Colusa County Municipal Code Art. V Medical and Ems Systems Control

(Ord. No. 548, (part))

The CCEMSA medical director shall, in consultation with medical care providers and in conformance with accepted medical and administrative practices and state law, develop and implement policies and procedures for basic and advanced life-support services within the EMS system. These policies and procedures shall include, but not be limited to, patient evaluation and treatment and EMS system operation and evaluation.

(Ord. No. 548, (part))

(a) The CCEMSA medical director, with input from appropriate advisory committees, shall develop and implement criteria for the designation, operation, monitoring and evaluation of base hospitals.

(b) Base hospitals shall direct and be responsible for pre-hospital advanced life support on-line medical control.

(Ord. No. 548, (part))

(a) Exclusive operating areas. The county, in consultation with CCEMSA, shall provide for ambulance services under a local plan which may create one or more exclusive operating areas. A competitive process shall be utilized at periodic intervals to select the provider(s) of EMS for each operating area.

(b) Competitive process.

(1) The county and CCEMSA shall develop the request for proposal document. Notice of the competitive process shall be mailed prior to the time set for submission of all proposals, to each current ambulance service operator in the county, to all emergency medical care committee (EMCC) members and any other interested parties who have requested in writing to CCEMSA. A pre-bid conference will be held for qualified bidders. Only bidders who attend this public conference will be able to submit proposals. Any proposal received after the time set for submission shall be considered only if the delay is justified in strict accordance with the criteria established in the request for proposals (RFP). A review panel chosen by the board of supervisors shall review all proposals and submit a written report and recommendation to the board of supervisors which shall consider the review panel's recommendation and determine the successful bidder.

(2) In awarding any operating area contract under this chapter, the board shall consider the comparative value of competing proposals, including the consideration of:

(A) The quality of the service to be provided;

(B) The level of service to be provided;

(C) The rates charged to the public for services provided;

(D) The cost, if any, to the county, cities or districts;

(E) Documented evidence of ability to work effectively with local agencies;

(F) Experience in the provision of ambulance services;

(G) The financial stability of service to be provided;

(H) The labor considerations such as wages and benefits to field personnel.

(c) Specification of operating areas. All ambulance service contracts shall specify the area within which the operator may provide ambulance services. No ambulance service operator may provide ambulance service for requests originating outside the area designated in the contract unless requested to do so by the central dispatch or under provisions outlined in written mutual aid agreements.

(Ord. No. 548, (part))

All ambulance company personnel involved in the provision of pre-hospital care shall receive an orientation on the operations, capabilities and constraints of the EMS system before functioning in the system. Responsibility for the orientation shall be that of the employing entity. Content and format of the orientation shall be approved by CCEMSA medical director.