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HomeMy WebLinkAbout20203759.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE 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 Services Council have reviewed the application of Banner Health / North Colorado Medical Center Paramedics 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 Banner Health / North Colorado Medical Center Paramedics 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: W,,a f JC D•ok, Weld County Clerk to the Board BY: Deputy Clerk to the Board my ttorney Date of signature: Jab-3/2�� 4 Mike Freeman, Chair Steve Kevin D. Ross «: HL(TG/Gv), QEM(RR) of/og/2.1 2020-3759 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 American Medical Response of Colorado 3800 Pearl Street Boulder, CO Tier III Stadium Medical, Inc. 695 Canosa Court Denver, CO 2020-3759 I Co E-HLOOsa PPPPPPPPPRPftRaranaIoJak1EJ 9al WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIE1 BANNER HEALTH I NORTH COLORADO MEDICAL CENTER PARAMEDICS SERVICE Name of Service 1801 16TH STREET GREELEY, COLORADO, 80631 Address BANNER HEALTH / NORTH COLORADO MEDICAL CENTER 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. 1 6 62020 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 E0J9J0] ahiaJoiEiei GOUN a G G Eis 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: Banner Health Paramedics As required in Section 7-2-100.6.5., 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: Banner Health Paramedics service the Greeley, Fort Lupton, Ault Pierce, Galeton, Eaton, and much of the rural areas of Weld County. Banner is a strong partner for mutual aid responses into areas serviced by either Fire Based EMS or UCH -EMS. FINDING #2: The EMTS Council is not aware of any service delivery concerns. They service the citizens of the County well. FINDING #3: The EMTS Council believes that Banner Paramedic Service provides an efficient, effective, and coordinate response to those areas they service. There have been no adverse reports in regards to response time. FINDING #4: This year has had unique challenges. The EMTS Council has only met once in person, and other meetings have been conducted virtually. FFFPD has attended the EMTS Council meeting and has been very active in the Council throughout the year. Recommended Level of Service: Tier 2 Tier 3 Recommended Service Area: The EMTS Council has reviewed the service area for Banner Health Paramedics 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 I Ambulance License to Banner Health Paramedics. Recommendation By: Date: _11/18/2020_ Jeff Stranahan EMTS Council Chair Page 1 of 1 Banner Health / NCMC Paramedics Ambulance Service License Application Date of Application: 10/5/2020 Name of the Ambulance Service: Banner Health Paramedic Services Owner: Name Address: Phone Number: Banner Health 1801 16th Street. Greeley, CO. 80631 (970) 810 - 2435 Chief: Name Address: Phone Number: Nathan Spruce 1801 16th Street Greeley, CO 80631 (970) 810 - 2420 Medical Director: Name Address: Phone Number: Dr. Joshua Poles 1801 16th Street Greeley Co 80631 720-422-9877 For Office Use Only: 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. How many ambulances do you operate? 16 Stations: How many stations do you have? 6 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: 1801 16th street Greeley Co. 80631 (970) 810- 2420 Location #2 Address: Phone Number: 2000 70th Avenue Banner West ED (970) 395 - 2690 Location #3 Address: Phone Number: 3401 S. 11th Avenue. Evans, CO. 80620 (970) 810-2452 Location #4 Address: Phone Number: Fort Lupton Fire Department: 1121 Denver Ave. Fort Lupton, CO. 80621 303-857-4603 Location #5 Address: Phone Number: Fort Lupton Fire Department 2999 9th Street Fort Lupton, CO 80621 970-810-2448 Location #6 Address: Phone Number: Ault -Pierce Fire Department 16680 Hwy 14 Ault CO 80610 970-834-2838 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: Cgl 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: giYes ❑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: Ni Tier I O Tier II O Tier III I have attached the following documents to this application: A list of all emergency medical service providers who may be called upon to respond to an emergency with the ambulance service. This list shall include the following information on each person: 1. Complete name and date of birth 2. The highest level of certification, licensure or training attained. 3. A copy of current EMT -B, EMT -I or EMT -P certificate issued by the Colorado Department of Public Health and Environment; nurse licensure or an Advanced First Aid card from the American Red Cross; or a First Responder course completion certificate issued by a Division -recognized training center or training group. A current copy of EMT or Paramedic protocols adopted by the ambulance service in accordance with standards approved by the ambulance service's medical director. A current copy of the ambulance service's training standards in accordance with the requirements approved by the ambulance service's medical director that includes proof of a medical continuous quality improvement program. All training must be through a state - certified emergency medical services training center. 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 THA AN AMBULANCE SERVICES LICENSE HAS BEEN ISSUED BASED ON FALSE INFORMATION CO TUTES GROUNDS FOR LICENSE REVOCATION AND POSSIBLE CRIMINAL PROSECUTION. ignature of Applicant Title Date SUBSCRIBI D AND AFFIRMED BEFORE ME THIS in -HA DAY • "1.1‘14.e , 20 o2GaQ IN THE COUNTY OF , STATE OF COLORADO. MELANIE HADER NOTARY IC STATE OF COLORADO � 2021 NOY i t 41AL KI 10, I/O 77/20 zc� L--4e)044.4..J2-/ Signature of Notary My Commission expires: O/ / /Q / act. What area of your County will be served by this company? Please attach a map indicating the service area. Map 1 Banner Health Paramedic Services Weld County Service area: following Fire Districts • Nunn Fire Protection District • Pawnee Fire Protection District • Briggsdale Fire Protection District • Galton Fire Protection District • Eaton Fire Protection District • Stoneham / New Raymer Fire Protection District • Greeley Fire Department • Fort Lupton Fire Protection District. • Ault -Pierce Fire Protection District. • Disclaimer 1••••••••$•••••••••• r w.-. w • NO.r MO�•NN.... M.I •w+ww N... w w• ..• - 1 1. . ...�MOI.•IM ••• - • .ice: r•e, 1: ,•t:`IL -. .R 1r Ds. Santos WNW Canty Gat E. fa ...1- I... •« . r...l. -..... ...w we . -....«..-♦ 0.40,r•..•••••••• 4.4-ANIONI JY'..w. 00.. • Wow*:•IK.Ih 1•oiM Os t*e.s mil woe duel Gas I 1 i l • • i i • • i : i • .I • 1 Ir. I.. I 1 I • f • • 1 • • • I 1 • 1 • • • • • I I •• • • .1 J- I _ ♦ _ - -_ _ , I. I • I 1 w • • • •111 • • —1 1 • •11 • • - • I. • w y , • I - 1 - I • .. r•••MI.r.--I' • • • • I i • • • • • • I • 1 • 71 S1 • _ • • WELD COUNTY FIRE DISTRICTS Highway Paved • Gravel Municipal. Paved Municipal. Gravel City Limits Lakes & Rivers Ip 7 71i1tOf aa �✓ Banner HeaIth° October 25, 2020 Gabri Vergara Consumer Protection Manager Weld County Health Department Gabri Vergara: NCMC Paramedic Services 1801 16th STREET Greeley, Colorado 80631 Phone: (970) 810-2435 Email: Nathan.Spruce@bannerhealth.com Banner Health NCMC Paramedic Service currently has mutual aid agreements with the following entities and agencies: • Front Range Fire Rescue Authority • Cheyenne / Laramie County Emergency Medical Service Joint Powers Board Please contact me with any questions. Chief Banner Health Paramedic Services 1801 16th Street Greeley CO 80631 970 810 2420 Nathan.Spruce@bannerhealth.com Hello