HomeMy WebLinkAbout94-097 CC ResolutionRESOLUTION 94-97
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA
ADOPTING A COOPERATIVE PROGRAM FOR PROVISION OF EMERGF~CY
MEDICAL SERVICES
WHEREAS, the provision of Emergency Medical Service (EMS) is one of the most
important public safety services provided for citizens through the efforts of local government; and
WHEREAS, the city and county governments of western Riverside County desire to
establish an effective Emergency Medical Services delivery system to provide services to our
citizens; and
~, the City Council recognizes that such a system can most cost effectively be
established through cooperative efforts of local governments seeking the best possible market
position for our citizens; and
WltERK~, Temecula's citizens will be best served through a l~alized system within the
Southwest Area Planning District, and
WHEREAS, an effective EMS system will require identified minimum service standards
and adequate administrative oversight to insure the EMS provider meets those minimum standards,
and
WI~51EAS, there should be a crx~rative method for the selection of a provider of EMS
services within our Area District.
NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of Temecula
as follows:
Section 1. That the City of Temecula accepts the establishment of a negotiating team
comprised of the City Managers of the Southwest Area Planning District and the Riverside County
Health Director, and authorizes the negotiating team to enter into negotiations with Goodhew
Ambulance, Inc. in an effort to develop a satisfactory agreement which will provide EMS service
levels equal to or greater than those established by the draft EMS standards (see Exhibit A) at a
long term price structure competitive with existing market standards.
Resos 94-97 I
Section 2. That the City of Temecula authorizes the release of a Request for Services
to the EMS provider list which has been established through the cooperative program at the
Western Riverside Council of Governments which will meet the minimum standards established
in the draft EMS standards should the negotiations with the existing provider not result in a
satisfactory conclusion within six months of ratification of the EMS plan by the County Board of
Supervisors and the City Councils of the Cities in the Southwest Area Planning District.
Section 3. That the City of Temecula agrees to the establishment of an Administrative
Oversight Committee for the EMS program within our Area District which shall be composed of
the City Manager of each city, or his/her designee, the Chief Administrative Officer of Riverside
County or his/her designee, and the Director of Health for the County of Riverside or his/her
designee. The Administrative Committee is further charged with the responsibility to prepare all
agreements to implement the program, to select the lead contracting agency to provide a point of
contact with the selected EMS provider, and to provide regular administrative oversight and
review of the performance of the selected EMS provider with quarterly reports to the governing
bodies of the participating city and county governments.
Section 4. The City of Temecula agrees to work cooperatively with all participating
jurisdictions on all matters required for the effective implementation of this EMS program within
our jurisdictions.
PASSED, APPROVED AND ADOPTED by the City Council of the City of Temecula
at a regular meeting held on the 27th day of September, 1994.
ATFEST:
Ron Roberts, Mayor
Ju~~k, City Clerk~~
[SEAL]
Resos 94-97 2
STATE OF CALIFORNIA)
COUNTY OF RIVERSIDE) ss
CITY OF TEMECULA )
I, June S. Greek, City Clerk of the City of Temecula, do hereby certify that the foregoing
Resolution No. 94-97 was duly and regularly adopted by the City Council of the City of Temecula
at a regular meeting thereof held on the 27th of September, 1994, by the following vote:
3 COUNCILMEMBERS: Birdsall, Parks, Stone
NOES:
0 COUNCILMEMBERS: None
ABSENT: 2 COUNCILMEMBERS: Mufioz, Roberts
Resos 94-97 3
ATTACHMENT
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May 18, 1994
ALS PROVIDER STANDARDS
Table of Contents
SUMMARY OF STANDARDS ................................ 1
AMBULANCE RESPONSE TIME PERFORMANCE STANDARDS AND
PENALTIES ........................................... 1
1. Calculation of Response Times ............................ 1
2. Response Time Standards ............................... 2
a. 8 Minute Response Zones ........................... 2
b. 10 Minute Response Zones .......................... 2
c. 12 Minute Response Zones .......................... 3
