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Home My WebLink About20133445.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I EMERGENCY MEDICAL SERVICES LICENSE AND AUTHORIZE CHAIR TO SIGN - BANNER HEALTH/NORTH COLORADO MEDICAL CENTER PARAMEDICS SERVICE WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, pursuant to Section 7-2-100 of the Weld County Code, the Weld County Department of Public Health and Environment and the Weld County Emergency Medical/Trauma Service Council have reviewed the application of the Banner Health/NCMC Paramedics Service for a Tier I Emergency Medical Services License and recommend approval, and WHEREAS, after review, the Board deems it advisable to approve said Application for a Tier I Emergency Medical Services License, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the application of Banner Health/NCMC Paramedics Service for a Tier I Emergency Medical Services License be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that approval of the License is conditional upon execution of appropriate Mutual Aid Agreements. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said license. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 16th day of December, A.D., 2013. BOARD OF C. NTY COMMISSIONERS WELD r OU�/ CO�DO� Weld County Clerk to the Board BY: APP ounty Attorney Date of signature:DEC 3 1 2013 'Iliam F. G(arci �^ ^ typic: 2WKY LM Douglas fjiademacher, ro-Tem n P. Conway -'21ze�------ e Freeman rbara KirkrkmeAyer 61- tit Tat TO [%tL4 2013-3445 HL0042 Memorandum TO: Board oflCounty 'Commissioners A FROM: Dr. Marls Wallace MS DATE: December 4, 2013 SUBJECT; Banner Health/North Colorado Medical Center Paramedics Service 2014 Application for Ambulance Service License Banner Health/North Colorado Medical Center Paramedics Service, located at 1801 16th Street Greeley, Colorado, has applied for an Ambulance Service license pursuant to Chapter 7, of the Weld County Code (WCC). Chapter 7 pertains to Emergency Medical Services. The Department has reviewed this application and has deemed the ambulance service to have met all applicable licensure application requirements found in Chapter 7. As such, I am recommending for licensure. The Weld County Emergency Medical/Trauma Service (EM/TS) Council reviewed this application on November 20, 2013. The Council recommended (see attached) that Banner Health/North Colorado Medical Center Paramedics Service, receive a Tier I license. 2013-3445 I I- 0 Z H 2 W Z 0 re 5 dZ W W 0cis • d W 0= W m O. License to Operate Ambulance Service 41 U_ m N U) U C 41 a a U] F z m a U UI i a 0 .a 0 x a 0 z x UI 2 w z z z Fr" ID CO a a 0 0 41 J UI U] a 0 m UI cD co a a w t - z U7 U a U U] 0 a a 0 0 x F- a 0 x EU a m z z m Name of Owner W U z Q C cC 0 U U Q z >- 0 U 0 - J W(1"; 5 z 0 a U J cC w LL, cc N 0 w z U Q Z v) QW Q � Q 2 cc Q o cc -I W w o oz N ow m L§ W w U w C -J I- z D 0 w cn z w U J N W g a N 0 U n N z 0 U z 0 N W J W U) U) H 0 z N kf en DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 Web: http://www.co.weld.co.us/DepartmentsMealthEnvironment/index.html PalkHealth en ml. Premame. Ranee. Health Administration Public Health & Clinical Environmental Health Communication, Emergency Preparedness Vital Records Services Services Education & Planning 6 Response Tele: 970.304.6410 Tale: 970.3049420 Tele: 970.3046415 Tele: 970.304.6470 Tale: 970.304.6420 Fax 970.304.6412 Fax: 970304.6416 Fax: 970.304.6411 Fax 970.304.6452 Fax: 970.304.6469 Our vision: TogetherwM the communities we serve, we are working to make Weld County the healthiest place to live, learn, work and play. October 31, 2013 Barry Schaefer Chair Weld County Emergency Medical/Trauma Service Council Via email: bschaeferAplattevalleyfire.org SUBJECT: 2014 Banner Health/NCMC Paramedics EMS Application NOTICE OF EMERGENCY MEDICAL SERVICES LICENSE APPLICATION TO Ita WELD COUNTY EMERGENCY MEDICAL/TRAUMA SERVICE COUNCIL The Weld County Department of Public Health and Environment has received and is in process of reviewing an Emergency Medical Service License Application from Banner Health/NCMC Paramedics. Attached to this document are the Ambulance Service License Application, and Maps of its proposed Service Area. On behalf of the Board of County Commissioners, the Department is requesting the Emergency Medical/Trauma