state of california – health and human services … · 2018-11-01 · state of california –...

STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY EDMUND G. BROWN JR., Governor

EMERGENCY MEDICAL SERVICES AUTHORITY 10901 GOLD CENTER DR., SUITE 400 RANCHO CORDOVA, CA 95670 (916) 322-4336 FAX (916) 322-1441

October 31, 2018 Mr. Steve Carroll, EMS Administrator Ventura County EMS Agency 2220 East Gonzales Road, Suite 200 Oxnard, CA 93036 Dear Mr. Carroll: This letter is in response to Ventura County’s 2017 EMS Plan Update submission to the EMS Authority on October 9, 2018. I. Introduction and Summary: The EMS Authority has concluded its review of Ventura County’s 2017 EMS Plan Update and is approving the plan as submitted. II. History and Background: Ventura County received its last full plan approval for its 2013 plan submission, and its last annual plan update for its 2016 plan submission. Historically, we have received EMS Plan submissions from Ventura County for the following years:

• 1999 • 2007-2009 • 2004 • 2011-2016 • 2005

Health and Safety Code (HSC) § 1797.254 states:

“Local EMS agencies shall annually (emphasis added) submit an emergency medical services plan for the EMS area to the authority, according to EMS Systems, Standards, and Guidelines established by the authority”.

Mr. Steve Carroll, EMS Administrator October 31, 2018 of 3 The EMS Authority is responsible for the review of EMS Plans and for making a determination on the approval or disapproval of the plan, based on compliance with statute and the standards and guidelines established by the EMS Authority consistent with HSC § 1797.105(b). III. Analysis of EMS System Components: Following are comments related to Ventura County’s 2017 EMS Plan Update. Areas that indicate the plan submitted is concordant and consistent with applicable guidelines or regulations, HSC § 1797.254, and the EMS system components identified in HSC § 1797.103, are indicated below:

Not Approved Approved A. ☒ ☐ System Organization and Management

B. ☒ ☐ Staffing/Training

C. ☒ ☐ Communications

D. ☒ ☐ Response/Transportation

1. Ambulance Zones

• Based on the documentation provided, please find enclosed

the EMS Authority’s determination of the exclusivity of Ventura County EMS Agency’s ambulance zones.

E. ☒ ☐ Facilities/Critical Care

F. ☒ ☐ Data Collection/System Evaluation

G. ☒ ☐ Public Information and Education

H. ☒ ☐ Disaster Medical Response

IV. Conclusion: Based on the information identified, Ventura County’s 2017 EMS Plan Update is approved.

Mr. Steve Carroll, EMS Administrator

October 31, 2018 of 3

Pursuant to HSC § 1797.105(b):

"After the applicable guidelines or regulations are established by the

Authority, a local EMS agency may implement a local plan...unless the

Authority determines that the plan does not effectively meet the needs of

the persons served and is not consistent with the coordinating activities in

the geographical area served, or that the plan is not concordant and

consistent with applicable guidelines or regulations, or both the guidelines

and regulations established by the Authority."

V. Next Stegs:

Ventura County's new annual EMS Plan Update will be due on or before

October 31, 2019. If you have any questions regarding the plan review, please contact

Ms. Lisa Galindo, EMS Plans Coordinator, at (916) 431-3688.

Sincerely,

i

om McG nnis, EMT-P

Chief, EMS Systems Division

Enclosure

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P U B L I C HEALTH R~goberto vargas, MPHDirector

A Department of Ventura County Health Care Agency Steven ~. Carroll, EMT-PEMS Administrator

Daniel Shepherd, MD

EMS Medical Director

October 8, 2018 Angelo Salvucci, MD, FACEP

Assistant EMS Medical Director

Lisa Galindo

Emergency Medical Services Authority

10901 Gold Center Drive, Suite 400

Rancho Cordova, CA 9560-6073

Dear Lisa,

am pleased to submit the 2017 Ventura County EMS Pian Update for your review including updated Tables 1 through 11

and an updated 5.10 System Assessment form. Additionally, the Ambulance Zone Summary Forms are being resubmitted,

however, there have been no changes to these documents since the last submission.

Ventura County EMS continues to be committed to seeking opportunities to enhance our pediatric capabilities as addressed

in Standard 5.10 and 5.11, however, continued issues with very low pediatric volume and funding difficulties remain a

significant challenge. We will continue to work with our local hospitals and prehospital providers to identify opportunities

for improved access to pediatric specialty resources.

As requested in your email, there is one hospital in our county that is licensed as a standby emergency department and

therefore is designated as an Alternate Receiving Facility. Ojai Valley Community Hospital in Ojai serves a rural area that is

geographically separated from our larger population areas. The closest basic emergency department is located about 20

miles to the south. This hospital operates with full-time staff including an emergency physician on-site at all times, however,

their facility does not meet the physical requirements to be licensed as a basic emergency department. VCEMS Policy 420,

addresses the designation of a standby emergency department as an ambulance receiving center and a copy of our policy

is provided with this EMS Plan update.

Significant changes in the 2017 reporting period include the development of a Stop the Bleed program which trains county

employees in basic trauma care and implementation of a law enforcement use of naloxone program which trained and

equipped our local police and sheriff personnel. Additionally, Ventura County EMS designated two hospitals as

Thrombectomy Capable Acute Stroke Centers (TCASC), where patients with high risk large vessel occlusions are transported

to specially equipped stroke centers. Lastly, 2017 culminated with the devastating "Thomas Fire" that consumed over

280,000 acres, destroyed more than 1,000 structures and caused 2 deaths. The emergency response phase of the fire

stretched for several weeks and included the destruction of an 80 bed psychiatric hospital and several residential care

facilities, as well as forcing the evacuation of over 90,000 residents, which also included one acute care hospital. The

Thomas Fire tested every aspect of our emergency response, disaster and recovery systems, however our multi-disciplinary,

pre-event planning, training and coordination efforts proved to be instrumental in our ability to navigate this extraordinary

event.

Please feel free to contact me at (805) 981-5305 should you require any additional information or should you have any

questions.

Sincerely,

~,~ G~

Steve Carroll

EMS Administrator

Emergency Medical Services

2220 E. Gonzales Road, Suite 200 •Oxnard, California 93036-0619 •TEL: (805) 981-5301 • www.vchca.org/ph/ems

TABLE 1: MINIMUM STANDARDS/RECOMMENDED GUIDELINES

A. SYSTEM ORGANIZATION AND MANAGEMENT

Does notcurrently meetstandard

Meetsminimumstandard

Meetsrecommendedguidelines

Short-range plan

Long-rangeplan

Agency Administration:

1.01 LEMSA Structure X

1.02 LEMSA Mission X

1.03 Public Input X

1.04 Medical Director X X

Planning Activities:

1.05 System Plan X

1.06 Annual PlanU date

X

1.07 Trauma Planning* X X

1.08 ALS Planning* X

1.09 Inventory ofResources

X

1.10 SpecialPo ulations

X X

1.11 SystemPartici ants

X X

Regulatory Activities:

1.12 Review &Monitorin

X

1.13 Coordination X

1.14 Policy &Procedures Manual

X

1.15 Compliancew/Policies

X

System Finances:

1.16 Funding Mechanism X

Medical Direction:

1.17 Medical Direction* X

1.18 QA/QI X X

1.19 Policies,Procedures,Protocols

X X


A. SYSTEM ORGANIZATION AND MANAGEMENT (continued)

Does notcurrentlymeet

standard



Short-rangeplan

Long-rangeplan

1.20 DNR Policy X

1.21 Determination ofDeath

X

1.22 Reporting of Abuse X

1.23 Interfacility Transfer X

Enhanced Level: Advanced Life Support

1.24 ALS Systems X X

1.25 On-Line MedicalDirection

X X

Enhanced Level: Trauma Care S stem:

1.26 Trauma System Plan X

Enhanced Level: Pediatric Emer enc Medical and Critical Care S stem:

1.27 Pediatric System Plan X

Enhanced Level: Exclusive Operatin Areas:

1.28 EOA Plan X


B. STAFFING/TRAINING




Short-rangeplan

Long-rangeplan

Local EMS Agency:

2.01 Assessment ofNeeds

X

2.02 Approval ofTrainin

X

2.03 Personnel X

Dispatchers:

2.04 DispatchTrainin

X X

first Responders (non-transporting):

2.05 First ResponderTraining

X X

2.06 Response X

2.07 Medical Control X

Transporting Personnel:

