The URL can be used to link to this page

Browse Search

Home My WebLink About20223250.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND AUTHORIZE CHAIR TO SIGN - POUDRE VALLEY HEALTH CARE, DBA UCHEALTH LIFELINE 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 Poudre Valley Health Care, dba UCHealth LifeLine 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 Poudre Valley HealthcCare, dba UCHealth LifeLine 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 WELL COUNTY, COLORADO ATTEST: ddtifiA)� jClto•,,k. Weld County Clerk to the Board BY: Deputy Clerk to the Board APPR• D AS County A orney Date of signature: 11/43 /22, Scott K. James, Chair eman, Pro- teve Moreno Lori Saine Cc : f(L(TG/Gv) OEM(RR) /t2./22 2022-3250 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 16th 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 7� ' 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 3509 S. Mason St. Fort Collins, CO Mile High Ambulance Service 3251 S. Zuni St. Englewood, CO Platte Valley Ambulance Service 1750 E. Egbert St. Brighton, CO 2022-3250 'A WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER I UCHEALTH LIFELINE Name of Service 2450 SOUTH PEORIA ST 3RD FLOOR Address POUDRE VALLEY HEALTH CARE DBA UCHEALTH LIFELINE 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. NOV 2 1 nc itat ea CI-IAII*B'OARD OF WELD COUNTY COMMISSIONERS NOT TRANSFERRABLE / POST IN A CONSPICUOUS PLACE Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-39 of the Weld County Code. TV TV T V V T DATE V V T WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldheolth.org Recommendation of the Weld County Emergency Medical/Trauma Service Council for. PVHC dba UCHealth Lifeline As required in Section 7-2-100.9.5., 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 are the basis for the Council's recommendation: FINDING #1: UCHealth LifeLine provides both critical air and ground ambulance transport for interfacility purposes. UCHealth Lifeline air ambulances provide scene response when requested and stated their critical care ambulances can be requested as well by 9-1-1 providers. FINDING #2: 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. FINDING #3: The members of the Lifeline 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 #4; 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: ZTier 1 Tier 2 O Tier 3 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 Lifeline for a Tier I Weld County Ambulance License. Recommendation By: Matt Concialdi, EMTS Council Chair Date: II I/tZ2- Health Administration Vital Records 1ele: 970-304-6410 Fax: 970-304-6412 Public Health 8 Clinical Services Tele: 970-304-6470 Fax: 970-304-6416 Environmental Health Services Tele: 970-304-6415 Fax: 970-304-6411 Communication, EmergencyPrepaketiocWaJsooa3e9, dnes: Education a Planning Tele: 970-304-6470 Fax: 970-304-6452 & Response Tele: 970-304-6470 Fax: 970-304-6452 Public Heath 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: 09/06/2022 Name of Ambulance Service: UCHealth LifeLine Owner: Name: PVHC d/b/a UCHealth LifeLine Address: 2450 S. Peoria St, 3rd Floor, Aurora, CO 80014 Phone Number: 844.867.4590 Operations Manager: Name: Doug White Address: 2450 S. Peoria St, 3rd Floor, Aurora, CO 80014 Phone Number: _970.388.2677 Email: Doug.White@uchealth.org Medical Director: Name: Leslie Moats Address: 2450 S. Peoria St, 3rd Floor, Aurora, CO 80014 Phone Number: 844.867.45 90 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): What area of Weld County will be served by this company? Please attach a map indicating the service area. Entire County Page 1 Company Information & Ownership Company Name: PVHC, Inc. d/b/a UCHealth Lifeline 2450 S. Peoria Street, 3rd Floor, Aurora, CO 80014 844-867-4590 Ownership 100% University of Colorado Health Authority Owner Information: PVHC, Inc. d/b/a UCHealth Lifeline 2450 S. Peoria Street, 3rd Floor, Aurora, CO 80014 720-848-0000 Manager or Responsible Individual: Doug White 2450 S. Peoria Street. 