d. 14 Minute Response Zones .......................... 3
e. 20 Minute Response Zones .......................... 3
f. 45 Minute Response Zones .......................... 3
3. Response Time Exemptions .............................. 4
4. Contractor Request for Response Time Exemption ................ 5
5. Excessive Response Time Performance Penalties and Repercussions ..... 6
6. Deployment of Ambulances .............................. 8
LEVEL OF CLINICAL SOPHISTICATION ........................ 9
1. Medical Control ..................................... 9
2. Contractor's Quality Improvement Program .................... 9
3. Training/Education/Certification/Accreditation .................. 10
a. Field Training Officers ........................... i0
b. EMT-P Evaluators .............................. 10
c. Continuing Education Records ....................... 10
d.' Field Care Audits ............................... 10
e. Mandatory Education for Local EMT-P Accreditation ......... 10
f. Specialty Education Programs ....................... 11
g. EMT-P Interview by EMS Agency .................... 11
4. Ambulance Staffing .................................. 11
PERSONNEL AND WORKING CONDITIONS ..................... 11
1. EMT-P Wages and Benefits ............................. 11
2. Unit Hour Utilization ................................ '. 12
3. EMT-P Identification ................................. 12
4. Special Programs for Personnel ........................... 12
a. Critical Incident Stress Debrief'rag and Ongoing Stress Reduction . . 12
b. Chemical Dependency ............................ 12
c. Preventive Health Care ........................... 13
1) Immunizations ............................ 13
2) Infection Control ........................... 13
4. Supervisors ....................................... 13
5. Key Personnel ..................................... 14
May 18, 1994
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Ho
ao
Health
a.
b.
C.
Chief Executive Officer ........................... 14
Quality Improvement Program Coordinator ............... 14
In-Service Training Coordinator ...................... I4
Fleet Management Manager ........................ 15
System Status Manager ........................... 15
and Safety Programs ............................. 15
Health and Safety Committee ........................ 15
Driver Training Program and Map Reading ............... 15
Vehicle Safety ................................. 16
VEHICLES AND EQUIPMENT .............................. 16
1. Vehicles ......................................... 16
a. Ambulances .................................. 16
1) Ambulance Specifications ..................... 16
2) Vehicle Lettering, Marking, and Colors ............. 16
b. Supervisors Vehicles ............................. 17
c. Vehicle Maintenance Program ....................... 17
2. Medical Equipment/Supplies ............................. 17
a. Equipment/Supplies Inventory Per Ambulance ............. 17
b. Ambulance Equipment/Supplies Resupply ................ 18
c. First Responder Equipment/Supplies ................... 18
d. Rerum of Public Safety Personnel ..................... 19
e. Charge for Public Safety Personnel .................... 20
MISCELLANEOUS REQUIREMENTS .......................... 20
1. Public Education Programs ............................. 20
2, Communications with the Electronic or Print Media and Public Information
Programs ........................................ 20
3, Out of County Medical Mutual Aid ........................ 20
DATA COLLECTION AND RECORDKEEPING .................... 21
1. EMS System and Patient Data ........................... 21
2. Patient Medical Records ............................... 21
3. EMT-P Records .................................... 21
4. EMT-P Certification/Accreditation Disciplinary Proceedings ......... 22
5. Non-Medical Administrative Issues ......................... 22
DISPATCH SERVICE
1. Communication Center Admimstration
2. Services Provided
3. Radios Required
4. Mobile Data Terminals
ALS PROVIDER STANDARDS
May 18, 1994
SUMMARY OF STANDARDS
1. Contractor shall provide continuous uninterrupted emergency ambulance
transportation and pre-hospital emergency medical care 24 hours a day, 7 days
a week throughout the term of this Agreement. The service will be provided
within the boundaries as defined with Section A.4. The service shall be
according to the specifications set forth in this agreement and according to
standards, policies, and procedures established by the EMS Administrative Group
and EMS Agency.
