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R09-020
" I 1 RESOLUTION NO. R09- {i,).LJ 2 3 A RESOLUTION OF THE CITY OF BOYNTON 4 BEACH, FLORIDA, APPROVING THE AWARD OF 5 RFQ #020-2210-09/JA FOR A "THREE YEAR 6 CONTRACT FOR MEDICAL DIRECTOR TO 7 OVERSEE THE EMERGENCY MEDICAL 8 SERVICES AS PROVIDED BY FIRE RESCUEIEMTS, 9 PARAMEDICS AND LIFEGUARDS TO DR. 10 KENNETH SCHEPPKE, M.D.; AND PROVIDING AN 11 EFFECTIVE DATE 12 13 WHEREAS, on January 14,2009, Procurement Services received and opened one 14 (1) RFQ, The sole applicant, Dr. Scheppke, has been our Fire Rescue Department's 15 Medical Director for the past five years and it is the recommendation of staff that the RFQ 16 be awarded to Kenneth A. Scheppke, M.D.; and 17 WHEREAS, the City Commission, upon recommendation of staff, deems it to be 18 in the best interests of the citizens and residents of the City of Boynton Beach to award 19 this RFQ (#020-2210-09/JA), to Kenneth A. Scheppke, M.D., providing for overseeing the 20 Emergency Medical Services as provided by Fire Rescue/EMTS, Paramedics and 21 Lifeguards, and to enter into an agreement between the City of Boynton Beach and 22 Kenneth A. Scheppke, M.D., in the amount of $26,568.00, a copy of which is attached 23 hereto. 24 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION 25 OF THE CITY OF BOYNTON BEACH, FLORIDA, THAT: 26 Section I. The foregoing "Whereas" clauses are hereby ratified and confirmed as 27 being true and correct and are hereby made a specific part of this Resolution upon adoption 28 ereof. 29 Section 2. The City Commission of the City of Boynton Beach, Florida, upon :\CA\RESO\Agreements\Bid Awards\RFQ - Medical Director (2009).doc , , I 1 recommendation of staff, hereby approves the award of RFQ (#020-221O-09/JA), and to 2 enter into an agreement between the City of Boynton Beach and Kenneth A. Scheppke, 3 i M.D., in the amount of $26,568.00; authorizing the City Manager to execute a contract, a 4 : copy of which is attached hereto. I 5 Section 3. That this Resolution shall become effective immediately. I 6 PASSED AND ADOPTED THIS ~ day of February, 2009. 7 8 CITY OF BOYNTON BEACH, FLORIDA 9 ~ 10 11 12 13 14 15 16 17 18 19 J // /' 20 ~_7~:dr~/~ 21 22 23 Commissioner - Marlene Ross 24 ATTEST: 25 26 27 28 29 30 31 32 33 34 S:\CA\RESO\Agreements\Bid Awards\RFQ - Medical Director (2009).doc I!.C'9-0~ EMERGENCY MEDICAL SERVICE DIRECTOR CONTRACT THIS CONTRACT, entered into this 3rd day of Februarv. 2009, between the City of Boynton Beach, a political subdivision of the State of Florida, hereinafter referred to as the "CITY", and Dr. Kenneth Scheppke. M.D, a MEDICAL DIRECTOR, 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 Dr. Kenneth Scheppke. M.D. hereby agree that the terms of this Contract provide an outline of the working relationships and responsibilities of the CITY and the MEDICAL 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. 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. 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. 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 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. C-l 4. The MEDICAL DIRECTOR shall perform all services required pursuant to Florida Statutes Chapter 401, Section 401.46, Chapter 64E-2, 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. 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. 7. 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. 8. 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 64E-2, 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. 9. 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 C-2 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 sum of $26.568.00. with the monthly rate being ($2.214.00) per month for twelve (12) months, which includes the $70.00 monthly phone stipend allowance, payable at the end of each month for services outlined in this contract. 12. The CITY will provide portable radio communication for use of 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 administrati ve requirements. a. Tpe 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. C-3 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 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. The term of this agreement shall be for three (3) years from the execution, with CITY having the option to renew on a yearly basis for two additional one year terms by providing written notice to the MEDICAL DIRECTOR at least twenty (20) days prior to the expiration of the term that the CITY intends to renew the contract for an additional year. The MEDICAL DIRECTOR shall indicate whether he or she wishes to remain a party to the Agreement prior to the expiration of the term. C-4 IN WITNESS WHEREOF, the parties hereto have caused these present to be signed by their duly authorized officers and by the MEDICAL DIRECTOR on this JIM day of Yntlfit--A 2009. CITY OF BOYNTON BEACH ~~ ~, X: ~ ,/ ,'Ii 111 Medical Directo JJ 7~.s'M:NT" Title (Corporate Seal) Attest/Authenticated: n City Atto C-5 EXHIBIT" A" 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. 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 for use standing riders 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. EXHIBIT A 7. Be responsible 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 implemlental 401.46, 401.47 FS. History NEW 9-10-7. EXHIBIT A EXHIBIT "B" SPECIFICATIONS FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE/EMTs, PARAMEDICS AND LIFEGUARDS 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. 1. Related Responsibilities: A. The Medical Director serves as the Fire Department's physician for the purposes 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 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 regarding efficiency and effectiveness and general performance of the City's Emergency Medical Services System. II. The Medical Director shall perform all services required of himlher pursuant to Chapter 401, Florida Statutes, and the applicable rules of any governmental agency implementing EXHIBIT B 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. III. 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. IV. Services and Responsibilities A. 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. 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. B. The Medical Director will 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. C. 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. D. 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. EXHIBIT B E. Upon request, the Medical Director will participate in the design and structure of selection procedures for entry level personnel for the City Of Boynton Beach. F. Upon request, the Medical Director will consult with the Fire Chief regarding promotional testing criteria for incumbent personnel. G. Upon request, the Medical Director will 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. H. 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. I. 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. J. At his/her election, the Medical Director may utilize the services of a Licenses 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. However, responsibility for the efficient delivery of these services shall remain with the physician selected as the Medical Director and no increase in the annual fee shall occur based on this election. K. The Medical Director will oversee and provide instruction during department scheduled in-service training, for a minimum of six hours per month. V. Consideration of the City of Boynton Beach Because the 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 against liability arising out of negligent acts or omissions of the Medical Director in the performance of his duties as Medical Director during the term of this Agreement. VI. 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. VII. 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. VIII. 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 EXHIBIT B 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. IX. In consideration of the requirements and standards enumerated herein, I propose to perform these functions and duties for a an annual fee of $26.568.00, which includes the $70.00 a month for a phone stipend allowance. Section 3 - Request for Qualification Requirements Standards to be met by the Medical Director: A The Medical Director must be a State of Florida licensed physician; and B. Must be an ACLS (Advanced Cardiac Life Support) provider with instructor certification, and must be an ACLS affiliate faculty member of the American Heart Association; or C. Must be a Board Certified Emergency Physician, or is currently employed as an Emergency Department Physician in the State of Florida, or who has previously been an Emergency Department Physician in the State of Florida within the past five (5) years. D. Maintains official privileges and affiliation with one or more of the following medical facilities: Bethesda Memorial Hospital or John F. Kennedy Hospital ATTACH COPIES OF ALL REQUIRED LICENSES, CERTIFICATIONS, DOCUMENTATION OF PRIVILEGES AND AFFILIATIONS, A CURRICULUM VITAE, AS WELL AS OTHER CREDENTIALS OR INFORMATION THAT YOU WISH TO HAVE CONSIDERED BY THE CITY AS PART OF THIS REQUEST FOR QUALIFICATIONS. IN ADDITION, ALL CURRENT AND ANTICIPATED CONTRACTUAL AGREEMENTS NAMING THE PHYSICIAN AS MEDICAL DIRECTOR FOR ANY OTHER GOVERNMENTAL AGENCY, BODY, INSTITUTION, OR PRN ATE OR PUBLIC SERVICE SHALL BE IDENTIFIED AT THE TIME OF SUBMISSION OF THIS REQUEST FOR QUALIFICATIONS. EXHIBIT B The City of Boynton Beach City Clerk's Office 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742-6060 FAX: (561) 742-6090 e-mail: prainitoj@cLboynton-beach.f1.us www.boynton-beach.org MEMORANDUM TO: Carol Doppler Purchasing Agent FROM: Janet M. Prainito City Clerk DATE: February 10, 2009 SUBJECT: R09-020 Emergency Medical Service Director Contract Attached for your handling is the partially executed agreement mentioned above and a copy of the Resolution. Once the document has been fUlly executed, please return the original document to the City Clerk's Office for Central File. Thank you. (!J~L Yn. ~ Attachments (2) C: Central File & Follow-up S:\CC\WP\AFTER COMMISSION\Departmental Transmittals\2009\Carol Doppler R09-020.doc America's Gateway to the Gulfstream 0 C c ` - 'e QUALIFIER ACKNOWLEDGEMENT Submit RFQ's To: PROCUREMENT SERVICES 100 E. Boynton Beach Boulevard P.O. Box 310 Boynton Beach, Florida 33425 -0310 Telephone: (561) 742 -6322 Broadcast Date December 03, 2008 RFQ Title: RFQ FOR "THREE YEAR CONTRACT FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE /EMTs, PARAMEDICS, AND LIFEGUARDS" RFQ Number: 020 - 2210 -09 /JA RFQ Received By: January 14, 2009, NO LATER THAN 2:30 P.M. (LOCAL TIME) RFQ's will be opened in Procurement Services unless specified otherwise. RFQ receiving date and time is scheduled for: January 14, 2009, NO LATER THAN 2:30 P.M. (LOCAL TIME) and may not be withdrawn within ninety (90) days after such date and time. All awards made as a result of this RFQ shall conform to applicable sections of the charter and codes of the City. Name of Vendor: ee (1 € A 5 ke p /ce _ P4 Federal I.D. Number: G °- 0 9 j f E l-1-g A Corporation of the State of: Ft ( Area Code: S Cf 1 Telephone Number: 1/3 (Q — 2 f Area Code: J / FAX Number: 7J j °- / 0 0 . 4_ Mailing Address: Lig R; ye P1 ,E'S C f City /State /Zip: i/t (',S4 cA 3s 7 6 9 Vendor Mailing Date: L � 4r:ri, 4, 44. ,C��ri��h Se ieep Authorized Sig e Name Typed 15 THIS PAGE TO BE SUBMITTED ALONG WITH RESPONSE IN ORDER FOR PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE ADDENDA CITY OF BOYNTON BEACH FLORIDA RFQ TITLE: THREE YEAR CONTRACT FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE /EMTs, PAR DI E U QUALIFIER: E t V1 E ��► C /,L. D �'1 J �3i DATE SUBMITTED: 2- 0 _ 0 n We propose and agree, if this submittal is accepted, to contract with the City of Boynton Beach, in the Contract Form, to furnish all material, equipment, machinery, tools, apparatus, means of transportation, construction, coordination, labor and services necessary to complete /provide the work specified by the Contract documents. Having studied the documents prepared by: Michael Landress, EMS Coordinator, City Of Boynton Beach Fire Rescue (Name of Project Manager /Architect/Consultant) and having examined the project site (when indicated in these specifications to do so), we propose to perform the work of this Project according to the Contract documents and the following addenda which we have received: ADDENDUM DATE ADDENDUM DATE THIS PAGE TO BE SUBMITTED ALONG WITH RESPONSE IN ORDER FOR PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE ANTI - KICKBACK AFFIDAVIT STATE OF FLORIDA ) : SS COUNTY OF PALM BEACH ) I, the undersigned hereby duly sworn, depose and say that no portion of the sum herein submitted will be paid to any employees of the City of Boynton Beach as a commission, kickback, reward of gift, directly or indirectly by me or any member of my firm or by an officer of the corporation. By: N-6 ,� 4 . , ___ - NAM - SIGNAT Sworn and subscribed before me this l day of 'mac ry - -- , 20 O Printed Information: e e in IA +-1v A Sc-t -e_l p f � NAME 4 - Pre s, de ,n 4- TITLE NO ' A .1.4117:' IC, State of Florida a arge k ri v', etr!. A Sclne , Ti b PA- COMPANY MARK MESTROVICH, IV r � Notary Public, State of Florida $ Commission# DD 00133 ,r.ia, My Comm, expires May 30, 2011 9 "OFFICIAL NOTARY SEAL" STAMP AKA -1 THIS PAGE TO BE SUBMITTED ALONG WITH RESPONSE IN ORDER FOR PACK(F TC1 RI (VINCTTIF.RFin rnm VTR ANTI ACCFPT ART F NONCOLLUSION AFFIDAVIT OF PRIME QUALIFIER State of ; �� ) County of }ma ern (j�'c c I\ ) vi e7 ,4 S d o ,, , being first duly sworn, deposes and says that: 1) He is -Res; of 'II Le41' ,/4 ScA , D , the qualifier that (Title) (Name of Corporation or Firm) has submitted the attached RFQ: 2) He is fully informed respecting the preparation and contents of the attached submittal and of all pertinent circumstances respecting such submittal; 3) Said RFQ is genuine and is not a collusive or sham RFQ; 4) Further, the said qualifier nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other qualifier, firm or person to submit a collusive or sham RFQ in connection with the Contract for which the attached RFQ has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communications or conference with any other qualifier, firm or person to fix the price or prices in the attached RFQ or of any other qualifier, or to fix any overhead, profit or cost element of the RFQ price or the RFQ price of any other qualifier, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the (Local Public Agency) or any person interested in the proposed Contract; and 5) The price or prices quoted in the attached bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the qualifier or any of its agents, representatives, owners, employees, or parties in intere , including this affiant. • (Signed) __;__✓ _ar (Title) u , ribed and sworn to before me / • This t W day of cc 1q , 20 Oc My commission expires 41*. a _ MARK M S'YROVICH, IV A. ` Notary Public, State of Florida ; ;;} Commission# DD880133 My corm. expires May 30, 2 NC -1 THIS PAGE TO BE SUBMITTED ALONG WITH RESPONSE IN ORDER FOR PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE CONFIRMATION OF MINORITY OWNED BUSINESS A requested form to be made a part of our files for future use and information. Please fill out and indicate in the appropriate spaces provided which category best describes your company. Return this form with your bid proposal sheet making it an official part of your bid response. Is your company a Minority Owned Business ? Yes No If Yes, please indicate by an "X" in the appropriate box: ( ) AMERICAN INDIAN () ASIAN ( ) BLACK ( ) HISPANIC ( ) WOMEN ( ) OTHER (specify) ( ) NOT APPLICABLE Do you possess a Certification qualifying your business as a Minority Owned Business? YES NO If YES, Name the Organization from which this certification was obtained and date: Issuing Organization for Certification Date of Certification MOB -1 THIS PAGE TO BE SUBMITTED ALONG WITH RESPONSE IN ORDER FOR PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE • CONFIRMATION OF DRUG -FREE WORKPLACE Preference shall be given to businesses with drug -free workplace programs. Whenever two or more submittals which are equal with respect to price, quality, and service are received by the City of Boynton Beach or by any political subdivision for the procurement of commodities or contractual services, a submittal received from a business that certifies that it has implemented a drug -free workplace program shall be given preference in the award process. Established procedures for processing tie submittals will be followed if none of the tied vendors have a drug - free workplace program. In order to have a drug -free workplace program, a business shall: 1) Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2) Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3) Give each employee engaged in providing the commodities or contractual services that are under submittal a copy of the statement specified in subsection (1). 4) In the statement specified in subsection (1), notify the employee that, as a condition of working on the commodities or contractual services that are under submittal, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than 5 days after such conviction. 5) Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community by, any employee who is so convicted. 6) Make a good faith effort to continue to maintain a drug -free workplace through implementation of this section. As the person authorized to sign the statement, I certify th this firm complies fully with the above requirements. 