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RESOLUTION NO. R19 -005
A RESOLUTION OF THE CITY OF BOYNTON BEACH, FLORIDA,
AUTHORIZING THE CITY MANAGER TO SIGN AN AGREEMENT
WITH ELITE MEDICAL SPECIALISTS, LLC OF JUPITER, FLORIDA
FOR RFP NO. 005-2210-19/IT FOR MEDICAL DIRECTOR FOR FIRE -
RESCUE WITH AN INITIAL TERM OF THE AGREEMENT FOR A
PERIOD OF THREE (3) YEARS COMMENCING ON FEBRUARY 3, 2019
FOR AN ANNUAL AMOUNT OF $39,000, WITH THE OPTION TO
RENEW FOR TWO (2) ADDITIONAL ONE-YEAR TERMS AT THE
DISCRETION OF THE CITY AND BASED UPON MUTUALLY
AGREEABLE RATES; AND PROVIDING AN EFFECTIVE DATE.
WHEREAS, on December 3, 2018, Procurement Services received and opened one
(1) proposal in response to the RFP, which was determined to be responsive to the RFP's
minimum requirements; and
WHEREAS, an Evaluation Committee consisting of Glenn Joseph, Chief of the
Fire Department; Matt Petty, Assistant Chief of EMS; and Steven Permenter, Lieutenant;
reviewed and ranked the single proposal and was unanimous in their decision to make a
recommendation to City Commission to approve the ranking and award of the subject
contract to the number one (1) ranked firm Elite Medical Specialists, LLC.; and
WHEREAS, the City has had a Medical Director to oversee the City's EMS as
required to maintain the Fire Rescue Certificate of Public Convenience and Necessity for
Advance Life Support and Basic Life Support services, per the Florida Administrative
Code, Rule 64J-1; and
WHEREAS, staff has recommended that the City Commission approve and
authorize the City Manager to sign an Agreement with Elite Medical Specialists, LLC of Jupiter,
Florida for RFP No. 005-2210-19/1T for Medical Director for Fire -Rescue with the initial term of the
Agreement for a period of three (3) years commencing on February 3, 2019 in the annual amount of
$39,000, with the option to renew for two (2) additional one-year terms at the discretion of the City
and based upon mutually agreeable rates.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
THE CITY OF BOYNTON BEACH, FLORIDA, THAT:
Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as
being true and correct and are hereby made a specific part of this Resolution upon adoption
CAProgram Files (X86)\Neevia.Com\Docconverterpro\Temp\NVDC\37162A32-F7FB-42C5-9416-AD7AFD2329AD\Boynton
Beach. 14088.1. EI ite_Medical_Special ist_(Medical_Director)_-_Reso. Docx
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hereof.
Section 2. The City Commission of the City of Boynton Beach, Florida, hereby
authorizes and directs. the City Manager to sign an Agreement with Elite Medical Specialists, LLC
of Jupiter, Florida for RFP No. 005-2210-19/IT for Medical Director for Fire -Rescue with the initial term
of the Agreement for a period of three (3) years commencing on February 3, 2019 in the annual amount
of $39,000, with the option to renew for two (2) additional one-year terms at the discretion of the City and
based upon mutually agreeable rates, a copy of which is attached hereto as Exhibit "A".
Section 3. This Resolution shall become effective immediately upon passage.
PASSED AND ADOPTED this 4,T4 day of t! " k C , 2019.
TTEST:
Judith Pyle, CMC
City ht.
(Corporate Seal)
CITY OF BOYNTON BEACH, FLORIDA
YES NO
Mayor — Steven B. Grant v
Vice Mayor — Christina L. Romelus �-
Commissioner — Mack McCray
Commissioner — Justin Katz
Commissioner — Aimee Kelley
VOTE
CAProgram Files (X iQe v,;-,!�orn\Docconverterpro\Temp\NVDC\37162A32-F7FB-42C5-9416-AD7AFD2329AD\Boynton
Beach. 14088.1.Elite_Medical_Specialist_(Medical_Director)-_Reso.Docx
- vol
SUBJECT TO REVISIONS PRIOR TO SIGNING.
