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San Bernardino City Fire Department
Interoffice Memorandum
From:
Mayor and Council
Larry Pitzer, Fire Chief if R. P
Private-Public Partnership Between American Medical Response And
The Fire Department
To:
Subject:
Date:
May 12, 1999
On April 19, 1999, Council approved in concept an agreement between the San
Bernardino City Fire Department and American Medical Response to conduct a 180-day
pilot program regarding enhanced pre-hospital paramedic service. Council directed the
City Attorney's Office to prepare said agreement and pertinent documents, and to bring
them back to the Mayor and Council meeting on May 17, 1999, for final Council
approval.
The AMR attorney has not yet prepared and submitted the draft agreement to the City
Attorney's Office for review. Therefore, it is recommended that the item be continued to
the June 7th meeting. .
The delay cited above will not cause any problems for implementation of the pilot
program. It will, in fact, allow time to comfortably complete equipment placement and
necessary training.
cc: Fred Wilson, City Administrator
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CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
Dept: Fire
Subject: American Medical Response and City
Fire Department Are Requesting Authorization
To Enter Into A I80-Day Pilot Program
(0.15" f'D) '\v'lRegardin.g Enh~nced Pre-Hospital
~ ~ U 11 ParamedIc SefVlce
From: Larry R. Pitzer
Date: April 19, 1999
Synopsis o~Previous Council Action:
None
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Recommended Motion:
1. That San Bernardino City Fire Department enter into an agreement with American
Medical Response to conduct a I80-day pilot program regarding enhanced pre-
hospital paramedic service.
2. Authorize the Mayor to sign an MOD stipulating details of the agreement.
Contact Person: Larrv R. Pitzer Phone: (909) 384-5286
Supporting data attached: StaffReoort
Ward: City Wide
FUNDING REQUIREMENTS:
Amount:
Source:
00.00
(Acct: No.)
(Acct. Descrintion)
Finance:
Council Notes:
Agenda Item No.
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CITY OF SAN BER1'lJARDINO - REQUEST FOR COUNCIL ACTION
STAFF REPORT
SUBJECT:
American Medical Response and City Fire Department are requesting authorization to
enter into a 180-day pilot program regarding enchanced pre-hospital paramedic service.
BACKGROUND:
Fire Department staff and American Medical Response (AMR) personnel have been
meeting for months regarding coordination of a public private partnership. The Fire
Chief recommends the Fire Department and AMR enter into a 180-day pilot program,
with a target start date of May 1, 1999.
The program will primarily consist ofreconfiguring the City's placement of paramedic
personnel and relaxing the ambulance arrival time. The City has received approval from
Inland Counties Emergency Medical Authority (ICEMA) and Dr. Salinas to enter into the
pilot program.
If the pilot program proves to be of value from a patient care standpoint, ICEMA will
approve continuance of the program on a permanent basis.
Approximately 44% of the City's current emergency medical aid victims must wait for a
second engine to arrive to receive paramedic service. Under the proposed pilot program,
all of the medical aid victims would receive paramedic service with the first arriving
engine; thereby, providing earlier paramedic intervention with a resulting higher
probability of a more positive outcome. In addition, the "packaging" for transport of the .
patient will be completed earlier, which will improve arrival time at the hospital.
FINANCIAL IMPACT:
The cost of additional Advanced Life Support equipment and paramedic pay will be
borne by AMR.
RECOMMENDED MOTION:
1. That San Bernardino City Fire Department enter into an agreement with American
Medical Response to conduct a 180-day pilot program regarding enhanced pre-
hospital paramedic service.
2. Authorize the Mayor to sign an MOU stipulating details of the agreement.
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