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HomeMy WebLinkAboutC-8305-2 - Reimbursement Agreement for the Community Paramedicine Pilot ProgramNEWPORT BEACH FIRE DEPARTMENT P.O. BOX 1768, 100 CIVICCENTFR DRIVE, NEWPORT BEACH,CA 92658-8915 PHONE: 949-644-3355 FAX: 949-644-3120 WWW.NEWPORTBEACH CA. GOV COMMUNITY PARAMEDICINE PILOT PROJECT TO: Tony Coppolino, Fire Chief Fountain Valley Fire Department 10200 Slater Avenue Fountain Valley, CA 92708 David Segura, Fire Chief Huntington Beach Fire Department 2000 Main Street Huntington Beach, CA 92648 FROM: Chip Duncan, Fire Chief City of Newport Beach Fire Department 100 Civic Center Drive Newport Beach, CA 92660 DATE: October 19, 2018 This letter is sent to acknowledge the Community Paramedicine Pilot Project ("Project') has officially concluded. The Project took place from October 2015 to June 30, 2018. On November 14, 2014, the Office of Statewide Health Planning and Development ("OSHPD') approved the California Emergency Medical Service Authority's (" EMSA') statewide Community Paramedicine pilot program. One of the approved pilot projects was Orange County Alternate Destinations Pilot project C'OCADPP'). Under the OCADPP, the Orange County Fire Chiefs' Association ("OCFCA') led the instant Project, which included the fellow OCADPP member cities of Fountain Valley, Huntington Beach, and the City of Newport Beach ("City'). Pursuant to the correspondence dated October 9, 2015, the City was designated as the fiscal agent to the OCADPP, and agreed to receive the donated funds, pay associated pilot study costs, and maintain a journal outlining Project costs and expenses. Among other grant funds received for the Program, the City accepted grant funds from the Hoag Hospital Community Benefit Program ("Hoag Hospital") at the City Council meetings on June 9, 2015 ($50,685.00) and October 13, 2015 ($125,000.00). As the Project is now complete, the City shall fully return the remaining grant funds in the amount of $101,624.85 to Hoag Hospital. Enclosed herewith is the City's financial report of the Program with the associated expenses and revenue. 4 Sincerely, D( Chip Duncan, Fire Chief Newport Beach Fire Department ACKNOWLEDGED AND AGREED: Tony Coppolino, Fire Chief Fountain Valley Fire Department David Segura, Fire Chie Huntington Beach Fire Department Enclosures: As noted ORANGE COUNTY ALTERNATE DESTINATION PILOT PROJECT GRANT FUND FY15 FY16 TOTAL HOAG HOSPITAL $50,685.00 CA HEALTHCARE $8,600.00 $125,000.00 $8,000.00 $175,685.00 $16,600.00 $59,285.00 $133,000.00 $192,285.00 FY 2015 ACTUAL Training- Core Education S Training - Local ADPT 5 Travel 5 Reseaitbor Services $ 13,500 S $ S FY 2015 TOTAL $ 13,500 FY 2016 (July 2015 -June 2016) 07/18/2017 ACTUAL Training - Local ADPT 5 15,598.13 Emergency Ambulance Services S 2,500.00 UCC Charges it JiIRI RJ S $ S 1,625.00 70.56 Travel/Meetings $ 628.74 Researcher Services $ 16,200.00 Travel/Meetings _ FY 2016 TOTAL $ 36,622.43 FY 2017 (July 2016 - June2017) 07/18/2017 ACTUAL Training - Local ADPT Emergency Ambulance Services (Transport) S 828.00 Emergency Ambulance Services (Transport) $ 60.00 S 10,500.00 UCCCharges Wke Supplies $ 1,525.85 Travel/Meetings $ 13,500.00 $ 390.00 IN Supplies FY 2018 TOTAL $ 1,007.12 Travel/Meetings _ S 1,317.26 Researcher Services $ 15,570.00 FY 2017 TOTAL $ 31,138.23 FY 2018 (July 2017 - June 2018) 08/09/2018 ACTUAL Training - Local ADPT FY2017 Emergency Ambulance Services (Transport) S 2,700.00 UCC Charges $ 60.00 1't ACTUAL EXPENSE Wke Supplies 5 1,779.49 Travel/Meetings $ 13,500.00 Researcher Services 5 4,860.00 FY 2018 TOTAL $ 9,399.49 08/09/2018 TOTAL FUNDING FY2015 FY2016 FY2017 FY2018 FUND ACTUAL EXPENSE ACTUAL EXPENSE ACTUAL EXPENSE ACTUAL EXPENSE AVAILABLE $192,285.00 $ 13,500.00 $ 36,622.43 $ 31,138.23 $9,399.49 1 $101,624.85 O c� REIMBURSEMENT AGREEMENT WITH HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 FOR THE COMMUNITY PARAMEDICINE PILOT PROGRAM V THIS REIMBURSEMENT AGREEMENT ("Agreement") is made and entered into as of this 1st day of May, 2017 ("Effective Date"), by and between the CITY OF NEWPORT BEACH, a California municipal corporation and charter city ("NEWPORT BEACH"), and HOAG MEMORIAL HOSPITAL PRESBYTERIAN, a California nonprofit public benefit corporation ("HOAG") whose address is One Hoag Drive, Newport Beach, CA 92663, and is made with reference to the following: RECITALS A. NEWPORT BEACH is a municipal corporation duly organized and validly existing under the laws of the State of California with the power to carry on its business as it is now being conducted under the statutes of the State of California and the Charter of NEWPORT BEACH. B. On November 14, 2014, the California Emergency Medical Services Authority ("EMSK) was approved by the Office of Statewide Health Planning and Development ("OSHPD") Health Workforce Pilot Projects ("HWPP") program to pilot Community Paramedicine in twelve (12) sites across the state. One of the approved pilot projects is the Orange County Alternate Destinations Pilot Project ("OCADPP") led by the Orange County Fire Chiefs' Association ("OCFCA") and includes the cities of Fountain Valley, Huntington Beach and Newport Beach. C. Under the leadership of OCFCA, the OCADPP explores a regional approach to Community Paramedicine and will study if paramedics with advanced training can safely determine if 9-1-1 patients with non-critical conditions can be transported to urgent care centers instead of to emergency departments ("EDs") utilizing approved medical protocols. The overarching goal of this project is to transport 9-1-1 patients to the right level of healthcare services from the onset to free up the EDs to care for more critical patients. D. 