R91-165RESOLUTION NO. R91-/~--
A RESOLUTION OF THE CITY COMMISSION OF
THE CITY OF BOYNTON BEACH, FLORIDA,
AUTHORIZING AND DIRECTING THE MAYOR AND
CITY CLERK TO EXECUTE A CERTAIN CONTRACT
BETWEEN THE CITY OF BOYNTON BEACH AND
DR. WILLI~AM JEFFREY DAVIS, OUTLINING THE
WORKING RELATIONSHIPS AND
RESPONSIBILITIES OF THE CITY AND THE
MEDICAL DIRECTOR FOR THE CITY'S
EMERGENCY MEDICAL SERVICES PROGRAM
(EMS); A · COPY OF SAID CONTRACT IS
ATTACHED HERETO AS EXHIBIT "A"; AND
PROVIDING AN EFFECTIVE DATE.
WHEREAS, it is the desire of the City Commission for
~he City to enter into a contract outlining 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; and
WHEREAS., the execution of said Contract is in the best
interests of the citizens and residents of the City of
Boynton Beach, Florida.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY CO~ISSION
OF THE CITY OF~BOYNTON BEACH, FLORIDA THAT:
Section 1. The Mayor and City Clerk are hereby
authorized and directed to execute a certain Contract
between the City of Boynton Beach and Dr. William Jeffrey
Davis, a copy of which Contract is attached hereto as
Exhibit "A".
Section 2. This Resolution shall take effect
immediately upon passage.
PASSED AND ADOPTED this ,/~ day of October, 1991.
ATTESr£ ~
( Corporate~- SLea~l )
CITY OF BOYNTON BEACH, FLORIDA
Commlssioner --
EMS.Con
9124/91
EMERGENCY MEDICAL SERVICE DIRECTOR CONTRACT
The City of Boynton Beach and Dr. Wi)liam Jeffrey Davis
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 rela-
tionship 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 cer-
tification 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; man power and man power
assignments; and supplies to 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
of the Florida Statutes. It is recognized that the
Medical Director's Contract with the City preserves his
right to practice as ~n independent physician at all
times.
The Medical
the medical
Director shall accept responsibility for
performance of the Emergency Medical
Technicians and Paramedics 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
Fire Chief through the on-duty supervisors provided,
however, nothing herein shall in any way authorize any
limitations or restrictions by the Fire Chief on the
professional acts or advice of the Medical Director.
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The Fire Chief, through the Department Staff and opera-
tion procedure, will establish Department policy for
equipment and equipment assignment, and for supply
purchase a~d use, , The Fire Chief shall establ i~h
~f will
cOn~un6t?n Wi Medical
9irector.
4. The M~dical Director shall perform all services required
pursuant to Chapter 401,46 {See Appendix 'A") of the
Florida S~atutes and ,all presen[ rules and regulations
of any governmental agencies implementing said Chapter
or other established duties required to be performed by
said Medical DireCtor. If the services required by
Chapter 401.46 or the Department of Health and
Rehabilitative Services of the State of Florida are
significantly altered, the Medical Directorand the
City shall jointly review the procedures for carrying
out the Medical Director's responsibilities.
5. The Medical Director shall be directly responsible for
the medical performance of Emergency Medical Technicians
and Paramedics functioning for the EMS and shall have
full authority to direct and supervise the medical acti-
vities in the field, in training and for certifications.
Patient destinations shall be at the sole discretion of
the Medical Director. Further the E.M.S. Coordinator
shall be the Medical Director's. agent for purposes of
quality assurance pursuant to Florida State Statute.
6. The Medical Director shall establish and supervise the
medical aspect of the EMS Program in the City and super-
vise and arrange, through the Fire Chief, such in-
service instructional sessions as may be necessary to
assure that all medical services performed by the
Emergency Medical Technicians and Paramedics are in
accordance with proper medical standards and procedures.
Cost for supplying necessary in-service instruction
material will be assumed by the City and the material
will become the property of the City.
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7. The Medical Director sh~]:have the services of the
Departmental training program, facility and Staff to
assist in carrying out training requirements for the
EMS.
8. The Medical Director shall be eligible as a member as
defined under Section IV. Members of the Agreement be-
tween the City of Boynton Beach and the 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 Dept.
as outlined in Florida Statute 41.46.