PROFESSIONAL AGREEMENT BETWEEN THE CITY OF BOYNTON BEACH AND
MEDICAL SERVICES DIRECTOR
THIS PROFESSIONAL AGREEMENT, entered into thisS0rday oft between the City
of Boynton Beach, a political subdivision of the State of Florida, hereinafter referred to as the
"CITY", and ELITE MEDICAL SPECIALISTS, LLC, a Limited Liability Corporation, authorized to
do business in the State of Florida, hereinafter referred to as the "MEDICAL DIRECTOR" for
Emergency Medical Services is entered into subject to the following terms and conditions:
The City of Boynton Beach and ELITE MEDICAL SPECIALISTS, LLCM hereby agree that the
terms of this Contract provide an outline of the working relationships and responsibilities of the
CITY and the MEDICAL DIRECTOR for the City's Emergency Medical Services Program (EMS),
which is part of the CITY'S Municipal Fire Department. The items in this Contract in the following
Sections are aimed at identifying the MEDICAL DIRECTOR'S general relationship with the CITY,
his responsibility for supervising the direct medical related activities of the EMS Program, and the
MEDICAL DIRECTOR'S responsibility for local training and certification of the Paramedics per
RFP No. 005-2210-19/IT. The Contract further supports the principle that the MEDICAL
DIRECTOR will receive support from the Fire Department Administration and will direct his
requests for equipment and equipment assignments; manpower and manpower assignments;
and supplies of the Fire Department Administration and recognizes that assignments to the
Paramedic Program will be made by the Fire Chief in accordance with the overall resources and
needs of the Fire Department.
TERM OF AGREEMENT
The term of this agreement shall be for Three (3) years effective upon date the contract is fully
executed by all parties. The City of Boynton Beach may extend the agreement at the same
terms, and conditions, for two (2) one-year renewals subject to vendor acceptance, satisfactory
performance, and determination that renewal will be in the best interest of the City.
1. The CITY hereby contracts with the MEDICAL DIRECTOR and the MEDICAL DIRECTOR
accepts this contract as MEDICAL DIRECTOR for the City of Boynton Beach Emergency
Medical Services Program under the provisions of Section 401.46, Florida Statutes, and the
applicable rules of any governmental agency implementing said Chapter or other established
duties required to be performed by said MEDICAL DIRECTOR, or upon notice from the CITY
that such additional duties have been established by the Florida Department of Health and
Rehabilitative Services. It is recognized that the MEDICAL DIRECTOR'S contract with the
CITY preserves the MEDICAL DIRECTOR'S right to practice as an independent physician at
all times.
In accordance with Section 401.265, Florida Statutes, Elite Medical Specialists, LLC has
designated Dr. Kenneth A. Scheppke as the Medical Director and Dr. Rich Giroux and Dr.
Adam Leisy as Associate Medical Directors.
The Medical Director will assure the continuous availability of at least one qualified physician
as outlined in Section I, who shall serve as Acting Medical Director in the absence of the
Medical Director.
2. The MEDICAL DIRECTOR shall accept responsibility for the medical performance of the
Emergency Medical Technicians, Paramedics, Lifeguards and Certified Emergency Medical
Dispatchers employed by the CITY and serving in the Emergency Medical Services Program
of the City Fire Department, herein referred to as EMS. The MEDICAL DIRECTOR shall be
responsible directly to the City Manager. However, nothing herein shall in any way authorize
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any limitations or restrictions by the City Manager on the professional acts or advice of the
MEDICAL DIRECTOR.
3. The Fire Chief, through the Department staff and operation procedure, will establish
Department policy for equipment and equipment assignment, and for supply purchase and
use. The MEDICAL DIRECTOR, in conjunction with the Fire Chief, shall establish dispatch
procedures and priorities. The Fire Chief will establish Department policy for manpower
assignment in conjunction with recommendations made by the MEDICAL DIRECTOR.
4. The MEDICAL DIRECTOR shall perform all services required pursuant to Florida Statutes
Chapter 401, Section 401.46, Chapter 64-J-1.004, Florida Administrative Code; duties and
regulations promulgated by the Florida Department of Health and Rehabilitative Services; and
all present rules and regulations of any governmental agencies implementing said Chapter or
other established duties required to be performed by said MEDICAL DIRECTOR.
5. The MEDICAL DIRECTOR shall serve as the Fire Department's physician for purposes of
advising the Fire Chief on matters pertaining to occupational safety and health. MEDICAL
DIRECTOR shall serve as the MEDICAL DIRECTOR for the City's Lifeguards, who may be
certified as Emergency Medical Technicians.
