contra costa emergency medical services agency · support advanced airway management. •...
TRANSCRIPT
ContraCostaEmergencyMedicalServicesAgency
EMSSystemPlanUpdate2013‐2014
1340 ARNOLD DRIVE, SUTIE 126
MARTINEZ, CA 94553
(925) 646‐4690
FAX (925) 646‐4379
WWW.CCCEMS.ORG
April 1, 2015
1 EXECUTIVE SUMMARY: The following is a summary of the significant changes in the Contra Costa EMS System Plan since the last reporting period: In 2013 Contra Costa EMS initiated a countywide EMS Modernization Study to evaluate and redesign the current EMS System in preparation for the emergency ambulance procurement process for Zone I, II and V in progress. The Study engaged more than 130 stakeholders and laid out the challenges threatening the sustainability of the Contra Costa EMS system and the opportunities for EMS System enhancement. The comprehensive study took engaged over 130 stakeholders and was conducted between December of 2012 and June 3, 2014 . The final report is available at http://cchealth.org/ems/pdf/2014-EMS-System-Modernization-Study.pdf
The purpose of the EMS System Modernization Study was to explore and make recommendations on how best to create a value added, sustainable EMS system focused on the patient. Priorities included: • Retention of a high performance, high reliability and high trust EMS system. • Preservation of quality Fire EMS first medical response. • Exploration of alternative EMS first medical response and ambulance delivery models. • Promote a concept an "intelligent medical transportation system". • Promote a culture of safety for patients and providers. • Integration with hospital and health care systems to improve patient outcome and well-being. • Improve capability in the strategic matching of EMS resources while identifying opportunities to
reduce call processing time. • Improve coordination of resources to reduce cost for patients, communities and the county. • Sustain evidenced based EMS system oversight and coordination
The results of the study were used to initiate and construct an RFP designed to allow the LEMSA Governing Board (County Board of Supervisors) flexibility to respond and adapt with to anticipated and unanticipated challenges in EMS service delivery during the next competitive contract. The RFP process is ongoing and is documented transparently on the EMS Agency website at http://cchealth.org/ems/system-review.php#simpleContained8. The study identified significant gaps in secondary PSAP and Fire EMS Dispatch efficiencies affecting response time and appropriate utilization of EMS System resources. There is an ongoing dialogue to encourage the adoption of consolidated medical dispatch countywide due to this study. The EMS Agency is encouraging the stakeholders responsible for this function to strengthen their quality and performance in this area and to explore consolidation of dispatch in the coming years. This aspect was not able to be included in the RFP however opportunities exist to support the improvement of the quality of emergency medical dispatch over the next five years as EMS resources will likely need to be more strategically deployed to support service levels in local communities. The EMS Agency has also initiated a process to update our county ambulance ordinance which has significant gaps that no longer support the level of oversight and public safety in the area of non-emergency ambulance service. As gaps in safety and compliance with policy and procedures have been identified the EMS agency began a process of engagement to support clear expectations and improve communication between the EMS Agency as the permitting authority and the BLS non-emergency ambulance community. Our efforts documented on our website at http://cchealth.org/ems/ambulance-providers.php.
2 Since the last EMS System Plan was submitted to the EMS Authority Contra Costa EMS has been providing ongoing evaluation of the downgrade and impact of the potential closure of Doctor’s Medical Center. On June 13, 2014 the EMS Agency pursuant ot California Health and Safety Code 1300 completed a comprehensive impact report. That report and documentation of countywide efforts to save the hospital are available on the Contra Costa Health Services website at cchealth.org/dmc. In preparation for the disruption in emergency ambulance destination and service delivery Contra Costa led a regional response planning effort engaging the EMS Agencies of Alameda County, Solano County and Marin County in partnership with the Hospital Council of the Bay Area. Contra Costa County continues to work closely with affected regional stakeholders to address and mitigate the consequences of changes in emergency services on West Contra Costa County. After a four year effort of data review and hospital feedback in 2013 the County EMS Agency initiated a transfer of care (TOC) safety initiative in partnership with all community hospitals in our operational area. The EMS Agency has instituted a comprehensive program of data sharing to create opportunities to support improvement. In 2014 we instituted the following countywide policy to support timely transfer of care and eliminate EMS patient extended times greater than 60 minutes. The initiative, data and improvement processes are described in the public report available at http://cchealth.org/ems/pdf/Hospital-Transfer-of-Care-Performance.pdf Contra Costa EMS continues to be active in the promotion of local, regional, state and national neonatal and pediatric disaster preparedness. In June of 2013, Contra Costa presented at the Institute of Medicine (IOM) Workshop. The workshop summary “Preparedness, Respoonse and Recovery Considerations for Children and Families” includes our presentation and is available at the IOM website at http://www.iom.edu/reports/2013/preparedness-response-and-recovery-considerations-for-children-and-families.aspx. The EMS Agency is home to the California Neonatal, Pediatric and Perinatal Disaster Coalition. Under the leadership of Dr. Joe Barger, EMS Medical Director the following EMS System quality initiatives and improvements were undertaken:
• Pediatric Medication Safety: In response to documented pediatric medication inaccuracies. This resulted in the drop in pediatric error rates.
• Video Laryngoscopy Trials: This is a clinical pilot to determine the efficacy of new technology to support advanced airway management.
• Established a new spinal motion restriction guideline to improve patient safety. • High performance CPR and expanded AED, CPR and law enforcement participation as first
responders in cardiac arrest. • Implemented technology to enable real time 12 lead transmission to hospitals from the field. • Since 2009 Contra Costa EMS has contributed to the science of improving patient outcomes in
cardiac arrest as a participant in the CDC National Cardiac Arrest Registry for Enhanced Survival (CARES) supported by Emory University. The EMS Agency continues to actively partner with stakeholders throughout Contra Costa to improve cardiac arrest survival. Survival rates over the last five years and improved from 28% to 37-38% when bystanders initiated CPR.
• Evaluated STEMI and Stroke System performance measures demonstrating performance that is consistent or better than national benchmarks.
• Exploration of opportunities for health information exchange (HIE) with the County Health Services to trial a continuity of care document (CCD) that could serve as a template to promote meaningful
HIE exchange between health care providers caring for emergency patients.
LE
MSA
:C
ontr
a C
osta
Cou
nty
FY
: 201
3-20
14
Stan
dard
EM
SA R
equi
rem
ent
Mee
ts
Min
imum
R
eq.
Shor
t Ran
ge
(one
yea
r or
le
ss)
Lon
g R
ange
(m
ore
than
on
e ye
ar)
Pro
gres
sO
bjec
tive
1.04
Eac
h lo
cal E
MS
Age
ncy
shal
l app
oint
a m
edic
al d
irec
tor
who
is a
lic
ense
d ph
ysic
ian
who
has
sub
stan
tial e
xper
ienc
e in
the
prac
tice
of
emer
genc
y m
edic
ine.
xx
Prog
ress
to D
ate:
In p
rogr
ess.
Cur
rent
D
irec
tor
cont
inui
ng a
s re
tired
ann
uita
nt u
ntil
repl
acem
ent s
elec
ted
Med
ical
Dir
ecto
r su
cces
sion
tran
sitio
n ex
pect
ed
with
in 1
2 m
onth
s
1.06
Eac
h lo
cal E
MS
Age
ncy
shal
l dev
elop
an
annu
al u
pdat
e to
its
EM
S Sy
stem
Pla
n an
d sh
all s
ubm
it it
to th
e E
MS
Aut
hori
ty. T
he u
pdat
e sh
all i
dent
ify p
rogr
ess
mad
e in
pla
n im
plem
enta
tion
and
chan
ges
to
the
plan
ned
syst
em d
esig
n.x
x
Prog
ress
to D
ate:
Met
. Pri
or 2
012-
13 P
lan
Subm
itted
Jan
uary
201
4 an
d ap
prov
ed b
y E
MSA
effe
ctiv
e A
pril
1, 2
014
EM
S Sy
stem
Pla
n U
pdat
e to
be
com
plet
ed a
s of
A
pril
1, 2
015
1.08
Eac
h lo
cal E
MS
Age
ncy
shal
l pla
n fo
r ev
entu
al p
rovi
sion
of a
dvan
ce
life
supp
ort s
ervi
ces
thro
ugho
ut it
s ju
risd
ictio
n.
xx
Prog
ress
to D
ate:
Sta
ged
impl
emen
tatio
n in
pr
ogre
ss.
EM
S Sy
stem
Stu
dy c
ompl
eted
as
part
of c
ompr
ehen
sive
sta
keho
lder
pro
cess
. R
ecom
men
datio
ns s
ubm
itted
to th
e bo
ard.
In
itial
cha
nges
inco
rpor
ated
into
cur
rent
Zon
e I,
II a
nd V
am
bula
nce
proc
urem
ent p
roce
ss.
EM
S Sy
stem
Stu
dy c
ompl
eted
as
of J
une
2014
to
faci
ltate
com
preh
ensi
ve E
MS
syst
em r
edes
ign
to
impr
ove
patie
nt c
are
outc
omes
and
ass
ure
fisca
l su
stai
nabi
lity
of E
MS
Syst
em o
ver
the
next
10
year
s
1.1
Eac
h lo
cal E
MS
Age
ncy
shal
l ide
ntify
pop
ulat
ion
grou
ps s
erve
d by
the
EM
S s
yste
m w
hich
req
uire
spe
cial
ized
ser
vice
s (e
.g. e
lder
ly,
hand
icap
ped,
chi
ldre
n, n
on-E
nglis
h sp
eake
rs).
xx
Prog
ress
to D
ate:
Inco
rpor
atin
g tr
ials
of
TRA
IN to
ol in
to m
ed/h
ealth
dis
aste
r ex
erci
ses.
Exp
lora
tion
of a
ltern
ativ
e de
liver
y m
odel
s to
m
atch
pat
ient
nee
d to
res
ourc
e ov
er n
ext 2
4 m
onth
s in
neo
nata
l, pe
datr
ic a
nd p
erin
atal
pa
tient
pop
ulat
ions
1.11
Eac
h lo
cal E
MS
Age
ncy
shal
l ide
ntify
the
optim
al r
oles
and
re
spon
sibi
litie
s of
sys
tem
par
ticip
ants
.
xx
Prog
ress
to D
ate:
EM
S Sy
stem
stu
dy
com
plet
ed a
nd v
ette
d by
EM
S Sy
stem
St
akeh
olde
rs. I
mpl
emen
tatio
n to
be
stag
ed
over
nex
t ten
yea
rs.
Com
plet
e co
mpr
ehen
sive
EM
S Sy
stem
M
oder
niza
tion
Stud
y an
d im
plem
ent
reco
mm
enda
tions
sup
port
ed b
y E
MS
Syst
em
stak
ehol
der
and
LEM
SA g
over
ning
boa
rd o
ver
next
10
year
s.
1.13
Eac
h lo
cal E
MS
Age
ncy
shal
l coo
rdin
ate
EM
S sy
stem
ope
ratio
ns.
xx
Prog
ress
to D
ate:
In p
rogr
ess.
Impl
emen
ting
enha
ncem
ent t
o su
ppor
t coo
rdin
atio
n of
EM
S sy
stem
ope
ratio
ns s
uppo
rtin
g H
IE, d
ata
man
agem
ent a
nd c
lose
r sy
stem
col
labo
ratio
n w
ith h
ealth
car
e.
Coo
rdin
atio
n of
EM
S M
oder
niza
tion
reco
mm
enda
tions
as
supp
orte
d by
EM
S Sy
stem
st
akeh
olde
rs a
nd L
EM
SA g
over
ning
boa
rd o
ver
next
10
year
s.
1.14
Eac
h lo
cal E
MS
Age
ncy
shal
l dev
elop
a p
olic
y an
d pr
oced
ures
man
ual
whi
ch in
clud
es a
ll E
MS
agen
cy p
olic
ies
and
proc
edur
es. T
he a
genc
y sh
all e
nsur
e th
at th
e m
anua
l is
avai
labl
e to
all
EM
S sy
stem
pro
vide
rs
(incl
udin
g pu
blic
saf
ety
agen
cies
, am
bula
nce
serv
ices
and
hos
pita
ls)
with
in th
e sy
stem
xx
Prog
ress
to D
ate:
Met
Upd
ated
pol
icie
s an
d pr
otoc
ols
post
ed o
n E
MS
web
site
at
ww
w.c
ccem
s.or
g. R
elia
ble
proc
esse
s to
rev
iew
cl
inic
al a
nd o
pera
tiona
l pol
icy
and
proc
edur
es
with
sta
keho
lder
s in
pla
ce M
ater
ials
Ann
ual u
pdat
e of
clin
ical
and
ope
ratio
nal p
olic
ies
and
proc
edur
es b
ased
on
evid
ence
d-ba
sed
care
to
impr
ove
patie
nt o
utco
me
or E
MS
Syst
em
effe
cien
cies
. Upd
ate
preh
ospi
tal c
are
hand
book
an
nual
ly
1.16
Eac
h lo
cal E
MS
Age
ncy
shal
l hav
e a
fund
ing
mec
hani
sm w
hich
is
suffi
cien
t to
ensu
re it
s co
ntin
ued
oper
atio
n an
d sh
all m
axim
ize
use
of
its E
MS
fund
.x
xPr
ogre
ss to
Dat
e: M
et. E
MS
Mod
erni
zatio
n st
udy
iden
tifie
d nu
mer
ous
chal
leng
es a
nd
oppo
rtun
ities
that
impa
ct fu
ndin
g. S
olut
ions
be
ing
addr
esse
d w
ith E
MS
syst
em
stak
ehol
ders
and
LE
MSA
gov
erni
ng b
oard
.
Rev
iew
of c
osts
and
fees
to s
uppo
rt s
usta
inab
le
EM
S Sy
stem
and
EM
S A
genc
y ov
ersi
ght a
nd
oper
atio
ns.
1.2
Eac
h lo
cal E
MS
Age
ncy
shal
l hav
e a
polic
y re
gard
ing
"Do
Not
R
esus
cita
te (D
NR
" situ
atio
ns in
the
preh
ospi
tal s
ettin
g, in
acc
orda
nce
with
the
EM
S A
utho
rity
's D
NR
gui
delin
es.
xx
Prog
ress
to d
ate:
Met
Act
ive
part
icip
ant
faci
litat
ing
POLS
T w
ithin
cou
nty
Part
icip
atin
g on
the
Stee
ring
Com
mitt
ee fo
r PO
LST
with
EM
S Sy
stem
Sta
keho
lder
s su
ppor
ting
the
conv
ersa
tion
proj
ect o
ver
12-2
4 m
onth
s
1.21
Eac
h Lo
cal E
MS
Age
ncy,
in c
onju
nctio
n w
ith th
e co
unty
cor
oner
(s)
shal
l dev
elop
a p
olic
y re
gard
ing
dete
rmin
atio
n of
dea
th, i
nclu
ding
de
aths
at t
he s
cene
of a
ppar
ent c
rim
es.
xx
Prog
ress
to d
ate:
Par
tially
Met
. Ref
inem
ent o
f cu
rren
t pro
toco
ls in
pro
gres
s A
nnua
l rev
iew
and
upd
ate
polic
ies,
res
ourc
es a
nd
trai
ning
for
unex
pect
ed d
eath
s in
ped
iatr
ics
and
adul
ts.
