standard: r - emsa · 2017-12-05 · table 2: system organization and management ems system: san...

:Each local EMS agency shall develop lwritten polocies, procedures, and/or ;protocols including, but not limited to:a) jtriage, b) treatment, c)medical dispatch ;protocols, d) transport, e) on-scene

Standard:treatment times, £)transfer of emergency jpatients, g) standing orders, h) base ;hospital contact, i) on-scene physicians :and other medical personnel, and j) local l scope of practice for prehospital ;personnel.

Standard:

Standard; ' r

r

r r

Treatment protocols were updated in 2007

In July 2009, the County of San Diego designated 15 hospitals as

stroke receiving centers. Implementation of S-123,

Treatment Protocol, Altered Neurological Function and S-461

Destination of Acute Stroke Patient provides direction on timely care and transport of

individuals experiencing signs and symptoms of an acute stroke to a

designated center.

The prehospital safe surrender program was developed and implemented April 2008; S-022 Infant Safe Surrender

r

Each local EMS agency shall develop a and procedures manual, which

includes all EMS agency policies and procedures. The agency shall ensure that the manual is available to all EMS system providers (including public safety Biennial review of prehospital agencies, ambulance services, and treatment protocols completed

1. with the October-November 2008.

r .r r Local EMS agencies developing specialty care plans for EMS-targeted clinical conditions shall determine the optimal system for the specific condition involved including: a) the number and role of the system participants, b) the design of catchment areas (including inter-county transport, as appropriate) with considerations of workload and patient mix, c) identification of patients who should be triaged or transferred to a Policy S-461, Destination of Acute designated center, d) the role of non- Stroke Patient provides guidelines designated hospitals including those for transporting acute stroke which are outside of the primary triage patients to one of the 15 area, and e) a plan for monitoring and designated stroke receiving

5.1 evaluation for the m.

r r r r r

)

)

)

TABLE 2: SYSTEM ORGANIZATION AND MANAGEMENT EMS System: San Diego County County: San Diego Reporting Year: FY 20~-09

1. Percentage of population served by each level of care by county: (Identify for the maximum level of service offered; the total of a, b, and c should equal 1 00%.) a. Basic Life Support (BLS) 5% b. Limited Advanced Life Support (LALS) 0% c. Advanced Life Support (ALS) 95%

2. Type of agency: B a. Public Health Department b. County Health Services Agency c. Other (non-health) County Department d. Joint Powers Agency e. Private Non-Profit Entity f. Other:

3. The person responsible for day-to-day activities of EMS agency reports to: B a. Public Health Officer b. Health Services Agency Director/ Administrator c. Board of Directors d. Other:

4. Indicate the non-required functions that are performed by the agency: Implementation of exclusive operating areas (ambulance franchising) _K Designation of trauma centers/trauma care system planning X Designation/approval of pediatric facilities Designation of other critical care centers X Development of transfer agreements _K Enforcement of local ambulance ordinance X Enforcement of ambulance service contracts X Operation of ambulance service Continuing education Personnel training Operation of oversight of EMS dispatch center Non-medical disaster planning Administration of critical incident stress debriefing (CISD) team X Administration of disaster medical assistance team (DMA T) X Administration of EMS Fund [Senate Bill (SB) 12/612] X

Other: Crash Injury Research and Engineering Network (CIREN) _K

150

)

)

TABLE 2: SYSTEM ORGANIZATION AND MANAGEMENT (continued) EMS System: San Diego County County: San Diego Reporting Year: FY 20.1!-08

5. EMS agency budget for FY: 2007-08 A. EXPENSES:

Salaries and benefits (all but contract personnel, Medical Director included)

Contract Services

Operations (e.g., copying, postage, facilities)

Travel

Ambulance subsidy

EMS Fund payments to physicians/hospital: Physicians Services Account and CMS Administration Trauma Centers EMS 800 MHz network radios

Dispatch center operations (non-staff)

Other: Ambulance Districts CSA 17 CSA69

TOTAL EXPENSES

B. SOURCES OF REVENUE: Special project grants from EMSA National Highway Traffic Safety Administration (NHTSA) Metropolitan Medical Response System (MMRS) Medical Reserve Corps (MRC) Resuscitation Outcome Consortium (ROC)

State General Fund

County General Fund

Local tax funds (CSA 17 and CSA 69)

County Contracts (e.g. multi-county agencies)

Certification fees

Training Program Approval Fees

Base hospital application fees

Trauma center application fees

151

$3,078,507

2,175,952

893,878

17,877

478,965

3,068,170 1,022,582

141,137

0

2,476,233 4,603,458

$17.956.759

567,742

5,008

0

419,123

6,608,342

275,727

58,082

0

0

0

Trauma center designation fees

Trauma support activities

Pediatric facility approval fees

Pediatric facility designation fees

Other critical care center application fees

Type:

Other critical care designation fees

Type: Base Hospital Designation

Ambulance Service/vehicle fee

Contributions

Other fees: State Aid, Health Realignment, VLF

State Aid, Tobacco Settlement

Recovered Expenditures

State- MAA

EMS fund (SB12/612)

Revenue I Auditor's Adjustments

TOTAL REVENUE

152

240,000

3,320

0

0

0

175,000

83,400

0

3,920,372

350,000

67,641

222,634

5,330,009

360,738

$16.416.503

TABLE 2: SYSTEM ORGANIZATION AND MANAGEMENT (continued) EMS System: San Diego County County: San Diego Reporting Year: FY 20&-09

5. EMS agency budget for FY: 2008-09 A. EXPENSES:

Salaries and benefits (all but contract personnel, Medical Director included)

Contract Services

Operations (e.g., copying, postage, facilities)

Travel

Ambulance subsidy

EMS Fund payments to physicians/hospital: Physicians Services Account and CMS Administration Trauma Centers EMS 800 MHz network radios Other Transfers

Dispatch center operations (non-staff)

Other: Ambulance Districts CSA 17 CSA69

TOTAL EXPENSES

C. SOURCES OF REVENUE: National Highway Traffic Safety Administration (NHTSA) Metropolitan Medical Response System (MMRS) Resuscitation Outcome Consortium (ROC)

County General Fund

Local tax funds (CSA 17 and CSA 69)

County Contracts (e.g. multi-county agencies)

Certification fees

Training Program Approval Fees

Base hospital application fees

Trauma center application fees

Trauma center designation fees

Pediatric facility approval fees

153

$ 3,495,897

2,091,776

821,235

9,001

480,001

3,228,232 1,167,786

149,766 0

0

2,622,544 4,372,953

$18.969.229

516,919 0

(1,404)

426,995

7,253,135

255,721

81,345

0

0

0

207,087

0

') Pediatric facility designation fees 0

Other critical care center application fees 0

Type:

Other critical care designation fees 175,000

Type: Base Hospital Designation

Ambulance Service/vehicle fee 97,579

Gain on Sale/Other 2,533

Contributions 0

Other fees: State Aid, Health Realignment, VLF 3,659,068

State Aid, Tobacco Settlement 350,000

Recovered Expenditures 118,047

State- MAA 120,346

EMS fund (SB12/612) 5,706,858

Revenue I Auditor's Adjustments Q

) TOTAL REVENUE $18.969.229

)

154

)

)

TABLE 2: SYSTEM ORGANIZATION & MANAGEMENT (continued) EMS System: San Diego County County: San Diego Reporting Year: FY 20fj!-09

6. Fee structure for FY: 2007-09 We do not charge any fees.

_x_ Our fee structure is:

First responder certification

EMS dispatcher certification

EMT-I certification

EMT-I rece1tification

EMT -defibrillation certification

EMT -defibrillation recertification

EMT-II certification

EMT-II recertification

EMT-P accreditation

Mobile Intensive Care Nurse/ Authorized Registered Nurse (MICN/ ARN) certification

MICN/ ARN recertification

EMT-I training program approval

EMT-II training program approval

EMT -P training program approval

MICN/ ARN training program approval

Base hospital application

Base hospital designation

Trauma center application

Trauma center designation

$ 0

0

17

17

17

0

0

0

17

17

17

0

0

0

0

0

25,000

0

40,000

155

TABLE 2: SYSTEM ORGANIZATION & MANAGEMENT (continued) ~ool\

EMS System: San Diego County County: San Diego Reporting Year: FY~

6. Fee structure for FY: 2007-09 (continued) Pediatric facility approval

Pediatric facility designation

Other critical care center application

Other critical care center designation

Ambulance service license: Ground

Ambulance service license: Air Primary Response Rotocraft:

Interfacility Rotocraft:

Ambulance vehicle permits: Ground

Ambulance vehicle permits: Air Rotocraft

(Initial) (Renewal)

(Initial) (Renewal)

(Initial) (Renewal)

(BLS) (ALS/CCT)

$ 0

0

0

0

2,000 1,000

15,000 7,500

2,000 1,000

250 375

500

7. Complete the table on the following four pages for the EMS agency staff for: Fiscal Year 2005-07

156

TABLE 2: SYSTEM ORGANIZATION & MANAGEMENT (continued) EMS System: San Diego County County: San Diego

FTE TOP SALARY CATEGORY ACTUAL TITLE POSITIONS BY HOURLY

(EMS ONLY) EQUIVALENT

EMS Administrator/ Chief EMS 1 44.11 Coordinator/Director

Assistant Administrator Administrative Analyst II 1 30.17 Assistant Administrator Assoc Accountant 1 25.11 Assistant Administrator Administrative Analyst II 1 30.17 Administrative Assistant Administrative Analyst III 1 32.80 Administrative Manager Admin Srvc Manager I 1 37.05

ALS Coordinator Coord, EMS 1 40.46 Field Coordinator EMS Specialist 1 33.19 Training Coordinator NA 0

Program Coordinator NA Field Liaison (nonclinical) EMS Specialist l 33.19

Medical Director Medical Director 1 90.82

Other MD NA Medical Consultant NA Training Medical Director NA

Disaster Medical Planner Coordinator, EMS 1 40.46

157

--z C> l:> q Reporting Year: FY Z 8 L!l8

BENEFITS (% of Salary) COMMENTS

57.5%

57.5% 57.5% 57.5% 57.5% 57.5%

57.5% 57.5%

57.5%

57.5%

57.5%

I


FTE TOP SALARY BENEFITS CATEGORY ACTUAL TITLE POSITIONS BY HOURLY (% of Salary) COMMENTS


Dispatch Supervisor NA

Data Evaluator Biostatistician 2 30.97 57.5% Analyst Senior Epidemiologist 1 42.85 57.5%

Epidemiologist 2 35.33 57 .. 5% Health Information Spec II 1 25 .89

QA/QI Coordinator Quality Assurance Specialist 6 38.45 57.5%

Public Information and NA Education Coordinator

Executive Secretary Administrative Secretary I 1 14.98 57.5%

Other Clerical Board Secretary 1 21.33 57.5% Senior Office Assistant 1 17.94 57.5% Office Assistant 1 14.06 57.5% Office Support Specialist 1 17.49 57.5% Departmental Clerk 1 10.85 57.5%

Data Entry Clerk Student Workers 4 13 .85

Other Coord, EMS l 40.46 57.5%

Medical Record Technician 1 13.70 57.5%

Health Svcs Project Coord 1 39.47 57.5% 57.5%

Temp Expert Prof Employee 1 37.10

Include an organizational chart of the local EMS agency and a county organizational chart(s) indicating how the LEMSA fits within the county/multi-county structure.

(SEE PAGE 16)

158


FTE TOP SALARY CATEGORY ACTUAL TITLE POSITIONS BY HOURLY


EMS Administrator/ Chief EMS ] 45.65 Coordinator/Director

Assistant Administrator Administrative Analyst II 1 31.23 Assistant Administrator Assoc Accountant I 29.47 Assistant Administrator Administrative Analyst II 1 31.23 Administrative Assistant Administrative Analyst III 1 32.80 Administrative Manager Admin Srvc Manager I 1 37.05

ALS Coordinator Coord, EMS l 41.88 Field Coordinator EMS Specialist l 34.35 Training Coordinator NA 0

Program Coordinator NA Field Liaison (nonclinical) EMS Specialist 1 34.35

Medical Director Medical Director 1 94.23

Other MD NA

Medical Consultant NA

Training Medical Director NA

Disaster Medical Planner Coordinator, EMS 1 40.46

159

"Lot>q Reporting Year: FY 2908=6~

BENEFITS (% of Salary) COMMENTS

57%

57% 57% 57% 57% 57%

57% 57%

57%

57%

57%

TABLE 2: SYSTEM ORGANIZATION & MANAGEMENT (continued) EMS Systan: San Diego County County: San Diego

FTE TOP SALARY BENEFITS CATEGORY ACTUAL TITLE POSITIONS BY HOURLY (% of Salary)

(EMSONLYl EQUIVALENT

Dispatch Supervisor NA

Data Evaluator Biostatistician 2 33.66 57% Analyst Senior Epidemiologist 1 44.35 57%

Epidemioiogist 2 40.31 57%

QA/QI Coordinator Quality Assurance Specialist 5 39.80 57%

Public Information and NA Education Coordinator

Executive Secretary Administrative Secretary II 1 16.29 57%

Other Clerical Board Secretary 1 22.08 57% Senior Office Assistant 1 18.57 Assoc Accountant 1 29.47 Office Assistant 2 15.28 Office Support Specialist 1 18.57 Departmental Clerk 1 11.59

Other Coord, EMS 1 41.88 57%

Medical Record Technician 1 18.15 57%

Health Svcs Project Coord 1 40.85 57% 57%

Temp Expert Prof Employee 1 37.10

Include an organizational chart of the local EMS agency and a county organizational chart(s) indicating how the LEMSA fits within the county/multi-county structure.

(SEE PAGE 16)

160

COMMENTS

TABLE 3: SYSTEM RESOURCES AND OPERATIONS- Personnel/Training EMS System: San Diego County County: San Diego

Total certified

Number certified this

Number recertified this od

1,671

Number of ce1iification reviews

formal investi 5 0 0

6 0 0

lOllS 8 0 0

revocations 0 0 0

denials 4 0 0

f) denials of renewal 0 0 0

g) no action taken 0 0 0

1. Number of EMS dispatchers trained to EMSA standards: N/A 2. Early defibrillation:

a) Number ofEMT-I (defib) certified b) Number of public safety (defib) certified (non-EMT-I)

3. Do you have a first responder training program? NO

161

0

0

0

0

0

0

0

"2 D'b 1 Reporting Year: FY l-667-09

292 0

98 0

0

0

0

0

0

0

0

...

)

)

TABLE 4: SYSTEM RESOURCES AND OPERATIONS - Communications EMS System: San Diego County County: San Diego Reporting Year: FY 20($..09

1. Number of primary Public Service Answering Points (PSAPs)

2. Number of secondary PSAPs

3. Number of dispatch centers directly dispatching ambulances

4. Number of designated dispatch centers for EMS Aircraft

5. Do you have an operational area disaster communication system?

a. Radio primary frequency

14

9

15

YES

800MHz

b. Other methods ARES, QCS, WebEOC, EMAN, CAHAN

c. Can all medical response units communicate on the same disaster communications system?

d. Do you participate in OASIS?

e. Do you have a plan to utilize RACES as a back-up communication system?

1) Within the operational area?

2) Between the operational area and the region and/or state?

6. Who is your primary dispatch agency for day-to-day emergencies?

YES

NO

YES

YES

YES

We have multiple cgendes; no central point of dispatch. We utilize individua dispatch

C!)endes.

7. Who is your primary dispatch agency for a disaster?

We have multiple agencies, but use the Ambulance Coordinator position in the EMS DOC

(MOC) as a primary coordination point. This position is currently held by AMR-San Diego.