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 project will be measured through data collection regarding patient outcome, patient satisfaction, and cost of services indicators. Local and State evaluators from University of California Irvine ("UCI"), Orange County EMS, and the State EMS Authority will be conducting the research and validating the data. E. Each fire department has selected a cadre of Alternate Destination Paramedics ("ADPs"). The ADPs have attended advanced training and successfully passed written and practical evaluations that ensure the competency of ADPs in making the determination that 9-1-1 patients with non-critical conditions can be transported to an urgent care center. Ultimately, the patient must consent to enrollment in the study and agree to be transported to a designated urgent care center. F. HOAG has been identified as an OCADPP member and designated as an Urgent Care Center ("UCC'). G. NEWPORT BEACH has been identified as an OCADPP member and designated as the fiscal agent. As the fiscal agent, NEWPORT BEACH is responsible for dispersing grant funds it receives on behalf of the OCADPP to other OCADPP members to specifically cover the cost of operations related to the OCADPP. H. As of the Effective Date, NEWPORT BEACH has received grant funds from the Hoag Hospital Community Benefit Program and California Healthcare Foundation to cover the cost of operations for the OCADPP. The terms of the grant from the Hoag Hospital Community Benefit Program and California Healthcare Foundation are attached hereto as Exhibits A (Grant Award Letter from HOAG Hospital) and B (Grant Award Letter from California Healthcare Foundation) respectively and incorporated herein by reference. NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as follows: 1. TERM The term of this Agreement shall commence on the Effective Date and shall terminate on November 30, 2018 unless extended or terminated earlier as set forth herein. 2. SERVICES TO BE PERFORMED 2.1 NEWPORT BEACH and HOAG acknowledge that the above Recitals are true and correct and are hereby incorporated by reference. HOAG shall diligently perform all the services described in the Scope of Services attached hereto as Exhibit C and incorporated herein by reference ("Services"). 2.2 Specific Obligations and Rights of Newport Beach 2.2.1 NEWPORT BEACH shall act as the fiscal agent by receiving invoices and reimbursing HOAG pursuant to the Reimbursement Amounts attached hereto as Exhibit D and incorporated herein by reference. 2.3 Specific Obligations and Rights of HOAG 2.3.1 HOAG shall act as a UCC. HOAG shall perform all the services described in the Scope of Services attached hereto as Exhibit C and incorporated herein by reference. HOAG shall also comply with and be fully bound by all applicable provisions of Exhibits C and D hereto. HOAG shall notify NEWPORT BEACH HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page 2 immediately upon discovery that it has not abided or no longer will abide by any applicable provision of Attachments C and D hereto. 3. REIMBURSEMENT 3.1 NEWPORT BEACH shall reimburse HOAG for the Services on a time and expense not -to -exceed basis in accordance with the provisions of this Section, the Reimbursement Amounts and the Billing Process attached hereto as Exhibits D and E, respectively and incorporated herein by reference. NEWPORT BEACH shall not utilize or provide any funding other than the grant fundsit receives on behalf of OCADPP to cover the costs of operations related to the OCADPP. 3.2 HOAG shall submit monthly invoices to NEWPORT BEACH describing the Services performed the preceding month. HOAG'S invoices shall include a brief itemized description or statement of the Services performed, (including the specific task, procedure, any medication(s) prescribed and/or administered) and the date the Services were performed. Supporting documentation, such as insurance payments received, insurance denial letters and/or any attempts for collection prior to submitting monthly invoices must be attached to monthly invoices. To the extent sufficient grant funds exist, NEWPORT BEACH shall pay HOAG no later than thirty calendar (30) days after approval of the monthly invoice by NEWPORT BEACH staff. 3.3 NEWPORT BEACH shall reimburse HOAG only for those costs or expenses specifically approved in this Agreement, or specifically approved in writing in advance by NEWPORT BEACH. 3.4 NEWPORT BEACH may terminate this Agreement and be relieved of the payment to HOAG if a) HOAG fails to perform any of the covenants contained in this Agreement, including but not limited to Attachments C and D hereto, at the time and in the manner herein provided, or b) NEWPORT BEACH loses funding under the grant. 4. PROJECT MANAGER 4.1 HOAG shall designate a Project Manager, who shall coordinate all phases of the Project. This Project Manager shall be available to NEWPORT BEACH at all reasonable times during the Agreement term. HOAG has designated Kelly Reynolds to be its Project Manager. HOAG shall not remove or reassign the Project Manager or any personnel listed in Exhibit C or assign any new or replacement personnel to the Project without the prior written consent of NEWPORT BEACH. NEWPORT BEACH'S approval shall not be unreasonably withheld with respect to the removal or assignment of non -key personnel. 