The URL can be used to link to this page

Browse Search

Home My WebLink About20194892.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I EMERGENCY MEDICAL SERVICES LICENSE AND AUTHORIZE CHAIR TO SIGN - THOMPSON VALLEY 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 the Thompson Valley Emergency Medical Service for a Tier I Emergency Medical Services License and recommend approval, and WHEREAS, after review, the Board deems it advisable to approve said Application for a Tier I Emergency Medical Services 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 the Thompson Valley Emergency Medical Service for a Tier I Emergency Medical Services 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 27th day of November, A.D., 2019. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: diedco w Weld County Clerk to the Board BY: Deputy Clerk to the Boar APP ED AS oun y Attorney Date of signature: O-1/'/1°1 arbara Kirkmeyer, hair Mike Freeman, Pro -Tern EXCUSED Sean P. Conway . James Steve Moreno cc: 1-1L(MwI TC,), ©i-rrl ( RR) I /I4/ao 2019-4892 HL0051 Memorandum TO: Barbara Kirkmeyer, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE: November 21, 2019 SUBJECT: 2020 Applications for Ambulance Service Licenses Enclosed for the Board's review are thirteen 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 the application for each ambulance service provider on November 20, 2019, and approved all thirteen applications. Changes from last year include adding North Metro Fire Rescue District and Platteville-Gilcrest Fire Protection District as new ambulance services. 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 found in Chapter 7. As such, I am recommending the following ambulance service providers for licensure: Tier I Frederick & Firestone Fire Protection District 8426 Kosmerl Place Frederick, Colorado Front Range Fire Rescue 101 South Irene Avenue Milliken, Colorado Mountain View Fire Protection District 3561 Stagecoach Road, Unit 200 Longmont, Colorado Banner Health/NCMC Paramedic Service 1801 - 16th Street Greeley, Colorado Poudre Valley EMS 3509 South Mason Fort Collins, Colorado Tier I Continued Tier I Continued Southeast Weld Fire Protection District 65 East Gandy Avenue Keenesburg, Colorado .. Thompson Valley EMS 4480 Clydesdale Parkway Loveland, Colorado Windsor Severance Fire Protection District 100 North 7th Street Windsor, Colorado Platte Valley Ambulance Service EMS 1600 Prairie Center Parkway Brighton, Colorado Platteville-Gilcrest Fire Protection District 303 Main Street Platteville, Colorado North Metro Fire Rescue District 101 Spader Way Broomfield, Colorado Tier II American Medical Response of Colorado 3800 Pearl Street Boulder, Colorado Tier III Stadium Medical 695 Canosa Court Denver, Colorado 2019-4892 H L0051 0 PPPPPPPPP[E1EIPPPEE WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER I THOMPSON VALLEY EMERGENCY MEDICAL SERVICE Name of Service 4480 CLYDESDALE PARKWAY, LOVELAND, COLORADO 80537 Address THOMPSON VALLEY HEALTH SERVICES DISTRICT Name of Owner IS LICENSED UNTIL DECEMBER 31, 2020, TO OPERATE AN AMBULANCE SERVICE IN WELD COUNTY IN ACCORDANCE WITH EXISTING WELD COUNTY RULES AND REGULATIONS. • NOV 272019 IR, BOARD OF WELD CO NTY COMMISSIO ERS DATE 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. ronotorommarommarotereroreararotomoto 0 0 Recommendation of the Weld County Emergency Medical/Trauma Service Council for: Thompson Valley 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: The EMTS Council voting members have reviewed TVEMS's application for Tier I Ambulance License. The Council unanimously agrees that TVEMS is continually striving to contribute to an efficient, effective, and coordinate response to those within their defined service area as well as assisting as necessary to their neighbors. TVEMS has established mutual aid agreements with FRFR & WSFR. TVEMS is always willing to assist any agency with EMS service as necessary. The Council has not been made aware of any complaints into the level of service that TVEMS is providing to the citizens and guest of their response and mutual aid areas. The quality of service is meeting the needs of their service area. TVEMS communicates effectively with their neighboring agencies when responding to calls that may be on the borders of their district. TVEMS has a representative at all EMTS Council meeting and is active within the Council. Recommended Level of Service: Tier 2 Tier 3 Recommended Service Area: The service area indicated within TVEMS Tier I application, indicates TVEMS does not provide service within Weld County. However, they do support all neighboring agency as necessary. Other EMTS Council recommendations or comments: The EMTS Council voting membership unanimously voted to recommend TVEMS for a Tier I Ambulance License. Recommendation By: Lance Homann EMTS Council Chair Date: 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: I b I as( -t t Name of Ambulance Service: Owner: EMS Name: Ut`i1Pmac)1\3 \RLt_l y HG1" LT1-4 ` E(Z-VICOS 'DIS1 - Address:t '4 C_L`1 L>�c f l�>� 1�C LOVELAN D e c pSJ Phone Number: C3 ' Lc La 3 - D c Operations Manager: Name: 1Z, it Address: ✓,/3Y t--OV E L.01/4N,D 0-bc O52 Phone Number: r -1.P63 Lv b .- Email: 7<L E E1' eS Yj \ is al Director: Name: \ :30 QI I: . t`n C.41AC L Address: 40s5 so ,Q D Phone Number: ,?_j0: - ��-'6aaa, 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): (\) A What area of Weld County will be served by this company? Please attach a map indicating the service area. Cb c) A$T Y LAD 1 l —H I N.5 -1 E GI Em G,N /C_ C oVc�t tt.t S � U 1-4SU Wt r+3 4?.02, `c t:04 Q '.01A k)SY( Health Administration Vital Recotde Tele:970-304 6410 Fox: 970-304-6412 Public Health & Clinical Services Iola; 9/0304-6420 Fox: 970-304-6416 Environmental Health Communication, Servlcea Educallan & Planning Tale: 970.304-6415 Tele:970,304.6470 Fox: 970.304-6411 Fax: 970-304-6452 Emergency Preparedness & Response Taro: 970-304-6470 Fax: 970-304-6452 Public Health Page 1 How many ambulances do you operate? %O ((-P-17ikk PM; cLy CD-ExG u PJ 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: 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: Ir 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 7-2-50 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 I.II: Licensure authorizing for Standby Service, as defined in Section 7-1-30 of this Chapter. Level of Service Requested: Tier I ❑ Tier II ❑ Tier III Page 2 I HEREBY CERTIFY THAT I AM AUTHORIZED TO SUBMIT THE FORGOING APPLICATION AND THE INFORMATION IN THIS APPLICATION IS TRUE TO latTE 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 AN INFORMATION CONSTIT U f` PROSECUTION. LI►'"NSE HAS BEEN ISSUED BASED ON FALSE UN'O1 / CEN,E'VOCATION AND POSSIBLE CRIMINAL Date Signature of Applicant Title SUBSCRIBED AND AFFIRMED (WORE ME THIS v.% -04 DAY (3C--17) C.Q , 20 \` I , IN THE : COUNTY OF X13. , STATE OF COLORADO. MARVI CELESTE DOU3ENER Notary Public, State of Colorado Notary I D # 18914010441 My Commission Expires 0 1,2023 Signature Notary My Commission expires: 0'4% / , I is 3 *Please make additional copies as necessary. Page 6 OMISO VALLEY 4480 Clydesdale Pkwy., Loveland, CO Main 970-663-6025 Fax 970-667-0172 Mutual Aid Agreements Since we are licensed in both Weld County and Larimer County we don't have any official mutual aid agreements in place. We are dispatched as needed and respond when surrounding EMS agencies are in need of EMS support services. Chief Randy Lesher Hello