Atch1_PWS_Patient_Transp_20180627.docx

ATTACHMENT 1

PERFORMANCE WORK STATEMENT

FOR

PATIENT TRANSPORT SERVICES

30th MEDICAL GROUP

VANDENBERG AFB, CA

27 Jun 2018

TABLE OF CONTENTS

2. Service Summary 12

4. Contractor Manpower Reporting 13

1. DESCRIPTION OF SERVICES

1.1. BACKGROUND

This contract is a Non-personal Health Care Services contract, as defined in FAR 37.101, under which the Contractor is an independent contractor. “Non-personal Services Contract” means a contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical or professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment performance shall be according to the requirements contained in this Performance Work Statement [PWS] and the professional pre-hospital emergency medical service protocols applicable to state and county of Santa Barbara, California.) (Reference Appendix A).

1.2. SPECIFIC TASKS

1.2.1. GENERAL. Contractor shall furnish all management, supervision, equipment, vehicles, labor, training, and documentation to provide Paramedic and Emergency Medical Technician (EMT) Services to respond to requests for emergency medical services, patient treatment, and stabilization as required. The Paramedic may be required to perform only basic first aid or any level beyond to include Advanced Life Support (ALS). The Contractor shall provide 24-hour uninterrupted response coverage, to include response to in-flight emergencies (IFE’s). The contractor shall respond to medical incidents within Vandenberg AFB (VAFB) property. The contracted ambulance service response jurisdiction covers South Vandenberg, North Vandenberg, Vandenberg Tracking Stations, S-20 North from Santa Lucia Road, S-20 West to Highway 1, the Lompoc-Casmalia Road to the Southern Pacific Railway, and up to but not including the United States Penitentiary. The base is approximately 99,400 acres in size, or 155 square miles of land. The contracted ambulance service transfer boundaries are dictated by the availability of care within the civilian community and at other in-state military facilities. The receiving hospital will be determined by patient needs, bed availability, transferring provider preference, and accepting physician. The patient transfer may need to be facilitated by the ambulance service attendant and the transfer of care report should be communicated through the transporting ambulance attendants. The Contractor shall provide all evaluations, treatments and interventions as appropriate to the protocols of Santa Barbara County, as approved by the County appointed Medical Director, and the State of California. The contractor must establish and maintain a system to ensure back up support is provided in the event of simultaneous responses, equipment failures, or other unforeseen circumstances. Services must always be available. All employees shall have required certifications by Santa Barbara County Emergency Medical Services (EMS) Agency prior to performing services on this contract.

1.2.2. TRAINING OF AMBULANCE PERSONNEL: The Contractor shall ensure that the Paramedics and EMT’s providing emergency response services to VAFB maintain appropriate licensure and certification within the state and county. Additionally, paramedics must adhere to the recurring training and certification requirements in accordance with Santa Barbara Public Health Department Emergency Medical Services Policies (see Appendix A).

1.2.2.1 EMERGENCY AMBULANCE LICENSE: The Contractor shall ensure that the all ambulance drivers performing services on Vandenberg AFB are licensed to operate an emergency ambulance in the State of California; license to include an ambulance endorsement.

1.2.3. FIRST RESPONDERS. As a First Responder on VAFB the contractor is responsible for and shall obtain First Responder HAZMAT Training. Additionally, during incidents involving Chemical, Biological, Radiological, Nuclear or High Yield Explosive (CBRNE) requiring decontamination, the contractor agrees to transport patients after gross decontamination at the scene has been accomplished. Contractor operational procedures regarding CBRNE casualty management and transportation will be in accordance with Santa Barbara County Public Health policy and local facility agreements. Contractor personnel must also complete Air Field Driving computer-based training. In an occasion in which the contractor is called to respond to an airfield emergency, they shall wait to be escorted onto the airfield by the appropriate military personnel.

1.2.4. PROCEDURE GUIDANCE: The Contractor shall perform procedures within the scope of care for which they are trained. The Contractor shall follow Santa Barbara County Emergency Medical Services protocols; Santa Barbara Public Health Department Emergency Medical Services Policy and Procedures Chapter 5, Medical Control, Field Policies, and Treatment Protocols. For aero medical emergencies, flight surgeon consultation and guidance shall be provided (including flight line training). In the event that transportation of a crew member of an in-flight emergency is required, the ambulance crew should allow a flight surgeon to accompany the patient if possible.

