County of Los Angeles
CHIEF EXECUTIVE OFFICE
Kenneth Hahn Hall of Administration
500 West Temple Street, Room 713, Los Angeles, California 90012 (213) 974-1101
http://ceo.lacounty.gov
Board of SupervisorsHILDA L. SOLISFirst DistrictHOLLY J. MITCHELL Second District
F k 7 SHEILA KUEHL euruary I , V Third District
JANICE HAHN
Fourth DistrictKATHRYN BARGERFifth District
To: Supervisor Holly J. Mitchell, Chair
Supervisor Hilda L. Soils
Supervisor Sheila KuehlSupervisor Janice HahnSupervisor KatyBarger From: Fesia A. Davenp
Chief Executive Officê1’1
MEASURE B ADVISORY BOARD RECOMMENDATIONS FOR SPENDING
AVAILABLE UNALLOCATED 2021 MEASURE B FUNDS
On July 11, 2017, the Board of Supervisors (Board) approved a motion by Supervisors Barger and Hahn that directed the Chief Executive Office (CEO) to implement the Measure B Advisory Board (MBAB) to guide the Board on options and/or recommendations for spending unallocated Measure B funds. This is the third annualreport to the Board regarding the work completed by the MBAB and recommendations for spending unallocated Measure B funds. In 2020, the MBAB process was suspended due to COVID-19.
BACKGROUND
In November 2002, voters in the County of Los Angeles (County) approved Measure B, which authorized the County to levy a special tax on building improvements to providefunding for the countywide system of trauma centers, emergency medical services, and for bioterrorism response throughout the County.As directed in the July 11, 2017 Board motion, the MBAB will provide advice to the Board on options and/or recommendations for spending future unallocated Measure B funds.
Actual allocation of funding will be solely at the discretion of the Board and contingent upon Board approval.
FESIA A. DAVENPORT
Chief Executive Officer
“To Enrich Lives Through Effective And Caring Service”
Each Supervisor
February 7, 2022Page 2
The MBAB is co-chaired by budget managers from the CEO Health and Mental Health Services Division and the County’s Emergency Medical Services Agency (EMS) and includes one member from each of the following entities: Auditor-Controller, Department of Health Services (DHS), Department of Public Health, County of Los Angeles Fire Department, a representative of non-County trauma hospitals, as appointed by the Hospital Association of Southern California, the chair (or delegate) of the Los Angeles County Emergency Medical Services Commission, a surgeon practicing at a trauma hospital in the County as appointed by the Southern California chapter of the American College of Surgeons, and a registered nurse practicing in an emergency department of a designated trauma hospital in the County, as appointed by the California Nurses Association.
Proposals for the Measure B funding are submitted to the MBAB each year from April 1 through July 15 and are reviewed and ranked by the MBAB using a three-level ranking system. Additional information on the Measure B funding process can be found in Attachment I.
MEASURE B PROPOSALS FOR 2021
The MBAB received 39 funding proposals for consideration; however, one proposal was removed prior to the MBAB’s review of the proposal submission, based on County Counsel’s review and determination that the proposal was for expenditures not authorized for Measure B funding, and five proposals were withdrawn by the proposers, leaving 33 proposals for consideration. Of the 33 proposals submitted, many contained requests formultiple components resulting in the MBAB ranking 52 distinct projects.
The amount of Measure B unallocated funding available to fund these projects totaled approximately $13.0 million. The 52 proposed projects totaling $25,741,641 wereconsidered by the MBAB members and then ranked based on their level of priority. Thedescription of each proposal and their numeric ranking is included in Attachment II.
RECOMMENDATIONS
Based on the evaluation conducted by the MBAB and the $13.0 million of funding available to cover the cost of these requests, the CEO is recommending that the Board approve one-time funding for all proposals receiving a ranking of 1.75 or higher, totalingapproximately $12.52 million, as shown on Attachment II. This would fund 28 of the 52 proposed projects. If the Board approves these recommendations, the CEO will work with EMS and the impacted County and non-County entities to implement these initiatives. Unless otherwise instructed by the Board by February 21, 2022, the CEO will work with the EMS and DHS to allocate funding as outlined herein, to the requesting Each Supervisor
February 7, 2022Page 3
organizations. Final funding allocations will be approved as part of the Board’s regular budget process.