Service Council review the attached documents in accordance with Section 7-2-100.B.5. of the Weld County Code (enumerated below). The Department will forward your recommendation to the Commissioners. Below are the most applicable portions of the code: Weld County Code, 7-2-100.B.5 The recommendation of the Weld County Emergency Medical/Trauma Service (EM/TS) Council as to whether or not the issuance of the license will contribute to an efficient, effective, and coordinated emergency medical response to residents of the County. The EM/TS Council shall also provide: a. Recommended Service Area. b. Recommended Tier of License. Weld County Code, 7-2-10. No person shall provide or operate an ambulance service publicly or privately in the County unless that person holds a valid license to do so issued by the Board of County Commissioners, except as provided in Section 7-2-80 below. The fee for said license shall be set by separate ordinance. The license shall issue only in the following tiers of service: Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-30 of this Chapter. Tier II: Licensure authorizing for transports of patient(s) to and from licensed medical facilities. This licensure does not provide for Primary Care, as defined in Section 7-1-30 of this Chapter. Tier III: Licensure authorizing for Standby Service, as defined in Section 7-1-30 of this Chapter. A. The Board of County Commissioners reserves the right to amend these rules and regulations and any other individual conditions of licensing as applied to any particular license, as needed in keeping with its legislative function and in order to implement the policy of the State of Colorado that the regulation and control of ambulance licenses is in the exclusive purview of the boards of county commissioners. Persons or firms seeking application and approval of any ambulance license under this Chapter acknowledge that Weld County may contract with specific ambulance service provider(s) which will serve the emergency ambulance need of Weld County and participating municipalities. Please forward the Councils recommendation to the Department including minutes of the EMS Council meeting pertaining to this application. Please do not hesitate to call me should you have any questions. Sincerely, Kevin Antuna Environmental Health Specialist Environmental Health Services Recommendation of the Weld County Emergency Medical/Trauma Service Council for: Banner Health/NCMC Paramedics As required in Section 7-2-100.B.5., the EMTS Council should review the application to assess as to whether the ambulance service will contribute to an efficient, effective, and coordinated emergency medical response to residents of the County? Please include any findings related to response time, coordination with other ambulance services, location, service area, etc. that is the basis for the Council's recommendation: FINDING #1: rtiVcry at AiO W‘A\ soa grex.r*ecl vtc, izeCfW LS- Tr4t �n. h ic. cn1—CAA, J FINDING #2: 1JEv.l tee' ‘JflOti err-- 5 A) ICE A2+2 —IN '} \L` 'z3e martscArksb FINDING #3: i>fict ti z. S ' PRADU ioef 4 &L&x- LP& K -in "RS TJ'lavKlV kj0 2t'! cl02. IMST(LIC J FINDING #4: Recommended Level of Service: Tier 1 Tier 2 Tier 3 Recommended Service Area: Other EMTS Council recommendations or comments: 4'/4c fu.;� i3 Arett.c tauk. A el Sfvun ic. /4ic.E.4. t ,Aisazet Recommendation By ...a..__i Date: /2-cF-/- / Southeast Weld Fire Protection District PO Box 437 Keenesburg, CO 80643 Dave Bressler Chief Banner/NCMC Paramedic Services Dear Dave Bressler: We have enjoyed the services and camaraderie offered by Banner/NCMC Paramedic Services formerly, Weld County Paramedic Services and hope to continue to do so. However, the district has decided that in the taxpayers' best interest, we begin an Advanced Life Support transport service. Effective January 1, 2014, we will no longer utilize Banner as a first due ambulance in our response area. Southeast Weld Fire Protection District would like to continue to keep the lines of communication open for mutual aid as necessary. Thank you for your prompt attention to this matter. Sincerely, Stanley J. Roskop Southeast Weld Fire Protection District, President Enclosure CC: Tom Beach, Fire Chief cc: Dick Lyons, Attorney at Law HUDSON FIRE PROT ON DISTRICT 702 LIM METRO eea7 e00YK N UM