2. Contractor shall provide public information and education relative to recognition
of emergency medical conditions, EMS system access, cardiopulmonary
resuscitation, first-aid, and injury prevention to the citizens of Riverside County
within the service area through programs approved by the EMS Administrative
Group.
3. Contractor shall provide EMS system data collection and reporting functions
according to specifications set forth by the EMS Agency.
4. The service area is defined as:
AMBULANCE RESPONSE TIME PERFORMANCE STANDARDS AND PENALTIES
1. Calculation of Response Times
Response time shall be calculated from the time of the 911 call notification by
City or County dispatch center to the ambulance or ambulance provider until the
May 18, 1994
time that an ambulance notifies the City or County dispatch center of its arrival
at the scene of the emergency or until the ambulance is canceled by the dispatch
center. If an ambulance response is downgraded by the dispatcher, the response
time will include the time from its initial dispatch until the time it is downgraded.
Response Time Standards
The following is the response time standard for Code 3 and Code 2 requests for
emergency ambulance service originating from within the Area as defined in
Section A.4.
a. Eight (8) Minute Response Zones (Level I)
Contractor shall place an ambulance at the scene within eight (8) minutes,
as measured by an analogue clock, from the time that the ambulance is
dispatched in areas defined in Section A.4. (designated as Level I response
areas).
b. Ten (10) Minute Response Zone (Level II)
Contractor shall place an ambulance at the scene within ten (10) minutes,
as measured by an analogue clock, from the time that the ambulance is
dispatched in areas defined in Section A.4. (these areas designated as
Level II).
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Twelve (12) Minute Response Zone (Level ILl)
Contractor shall place an ambulance at the scene within twelve (12)
minutes, as measured by an analogue clock, from the time that the
ambulance is dispatched in areas defined in Section A.4. (these areas
designated as Level IIT).
Fourteen (14) Minute Response Zone (Level IV)
Contractor shall place an ambulance at the scene within fourteen (14)
minutes, as measured by an analogue clock, from the time that the
ambulance is dispatched in areas defined in Section A.4. (these areas
designated as Level IV).
Twenty (20) Minute Response Zone (Level V)
Contractor shall place an ambulance at the scene within twenty (20)
minutes, as measured by analogue clock, from the time that the ambulance
is dispatched in areas defined in Section A.4., (designated as Level V).
Forty five (45) Minute Response Zone (Level VI).
Contractor shall place an ambulance at the scene within forty five (45)
minutes, as measured by analogue clock, from the time that the ambulance
is dispatched in areas defined in Section A.4. (designated as Level VI).
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May 18, 1994
Response Time Exemptions
In the monthly calculation of the Provider's response time performance, every
emergency request originating from within the emergency ambulance provider
zone shall be included except as follows:
a. In case of a period of unusual system overload, e.g., multiple incidents
with multiple victims or a large number of victims from a single incident
(e.g., bus crash), etc. Unusual system overload will not exceed 1.5 % of
provider's monthly call volume.
b. In case of a multiple ambulance response to a single incident, only the
response time of the first arriving ambulance shall be counted.
c. Good cause for an exemption as determined by the EMS Administrative
Group or their authorized representative. The burden of proof that there
is good cause for the exemption shall rest with the Contractor and
Contractor must have acted in good faith. The alleged good cause must
have been a substantial factor in producing the excessive response time.
Good cause for an exemption may include, but is not limited to, the
following scenarios:
1) dispatch errors, including errors in system status management,
which may be appealed by the Dispatch Center to the EMS
Administrative Group which shall make the final determination.
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May 18, 1994
2) incorrect or inaccurate dispatch information received from a calling
party or 911 Public Safety Answering Point or from a public safety
agency.
3) disrupted voice or data transmission
4) inability to locate address due to non-existent address
5) unavoidable delay caused by traffic congestion as the result of a
vehicular accident to which the ambulance is responding in which
there is no alternate access to the incident
6) unavoidable delays caused by road construction and/or closure
7) unavoidable delays caused by trains
8) off-road or off-paved road locations
9) weather conditions which impair visibility or create other unsafe
driving conditions
Contractor Request for Response Time Exemption
Contractor shall file any requests for response time exemptions on a monthly
basis with the EMS Administrative Group within 15 days of the end of the
previous month. Such request shall list the date, the time, and the specific
circumstances causing the delayed response.
