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Home My WebLink About11 - Acceptance of Grant Funding for the Community Paramedicine Pilot Project aEwcoRr CITY OF NEWPORT BEACH C9FO0.NP City Council Staff Report October 13, 2015 Agenda Item No. 11 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 data collection and reimbursement for Emergency Medical Services (EMS) and urgent care providers. RECOMMENDATION: a) Accept grant funding in the amount of $125,000 to be utilized for data collection and reimbursement for participating health care providers; and b) Approve Budget Amendment No. 16BA-008. FUNDING REQUIREMENTS: The Budget Amendment records and appropriates $125,000 in additional revenue from Hoag Memorial Hospital Presbyterian Community Benefit Program and $125,000 in increased expenditure appropriations. The revenue will be posted to the Paramedicine Data Project account in the Fire Department, 01040404-521655, and the expenditures will be expensed to the Grant Expenses account in the Fire Department, 01040404- 821004. DISCUSSION: On November 14, 2014, the California Emergency Medical Services Authority (EMSA) was approved by the Office of Statewide Health Planning and Development (OSHPD) Acceptance of Grant Funding for the Community Paramedicine Pilot Project October 13, 2015 Page 2 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 include Fre 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. As of September 14, 2015, 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, which may extend for a period of up to two years, 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. If approved, the grant provided by the Hoag Hospital Community Benefit Program will provide the financial support needed to cover data collection, data analysis, and reimbursement for services provided by the EMS system partners and urgent care centers. Funding for the service providers is necessary to cover basic operating expenses, which will not be paid by the patient's insurance due to the use of an alternative destination. 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 to support the remaining operating costs of the OCADPP through MemorialCare. If awarded, acceptance of additional grant funding will be brought forth to the City Council for review and approval. 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) Acceptance of Grant Funding for the Community Paramedicine Pilot Project October 13, 2015 Page 3 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: Attachment A - Grant Award Letter Attachment B - Budget Amendment HOAG MEMORIAL HOSPITAL PRESBYTERIAN hoag One Hoag Drive,PO Boz 6100 Attachment A Newport Beach,CA 92658-6100 September 23, 2015 Chief Randy Bruegman Orange County Fire Chiefs Association 2400 E. Orangewood Avenue Anaheim, CA 92806 Dear Chief Bruegman, Congratulations! We are pleased to inform you that a grant in the amount of$125,000 has been approved by Hoag Memorial Hospital Presbyterian Community Benefit Program for the project titled Orange CountyAlternate 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, 2015-June 30, 2016 • The funds must be used specifically for the designated project listed above as outlined in your FY16 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 3-5 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, Law Gwyn P.Parry, MD Michaell Rose, LCSW Director,Department of Community Health Director of Operations &Community Benefit Programs nu•� S ,MPt�,Me R Minzah Malik, MPH, MBA Manager,Community Benefit Program Hoag Hospital Newport Beach Hoag Hospital Irvine One Hoag Drive 16200Sand Canyon Avenue Newport Beach,CA 92663 Irvine,CA 92616 www.hoag.org 11-4 ATTACHMENT B City of Newport Beach NO. BA- 16BA-008 BUDGET AMENDMENT 2015-16 AMOUNT: $1zs,000.00 EFFECT ON BUDGETARY FUND BALANCE: X Increase Revenue Estimates Increase in Budgetary Fund Balance �X Increase Expenditure Appropriations AND Decrease in Budgetary Fund Balance Transfer Budget Appropriations fJ No effect on Budgetary Fund Balance 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: To record grant funds(revenue)received from Hoag Hospital through the Orange County Fire Chiefs Association for the Orange County Alternate Destinations Pilot project, and increase revenue and expenditure appropriations for the project. ACCOUNTING ENTRY: BUDGETARY FUND BALANCE Amount Fund Object Description Debit Credit REVENUE ESTIMATES(3601) 0O7cr Object Description 01040404 521655 Fire-EMS-Paramedicine Data Project $125,000.00 EXPENDITURE APPROPRIATIONS(3603) Description Org Number 01040404 Fire-EMS Object Number 821004 Grant Expenses $125,000.00 Org Number Object Number Ong Number Object Number Automatic System Entry. Signed: oc, `Q—1 — ial Approval: Finance D Date Signed: Adminis r 'v pproval: City Manager Date Signed: City Council Approval: City Clerk Date 11-5