6. The MEDICAL DIRECTOR agrees to both directly and indirectly supervise and accept
responsibility for the medical performance of Emergency Medical Technicians, Certified
Emergency Medical Dispatchers, and Paramedic functioning for the EMS and shall have full
authority to direct and supervise the medical activities in the field, in training and for
certifications. Such supervision shall be accomplished by, but not limited to:
a. Actual accompaniment of Paramedics and EMT's on rescue calls.
b. Monitoring of radio transmissions to and from hospital emergency departments and
related facilities.
c. Review of incident reports and associated documentation.
d. Conference and/or meeting in both individual and group situations.
e. Review of standard operating procedures and protocols involving multi-agency
responses to medical emergencies.
7. These duties will be performed by the MEDICAL DIRECTOR at his/her convenience as
often as is necessary to insure that proper medical standards and procedures are being
followed. Cost for supplying necessary in-service instruction material will be assumed by the
CITY and the material will become the property of the CITY. Furthermore, the EMS
Coordinator shall be the MEDICAL DIRECTOR'S agent for purpose of quality assurance
pursuant to Florida State Statute.
8. The MEDICAL DIRECTOR shall have the services of the Departmental training program,
facility and staff to assist in carrying out training requirements for the EMS. MEDICAL
DIRECTOR shall participate in daily in-service training scheduled by the Fire Department.
9. The MEDICAL DIRECTOR shall be eligible as a member as defined under Section IV;
Members of the Agreement between the City of Boynton Beach and Florida as Municipal
Liability Self Insurance Program. Coverage under this Agreement shall be limited to the scope
of duties as MEDICAL DIRECTOR for the City of Boynton Beach Fire Department as outlined
in Florida Statute, Section 401.46, and Florida Administrative Code, Chapter 64-J-1.004 as
set forth in Exhibit "A" to this Agreement. The MEDICAL DIRECTOR shall provide the Fire
Chief with written reports as required by the Fire Chief regarding efficiency,effectiveness, and
general performance of the CITY'S Emergency Medical Services System.
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The provider shall indemnify and save harmless the MEDICAL DIRECTOR from any and all
liability for acts or omissions committed by the MEDICAL DIRECTOR while acting in the
capacity of MEDICAL DIRECTOR of the Boynton Beach Fire Department, but said
indemnification shall be to the extent only of any amount due and owing from the MEDICAL
DIRECTOR which exceed applicable insurance coverage maintained either by the MEDICAL
DIRECTOR or by the CITY on behalf of the MEDICAL DIRECTOR.
10. The provider shall indemnify and save harmless the MEDICAL DIRECTOR from any and
all liability incurred as a result of acts or omission of employees of the City of Boynton Beach
Fire Department.
11. The CITY will pay the MEDICAL DIRECTOR the annual sum of $39,000 with a monthly
payment of$3,250.00, payable at the end of each month for services outlined in this contract.
12. The CITY will provide portable radio communication for use by the MEDICAL DIRECTOR.
13. In matters of employee relations and concern,the MEDICAL DIRECTOR, under the terms
of this contract is considered to be a member of the administration and supervisory division
of the Fire Chief as the Fire Chief carries out grievance procedures, discipline, interviewing
paramedics, paramedic school assignments, and union contract administrative requirements.
a. The MEDICAL DIRECTOR will be expected to report to the Fire Chief his/her decisions
relating to any employees for the Emergency Medical Services System such as discipline, de-
certification or promotion in which the MEDICAL DIRECTOR is involved.
b. The MEDICAL DIRECTOR agrees to participate as required at personnel hearing boards
such as grievance procedures of the union contract, etc. as part of his Department
administrative responsibilities of the Department without additional compensation.
c. The MEDICAL DIRECTOR agrees to participate in the oral interview and skills test
administered to all new firefighter applicants who have a paramedic certificate prior to their
employment. The MEDICAL DIRECTOR retains the right to prevent the hiring of any such
individual for the purpose of employment as a paramedic if he or she does not perform
satisfactorily during the interview and/or skills test. The content of the skills test will be in
accordance with current standardized criteria set up by the American Heart Association and
American College of Emergency Physicians.
d. The MEDICAL DIRECTOR agrees that anytime a firefighter employed by the City of
Boynton Beach wants to attend paramedic classes for purposes of becoming a licensed
paramedic, they must have written approval by the MEDICAL DIRECTOR prior to attending
and/or enrolling in such classes.