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May 18, 1994
Excessive Response Time Performance Penalties and Repercussions
a. Contractor will be assessed financial penalties for incidents in which the
ambulance crew fails to report their arrival at-scene, and in the event that
a Basic Life Support Ambulance handles the call.
b. Amounts of Penalties
If Contractor fails to meet the response time standards, Contractor shall
be assessed penalties in the following amounts
1) $10.00 for each minute exceeding the response time standard to a
maximum of $300.00 per incident.
2) $500.00 for any incident in which a call is referred to a Basic Life
Support Unit.
3) $300.00 for failure of the ambulance crew to report their arrival
at-scene.
4) For each calendar month, in which Contractor has met less than
90 % of the response time standards Contractor shall be assessed
an additional lump sum for each percentage point below 90%.
These shall be:
a) 89-89.9% = 20% of the total penalty dollars assessed in
1), 2), and 3) above.
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5)
b) 88-88.9% = 30% of the total penalty dollars assessed in
I), 2), and 3) above.
c) 87-87.9% = 40% of the total penalty dollars assessed in
1), 2), and 3) above.
d) 86-86.9% = 50% of the total penalty dollars assessed in
1), 2), and 3) above.
e) 85-85.9% = 60% of the total penalty dollars assessed in
1), 2), and 3) above.
f) < 85 % = 100 % of the total penalty dollars assessed in 1),
2), and 3) above.
For each calendar month in which Contractor has met more than
90% of the response time standards, EMS Administrative Group
shall credit Contractor for a lump sum for each percentage point
above 90%. These shall be 99-I00% $8000; 98-98.9% $4000; 97-
97.9% $2000; 96-96.9% $1000; and 90.'1-95.9% $500. These
amounts will be and can only be applied as credit against future
f'mancial penalties arising during term of this
response time
Agreement.
The EMS Administrative Group will inform the Contractor of the
incidents and f'mes incurred on a monthly basis.
Contractor shall pay all
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May 18, 1994
fines within 45 days of receipt of the notification. A late payment charge
of five (5) % will be assessed monthly if no payment is received after the
45 day of receipt of the notification. Fines shall be paid to the EMS
Administrative Group which will determine any use of those free
proceeds.
Deployment of Ambulances
The Contractor will be responsible for planning the dispatch of ambulances
through the provision of a system status plan, although the actual dispatch of
ambulances shall be by
a. System St. ams Plan
1) Contractor will be responsible for providing a written system status
plan for the number of ambulances, their assigned locations, and
deployment strategies. This plan shall be provided to the EMS
Administrative Group.
2) An initial system status plan must be approved by the EMS
Admmistrative Group. Any changes to the plan resulting in less
ambulances being deployed at any time must be submitted for prior
approval to the Council.
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May 18, 1994
LEVEL OF CLINICAL SOPHISTICATION
1. Medical Control
Prospective medical control of EMT-P personnel shall be according to the policies
and procedures of the EMS Medical Director. Immediate medical control shall
be provided to EMT-P personnel by Base Hospital physicians or mobile intensive
care nurses according to the policies and procedures of the EMS Medical
Director. Retrospective medical control shall be provided according to the
standards set forth by the EMS Medical Director through quality improvement
programs, including continuing education programs, conducted cooperatively by
the Contractor, the EMS Agency, and the Base Hospitals.
2. Contractor's Quality Improvement Program
The Contractor shall have a detailed Quality Improvement Program approved by
the EMS Admirfistrative Group. The Contractoffs quality improvement program
will be under the direction of a Quality Improvement Coordinator. The
Contractor shall establish an ongoing Quality Improvement Committee which shall
include field EMT-Ps. The Quality Improvement program shall emphasize peer
review.