2.08 EMT-I Training X X

Hospital:

2.09 CPR Training X

2.10 Advanced LifeSu ort

X

Enhanced Level: Advanced Life Support:

2.11 AccreditationProcess

X

2.12 EarlyDefibrillation

X

2.13 Base HospitalPersonnel

X


C. COMMUNICATIONS




Short-range plan

Long-range plan

Communications Equipment:

3.01 CommunicationPlan*

X X

3.02 Radios X X

3.03 InterfacilityTransfer*

X

3.04 Dispatch Center X

3.05 Hospitals X X

3.06 MCl/Disasters X

Public Access:

3.07 9-1-1 Planning/Coordination

X X

3.08 9-1-1 PublicEducation

X

Resource Management:

3.09 Dispatch Triage X X

3.10 Integrated Dispatch X X


D. RESPONSE/TRANSPORTATION

Does notcurrentlymeet

standard



Short-rangeplan

Long-range plan

Universal Level:

4.01 Service AreaBoundaries*

X X

4.02 Monitoring X X

4.03 Classifying MedicalRequests

~

4.04 PrescheduledRes onses

X

4.05 Response Time* X

4.06 Staffing X

4.07 First ResponderA encies

X

4.08 Medical &RescueAircraft*

X

4.09 Air Dispatch Center X

4.10 AircraftAvailabilit

X

4.11 Specialty Vehicles* X X

4.12 Disaster Response X

4.13 IntercountyRes onse*

X X

4.14 Incident CommandS stem

X

4.15 MCI Plans )(


4.16 ALS Staffing X X

4.17 ALS Equipment X

Enhanced Level: Ambulance Regulation:

4 18 Compliance X

Enhanced Level: Exclusive Operating Permits:

4.19 TransportationPlan

X

4.20 "Grandfathering" X

4.21 Compliance X

4.22 Evaluation X


E. FACILITIES/CRITICAL CARE

Does not Meets Meets Short-range Long-range

currently minimum recommended plan plan

meet standard guidelines

standard

Universal Level:

5.01 Assessment of XCapabilities

5.02 Triage &Transfer XProtocols*

5.03 Transfer XGuidelines*

5.04 Specialty Care XFacilities*

5.05 Mass Casualty X X

Mana ement

5.06 Hospital XEvacuation*


5.07 Base Hospital X

Desi nation*

Enhanced Level: Trauma Care System:

5.08 Trauma System XDesi n

5.09 Public Input X

Enhanced Level: Pediatric Emergency Medical and Critical Care System:

5.10 Pediatric System X X

Desi n

5.11 Emergency X X

Depa~ tme~ts

5.12 Public Input X

Enhanced Level: Other Specialty Care Systems:

5.13 Specialty System X

Desi n

5.14 Public Input X


F. DATA COLLECTION/SYSTEM EVALUATION

Does not Meets Meets Short-range Long-rangecurrently minimum recommended plan planmeet standard guidelines

standard

Universal Level:

6.01 QA/QI Program X X

6.02 Prehospital XRecords

6.03 Prehospital Care X XAudits

6.04 Medical Dispatch X

6.05 Data Management X XS stem*

6.06 System Design XEvaluation

6.07 Provider XPartici ation

6.08 Reporting_

X __


6.09 ALS Audit X X

Enhanced Level: Trauma Care System:

6.10 Trauma System XEvaluation

6.11 Trauma Center X XData


G. PUBLIC INFORMATION AND EDUCATION

Does not Meets Meets Short-range Long-range

currently meet minimum recommended plan plan

standard standard guidelines

Universal Level:

7.01 Public Information X X

Materials

7.02 Injury Control X X

7.03 Disaster X X

Preparedness

7.04 First Aid &CPR X X

Training


H. DISASTER MEDICAL RESPONSE




Short-range plan

Long-rangeplan

Universal Level: —~

8.01 Disaster MedicalPlannin

X

8.02 Response Plans X X

8.03 HazMat Training X

8.04 Incident CommandS stem

X X

8.05 Distribution ofCasualties*

X X

8.06 Needs Assessment X X

8.07 DisasterCommunications*

X

8.08 Inventory ofResources

X X

8.09 DMAT Teams

8.10 Mutual AidA reements*

X

8.11 CCP Designation* X

8.12 Establishment ofCCPs

X

8.13 Disaster MedicalTrainin

X X

8.14 Hospital Plans X X

8.15 I nterhospitalCommunications

X

8.16 Prehospital AgencyPlans

X X


8.17 ALS Policies X

Enhanced Level: Specialty Care Systems:

8.18 Specialty CenterRoles

X

Enhanced Level: Exclusive Operating Areas/Ambulance Regulations:

8.19 WaivingExclusivit

X

Ventura County Public Health Department

EMERGENCY MEDICAL SERVICES EMS PLAN

SECTION II -ASSESSMENT OF SYS'~EM 2016

E. Facilities and Critical Care

Enhanced Level: Pediatric Emergency Medical and Critical Care System

Minimum Standard Recommended Guidelines

5.10 Local EMS agencies that develop pediatric

emergency medical and critical care systems

shall deternune the optimal system, including:

a) the number and role of system

participants, particularly of emergency

departments,

b) the design of catchment areas

(including areas in other counties, as

appropriate), ~ with consideration of

workload and patient mix,

c) identification of patients who should be

primarily triaged or secondarily

transferred to a designated center,

including consideration of patients who

should be triaged to other specially care

centers,d) identification of providers who are

qualified to transport such patients to a

designated facility,

e) identification of tertiary care centers for

pediatric critical care and pediatric

trauma,fl the role of non-pediatric specially care

hospitals including those which are

outside of the primary triage area, and

g) a plan for monitoring and evaluation of

the system.

Does not Meets Meets Short-~~ange Long-range

currently meet X minimum recommended plan plan X

standard standard guidelines

CURRENT STATUS:

Ventura County EMS does not currently meet the minimum standard for this section. The County

of Ventura currently has one certified Emergency Room Approved for Pediatrics (EDAP) and one

Pediatric Intensive Care Unit (PICU) located at Los Robles Hospital and Medical Center in

Thousand Oaks. The PICU at Ventura County Medical Center (VCMC) in Ventura suspended

service in 2015 due to staffing and facility issues, leaving Ventura County with one PICU. VCMC

plans to re-establish PICU service in late 2018, however, no specific timeline is available at this

point. As necessary, local hospitals work with pediatric specialty centers in neighboring counties

Ventura County Public Health Department

EMERGENCY MEDICAL SERVICES EMS PLAN

SECTION II -ASSESSMENT OF SYSTEM 2015

E. Facilities and Critical Care

S.10 (Cont'd.)

to coordinate transfers when a higher level of care is needed. We continue to be interested in

options to increase pediatric care capabilities in Ventura County.

COORDINATION WITH OTHER EMS AGENCIES:

N/A

NEEDS:

Ventura County EMS will continue to work with our local hospitals and prehospital providers to

identify opportunities for improved access to pediatric specialty resources.

OBJECTIVE:

Plan to revisit the pediatric capabilities in FY18-19.

LEMSA: Ventura

FY: 2017-18

Short

Long

Meets

Range

Range

Standard'

EMSA Requirement

;Minimum; (one

(more

Progress

Objective

Req.

year or

~ than one

l ess)

year)

5.1Pediatric System Design

___,~

VCEMS doe

s no

t currentl3~ meet

the minimum standards. VCEMS

will continue to review pediatric

care capabilities in Ventura

County to meet the minimum

guidelines, however, this remains

a long range pla

n due to ot

her

EMS System priorities.

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TABLE 2: SYSTEM ORGANIZATION AND MANAGEMENT

Reporting Year: 2017

NOTE: Number (1) below is to be completed for each county. The balance of Table 2 refers to eachagency.

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 100%.)

County: Ventura

A. Basic Life Support (BLS)B. Limited Advanced Life Support (LALS)C. Advanced Life Support (ALS) 100

2. Type of agencya) Public Health Departmentb) County Health Services Agencyc) Other (non-health) County Departmentd) Joint Powers Agencye) Private Non-Profit Entityf) Other:

3. The person responsible for day-to-day activities of the EMS agency reports toa) Public Health Officerb) Health Services Agency Director/Administratorc) Board of Directorsd) Other: Public Health Director

4. Indicate the non-required functions which are performed by the agency:

Implementation of exclusive operating areas (ambulance franchising) xDesignation of trauma centers/trauma care system planning xDesignation/approval of pediatric facilities xDesignation of other critical care centers xDevelopment of transfer agreementsEnforcement of local ambulance ordinance xEnforcement of ambulance service contracts xOperation of ambulance service

Continuing education x

Personnel training x

Operation of oversight of EMS dispatch center x

Non-medical disaster planning

Administration of critical incident stress debriefing team (CISD) x

TABLE 2: SYSTEM ORGANIZATION AND MANAGEMENT (cont.)