14. From time to time the MEDICAL DIRECTOR will be expected to attend Department
Administrative staff meetings so that he can give input to the Administrative staff on the needs
and status of the EMS Program so that he can become involved and informed of Departmental
Standard Operating Procedures relating to:
a. Response procedures
b. Equipment and personnel allocations
c. Department priorities
d. Departmental procedures for handling emergencies
e. Working with other departments
f. Emergency medical dispatching
g. Infectious Disease procedures
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15.Any staffing changes that result in modifying the Department's current EMS response
protocols must be cleared through the MEDICAL DIRECTOR.
16. Either party to this contract may, upon giving thirty (30) days written notice to the other
party, may terminate this contract for any reason whatsoever, and after the effective date of
such notice all parties will be relieved of any further obligations under this contract.
17. The MEDICAL DIRECTOR will assure the continuous availability of at least one qualified
physician as Director who shall serve as ACTING MEDICAL DIRECTOR in the absence of
the MEDICAL DIRECTOR. In addition, the MEDICAL DIRECTOR will notify the Boynton
Beach Fire Rescue Department whenever he/she will be unavailable for whatever reason,
and will attempt to provide twenty-four(24) hour prior notification of such unavailability except
under emergency circumstances. The notification shall be given to the Office of the Fire Chief,
and shall include the name and telephone numbers of the ACTING MEDICAL DIRECTOR.
18. Upon request, the MEDICAL DIRECTOR will advise the Department on appropriate
procedures to address incidents in which an employee of the Fire Department has been or
may have been exposed to infectious diseases or hazardous materials.
19.The MEDICAL DIRECTOR hereby agrees to perform those duties set forth in Exhibit "A"
and in the Specifications for the position set forth Exhibit"B". Exhibit"A"and "B"are attached
hereto and incorporated herein by reference.
20. OWNERSHIP AND USE OF DOCUMENTS. All documents, drawings, specifications
and other materials produced by the MEDICAL DIRECTOR in connection with the services
rendered under this Agreement shall be the property of the City whether the project for
which they are made is executed or not. The MEDICAL DIRECTOR shall be permitted to
retain copies, including reproducible copies, of drawings and specifications for information,
reference and use in connection with MEDICAL DIRECTOR's endeavors.
21. COMPLIANCE WITH LAWS. MEDICAL DIRECTOR shall, in performing the services
contemplated by this Agreement, faithfully observe and comply with all federal, state and
local laws, ordinances and regulations that are applicable to the services to be rendered
under this agreement.
22. INDEMNIFICATION. MEDICAL DIRECTOR shall indemnify, defend and hold harmless
the City, its offices, agents and employees, from and against any and all claims, losses or
liability, or any portion thereof, including fees and costs, arising from injury or death to
persons, including injuries, sickness, disease or death to MEDICAL DIRECTOR's own
employees, or damage to property occasioned by a negligent act, omission or failure of the
MEDICAL DIRECTOR.
23. INSURANCE. The City will obtain and pay the annual premium on a general liability
insurance policy insuring the Medical Director/Associate Medical Director against liability
arising out of negligent acts or omissions, solely while acting within the course and scope of
their duties as Medical Director, during the term of this Agreement and as outlined in Florida
Statue 401.265.
24. INDEPENDENT CONTRACTOR. The MEDICAL DIRECTOR and the City agree that
the MEDICAL DIRECTOR is an independent contractor with respect to the services
provided pursuant to this agreement. Nothing in this agreement shall be considered to
create the relationship of employer and employee between the parties hereto. Neither
MEDICAL DIRECTOR nor any employee of MEDICAL DIRECTOR shall be entitled to any
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benefits accorded City employees by virtue of the services provided under this agreement.
The City shall not be responsible for withholding or otherwise deducting federal income tax
or social security or for contributing to the state industrial insurance program, otherwise
assuming the duties of an employer with respect to MEDICAL DIRECTOR, or any employee
of MEDICAL DIRECTOR.
25. COVENANT AGAINST CONTINGENT FEES. The MEDICAL DIRECTOR warrants that
he has not employed or retained any company or person, other than a bona fide employee
working solely for the MEDICAL DIRECTOR, to solicit or secure this contract, and that he
has not paid or agreed to pay any company or person, other than a bona fide employee
working solely for the MEDICAL DIRECTOR, any fee, commission, percentage, brokerage
fee, gifts, or any other consideration contingent upon or resulting from the award or making
of this contract.
