HomeMy WebLinkAbout20183846.tiffRESOLUTION
RE: APPROVE APPLICATION FOR TIER II EMERGENCY MEDICAL SERVICES LICENSE
AND AUTHORIZE CHAIR TO SIGN - AMERICAN MEDICAL RESPONSE OF
COLORADO
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 American Medical Response of Colorado, for a
Tier II Emergency Medical Services License and recommend approval, and
WHEREAS, after review, the Board deems it advisable to approve said Application for a
Tier II 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 American Medical Response of Colorado, for a Tier II
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: datiLil;�
Weld County Clerk to the Board
BY: �(g7gl
Deputy C rk to the Board _d
County orney
Date of signature: IM/la
StyeSte a Moreno, Chair
Moreno, Chair
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Brbara Kirkmeyer, P o-Tem
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1131 l l9
2018-3846
HL0050
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
2018-3846
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HLOO 50
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WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH 84 ENVIRONMENT
License to Operate Ambulance Service
TIER II
AMERICAN MEDICAL RESPONSE OF COLORADO
Name of Service
3800 PEARL STREET, BOULDER, COLORADO 80301
Address
GMR
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.
DEC 03 2018
CHAIR. BOARD OF WELD COUNTY COMMISSIONERS
NOT TRANSFERRABLE / POST IN A CONSPICUOUS PLACE
DATE
Tier II: Licensure authorizing for transports of patient(s) to and from licensed medical facilities. This licensure does not
provide for Primary Care, as defined in Section 7-1-30 of the Weld County Code.
1861 .r";e.:
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Recommendation of the Weld County Emergency Medical/Trauma Service Council
for: American Medical Response of Colorado
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:
Findings
Need clarification on role
We have no interaction with this service, and no issues with their service
AMR is new to Weld County. AMR will be providing transfers service to help Banner Health with call
load. Reducing the demand for transfers will keep Banner Paramedics available for 911 service. AMR will
contribute to an effective, efficient, and coordinated EMS response.
AMR has demonstrated a strong history in both the 911 and routine transfer coverage for Weld County.
No interaction with AMR, have no issues
Unclear intent of AMR license application. They state all of Weld County. FRFR does not have any
agreements in place with AMR.
Utilization of this resource for inner -facility transfers will improve 911 ambulance availability
States all of Weld County, we do not have any agreements with this agency. States their operational
address is with six ambulances at Banner/NCMC.
Attachments missing? Pg 5? Need more information
Recommended Level of Service: Crier D
Recommended Service Area: _AMR will submit a letter of explanation defining their service area and how
they will improve service for Banner Paramedic Service by absorbing the inter facility transfers. Since AMR
is not serving a specific area the EMTS Council believe that a map of the desired service area is not
necessary.
Other EMTS Council recommendations or comments: The Council recommended for AMR to
amend their application for a Tier II license with a letter of explanation that will clarify their involvement
with Banner Hospital and Paramedic Service. AMR was pleasant in their reply to all questions presented
during the meeting.
Recommendation By: _Lance Homann "C 0)---- Date: I i - k s - Ii
EMTS Council Chair
AMBULANCE SERVICE LICENSE APPLICATION
Date of Application: ei121 115
Name of Ambulance Service: Arnevt:Cot-rl P -nst: cif ebicrocio
Owner:
Name: &-t...4 Y2
Address: U gyp?, 6, F'iClr.tl o v.s (~- eex' Ci Gre_r_nuonr0 Vat , C
Phone Number: 303- 4q -- V200 1300i
Operations Manager:
Name: ChvCstt hem ikie 11►cu.rrt
Address: ?,eiCC) Rr�mr l �Strc,4ttT�jrxilder C [7 Pow 1
Phone Number: "12O - -4- -1050 [
Email: delve. tcv*Ier, Loi 11icAms os ve.ne
Medical Director:
Name: 5--)c.n+rlccrl
Address: S1 N. "11 sr gee y 1 C f C D 5D3
Phone Number: 120 - 4-`10 q4-�4
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):
ice-% 14e&10hca- - 1 Firer 14-,I la3lo3 s
elvers -1 C-Cr( LC.. C-,reeni i V 141c zy, ) CO ec 111
What area of Weld County will be served by this company? Please attach a map indicating
the service area.
I34-vt6x (
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•
11.15.2018
To whom it may concern:
American Medical Response is requesting Tier II ambulance licensing in Weld
County to be able to perform inter facility ambulance transports. American Medical
Response has entered into a service agreement with Banner Health to assist in
transporting patients from facility to facility. The ambulances will assist by
completing transports to leave Banner Health Paramedics available for 911
response calls.
Sincerely
Christopher Williams
Operations Manager American Medical Response
How many ambulances do you operate?
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: _ 97-6724)2 � ' ` i -e
City: 1 ir- .'1f t ✓1 S State: CO 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:
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:
14Yes ❑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: l � Tier I
01 Tier II
10/5
Page 3
L 4 Tier III
Map of Sentice fa -
word . as a Tier If licensed ambulance Provider we will transport patients for
Banner Health from their facilities. The Map below shows the locations of the
an o t osp t l:.
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 FO #9ICENSE REVOCATION AND POSSIBLE CRIMINAL
PROSECUTION.
gn:'.�eofA••Icant tie
SUBSCRIBED A D AFFIRMED BEFORE ME THIS es
� IP
8A88IE M EMICH-KERCHER
Notary Public - State of Colorado
Notary ID 20184016955
My eOmmlttion Expires Apr 18, 2022
s�/ /
Date
DAY e iil�/ , 20 , IN THE COUNTY OF
2).
Signature of Notary
My Commission expires:
ff�r' If r 2a; 2
*Please make additional copies as necessary.
Page 7
o£ d j' STATE OF COLORADO.
I have a ached the following documents to this application:
Ill 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
7Acgroup.
A current copy of EMT or Paramedic protocols adopted by the ambulance service in
ceordance with standards approved by the ambulance service's medical director.
C'J A current copy of the ambulance service's training standards in accordance with the
requirements approved by the ambulance service's medical director, All training must be
through a state -certified emergency medical services training center.
0 A list of am ulance agencies, fire departments, special districts and other EMS providers
with whi the applicant has mutual aid agreements, or:
At this time our agency does not have mutual aid agreements with other
ambulance agencies, fire departments, special districts or EMS providers.
IA current copy of the ambulance service's pharmacological agents and delivery devices
per medical director protocol.
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