If you have any questions concerning this matter, please contact me or Mason Matthews, Budget and Finance Division, at (213) 974-2395 or mmatthewsceo.lacounty.ciov.FAD:JMN:MMMM: EB: cc Attachments
C: Executive Office, Board of Supervisors
County Counsel
Auditor-Controller
Emergency Medical Services AgencyFire
Health ServicesPublic Health
California Nurses Association
Hospital Association of Southern California
Southern California Chapter, American College of Surgeons
ATTACHMENT I
MEASURE B ADVISORY BOARD
10100 Pioneer Boulevard, Suite 200
Santa Fe Springs, CA 90670
Measure B Funding
Process for Submitting Funding Proposals
2021
BackgroundMeasure B is a special property assessment that was passed by the voters of Los Angeles County onNovember 5, 2002. This assessment is imposed upon all improvements (buildings) located in Los Angeles County and is added to Los Angeles County property taxes to provide funding for the Countywide System of Trauma Centers, Emergency Medical Services, and Bioterrorism Response.
The use of Measure B funds is restricted to four areas and authorized expenditures must fall within oneof these areas:
Trauma • Maintain all aspects of countywide system of trauma centers.
Centers • Expand system of trauma centers to cover all areas of the county. • Provide financial incentives to keep existing trauma centers within the system.
• Pay for the costs of trauma centers, including physician and other personnel costs.
Emergency • Coordinate and maintain a countywide system of emergency medicalMedical services.
Services • Pay for the costs of emergency medical services, including physician and other personnel costs.
Bioterrorism • Enable stockpiling of safe and appropriate medicines to treat personsResponse affected by a bioterrorism or chemical attack. • Train health care workers and other emergency personnel to deal with the medical needs of those exposed to a bioterrorism or chemical attack. • Provide medical screenings and treatment for exposure to biological or chemical agents in the event of a bioterrorism or chemical attack. • Ensure the availability of mental health services in the event of a terrorist attack.
Administration • Defray administrative expenses, including payment of salaries and benefits for personnel in the Los Angeles County Department of Health Services and other incidental expenses.
• Recover the costs of the special election in 2002.• Recover the reasonable costs incurred by the county in spreading, billing and collecting the special tax.
Submitting a Proposal
Proposals for Measure B funding can be submitted each year from April 15 through July 15 of that year.
The proposals will be reviewed prior to the Measure B Advisory Board (MBAB) proposal review meeting, to insure the proposed expenditures are authorized for Measure B funding. Any proposals for expenditures not authorized for under Measure B will be removed and the submitting entity will be notified of this action.
The MBAB will review and rank all submitted requests for Measure B funding with proposed expenditures that are authorized for Measure B at the MBAB proposal review meeting, typicallyscheduled in September of each year. If additional time is needed to review and evaluate the requests,another meeting will be scheduled typically later in September or in October of that year.
Below are the steps for submitting a proposal:
1. Complete the Measure B Proposal form and submit it, along with any supporting documents, via mail or email to the Los Angeles County EMS Agency no later than 5:00 pm on July 15 of the year to allow adequate time for the proposals to be reviewed and distributed prior to the first MBAB proposal review meeting. Supporting documents include price quotations for equipmentpurchases, budget, and pertinent financial statements. Financial statements will be required for funding request to offset the operational loss for providing a specific service (e.g. Trauma Services). The financial statements must clearly show direct expenses incurred and revenue received and expected to be received from all sources (including subsidy and donations) forproviding the service. For proposed new services or activities, a detailed budget must accompany the funding request, that includes a list of personnel, equipment, supplies and services costs, and an explanation of how these costs are determined. Additionally, when a request requires the hiring of personnel or incurring other long-term financial obligations (e.g.lease) for future years, the requesting entity must provide supporting documentation demonstrating how they will cover the personnel cost and these obligations if Measure B funding is not available in future years. Every requesting entities must provide a letter from the organization’s Department Head/Executive Office approving the proposal submission.