For breach or violation of this warranty, the City shall have the right to annul this contract
without liability or, in its discretion to deduct from the contract price or consideration, or
otherwise recover, the full amount of such fee, commission, percentage, brokerage fee, gift,
or contingent fee.
26. DISCRIMINATION PROHIBITED. The MEDICAL DIRECTOR, with regard to the work
performed by it under this agreement, will not discriminate on the grounds of race, color,
national origin, religion, creed, age, sex or the presence of any physical or sensory handicap
in the selection and retention of employees or procurement of materials or supplies.
27.ASSIGNMENT. The MEDICAL DIRECTOR shall not sublet or assign any of the
services covered by this Agreement without the express written consent of the City.
28. NON-WAIVER. Waiver by the City of any provision of this Agreement or any time
limitation provided for in this Agreement shall not constitute a waiver of any other provision.
29. TERMINATION.
a. The City reserves the right to terminate this Agreement at any time by giving ten
(10)days written notice to the MEDICAL DIRECTOR.
b. In the event of the death of a member, partner or officer of the MEDICAL
DIRECTOR, or any of its supervisory personnel assigned to the project, the surviving
members of the MEDICAL DIRECTOR hereby agree to complete the work under the
terms of this Agreement, if requested to do so by the City. This section shall not be a
bar to renegotiations of this Agreement between surviving members of the MEDICAL
DIRECTOR and the City, if the City so chooses.
30. DISPUTES. Any disputes that arise between the parties with respect to the performance
of this Agreement, which cannot be resolved through negotiations, shall be submitted to a
court of competent jurisdiction in Palm Beach County, Florida. This Agreement shall be
construed under Florida Law.
5
31. NOTICES. Notices to the City of Boynton Beach shall be sent to the following address:
Lori LaVerriere, City Manager
City of Boynton Beach
P.O. Box 310
Boynton Beach, FL 33425-0310
Notices to MEDICAL DIRECTOR shall be sent to the following address:
Elite Medical Specialists, LLC
Attn: Dr. Kenneth A. Scheppke, MD
PO Box 2764
Jupiter, FL 33468
32. INTEGRATED AGREEMENT. This agreement, together with attachments or addenda,
represents the entire and integrated agreement between the City and the MEDICAL
DIRECTOR and supersedes all prior negotiations, representations, or agreements written or
oral. This agreement may be amended only by written instrument signed by both City and
MEDICAL DIRECTOR.
33. PUBLIC RECORDS. Sealed documents received by the City in response to an
invitation are exempt from public records disclosure until thirty(30)days after the opening of
the Bid unless the City announces intent to award sooner, in accordance with Florida
Statutes 119.07.
The City is public agency subject to Chapter 119, Florida Statutes. The Contractor shall
comply with Florida's Public Records Law. Specifically, the Contractor shall:
A. Keep and maintain public records required by the CITY to perform the service;
B. Upon request from the CITY's custodian of public records, provide the CITY with a copy
of the requested records or allow the records to be inspected or copied within a
reasonable time at a cost that does not exceed the cost provided in chapter 119, Fla.
Stat. or as otherwise provided by law;
C. Ensure that public records that are exempt or that are confidential and exempt from
public record disclosure requirements are not disclosed except as authorized by law for
the duration of the contract term and, following completion of the contract, Contractor
shall destroy all copies of such confidential and exempt records remaining in its
possession once the Contractor transfers the records in its possession to the CITY; and
D Upon completion of the contract, Contractor shall transfer to the CITY, at no cost to the
CITY, all public records in Contractor's possession All records stored electronically by
Contractor must be provided to the CITY, upon request from the CITY's custodian of
public records, in a format that is compatible with the information technology systems of
the CITY.
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E. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUES, TO THE
CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF
PUBLIC RECORDS:
JUDY PYLE, CITY CLERK
3301 QUANTUM BLVD., SUITE 101
BOYNTON BEACH, FLORIDA, 33426
561-742-6061
PYLEJ@BBFL.US
34. SCRUTINIZED COMPANIES -- 287.135 AND 215.473
By execution of this Agreement, Contractor certifies that Contractor is not participating in a
boycott of Israel. Contractor further certifies that Contractor is not on the Scrutinized
Companies that Boycott Israel list, not on the Scrutinized Companies with Activities in
Sudan List, and not on the Scrutinized Companies with Activities in the Iran Petroleum
Energy Sector List, or has Contractor been engaged in business operations in Syria. Subject
to limited exceptions provided in state law, the City will not contract for the provision of
goods or services with any scrutinized company referred to above. Submitting a false
certification shall be deemed a material breach of contract. The City shall provide notice, in
writing, to Contractor of the City's determination concerning the false certification. Contractor
shall have five (5) days from receipt of notice to refute the false certification allegation. If
such false certification is discovered during the active contract term, Contractor shall have
ninety(90)days following receipt of the notice to respond in writing and demonstrate that
the determination of false certification was made in error. If Contractor does not demonstrate
that the City's determination of false certification was made in error then the City shall have
the right to terminate the contract and seek civil remedies pursuant to Section 287.135,
Florida Statutes, as amended from time to time.