1.23
The
loca
l EM
S m
edic
al d
irec
tor
shal
l est
ablis
h po
licie
s an
d pr
otoc
ols
for
scop
e of
pra
ctic
e of
pre
hosp
ital m
edic
al p
erso
nnel
dur
ing
inte
rfac
ility
tran
sfer
s.x
xPr
ogre
ss to
dat
e: M
et R
evie
w a
nd u
pdat
e of
tr
iage
and
tran
sfer
pol
icie
s fo
r Tr
aum
a ST
EM
I an
d St
roke
as
need
ed
Ann
ual e
valu
atio
n an
d pr
oces
s im
prov
emen
t su
ppor
ting
rapi
d in
terf
acilt
iy tr
ansf
er in
hig
h-ri
sk
popu
latio
ns e
.g. T
raum
a, S
TEM
I, St
roke
1.27
The
loca
l EM
S A
genc
y sh
all d
evel
op a
ped
iatr
ic e
mer
genc
y m
edic
al
and
criti
cal c
are
care
sys
tem
pla
n ba
sed
on c
omm
unity
nee
ds a
nd
utili
zatio
n of
app
ropr
iate
res
ourc
es w
hich
det
erm
ines
; (a)
the
optim
al
syst
em d
esig
n fo
r am
bula
nce
serv
ice
and
adva
nce
life
supp
ort s
ervi
ces
in th
e E
MS
area
and
(b) t
he p
roce
ss fo
r as
sign
ing
role
s to
sys
tem
pa
rtic
ipan
ts, i
nclu
ding
a p
roce
ss w
hich
allo
ws
all e
ligib
le fa
cilit
ies
to
appl
y.
xx
Prog
ress
to d
ate:
In p
rogr
ess.
New
EM
SC
regu
latio
ns s
till i
n de
velo
pmen
t. Pa
rtic
ipat
ing
on E
MSC
Tec
hnic
ally
Adv
isor
y C
omm
ittee
Pedi
atri
c E
MSC
Sys
tem
Pla
n re
gula
tion
revi
ew
and
upda
te w
ithin
1-5
yea
rs
1.28
The
loca
l EM
S A
genc
y sh
all d
evel
op a
nd s
ubm
it fo
r st
ate
appr
oval
a
plan
bas
ed o
n co
mm
unity
nee
ds a
nd u
tiliz
atio
n of
app
ropr
iate
re
sour
ces
for
gran
ting
of e
xclu
sive
ope
ratin
g ar
eas
whi
ch d
eter
min
es:
(a) t
he o
ptim
al s
yste
m d
esig
n fo
r am
bula
nce
serv
ice
and
ALS
ser
vice
s in
the
EM
S ar
ea a
nd (b
) the
pro
cess
for
assi
gnin
g ro
les
to p
artic
ipan
ts,
incl
udin
g a
com
petit
ive
proc
ess
for
impl
emen
tatio
n of
exc
lusi
ve
o per
atin
g ar
eas.
xx
Prog
ress
to d
ate:
In p
rogr
ess.
EO
A u
tiliz
atio
n,
resp
onse
tim
es, s
taffi
ng, u
rban
/rur
al
desi
gnat
ion,
am
bula
nce
ordi
nanc
e up
date
and
co
mm
unic
atio
ns p
rior
ities
in n
ext R
FP.
Upd
ate
and
mod
ifica
tion
of r
espo
nse
zone
s in
ex
clus
ive
oper
atin
g ar
eas
in p
rogr
ess.
Rev
iew
and
Upd
ate
of c
ount
y am
bula
nce
ordi
nanc
e w
ithin
24
mon
ths.
Initi
ate
RFP
for
ambu
lanc
e se
rvic
es in
201
5 ba
sed
on p
opul
atio
n ne
eds
asse
ssm
ent f
rom
EM
S Sy
stem
Stu
dy
Mod
erni
zatio
n Pr
ojec
t.
2.01
The
loca
l EM
S A
genc
y sh
all s
hall
rout
inel
y as
sess
per
sonn
el a
nd
trai
ning
nee
ds.
xx
Prog
ress
to d
ate:
Par
tially
met
. Stu
dy
valid
ates
nee
d fo
r su
stai
nabl
e E
MS
agen
cy
staf
fing
and
reso
urce
s to
per
form
sta
tuto
ry
func
tions
. EM
S A
genc
y st
affin
g an
d w
orkf
low
s re
desi
gn in
pro
gres
s
EM
S Sy
stem
Stu
dy a
nd M
oder
niza
tion
Proj
ect
revi
ew o
f EM
S st
affin
g ne
eds
and
wor
kflo
ws
to
supp
ort s
tatu
tory
req
uire
men
ts w
ithin
1-2
yea
rs
2.04
Publ
ic s
afet
y an
swer
ing
poin
t (PS
AP)
ope
rato
rs w
ith m
edic
al
resp
onsi
bilit
y sh
all h
ave
e m
erge
ncy
med
ical
ori
enta
tion
and
all
med
ical
dis
patc
h tr
aini
ng in
acc
orda
nce
with
the
EM
S A
utho
rity
's E
mer
genc
y M
edic
al D
ispa
tch
Gui
delin
es.
xx
Prog
ress
to d
ate:
In p
rogr
ess.
EM
S St
udy
valid
ates
nee
d fo
r co
nsol
idat
ed a
nd a
ccre
dite
d di
spat
ch w
ith im
prov
ed tr
aini
ng.
Impr
ovem
ent p
lan
depe
nden
t of E
MS
Syst
em
stak
ehol
der
and
LEM
SA g
over
ning
bod
y su
ppor
t
Exp
and
and
supp
ort d
ispa
tche
r tr
aini
ng fo
r C
ente
r of
Exc
elle
nce
Acc
redi
tatio
n w
ithin
1-3
ye
ars
2.06
Publ
ic s
afet
y ag
enci
es a
nd in
dust
rial
firs
t aid
team
s sh
all b
e en
cour
aged
to r
espo
nd to
med
ical
em
erge
ncie
s an
d sh
all b
e ut
ilize
d in
ac
cord
ance
with
loca
l EM
S A
genc
y po
licie
s.x
x
Prog
ress
to d
ate:
Ong
oing
CC
EM
S ha
s be
en
activ
e in
the
miti
gatio
n fo
r se
vera
l fir
e di
stri
cts
with
ove
r 7
fire
stat
ion
clos
ures
as
of
May
201
3 an
d w
ith o
ngoi
ng th
reat
s to
su
stai
nabl
e fir
e st
atio
n se
rvic
es.
Ann
ually
eva
luat
e an
d m
itiga
te a
s po
ssib
le
syst
em im
pact
s of
fire
sta
tion
clos
ures
as
a re
sult
of r
educ
tions
in E
MS
first
res
pond
er fu
ndin
g an
d m
unic
ipal
fund
ing
and
enco
urag
e la
w
enfo
rcem
ent a
nd c
itize
n pa
rtic
ipat
ion
in fi
rst
resp
onse
.
2.12
The
loca
l EM
S A
genc
y sh
all e
stab
lish
polic
ies
for
loca
l acc
redi
tatio
n of
pu
blic
saf
ety
and
othe
r ba
sic
life
supp
ort p
erso
nnel
in e
arly
de
fibri
llatio
n.x
xPr
ogre
ss to
Dat
e: M
et. O
ngoi
ng p
rogr
am
supp
ort o
f com
mun
ity fi
rst r
espo
nder
s an
d ci
tizen
res
pond
ers
Ann
ual e
xpan
sion
of p
ublic
acc
ess
AE
D a
nd L
aw
AE
D p
rogr
ams
with
inte
grat
ion
into
dis
patc
h
5.06
The
loca
l EM
S A
genc
y sh
all h
ave
a pl
an fo
r ho
spita
l eva
cuat
ion,
in
clud
ing
its im
pact
on
othe
r E
MS
syst
em p
rovi
ders
.x
xPr
ogre
ss to
dat
e: In
pro
gres
s as
par
t of
ongo
ing
med
ical
hea
lth c
oalit
ion
prep
ared
ness
pr
ogra
m
Upd
ate
of m
edic
al s
urge
and
tran
spor
tatio
n pl
an
for
hosp
itals
with
in 2
yea
rs.
5.08
Loca
l EM
S A
genc
ies
that
dev
elop
trau
ma
care
sys
tem
s sh
all d
eter
min
e th
e op
timal
sys
tem
(bas
ed n
com
mun
ity e
ed a
nd a
vaila
ble
reso
urce
s)
incl
udin
g, b
ut n
ot li
mite
d to
:
(a)
the
num
ber
and
leve
l of
trau
ma
cent
ers
(incl
udin
g th
e us
e of
trau
ma
cent
ers
in o
ther
cou
ntie
s);
(b)
the
desi
gn o
f cat
chm
ent a
reas
(inc
ludi
ng a
reas
in o
ther
cou
ntie
, as
appr
opri
ate)
, with
con
side
ratio
n of
wor
kloa
d an
d pa
tient
mix
; (c)
id
entif
icat
ion
of p
atie
nts
who
sho
uld
be tr
iage
d or
tran
sfer
red
to a
de
sign
ated
cen
ter,
incl
udin
g co
nsid
erat
ion
of p
atie
nts
who
sho
uld
be
tria
ged
to o
ther
spe
cial
ty c
ente
rs; (
d) t
he r
ole
of n
on-t
raum
a ce
nter
ho
spita
ls, i
nclu
ding
thos
e th
at a
re o
utsi
de o
f the
pri
mar
y tr
iage
are
a of
th
e tr
aum
a ce
nter
and
; (e)
a p
lan
for
mon
itori
ng a
nd e
valu
atio
n of
the
syst
em
xx
Prog
ress
to D
ate:
Met
upd
ated
trau
ma
plan
as
part
of A
nnua
l Tra
uma
Plan
Upd
ate
and
subm
itted
to E
MSA
Jan
uary
201
5.
Ann
ual U
pdat
e of
trau
ma
plan
5.1
Loca
l EM
S A
genc
ies
that
dev
elop
ped
iatr
ic e
mer
genc
y m
edic
al a
nd
criti
cal c
are
syst
ems
shal
l det
erm
ine
the
optim
al s
yste
m, i
nclu
ding
: (a)
th
e nu
mbe
r an
d ro
le o
f sys
tem
par
ticip
ants
, par
ticul
arly
of e
mer
genc
y de
part
men
ts; (
b) t
he d
esig
n of
cat
chm
ent a
reas
(in
clud
ing
area
s in
ot
her
coun
ties,
as
appr
opri
ate)
with
con
side
ratio
n of
wor
kloa
d an
d pa
tient
mix
; (c)
ide
ntifi
catio
n of
pat
ient
s w
ho s
houl
d be
pri
mar
ily
tria
ged
or s
econ
dari
ly tr
ansf
erre
d to
a d
esig
nate
d ce
nter
, inc
ludi
ng
cons
ider
atio
n of
pat
ient
s w
ho s
houl
d be
tria
ged
to o
ther
spe
cial
ty c
are
cent
ers;
(d)
ide
ntifi
catio
n of
pro
vide
rs w
ho a
re q
ualif
ied
to tr
ansp
ort
such
pat
ient
s to
a d
esig
nate
d fa
cilit
y; (e
) id
entif
icat
ion
of te
rtia
ry c
are
cent
ers
for
pedi
atri
c cr
itica
l car
e an
d pe
diat
ric
trau
ma;
(
f) th
e ro
le
of n
on-p
edia
tric
spe
cial
ty c
are
care
hos
pita
ls in
clud
ing
thos
e w
hich
are
ou
tsid
e of
the
prim
ary
tria
ge a
rea
and;
(g) a
pla
n fo
r m
onito
ring
and
ev
alua
tion
of th
e s y
stem
.
xx
Prog
ress
to d
ate:
Met
. Act
ive
part
icip
ant i
n lo
cal,
regi
onal
and
sta
te e
ffort
s to
impr
ove
pedi
atri
c em
erge
ncy
care
for
child
ren
with
m
ajor
focu
s on
impr
ovin
g ne
onat
al, p
edia
tric
an
d pe
rina
tal m
edic
al s
urge
cap
abili
ty.
Con
tinue
d ne
twor
king
with
ped
iatr
ic e
mer
genc
y ca
re a
dvoc
ates
thro
ugho
ut th
e lo
cal,
regi
onal
and
st
ate
EM
S sy
stem
s su
ppor
ting
pedi
atri
c em
erge
ncy
care
bes
t pra
ctic
es.
5.13
Loca
l EM
S A
genc
ies
deve
lopi
ng s
pedi
alty
car
e pl
ans
for
EM
S-ta
rget
ed
clin
ical
con
ditio
ns s
hall
dete
rmin
e th
e op
timal
sys
tem
for
the
spec
ific
cond
ition
invo
lved
incl
udin
g:
(a
) th
e nu
mbe
r an
d ro
le o
f sys
tem
pa
rtic
ipan
ts; (
b) t
he d
esig
n of
cat
chm
ent a
reas
(inc
ludi
ng in
ter-
coun
ty
tran
spor
t, as
app
ropr
iate
) with
con
side
ratio
n of
wor
kloa
d an
d pa
tient
m
ix;
(c)
iden
tific
atio
n of
pat
ient
s w
ho s
houl
d be
tria
ged
or tr
ansf
erre
d to
a d
esig
nate
d ce
nter
; (d
) the
rol
e of
the
non-
desi
gnat
ed h
ospi
tals
in
clud
ing
thos
e w
hich
are
out
side
of t
he o
f the
pri
mar
y tr
iage
are
a;
and
(e)
a pl
an fo
r m
onito
ring
and
eva
luat
ion
of th
e sy
stem
.
xx
Prog
ress
to d
ate:
Met
. Ong
oing
rel
iabl
e pr
oces
ses
to m
onito
r an
d re
port
on
syst
ems
of
care
inco
rpor
atin
g m
echa
nism
s fo
r qu
ality
im
prov
emen
t.
Ann
ually
sus
tain
ove
rsig
ht o
f mat
ure
prog
ram
s fo
r St
roke
, STE
MI,
Car
diac
Arr
est,
Trau
ma,
EM
S fo
r C
hild
ren
Syst
em P
rogr
am E
valu
atio
n
5.14
In p
lann
ing
othe
r sp
ecia
lty c
are
syst
ems,
the
loca
l EM
S A
genc
y sh
all
ensu
re in
put f
rom
pre
hosp
ital,
hosp
ital p
rovi
ders
and
con
sum
ers.
xx
Prog
ress
to d
ate:
Met
. Ong
oing
pro
cess
es in
pl
ace
for
EM
S st
akeh
olde
r an
d pu
blic
pa
rtic
ipat
ion
in S
yste
m R
evie
w a
nd
Mod
erni
zatio
n St
udy,
Am
bula
nce
Ord
inan
ce
and
Am
bula
nce
RFP
EM
S Sy
stem
Rev
iew
and
Mod
erni
zatio
n St
udy,
A
mbu
lanc
e O
rdin
ance
and
Am
bula
nce
RFP
6.01
The
loca
l EM
S A
genc
y sh
all e
stab
lish
an E
MS
qual
ity
assu
ranc
e/qu
ality
im
prov
emen
t (Q
A/O
I) p
rogr
am to
eva
luat
e th
e re
spon
se to
em
erge
ncy
med
ical
inci
dent
s an
d th
e ca
re p
rovi
ded
to
spec
ific
patie
nts.