Mut30a eae-mwUEQaaa saoc70: Dave Bressler Chief Banner/NCMC Paramedic Services Dear Dave Bressler: Hudson Fire Protection District (HFPD) has entered into an agreement with Platte Valley Paramedics and Southeast Weld Fire Protection District for initial medical response within HFPD boundaries. With this agreement we are in no way implying that we do not want to work with Banner Paramedics. The district has made the decision and feels that it will best serve the community. Everyone at HFPD has enjoyed working with all the staff and Banner Paramedics and are looking forward to working with them in the future. No ambulance system is big enough to handle every situation and hope that we can rely on Banner Paramedics in the future for assistance as needed. Please relay to your staff that HFPD has always enjoyed working with your crews and the decision to make this change had nothing to do with your staff's performance. The agreement will take place effective January 1, 2014. Sincerely, Robert Bertram Fire Chief Legend L,_}- Plc -{%e Valley PointOfOrigin Paved Gravel ri Fire districts N G a 0.5 7 2 Mites Avet b{,ttante- RespL,,.,st 4re^{ Ecti,L 4- A Hudson Fire Protection District Tills product has been developed sorely for internal use c4' by Weld County. The GIS database end data in the product issubject to constant change and the amracy end cmnpleleneaa cannot be wetland guaranteed. The dasipnaticn el lots or parcels or lend uses In the date base does not imply that the lets orpanxls were legally crested or resters lard uses campy with laib State or Law taw. UNDER NO CIRCUMSTANCE SHALL THE PRODUCT SE USED FOR ORFINAL DESIGN PURPOSES. WELD COUNTY MAKES NO WARRANTIES OR GUARANTEES, EITHER EXPRESSED OR IMPLED AS TO THE COMPLETENESS. ACCURACY, OR CORRECTNESS OF SUCH PRODUCT. NOR ACCEPTS ANY LIABILITY, ARISING FROM ANY INCORRECT, INCOMPLETE OR MISLEADING INFORMATION CONTAINED THEREBY. No pert alto product may be copied, reproduced or transmitted In any from or by any means whatsoever, inducing, hut rot Bmbed1o. Nectrcen mechanics{ photowpying, remodylg, scanning, at by any Mcnnation retrieval system or trey non -approved purpose without the express written consent of Weld County. y Banner Health / North Colorado Medical Center Paramedic Services • 1121 M Street Greeley, CO. 80631 Supervisor Cell: (970) 302-2833 Banner Health North Colorado Medical Center' Banner Health / NCMC Paramedics Ambulance Service License Application Date of Application: 10/09/2013 Name of the Ambulance Service: Banner Health / North Colorado Medical Center Paramedic Services Owner: Name Address: Phone Number: Banner Health / North Colorado Medical Center 1801 16th Street. Greeley, CO. 80631 (970) 392 - 2435 Operations Manager: Name Address: Phone Number: Mitch Wagy 1121 M Street. Greeley, CO. 80631 (970) 392 - 2435 For Office Use Only: Date Received: Remarks: / / Approval Recommendation: Documents Checked (Y / N): Date Referred to B.O.C.C.: / / Licensing Agent: Application Submission Statement: (Hyperlink) See Hard Copy at End of Application Banner Health / NCMC Paramedics: County Licensing Application (2013 to 2014) Banner Health / North Colorado Medical Center Paramedic Services ti 1121 M Street Greeley, CO. 80631 Supervisor Cell: (970) 302-2833 Banner Health North Colorado Medical Center' Pursuant to Section 7-2-40 of the Weld County Code: Any change of ownership requires a new application for ambulance service license. All vehicles are two axles. Name and address of each stockholder or partner owning 10% or more of the outstanding stock of the company or having more than a 10% ownership interest if applicable: Not Applicable. What area of your County will be served by this company? Please attach a map indicating the service area. • Map #1. • Map #2. All of the Weld County Service area with the exception of the following cities or towns: • Dacono. • Firestone. • Frederick. • Johnstown. • Lochbuie. • Milliken. • Windsor. Banner Health / NCMC Paramedics: County Licensing Application (2013 to 2014) Banner Health / North Colorado Medical Center Paramedic Services 1121 M Street Greeley, CO. 80631 Supervisor Cell: (970) 302-2833 Banner I leant, North Colorado Medical Center Stations: How many stations do you have? Five Indicate the location and description of the stations from which these