HomeMy WebLinkAbout20223253.tiffRESOLUTION
RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND
AUTHORIZE CHAIR TO SIGN - UCHEALTH EMERGENCY MEDICAL SERVICES
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
Services Council have reviewed the application of UCHealth Emergency Medical Services for a
Tier I Ambulance Service License and recommend approval, and
WHEREAS, after review, the Board deems it advisable to approve said Application for a
Tier I Ambulance Service 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 UCHealth Emergency Medical Services for a Tier I
Ambulance Service License, be, and hereby is, approved.
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 21st day of November, A.D., 2022.
BOARD OF COUNTY COMMISSIONERS
WELOUNTY, COLORADO
ATTEST: ditife0 .144,;&k.
Scott K. James, Chair
Weld County Clerk to the Board
BY:
AP
o nt - ttorney
Date of signature: I I/23/2o,
�1
the Boar
Mieman, Pro-Te
Perry L B
teve Moreno
257,1%4.
Lori Saine
cc : t- k(-ru/Gv), oim(RR)
l2/11/7-2
2022-3253
HL0054
Memorandum
TO:
FROM:
Scott James, Chair
Board of County Commissioners
Gene O'Hara, Interim Director
Department of Public Health & Environment
DATE: November 17, 2022
SUBJECT: 2023 Applications for Ambulance Service Licenses
Enclosed for the Board's review are 15 applications for ambulance service licensing, pursuant to Weld County
Code, Chapter 7, Emergency Medical Services, from the ambulance service providers listed below. The Weld
County Emergency Medical Trauma Service (EMTS) Council reviewed each application on November 16, 2022
and approved all 15 applications.
Changes from 2022 include the removal of Windsor -Severance Fire Protection District and Front Range Fire Rescue.
The areas previously covered by these two ambulance services will now be covered by UCHealth EMS. Additions
include PVHC dba UCHealth Lifeline, which will provide only critical care response, and Brighton Fire Rescue
District, whose application was previously submitted and approved in August 2022 for licensure through 2023.
Based on the delegated responsibility of the Department, we have reviewed the applications and have
deemed all ambulance services listed below to have met all applicable licensure application requirements as
per Chapter 7. As such, I am recommending the following ambulance service providers for licensure:
Tier I
Tier I (cont.)
Tier II
Banner Health
Paramedic Service / AMR
1801 16`h St.
Greeley, CO
Platteville Gilcrest Fire
Protection District
202 Main St.
Platteville, CO
Ambulnz CO, LLC
2140 S. Holly St.
Denver, CO
Frederick Firestone Fire
Protection District
8426 Kosmerl Pl.
Frederick, CO
PVHC dba UCHealth Lifeline
2450 S. Peoria St., 3'd Floor
Aurora, CO 80014
American Medical Response
of Colorado
3800 Pearl St.
Boulder, CO
Greeley Fire Department
1155 10th Ave.
Greeley, CO
Southeast Weld Fire
Protection District
95 W. Broadway Ave.
Keenesburg, CO
Tier III
Mountain View Fire
Protection District
3561 Stagecoach Rd.
Longmont, CO
Thompson Valley EMS
4480 Clydesdale Pkwy.
Loveland, CO
Stadium Medical, Inc.
695 Canosa Ct.
Denver, CO
North Metro Fire
Rescue District
101 Spader Way
Broomfield, CO
UCHealth EMS Mile High Ambulance Service
3509 S. Mason St. If_3251 S. Zuni St.
Fort Collins, CO Englewood, CO
Platte Valley Ambulance Service
1750 E. Egbert St.
Brighton, CO
2022-3253
II/21
AA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAA
v
WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH & ENVIRONMENT
License to Operate Ambulance Service
TIER I
UCHEALTH EMERGENCY MEDICAL SERVICES
Name of Service
3509 SOUTH MASON STREET, FORT COLLINS, COLORADO 80525
Address
POUDRE VALLEY HEALTH CARE
Name of Owner
IS LICENSED UNTIL DECEMBER 31, 2023, TO OPERATE AN AMBULANCE SERVICE IN WELD COUNTY IN ACCORDANCE
WITH EXISTING WELD COUNTY RULES AND REGULATIONS.
NT/ 2 1 20112
CHA BOARD OF WELD COUNTY COMMISSIONERS
NOT TRANSFERRABLE / P05 I IN A CONSPICUOUS PLACE
Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-39 of the Weld County Code.
DATE
vvvvvvvv VVVVVVVVVVVVVVVVVVVVVV
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 North i 7th Avenue, Greeley, CO 80631 www.weldhealth.org
Recommendation of the Weld County Emergency Medical/Trauma Service Council
for: UCHealth EMS (UCH -EMS)
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:
UCH -EMS provides 911 treatment and response to the citizens and guests of its response districts. The EMTS
Council Voting members have reviewed the above -noted agency and find that they contribute to an efficient,
effective, and coordinated emergency response as a Tier I service. Their areas cover the City of Greeley, Evans
FPD, LaSalle FPD, Platte Valley FPD, Front Range FR, and Windsor Severance FR. They ensure coverage of
those locations and are willing and able to assist neighboring agencies when the system is overwhelmed.