3rd Floor, Aurora, CO 80014 970 -388 -2677 - Insurance Information Insurance Company: Beecher Carlson Insurance Services 1500 Broadway, 21st Floor, New York, NY 10036 646-358-8500 Insurance Point of Contact: Steph Upton, Risk Management Specialist 1400 E. Boulder st, Bldg. 7, RM 105, Colorado Springs, CO 80909 719-365-8480 Stephanie.Upton@uchealth.org How many ambulances do you operate? 4 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 5881 W 16th St City Greeley State CO Phone 844 867 4590 Location #2 - Street Number 1713-2 Quentin St City Aurora State CO Phone 844 867 4590 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 XYes ; ONo 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 XYes DNo 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 H: Licensure authorizing for transports of patients that originate in Weld County 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 Level of Service Requested: X Tier I Tier II Tier III { I _ I HEREBY CERTIFY THAT I AM AUTHORIZED TO SUBMIT THE FORGOING APPLICATION AND THE INFORMATION PROVIDED IN TH IS 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 INFORMATION CONSTITUTES GROUNDS FOR LICENSE REVOCATION AND POSSIBLE CRIMINAL PROSECUTION. aite Title 6)1050022... Date SUBSCRIBED AND AFFIRMED BEFORE ME THIS,Vit DAY OF, Qynitosid,o, 202 , IN THE COUNTY OF leane/Z , STATE OF COLORADO. Signature of Nota My Commission expires: REBECCA T BUGH NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20014020671 MY COMMISSION EXPIRES JULY 27, 2025 Page 7 Operations, Locations, Service area, Personnel & Ambulances Service Area: See attached map. Locations: Business Office I Main Location: 2450 S. Peoria Street, 3rd Floor, Aurora, CO 80014 844-867-4590 Business Office/ Secondary Location: Main Dispatch Center: 2450 S. Peoria Street, 3rd Floor, Aurora, CO 80014 844-867-4590 Backup Dispatch Center: 2450 S. Peoria Street, Building 3, Aurora, CO 80014 Vehicle Locations: 5881 W. 16th St, Greeley, CO 80634 1713-2 Quentin Street, Aurora, CO 80045 1400 E. Boulder St, Colorado Springs, CO 80909 Lifeline Coverage Map UCHealth Lifeline Communications Center: 84'1.867'1590 Helicopter Critical Care Team UCHealth Medical Center of the Rockies 2500 Rocky Mountain Ave., Loveland, CO 80538 UCHealth Memorial Hospital North 4050 Briargate Pkwy., Colorado Springs, CO 80920 'LifeLine Helicopter Base Rings on the map designate 20-, 40- and 60 -minute estimated flight time after liftoff from the base. These times are approximate and could be affected by weather, crew and/or aircraft availability. The Loveland and Colorado Springs bases are owned and operated by REACH Air Medical Services. Ground Critical Care Team Ambulances LifeLine 10—UCHealth Medical Center of the Rockies 2500 Rocky Mountain Ave., Loveland, CO 80538 LifeLine 11 —University of Colorado Hospital 12605 E 16th Ave., Aurora, CO 80045 LifeLine 12—UCHealth Memorial Hospital Central 1400 E Boulder Street, Colorado Springs, CO 80909 'Lifeline Ground Critical Care Bases Travel times vary depending on the type of response, road conditions and crew configuration. (Rings on map are shown tor estimated helicopter flight times only.) RotkSptings Greed River ir Grand Junction Montrose e- Silve rton • Durango Craig -• - Rawlins Walden • • Steamboat Springs Kremmling �. i .h. Springs Gunnison • Laramie 1 C. Red Feather L(vermoro Lakes • • Fort Collins' 4. Loveland • Estes Park IP • -* Longmont • Granby 7p (mg. • Boulder j ��1f Breckenridge Aurora • Wellington Greeley • Buena Meta i Salida Fountain! • • I Saguache •. Alemosa Canon City s- • Scottsbluff Kimball Starling • Fort Morgan — -• - Colorado Springs • Rush • Pueblo • Fowler Walsenburg Trinidad r Raton • Linton Karval • La Junta • Kim I Branson • Bridgeport Sydney • Julesburg '• Haxt.un • Holyoke Yuma • Cheyenne Walls • • Lamar Springfield • Learn more at uchealth.org/LifeLine 20-EMER-3594 rev 7/2020 PVHC dba UCHealth LifeLine — Coverage Map Moffat Routt Rio Blanco Garfield Latimer Jackson Grand Eagle Mesa Delta Montrose O San Miguel Dolores Pitkin Lake Gunnison 0 Boulder Clear Creek Park San Juan Montezuma La Plata N co c co Weld oomfieH Logan Morgan Adams Arapahoe Elbert Douglas Fremont El Paso Washington Lincoln Saguache Custer Rio Grande Archuleta Conejos Pueblo Huerfano Costilla Crowley Otero Phillips Yuma Kit Carson Cheyenne Kiowa Bent Las Animas Prowers Baca Hello