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Training/Education/Certification/Accreditation
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Field Training Officers
Contractor shall designate a minimum of seven (7) field training officers
who shall function as trainers and perform other duties on behalf of
Contractor.
EMT-P Evaluators
Contractor shall designate EMT-P evaluators, for the purposes of
evaluating EMT-P applying for accreditation to practice as EMT-Ps in the
County, and for the purposes of precepting students. These individuals
shall be approved by the EMS Medical Director.
Continuing Education Records
The Contractor shall maintain records of continuing education for its
EMT-P employees for a minimum of four (4) years.
Field Care Audits
The Contractor shall work cooperatively with the Base Hospitals and the
EMS Agency in identifying and assisting with field care audits.
Mandatory Education for Local EMT-P Accreditation
The Contractor shall cooperate fully with the EMS Agency to notify
EMT-Ps of mandatory education programs. An example of such a
program is the Medical Incident Command Training Program.
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f. Specialty Education Programs
All EMT-Ps will achieve and continuously maintain Advanced Cardiac
Life Support certification, Pre-hospital Trauma Life Support, or Basic
Trauma Life Support and Pediatric Advanced Life Support certification
within one year.
g. EMT-P Interview by EMS Agency
Contractor will cooperate fully with County in the coordination of any
interviews of an employee of Contractor by County.
4. Ambulance Staffing
All ambulances performing work under this contract will be staffed by two (2)
EMT-Ps who are currently certified as EMT-Ps in California and accredited to
practice in Riverside County. Subject to the approval of the EMS Administrative
Group this staffing can be modified in special circumstances.
PERSONNEL AND WORKING CONDITIONS
1. EMT-P Wages and Benefits
It is the intent of the EMS Administrative Group that the Contractor demonstrate
a commitment to attract and maintain a stable EMT-P work force. It is
understood that wages and benefits contribute to such a program and therefore,
the EMS Administrative Group intends that the Contractoffs EMT-Ps receive
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May 18, 1994
wages and benefits that are reasonably equivalent to those of comparable private
sector emergency ambulance providers in the Southern California Region.
Unit Hour Utilization
Units working more than 14-hour shifts should have a fixed station. Unit hour
utilization for 24~hour units should be no more than 0.4 in any one month. If
higher, the system status plan shall be revised.
EMT-P Identification
All ambulance crew members should, at all times while on duty, wear official
identification issued by the Contractor which includes their picture attached to the
outside of their uniform.
Special Programs for Personnel
a. Critical Incident Stress Debriefing and Ongoing Stress Reduction
The Contractor shall establish a critical incident stress debriefing and
ongoing stress reduction programs which are documented, well publicized,
and readily available to its EMT-P personnel. An accurate description of
this program shall be sent to the EMS Administrative Group for review
and approval.
b. Chemical Dependency
The Contractor shall have an organized and documented plan to help its
personnel with chemical dependency problems. An accurate description
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May 18, 19~4
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of this program shall be sent to the EMS Administrative Group for review
and approval.
Preventive Health Care
1) Immunizations
Contractor shall provide to EMT-Ps, at no cost to the employee,
MMR (measles, mumps, rubella) and HBV (hepatitis B)
immunizations, semi-annual tuberculosis PPD test (purified protein
derivative) or any other immunizations specified by the County
Health Officer.
2) Infection Control
Contractor shall have written infection control policies and
procedures approved by the County Health Officer. Testing and
counseling services shall be provided to employees at no cost for
employees exposed to serious infectious diseases. The Contractor
shall report any known employee exposures to serious infectious
diseases to the County Health Officer.
Supervisors
At least one supervisor will be on duty within each region at all times.
All
supervisors shall be currently certified and accredited as EMT-Ps in the County
of Riverside.
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May 18, 1~4
must be submitted in writing to the EMS Administrative Group.
job categories shall be:
a)
Key Personnel
Contractor shall have key personnel in the following categories employed at all
times. An organizational chart complete with titles, names and phone numbers
Key personnel
b)
c)
Chief Executive Officer who shall be responsible for all divisional
functions on a daily basis, including field operations, contract compliance,
quality improvement, training and risk management. This individual will
direct, coordinate and monitor overall system performance to ensure high
standards of service, budget compliance and contractual compliance.