7
DATED this 15' day of -15 f\--(..› P,cL , 20 IC .
CITY OF BOYNTON BEACH ELITE MEDICAL SPECIALISTS, LLC
krot;66%jriceoct,,L_tAL
Lori La erriere, City Manager Signature of Authorized Official
Kenneth A Scheppke, MD, FAAEM
Printed Name of Authorized Official
Attest/Authenticated: President
;Title
�..:„ u (Corporate Seal)
p
Judy 'yle,;i ity ' lerk . .`94,
�O?
Boys
Approved as to `orm: Attest/Authenticated:
„ ei fiite%?c4.4/AD/o/, _Mt
James A. CherofCity Attorney Secretary
8
DATED this day of , 20
CITY OF BOYNTON BEACH ELITE MEDIC' SPECIALISTS, LLC
f/7
'<
•_�►✓.. _A[•
! „
Lori LaVerriere, City Manager ignature of Authorize• Official
Kenneth A Scheppke, MD, FAAEM
Printed Name of Authorized Official
Attest/Authenticated: President
Title
(Corporate Seal)
Judy Pyle, City Clerk
Approved as to Form: Attest/Authentica 1-d:
James A. Cherof, City Attorney Sec -tam
8
EXHIBIT A
SCOPE OF SERVICES
1. SCOPE OF SERVICES
The City of Boynton Beach is seeking to employ a Medical Director to oversee the
Emergency Medical Services as provided by Fire Rescue, Paramedics, and Lifeguards,
as well as other departmental administrative purposes and functions. The Medical
Director will be an independent contractor supervising and accepting responsibility for the
medical performance of Emergency Medical Technicians (EMTs), Paramedics and first
responders, and Lifeguards functioning in the Fire and Emergency Medical Services
Department and the Parks and Recreation Department under applicable provisions of
Florida Statutes Chapter 401, and FAC 64-J-1.004.
I. REQUIRED SERVICES TO BE PROVIDED:
1. Be Responsible for advising the ALS provider as to his assessment of the
competence of each of the provider's paramedics and for making
recommendations regarding the medical procedures which each paramedic
should be authorized to perform. Such assessment should be made by utilizing
responsible evaluative processes and techniques and should include at least one
assessment of each paramedic's ability to:
a. Appropriately evaluate emergency medical patients and determine proper
priorities for emergency medical care.
b. Communicate the findings of such evaluations to a physician who has
agreed, in writing, to provide responsible supervision of that paramedic.
c. Receive and understand proper orders from a physician providing direct
supervision of the paramedic.
d. Understand and properly apply any standing orders authorized by the
Medical Director.
e. Understand legal relationship between the paramedic, Medical Director,
physician(s) under agreement to provide responsible supervision of the
paramedic, and any other physician.
f. Insure that any ALS performed by the paramedic is done with responsible
physician supervision.
g. Perform the specific medical procedure(s) which the paramedic is
specifically authorized by the Medical Director and by the ALS provider to
perform.
2. Continually evaluate the medical capability of the paramedics and the ALS provider
and advise ALS provider regarding the appropriate level and standard of care
which the ALS provider should seek to achieve.
3. Assist in identifying the specific medical skills and knowledge which paramedics
must possess to achieve the desired level and standard of care.
4. Assist in identifying the training and experience necessary for the paramedics to
acquire the desired skills and knowledge and, in cooperation with approved
educations programs, in assuring that each paramedic receives such training and
experience as required.
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5. Develop and implement an appropriate process for periodic audit and review of
medical procedures performed by paramedics. Such audit and review process
must comply with such standards and requirements as may be set forth by the
department from time to time.