1 14 - _r. ... ,ice _ Vendor's Signa e DFW -1 THIS PAGE TO BE SUBMITTED ALONG WITH RESPONSE IN ORDER FOR PACKAGE TO BE CONSIDERED COMPLETE AND ACCEPTABLE fY STATEMENT OF NO SUBMITTAL If you are not submitting an RFQ for this project, please complete and return this form to: PROCUREMENT SERVICES, City of Boynton Beach, 100 E. Boynton Beach Boulevard, P.O. Box 310, Boynton Beach, Florida 33425 -0310. Failure to respond may result in deletion of vendor's name from the qualified vendor's list for the City of Boynton Beach. COMPANY NAME: ADDRESS: TELEPHONE: SIGNATURE: DATE: WE, the undersigned have declined to respond to your RFQ #020- 2210 -09 /JA for THREE YEAR CONTRACT FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE/EMTs, PARAMEDICS, AND LIFEGUARDS because of the following reasons: Specifications too "tight ", i.e., geared toward brand or manufacturer only (explain below) Insufficient time to respond to the Invitation /` /1" We do not offer this product or an equivalent Our product schedule would not permit us to perform Unable to meet specifications Unable to meet bond requirements Specifications unclear (explain below) Other (specify below) REMARKS: NB -1 IF YOU ARE NOT SUBMITTING A BID, PLEASE COMPLETE FORM AND RETURN IT TO PROCUREMENT SERVICES THREE YEAR CONTRACT FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE/EMT'S, PARAMEDICS AND LIFEGUARDS Name and address of Qualifier: Kenneth A Scheppke, MD, PA 4480 River Pines Ct Tequesta, FL 33469 561- 436 -2291 EIN: 65- 0931848 Enclosed please find copies of: 1) Board Certification in Emergency Medicine by ABEM 2) Florida Medical Licensure 3) CV which includes information pertaining to: a. Hospital Privileges and Affiliations b. EMS Medical Directorships Subcontractors: There will be no subcontractors for this RFQ J'7 Kenneth A Scheppke, MD, FAAEM KENNETH A. SCHEPPKE, M.D., F.A.A.E.M. JFK Medical Center 5301 South Congress Ave Atlantis, Florida 33462 561 - 548 -3549 Board American Board of Emergency Medicine Certification Postgraduate Medical Center of Delaware Training Department of Emergency Medicine Wilmington, Delaware July 1992 - June 1995 Chief Resident July 1994 - June 1995 Education State University of New York at Stony Brook School of Medicine Doctor of Medicine: May 1992 Alpha Omega Alpha State University of New York at Stony Brook Bachelor of Science: May 1988 Major: Biochemistry Minor: Anthropology Magna Cum Laude Phi Beta Kappa Licensure Florida Hospital JFK Medical Center Affiliations July 1999 - Present NBME NBME Part III - 99 percentile Certification NBME Part II - 98 percentile NBME Part I - 94 percentile Emergency Medical Director Boynton Beach Fire Rescue Medical 2000 - present Services Medical Director Palm Beach Community College Paramedic and Fire /EMS Programs 2000 - present Medical Director ATEC EMS Programs 2001 - 2006 Professional American Academy of Emergency Medicine Societies Fellow Florida Academy of Emergency Medicine Vice President Florida Association of EMS Medical Directors Member Palm Beach County Medical Directors Association Administrative Assistant Medical Director Emergency Dept. JFK Medical Center - 2001 - Present Quality Leadership Committee JFK Medical Center - 2004 - Present Peer Review Committee JFK Medical Center - 2005 - Present Continuing Education Committee - Member JFK Medical Center - 2002, 2003 American Heart Association Operation Heartbeat - Co- Chairman - 2002, 2003 Assistant Medical Director Emergency Dept. Palm Beach Gardens Medical Center 1995 -1999 Performance Improvement Director Emergency Dept. Palm Beach Gardens Medical Center 1995 -1999 Code Blue Committee Physician Representative Palm Beach Gardens Medical Center 1995 -1999 Continuous Performance Improvement Committee Medical Center of Delaware July 1994 - June 1995 Chief Resident Medical Center of Delaware July 1994 - June 1995 Teaching Clinical Assistant Professor Director Emergency Medicine Rotation UM /FAU School of Medicine Allopathic Internal Medicine Residency Program July 2008 - Present Clinical Assistant Professor Nova Southeastern College of Osteopathic Medicine Clinical Instruction to Residents, Medical Students and Physician Assistant Students 1999 - Present Teaching Palm Beach Community College Lecture "Common Continued Pre- Hospital Pitfalls" 2004 2005 2006 2007 JFK Medical Center Lecture "Stroke: Rapid Response" June 2005 and October 2005 JFK Medical Center Lecture "Weapons of Mass Destruction" July 2003 JFK Leadership Council Lecture "Smallpox" February 2003 JFK Medical Center Continuing Education Committee Grand Rounds Presentation "Pulmonary Embolism" May 2002 Medical Director Palm Beach Community College EMS Academy 2000 - present Medical Director ATEC EMS Programs 2001 - 2006 Palm Beach Community College Training Center Faculty ACLS 1996 - Present Work Experience JFK Medical Center Emergency Department July 1999 - Present Palm Beach Gardens Medical Center Emergency Department June 1995 - July 1999 ALS Training Center Faculty: ACLS Provider: BTLS, ATLS, PALS Publications American College of Emergency Physicians Foresight Editorial Panel 1994 - 1997 Emergency Medicine self- assessment and review Third Edition Contributing Author: Chapter 25 Cocaine Associated Myocardial Infarction Study Group: Manuscripts Published: 1. "Cocaine associated myocardial infarction: Mortality and Complications." Archives of Internal Medicine 1995 2. "Cocaine associated myocardial infarction: Clinical safety of thrombolytic therapy." Chest 1995 "Time to Equilibration of Oxygen Saturation Following a Change in FiO2 as Recorded by Pulse Oximetry in the Emergency Department" Abstract presented: Seventh World Congress on Emergency and Disaster Medicine: 1991 0# 2842471 STA OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE DATE LICENSE No. CONTROL NO. 12!1407 IwI= SiE>kB 4 1"38 tie MEDICAL DOCTOR mod below has met all requirements of laws and rules of the state of Florida. cpirltt Date: JANUARY 31, 2010 HIE HANDREW SGHEPPHE 01 SOUTH CONGRESS AVE rLANTIt; FL 33482 -1197 arrtgO STATES k r :444 , 4141 411 Clriie Cris! An M.Viarnonte Ros, 1Ut.D., GOVERNOR STATE SURGEON GENERAL DISPLAY IF REQUIRED BY LAW FATE OF FLORIl3A AC/44 2842471 `ARTMENT OF �IEA1.1 .1 V18 ON OF MEDICAL QUALITY ASSUAjNCE BATE L+OENSE Nit. CoNTvL .. WE 0424 e MCA— COMA mod Nabs( hag mot nrqukeme nt of t raves and tulles pf Vie 511011 Df Florid►. Prggwi ©are: JANUARY 31. z010 AIM NOREW SCHEPPKE r "� s - Tug (Ali r-ri kvIS 3 > ci 77 70 CD w m @ t • n (D v 5 r1 n . + p, m fD =+ j • v' eD cu 3 su c n (D - . p, c 0 p Cr it-, Ni, O rn w c (") O. elt cr 3 = • = `° 0 R t 4111 I CD = a n rn 3 ''''■ ‘ 1/4 N. '1 \ � � 3 ( D 3 CD � 1 a. ( 7 ) 3 rn el .< C RI c.ri ca J (D w (D o.■ �. N P. o n Cl. Crl act -< eD w rri 1J v_' v, < <7 v, CD 51 tn F R 1 Fg ,, n ro The City of Boynton Beach E - Procurement Services 100 E Boynton Beach Boulevard P. O. Box 310 ■ Boynton Beach, Florida 33425 -0310 Telephone: (561) 742 -6310 FAX: (561) 742 -6316 SEPTEMBER 07, 2006 KENNETH A. SCHEPPKE, MD PA 296 HAMMOCK POINT SOUTH JUPITER, FLORIDA 33458 RFQ NAME: "RFQ FOR THREE YEAR CONTRACT FOR MEDICAL SERVICES PROVIDED BY EMS, FIRE RESCUE, EMTS, PARAMEDICS AND LIFEGUARDS" RFQ NUMBER: # 001 - 2210 -06 /JA Dear Mr. Scheppke: The above - mentioned RFQ will expire on January 19, 2007. The City would like to renew the existing contract under the same terms and conditions for an additional year. We appreciate your quality service, therefore, if you agree, the contract will be renewed for an additional year. CONTRACT PERIOD: JANUARY 20, 2006 THROUGH JANUARY 19, 2007 Please indicate your response on the following page and return it to Procurement Services at your earliest convenience. We look forward to working with you for an additional year. If you should have any questions, please feel free to call my office at (561) 742 -6322. Sincerely, C Bobby Jenk s Assistant to the Director of Financial Services /3a c: Fire Chief - William Bingham Deputy Chief - Jim Ness Michael Landress — EMS Chief Central File File America's Gateway to the Gulfstream The City of Boynton Beach Procurement Services 100 E. Boynton Beach Boulevard P. O. Box 310 Boynton Beach, Florida 33425 -0310 Telephone: (561) 742 -6310 FAX (561) 742 -6316 SEPTEMBER 01, 2006 KENNETH A. SCHEPPKE, MD PA 296 HAMMOCK POINT SOUTH JUPITER, FLORIDA 33458 RFQ NAME: "RFQ FOR THREE YEAR CONTRACT FOR MEDICAL SERVICES PROVIDED BY EMS, FIRE RESCUE, EMTS, PARAMEDICS AND LIFEGUARDS" RFQ NUMBER: # 001- 2210 -06 /JA Dear Mr. Scheppke: The above - mentioned RFQ will expire on June 21, 2006. The City would like to renew the existing contract under the same terms and conditions for an additional year. We appreciate your quality service, therefore, if you agree, the contract will be renewed for an additional year. CONTRACT PERIOD: JANUARY 20, 2006 THROUGH JANUARY 19, 2007 Please indicate your response on the following page and return it to Procurement Services at your earliest convenience. We look forward to working with you for an additional year. If you should have any questions, please feel free to call my office at (561) 742 -6322. Sincerely, XS CY( Bobby Jenki 1 Assistant to the Dep y Director of Financial Services /j a c: Fire Chief - William Bingham Deputy Chief - Jim Ness Michael Landress — EMS Chief _ File File n mo *ipp's Gateway to the Gulfstream RFQ NAME: "RFQ FOR THREE YEAR CONTRACT FOR MEDICAL SERVICES PROVIDED BY EMS, FIRE RESCUE, EMTS, PARAMEDICS AND LIFEGUARDS" RFQ NUMBER: # 001- 2210 -06 /JA Agreement between the City of Boynton Beach, Owner; and DR. KENNETH A. SCHEPPKE, MD, PA Contract Renewal Period: JANUARY 20, 2007 THROUGH JANUARY 19, 2008 Yes, I agree to renew the existing contract under the same Terms and Conditions of this Agreement. No, I do not wish to renew the contract at this time. NAME OF COMPANY SIGNATURE NAME OF REPRESENTATIVE TITLE (please print) DATE (AREA CODE) TELEPHONE NUMBER America's Gateway to the Gulfstream �! RESOLUTION NO. R04- OO9 A RESOLUTION OF THE CITY OF BOYNTON BEACH, FLORIDA, APPROVING THE AWARD OF RFQ #020 - 2210-04/JA PROVIDING FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE/EMTS, PARAMEDICS AND LIEFEGUARDS TO DR. KENNETH SCHEPPKE, M.D.; AND PROVIDING AN EFFECTIVE DATE WHEREAS, on December 18, 2003, Procurement Services received and opened 1ne (10 RFQ, The sole applicant, Dr. Scheppke, has been our Fire Rescue Department's edical Director for the past three years and it is the recommendation of staff that the ' Q be awarded to Kenneth A. Scheppke, M.D.; and WHEREAS, the City Commission, upon recommendation of staff, deems it to be n the best interests of the citizens and residents of the City of Boynton Beach to award his RFQ ( #020 - 2210- 04 /JA), to Kenneth A Scheppke, M.D., providing for overseeing he Emergency Medical Services as provided by Fire Rescue /EMTS, Paramedics and ifeguards, and to enter into an agreement between the City of Boynton Beach and enneth A. Scheppke, M.D., in the amount of $24,504.00, a copy of which is attached ereto. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION • F THE CITY OF BOYNTON BEACH, FLORIDA, THAT: Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as • eing true and correct and are hereby made a specific part of this Resolution upon adoption ereof. Section 2. The City Commission of the City of Boynton Beach, Florida, upon - . \CA \RESO\Agreements \Bid Awards \RFQ - Medical Director doc ecommendation of staff, hereby approves the award of RFQ ( #020 - 2210- 04 /JA), and to nter into an agreement between the City of Boynton Beach and Kenneth A. Scheppke, .D., in the amount of $24,504.00; authorizing the City Manager to execute a contract, a opy of which is attached hereto. Section 3. That this Resolution shall become effective immediately. PASSED AND ADOPTED THIS aO_ day of January, 2004. CITY OF BOYNTON BEACH, FLORIDA li or ( b\i Vice Mayor ��"� o Comm ... ioner Commissi. new — TTEST: ( _ - ! .:.� II • r ' • .`� lerk G \T Y O'c T ON 6 . •`CA \RESO\Agreements \Btd Awards \RFQ - Medical Director doc RoLl -0 EMERGENCY MEDICAL SERVICE DIRECTOR CONTRACT APPENDIX A THIS CONTRACT, entered into on January 20, 2004, between the CITY OF BOYNTON BEACH, Florida (hereinafter "City ") and Kenneth A. Scheppke, M.D,. (hereinafter "MEDICAL DIRECTOR ") for Emergency Medical Services Director, is entered into subject to the following terms and conditions: The City of Boynton Beach and Kenneth A. Scheppke, M.D. 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 a 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. 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. 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 MEDICAL DIRECTOR'S right to practice as an independent physician at all times. 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 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 c 1 4.The MEDICAL DIRECTOR shall perform all services required pursuant to Chapter 401, Florida Statues; Section 401.46, Florida Statutes; Chapter 64E -2, 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 Life Guards, 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, and 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. These duties will be performed periodically 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. Further the EMS Coordinator shall be the MEDICAL DIRECTOR'S agent for purpose of quality assurance pursuant to Florida State Statute. 7. 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. 8. 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 64E -2, as set forth in Exhibit "A" to this Agreement.The MEDICAL DIRECTOR shall provide the C2 Fire Chief with written reports as required by Fire Chief regarding efficiency, effectiveness, and general performance of the CITY' s Emergency Medical Services System. 9. 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 capability as 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 sum of ($24,504.00) with the monthly rate being ($ 2,042.00) per month for twelve (12) months, payable at the end of each month for services outlined in this contract. 12. The CITY will provide portable radio communication and an Alpha Numeric or Digital Pager for the use of the MEDICAL DIRECTOR. 13. In matters of employee relations and concern, the MEDCIAL 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 MEDCIAL 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/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. C3 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 and so 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 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. C4 19. MEDICAL DIRECTOR hereby agrees to perform those duties set forth in Exhibit "A" and in the Specifications for the position set forth in Exhibit `B ". Exhibit "A" and `B" are attached hereto and incorporated herein by reference. 20. The term of this agreement shall be for three (3) years from the execution, with CITY having the option to renew on a yearly basis for two additional one years terms, by providing written notice to the MEDICAL DIRECTOR at least twenty (20) days prior to the expiration of the term that the CITY intends to renew the contract for an additional year. The MEDICAL DIRECTOR shall indicate whether he or she wishes to remain a party to the agreement prior to the expiration of the term. C5 IN WITNESS WHEREOF the parties hereto have caused these presents to be signed by their duly authorized officers and by the MEDICAL DIRECTOR on this Z. day of , 2003. CITY OF BOYNTON BEACH, FLORIDA ..610stit City Manager Medical Director Attest/Authenticated: Title 9 . 1 } - Y O� •_ (Corporate Seal) Clerk I a Approved as to Form: P ' ttested Authenticated: 0 N a gs , Office of the City Attorney Notary: C6 • EXHIBIT "A" I . 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; and 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 educational programs, in assuring that each paramedic receives such training and experience as required. 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 for use standing riders 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. Be responsible 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 EXHIBIT "B" SPECIFICATIONS FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE/EMTS, PARAMEDICS AND LIFEGUARDS 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 /Lifeguards, functioning in the Fire and Emergency Medical Services Department and the Parks and Recreation Department under applicable provisions of Florida Statutes. I. Related Responsibilities A. The Medical Director serves as the Fire Department's physician for the purposes 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 Lifeguards, who may be certified as Emergency Medical Technicians. C. The Medical Director agrees to both 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: D. Actual accompaniment of Paramedics and EMTs on rescue calls; E. Monitoring of radio transmissions to and from hospital emergency departments and related facilities; F. Review of rescue incident reports and associated documentation; G. Conference and/or meetings in both individual and group situations; H. Review of Standard Operating Procedures and Protocols involving multi - agency responses to medical emergencies; I. 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 regarding efficiency and effectiveness and general performance of the City's Emergency Medical Services System. II. The Medical Director shall perform all services required of him/her pursuant to Chapter401, 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 established by the Florida Department of Health. III. 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. W. Services and responsibilities: A. The Medical Director will assure the continuous availability of a least one qualified physician as outlined in Section I, 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 and Emergency Medical Services Department whenever he /she will be unavailable for whatever reason, and will attempt to provide 24hour 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. B. The Medical Director will 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 the State of Florida, as well as educational, institutions, medical societies and other agencies or institutions relating to the provision of Emergency Medical Services. C. 