1.2.5. SPECIAL EVENTS & EXERCISES

1.2.5.1 SPECIAL EVENTS: The contractor shall provide additional coverage as required to support special events, for example, space and missile launches as determined by the 30th Space Wing (30 SW) and the 30th Medical Group (30 MDG), health fairs, dedication ceremonies, etc. For historical estimates and information, see Appendix C. Hours for special events will be ordered and funded as required.

1.2.5.2. EXERCISES. The contractor shall participate, as required, (approximately 10 per year) in exercises in support of the 30 SW and the 30 MDG. Real World situations supersede exercise scenarios; therefore, no additional coverage is required during exercises. If the need for contractor participation is requested for exercise purposes, it must be coordinated prior to the event and will serve as an additional Special Event.

1.2.6. INSURANCE BILLING: The contractor shall not bill the insurance providers of any person, or persons, while executing this contract. The 30 MDG reserves the right to bill the individual’s insurance provider(s).

1.2.7. DOCUMENTATION: The contractor shall provide monthly documentation to the 30 MDG relating to all transports. The documentation shall be timely, legible, accurate, and signed by contractor personnel. The documentation shall include but is not limited to: date, time call is received, time arrived on scene, total response time, type of run (Code 2 and Code 3), all available patient information, full name, military (last 4 of SSN) or civilian, patient condition, address responded to, name of hospital transported to, and an explanation of any exceptions to response times in Section 1, Para. 1.7.4. Additionally, all refusals must also be documented to the same level, notwithstanding hospital transport. All documentation must be submitted to the 30 MDG no later than the 5th calendar day of the following month (i.e. All January information received by 30 MDG Contracting Officer Representative (COR) no later than February 5th). (REQUIRED REPORT A001)

1.2.8. RECORDS: The Contractor personnel shall be responsible for creating, maintaining, and disposing of Government required records. If requested by the Government, the Contractor personnel shall provide the original record, or a reproducible copy, of any such records within one duty day or receipt of the ambulance response. The contractor is also responsible for furnishing all records related to their response times dictating the time the ambulance unit is notified by dispatch, the time arrived on scene, total response time, and code designation for the call. See 2.1 Item 3.

1.2.9. PATIENT LISTS: Regardless of its development, all patient lists shall be treated as privileged information. Lists and/or names of patients shall not be disclosed to, or revealed in any way, for any use outside the 30 MDG without prior permission by the Chief of Medical Staff for VAFB.

1.2.10. PATIENT SENSITIVITY: Contractor personnel shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships.

1.2.11. RELEASE OF MEDICAL INFORMATION: The contract personnel shall only release medical information obtained during the course of the contract to destination civilian emergency room staff and to other 30 MDG staff involved in the care and treatment of that individual patient.

1.2.12. PATIENT PRIVACY/SECURITY: The contractor shall comply with all applicable aspects of the Health Insurance Portability and Accountability Act of 1996 to ensure the security and privacy of patient information. In addition to patient privacy, the contractor shall provide close hold on any information pertaining to base activities that are dispensed to the contractor in execution of their duties.

1.2.13. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT: Under this contract's PWS, the contractor shall be considered a 'Business Associate' under the terms of the Health Insurance Portability & Accountability Act of 1996 (HIPAA), Public Law 104-191, and its implementing regulations, including DoD 6025.18 “Privacy of Individually Identifiable health Information in DoD Health Care Programs”. In the performance of this contract, the contractor shall when performing as a 'Business Associate' comply with all rules and requirements applicable to a 'Business Associate' under HIPAA and its implementing regulations, including DoD 6025.18. Violation of HIPAA may result in the imposition of fines and/or imprisonment. The contractor shall include the HIPPA notification and requirement in every subcontract for 'Business Associate' service.

1.3. GENERAL REQUIREMENTS

1.3.1. PERSONNEL

1.3.1.1. CONTRACT MANAGER. The contractor shall appoint a member of their management team who, irrespective of other responsibilities, shall have a defined responsibility and authority to make relevant project decisions. The name of this person and an alternate(s) who shall act for the contractor when the manager is absent shall be designated in writing to the Contracting Officer (CO) or his/her designated representative no later than the start of contract and within three (3) working days of any personnel change. (REQUIRED REPORT A002)

1.3.1.2. EMPLOYEES

1.3.1.2.1. The contractor shall provide only properly trained, duty qualified paramedics and EMTs with experience in related work areas. Personnel staffing the ambulance shall have all applicable paramedic certifications required by the law in the State of California to include Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). The Contractor shall ensure all certifications are current. The Contractor must take specific action including Primary Source Verification to ensure contract personnel have the required prerequisites for privileging and do not have disqualifying impediments for privileges in the State of California prior to submitting credentials for hire.