ambulances will operate. If there are more than two locations, attach a separate sheet with the above information: Location #1 Address: Phone Number: 1121 M Street. Greeley, CO. 80631 (970) 392 - 2438 Location #2 Address: Phone Number: 3401 S. 11th Avenue. Evans, CO. 80620 (970) 392 - 2452 Location #3 Address: Phone Number: 2000 70th Avenue (970) 395 - 2690 Location #4 Address: Phone Number: Gilcrest Fire Department: 14679 WCR 42. Gilcrest, CO. 80651 (970) 737 - 2966 Location #5 Address: Phone Number: Fort Lupton Fire Department: 2999 9th Street. Fort Lupton, CO. 80621 (970) 392 - 2446 Banner Health / NCMC Paramedics: County Licensing Application (2013 to 2014) Banner Health / North Colorado Medical Center Paramedic Services 1121 M Street Greeley, CO. 80631 Supervisor Cell: (970) 302-2833 Banner I leal[h North Colorado Medical Center. Banner Health / NCMC Paramedics Ground Vehicle List Date of Application: 10/09/2013 Name of the Ambulance Service: Banner Health / North Colorado Medical Center Paramedic Services Owner: Name Address: Phone Number: Banner Health / North Colorado Medical Center 180116`" Street. Greeley, CO. 80631 (970) 392 - 2435 Assistant Chief: Name Address: Phone Number: Mitch Wagy 1121 M Street. Greeley, CO. 80631 (970) 392 - 2435 Medical Director: Name Address: Phone Number: Dr. Rob Lowe 1121 M Street. Greeley, CO. 80631 (720) 317-9964 Section 7-2-110 of the Weld County Code: If an ambulance is replaced or an additional ambulance is added to a service's fleet, an application for an ambulance permit shall be filed with the Department within 30 days of receipt of the new ambulance. The completed application shall include a description of the ambulance replaced. Upon receipt of a new ambulance vehicle permit application, the Department shall inspect the new ambulance and issue the new ambulance vehicle permit, if applicable Banner Health / NCMC Paramedics: County Licensing Application (2013 to 2014) Kevin Antuna _ From: Sent: To: Cc: Subject: Kevin: Bressler, Dave [Dave. Bressler@bannerhealth.com] Wednesday, October 09, 2013 3:54 PM Kevin Antuna Wagy, Mitch E; Fain, Marilyn G Mutual Aid Agreements - Banner Health North Colorado Medical Center Paramedic Services Banner Health North Colorado Medical Center Paramedic Services does not currently have writtcn mutual aid agreements. Agency(s) needing assistance are instructed to follow standard dispatch protocol / standard operating procedures and contact Weld County Regional Communications and request the resources they need from Banner Health North Colorado Medical Center Paramedic Services. To date this has worked without issue on daily operations and the recent floods where mutual aid has been provided throughout our service area. Please contact me if you have any questions. Thank you, Dave Bressler, Chief Banner / NCMC Paramedic Services (970) 392-2431 W (970) 302-1127 C Banner Healthe Confidentiality Notice; This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication_ Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 Banner Health / North Colorado Medical Center Administration 1801 16th Street Greeley, CO. 80631 (970) 350-6000 Rainier!Tralrn North Colorado Medical Center' Ambulance Licensing Application Submission Statement: I, hereby certify that I am authorized to submit the forgoing application and the information provided in this application is true to the best of my knowledge and belief and contain not willful misrepresentation or falsification. In addition, I certify that I have read and understand the provisions and requirements of Weld County Code Chapter 7, including, but not limited to, Section 7-8-10, which encourages all licensed agencies providing EMS response in Weld County to make a good faith effort to execute written mutual aid agreements with all other EMS providers located within or bordering on their areas of response. Determination that ambulance services license has been issued based on false information constitutes grounds for license revocation and possible criminal prosecution. Assr (441e: F 16-oa- 2.Ot ignature of Applicant Title Subscribed and affirmed before me this day of 0 C' i-3E Z 2O1z) In the County of K,j0_UD , State of Colorado. Ci\Th CMeta ix—M....„� Date Banner Health / NCMC Paramedics: Ambulance Licensing Application Submission Statement Hello