5.

Administration of disaster medical assistance team (DMAT)

Administration of EMS Fund [Senate Bill (SB) 12/612] x

Other:

Other:

Other:

EXPENSES

Salaries and benefits (All but contract personnel) $ 1,457,882

Contract Services (e.g. medical director) 264,936

Operations (e.g. copying, postage, facilities) 183,747

Travel 37.002

Fixed assets 25,446

Indirect expenses (overhead)

Ambulance subsidy 44,069

EMS Fund payments to physicians/hospital 1_,575,713

Dispatch center operations (non-staff)

Training program operations

Other:

Other:

Other:

TOTAL EXPENSES $ 3,588,795

6. SOURCES OF REVENUE

Special project grants) [from EMSA] $

Preventive Health and Health Services (PHHS) Block Grant

Office of Traffic Safety (OTS)

State general fund

County general fund 1,012,903

Other local tax funds (e.g., EMS district)

County contracts (e.g. multi-county agencies) 459,803

Certification fees 76,413

Training program approval fees

Training program tuition/Average daily attendance funds (ADA)

Job Training Partnership ACT (JTPA) funds/other payments

Base hospital application fees


Trauma center application fees

Trauma center designation fees

Pediatric facility approval fees

Pediatric facility designation fees

Other critical care center application fees

Type:

Other critical care center designation fees

Type:

Ambulance service/vehicle fees

Contributions

EMS Fund (SB 12/612)

Other grants:

Other fees: Health Fees

Other (specify):

TOTAL REVENUE

150.000

203,359

1,678,317

~ ~~

$ 3,588,795

TOTAL REVENUE SHOULD EQUAL TOTAL EXPENSES.

IF THEY DON'T, PLEASE EXPLAIN.


7. Fee structure

We do not charge any fees

X Our fee structure is:

First responder certification$ N/A

EMS dispatcher certificationN/A

EMT-I certification 131.00

EMT-I recertification 91.00

EMT-defibrillation certificationN/A

EMT-defibrillation recertificationN/A

AEMT certificationN/A

AEMT recertificationN/A

EMT-P accreditation 75.00

Mobile Intensive Care Nurse/Authorized Registered Nurse certificationN/A

MICN/ARN recertificationN/A

EMT-I training program approval 470.00

AEMT training program approvalN/A

EMT-P training program approval 673.00

MICN/ARN training program approvalN/A

Base hospital applicationN/A

Base hospital designationN/A

Trauma center application15,000.00

Trauma center designation75,000.00

Pediatric facility approval N/A

Pediatric facility designationN/A

Other critical care center application

Type:Other critical care center designation

Type:

Ambulance service licenseN/A

Ambulance vehicle permitsN/A

Other:

Other:

Other:

TABLE 2:

SYSTEM ORGANIZATION AND MANAGEMENT (c

ont.)

CATEGORY

ACTUAL TITLE

FTE

POSITIONS

(EMS ONLY)

TOP SALARY

BY HOURLY

EQUIVALENT

BENEFITS

(%of Salary)

COMMENTS

EMS Admin./Coord./Director

EMS Administrator

1.0

64.26 / hr.

35%

Asst. Admin./Admin.Asst./Admin. Mgr.

Senior Program

Admin.

1.0

51.74 / hr.

37%

Deputy EMS Administrator

ALS Coord./Field Coord./Trng Coordinator

Program Coordinator/Field Liaison

(Non-clinical)

SupE~rvising PHN

1.0

53.44 / hr.

38%

EPO Manager

Trauma Coordinator

Senior Program

Admin.

1.0

51.74 / hr.

39%

Trauma System Manager

Medical Director

EMS Medical Director

0.5

94.41 / hr.

0Independent Contractor

Other MD/Medical Consult/Training Medical

Director

Asst.. EMS Medical

Director

0.1

94.41 / hr.

0Independent Contractor

Disaster Medical Planner

Community Services

Coordinator

1.0

33.51 / hr.

43%

EPO Planning Coordinator

Dispatch Supervisor

Medical Planner

Data Evaluator/Analyst

QA/QI Coordinator

Registered Nurse I

I1.0

45.89 / hr.

36%

Specialty Systems

Coordinator

Public Info. &Education Coordinator

Executive Secretary

Adrnin. Assistant

II1.0

32.70 / hr.

47%

EPO Admin. Asst.

Other Clerical

Administrative

Assistant

1.0

29.67 / hr.

46%

Other Clerical

Community Health

1.0

24.52 / hr.

46%

EMS Certification Specialist

Worker

Other

Program

1.0

46.04 / hr.

40%

EPO Epidemiologist

Administrator I

II

Other

Community Services

1.0

33.51 / hr.

43%

EPO Logistics Coordinator

Coordinator

Other

Program

1.0

39.26 / hr.

40%

EMS Specialist

Administrator

Other

Program

1.0

39.26 / hr.

40%

EMS Specialist and Safety

Administrator I

Officer

Other

Community Services

1.0

33.51 / hr.

43%

Healthcare Coalition

Coordinator

Coordinator

Other Clerical

Administrative

0.25

25.00 / hr.

0Temporary Extra Help

Assistant I —Extra Help

Include an organizational chart of the local EMS agency and a county organization charts) in

dicating how the LEMSA fits within the county/multi-county structure.

Ventura County Emergency Medical Services Agency

Organizational ChartAugust 1, 2017

County of Ventura

Chief Executive Officer

Health Care Agency Director

r--------------------------------

EMSMedical Director

EMSOPEM2A710NS

i~ Senior Program~ Administrator

Deputy EMS

~ Program AdministratorPH Safety Officer

Program AdministratorPIO / CISM Coord.

Community Services

Coordinator -EMS

ManagementAssistant

Public Health Director

EMS Administrator

SP~CIALl`Y CARE~YST~IVI~

Senior Program Administrator

Trauma System Manager

Registered Nurse IISpecialty Systems

Coordinator

AdministrativeAssistant

AdministrativeAsst. II EHZ

'--"- Public Health Officer ' ;

Asst. EMSMedical Director

i

~M~RG~NCYP~t~PAaEC~NESS

Supervising PHNEmergency Prep. Manager

Community ServicesCoordinator - HPP

Community ServicesCoordinator - EPO

AdministrativeAssistant II

Program Administrator IIIEPO/EMS Epidemiologist

TABLE 3: STAFFINGlTRAINING

Reporting Year:

2017

NOTE: Table 3 is

to be reported by agency.

EMT - Is

EMT -Its

EMT - Ps

MICN

Total Certified

1267

084

Number newly certified this year

439

019

Number recertified this year

82g

065

Total number of accredited personnel

on Jul

1 of the re

ortin

ear

2136

0236

145

Number of certification reviews resulti~ :

~t~:

a) f

ormal investigations

13

00

b) probation

6Q

00

c) suspensions

10~

00

d) revocations

1t~

0

e) denials

00

0

f~

denials of renewal

00

0

g) no action taken

10

00

Early defibrillation:

a) Number of EMT

-I (defib) authorized to use AEDs

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

UNKNOWN

UNKNOWN

2.

Do you have an EMR training program

❑yes

X no

TABLE 4: COMMUNICATIONS

Note: Table 4 is to be answered for each county.

County: Ventura


1.

2.

3.

4.

5.

6.

. 7

Number of primary Public Service Answering Points (PSAP) 6

Number of secondary PSAPs 1

Number of dispatch centers directly dispatching ambulances 1

Number of EMS dispatch agencies utilizing EMD guidelines 1

Number of designated dispatch centers for EMS Aircraft 1

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

Ventura County Fire Protection District

Who is your primary dispatch agency for a disaster?

