HomeMy WebLinkAboutItem 10c - Budget Appropriation for Mechanical Cardiopulmonary Devices
DATE: May 16, 2023
TO: Honorable Mayor and City Council
FROM: Chen Suen, Fire Chief
By: Richard Oishi, Acting Deputy Fire Chief
SUBJECT: RESOLUTION NO. 7495 AMENDING THE FISCAL YEAR 2022-23
EQUIPMENT ACQUISITION PROGRAM BUDGET AND AUTHORIZING A
SUPPLEMENTAL BUDGET APPROPRIATION FOR THE PURCHASE OF
TWO (2) MECHANICAL CARDIOPULMONARY DEVICES IN THE
AMOUNT OF $8,320, OFFSET BY A $8,320 REDUCTION IN THE
AMERICAN RESCUE PLAN ACT (“ARPA”) FUND; AND APPROVING A
PURCHASE ORDER WITH STRYKER SALES, LLC FOR THE
PURCHASE OF TWO (2) MECHANICAL CARDIOPULMONARY DEVICES
IN THE AMOUNT OF $60,320
CEQA: Not a Project
Recommendation: Adopt and Approve
SUMMARY
The Fiscal Year 2022-23 Equipment Acquisition Budget allocated $52,000 for the
purchase of mechanical cardiopulmonary resuscitation (“CPR”) devices. Paramount to
the paramedic service that the Fire Department provides is ensuring that high quality,
continuous CPR is promptly administered to patients who are experiencing
cardiopulmonary arrest. State-of-the-art technology for this lifesaving activity is a
mechanical CPR device that automatically provides the right frequency and compression
depth to the patient.
After exploring possible procurement options, it was determined that using the State of
Colorado’s Eagle County Health Service District pricing agreement enables the City to
streamline the purchasing process for these essential devices and receive the most
competitive pricing possible while adhering to the City’s purchasing policy. The overall
cost for these devices is still above the budgeted amount, and therefore, a budget
adjustment of $8,320 is necessary to enable the purchase.
It is recommended that the City Council adopt Resolution No. 7495 amending the Fiscal
Year 2022-23 Equipment Acquisition Program Budget and authorizing a supplemental
budget appropriation for the purchase of two (2) mechanical cardiopulmonary devices in
the amount of $8,320, offset by a $8,320 reduction in the American Rescue Plan Act
Resolution No. 7495
Budget Appropriation & PO with Stryker Sales
May 16, 2023
Page 2 of 4
(“ARPA”) Fund; and approving a purchase order with Stryker Sales, LLC for the purchase
of two (2) mechanical cardiopulmonary devices in the amount of $60,320.
BACKGROUND
The Arcadia Fire Department has been providing paramedic ambulance service to the
Arcadia community since the early 1970s, with quality pre-hospital care for medical and
trauma related emergency calls. Critical to this service is ensuring that the Arcadia Fire
Department can provide high quality, continuous cardiopulmonary resuscitation” (“CPR”)
to patients who are experiencing cardiopulmonary arrest.
The Fire Department responds to approximately 82 cardiopulmonary arrest incidents per
year (based on a 3-year average). All Fire Department personnel are trained to provide
high quality and uninterrupted CPR for all patients who are experiencing cardiac arrest
emergencies. Arguably, there is no greater role of the Fire Department, medically
speaking, than performing this type of life-sustaining aid when a member of the
community’s heart has stopped.
Delivering the precise rate, depth, and quality of CPR to a patient is literally a matter of
life and death. Some potential limitations of personnel providing high quality and
continuous manual CPR that could exceed 20 minutes include fatigue, the number of
available personnel on scene, and the ability to effectively provide CPR during transport
to the hospital. The LUCAS device, which is a mechanical CPR device manufactured by
Stryker Sales, LLC (“Stryker”), helps address these limitations. Through its automated
and consistent capabilities, it provides an opportunity to supplement available personnel
on scene, allowing for faster administration of other critical lifesaving skills and
medications. It also supplies a pre-established rate, rhythm, and depth of CPR that could
be performed consistently throughout an incident. The ability to provide continuous, highly
accurate and effective CPR is the cornerstone of cardiac resuscitation and cardiac arrest
survivability.