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. D. 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. E. Upon request, the Medical Director will participate in the design and structure of selection procedures for entry level personnel for the City of Boynton Beach. F. Upon request, the Medical Director will consult with the Fire Chief regarding promotional testing criteria for incumbent personnel. G. Upon request, the Medical Director will 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 Life Guard unit, has been, or may have been, exposed to infectious diseases or hazardous materials. H. Upon request, the Medical Director will maintain data regarding the status of employees who have been, or may have been, exposed to the infectious diseases or hazardous materials. I. 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. J. 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. • However, responsibility for the efficient delivery of these services shall remain with the physician selected as the Medical Director and no increase in the annual fee shall occur based on this election. K. The Medical Director will oversee and provide instruction during department scheduled in- service training, for a minimum of 6 hours per month. V. Consideration of the City of Boynton Beach Because the 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 medical malpractice insurance policy insuring the Medical Director against liability arising out of negligent acts or omissions of the Medical Director in the performance of his duties as Medical Director during the term of this Agreement. If this insurance policy provides coverage on a premium of this policy for a coverage period ending not less than four (4) years following termination of employment of the Medical Director, the provisions of this paragraph shall survive termination of this Agreement, regardless of whether termination is by the Medical Director or by the City, or by expiration of the term of this Agreement, until four (4) years after termination. VI. 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. VII. 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 and department related administrative and secretarial support to the Medical Director through the Office of the Fire Chief. VIII. 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. IX. In consideration of the requirements and standards enumerated herein, I propose to perform these functions and duties for a fee of $2,042.00 per month. I am able to assume these responsibilities. Section 3 — Request for Qualifications Requirements X. Standards to be met by the Medical Director A. The Medical Director shall be a Florida State licensed physician; and B. Is an ACLS (Advanced Cardiac Life Support) provider with instructor certification, and is an ACLS affiliate faculty member of the American Heart Association; or C. Is a Board - Certified Emergency Physician, or is currently employed as an Emergency Department Physician in the State of Florida, or who has previously been an Emergency Department Physician in the State of Florida within the past (5) five years; D. Maintains official privileges and affiliation with one or more of the following medical facilities: Bethesda Memorial or John F. Kennedy Hospital. ATTACH COPIES OF ALL REQUIRED LICENSES, CERTIFICATIONS DOCUMENTATION OF PRIVILEGES AND AFFILIATIONS, A CURRICULUM VITAE, ALONG WITH OTHER CREDENTIALS OR INFORMATION YOU WISH TO HAVE CONSIDERED BY THE CITY AS PART OF THIS REQUEST FOR QUALIFICATIONS /SERVICES. IN ADDITION, ALL CURRENT AND ANTICIPATED CONTRACTUAL AGREEMENTS NAMING THE PHYSICIAN AS MEDICAL DIRECTOR FOR ANY OTHER GOVERNMENTAL AGENCY, BODY, INSTITUTION OR PRIVATE OR PUBLIC SERVICE SHALL BE IDENTIFIED AT THE TIME OF SUBMISSION OF THIS REQUEST FOR QUALIFICATION /SERVICES. . The City of . Boynton Beach Procurement Services • 0 Y N� 100 E. Boynton Beach Boulevard . ,2\ P.O. Box 310 /� Q1 Boynton Beach, Florida 33425 -0310 0 / ie R1 Telephone No: (561) 742 -6320 \' _' f= `'� FAX: (561) 742 -6306 November 7, 2002 KENNETH A. SCHEPPKE, M.U. 296 HAMMOCK POINT SOUTH JUPITER, FLORIDA 33458 RE: "RFQ FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE /EMTS, PARAMEDICS AND LIFEGUARDS" RFQ #: 016 - 2210 -03 /KR (New RFQ number) CONTRACT RENEWAL PERIOD: JANUARY 1, 2003 TO DECEMBER 31, 2003 Dear Dr. Scheppke: The above referenced Request for Qualification has been extended for an additional year, under the same prices, terms and conditions outlined in the attached First Addendum to Resolution R01 -310, dated December 18, 2001. Thank you for extending this RFQ, please feel free to contact my office at (561) 742 -6322 if you have any questions. We look forward to working with you for an additional year. Sincerely, �,24 ," /� - � _ i 4 -- f `; Bill Atkins ,,,,....F.47, Deputy Director of Financial Services 0;0 - - , ,2 / ‘) - 0' 2 //' /ktr De.ut Chief Ness, Fire Department 7beel ' ' / i LC.-C_., 2j6-- ,,2 /- "C>. - �i�' America's Gateway to the G . The City of B oynton Beach r � N T\ Procure Services "� \\ 100 E. Boynton Beach Boulevard t c / "l ' P.O. Box 310 0 i rr Boynton Beach, Florida 33425 -0310 T -•, Telephone No: (561) 742 -6320 �/J ': F (561) 742 -6306 NAME OF RFQ: "MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE/EMTS. PARAMEDICS AND LIFEGUARDS" RFQ #: 020 - 2210 -02 /KR Agreement between the City of Boynton Beach, Owner; and KENNETH A. SCHEPPKE, M. D. Contract Renewal Period: JANUARY 1, 2003 TO DECEMBER 31, 2003 Yes, I agree to renew existing contract, under the same Terms mg Conditions, for an additional year. , -, 4 L 1 n c r e. £x ‘, S *-i pe- d' , it / S S1 pe,- No, I do not wish to renew the contract at this time. ,.., t& .4.4 ii Wm/re-4) 5c)a. pAe m 0 SIG A NAME (printed or typerd) 7 O /9 1 /t z - Sls / — 7 93 — Y DATE (AREA CODE) TELEPHONE NUMBER America's Gateway to the Gulfstream FIRST ADDENDUM TO EMERGENCY MEDICAL SERVICE DIRECTORCONTRACT This Addendum, dated the 18th�y of December, 2001, amends the original Contract between the City of Boynton Beach and KENNETH A. SCHEPPKE, M.D.. Unless expressly modified by this Addendum, the original terms of the Appointment Contract shall remain in full force. This Contract Appointment is amended as follows: Recitals, 11. (Amended) The City will pay the Medical Director the sum of Twenty Three Thousand Five Hundred ($23,500) Dollars per year, with the monthly rate being Nineteen Hundred Fifty Eight Dollars and 33/100 ($1,958.33) per month for twelve (12) months, payable at the end of each month for services outlined in this contract. Article 20. (Amended) The term of this agreement shall be for twelve months effective January 1, 2002 through December 31, 2002. The Deputy Director of Financial Services may renew the contract, at the same terms, and conditions, for one (1) additional one (1) year term, subject to vendor acceptance, satisfactory performance and determination that renewal will be in the best interest of the City. In the event of a conflict between the original Contract and this Addendum, the Addendum shall control. The foregoing provisions represent the agreement of the parties and become effect on January 1, 2002, subject to ratification by the City Commission. Zter"'"' I Dated: 1 b -( 0 - 0I . :site' .4 , D ated: 4 Kurt Bressner Kenneth A. Scheppke, M.D. City Manager Medical Director di ! AL t ITY ATTORNC S \CA AGMTS\Entployment Agttcments\Sdteppke Addendumdoc MEMORANDUM TO: BILL ATKINS, DEPUTY DIRECTOR OF FINANCE RECEPJ FROM: BONNIE GLINSKI, DEPUTY CITY CLERK DEC 13 2001 DATE: DECEMBER 11, 2001 PtjRC HAff NG OFFICE RE: RESOLUTION #R01 -310 and #R01 -312 Attached please find copies of the above mentioned resolutions that were approved by the City Commission at the meeting held on December 4, 2001. j• \shrdata \cc \wp \memos \bill atkins.doc RESOLUTION R 01- 310 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF BOYNTON BEACH, FLORIDA, AUTHORIZING THE CITY MANAGER TO EXECUTE AN ADDENDUM TO THE EMERGENCY MEDICAL SERVICE DIRECTOR CONTRACT BETWEEN THE CITY OF BOYNTON BEACH AND KENNETH A. SCHEPPKE, M.D.; AND PROVIDING AN EFFECTIVE DATE. WHEREAS, on December 5, 2000, the City entered into an Agreement with Dr. Scheppke, for a one year period to oversee the Emergency Medical Services as provided by Fire Rescue/EMTS, Paramedics and Lifeguards; and WHEREAS, the Agreement contained an option to renew for an additional one year period, which option is being exercised by the City and Dr. Scheppke, providing for an annual salary increase of $2,500; NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF BOYNTON BEACH, FLORIDA, THAT: Section 1. The City Commission of the City of Boynton Beach, Florida does hereby authorize the City Manager to execute an Addendum to the Emergency Medical Service Director Contract between the City of Boynton Beach and Kenneth A. Scheppke, M.D., a copy of said Addendum being attached hereto as Exhibit "A ". Section 2. This Resolution will become effective immediately upon passage. PASSED AND ADOPTED this '4 day of December, 2001. CITY OF : OYNTON BE ' H, FLORIDA A.„..., Ma o� Vic •. • Co . 1Tr mmissioner e, Commissioner ATTEST: Ai t;tti) e Clerk t� `\ o twittriN� ( Corp rp � , 7. . s•ca\ry3'o rei eh Schepple112801 Us d.y= 1 920 / �� 1 /!1! I I I I t 11 \ \\\ Riseley, Karen From: Ness, Jim Sent: Tuesday, October 29, 2002 1246 PM To: Riseley, Karen Subject: FW Medical Director Here is the email I sent Dr. Scheppke regarding his contract. It would appear that since I wasn't clear on his previous raise I suggested he reference his new pay to be $1950 /month. Duh.. Based on this email he said that was what he requested, I guess we were both confused about what he was making. Anyway, it appears he will be content to hang in there with the current amount. Let me know when you get his paperwork. He may have to modify the amount to reflect what he is currently getting. Jim Original Message From: Ness, Jim Sent: Monday, October 21, 2002 8:42 AM To: Scheppke, Ken - E -mail Cc: Landress, Michael Subject: RE: Medical Director It is a renewal notice. I did get budget approval for $1950 /month ($2400 /year increase). You can include the $1950 increase figure in your comments if you like, although it's a done deal from my end. Jim Original Message From: Scheppke, Ken - E -mail Sent: Friday, October 18, 2002 8:01 PM To: Ness, Jim Subject: Re: Medical Director Hi Jim: Is this for renewal? If so I have the letter but I don't know what amount Mike put in for me. He told me he arranged a raise. If you know what it is I will sign the form and send it back with the stipulation that there be a raise in stipend to the new amount. Thanks. Ken Original Message From: "Ness, Jim" <NessJ @ci.boynton - beach.fl.us> To: "Scheppke, Ken - E- mail" <cathynken @adelphia.net> Cc: "Riseley, Karen" < riseleyk @ci.boynton- beach.fl.us> Sent: Friday, October 18, 2002 9:51 AM Subject: FW: Medical Director > > > > Original Message > > From: Riseley, Karen > > Sent: Friday, October 18, 2002 9:45 AM > > To: Ness, Jim 1 > > Subject: Medical Direct— > > > > Jim, > > > > I sent a letter to Dr. Scheppke on October 1st, but I have not heard from > > him. Just wondered if he had been in contact with you....If not, I'll try > > to give him a call. > > > > Karen 2 BUYER'S LOG . NAME OF BID: 72L/ e,4: , Z -rL C' c ep, REQUESTING DEPARTMENT: je/c --2- OLD Lio,...- BID NUMBER: BID OPENING DATE: 7/ / k : zi try - Zi r /e-��zezt , ,.2 �4 I:4t . /L � / /1 ' 14' . /f. -v.Z _./ -iri• . g 1 — .� - 1 - - ) c t (:7L I L. , .4- 4- e -eL7 0., 271 V -e-- LC/Z__ 5 .L'C/ /7 .('_ The City of Boynton Beach ::kY N Procurement Services 0 , '2\ 100 E. Boynton Beach Boulevard /l it _ P.O. Box 310 03 0 f n, Boynton Beach, Florida 33425 -0310 Y S Telephone No: (561) 742 -6320 A la . , .'�� FAX: (561) 742 -6306 October 1, 2002 KENNETH A. SCHEPPKE, M.D. 296 HAMMOCK POINT SOUTH JUPITER, FLORIDA 33458 RE: "RFQ FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE /EMTS, PARAMEDICS AND LIFEGUARDS" RFQ #: 020 - 2210 -02 /KR Dear Dr. Scheppke: The above mentioned contract will expire on December 31, 2002. The City of Boynton Beach would like to renew the existing contract under the same terms and conditions for an additional year. We appreciate your quality service; therefore, if both parties agree, the contract will be renewed for an additional year. Contract renewal period: JANUARY 1, 2003 TO DECEMBER 31, 2003 Please indicate your response on the following page and return it to Procurement Services at your earliest convenience. We look forward to working with you during the extended contract period. If you should have any questions, please feel free to call my office at (561) 742 -6322. Sincerely, Bill Atkins, Deputy Director of Financial Services ktr Attachment cc Deputy Fire Chief Jim Ness Central File Filc America's Gateway to the Gulfstream The Ci of Boynton Beach � Y N T Procurement Services • / 0-4 02 100 E. Boynton Beach Boulevard 4 / ' ' �'' ` 03 P.O. Box 310 0 � - I m Boynton Beach, Florida 33425 -0310 7.3 - i s • .,,...lb Telephone No: (561) 742 -6320 /.3.-.. ; ': � FAX: (561) 742 -6306 NAME OF RFQ: "MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE/EMTS, PARAMEDICS AND LIFEGUARDS" RFQ #: 020 - 2210 -02 /KR Agreement between the City of Boynton Beach, Owner; and KENNETH A. SCHEPPKE, M. D. Contract Renewal Period: JANUARY 1, 2003 TO DECEMBER 31, 2003 Yes, I agree to renew existing contract, under the same Terms and Conditions, for an additional year. No, I do not wish to renew the contract at this time. SIGNATURE NAME (printed or typed) DATE (AREA CODE) TELEPHONE NUMBER America's Gateway to the Gulfstream ' The City of Boynton Beach - Procurement Services _. O' N To 100 E. Boynton Beach Boulevard ;-.D �7� .ie P.O. Box 310 ' W Boynton Beach, Florida 33425 -0310 j ii m Telephone No: (561) 742 -6320 ^ ' Y : \ ' __ f ". '� FAX (56l) 742 -6306 W - ,,, January 2, 2002 co ,T KENNETH A. SCHEPPKE, M.D. 296 HAMMOCK POINT SOUTH JUPITER, FLORIDA 33458 • RE: "RFQ FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE /EMTS, PARAMEDICS AND LIFEGUARDS" RFQ #020 - 2210 -02/KR CONTRACT RENEWAL PERIOD: JANUARY 1, 2002 TO DECEMBER 31, 2002 Dear Dr. Scheppke: At the City Commission meeting of December 18, 2001, the Request for Qualification for "MEDICAL DIRECTOR" was extended for an additional year. Our Risk Management Department has informed us that the position of Medical Director is covered by the City's insurance, not the specific physician named in this contract; therefore, any doctor acting in that capacity is covered under our policy. Attached is your copy of the executed Addendum outlining the increased monthly rate. If you should have any questions regarding this RFQ, please feel free to contact my office at (561) 742 -6322. We look forward to working with you this year. Sincerely, - Lb-c_,C,(_ (C Bill M. Atkins Deputy Director of Financial Services /ktr Enclosure Addendum c Deputy Chief Ness, Fire Rescue Department Central File File America's Gateway to the Gulfstream rCI - - FIRST ADDENDUM TO EMERGENCY MEDICAL SERVICE DIRECTORCONTRACT This Addendum, dated the 18 thday of December, 2001, amends the original Contract between the City of Boynton Beach and KENNETH A. SCHEPPKE, M.D.. Unless expressly modified by this Addendum, the original terms of the Appointment Contract shall remain in full force. This Contract Appointment is amended as follows: Recitals, 11. (Amended) The City will pay the Medical Director the sum of Twenty Three Thousand Five Hundred ($23,500) Dollars per year, with the monthly rate being Nineteen Hundred Fifty Eight Dollars and 33/100 ($1,958.33) per month for twelve (12) months, payable at the end of each month for services outlined in this contract. Article 20. (Amended) The term of this agreement shall be for twelve months effective January 1, 2002 through December 31, 2002. The Deputy Director of Financial Services may renew the contract, at the same terms, and conditions, for one (1) additional one (1) year term, subject to vendor acceptance, satisfactory performance and determination that renewal will be in the best interest of the City. In the event of a conflict between the original Contract and this Addendum, the Addendum shall control. The foregoing provisions represent the agreement of the parties and become effect on January 1, 2002, subject to ratification by the City Commission. -1Jt?'" Dated: I0 -(0 -0 ; ,,., . gated: is --/P /u/ Kurt Bressner Kenneth A. Scheppke, M.D. City Manager Medical Director pp -. 