HomeMy WebLinkAbout1993-04-27 - AGENDA REPORTS - AMBULANCE SERVICE LACO (2)ti
AGENDA REPORT
City Manager Approval
Item to be presented br
CONSENT CALENDAR Ken Pulskamt
DATE: April 27, 1993
SUBJECT: Ambulance Service - Los Angeles County
DEPARTMENT: Management Services
BACKGROUND
As of April 1, 1990, the County of Los Angeles Department of Health Services.
fully implemented an eleven exclusive emergency medical transportation .zone
program throughout the county.
The exclusive operating zones were designated based upon population, housing
units, payor mix, acreage and the projected number of medical responses in each
zone. The present zone boundaries are based upon census -tract data. from. the
1980 decennial.national census.
The Emergency Ambulance Transportation Agreement mandates response time
parameters for various locations throughout Los Angeles County. The completion
of the 1990 federal 'census suggests changing demographics in Los Angeles County,
particularly in areas like Santa Clarita which sustained dramatic growth during
the 1980's.
On Tuesday, April 27, 1993, Supervisor Michael D. Antonovich introduced a motion
before the Los Angeles County Board of Supervisors requesting that the Director
of Health Services review 1990 census tract data.. If significant demographic
changes are discovered, the Ambulance Advisory Board should review the changes
and determine the impact on the County's emergency ambulance contractors and
their ability to meet prescribed response times. The Advisory Board shall
submit findings to the Director of Health Services, who, in turn, :will report
back to the Board of Supervisors with recommendations.
The City of Santa Clarita has previously expressed concerns to the County of Los
Angeles regarding ambulance response times and associated emergency response
issues. It would be appropriate for the City to reiterate those concerns to the
Ambulance Advisory Board, Director of Health Services and Board of Supervisors
as the demographics of the region are reassessed. Included in this discussion
would be a continuation of the City's request to split emergency medical
transportation zone J-10 into two separate zones.
I All I Rl,�
Agenda Item:l`
RECOMMENDATION
Work with the Ambulance Advisory Board, Director of Health Services and Board of,
Supervisors to provide information regarding the demographics of Santa Clarita.
Continue dialogue with the County of Los Angeles to divide zone* J-10 into two
zones. This action will recognize the geographic and demographic diversity of
the Antelope and Santa Clarita Valleys and provide enhanced service to citizens.
ATTACHMENT
Supervisor Antonovich's Motion
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SYN. NO. AGN. NO.
MOTION BY SUPERVISOR MICHAEL D. ANTONOVICH APRIL 27, 1993
In compliance with the Lomita lawsuit decision, on July 21,
1987 the Board approved a plan to establish exclusive emergency
medical transportation zones for the provision of emergency
ambulance (services. In November, 1988 and August, 1989 the
Department of Health Services_ issued Requests for Proposals for
eleven exclusive emergency medical transportation zones.
The exclusive operating zones were designed based on
population, housing units, payor mix, acreage and the number of
emergency medical responses in.each zone. The zone boundaries
were identified by census tracts, using 1980 census tract data.
Contractors submitted.their proposals and based Lhtilt bids on the
information contained in the Request for Proposal. The
Countywide eleven zone program was fully implemented on April 1,
1990.
The Emergency Ambulance Transportation services Agreement
mandates response time parameters for urban, rural, and
wilderness areas in Los Angeles County. In 1990, the Federal
MO_ TION
Molina
Burke
Dana
Antonovich
Edelman
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Government conducted its comprehensive periodic census. As a
result of that census, areas within exclusive operating zones may
have changed and contractors need to review their responses
within specific census tract areas to ensure that their times for
all areas are within contract mandates.
An Ambulance Advisory Board has been established under the
County's emergency ambulance contracts to work with all contract
providers on on common issues and concerns. The Ambulance
Advisory Board serves as an advisory body to the Director on
issues affecting the delivery of emergency ambulance services in
Las Angeles County.
I, THEREFORE, MOVE THAT the .Board of Supervisors instruct
the Director of Health Services to re-evaluate census tracts
identified in each zone based on the 1990 census. Furthermore,
if there have been major changes within the census tract
configurations of the eleven operating zones, these changes
should be reviewed and assessed by the Ambulance Advisory Board
to determine the overall impact on the County's emergency
ambulance contractors and their ability to meet the contract
mandates for response times in urban, rural, and wilderness
areas. I further move that the Director of Health Services,
following consultation with the Ambulance Advisory Board on this
issue, report back to the Board with recommendations.
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