2. Proposers are encouraged to attend the MBAB proposal review meeting(s) to provide a brief overview of their project, limited to two minutes and be available to answer any questions thatthe members of the MBAB may have related to their proposal. If a second meeting is also scheduled for review of proposals, the proposers are encouraged to also attend this meeting.
The first meeting is typically scheduled in September of the year and if another meeting is needed, it will be scheduled typically later in September or in October of that year.
3. After reviewing all eligible proposals, the MBAB members will rank score the projects while the proposers are in attendance. However, the ranking score given by the MBAB does not guarantee approval by the Board of Supervisors.
Evaluating and Rank Ordering of the Proposals
After reviewing all eligible proposals submitted for a given year, the MBAB will rank the proposals using a three-level ranking system. Each qualified proposal will be given a high priority (Score of 3), medium priority (Score of 2), or low priority (Score of 1) score. All MBAB members may vote on any proposalsbeing considered, even if they are affiliated with the requesting entity, or has an interest in or will benefit from a proposal(s), unless it is deemed inappropriate by the MBAB Co-Chairs. The ranking will be done by each MBAB voting member providing a number ranking and an average score will be determined using all voting member rankings for each proposal.
2IPage
When evaluating/ranking each proposal, the committee may take into consideration the following:
• Consistency with the original intent of Measure B• Regional or system-wide application and impact • Improves overall services of trauma, EMS or bioterrorism• Addresses any major gap in the system to ensure access and health equity• Feasibility of proposed project, given the available time and resources• Completeness of proposal Board Consideration
A memo to the Board of Supervisors providing information on all the eligible proposals that were submitted and reviewed will be written by the Co-Chairs. The Board memo will highlight the amount of unallocated Measure B funding that is available and the rank order score of each proposal. It shall be the Board’s sole discretion and decision on what proposals are to be funded, as well as the amountawarded.
Once a proposal is approved by the Board, additional processes may need to be implemented prior to disbursement of the funds. This includes entering into a written agreement with the County outlining the use of the funding and the timeframe for incurring expenses. Typically, any Measure B funds that are awarded should be expended within 12 months of award. All Measure B funding is awarded on a reimbursement basis, with the receiving entity incurring the expense and then submitting the claim orinvoice to Los Angeles County - Department of Health Services / Health Services Administration Finance for reimbursement.
If you have any questions regarding submitting a proposal, please contact Kay Fruhwirth, EMS Agency Nursing Director at kfruhwirth(dhs.lacounty.qov or 562-378-1596. 3 Page
ATTACHMENT II
MEASURE
B ADVISORY BOARD
PROPOSAL NAME/DESCRIPTION
2021
Funding
# Proposal Nameltkscription Request Ranking
Requests Recommended for Funding
tHospital Association of Southern California (HASC) on behalf $3,938,834 2.88 of the Non-County Trauma Hospitals requests funding to covertrauma program costs associated with operating a traumacenter, specifically the cost of physician call coverage. The request is for $6.9 million and is made up of approximately $3,938,834 in Measure
B funds for an inter-governmental
transfer (IGT) and another $2,961,166 in federal matching . funds.
2. Emergency Medical Services Agency requests funding for the $87,185 2.75 Hospital Emergency Response Team (HERT) to cover supplies and training. The HERT is a valuable resource, which
provides higher level care to critical trauma and medicalpatients in the field for situations in which delays getting to the Trauma Center would result in harm to the patient.
3. Emergency Medical Services Agency requests funding for a $228,100 2.63 Learning Management System and Instructional Design toimprove EMS content delivery, distribute standardized learning content and efficiently track learner completion for the over 12,00Q EMS personnel throughout Los Angeles County
4. HASC on behalf of the Non-County Trauma Hospitals requests $2,226,297 2.38 funding to cover trauma program costs associated with
operating a trauma center, specifically the cost to support timely data collection, analysis, and performance improvementpatient safety (PIPS). The request is for $3.9 million and is made up of approximately $2,226,297 in Measure
B funds for
an IGT and another $1,673,703 in federal matching funds.