11 . o r.RM: 4 C ,Ty ATTOR'E , S \CA\AGMTS\Employment Agreements \Scheppke Addendum doc Jt MEMORANDUM TO: JANET PRAINITO DATE: DECEMBER 28, 2001 CITY CLERK FROM: KAREN RISELE � SUBJECT: ORIGINAL ADDENDUM BUYER RFQ #020 - 2210 -02 /KR "MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE /EMTS, PARAMEDICS AND LIFEGUARDS" Attached is the original Addendum for Dr. Kenneth A. Scheppke. Please file accordingly (original bid file #007 - 2210- 01 /KR). Thank you. CO /ktr Attachment — Addendum cc: File The City of Boynton Beach Procurement Services OY N Tp 100 E. Boynton Beach Boulevard (---- 1 'L P.O. Box 310 • 14 n ' . O W Boynton Beach, Florida 33425 -0310 1 Telephone No: (561) 742 -6320 ' �' ' " n FAX: (561) 742 -6306 December 6, 2000 KENNETH A. SCHEPPKE, M. D. 296 HAMMOCK POINT SOUTH JUPITER, FLORIDA 33458 RE: "RFQ FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE /EMTS, PARAMEDICS AND LIFEGUARDS" RFQ #007 - 2210 -01/KR CONTRACT PERIOD: JANUARY 1, 2001 TO DECEMBER 31, 2001 Dear Dr. Scheppke: At the City Commission meeting of December 5, 2000, the RFQ for MEDICAL DIRECTOR was awarded to you. Enclosed is a tabulation sheet for your review, along with an agreement signed by the City. Please execute the agreement and return it to me at your earliest convenience. We thank you for responding to this project. If you should have any questions regarding this RFQ, please feel free to contact my office at (561) 742 -6322. Sincerely, ,44. Bill Atkins Deputy Director of Financial Services /ktr Enclosure — Tabulation Sheets & Agreement cc: Deputy Chief Jim Ness Central File File America's Gateway to the Gulfstream MEMORANDUM TO: Rose Marie Lamanna, Legal Assistant FROM: Karen Riseley, Buyer j Procurement Services 4 DATE: November 17, 2000 SUBJECT: CONTRACT/MEDICAL DIRECTOR RFQ #007 - 2210 -01/KR Attached is a copy of the contract for Medical Director along with the scoring sheets from the Deputy Chief Ness. The original contract has been sent to the City Clerk's Office with the complete agenda package. Please prepare the Resolution required for this contract. If you need any additional information, please let me know. /ktr _ Attachment c: File 6A-j\jV\O-1 r \ppt, Fire Department Memorandum 00 -072 To: Karen Riseley From: Deputy Chief J. Nes Date: November 14, 2000 Re: Medical Director Contract— agenda request Our RFQ process was concluded last week with the completion of our oral interviews. Present at these interviews from Boynton Beach Fire Rescue were Deputy Chief Liu, Captain Witt, and EMS Chief Rudy; from the Delray Beach Fire Rescue Department was Lt. Twigger, and from Lake Worth Fire Rescue was Deputy Chief Herb Redmond. Based upon the scoring of the candidates, Dr. Scheppke was selected as our choice for Medical Director. Please proceed with the agenda request for Dr. Scheppke's contract approval. I will contact our legal department and have them prepare the new contract. The new contract will cover January 1 2001 through December 31 2001. Your assistance in this matter has been greatly appreciated. C: Chief Bingham Legal Dept. I 4 f \ A RESOLUTION NO. R00- /4 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF BOYNTON BEACH, FLORIDA, AUTHORIZING THE MAYOR AND CITY CLERK TO EXECUTE AN EMPLOYMENT AGREEMENT BETWEEN THE CITY OF BOYNTON BEACH AND KENNETH A. SCHEPPKE, M.D., AS THE EMERGENCY MEDICAL SERVICES DIRECTOR FOR THE CITY OF BOYNTON BEACH; AND PROVIDING AN EFFECTIVE DATE. WHEREAS, Section 401.46, Florida Statutes, requires that each Emergency Medical Services Program have an Emergency Medical Services Director. WHEREAS, the City Commission, upon recommendation of staff, has deemed it be in the best interests of the citizens, employees and residents of the City to enter into an Employment Agreement with Dr. Kenneth Scheppke, M.D., contract period beginning January 1, 2001 to December 31, 2001, as the Emergency Medical Service Director for the City of Boynton Beach. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF BOYNTON BEACH, FLORIDA, THAT: Section 1. The City Commission of the City of Boynton Beach, Florida does hereby authorize the Mayor and City Clerk to execute an Employment Agreement, between the City€ Boynton Beach, Florida and Kenneth A. Scheppke, M.D., as the Emergency Medical Services Director for the City of Boynton Beach. A copy of said Agreement is attached hereto as Exhibit "A ". , l RESOLUTION R 01- 31 A RESOLUTION OF THE CITY COMMISSION OF ` THE CITY OF BOYNTON BEACH, FLORIDA, AUTHORIZING THE CITY MANAGER TO EXECUTE AN ADDENDUM TO THE EMERGENCY MEDICAL SERVICE DIRECTOR CONTRACT BETWEEN THE CITY OF BOYNTON BEACH AND KENNETH A. SCHEPPKE, M.D.; AND PROVIDING AN EFFECTIVE DATE. WHEREAS, on December 5, 2000, the City entered into an Agreement with Dr. Scheppke, for a one year period to oversee the Emergency Medical Services as provided by Fire RescuetEMTS, Paramedics and Lifeguards; and WHEREAS, the Agreement contained an option to renew for an additional one year period, which option is being exercised by the City and Dr. Scheppke, .roviding for an annual salary increase of $2,500; NOW, THEREFORE, BE IT RESOLVED BY 'I 'HE CITY COMMISSION OF THE CITY OF BOYNTON BEACH, FLORIDA, THAT: Section 1. The City Commission of the City of Boynton Beach, Florida does hereby authorize the City Manager to execute an Addendum to the Emergency Medical Service Director Contract between the City of Boynton Beach and Kenneth A. Scheppke, M.D., a copy of said Addendum being attached hereto as Exhibit "A ". Section 2. This Resolution will become effective immediately upon passage. PASSED AND ADOPTED this 14 day of December, 2001. CITY OF OYNTON BE • H, FLORIDA ► /.1., Maor Aide Vi :• _ mmissioner 7e--15,/,‘ Commissioner ATTEST: Clerk ottuttliffil • s•ca\o re `s rAgr- Schepp1e112801 192 ' r' FIRST ADDENDUM TO EMERGENCY r MEDICAL SERVICE DIRECTORCONTRACT This Addendum, dated the day of December, 2001, amends the original Contract between the City df Boynton Beach and KENNETH A. SCHEPPKE, M.D.. Unless expressly modified by this Addendum, the original terms of the Appointment Contract shall remain in full force. This Contract Appointment is amended as follows: Recitals, 11. (Amended) The City will pay the Medical Director the sum of Twenty Three Thousand Five Hundred ($23,500) Dollars per year, with the monthly rate being Nineteen Hundred Fifty Eight Dollars and 33/100 ($1,958,33) per month for twelve (12) months, payable at the end,of each month for services outlined in this contract. Article 20. (Amended) The term of this agreement shall be for twelve months effective January 1, 2002 through December 31, 2002. The Deputy Director of Financial Services may renew the contract, at the same terms, and conditions, for one (1) additional one (1) year term, subject to vendor acceptance, satisfactory performance and determination that renewal will be in the best interest of the City. In the event of a conflict between the original Contract and this Addendum, the Addendum shall control. The foregoing provisions represent the agreement of the parties and become effect on January 1, 2002, subject to ratification by the City Commission. Dated: I b_ro'a( Dated: Kurt Bressner Kenneth A. Scheppke, M.D. City Manager Medical Director '.1 C I1Y ATTORk S:ICAUGMTSEnpIoyment Agcxments\Sdwppke Addendwnd« Rcb -16 EMERGENCY MEDICAL SERVICE DIRECTOR CONTRACT THIS CONTRACT, entered into on , 2000, between the CITY . 41/ OF BOYNTON BEACH, Florida (hereinafter "CITY ") and Kenneth A. Scheppke, M.D. (hereinafter "MEDICAL DIRECTOR ") for Emergency Medical Services Director, is entered into subject to the following terms and conditions: The City of Boynton Beach and Kenneth A. Scheppke, M.D. 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 a 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. 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. 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 govemmental 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 MEDICAL DIRECTOR's right to practice as an independent physician at all times. 2. The MEDICAL DIRECTOR shall accept responsibility for the medical performance of the Emergency Medical Technicians, Paramedics 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 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 Chapter 401, Florida Statutes; Section 401.46, Florida Statutes; Chapter 64E -2, Florida Administrative Code; duties and regulations promulgated by the Flora Department of Health and Rehabilitative Services; and all present rules and regulations of any govemmental 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 Life Guards, 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 Paramedics 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 EMTs 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, and 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. These duties will be performed periodically 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. Further the EMS Coordinator shall be the MEDICAL DIRECTOR's agent for purpose of quality assurance pursuant to Florida State Statute. 7. 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. 8. 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 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 64E -2, as set forth in Exhibit "A" to this Agreement. 9. MEDICAL DIRECTOR shall provide the Fire Chief with written reports as required by Fire Chief regarding efficiency, effectiveness, and general performance of the CITY's Emergency Medical Services System. 10. 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 as Medical Director of the Boynton Beach Fire Department, but said indemnification shall be to the extent only of any amount due and owing from MEDICAL DIRECTOR which exceed applicable insurance coverages maintained either by MEDICAL DIRECTOR or by the CITY on behalf of MEDICAL DIRECTOR. 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 sum of Twenty -One Thousand Dollars $21,000 per year (with the monthly rate being Seventeen hundred and Fifty Dollars ($1,750.00) dollars per month for twelve (12) months, payable at the end of each month for services outlined in this contract. 12. The CITY will provide portable radio communications and an Alpha Numeric or Digital Pager for the use of the MEDICAL DIRECTOR. 13. In matters of employee relations and concem, the MEDICAL DIRECTOR, under the terms of this contract is considered to be a member of the administration and supervisory division of the Fire Department and will be expected to aid 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 the circumstances relating to any employee decisions 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 the Civil Service Board, grievance procedures of the union contract, etc. as a 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. 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 and so that he can become involved in 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 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. MEDICAL DIRECTOR hereby agrees to perform those duties set forth in Exhibit "A" and in the Specifications (as set forth in the RFP) for the position set forth in Exhibit "B." Exhibit "A" and "B" are attached hereto and incorporated herein. 20. The term of this agreement shall be for twelve (12) months effective January 1, 2001, through December 31, 2001. IN WITNESS WHEREOF the parties hereto have caused these presents to be signed by their duly authorized officers and by the MEDICAL DIRECTOR on this - f & day of hec , 2000 . WITNESS: CITY OF BOYNTON BEAC , FLORIDA (17/1 M yor WITNESS: MEDICAL DIRECTOR w / i . . /I r► enre 4 ScAe80A -e m.(\ . PRINT NAME ATTEST: Ci Clerk \ ���0111 1 i (CQ*gSMJ �4 !C PPORq jti. F ' i H = 192 S CMTSUYITIS DIRECTOR , / /N u /11111 MO EXHIBIT "A" 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 reasonable evaluative processes and techniques and should include at least 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 evaluation 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; and • 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 the 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 educational programs, in assuring that each paramedic receives such training and experience as required. 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 for use standing riders 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. Be responsible for the medical correctness of any standing order which he 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 implemented 401.46, 401.47 FS. History New 9- 10 -78). " EXHIBIT "B" SPECIFICATIONS FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE/EMTS, PARAMEDICS AND LIFEGUARDS 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 /Lifeguards, functioning in the Fire and Emergency Medical Services Department and the Parks and Recreation Department under applicable provisions of Florida Statutes. I. Related Responsibilities A. The Medical Director serves as the Fire Department's physician for the purposes 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 Lifeguards, who may be certified as Emergency Medical Technicians. C. The Medical Director agrees to both 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: D. Actual accompaniment of Paramedics and EMTs on rescue calls; E. Monitoring of radio transmissions to and from hospital emergency departments and related facilities; F. Review of rescue incident reports and associated documentation; G. Conference and/or meetings in both individual and group situations; H. Review of Standard Operating Procedures and Protocols involving multi- agency responses to medical emergencies; I. 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 regarding efficiency and effectiveness and general performance of the City's Emergency Medical Services System. . II. The Medical Director shall perform all services required of him 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 established by the Florida Department of Health. III. 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. IV. Services and responsibilities: A. The Medical Director will assure the continuous availability of a least one qualified physician as outlined in Section I, 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 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. B. The Medical Director will 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 the State of Florida, as well as educational, institutions, medical societies and other agencies or institutions relating to the provision of Emergency Medical Services. C. 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. D. 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. E. Upon request, the Medical Director will participate in the design and structure of selection procedures for entry level personnel for the City of Boynton Beach. F. Upon request, the Medical Director will consult with the Fire Chief regarding promotional testing criteria for incumbent personnel. G. Upon request, the Medical Director will 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 Life Guard unit, has been, or may have been, exposed to infectious diseases or hazardous materials. H. Upon request, the Medical Director will maintain data regarding the status of employees who have been, or may have been, exposed to the infectious diseases or hazardous materials. I. 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. J. 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. • However, responsibility for the efficient delivery of these services shall remain with the physician selected as the Medical Director and no increase in the annual fee shall occur based on this election. K. The Medical Director will oversee and provide instruction during department scheduled in- service training. for a minimum of 6 hours per month. V. Consideration of the City of Boynton Beach Because the 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 medical malpractice insurance policy insuring the Medical Director against liability arising out of negligent acts or omissions of the Medical Director in the performance of his duties as Medical Director during the term of this Agreement. If this insurance policy provides coverage on a premium of this policy for a coverage period ending not less than four (4) years following termination of employment of the Medical Director, the provisions of this paragraph shall survive termination of this Agreement, regardless of whether termination is by the Medical Director or by the City, or by expiration of the term of this Agreement, until four (4) years after termination. VI. 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. VII. 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 and department related administrative and secretarial support to the Medical Director through the Office of the Fire Chief. VIII. 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. IX. In consideration of the requirements and standards enumerated herein, I propose to perform these functions and duties for a fee of $1,750.00 per month. I am able to assume these responsibilities. Request for Qualification Requirements X. Standards to be met by the Medical Director A. The Medical Director shall be a Florida State licensed physician; and B. Is an ACLS (Advanced Cardiac Life Support) provider with instructor certification, and is an ACLS affiliate faculty member of the American Heart Association; or C. Is a Board- Certified Emergency Physician, or is currently employed as an Emergency Department Physician in the State of Florida, or who has previously been an Emergency Department Physician in the State of Florida within the past (5) five years; D. Maintains official privileges and affiliation with one or more of the following medical facilities: Bethesda Memorial or John F. Kennedy Hospital. 12 Signature ._',.� i% - • _ Date ) z1P'Arb ATTACH COPIES OF ALL REQUIRED LICENSES, CERTIFICATIONS DOCUMENTATION OF PRIVILEGES AND AFFILIATIONS, A CURRICULUM VITAE, ALONG WITH OTHER CREDENTIALS OR INFORMATION YOU WISH TO HAVE CONSIDERED BY THE CITY AS PART OF THIS REQUEST FOR QUALIFICATIONS /SERVICES. IN ADDITION, ALL CURRENT AND ANTICIPATED CONTRACTUAL AGREEMENTS NAMING THE PHYSICIAN AS MEDICAL DIRECTOR FOR ANY OTHER GOVERNMENTAL AGENCY, BODY, INSTITUTION OR PRIVATE OR PUBLIC SERVICE SHALL BE IDENTIFIED AT THE TIME OF SUBMISSION OF THIS REQUEST FOR QUALIFICATION /SERVICES. 12 V- CONSENT AGENDA ITEM C.2. D YNT O -v ..ti CITY OF BOYNTON BEACI 4 --/i . o ;, • - j m AGENDA ITEM REQUEST FORM , -i\ � Requested City Commission Date Final Form Must be Turned Requested City Commission Date Final Form Must be Turned Meeting Dates in to City Clerk's Office Meeting Dates in to City Clerk's Office ❑ November 21, 2000 November 9, 2000 (5 p m.) ® January 16, 2001 January 3, 2001 (5 00 p m ) ❑ December 5, 2000 November 22, 2000 (5.00 p m.) ❑ February 6, 2001 January 17, 2001 (5 00 p m ) ❑ December 19, 2000 December 6, 2000 (5 00 p m.) ❑ February 20, 2001 February 7, 2001 (5 00 p m.) ❑ January 2, 2001 December 20, 2000 (5 00 p m) ❑ March 6, 2001 February 21, 2001 (5 00 p m ) ❑ Admimstrative ❑ Development Plans NATURE OF ® Consent Agenda ❑ New Business AGENDA ITEM ❑ Public Hearing ❑ Legal ❑ Bids ❑ Unfinished Busmess ❑ Announcement ❑ Presentation RECOMMENDATION: Approve Medical Director's contract modifications EXPLANATION: In the latest contract for Medical Director, Dr. Scheppke was given the option of incorporating his reimburseable travel and training funds ($1200.00 /year) into his monthly salary. Dr. Scheppke has requested this option. PROGRAM IMPACT: All travel and training expenses incurred by Dr. Scheppke will now be his responsibility, paid for out of his own funds. There will be no reimbursements. FISCAL IMPACT: Budgeted amount will remain the same ($21,000) ALTERNATIVES: None, the contract (Appendix B section VI) allows the ical Director this option. C )/■*-- Department Head's Signature City Manager's Signature 1 A) (L CAl2, R904.0-- Department Department Name `' City Attorney / ane / Human Resources Fire Rescue Department ASS i 3 1 r rt'`' pl. E\i' , S.