4.2 HOAG, at the sole discretion of NEWPORT BEACH, shall remove from the Project any of its personnel assigned to the performance of Services upon written request of NEWPORT BEACH. HOAG warrants that it will continuously furnish the necessary personnel to complete the Project on a timely basis as contemplated by this Agreement. HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page 3 5. ADMINISTRATION This Agreement will be administered by the Fire Department. NEWPORT BEACH's EMS Division Chief or designee shall be the Project Administrator and shall have the authority to act for NEWPORT BEACH under this Agreement. The Project Administrator shall represent NEWPORT BEACH in all matters pertaining to the Services to be rendered pursuant to this Agreement. 6. RELATIONSHIP BETWEEN THE PARTIES It is understood that HOAG shall act in an independent capacity in the performance of this Agreement and shall not be considered an officer, agent or employee of NEWPORT BEACH or of the entity from which NEWPORT BEACH received grant funds. The manner and means of conducting the Services are under the control of HOAG, except to the extent limited by statute, rule or regulation and the expressed terms of this Agreement. Nothing in this Agreement shall be deemed to constitute approval for HOAG or any of HOAG'S employees or agents, to be the agents or employees of NEWPORT BEACH. Nothing in this Agreement shall create any contractual relationship between NEWPORT BEACH and any subconsultant nor shall it create any obligation on the part of NEWPORT BEACH to pay or to see to the payment of any monies due to any such subconsultant other than as otherwise required by law. HOAG shall have the responsibility for and control over the means of performing the Services, provided that HOAG is in compliance with the terms of this Agreement. 7. PROHIBITION AGAINST ASSIGNMENTS AND TRANSFERS Except as specifically authorized under this Agreement, the Services to be provided under this Agreement shall not be assigned, transferred contracted or subcontracted out without the prior written approval of NEWPORT BEACH. 8. SUBCONTRACTING The subcontractors authorized by NEWPORT BEACH, if any, to perform Work on this Project are identified in Exhibit C. HOAG shall be fully responsible to NEWPORT BEACH for all acts and omissions of any subcontractor. Nothing in this Agreement shall create any contractual relationship between NEWPORT BEACH and any subcontractor nor shall it create any obligation on the part of NEWPORT BEACH to pay or to see to the payment of any monies due to any such subcontractor other than as otherwise required by law. NEWPORT BEACH is an intended beneficiary of any Work performed by the subcontractor for purposes of establishing a duty of care between the subcontractor and NEWPORT BEACH. Except as specifically authorized herein, the Services to be provided under this Agreement shall not be otherwise assigned, transferred, contracted or subcontracted out without the prior written approval of NEWPORT BEACH. HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page 4 9. RECORDS HOAG shall keep complete and accurate records and invoices in connection with the OCADPP and Services provided and any costs charged to NEWPORT BEACH for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to HOAG under this Agreement. All such records and invoices shall be clearly identifiable. HOAG shall allow a representative of NEWPORT BEACH to examine, audit and make transcripts or copies of such records and invoices during regular business hours. HOAG shall allow inspection of all work, data, documents, proceedings and activities related to the Agreement for a period of three (3) years from the date of final payment to HOAG under this Agreement. 10. INDEMNIFICATION AND HOLD HARMLESS 10.1 To the fullest extent permitted by law, HOAG shall indemnify, defend and hold harmless NEWPORT BEACH, its City Council, boards and commissions, officers, agents, volunteers, employees and any person or entity owning or otherwise in legal control of the property upon which HOAG performs the Services contemplated by this Agreement (collectively, the "Indemnified Parties") from and against any and all claims (including, without limitation, claims for bodily injury, death or damage to property), demands, obligations, damages, actions, causes of action, suits, losses, judgments, fines, penalties, liabilities, costs and expenses (including, without limitation, attorneys' fees for counsel acceptable to NEWPORT BEACH, disbursements and court costs) of every kind and nature whatsoever (individually, a Claim; collectively, "Claims"), and which may arise from or in any manner relate (directly or indirectly) to any breach of the terms and conditions of this Agreement, any work performed or Services provided under this Agreement including, without limitation, defects in workmanship or materials or HOAG'S presence or activities conducted in connection with the OCADPP and Services provided under this Agreement (including the negligent, reckless, and/or willful acts, errors and/or omissions of HOAG, its principals, officers, agents, employees, vendors, suppliers, consultants, subconsultants, anyone employed directly or indirectly by any of them or for whose acts they may be liable, or any or all of them.) 10.2 Notwithstanding the foregoing, nothing herein shall be construed to require HOAG to indemnify the Indemnified Parties from any Claim arising from the sole negligence or willful misconduct of the Indemnified Parties. Nothing in this indemnity shall be construed as authorizing any award of attorney's fees in any action on or to enforce the terms of this Agreement. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by HOAG. 11. NOTICES 11.1 All notices, demands, requests or approvals, including any change in mailing address, to be given under the terms of this Agreement shall be given in writing, and conclusively shall be deemed served when delivered personally, or on the third business day after the deposit thereof in the United States mail, postage prepaid, first- HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page 5 class mail, addressed as hereinafter provided. 11.2 All notices, demands, requests or approvals from HOAG to NEWPORT BEACH shall be addressed to NEWPORT BEACH at: To NEWPORT BEACH: City of Newport Beach Attention: EMS Division Chief 100 Civic Center Drive P.O. Box 1768 Newport Beach, CA 92658 11.3 All notices, demands, requests or approvals from NEWPORT BEACH to HOAG shall be addressed to HOAG at: To HOAG: Hoag Memorial Hospital Presbyterian Attn: Kelly Reynolds 510 Superior Avenue, Suite 290 Newport Beach, CA 92663 12. CLAIMS Unless a shorter time is specified elsewhere in this Agreement, before making its final request for payment under this Agreement, HOAG shall submit to NEWPORT BEACH, in writing, all claims for compensation under or arising out of this Agreement. HOAG'S acceptance of the final payment shall constitute a waiver of all claims for compensation under or arising out of this Agreement except those previously made in writing and identified by HOAG in writing as unsettled at the time of its final request for payment. HOAG and NEWPORT BEACH expressly agree that in addition to any claims filing requirements set forth in the Agreement, HOAG shall be required to file any claim HOAG may have against NEWPORT BEACH in strict conformance with the Government Claims Act (Government Code sections 900 et seq.). 13. TERMINATION 13.1 In the event that either party fails or refuses to perform any of the provisions of this Agreement at the time and in the manner required, that party shall be deemed in default in the performance of this Agreement. If such default is not cured within a period of two (2) calendar days, or if more than two (2) calendar days are reasonably required to cure the default and the defaulting party fails to give adequate assurance of due performance within two (2) calendar days after receipt of written notice of default, specifying the nature of such default and the steps necessary to cure such default, and thereafter diligently take steps to cure the default, the non -defaulting party may terminate the Agreement forthwith by giving to the defaulting party written notice thereof. 13.2 Notwithstanding the above provisions, NEWPORT BEACH shall have the right, at its sole and absolute discretion and without cause, of terminating this HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page 6 Agreement at any time by giving no less than seven (7) calendar days' prior written notice to HOAG. In the event of termination under this Section, NEWPORT BEACH shall pay HOAG for Services satisfactorily performed and costs incurred up to the effective date of termination for which HOAG has not been previously paid. On the effective date of termination, HOAG shall deliver to NEWPORT BEACH all reports, Documents and other information developed or accumulated in the performance of this Agreement, whether in draft or final form. 14. STANDARD PROVISIONS 14.1 Recitals. NEWPORT BEACH and HOAG acknowledge that the above Recitals are true and correct and are hereby incorporated by reference into this Agreement. 14.2 Compliance with all Laws. HOAG shall, at its own cost and expense, comply with all applicable statutes, ordinances, regulations and requirements of all governmental entities, including federal, state, county or municipal, whether now in force or hereinafter enacted. In addition, all work prepared by HOAG shall conform to applicable NEWPORT BEACH, county, state and federal laws, rules, regulations and permit requirements and be subject to approval of the NEWPORT BEACH. 14.3 Waiver. A waiver by either party of any breach, of any term, covenant or condition contained herein shall not be deemed to be a waiver of any subsequent breach of the same or any other term, covenant or condition contained herein, whether of the same or a different character. 14.4 Integrated Contract. This Agreement represents the full and complete understanding of every kind or nature whatsoever between the parties hereto, and all preliminary negotiations and agreements of whatsoever kind or nature are merged herein. No verbal agreement or implied covenant shall be held to vary the provisions herein. In the event there are any conflicts or inconsistencies between this Agreement and any other communication between the parties, the terms of this Agreement shall govern. 14.5 Interpretation. The terms of this Agreement shall be construed in accordance with the meaning of the language used and shall not be construed for or against either party by reason of the authorship of the Agreement or any other rule of construction which might otherwise apply. 14.6 Severability. If any term or portion of this Agreement is held to be invalid, illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining provisions of this Agreement shall continue in full force and effect. 