9. The Provider shall indemnify and save harmless the
Director from any and all liability for acts or
omissions committed by the 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 dueand owing from Director
which exceed applicable insurance coverages maintained
either by Director or by The City of Boynton Beach on
behalf of Director.
The Provider shall indemnify and save harmless the
Director from any and all liability incurred as a result
of acts or omission of employees of the Boynton Beach
Fire Department.
10. The City will pay the Medical Director eighteen thousand
dollars {$18,000) per year at the rate of fifteen hundred
per month for twelve (12] months, payable at the end of
each month for services'outlined in this contract.
11. The City will provide portable radio communications and
an Alpha Numeric Pager for the use of the Medical Director.
12. In employee relations matters, the Medical Director,
through 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
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13.
procedures, disc)pline, interviewing paramedics, para-
medic school assignments, and-union contract administra-
tive requirements.
A, TheMedicat Director~will be expected to report~to
theFi:re'Chief~thec~.rcumStances rela:ting to any
employee~decisions for the Emergency Medical Services
SEstem such as discipline, decertification or
B. The,Medical_Directoragrees~to,participate as
requ~red_atpersonnel hearingboards such as'the
Civil ServiceBoard, grievance,procedures of the
union,contract, etc.~as a part of hisDepartment
administrative responsibilities or,the Department
without additional compensation.
C. TheMedical Director agrees to participate in the
oral interview and skills test administered to all
new firefighter applicants who have a paramedic cer-
tificate prior to their employment. Director
retains the right to prevent the hiring of any such
~ndividual for the purpose of employment as a para-
medic if he or she does not perform satisfactorily
during the interview-and/or skills test. The con-
tent of the skillstest 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.
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
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Standard Operating Procedures relatlng to:
A. Response Procedures
B. Equipment and Personnel Allocations
C. Department Prlorltles
O. Oepartmental Procedures for Handling Emergencies
E. Working with Other Departments
14. Any staffing changes that result in modifying the
Oepartment's current E.M.S. response protocols must be
cleared through the Medical Olrector.
15. Either party to this Contract may, upon giving sixty
(60) days written notice to the other party, terminate
this Contract and after the effective date of Such
noticeall parties will be relieved of any further obli-
gations under this Contract.
16. This Contract shall be in effect from October 1, 1991
through September 30, 1992.
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
199
Witness:
Witness:
CITY DF BOYNTON BEACH, FLORIDA
I~a~or
MEDICAL DIRECTOR
Dr. William Jeffrey Davis
City Clerk
(Corp. Seal)
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APPENDIX"A"
1. Be responsible for advising the ALS provider as to his assess-
ment of the competence of each of the provider's paramedics
and for making recon~endattons regarding the medlcal proce-
dures which ,each paramedic should be authorized to perform,
Such assessment should be made by utilizing reasonable eval-
uative 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 :eme~gency medical care;
b. con~nunicate :the findings of such evaluation to a physi-
cian Who has agreed, in wrlting, to provide responsible
supervision ~ofthat paramedic;
c. receive.~nd 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 relatlonshlp between the paramedic,
Medical Director, rphysician(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 para-
medic 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 pro-
vider should seek to achieve,
3. Assist in identlfylng 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 para-
medics. Such audit and review process must comply with such
standards and requirements as may be set forth by the
Department from time to time.
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15.
Standard Operating Procedures
A.
B.
cJ
D. DePartmental
E.
cl
relating to:
Response Procedures
Equipment and Personnel Allocations
~gEmergencies
lying the
must be
~g sixty
(60) days ~ritten~not~:ce~to the.o~h~rpa~ty, terminate
this Contract and a(ter the effective date of such
notice all parties wi],l ,berelievedofany further obli-
gations under this Contract.
This Contract shall beineffect fromOctober I, 1991
through September 30, 1992.
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.
199
Witness:
CITY OF BOYNTON BEACH, FLORIDA
Mayor
Witness:
MEDICAL DIRECTOR
Dr. William Jeffrey Davis
City Clerk
(Corp. Seal)
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6. Develop and authorize or revl:aWand authorize for use
standing orders which allow the paramedics to properly manage
certain medical emergencies when voice communications with
the responsible physician is not avat]able. Such standing
orders must be specified and must at least provide for man-
aging immediately life threatening medical emergencies
though they are not required to be so comprehensive as to
include ail 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 qualifica-
tions necessary for a physician to provide responsible super-
vision 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 impte-
mehted 401.46, 401.47 FS. History New 9-10-78.)
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