Ventura County Sheriff's Dept. and Ventura County Fire Protection District

Do you have an operational area disaster communication system? X Yes. ❑ No

a. Radio primary frequency 154.055

b. Other methods

c. Can all medical response units communicate on the same disaster X Yes ❑ No

communications system?

d. Do you participate in the Operational Area Satellite Information System X Yes ❑ No

(OASIS)?

e. Do you have a plan to utilize the Radio Amateur Civil Emergency Services X Yes ❑ No

(RACES) as a back-up communication system?

1) Within the operational area? X Yes ❑ No

2) Between operation area and the region and/or state? X Yes ❑ No

TABLE 5: RESPONSE/TRANSPORTATION


Note: Table 5 is to be reported by agency.

Early Defibrillation Providers

Number of EMT-Defibrillation providers 8

SYSTEM STANDARD RESPONSE TIMES (90T" PERCENTILE)

Enter the response times in the appropriate boxes:

METRO/URBAN SUBURBARI/RURAL

__WILDERfVES~ SV~TEMWIDE

BLS and CPR capable first responder Not Defined Not Defined Not Defined Not Defined

Early defibrillation responder Not Defined Not Defined Not Defined Not Defined

Advanced life support responder 7 min, 30 sec Not Defined Not Defined Not Defined

Transport Ambulance 8 min, 0 sec 20 min, 0 sec 30 min, 0 secor ASAP

Not Defined

TABLE 6: FACILITIES/CRITICAL CARE


NOTE: Table 6 is to be reported by agency.

Trauma

Trauma patients:1. Number of patients meeting trauma triage criteria

2. Number of major trauma victims transported directly to a trauma

center by ambulance

3. Number of major trauma patients transferred to a trauma center

4. Number of patients meeting triage criteria who were not treated

at a trauma center

Emergency Departments

Total number of emergency departments

1. Number of referral emergency services

2. Number of standby emergency services

3. Number of basic emergency services

4. Number of comprehensive emergency services

Receiving Hospitals

1. Number of receiving hospitals with written agreements

2. Number of base hospitals with written agreements

3440

457

25

1786

8

0

1

7

0

TABLE 7: DISASTER MEDICAL


County: Ventura

NOTE: Table 7 is to be answered for each county.

SYSTEM RESOURCES

1. Casualty Collections Points (CCP)

a. Where are your CCPs located? Hospital Parking Lots

b. How are they staffed? Hospital personnel, PH nurses, and Medical Reserve Corps

c. Do you have a supply system for supporting them for 72 hours? X Yes D No

2.

3.

4.

CISD

Do you have a CISD provider with 24 hour capability?

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?

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?

OPERATIONS

1. Are you using a Standardized Emergency Management System (BEMs)

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

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?

X Yes ❑ No

X Yes ❑'No

X Yes ❑ No

❑ YesXNo

❑ YesXNo

❑ YesXNo

X Yes ❑ No

X Yes ❑ No

X Yes ❑ No

12

X Yes ❑ No

X Yes ❑ No

TABLE 7: DISASTER MEDICAL (cont.)

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

agreement.

Medical Mutual Aid with all Region 1 and Region 6 counties

5. Do you have formal agreements with hospitals in your operational area

to participate in disaster planning and response? X Yes ❑ No

6. Do you have a formal agreements with community clinics in your

operational areas to participate in disaster planning and response? X Yes ❑ No

7. Are you part of amulti-county EMS system for disaster response? ❑ Yes X No

8. Are you a separate department or agency? O Yes X No

9. If not, to whom do you report? Health Care Agency, Public Health Department

8. 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 ❑ No

Tabl

e 8: Resource Dir

ecto

ry

Resp

onse

!Tra

nspo

rtat

ion/

Prov

ider

s

Note: Table 8 is

to be com

plet

ed for

each pro

vide

r by cou

nty.

Make cop

ies as needed.

Cou

nty:

Vent

ura

Address:

616 Fitch Ave

Moorpark, CA 93021

Provider:

American Med

ical

Response

Response Zone:

2,3,

4,5,

7

Number of Ambulance Veh

icle

s in Fle

et:

30

Phone

Average Number of Ambulances on Duty

Number:

805-517-2000

~ At 12:00 p.m. (noon) on Any Given Day:

18

Written Contract:

X Yes O No

Medical Di

rect

or:

X Yes O No

System

Avai

labl

e 24 Hours:

Level of

Ser

vice

:

X T

ransport

X ALS X 9

-1-1

X Ground

X Yes O No

❑ Non-

Transport

❑BLS

X 7

-Dig

it ❑Air

X C

CT

❑Water

X I F

T

Ow

ners

hip:

If Pu

blic

:If

Publ

ic:

If A

ir:A

ir C

lass

ific

atio

n:

O

Publ

icO

Fi

reO

City

O

C

ount

yO

R

otar

yO

A

uxili

ary

Res

cue

X Pr

ivat

eO

La

wO

Stat

e O

Fi

re D

istri

ctO

Fi

xed

Win

gO

A

ir A

mbu

lanc

eO

Oth

erO

Fede

ral

O

ALS

Res

cue

Expl

ain:

O

BLS

Res

cue

4263

6 To

tal n

umbe

r of

resp

onse

s40

148

Num

ber

of e

mer

genc

y re

spon

ses

2 488

N

umbe

r of

non

-em

erge

ncy

resp

onse

s

Tota

l num

ber o

f re

spon

ses

Num

ber

of e

mer

genc

y re

spon

ses

Num

ber

ofno

n-em

erge

ncy

resp

onse

s

Tra

nsp

ort

ing A

gen

cies

3302

6 To

tal

num

ber

of tr

ansp

orts

3059

2 N

umbe

r of e

mer

genc

y tr

ansp

orts

2434

N

umbe

r of

non

-em

erge

ncy

tran

spor

ts

Air

Am

bula

nce

Ser

vice

s T ota

l nu

mbe

r of t

rans

port

sN

umbe

r of

em

erge

ncy

tran

spor

tsN

umbe

r of

non

-em

erge

ncy

tran

spor

ts

Tabl

e 8: Resource Directory

County:

Vent

ura

Add

ress

: 200 Bernoulli Circle

Oxnard, CA 93030

Phone

Number:

805-

485-

3040

Number of Ambulance Vehicles in

Fle

et:

19

Ave

rage

Number of Ambulances on Duty

At 12

:00 p.

m. (noon) on Any Given Day:

15

Written Contract:

X Yes O No

Medical Director:

X Yes O No

SystemAv

aila

ble 24 Hours:

Level of

Service:

X T

ransport

X ALS X 9

-1-1

X Ground

X Yes O No

❑ Non-

Transport

❑BLS

X 7-

Dig

it ❑Air

X C

CT

❑Water

X IF

T

Ow

ners

hip:

If Pu

blic

:If

Publ

ic:

If A

ir:A

ir C

lass

ific

atio

n:

O

Publ

icO

Fi

reD

City

O

C

ount

yO

R

otar

yO

A

uxili

ary

Res

cue

X Pr

ivat

eO

La

wO

Stat

e O

Fi

re D

istric

tO

Fi

xed

Win

gO

Ai

r Am

bula

nce

O

Oth

erO

Fede

ral

O

ALS

Res

cue

Expl

ain:

O

BLS

Res

cue

2 255

9 To

tal n

umbe

r of r

espo

nses

1556

8 N

umbe

r of e

mer

genc

y re

spon

ses

6991

N

umbe

r of

non

-em

erge

ncy

resp

onse

s

Tota

l num

ber o

f res

pons

esN

umbe

r of e

mer

genc

y re

spon

ses

Num

ber o

f no

n -em

erge

ncy

resp

onse

s

Res

pons

e/T

rans

port

atio

n/Pr

ovid

ers

Note

: Ta

ble

8 is

to b

e co

mpl

eted

for e

ach

prov

ider

by

coun

ty.

Mak

e co

pies

as

need

ed.

Pro

vide

r:

Gol

d C

oast

Am

bula

nce

Res

pons

e Z

one:

6

Tra

nspo

rtin

g A

genc

ies

1878

1 To

tal n

umbe

r of t

rans

port

s12

012

Num

ber o

f em

erge

ncy

tran

spor

ts67

69

Num

ber o

f no

n -em

erge

ncy

tran

spor

ts

Air

Am

bula

nce

Ser

vice

s Tota

l num

ber o

f tra

nspo

rts

Num

ber o

f em

erge

ncy

tran

spor

tsN

umbe

r of

non-

emer

genc

y tr

ansp

orts

Table 8: Resource Directory

County:

Ventura

Response/Transportation/Providers

Note: Table 8 is to be completed for each provider by county. Make copies as needed.