6. Develop and authorize or review and authorize standing orders which allow the
paramedics to properly manage certain medical emergencies when voice
communications with the responsible physician is not available. Such standing
orders must be specified and must at least provide for managing immediately life-
threatening emergencies though they are not required to be so comprehensive as
to include all possible medical emergencies.
7. Responsibility for the medical correctness of any standing order which he/she
authorizes for use by the paramedics and for properly instructing the paramedics
regarding the correct use of standing orders.
8. Assist the ALS provider in assuring continuous availability of at least one
responsible physician. Determine the qualifications necessary for a physician to
provide responsible supervision of the paramedics.
9. Retain the ultimate authority to permit and/or prohibit any system paramedic to
utilize ALS techniques. (Specific authority 401.35, 381.031(1)(g), 20.05(5) FS;
Law implemental 401.46, 401.47 FS. History NEW 9-10-7.
II. RELATED RESPONSIBILITIES:
A. The Medical Director serves as the Fire Department's physician for the purpose
of advising the Fire Chief on matters pertaining to occupational safety and
health.
B. The Medical Director serves as the Medical Director for the City's Ocean
Rescue/Lifeguards, who may be certified as Emergency Medical Technicians.
C. The Medical Director agrees to directly and indirectly supervise and accept
responsibility for the medical performance of Emergency Medical Technicians
and Paramedics functioning in the Fire and Emergency Medical Services
Department and the Parks and Recreation Department. Such supervision shall
be accomplished by, though not limited to:
1. Actual accompaniment of Paramedics and EMTs on rescue calls;
2. Monitoring of radio transmissions to and from hospital emergency
departments and related facilities;
3. Review of rescue incident reports and associated documentation;
4. Conference and/or meetings in both individual and group situations;
5. Review of Standard Operating Procedures and Protocols involving
multi-agency responses to medical emergencies;
6. Active participation in daily in-service training scheduled by the Fire
Department.
These duties will be performed periodically by the Medical Director at his/her
convenience and as often as is necessary to insure that proper medical
standards and procedures are being followed. The Medical Director shall
provide the Fire Chief with written reports as required by the Fire Chief
10
regarding efficiency and effectiveness and general performance of the City's
Emergency Medical Services System.
D. The Medical Director shall perform all services required of him/her pursuant to
Chapter 401, Florida Statutes, and the applicable rules of any governmental
agency implementing said Chapter or other established duties required to be
performed by said Medical Director or upon promulgation of additional duties
by the Florida Department of Health.
E. The Medical Director shall give necessary instructions to the City's Emergency
Medical Technicians (EMTs), Paramedics, and Lifeguards. The Medical
Director will also supervise and arrange such in-service instructional sessions,
and promulgate such rules and directives, as may be necessary to assure that
all medical services performed by EMTs, Paramedics, and Lifeguards are in
accordance with proper medical standards and procedures.
• In addition, the Medical Director shall participate in general Paramedic
staff meetings at a time and date mutually agreeable with the Medical
Director and the Fire and Emergency Medical Services Department;
provide sufficient didactic lecture and instruction to insure that standards
of emergency medical care are maintained, review and comment on
content and emphasis on in-service training and testing procedures; and
shall initiate a review of all pre-hospital emergency medical service
protocols and levels of personnel and equipment response at least every
six months to determine their applicability and appropriateness with
respect to currently accepted emergency procedures. Recommended
revisions of said protocols or response procedures shall be furnished to
the Fire Chief.
THE REMAINDER OF THE PAGE IS INTENTIONALLY LEFT BLANK.
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III. SERVICES AND RESPONSIBILITIES:
1. The Medical Director will assure the continuous availability of at least one
qualified physician as outlined in Section I, who shall serve as Acting Medical
Director in the absence of the Medical Director. Please provide the name,
address and Medical License number of the physician to be designated
"Acting Medical Director".
In addition, the Medical Director will notify the Boynton Beach Fire and
Emergency Medical Services Department whenever he/she will be
unavailable for whatever reason, and will attempt to provide 24-hour prior
notification of such unavailability except under emergency circumstances.
The notification shall be given to the Office of the Fire Chief, and shall include
the name and telephone numbers of the Acting Medical Director.
2. The Medical Director may provide liaison services as required and requested
between the Fire and Emergency Medical Services Department of the City
and other departments, divisions, boards, and bodies of the City, County and
State of Florida, as well as educational, institutions, medical societies and
other agencies or institutions relating to the provision of Emergency Medical
Services.
