HomeMy WebLinkAbout18 - Acceptance of Grant Funding for the Community Paramedicine PilotCITY OF
NEWPORT BEACH
- City Council Staff Report
June 9, 2015
Agenda Item No. 18
TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL
FROM: Scott L. Poster, Fire Chief — (949) 644 -3101, sposter @nbfd.net
PREPARED BY: Angela Crespi, Administrative Manager
PHONE: (949) 644 -3352
TITLE: Acceptance of Grant Funding for the Community Paramedicine Pilot Project
ABSTRACT:
The Hoag Hospital Community Benefit Program provides grant funding in support of efforts to achieve high
quality health care services for the communities they serve. The City of Newport Beach, under the
sponsorship of the Orange County Fire Chief's Association, is a participant in the State's Community
Paramedicine pilot study on Alternate Destinations. Acceptance of the grant funding will support the
necessary core and local staff training for the Orange County Alternative Destinations Pilot Project
participants.
RECOMMENDATION:
a) Accept the grant funding in the amount of $50,685 to be utilized for staff training; and
b) Approve Budget Amendment No. 15BA -048 to accept grant funds from the Hoag Memorial Hospital
Presbyterian Community Benefit Program, increase revenue estimates by $50,685 in account 2340 -5066,
and increase expenditure appropriations by $50,685 in account 2340 - 82007.
FUNDING REQUIREMENTS:
This budget amendment records and appropriates $50,685 in additional revenue from the Hoag Memorial
Hospital Presbyterian Community Benefit Program and $50,685 in increased expenditure appropriations.
There are no matching fund requirements to accept this grant.
DISCUSSION:
On November 14, 2014, the California Emergency Medical Services Authority (EMSA) was approved by the
Office of Statewide Health Planning and Development (OSHPD) Health Workforce Pilot Projects (HWPP)
program to pilot Community Paramedicine in 12 sites across California. One of the approved pilot projects
is the Orange County Alternative Destinations Pilot Project (OCADPP) led by the Orange County Fire
Chiefs Association (OCFCA).
18 -1
Under the leadership of the OCFCA, the Orange County Emergency Medical Services (EMS) system
partners, which includes fire departments in Newport Beach, Huntington Beach, and Fountain Valley, will
explore a regional approach to the Community Paramedic project through the development of an approved
triage process and protocols for transporting patients with non - critical conditions to alternative destinations
other than emergency departments. Patients meeting the approved criteria, and agreeing to participate in
the pilot, will be transported to urgent care centers instead of the emergency department (ED). The
overarching goal of this project is to assist in transporting patients to the right level of heath care services
when they call 911 and freeing up the ED to care for more critical patients.
The objectives of the pilot study are to determine whether applying this new intervention is safe, effective at
reducing costs, and maintains patient satisfaction. Success of the pilot study will be measured through
data collection regarding patient outcomes, patient satisfaction, and cost of service indicators. To validate
the data, both local and State evaluators will be utilized including University of California Irvine (UCI),
Orange County EMS Agency, and the State EMS Authority.
To ensure the safety of the study participants, each participating agency has selected a cadre of Alternate
Destination Paramedics (ADPs). These Paramedics are required to attend educational sessions and
successfully pass the written and practical evaluations prior to study implementation. This training will
ensure that the ADPs are prepared to make the correct determination regarding the appropriateness of
transporting a patient to an urgent care center.
If approved, the grant provided by the Hoag Hospital Community Benefit Program will provide the financial
support needed to cover the necessary staff training. As the designated fiscal agent for the Orange County
study, the City of Newport Beach will be responsible for acceptance and distribution of the grant funds.
The OCFCA and the Orange County EMS system partners are in the process of seeking additional grant
funding required for operation of the OCADPP through Hoag Hospital's Community Benefit Program and
other potential funding sources. If awarded, acceptance of additional grant funding will be brought forth to
the City Council for review and approval.
The baseline data collection phase began in April 2014 and will continue until the start of the
implementation phase of the study which commences in June 2015 and is expected to run for a period of
up to 2 years.
ENVIRONMENTAL REVIEW:
Staff recommends the City Council find this action is not subject to the California Environmental Quality Act
( "CEQA ") pursuant to Sections 15060(c)(2) (the activity will not result in a direct or reasonably foreseeable
indirect physical change in the environment) and 15060(c)(3) (the activity is not a project as defined in
Section 15378) of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it
has no potential for resulting in physical change to the environment, directly or indirectly.
NOTICING:
The agenda item has been noticed according to the Brown Act (72 hours in advance of the meeting at
which the City Council considers the item).
ATTACHMENTS:
Description
Attachment A - Grant Award Letter
Attachment B - Budget Amendment
18 -2
ATTACHMENT A
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
hoag One Hoag Drive, ,CA92e 8-61
Newport Beach, CA 92 658 -6 7 00
May 14, 2015
Chief Randy Bruegman
Orange County Fire Chiefs' Association
2400 E. Orangewood Ave
Anaheim, CA 92806
Dear Chief Randy Bruegman,
Congratulations! We are pleased to inform you that a grant in the amount of $50,685 has
been approved by Hoag Memorial Hospital Presbyterian Community Benefit Program for the
project titled Orange County Alternate Destinations Pilot Project.
Our mission as a nonprofit, faith -based hospital is to provide the highest quality health care
services to the communities we serve. We are excited to partner with your organization in
fulfilling our mission and the unmet needs of our community. Acceptance of this grant
acknowledges agreement to the following:
• The grant term: July 1, 2014 -June 30, 2015
• The funds must be used specifically for the designated project listed above as outlined
in your FY15 grant application
• Maintain your records to show and account for the uses of grant funds
• Your organization must notify us immediately if there is any change in your public
charity status
• We will be sending a request for a progress report and a final report in the months to
come. More details to follow.
Please submit an invoice with the specified project title and approved amount to:
CommunityBenefitGrants (@hoag.org. After we receive your invoice, please allow 2 -4 weeks
for the delivery of the grant check.
Once again, congratulations on this recognition of the great work you do to serve the
community. We look forward to working with you during the coming year.
Sincerely, !?�
Gwyn Parry, MD
Director Community Benefit
Minzah Malik, MPH, MBA
Manger Community Benefit
Michaell Rose, MSW, LCSW
Director of Community Programs 18 -3
ATTACHMENT B
City of Newport Beach NO. BA- 15BA -048
BUDGET AMENDMENT
2014 -15
EFFECT ON BUDGETARY FUND BALANCE:
Increase Revenue Estimates
X Increase Expenditure Appropriations AND
Transfer Budget Appropriations
SOURCE:
from existing budget appropriations
X from additional estimated revenues
from unappropriated fund balance
EXPLANATION:
This budget amendment is requested to provide for the following:
AMOUNT: $so,6ss.00
Increase in Budgetary Fund Balance
Decrease in Budgetary Fund Balance
fX] No effect on Budgetary Fund Balance
To record grant funds (revenue) received. from Hoag Hospital to support the Community Paramedicine Project, as well as
increase expenditure appropriations for the project.
ACCOUNTING ENTRY:
BUDGETARY FUND BALANCE Amount
Fund Account Description Debit Credit
REVENUE ESTIMATES (3601)
Fund /Division Account Description
2340 5066 Fire -EMS - Paramedicine Data Project $50,685.00
EXPENDITURE APPROPRIATIONS (3603)
Division Number
Account Number
Division Number
Account Number
Division Number
Account Number
Signed:
Signed:
Signed:
2340 Fire - EMS
82007 Grant Expenses
Approval:
Approval: City
City Council Approval: City Clerk
$50,685.00
Date
Date
Date
fM