Provider:

Lifeline Medical Transport

Response Zone:

1

Address:

632 E. Thompson Ave.

Ventura, CA 93001

Phone

Number:

805-653-9111

Number of Ambulance Vehicles in Fleet:

8


At 12:00 p.m. (noon) on Any Given Day:

D

Written Contract:

X Yes O No

Medical Director:

X Yes O No

System

Available 24 Hours:

Level of Service:

X T

ransport

X ALS X 9

-1-1

X Ground

X Yes O No

❑ Non-

Transport

❑BLS

X 7-

Dig

it ❑Air

X C

CT

❑Water

X I F

T

Ow

ners

hip:

If Pu

blic

:If

Publ

ic:

If A

ir:A

ir C

lass

ific

atio

n:

O

Publ

icO

Fi

reO

City

O

C

ount

yO

R

otar

yO

A

uxili

ary

Res

cue

X Pr

ivat

eO

La

wO

Stat

e O

Fi

re D

istri

ctO

Fi

xed

Win

gO

A

ir A

mbu

lanc

e

O

Oth

erO

Fede

ral

O

ALS

Res

cue

Expl

ain:

O

BLS

Res

cue

1 237

9 To

tal n

umbe

r of

res

pons

es31

46

Num

ber o

f em

erge

ncy

resp

onse

s92

33

Num

ber

of n

on-e

mer

genc

y re

spon

ses

Tota

l num

ber

of r

espo

nses

Num

ber

of e

mer

genc

y re

spon

ses

Num

ber

of n

on-e

mer

genc

y re

spon

ses

Tra

nspo

rtin

g A

genc

ies

1136

8 To

tal n

umbe

r of t

rans

port

s21

35

Num

ber

of e

mer

genc

y tr

ansp

orts

9233

N

umbe

r of

non

-em

erge

ncy

tran

spor

ts

Air

Am

bula

nce

Ser

vice

s T ota

l num

ber

of t

rans

port

sN

umbe

r of

em

erge

ncy

tran

spor

tsN

umbe

r of

non

-em

erge

ncy

tran

spor

ts


County: Ventura


Note: Table 8 is

to be completed for each provider by county. Make copies as needed.

Provider: Ventura City Fire Dept.

Response Zone:

Address:

1425 Dowell Dr.

Ventura, CA 93003

Phone

Number:

805-339-4300


0



D

Written Contract:

X Yes O No

Medical Director:

X Yes O No

System Available 24 Hours:

Level of Service:

❑Transport

X ALS

X 9

-1-1 X Ground

X Yes O No

X Non-Transport ❑BLS ❑ 7

-Dig

it ❑Air

❑ C

CT

❑Water

❑

I FT

Ow

ners

hip:

If Pu

blic

:If

Publ

ic:

If A

ir:A

ir C

lass

ific

atio

n:

X Pu

blic

X Fi

reX

City

O

C

ount

yO

R

otar

yO

A

uxili

ary

Res

cue

O

Priv

ate

O

Law

O

Stat

e O

Fi

re D

istri

ctO

Fi

xed

Win

gO

A

ir A

mbu

lanc

e

O

Oth

erO

Fe

dera

lO

A

LS R

escu

e

Expl

ain:

O

BLS

Res

cue

THIS

IS N

OT

A T

RA

NSP

OR

T PR

OV

IDER

Tota

l nu

mbe

r of

resp

onse

sN

umbe

r of

em

erge

ncy

resp

onse

sN

umbe

r of

non

-em

erge

ncy

resp

onse

s

Tota

l nu

mbe

r of

res

pons

esN

umbe

r of

em

erge

ncy

resp

onse

sN

umbe

r of

non

-em

erge

ncy

resp

onse

s

Tra

nspo

rtin

g A

genc

ies To

tal

num

ber o

f tra

nspo

rts

Num

ber

of e

mer

genc

y tr

ansp

orts

Num

ber

of n

on-e

mer

genc

y tr

ansp

orts

Air

Am

bula

nce

Ser

vice

s Tota

l nu

mbe

r of

tra

nspo

rts

Num

ber

of e

mer

genc

y tr

ansp

orts

Num

ber

of n

on-e

mer

genc

y tr

ansp

orts


County:

Ventura

Address:

360 W. Second St.

Oxnard, CA 93030

Phone

Number:

805-385-7722

average Number of Ambulances on Duty


G~'

Written Contract:

O Yes X No

Medical Director:

O Yes X No


Level of Service:

LEI Transport

❑ ALS X 9

-1-1

X Ground

X Yes D No

X Non-

Transport

X BLS

❑ 7-Digit ❑Air

❑ C

CT

❑Water

❑ I

FT

Ow

ners

hip:

If Pu

blic

:If

Publ

ic:

If A

ir:A

ir C

lass

ific

atio

n:

X Pu

blic

X Fi

reX

Ci+ty

O

C

ount

yO

R

otar

yD

A

uxili

ary

Res

cue

O

Priv

ate

O

Law

O

Si:a

te

O

Fire

Dis

trict

O

Fixe

d W

ing

O

Air

Am

bula

nce

O

Oth

erO

Fe

dera

lO

A

LS R

escu

e

Expl

ain:

O

BLS

Res

cue

TH

IS IS

NO

T A

TR

AN

SPO

RT

PRO

VID

ERTo

tal n

umbe

r of

resp

onse

sN

umbe

r of e

mer

genc

y re

spon

ses

Num

ber o

f no

n-em

erge

ncy

resp

onse

s

Tota

l nu

mbe

r of

resp

onse

sN

umbe

r of e

mer

genc

y re

spon

ses

Num

ber o

f no

n-em

erge

ncy

resp

onse

s

Res

pon~

e/T

rans

port

atio

n/P

rovi

ders

Not

e: T

able

8 is

to b

e co

mpl

eted

for e

ach

prov

ider

by

coun

ty.

Mak

e co

pies

as

need

ed.

Pro

vide

r:

Oxn

ard

Fire

Dep

t. R

espo

nse

Zon

e:

tdum

ber

of A

mbu

lanc

e V

ehic

les

in F

leet

: 0

~ra

nsp

ort

inq A

gen

cies

Tota

[ num

ber o

f tra

nspo

rts

Num

ber o

f em

erge

ncy

tran

spor

tsN

umbe

r of

non

-em

erge

ncy

tran

spor

ts

i4ir

Am

bula

nce

Ser

vice

s T ota

l num

ber

of tr

ansp

orts

Num

ber

of e

mer

genc

y tr

ansp

orts

Num

ber

of n

on-e

mer

genc

y tr

ansp

orts


County:

Ventura

Address:

214 S. 10"' St.


Note: Table 8 is


Provider: ;3anta Paula Fire Dept.

Response Zone:


0

Santa Paula. CA 93060

Phone

Number:

805-525-4478



C

Written Contract:

O Yes X No

Medical Director:

O Yes X No


Level of Service:

❑Transport

❑ ALS X 9

-1-1

X Ground

X Yes O No

X Non-

Transport

X BLS

❑ 7-Digit ❑Air

❑

CC

T ❑Water

❑

I FT

Ow

ners

hip:

If Pu

blic

:If

Publ

ic:

If A

ir:A

ir C

lass

ific

atio

n:

X Pu

blic

X Fi

reX

City

O

C

ount

yO

R

otar

yO

A

uxili

ary

Res

cue

O

Priv

ate

O

Law

O

Sta

te

D

Fire

Dis

trict

O

Fixe

d W

ing

O

Air

Am

bula

nce

O

Oth

erO

Fe

dera

lD

A

LS R

escu

e

Expl

ain:

O

BLS

Res

cue

THIS

IS N

OT

A T

RA

NSP

OR

T PR

OV

IDER

Tota

l num

ber o

f re

spon

ses

Num

ber o

f em

erge

ncy

resp

onse

sN

umbe

r of

non-

emer

genc

y re

spon

ses

Tota

l num

ber

of r

espo

nses

Num

ber

of e

mer

genc

y re

spon

ses

Num

ber o

f no

n-em

erge

ncy

resp

onse

s

T'ra

nspo

rtin

q A

genc

ies To

tal

num

ber o

f tra

nspo

rts

Num

ber o

f em

erge

ncy

tran

spor

tsN

umbe

r of

non-

emer

genc

y tr

ansp

orts

Air

Am

bula

nce

Ser

vice

s T ota

l n~r

~ber

of t

rans

port

sN

umbe

r of e

mer

genc

y tr

ansp

orts

Num

ber

of n

on-e

mer

genc

y tr

ansp

orts


County:

Ventura

Address:

PO Box 487

Fillmore, CA 93015

Phone

Number:

805-524-Q586



C

Written Contract:

X Yes

❑ Na

Medical Director:

X Yes O No


Level of Service:

I ❑Transport

X A

LS

X 9-

1-1

X G

roun

dX

Yes

O

NQ

X N

on-T

rans

port

❑BLS ❑ 7 -

Dig

it ❑Air

❑ C

CT

❑Water

i ❑

I FT

Ownership:

!f Public:

If Public:

If Air:

Air Classification:

X Public

X Fire

X City

O County

O Rotary

O

Auxiliary Rescue

O

Private

O Law

O State

O

Fire District

O Fixed Wing

O

Air Ambulance

O Other

O Federal

O ALS Rescue

Explain:

O BLS Rescue

THIS IS NOT A TRANSPORT PROVIDER

Total number of responses

Number of emergency responses

Number of non -emergency responses

Total number of responses

Number of emergency responses

Number of non-emergency responses


Note: T

able 8 is


Provider:

Fillmore Fire Dept.