FINDING #2:
The members of the UCH -EMS are dedicated to delivering excellent and timely service. The EMTS Council
Voting members did not identify any negative findings relating to the service performed by the applicant.
FINDING #3:
In the overall review, the EMTS Council membership does not find any matter that would prohibit a
recommendation to the Weld County Board of County Commissioner.
Recommended Level of Service: TIER
Recommended Service Area:
The service area indicated within the applicant's application packet is acceptable to the Council.
Other EMTS Council recommendations or comments:
The EMTS Council membership unanimously votes to recommend UCH -EMS fora Tier I Weld County
Ambulance License.
Recommendation By:
Matt Concialdi, EMTS Council Chair
Page 1 of 1
Date: ////(72 Z.
tI r.
$" r"
�' 1i
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org
AMBULANCE SERVICE LICENSE APPLICATION
Date of Application: 10/3/2022
Name of Ambulance Service:
Owner:
DBA - UCHealth EMS
Name: Poudre Valley Healthcare Inc.
Address: 3509 South Mason, Fort Collins, CO 80525
Phone Number: 970-495-7000
Operations Manager:
Name: Kevin Waters
Address: 3509 South Mason, Fort Collins, CO 80525
Phone Number: 970-237-7902
Email: Kevin.Waters@uchealth.org
Medical Director:
Name: Darren Tremblay, D.O.
Address: 3509 South Mason, Fort Collins, CO 80525
Phone Number: 970-495-8006
Name and address of each stockholder of partner owning 10% or more of the outstanding stock
of the company of having more than a 10% ownership interest (if applicable):
Not Applicable
What area of Weld County will be served by this company'? Please attach a map indicating
the service area.
Windsor, Severance, Johnstown, Milliken, Hill -n -Park, Evans, Kersey, LaSalle, and Greeley
Health Administration Public Health &
Vital Records Clinical Services
Tele:970-304-6410 Te'e:970-304-6420
Fax: 97O304-6412 Fax: 970-304-6416
Environmental Health Communication, Emergency Preparedness
Services Education & Planning g Response
Tele:97C-304-6415 Tele:970-304-64, e1e:9,0-304-64/0
Fax: 97O304 64! I fax: 970 304 6452 Fox: 970 304 6452
Page 1
Public Health
How many ambulances do you operate?
37
Location and description of the place(s) from which this ambulance service will operate. If there
are more than two locations, attach a separate sheet with the above information.
Location #1:
Street Number:
See Attached Form
City: State: Phone:
Location #2:
Street Number:
City: State: Phone:
As required in Section 7-3-30 of the Weld County Code Ordinance and Chapter 4 Section 6 of
the CDPHE Emergency Medical and Trauma Care System regulations, as of the date of the
application, are you in compliance with the minimum data collection and reporting of
transportation and/or treatment of patients:
Yes II No
As required in Section 7-3-40 of the Weld County Code and Chapter 3 Section 3 of the CDPHE
Emergency Medical Services regulations, as of the date of the application, are you in compliance
with the reporting requirements of the agency profile:
®Yes No
Please read carefully:
Sec. 7-2-10 License for Ambulance Service. 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 patients that originate in Weld County from
licensed medical facilities. This liccnsurc 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.
Level of Service Requested: ® Tier I El Tier II ❑ Tier III
Page,
Location #1
3509 S. Mason, Fort Collins, CO 80525
Location #2
181 Timber Ridge Pkway, Severance, CO 80550
Location #3
100 N 7th, Windsor, CO 80550
Location #4
2100 37th St, Evans, CO 80620
Location #5
27128 Co Rd 53, Kersey, CO 80644
Location #6
118 Main St, La Salle, CO 80645
Location #7
100 Telep Ave, Johnstown, CO 80534
Location #8
101 S. Irene Ave, Milliken, CO 80543
Location #9
Front Range Fire Rescue Station 3 / UCHealth
4225 Yosemite Dr, Greeley CO 80634
Location #10
Western Hills Fire Station
1731 Cedar Ave, Greeley CO 80631
I HEREBY CERTIFY THAT I AM AUTHORIZED TO SUBMIT THE FORGOING
APPLICATION AND TIIE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE
TO THE BEST OF MY KNOWLEDGE AND BELIEF AND CONTAINS NO 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 AN AMBULANCE SERVICES LICENSE HAS BEEN ISSUED
BASED ON FALSE INFO ATION CONSTITUTES GROUNDS FOR LICENSE
REVOCATpfA IBLE CRIMINAL
ieTh
Signnln l!iilApplicatit
PR ECUTION.
Title Owe
SUBSCRIBED AND AFFIRMED BEFORE ME THIS
DAY OF ON -06121K- , 20 O - , IN TILE COUNTY OF
, STATE OF COLORADO,
00,k ca0, G
Signature of NoI0r
My Commission expires: -7 l
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