Loading...
TO PROVIDE EMERGENCY MEDICAL SERVICES (3) , I r'~~\tI BOA~ OF ~<?\JNTY ~{~~~ ~ t / /if ( ir-' (/-F /' \)< '. X ,\l\. 'l' \ <r \. ~ ,v '\ \..;\ COMMISSIONERS BRUCE TYNDALL, CHAIRMAN CHARLES E. RAINEY, VICE-CHAIRMAN JOHN CHESNUT, JR. GEORGE GREER BARBARA SHEEN TODD September ~O, 1985 Mr. Anthony Shoemaker, city Manager city of Clearwater PO Box 4748 Clearwater, FL 33518 Dear Mr. Shoemaker: I COl\lIl\IIISSIONE~S PINELLAS COUNTY, FLORIDA 315 COURT STREET CLEARWATER. FLORIDA 33516 REPLY TO: CIVIL EMERGENCY SERVICES ST. PETERSBURG/CLEARWATER AIRPORT 15250 SPADCO DRIVE CLEARWATER, FLORIDA 33520 PH. (813) 530-6822 ;F::-;-~ ~ rn OWP .:-:--\ ',i2,.,>,?,__~.:'::' . ; OCT - 2 1985 IJ ~ITY IlANAGEii"J j Attached to this letter is your executed Emergency Medical Services Agreement which was approved the Board of county Commissioners on September 17, 1985 and commences on October 1, 1985. ./ If you have any questions concerning the agreement, please feel free to call the EMS office. Sincerely, ~,~.~ Stephen F. Dean, Jr., Director Fire and EMS Administration RECEIVED OCT 3 1985 jl Attachment cc: Frank L. Griffin, Director, Civil Emergency Services CITY CLERK PINELLAS COUNTY IS AN EOUAL OPPORTUNITY EMPLOYER t' I C'~) I(~ IEMERG~NCY MEDICAL SERVICESI AGREEMENT This Agreement, made and entered into between the Pinellas County Emergency Medical Services Authority, a special district of the state of Florida, hereinafter called "Authority", and the City of Clearwater, a corporation of the State of Florida, hereinafter called "Provider." WIT N E SSE T H: WHEREAS, the Authority is a county-wide special dis- trict in pinellas County, FL, created pursuant to Chapter 80-585, Laws of Florida Special Acts of 1980; and WHEREAS, the Authority is authorized to enter into agreements for emergency medical services and the Provider is willing and able to provide emergency medical services. NOW, THEREFORE, and in consideration of the mutual covenants, terms and conditions herein set forth to be kept and performed by and between the parties hereto, it is agreed as follows: ~I /7 1 , '--" , ( , ,/J,' U~r0 I ,"',;) I .,' [ /' I " " I I SECTION 1. Standards and Definitions. This Agreement shall be governed by all applicable state and local laws and regulations and the definitions contained therein. SECTION 2. Services Provided. Provider covenants and agrees to operate vehicles and equipment and furnish trained medical personnel in accordance with the terms and conditions of this Agreement as may be neces- sary to provide emergency medical services to victims of medical emergencies in Pinellas County, FL or in another county in res- ponse to a request for mutual aid. SECTION 3. Budget Approval and Authority's payments. Provider shall submit a budget to Authority setting forth the reasonable and customary cost of providing EMS service des- cribed in Section 2. Upon approval of the budget by the Author- ity, the Authority shall make monthly payments to the Provider beginning at the commencement of the fiscal year. The parties agree and understand that the submission and approval of the budget shall determine the amount of payment by Authority to Provider for the services to be rendered under this Agreement. 2 I I Provider covenants and agrees to follow the "Uniform Require- ments for Fire and Emergency Medical Services Funds Provided to Municipal and Independent Fire/EMS Departments (Fire and EMS Financial Rules for pinellas county), (Revised January 1985)" in the preparation, amendment, and administration of its EMS budget. The county may withhold payment to Provider if Provider fails to perform in accordance with the provisions of this agreement or any state, or local rules and regulations. SECTION 4. Obligations of Provider. The Provider covenants and agrees to perform services under this Agreement, in accordance with all applicable state and local laws and regulations. The Provider covenants and agrees to maintain all vehicles and equipment in good condition. The Provider's vehicles shall have proper permits as required under Chapter 401 Florida statutes and otherwise maintain the approved state licensing necessary to provide emergency medical services to the Authority. The Provider is responsible for the performance of its employees. The Provider shall employ, assign, and train the 3 I I personnel authorized by the approved budget described in Section 3. The Provider is responsible for insuring that employees perform in accordance with state and local rules and regulations and follow the Standing Orders of the medical directors. The Provider is responsible for retraining and/or removing employees who fail to perform in accordance with these rules, regulations and orders. However, nothing in this pro- vision will prevent the medical director from exercising his powers as defined in state and local statutes and Section 5 of this contract. The Provider further covenants and agrees to make the reports and preserve the records required by the Authority. The Provider shall maint~in property inventory, financial, and budget records, and other information and data as may be reasonably required by the Director of EMS Administration. The Provider shall allow access to and inspection of any of its premises, records, equipment and vehicles funded, procured or otherwise funded under its approved budget as may be reasonably required by the Director of EMS Administration and the county EMS medical director to assure the performance of the Provider's obligations hereunder. 