Response Zone:


0

Transporting Agencies T

otal number of transports

Number of emergency transports

Number of non-emergency transports

Air Ambulance Services Total number of transports

Number of emergency transports

Number of non -emergency transports



County:

Ventura

Address:

165 Durley Ave.

Camarillo, CA 93010

Phone

Number:

805-389-9710


0


At 12:00

p.rr~~ ~c~oon) on Any Given Day:

C

Written Contract:

X Yes O No

Medical Director:

X Yes O No

SystemAvailable 24 Hours:

❑Transport

Lev

el o

f S

ervi

ce:

X A

LS

X 9-

1-1

X G

roun

dX

Yes

~

N

oX

Non

-Tra

nspo

rtX

BLS

❑

7-Digit ❑Air

❑ C

CT

❑Water

❑

I FT

Ow

ners

hip:

If Pu

blic

:If

Publ

ic:

If A

ir:A

ir C

lass

ific

atio

n:

X Pu

blic

X

Fire

OCi

ty

O

Cou

nty

O

Rot

ary

O

Aux

iliar

y R

escu

e

O

Priv

ate

O

Law

OS

tate

X

Fi

re D

istri

ctO

Fi

xed

Win

gO

Ai

r Am

bula

nce

O

Oth

erO

Fede

ral

O

ALS

Res

cue

Expl

ain:

O

BLS

Res

cue

T HIS

IS N

OT

A TR

AN

SPO

RT

PRO

VID

ERT o

tal n

umbe

r of

resp

onse

sN

umbe

r of

em

erge

ncy

resp

onse

sN

umbe

r of

non

-em

erge

ncy

resp

onse

s

T ota

l nu

mbe

r of

res

pons

esN

umbe

r of e

mer

genc

y re

spon

ses

Num

ber

of n

on-e

mer

genc

y re

spon

ses

Not

e: T

able

8 is

to b

e co

mpl

eted

for e

ach

prov

ider

by

coun

ty.

Mak

e co

pies

as

need

ed.

Pro

vide

r:

Ven

tura

Cou

nty

Fire

Dep

t. R

espo

nse

Zon

e:

Tra

nsp

ort

ing A

gen

cies

T ota

l nu

mbe

r of t

rans

port

sN

umbe

r of

em

erge

ncy

tran

spor

tsN

umbe

r of

non

-em

erge

ncy

tran

spor

ts

Air

Am

bula

nce

Ser

vice

s T ota

l num

ber o

f tra

nspo

rts

Num

ber

of e

mer

genc

y tr

ansp

orts

Num

ber

of n

on-e

mer

genc

y tr

ansp

orts


County:

Ventura


Note: Table 8 is


Provider:

Ventura County Sheriff's Dept.

Response Zone:

Address:

375A Durley Ave.

Camarillo, CA 93010

Phone

Number:

805-388-4212


4



2

Written Contract:

X Yes O No

Medical Director:

X Yes O No

SystemAvailable 24 Hours:

Level of Service:

X Transport

X ALS X 9

-1-1

❑Ground

X Y

es

O

No

❑ Non-Transport X BLS

❑ 7-Digit X A

ir❑ CCT

❑Water

❑IF

T

Ow

ners

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EMS PLANAMBULANCE ZONE SUMMARY FORM

In order to evaluate the nature of each area or subarea, the following information should be

compiled for each zone individually. Please include a separate form~for each exclusive and/or

nonexclusive ambulance zone.

Local EMS Agency or County Name: Ventura County EMS

Area or subarea (Zone) Name or Title: ASA 2

Name of Current Provider(s): American Medical ResponseServing since 1962

I nclude company names) and length of operation (uninterrupted) in specified area or subarea.

Area or subarea Gone) ~eagraphi~ Description.

Combination of Metropolitan/Urban, Suburban/Rural and Wilderness

areas including the Cities of Fillmore and Santa Paula..

Statement of Exclusivity, Exclusive or non-Exclusive (HS 1797.6):

ExclusiveI nclude intent of local EMS agency and Board action.

~'ype of Exclusivity, "Emergency Ambulance'", "ALS", or "LALS" (HS 1797.85):

Emergency Ambulance for 911 calls onlyInclude type of exclusivity (Emergency Ambulance, ALS, LALS, or combinat

ion) and operational definition of exclusivity (i.e., 911

calls only, all emergencies, all calls requiring emergency ambulance service, etc.).

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

Grandfathered

American Medical Response currently provides service to ASA 2.

Paramedic service was added to the service area in 1992. There have

been numerous ownership changes in the past 15 years due to

ambulance industry consolidations; however no change in scope or

manner of service has occurred.

Previous Owners:Courtesy Ambulance 1962-1991Pruner Health Services 1991-1993Careline 1993-1996Medtrans 1996-1999American Medical Response 1999-present

If grandfathered, pertinent facts concerning changes in scope and manner of service. Description of current provider

including brief statement of uninterrupted service with no changes to scope and manner of service to zone. Include

chronology of all services entering or leaving zone, name or ownership changes, service level changes, zone area

modifications, or other changes to arrangements for service.

If competitively-determined, method of competition, intervals, and selection process. Attach copy/draft of last

com etitive rocess used to select rovider or roviders.



compiled for each zone individually. Please include a separate form for each exclusive and/or






Area or subarea (Zone) Geographic Description:


areas including the City of Simi Valley.



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

Emergency Ambulance for 911 calls onlyInclude type of exclusivity (Emergency Ambulance, ALS, LALS, or combinat

ion) and operational definition of exclusivity (i.e., 911



Grandfathered






Previous Owners:Brady Ambulance 1962-1975Pruner Health Services 1975-1993

Careline 1993-1996Medtrans 1996-1999American Medical Response 1999-present






competitive process used to select provider or providers.

EMS PLAN

AMBULANCE ZONE SUMMARY FORM

In order to evaluate the 'nature of each area or subarea, the following information should be







Area or subarea (Zane) G~ographi~c D~scriptior~:


areas including the Cities of Moorpark and Thousand Oaks.

- - - _ - -~tiatement of Excfuslvlty, Exclusive or non-Exclusly~ (HS 1797.6):



Emergency Ambulance for 911 calls onlyInclude type of exclusivity (Emergency Ambulance, ALS, LALS, or comb

ination) and operational definition of exclusivity (i.e., 911



Grandfathered






Previous Owners:Conejo Ambulance 1962-1975

Pruner Health Services 1975-1993


If grandfathered, peRinent facts concerning changes in scope and manner of service. Description of current provider






EMS PLAN









— __ _-- -

Aw~~ ~~ ~~b~~~e~~(~one) ~eogr~~hl~ De~crlptic~n~


areas including the City of Camarillo.

- - - __

5tater~n~r~t ~# E~cfu~ivity, Exclusive or non-Exclusive (HS 1797.6):



Emergency Ambulance for 911 calls onlyInclude type of exclusivity (Emergency Ambulance, ALS, LALS, or com

bination) and operational definition of exclusivity (i.e., 911



Grandfathered


Paramedic service was added to the service area in 1985. There have been

numerous ownership changes in the past 15 years due to ambulance

industry consolidations; however no change in scope or manner of service

has occurred.