162

TABLE 5: SYSTEM RESOURCES AND OPERATIONS- Response & Transportation EMS System: San Diego County County: San Diego Reporting Year: FY 2051-09

TRANSPORTING AGENCIES 1. Number of exclusive operating areas 22

2. Percentage of population covered by Exclusive Operating Areas (EOA) 95%

3. Total number of responses- FY 2007-08 310,738

a) Number of emergency responses (Code 2: expedient, Code 3: lights and siren) 231,668

b) Number of non-emergency responses (Code I: normal) 66,017

Total number of responses- FY 2008-09 320,062

a) Number of emergency responses (Code 2: expedient, Code 3: lights and siren) 238,619

b) Number of non-emergency responses (Code 1: nonnal) 67,998

4. Total number of transports- FY 2007-08 257,461

a) Number of emergency transports (Code 2: expedient, Code 3: lights and siren) 172,509

b) Number of non-emergency transports (Code I: nonnal) 58,166

Total number of transports- FY 2008-09 264,481

a) Number of emergency transports (Code 2: expedient, Code 3: lights and siren) 177,213

b) Number of non-emergency transports (Code I: nonnal) 59,752

163

EARLY DEFIBRILLATION PROVIDERS Reporting Year: FY 20ii-09 5. Number of public safety defibrillation providers (Included in EMT-D below)

6. Number ofEMT-Defibrillation providers

a) Automated

b) Manual

AIR AMBULANCE SERVICES 7. Total number of responses

8. Total number of transports

FY 2007-08 1,081

1,056

FY 2008-09 1,147

1,109

164

46

0

TABLE 5: SYSTEM RESOURCES AND OPERATIONS- Response and Transportation (continued) EMS System: San Diego County County: San Diego Reporting Year: FY 2*-09

SYSTEM STANDARD RESPONSE TIMES (90TH PERCENTILE)

Enter the response times in the appropriate boxes. METRO/URBAN SUBURBAN/RURAL WILDERNESS

1. BLS and CPR capable first responder not collected not collected not collected

2. Early defibrillation responder not collected not collected not collected

3. Advanced life support responder (ALS-Ground) 11.5 minutes 30.00 minutes 24.00 minutes

4. Transport Ambulance (BLS) 33.00 minutes 35.00 minutes 25.00 minutes

5. ALS Responder (Air) 21.5 minutes 34.00 minutes 36.00 minutes

SYSTEMWIDE

not collected

not collected

12.00 minutes

33.00 minutes

26.5 minutes

NOTE: Response times are estimates based on preliminary data, using 12 months of available 2003/2005 data projected to an

annual basis.

165

)

TABLE 6: SYSTEM RESOURCES AND OPERATIONS -Facilities & Critical Care EMS System: San Diego County County: San Diego Reporting Year: FY 20 .. -09

TRAUMA:

Trauma patients: a) Number of patients meeting prehospital or trauma

center internal trauma triage criteria

FY 07-08 11,102

b) Number of major trauma victims* transported directly 4,980 to a trauma center by ambulance

c) Number of major trauma patients* transferred to a 1,591

trauma center

d) Number of patients meeting triage criteria who weren't treated at a trauma center

EMERGENCY DEPARTMENTS:

Total number of emergency departments

a) Number of referral emergency services

b) Number of standby emergency services

c) Number of basic emergency services

d) Number of comprehensive emergency services

RECEIVING HOSPITALS:

1. Number of receiving hospitals with written agreements

2. Number of base hospitals with written agreements

FY 08-09 10,648

4,730

1,481

**NA

20

0

18

0

7

*Major trauma patient numbers for FY 05-07 reflect only those patients meeting the criteria for inclusion in the trauma registry.

**Mistriaged patients are transferred to trauma centers when identified at non·designated facilities .

166

)

TABLE 7: SYSTEM RESOURCES AND OPERATIONS- Disaster Medical EMS System: San Diego County County: San Diego Reporting Year: FY 20M-09

SYSTEM RESOURCES: 1. Field Treatment Sites (FTS)

a. Where are your FTS located?

b. How are they staffed?

Not predesignated

MRC, Public Health Nurses, DMAT, CAL-MAT

c. Do you have a supply system for supporting them for 72 hours?

2. CISD a. Do you have a CISD provider with 24 hour capability?

3. Medical Response Team a. Do you have any team medical response capability?

b. For each team, are they incorporated into your local response plan?

c. Are they available for statewide response?

d. Are they part of a formal out-·of-state response system?

4. Hazardous Materials a. Do you have any HazMat trained medical response teams?

b. At what HazMat level are they trained?

c. Do you have the ability to do decontamination in an emergency room?

d. Do you have the ability to do decontamination in the field?

167

YES

YES

YES

YES YES

YES

YES

Level A HazMat Technician Specialist, Industrial Hygienist

YES

YES

)

TABLE 7: SYSTEM RESOURCES AND OPERATIONS- Disaster Medical (continued) EMS System: San Diego County County: San Diego Reporting Year: FY 20W-09

OPERATIONS: 1. Are you using a Standardized Emergency Management

System (SEMS) that incorporates a form of Incident Command System (ICS) stmcture?

2. What is the maximum number of local jurisdiction EOCs you will need to interact with in a disaster?

3. Have you tested your MCI Plan this year in a: a. real event? b. exercise?

4. List all counties with which you have a written medical mutual aid agreement.

5. Do you have formal agreements with hospitals in your operational area to participate in disaster planning

Region I:

YES

19

YES YES

Los Angeles Orange

Region VI: Riverside Imperial San Bernardino In yo Mono

and response? YES*

6.

7.

8.

* **

Do you have formal agreements with community clinics in your operational areas to participate in disaster planning ~~~~ ~

Are you part of a multi-county EMS system for disaster response? YES

If your agency is not in the Health Department, do you have a plan to coordinate public health and environmental health issues with the Health Department? YES**

Annex D. While the EMS agency is part of the Health and Human Services Agency, Environmental Health is a separate department; however, a plan to coordinate public health and environmental health issues is in place.

168

TABLE 9: RESOURCES DIRECTORY -- Approved Training Programs EMS System: San Die~o County County: San Diego Reporting Year: FY illl&/2009

College of Oceaneering Contact Person: Mark Brown 3580 Aero Court San Diego, CA 92123

Phone: (619) 563-7324

**Program Level: EMT-I Number of students completing training per year: Initial training: 0

Student Eligibility: Refresher: 0 Continuing Education: 0 Expiration Date: 2010

Cost of Program: Basic: $ 0 (Department only) Number of courses: Refresher: Initial training: 0

Refresher: 1 Continuing Education: 0

EMSTA, Inc. Contact Person: Rick Foehr, Program Director PO Box 21894 El Cajon, CA 92021 Phone: (619) 562-4664

(619) 593-6782

**Program Level: EMT-1/EMT-P Number of students completing training per year: Initial training EMT -I: 200

Student Eligibility: Open to general public Refresher EMT-I: 120 Initial training EMT-P: 60

Refresher EMT-P: 25

Continuing Education: 220

Expiration Date: 2011

Cost of Program: EMT Basic: $ 875 Number of courses:

EMT Refresher: $ 150 Initial training EMT: 14

EMT-P Basic: $ 10,000 Refresher EMT-I: 6 EMT-P 2

EMT-P Refresher: $ 450 EMT -P Refresher: 2


200

TABLE 9: RESOURCES DIRECTORY-- Approved Training Programs EMS System: San Diego County County: San Diego Reporting Year: FY BIIJ./2009

Grossmont Health Occupation Contact Person: Steve Niemeyer, Director 9368 Oakbourne Road Santee, CA 92071

Phone: (619) 596-3690


Student Eligibility: Open to general public Refresher: 0 Continuing Education: 0 Expiration Date: 2011

Cost of Program: Basic: $ 160 Number of courses: Refresher: $ 60 Initial training: 11


Miramar College Contact Person: Mary Kjartanson, Department Chair 10440 Black Mountain Road San Diego, CA 92126

Phone: (619) 221-2142


Student Eligibility: Open to the general public Refresher: 86 Continuing Education: 96 Expiration Date: 2011

Cost of Program: Basic: $431 Number of courses: Refresher: $26 Initial training: 25


201

TABLE 9: RESOURCES DIRECTORY-- Approved Training Programs EMS System: San Diego County County: San Diego Reporting Year: FY 1:J11t1 12009

Palomar College Contact Person: Debi Workman 19 51 East Valley Parkway Escondido, CA 92027

Phone: (760) 744-1150/8153

**Program Level: EMT-IIEMT-P Number of students completing training per year: Initial training EMT-I: 193

Student Eligibility: Open to the general public Refresher EMT-I: 47 Initial training EMT-P: 37

Refresher EMT-P: 0


Expiration Date: 2012

Cost of Program: Basic EMT-I: $472 Number of courses: Refresher EMT-I: $ 45 Initial training EMT-1: 12 Basic EMT -P: $ 3,063 Initial training EMT-P: 2 Refresher EMT-P: $600 Refresher EMT -I: 3


202

TABLE 9: RESOURCES DIRECTORY -- Approved Training Programs EMS System: San Diego County County: San Diego Reporting Year: FY _, /2009

Southwestern College Higher Education Center at Otay Mesa Contact Person: Joanne Stonecipher 8100 Gigantic St. San Diego, CA 92154

Phone: (619) 216-6760

**Program Level: EMT-1/EMT-P Number of students completing training per year: Initial training EMT-I: 100

Student Eligibility: Open to the general public Initial training EMT-P: 30 Refresher: 175 Continuing Education: 0 Expiration Date: 2012