The
pro
gram
s sh
all a
ddre
ss th
e to
tal E
MS
syst
em,
incl
udin
g al
l pre
hosp
ital p
rovi
der
agen
cies
, bas
e ho
spita
ls a
nd
rece
ivin
g ho
spita
ls. I
t sha
ll ad
dres
s co
mpl
ianc
e w
ith p
olic
ies,
pr
oced
ures
, pro
toco
ls, i
dent
ifica
tion
of p
reve
ntab
le m
orbi
dity
and
m
orta
lity
and
sha
ll ut
ilize
sta
te s
tand
ards
and
gui
delin
es. T
he
prog
ram
sha
ll us
e pr
ovid
er b
ased
QA
/QI p
rogr
ams
and
shal
l co
ordi
nate
them
with
oth
er p
rovi
ders
xx
Prog
ress
to d
ate:
Par
tially
met
with
ong
oing
ex
tens
ive
stak
ehol
der
part
icip
atio
n to
add
ress
re
com
men
datio
ns o
f EM
S Sy
stem
m
oder
niza
tion
repo
rt a
nd to
par
ticip
ate
in
proc
ess
will
con
tinue
.
Eva
luat
e E
MS-
Hos
pita
l dat
a sy
stem
inte
grat
ion
supp
ortin
g pa
tient
saf
ety
and
preh
ospi
tal c
are
to
supp
ort s
yste
m r
edes
ign
over
the
next
10
year
s
7.01
The
loca
l EM
S A
genc
y sh
all p
rom
ote
the
deve
lopm
ent a
nd
diss
emin
atio
n of
info
rmat
ion
mat
eria
ls fo
r th
e pu
blic
whi
ch a
ddre
sses
:
(a)
unde
rsta
ndin
g of
EM
S sy
stem
des
ign
and
oppe
ratio
ns;
(b)
prop
er
acce
ss to
the
syst
em;
(c)
self-
help
(e.g
., C
PR, F
irst
Aid
, etc
.); (d
) pa
tient
and
con
sum
er r
ight
s as
they
rel
ate
to th
e E
MS
syst
em;
(e)
heal
th a
nd s
afet
y ha
bits
as
they
rel
ate
to th
e pr
even
tion
and
redu
ctio
n of
hea
lth r
isks
in ta
rget
are
as;
(f) a
ppro
pria
te u
tiliz
atio
n of
em
erge
ncy
depa
rtm
ents
.
xx
Prog
ress
to d
ate:
par
tially
met
with
cha
lleng
es
to s
uppo
rt s
usta
inab
le c
omm
unity
effo
rts.
St
akeh
olde
rs, L
EM
SA a
nd g
over
ning
boa
rd
cont
inui
ng to
sup
port
effo
rts.
Con
tinue
d an
nual
exp
ansi
on o
f Hea
rtSa
fe
Com
mun
ities
to in
clud
e su
ppor
t for
CPR
, PA
D,
Hea
rt A
ttac
k, S
trok
e an
d H
ealth
y Li
fest
yle
over
th
e ne
xt 5
-10
year
s.
7.03
The
loca
l EM
S A
genc
y, in
con
junc
tion
with
the
loca
l OE
S, s
hall
prom
ote
citiz
en d
isas
ter
prep
ared
ness
act
iviti
es.
xx
Prog
ress
to d
ate:
par
tially
met
and
req
uire
s on
goin
g ef
fort
s to
sus
tain
C
ontin
ued
annu
al a
dvoc
acy
and
impl
emen
tatio
n of
reg
iona
l ped
iatr
ic m
edic
al s
urge
pla
nnin
g
8.13
The
loca
l EM
S A
genc
y sh
all r
evie
w th
e di
sast
er m
edic
al tr
aini
ng o
f E
MS
resp
onde
rs in
its
serv
ice
area
, inc
ludi
ng th
e pr
oper
man
agem
ent
of c
asua
lties
exp
osed
to a
nd/o
r co
ntam
inat
ed b
y to
xic
or r
adio
activ
e su
bsta
nces
.x
xPr
ogre
ss to
dat
e: M
et w
ith o
ngoi
ng e
ffort
s re
quir
ed to
sus
tain
cap
abili
ty.
Ann
ually
sus
tain
dev
elop
men
t and
rec
ruitm
ent o
f C
ontr
a C
osta
Med
ical
Res
erve
Cor
p vo
lunt
eers
. E
ffect
ivel
y de
ploy
MR
C fo
r m
edic
al h
ealth
re
spon
se a
s ne
eded
8.15
The
loca
l EM
S A
genc
y sh
all e
nsur
e th
at th
ere
is a
n em
erge
ncy
syst
em
for
inte
rhos
pita
l com
mun
icat
ions
, inc
ludi
ng o
pera
tiona
l pro
cedu
res.
xx
Prog
ress
to d
ate:
Met
with
ong
oing
effo
rts
to
enha
nce
Red
dine
t and
hos
pita
l co
mm
unic
atio
n pl
atfo
rms
Add
ress
ong
oing
gap
s an
d im
prov
emen
t op
port
uniti
es fo
r R
eddi
Net
pla
tfor
m to
sup
port
re
liabl
e us
e by
hos
pita
ls. R
epla
ce o
ld M
ED
AR
S ra
dios
whe
n su
nset
s an
d im
plem
ent
new
E
BR
EC
S ho
spita
l rad
io s
yste
m a
s of
201
4
8.19
Loca
l EM
S ag
enci
es w
hich
gra
nt e
xclu
sive
ope
ratin
g pe
rmits
sha
ll en
sure
that
a p
roce
ss e
xist
s to
wai
ve th
e ex
clus
ivity
in th
e ev
ent o
f a
sign
ifica
nt m
edic
al in
cide
nt.
xx
Prog
ress
to d
ate:
Not
met
reg
ulat
ions
not
co
mpl
eted
. Act
ivel
y pa
rtic
ipat
ing
in r
egul
atio
n de
velo
pmen
t pro
cess
.
Eva
luat
e pe
ndin
g ne
w r
egul
atio
ns fo
r sp
ecia
lty
care
sys
tem
s e.
g. S
TEM
I, St
roke
, EM
S fo
r C
hild
ren.
3 A. SYSTEM ORGANIZATION AND MANAGEMENT
Does not currently meet
standard
Meets minimum standard
Meets recommended
guidelines
Short-range plan
Long-range plan
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 Plan Update
X
1.07 Trauma Planning X X
1.08 ALS Planning X
1.09 Inventory of Resources
X
1.10 Special Populations
X X
1.11 System Participants
X X
Regulatory Activities:
1.12 Review & Monitoring
X
1.13 Coordination X
1.14 Policy & Procedures Manual
X
1.15 Compliance w/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
4 SYSTEM ORGANIZATION AND MANAGEMENT (continued)
Does not currently
meet standard
Meets minimum standard
Meets recommended
guidelines
Short-range plan
Long-range plan
1.20 DNR Policy X
1.21 Determination of Death
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 Medical Direction
X X
Enhanced Level: Trauma Care System:
1.26 Trauma System Plan X
Enhanced Level: Pediatric Emergency Medical and Critical Care System:
1.27 Pediatric System Plan X
Enhanced Level: Exclusive Operating Areas:
1.28 EOA Plan X
5
B. STAFFING/TRAINING
Does not currently
meet standard
Meets minimum standard
Meets recommended
guidelines
Short-range plan
Long-range plan
Local EMS Agency:
2.01 Assessment of Needs
X
2.02 Approval of Training
X
2.03 Personnel X
Dispatchers:
2.04 Dispatch Training
X X
First Responders (non-transporting):
2.05 First Responder Training
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 Life Support
X X
Enhanced Level: Advanced Life Support:
2.11 Accreditation Process
X
2.12 Early Defibrillation
X
2.13 Base Hospital Personnel
X
6
C. COMMUNICATIONS
Does not currently meet
standard
Meets minimum standard
Meets recommended
guidelines
Short-range plan
Long-range plan
Communications Equipment:
3.01 Communication Plan
X X
3.02 Radios X X
3.03 Interfacility Transfer
X
3.04 Dispatch Center X
3.05 Hospitals X X
3.06 MCI/Disasters X
Public Access:
3.07 9-1-1 Planning/ Coordination
X X
3.08 9-1-1 Public Education
X
Resource Management:
3.09 Dispatch Triage X X
3.10 Integrated Dispatch X X
7
D. RESPONSE/TRANSPORTATION
Does not currently
meet standard
Meets minimum standard
Meets recommended
guidelines
Short-range plan
Long-range plan
Universal Level: 4.01 Service Area Boundaries X X
4.02 Monitoring X X
4.03 Classifying Medical Requests
X
4.04 Prescheduled Responses X
4.05 Response Time X X
4.06 Staffing X
4.07 First Responder Agencies
X
4.08 Medical & Rescue Aircraft
X
4.09 Air Dispatch Center X
4.10 Aircraft Availability X
4.11 Specialty Vehicles X X
4.12 Disaster Response X
4.13 Intercounty Response X X
4.14 Incident Command System
X
4.15 MCI Plans X
Enhanced Level: Advanced Life Support:
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 Transportation Plan
X
4.20 “Grandfathering” X
4.21 Compliance X
4.22 Evaluation X
8
E. FACILITIES/CRITICAL CARE
Does not currently
meet standard
Meets minimum standard
Meets recommended
guidelines
Short-range plan
Long-range plan
Universal Level: 5.01 Assessment of Capabilities
X X
5.02 Triage & Transfer Protocols
X
5.03 Transfer Guidelines
X
5.04 Specialty Care Facilities
X
5.05 Mass Casualty Management
X X
5.06 Hospital Evacuation
X
Enhanced Level: Advanced Life Support:
5.07 Base Hospital Designation
X
Enhanced Level: Trauma Care System:
5.08 Trauma System Design
X
5.09 Public Input X
Enhanced Level: Pediatric Emergency Medical and Critical Care System:
5.10 Pediatric System Design
X
5.11 Emergency Departments
X X
5.12 Public Input X
Enhanced Level: Other Specialty Care Systems:
5.13 Specialty System Design
X
5.14 Public Input X
9
F. DATA COLLECTION/SYSTEM EVALUATION
Does not currently
meet standard
Meets minimum standard
Meets recommended
guidelines
Short-range plan
Long-range plan
Universal Level: 6.01 QA/QI Program X X
6.02 Prehospital Records
X
6.03 Prehospital Care Audits
X X
6.04 Medical Dispatch X
6.05 Data Management System
X X
6.06 System Design Evaluation
X
6.07 Provider Participation
X
6.08 Reporting X
Enhanced Level: Advanced Life Support:
6.09 ALS Audit X X
Enhanced Level: Trauma Care System:
6.10 Trauma System Evaluation
X
6.11 Trauma Center Data
X X
10
G. PUBLIC INFORMATION AND EDUCATION
Does not currently
meet standard
Meets minimum standard
Meets recommended
guidelines
Short-range plan
Long-range plan
Universal Level: 7.01 Public Information Materials
X X
7.02 Injury Control X X
7.03 Disaster Preparedness
X X
7.04 First Aid & CPR
Training
X X
11
H. DISASTER MEDICAL RESPONSE
Does not currently meet
standard
Meets minimum standard
Meets recommended
guidelines
Short-range plan
Long-range plan
Universal Level: 8.01 Disaster Medical Planning
X
8.02 Response Plans X X
8.03 HazMat Training X
8.04 Incident Command System
X X
8.05 Distribution of Casualties
X X
8.06 Needs Assessment X X
8.07 Disaster Communications
X
8.08 Inventory of Resources
X X
8.09 DMAT Teams X X
8.10 Mutual Aid Agreements
X
8.11 CCP Designation X
8.12 Establishment of CCPs
X
8.13 Disaster Medical Training
X X
8.14 Hospital Plans X X
8.15 Interhospital Communications
X X
8.16 Prehospital Agency Plans
X
Enhanced Level: Advanced Life Support:
8.17 ALS Policies X
Enhanced Level: Specialty Care Systems:
8.18 Specialty Center Roles
X
Enhanced Level: Exclusive Operating Areas/Ambulance Regulations:
8.19 Waiving Exclusivity
X
12
TABLE 2: SYSTEM RESOURCES AND OPERATIONS
System Organization and Management Reporting Year: _______2013_________ . 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: _Contra Costa County_
A. Basic Life Support (BLS) _____0____% B. Limited Advanced Life Support (LALS) _____0____% C. Advanced Life Support (ALS) ____100___%
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 the 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 which are performed by the agency:
Implementation of exclusive operating areas (ambulance franchising) ____X ___ Designation of trauma centers/trauma care system planning ____X____ Designation/approval of pediatric facilities ____X____ Designation of STEMI centers ____X____ Designation of Stroke centers ____X____ Designation of other critical care centers ____X____ Development of transfer agreements ____X____ Enforcement of local ambulance ordinance ____X____ Enforcement of ambulance service contracts ____X____ Operation of ambulance service ___N/A___
13
Table 2 - System Organization & Management (cont.)
Continuing education ___ X____
Personnel training ____N/A___
Operation of oversight of EMS dispatch center
Non-medical disaster planning ____X_____
Administration of critical incident stress debriefing team (CISD) ____N/A___
Administration of disaster medical assistance team (DMAT) ____N/A__
Administration of EMS Fund [Senate Bill (SB) 12/612] _____X___
Other: Tracking and monitoring hospital emergency and critical care capacity _____X____
Other: Procuring and monitoring emergency ambulance services countywide ____ X____
Other: Implementing EMS program enhancements funded under County
Service Area EM-1 _____X____
Other: Planning for/coordinating disaster medical response at local/regional levels _____X____
14
Table 2 - System Organization & Management (cont.)