14.7 Controllinq Law and Venue. The laws of the State of California shall govern this Agreement and all matters relating to it and any action brought relating to this Agreement shall be adjudicated in a court of competent jurisdiction in the County of Orange, State of California. HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page 7 14.8 Equal Opportunity Employment. HOAG represents that it is an equal opportunity employer and it shall not discriminate against any subconsultant, employee or applicant for employment because of race, religious creed, color, national origin, ancestry, physical handicap, medical condition, marital status, sex, sexual orientation, age or any other impermissible basis under law. 14.9 No Attorney's Fees. In the event of any dispute or legal action arising under this Agreement, the prevailing party shall not be entitled to attorney's fees. 14.10 Counterparts. This Agreement may be executed in two (2) or more counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument. 14.11 No Third Party Beneficiaries. This Agreement is entered into by and for HOAG and the NEWPORT BEACH, and nothing herein is intended to establish rights or interests in individuals or entities not a party hereto. 14.12 Force Majeure. Except for the payment of money, neither party will be liable for any delays or other non-performance resulting from circumstances or causes beyond its reasonable control, including without limitation, fire or other casualty, Act of God, strike or labor dispute, war or other violence, acts of third parties, or any law, order, or requirement of any governmental agency or authority other than that of the parties. 14.13 Amendments. This Agreement may be modified or amended only by a written document executed by both parties and approved as to form by the City Attorney. [SIGNATURES ON NEXT PAGE] HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page 8 IN WITNESS WHEREOF, the parties are signing this Agreement as of the Effective Date. APPROVED AS TO FORM: CITY ATTORNEY'S OFFICE Date: CITY OF NEWPORT BEACH, a California municipal corporation Date:-)h4ltzi By: By; A n C. Harp 6 Dave Ciff City orney City Manager ATTEST - Date: Date: . q- r"Wd By; Leilani I. Brown City Clerk Attachments REQUESTED AND REVIEWED: Fire Department/ Date: 01S0'7 By: Chip Duncan Fire Chief HOAG MEMORIAL HOSPITAL PRESBYTERIAN, a California nonprofit public M ration Andr'&W R. Guarni Secretary/Chief Financial Officer [END OF SIGNATURES] Exhibit A — Grant Award Letter from HOAG Exhibit B — Grant Award Letter from California Healthcare Foundation Exhibit C — Scope of Services Exhibit D — Reimbursement Amounts Exhibit E — Billing Process Exhibit F — Election and Consent Form HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page—9 EXHIBIT A GRANT AWARD LETTER FROM HOAG HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page A-1 ATTACHMENT HOA.G MEMORIAL. HOSPnA4:' P.ESWERiAM Ohoagne lung Drwo, PO a. f.100}Op # Nigvffwn b"ch. CA 07658-6104 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: CommunilyBenefitGrantsPhoag o o, 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 workyou do to serve the community. We look forward to working with you during the coming year. Sinc erely, Gwyn Parry, MD Director Community Benefit A"/w Im", e* Michaell Rose, MSW, LCSW Director of Community Programs Minzah Malik, MPH, MBA Manger Community Benefit TV 18-3 �wN CITY OF r iii -b.-w ...m ^. q' NEWPORT BEACH City Council Staff Deport June 09, 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 Chiefs 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 $50,665 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). 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 ("CEQK) 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 EXHIBIT B GRANT AWARD LETTER FROM CALIFORNIA HEALTHCARE FOUNDATION HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page B-1 ALCALIFORNIA H EALTHCARR FOUNDATION March 5, 2015 Mr. David Kiff City Manager City of Newport Beach 100 Civic Center Drive Newport Beach, CA 92660 Dear Mr. Kiff: Reference Number: 18762 This letter officially approves your request for a no -cost extension to the project, Community Paramedicine Data Project Fountain Valley Fire Department. The project is now scheduled to end on September 30, 2015. The revised schedule for the remaining deliverables due for this grant is as follows: Current Due Date Revised Due Date T e of Re rt Re ort Descri do February 15, 2015 April 15, 2015 Signed Agreement 91 n May be submitted early. Febnuuy 27, 2015 April 30, 2015 Interim Verification from UCSF that Deliverable initial data submission of baseline data has been received. (may be submitted early — as soon as deliverable February _27,2015 April _30,2015 Invoice is met). Invoice for Interim Deliverable. (may be submitted early — as soon as deliverable is met). July 31, 2015 September 30, 2015 Final Deliverable Pilot site achieving operational status as designated by EMSA. Pilot site to submit invoice for this payment along with verification letter from EMSA of "operational status" of site. (may be submitted early — as duly 31, 2015 September 30, 2015 Invoice soon as deliverable is met). Invoice of Final Deliverable (may be submitted early — as soon as deliverable is met). 