Quality Improvement Program Coordinator who shall be responsible for
the quality improvement program. This individual will ensure that core
values and standards of care maintained by operations personnel through
the recruitment, selection, training, retraining, and retention of EMT-Ps.
This job category may be filled by a private contractor if approved by
EMS Administrative Group.
In-Service Training Coordinator who shall be responsible for training and
educational programs. This individual will provide for initial in-house
orientation and training as well as ongoing in-service continuing
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May 18, 1994
This individual will coordinate training efforts with local fire
education.
jurisdictions.
d) Fleet Management Manager who shall supervise the maintenance of
ambulances and support vehicles.
e) Contractor may designate a System Status Manager. If there is a system
status manager, this individual will provide overall analysis and
coordination of resource deployment. This individual shall be responsible
for monitoring all system performance to ensure proper vehicle staffrag
and placement, response time compliance and system sums planning.
Health and Safety Programs
a. Contractor will establish a Health and Safety Committee whose duties will
include, but not be limited to reviewing all employee accidents and
injuries to determine preventability and making recommendations related
to health programs. The committee will include a field employee. This
committee may be the same committee as the vehicle safety committee
described in 6.c. below.
Driver Training Program and Map Reading
Contractor will conduct a driver training and map reading program which
shall be subject to the approval of the EMS Administrative Group on an
annual basis.
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May 18, ~994
c. Vehicle Safety
Contractor will convene an Accident Review Board for the purpose of
reviewing all vehicular accidents. This board will make recommendations
for improvement and prevention. The members of this board will consist
of field employees, management and supervisory representatives, and non-
field employees.
VEHICLES AND EQUIPMENT
1. Vehicles
a. Ambulances
1) Ambulance Specifications
Contractor shall provide ambulances that meet State and Federal
regulations. Ambulances must be able to transport three (3) adult
patients in a supine position. Any modifications of these
ambulance vehicles must be approved by the EMS Administrative
Group.
2) Vehicle Lettering, Marking and Colors
All vehicle lettering, markings and colors on ambulances or
supervisor' s vehicles must be approved by the EMS Administrative
Group.
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May 18, 1994
b. Supervisors Vehicles
Contractor shall supply two (2) supervisors vehicles. These vehicles shall
also function as diaster/multi-casualty incident response vehicles to assist
in rendering emergency assistance during a disaster or multi-casualty
incident or at a medical command post. The vehicles will have a built-in
field office with desk, file cabinet, swivel chair and bright lighting. The
vehicles will be equipped with portable cellular telephones, computer with
communication and FAX capabilities. The vehicles will maintain an
equipment and supply inventory as specified in Exhitit C.
c. Vehicle Maintenance Program
Contractor will institute and maintain a preventative vehicle maintenance
program that will require approval by the EMS Administrative Council.
Medical Equipment/Supplies
a. Equipment/Supplies Inventory Per Ambulance
Contractor will equip and supply ambulances according to the standards
set forth by County and incorporated into this Agreement as Exhibit D.
This inventory may be modified only with the approval of the EMS
Medical Dixector.
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May 18, 1994
Ambulance Equipment/Supplies Resupply
It shall be the responsibility of the Contractor to resupply all expendable
supplies and medications. The Contractor may charge user fees sufficient
to replace such expendable supplies as were utilized for the patient
utilizing a cost determination formula approved by the EMS
Administrative Group. The Contractor will maintain a recorded telephone
line for EMT-Ps to call in their list of needed supplies. The Contractor
will operate a vehicle that will deliver these supplies the same day (which
shall not be operated by an on-duty field supervisor). The Contractor
shall establish and maintain supply caches from which the ambulance
crews may resupply their ambulances.