5. EXPENSES FY 12/13 Salaries and benefits $1,277,900 Contract services $412,440 Operations (e.g. copying, postage, facilities) $565,998 Travel $11,418 Fixed assets $0 Indirect expenses (overhead) $535,422 Ambulance subsidy $0 EMS Fund payments to physicians/hospital $1,852,981 Dispatch center operations (non-staff) $250,000 Training program operations $0 Other: 1st Responder Enhancements $2,331,133 Other: HazMat $150,000
TOTAL EXPENSES $7,387,292
6. SOURCES OF REVENUE FY 12/13 Special project grant(s) [from EMSA] $0 Preventive Health and Health Services (PHHS) Block Grant $0 Office of Traffic Safety (OTS) $0 State general fund (RDMHS) $0 County general fund $0 Other local tax funds (e.g., EMS district) $4,716,387 County contracts (e.g., multi-county agencies) $0 Certification fees $35,467 Training program approval fees $0 Training program tuition/Average daily attendance funds (ADA) $0 Job Training Partnership ACT (JTPA) funds/other payments $0 Base hospital application fees $0 Base hospital designation fees $0 Trauma center application fees $0 Trauma center designation fees $250,000 Pediatric facility approval fees $0 Pediatric facility designation fees $0 Other critical care center designation fees (STEMI) $85,000 Ambulance service/vehicle fees/CCTP revenue $39,217 Contributions $0 EMS Fund (SB 12/612) $2,043,619 Other grants: UASI, HIE, NACCHO, SHGP,DHS $101,810 Other grants: Hospital Preparedness Program $115,310 TOTAL REVENUE $7,386,810 Surplus (deficit) -$482
15
Table 2 - System Organization & Management (cont.) 7. Fee structure: Our fee structure is: First responder certification $0
EMS dispatcher certification $0
EMT-I certification (This includes the $60 EMSA fee) $135
EMT-I recertification (This includes the $60 EMSA fee) $97
EMT-defibrillation certification $0
EMT-defibrillation recertification $0
AEMT certification N/A
AEMT recertification N/A
EMT-P accreditation $60
Mobile Intensive Care Nurse/
Authorized Registered Nurse (MICN/ARN) certification $60
MICN/ARN recertification $60
EMT-I training program approval $3,000
AEMT training program approval N/A
EMT-P training program approval $12,000
MICN/ARN training program approval N/A
Base hospital application $0
Base hospital designation $0
Trauma center application $0
Trauma center designation $250,000
Pediatric facility approval $0
Pediatric facility designation $0 Other critical care center application
Type: STROKE CENTER DESIGNATION (Annually) $5,000
(No Application Fee) Type: STEMI CENTER DESIGNATION (Annually) $5,000
(No Application Fee)
Ambulance service license N/A
Ambulance vehicle permits (Emergency) (Per ERA) $7,500
Other: Ambulance Vehicle Permit (Non-Emergency) $7,500
Other: EMS Aircraft Classification $250
Other: EMS Aircraft Authorization5 (Biennal) $15,000 5 50% Fee reduction as performance incentive per written agreement.
16
Tabl
e 2
- Sys
tem
Org
aniz
atio
n &
Man
agem
ent (
cont
.)
C
ATE
GO
RY
A
CTU
AL
TITL
E FT
E PO
SITI
ON
S (E
MS
ON
LY)
TOP
SALA
RY
BY
HO
UR
LY
EQU
IVA
LEN
T2
BEN
EFIT
S (%
of S
alar
y)3
C
OM
MEN
TS
EM
S
Adm
in./
Coo
rd./
Dire
ctor
E
MS
Dire
ctor
1
$ 51
.04
(bas
e)
37%
Ass
t. A
dmin
./Adm
in.
Ass
t./A
dmin
. M
gr.
EM
S P
rogr
am M
anag
er
Ass
ista
nt D
irect
or
1 $
47.5
9 (b
ase)
37
%
Vac
ant
ALS
Coo
rd./
Fie
ld C
oord
./ T
rain
ing
Co
ordi
nato
r P
re-h
ospi
tal C
are
Coo
rdin
ator
(s)/
Adv
ance
d R
N
0.5
$ 50
.66
(bas
e)
Non
ben
efitt
ed
Tem
p re
tired
ann
uita
nt
Pro
gram
Coo
rdin
ator
/ F
ield
Lia
ison
P
reho
spita
l Car
e C
oord
inat
or(s
) 4
$ 41
.47
(bas
e)
37%
Tra
uma/
ST
EM
I/S
trok
e C
oord
inat
or
Pre
-hos
pita
l Car
e C
oord
inat
or A
dva
nce
d R
N
1 $
51.3
9(ba
se)
37%
Med
ical
Dir
ecto
r E
MS
Me
dica
l Dire
ctor
1
$ 80
.83
(bas
e)
37%
Oth
er M
D/M
edic
al C
ons
ult/
T
rain
ing
Med
ical
Dire
ctor
N
/A
N/A
N
/A
N/A
N
/A
Dis
aste
r M
edi
cal P
lann
er
Em
erge
ncy
Pre
pare
dne
ss
Man
ager
1
$ 45
.56
(bas
e)
37%
H
PP
sup
port
ed p
ositi
on
Sta
ffin
g as
of
12/3
1/20
14
N/A
= n
ot a
pplic
able
2 T
op s
alar
y eq
uiv
alen
t in
the
posi
tion
cate
gory
. In
divi
dua
l sta
ff s
alar
ies
base
d o
n po
sitio
n qu
alif
icat
ions
and
long
evi
ty w
ith o
rgan
izat
ion.
3 S
tand
ard
per
cen
tag
e us
ed to
cal
cula
te b
enef
its.
Act
ual b
ene
fits
ma
y be
co
nsid
era
bly
mor
e de
pen
ding
on
pos
ition
and
ben
efits
sel
ecte
d b
y em
plo
yee,
etc
. C
ount
y co
ntrib
utio
n is
not
ref
lect
ed.
17
Tabl
e 2
- Sys
tem
Org
aniz
atio
n &
Man
agem
ent (
cont
.)
C
ATE
GO
RY
A
CTU
AL
TITL
E FT
E4
POSI
TIO
NS
(EM
S O
NLY
)
TOP
SALA
RY
BY
HO
UR
LY
EQU
IVA
LEN
T5
BEN
EFIT
S (%
of S
alar
y)
C
OM
MEN
TS
Dis
patc
h S
uper
viso
r P
reho
spita
l Car
e C
oord
inat
or D
ispa
tch/
LE
1
$ 41
.47(
base
) N
/A
Dis
patc
h o
vers
ight
ass
igne
d
Med
ical
Pla
nner
E
mer
genc
y P
repa
redn
ess
T
rain
ing
Co
ordi
nato
r 1
$37.
10 (
base
) 37
%
HP
P s
uppo
rted
pos
ition
Dat
a E
valu
ator
/Ana
lyst
N
/A
N/A
N
/A
N/A
QA
/QI
Coo
rdin
ator
P
reho
spita
l QI
Coo
rdin
ato
r 1
$ 43
.54
(bas
e)
37%
Pub
lic I
nfo.
& E
duca
tion
C
oord
inat
or
EM
S S
peci
alis
t an
d M
RC
C
oord
inat
or
1 $3
0.45
(ba
se)
37%
Exe
cutiv
e S
ecre
tary
S
ecre
tary
Ad
vanc
ed
1 $
21.3
4 (b
ase)
37
%
Oth
er C
leric
al
Cle
rk
1 $1
6.43
(ba
se)
37%
Dat
a E
ntry
Cle
rk
Adm
inis
trat
ive
Ana
lyst
1
$ 26
.73
(bas
e)
37%
Oth
er
Acc
ount
Cle
rk
1 $
24.3
8 (b
ase)
37
%
4 T
op s
alar
y eq
uiva
lent
in th
e po
sitio
n ca
tego
ry. I
ndi
vid
ual s
taff
sal
arie
s ba
sed
on
posi
tion
qua
lific
atio
ns a
nd lo
nge
vity
with
org
aniz
atio
n.
5 Sta
ndar
d p
erce
nta
ge
used
to c
alcu
late
ben
efits
. A
ctua
l be
nefit
s m
ay
be c
ons
ider
abl
y m
ore
depe
ndi
ng o
n p
ositi
on a
nd b
enef
its s
elec
ted
by
empl
oye
e, e
tc.
Cou
nty
cont
ribut
ion
is n
ot r
efle
cted
18
Loca
l EM
S A
genc
y an
d C
ount
y O
rgan
izat
ion
Ch
art(
s)
19
TAB
LE 3
: SY
STEM
RES
OU
RC
ES A
ND
OPE
RA
TIO
NS
- Per
sonn
el/T
rain
ing
R
epor
ting
Ye
ar:
__20
13__
EM
T - I
s A
EMTs
EM
T - P
s M
ICN
Tot
al C
ertif
ied
631
0
16
Num
ber
new
ly c
ertif
ied
this
yea
r 16
8
0
N/A
Num
ber
rece
rtifi
ed t
his
year
46
3
0
N/A
Num
ber
of a
ccre
dite
d pe
rson
nel t
his
year
N
/A
0 27
7
16
Tot
al n
umbe
r of
acc
redi
ted
pers
onn
el
on J
uly
1 of
the
repo
rtin
g ye
ar
N/A
0
N/A
N
/A
N
umbe
r of
cer
tific
atio
n re
vie
ws
resu
lting
in:
a)
form
al in
vest
igat
ions
14
0
0
b)
prob
atio
n
3 0
0 0
c)
susp
ensi
ons
0 0
0 0
d)
revo
catio
ns
0 0
0
e)
deni
als
1 0
0
f)
deni
als
of r
ene
wa
l 0
0
0
g)
no a
ctio
n ta
ken
8
0 0
0
N/A
= n
ot a
vaila
ble/
appl
icab
le
1.
Ear
ly d
efib
rilla
tion:
a
) N
umbe
r of
EM
T-I
(de
fib)
auth
oriz
ed t
o us
e A
ED
s
_
-631
_
b
) N
umbe
r of
pub
lic s
afet
y (d
efib
) ce
rtifi
ed (
non-
EM
T-I
)
__N
/A__
2.
Do
you
have
an
EM
R t
rain
ing
prog
ram
yes
X n
o
20
TABLE 4: SYSTEM RESOURCES AND OPERATIONS - Communications County: ___ _Contra Costa County___ Reporting Year: ___2013____
1. Number of primary Public Service Answering Points (PSAP) 10
2. Number of secondary PSAPs 3
3. Number of dispatch centers directly dispatching ambulances 3
4. Number of EMS dispatch agencies utilizing EMD guidelines 3
5. Number of designated dispatch centers for EMS Aircraft 3
6. Who is your primary dispatch agency for day-to-day emergencies? _Contra Costa County Fire Protection District, Richmond Police Department_ San Ramon Valley Fire Protection District__
7. Who is your primary dispatch agency for a disaster? __Contra Costa County Sheriff’s Office_________________________
8. Do you have an operational area disaster communication system? a. Radio primary frequency XCC EMS1 (MEDARS T-Band 4 Channel) b. Other methods __ReddiNet6__ c. Can all medical response units communicate on the same disaster communications system? d. Do you participate in the Operational Area Satellite Information System (OASIS)? e. Do you have a plan to utilize the Radio Amateur Civil Emergency Services (RACES) as a back-up communication system? 1) Within the operational area? 2) Between operation area and the region and/or state?
X Yes No
X Yes No
X Yes □ No
X Yes No
X Yes No
X Yes No
6 ReddiNet communications between hospitals, ambulance dispatch centers and EMS Agency; Satellite phones
21
TABLE 5: SYSTEM RESOURCES AND OPERATIONS Response/Transportation Reporting Year: ______2013_____
Early Defibrillation Providers
1.Number of EMT-Defibrillation providers: a. 3 Crockett, ECCFD and Richmond (Non-ALS Fire First Responders) b. 14 Police Agencies
SYSTEM STANDARD RESPONSE TIMES (90TH PERCENTILE) Enter the response times in the appropriate boxes:
N/A = not available 7 Includes bystanders, law enforcement and EMS 8 Includes bystander with PAD, law enforcement and EMS 9 Fire EMS first medical response paramedic
METRO/URBAN SUBURBAN/ RURAL
WILDERNESS SYSTEMWIDE
BLS and CPR capable first responder7 6-8 min N/A N/A 6-8 min
Early defibrillation responder8 6-8 min N/A N/A 6-8 min
Advanced life support responder9 <10 min N/A N/A Varies by Local
Jurisdiction Transport Ambulance (EMS) < 12 min
Varies by EOA 20 min 30 min Varies by EOA
22
TABLE 6: SYSTEM RESOURCES AND OPERATIONS Facilities/Critical Care
Reporting Year: ____2013______ Trauma
Trauma patients: 1. Number of patients meeting trauma triage criteria __1588__
2. Number of major trauma victims transported directly to a trauma center by ambulance _ 1251__
3. Number of major trauma patients transferred to a trauma center10 ___43 _
4. Number of patients meeting triage criteria who were not treated at a trauma center _ 1405_ Emergency Departments
Total number of emergency departments __ 9____
1. Number of referral emergency services _ 0____
2. Number of standby emergency services11 1____
3. Number of basic emergency services 8____
4. Number of comprehensive emergency services _ 0 __
Receiving Hospitals
1. Number of receiving hospitals with written agreements ___ 812____
2. Number of base hospitals with written agreements ___ 1____
10 Defined as total number of undertriages for that year. 11 Doctor’s Medical Center in San Pablo stopped receiving emergency ambulance traffic as of 8/7/2014 and was downgraded by State Licensing and Accreditation to a standby receiving center as of 8/25/2014 12 Includes STEMI, Stroke and Trauma
23
TABLE 7: SYSTEM RESOURCES AND OPERATIONS -- Disaster Medical Reporting Year: ____2013________ County: ____Contra Costa County_______ SYSTEM RESOURCES
1. Casualty Collections Points (CCP)
a. Where are your CCPs located?
