HomeMy WebLinkAbout20173978.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 27th day of November, A.D., 2017.
ATTEST: datictio C j ;ei
Weld County Clek to the Board
BY: ao,�•-
puty Clerk to the Board
APPROV D AS TO
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
6v( ,
Ju ie A. Cozad, Chair
EXCUSED
Steve Moreno, Pro -Tern
Date of signature: t`a I '7 I I"7
Sean P. Conway
ke Freeman
• i rney XCUSED
Barbara Kirkmeyer
CcHt.CTC.n)
pt/I I(8'
2017-3978
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
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 continued
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
2017-3978
I l l a' 7
HL.0099
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Recommendation of the Weld County Emergency Medical/Trauma Service Council
for: Platte Valley Ambulance Service
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:
FINDING #1: Platte Valley Ambulance services approximately 25 square miles of Weld County, including
the Town of Lochbuie and Wattenburg running 800 calls for service. Platte Valley runs 3 ambulances.
FINDING #2: Platte Valley Ambulance is in good standings with the Weld County Department of Public
Health & Environment.
FINDING #3: Per neighboring agencies, Platte Valley Ambulance provides mutual and auto aid in an
efficient, effective and coordinated manner.
FINDING #4:
Recommended Level of Service: XX Tier 1 Tier 2 Tier 3
Recommended Service Area: As listed in the Platte Valley Ambulance 2018 application.
Other EMTS Council recommendations or comments:
Recommendation B • _ Date: 11/20/2017
Health Administration
Vital Records
Tele: 970-304-6410
Fa.: 970-304-6412
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 North I71h Avenue
Greeley, CO 80631
www.weldhealth.org
Pub No Health &
Ctinlcoi Servka
Tele: 970.304-6420
Fa.: 970-304-6416
I
Environmental Communkadon,
Hearth Services Education i Planning
Te'e: 970.304-6415 Tele: 970304.6470
Fora: 970.304.641 I Fa.: 970-304645?
PublicHcalth
Emergency Preparedness
L Response
Tele:970-304-6420
Fax: 970.304-6-169
Ow vision: Together asih the comm,nAies we serve, we are narking le make Weld County the healthiest place 10 live, learn, work. and play
AMBULANCE SERVICE LICENSE APPLICATION
Date of Application: _ Tuesday, October 24, 2017
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
Ismail; carl.craiglejr@sclhs.net
craiglejr@sclhs.net-
Medical Director:
Name: Candace Harrod, MD
Address: 1600 Prairie Center Parkway, Brighton, CO 80601
Phone Number: (303) 498-1600
Namc 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):
Platte Valley Ambulance Service is a department of Platte Valley
Medical_C.en>per.__communit.y—o_wned,_non=prof i t_hospital As such_ we
have no oc)ct-older Attached is a current list of the, board of directors
What area of Weld County will be served by this company, 'ease 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.
I low many ambulances do you operate? Six, three of which are normally on duty
and three in reserve.
I'agc 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 CI 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 El 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 11: 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 O Tier II O Tier III
Page 3
I HEREBY CERTIFY THAT I AM AU'TI IORIZED TO SUBMIT TI IF FORGOING APPLICATION AND TI II:
INFORMATION PROVIDED IN 'tills APPLICATION IS TRUE TO TM', BEST OF MY KNOWLEDGE ANI)
BELIEF AND CONTAINS NO WILLFUL MISREPRESENTATION I ION OR FALSIFICATION,
IN ADDITION, I CERTIFY THAT I HAVE READ AND UNDERSTAND TI IE PROVISIONS ANI)
REQUIREMENTS OF WELD COUNTY CODE CHAPTER 7, INCLUDING, BUT NOT LIMITED TO,
SECTION 7-K-10, WHICH ENCOURAGES ALL LICENSED AGENCIES PROVIDING EMS RESPONSE IN
WELD COUNTY TO MAKE A GOOD FAITH EFFORT TO EXECUTE WRFI TEN MUTUAL AID
AGREEMENTS WITII ALL OTHER IER EMS PROVIDERS LOCATED WITIIIN OR BORDERING ON THEIR
AREAS OF RESPONSE.
I)F'rERMINATION'I I IAT AN AMBULANCE SERVICES LICENSE I lAS BEEN ISSUED BASED ON FALSE
INFORMA'T'ION CONSTITUTES GROUNDS FOR LICENSE REVOCATION AND POSSIBLE CRIMINAL
PROSECUTION.
Signature Applicant
F
Title
r)AkN_Teb —fc� 95�c 17-
Date
7 .j. Ul
SUBSCRIBED AND AFFIRMED BEFORE ML'I I ITS !
DAY ('( '(Z'j�E 20 13 , IN TI IL COUNTY OF
/tDAT\A j STATE OF COLORADO,
NICKIE MAILLET
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20074020287
MY COMMISSION EXPIRES MAY 23, 2019
(10
•
Signature of Notary pp
My Commission expires: 5f . 3 1 I t
Page 7
Platle Valley Arnimlen. Service
Brighlon Fire Remeue Depertmw t
June 76, 7019
Brighton, CO.
911 RESPONSE ZONES
Platte Valley Ambulance, Aug. 2012
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).
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