4 I I SECTION 5. EMS Run Reports. The Providers shall complete EMS patient care reports for each patient and on each medical incident to which EMS units respond. The Providers who are connected to the north county EMS dispatch system and are placing their reports directly into the computer, shall enter run reports for each shift by the end of the respective shift. The Provider shall deliver run reports to EMS Admin- istration office at 15250 Spadco Drive each week on Monday or Tuesday. All run reports for the preceeding month must be delivered to the EMS office no later than the lOth of the following month. The Provider shall train its employees to correctly complete the forms in accordance with the instructions provided by the county. SECTION 6. Closest Unit Response and Central Dispatch. closest unit dispatch is a process by which the unit which is estimated will arrive on the scene in the shortest amount of time is sent to all requests for emergency medical services. The Provider agrees to make provisions to insure that the closest ALS unit, regardless of district or department. 5 I I responds to each medical emergency within the provider's emergency medical services district. Upon the direction of the county, the Provider will cooperate and assist the county in making arrangements for requests for emergency medical service within the provider's district, to be routed directly from the 911 answering point to an authorized emergency medical service dispatch center. Also, upon direction of the county ALS units will be dispatched to emeregency medical requests for service by an authorized dispatch center and the Provider's units will advise that center of all changes in status and availability of service. The Provider will adhere to the operational guidelines established for the authorized center responsible for dis- patching its units and will cooperate fully. The provider will, upon the county's direction, supply all the information required to create a data base in the central dispatch computer system which will enable dispatchers to dispatch the closest unit to responses within the Provider's emergency medical services district. This includes, but is not limited to, information for street and intersection files as well as other files which may be required in order to provide accurate and prompt dispatching of Provider's units. 6 I I SECTION 7. Medical Director. There shall be a county EMS medical director who shall provide for a periodic audit and review of medical procedures performed by paramedics and emergency medical technicians employed pursuant to the budget approved under section 3. The medical director may prohibit any EMT or paramedic from performing medical services and procedures under this agree- ment if said employee is not qualified or has failed or refused to comply with any applicable state or loc~l law or regulation or medical standing order. The county EMS medical director shall exercise those responsibilities set forth in state and I local laws and regulations. Any medical director whose salary is wholly or partially provided for in a budget approved by the Authority or who is otherwise employed on a part-time or volunteer basis for the performance of professional services under this Agreement shall be supervised by the county EMS medical director. SECTION 8. Insurance. The Authority shall self-insure or provide for the purchase of insurance for the payment of any negligence or tort claims liability, 7 I I automotive liability, and medical malpractice liability arising out of the activities of any qualified, authorized and directed personnel performing EMS activities. provider covenants and agrees to maintain such workers' compensation coverage for its employees and others performing services for the Authority under this Agreement as may be required under state law. SECTION 9. Obligations not for third party benefit or to be assigned. This Agreement is not intended, nor shall it be con- strued, to enure to the benefit of any third person or entity not a party hereto, and no right, duty or obligation of the provider under this Agrement, shall be assigned to any person, private association or corporation, not-for-profit corporation, or public body without the prior written consent of the Authority. SECTION 10. Term of Agreement. These terms and covenants shall be in effect for a period of one (1) year commencing October 1, 1985 and continuing through september 30, 1986 unless terminated or renewed in accordance with this Agreement. 