1.3.1.2.2. In order to communicate with appropriate medical personnel, each Paramedic and EMT shall be able to read, write, and communicate clearly in the English language.

1.3.1.2.3. The contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. Additionally, the contractor shall not employ any person who is an employee of the United States Air Force (USAF), either military or civilian, unless such person seeks and receives approval in accordance with the Joint Ethics Regulation, DoD 5500.7R. The contractor shall not employ any employee of the USAF if such employment would be contrary to Air Force policies and guidelines.

1.3.1.2.4. Contractor personnel shall present a neat appearance and be easily recognized as contractor employees. Employee clothing, accessories, and hair length shall be safe for the operations involved in contract performance.

1.4 VEHICLE MAINTENANCE REQUIREMENTS. The contractor shall ensure preventive maintenance is performed on vehicles used to support this contract. Additionally, the vehicles must be inspected by the California Highway Patrol at least annually, and be incompliance with California Vehicle Code Section(s) 2510-2512. Proof of compliance shall be forwarded to the COR within 30 days after completion of the annual inspection. (REQUIRED REPORT A003)

1.5. SECURITY REQUIREMENTS. The contractor shall be responsible for obtaining all necessary cards, passes, badges, buttons, decals, or other items required for access to the areas in which the work shall be performed. The contractor shall be required to apply for vehicle and individual identification media at the Security Forces Squadron, Pass and ID section. Upon completion or termination of the contract or an individual’s employment on the contract, the contractor shall retrieve all identification and access media issued and surrender it to the Security Forces Squadron, Pass and ID Section.

1.6. CRIMINAL BACKGROUND CHECK REQUIREMENT

1.6.1. The Contractor shall conduct criminal background checks on all Paramedics and EMTs under this contract. Background checks shall be based on fingerprints of individuals obtained by a Government law enforcement officer and inquiries conducted through the Federal Bureau of Investigation (FBI) and state criminal history repositories.

1.6.2. With the consent of the CO, a contractor’s employee may provide services prior to completion of background checks. However, at all times while children are in the care of that employee, he/she shall be within sight and continuous supervision of contractor personnel whose background check has been completed, a chaperone, or a parent/guardian.

1.6.3. Individuals shall have the right to obtain a copy of any background check pertaining to them and to challenge the accuracy and completeness of the information contained in the report.

1.6.4. Individuals who have previously received a background check shall provide to the COR (30 MDSS/SGSM) proof of the check.

1.7. QUALITY ASSURANCE

1.7.1. QUALITY MANAGEMENT SYSTEM: The contractor shall develop and maintain an inspection system acceptable to the Government covering services under this contract. The contractor shall develop and implement procedures to identify and prevent defective services from recurring. As a minimum, the contractor shall develop quality control procedures that address the areas identified in the PWS and Service Summary. The contractor shall prepare a contractor quality control plan (CQCP) that will describe the approach to developing and implementing a quality system that will encompass all aspects of the contract. The contractor shall complete, implement and make the CQCP available to the Government for review no later than 10 days after contract award. All subsequent changes to the CQCP must be coordinated with the 30 MDG COR and the CO within 10 days of changes. (REQUIRED REPORT A004)

1.7.2. PERFORMANCE EVALUATION MEETINGS: The contractor shall meet with the 30 MDG COR, and/or the CO, and/or the Contract Specialist once a week during the first month of the contract. Meetings will be as often as necessary thereafter as determined by the Program Manager.

1.7.3. The contractor shall render services in compliance with the standards of Santa Barbara County Emergency Medical Services Policies and Procedures. The Contractor shall, upon request, supply quality data and information related to services provided that support both the Performance Improvement Program and Risk Management.

1.7.4. RESPONSE TIMES: The contractor must adhere to Department of Defense Instruction (DoDI) 6055.06 “DoD Fire and Emergency Services (F&ES) Program” Table E3.T1 Minimum Level of Service Objectives-Operations for ground response times. The contractor must be able to navigate the geographical landmarks to provide timely and effective pre-hospital emergency services. The contractor shall adhere to the following ground response times: For all codes requiring a transport unit with Basic Life Support (BLS) and Automated External Defibrillator (AED) capability, and/or ALS capability the response time shall not exceed: 12 minutes. This applies to all areas of VAFB property as designated on the map included in Appendix E.