163E Webster 51,eel, Sude 400 Oakland, Cablonva %612 T 510 2381040 F 510 2381368 WWW.CfICFORG City of Newport n 18762, page 2 Payments will he made within 30 days of receipt and acceptance of the contingency ti>r that payment as detailed below: Amount Contingency Contingency Due Date $8,600 Interim Deliverable & Invoice April 30, 2015 $8,000 Final Deliverable &invoice September 30, 2015 Please call me if you have any questions, Yours truly, Sandra Shewry Director, State Flealth Policy Program cc: Lisa Kang, Director, Grants Administration Other Terms The California HealthCare Foundation may periodically issue a general press release announcing funded projects, or include this grant in a published list of grants awarded by CHCR If the Grantee wishes to issue a press release regarding this grant, CHCF requires review and final sign -off of the text by its Publishing and Communications Department. Any publication produced by the Grantee that refers or results from this agreement should include an acknowledgment of CHCF that reads: Supported by the California HeallhCare Foundation, based in Oakland, California. Funds paid under this agreement may not be used to: 1) carry out propaganda or otherwise attempt to influence legislation; 2) influence the outcome of any specific public election; or 3) carry on directly or indirectly any voter registration drive. If the work performed under this agreement result in access to information that is confidential to, or a trade secret of the California HealthCare Foundation, you hereby agree not to disclose any such information without written authorization from the Foundation. Your signature below acknowledges your acceptance of the agreement as described in this letter. Please sign this letter, and mail or fax (510-587-0149) one signed copy to Danny Sandoval Program Associate. Yours truly, Craig C. Ziegler VP of Finance, Administration & Investments cc: Sandra Shewry, Director, State Health Policy Lisa Kang, Director, Grants Administration Name/Signature: Organization: City of Newport Beach Tax ID: 95-6000751 Date: •3 1 114 (,S Citi, Aktomey CAM m-1L311r ATT/EIS�T�S��y, W�YQ'�t/ iY'il�DlUY-- 3.13.1 Mani rown, ry owk Mr'.of New= Beach Reference #18762, Page 3 e�EW�RT 0� 6 u }' FIFO RNA L% CALIFORNIA tt rA Lint'.A R4. FovNDATRI\ February 12, 2015 Mr. David Kiff City Manager City of Newport Beach 100 Civic Center Drive Newport Beach, CA 92660 Dear Mr. Kiff: Reference Number: 18762 The California HealthCare Foundation is pleased to award a grant to City of Newport Beach as a stipend to provide data in support of the Community Paranledicine Data Project. The amount of this grant is a fixed amount of $16,600. This agreement is effective February 15, 2015 and terminates on July 31, 2015, unless extended by written agreement initiated by the Foundation. Sandra Shewry, Director, State Health Policy, will be your Foundation contact during the course of this project. All correspondence and invoices related to this project should be addressed to her. Scope of Work In support of OSHPD's Health Workforce Pilot Project #173, the grantee will provide the Community Paramedicine's Independent Evaluator (the Philip R. Lee Institute or Health Policy Studies at the University of California, San Francisco) with all required data elements. These data include: • Baseline data on care provided by pilot sites prior to implementation of the pilot interventions • Data on site specific training provided to prospective community paramedics within 30 days of completion of each of these training components • Data on implementation of the pilot interventions The grantee's Local Pilot Program Managers have had opportunities to review and comment on the data elements for the evaluation and have agreed to provide them. They will have an opportunity to comment on any proposed changes to the required data elements. Each Local Pilot Program Managers will have the responsibility for collecting all required data and forwarding them to the Independent Evaluator. Local Pilot Program Managers may designate other staff to assist with data collecting and reporting but will be responsible for the accuracy of data and the timeliness with which data are submitted to the independent evaluator. Pilot sites will provide the Independent Evaluator with up to date names and contact information for Local Pilot Program Managers and any other staff assisting with data collection and reporting. The grantee understands and agrees that there is a need for all pilot sites to collect similar data elements. In light of this, the grantee agrees that grantee's pilot site will: • collect standardized data pertinent to the community paramedicine concept being tested; • report data elements on each concept being tested (if site is testing more than one concept). • use the web -based data reporting tools that the Independent Evaluator has developed to transmit data to the Independent Evaluator; • report baseline and implementation data on a monthly basis. Baseline data will be reported for five months, from August 2014 through December 2014. Implementation data will be reported for the duration of the pilot project — estimated to be from June 2015 through May 2016. The University of California, Los Angeles Center for Prehospital Care will be responsible for submitting all data on the core training. Individual pilot sites' Local Pilot Program Managers will be responsible for submitting data on site specific training. Deliverables/Payments: The following deliverables will be due on this grant: Date Due Tvne of Re ort Re ort Descri tion February 15, 2015 Signed Agreement February 27, 2015 Interim Deliverable Verification from UCSF that initial data submission of baseline data has been received. February 27, 2015 Invoice Invoice for $8,600 July 31, 2015 Final Deliverable Pilot site achieving operational status as designated by EMSA. Pilot site to submit invoice for this payment