HomeMy WebLinkAbout20173973.tiffRESOLUTION
RE: APPROVE APPLICATION FOR TIER I EMERGENCY MEDICAL SERVICES LICENSE
AND AUTHORIZE CHAIR TO SIGN - BANNER HEALTH/NORTH COLORADO
MEDICAL CENTER PARAMEDIC 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 Banner Health/NCMC Paramedic 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 Banner Health/NCMC Paramedic 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., 2017.
ATTEST:
Weld County Clerk to the Board
BY
pputy Clerk to the Board
APP
BOARD OF COUNTY COMMISSIONERS
WE---t--y) '
LD COUNTY, COLORADO cJu ie
A. Cozad, Chair
EXCUSED
Steve Moreno, Pro -Tern
Sean P. Conway
ike Freeman
unty Attorney �'J _` XCUSED
Date of signature: to 1 i
Barbara Kirkmeyer
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2017-3973
HL0049
Memorandum
TO: Julie A. Cozad, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE: November 20, 2017
SUBJECT: 2018 Applications for Ambulance Service License
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 16,
2016, and approved all 11 applications.
Please note: Front Range Fire Rescue is asking the BOCC for a waiver per county code for an employee convicted of a
Class I driving offense. Front Range Fire Rescue has included a letter with further detail in their application.
Weld County Code, Section 7-3-50. Criminal record of ambulance crew member; "Unless waived by the Board of
County Commissioners, no person shall be employed by an ambulance service as an ambulance crew member
who has been convicted of any of the following offenses within the previous twelve (12) months from the date
of application: felony, misdemeanor or Class I or Class II traffic offense. (Weld County Code Ordinance 2007-8;
Weld County Code Ordinance 2013-7)."
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 continued Tier I continued
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
Platte Valley Ambulance
Service EMS
1600 Prairie Center Parkway
Brighton, Colorado
Tier III
Colorado Motocross Medics
729 Remington Street
Fort Collins, Colorado
Stadium Medical
695 Canosa Court
Denver, Colorado
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1801 16TH STREET GREELEY, COLORADO, 80631
Address
BANNER HEALTH / NORTH COLORADO MEDICAL CENTER
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Recommendation of the Weld County Emergency Medical/Trauma Service Council
for: Banner Health NCMC Paramedic Services
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: Banner Health NCMC Paramedic Services provided ALS emergent and routine response to
approximately 4000 square miles of Weld County. Responding to approximately 24,000 calls for service,
with a 24 / 7 365 coverage of a minimum of nine (9) ambulances. These ambulances are located at the
station and posting locations listed in the applications throughout Weld County.
FINDING #2: Banner Health NCMC Paramedic Services is in good standings with the Weld County
Department of Public Health & Environment. Banner Health NCMC Paramedic Services meets or exceeds
all contractual requirements with their partners in Weld, Greeley and Evans Colorado.
FINDING #3: Per neighboring agencies, Banner Health NCMC Paramedic Services provides mutual and
auto aid in an efficient, effective and coordinated manner.
FINDING #4:
Banner Health NCMC Paramedic Service has established mutual aid agreements with Front Range Fire
Authority and the Cheyenne Wyoming Joint Powers Board and American Medical Response to provide
services to northern Weld County.
Recommended Level of Service: XX Tier 1
Tier 2 Tier 3
Recommended Service Area: As listed in the Banner Paramedics 2018 application
Other EMTS Council recommendations or comments:
Recommendation By: —fir — Date: 11/20/2017
Banner Health / NCMC Paramedics
Ambulance Service License Application
Date of Application:
10/21/2017
Name of the Ambulance Service: Banner Health / North Colorado Medical Center Paramedic Services
Owner:
Name
Address:
Phone Number:
Banner Health / North Colorado Medical Center
1801 16th Street. Greeley, CO. 80631
(970) 810 - 2435
Assistant Chief:
Name
Address:
Phone Number:
Mitch Wagy
1121 M Street. Greeley, CO. 80631
(970) 810 - 2435
Medical Director:
Name
Address:
Phone Number:
Dr. Joshua Poles
1121 M 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.
What area of your County will be served by this company?
Please attach a map indicating the service area.
• Map #1.
• Map #2.
All of the Weld County Service area with the exception of the following cities or towns:
• Dacono.
• Firestone.
• Frederick.
• Johnstown.
• Lochbuie.
• Milliken.
• Severance.
• Windsor.
• Southeast Weld.
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How many ambulances do you operate? 14
Stations:
How many stations do you have? 5
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:
1121 M Street. Greeley, CO. 80631
(970) 810 - 2438
Location #2
Address:
Phone Number:
3401 S. 11th Avenue. Evans, CO. 80620
(970) 810-2452
Location #3
Address:
Phone Number:
2000 70th Avenue
(970) 395 - 2690
Location #4
Address:
Phone Number:
Gilcrest Fire Department: 14679 WCR 42. Gilcrest, CO. 80651
(970) 737 - 2966
Location #5
Address:
Phone Number:
Fort Lupton Fire Department: 2999 9th Street. Fort Lupton, CO. 80621
(970) 392 - 2446
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:
EYes ❑ 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:
NI 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: Tier I ❑ Tier II ❑ 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
Banner Health'
October 11, 2017
Kevin Antuna
Environmental Specialist
Weld County Health Department
Kevin Antuna:
NCMC Paramedic Services
1801 16th STREET
Greeley, Colorado 80631
Phone: (970) 810-2431
Email: Dave.Bressler@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.
Sincerely,
Dave Bressler
Chief Paramedic, Director
Banner / NCMC Paramedic Services
(970) 810-2431 W
(970) 302-1127 C
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 CONSTITjJTES GROUNDS FOR LICENSE REVOCATION AND POSSIBLE CRIMINAL
PROSECUTION.
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ature of Applicant // Title
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Date
SUBSCRIBED ND AFFIRMED BEFORE ME THIS INkt
v
DAY Q 20 , IN THE COUNTY OF
„) Qom( , STATE OF COLORADO.
TARENA RAE ENGEL
Notary Public - State of Colorado 1
Notary ID 20134012423
My Commission Expires Feb 27, 2021ONIPRIPOSINIPRIPMPNIPMPRIPMFgrierft
Signature of Notary
My Commission expires: a /017 /
1. As required in Section 7-3-50 of the Weld County Code:
Proof of Insurance
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