8 I I SECTION 11. Default, Termination, Renewal. The Authority may terminate this Agreement for cause upon providing ninety (90) days' notice to the provider. The Provider may terminate this Agreement upon providing ninety (90) days' notice to the Authority. The provider covenants and agrees to return to Authority all unexpended monies paid, all vehicles owned by the Authority, and all equipment and supplies not expended and purchased pursuant to this Agreement or the budget approved under section 3. Such return shall be executed and completed within five (5) working days after the date of termination specified in the termination notice. The parties may mutally agree in writing to renew this Agreement for the same term and upon the same conditions set forth herein. SECTION 12. Fiscal Non-Funding. The funds to be used for services performed pursuant to this contract are subject to periodic appropriation of funds by the pinellas County EMS Authority. After acceptance of bid, further obligations under this contract beyond funds appro- priated in the 1985-1986 budget for this contract are con- 9 I I tingent upon the availability of funds. If funds are not appro- priated by the pinellas county EMS Authority for any or all of this contract, Authority shall not be obligated to pay for any services performed under this contract beyond the portion for which funds are appropriated. Such failure of appropriation shall not constitute a breach of this Agreement. Authority agrees to promptly notify the provider in writing of such failure of appropriation. IN WITNESS WHEREOF the parties hereto, by and through their undersigned authorized officers, have caused this Agree- ment to be executed on this, the ~ day of ~, 1985. ATTEST: By: /~ -4{~ (SEAL) By: KARLEEN F. DEBLAKER, CLERK Chairman APPROVED AS TO FORM: PINELLAS COUNTY ATTORNEY ATTEST: By: /.5/ ~j.LJ/. k..~.-c/ , c6 (J CITY OF LEARWATER (SEAL) By: t l) Q lJ -- (7 r (}-fjy /1 10 7/85 0049j-4 I By Attest: ~. . c ~7~PU~Y , l coun_~,i,gned: ;Z. /".".",' ~ /~" , . ,f:?,';//'. /YI . /2: ~1:_, . Mayor-Commissioner Approved as to form & corre tness: f~.j(~ Actlng Clty Attorney ~r. City Clerk 1 1 I I PINELLAS COUNTY EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL , AGE N D A October 8, 1985 @ 2:00 p.m. St. petersburg Junior college Administration Building - Board Room 8580-66 Street North pinellas park, FL 1) Roll Call 2) Approval of Minutes of september.::10, 1985 3) Committee Reports AWARDS Loretta Wyandt, Chairman FINANCE William Nordburg, Chairman RULES & REGULATIONS ~alter Stubbs, Chairman - 4) Old Business 5) New Business A. Correspondence 6) Next Meeting - Tuesday, November 5, 1985 ~ 2:00 p.m., SPJC Administration Building Board Room, 8580 66 Street North pinellas park, FL SCHEDULE OF MEETINGS OCTOBER COMMITTEE 1 Finance @ 2:00 p.m. Civil Emergency Services conference Room, 15250 Spadco Drive Rte 4 Clearwater, FL 0002A I I Pinellas park, Florida, September 10, 1985 The pinellas County Emergency Medical Services Advisory Council, created by House Bill 995 and Chapter 80-585, Laws of Florida, and by Resolution of the Board of County Commissioners on March 3, 1981, met in a regular session at the st. Petersburg Junior College Administration Building, 8580-66 Street North, Pinellas park, Florida, at 2:00 p.m. on this date with the following members present: Mayor J. Wilson Reed, Chairman, Council of Mayors (Belleair Bluffs) Asst. Chief Jeff Barnard, PALS Representative (St. petersburg Beach Fire Department) Chief Robert L. Davidson, Clearwater Fire Department Mr. Stephen F. Dean, Jr., Director, EMS Administration (Non-voting) Dr. Stephanie Deverick, Pinellas County Medical Society (entered at 2:06 p.m.) Mrs. Mary Granata, West Coast Chapter of Emergency Nurses' Association Chief J.G. Knight st. petersburg Fire Dept., Fire Chiefs' Association, (entered at 2:05 p.m.) Mrs. Ruth Kovach, Suncoast Chamber of Commerce Representative Mayor George McGough, Council of Mayors (Largo) Colonel B.F. Mewhort, South County Consumer Representative Mr. Barry Mogil, pinellas County Ambulance Association Mrs. Sharon Naumann, North County Consumer Representative Mr. William S. Nordburg, Business Management Chief Joseph G. Novak, Fire Chiefs' Association (South Pasadena Fire Department) Mr. James L. Ortner, Business Management Mr. Dick Plazcek, Bay Area Hospital Council (Alternate for Mr. Daniel McMurray), Mr. Dino Contis, Health Services Agencies (Alternate for Mr. Gary Silvers) Mrs. Loretta Wyandt, North County Consumer Representative J I September la, 1985 Absent: Mayor Cecil Bradbury, Council of Mayors (Pinellas park) Dr. Patricia Byers, South County Consumer Representative Mayor Edward L. Cole, st. Petersburg Dr. John A. Cromer, St. Petersburg Junior College Mayor Kathy Kelly, City of Clearwater Mr. Dan McMurray, Bay Area Hospital council (Alternate present) Dr. Robert B. Pettyjohn, EMS Medical Director (Non-voting) Mr. Gary Silvers, Health Services Agencies (Alternate present) Mayor Walter Stubbs, Council of Mayors (Treasure Island) Also Present: Ray Balcom, EMS Coordinator, Lealman Fire Department Don Cox, EMS Coordinator, Seminole Fire Department Joe DeSimone, EMS Coordinator, Safety Harbor Fire Department Barbara Finn, EMS Program Director, SPJC Daniel E. Grainger Daniel H. Grainger Frank Griffin, Director, Civil Emergency Services Chief Richard Headley, Lealman Fire Department Jerry Henderson, EMS Coordinator,. Gulfport Fire Department Steve Jolley, Pinellas Ambulance Service Joe Murray, Regional Paramedic Coordinator, EMS Administration Edwin Standtke, Jr., Tarpon Springs Memorial Ambulance William Stanley, SAS Ambulance Chief Jay Stout, Safety Harbor Fire Department Jerry Varanay, Pinellas Ambulance George D. Wetter Chief Ross Willman, Oldsmar Fire Department Other interested individuals patricia Belcher, EMS Administration 2 ~ I I september 10, 1985 CALL TO ORDER AND ROLL CALL Chairman J. Wilson Reed called the meeting to order at 2:00 p.m., after which attendance was taken. It was determined that a quorum was present. APPROVAL OF MINUTES OF MEETING OF JULY 9, 1985 It was moved by Mr. James Ortner, seconded by Ms. Ruth Kovach and carried, that the minutes for the meeting of July 9, 1985 be approved. COMMITTEE REPORTS AWARDS COMMITTEE Committee chairperson Loretta Wyandt presented an award to Mr. Daniel Grainger. Mr. Grainger administered CPR t9 a victim of a heart attack at the Publix store in which he was employed. Mr. Grainger had taken several first-aid and CPR courses, the most recent being at Largo High School. FINANCE COMMITTEE It was announced that the Finance Committee will meet Tuesday, October 1, 1985 at 2:00 p.m., at the Civil Emergency Services Conference Room, St. Petersburg/Clearwater Airport. 3 I I september 10, 1985 UNIT ALLOCATION LOCATION COMMITTEE Chairperson Bernie Mewhort announced that the Unit Allocation Committee would present a proposal to the EMS Advisory Council at the November meeting concerning the future of the Unit Allocation committee. There were no other committee reports. OLD BUSINESS Mr. Stephen Dean, Director of EMS Administration, reported on the Board of County Commissionersl decision concerning emergency ambulance transport in Pinellas County. He noted that the EMS Advisory Council had prepared its recommendation and forwarded it to the Board of County Commissioners on July 9, 1985. He stated that the Board met in an informal work session_during July and directed the office of Emergency Medical Services Administration to prepare contract specifications for ambulance service in Pine lIas County. The specifications will include three different means of funding ambulance service which include 100 percent funding by the county, 100 percent funding by patients and a combination of funding by the county and patients. The Board of County Commissioners reserved the right to require fire department units to transport should that prove a more efficient or economical alternative. 4 I I September 10, 1985 OLD BUSINESS - (Continued) Mr. Dean stated that he was hiring a consulting firm to provide assistance in preparing ambulance bid specifications. He stated that it would be difficult to prepare the specifications as directed. It was noted that the consultant fee would be $7,100.00. Mr. Ortner stated that an outside consultant should be used to review the cost estimates provided in response to any bid speci- fications. Mayor McGough recommended that a committee of fire chiefs should be appointed to review the bid specifications if the EMS Advisory Council was requested to provide advice about the bid specifications. Mrs. Loretta wyandt asked if the bid specifications had been prepared yet. Mr. Dean stated that they had not. Assistant Chief Jeff Barnard stated that any contract concerning ambulance service should be written on the basis of lessons learned during the Hurricane Elena evacuation. Chairman Wilson Reed stated that he attended the Board of County Commissioners' meeting at which the Board made its decision on the ambulance contract issue. He regretted that the Board did not give more serious consideration to the EMS Advisory Council's recommendation. , 5 J I September 10, 1985 NEW BUSINESS EMS Advisory Council Responsibilities Mayor Reed reviewed the responsibilities of the members of the EMS Advisory Council. A summary of his statement is attached to these minutes. November and December Meetings The