Cost of Program: EMT-I Basic: $ 750 Number of courses:

EMT -P Basic: $2,500 Initial training EMT-I: 9

EMT-1 Refresher: $20 Initial training EMT-P: 2 Refresher EMT-I: 4

EMT-P Refresher: $60

203

)

)

)

TABLE 11 Dispatch Agmdes

TABLE 11: RESOURCES Dl RECTORY -- Dispatd'l Aga1cy EMS System: San Diego County County: San Diego Reporting Year: FY ~2009

AI RCARE INTERNATIONAL GROUND TRANSPORT Primary Contact: GREG SOTTEK 2105 CAMINO VIDA ROBLE, SUITE E CARLSBAD, CA 92011

Phone: (760) 579-0240

Written Contract: Medical Director: lRl Day-to-Day Number of perronnel providing rervices: DYes D Yes 0 Disaster EMD Training 17 EMT-D 181 No 181 No ALS BL S

LALS Other

Ownership: If Public: If Public: D Public D Fire D City D County 181 Private D LaN 0 State D Fire District

D Other, explain: D Federal

ALERT AMBULANCE NETWORK Primary Contact: BURLEY WRIGHT 3585 HANCOCK SfREET, SUITE 200 SA.N DIEGO, CA 9211 0

Phone: (619) 298-7203

Written Contract: Medical Director: (gJ Day-to-Day Number of perronnel providing rervices: D Yes D Yes D Disaster EMD Training 17 EMT-D 181 No [8] No ALS BLS

LALS Other

Ownership: If Public: If Public: D Public D Fire 0 City D County 181 Private D LaN D State D Fire District


220

TABLE 11: RESOURCES Dl RECTORY -- Dispatch AQEJlcy EMS System: San Diego County County: San Diego Reporting Year: FY !€11'l/2009

AMERICAN MEDICAL RESPONSE- SA.N Dl EGO Pr imary Contact: GORDON ANDERSON 8808 BALBOA AVENUE, #150 &\N Dl EGO, CA 92123

Phone: (858) 492-8111

Written Contract: Mooical Director: IRl Day-to-Day Number of perronnel providing rervices: D Yes l8J Yes IRl Disaster 16 EMD Training 2 EMT-D 0 No 0 No ALS BLS

LALS 3 Other

Ownership: If Public: If Publ ic: Public 0 Fire 0 City 0 County

!8l Private 0 La.;v 0 State 0 Fire District 0 Other, explain: o Fooeral

AM ERI CARE AMBULANCE Pr imary Contact: BRETT SEL TER, OPERATIONS MANAGER 1924 COMMERCIAL STREET, SUITE B ESCONDIDO, CA 92029

Phone: (760) 781-3895

Written Contract: Mooical Director: IRl Day-to-Day Number of per ronnel providing rervi ces: DYes 18! Yes D Disaster EMD Training EMT-D !8l No 0 No ALS 6 BLS

LALS Other

Ownership: If Publi c: If Public: D Public 0 Fire 0 City 0 County [8] Private 0 Lav 0 State 0 Fire District

0 Other, explain: o Fooeral

221

TABLE 11: RESOURCES DIRECTORY-- Dispatch Agmcy EMS System: San Diego County County: San Diego Reporting Year: FY""'2eD'T/2009

BALBOA AMBULANCE INCORPORATED Primary Contact: ANGELA HARDING, ASST. SUPERVISOR 6340 RIVERDALE SA.N DIEGO, CA 92120

Phone: (619) 295-1942

Written Contract: Medical Di rector: f8J Day-to-Day Number of perSJnnel providing services: D Yes rRJ Yes 0 Disaster EMD Training EMT-D f8J No 0 No ALS BLS

LALS 7 Other

Ownership: If Publ ic: If Public: D Public 0 Fire 0 City D County f8J Private D Lav 0 State 0 Fire District

0 Other, explain: 0 Federal

CALIFORNIA DEPARTMENT OF FORESTRY Primary Contact : CHIEF HOWARD WINDSOR 249 JAMACHA ROAD EL CAJON , CA 92020

Phone: (619) 590-3100

Written Contract: Medical Director: f8J Day-to-Day Number of perSJnnel providing services: D Yes D Yes 0 Disaster EMD Training EMT-D f8J No l8J No ALS BLS

LALS 10 Other

Ownership: If Publ ic: If Public: f8J Public f8J Fire 0 City 0 County

Private 0 Lav f8J State 0 Fire District D Other, explain: 0 Federal

222

TABLE 11: RESOURCES DIRECTORY-- Dispatch Agency EMS System: San Diego County County: San Diego Reporting Year: FY"'2111'/2009

CARE MEDICAL TRANSPORT A Tl ON Primary Contact: DANIEL GRAHAM , V POPERATIONS 9770 CANDIDA ST. &\N DIEGO, CA 92126

Phone: (858) 653-4500

Written Contract: Ma::lical Director: l8J Day-to-Day Number of perronnel providing oorvices: 0 Yes 1.8J Yes D Disaster EMD Training 4 EMT-D [g] No 0 No ALS BLS

LALS 3 Other

Ownership: If Public: If Public: 0 Public 0 Fire 0 City 0 County [g) Private 0 Law 0 State 0 Fire District

0 Other, explain: o Fa:lera

ER AMBULANCE Primary Contact: RAPHAEL SILVA 1365 NORTH ..DHNSON AVENUE EL CAJON, CA 92020

Phone: (619) 401 -9900

Written Contract: Ma:lical Director: 181 Day-to-Day Number of perronnel providing oorvices: D Yes D Yes 0 Disaster EMD Training 6 EMT-D [8] No 181 No ALS BLS

LALS Other

Ownership: If Public: If Public: 0 Public 0 Fire 0 City 0 County l8J Private 0 Law D State 0 Fire District

0 Other, explain: 0 Fa:leral

223

TABLE 11: RESOURCES Dl RECTORY - Dispatch AQf!llcy EMS System: San Diego County County: San Diego Reporting Year: FY '2!1:fl:/2009

ER AMBULANCE II Primary Contact: RAPHAEL SILVA 9640-B MISSON GORGE ROAD #338 51\NTEE, CA 92071

Phone: (619)

Written Contract: Medical Director: [8J Day-to-Day Number of perronnel providing rervices: D Yes D Yes D Disaster EMD Training -- EMT-D l8J No (gl No ALS BLS

LALS Other

Ownership: If Public: If Public: D Public D Fire D City D County !8.1 Private 0 Lcm D State D Fire District


ESCONDIDO, Cl TY OF Primary Contact: GARY WELLS 700 WEST GRAND AVENUE ESCONDIDO, CA 92025

Phone: (760) 839-4622

Written Contract: Medical Director: !8.1 Day-to-Day Number of perronnel providing rervi ces: D Yes [8J Yes 0 Disaster 22 EMD Training EMT-D l8l No 0 No ALS BLS

LALS 1 Other

Ownership: If Public: If Public: l8J Public [8J Fire [8J City D County 0 Private D Lcm D State 0 Fire District


220

'··-

TABLE 11: RESOURCES DIRECTORY-- Dispatch Agency EMS System: San Diego County County: San Diego Reporting Year: FY 2Qm'{2009

HEARTLAND Dl SPA TCH JPA Primary Contact: CHIP YARBOROUGH 100 EAST LEXINGTON El CAJON, CA 92020

Phone: (619) 441 -1621

Written Contract: MEdical Director: l8.i Day-to-Day Number of perronnel providing rervices: D Yes l8.i Yes 0 Disaster 17 EMD Training EMT-D iEl No 0 No ALS BLS

LALS Other

Ownership: If Public: If Public: [g] Public D Fire 0 City 0 County D Private D Law City/Fire District D State 0 Fire District

!?SJ Other, explain: JPA 0 FEderal

MAXCARE AMBULANCE Primary Contact: MAX LAUFER 7614 LEMON AVENUE LEMON GROVE, CA 91945

Phone: (619) 303-6705

Written Contract: MEdical Director: l8.i Day-to-Day Number of perronnel providing rervices: 0 Yes D Yes 0 Disaster EMD Trcining 11 EMT-D 0 No 129 No ALS BLS

LALS Other

Ownership: If Public: If Public: D Public 129 Fire 0 City 0 County !81 Private 0 Law 0 State 0 Fire District

0 Other, explain: D FEderal

221

TABLE 11: RESOURCES Dl RECTORY -- Dispatch Agency EMS System: San Diego County County: San Diego Reporting Year: FY ~2009

