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HomeMy WebLinkAboutS1- Parks, Recreation & Community Services CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION From: Annie F. Ramos, Director Subject: APPROVAL OF $8,313 FROM FIRST WARD PARK EXTENSION FUNDS FOR THE ACQUISITION OF Dept: Parks, Recreation & Community Services A SCOREBOARD FOR GUTIERREZ FIELD AND RECREATION EQUIPMENT FOR RUBEN CAMPOS Date: May 20, 1993 CENTER, RUDY HERNANDEZ CENTER AND MILL CENTER BE APPROVED. Synopsis of Previous Council action: None. Recommended motion: That $8, 313 from the First Ward Park Extension Funds for the acquisition of a scoreboard for Gutierrez Field, and recreation equipment for Ruben Campos Center, Rudy Hernandez Center, and Mill Community Center be approved. Signature Contact person:_ John A. Kramer Phone: 5031 Supporting data attached: Staff Report Ward: 1 FUNDING REQUIREMENTS: Amount: $6.313 Source: (Acct. No.) 241-361-57001 (Acct. Description) Ward 1 Park Extension/ Found Finance: Council Notes: S- vs-ozcx Agenda Item No- CITY OF SAN BERNARDINO - REQUEST FO)R COUNCIL ACTION STAFF REPORT APPROVAL OF $8,313 FROM FIRST HARD PARR EXTENSION FUNDS FOR THE ACQUISITION OF A SCOREBOARD FOR GUTIERREZ FIELD, AND RECREATION EQUIPMENT FOR RUBES CAMPOS CENTER, RUDY HERNANDEZ CENTER AND MILL CENTER BE APPROVED. The acquisition of a scoreboard for Gutierrez Field is proposed. Gutierrez Field is in dire need for a scoreboard for the many little league games that are played ,tbere,. TtLe present scoreboard is well over 10 years oT$ `°arid }lot functioning properly. The acquisition of recreation equipment such as large table game units and exercise equipment are vital to the ability and effectiveness of these facilities to provide opportunities for youth to participate in and develop skills in the various recreational activities and as well as for their physical and self worth development. As a result of budget reduction over the past several years much of this equipment was eliminated from the budgets. These acquisition would help restore some of these programs at the above sites. This request has been coordinated with the Council Office. JUSTIFICATION FOR SUPPLEMENTAL AGENDA THE ESTIMATES FOR THESE ITEMS WERE NOT RECEIVED IN TIME FOR THIS ITEM TO BE PLACED ON THE REGULAR AGENDA AND IT IS IMPERATIVE THAT THESE ITEMS BE PURCHASED AS SOON AS POSSIBLE FOR THE CONTINUATION OF THE LITTLE LEAGUE AND SUMMER PROGRAMS. scorebrd.gut. -u 5/20/93 75 0264 CITY OF SAN BERN `.RDINO - REQUEST r1R COUNCIL ACTION From: Councilman Ralph Hernandez Subject: proposed Fire Department Dept: Council Emergency Medical Transport Date: May 19, 1993 Synopsis of Previous Council action: Recommended motion: That the Mayor and Common Council direct the City Administrator and Fire Chief to finalize and implement a plan for the City of San Bernardino Fire Department to provide emergency medical transport . ----------------- Signature Contact person: Councilman Hernandez Phone: 5188 Supporting data attached: Yes Ward: FUNDING REQUIREMENTS: Amount: Source: (Acct. No.) (Acct. Description) Finance: Council Notes: 75.0262 Agenda Item No '"` CITY OF SAN BERNr RDINO - REQUEST FOM COUNCIL ACTION STAFF REPORT For the past year and a half, the City and County of San Bernardino have been embroiled in a lawsuit to decide who has ultimate authority over the delivery of pre-hospital, or paramedic-provided, emergency medical services. On March 29, 1993 , Superior Court Judge E. Michael Kaiser issued the final judgment in County of San Bernardino, et.al. vs. City of San Bernardino, et.al. The judgment is on appeal. The following is what the City Attorney's office feels the judgment allows the City to do: * The City retains management and control over all pre- hospital emergency medical services (EMS) within the City. * Neither ICEMA or the County of San Bernardino may regulate pre-hospital EMS in any way, other than strictly technical, clinical, or medical issues that are only appropriate for those officials with a medical degree, nor authorize EMS providers to operate within the City. The exception to this is if the City asks the County to enter into a contract to perform the other services. * The City is grandfathered into the EMS system and is allowed to supply services at not less than existing levels as of June 1, 1980. * If the City wants to contract for ambulance transport services with a private provider and has not previously done so, then they must do so by agreement with the local EMS agency. However, this does not say that a City may not itself provide ambulance transport. In essence the judgment provides that the City of San Bernardino retains control over the administration of all pre-hospital emergency medical services and the County only has authority over medical control . In specifically addressing the issue of ambulance transport, the judgment cited Government Code Sections 38794 and 54980 which expressly authorize cities to provide ambulance transport and the Emergency Medical Services Act does not expressly or impliedly repeal those government code sections. The final judgment did not specifically authorize the City to provide emergency medical transport, however, the inference can be drawn that the City has not been limited by the judgment. A main concern that has arisen since the lawsuit was filed is that currently there are two distinct providers of paramedic services, the City Fire Department and Courtesy Ambulance, on each 911 medical aid call . Because of the recent judgment, the Fire Department has ultimate patient control and has been providing all paramedic care, from field evaluation and stabilization, to medical care enroute to the hospital, and transfer of the patient to )5-0264 i 0 hospital care. However, because of County policies, Courtesy Ambulance charges patients for paramedic services solely because a Courtesy paramedic was available during the call, even though City Fire actually renders care to the patient. This duplication of services has led to the recommendation that the Fire Department not only care for the patient during the entire medical aid incident, but transport as well. Not only would this result in lower medical costs to the patients, but would also provide a revenue source to support City medical aid services as well. A cost benefit analysis performed by the City Administrator projected net revenues at $4-6 million over a five year period, depending on the service delivery model used. This does not exceed the actual costs associated with the delivery of emergency medical services, but does defray total costs by a substantial amount. It should be noted that the City will not eliminate Courtesy Ambulance as a private provider of ambulance transport since the proposal is to only provide emergency transport for the City of San Bernardino 911 medical aid calls. Courtesy will still operate in surrounding cities as the emergency transport provider, as well as within the City for routine transport such as inter-hospital transfers. In fact, 911 transport is the least profitable of all ambulance services Courtesy now provides. However, since the City already provides all field emergency medical services except the actual ambulance vehicle and driver, we already provide the bulk of the service without collecting the revenue. Recently, legislation has been introduced in both the California Assembly and Senate to limit municipal EMS control, especially regarding the provision of ambulance services. Bills in both houses would limit cities entering the ambulance transport business after January 1, 1994. Though it might be attractive to take a more conservative approach and wait until all judicial appeals have been exhausted, the pending proposed legislation creates a short timeline within which the City needs to act. Given that the City has received a final judgement that infers the City's right to provide ambulance transport within our own boundaries, that the Fire Department already provides all pre- hospital paramedic care except actual vehicle transport, and that Fire Department transport would cost less to the citizens and would offset the costs of City paramedic services, it is recommended that the Mayor and Common Council direct the Fire Department to provide emergency medical transport. RECOMMENDATION That the Mayor and common Council direct the City Administrator and Fire Chief to finalize and implement a plan for the City of San Bernardino Fire Department to provide emergency medical transport.