Previous Owners:Camarillo Ambulance 1962-1978









EMS PLAN







Name of Current Provider(s): Gold Coast AmbulanceServing since 1949

Include company names) and length of operation (uninterrupted) in specified area or subarea.



areas including the Cities of Oxnard and Port Hueneme.

Statemer►t of ~xclu~lvlty, Exclusive or non-Exclwsive (HS 1797.6):Exclusive

Include intent of local EMS agency and Board action.

Type ~f Exclusivity, "Emergency Ambulance", "ALS", or "LALS" (HS 1797.85):Emergency Ambulance for 911 calls only

Include type of exclusivity (Emergency Ambulance, ALS, LALS, or combination) and operational definition of exclusivity (i.e., 911


Method to achieve Exclusivity, if applicable (HS 1797.224):Grandfathered

Effective May 2010, Gold Coast Ambulance became a wholly ownedsubsidiary of Emergency Medical Services Corporation. They continue tooperate as Gold Coast Ambulance and have served ASA 6 since 1949.Paramedic service was added to the service area in 1984. Prior to May2010, Ken Cook, owned the company after purchasing it in 1980 fromprevious owner, Bob Brown. Oxnard Ambulance Service changed it's nameto Gold Coast Ambulance in 1991, however no change in scope or mannerof service has occurred.





Ifcompetitively-determined, method of competition, intervals, and selection process. Attach copy/draft of last











Combination of Metropolitan/Urban, Suburban/Rural and Wilderness areas

including the City of Ventura.



Type of Excluslvlty, "Emerg~sncy Ambulance", "ALS", or "LALS" (HS 1797.85):

Emergency Ambulance for 911 calls onlyInclude type of exclusivity (Emergency Ambulance, ALS, LALS, or combination) and o

perational definition of exclusivity (i.e., 911 calls only, all

emergencies, all calls requiring emergency ambulance service, etc.).

IVi~thoci to achieve Ex~luslvfty, if appficabl~ (HS 1797.224):

GrandfatheredAmerican Medical Response currently provides service to ASA 7. Paramedic service w

as added to

the service area in 1986. There have been numerous ownership changes in the past 15 years due to

ambulance industry consolidations; however no change in scope or manner of service has

occurred.

Previous Owners:Courtesy Ambulance 1962-1991



Beginning July 1, 1996, while waiting for the Supreme Court ruling in the County of San Bernardino

v. City of San Bernardino (1997) decision, the Ventura City Fire Dept. began providing transport

services within the incorporated city limits of Area 7. The scope of service provided by Medtrans

did not change during this time, as it continued to provide emergency paramedic ambulance

service to all portions of Area 7. Ventura City immediately ceased transport operations upon the

Supreme Court ruling against the City of San Bernardino on June 30, 1997.





Ifcompetitively-determined, method of competition, intervals, and selection process. Attach copy/draft of last


EMS PLAN







Name of Current Provider(s): Lifeline Medical TransportServing the Ojai Valley since 1935




areas including the City of Ojai.


ExclusiveInclude intent of local EMS agency and Board action.


Emergency Ambulance for 911 calls onlyInclude type of exclusivity (Emergency Ambulance, ALS, LALS, or com

bination) and operational definition of exclusivity (i.e., 911



Grandfathered

Lifeline Medical Transport is a subsidiary of Ojai Ambulance Inc.

and has served ASA 1 since 1935. Paramedic service was added to the

service area in 1986. Current owner, Steve Frank, purchased the company

in 1994 from previous owner, Jerry Clauson. Ojai Ambulance changed it's

name to Lifeline Medical Transport in 2001, however no change in scope

or manner of service has occurred.







TABLE 9: FACILITIES

Cou

nty:

Ve

ntur

a

Note: Complete information for each facility by cou

nty. Make copies as needed.

Fac

ilit

y:

Community Mem

oria

l Hospital

Tele

phon

e Number:

Add

ress

: Loma Vis

ta and Brent

Ven

tura

, CA

93003

805-

652-

5011

Wri

tten

Con

trac

t:Service:

Base Hos

pita

l:Burn Center:

O Yes X No

O

Referral Emergency

O Standby Emergency

O Yes X No

O Yes X No

X Ba

sic Emergency

O Comprehensive Emergency

Pediatric Critical Care Center'

O Yes X No

Trauma Center:

If Trauma Center what lev

el:

EDAPZ

O Yes X No

PICU3

O Yes X No

O Yes X No

D Le

vel

l D Le

vel

llO

Leve

llll

O LeveIIV

STEMI Cen

ter:

Stroke Center:

X Yes O No

X Yes

O No

Mee

ts EMSA Pediatric Cri

tica

l Care Center (PCCC) Standards

2 Meets EMSA Emergency Departments Approved fo

r Pe

diat

rics

(EDAP) Sta

ndar

ds3 Meets Cal

ifor

nia Ch

ildr

en Services (CCS) Pe

diatric Intensive Care Uni

t (PICU) Standards

TABLE 9: FACILITIES

County:

Ventura

Note: Complefe information for each facility by county. Make copies as needed.

Fac

ilit

y:

Los Robles Regional Medical Center

Telephone Number:

Address:

215 W. Janss Road

Thousand Oaks, CA 91360

805-497-2727

Written Contract:

Service:

Base Hospital:

Burn Center:

X Yes O No

O Referral Emergency

O Standby Emergency

X Yes O No

O Yes X No

X Basic Emergency


Pediatric Critical Care Center4

O Yes X No

Trauma Center:

If Trauma Center what level:

EDAPS

X Yes O No

PICUs

D Yes X No

X Yes O No

O Level

l X Level

llO

Level

lll

O LeveIIV

STEMI Center:

Stroke Center:

X Yes O No

X Yes

O No

4 Meets EMSA Pediatric Critical Care Center (PCCC) St

andards

5 Meets EMSA Emergency Departments App

rove

d fo

r Pediatrics (EDAP) Standards

6 Meets California Children Services (CCS) Pe


t (PICU) Standards

TABLE 9: FACILITIES

County:

Ventura

Note: Complefe information for each facility by county. Make copies as needed.

Fac

ilit

y:

Ojai Valley Community Hospital

Telephone Number:

Address:

1406 Maricopa Highway

Ojai, CA 93023

805-646-1401

Written Contract:

Service:

Base Hospital:

Burn Center:

O Yes X No

D

Referral Emergency

X St

andb

y. Emergency

D Yes X No

O Yes X No

O Basic Emergency


Pediatric Critical Care Center'

O Yes X No

Trauma Center:

If Trauma. Center what level:

EDAP$

D Yes X No

PICU9

O Yes X No

O Yes X No

O Level

l O Level

llO

Level

lll

O LeveIIV

STEMI Center:

Stroke Center:

O Yes X No

O Yes

X No

Meets EMSA Pediatric Critical Care Center (PCCC) St

andards

$ Meets EMSA Emergency Departments Approved for Pediatrics (EDAP) St

andards

9 Meets California Chi

ldre

n Services (CCS) Pe


t (PICU) Standards

TABLE 9: FACILITIES

County:

Ventura

Note: Complete information for each facility by county. Make copies as needed.

Facility:

St. John's Pleasant Valley Hospital

Telephone Number:

805-389-5800

Address:

2309 Antonio Ave.

Camarillo, CA 93010

Written Contract:

Service:

Base Hospital:

Burn Center:

O Yes X No

O

Referral Emergency

O Standby Emergency

O Yes X No

D Yes X No

X Basic Emergency



0 O Yes X No

Trauma Center:


EDAP~~

O Yes X No

PICU12

O Yes X No

O Yes X No

O Level

l O Level

ll

O Level

lll

O LeveIIV

STEMI Center:

Stroke Center:

O Yes X No

X Yes

O No

'o Meets EMSA Pediatric Critical Care Center (PCCC) Standards

11 Meets EMSA Emergency Departments Approved for Pediatrics (EDAP) Standards

1z Meets California Children Services (CCS) Pe

diatric Intensive Care Unit (PICU) Standards

TABLE 9: FACILITIES

County:

Ventura

Note: Complete information far each facility by county. Make copies as needed.