A. The Medical Director will retain ultimate authority to permit or deny any
Paramedic or EMT the utilization or advanced life support techniques, basic
life support, patient assessment, or patient stabilization procedures. Upon
request,the Medical Director shall advise the Fire Chief or the Director of Parks
and Recreation, if appropriate, on disciplinary recommendations related to
medical care.
B. The Medical Director shall administer a protocol examination and/or practical
test as he/she sees fit to determine the competence of all Emergency Medical
Services personnel covered by this Agreement.
C. Upon request,the Medical Director may participate in the design and structure
of selection procedures for entry level personnel for the City of Boynton Beach.
D. Upon request, the Medical Director will consult with the Fire Chief regarding
promotional testing criteria for incumbent personnel.
E. Upon request,the Medical Director may advise the department on appropriate
procedures to address incidents in which an employee of the Fire and
Emergency Services Department or the Parks and Recreation Department's
Lifeguard Unit has been or may have been exposed to infectious diseases or
hazardous materials.
F. Upon request, the Medical Director will maintain data regarding the status of
employees who have been, or may have been, exposed to infectious diseases
or hazardous materials.
G. Upon request, the Medical Director will provide oversight and instruction to
assist in the preparation of personnel in the Fire and Emergency Service
Department in professional competitions which may be selected by the
Department.
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H. At his/her election, the Medical Director may utilize the services of a Licensed
Physician Assistant who shall be designated as a Deputy Medical Director to
facilitate the delivery of the services enumerated in the Medical Director's
contract.
I. However, responsibility for the efficient delivery of these services shall remain
with the Medical Director and no increase in the annual fee shall occur based
on this election.
J. The Medical Director will oversee and provide instruction during department
scheduled in-service training, for a minimum of six hours per month.
IV. CONSIDERATION BY THE CITY OF BOYNTON BEACH
A. Because the Medical Director/Associate Medical Director may be subject to
the risk of certain liabilities by entering into this Agreement, the City will obtain
and pay the annual premium on a general liability insurance policy insuring the
Medical Director/Associate Medical Director against liability arising out of
negligent acts or omissions, solely while acting within the course and scope of
their duties as Medical Director, during the term of this Agreement and as
outlined in Florida Statue 401.265.
B. Appropriate communications equipment such as a portable radio,digital pager,
cell phone, etc., may be provided to the Medical Director, if applicable, by the
City.
C. The Medical Director shall be directly responsible to the Chief of the Fire and
Emergency Medical Services Department of the City. The Fire and Emergency
Medical Services Department will provide limited administrative and secretarial
support to the Medical Director through the Office of the Fire Chief.
D. The Fire and Emergency Medical Services Department, through the Office of
the Fire Chief and the Parks and Recreation Department, shall cooperate to
the greatest possible extent in the delivery of competent emergency medical
care, including implementation of the policies established by the Medical
Director and approved by the Fire Chief.
THE REMAINDER OF THE PAGE IS INTENTIONALLY LEFT BLANK.
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EXHIBIT B
FEES AND PAYMENTS
REQUEST FOR PROPOSALS
FOR
MEDICAL DIRECTOR FOR FIRE-RESCUE
RFP No„ 005-2210-19/IT
COST PROPOSAL FORM
Proposers must UEe this form for submitting its Cost Proposa' The price sham be fixed and firm ana
shou'd be fuly bu*dened to include aii necessary elements such as b;n not limited to salary,genera,.
administrative expenses, travel, mileage, overhead and fee/profit needed to Ercrfo-rn al of the
services described under this solicitation
ITEM I QTY I UNIT OF I DESCRIPTION MONTHLY ANNUAL j
I f MEASURE COST ! COST
.
1 12 MONTHS
Fixed, fiat fee for Medical Director 32SQ
$
cJtlrva $39,000ceg
TOTAL ANNUAL FEE' ; $39,000.00
Elite Ned.i.cal SPscialists, LL_C_ e;lt4ria �3
COMPANY NAME A T ORIZED NATURE
{ 361 ) 436-2292 Kenneth A Sebeppke, DO)
TELEPHONE NO. PRINTED NAME
Kact►eppke comcest,net President
E-MAIL ADDRESS TITj,E
December 3, 201$
DATE
TRIS PAGE TO OE SUBMITTED TOR PROPOSAL TO BE CONSIDERED 't>
COMPLETE AND ACCEPTABLE
RFP ND 3O5-22'.C--i3fr1 lab 7 Page 3
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