5. Los Angeles Fire Department Air Operations requests funding $105,640 2.25 for Phase I implementation of Flight Data Monitoring (FDM).
FDM technology integrates flight following tracking with aircraft’s onboard systems, which provide real-time location and immediate notification to remote users in the event of ems warning
o fa ure
6. Hawthorne Police Department requests funding to conduct $21 000 2.25 Stop the Bleed training for 250 community members.
7. PIH Health Whittier Hospital requests funding to replace the $164,704 2.25 base staDon radio system. . .
8. Compton Fire Department requests funding to purchase eight $25,110 2.13 (8) Automated Emergency Defibrillators (AEDs) that arecompatible with their monitor/defibrillators would improve the transition of care from basic life support to advanced life support.
.
9. Los Angeles County Fire Department requests funding to $1,734,960 2.13 expand their Assessment Engines, upgrading 44 engines to assessment engines. .
ATTACHMENT II
Funding
# Proposal Name/Description Request Ranking
10. HASC on behalf of the Non-County Trauma Hospitals requests $260,000 2.13 funding to cover trauma program costs associated with
operating a trauma center, specifically the cost for up-to-date education for credentialing of trauma center staff that support clinical patient care, data and performance improvement.
11. Monterey Park Fire Department requests funding to purchase $95,017 2.0 two (2) monitor/defibrillators in order to replace their aging units.
12. Alhambra Fire Department requests funding to purchase eight $340,000 2.0 (8) monitor/defibrillators in order to be placed on the frontline apparatus and Rescue Ambulances in their city.
13. Downey Fire Department requests funding to purchase two (2) $91,563 2.0 monitor/defibrillators and accessories in order to be placed on the frontline aooaratus and Rescue Ambulances in their city.
14. South Pasadena Fire Department requests funding to purchase $85,060 2.0 three (3) monitor/defibrillators in order to replace their aging units.
15. San Gabriel Fire Department requests funding to purchase $150,360 2.0 three (3) monitor/defibrillators in order to be placed on the frontline apparatus and Rescue Ambulances in their city.
16. Monrovia Fire Department requests funding to purchase two (2) $89,000 2.0 monitor/defibrillators in order to place an additional paramedic assessment unit in service and update an existing unit.
17. HASC on behalf of the Non-County Trauma Hospitals requests $520,000 2.0 funding to cover the cost of doing Stop the Bleed community outreach.
18. San Gabriel Fire Department requests funding to upgrade the $13,500 1.88 three (3) monitor/defibrillators with Real BVM, RescueNet Live and Traumatic Brain Injury dashboard.
19. Long Beach Health and Human Services request funding to $764,416 1.88 lease a warehouse space and do the build out for use a local distribution site to support mass prophylaxis in a bioterrorism event to cover seven (7) months of lease payments.
20. HASC on behalf of the Non-County Trauma Hospitals requests $260,000 1.88 funding to cover the cost to deliver injury prevention programs within each trauma centers' community.
21. Torrance Fire Department requests funding to purchase four $79,424 1.75 ( 4) automated chest compression devices to be placed on the Paramedic Rescue Ambulances and ALS Paramedic Engines
in their city.
22. Torrance Fire Department requests funding to purchase two (2) $110,515 1.75 cower load stretcher for the BLS ambulances in their citv.
23. Redondo Beach Fire Department requests funding to purchase $69,159 1.75 three (3) automated chest compression devices to be placed on the fire units in their city.
24. Culver City Fire Department requests funding to purchase $683,803 1.75 twenty-six (26) automated chest compression devices to be placed on fire units in the cities of Burbank, Monrovia, Montebello, Long Beach, Pasadena, Santa Monica and Culver City. -
ATTACHMENT II
: Funding
# Proposal NamelDescription Request Ranking
25. Monterey Park Fire Department requests funding to purchase $15,584 1 .75 one (1) automated chest compression devices to be placed onone fire unit in their city.
26. El Segundo Fire Department requests funding to purchase $60,510 1.75 three (3) automated chest compression devices to be placedon the fire units in their city.
27. San Marino Fire Department requests funding to purchase one $48,065 1 .75 (1) power load stretcher for the Rescue ambulance in their city.