Facility:

St. John's Regional Medical Center

Telephone Number:

805-988-2500

Address:

1600 N. Rose Ave

Oxnard, CA 93033

Written Contract:

Service:

Base Hospital:

Burn Center:

O Yes X No

D

Referral Emergency

O Standby Emergency

X Yes D No

O Yes X No

X Basic Emergency



3 O Yes X No

Trauma Center:


EDAP14

O Yes X No

PICU15

O Yes X No

O Yes X No

O Level

l O Level

ll

O Level

lll

O LeveIIV

STEMI Center:

Stroke Center:

X Yes O No

X Yes

O No

13 Meets EMSA Pediatric Critical~Care Center(PCCC) Standards

'a Meets EMSA Emergency Departments Approved for Pediatrics (EDAP) St

andards

's Meets California Children Services (CCS) Pe


TABLE 9: FACILITIES

County:

Ventura


Facility:

Simi Valley Hospital

~ Telephone Number:

Address:

2975 N. Sycamore Dr.

Simi Valley, CA 93065

805-955-6000

Written Contract:

Service:

Base Hospital:

Burn Center:

D Yes X No

D

Referral Emergency

O Standby Emergency

X Yes O No

O Yes X No

X Basic Emergency


Pediatric Critical Care Center's

O Yes X No

Trauma Center:


EDAP"

O Yes X No

PICU~$

O Yes X No

O Yes X No

O Level

l O Level

ll

O Level

lll

O LeveIIV

STEMI Center:

Stroke Center:

X Yes O No

X Yes

O No

's Meets EMSA Pediatric Critical Care Center (PCCC) Standards

"Meets EMSA Emergency Departments Approved for Pediatrics (EDAP) Standards

~a Meets California Children Services (CCS) Pe


TABLE 9: FACILITIES

County:

Ventura


Facility:

Ventura County Medical Center

Telephone Number:

Address:

3291 Loma Vista Road

Ventura, CA 93003

805-652-6000

Written Contract:

Service:

Base Hospital:

Burn Center:

X Yes D No


O Standby Emergency

X Yes O No

O Yes X No

X Basic Emergency



9 D Yes X No

Trauma Center:


EDAP20

O Yes X No

PICU21

O Yes X No

X Yes O No

O Level

I X Level

ll

O Level

lll

O LeveIIV

STEMI Center:

Stroke Center:

O Yes X No

O Yes

X No

19 Meets EMSA Pediatric Crifica/ Care Center (PCCC) Standards

20 Meets EMSA Emergency Departments Approved for Pediatrics (EDAP) Standards



TABLE 9: FACILITIES

County:

Ventura


Facility:

Address

VCMC Santa Paula Hospital

525 N. 10th Street

Santa Paula, CA 93060

Telephone Number:

805-933-8600

Written Contract:

Service:

Base Hospital:

Burn Center:

D Yes X No


O Standby Emergency

O Yes X No

O Yes X No

X Basic Emergency



2 D Yes X No

Trauma Center:


EDAP23

O Yes X No

PICU24

D Yes X No

O Yes X No

O Level

l O Level

ll

O Level

lll

O LeveIIV

STEMI Center:

Stroke Center:

O Yes X No

O Yes

X No

2z Meets EMSA Pediatric Critical Care Center (PCCC) Standards

z3 Meets EMSA Emergency Departments Approved for Pediatrics (EDAP) Standards



TABLE 10: APPROVED TRAINING PROGRAMS

County: Ventura


NOTE: Table 10 is to be completed by county. Make copies to add pages as needed.

Training Institution:

Address:

Conejo Valley Adult School

1025 Old Farm Road

Thousand Oaks, CA 91360

Student

Eligi

bili

ty*:

General Public

Telephone Number:

805-497-2761

**Program Level

EMT

Cost of Program:

Basic:

975.00

Number of students completing training per year:

Refresher:

299.00

Initial training:

40

Refresher:

7

Continuing Education:

0

Expiration Date:

02/28/19

Number of courses:

Initial training:

2

Refresher:

0


0


Address:

Student

Eli

gibi

lity

*:

General

Moorpark College

7075 Campus Rd:

Moorpark, CA 93021

Telephone Number:

805-378-1433

**Program Level

EMT

Cost of Program:

Basic:

1156.00


Refresher:

Initial training:

80

Refresher:

0


0

Expiration Date:

5/31 /20

Number of courses:

Initial training:

Refresher:


0

~upen to general pu

piic

or restricted to certain personne~ on~y.

** Indicate whether EMT

-I, AEMT, EMT-P, MICN, or EMR; if

there is a training program that offers more than one lev

el complete

all information for each level.


County: Ventura




St. John's Regional Medical Center

Address:

1600 N. Rose Ave.

Student

Eligibility*:

Private

Telephone Number:

805-988-2500

.~ 0


Oxnard College

Address:

4000 South Rose Avenue

Student

Eligibility*

General

Oxnard, CA 93033

*'`Program Level

MICN

Cost of Program:

Basic:

300.00 Number of students completing training per year:

Refresher:

Initial training:

Refresher:


Expiration Date:

Number of courses:

Initial training:

Refresher:


Oxnard, CA 93033

Telephone Number:

805-377-2250

**Program Level

EMT

Cost of Program:

Basic:

~250.0o


Refresher:

250.00

Initial training:

87

Refresher:

32


0

Expiration Date:

1/31/20

Number of courses:

Initial training:

3

Refresher:

2


0

~~pen to general pupuc or restnctea to certain personnel only.

** Indicate whether EMT


there is a training program that offers more than one level complete



County: Ventura




Oxnard Fire Department

Address:

360 West Second Street

Oxnard, CA 93033

Student

Eligibility"

Fire Personnel

Telephone Number:

805-385-8361

**Program Level

EMT

Cost of Program:

Basic:

0


Refresher:

0

Initial training:

0

Refresher:

0


0

Expiration Date:

1 /31 /20

Number of courses:

Initial training:

0

Refresher:

0


0


Address:

Simi Institute for Careers and Education

1880 Blackstock Avenue

Telephone Number:

805-579-6200

Simi Valley, CA 93065

Student

**Program Level

EMT

Eligibility*:

General

Cost of Program:

Basic:

1175.00


Refresher:

325.00

Initial t

raining:

67

Refresher:

11


0

Expiration Date:

11/30/19

Number of courses:

Initial training:

4

Refresher:

1


0

"Open to genera p

ublic or restricted to certain personnel only.

**Indicate whether EMT





County: Ventura




Ventura College —Paramedic Program

Address:

4667 Telegraph Road

Ventura, CA 93003

°

Student

**Program Level

Paramedic

Eligibility*:

General

Cost of Program:

Basic:

3741.00


Refresher:

Initial training:

16

Refresher:

0


0

Expiration Date:

4/30/20

Number of courses:

Initial training:

1

Refresher:

0


0

i Training Institution:

~I Address:

Student

Eligibility*

General

Ventura College

4667 Telegraph Road

Ventura, CA 93003

805-654-6400

Telephone Number:

ext 1354

805-654-6400

Telephone Number:

ext 1354

**Program Level

EMT

Cost of Program:

Basic:

986.00


Refresher:

Initial training:

62

Refresher:

0


0

Expiration Date:

11/30/19

Number of courses:

Initial training:

2

Refresher:

0


0

to general public or restricted to certain personnel only.

* Indicate whether EMT





County: Ventura





Telephone Number:

Address:

165 Durl~y Dr.

Camarillo, CA 93010

Student

**Program Level

EMT

Eligibility*:

Fire Personnel

Cost of Program:

Basic:

0


Refresher:

0

Initial training:

0

Refresher:

0


0

Expiration Date:

2/28/19

Number of courses:

Initial training:

0

Refresher:

0


0

805-389-9776

*Open to general public or restricted to certain personnel only.

"* Indicate whether EMT




TABLE 11: DISPATCH AGENCY

County: V

entura

Reporting Year:

2017

NOTE: Make copies to add pages as needed. Complete information for each pro

vide

r by county.

Name:

Add

ress

:

Telephone Number:

Written Contract:

❑ Yes X No

Ownership:

X Public

❑

Private


165 Dur

lev Ave. Camarillo, CA 93010

805-389-9710

Medical Dir

ecto

r:❑ Yes X No

XDay-

to-Day

❑Disaster

If Public:

XFire

❑Law

❑Ot

her

Exp

lain

:

Primary Contact:

Steve McClellen

Number of Personnel Providing Services:

27

EMD Tra

inin

g EMT-D

ALS

BLS

LALS

Othe

r

If Public: ❑

City ❑County ❑State

X F

ire D

istri

ct ❑Federal

state of california – health and human services … · 2018-11-01 · state of california –...

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