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AI- 7649   4. A. 7.    
Commissioners Court - Regular
Meeting Date: 08/31/2016  
INTERLOCAL AGREEMENTS - between Nueces County and participating emergency medical provider located within Nueces County
Submitted For: Danielle Hale Submitted By: Christopher Boyce, Emergency Management
Department: Emergency Management  

Information
RECOMMENDATION
Discuss and consider proposed Interlocal Agreements between Nueces County and participating emergency medical providers located within Nueces County.
BACKGROUND
Nueces County has historically assisted to defray the expense of establishing, operating, and maintaining emergency ambulance service (EMS) in the unincorporated areas of the county as authorized by Texas Health & Safety Code Ann. § 774.003. There are many options to establish appropriate funding formulas for this allocation. The current method, and mutually accepted method, is based on the number of calls summoned in the unincorporated area of the county. Although the method has been consistent, the amount per call has not been equitably applied to all participants over the years. Through a multi-year effort, the Office of Emergency Management has coordinated with the Nueces County Fire Chief’s Association to establish an EMS Committee. The purpose of this committee is to assist in the establishment and maintenance of a countywide agreement, quality improvement and enhance system standardization. The proposed interlocal agreements for EMS were developed through this established cooperative partnership. Key elements of the interlocal agreement include: 1. Establishes a fair and equitable funding formula to defray operating and maintenance of EMS in the unincorporated areas of the county. 2. Establishes a formal coordination relationship with the Nueces County Fire Chief’s Association to develop written Standard Operating Procedures and to ensure response boundaries are seamless. 3. Establishes a formal arrangement to support Emergency Operations Center functions and critical elements of the Nueces County Emergency Management Plan. 4. Fosters continued mutual aid, training and exercise participation by all parties. 5. Ensures compensation for eligible and reasonable costs incurred during a locally declared disaster by the County Judge. The proposed interlocal agreements for EMS were developed in cooperation with the Nueces County Fire Chief's Association EMS Committee. This standard agreement is being offered to all current 9-1-1 providers operating throughout the County. However, not all 9-1-1 providers currently provide services within the unincorporated areas and may choose not to participate at this time. Additionally, there is an existing agreement with the City of Corpus Christi that is current and valid. They may choose to stay with the existing agreement or participate in the new standard agreement, whichever they prefer.
DISCUSSION
There is an anticipated fiscal impact for the new proposed billing rate. Based on the last complete year of billing, the impact is anticipated to be approximately $30,000. See attached breakdown. Also attached are maps depicting the area not covered by an established Emergency Service District or municipality providing EMS and the newly agreed upon EMS response boundaries.

Budget Information
Information about available funds
Budgeted: Funds Available: Adjustment: Amount Available:
Unbudgeted: Funds NOT Available: Amendment:
Account Code(s) for Available Funds
1:
Fund Transfers

Attachments
Robstown
Port Aransas
ESD1
ESD2
ESD4
ESD6
Corpus Christi
Tri-County
Fiscal Impact
Uncovered Territory
EMS Response Boundaries

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