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
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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
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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
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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.
•
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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
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