COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Services Agency

 

DATE:

March 3, 2003

   

BOARD MEETING DATE:

April 8, 2003

 

TO:

Honorable Board of Supervisors

FROM:

Margaret Taylor, Director of Health Services

Barbara Pletz, EMS Administrator

SUBJECT:

Amendment No. 2 to the Agreement with Regents of the University of California

 

Recommendation

    Adopt a resolution authorizing the President of the Board to execute amendment
    No. 2 to the agreement with the Regents of the University of California, on behalf of the University of California, San Francisco (UCSF) for medical direction of the emergency medical services system and medical consultation to the Emergency Medical Services Program.

 

Background

California law requires that each local EMS agency have an EMS Medical Director and specifies that these services may be provided by contract. In June 1999, your Board authorized an agreement with the Regents of the University of California to provide EMS Medical Director services for San Mateo County for a two-year period ending
December 31, 2000. In March 2001 your Board amended the agreement to extend the term through December 2002 and increase the amount to $378,000. The agreement provides that UCSF's employee, Dr. Karl Sporer, will provide the services.

 

Discussion

UCSF has provided excellent EMS Medical Director Services, through Dr. Sporer, for four years. Dr. Sporer is also an emergency physician at San Francisco General Hospital and an Associate Clinical Professor of Surgery at UCSF.

Amendment No. 2 extends the agreement through December 31, 2004 and increases the total amount of the contract from $378,000 to $554,106; an increase of $176,106 ($86,718 for 2003, $89,388 for 2004). Dr. Sporer will continue to provide these services.

The rate of payment is based upon Dr. Sporer's time, as a UCSF employee, in providing the Medical Director Services. For the first four years of the Agreement, 50% of Dr. Sporer's time was spent in providing these services. Effective January 1, 2003, this time is decreased to 37.5%.

 

Vision Alignment

This amendment to the agreement with UCSF keeps the commitment of Ensuring Basic Health and Safety for All and goal number 7-maintain and enhance the public safety of all residents and visitors. The amended agreement contributes to this commitment and goal by providing immediate first response and ambulance services for all 911 medical requests.

 

Fiscal Impact

The proposed amendment extends the agreement through December 31, 2004 making the term of the agreement January 1, 1999 through December 31, 2004. The maximum contract amount is increased by $176,106; from $378,000 to $554,106. Costs associated with this contract for the remainder of FY 2002-03 are included in the approved FY 2002-03 EMS budget. There is no net county cost for the EMS program budget. EMS is funded by the EMS fund which is derived from assessments on moving violation traffic fines, charges to American Medical Response for medical oversight services, late response time penalties, and pre-hospital personnel certification fees. This agreement will not result in any net county cost, nor will it create future county cost.