY policies and procedures.
2. COUNTY shall, following approval of such proposal and
plan, monitor and evaluate EMT -1A optional defibrillation and
trauma triage prehospital care services provided by CITY and
HOSPITAL. .
3. CITY /HOSPITAL shall provide in a timely and regular
canner records, information and reports as required or requested
by EMS Medical Director in order for COUNTY to monitor and
evaluate the EMT -1A optional defibrillation and trauma triage
prehospital care services provided by CITY /HOSPITAL.
4. HOSPITAL shall serve as the base hospital for the
CITY'S Fire Department basic life support emergency ambulance
service and shall provide all necessary medical direction and
monitoring of EMT -1A services including the optional
defibrillation skill.
5. CITY /HOSPITAL shall establish a trauma patient
registry for trauma patients triaged and /or received by HOSPITAL
in accordance with COUNTY procedures and guidelines.
6. CITY /HOSPITAL shall follow procedures and protocols
adopted by the County EMS Medical Director, which are applicable
to CITY'S BLS emergency ambulance service and base hospital
operations.
7. COUNTY shall maintain an ongoing record of all time
worked by EMS District personnel and consultants compensated from
County Service Area funds, which work benefits CITY /HOSPITAL and
is not defrayed by other fees or charges paid by CITY /HOSPITAL.
8. CITY shall pay COUNTY monthly for EMS District
services provided and billed by COUNTY at a rate of $1,100 per
month commencing November 1, 1987 through and including June 30,
1988. COUNTY and CITY /HOSPITAL will negotiate an amendment to
this AGREEMENT to establish the monthly compensation for services
provided by COUNTY effective July 1, 1988 and thereafter
according to the documented experience of the EMS Districts
provided in paragraph 7 above..
9. It is understood that CITY /HOSPITAL shall receive no
pecuniary compensation from COUNTY under this Agreement.
10. This Agreement may be terminated by either party upon
thirty (30) days written notice.
11. Nothing herein shall preclude the EMS Medical
Director from suspending at any time for cause, approval of
the EMT -1A defibrillation program and BLS base hospital operation.
Cause is defined as non - compliance with established laws,
regulations and protocols.
12. Nothing herein shall imply COUNTY approval of any
program, status or designation of CITY /HOSPITAL not specifically
approved herein.
13. HOLD HARMLESS
a. CITY shall defend, save harmless and
indemnify the COUNTY and its officers, agents and
employees from all liabilities and claims for damages
for death, sickness or injury to persons or property,
including without limitation, all consequential
damages, from any cause whatsoever arising from or
connected with the operations of CITY, its agents or
employees under this AGREEMENT.
b. HOSPITAL shall defend, save harmless and
indemnify the COUNTY and its officers, agents and
employees from all liabilities and claims for damages
for death, sickness or injury to persons or property,
including without limitation, all consequential
damages, from any cause whatsoever arising from or
connected with the operations of HOSPITAL, its agents
or employees under this AGREEMENT.
c. COUNTY shall defend, save harmless and indemnify
the CITY /HOSPITAL and its officers, agents and
employees from all liabilities and claims for damages
for death, sickness or injury to persons or property,
including without limitation, all consequential
damages, from any cause whatsoever arising from or
connected with the operations or the services of
COUNTY hereunder, resulting from the conduct of
COUNTY, its agents or employees under this AGREEMENT.
d. HOSPITAL shall defend, save harmless and
indemnify the CITY and its officers, agents and
employees from all liabilities and claims for damages
for death, sickness or injury to persons or property,
including without limitation, all consequential
damages, from any cause whatsoever arising from or
connected with the operations of HOSPITAL, its agents
or employees under this AGREEMENT.
e. CITY shall defend, save harmless and indemnify
the HOSPITAL and its officers, agents and employees
from all liabilities and claims for damages for
death, sickness or injury to persons or property,
including without limitation, all consequential
damages, from any cause whatsoever arising from or
connected with the operations of CITY, its agents or
employees under this AGREEMENT.
THIS AGREEMENT is entered into by the parties hereto on
the date first above. written.
Approved as to form: COUNTY OF ALAMEDA,
County Counsel
By
Approved as to form: CITY OF ALAMEDA, a municipal
corporation,
City Attorney By
Mayor
Attest:
City Clerk
ALAMEDA HOSPITAL, a nonprofit
California corporation,
By
President
By
Secretary