M EDFL EET AMBULANCE Primary Contact: GREG GIBOON 3479 KURTZ STREET SA.N DIEGO, CA 92110

Phone: (619) 222-2244

Written Contract: Medical Director: !8l Day-to-Day Number of perronnel providing 99rvices: D Yes D Yes D Disaster EMD Training 15 EMT-D !Zl No !8l No ALS BLS

LALS Other

Ownership: If Public: If Public: 0 Public 0 Fire 0 City D County [8] Private 0 Law 0 State D Fire District


MERCY AIR Primary Contact: AARON 0' SI-IEMA, MEDICAL MANAGER 545 GIA KENNEY Sf. EL CAJON, CA 92020

Phone: (619) 448-3457

Written Contract: Medical Director: [8] Day-to-Day Number of perronnel providing 99rvices: D Yes 18J Yes D Disaster EMD Training EMT-D [g) No D No 12 ALS BLS

LAL S 3 Other

Ownership: If Public: If Publi c: 0 Public D Fire 0 City D County !81 Private D Law 0 State D Fire District

D Other, explain: 0 Federal

222

TABLE 11: RESOURCES Dl RECTORY- Dispatch Agency EMS System: San Diego County County: San Diego Reporting Year: FY ~/2009

NORTH COUNTY Dl SPA TCH JPA Primary Contact: CHARLIE KNUST, SUPERVISOR PO BOX 410 RANCHO SA.NTA FE, CA 92067

Phone: (858) 756-1 126

Written Contract: Mooical Director: !8J Day-to-Day Number of perSJnnel providing rervices: 0 Ye3 !8! Ye3 0 Disaster 14 EMD Training EMT-D fZl No 0 No ALS BLS

LALS Other

Ownership: If Publi c: If Public: !,g] Public 0 Fire 181 City 0 County 0 Private 0 La,.v

Joint Powers 0 State 0 Fire District !8l Other, explain: Authority D Fooeral

PAC I Fl C AMBULANCE Primary Contact: STAYCE LEISTER 5550 OBERLIN DRIVE, SUITE A

SA.N DIEGO, CA 92121

Phone: 866-277-2727

Written Contract: Mooical Director: !8l Day-to-Day Number of perSJnnel providing rervices: 0 Ye3 0 Ye3 0 Disaster EMD Training 112 EMT-D 181 No !8l No ALS BLS

LALS Other

Ownership: If Public: If Public: D Public 0 Fire D City 0 County !8J Private 0 La,.v 0 State 0 Fire District

0 Other, explain: D Fooeral

223

TABLE 11: RESOURCES OJ RECTORY -- Dispatch Agency EMS System: San Diego County County: San Diego Reporting Year: FY '21m2009

PINEAPPLE EXPRESS AMBULANCE Primary Contact: BENJAMIN TOWN, OPERATION MANAGER 4400 PALM AVENUE, SUITE C LA MES6., CA 91941

Phone: (619) 589-0022

Written Contract: Medical Director: (g) Day-to-Day Number of per ronnel providing sa-vices: D Yes D Yes 0 Disaster EMD Training 16 EMT-D l8l No 0 No ALS BLS

LALS Other

Ownership: If Public: If Public: D Public 0 Fire 0 City 0 County l8l Private 0 Lavv 0 State 0 Fire District


PRIORITY ONE Primary Contact: MICHAEL PARKER, PRESIDENT 202 GREENFIELD EL CAJON, CA 92020

Phone: 1-800-600-3370

Written Contract: Medical Director: [8] Day-to-Day Number of perronnel providing sa-vices: D Yes (g) Yes 0 Disaster 8 EM D Training EMT-D l8l No 0 No ALS BLS

LALS Other

Ownership: If Public: If Public: D Public 0 Fire 0 City 0 County l8l Private 0 Lavv 0 State 0 Fire District

C Other, explain: 0 Federal

224

TABLE 11: RESOURCES Dl RECTORY - Dispatd1 Aga1cy EMS System: San Diego County County: San Diego Reporting Year: FY '1111S1!2009

SA.N Dl EGO Fl RE AND RESCUE Primary Contact: SUSA.N INFANTINO, DIRECTOR 3750 KEARNY VILLA ROAD SA.N Dl EGO, CA 92123

Phone: (858) 573-1301

Written Contract: Mooical Director: [gj Day-to-Day Number of peroonnel providing rervices: D Yes 18.J Yes D Disaster 37 EMD Training EMT-D !.8J No 0 No ALS 15 BLS

LALS Other

Ownership: If Public: If Publ ic: 2?.1 Public l8.l Fire !.8J City D County 0 Private D Law 0 State 0 Fire District

D Other, explain: 0 Fooeral

SCHAEFER AMBULANCE SERVICE Primary Contact: RICK LARSC>N, REGIONAL MANAGER 7257 UNIVERSITY AVENUE LA MESA., CA 91941

Phone: (619) 583-0454

Written Contract: Mooical Director: l8.l Day-to-Day Number of peroonnel providing rervices: 0 Yes !8J Yes 0 Disaster EMD Training 5 EMT-D !.8J No 0 No ALS BLS

LALS Other

Ownership: If Public: If Public: 0 Public 0 Fire 0 City 0 County !8l Private D Law D State 0 Fire District

0 Other, explain: o Fooeral

225

TABLE 11: RESOURCES Dl RECTORY -- Dispatch Agency EMS System: San Diego County County: San Diego Reporting Year: FY 2\lll72009

SCHAEFER AMBULANCE SERVICE Primary Contact: RICK LARSON , REGIONAL MANAGER 7257 UNIVERSITY AVENUE LA MESA., CA 91941

Phone: (619) 583-0454

Written Contract: Medical Director: I8J Day-to-Day Number of peroonnel providing rervices: D Yes !ZI Yes D Disaster EMD Traning 5 EMT-D (RI No D No ALS BLS

LALS Other

Ownership: If Public: If Public: 0 Public D Fire D City D County !ZI Private D LaN D State 0 Fire District

0 Other, explain: D Federal

SOUTH BAY AMBULANCE Primary Contact: ALOHI REIGOR, OWNER 4901 MORENA BOULEVARD #2088 SA.N DIEGO, CA 92117

Phone: (858) 270-0020

Written Contract: Medical Director: l8l Day-to-Day Number of peroonnel providing rervices: D Yes DYes D Disaster EMD Training 25 EMT-D !ZI No D No ALS BLS

LALS Other

Ownership: If Public: If Public: D Public 0 Fire 0 City 0 County 0 Private 0 LaN D State D Fire District


226

TABLE 11: RESOURCES DIRECTORY- Dispatch Agency EMS System: San Diego County County: San Diego Reporting Year: FY-.r./2009

SYMONS AMBULANCE Primary Contact: JEFF GRANGE, PRESIDENT P.O. BOX 1033 SA.N BERNADINO, CA 92423

Phone: (619) 583-0454

Written Contract: Medical Director: !8l Day-to-Day Number of perronnel providing ffirvices: D Yes D Yes 0 Disaster EMD Training 6 EMT-D [8] No !8l No ALS BLS

LALS Other

Owna-ship: If Public: If Public: 0 Public 0 Fire D City D County [8] Private 0 Lw D State 0 Fire District

0 Other, explain: D Feda-al

227

TABLE 11A Disaster M a1ical Responders

(County)

TABLE 11a: RESOURCES Dl RECTORY -- Disaster M ~ical Responders (County)

EMS System: San Diego County County: San Diego

COUNTY OFFICE OF EMERGENCY SERVICES (OES) Coordinator: Ron Lane · Alternate: Herma1 Reddick Work Phone: (858) 565-3490 Work Phone: (858) 565-3490 Home Phone: NA Home Phone: NA P~er: NA P~er: NA FAX: (858) 565-3499 FAX: (858) 565-3499 24-Hour Phone: (858) 565-3490 24-Hour Phone: (858) 565-3490

COUNTY EMS Dl SA..STER MEDICAL SERVICES (OMS) Coordinator: Patrick Buttron Alternate: Marcy Metz Work Phone: (619) 285-6429 Work Phone: (619) 285-6429 Home Phone: NA Home Phone: NA P~er: (619) 526-0392 FAX: (619) 285-6531 24-Hour Phone: (858) 565-5255

(Station M)

COUNTY HEALTH OFFICER Public Health Officer: WilmaWootm, M.D., MPH Work Phone: (619) 515-6519 Home Phone: NA P~er: NA FAX: (619) 685-2423 24-Hour Phone: (858) 565-5255

(Station M)