council decided to meet on the first Tuesday of the month during the months of November and December because the board room at st. petersburg Junior College will not be available on the second Tuesday. The dates for the November and December meetings are: Tuesday, November 5, 1985 and Tuesday, December 3, 1985. The meetings will be held at the st. petersburg Junior college Administration Board Room, 8580-66 Street North, pinellas park, FL. Hurricane Evacuation Chief Jerry Knight of St. petersburg stated that evacuation of citizens from Pinellas County beaches and endangered areas had been accomplished very successfully. He stated that citizens needed to be made aware of several things. He stated that some citizens had not evacuated dangerous areas and had actually 6 I I .' September 10, 1985 NEW BUSINESS - (Continued) waited until the water was high and the power out to request evacuation. He stated this posed a threat to lives of the firefighters as well as those who remained. He also stated that citizens had forgotten to bring their medications to the evacuation shelters and that this had resulted in a great deal of work for the EMS units. He stated in the future, citizens should be reminded to bring their medications. He thought a public education effort might be helpful. Mayor McGough stated that he had written letters to the media personally thanking them for their part in informing the public about events during the evacuation. Mrs. Ruth Kovach stated that she thought it should be recommended to those in authority that people be told what to do as they are evacuating and provided with information at the time. Mr. Barry Mogil stated that everyone in the county's emergency services had worked together and.he was proud to be a part of the county's emergency system. He felt that the performance had been exemplary. Deputy Chief Barnard stated that it should be recommended that the council send a letter of congratulations to the individual EMS providers who had done such a fine job. Mayor Reed stated that staff would send a letter from the Advisory Council to the providers. 7 I I September 10, 1985 NEW BUSINESS - (Continued) Mr. William Nordburg inquired as to the reasoning behind evacu- ations of solidly built multi-story buildings in zones which did not seem to be endangered. It was stated that GUY Daines, Director, Pinellas County Emergency Management Administration, would make a presentation to the EMS Advisory Council and discuss the hazards which face residents who refuse to evacuate from endangered zones even in buildings which appear to be structur- ally sound. Mr. William stanley stated that this was the first county-wide evacuation in the history of SAS Ambulance. He stated that all agencies had cooperated well together. Mr. Frank Griffin stated that both w9l1w centers were completely inundanted with telephone requests for evacuation information. He stated that as a result of critiques being held throughout the county by different agencies, recommendations would be made concerning how to handle the deluge of information requests and to address any other problems which have been noted in the county's evacuation and hurricane plans. Mrs. Loretta Wyandt inquired about the status of wEnhanced 9ll.w 8 I I , September lO, 1985 NEW BUSINESS - (Continued) Mr. Dean stated that wEnhanced w91lw will be provided to Pinellas County by GTE in June, 1986. ADJOURNMENT There being no other business the meeting was adjourned. pb / 9 I I September lO, 1985 .~ RESPONSIBILITIES OF EMS ADVISORY COUNCIL The EMS Advisory Council has the following responsibilities: l. Advise the Board of County Commissioners on issues concerning the Emergency Medical Services. 2. Provide advice to the Board of County Commissioners concerning specific issues when requested to do so by the Board and complete any studies or reviews that might be required. 3. The board members are encouraged to visit individual EMS departments and become familiar with the services provided by the cities and fire departments under contract to the Board of County Commissioners and EMS Authority to provide emergency medical services. Should a council member ever require any information about a given EMS district, a particular call, or wish to request information about emergency medical services in general, they may contact Stephen Dean, Director of Fire and EMS Administration at 530-6822 and the request will be answered as soon as possible. Should a EMS council member happen upon the scene of a medical emergency, the member should call 9ll and report the location , ~ I I , ~ and the nature of the emergency. When EMS units arrive council members should offer their assistance if they wish to do so and await instructions from the paramedics on the scene. Please contact Stephen Dean, EMS Administration if you have any questions concerning this matter. 2