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Home My WebLink About20203772.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER II AMBULANCE SERVICE LICENSE AND AUTHORIZE CHAIR TO SIGN - AMERICAN MEDICAL RESPONSE OF COLORADO 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 American Medical Response of Colorado for a Tier II Ambulance Service License and recommend approval, and WHEREAS, after review, the Board deems it advisable to approve said Application for a Tier II 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 American Medical Response of Colorado for a Tier II 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 16th day of December, A.D., 2020. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: j„Q+ilW! jetto•tA. Weld County Clerk to the Board BY: Deputy Clerk to the Board APP' • ED A ty orney Date of signature: 12/2,x/20 Mike Freeman, Chair Stevoreno, Pro-Tem Kevin D. Ross 4C: Hi -a6/64/), OEM (RR) OI/oVaI 2020-3772 HL0052 Memorandum TO: Mike Freeman, Chair Board of County Commissioners FROM: Mark A. Lawley, Executive Director Department of Public Health & Environment DATE: December 11, 2020 SUBJECT: 2021 Applications for Ambulance Service Licenses Enclosed for the Board's review are fifteen applications for ambulance service licenses pursuant to the 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 18, 2020, and approved all fifteen applications. Changes from 2020 include the addition of Ambulnz CO, LLC as a new Tier II ambulance service. Mile High Ambulance Service was previously approved in September 2020 for licensure through 2021. 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 Banner Health/NCMC Paramedic Service 1801 16th Street Greeley, CO Frederick Firestone Fire Protection District 8426 Kosmerl Place Frederick, CO Front Range Fire Rescue 101 South Irene Avenue Milliken, CO Greeley Fire Department 1155 10th Avenue Greeley, CO Mountain View Fire Protection District 3561 Stagecoach Road, Unit 200 Longmont, CO Tier I (continued) North Metro Fire Rescue District 101 Spader Way Broomfield, CO Platte Valley Ambulance Service 1750 East Egbert Street Brighton, CO Platteville Gilcrest Fire Protection District 202 Main Street Platteville, CO Poudre Valley Hospital EMS 3509 South Mason Fort Collins, CO Southeast Weld Fire Protection District 65 East Gandy Avenue Keenesburg, CO Tier I (continued) Thompson Valley EMS 4480 Clydesdale Parkway Loveland, CO Windsor Severance Fire Protection District 100 North 7th Street Windsor, CO Tier II Ambulnz CO, LLC 7100 East Belleview Ave., Ste. 112 Greenwood Village, CO 4. American Medical Response of Colorado 3800 Pearl Street Boulder, CO Tier III Stadium Medical, Inc. 695 Canosa Court Denver, CO 2020-3772 ra,co f -( LC) ©sa 1� 1� rommorsommarerommammarommern WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service IERII AMERICAN MEDICAL RESPONSE OF COLORADO Name of Service 3800 PEARL STREET, '``=.OULDER, COLORADO 80301 Address GMR Name of Owner IS LICENSED UNTIL DECEMBER 31, 2021, TO OPERATE AN AMBULANCE SERVICE IN WELD COUNTY IN ACCORDANCE WITH EXISTING WELD COUNTY RULES AND REGULATIONS. DEO 1 0 arriLu CHAIR, BOARD OF WELD COUNTY COMMISSIONERS NOT TRANSFERRABLE / POST IN A CONSPICUOUS PLACE DATE .4.. U N, t 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 the Weld County Code. WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org Recommendation of the Weld County Emergency Medical/Trauma Service Council for: American Medical Response (AMR) 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: AMR has serviced the Weld County system for the past two years. As a Tier II applicant, the organization provides interfacility transfers, which will allow 911 response units to be available for responses to incidents within their service area. Banner has been able to keep their 911 resources available more frequently FINDING #2: Freeing up 911 response units has improved response times for 911 units and contributed to efficient, effective, and coordinated emergency response. FINDING #3: AMR is servicing much of the Front Range of Colorado, and the units within Northern Colorado will perform interfacility transfers to facilities as recommended by the Physicians. The service is providing exemplary service to the citizens of Weld County. Recommended Level of Service: Tier 1 Tier 3 Recommended Service Area: The EMTS Council has reviewed the service area for Ambulunz and foresees no concerns. Other EMTS Council recommendations or comments: The EMTS Council recommends that the Weld County Board of County Commissioner grant a Tier II Ambulance to AMR. Recommendation By: Date: _11/18/2020_ Jeff Stranahan EMTS Council Chair Page 1 of 1 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weidhealth.org AMBULANCE SERVICE LICENSE APPLICATION Date of Application: Name of Ambulance Service: YIE'� LSO r> Mt c! Cca_i P�spc srQ._ cg4 � o'ac*7 Owner: Name: G I do..l M ed cca-1 Q spa1c.2. Address: (0303 5 - R LQ.Y's Ave-a'tr., (-iwo roc 1-Yr�"A V�:lccj. Phone Number: 3p3 - 4't ° �t \ l e Operations Manager: Name: Ch v t aYY\5, Address: �eay ll 4 irt� , �~� �Ir ipJ-i C' €3 l�ti301 Phone Number: 7 z p — 3€ -- (.OO3Ot Email: c - risocep-ArLY t Gt lM s v, hit Medical Director: Name: Thfu-Tent. ovnc 3-1 Address: 6-744- N . 'It S -t eccct _, LID etD c Phone Number: -12.O 411? - a 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): C- e4 .l t e.o4 C� rNe..e_ F I ace W-. L531,03 '(=t.cicl.l_o_tr !.5 ry�c 1 CCv'r'_L2_ • e. x- a2c i V► 1 t i cic.1 CCU c, t l 1 What area of Weld County will be served by this company? Please attach a map indicating the service area. 1:3501 -me -le --RRc. 1i-ti.e s. tArx.9 ect:-Eckc..k d Health Administration Vital Records Tele: 970-304-6410 Fax: 970-304-6412 Public Health 8 Clinical Services Tele: 970-304-6420 Fax: 970-304-6416 Environmental Health Communication, Services Education 8 Planning Tele:970-304-6415 Tele: 970-304-6470 Fox: 970-304-6411 Fax: 970-304-6452 Emergency Preparedness 8 Response Tele: 970-304-6470 Fax: 970-304-6452 PublicHealth Page 1 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: f-tr City: `t? dey State: C O Phone: 25O5O 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: PiYes ❑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 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: ❑ Tier I t Tier II O Tier III Page 2 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 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 REVOCATIO► AN SIBLE CRIMINAL PROSECUTION. Si: ra e o Applicant '•"4 Avkv?... lb/Aetig Title p Date SUBSCRIBED AND AFFIRMED BEFORE ME THIS o-tt,. DAY OF Oc bt / ,20#7--O , IN THE COUNTY OF 30L,l ()< , STATE OF COLORADO. Signature of Notary My Commission expires: 1 ALEX 8EDA NOTARY PUBLIC - STATE OF COLORADO NOTARY ID 20194034348 MY COMMISSION EXPIRES SEP 9, 2023 / O1 / Zoz3 Page 7 Map of Service Area - Working as a Tier II licensed ambulance Provider we will transport patients for Banner Health from their facilities. The Map below shows the locations of the Banner Hospitals. A �I 'Orb) ' ' b 'eland npion ;411! I I. rat • SW?) Kelinn • 01¼ Windsor 6 t giL) Severance • i Eaton Lucerne b5 Gr ey Garden City Evans La Solle I i 1 1' 4 Hello