228

FAX: (619) 285- 6531 24-Hour Phone: (858) 565-5255

(Station M)

Alternate: Bruce E. Haynes, M.D. Work Phone: (619) 285-6429 Home Phone: NA P~er: NA FAX: (619) 285-6531 24-Hour Phone: (858) 565-5255

(Station M)

)

TABLE 118 Disaster Mejical Responders

Regional Disaster M ejicai/Health Coordinators

)

)

TABLE 11b: RESOURCES 01 RECTORY -- Disaster Medical Responders {Regional Disaster Medical/Health Coordinators)

OES Region: San Diego County

REGIONAL OES COORDINATOR: Sam Musgrave Work Phone: (562) 795-2902 Home Phone: NA Pager: (916) 594-2077 FAX: NA 24-Hour Phone: (916) 845-8911

REGIONAL Dl SASTER COORDINATOR: Eric Frykman, M.D. Work Phone: (951) 358-5058 Home Phone: NA Pager: NA FAX: (951) 358-4529 24-Hour Phone: (909) 356-3805

229

County: San Diego

Alternate: Joanne Phillips Work Phone: (562) 795-2973 Home Phone: NA Pager: (916) 594-2062 FAX: NA 24 Hour Phone: (916) 845-8911

Alternate: WilmaWooten, M.D. Work Phone: (619) 515-6519 Home Phone: NA Pager: NA FAX: (619) 685-2423 24-Hour Phone: (858) 565-5255

(St:ati on M)

)

SECTION 5 DESCRIPTION OF PLAN DEVELOPMENT PROCESS

)

Description of Plan D91elopment Process

The loca EMS aJency ensures ongoing EMS pla1 development through continua input from prel1ospi ta a1d hospi ta providers, phys ci a1s, ald consumers. At the system-wide I e-.tel , a vari f!..y of advisory groups a1d committees provide input on EMS issues ald policies rei ati ng to the deli very of emergency ma:iical services. Each group/committee is composed of appropriate public ald private provider representatives with a mix of prel1ospital care personnel (i.e., MICNs, EMT-Ps, EM T-Is, phys ci a1s ald administrators). Their input establishes a framevvork in which the EMS community ald the loca EMS aJency develop common goas ald objedives in order to achie-.te greater system effediveness.

Forums are conducte::l at theM ICN, EMT-P a1d EMT-1 levels to encouraJe sharing of information bf!..ween field, hospi ta ald manaJemEnt personnel. The Base Station Phys ci ans' Committee a1d the Emergency M a:ii cal Care Committee provide a forum for as mi I ar i ntercha1ge between theM a:ii cal D i ra;tor, base hospital physicians and other prel1ospi tal personnel.

System cha1gesarefurther re-.tievva:i by theMa:iical Audit Committee, Prel1ospital Audit Committee, HealthcareAs.c:Dciation of Sal Die;~o a1d Imperial Counties, County Parama:iicAgenciesCommittee and various subcommittees. The I oca EMS aJEncy further seeks input as ne:doo from other i nteresta:i groups, i ncl udi ng the County M ooi cal &:>ci f!..y I the M ooi cal &:>ci f!..y EM s Committee, the Emergency

) Nurses As.c:Deiation a1d the Sal Die;~o County Paramooic Association.

The Emergency Mooical Care Committee (EMCC) and its subcommittees (Prel1ospitai/Hospita, Disaster Operations, Education and Reseach) provide a1 ongoing ma;hani S1l to e-.~ a uate EMS system deS gn a1d operations. The EM CC acts as the primary advisory group to the I oca EMS aJEncy and the Board of Supervisors on all EM S matters. The Board of Slpervi sors appoints 18 members; five of the 18 are public members, one nominatoo by ea::h member of the Board of Slpervisors. Information is acqui roo a1d anal yzoo to measure the impact a1d the quality of emergency mooi cal care services.

In cooperation with the Community Health Programs of the Health a1d Huma1 &lrvices Agency, the loca EMSaJency participates in pre-.tEntion programs (e.g., Violence Pre-.tEntion Coaliti.on, Ama-iea1 Trauma &:>cif!..y/&:>uthern California Division) developoo to meet the nea::ls of the community.

The EMS Base Pla1 wassubmitta:i to a1d approvoo by the EMCC, thEn submittoo in itsfina version to the County Board of Supervisors aong with a resolution to adopt the pial in 1998. This document serves as the a1nual update to that pial.

2.30

)

) /

SECTION 6 ANNEX

EXCLUSIVE OPERATING AREAS EMS PLAN -ZONE SUMMARY

Local EMS AQSlcy or County Name:

Sen Di ~o County

Area or subarea (Zone) Name or Title:

Bcrona I ndi a1 Reservati on

Name of Curra1t ProvidEI'(s):

Bcrona Fire Depcrtment

Area or subarea (Zone) Goographic Deeuiption:

Bcrona I ndi a1 Reservati on a1d surrounding communities

statana1t of Exdusivity, Exdusive or Non-Exdusive (HS 1797.6)

Although a oovereign nation, the Bcrona Band of Mission lndia1s voluntcrily incorporatEd its A L S service into the Sen D i ~o County EMS system through agreement with the County on May 18, 1999.

Type of Exdusivity, "EmEI'gency Ambulance," "ALS," or "LALS' (HS 1797.85):

ALS

Methcx:J to achieve Exdusivity, if applicable (HS 1797.224):

Sovereign nation

233

)

)


Local EMS Aga1cy or County Name:

Sa1 Di~o County


City of Ccrlsba:l

Name of Current Provider(s):

City of Ccrlsba:l Fire Depcrtment

Area or sub area (Zone) Grographic Description:

Ccrlsba:l city limits

Statement of Exdusivity, Exdusive or Non-Exdusive (HS 1797.6)

Exdusivity granted by contra:::tua ~reement between the County of Sa1 Di~o and the City of Ccrlsba:l. Approved and a.Jthorized by the Bocrd of SJpervirors on 8/30/77 (18).

Type of Exdusivity, "Emerga1cy Ambulance," "ALS," or "LALS' (HS 1797.85):

ALS

MEthod to achieve Exdusivity, if applicable (HS 1797.224):

Grandfathered. Area has a history of uninterrupted service with no changes to &;ape and manner of service since 8/30/77.

234

)

)


Local EMS Agency or County Name:

Sa1 Di ~o County


City of Chula Vista


Ame-ica1 MEdical Response

Area or subarea (Zone) G~raphic De&:ription:

The juris:iictional limits of the Bonita-&mnyside Fire Protection District end the Cities of Chula Vista end I mpe-i al Beech

Statement of Exdusivity, Exdusiveor Non-Exdusive(HS 1797.6)

Exdusivity grentoo by contractua ~reement between the County of Sa1 Di~o and the City of Chula Vista Approved end authorized by the Bocrd of SJpe-visors on 3/8/77 (42).

Type of Exdusivity, "Emergency Ambulance," "ALS," or "LALS' (HS 1797.85):

ALS


Grandfathe-ed. Area has a history of uninte-rupted se-vice with no chenges to s:x>pe end menne- of se-vice since 3/8/77.

235

)

)



S:n Di ~o County


City of El C~on


City of El C~on Fire Depcrtment

Area or sub area (Zone) G~raphic De&:ription:

El Cajon city limits


Exdusivity grented by contractua c.greernent between the County of S:n Di~o and the City of El C~on. Approved end ruthorized by the Bocrd of SJpervirorson 3/11/80 (37).


ALS

MEthod to adlieve Exdusivity, if applicable (HS 1797.224):

Grandfathered. Area has a history of uninterrupted service with no chcnges to scope end menner of service since 3/11/80.

236

)


Local EMS AQf!r!cy or County Name:

Sal Di SJO County


City of Escondido

Name of Curra1t ProvidEI'(s):

City of Escondido Fire Depcrtment

Area or subarea (Zone) GE()Qraphic Des:ription:

Escondido dty limits a1d within cdjoining creas as spocified by aJreements mutu~ly occeptcble to both pcrties a1d ~proved by the County of Sal DieJo LEMSA..

Sl:atS"nEilt of Exdusivity, Exdusive or Non-Exdusive (HS 1797.6)

Exdusivity gra1ted by controctu~ aJreemBlt betw€€11 the County of Sal DieJo a1d the City of Escondido. Approved and authorized by the Bocrd of &lpervirors on 8/30/77 (18).