\BULLETIN\FORMS\AGENDA ITEM REQUEST FORM.DOC Fire Department Memorandum 01 -004 To: Sue Kruse From: Deputy Chief J. Ne,ssVl. Date: January 8, 2001 Re: Amendment to Dr. Scheppke's Contract On December 5` the City Commission approved Resolution Number R00 -169 which approved Dr. Kenneth Scheppke as the department's Medical Director for the calendar year 2001. Following that approval, Dr. Scheppke requested a modification of his contract. Previously $100.00 per month was set aside for seminars, conferences and travel expenses, subject to reimbursement for a total of $1200.00 per year. Section VI of appendix B of his contract provides the option of taking that $1200.00 and including it into his monthly salary ($100.00 /month). This provision would require Dr. Scheppke to be responsible for his own expenses for travel and training. I am requesting that a resolution modifying his contract be included on the next commission agenda. This modification will comply with Dr. Scheppke's request for inclusion of these training funds into his salary. Attachment If this insurance policy provides coverage on a premium of this policy for a coverage period ending not less than four (4) years following termination of employment of the Medical Director, the provisions of this paragraph shall survive termination of this Agreement, regardless of whether termination is by the Medical Director or by the City, or by expiration of the term of this Agreement, until four (4) years after termination. VI. In addition, the City shall reimburse the Medical Director for registration fees, travel, hotel and meals to permit the Medical Director or the Deputy Medical Director to attend professional conferences pertaining to Emergency Medical Services in each fiscal year; provided however, such expenses to the City shall not exceed twelve hundred dollars ($1.200.00) in any fiscal year; and provided further that such funds are provided for in the annual budget of the City in any fiscal year during the term of this Agreement. Approval of any such professional conferences shall be at the sole discretion of the Fire Chief, and city travel policy guidelines shall apply to individual and specific expense categories. The Medical Director at his/her sole discretion, may elect to have these funds incorporated into his/her basic fee for service and in such case, the preceding conditions of Section VI shall not apply. VII. 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. VIII. 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 and department related administrative and secretarial support to the Medical Director through the Office of the Fire Chief. IX. 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. X. In consideration of the requirements and standards enumerated herein, I propose to perform these functions and duties for a fee of $1.650.00 per month. I am able to assume these responsibilities. 11 V- CONSENT AGENDA ITEM C.2. RESOLUTION R 01- A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF BOYNTON BEACH, FLORIDA, RATIFYING THE EMERGENCY MEDICAL SERVICE DIRECTOR CONTRACT BETWEEN THE CITY OF BOYNTON BEACH AND KENNETH A. SCHEPPKE, M.D; AND PROVIDING AN EFFECTIVE DATE. WHEREAS, although this matter was approved by the City Commission at the December 5, 2000 Commission meeting, there have been minor modifications made to the Agreement; and WHEREAS, this modified agreement is now brought before you for ratification; NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF BOYNTON BEACH, FLORIDA, THAT: Section 1. The City Commission of the City of Boynton Beach, Florida does hereby ratify the Emergency Medical Service Director Contract between the City of Boynton Beach and Kenneth A. Scheppke, M.D., a copy of said Contract being attached hereto as Exhibit "A ". Section 2. This Resolution will become effective immediately upon passage. PASSED AND ADOPTED this _ day of January, 2001. CITY OF BOYNTON BEACH, FLORIDA Mayor Vice Mayor Commissioner Commissioner Commissioner ATTEST: City Clerk EMERGENCY MEDICAL SERVICE DIRECTOR CONTRACT THIS CONTRACT, entered into on , 2000, between the CITY OF BOYNTON BEACH, Florida (hereinafter "CITY ") and Kenneth A. Scheppke, M.D. (hereinafter "MEDICAL DIRECTOR ") for Emergency Medical Services Director, is entered into subject to the following terms and conditions: The City of Boynton Beach and Kenneth A. Scheppke, M.D. 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 a 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. 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. 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 govemmental 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 MEDICAL DIRECTOR's right to practice as an independent physician at all times. 2. The MEDICAL DIRECTOR shall accept responsibility for the medical performance of the Emergency Medical Technicians, Paramedics 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 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 Chapter 401, Florida Statutes; Section 401.46, Florida Statutes; Chapter 64E -2, Florida Administrative Code; duties and regulations promulgated by the Flora 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 Life Guards, 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 Paramedics 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 EMTs 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, and 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. These duties will be performed periodically 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. Further the EMS Coordinator shall be the MEDICAL DIRECTOR's agent for purpose of quality assurance pursuant to Florida State Statute. 7. 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. 8. 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 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 64E -2, as set forth in Exhibit "A" to this Agreement. 9. MEDICAL DIRECTOR shall provide the Fire Chief with written reports as required by Fire Chief regarding efficiency, effectiveness, and general performance of the CITY's Emergency Medical Services System. 10. 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 as Medical Director of the Boynton Beach Fire Department, but said indemnification shall be to the extent only of any amount due and owing from MEDICAL DIRECTOR which exceed applicable insurance coverages maintained either by MEDICAL DIRECTOR or by the CITY on behalf of MEDICAL DIRECTOR. 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 sum of Twenty -One Thousand Dollars $21,000 per year (with the monthly rate being Seventeen hundred and Fifty Dollars ($1,750.00) dollars per month for twelve (12) months, payable at the end of each month for services outlined in this contract. 12. The CITY will provide portable radio communications and an Alpha Numeric or Digital Pager for the use of the MEDICAL DIRECTOR. 13. In matters of employee relations and concem, the MEDICAL DIRECTOR, under the terms of this contract is considered to be a member of the administration and supervisory division of the Fire Department and will be expected to aid 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 the circumstances relating to any employee decisions 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 the Civil Service Board, grievance procedures of the union contract, etc. as a 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. 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 and so that he can become involved in 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 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. MEDICAL DIRECTOR hereby agrees to perform those duties set forth in Exhibit "A" and in the Specifications (as set forth in the RFP) for the position set forth in Exhibit "B." Exhibit "A" and "B" are attached hereto and incorporated herein. 20. The term of this agreement shall be for twelve (12) months effective January 1, 2001, through December 31, 2001. IN WITNESS WHEREOF the parties hereto have caused these presents to be signed by their duly authorized officers and by the MEDICAL DIRECTOR on this � day of 2ec ev e r , 2000 . WITNESS: CITY OF BOYNTON BEAC , FLORIDA M yor WITNESS: MEDICAL DIRECTOR IAA t' / i ii: • en,i e ,4 PRINT NAME ATTEST: Ci Clerk \\ � \\ \\�►tiU un1/ (Cc �b"1§th 4, 1 920 • S c MTSt ( �1 `` T S DIRECTOR '1/4///I EXHIBIT "A" 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 reasonable evaluative processes and techniques and should include at least 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 evaluation 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; and 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 the 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 educational programs, in assuring that each paramedic receives such training and experience as required. 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 for use standing riders 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. Be responsible for the medical correctness of any standing order which he 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 implemented 401.46, 401.47 FS. History New 9- 10 -78). " EXHIBIT `B" SPECIFICATIONS FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE/EMTS, PARAMEDICS AND LIFEGUARDS 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 /Lifeguards, functioning in the Fire and Emergency Medical Services Department and the Parks and Recreation Department under applicable provisions of Florida Statutes. I. Related Responsibilities A. The Medical Director serves as the Fire Department's physician for the purposes 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 Lifeguards, who may be certified as Emergency Medical Technicians. C. The Medical Director agrees to both.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: D. Actual accompaniment of Paramedics and EMTs on rescue calls; E. Monitoring of radio transmissions to and from hospital emergency departments and related facilities; . F. Review of rescue incident reports and associated documentation; G. Conference and/or meetings in both individual and group situations; H. Review of Standard Operating Procedures and Protocols involving multi - agency responses to medical emergencies; I. 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 regarding efficiency and effectiveness and general performance of the City's Emergency Medical Services System. II. The Medical Director shall perform all services required of him 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 established by the Florida Department of Health. III. 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. IV. Services and responsibilities: A. The Medical Director will assure the continuous availability of a least one qualified physician as outlined in Section I, 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 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. B. The Medical Director will 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 the State of Florida, as well as educational, institutions, medical societies and other agencies or institutions relating to the provision of Emergency Medical Services. C 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. D. The Medical Director shall administer a protocol examination andior practical test as he /she sees fit to determine the competence of all Emergency Medical Services personnel covered by this agreement. E. Upon request, the Medical Director will participate in the design and structure of selection procedures for entry level personnel for the City of Boynton Beach. F. Upon request, the Medical Director will consult with the Fire Chief regarding promotional testing criteria for incumbent personnel. G. Upon request, the Medical Director will 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 Life Guard unit, has been, or may have been, exposed to infectious diseases or hazardous materials. H. Upon request, the Medical Director will maintain data regarding the status of employees who have been, or may have been, exposed to the infectious diseases or hazardous materials. I. 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. J. 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. • However, responsibility for the efficient delivery of these services shall remain with the physician selected as the Medical Director and no increase in the annual fee shall occur based on this election. K. The Medical Director will oversee and provide instruction during department scheduled in- service training. for a minimum of 6 hours per month. V. Consideration of the City of Boynton Beach Because the 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 medical malpractice insurance policy insuring the Medical Director against liability arising out of negligent acts or omissions of the Medical Director in the performance of his duties as Medical Director during the term of -this Agreement. If this insurance policy provides coverage on a premium of this policy for a coverage period ending not less than four (4) years following termination of employment of the Medical Director, the provisions of this paragraph shall survive termination of this Agreement, regardless of whether termination is by the Medical Director or by the City, or by expiration of the term of this Agreement, until four (4) years after termination. VI. 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. VII. 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 and department related administrative and secretarial support to the Medical Director through the Office of the Fire Chief. VIII. 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. IX. In consideration of the requirements and standards enumerated herein, I propose to perform these functions and duties for a fee of $1,750.00 per month. I am able to assume these responsibilities. Request for Qualification Requirements X. Standards to be met by the Medical Director A. The Medical Director shall be a Florida State licensed physician; and B. Is an ACLS (Advanced Cardiac Life Support) provider with instructor certification, and is an ACLS affiliate faculty member of the American Heart Association; or C. Is a Board-Certified Emergency Physician, or is currently employed as an Emergency Department Physician in the State of Florida, or who has previously been an Emergency Department Physician in the State of Florida within the past (5) five years; D. Maintains official privileges and affiliation with one or more of the following medical facilities: Bethesda Memorial or John F. Kennedy Hospital. 12 Signature .'., Date ) Z`frijo ATTACH COPIES OF ALL REQUIRED LICENSES, CERTIFICATIONS DOCUMENTATION OF PRIVILEGES AND AFFILIATIONS, A CURRICULUM VITAE, ALONG WITH OTHER CREDENTIALS OR INFORMATION YOU WISH TO HAVE CONSIDERED BY THE CITY AS PART OF THIS REQUEST FOR QUALIFICATIONS /SERVICES. IN ADDITION, ALL CURRENT AND ANTICIPATED CONTRACTUAL AGREEMENTS NAMING THE PHYSICIAN AS MEDICAL DIRECTOR FOR ANY OTHER GOVERNMENTAL AGENCY, BODY, INSTITUTION OR PRIVATE OR PUBLIC SERVICE SHALL BE IDENTIFIED AT THE TIME OF SUBMISSION OF THIS REQUEST FOR QUALIFICATION /SERVICES. 12 C —f‘. EMERGENCY MEDICAL SERVICE DIRECTOR CONTRACT THIS CONTRACT, entered into on _ Ce%�` - � P--' cC : CITY OF BOYNTON BEACH, Florida (hereina , M.D. (hereinafter "MEDICAL DIRECTOR ") for E � (t_4_,____ ntered into subject to the following terms and cor The City of Boynton Beach and Ker t iat the terms of this Contract provide an outline c bilities of the CITY and the Medical Director for if ' ogram (EMS), which is a part of the CITY's Munici — Dntract in the following Sections are aimed at id eneral relationship with the CITY, his responsib 'elated activities of the EMS Program, and the r r local training and certification of the Paramedic inciple that the MEDICAL DIRECTOR will r rtment Administration and will direct his requests rur cyulyr11c1 It CH IU cyulf.Jl 1 ici it aao1y1 1171ents; 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. 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 MEDICAL DIRECTOR's right to practice as an independent physician at all times. 2. The MEDICAL DIRECTOR shall accept responsibility for the medical performance of the Emergency Medical Technicians, Paramedics 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 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 Chapter 401, Florida Statutes; Section 401.46, Florida Statutes; Chapter 64E -2, Florida Administrative Code; duties and regulations promulgated by the Flora 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 Life Guards, 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 Paramedics 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 EMTs 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, and 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. These duties will be performed periodically 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. Further the EMS Coordinator shall be the MEDICAL DIRECTOR's agent for purpose of quality assurance pursuant to Florida State Statute. 7. 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. 8. 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 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 64E -2, as set forth in Exhibit "A" to this Agreement. 