Loading...
HomeMy WebLinkAbout1996-09-17; City Council; Resolution 96-3071 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 e 0 RESOLUTION NO. 9 6 - 3 0 7 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CARLSBAD, CALIFORNIA, SERVICES BETWEEN THE CITY OF CARLSBAD AND THE COUNTY OF SAN DIEGO AMENDING THE EXISTING MEMORANDUM OF UNDERSTANDING FOR EMT-PARAMEDIC WHEREAS, the City Council of the City of Carlsbad, California on March 22, 1994, adopte Resolution No. 94-85 approving the Memorandum of Understanding for EMT-Paramedic Services between the City of Carlsbad and the County of San Diego. WHEREAS, amendments are necessary to the Memorandum of Understanding for EMT- Paramedic Services. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Garlsbad, as foil 1. 2. of Carlsbad and the County of San Diego, attached hereto, is adopted. That the above recitations are true and correct. That the amended Memorandum of Understanding for EMT-Paramedic Services between th PASSED, APPROVED AND ADOPTED at a regular meeting of the City Council of the Cit Carlsbad on the 17th day of SEPTEMBER , 1996 by the following vote to wit: AYES: Council Members Lewis, Nygaard, Kulchin, Finnila, Hall NOES: None ABSENT: None &&Jl5EVATiEWiS,Va& - ATTEST: R &AUTENK!?kET (SEAL) 0 0 MEMORANDUM OF UNDERSTANDING FOR EMT-PARAMEDIC SERVICES THIS MEMORANDUM OF UNDERSTANDING is made between the COUNTY C SAN DIEGO, hereinafter referred to as COUNTY, and the CITY OF CARLSBAD, hereinafter referred to as CITY, to provide EMT-Paramedic (EMT-P) services. WITNESSETH: WHEREAS, the CITY OF CARLSBAD has determined that EMT-Paramedic service will be provided within the CITY OF CARLSBAD, and CITY possesses certain skill: experience, education and competency to perform certain specialized services regarding the provision and management of advanced life support; and WI-IEREAS, CITY and COUNTY desire to enter into this Memorandum of Understanding for the purpose of clarifying roles and responsibilities for the medical controI of Emergency Medical Services in the CITY OF CARLSBAD. WHEREAS, the CITY has provided Emergency Medical Services for many years an advanced life support services since 1977 and continues to provide and administer Emergency Medical Services within the City of Carlsbad pursuant to its “grandfather” status under Health and Safety Code Section 1797.201. NOW, THEREFORE, the parties hereto do mutually agree to the terms and conditions as attached and set forth in this Memorandum of Understanding. 0 0 I. ADMINISTRATION OF MEMORANDUM OF UNDERSTANDING COUNTY'S Chief, Emergency medical Services, hereinafter called COUNTY'S ADMINISTRATOR, shall represent COUNTY in all matters pertaining to the performance under this Memorandum of Understanding and shall administer thii Memorandum of Understanding on behalf of County. Fire Chief, City of Carlsbad shall represent CITY and shall administer this Memorandum of Understanding in accordance with its terms and conditions on behalf of CITY. All reports, letters, notices and/or other correspondence shall be sent to the attention of the designatec representatives at their respective addresses. 11. The term of this memorandum of Understanding shall be from May 1, 1994, and will continue until terminated by either party. CITY and COUNTY shall review this Memorandum of Understanding every two years to ensure applicability to current conditions, policies, procedures and protocols. ID. RESPONSIBILITIES OF PARTIES A. Responsibilities of COUNTY TERM OF MEMORANDUM OF UNDERSTANDING 1. To provide, under the authority of Section 1797 et. seq. of the Health and Safety Code, the following services: a. Approval of the EMT-ParamGdic (EMT-P) training program(s) i the County of San Diego pursuant to the California Code of Regulations, Title 22, Division 9, Chapter 4. Standards for accreditation/authorization of EMT-Paramedics (EMT-Ps) and Mobile Intensive Care Nurses (MICNs) in San Diego County pursuant to California Code of Regulations, Title 22, Division 9. Contracts with designated base hospitals to provide immediate medical direction and supervision of the ALS system for the ari defined by the local EMS agency. b. c. 2. To provide pre-hospital report forms or aItcrnatc data collection method in accordance with California Code of Iiegulations, Title 22, Division 9, Chapter 4. 2 0 0 3. To review this Memorandum of Understanding every two years to ensure compliance with applicable standards, regulalions, polities, procedures and protocols. To take immediate corrective action where there is a failure to meei "Responsibility of the COUNTY". 