HomeMy WebLinkAbout20203767.tiffRESOLUTION
RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND
AUTHORIZE CHAIR TO SIGN - UCHEALTH EMERGENCY MEDICAL 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
Services Council have reviewed the application of UCHealth Emergency Medical Service 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 Service 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 16th day of December, A.D., 2020.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: v••�
Weld County Clerk to the Board
BY:
Deputy Clerk to the Board
APPRO ED A
ounty A t:rney
Date of signature: 12/23/Zo
Mike Freeman, Chair
Steve
Kevin D. Ross
cc:HL(?G/&v) OEM (RR)
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2020-3767
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
Longmont, CO
(a/lc°
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
200 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
American Medical Response
of Colorado
3800 Pearl Street
Boulder, CO
Tier III
Stadium Medical, Inc.
695 Canosa Court
Denver, CO
2020-3767
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WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH & ENVIRONMENT
License to Operate Ambulance Service
TIER I
UCHEALTh EMERGENCY MEDICAL SERVICE
Name of Service
2315 EAST HARMONY ROAD, SUITE 200, FORT COLLINS, COLORADO 80524
Address
POUDRE VALLEY HEALTHCARE, INC.
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.
Pq
4,7➢ U
CHAIR, BOARD 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.
DATE
marganownwrommorommigdalmfronamp
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: Poudre Valley — 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: Poudre Valley -UCH EMS has been providing transport services within the County for the past
seven years, primarily as an operating contract agency with WSFR and FRFR. In 2020 UCH EMS began
servicing the Evans Fire Protection District, Platte Valley Fire Protection District, and La Salle Fire Protection
District. Serving five areas within the County have decreased the response time of a transport ambulance.
FINDING #2: The EMTS Council is not aware of any concerns relating to service level or response in those
areas UCH serves.
FINDING #3: The EMTS Council believes that the service provided by UCH contributes to effective, efficient,
and coordinate response to serve the citizens and guests of Weld County. UCH is willing to assist any agency
when requested.
FINDING #4: 2020 has brought significant challenges to the EMTS Council. UCH is an active participant in the
EMTS Council and attends meetings as well as participates in the R&I discussions.
Recommended Level of Service:
Tier 2 Tier 3
Recommended Service Area:
The EMTS Council has reviewed the service area for Poudre Valley — UCH EMS 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 1
Ambulance License to Poudre Valley — UCH EMS.
Recommendation By: Date: _11/18/2020_
Jeff Stranahan EMTS Council Chair
Page 1 of 1
AMBULANCE SERVICE LICENSE APPLICATION
Date of Application: 10/02/2020
Name of Ambulance Service: DBA - UCHealth EMS
Owner:
Name: Poudre Valley Healthcare Inc.
Address: 1024 South Lemay, Fort Collins, CO 80524
Phone Number: 970-495-7000
Operaticros Manger:
Name: Dave Schmillen
Address: 3509 South Mason, Fort Collins, CO 80525
Phone Number: 970-218-5572
Email: dave.schmilleneuchealth.org
Medical Director:
Name: Darren Tremblay, D.O.
Address: 1024 South Lemay, Fort Collins, CO 80524
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, and LaSalle
How many ambulances do you operate? 22
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:
i2 Yes ❑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 ❑ Tier H ❑ Tier III
2
Location #1
3509 S. Mason, Fort Collins, CO 80525
Location #2
181 Timber Ridge Pkway, Severance, CO 80550
Location #3
2100 37th St, Evans, CO 80620
Location #4
27128 Co Rd 53, Kersey, CO 80644
Location #5
118 Main St, La Salle, CO 80645
Location #6
Front Range Fire Rescue Station 3 / UCHealth
4225 Yosemite Dr, Greeley CO 80634
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 C' NSTIT(PTES GROUNDS FOR LICENSE REVOCATION AND POSSIBLE CRIMINAL
PROSECUTION
t'y-440 S »N/ •er
Title
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SUBSCRIBED AND AFFIRMED BEFORE ME THISTe
DAY ,20 7Q] ,IN THE COUNTY OF
Cce,te.aa , STATE OF COLORADO.
ALEXh, ,A GHAWEORD
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20174041573
MY COMMISSION EXPIRES OCTOBER 5, 2021
Aeo,AL
%)
Signal// a of Notary
My Commission expires: 1 Q / / Z L ,
*Please make additional copies as necessary.
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ucbealth.
October 2, 2020
To Whom IT May Concern,
UCHealth EMS
Emergency Medical Services
3509 South Mason St.
Fort Collins, CO 80824
U 9/0.495.7904
F 970.237.7915
uchealth.org
UCHealth Emergency Medical Services (UCHealth EMS) has mutual aid agreements in place with the.
following agencies:
Fort Collins Police Services
Larimer County Sheriffs Office
Larimer County Dive Team
Larimer County Search and Rescue
Jackson County Emergency Medical Services
Livermore Fire Protection District
Red Feather Lakes Fire Protection District
Wellington Fire Protection District
Glacierview Fire Protection District
Estes Park Emergency Medical Services
Thompson Valley Emergency Medical Services
Poudre Canyon Fire Protection District
Rist Canyon Volunteer Fire Department
Crystal Lakes Fire Department
Laramie County, Wyoming
Front Range Fire Rescue
Windsor Severance Fire Rescue
The above represents our current mutual aid agreements. However, UCHealth EMS will, in good faith,
respond when called to any call for service,
Sincerely,
Dave Schmillen
Division Chief
UCHealth EMS
Dave.Schmillen@uchealth.org
970-495-7904
1
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