Recent numerous studies show that a comprehensive approach to resuscitation, along
with a LUCAS device, has increased return of spontaneous circulation by up to 17%.
There is also a noted increase of blood circulation to the brain and an increase in the
average pulmonary oxygen exchange compared to manual, human-provided CPR. All
these indicators are a direct benefit to the patient in terms of fostering a positive outcome.
Therefore, the Fire Department has prioritized acquiring these devices for each
paramedic crew. The City has obtained one device through a grant program and has
budgeted for the acquisition of two others this Fiscal Year.
DISCUSSION
In August 2021, the Eagle County Paramedic Services, also known as the State of
Colorado’s Eagle County Health Service District, solicited a competitive bidding process
Resolution No. 7495
Budget Appropriation & PO with Stryker Sales
May 16, 2023
Page 3 of 4
for the supply and support of medical equipment including mechanical CPR devices.
Through their competitive bidding process, the Eagle County Health Service District also
allowed public agencies in Colorado and throughout the United States to utilize their
cooperative bidding pricing contract (known as “piggybacking”). The Eagle County Health
District is a full-service Emergency Medical Services (“EMS”) agency that provides 911
response including paramedic level critical care to its community. On November 8, 2021,
the Eagle County Health Services District awarded a contract to Stryker extending
through November 8, 2024 (see Attachment).
Piggybacking on larger agency contracts enables the City of Arcadia the opportunity to
purchase devices in small quantities at volume pricing. Essentially, this method allows
savings in time, resources, and cost by leveraging another agency’s successful
competitive bidding process and economical bulk pricing. Thus, it is in the best interest of
the City to piggyback using the Eagle County Paramedic Services’ purchasing pricing
agreement with Stryker for the purchase of EMS equipment. Various neighboring
agencies have also piggybacked on this contract, which include the Cities of Monrovia,
Culver City, Long Beach, Burbank, Montebello, and Pasadena. Stryker Mechanical CPR
devices are also utilized by USC Hospital of Arcadia and Huntington Memorial Hospital,
which further validates the credibility of the device.
The FY 2022-23 Equipment Acquisition Program Budget originally allocated $53,000 for
the purchase of mechanical CPR devices. Unfortunately, inflation has increased the cost
for this device and an additional appropriation of $8,320 is necessary to cover the full cost
of obtaining these devices from Stryker.
ENVIRONMENTAL IMPACT
The proposed actions do not constitute a project under the California Environmental
Quality Act (“CEQA”), based on Section 15061(b)(3) of the CEQA Guidelines, as it can
be seen with certainty that they will have no impact on the environment. Thus, these
matters are exempt under CEQA.
FISCAL IMPACT
The total cost to purchase two (2) Stryker LUCAS mechanical CPR devices and
associated equipment and maintenance plan is $60,320. The FY 2022-23 Equipment
Acquisition Budget allocated $52,000 for this purchase. Thus, a supplemental budget
appropriation in the amount of $8,320 is being requested from the City’s American
Rescue Plan Act (“ARPA”) Fund to adequately cover the remaining cost of purchasing
these essential mechanical CPR devices. The purchase of these medical supplies is an
allowable use of these funds.
Resolution No. 7495
Budget Appropriation & PO with Stryker Sales
May 16, 2023
Page 4 of 4
RECOMMENDATION
It is recommended that the City Council: determine that this action does not constitute a
project, and therefore, is exempt under the California Environmental Quality Act
(“CEQA”); and adopt Resolution No. 7495 amending the Fiscal Year 2022-23 Equipment
Acquisition Program Budget and authorizing a supplemental budget appropriation for the
purchase of two (2) mechanical cardiopulmonary devices in the amount of $8,320, offset
by a $8,320 reduction in the ARPA Fund, and approving a purchase order with Stryker
Sales for the purchase of two (2) mechanical cardiopulmonary devices in the amount of
$60,320.
Attachments: Resolution No. 7495
Eagle County Health Service District Purchasing Agreement