Type of Exdusivity, "EmEI'gEilcy Ambulance," "ALS," or "LALS' (HS 1797.85):

ALS

Method to achieve Exdusivity, if applicable (HS 1797.224):

Grandfathered. Area has a history of uninterrupted service with no cha1ges to scope a1d ma1ner of service since 8/30/77. On 12/7/83, the zone crea was modified to indude certan cdjoining areas as specified by aJreements mutually occeptable to both parties and approved by the County of San DiSJO LEMSA..

237

)

)


Local EMSAgmcy or County Name:

Sn Di aJO County


City of Nation a City

Name of Currmt Provider(s):

America1 Medica Response

Area or sub area (Zone) Goographic DE:Sl"iption:

Nationa City limits Clld a:ljoining a-eas as specified by qJreements with a:ljoining pa-amedic services.

Saternmt of Exdusivity, Exdusiveor Non-Exdusive(HS 1797.6)

Exclusivity gra1ted by contractua qJreement betwoon the County of Sn Dia;Jo and the City of National City. Approved and ruthorized by the Board of SJpervioors on 10/4/83 (11).

Type of Exdusivity, "EmergEncy Ambulance," "ALS," or "LALS' (HS 1797.85):

ALS

MEthod to achie~e Exdusivity, if applicable (HS 1797.224):

ProvidEr is competitively deta-mined

238


Local EMSAga1cy or County Name:

S:J1 DiSdo County


City of Oceanside


City of Oceanside Fire Depcrtment

Area or sub area (Zone) Grographic Des::ription:

Oceanside d ty limits

staten1ent of Exdusivity, Exdusive or Non-Exdusive (HS 1797.6)

Exdusivity grenta::l by contra::tua agreemEnt between the County of S:J1 DiSdO and the City of Oceanside. Approva::l end authoriza::l by the Bocrd of &lpervirors on 3/29/77 (73).


ALS

MEthod to achiewe Exdusivity, if applicable (HS 1797.224):

Grcndfathera::l. Area has a history of uninterrupta::l service with no chenges to g:;ope end menner of service since 3/29/77.

239

) EXCLUSIVE OPERATING AREAS

EMS PLAN -ZONE SUMMARY

Local EMS Age1cy or County Name:

Sri Diego County

Area or subarea (Zone} Name or Title:

City of Poway

Name of Current Provider(s}:

City of Poway Fire D~a-tment

Area or subarea (Zone} Ga:Jgraphic Dauiption:

Poway dty limits

Statement of Exdusivity, Exdusive or Non-Exdusive (HS 1797.6}

Exdusivity grented by controctua a;;Jreement between the County of Sri Diego end the City of Poway. Approved end authorized by the Boa-d of &lpervisors on 12/4/76 (24).

Type of Exdusivity, "Emerge1cy Ambulance," "ALS," or "LALS' (HS 1797.85}:

ALS

MEthod to achieve Exdusivity, if applicable (HS 1797.224}:

Grandfathered. Area has a history of uninterrupted service with no chenges to scope end menner of service since 12/4/76.

240


Local EMSAgmcy or County Name:

&n Di~o County


City of &n Di~o

Name of Curra1t ProvidS"(s):

&n Di~o Medica &3rvices EntS"prise (pcrtnership with Sal Di~o Fire'Rura Metro)

Area or subarea (Zone) Gqraphic Des::ription:

Within the boundcries of the dty of San Di~o with the exception of those dty creas which ere encompassed in a County &3rvice Area

Statema1t of Exdusivity, Exdusive or Non-Exdusive (HS 1797.6)

Exdusivity granted by contractua agreement between the County of &n Di~o and the City of &n Di~o. Approved and authorized by the Board of &tpervirors on 5/21/91 (55).

Type of Exdusivity, "EmS"gmcy Ambulance," "ALS," or "LALS' (HS 1797.85):

ALS

Method to adlieve Exdusivity, if applicable (HS 1797.224):

Provider is competitivay determined

241



&11 Diego County


City of &11 Mcrcos

Current Provida-(s):

America1 MEdica Response

Area or subarea (Zone) Grographic DESYiption:

&11 Mcrcos dty limits end the &11 Marcos Fire Protection District


Exdusivity grentoo by contractual C¥Jre31Tlent between the County of &11 Diego and the City of &11 Mcrcos. ApprovEd end authorizEd by the Bocrd of 9Jpervisors on 12/1/87 (42).

Type of Exdusivity, "Ema-gency Ambulan~" "ALS," or "LALS' (HS 1797.85):

ALS


Provide- is competitively determinEd

242

)


Local EMSAQEflcy or County Name:

S31 Di ~o County


City of Vista


City of Vista Fire Depa-tment

Area or sub area (Zone) G~raphic Des:ription:

Vista dty limits crtd the Vista Fire Protroion District


Exdusivity grcrtted by contractual ~reement between the County of S31 Di~o and the City of Vista. Approved crtd authorized by the Boa-d of &Jpervirors on 8/30/77 (18).

Typeof Exdusivity, "EmerQEflcyAmbulance," "ALS," or "LALS' (HS1797.85):

ALS


Grandfathered. Area has a history of uninterrupted service with no chcrtges to scope crtd mcrtner of service since 8/30/77.

243

)

)



Sal Di~o County


County Sa-vice Area Number 17

Name of Curra1t Provider(s): America1 Medica Response (07/01/91 -08/31/01)

Sal Di~o Medica Sa-vices Enterprise (09/01/01 -present)

Area or sub area (Zone) Goographic Des::ription:

The cities of Encinitas, Solana Beoch, Del Mar end Rencho Salta Fe, end the communities of Del Mar Heights, Del Mar Terrace, and Elfin Forest

Staterna1t of Exdusivity, Exdusive or Non-Exdusive (HS 1797.6)

Exdusivity grented by contractua ~reement between the County of Sal Di~o and the members of CSA. 17. BLS ~reement with the Fire Departments since 8/15/69 (13). ALS ~reement with private contractor since 7/25/75.


Combination of ALS 911 calls with BLS ambulence bock-up when ALS units are unavailable


Provider is competitively determined

244

)

)

EXCLUSIVE OPERA Tl NG AREAS EMS PLAN -ZONE SUMMARY

L oc:al EMS Aga1cy or County Name:

Sal Diego County


County Service Area Number 69

Name of Current Provida-(s):

Saltee Fire Depcrtment end Lakeside Fire Depcrtment

Area or subarea (Zone) Goographic Description:

Area comprising the Fire Protection Districts of Lckeside and Bostonia, and the City of Sal tee

Stat a-nent of Exdusivity, Exdusive or Non-Exdusive (HS 1797.6)

Exdusivity grented by contractua cgreement between the County of Sal Diego and the members of CSL\ 69. Approved end cuthorized by the Bocrd of SJpervi&>rs on 12/18/74 (19).

Typeof Exdusivity, "Ema-ga1cyAmbulance," "ALS," or "LALS' (HS1797.85):

ALS


Grandfathered. Area has a history of uninterrupted service with no chenges to scope end manner of service si nee 12/18/7 4.

245

)

)



Sen Diego County


Grossmont Hospita District, Zone 1- SJburbcn


Americcn Mooica Response

Area or subarea (Zone) Goographic Des::ription:

The bounda-ies of the Grossmont Hospita District


Exdusivity grcntoo by contractua aJreement betw001 the County of Sen Dia.;Jo and the Grossmont Hospita District. ApprovEd and authorizEd by the Board of SJpervisors on 5/15/79 (27).


ALS

MEthod to achieJe Exdusivity, if applicable (HS 1797.224):

Grandfatheroo. Area has a history of uninterruptEd service with no changes to manner and scope since 5/15/79.

246



Sen D i e;;JO County


Grossmont Hospita District, Zone 2- Rura


Ame-ica1 MEdica Response provides EMT-P s a1d the Fire Prota.::tion Districts provide EMT-I's.

Area or subarea (Zone) Goographic Deeuiption:

U ni ncorporatoo ea:;t a1d routh County creas.

staternmt of Exdusivity, Exdusive or Non-Exdusive (HS 1797.6)

Exdusivity gra1too by contractua ~rESTlent between the County of Sen Die;;Jo and the Grossmont Hospital District. ApprovEd and authorizEd by the Board of 9Jpe-virors on 5/15/79 (27).

Type of Exdusivity, "EmerQEilcy Ambulance," "ALS," or "LALS' (HS 1797.85):

ALS


Provide- is competitively dete-minoo. Although the Hospita District has hoo the exdusive zone since 1979, this portion of the District did not have ALS sa-vices until July 1994 a1d the-efore wcs estci:>lishoo through a competitive process.

