6/13/2024
1 RiversideCA.gov1
RiversideCA.gov
City CouncilJune 25, 2024AMR Franchise / Resolution Adoption For Medical TransportFire Department RiversideCA.gov2
Riverside Municipal Code 5.66 “Ambulances”: oOutlines how the City of Riverside Fire Department manages Franchise (911) and Interfacility Transports (IFT) ambulance transports within its jurisdiction.Riverside County Emergency Medical Services Agency (REMSA):oREMSA and American Medical Response entered into a County wide agreement in 2015 to provide Advance Life Support ambulance services, which made AMR the solo ALS provider for Riverside County.City of Riverside and American Medical Response:oCity of Riverside & AMR 2018 Franchise Agreement has expired on June 30, 2023, with the Operational Agreement on November 8, 2023.Safety, Wellness, and Youth Committee:oMay 15, 2024 – Presented American Medical Response Franchise Application. Unanimous vote to recommend.Legislative History & Background1 2 6/13/2024
2 RiversideCA.gov3
Franchise Application Review: oRMC 5.66.040 Processing Application: oPrerequisites for a new Franchise Agreement or extension, the applicant (AMR) must fill out an application for review by the Administrator. After review, the Administrator shall submit a report to the Committee to consider the report and hear testimony. oRiverside County EMS Agency (REMSA) Review:oREMSA Contractual Renewal: Did not earn annual renewal.•Did not meet the minimum (90%) or enhanced (91%) response time performance for the months of March, April, May, August, September, October, and November 2023.•Non-Compliant with ALS mandate, sending Basic Life Support (BLS) ambulances to Advance Life Support (ALS) calls outside of the Emergency Medical Dispatch program approved by REMSA.Discussion / Application Review RiversideCA.gov4
Riverside City Subzone:oAMR was non-compliant with the ALS mandate, sending BLS ambulances to ALS level calls, which is outside of the current 2018 ALS First Responder Agreement (AMR & City of Riverside).CY2022: Total of 1,403 incidents BLS ambulance responded in the City of Riverside requiring a City of Riverside Fire Department paramedic to provide ALS care with the BLS ambulance. CY2023: 230 BLS ambulances responded in the City of Riverside requiring a City of Riverside Fire Department paramedic to provide ALS care with the BLS ambulance.CY2024: No BLS ambulance have responded in the City of Riverside. oDelayed Responses:Did not meet the minimum (90%) or enhanced (91%) response time performance forthe months of March, April, May, August, September, October and November 2023for Riverside City Zone.Discussion / Application Review cont.3 4 6/13/2024
3 RiversideCA.gov5
City of Riverside Contract Review:oBreach of Contract Letters: Three (3) Breach of Contract letters have been sent to AMR due to delayed responses and ALS mandate. oAMR was non-compliant with the ALS mandate, sending BLS ambulances to ALS level calls, which is outside of the current 2018 ALS First Responder Agreement.Customer Service Surveys:oThe three main area hospitals and ten convalescent hospitals were surveyed. In all cases, facilities were satisfied with the services AMR provided.Commission of Accreditation of Ambulance Service (CAAS):oCurrentDiscussion / Application Review cont.
RiversideCA.gov6
1. Term: The new Franchise and Operational Contract will run through November 8, 2027, with the option for extensions.2. Contract Financials:•AMR will pay the City of Riverside one hundred and sixty-five thousand, two hundred and twenty-four dollars, and eleven cents ($165,224.11) per month. The fee shall increase by 3%.•AMR will pay $1,800.00 per month per Fire Station for using the City of Riverside Fire Stations.•AMR will pay $30,000 annually to reimburse the City of Riverside for equipment that supports the restocking of EMS supplies.•AMR will pay one hundred and forty-four thousand, eight hundred and twenty-one dollars, and thirty-five cents ($144,821.35) per year for a Dispatch Emergency Medical Dispatch Coordinator.AMR Franchise / Operational Contract cont.5 6 6/13/2024
4 RiversideCA.gov7
4. Contract Penalties:•AMR BLS ambulances shall arrive on scene in twenty (20) minutes and fifty-nine (59) seconds or less, at least ninety percent (90%) of the time, or fees will be assessed.•Three hundred sixty dollars ($360.00) for the ambulance crew's failure to report their arrival at the scene, and the at-scene time is not verifiable by other reliable means.•Five hundred dollars ($500.00) for any incident when AMR refers a call to a Basic Life Support Unit (BLS), except expressly permitted by the City in the RFD EMD MPDS PROTOCOL MATRIX-City of Riverside.AMR Franchise / Operational Contract cont.
RiversideCA.gov8
Strategic Priorities:oStrategic Priority Number 2: Community Well-Being•Goal 2.6 – Strengthen community preparedness for emergencies to ensure effective response and recovery. Fiscal Impact:oTotal fiscal impact is $2,243,910.67. All revenue will be recorded in the City’s general fund. oRMC Section 5.66.030: AMR has paid the Franchise Application Fee of $1,858.00.Strategic Plan Alignment / Fiscal Impact7 8 6/13/2024
5 RiversideCA.gov9
That the City Council:1. Approve the Application for Medical Transport Ambulance Franchise from AMR to perform ALS and BLS transport services; and2. Adopt a resolution of intent to grant an Ambulance Medical Transport Franchise to AMR.3. Schedule a Public Hearing on July 16, 2024, for the purpose of adopting an ordinancegranting the Medical Transport Ambulance Franchise to AMR.Recommendations9