HomeMy WebLinkAbout20191163RESOLUTION
RE: APPROVE APPLICATION FOR TIER I EMERGENCY MEDICAL SERVICES LICENSE
AND AUTHORIZE CHAIR TO SIGN - PLATTEVILLE-GILCREST FIRE PROTECTION
DISTRICT
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
Service Council have reviewed the application of the Platteville-Gilcrest Fire Protection District 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 Platteville-Gilcrest Fire Protection District 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 25th day of March, A.D., 2019.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, CO ORADO
ATTEST: datitoj C( j%eA
Weld County Clerk to the Board
BY: JA.CE/VIA4-,
Deputy Clerk to the Board
unty A . rney
Date of signature: y/2/Iq
aarbara Kirkmeyer Chair
Mike Freeman, Pr em
CC : vk LC TG /Mv3i, p1(,RR0
2019-1163
H L0051
Memorandum
TO: Barbara Kirkmeyer, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE: March 21, 2019
SUBJECT: 2019 Applications for Ambulance Service
Licenses
Enclosed for the Board's review are two new applications for ambulance service licenses pursuant to
the Weld County Code Chapter 7, Emergency Medical Services, Platteville-Gilcrest Fire Protection
District and North Metro Fire Rescue District ambulance services. The Weld County Emergency Medical
Trauma Service (EMTS) Council reviewed the application for each ambulance service provider on
March 20, 2019, and approved the two applications.
Based on the delegated responsibility of the Health 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
A. Platteville-Gilcrest Fire Protection District
303 Main Street
Platteville, Colorado
North Metro Fire Rescue District
101 Spader Way
Broomfield, Colorado
3 /25
2019-1163
I.4 Loo5 I
Recommendation of the Weld County Emergency Medical/Trauma Service Council
for: Platteville Gifcrest Fire Protection District
Y
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:
I have reviewed the application and supporting information that has been presented by PGFPD. The distribution of
frontline and reserve ambulances in the PGFPD will serve to efficiently and effectively provide ambulance treatment
and transport to the citizens and visitors to that area. They have worked out mutual aid with neighboring districts
and ambulance service providers to assist with coordinated service delivery.
FINDING #2:
In review of the PGFPD application and supporting information for a Tier I license. PGFPD has procured sufficient
staff and resources to staff two ALS Ambulance 24/7 as a compliment to their existing response personnel and
assets. They have obtained supporting resources through mutual aid agreements with neighboring agencies. In
turn I believe they will meet if not exceed the intent of effective, efficient, and coordinated response to their citizen
and guest of their defined response area. In addition, PGFPD will be compliment their neighbors with these ALS
Transport resources.
FINDING #3:
I believe Platteville-Gilcrest has met the requirement for a Tier I license based on the follow: Contributes to the
efficient, effective, and coordinated emergency response to the residents of Weld County. Has mutual aid
agreements with other Ambulance Service providers to assist other agencies when possible. Meets all contractural
response/service requirements.
FINDING #4:
Platteville-Gilcrest has reached out to our organization as well as other Weld ambulance agencies for assistance and
guidance leading up to the start of their service. Based on their preparation and application, we feel that they have
met the requirements to receive a Tier I Ambulance License.
FINDING #5:
This is a new fire -based EMS service for the residents in the Platteville Gilcrest service area. The service provided
will contribute to the efficient, effective, and coordinated emergency response to the residents of Weld County and
specifically the Platteville Gilcrest service area.
Recommended Level of Service:
Tier 1
Recommended Service Area: _The service area indicated within PGFPD Tier 1 application, indicates PGFPD will be
servicing their entire response area. The EMTS Council finds in favor of this service area.
Other EMTS Council recommendations or comments:
The EMTS Council voting membership unanimously voted to approve the Tier I Ambulance license for PGFPD.
Recommendation By: _Lance Hamann P'��--- Date: 3/tao I I °i
EMTS Council Chair
Piattevillerit _ licrest Fire Protection District
I.O. Box 407
303 Main Street
Platteville, CO 80651.
970.785.2232 ° FAX 970.785.0139
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Kevin Antuna
Consumer Protection Manager
Environmental Health Services
Dear Mr. Antuna,
This letter is written to confirm the intent of Platteville Gficrest Fire Protection District to
apply for four ambulance licenses within Weld county.
In May of 2018, the citizens of Platteville and Giicrest voted in favor of Measure 5A to
approve an increase in taxes to pay for the District Fire Department to provide advanced
life support ambulance transport in the early months of 201a
Our District Fire Chief has communicated to the District Board and the community that
PGFPD will start providing ALS ambulance service staffing April 1, 2019.