1.7.5 EXEMPTION POLICY: Per DoDI 6055.06 the minimum response times shall be on time for an average of 90% of all calls. As determined by the appointed COR, in some cases, late responses may be exempted from unsatisfactory performance reviews and response time compliance reports. These exemptions will be for good cause only, as reasonably determined by the COR. The burden of proof that there is good cause for the exemption shall rest with the contractor. The contractor must file an extended emergency response report (located in appendix F) in order to request an exemption for a call in any month. This document shall be filed with the COR within five (5) days of the end of the previous month. Such request shall list the date, the time, and the specific circumstances causing the delayed response. The alleged good cause must have been a substantial factor in producing the excessive response time and must be documented in the exception report per EMS Policy. Good cause for an exemption may include, but is not limited to the following scenarios:

1) Inaccurate dispatch information when unedited records or tapes verify the following:

a) Dispatcher gave incorrect call priority, address, or Thomas Brothers Map coordinates that had a negative effect on response time;

10) Other situations requiring an exemption as judged by the COR

1.8. FREEDOM OF INFORMATION ACT (FOIA): All official Government records affected by this contract are subject to the provisions of the FOIA (5 U.S.C. 552/DoD 5400.7-R/AF Supplement). Any request received by the contractor for access/release of information from the records to the public (including Government/contractor employees acting as private citizens), whether oral or in writing shall be immediately brought to the attention of the CO. The CO will, in turn, forward this information to the Base FOIA Manager to ensure proper processing and compliance with the Act.

1.9. COMPLAINT PROCESSES AND DENIAL/TERMINATION OF PRIVILEGES. Complaints validated by the COR and Functional Requirements Evaluator Designee (FRED) shall be reported in writing to the CO and the contractor for action. Failure of the contractor to correct validated complaints brought up by 30 MDG staff and the CO shall be considered a failure to perform, and may result in an adverse performance appraisal that could lead to termination of contract.

1.10. EMERGENCY HEALTHCARE. VAFB has no Medical Emergency Services available. The Contractor shall be responsible for patient transportation for emergency medical care to the nearest appropriate and available Emergency Room.

1.11. PERFORMANCE OF SERVICES DURING CRISIS DECLARED BY THE NATIONAL COMMAND AUTHORITY OR OVERSEAS COMBATANT COMMANDER. Performance of Services during Crisis Declared by the National Command Authority or Overseas Combatant Commander. Patient Transport Services identified within this PWS are determined to be mission essential for performance during crisis according to DoDI 3020.27, Continuation of Essential DoD Contractor Services During Crises. Due to the critical nature of patient transport services, all services in this PWS shall continue during a declared crisis.

1.12. COMPLIANCE WITH FEDERAL AND CALIFORNIA OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA)

1.12.1. The contractor shall comply with all applicable Federal and California OSHA requirements, where applicable. Additionally, the contractor shall safeguard USAF personnel and property during the conduct of their services, including compliance with base traffic regulations under normal circumstances.

1.12.2. As a condition of employment, OSHA requires that all contract personnel who will have occupational exposure to blood or body fluids, or other potentially infectious materials, shall receive Hepatitis B vaccine, sign a voluntary declination, or have documented proof of immunity of Hepatitis B infection. Contractor personnel who sign declinations may change their minds at any time and receive the Hepatitis B vaccine without penalty.

1.12.3. It is the Contractor personnel’s responsibility to report to the 30 MDG, Public Health Office information necessary to assure hospital records can be maintained correctly and therefore complies with the Accreditation Association for Ambulatory Health Care (AAAHC), OSHA, and Center for Disease Control (CDC) health record requirements.

1.13. ENVIRONMENTAL

1.13.1. ENVIRONMENTAL MANAGEMENT: The contractor shall comply with all applicable and the most stringent latest federal, state, county and local environmental laws and regulations to include, but not limited to: Air Force Instructions (AFIs), policies, guidelines, environmental compliance documents, and environmental management plans. The contractor shall maintain an awareness of changing environmental regulatory requirements to avoid any environmental deficiencies.