First Responder Equipment/Supplies
Contractor agrees to operate an exchange program with all first responder
agencies for like medical supplies or equipment used on patients provided
that a first responder form, meeting the specifications of the EMS
Administrative Group, is completed by the furst responder agency.
Whenever possible, the Contractoffs EMT-P personnel will provide the
first responders with expendable medical supplies which were used for the
patient before leaving the scene. The Contractor will operate a recorded
telephone line that furst responders may use to report their equipment that
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was sent to hospitals on the Contractor's ambulances or medical supplies
which need to be replaced. The Contractor will retrieve the first
responder's equipment and will return it to the headquarter site for the
appropriate first responder agency within the same day. Any first
responder equipment damaged or lost after turned over to the Contractor
will be replaced by the Contractor. For fzrst responder agencies that wish
to participate in an oxygen replacement program, the Contractor will
exchange an standardized aluminum "D" cylinder for their similar empty
cylinder. The Contractor will reffil the cylinder. Contractor accepts the
responsibility to have these "D" cylinders hydro tested as required.
The fzrst responder supplies which will be restocked to the first responder
agency by the Contractor are incorporated into this Agreement as Exhibit
D.
Rerum of Public Safety Personnel
When it is necessary for public safety persoxinel to accompany the
ambulance crew during patient tranqport, Contractor will be responsible
for the timely return of these personnel to their workplace. This will be
accomplished by either the Contractoffs on-duty supervisor or through taxi
service at the Contractor's expense. The public safety personnel will be
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returned to their agency within one hour or sooner unless there are
extenuating circumstances and the agency is notified.
Charge for Public Safety Personnel
Each time a public safety employee is used to provide care during
transport, the Contractor will pay the public safety agency $100 per
employee utilized.
MISCELLANEOUS REQUIREMENTS
1.
Public Education Programs
Contractor will provide an extensive public education program. Contractor will
prepare an annual Public Education Plan with specific goals and objectives that
will be submitted the EMS Administrative Group for review and approval prior
to implementation.
Communications with the Electronic or Print Media and Public Information
Programs
a. Notifications -
Contractor will notify the Chair of the EMS Administrative Group of
communications with the media.
Out of Service Area Medical Mutual Aid
Contractor agrees to send ambulances and personnel to other EMS service areas
for the purposes of rendering care to a large scale multiple victim incident when
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requested by EMS Agency for a limited time period. During this period, the
EMS Administrative Group will waive all response time requirements.
DATA COLLECTION AND RECORDKEEPING
1. EMS System and Patient Data
Contractor shall be responsible for the provision of deta~ed patient and EMS
system data, both periodic written reports as well as computerized data, according
to specifications set forth by the County and any future guidelines promulgated
by the EMS Agency. The data will be prepared in a format specified by the EMS
Agency.
2. Patient Medical Records
The patient care record form shall be specified by the EMS Agency. This form
shall be such that all routine documentation completed by the EMT-P for an
emergency ambulance response (such as patient assessment, treatment, and billing
information) can be completed on this form. The Contractor shall retain copies
of all patient medical records for at least seven (7) years. These records shall be
stored in a manner conducive to easy retrieval. A copy of the patient record shall
be supplied to the EMS Administrative Group or EMS Agency upon request.
3. EMT-P Records
The Contractor shall be responsible for maintaining records for EMT-P personnel
according to the specifications of the County including, but not limited to,
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May 18, 1994
certification/accreditation/employment status, continuing education records, and
performance accordance to quality improvement standards. The Contractor will
also maintain records for EMT-P employee rumover including, but not limited to,
the reasons for turnover. These records will be available to the County upon
request.
EMT-P Certification/Accreditation Disciplinary Proceedings
Contractor shall cooperate fully with the EMS Medical Dkector in disciplinary
proceedings against an EMT-P's certificate. Such cooperation shall include, but
not be limited to, provision of relevant patient records and incident reports.
Non-Medical Administrative Issues
Contractor shall cooperate fully with the EMS Administrative Group regarding
concerns about administrative issues, including Contractor policies, procedures,
etc.
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Emergency Medical Service
Southwest APD
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