b. How are they staffed? __ Situational13__ c. Do you have a supply system for supporting them for 72 hours? X Yes No 2. CISD Do you have a CISD provider with 24 hour capability? X Yes No
3. Medical Response Team a. Do you have any team medical response capability? X Yes No
b. For each team, are they incorporated into your local response plan? X Yes No c. Are they available for statewide response?14 X Yes No d. Are they part of a formal out-of-state response system?15 X Yes No
4. Hazardous Materials a. Do you have any HazMat trained medical response teams? X Yes No b. At what HazMat level are they trained? First Responder c. Do you have the ability to do decontamination in an emergency room? X Yes No d. Do you have the ability to do decontamination in the field? X Yes No 13 As specified in Field Treatment Site Appendix F of County MCI Plan 14 Volunteer Medical Reserve Corps 15 Through Office of Civilian Volunteers
24
OPERATIONS 1. Are you using a Standardized Emergency Management System (SEMS) that incorporates a form of Incident Command System (ICS) structure? X Yes No 2. What is the maximum number of local jurisdiction EOCs you will need to interact with in a disaster? ___ 20___
3. Have you tested your MCI Plan this year in a:
a. Real event? Medical Mutual Aide Response to Asiana Airlines Crash on July 6, 2013 X Yes No
9 Declared MCI’s during 2013
b. Exercise? Contra County Medical Health Exercise November 2013 X Yes No
- Operational response to mass casualty training (Feb 2013)
4. List all counties with which you have a written medical mutual aid
agreement. All counties in CA through the Mutual Aid Agreement16
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 a multi-county EMS system for disaster response? X Yes No 8. Are you a separate department or agency? Yes X No 9. If not, to whom do you report Health Officer of Contra Costa Health Services 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? Not applicable17
16 Through California Disaster Mutual Aid Agreement 17 Agency is part of Contra Costa Health Services (County Health Department)
25
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
_201
3___
_
Res
pons
e/Tr
ansp
orta
tion/
Prov
ider
s C
ount
y:
C
ontr
a C
osta
Cou
nty
Pr
ovid
er
Am
eric
an M
edic
al R
espo
nse
R
espo
nse
Zone
: E
RA
I-
Addr
ess:
51
51 P
ort C
hica
go
Hw
y; S
uite
s A
Num
ber o
f Am
bula
nce
Vehi
cles
in F
leet
: 58
C
onco
rd, C
A 9
4520
Phon
e
Num
ber:
8
88-2
67-6
591
A
vera
ge N
umbe
r of A
mbu
lanc
es o
n D
uty
At 1
2:00
p.m
. (no
on) o
n An
y G
iven
Day
:
29 c
ount
ywid
e
Writ
ten
Con
trac
t:
X Y
es
N
o
Med
ical
Dire
ctor
:
X Y
es
N
o
Syst
em A
vaila
ble
24 H
ours
:
X Ye
s
N
o
Leve
l of S
ervi
ce:
X
Tra
nspo
rt
X A
LS
X 9-
1-1
X G
roun
d
Non
-Tra
nspo
rt
X
BLS
7-
Dig
it
A
ir
CC
T
Wat
er
I
FT
Ow
ners
hip:
Pub
lic
X
Priv
ate
If Pu
blic
:
Fire
La
w
Oth
er
Exp
lain
: _
____
____
____
If P
ublic
:
C
ity
Cou
nty
Sta
te
Fire
Dis
tric
t
F
eder
al
If Ai
r:
R
otar
y
F
ixed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
Air
Am
bula
nce
A
LS R
escu
e
BLS
Res
cue
Tr
ansp
ortin
g Ag
ency
18
73
,579
T
otal
num
ber
of r
espo
nses
58,4
69
Tot
al n
umbe
r of
tran
spor
ts
53,1
03
Num
ber
of e
mer
gen
cy r
espo
nses
- 41,8
73
Num
ber
of e
mer
gen
cy tr
ansp
orts
-20,
476
Num
ber
of n
on-e
mer
gen
cy r
espo
nses
- 16,5
96
Num
ber
of n
on-e
mer
gen
cy t
rans
port
s
18
Dat
a re
flect
s re
spon
ses
and
tran
spor
ts f
or a
ll re
spon
se z
ones
pro
vide
r is
res
pons
ible
for
26
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
_201
3___
_
Res
pons
e/Tr
ansp
orta
tion/
Prov
ider
s
Cou
nty:
Con
tra
Cos
ta C
ount
y
Prov
ider
A
mer
ican
Med
ical
Res
pons
e
Res
pons
e Zo
ne:
ER
A II
Ad
dres
s:
5151
Por
t Chi
cag
o H
wy;
Sui
tes
A
N
umbe
r of A
mbu
lanc
e Ve
hicl
es in
Fle
et:
58
C
onco
rd, C
A 9
4520
Phon
e
Num
ber:
8
88-2
67-6
591
A
vera
ge N
umbe
r of A
mbu
lanc
es o
n D
uty
At 1
2:00
p.m
. (no
on) o
n An
y G
iven
Day
:
29 c
ount
ywid
e
Writ
ten
Con
trac
t:
X Y
es
No
Med
ical
Dire
ctor
:
X Y
es
No
Syst
em A
vaila
ble
24 H
ours
:
X Ye
s
N
o
Leve
l of S
ervi
ce:
X
Tra
nspo
rt
X
ALS
X 9-
1-1
X G
roun
d
Non
-Tra
nspo
rt
X
BLS
7-
Dig
it
A
ir
CC
T
Wat
er
I
FT
Ow
ners
hip:
Pub
lic
X
Priv
ate
If Pu
blic
:
Fire
La
w
Oth
er
Exp
lain
: _
____
____
____
If P
ublic
:
C
ity
Cou
nty
Sta
te
Fire
Dis
tric
t
F
eder
al
If Ai
r:
R
otar
y
F
ixed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
Air
Am
bula
nce
A
LS R
escu
e
BLS
Res
cue
27
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
_201
3___
_
Res
pons
e/Tr
ansp
orta
tion/
Prov
ider
s
Cou
nty:
Con
tra
Cos
ta C
ount
y
Prov
ider
A
mer
ican
Med
ical
Res
pons
e
Res
pons
e Zo
ne:
ER
A V
Ad
dres
s:
5151
Por
t Chi
cag
o H
wy;
Sui
tes
A
N
umbe
r of A
mbu
lanc
e Ve
hicl
es in
Fle
et:
58
C
onco
rd, C
A 9
4520
Phon
e
Num
ber:
8
88-2
67-6
591
A
vera
ge N
umbe
r of A
mbu
lanc
es o
n D
uty
At 1
2:00
p.m
. (no
on) o
n An
y G
iven
Day
:
29 c
ount
ywid
e
Writ
ten
Con
trac
t:
X Y
es
No
Med
ical
Dire
ctor
:
X Y
es
No
Syst
em A
vaila
ble
24 H
ours
:
X Ye
s
N
o
Leve
l of S
ervi
ce:
X
Tra
nspo
rt
X
ALS
X 9-
1-1
X G
roun
d
Non
-Tra
nspo
rt
X
BLS
7-
Dig
it
A
ir
CC
T
Wat
er
I
FT
Ow
ners
hip:
Pub
lic
X
Priv
ate
If Pu
blic
:
Fire
La
w
Oth
er
Exp
lain
: _
____
____
____
If P
ublic
:
C
ity
Cou
nty
Sta
te
Fire
Dis
tric
t
F
eder
al
If Ai
r:
R
otar
y
F
ixed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
Air
Am
bula
nce
A
LS R
escu
e
BLS
Res
cue
28
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
_201
3___
R
espo
nse/
Tran
spor
tatio
n/Pr
ovid
ers
C
ount
y:
C
ontr
a C
osta
Cou
nty
Prov
ider
C
ontr
a C
osta
Cou
nty
Fire
Pro
tect
ion
Dis
tric
t R
espo
nse
Zone
: C
ontr
a C
osta
Fire
P
rote
ctio
n D
istr
ict
Addr
ess:
20
10 G
eary
Roa
d
Num
ber o
f Eng
ines
/App
arat
us in
Fle
et:
23 E
ngin
es;
42 A
ppar
atus
P
leas
ant
Hill
, C
A 9
4523
Phon
e
Num
ber:
92
5- 9
41-3
300
Ave
rage
Num
ber o
f Eng
ines
/App
arat
us o
n D
uty
At 1
2:00
(no
on) o
n An
y G
iven
Day
:
65
Writ
ten
Con
trac
t:
X Y
es
No
Med
ical
Dire
ctor
:
X Y
es
No
Syst
em A
vaila
ble
24 H
ours
:
X Y
es
No
Leve
l of S
ervi
ce:
Tra
nspo
rt
X
AL
S
X 9
-1-1
X
Gro
und
X
Non
-Tra
nspo
rt
X
BLS
7-
Dig
it
A
ir
CC
T
Wat
er
I
FT
Ow
ners
hip:
X
Publ
ic
Priv
ate
If Pu
blic
:
X F
ire
Law
O
ther
E
xpla
in:
___
____
____
__
If P
ublic
:
C
ity
X C
ount
y
S
tate
X
Fire
Dis
tric
t
F
eder
al
If Ai
r:
R
otar
y
F
ixed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
Air
Am
bula
nce
A
LS R
escu
e
BLS
Res
cue
Fi
rst R
espo
nder
Age
ncy
79
,354
T
otal
num
ber
of r
espo
nses
65
,416
N
umbe
r of
em
erg
ency
res
pons
es
13,9
38
Num
ber
of n
on-e
mer
gen
cy r
espo
nses
29
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
___2
013_
___
___
R
espo
nse/
Tran
spor
tatio
n/Pr
ovid
ers
C
ount
y:
C
ontr
a C
osta
Cou
nty
Prov
ider
C
rock
ett-
Car
qui
nez
Fire
Pro
tect
ion
Dis
tric
t R
espo
nse
Zone
: C
rock
ett-
Car
qui
nez
Fire
P
rote
ctio
n D
istr
ict
Addr
ess:
74
6 Lo
ring
Ave
nue
N
umbe
r of T
ruck
s/Ap
para
tus
in F
leet
: 9
C
rock
ett,
CA
945
25
Phon
e N
umbe
r:
510-
787-
2717
A
vera
ge N
umbe
r of E
ngin
es o
n D
uty
At 1
2:00
p.m
. (no
on) o
n An
y G
iven
Day
:
1 -
Writ
ten
Con
trac
t:
X Y
es
No
Med
ical
Dire
ctor
:
X Y
es
No
Syst
em A
vaila
ble
24 H
ours
:
X Y
es
No
Leve
l of S
ervi
ce:
Tra
nspo
rt
A
LS
X 9
-1-1
X
Gro
und
X
Non
-Tra
nspo
rt
X
BLS
7-
Dig
it
A
ir
CC
T
Wat
er
I
FT
Ow
ners
hip:
X
Pub
lic
Priv
ate
If Pu
blic
:
X
Fire
La
w
Oth
er
Exp
lain
: _
____
____
____
If P
ublic
:
C
ity
X C
ount
y
S
tate
X
Fire
Dis
tric
t
F
eder
al
If Ai
r:
R
otar
y
F
ixed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
Air
Am
bula
nce
A
LS R
escu
e
BLS
Res
cue
Fi
rst R
espo
nder
Age
ncy
29
2 T
otal
num
ber
of r
espo
nses
22
6 N
umbe
r of
em
erg
ency
res
pons
es
66
Num
ber
of n
on-e
mer
gen
cy r
espo
nses
30
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
_201
3___
___
___
R
espo
nse/
Tran
spor
tatio
n/Pr
ovid
ers
C
ount
y:
C
ontr
a C
osta
Cou
nty
Prov
ider
: E
ast
Con
tra
Cos
ta F
ire P
rote
ctio
n D
istr
ict
Res
pons
e Zo
ne:
Eas
t C
ontr
a C
osta
Fire
P
rote
ctio
n D
istr
ict
Addr
ess:
13
4 O
ak S
tree
t
Num
ber o
f Eng
ines
in F
leet
:
12 (
11 E
CC
CF
D)
(1 C
al F
ire)
B
rent
woo
d, C
A 9
4513
Phon
e N
umbe
r:
Pho
ne:
925-
634
-340
0
Ave
rage
Num
ber o
f Eng
ines
on
Dut
y At
12:
00 p
.m. (
noon
) on
Any
Giv
en D
ay:
5
Writ
ten
Con
trac
t:
X Y
es
No
Med
ical
Dire
ctor
:
X
Yes
N
o
Syst
em A
vaila
ble
24 H
ours
:
X Y
es
No
Leve
l of S
ervi
ce:
Tra
nspo
rt
A
LS
X 9
-1-1
X G
roun
d
X
Non
-Tra
nspo
rt
X
BLS
7-
Dig
it
A
ir
CC
T
Wat
er
I
FT
Ow
ners
hip:
X
Pub
lic
Priv
ate
If Pu
blic
:
X
Fire
La
w
Oth
er
Exp
lain
: _
____
____
____
If P
ublic
:
C
ity
Cou
nty
Sta
te
X
Fire
Dis
tric
t
F
eder
al
If Ai
r:
R
otar
y
F
ixed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
Air
Am
bula
nce
A
LS R
escu
e
BLS
Res
cue
Fi
rst R
espo
nder
Age
ncy
55
95
Tot
al n
umbe
r of
res
pons
es
4302
N
umbe
r of
em
erg
ency
res
pons
es
1293
N
umbe
r of
non
-em
erg
ency
res
pons
es
31
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
____
_201
3__
___
R
espo
nse/
Tran
spor
tatio
n/Pr
ovid
ers
C
ount
y:
C
ontr
a C
osta
Cou
nty
Prov
ider
:
El C
errit
o F
ire D
epar
tmen
t R
espo
nse
Zone
: E
l Cer
rito
Fire
D
epar
tmen
t
Addr
ess:
10
900
San
Pab
lo A
venu
e
N
umbe
r of E
ngin
es/A
ppar
atus
in F
leet
: 8
E
l Cer
rito,
CA
945
30
No
Bar
iatr
ic E
quip
men
t
Phon
e N
umbe
r:
Pho
ne:
510-
215-
4450
Ave
rage
Num
ber o
f Eng
ines
on
Dut
y At
12:
00 p
.m. (
noon
) on
Any
Giv
en D
ay:
3
Writ
ten
Con
trac
t:
X Y
es
No
Med
ical
Dire
ctor
:
X Y
es
No
Syst
em A
vaila
ble
24 H
ours
:
X Y
es
No
Leve
l of S
ervi
ce:
Tra
nspo
rt
X
AL
S X
9-1
-1
X
Gro
und
X
Non
-Tra
nspo
rt
B
LS
7-D
igit
A
ir
CC
T
Wat
er
I
FT
Ow
ners
hip:
X
Pub
lic
Priv
ate
If Pu
blic
:
X
Fire
La
w
Oth
er
Exp
lain
: _
____
____
____
If P
ublic
: X
City
C
ount
y
S
tate
F
ire D
istr
ict
Fed
eral
If Ai
r:
R
otar
y
F
ixed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
Air
Am
bula
nce
A
LS R
escu
e
BLS
Res
cue
Fi
rst R
espo
nder
Age
ncy
15
72
Tot
al n
umbe
r of
res
pons
es
1572
N
umbe
r of
em
erg
ency
res
pons
es
N/A
N
umbe
r of
non
-em
erg
ency
res
pons
es
32
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
____
2013
___
___
R
espo
nse/
Tran
spor
tatio
n/Pr
ovid
ers
C
ount
y:
C