1.13.2. ENVIRONMENTAL AGENCY COORDINATION: The contractor shall be liable for Notice of Violations (NOVs), enforcement actions, fines, penalties, and corrective actions imposed by federal, state, or local environmental regulatory agencies. The contractor shall provide verbal notification to the 30th Civil Engineer Squadron, Environmental Flight (30 CES/CEIE), (805) 606-1921, the COR, and the CO within 24-hours of receiving a NOV, enforcement action, fine or penalty; followed by written notification to 30 CES/CEIE, the COR, and the CO within three (3) workdays. The contractor shall implement any corrective actions to prevent a reoccurrence of the environmental deficiency.

1.13.3. HAZARDOUS AND BIOLOGICAL WASTE REQUIREMENTS: All hazardous and biological wastes generated or collected by the contractor shall be disposed of off-base abiding by all laws and regulations associated with each unique waste.

1.13.4. SPILL AND RELEASE REQUIREMENTS: If applicable, the contractor shall comply with, but not limited to: 30 SW Plan, 32-4002-C, Spill Prevention Control and Countermeasures Plan; 30 SW Plan, 32-7043A, Hazardous Waste Management Plan; 30 SW Plan 32-7086, Hazardous Material Management Plan; and 30 SW Plan, 32-4002A, Hazardous Materials (HAZMAT) Emergency Response Plan.

1.13.5. SPILL AND RELEASE NOTIFICATION: The contractor shall immediately notify the Command Post, (805) 606-9961, and 30 CES Damage Control Center, (805) 606-1856, and the COR of a spill or release. 30 CES/CEIE will determine if an environmental regulatory agency Incident Release Report will need to be prepared and submitted based on the Reportable Quantity of the contractor's spill or release.

1.13.6. SPILL AND RELEASE INCIDENT REPORTING INFORMATION: The contractor shall provide a completed copy of the Community Awareness and Emergency Response (CAER) Hazardous Materials Incident Reporting Form and any other required documentation to 30 CES/CEIE through the COR within 24-hours for each spill or release on VAFB. Note: The CAER form is provided in the 30 SW 32-7043-A, Hazardous Waste Management Plan. The contractor shall provide required final clean-up documentation for their spill or release to 30 CES/CEIE through the COR.

1.13.7. SPILL AND RELEASE CLEAN-UP ACTION: The contractor shall take immediate actions involving hazardous material spill or release to properly contain, clean-up, and make required notifications. When the contractor is unable to conduct proper clean-up activities from a spill or release, then the Government reserves the right to conduct the mandatory clean-up. All costs incurred by the Government until the contractor is capable of taking control of the clean-up operations are the contractor's responsibility. The contractor shall be responsible for the characterization and disposal of clean-up materials or hazardous waste generated from its spill or release clean-up activities.

1.13.8. AFFIRMATIVE PROCUREMENT PROGRAM: The Contractor’s affirmative procurement program shall use specified Comprehensive Procurement Guideline (CPG) materials with recycled and recovered content as the minimum standard. The Contractor shall also consider other green materials and products not listed, but commonly used by industry outside of the Government as a means of further reducing hazardous waste and solid waste. The Government's affirmative procurement programs are mandated to use recycled and recovered materials and products identified on the Environmental Protection Agency’s CPG product lists (http://www.epa.gov/cpg/products).

1.2.1

95% of coverage shall be provided from the base with all remaining coverage arranged from local area per requirements as outlined by Santa Barbara County Public Health Department.

1.7.5 Monthly, minimum response times shall be met or exceeded 90% of the time unless properly justified as determined by the COR.

84% of reports submitted by the 5th calendar day of following month.

1.2.5.1 90% coverage of each special event. No unjustified absences.

2. SERVICE SUMMARY (SS). The SS defines the standard of performance for each listed service and sets forth the maximum allowable deviation from standard performance for that service that may occur.

3. GOVERNMENT-PROVIDED PROPERTY AND SERVICES

3.1. GENERAL. The Government shall provide the facilities, equipment, materials, and/or services listed here.

3.2. GOVERNMENT-PROVIDED PROPERTY

3.2.1. GOVERNMENT-FURNISHED FACILITIES: The Government will provide a facility on VAFB for the contractor’s use. Currently, Building 1707 is being utilized to support patient transport operations. The facility location may change at a later date to a more centralized location near the VAFB main gate, but at this time Building 1707 is still the primary location for patient transport operations. This facility shall be used only for the performance of the contract. No alteration to the facility may be made without written coordination from the 30 MDG COR and authorization from 30 CES. The contractor shall return the facilities, including grounds, to the Government in the same condition as received, fair wear and tear and approved modifications excepted.