9. MEDICAL DIRECTOR shall provide the Fire Chief with written reports as required by Fire Chief regarding efficiency, effectiveness, and general performance of the CITY's Emergency Medical Services System. 10. 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 as Medical Director of the Boynton Beach Fire Department, but said indemnification shall be to the extent only of any amount due and owing from MEDICAL DIRECTOR which exceed applicable insurance coverages maintained either by MEDICAL DIRECTOR or by the CITY on behalf of MEDICAL DIRECTOR. 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 sum of Twenty -One Thousand Dollars $21,000 per year (with the monthly rate being Seventeen hundred and Fifty Dollars ($1,750.00) dollars per month for twelve (12) months, payable at the end of each month for services outlined in this contract. 12. The CITY will provide portable radio communications and an Alpha Numeric or Digital Pager for the use of 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 Department and will be expected to aid 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 the circumstances relating to any employee decisions 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 the Civil Service Board, grievance procedures of the union contract, etc. as a 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. 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 and so that he can become involved in 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 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. MEDICAL DIRECTOR hereby agrees to perform those duties set forth in Exhibit "A" and in the Specifications (as set forth in the RFP) for the position set forth in Exhibit "B." Exhibit "A" and "B" are attached hereto and incorporated herein. 20. The term of this agreement shall be for twelve (12) months effective January 1, 2001, through December 31, 2001. IN WITNESS WHEREOF the parties hereto have caused these presents to be signed by their duly authorized officers and by the MEDICAL DIRECTOR on this _ � day of bec evrJ e , 2000 . WITNESS: CITY OF BOYNTON BEAC , FLORIDA L M yor WITNESS: MEDICAL DIRECTOR ').r , i�� ill 1! / /ni • en e i4 S e . PRINT NAME ATTEST: Cit 'Clerk \\�\\\\\1t►1urr/ ii (Cgi��SUII3 / A c .Q�POR -7 192 S C MTSA1_fPLU��NT1 DIRECTOR •%/1 / 1 /1/11 1 l 1O \ \\ EXHIBIT "A" 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 reasonable evaluative processes and techniques and should include at least 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 evaluation 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; and 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 the 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 educational programs, in assuring that each paramedic receives such training and experience as required. 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 for use standing riders 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. Be responsible for the medical correctness of any standing order which he 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 implemented 401.46, 401.47 FS. History New 9- 10 -78). " EXHIBIT "B" SPECIFICATIONS FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE/EMTS, PARAMEDICS AND LIFEGUARDS 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 /Lifeguards, functioning in the Fire and Emergency Medical Services Department and the Parks and Recreation Department under applicable provisions of Florida Statutes. I. Related Responsibilities A. The Medical Director serves as the Fire Department's physician for the purposes 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 Lifeguards, who may be certified as Emergency Medical Technicians. C. The Medical Director agrees to both 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: D. Actual accompaniment of Paramedics and EMTs on rescue calls; E. Monitoring of radio transmissions to and from hospital emergency departments and related facilities; F. Review of rescue incident reports and associated documentation; G. Conference and/or meetings in both individual and group situations; H. Review of Standard Operating Procedures and Protocols involving multi - agency responses to medical emergencies; I. 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 regarding efficiency and effectiveness and general performance of the City's Emergency Medical Services System. II. The Medical Director shall perform all services required of him 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 established by the Florida Department of Health. III. 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 m- 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. IV. Services and responsibilities: A. The Medical Director will assure the continuous availability of a least one qualified physician as outlined in Section I, 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 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. B. The Medical Director will 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 the State of Florida, as well as educational, institutions, medical societies and other agencies or institutions relating to the provision of Emergency Medical Services. C The Medical Director will retain ultimate authonty 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. D 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. E. Upon request, the Medical Director will participate in the design and structure of selection procedures for entry level personnel for the City of Boynton Beach. F. Upon request, the Medical Director will consult with the Fire Chief regarding promotional testing criteria for incumbent personnel. G. Upon request, the Medical Director will 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 Life Guard unit, has been, or may have been, exposed to infectious diseases or hazardous materials. H. Upon request, the Medical Director will maintain data regarding the status of employees who have been, or may have been, exposed to the infectious diseases or hazardous materials. I. 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. J. 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. • However, responsibility for the efficient delivery of these services shall remain with the physician selected as the Medical Director and no increase in the annual fee shall occur based on this election. K. The Medical Director will oversee and provide instruction during department scheduled in- service training. for a minimum of 6 hours per month. V. Consideration of the City of Boynton Beach Because the 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 medical malpractice insurance policy insuring the Medical Director against liability arising out of negligent acts or omissions of the Medical Director in the performance of his duties as Medical Director during the term of this Agreement. If this insurance policy provides coverage on a premium of this policy for a coverage period ending not less than four (4) years following termination of employment of the Medical Director, the provisions of this paragraph shall survive termination of this Agreement, regardless of whether termination is by the Medical Director or by the City, or by expiration of the term of this Agreement, until four (4) years after termination. VI. 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. VII. 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 and department related administrative and secretarial support to the Medical Director through the Office of the Fire Chief. VIII. 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. IX. In consideration of the requirements and standards enumerated herein, I propose to perform these functions and duties for a fee of $1,750.00 per month. I am able to assume these responsibilities. Request for Qualification Requirements X. Standards to be met by the Medical Director A. The Medical Director shall be a Florida State licensed physician; and B. Is an ACLS (Advanced Cardiac Life Support) provider with instructor certification, and is an ACLS affiliate faculty member of the American Heart Association; or C. Is a Board- Certified Emergency Physician, or is currently employed as an Emergency Department Physician in the State of Florida, or who has previously been an Emergency Department Physician in the State of Florida within the past (5) five years; D. Maintains official privileges and affiliation with one or more of the following medical facilities: Bethesda Memorial or John F. Kennedy Hospital. 12 Sigiature r �.t, A i'V1 � " Date ) 2-/p /n) ATTACH COPIES OF ALL REQUIRED LICENSES, CERTIFICATIONS DOCUMENTATION OF PRIVILEGES AND AFFILIATIONS, A CURRICULUM VITAE, ALONG WITH OTHER CREDENTIALS OR INFORMATION YOU WISH TO HAVE CONSIDERED BY THE CITY AS PART OF THIS REQUEST FOR QUALIFICATIONS /SERVICES. IN ADDITION, ALL CURRENT AND ANTICIPATED CONTRACTUAL AGREEMENTS NAMING THE PHYSICIAN AS MEDICAL DIRECTOR FOR ANY OTHER GOVERNMENTAL AGENCY, BODY, INSTITUTION OR PRIVATE OR PUBLIC SERVICE SHALL BE IDENTIFIED AT THE TIME OF SUBMISSION OF THIS REQUEST FOR QUALIFICATION /SERVICES. 12 V CONSENT AGENDA ITEM B -2. ,cot � ° 2 CITY OF BOYNTON BEACH o e AGENDA ITEM REQUEST FORM PD /�? 7 J i / Requested City Commission Date Final Form Must be Turned Requested City Commission Date Final Form Must be Turned Meeting Dates in to City Clerk's Office Meeting Dates in to City Clerk's Office ❑ November 21, 2000 November 9, 2000 (5 00 p m) ❑ January 16, 2001 January 3, 2001 (5 00 p m ) ® December 5, 2000 November 22, 2000 (5 00 p m) ❑ February 6, 2001 January 17, 2001 (5 00 p m ) ❑ December 19, 2000 December 6, 2000 (5 00 p m) ❑ February 20, 2001 February 7, 2001 (5 00 p m ) ❑ January 2, 2001 December 20, 2000 (5 00 p m) ❑ March 6, 2001 February 21, 2001 (5 00 p m ) COM ❑ Administrative ❑ Development amiss 6 NATURE OF ❑ Consent Agenda ❑ New Business Ap JV AGENDA ITEM ❑ Public Heanng ❑ Legal • Bids ❑ Unf ❑ Announcement ❑ Pres6ntation RECOMMENDATION: Motion to award "RFQ FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE/EMTS, PARAMEDICS AND LIFEGUARDS ", RFQ #007- 2210- 01/KR, to Dr. Kenneth A. Scheppke of Jupiter, Florida in the amount of $ 21,000.00. EXPLANATION: On October 31, 2000, two (2) RFQ's were received by Procurement Services. The Fire Department conducted oral interviews on November 8, 2000 with both candidates and the evaluations rated Dr. Scheppke as their choice for the Medical Director (see attached Memo 00 -072). Dr. Scheppke has served as the Interim Medical Director since September, 2000 and Deputy Chief Ness has been pleased with his professionalism. The total annual contract amount is $ 21,000 ($1,650 /month x 12 months + $ 1,200 /year professional development reimbursement = $ 21,000.00). CONTRACT PERIOD: JANUARY 1, 2001 to DECEMBER 31, 2001 PROGRAM IMPACT: The Medical Director will oversee the emergency medical services as provided by Fire Rescue, Paramedics, and Lifeguards, as well as other departmental administrative functions. The Medical Director will be an independent contractor supervising and accepting responsibility for the medical performance of Emergency Medical Technicians (EMT's), Paramedics, and first responders/Lifeguards, functioning in the Fire and Emergency Medical Services Department and the Parks and Recreation Department under applicable provision of Florida Statutes, Section 401.46. FISCAL IMPACT: ACCOUNT NAME/NUMBER BUDGETED AMOUNT OTHER CONTRACTUAL SERVICES' 001 - 2210 - 522.34 -51 $ 21,000.00 S \BULLETIN\FORMS\AGENDA ITEM REQUEST FORM DOC 4z•-• NT )1, CITY OF BOYNTON BEACH CO • 01 d 1 : 4 0 AGENDA ITEM REQUEST FORM ALTERNATIVES: .12*d' - Deputy Director of Financial Services City Manager's Signature Procurement Services Department Name City Attorney / Finance / Human Resources /ktr cc: Deputy Chief Ness File S \BULLETIN\FORMS\AGENDA ITEM REQUEST FORM DOC i I RESOLUTION NO. R00- A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF BOYNTON BEACH, FLORIDA, AUTHORIZING THE MAYOR AND CITY CLERK TO EXECUTE AN EMPLOYMENT AGREEMENT BETWEEN THE CITY OF BOYNTON BEACH AND KENNETH A. SCHEPPKE, M.D., AS THE EMERGENCY MEDICAL SERVICES DIRECTOR FOR THE CITY OF BOYNTON BEACH; AND PROVIDING AN EFFECTIVE DATE. WHEREAS, Section 401.46, Florida Statutes, requires that each Emergency Medical Services Program have an Emergency Medical Services Director. WHEREAS, the City Commission, upon recommendation of staff, has deemed it be in the best interests of the citizens, employees and residents of the City to enter into an Employment Agreement with Dr. Kenneth Scheppke, M.D., contract period beginning January 1, 2001 to December 31, 2001, as the Emergency Medical Service Director for the City of Boynton Beach. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF BOYNTON BEACH, FLORIDA, THAT: Section 1. The City Commission of the City of Boynton Beach, Florida does hereby authorize the Mayor and City Clerk to execute an Employment Agreement, between the City of Boynton Beach, Florida and Kenneth A. Scheppke, M.D., as the Emergency Medical Services Director for the City of Boynton Beach. A copy of said Agreement is attached hereto as Exhibit "A ". Section 2. This Resolution shall become effective immediately upon passage. PASSED AND ADOPTED this day of December, 2000. CITY OF BOYNTON BEACH, FLORIDA Mayor Vice Mayor Mayor Pro Tem Commissioner Commissioner City Clerk (Corporate Seal) S ca\Reso \EMS Dir112200 . Y o 2)± nnt APPENDIX A EMERGENCY MEDICAL SERVICE DIRECTOR CONTRACT U / THIS CONTRACT, entered into on , 2000, between the CIT OF BOYNTON BEACH, Florida (hereinafter "CITY ") and Kenneth A. Scheppke, M.D. (he -inafter "MEDICAL DIRECTOR ") for Emergency Medical Services Director, is entered into su' ect to the following terms and conditions: The City of Boynton Beach and Kenneth A. Scheppke. M.D. hereby agree th. the terms of this Contract provide an outline of the working relationships and responsibilities t the CITY and the Medical Director for the City's Emergency Medical Services Program (EM , which is a part of the CITY's Municipal Fire Department. The items in this Contract in the foil', ing Sections are aimed at identifying the MEDICAL DIRECTOR's general relationship with e CITY, his responsibility for supervising the direct medical related activities of the EMS 'rogram, and the MEDICAL DIRECTOR's responsibility for local training and certification rd the Paramedics. The Contract further supports the principle that the MEDICAL DIRECTO: will receive support from the Fire Department Administration and will direct his requests for - % uipment and equipment assignments; manpower and manpower assignments; and supplies of e Fire Department Administration and recognizes that assignments to the Paramedic Program 'ill be made by the Fire Chief in accordance with the overall resources and needs of the Fire D - . ent. 1. The CITY hereby contracts with the MED AL DIRECTOR and the MEDICAL DIRECTOR accepts this contract as MEDICAL I CTOR for the CITY OF BOYNTON BEACH Emergency Medical Services Progr. ' under the provisions of Section 401.46, Florida Statutes, and the applicable rules of any • vemmental agency implementing said Chapter or other established duties required to be , - ormed by said MEDICAL DIRECTOR, or upon notice from the CITY that such additional • uties have been established by the Florida Department of Health and Rehabilitative Services t is recognized that the MEDICAL DIRECTOR's contract with the CITY preserves MEDIC DIRECTOR's right to practice as an independent physician at all times. 2. The MEDICAL • 1' CTOR shall accept responsibility for the medical performance of the Emergency Me . ical Technicians, Paramedics, Lifeguards and certified Emergency Medical Dispatchers - • ployed by the CITY and serving in the Emergency Medical Services Program of the City F Department, herein referred to as EMS. The Medical Director shall be responsible directly t ' the City Manager; however, nothing herein shall in any way authorize any limitations or res •: ctions by the City Manager on the professional acts or advice of the Medical Director. 3. Th- Fire Chief, through the Department staff and operation procedure, will establish Department • licy for equipment and equipment assignment, and for supply purchase and use. The EDICAL 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 Chapter 401, Florida Statutes; Section 401.46, Florida Statutes; Chapter 64E -2, 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. 1 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 Life Guards, who may be certified as Emergency Medical Technicians. 6. The MEDICAL DIRECTOR agrees to both directly and indirectly supervise and .ccept responsibility for the medical performance of Emergency Medical Technicians, ertified Emergency Medical Dispatchers, and Paramedics functioning for the EMS and s : 1 have full authority to direct and supervise the medical activities in the field, in tr. 'ning 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 emerg- cy departments and related facilities. C. Review of incident reports and associated documenta 'on, and D. Conference and/or meeting in both individual . • group situations. E. Review of standard operating procedures •• d protocols involving multi- agency responses to medical emergencies. These duties will be performed pe: odically by the MEDICAL DIRECTOR at his/her convenience as often as is necess. o insure that proper medical standards and procedures are being followed. Cost for suppl • : necessary in- service instruction material will be assumed by the CITY and the material will . ecome the property of the CITY. Further the EMS Coordinator shall be the MEDICAL D 1' • TOR's agent for purpose of quality assurance pursuant to Florida State Statute. 7. The MEDICAL D1' CTOR shall have the services of the Departmental training program, facility and staff assist in carrying out training requirements for the EMS. MEDICAL DIRECTOR sha participate in daily in- service training scheduled by the Fire Department. 