ontr
a C
osta
Cou
nty
Prov
ider
:
Mor
aga-
Orin
da F
ire P
rote
ctio
n R
espo
nse
Zone
: M
orag
a-O
rinda
Fire
P
rote
ctio
n Ad
dres
s:
1280
Mor
aga
Way
Num
ber o
f Eng
ines
/Tru
cks
in F
leet
: 5
Eng
ines
& 1
ALS
Tru
ck
M
orag
a, C
A 9
4556
Phon
e N
umbe
r:
Pho
ne:
925-
258
-459
9
A
vera
ge N
umbe
r of E
ngin
es o
n D
uty
At 1
2:00
p.m
. (no
on) o
n An
y G
iven
Day
:
3: 2
Ful
l Tim
e &
1 C
ross
Sta
ff
Writ
ten
Con
trac
t:
X Y
es
No
Med
ical
Dire
ctor
:
Yes
N
o
Syst
em A
vaila
ble
24 H
ours
:
X Y
es
No
Leve
l of S
ervi
ce:
X
Tra
nspo
rt
X
ALS
X
9-1
-1
X
Gro
und
X
Non
-Tra
nspo
rt
X
BLS
7-
Dig
it
A
ir
CC
T
Wat
er
I
FT
Ow
ners
hip:
X
Pub
lic
Priv
ate
If Pu
blic
:
X
Fire
La
w
Oth
er
Exp
lain
: _
____
____
____
If P
ublic
:
C
ity
□
C
ount
y
S
tate
X
Fire
Dis
tric
t
F
eder
al
If Ai
r:
R
otar
y
F
ixed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
Air
Am
bula
nce
A
LS R
escu
e
BLS
Res
cue
Fi
rst R
espo
nder
and
Tra
nspo
rtin
g Ag
ency
2003
T
otal
num
ber
of r
espo
nses
1296
T
otal
num
ber
of tr
ansp
orts
-
Num
ber
of e
mer
gen
cy r
espo
nses
- N
umbe
r of
em
erg
ency
tran
spor
ts
N
umbe
r of
non
-em
erg
ency
res
pons
es
-
Num
ber
of n
on-e
mer
gen
cy t
rans
port
s
33
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
____
2013
___
___
R
espo
nse/
Tran
spor
tatio
n/Pr
ovid
ers
C
ount
y:
Con
tra
Cos
ta C
ount
y Pr
ovid
er:
Pin
ole
Fire
Dep
artm
ent
Res
pons
e Zo
ne:
Pin
ole
Fire
Dep
artm
ent
Ad
dres
s:
880
Ten
nent
Ave
nue
N
umbe
r of E
ngin
es in
Fle
et:
4
P
inol
e, C
A 9
4564
Phon
e N
umbe
r:
Pho
ne:
510-
724-
8969
Ave
rage
Num
ber o
f Eng
ines
on
Dut
y At
12:
00 p
.m. (
noon
) on
Any
Giv
en D
ay:
1
Writ
ten
Con
trac
t:
X
Yes
N
o
Med
ical
Dire
ctor
:
X Y
es
No
Syst
em A
vaila
ble
24 H
ours
:
X Y
es
X
No
Leve
l of S
ervi
ce:
Tra
nspo
rt
X
ALS
X
9-1
-1
X G
roun
d
X N
on-T
rans
port
X B
LS
7-D
igit
A
ir
CC
T
Wat
er
I
FT
Ow
ners
hip:
X
Pu
blic
P
rivat
e
If Pu
blic
:
X F
ire
Law
O
ther
E
xpla
in:
___
____
____
__
If P
ublic
: X
C
ity
Cou
nty
Sta
te
Fire
Dis
tric
t
F
eder
al
If Ai
r:
R
otar
y
F
ixed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
Air
Am
bula
nce
A
LS R
escu
e
BLS
Res
cue
Fi
rst R
espo
nder
Age
ncy
14
43
Tot
al n
umbe
r of
res
pons
es
1443
N
umbe
r of
em
erg
ency
res
pons
es
N/A
N
umbe
r of
non
-em
erg
ency
res
pons
es
34
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
____
2013
___
___
R
espo
nse/
Tran
spor
tatio
n/Pr
ovid
ers
C
ount
y:
Con
tra
Cos
ta C
ount
y Pr
ovid
er:
Ric
hmon
d F
ire D
epar
tmen
t R
espo
nse
Zone
: R
ichm
ond
Fire
Dep
artm
ent
Addr
ess:
44
0 C
ivic
Cen
ter
Pla
za
N
umbe
r of E
ngin
es/A
ppar
atus
in F
leet
: 7
R
ichm
ond,
CA
948
04
Phon
e N
umbe
r:
Pho
ne:
510-
307-
8031
Ave
rage
Num
ber o
f Eng
ines
on
Dut
y At
12:
00 p
.m. (
noon
) on
Any
Giv
en D
ay:
7
Writ
ten
Con
trac
t:
X Y
es
No
Med
ical
Dire
ctor
:
X Y
es
No
Syst
em A
vaila
ble
24 H
ours
:
X Y
es
No
Leve
l of S
ervi
ce:
Tra
nspo
rt
□ A
LS
X 9
-1-1
X G
roun
d
X N
on-T
rans
port
X
BLS
7-
Dig
it
A
ir
CC
T
Wat
er
I
FT
Ow
ners
hip:
X
Pub
lic
Priv
ate
If Pu
blic
:
X
Fire
La
w
Oth
er
Exp
lain
: _
____
____
____
If P
ublic
: X
City
C
ount
y
S
tate
F
ire D
istr
ict
Fed
eral
If Ai
r:
R
otar
y
F
ixed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
Air
Am
bula
nce
A
LS R
escu
e
BLS
Res
cue
Fi
rst R
espo
nder
Age
ncy
9,
714
Tot
al n
umbe
r of
res
pons
es
9,71
4 N
umbe
r of
em
erg
ency
res
pons
es
N/A
N
umbe
r of
non
-em
erg
ency
res
pons
es
35
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
___2
013_
___
___
R
espo
nse/
Tran
spor
tatio
n/Pr
ovid
ers
C
ount
y:
Con
tra
Cos
ta C
ount
y Pr
ovid
er:
Rod
eo-H
ercu
les
Fire
Pro
tect
ion
Res
pons
e Zo
ne:
Rod
eo-H
ercu
les
Fire
Pro
tect
ion
D
istr
ict
Addr
ess:
16
80 R
efug
io V
alle
y R
oad
Num
ber o
f Eng
ines
in F
leet
: 3
H
ercu
les,
CA
945
47
Phon
e N
umbe
r:
Pho
ne:
510-
799-
4561
Ave
rage
Num
ber o
f Eng
ines
on
Dut
y At
12:
00 p
.m. (
noon
) on
Any
Giv
en D
ay:
1
Writ
ten
Con
trac
t:
X Y
es
No
Med
ical
Dire
ctor
:
X Y
es
No
Syst
em A
vaila
ble
24 H
ours
:
X Y
es
No
Leve
l of S
ervi
ce:
Tra
nspo
rt
X
ALS
X
9-1
-1
X
Gro
und
X
Non
-Tra
nspo
rt
X
BLS
7-
Dig
it
A
ir
CC
T
Wat
er
I
FT
Ow
ners
hip:
X
Pub
lic
Priv
ate
If Pu
blic
:
X F
ire
Law
O
ther
E
xpla
in:
___
____
____
__
If P
ublic
: X
City
C
ount
y
S
tate
X
Fire
Dis
tric
t
F
eder
al
If Ai
r:
R
otar
y
F
ixed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
Air
Am
bula
nce
A
LS R
escu
e
BLS
Res
cue
Fi
rst R
espo
nder
Age
ncy
1,
147
Tot
al n
umbe
r of
res
pons
es
1,11
0 N
umbe
r of
em
erg
ency
res
pons
es
37
N
umbe
r of
non
-em
erg
ency
res
pons
es
36
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
___2
013_
___
___
Res
pons
e/Tr
ansp
orta
tion/
Prov
ider
s
Cou
nty:
Con
tra
Cos
ta C
ount
y Pr
ovid
er:
San
Ram
on V
alle
y F
ire P
rote
ctio
n D
istr
ict
Res
pons
e Zo
ne:
San
Ram
on V
alle
y F
ire P
rote
ctio
n D
istr
ict
Addr
ess:
15
00 B
ollin
ger
Can
yon
Roa
d
N
umbe
r of A
mbu
lanc
e/Ap
para
tus
in F
leet
: 7
Am
bula
nces
-
S
an R
amon
, CA
945
83
-
Phon
e N
umbe
r:
Pho
ne:
925-
838
-668
0
A
vera
ge N
umbe
r of A
mbu
lanc
es o
n D
uty
At 1
2:00
p.m
. (no
on) o
n An
y G
iven
Day
:
5 A
mbu
lanc
es
Writ
ten
Con
trac
t:
X Y
es
No
Med
ical
Dire
ctor
:
X Y
es
No
Syst
em A
vaila
ble
24 H
ours
:
X Y
es
No
Leve
l of S
ervi
ce:
X
Tra
nspo
rt
X
ALS
X
9-1
-1
X
Gro
und
X
Non
-Tra
nspo
rt
X
BLS
7-
Dig
it
A
ir
CC
T
Wat
er
I
FT
Ow
ners
hip:
X
Pu
blic
P
rivat
e
If Pu
blic
:
X
Fire
La
w
Oth
er
Exp
lain
: _
____
____
____
If P
ublic
:
C
ity
Cou
nty
Sta
te
X
Fire
Dis
tric
t
F
eder
al
If Ai
r:
R
otar
y
F
ixed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
Air
Am
bula
nce
A
LS R
escu
e
BLS
Res
cue
Fi
rst R
espo
nder
and
Tra
nspo
rtin
g Ag
ency
6,24
3 T
otal
num
ber
of r
espo
nses
4,05
7 T
otal
num
ber
of tr
ansp
orts
5,
267
Num
ber
of e
mer
gen
cy r
espo
nses
418
N
umbe
r of
em
erg
ency
tran
spor
ts
976
Num
ber
of n
on-e
mer
gen
cy r
espo
nses
3,63
9 N
umbe
r of
non
-em
erg
ency
tra
nspo
rts
Ta
ble
8: R
esou
rce
Dire
ctor
y
37
Rep
ortin
g Y
ear
: __
_
20
13__
____
___
R
espo
nse/
Tran
spor
tatio
n/Pr
ovid
ers
C
ount
y:
Con
tra
Cos
ta C
ount
y Pr
ovid
er:
CA
LST
AR
Air
Am
bula
nce
Res
pons
e Zo
ne:
CA
LST
AR
Air
Am
bula
nce
Ad
dres
s:
177
John
Gle
nn D
rive
N
umbe
r of H
elic
opte
rs in
Fle
et:
2
C
onco
rd, C
A 9
4520
Phon
e N
umbe
r:
925
- 79
8-76
70
A
vera
ge N
umbe
r of H
elic
opte
rs o
n D
uty
At 1
2:00
p.m
. (no
on) o
n An
y G
iven
Day
: 2
Writ
ten
Con
trac
t:
X Y
es
No
Med
ical
Dire
ctor
:
X Y
es
No
Syst
em A
vaila
ble
24 H
ours
:
X Y
es
No
Leve
l of S
ervi
ce:
X
Tra
nspo
rt
X
ALS
X
9-1
-1
Gro
und
Non
-Tra
nspo
rt
BLS
7-
Dig
it
X A
ir
X C
CT
Wat
er
X IF
T
Ow
ners
hip:
Pub
lic
X
Priv
ate
If Pu
blic
:
Fire
La
w
Oth
er
Exp
lain
: _
____
____
____
If P
ublic
:
C
ity
Cou
nty
Sta
te
Fire
Dis
tric
t
F
eder
al
If Ai
r:
X
R
otar
y
X
Fi
xed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
X
Air
Ambu
lanc
e
ALS
Res
cue
B
LS R
escu
e
Air A
mbu
lanc
e Se
rvic
es
0
Tot
al n
umbe
r of
res
pons
es
14
6 T
otal
num
ber
of tr
ansp
orts
34
6 N
umbe
r of
em
erg
ency
res
pons
es
14
6 N
umbe
r of
em
erg
ency
tran
spor
ts
0 N
umbe
r of
non
-em
erg
ency
res
pons
es
0
Num
ber
of n
on-e
mer
gen
cy t
rans
port
s
38
Tabl
e 8:
Res
ourc
e D
irect
ory
Rep
ortin
g Y
ear
: __
_
20
13__
____
___
R
espo
nse/
Tran
spor
tatio
n/Pr
ovid
ers
C
ount
y:
Con
tra
Cos
ta C
ount
y Pr
ovid
er:
RE
AC
H A
ir M
edic
al S
ervi
ces
Res
pons
e Zo
ne:
RE
AC
H A
ir M
edic
al S
ervi
ces
Addr
ess:
50
05 M
arsh
Driv
e
Num
ber o
f Hel
icop
ters
in F
leet
: 2
C
onco
rd, C
A 9
4520
Phon
e N
umbe
r:
925-
691-
2099
Ave
rage
Num
ber o
f Hel
icop
ters
on
Dut
y At
12:
00 p
.m. (
noon
) on
Any
Giv
en D
ay:
2
– C
onco
rd &
Vac
avill
e
Writ
ten
Con
trac
t:
X Y
es
No
Med
ical
Dire
ctor
:
X Y
es
No
Syst
em A
vaila
ble
24 H
ours
:
X Y
es
No
Leve
l of S
ervi
ce:
X
Tra
nspo
rt
X
ALS
X
9-1
-1
Gro
und
Non
-Tra
nspo
rt
BLS
7-
Dig
it
X A
ir
X C
CT
Wat
er
X IF
T
Ow
ners
hip:
Pub
lic
X
Priv
ate
If Pu
blic
:
Fire
La
w
Oth
er
Exp
lain
: _
____
____
____
If P
ublic
:
C
ity
Cou
nty
Sta
te
Fire
Dis
tric
t
F
eder
al
If Ai
r:
X
R
otar
y
X
Fi
xed
Win
g
Air C
lass
ifica
tion:
A
uxili
ary
Res
cue
X
Air
Ambu
lanc
e
ALS
Res
cue
B
LS R
escu
e
Air A
mbu
lanc
e Se
rvic
es
66
2 T
otal
num
ber
of r
espo
nses
527
Tot
al n
umbe
r of
tran
spor
ts
336
Num
ber
of e
mer
gen
cy r
espo
nses
156
Num
ber
of e
mer
gen
cy tr
ansp
orts
32
6 N
umbe
r of
non
-em
erg
ency
res
pons
es (
IFT
)
371
Num
ber
of n
on-e
mer
gen
cy t
rans
port
s (I
FT
)
39
Tabl
e 9:
Res
ourc
es D
irect
ory
Re
po
rtin
g Y
ea
r:
__
___
201
3__
___
F
acili
ties
Co
un
ty:
___
__C
on
tra
Co
sta
Cou
nty
___
___
___
_ Fa
cilit
y:
Co
ntr
a C
ost
a R
egi
on
al M
ed
ica
l Ce
nte
r
Te
lep
hon
e N
um
be
r:
92
5-3
70
-500
0 A
dd
ress
: 2
500
Alh
am
bra
Ave
nue
M
art
ine
z, C
A 9
455
3
Writ
ten
Con
trac
t:
X Y
es
N
o
Serv
ice:
Ref
err
al E
me
rge
ncy
S
tan
dby
Em
erg
en
cy
X
B
asic
Em
erge
ncy
C
om
pre
hen
sive
Em
erg
en
cy
Bas
e H
ospi
tal:
Y
es
X
No
Bur
n C
ente
r:
Ye
s
X N
o
Pedi
atric
Crit
ical
Car
e C
ente
r
Ye
s
X N
o ED
AP
Y
es
X
No
PIC
U
□
Y
es
X
No
Trau
ma
Cen
ter:
Ye
s
X N
o
If Tr
aum
a C
ente
r wha
t lev
el:
L
eve
l I
L
eve
l II
L
eve
l III
L
eve
l IV
STEM
I Cen
ter:
Ye
s
X N
o
Stro
ke C
ente
r:
Y
es
X N
o
40
Tabl
e 9:
Res
ourc
es D
irect
ory
Rep
ortin
g Ye
ar:
2
013
Fa
cilit
ies
C
ount
y:
C
ontr
a C
ost
a C
ou
nty
Faci
lity:
D
oct
ors
Me
dic
al C
ente
r, S
an
Pa
blo
Te
lep
hon
e N
um
be
r:
51
0-9
70
-500
0 A
dd
ress
: 2
000
Va
le R
oad
S
an
Pa
blo
, C
A 9
480
6
Writ
ten
Con
trac
t:
X Y
es
N
o
Serv
ice:
Ref
err
al E
me
rge
ncy
S
tan
dby
Em
erg
en
cy
X
Bas
ic E
mer
genc
y19
C
om
pre
hen
sive
E
me
rge
ncy
Bas
e H
ospi
tal:
Y
es
X
No
Bur
n C
ente
r:
Ye
s
X N
o
Pedi
atric
Crit
ical
Car
e C
ente
r
Ye
s
X N
o ED
AP
Ye
s
X N
o PI
CU
Y
es
X
No
Trau
ma
Cen
ter:
Ye
s
X N
o
If Tr
aum
a C
ente
r wha
t lev
el:
L
eve
l I
L
eve
l II
L
eve
l III
L
eve
l IV
STEM
I Cen
ter:
X Y
es
N
o
Stro
ke C
ente
r:
X
Yes
N
o
19
Doc
tor’s
Med
ical
Cen
ter
(DM
C)
stop
ped
rece
ivin
g e
mer
genc
y am
bula
nce
traf
fic o
n 8/
7/20
14. T
hey
wer
e o
ffic
ially
do
wn
grad
ed b
y S
tate
Lic
ens
ing
and
Acc
redi
tatio
n to
a s
tand
by
emer
genc
y de
part
men
t on
8/25
/201
4 a
nd th
eir
ST
EM
I an
d S
trok
e C
ent
er D
esig
nat
ion
was
sus
pend
ed
as o
f 8/
7/20
14.