along with verification letter from EMSA of "operational status" of site, July 31, 2015 Invoice I Invoice for $8,000 (may be submitted early — as soon as deliverable is met). Payments will be made within 30 days of receipt and approval of the contingency for that payment detailed as follows: Amount Contingency Contingency Due Date $8,600 Interim Deliverable and Invoice February 27, 2015 $8,000 Final Deliverable and Invoice I July 31, 2015 Invoices should include Reference #18762. City of Newport Beach, Reference #18762, Page 2 inf osend ?ill Print. C-BNS Delivered. PROCESS SUMMARY REPORT File Name Paste # of Total Non Bar. February 24, 2015 .ion Cade Company Name No Accounts Pages Coded Dupl. Total Amount NPB0224A NPB.0224.MISC.001.TXT 1 1 1 0 0 $8,600.00 CITY OF NEWPORT BEACH t ozals: 1 1 0 0 $8,600.00 �EW�Rr CITY OF NEWPORT BEACH a� e u i REVENUE DIVISION A P.O. BOX 3080 ^q<lpp PNS' NEWPORT BEACH, CA 92658-3080 Email: revenuehelp@newportbeachca.gov CALIFORNIA HEALTHCARE FOUNDATION ATTN: SANTRA SHEWRY, DIRECTOR 1415 L STREET #820 SACRAMENTO CA 95814-5009 MISCELLANEOUS BILLING - INVOICE NBID # ACCT # INVOICE # 574123 0000022085 GN01002882 INV DATE DUE DATE AMOUNT DUE 02/24/15 03/26/15 6,600.00 I ` "'P" I Qty I Unit Price Tax: I Extention: COMMUNITY PARAMEDICINE DATA PROJECT REFERENCE NUMBER: 18762 DATES: 02/15/2015 - 07/31/2015 1.00 8,600.00 0.00 8,600.00 Payments received after the original due date Maybe transferred to other City or Newport Beach accounts or sent to a Collection Agency for recovery. Cost recovery fees or late payment penalties may be applied after the original due date. Payments can be made online at www.newportbeachca.govipayments TOTAL INVOICE: $ 8,600.00 and referencing the "NBID #" on the billing statement. PAYMENTS /ADJUSTMENTS: $ 0.00 PAST DUE: $ 0.00 PENALTIES / INTEREST: $ 0.00 Please see the reverse side for details on non-payment penalties. TOTAL AMOUNT DUE: $ 8,600.00 MISCELLANEOUS BILLING - INVOICE ?EW�Rr CITY OF NEWPORT BEACH o REVENUE DIVISION G \ P.O. BOX 3080 c c,MpeN`' NEWPORT VVBEAIICH, CTIA 92I6I58-u3080 III9 u�l� IGnI�IIW�I�I� A I��lu �I IB I� Please review the back of this document for important information. NBID # 574123 ACCT # 0000022085 INVOICE # GN01002882 INV DATE 02/24/15 DUE DATE 03/26/15 Amount Due: 8,600.00 NPB0224A 4000000001 1/1 10rlhigr�rdrll°ItIrIPI l `I diilttlrntptpgrlhlridPln CALIFORNIA HEALTHCARE FOUNDATION hIIt9lrl�rllUrrr1411�rrIU4rllUrhllll411gtrglrlllltirlu r ATTN: SSHEWRY, DIRECTOR CITY OF NEWPORT BEACH 11�v 1415 L STREETTREET #820 SACRAMENTO CA 95814-5009 PO BOX 3080 Newport Beach, CA 92658-3080 AROOOOOOOOOD22085000008600003 11,11 IMPORTANT NOTICE LOcauon of City Hall B, oig Location - r rter Office Hours "r;nri-:�;• - Thursday ? J%am - , azpm r"las Maw 4 Ynw -...:.;,I, no1.,11v Payment L.occanon - ',1,i, 0014-,'31 NOTICE OF INTENT TO NOTIFY FRANCHISE TAX BOARD OF UNPAID LIABILITIES The Cay of Newport Beach ;s required by law to provide thja nrluce reiatung that failure W,, pay the liability owed wiR rests in thus debt being reported to the State Franchise Tax Board frx I," Offset in the evert that you are owed a tax refund wo1 a Catifornia Lottery prize or have wit -tamed property •r..12;rn s rhe Franchlsa Tax Board will intercept from that mon,,. the amqunt you owe this agency. California Government Code 5e:;tions 12419.8 and 12419.10 authorize the office of State Controller to collect money owed to a county or a cit,, ac;ency by intercepting any money that the state owed the cieotor If you have any questions, or do not believe that Vcu o'roe this debt, please contact ns in writing within 30 days from the date of this notice- A representative will review qOw objections once they are raceived. If you do riot submit an•, nblecnons- or d your oblactrons are insufficient the City wrr. proceed with this action Online Services www.newportboachca.gov Fstabiish or Cancel Water service -•onte.v! a Parking Gtatlon a Parkr,o Penmi Ap,"ly for Cancet or Update Bu6rtes_s License `03i1v rote online services available C' ;= Malting Ad , P2,; C,I, Bills ea F i , Stare ewe, fo+ -e t Alar• M- S and Bu :mess 1 1; r'.•yrnent ran be made ;icing your credit card at w_ ww.newportbeachea.govlpayments v,a pr:,... l 4.1j 71a- 94113. oy ma'- us,rlg the return envei opalm un , nn I ' C ers_ or (,ity }{a rbn: q sn,-. Fayn eats mast ce re;;e'v'd by hu d datz an r S per t e .rn il2;sa:._ isv e t`+g r;IiY 1 tip; res R rl5iol'1 fn' -e'3y ri _ der rrh-, „!t} or NebVOR Be3Cfn j0,. ytn,_�I':Ze it , t 'ty of . ,, f3 p t: +H �rinnir: f id r :nzj , ef t yin yo,,,r Lark :, ar , r ,i q ,.. ennuur ,y t:`•e re.F: V the elocro' Payrnentr Pot rec.eiveq by I;—, Cr, LIJt. ata s , 10,;7 to hi,.y, yinr:;d •ea, END OF JOB REPORT TOTAL NO. OF RECORDS SUMMARY PAGE NO: FIRST RECORD: COMPANY: CITY OF NEWPORT BEACH CONTROL N0: 4000000001 SUBSCRIBER: CALIFORNIA HEALTHCARE FOUNDATION LAST RECORD: COMPANY: CITY OF NEWPORT BEACH CONTROL NO: 4000000001 SUBSCRIBER: CALIFORNIA HEALTHCARE FOUNDATION IMPORTANT NOTICE Location of City Hall i- .,:-'tar F)'! V� tie.Ao )i' Brach. 