8. The MEDI AL DIRECTOR shall be eligible as a member as defined under Section N. Members , f the Agreement between the City of Boynton Beach and Florida Municipal Liability Self -In - ance Program. Coverage under this agreement shall be limited to the scope of duties as 1 1 ICAL DIRECTOR for the City of Boynton Beach Fire Department as outlined in Florida Sta te, Section 401.46 and Florida Administrative Code, Chapter 64E -2, as set forth in Exhibit " • ' to this Agreement. 9. MEDICAL DIRECTOR shall provide the Fire Chief with written reports as required by Fire Chief regarding efficiency, effectiveness, and general performance of the CITY's Emergency Medical Services System. 2 10. 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 as Medical Director of the Boynton Beach Fire Department, but said indemnification shall be to the extent only of any amount due and owing from MEDICAL DIRECTOR which exceed applicable insurance coverages maintained either by MEDICAL DIRECTOR or by the CITY on behalf of MEDICAL DIRECTOR. The provider shall indemnify and save harmless the MEDICAL DIRE OR from any and all liability incurred as a result of acts or omission of employees of the C of Boynton Beach Fire Department. 11. The CITY will pay the MEDICAL DIRECTOR the sum of ' TEEN THOUSAND EIGHT HUNDRED AND NO /100 CENTS ($19.800.00 ) wi the monthly rate being ONE THOUSAND SIX HUNDRED FIFTY AND NO/ 100 CE S ($1.650.00) per month for twelve (12) months, payable at the end of each month for se ces outlined in this contract. 12. The CITY will provide portable radio communic. ons and an Alpha Numeric or Digital Pager for the use of the MEDICAL DIRECTOR. 13. In matters of employee relations and cone , the MEDICAL DIRECTOR, under the terms of this contract is considered to be a membe of the administration and supervisory division of the Fire Department and will be expected to 'd the Fire Chief as the Fire Chief carries out grievance procedures, discipline, interviewing aramedics, paramedic school assignments, and union contract administrative requireme . A. The MEDICAL DIRECTO' will be expected to report to the Fire Chief the circumstances relating to any employee decisions for the Emergency Medical Services System such as discipline, de- certificat • n or promotion in which the MEDICAL DIRECTOR is involved. B. The MEDICAL D ' CTOR agrees to participate as required at personnel hearing boards such as grievan procedures of the union contract, etc. as a part of his Department administrative - sponsibilities of the Department without additional compensation. C. The MED ' AL DIRECTOR agrees to participate in the oral interview and skills test administ - d to all new firefighter applicants who have a paramedic certificate prior to their emplo , ent. MEDICAL DIRECTOR retains the right to prevent the hiring of any such indiv'dual for the purpose of employment as a paramedic if he or she does not perform sat' factorily during the interview and/or skills test. The content of the skills test will be in . cordance with current standardized criteria set up by the American Heart Association and American College of Emergency Physicians. P. 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. 3 14. From time to time the MEDICAL DIRECTOR will be expected to attend Dep nt administrative staff meetings so that he can give input to the administrative staff on the eeds and status of the EMS Program and so that he can become involved in and info ed 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 15. Any staffing changes that result in modifyi the Department's current EMS response protocols must be cleared through the MEDICAL IRECTOR. 16. Either party to this contract may, up • n giving thirty (30) days written notice to the other party, may terminate this contract for an eason whatsoever, and after the effective date of such notice all parties will be relieved of . ' further obligations under this contract. 17. The MEDICAL DIRECT • will assure the continuous availability of at least one qualified physician as Director w' o shall serve as Acting Medical Director in the absence of the MEDICAL DIRECTO' . In addition, the MEDICAL DIRECTOR will notify the Boynton Beach Fire Rescue Dep. nt whenever he /she will be unavailable for whatever reason, and will attempt to provide enty -four (24) hour prior notification of such unavailability except under emergency circ , tances. The notification shall be given to the Office of the Fire Chief, and shall include th= name and telephone numbers of the Acting Medical Director. 18. Upon requ the MEDICAL DIRECTOR will advise the Department on appropriate procedures to address ncidents in which an employee of the Fire Department has been or may have been exposes o infectious diseases or hazardous materials. 19. ME • CAL DIRECTOR hereby agrees to perform those duties set forth in Exhibit "A" and in th Specifications for the position set forth in Exhibit `B." Exhibit "A" and `B" are attached - reto and incorporated herein. 1. This term of this agreement shall be one (1) year from the date of execution, with CITY having the option to renew on a yearly basis for the next two (2) years, by providing written notice to MEDICAL DIRECTOR at least twenty (20) days prior to the expiration of the term that the CITY intends to renew the contract for an additional year. MEDICAL DIRECTOR shall indicate whether he or she wishes to remain a party to the agreement prior to the expiration of the term. 4 IN WITNESS WHEREOF the parties hereto have caused these presents to be signed b en duly authorized officers and by the MEDICAL DIRECTOR on this i ay of , 2000. WITNESS: CITY OF BOYNTON BEACH, FLORID • Mayor WITNESS: MEDICAL DIRECT • ' • P ' NAME ATTEST: City Clerk (Corp. Seal) 5 EXHIBIT "A" 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 reasonable evaluative processes and techniques and should include at least 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 evaluation 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; and 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 the 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 educational programs, in assuring that each paramedic receives such training and experience as required. 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 for use standing riders 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. 6 7. Be responsible for the medical correctness of any standing order which he 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 implemented 401.46, 401.47 FS. History New 9- 10 -78). 7 EXHIBIT "B" SPECIFICATIONS FOR MEDICAL DIRECTOR TO OVERSEE THE EMERGENCY MEDICAL SERVICES AS PROVIDED BY FIRE RESCUE/EMTS, PARAMEDICS AND LIFEGUARDS 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 /Lifeguards, functioning in the Fire and Emergency Medical Services Department and the Parks and Recreation Department under applicable provisions of Florida Statutes. I. Related Responsibilities A. The Medical Director serves as the Fire Department's physician for the purposes 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 Lifeguards, who may be certified as Emergency Medical Technicians. C. The Medical Director agrees to both 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: D. Actual accompaniment of Paramedics and EMTs on rescue calls; E. Monitoring of radio transmissions to and from hospital emergency departments and related facilities; F. Review of rescue incident reports and associated documentation; G. Conference and/or meetings in both individual and group situations; H. Review of Standard Operating Procedures and Protocols involving multi- agency responses to medical emergencies; I. Active participation in daily in- service training scheduled by the Fire Department. 8 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 regarding efficiency and effectiveness and general performance of the City's Emergency Medical Services System. II. The Medical Director shall perform all services required of him 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 established by the Florida Department of Health. III. 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. IV. Services and responsibilities: A. The Medical Director will assure the continuous availability of a least one qualified physician as outlined in Section I, 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 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. B. The Medical Director will 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 the State of Florida, as well as educational, institutions, medical societies and other agencies or institutions relating to the provision of Emergency Medical Services. 9 C. 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. D. 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. E. Upon request, the Medical Director will participate in the design and structure of selection procedures for entry level personnel for the City of Boynton Beach. F. Upon request, the Medical Director will consult with the Fire Chief regarding promotional testing criteria for incumbent personnel. G. Upon request, the Medical Director will 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 Life Guard unit, has been, or may have been, exposed to infectious diseases or hazardous materials. H. Upon request, the Medical Director will maintain data regarding the status of employees who have been, or may have been, exposed to the infectious diseases or hazardous materials. I. 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. J. 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. • However, responsibility for the efficient delivery of these services shall remain with the physician selected as the Medical Director and no increase in the annual fee shall occur based on this election. K. The Medical Director will oversee and provide instruction during department scheduled in- service training. for a minimum of 6 hours per month. V. Consideration of the City of Boynton Beach Because the 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 medical malpractice insurance policy insuring the Medical Director against liability arising out of negligent acts or omissions of the Medical Director in the performance of his duties as Medical Director during the term of this Agreement. 10 If this insurance policy provides coverage on a premium of this policy for a coverage period ending not less than four (4) years following termination of employment of the Medical Director, the provisions of this paragraph shall survive termination of this Agreement, regardless of whether termination is by the Medical Director or by the City, or by expiration - of the term of this Agreement, until four (4) years after termination. VI. In addition, the City shall reimburse the Medical Director for registration fees, travel, hotel and meals to permit the Medical Director or the Deputy Medical Director to attend professional conferences pertaining to Emergency Medical Services in each fiscal year; provided however, such expenses to the City shall not exceed twelve hundred dollars ($1,200.00) in any fiscal year; and provided further that such funds are provided for in the annual budget of the City in any fiscal year during the term of this Agreement. Approval of any such professional conferences shall be at the sole discretion of the Fire Chief, and city travel policy guidelines shall apply to individual and specific expense categories. The Medical Director at his/her sole discretion, may elect to have these funds incorporated into his/her basic fee for service and in such case, the preceding conditions of Section VI shall not apply. VII. 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. VIII. 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 and department related administrative and secretarial support to the Medical Director through the Office of the Fire Chief. IX. 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. X. In consideration of the requirements and standards enumerated herein, I propose to perform these functions and duties for a fee of $1.650.00 per month. I am able to assume these responsibilities. 11 Request for Qualification Requirements XI. Standards to be met by the Medical Director A. The Medical Director shall be a Florida State licensed physician; and B. Is an ACLS (Advanced Cardiac Life Support) provider with instructor certification, and is an ACLS affiliate faculty member of the American Heart Association; or C. Is a Board- Certified Emergency Physician, or is currently employed as an Emergency Department Physician in the State of Florida, or who has previously been an Emergency Department Physician in the State of Florida within the past (5) five years; D. Maintains official privileges and affiliation with one or more of the following medical facilities: Bethesda Memorial or John F. Kennedy Hospital. Signature Date ATTACH COPIES OF ALL REQUIRED LICENSES, CERTIFICATIONS DOCUMENTATION OF PRIVILEGES AND AFFILIATIONS, A CURRICULUM VITAE, ALONG WITH OTHER CREDENTIALS OR INFORMATION YOU WISH TO HAVE CONSIDERED BY THE CITY AS PART OF THIS REQUEST FOR QUALIFICATIONS /SERVICES. IN ADDITION, ALL CURRENT AND ANTICIPATED CONTRACTUAL AGREEMENTS NAMING THE PHYSICIAN AS MEDICAL DIRECTOR FOR ANY OTHER GOVERNMENTAL AGENCY, BODY, INSTITUTION OR PRIVATE OR PUBLIC SERVICE SHALL BE IDENTIFIED AT THE TIME OF SUBMISSION OF THIS REQUEST FOR QUALIFICATION /SERVICES. 12 ea CO C) MO O z Z 0 m m m0 0 m m m > r Z m0 K � co x cc 1- c �m r rJf A y m� p c m n m T. 71c ?i X00 0 5 -� m m M Cn y c co 0 c T Oz > m ° mm 0 0 z c T _10 m K 2 z cnD p �ZZ ` CO z mZ m X W < p p c p mm ► N V zz D om �` ° c z cn ro 4 m o c O m 1 m Dm KO cm ADD �Myy M °_ � - n �, CO ° -1 -1 W p t � O KD < > co ca 71 K �° �mm v�d.•. XJ �� 0 - �- °- m 0z0 'n > °zt O 0 1 0 0 m 0 0 0 xi . r H y m z m 0 - X c m n o cn c m O m tri ° 0 0 frne niM w_ ( b H rnC�Z j CDzz - =Z Op m Hc� Oz H m w� = O ^^ ° E 0 t rr -< O Z - ( O roC tli M Z O - Z X 13 _ ° o ° o m 0) o m 5 n v 0 v co 2-0 D� D m r 0 m E m° m -I z 0 =o 02gl 0 m y cn m r =D� r TA` -o (0_ o c D e m r � F i 0 m m a y Q co m oo g3 H � 0 co r = 13 Q y N ( I1 ` H Qi I n '< C w < / m 1 ^ C) d m O O N W- o 3 a Y I H b f7 ;0 C7 m St ° C H Z 0) U) O 0 0) 0) CO Cp 2= co a m w D 0 m Na = g N AO- Z. @ 2 (D < 3 > C) K Q j a x r ° • S a (D H a N N Cl) Z c CA ni g m . a a o < H 0 m coo cn 0 z m CA o 0 z 0 mmm � A p00 m - l o x J X00 r �1 -I D D x o mm 00 cn mo v' oZZ <X 0 o N 00 m D K o o 0 0 p m me ° mm -< +1 7J p� r m m m0 m K 0 3 73 53 co m r.�N X� Cl) (-) Ca rnC - C 0 ..- z N N m x --=1 =z o 0 �� K_ °o E 0 . 0• CD (11 to 0 -< '0 = o ° o m cn z - m v > c�nx K� > m o 3m m-I =o p 2 cnm (J) � "0 D -6, d D E c m rn = o £ m 1 v .11. r- mg @ a r m ° ° ° rI 0a < m z -n m 2 n a a a _ C as co X m ? ,, a y m m55 y a°a ou C Z 13 M 6 43 ' p _ m g m `° _ `° `° cn C7 @ " > 0 � F r P3 o 3 a M 6) w CD o "' d ' m XI d o < m `D N 0 m Cn Fire Department Memorandum 00 -072 To: Karen Rise ley From: Deputy Chief J. Nes Date: November 14, 2000 Re: Medical Director Contract— agenda request Our RFQ process was concluded last week with the completion of our oral interviews. Present at these interviews from Boynton Beach Fire Rescue were Deputy Chief Liu, Captain Witt, and EMS Chief Rudy; from the Delray Beach Fire Rescue Department was Lt. Twigger, and from Lake Worth Fire Rescue was Deputy Chief Herb Redmond. Based upon the scoring of the candidates, Dr. Scheppke was selected as our choice for Medical Director. Please proceed with the agenda request for Dr. Scheppke's contract approval. I will contact our legal department and have them prepare the new contract. The new contract will cover January 1 2001 through December 31 2001. Your assistance in this matter has been greatly appreciated. C: Chief Bingham Legal Dept. CJr INTERVIEW RATING FORM NAME OF APPLICANT /1 t • ScL e yi Ac POSITION INTERVIEWED FOR: Medical Director Department Fire Resale Date: November 8, 2000 Time Started P Time Ended 1-.1C Interviewer: i(ere'ri d l- QUESTIONS 1 5 4 1 3 2 1 1 0 - I 1. Question: For the stability of our EMS program. it is important that the medical director we choose remains with us for a minimum of one year, with the likelihood that his contract will be renewed for an additional year. Given the questionable X employment stability of the E.R. environment, what assurances can you give us that you will be here for the next one to two years. 2. Question: Describe your experiences working with paramedics and EMTs in the past? Have you had any experiences working in X the field with prehospital personnel. 3. Question: Describe and give examples of any EMS training programs you have been involved with. �( 4. Question: We are looking for a "hands on" Medical Director. There are a number of departmental programs that will require your involvement on a routine basis, i.e. Quality Improvement reviews, Monthly Training sessions, ClinCon Competition, Equipment Review committee, etc. Are you prepared to make a X commitment to participate in these activities? Can you provide any examples of similar programs you have been personally involved with. 5. Question: There are times when our paramedics will need your 1 assistance /advice while at calls. Would you be accessible? Do you have a contingency plan to provide coverage when you are not available, and if so, what is that plan? 6. Question: Do you have any experience in working with a Fire Rescue Department? Specifically, experiences dealing with labor unions, Incident Command System, local governmental agencies, �( or similar paramilitary organizations. 7. Question: In summing up your background and experiences, what specific assets do you feel you bring to the table as our potential medical director'' SUB TOTALS / p / 3 ( See page 2 for Rating Key) /o L /: 15 Nov. 8, 2000 L ,AL INTERVIEW RATING FI.riM NAME OF APPLICANT. Y " . \.,∎ ._-\,\, y...,__ POSITION INTERVIEWED FOR. Medical Director Department Fire Rescue Date: November 8 ' 000 Ti.