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Exclusive Operating Area Feasibility Study

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Emergency Management System Exclusive Operating Area Feasibility Study

IMPORTANT: As of September 24, 2013, management of this project is under the Mendocino County Health and Human Services Agency. This web page will no longer receive regular updates. Questions may be directed to Bryan Cleaver, Coastal Valleys EMS Administrator (Bryan.Cleaver@sonoma-county.org) or James Salvante, Coastal Valleys EMS Coordinator (James.Salvante@sonoma-county.org).

In 2011, an assessment of the County’s emergency medical services (EMS) highlighted several key areas that could help the system produce a higher and more efficient level of response and care. These areas included improved accountability, performance monitoring, coordination between responders, operational flexibility, resources, and continual quality improvement oversight. Therefore, to improve the level of care for the community, the County is exploring the potential feasibility and sustainability of an exclusive operating area (EOA), or areas, for ambulance services.

An EOA could take many forms: It could include only a portion of the County, or there could be multiple EOAs covering different geographic areas, or an EOA could include only certain specific services, such as advanced life support. There are many possibilities and a range of options available for exploration.

On September 24, 2013, the Board held a workshop to receive a presentation on the Fitch & Associates report on the feasibility of establishing an EOA. Following the presentation, Board discussion, and public comment by community members and EMS providers, direction was given to the project team to continue the project. The Health and Human Services Agency (HHSA) and Coastal Valleys EMS Agency will work with a stakeholder work group to develop the scope and proposed guidelines for one or more possible EOAs.

The following documents were provided to the Board of Supervisors as materials for its EOA Workshop on September 24, 2013:

Agenda Summary

Executive Office Presentation

Executive Office Materials

Fitch & Associates Materials

Coastal Valleys EMS Agency Materials

Health & Human Services Agency Materials

Community Engagement

Report Comments

Ambulance Service Zones

Fire Districts

Please see the "Documents" section of this website below to read the report, or for additional information.

Community Meetings

Community meetings were held throughout the County at the following locations:

Fort Bragg - Veterans Building, 360 Harrison Ave., Fort Bragg - Monday, April 15, 2013

Boonville - Veterans Building, 14470 Highway 128, Boonville - Monday, April 15, 2013

Ukiah - Veterans Building, 293 Seminary Ave., Ukiah - Tuesday, April 16, 2013

Gualala - Community Center, 47950 Center St., Gualala - Tuesday, April 16, 2013

Willits - Veterans Building, 189 North Main St., Willits - Wednesday, April 17, 2013

Redwood Valley - Fire Department, 8481 East Road, Redwood Valley - Wednesday, April 17, 2013

Responder/Provider Interviews

Providers and responders were contacted individually for in-person interviews with Fitch & Associates. When in-person interviews could not be scheduled, phone interviews were arranged.

Responder/Provider Location
March 18  
VeriHealth Petaluma
REACH Santa Rosa
Cloverdale Ambulance
Howard Forest Station
March 19  
Frank R. Howard Memorial Hospital Willits
Laytonville Ambulance Laytonville
Covelo Ambulance Covelo
March 20
MCDH - Ambulance Fort Bragg
MCDH - Hospital administration
MCDH - Emergency Department
Fire Chiefs - Coast group meeting
Fort Bragg
Fort Bragg
Fort Bragg

March 21

Ukiah Ambulance Ukiah
Ukiah Valley Fire District
Ukiah Police Department
CalStar Ukiah
City Ambulance of Eureka
March 22
Ukiah Valley Medical Center Ukiah
Anderson Valley Ambulance Boonville
March 25
Fire Chiefs - Inland group meeting
March 26
Elk Fire Department Elk
Coast Life Support District

April 8
City of Fort Bragg

April 10
City of Point Arena

April 16
Redwood Coast Medical Services


Fort Bragg

Point Arena


Contact Information

If you would like to keep informed of the process moving forward, or have questions, please send an email to: ceo@co.mendocino.ca.us



EOA Feasibility Study Consultant Report - July 31, 2013

Stakeholder letter - July 31, 2013

News release announcing availability of report - July 31, 2013

Consultant report comment form


Stakeholder letter - April 26, 2013

Ambulance Service Zone Map

Presentation for April 15-17 Community Meetings

News release announcing countywide community meetings - April 2, 2013

Stakeholder letter - April 2, 2013

Interview questionnaire - (used as a guide only; discussions not limited to the topics listed)

Board of Supervisors March 12, 2013 agenda item summary with informational update

News release announcing feasibility project - March 7, 2013

EMS stakeholder letter - March 6, 2013

Contract Scope of Work

Phase one timeline

Fitch & Associates 2011 EMS Assessment


California Emergency Medical Services Authority

Mendocino County EMS Agency (Coastal Valleys)

Fitch & Associates

Last updated: October 25, 2013

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