Resolution:

Joint Resolution of  the Health Commission and Fire Commission, February 18, 1997

Approving Amendments To Phase II Of The Emergency Medical Services Configuration Plan, Approving The Transfer Of The Paramedic Function From The Department Of Public Health To The Fire Department, Urging The Mayor And The Board Of Supervisors To Provide The Necessary Approvals And To Take All Actions Necessary To Implement The Transfer, And Authorizing The Director Of Public Health And Fire Chief To Take All Actions Necessary To Implement The Transfer

WHEREAS, the Health and Fire Commissions have approved an Emergency Medical Services Reconfiguration Plan (Phase I); and,

WHEREAS, the Health and Fire Commissions directed the Health and Fire Departments to develop an Implementation Plan for a fire-based emergency response and transportation system; and,

WHEREAS, the Health and Fire Commissions supported the recommendations of the Phase II Implementation Plan for a fire-based emergency response and transportation system; and,

WHEREAS, the Health and Fire Commissions directed the Departments to work with the City Attorney's Office and Employee Relations Division of the Department of Human Resources to ensure that all changes be implemented consistent with Civil Service Commission rules and collective bargaining contracts, and that any changes which impact wages, hours or terms of employment within the scope of representation be handled appropriately through meet and confer procedures with the Unions involved; and,

WHEREAS, the Health Department through the Director of Public Health and the Emergency Medical Services Agency will continue to provide management and control of the new fire-based Emergency Medical Services system, as provided by the Phase II Plan, as amended; and,

WHEREAS, the Health Commission shall continue to govern the Emergency Medical Services Agency and Emergency Medical Services Medical Director as the regulators of the Emergency Medical Services system in the City and County of San Francisco; and,

 WHEREAS, the Fire Commission shall continue to oversee the operations of the San Francisco Fire Department; and,

WHEREAS, San Francisco Health Code Section 112 authorizes and directs the Department of Public Health to maintain emergency ambulance services; and,

WHEREAS, the Health Code should be amended to recognize the respective roles of the Health and Fire Departments over Emergency Medical Services when the paramedic function is transferred to the Fire Department; and,

WHEREAS, the Director of Public Health and Fire Chief may need to take additional actions to implement the transfer, such as approving interdepartmental agreements; now, therefore, be it

RESOLVED, that the Health and Fire Commissions approve the Phase II of the Emergency Medical Services Configuration, as amended in February 1997; and, be it

FURTHER RESOLVED, that the Health and Fire Commissions urge the Mayor and Board of Supervisors to provide the necessary approvals and take all actions necessary to implement the transfer; and, be it

FURTHER RESOLVED, that the Health and Fire Commissions recommend the repeal of San Francisco Health Code Section 112 and the adoption of a new ordinance recognizing the respective roles of the Health and Fire Departments in the provision of emergency medical services; and, be it

FURTHER RESOLVED, that the Health and Fire Commissions approve the transfer of function of the Department of Public Health Paramedic Division to the San Francisco Fire Department; and, be it

FURTHER RESOLVED, that the Director o f Public Health and Fire Chief are hereby authorized to take all actions necessary to implement the transfer.

I hereby certify that the foregoing resolution was adopted by the Health Commission at its meeting of Tuesday, February 18 , 1997.

Sandy Ouye Mori Executive Secretary to the Health Commission

Raymond G. Connors, Secretary to the Fire Commission