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HomeMy WebLinkAboutord2014-031 WHATCOM COUNTY COUNCIL AGENDA BILL NO. 2014-121A — � I CLEARANCES Initial Date Date Received in Council Office Agenda Date Assigned to: twh 4.25.14 5.6.14 Introduction Originator: R E (C E V V E D Division Head: ��- V 5/20/14 Hearing APR 292014 Dept. Head: Prosecutor: r a�la�f�� WHATCOM COUNCOUNTY Purchasing/Budget: A Executive: / ��'�-9•�w/ TITLE OF DOCUMEN . Ordinance to add additional EMS ALS Transport fees as recommended and approved by the EMS Oversight Board. ATTACHMENTS: Ordinance Exhibit A SEPA review required? ( ) Yes ( ) NO Should Clerk schedule a hearing? ( ) Yes ( ) NO SEPA review completed? ( ) Yes ( ) NO Requested Date: SUMMARY STATEMENT OR LEGAL NOTICE LANGUAGE: (If this item is an ordinance or requires a public hearing,you must provide the language for use in the required public notice. Be specific and cite RC W or WCC as appropriate. Be clear in explaining the intent of the action.) Executive Louws respectfully requests Council approval of the inclusion of 2 ALS Transport Fees as outlined in Attachment A of the Ordinance as recommended by the EMS Oversight Board. COMMITTEE ACTION: COUNCIL ACTION: 5/20/2014: Executive updated the Finance Committee 5/6/2014: Introduced 7-0 5/20/2014: Adopted 6-0; Weimer absent Ord. 2014-031 Related County Contract#: Related File Numbers: Ordinance or Resolution Number: ORD. 2014-031 Please Note: Once adopted and signed,ordinances and resolutions are available for viewing and printing on the County's website at: www.co.whatcom.wa.us/council. 1 2 3 SPONSORED BY: consent 4 5 PROPOSED BY: Executive Louws 6 7 INTRODUCTION DATE: 04/25/14 8 9 10 11 ORDINANCE NO. 2014-031 12 13 14 Ordinance Establishing charges/fees for providing Advanced Life Support 15 (ALS) Ambulance Transport Services in Whatcom County 16 17 18 19 WHEREAS, in June 2012, the Whatcom County Council and the Bellingham 20 City Council passed a Joint Resolution of the City of Bellingham and Whatcom 21 County Adopting the Jointly Recommended Business Model for County Wide 22 emergency Medical Services (EMS); and 23 24 WHEREAS, the June 2012 Joint Resolution called for establishment of an 25 EMS Oversight Board ("EOB") and a Technical Advisory Board ("TAB"); and 26 27 WHEREAS, RCW 52.12.131 conveys the authority for any fire protection 28 district which provides emergency medical services, to establish and collect 29 reasonable charges/fees for these services in order to reimburse the district for its 30 costs of providing emergency medical services; and 31 32 WHEREAS, Whatcom County contracts with the City of Bellingham and Fire 33 Protection District No. 7 for the provision of ALS transport and emergency medical 34 services; and 35 36 WHEREAS, the Fire Protection District No. 7 had not adjusted their fees 37 since 2008 and the City of Bellingham has not adjusted their rates since 2007; and 38 39 WHEREAS, on March 25, 2014 the Whatcom County Council approved 40 Ordinance 2014-021 establishing fees for providing advanced life support (ALS) 41 ambulance Transport Services in Whatcom County; and 42 43 44 45 46 47 Page 1 1 2 WHEREAS, the EOB approved the two additional fees recommended by the 3 TAB for inclusion in the ordinance, as highlighted in Exhibit A, at their April 15, 4 2014 Board Meeting; and 5 6 NOW, THEREFORE, BE IT ORDAINED by the Whatcom County Council that 7 the Advanced Life Support (ALS) Ambulance Transport Services Fees to be charged 8 by agencies under contract with Whatcom County include the Unsuccessful 9 Resuscitation and ALS No-Transport fees as shown in Exhibit A; and 10 11 BE IT FURTHER ORDAINED these changes will be deemed operative within 12 ten (10) calendar days from the signing of this Ordinance. 13 14 15 16 ADOP'ipD this i' day of M� � , 2014. 17 wit 18 7r\. ...,O f, 19 A7 C0••OF F WHATCOM COUNTY COUNCIL 20 ATt :% C��jyyS = WHATCOM COUNTY, WASHINGTON 21 22 . ,_ 23 = *3". • (Amu.. 24 IC-IL 25 Dana'r•rown!D8vrs,,CIq k of the ouncil Carl Weirtgr, Council Chair 26 ����rrrrriiii►►�`�'`. 28 29 WHATCOM COUNTY EXECUTIVE 30 WHATCOM CUlr-!NTY, WASHINGTON 31 APPROVED AS TO FORM: 32 33 1 34 ' '1 35 Chief Civil Deputy Prosecutor Jack Louws. County Executive 36 37 (Approved ( ) Denied 38 39 Date Signed: QS• ©1o2 •°1 " 5 40 41 42 Page 2 Exhibit A EMS MEDIC TRANSPORT FEES Service District 7 Bellingham Fire Recommended Current Fee Current Fee By EOB ---- (1/1/2014) BLS Non-Emergency $550.00 $390.00 $550.00 BLS Emergency $550.00 $450.00 $590.00 ALS 1 $750.00 $675.00 $750.00 ALS 2 $950.00 $675.00 $950.00 ALS No-Transport $0.00 $225.00 $250.00 Unsuccessful Resuscitation $0.00 $390.00 Up to$950.00 Specialty Care Transport $950.00 $675.00 $950.00 Mileage $15.00/mile $12.00/mile $15.00/mile Service Definitions EMS Certifications EMT-Basic(EMTB) is an individual who is qualified in accordance with State of Washington as an emergency medical technician-basic(EMT-Basic). Advanced-EMT(AEMT) is defined as an individual who is qualified, in accordance with State and local laws, as an EMT-Basic and who is also qualified in accordance with State and local laws to perform essential advanced procedures and to administer a limited number of medications. Paramedic is defined as possessing the qualifications of Paramedic, in accordance with the State of Washington and having enhanced skills that includes being able to administer advanced life support interventions and medications. Service Description Basic Life Support(BLS) Non-Emergency: Scheduled and/or planned BLS transports that are considered non-emergent. Basic Life Support(BLS) Emergency: BLS services in the context as an immediate emergency response. Advanced Life Supports(ALS1):An ALS1 level of service is defined as including an ALS assessment OR the provision of at least one ALS intervention. Must be staffed with at least one paramedic or AEMT. Advanced Life Support 2(ALS2): An ALS2 level of service is defined to include and ALS assessment AND the administration of at least three medications OR three administrations of the same qualifying medication OR the provision of at least one of the following procedures: manual defib/cardioversion; endotracheal intubation; central venous line; cardiac pacing; chest decompression; surgical airway; intraosseous line. ALS No-Transport:ALS1 level of service is provided AND the patient is not transported to a medical facility. Unsuccessful Resuscitation: Resuscitation interventions are provided AND patient is pronounced deceased on scene. Ambulance service fee is billed at the highest level of intervention provided, either BLS Emergency, ALS1 or ALS2. Specialty Care Transport:When medically necessary, interfacility transportation of a critically injured or ill patient by ground ambulance, at a level of service beyond the scope of the Paramedic. Mileage: Distance the patient(s)are transported to a medical facility,to the closest tenth (0.1) mile. Service description and delivery for this document will be concurrent with: CMS Manual System,Publication 100-02 Medicare Benefit Policy. Effective date:January 1,2011