41
Tabl
e 9:
Res
ourc
es D
irect
ory
Rep
ortin
g Ye
ar:
2
013
F
acili
ties
Cou
nty:
Con
tra
Cos
ta C
ount
y
Faci
lity:
Jo
hn
Mu
ir H
ealth
, C
onc
ord
Cam
pu
s
Te
lep
hon
e N
um
be
r:
92
5-6
82
-820
0 A
dd
ress
: 2
540
Ea
st S
tree
t
C
on
cord
, C
A 9
4520
Writ
ten
Con
trac
t:
X Y
es
N
o
Serv
ice:
Ref
err
al E
me
rge
ncy
S
tan
dby
Em
erg
en
cy
X
Bas
ic E
mer
genc
y
Co
mp
rehe
nsi
ve E
me
rge
ncy
Bas
e H
ospi
tal:
Y
es
X
No
Bur
n C
ente
r:
Ye
s
X N
o
Pedi
atric
Crit
ical
Car
e C
ente
r
Ye
s
X N
o ED
AP
Ye
s
X N
o PI
CU
Y
es
X
No
Trau
ma
Cen
ter:
Ye
s X
N
o
If Tr
aum
a C
ente
r wha
t lev
el:
L
eve
l I
L
eve
l II
L
eve
l III
L
eve
l IV
STEM
I Cen
ter:
X Y
es
N
o
Stro
ke C
ente
r:
X
Yes
N
o
42
Tabl
e 9:
Res
ourc
es D
irect
ory
Rep
ortin
g Ye
ar:
2
013
Fa
cilit
ies
Cou
nty:
Con
tra
Co
sta
Co
unt
y Fa
cilit
y:
Joh
n M
uir
Hea
lth, W
aln
ut
Cre
ek
Ca
mp
us
T
ele
pho
ne
Nu
mb
er:
9
25
-93
9-3
000
Ad
dre
ss:
16
01 Y
gna
cio
Va
lley
Ro
ad
Wal
nut
Cre
ek,
CA
94
598
Writ
ten
Con
trac
t:
X Y
es
N
o
Serv
ice:
Ref
err
al E
me
rge
ncy
S
tan
dby
Em
erg
en
cy
X
Ba
sic
Em
erg
en
cy
C
om
pre
hen
sive
Em
erg
en
cy
Bas
e H
ospi
tal:
X
Yes
N
o
Bur
n C
ente
r:
Yes
X
No
Pedi
atric
Crit
ical
Car
e C
ente
r
Ye
s
X N
o ED
AP
Ye
s
X N
o PI
CU
Y
es
X
No
Trau
ma
Cen
ter:
X Y
es
N
o
If Tr
aum
a C
ente
r wha
t lev
el:
L
eve
l I
X
Lev
el II
Le
vel I
II
Le
vel I
V
STEM
I Cen
ter:
X Y
es
N
o
Stro
ke C
ente
r:
X
Yes
N
o
43
Tabl
e 9:
Res
ourc
es D
irect
ory
Rep
ortin
g Ye
ar:
2
013
Fac
ilitie
s C
ount
y:
C
ontr
a C
ost
a C
ou
nty
Faci
lity:
K
ais
er
Pe
rman
ent
e M
edic
al C
en
ter,
Ant
ioch
Te
lep
hon
e N
um
be
r:
92
5-8
13
-650
0 A
dd
ress
: 5
601
De
er
Va
lley
Ro
ad
An
tioch
, C
A 9
453
1
Writ
ten
Con
trac
t:
X
Ye
s
N
o
Serv
ice:
Ref
err
al E
me
rge
ncy
S
tan
dby
Em
erg
en
cy
X
B
asi
c E
me
rge
ncy
C
om
pre
hen
sive
Em
erg
en
cy
Bas
e H
ospi
tal:
Y
es
X
No
Bur
n C
ente
r:
Ye
s
X N
o
Pedi
atric
Crit
ical
Car
e C
ente
r
Ye
s
X N
o ED
AP
Ye
s
X N
o PI
CU
Y
es
X
No
Trau
ma
Cen
ter:
Ye
s X
N
o
If Tr
aum
a C
ente
r wha
t lev
el:
L
eve
l I
L
eve
l II
L
eve
l III
L
eve
l IV
STEM
I Cen
ter:
Ye
s
X N
o
Stro
ke C
ente
r:
X
Yes
N
o
44
Tabl
e 9:
Res
ourc
es D
irect
ory
Rep
ortin
g Ye
ar:
2
013
Faci
litie
s
Cou
nty:
Con
tra
Co
sta
Co
unty
Fa
cilit
y:
Ka
ise
r P
erm
ane
nte
Med
. C
tr.,
Wal
nut
Cre
ek
T
ele
pho
ne
Nu
mb
er:
9
25
-29
5-4
000
Ad
dre
ss:
14
25 S
outh
Ma
in S
tre
et
Wal
nut
Cre
ek,
CA
94
596
Writ
ten
Con
trac
t: X
Yes
N
o
Serv
ice:
Ref
err
al E
me
rge
ncy
S
tan
dby
Em
erg
en
cy
X
Bas
ic E
mer
genc
y
Co
mp
rehe
nsi
ve E
me
rge
ncy
Bas
e H
ospi
tal:
Y
es
X
No
Bur
n C
ente
r:
Ye
s
X N
o
Pedi
atric
Crit
ical
Car
e C
ente
r
Ye
s
X N
o ED
AP
Y
es
X
No
PIC
U
Y
es
X
No
Trau
ma
Cen
ter:
Ye
s
X N
o
If Tr
aum
a C
ente
r wha
t lev
el:
L
eve
l I
L
eve
l II
L
eve
l III
L
eve
l IV
STEM
I Cen
ter:
X Y
es
N
o
Stro
ke C
ente
r:
X
Yes
N
o
45
Tabl
e 9:
Res
ourc
es D
irect
ory
Rep
ortin
g Ye
ar:
2013
Faci
litie
s
Cou
nty:
C
ont
ra C
ost
a C
ou
nty
Faci
lity:
K
ais
er
Pe
rman
ent
e M
ed.
Ctr
., R
ichm
ond
T
ele
pho
ne
Nu
mb
er:
5
10
-30
7-1
500
Ad
dre
ss:
90
1 N
evi
n A
ven
ue
Ric
hm
ond
, C
A 9
480
1
Writ
ten
Con
trac
t:
X Ye
s
No
Serv
ice:
Ref
err
al E
me
rge
ncy
S
tan
dby
Em
erg
en
cy
X
Bas
ic E
mer
genc
y
Co
mp
rehe
nsi
ve E
me
rge
ncy
Bas
e H
ospi
tal:
Y
es
X
No
Bur
n C
ente
r:
Ye
s
X N
o
Pedi
atric
Crit
ical
Car
e C
ente
r
Ye
s
X N
o ED
AP
Y
es
X
No
PIC
U
Y
es
X
No
Trau
ma
Cen
ter:
Ye
s X
N
o
If Tr
aum
a C
ente
r wha
t lev
el:
L
eve
l I
L
eve
l II
L
eve
l III
L
eve
l IV
STEM
I Cen
ter:
Ye
s
X N
o
Stro
ke C
ente
r:
X
Yes
N
o
46
Tabl
e 9:
Res
ourc
es D
irect
ory
Rep
ortin
g Ye
ar:
2013
Faci
litie
s
Cou
nty:
Co
ntr
a C
ost
a C
oun
ty
Faci
lity:
S
an
Ram
on
Re
gio
nal M
ed
ica
l Ce
nte
r
Te
lep
hon
e N
um
be
r:
92
5-2
75
-920
0 A
dd
ress
: 6
001
No
rris
Ca
nyo
n R
oa
d
S
an
Ram
on
, C
A 9
4583
Writ
ten
Con
trac
t:
X Y
es
N
o
Serv
ice:
Ref
err
al E
me
rge
ncy
S
tan
dby
Em
erg
en
cy
X
Bas
ic E
mer
genc
y
Co
mp
rehe
nsi
ve E
me
rge
ncy
Bas
e H
ospi
tal:
Y
es
X
No
Bur
n C
ente
r:
Ye
s
X N
o
Pedi
atric
Crit
ical
Car
e C
ente
r
Ye
s
X N
o ED
AP
Ye
s
X N
o PI
CU
Y
es
X
No
Trau
ma
Cen
ter:
Ye
s
X N
o
If Tr
aum
a C
ente
r wha
t lev
el:
L
eve
l I
L
eve
l II
L
eve
l III
L
eve
l IV
STEM
I Cen
ter:
X Y
es
N
o
Stro
ke C
ente
r:
X
Yes
No
47
Tabl
e 9:
Res
ourc
es D
irect
ory
Rep
ortin
g Ye
ar:
2013
Faci
litie
s
Cou
nty:
C
on
tra
Co
sta
Cou
nty
Fa
cilit
y:
Su
tte
r D
elta
Med
ica
l Ce
nte
r
Te
lep
hon
e N
um
be
r:
92
5-7
79
-720
0 A
dd
ress
: 3
901
Lon
e T
ree
Wa
y
A
ntio
ch,
CA
94
509
Writ
ten
Con
trac
t:
X
Yes
N
o
Serv
ice:
Ref
err
al E
me
rge
ncy
S
tan
dby
Em
erg
en
cy
X
Bas
ic E
mer
genc
y
Co
mp
rehe
nsi
ve E
me
rge
ncy
Bas
e H
ospi
tal:
Y
es
X
No
Bur
n C
ente
r:
Ye
s X
N
o
Pedi
atric
Crit
ical
Car
e C
ente
r
Ye
s
X N
o ED
AP
Ye
s
X N
o PI
CU
Y
es
X
No
Trau
ma
Cen
ter:
Ye
s
X N
o
If Tr
aum
a C
ente
r wha
t lev
el:
L
eve
l I
L
eve
l II
L
eve
l III
L
eve
l IV
STEM
I Cen
ter:
X Y
es
No
Stro
ke C
ente
r:
Y
es
X N
o
48
TAB
LE 1
0: R
ESO
UR
CES
DIR
ECTO
RY
-- A
ppro
ved
Trai
ning
Pro
gram
s
C
ount
y:
Con
tra
Cos
ta C
ount
y
Rep
ortin
g Ye
ar:
2
013
Tr
aini
ng
Inst
itutio
n:
Los
Me
dano
s C
olle
ge
Tele
phon
e N
umbe
r:
925-
439-
2181
Add
ress
: 27
00 E
ast
Lela
nd R
oad
P
ittsb
urg,
CA
945
63
Stud
ent
Elig
ibili
ty:
Ope
n to
C
ost o
f Pro
gram
: P
rogr
am L
evel
E
MT
T
he p
ublic
B
asic
:
$46/
unit
N
umbe
r of s
tude
nts
com
plet
ing
trai
ning
per
yea
r:
R
efre
sher
: $4
6/un
it
In
itial
trai
ning
:
118
Ref
resh
er:
No
Cla
sses
Due
to S
tate
Bud
get C
uts
25
C
ontin
uing
Edu
catio
n:
0
Expi
ratio
n D
ate:
5/
31/2
016
N
umbe
r of c
ours
es:
Initi
al tr
aini
ng:
1
Ref
resh
er:
2
Con
tinui
ng E
duca
tion:
0
50
TAB
LE 1
0: R
ESO
UR
CES
DIR
ECTO
RY
-- A
ppro
ved
Trai
ning
Pro
gram
s
C
ount
y:
Con
tra
Cos
ta C
ount
y
Rep
ortin
g Ye
ar:
2
013
Tr
aini
ng In
stitu
tion:
__
____
____
___
___
_M
ount
Dia
blo
Adu
lt E
duca
tion_
___
___
___
_
Tele
phon
e N
umbe
r:
(925
) 685
-734
0
Add
ress
: __
____
__
126
6 S
an C
arlo
s A
ven
ue__
____
___
__
____
____
___
___
____
_ _
Con
cord
s, C
A 9
451
8___
____
____
___
Pro
gram
Lev
el
EM
T-1
Stud
ent
Elig
ibili
ty:
Ope
n to
Gen
eral
C
ost o
f Pro
gram
:
Pub
lic
Bas
ic:
$158
6 N
umbe
r of s
tude
nts
com
plet
ing
trai
ning
per
yea
r:
R
efre
sher
: $
286
Ini
tial t
rain
ing
22
Ref
resh
er:
0
Con
tinui
ng E
duca
tion:
1
Exp
iratio
n D
ate:
3/
31/2
017
N
umbe
r of c
ours
es:
Ini
tial T
rain
ing:
2
Ref
resh
er:
0
C
ontin
uing
Edu
catio
n:
0
51
TAB
LE 1
0: R
ESO
UR
CES
DIR
ECTO
RY
-- A
ppro
ved
Trai
ning
Pro
gram
s C
ount
y:
C
ontr
a C
osta
Cou
nty
R
epor
ting
Year
:
2013
__
____
____
____
____
___
Trai
ning
Inst
itutio
n:
Jo
hn
Mu
ir H
ealth
, Wal
nu
t C
ree
k
Tele
phon
e N
umbe
r: 9
25
-94
7-4
438
Add
ress
:
1
601
Ygn
aci
o V
alle
y R
oa
d
Wal
nu
t C
ree
k, C
A
945
98
P
rogr
am
Le
vel:
MIC
N T
rain
ing
Stud
ent
Elig
ibili
ty:
a.
BLS
Cos
t of P
rogr
am:
b.