We have purchased in total four ambulances, two of which will be staff 2417 by a
paramedic and a firefighter/EMT. The other two ambulances will be in a reserve status
but in a state of readiness for backfill in case of high call volume or can rotate into
service when the primary ambulance is pulled for routine rnaintcnance.
One of those ambulances is currently stocked with ALS equipment and supplies and
ready to go for inspection. "he other three ambulances will be delivered around the 21st
of February and will be ready to be inspected during the first week of March.
We have recently hired full-time paramedics and EMTs to staff two ambulances 24/7 out
of the Platteville and Glicrest Fire stations, They are currently in a new hire academy and
will go through a training program during the month of February and March to learn our
district and, our operations. We made it a point to hire seasoned providers who are well
known in the community to ensure we have the highest medical services possible.
Our plan is to deploy one primary and one backup ambulance at each of our stations
within the 144 square miles that IDGFPD covers. We have two stations currently; one in
Platteville and one in Gilcrest.
we hope our application packet provides a clear picture of our department and meets
the requirements set forth by the Board of county Commissioners. We strive to be a
positive community service resource and a regional partner who can assist our
neighboring agencies upon request. We hope that we can meet our goat and fulfill our
promise to the citizens to have ALS transport ready to go by April 1st.
Please feel free to reach out to me with any questions you may have. I am looking
forward to working with you during this process and in the future for our ambulance
licensure.
Respectfully,
Matt Coialdi
EMS Division Chief
mconcialdk pgfpd.orq
720-597-5883
AMBULANCE SERVICE LICENSE APPLICATION
Date of Application: '2(50/C
Name of Ambulance Service: ( E_. A TT V ;11,6 )17,4 r2 c 1") ,.
Owner:
( {,)2_,c
r
Name: �� L.A4 IlLviLA,c // ()=t c: :s} t� �2 el c }�fv._ :5-r42.�cT
Address: 1 (.r C. � tAvN S tee 7- (fir i`T v;Gc , C:0 C 6S 1
Phone Number: 7O~ zz:iz
Operations Manager:
Name: tvik f'i't' (O1,C.,i1At Di
Address: i.":(9. Iu (10.7 393 AAA.' _S'n t" eC,.a 1-A,,et.c lv ` . C
Phone Number: : 970 . 2232,
Email: f Co AV ci AL -ti E. PC, i.. P.O. f a(,
Medical Director:
Name:
Address: 321. All CLAY Sr, 0 tit; (Te 'O Z t
1
Phone Number: 9 -70 38ei 0t4' cj
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):
What area of Weld County will be served by this company? Please attach a map indicating
MA service area.
f"t.4t`Zf.'=t, / E ,f
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Page 2
How many ambulances do you operate? 2. PQ,"'"4/ 2_ 3,Ct. 4,/) 5
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: 3o3 M A,A.) s, (Let., r
City: PL kin; that, State:
Location #2:
Street Number: 7 9 GP— t-/2..
City: G <.. c z. r State:
Phone: q 7.0 )a 2-2-3 L
to Phone:Q 7 7 -2qa;
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:
❑Yes ❑No - t ,6 w�ci 36' - S Y'( -T TaAr ai Ap2.�/ST
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 - iE
Opp sr
&JILL STA -( v('l.9/10: N6 T` 1 h 51-16,-W
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 HI: 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 3
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 74.10, 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 REVOCATION AND POSSIBLE CRIMINAL
PROSECUTION.
Si _ .: Lure of Applicant
Title Date
SUBSCRI D AND AFFIRMED BE RE ME THIS 7' ✓
DAY Q . 201. , IN THE COUNTY OF
, STATE OF COLORADO.
a 1 AIdESSn i.OOPl:� ANA WADER 0pvu�. ?troeB �c �,F ^t.
Si ure of Notary
y Commission expires:
P3i C
STAI : OF C0LORAD0ISO NOT. -1.;;Y Iii)20164012698
MY C M : SSIOI'I EXPIRES APRIL 1, 2020
*Please make additional copies as necessary.
Page 7
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P.O. Box 407
303 Main Street
Platteville, CO 80651
970.785.2232 • FAX 970.785.0139
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The Platteville-Gilcrest Fire Protection District is apart of the Weld County Mutual Aid
Contract and currently has specific EMS Mutual -Aid and contract agreements with the
following agencies:
• Mountain View Fire Protection District
® Frederick Firestone Fire Protection District
• UC Health
Banner Health
Respectfully,
Matt Concialdi
EMS Division Chief
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