1p2Ct i0 &lu ng Location P-,enr:rr i,c,.; ;41 ..1 ,, ,.:{, PaynrentLo-atSon- rastn E, J44Y) 6.14-3'2, Office Hours- ay - Thr;rsda�d 7 30am - 5 30pm f erlay 7 .irj3n- 4'il.)p:n 'exChrrLnu hphd.dya NOTICE OF INTENT TO NOTIFY FRANCHISE TAX BOARD OF UNPAID LIABILITIES The City of Newport Beach is required by taw o provide this notw,- eiatlnt; trial failure to pay the liab,lay owed mill result in this debt being reported to the State Franchise Tax Board for tax offset in the event that you are Owed a tax refund. WW a California Lottery pnze. or have unclaimed property c;arres. the Franchise Tax Board wdi intercept from that money the amount you owe this agency Caiiforrna Government Code Sections Q-119.8 and 12419 10 authorize the Office of the State Controller to collect money owed to a county or a city agency by intercepting any money that the state owed the debtor If you have any questionsor do not believe that you owe this debt, please contact us in writing within 30 days from the date of this notice A representative will review your objections once they are received. If you do not submit any objections, or if your objections are insufficient, the City will procee=d with this action,. Online Services www.newportbeacbea.gov Establish or Cancel Water Sery ce Contest a Parking Citation Buy a Parking Permit Apply for. Cancel, or Update Business License \1Hvl; :TCP..r!m, ishan ge Ni Address `oi all ancount types Par silty BIIs Fast Statements for KASS and Business License Sig, ap for Select Alert Payments ran be made using yourcreert card at www.newportbeachca.gov/pay iin s ,iia phone by calling ;9-1 718-199u, by rr•a i using the return ri veto -e en u , d 4+.4 t!- tn, rra;1irn . r� person ar i;iT Hail, bran n p , y ' t o Your payment s=,jo, Payments, must lie received by the due deto :r r r r .:void a .dtlo. ai ocriaWes ipostmark dates are r,nt accept,u ie' Tr .e Oty ` not reap ns Ui- for rna;t delay c - k r.l sei .ice B esartn -.r g By p^` , jour 1 signed check t,� the City r r Newo t Beach yv auRur�zr trie City o N .vp-1 B ,; to us, he ore, lune r ronl,atcvi fr-,-ni the check'11!n eke -o elzrrt nnic fun -.1 transfer from your banning ar ilii for ! earn= am,u.. J as e'1e cnec� if the slecvorr;c fund EXHIBIT C SCOPE OF SERVICES HOAG agrees to: • Participate in the OCADPP. • Provide contact person for the OCADPP. • Follow all established pilot medical protocols i.e. Local EMS Agency — Orange County EMS (OCEMS) approved Policies and UCC Guidelines. • Receive and offer services to all eligible patients, including ADP patients requiring off- site x-rays and laboratory studies. • Be approved by OCEMS and undergo site inspections. • Participate in the study data collection required fields, including utilization of OC -MEDS patient registry. • Follow established Fee Schedule and Billing Processes for all Services provided to study patients. Services include but are not limited to all care provided, procedures, x- rays, labs, UCC initial visit, and follow up visit. UCC further agrees to assume financial liability for any and all charges incurred for any off-site services, including but not limited to x-rays and lab work. • Training and training updates of UCC Staff on OC -MEDS, pilot procedures, data collection points and billing procedures. HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page C-1 EXHIBIT D REIMBURSEMENT AMOUNTS HOAG MEMORIAL HOSPITAL PRESBYTERIAN FY 2017 Participating urgent care Centers TOTAL COSTS RATE OF PAY Services to designated Ur ent Care Center *Up to $35,000 $225 Initial visit, $125 follow up visit FY 2017 TOTAL $35,000 FY 2018 Participating Urgent Care Centers TOTAL COSTS RATE OF PAY Services to designated Urgent Care Center *Up to $40000 , $225 Initial visit, $125 follow up visit FY 2018 TOTAL $40,000 FY 2019 Participating Urgent Care Centers TOTAL COSTS RATE OF PAY Services to designated Ur ent Care Center "Up to $40,000 $225 Initial visit, $125 follow u visit FY 2019 TOTAL $40,000 'Note: The total costs for these line items are spread over 4 fiscal years; however, it is possible that all expenses may occur in 1, 2, or 3 fiscal years. HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page D-1 EXHIBIT E BILLING PROCESS HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page E-1 D7 3 VI O P+ m a rt O 0) 3 a fD rt m M D) rt IN Di0 CD 3 rt A m A m 3 rt m N LVL 3 Oti O m m H H O m 3 O Dl 3 rF LA O D Z G) m n O c Jz S D m m z Z m m 0 m Z O Z O V A O `m C) a m a . o v m F ' dN m M O ON .ve, m = J ^ D < o < o a o AO = J m m 3 m a z dm -m 3 an d N o J a c o m n m a m N m _ v 0J0 v .J. u n v v O a N N D7 3 VI O P+ m a rt O 0) 3 a fD rt m M D) rt IN Di0 CD 3 rt A m A m 3 rt m N LVL 3 Oti O m m H H O m 3 O Dl 3 rF LA O D Z G) m n O c Jz S D m m z Z m m 0 m Z O Z O V A O `m C) EXHIBIT F ELECTION AND CONSENT FORM ELECTION AND CONSENT TO BE TRANSPORTED TO AN ORANGE COUNTY EMERGENCY MEDICAL SERVICES (OCEMS) ALTERNATIVE DESTINATION SITE (ADS) acknowledge that that I have consented to enrollment in the Community Paramedicine Pilot Program; voluntarily signed the "University of California, Irvine Consent to Act as a Human Research Subject' and the "University of California, Irvine Health Permission to Use Personal Health Information for Research" and I hereby consent and agree to be transported to the Alternate Destination Site (ADS) approved by the Orange County Emergency Medical Services (OCEMS) to receive Pilot patients who elect to be transported to the ADS rather than an acute care hospital emergency department. I hereby release the EMS personnel and their employing agencies from any and all legal liability for medical claims resulting from my election to be transported to the ADS site. ❑ 1 agree 111 Disagree ❑ Not Applicable X Patient PLEASE SIGN HERE Patient Name: Date: Address: Patient Phone: I —-� WITNESS I acknowledge that I have witnessed the patienUguardian sign this Patient Care Report. ❑ 1 agree ❑ I Disagree ❑ Not Applicable PLEASE SIGN HERE X Witness Printed Name: IDate: HOAG MEMORIAL HOSPITAL PRESBYTERIAN Page F-1