AC
LS
B
asi
c:
$0
.00
N
umbe
r of s
tude
nts
com
plet
ing
trai
ning
per
yea
r:
c. P
ALS
Re
fre
she
r:
$0
.00
Initi
al T
rain
ing:
5
d
. TN
CC
R
efre
sher
:
0
e
. M
inim
um 2
ye
ars
ED
. E
xpe
r.
C
ontin
uing
Edu
catio
n:
24
Ho
urs
f
. In
-Hou
se T
rain
ing
only
E
xpira
tion
Dat
e:
9/3
0/2
015
N
umbe
r of C
ours
es:
Initi
al T
rain
ing:
(a
nn
ually
in t
he
sp
ring)
1
Ref
resh
er:
o
ngo
ing
C
ontin
uing
Edu
catio
n:
T
NC
C P
ALS
, A
CL
S, T
rau
ma
,
Oth
er
(All
pro
vid
ed
in h
ou
se.)
52
TAB
LE 1
0: R
ESO
UR
CES
DIR
ECTO
RY
-- A
ppro
ved
Trai
ning
Pro
gram
s C
ount
y:
C
ontr
a C
osta
Cou
nty
R
epor
ting
Year
:
2013
Tr
aini
ng In
stitu
tion:
C
on
tra
Co
sta
Cou
nty
Fire
Pro
tect
ion
Dis
tric
t
Te
leph
one
Num
ber:
92
5-9
41
-364
2 A
ddre
ss:
294
5 T
rea
t B
lvd
.
C
on
cord
, C
A 9
451
8
Pro
gram
Lev
el:
EM
T T
rain
ing
Stud
ent
Elig
ibili
ty:
Dis
tric
t P
erso
nn
el
Cos
t of P
rogr
am:
O
nly
Bas
ic:
$0
N
umbe
r of s
tude
nts
com
plet
ing
trai
ning
per
yea
r:
Ref
resh
er:
$0
In
itial
Tra
inin
g:
0
Ref
resh
er:
0
1.
No
ch
arg
e t
o fir
e d
istr
ict
em
plo
yee
s.
Con
tinui
ng E
duca
tion:
2
30
2.
In-h
ou
se t
rain
ing
on
ly.
Ex
pira
tion
Dat
e:
08/
31/
15
N
umbe
r of C
ours
es:
Initi
al T
rain
ing:
0
Ref
resh
er:
0
C
ontin
uing
Edu
catio
n:
6
53
TAB
LE 1
0: R
ESO
UR
CES
DIR
ECTO
RY
-- A
ppro
ved
Trai
ning
Pro
gram
s C
ount
y:
C
ontr
a C
osta
Cou
nty
R
epor
ting
Year
:
2013
Trai
ning
Inst
itutio
n: C
on
tra
Co
sta
Co
llege
Tele
phon
e N
umbe
r: 5
10
-23
5-7
800
; ext
422
9
Add
ress
:
2
600
Mis
sio
n B
ell
Driv
e
Sa
n P
ab
lo,
CA
94
806
Pro
gra
m L
eve
l: E
MT
Tra
inin
g St
uden
t El
igib
ility
: O
pe
n to
Pu
blic
Cos
t of P
rogr
am:
B
asic
: $
276
Num
ber o
f stu
dent
s co
mpl
etin
g tr
aini
ng p
er y
ear:
R
efre
sher
: $
46
/un
it
Initi
al T
rain
ing:
5
R
efre
sher
:
0
Con
tinui
ng E
duca
tion:
0
Exp
iratio
n D
ate:
8/3
1/2
015
N
umbe
r of C
ours
es:
In
itial
Tra
inin
g
2
R
efre
sher
:
0
Con
tinui
ng E
duca
tion:
0
54
TAB
LE 1
1: R
ESO
UR
CES
DIR
ECTO
RY
-- D
ispa
tch
Age
ncy
Cou
nty:
C
ontr
a C
osta
Cou
nty
Rep
ortin
g Ye
ar:
2
013
N
ame:
San
Ram
on V
alle
y F
ire D
ispa
tch
Pr
imar
y C
onta
ct:
D
enis
e P
ange
linan
Add
ress
: 80
0 S
an R
amon
Val
ley
Roa
d
C
omm
unic
atio
ns C
ente
r M
anag
er
D
anvi
lle,
CA
945
26
Te
leph
one
Num
ber:
925-
838-
6645
Writ
ten
Con
trac
t: X
Yes
N
o M
edic
al D
irect
or:
X Y
es
No
X D
ay-to
-Day
X
Dis
aste
r N
umbe
r of P
erso
nnel
Pro
vidi
ng S
ervi
ces:
__
12__
EM
D T
rain
ing
___
EM
T-D
__
____
A
LS
____
__
BLS
____
__
LALS
__
____
O
ther
O
wne
rshi
p:
X P
ublic
P
rivat
e
If
Pub
lic:
X
Fire
La
w
Oth
er
Exp
lain
: _
___
___
__
If P
ublic
:
City
C
ount
y
S
tate
X
Fire
Dis
tric
t
Fed
eral
55
TAB
LE 1
1: R
ESO
UR
CES
DIR
ECTO
RY
-- D
ispa
tch
Age
ncy
C
ount
y:
Con
tra
Cos
ta C
ount
y
R
epor
ting
Ye
ar:
201
3___
_
N
ame:
C
ontr
a C
osta
She
riff’s
Off
ice
Prim
ary
Con
tact
:
Gai
l Bo
wen
C
omm
unic
atio
ns C
ente
r D
irect
or
Add
ress
: 40
Gla
cier
Dri
ve
Mar
tinez
, C
A 9
4553
Tele
phon
e N
umbe
r:
92
5-31
3-24
54
Writ
ten
Con
trac
t: X
Yes
N
o M
edic
al D
irect
or:
X Y
es
No
X D
ay-to
-Day
X
Dis
aste
r N
umbe
r of P
erso
nnel
Pro
vidi
ng S
ervi
ces:
__
____
E
MD
Tra
inin
g
4820
E
MT-
D
____
__
ALS
__
____
B
LS
__
__
LALS
____
__
Oth
er
Ow
ners
hip:
X
Pub
lic
Priv
ate
If
Publ
ic:
Fire
X
La
w
Oth
er
Exp
lain
: _
___
___
__
If P
ublic
:
City
X
Cou
nty
S
tate
Fire
Dis
tric
t
Fed
eral
20
Ave
rag
e st
affin
g 22
dis
pat
cher
s/su
perv
isor
s pe
r d
ay
56
TA
BLE
11:
RES
OU
RC
ES D
IREC
TOR
Y --
Dis
patc
h A
genc
y
C
ount
y:
C
ontr
a C
osta
Cou
nty
R
epor
ting
Year
:
_
____
____
2013
___
___
_
NO
TE:
Mak
e co
pies
to
add
pag
es a
s ne
ede
d.
Com
plet
e in
form
atio
n fo
r ea
ch p
rovi
der
by
cou
nty.
N
ame:
C
ontr
a C
osta
Fire
Dis
pat
ch
Prim
ary
Con
tact
:
Kod
y K
erw
in
Com
mun
icat
ions
Spe
cial
ist
Add
ress
: 20
10 G
eary
Roa
d
Ple
asan
t H
ill,
CA
945
23
Te
leph
one
Num
ber:
925-
941-
3550
Writ
ten
Con
trac
t: X
Yes
□
No
Med
ical
Dire
ctor
: X
Yes
N
o X
Day
-to-D
ay
X D
isas
ter
Num
ber o
f Per
sonn
el P
rovi
ding
Ser
vice
s:
___1
5_ E
MD
Tra
inin
g __
___
E
MT
-D
____
__
ALS
__
____
B
LS
__
____
LA
LS
____
__
Oth
er
Ow
ners
hip:
X
Pub
lic
Priv
ate
If
Publ
ic:
X
Fire
La
w
Oth
er
Exp
lain
: _
___
___
__
If P
ublic
:
City
C
ount
y
S
tate
X
Fire
Dis
tric
t
Fed
eral
57
TAB
LE 1
1: R
ESO
UR
CES
DIR
ECTO
RY
-- D
ispa
tch
Age
ncy
Cou
nty:
Con
tra
Cos
ta C
ount
y
Rep
ortin
g Ye
ar:
___
____
__20
13_
___
___
N
OTE
: M
ake
copi
es t
o a
dd p
ages
as
need
ed.
C
ompl
ete
info
rmat
ion
for
each
pro
vid
er b
y co
unt
y.
Nam
e:
Ric
hmon
d C
omm
unic
atio
ns C
ente
r
Prim
ary
Con
tact
:
Byr
on B
apt
iste
, C
omm
unic
atio
n
Spe
cial
ist
Add
ress
: 32
6 27
th S
tree
t
R
ichm
ond,
CA
94
804
Tele
phon
e N
umbe
r:
51
0-62
0-66
60
Writ
ten
Con
trac
t: □
Yes
X
No
M
edic
al D
irect
or:
X Y
es
No
X D
ay-to
-Day
X
Dis
aste
r N
umbe
r of P
erso
nnel
Pro
vidi
ng S
ervi
ces:
__
28__
EM
D T
rain
ing
____
_
EM
T-D
__
____
A
LS
____
__
BLS
____
__
LALS
__
____
O
ther
O
wne
rshi
p:
X P
ublic
P
rivat
e
If Pu
blic
: X
Fi
re
X L
aw
Oth
er
Exp
lain
: _
___
___
__
If P
ublic
: X
City
C
ount
y
S
tate
Fire
Dis
tric
t
Fed
eral
58
AMBULANCE ZONE SUMMARY FORM: ERA I
Local EMS Agency or County Name: Contra Costa County Area or subarea (Zone) Name or Title: ERA I Name of Current Provider(s): American Medical Response
Area or sub area (Zone) Geographic Description: ERA-I includes the cities of El Cerrito, Richmond, Pinole, Hercules, San Pablo, Kensington, Martinez, Pleasant Hill, Lafayette, and Walnut Creek west of Highway 680 and adjacent to unincorporated areas, excluding that portion of ERA I included in the Moraga-Orinda Fire Protection District. Statement of Exclusivity, Exclusive or non-Exclusive (HS 1797.6): Exclusive.
Type of Exclusivity, “Emergency Ambulance”, “ALS”, or “LALS” (HS 1797.85):
Emergency Ambulance, ALS, 9-1-1 emergency response.
Method to achieve Exclusivity, if applicable (HS 1797.224):
Competitively-determined. Periodic Request for Proposal (RFP) and review process held approximately every 10 years. EMS Authority approved an RFP August 10, 2004. An exclusive 9-1-1 contract with American Medical Response went into effect as of July 1, 2005 with an extension approved by the Contra Costa Board of Supervisors (BOS) to June 30, 2014. On March 11, 2013 the BOS extended the contract through December 31, 2015 in accordance with the County Local Ambulance Ordinance number 83-28 regulation adopted June 2, 1989.
59
AMBULANCE ZONE SUMMARY FORM: ERA II
Local EMS Agency or County Name: Contra Costa County Area or subarea (Zone) Name or Title: ERA II Name of Current Provider(s): American Medical Response
Area or sub area (Zone) Geographic Description: ERA-II includes the cities of Clayton, Concord, Walnut Creek, east of Highway 680 and adjacent to unincorporated areas. Statement of Exclusivity, Exclusive or non-Exclusive (HS 1797.6): Exclusive
Type of Exclusivity, “Emergency Ambulance”, “ALS”, or “LALS” (HS 1797.85):
Emergency Ambulance - ALS, 9-1-1 Emergency Response
Method to achieve Exclusivity, if applicable (HS 1797.224):
Competitively-determined. Periodic Request for Proposal and review process held approximately every 10 years. EMS Authority approved an RFP August 10, 2004. An exclusive 9-1-1 contract with American Medical Response went into effect as of July 1, 2005 with an extension approved by the Contra Costa Board of Supervisors (BOS) to June 30, 2014. On March 11, 2013 the BOS extended the contract through December 31, 2015 in accordance with the County Local Ambulance Ordinance number 83-28 regulation adopted June 2, 1989.
60
AMBULANCE ZONE SUMMARY FORM: ERA III
Local EMS Agency or County Name: Contra Costa County Area or subarea (Zone) Name or Title: ERA III Name of Current Provider(s): Moraga-Orinda Fire Protection District
Area or sub area (Zone) Geographic Description: ERA-III includes the territory of the Moraga-Orinda Fire Protection District. Statement of Exclusivity, Exclusive or non-Exclusive (HS 1797.6): Exclusive
Type of Exclusivity, “Emergency Ambulance”, “ALS”, or “LALS” (HS 1797.85):
Emergency Ambulance –ALS, 9-1-1 Emergency Response
Method to achieve Exclusivity, if applicable (HS 1797.224):
Grandfathered with exclusivity pursuant to H.S. 1797.224. Moraga Fire Protection District began providing paramedic ambulance service throughout the territory of its jurisdiction in June 1977 and has continued on an uninterrupted basis. In December 1997, the territory of the Moraga Fire Protection District was combined with the territory of the Orinda Fire Protection District and a new Moraga-Orinda Fire Protection District formed and the County exclusive operating area agreement update to reflect the expanded territory. EMSA approved this boundary adjustment on January 30, 2003.
61
AMBULANCE ZONE SUMMARY FORM: ERA IV
Local EMS Agency or County Name: Contra Costa County Area or subarea (Zone) Name or Title: ERA IV Name of Current Provider(s): San Ramon Valley Fire Protection District
Area or sub area (Zone) Geographic Description: ERA IV includes the territory of San Ramon Valley Fire Protection District. Statement of Exclusivity, Exclusive or non-Exclusive (HS 1797.6): Exclusive.
Type of Exclusivity, “Emergency Ambulance”, “ALS”, or “LALS” (HS 1797.85):
Emergency Ambulance –ALS, 9-1-1 Emergency Response
Method to achieve Exclusivity, if applicable (HS 1797.224):
Periodic Request for proposal process. Request for proposal process held in 2008 resulted in a contract that expires October 21, 2018
62
AMBULANCE ZONE SUMMARY FORM: ERA V
Local EMS Agency or County Name: Contra Costa County Area or subarea (Zone) Name or Title: ERA V Name of Current Provider(s): American Medical Response West
Area or sub area (Zone) Geographic Description: ERA-V includes all of East County including the cities of Pittsburg, Bay Point, Antioch, Brentwood and unincorporated areas along the 9-1-1 boundary line separating East from Central County. Statement of Exclusivity, Exclusive or non-Exclusive (HS 1797.6): Exclusive.
Type of Exclusivity, “Emergency Ambulance”, “ALS”, or “LALS” (HS 1797.85):
Emergency Ambulance, ALS, 9-1-1 Emergency Response
Method to achieve Exclusivity, if applicable (HS 1797.224):
Competitively-determined. Periodic Request for Proposal and review process held approximately every 10 years. EMS Authority approved an RFP August 10, 2004. An exclusive 9-1-1 contract with American Medical Response went into effect as of July 1, 2005 with an extension approved by the Contra Costa Board of Supervisors (BOS) to June 30, 2014. On March 11, 2013 the BOS extended the contract through December 31, 2015 in accordance with the County Local Ambulance Ordinance number 83-28 regulation adopted June 2, 1989.