247

)



Sal Di eJO County


North County Fire Protoction District


North County Fire Protoction District

Area or subarea (Zone) Goographic Des::ription:

The areas within the googr~hical limits of the North County Fire Protoction District


Exdusivity gra1ted by contrcdua cgreement between the County of Sal DieJO and the North County Fire Protoction District. Approved a1d a.tthorized by the Bocrd of &tpervioors on 7/3/90 (24).


ALS


Provide- is competitively determined

248

)



Sal Diego County


Rcrnona Municipa Wffi.ff District


Caifornia Depcrtmrot of Forestry

Area or subarea (Zone) Geographic DEBl"iption:

Within the boundcries of the Ramona Municipa Wffi.ff District and necrby areas approvoo by the Ranona Municipal Wffi.ff District Bocrd of Dirroors


Exdusivity grantoo by contractua agreffnent between the County of Sal Diego and the Ranona Municipa Wffi.ff District. Approvoo and authorizoo by the Bocrd of &.lpffvirors on 10/11/88 (7).


ALS


Providff is competitively detffminoo

249

)



S:l1 0 i ego County


Sycua~ I ndi a1 Re:avati on


Sycua~ Fire Oepcrtment

Area or subarea (Zone) Goographic Oes::ription:

Sycua~lndia~ Reservation. Provides mutua ad to surrounding communities on ra::juest.

Stat a-nent of Exd usivity, Exd usive or Non-Exd usive (H S 1797. 6)

Although a SJvereign nation, the Sycuan Tribal Council voluntarily incorporated its ALS ~vice into the S:l1 0 i ego County EMS system through agreement with the County on August 1, 1997.


ALS


SJvereign nation

250

)



S:n D i e;JO County

Area or sub area (Zone) Name or Title:

Borre;Jo ~rings service crea


Borre;Jo ~rings Fire Protection District

Area or sub area (Zone) Goographic Des::ription:

The area within the goographi ca I i mi ts of the Borre;Jo ~rings Fire Protection District

Stat a-nent of Exd usivity, Exd usive or Non-Exd usive (H S 1797. 6)

Exdusivity grcnted by contrcdua a;Jreemelt between the County of S:n Die;Jo and the Borre;Jo ~rings Fire Protection District. Approved end authorized by the Bocrd of &Jpervioors on 7/01/00.

Type of Exdusivity, "Ema-gency Ambulance," "ALS," or "LALS' (HS 1797.85):

ALS

MEthod to adlieve Exdusivity, if applicable (HS 1797.224):

Provider is competi ti vel y determined.

251



S:rl Diego County


Julia1-Cuyamoca Fire Protoct:ion District


Julia1-Cuyamoca Fire Protoct:ion District

Area or sub area (Zone) Goographic DeD"iption:

The areas within the googrCl)hical limits of the Julian-Cuycmoca Fire Protoct:ion District.

S.aternmt of Exdusivity, Exdusive or Non-Exdusive (HS 1797.6)

Exdusivity gra1ted by contractua ~reement betw001 the County of S:rl Diego and the Julia1-Cuyamoca Fire Protoct:ion District. Approved a1d ruthorized by the Boa-d of &Jpervisors on 11/10/2000.

Type of Exdusivity, "Emergency Ambulance, II 11 ALS, II or 11 LALS' (HS 1797.85):

ALS

MEthod to ad1ieve Exdusivity, if applicable (HS 1797.224):

Provider is competitively determined.

252

)



Sen Di~o County


Valey Center service crea

Name of Curra1t Provida-(s):

Valey Center Fire Protoction District

Area or sub area (Zone) Ga:>graphic Deuiption:

The area within the geographica limits of the Valey Center Fire Protoction District.

Stata-nent of Exdusivity, Exdusive or Non-Exdusive (HS 1797.6)

Exdusivity grcntoo by controctua aJrESTlent between the County of Sa1 Di~o and the Valey Center Fire Protoction District. Approvoo end authorizoo by the Bocrd of &Jpervisors on 7/01/2001.

Type of Exdusivity, "Emer9a1cy Ambulance," "ALS," or "LALS' (HS 1797.85):

ALS


Provider is competitively determinoo.

253

)

)



&n Diego County

Area or sub area (Zone} Name or Title:

City of Coronooo

Name of Current Provida"(s}:

Coronooo Fire Depa-tment

Area or sub area (Zone} Goographic DEB7iption:

City of Coronooo city limits

Statement of Exdusivity, Exdusive or Non-Exdusive (HS 1797.6}

Exdusivity gra1ted by contractua ~reement between the County of &n Diego and the City of Coronooo Fire Depa-tment. Approved end a.~thorized by the Boa-d of &Jpervirors on 7/01/2001.

Typeof Exdusivity, "Ema"gency Ambulance," "ALS," or "LALS' (HS 1797.85}:

ALS

MEthod to achieve Exdusivity, if applicable (HS 1797.224}:

Provider is competitively determined.

254

MAR - 1 2012 STATE OF CALIFORNIA- HEALTH AND HUMAN SERVICES AGENCY EDMUND G. BROWN JR., Governor

EMERGENCY MEDICAL SERVICES AUTHORITY \. 10901 GOLD CENTER DRIVE, SUITE 400 I RANCHO CORDOVA, CA 95670

)

(916) 322-4336 FAX (916) 324-2875

March 1, 2012

Marcy Metz Chief, Emergency Medical Services San Diego County EMS Agency 6255 Mission Gorge Road San Diego, CA 92120

Dear Ms. Metz:

We have completed our review of San Diego County's 2009 Emergency Medical Services Plan Update, and have found it to be in compliance with the EMS System Standards and Guidelines and the EMS System Planning Guidelines. Following are comments on the EMS plan update:

Trauma System Status Report: The EMS Authority approved San Diego County's last Trauma Plan in October 2008 and requested your Trauma System Status Report be submitted with the 2009 submission of your EMS plan updateJ which was due July 16, 2010. The EMS Authority has not received a Trauma System Status Report since your last submission. Local EMS agencies are required to include a Trauma System Status Report as a separate part of the annual EMS Plan update according to the California Code of Regulations, Title 22 Section 100253. A December 19, 2011, reminder letter was sent to you with no response received to date. Please expedite the submission of this report.

Transportation Plan: The Ramona Municipal Water District obtained exclusivity through a competitive process in 1990. Health and Safety Code Section 1797.224 states that a local EMS plan shall "include provisions for a competitive process held at periodic intervals" when such a process is utilized for selecting providers and determining the scope of their operations. It is the EMS Authority's intent that a competitive process should not exceed a ten year frame. Extending a provider's contract, obtained through a competitive process, beyond ten years could be construed as allowing for a "defacto grandfathered" provider. The original contract date for this zone far exceeds the ten year time frame. The Ambulance Zone Summary form submitted for this zone states a competitive process will be conducted in 2012. Prior to posting, please submit a copy of the Request for Proposal to the EMS Authority for review and approval. Until the completion of the new competitive process, the EMS Authority will recognize the Ramona Municipal Water District Zone as being non-exclusive.

)

Marcy Metz March 1, 2012 Page 2

Based on the documentation you provided please see the attachment on the EMS Authority's determination of the exclusivity of San Diego County's ambulance zones.

Your 2012 annual update will be due on March 1, 2013. Please submit San Diego County EMS Agency's 2012 Trauma System Status Report, as a separate document, with your EMS Plan Update. If you have any questions regarding the plan review, please call Sandy Salaber at (916) 431-3688.

Sincerely,

~~02 ........... ~, Howard Backer, MD, MPH, FACEP Director

HB:ss

/ Attachment

Attachment

EMSA Determination

San Diego County March 1, 2012

Borrego Springs FPD Non-X Com X X X

City of Carlsbad Non-X

Com X X X

City of Chula Vista Non-X Com X X X

City of Coronado Non-X

Com X X X

City of El Cajon Non-X

Com X X X

City of Escondido Non-X

Com X X X

Grossmont Hospital Non-District Zone 1 - X Competitive X X X

Suburban

Grossmont Hospital Non-District Zone 2 - Rural X

Com X X X

X X X

National X X X X

North County FPD Non-X

Com X X X

Ramona Municipal X

Water District

City of Oceanside Non-X X X X

City of Poway Non-X Com

X X X

X Com X X X

X Com X X X

X Com X X X

City of Vista Non-X Com X X X

GSA #17 X Com X X X

CSA#69 X Com X X X

Sarona Indian Sovereign Reservation Nation X X X

Sycuan Indian Sovereign X X X Reservation Nation

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