•e Started 1.'k Time Ended Interviewer: _LA"- .. . V I QUESTIONS 1 5 4 3 2 1 0 i _ 1. Question: For the stability of our EMS program, it is important that the medical director we choose remains with us for a minimum of one year, with the likelihood that his contract will be renewed for an additional year Given the questionable employment stability of the E.R. environment, what assurances can you give us that you will be here for the next one to two years. ! i 2. Question: Describe your experiences working with paramedics i I and EMTs in the past? Have you had any experiences working in / I the field with prehospital personnel. V 3. Question: Describe and give examples of any EMS training programs you have been involved with. V � 4. Question: We are looking for a "hands on" Medical Director. There are a number of departmental programs that will require your involvement on a routine basis, i.e. Quality Improvement reviews, Monthly Training sessions, ClinCon Competition, Equipment Review committee, etc. Are you prepared to make a commitment to participate in these activities? Can you provide any examples of similar programs you have been personally involved with. 5. Question: There are times when our paramedics will need your assistance /advice while at calls. Would you be accessible? Do you have a contingency plan to provide coverage when you are i not available, and if so, what is that plan? 6. Question: Do you have any experience in working with a Fire Rescue Department? Specifically, experiences dealing with labor j unions, Incident Command System, local governmental agencies, V or similar paramilitary organizations. 7. Question: In summing up your background and experiences, what specific assets do you feel you bring to the table as our potential medical directory y SUB TOTALS 11? 1U ( See page 2 for Rating Key) -r-o-04- - 3 Nov. 8, 2000 'AL INTERVIEW RATING F 3M NAME OF APPLICANT. 1l /=lt / /1Ji %ti' POSITION INTERVIEWED FOR: Medical Director Department Fire Rescue Date: November 8, 2000 Time Started ' Time Ended / s Interviewer: QUESTIONS 1 5 1 4 3 2 1 1 0 1. Question: For the stability of our EMS program, it is important I l that the medical director we choose remains with us for a minimum of one year, with the likelihood that his contract will be renewed for an additional year. Given the questionable employment stability of the E.R. environment, what assurances can you give us that you will be here for the next one to two years. �/ 2. Question: Describe your experiences working with paramedics /� and EMTs in the past? Have you had any experiences working in the field with prehospital personnel. 3. Question: Describe and give examples of any EMS training programs you have been involved with. �( 4. Question: We are looking for a "hands on" Medical Director. There are a number of departmental programs that will require your involvement on a routine basis, i.e. Quality Improvement reviews, Monthly Training sessions, ClinCon Competition, Equipment Review committee, etc. Are you prepared to make a commitment to participate in these activities? Can you provide any examples of similar programs you have been personally involved with. 5. Question: There are times when our paramedics will need your assistance /advice while at calls. Would you be accessible? Do you have a contingency plan to provide coverage when you are not available, and if so, what is that plan? 6. Question: Do you have any experience in working with a Fire Rescue Department? Specifically, experiences dealing with labor unions, Incident Command System, local governmental agencies, or similar paramilitary organizations. 7. Question: In summing up your background and experiences, what specific assets do you feel you bring to the table as our potential medical director? SUB TOTALS 30 ( See page 2 for Rating Key) 174' - 3 Nov. 8, 2000 Gr<AL INTERVIEW RATING FORM NAME OF APPLICANT: 1 n L. Sr Le f F POSITION INTERVIEWED FOR: Medical Director Department Fire Rescue Date: November 8, 2000 Time Started /• f ' Time Ended 1•' SIC r Interviewer: Av iV\ LILA ! QUESTIONS 1 5 4 13 1 2 1 0 - 1. Question: For the stability of our EMS program, it is important that the medical director we choose remains with us for a minimum of one year, with the likelihood that his contract will be renewed for an additional year. Given the questionable employment stability of the E.R. environment, what assurances can you give us that you will be here for the next one to two years. 2. Question: Describe your experiences working with paramedics and EMTs in the past? Have you had any experiences working in the field with prehospital personnel. 3. Question: Describe and give examples of any EMS training programs you have been involved with. 4. Question: We are looking for a "hands on" Medical Director. There are a number of departmental programs that will require your involvement on a routine basis, i.e. Quality Improvement reviews, Monthly Training sessions, ClinCon Competition, Equipment Review committee, etc. Are you prepared to make a commitment to participate in these activities? Can you provide any examples of similar programs you have been personally involved with. 5. Question: There are times when our paramedics will need your assistance /advice while at calls. Would you be accessible? Do you have a contingency plan to provide coverage when you are not available, and if so, what is that plan? 6. Question: Do you have any experience in working with a Fire Rescue Department? Specifically, experiences dealing with labor unions, Incident Command System, local governmental agencies, or similar paramilitary organizations. 7. Question: In summing up your background and experiences, what specific assets do you feel you bring to the table as our potential 17 medical director? SUB TOTALS ZJ i s 3 ( See page 2 for Rating Key) --TOT L ' 3 Nov. 8, 2000 U AL INTERVIEW RATING FORM NAME OF APPLICANT: f_ y E ( POSITION INTERVIEWED FOR Medical Director Department Fire Rescue Date: November 8, 2000 Time Started /3 `15 Time Ended , • Interviewer: `i ' 1C��1��f�i' ! �� QUESTIONS 15 4 13 1 2 1 i 0 _ 1. Question: For the stability of our EMS program, it is important that the medical director we choose remains with us for a minimum of one year, with the likelihood that his contract will be renewed for an additional year. Given the questionable y ' employment stability of the E.R. environment, what assurances ,\ can you give us that you will be here for the next one to two years. 2. Question: Describe your experiences working with paramedics and EMTs in the past? Have you had any experiences working in / the field with prehospital personnel. 3. Question: Describe and give examples of any EMS training programs you have been involved with. ' 4. Question: We are looking for a "hands on" Medical Director. There are a number of departmental programs that will require your involvement on a routine basis, i.e. Quality Improvement reviews, Monthly Training sessions, ClinCon Competition, Equipment Review committee, etc. Are you prepared to make a V commitment to artici ate in these activities? Can you provide P P Y P \ any examples of similar programs you have been personally involved with. 5. Question: There are times when our paramedics will need your assistance /advice while at calls. Would you be accessible? Do you have a contingency plan to provide coverage when you are not available, and if so, what is that plan? 6. Question: Do you have any experience in working with a Fire Rescue Department? Specifically, experiences dealing with labor unions, Incident Command System, local governmental agencies, ts or similar paramilitary organizations. 7. Question: In summing up your background and experiences, what specific assets do you feel you bring to the table as our potential medical director? SUB TOTALS L ?� ( See page 2 for Rating Key) w Nov. 8, 2000 Or<AL INTERVIEW RATING FORM NAME OF APPLICANT 4 . .�c.. 4 P IA e. r POSITION INTERVIEWED FOR: Medical Director Department Fire Rescue Date: November 8, 2000 Time Started I'l l f Time Ended / y- Interviewer: i 7o- J QUESTIONS 5I4 312i1'0 _ i 1. Question: For the stability of our EMS program, it is important that the medical director we choose remains with us for a minimum of one year, with the likelihood that his contract will be renewed for an additional year. Given the questionable X ! ! i employment stability of the E.R. environment, what assurances can you give us that you will be here for the next one to two years. • 2. Question: Describe your experiences working with paramedics and EMTs in the past? Have you had any experiences working in the field with prehospital personnel. )46 G 3. Question: Describe and give examples of any EMS training programs you have been involved with. 4. Question: We are looking for a "hands on" Medical Director. There are a number of departmental programs that will require your involvement on a routine basis, i.e. Quality Improvement reviews, Monthly Training sessions, ClinCon Competition, Equipment Review committee, etc. Are you prepared to make a commitment to participate in these activities? Can you provide any examples of similar programs you have been personally involved with. 5. Question: There are times when our paramedics will need your assistance /advice while at calls. Would you be accessible? Do you have a contingency plan to provide coverage when you are not available, and if so, what is that plan? 6. Question: Do you have any experience in working with a Fire Rescue Department? Specifically, experiences dealing with labor unions, Incident Command System, local governmental agencies, or similar paramilitary organizations. �( 7. Question: In summing up your background and experiences, what specific assets do you feel you bring to the table as our potential medical director? SUB TOTALS S 2,y ( See page 2 for Rating Key) �6 I _ 2-5 Nov. 8, 2000 ORAL INTERVIEW RATING FORM NAME OF APPLICANT: C� ` m ` I ^ 4 -' �"'`r POSITION INTERVIEWED FOR: Medical Director Department Fire Rescue Date: November 8, 0, Time farted )n \` Time Ended Interviewer: �� U QUESTIONS 5 4i3J2 1 0 1. Question: For the stability of our EMS program, it is important that the medical director we choose remains with us for a minimum of one year, with the likelihood that his contract will be renewed for an additional year. Given the questionable �( employment stability of the E.R. environment, what assurances can you give us that you will be here for the next one to two years. 2. Question: Describe your experiences working with paramedics and EMTs in the past? Have you had any experiences working in the field with prehospital personnel. 3. Question: Describe and give examples of any EMS training programs you have been involved with. 4. Question: We are looking for a "hands on" Medical Director. There are a number of departmental programs that will require your involvement on a routine basis, i.e. Quality Improvement reviews, Monthly Training sessions, ClinCon Competition, Equipment Review committee, etc. Are you prepared to make a 1 � commitment to participate in these activities? Can you provide any examples of similar programs you have been personally involved with. 5. Question: There are times when our paramedics will need your assistance /advice while at calls. Would you be accessible? Do you have a contingency plan to provide coverage when you are X not available, and if so, what is that plan? 6. Question: Do you have any experience in working with a Fire Rescue Department? Specifically, experiences dealing with labor unions, Incident Command System, local governmental agencies, X or similar paramilitary organizations. 7. Question: In summing up your background and experiences, what specs tic assets do you feel you bring to the table as our potential X medical director? SUB TOTALS I , ( See page 2 for Rating Key) Nov. 8, 2000 ;AL INTERVIEW RATING F �M NAME OF APPLICANT: C I -1 /Z 15 i C.�4�1• }( -lam �( I ! 1Z4i 1F POSITION INTERVIEWED FOR: Medical Director Department Fire Rescue Date: November 8, 2000 Time Started i ` / 1 Time Ended , Interviewer: ) 'e• JZ -4.-(O •'f QUESTIONS J 5 4 3' 2 1 0 _ 1. Question: For the stability of our EMS program, it is important that the medical director we choose remains with us for a minimum of one year, with the likelihood that his contract will be renewed for an additional year. Given the questionable employment stability of the E.R. environment, what assurances can you give us that you will be here for the next one to two years. 2. Question: Describe your experiences working with paramedics and EMTs in the past? Have you had any experiences working in the field with prehospital personnel. l/ 3. Question: Describe and give examples of any EMS training programs you have been involved with. 4. Question: We are looking for a "hands on" Medical Director. There are a number of departmental programs that will require your involvement on a routine basis, i.e. Quality Improvement reviews, Monthly Training sessions, ClinCon Competition, Equipment Review committee, etc. Are you prepared to make a commitment to participate in these activities? Can you provide any examples of similar programs you have been personally ✓ involved with. 5. Question: There are times when our paramedics will need your assistance /advice while at calls. Would you be accessible? Do you have a contingency plan to provide coverage when you are not available, and if so, what is that plan? 6. Question: Do you have any experience in working with a Fire Rescue Department? Specifically, experiences dealing with labor unions, Incident Command System, local governmental agencies, or similar paramilitary organizations. 7. Question: In summing up your background and experiences, what specific assets do you feel you bring to the table as our potential medical director? SUBTOTALS 10 IL, 3 ( See page 2 for Rating Key) �' r ('-( - z? Nov. 8, 2000 ORAL INTERVIEW RATING FORM NAME OF APPLICANT: CL,. -iS of e,� S L ;rer. c► , POSITION INTERVIEWED FOR: Medical Director Department Fire Rescue krS Date: November 8, 2000 Time Started P41 Time Ended /'f? 2 1 Interviewer: b, — QUESTIONS 5 4 1 3 21 1 f 0 1. Question: For the stability of our EMS program, it is important that the medical director we choose remains with us for a minimum of one year, with the likelihood that his contract will be renewed for an additional year. Given the questionable employment stability of the E.R. environment, what assurances can you give us that you will be here for the next one to two years. 2. Question: Describe your experiences working with paramedics and EMTs in the past? Have you had any experiences working in the field with prehospital personnel. 3. Question: Describe and give examples of any EMS training programs you have been involved with. 4. Question: We are looking for a "hands on" Medical Director. There are a number of departmental programs that will require your involvement on a routine basis, i.e. Quality Improvement reviews, Monthly Training sessions, ClinCon Competition, Equipment Review committee, etc. Are you prepared to make a commitment to participate in these activities? Can you provide any examples of similar programs you have been personally involved with. 5. Question: There are times when our paramedics will need your assistance /advice while at calls. Would you be accessible? Do you have a contingency plan to provide coverage when you are not available, and if so, what is that plan? 6. Question: Do you have any experience in working with a Fire Rescue Department? Specifically, experiences dealing with labor unions, Incident Command System, local governmental agencies, ✓ or similar paramilitary organizations. 7. Question: In summing up your background and experiences, what specitic assets do you feel you bring to the table as our potential medical director? SUB TOTALS 11, 9 ( See page 2 for Rating Key) � �,_ 1 Nov. 8, 2000 ORAL INTERVIEW RATING FORM NAME OF APPLICANT. L ; r\€:. 'l 1 ) v POSITION INTERVIEWED FOR: Medical Director Department Fire Rescue Date: November 8, 2000 Time Started 1 L / / r Time Ended / t l 3 Interviewer: L� tt.fi\ J ""I q-Ar IQUESTIONS I514j312 1i0 1. Question: For the stability of our EMS program, it is important I i that the medical director we choose remains with us for a minimum of one year, with the likelihood that his contract will be renewed for an additional year. Given the questionable employment stability of the E.R. environment, what assurances can you give us that you will be here for the next one to two years. 2. Question: Describe your experiences working with paramedics and EMTs in the past? Have you had any experiences working in the field with prehospital personnel. 3. Question: Describe and give examples of any EMS training programs you have been involved with. 4. Question: We are looking for a "hands on" Medical Director. There are a number of departmental programs that will require your involvement on a routine basis, i.e. Quality Improvement reviews, Monthly Training sessions, ClinCon Competition, Equipment Review committee, etc. Are you prepared to make a commitment to participate in these activities? Can you provide any examples of similar programs you have been personally involved with. 5. Question: There are times when our paramedics will need your assistance /advice while at calls. Would you be accessible? Do you have a contingency plan to provide coverage when you are not available, and if so, what is that plan? I i 6. Question: Do you have any experience in working with a Fire Rescue Department? Specifically, experiences dealing with labor unions, Incident Command System, local governmental agencies, or similar paramilitary organizations. 7. Question: In summing up your background and experiences, what specific assets do you feel you bring to the table as our potential medical director' - SUBTOTALSL\ 5 ( See page 2 for Rating Key)C 4:1 Nov. 8, 2000