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Home My WebLink About20183845.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I EMERGENCY MEDICAL SERVICES LICENSE AND AUTHORIZE CHAIR TO SIGN - PLATTE VALLEY AMBULANCE 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 Service Council have reviewed the application of the Platte Valley Ambulance 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 Platte Valley Ambulance 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 3rd day of December, A.D., 2018. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: die/LA) ..�;e1 Weld County Clerk to the Board BY: Deputy C r to the APPD AS T ounty•i . ney Date of signature: I I / 19 Steve Moreno, Chair rbara Kirkmeyer, can P. Conway ro-Tem r)- it,t4;0 ev-a44 lie A. Cozad CC:.NLC, k MLRZ 111%1M 2018-3845 H L0050 Memorandum TO: Steve Moreno, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE: November 27, 2018 SUBJECT: 2019 Applications for Ambulance Service Licenses Enclosed for the Board's review are eleven 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 15, 2018, and approved all 11 applications. Changes from last year include adding American Medical Response of Colorado as a new ambulance service and removing Colorado Motocross Medics because they have stopped operating in Weld County. 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/Northern Colorado Medical Center Paramedic Service 1801 - 16th Street Greeley, Colorado TIER I — Cont'd Poudre Valley EMS 3509 South Mason Fort Collins, Colorado 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 TIER I — Cont'd Platte Valley Ambulance Service EMS 1600 Prairie Center Parkway Brighton, Colorado TIER II American Medical Response of Colorado 3800 Pearl Street Boulder, Colorado TIER III Stadium Medical 695 Canosa Court Denver, Colorado 2018-3845 a(3 HLOOSO rotorewrommaroursirouromonstotormensuremio. WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT License to Operate Ambulance Service TIER I PLATTE VALLEY AMBULANCE SERVICE Name of Service 1750 EAST EGBERT STREET, BRIGHTON, COLORADO 80601 Address PLATTE VALLEY MEDICAL CENTER Name of Owner IS LICENSED UNTIL DECEMBER 31, 2019, TO OPERATE AN AMBULANCE SERVICE IN WELD COUNTY IN ACCORDANCE WITH EXISTING WELD COUNTY RULES AND REGULATIONS. '411.In- — DEC 03 2018 CHAIR, BOARD OF WELD COUNTY COMMISSIONERS 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. el el el elel�I�I�.lelelelelelelL'IeIeIL'lelelel Recommendation of the Weld County Emergency Medical/Trauma Service Council for: Platte Valley Ambulance Service 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: Findings We have limited interaction with Platte Valley Ambulance. We have no issues, and believe them to offer a effective service. Platte Valley Ambulance provides service to Southeast Weld through a cooperative agreement with the fire district. Platte Valley also provides coverage to the southern part of Weld County and responds mutual aid when needed. Platte continues to provide excellent service to southern Weld County No interaction with Platte Valley Ambulance, have no issues PVA service is a great partner to those within the south east portion of the county. We feel they support the service delivery well and meet the requirements for a Tier I license. Platte Valley Ambulance Service continues to provide timely response to their response area and works collaboratively to provide mutual aid resources when they are requested by neighboring districts. Meets the efficient, effective, and coordinated expectation. Platte continues to provide excellent service to southern Weld County Hard to read the maps but application is complete Recommended Level of Service: Recommended Service Area: The EMTS Council recommends the service area as noted in Platte Valley Ambulance Service license application. The Council suggested the PVAS redo their map to be more readable. Other EMTS Council recommendations or comments: The EMTS Council finds that Platte Valley Ambulance Service's application meets all requirements and believe that their service deliver meets efficient, effective and coordinated service delivery. Recommendation By: Lance Homann Date: 1k- tc -kt EMTS Council Chair Health AdmN iraheen Vidal Records Tete:910-304-6410 Faye 970-304-6412 DEPARTMENT OF PUBLIC HEALTH AHD ENVIRONMENT 1555 North 17th Avenue Greeley, CO 80631 www.weldheaith.org Public Hedth & Clinical Services Tele: 970304-6420 Fox: 970-304-6416 I CI Public Health Environmental Communication. Emergency Preparedness Health Services Education t Planning & Response Tele: 970-304-6415 Tete: 970-3046470 Tele: 970-304-4420 Fox: 970-304-6411 Fox: 970.3046452 Fox: 970-304-6469 Ow vston: Together with the conunundies we serve, we are waking to make Weld Cony the healthiest place to live, learn, work, and play AMBULANCE SERVICE LICENSE APPLICATION Date of Application: Tuesday, October 29, 2018 Name of Ambulance Service: Platte Valley Ambulance Service Owner: Name: Platte Valley Medical Center Address: 1600 Prairie Center Parkway, Brighton, CO 80601 Phone Number: (303) 498-1600 Operations Manager: Name: Carl A. Craigle, Jr. NR -Paramedic (Chief Paramedic) Address: 1750 E. Egbert Street, Brighton, CO 80601 Phone Number: (720) 685-8439 Email: carl.craiglejrpsclhs.net Medical Director: Name: Candace Harrod, MD Address: 1600 Prairie Center Parkway, Brighton, CO 80601 Phone Number: (303) 498-1600 Name and address ()leach stockholder of partner owning 10% or more of the outstanding stock of the company of having more than a 10% ownership interest (if applicable): Platte Valley Ambulance Service is a department of Platte Valley Medical Center, community -owned, non-profit- hospital. As such we_ Wve no stoc}c1 older$ Attached is a cur17QDt list of the bgard of directors hat area ot U County will be serve by this company? Please attach a map indicating the service area. Towns of Lochbuie and Wattenburg. We also provide mutual -aid coverage for the communities of Ft. Lupton, Keensburg, Prospect Valley and Roggen. Occasionally asked to provide coverage for the town of Platteville. How many ambulances do you operate? Six, three of which are normally on duty and three in reserve. Page 2 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: 1750 E. Egbert Street City: Brighton State: CO Phone: (303) 981-8740 Location #2: Street Number: PVAS Station #2, on Platte Valley Medical Center Campus City: Brighton State: CO Phone: (303) 498-1820 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 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: in Tier I 0 Tier II 0 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 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 CONSTITUTES GROUNDS FOR LICENSE REVOCATION AND POSSIBLE CRIMINAL PROSECUTION. Signa of pplicant� Title SUBSCRIBED AND AFFIRMED BEFORE ME THIS2,441 DAY OCIO.$ {o.- , 20 ( , IN THE COUNTY OF A DA MS , STATE OF COLORADO. NICKIE MAILLET NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20014020287 MY COMMISSION EXPIRES PAY 23, 2019 Signature of Notary My Commission expires: C / .2/ Page 7 MOTT Platt Valley Ambulance Sswk. Brighton Fire Rescue Department June 25, 2012 Brighton, CO. 911 RESPONSE ZONES Platte Valley Ambulance, Aug. 2012 100 Brighton's 3 Platte Valley Ambulance Service Paramedic Units Platte Valley Ambulance Service SE Weld County Response Area Note: In addition to our primary response zone comprised of Greater Brighton, PVAS is a designated 911 responder in this general area of SE Weld County. Mutual Aid Platte Valley Ambulance Service is the designated 911 ALS transport provider for the Greater Brighton Fire Protection District. Under the terms of our agreement, we service the terms of the Fire District's mutual agreements. In addition to those, we also maintain mutual aid agreements of our own with Northglenn Ambulance Service and Weld County Paramedics (now Banner Health). Hello