4. B. Responsibilities - of CITY 1. To provide EMT-Paramedic services within the boundaries of its lo( jurisdiction and within adjoining areas as specified by agreements with adjoining EMT-Paramedic service providers. To participate in the ALS program consistent with applicable provisions within Title 22 of the California Code of Regulations, Division 9, Chapter 4. To develop and operate EMT-I? services consistent with applicable provisions within the California Code of Regulations, Title 22, Division 9, Chapter 4. CITY may subcontract all or a portion of thesc services. CITY is responsible for ensuring that any and all subcontractors provide services consistent with this Memorandum ' Understanding and applicable provisions within the California Cod( of Regulations, Title 22, Division 9, Chapter 4. CITY intends to maintain and operate at least four (4) properly equipped, supplied and staffed paramedic units (P.A.U.s) and at least one (I) properly equipped, supplied and staffed EMT-P ambulance. Units will comply with the policies, procedures and protocols for medical control as established by the COUNTY. To staff each PAU with at least one (1) EMT-P and to staff each paramedic ambulance with at least one (I) EMT-P and at least one (I) EMT-1. For the purpose of this agreement, an EMT-P is an individu; licensed by the state of California and accredited by the San Diego County EMS Medical Director to operate as an EMT-P in San Diego county pursuant to Section 1797 et. seq. of the California Health and Safety Code. To provide the citizens of the local jurisdiction with information on thc 91 1 system and where and how to obtain cardiopulmonary res u xi t a t ion (CPR) t r ai n i ng . To ensure that all EMT-I' pcrsonncl comply with the continuous accrcd ita lion requirements of thc COUNTY. 2. 3. 4. 5. 6. 7. 3 0 0 8. To cooperate with the approved EMT-P training programs in providing field internship locations for paramedic interns. To develop mutual aid and/or call-up plans for providing EMT-P service in an area in the event the unit assigned to the area is not operable or is away from the =ea for other reasons. Automatic response plans may be developed by the local jurisdiction with the concurrence of adjoining EMT-P services. 10. To appoint an Agency Paramedic Coordinator to serve as liaison between the agency, the COUNTY, base hospital, receiving hospital: basic life support (BLS) provider agencies and public safety agencies operating within the service area. To provide orientation for first responder agencies to ALS functions and role. To use best efforts to provide for a maximum ALS response time of eight (8) minutes. To participate in local EMS planning activities, including disaster management. To comply with all applicable State statutes, regulations, local standards, poIicies, procedures and protocols. 15. To iniplemcnt and maintain a Quality Assurance/Quality Improvement Program thai interfaces with the local EMS agency’s systemwide Quality Improvement Program, which includes cooperation with the base hospitals’ quality improvement process and is approved by the local EMS agency. 16. To immediately notify the Chief, Division of Emergency Medical Services, or designee, whenever any condition exists which adversely affects the local jurisdiction’s ability to meet the conditions of this Memorandum of Understanding. CITY to implement staffing patterns for EMT-1’s that do not routinely require them to work scheduled shifts as paramedics or first responders for greater than 48 hours within any 60 hour period. To provide sufficient unit security, safety and housing such that supplies and equipment dre sccurcd and pharmaccu ticals arc double locked. 9. 11. I 12. 13. 14. 17. 18. 4 e e 19. To take immediate corrective action where there is a failure to mc , “Responsibilities of the CITY“. IV. CITY’S STANDARDS CITY shall adopt CITY’S own performance standards for the purposes of Paragrapl 1II.B. above and shall monitor its compliance with them. V. NOTICE A. I Notice Pursuant to this Memorandum of Understandin% Any notice 0, notices required or permitted to be given pursuant to this Memorandun of Understanding may be personally served on the other party by the pal giving Such notice, or may be served by certified mail or registered mail, to the officials cited in Paragraph 1. Notice of Delay. CITY shall, within five (5) days of the beginning of any delay in the performance of this Memorandum of Understanding, notify the County’s Administrator, in writing, or the said delay, causes and remedial action to be taken by CITY. COUNTY shali, within five (5) days of the beginning of any delay in the performance of this Memorandum of Understanding, notify the Fire Chief, in writing, of the said delay, causes and remedial action to be taken by COUNTY. i B. VI. AMENUMENTS, OPERATING MEMORANDA AND TERMINATION A. Amendments. COUNTY and CITY may request written amendment to this memorandum of Understanding. Such amendments, as agreed upon in writing, by and between County‘s Chief, Emergency medical Services and the CITY are not in force until approved by the COUNTY and CITY and provided further that the Fire Chief, upon advice of the City Attorney, is authorized to do a11 things and sign all documents necessary to carry out the purpose and intent of this Memorandum of Understanding. Termination of Anreement for Convenience. Either party may terminate this Memorandum of Unders tanding upon forty-five (45) days written notice to the other party. B. VII. CITY, lor all purposes arising out of this memorandum of Understanding, shall not be deemed an employee, officcr or agent of COUNTY. COUNTY, for all purposes arising out of this Memorandum oi Understanding, shall not bc dcemcxi an employee, officer or agent of CITY PARTIES NO?’ AGENTS OF EACH OTI-IER 5 0 0 VIII. CONFIDENTIALITY CITY shall maintain the confidentiality of its records, including but not limited to pre-hospital patient records and quality assurance audits, in accordance with all applicable State and Federal laws relating to confidentiality. CITY shall inform all it confidentiality provisions. COUNTY shall maintain the confidentiality of all recorc made available hereunder during and after the terms of this Memorandum of Understanding. IX. MAINTENANCE OR RECORDS All quality assurance and medica1 control records under this Memorandum of Understanding shall be maintained by CITY for a minimum of three (3) years. COUNTY, at its option, may make a copy, at county expense, of CITY'S qualit-y assurance and medical control records. X. Authorized Federal, State or County representatives shall have the right to monitoi assess and evaluate CITY'S performance pursuant to this Memorandum of Understanding, said monitoring, assessments and evaluations to include but not be limited to audits, inspection of premises, reports (excluding personnel records and reports, patient records and interviews of staff in matters dealing with issues covere by this Memorandum of Understanding. During normal business hours CITY shall make availabIe to County, State and Federal officials for examination of all its recorc with respect to matters covered by this memorandum of Understanding and will permit authorized County, State or Federal officials to audit, examine, copy and mal excerpts or transcripts from such records, and to make audits of all pertinent informa tion regarding patients' receiving services, and other data. It is understood that COUNTY shall coordinate all such audits and inspections through the CITY Paramedic Coordinator of Paramedic Contract Administrator. XI. CITY'S STANDING This Memorandum of Understanding is not a written agreement between the CJTY and the COUNTY for the purpose of Health and Safety Code Section 1797.201 and th CITY does not waive its "grandfather" status under Health and Safety Code Section 1797.201. officers, employees and agents, and others providing services hereunder of said PERFORMANCE AUDITS AND INSPECTION OF RECORDS XII. I~?OI,Il HARMLESS CITY agrees to defend, indemnify, protcct and hold COUNTY and its agents, officers and c~mployccs harmlcss from and against any and all claims asserted or liability cstnhlislic~d for daninges or injurics to any person or property, iricluding iiijiiry to 0 (lieserved for County Counsel Approval) (Kcscrvtd lor Clcrk of thc Board of Supervisors I’ostrnj; of MIIIIJ~ Order) (Reserved for Auditor-Controller Assignment of County Contract Number) . 0 e AMENDMENTS TO EXISTING M.O.U. FOR EMT-PARAMEDIC SERVICES nd S-I R. 4. to read as follows: 4. City intends to maintain and operate at least four (4) properly equipped, supplied and staffe paramedic units (P.A.U.s) and at least one (1) properly equipped, supplied and staffed EM1 ambulance. Units will comply with the policies, procedures and protocols for medical contrc as established by the County. Amend Section Ill R.5. to read as follows: 5. To staff each PAU with at least one (1) EMT-P and to staff each paramedic ambulance with a least one (1) EMT-P and at least one (1) EMT-1. For the purpose of this agreement, an EM1 EMS Medical Director to operate as an EMT-P in San Diego county, pursuant to Section 17 et. seq. of the California Health and Safety Code. is an individual licensed by the state of California and accredited by the San Diego County Amend Sect ion 111.8.12. to read asfollows: 12. To use best efforts to provide for a maximum A.L.S. response time to eight (8) minutes. Amend Sect ion VI, Paraaraph A to read as follows: A. Amendments County and city may request written amendment to this Memorandum of Understanding. Such amendments, as agreed upon in writing, by and between County's Chief, Emergent) Medical Services and the City are not in force until approved by the County and City and provided further that the Fire Chief, upon advice of the City Attorney, is authorized to do all things and sign all documents necessary to carry out the purpose and intent of this M.O.U.