28. The Regents of the University of California through the David $253,903 1.75 Geffen School of Medicine Department of Emergency Medicine UCLA Center for Prehospital Care requests funding for an instructional designer to collaborate with EMS educators tocurate lessons and create innovative, just-in-time onlinemodule content.
Requests Not Recommended for Funding
29. Hawthorne Police Department requests funding to create a pilot 249,550 1 .63 simulation-based training program focused on improving thedelivery of EMS care through the collaboration between lawenforcement first responders and EMS transport agencies.
30. Antelope Valley Hospital Trauma Program requests funding to $71,390 1.63 purchase tw0(2 rapid infu•sers.
31. St. Mary Medical Center Trauma Program requests funding to $49,789 1 .63 purchase one (1) ultrasound system.
32. El Segundo Fire Department requests funding to purchase $87,475 1.5 three (3) power load stretcher for the three paramedictranspon ng rescueambulançesn theircity
33. San Gabriel Fire Department requests funding to purchase two $40,199 1.5 (2) automated chest compression devices to be placed on the fire units in their city.
$4 Los Angeles Fire Department requests funding to purchase $70 351 1 5 replacement decontamination equipment on their fire
apparatus
: 35. HASC on behalf of the Non-County Trauma Hospitals requests : $433,333 1 .5 funding to cover the cost of cover the cost of educating the public pertaining to trauma centers
a tra urn yste is
36. Ronald Reagan UCLA Medical Center Trauma Program $93,000 1.5 re
uests fund ng to purchase one (1 ultrasoUndYstern.
37. Torrance Memorial Medical Center requests funding for the $227,755 1 .5 construction and development of
a Sirn ulatic n La
— 38. Antelope Valley Hospital Medical Center Forensic Services Unit $282,250 1.5 requests funding to offset the cost of services that are not h reimbursable such as forensic examinations for physical assault associated with child abuse and domestic violence.
39. San Gabriel Medical Center Forensic Services Unit requests $433,200 1 .5 funding to offset the cost of services that are not reimbursable such as forensic examinations for physical assault associated with child abuse and domestic violence.
ATTACHMENT II
Funding
# Proposal NamelDescription Request Ranking
40 San Marino Fire Department requests funding to purchase one $13,429 1.38 Combi Tool used to extricate trapped patients during trafficpp!lisiqr.... and build ngcc.!.!.aPSe. 41 Redondo Beach Fire Department requests funding to purchase $46,567 1 .38 one Utility Terrain Vehicle to deploy to mass gathering/specialevents. 42 St. Mary Medical Center Trauma Program requests funding to $50,241 1.38 purchase three (3)aid infusers.
43 Los Angeles Fire Department requests funding to purchase $63,480 1 .25 four (4) hazmat trailers and nine (9) radiation detectors to replace outdated equipment.
44 Hawthorne Police Department requests funding to pay
a $60,000 1.25
program manager to run the simulation lab and organize
simulation training with law enforcement and EMS - 45 Ronald Reagan UCLA Medical Center Trauma Program $45,000 1 .25 requests funding to purchase one (1) rapid infuser to replace outdated equipmen
46 Department of Health Services Housing for Health requests $5,070,000 1.25 funding to cover the operational costs of the Sobering Center or one year.
.
47 Los Angeles Fire Department requests funding to purchase $1,000,000 1.0 four (4) box trucks to replace the existing decontamination trailers.
48 St. Mary Medical Center Trauma Program requests funding to $961 1.0 purchase one( Setof skin graft handles.
49 Torrance Memorial Medical Center requests funding to cover $105,000 1.0 the salary cost for one year of
a technician to manage the
simulation laboratory.
50 Torrance Memorial Medical Center requests funding to $10,535 purchase disposable supplies that would be used in the
mu!ation !aboratory
51. Antelope Valley Hospital Medical Center Forensic Services Unit $6,321 1.0 requests funding to assist in the development of
a database
software program and first responder and community training materials.
52. San Gabriel Medical Center 1órsic Services Unit requests $75,237 1.0 funding to develop
a database software program and fund
a
data programmer. .