3.3. SERVICES

3.3.1. UTILITIES: The Government shall furnish electricity, water, sewage, and heating.

3.3.2. REFUSE COLLECTION: The Government shall provide dumpsters for refuse. The Government shall provide containers for collection of recycling materials. The contractor may not dispose of medical waste in these containers. Furthermore, the contractor shall be responsible for the proper disposal of all Medical Waste and Hazardous Waste.

3.3.3. PROTECTION SERVICES: The Government shall provide Security Forces and Fire Protection.

3.3.4. COMMUNICATION EQUIPMENT: The contractor must provide all equipment (i.e. phones, radios, and computers) necessary to conduct operations in accordance with Santa Barbara County and VAFB requirements.

4. CONTRACTOR MANPOWER REPORTING: The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the United States Air Force via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address http://www.ecmra.mil.

4.1. Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the ECMRA help desk.

4.2. Uses and Safeguarding of Information: Information from the secure website is considered to be proprietary in nature when the contract number and contractor identity are associated with the direct labor hours and direct labor dollars. At no time will any data be released to the public with the contractor name and contract number associated with the data.

APPENDIX A

PUBLICATIONS AND COMMERCIAL MANUALS

PUBLICATIONS: It is the responsibility of the Contractor to establish continuing requirements with the Publications Distribution Office or other office of Prime Responsibility. Revisions, supplements, and changes may be issued during the life of the contract. The Contractor must requisition all additional documents, which shall be in full force and effect immediately upon receipt. It is the Contractor’s responsibility to ensure that all documents on hand are posted and up to date. All of the following publications are mandatory. The Contractor is obligated to follow mandatory documents, to the extent specified. Mandatory documents are “all inclusive” unless otherwise indicated.

AFIs & AFMANs (Found at http://afpubs.hq.af.mil)

AFI 32-7080-Pollution Prevention Program AFI 32-7086-Hazardous Materials Management

30 SW Plans, Instructions & Base wide Permit to Operate (PTO), Forms

30 SW 32-7043A-Hazardous Waste Management Plan 30 SW 32-7080-Pollution Prevention Management Plan 30 SW 32-7086-Hazardous Materials Management Plan 30 SW 32-4002A-Hazardous Materials (HAZMAT) Emergency Response Plan 30 SW 32-4002C-Spill Prevention Control and Countermeasures 30 SW Form 332-Base Civil Engineer Work Request 30 MDG 44-136-Ambulance Service Protocols

California Emergency Medical Services Authority

Emergency Medical Services Act-Division 2.5-Health and Safety Code California Code of Regulations, Title 22, Division 9. Prehospital Emergency Medical Services

1. Chapter 1.5: Public Safety Regulations

1. Chapter 1.8: Training Standards for Use of Automated External Defibrillator by Non-Licensed or Non-Certified Personnel (formerly titled Layperson Defibrillation Regulations)

1. Chapter 2: EMT-1 Regulations

1. Chapter 4: EMT-P Regulations

1. Chapter 7: Trauma Systems Regulations

Information available at http://www.emsa.ca.gov/legislation/legislation.asp

Santa Barbara County Public Health Department Emergency Medical Services Policies and Procedures

1. EMS Organization and Management

1. Personnel Education, Certification and Accreditation

1. Communications

1. Response, Transportation and Equipment

1. Medical Control, Field Policies and Treatment Protocols

1. Facilities

1. Documentation

1. Disaster Medical Services

1. Public Information/Education

1. References

Information available at http://www.sbcphd.org/ems/pp_main.html

Vehicles- California Highway Patrol

Title 13, Section 1100.3, California Highway Patrol Californian Vehicle Code 2510-2512

APPENDIX B

ACRONYMS

APPENDIX C

WORKLOAD ESTIMATES

AVERAGE RUNS. The spreadsheet below represents the average number of runs per month over a 12-month period. Please note that these numbers are based on historical information and could vary.

SPECIAL EVENTS: The estimated number of special events is between 20 and 30 per every 12 months for a total of 84 estimated event hours. This number is based off of historical information and is subject to change (Within the last twelve months, there have been a total of 80 event hours). Future event hours could fluctuate from this number dramatically.

APPENDIX D

REQUIRED REPORTS

ADC – After Date of Contract

APPENDIX E

APPENDIX F

FA4610-18-Q-0004

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