HomeMy WebLinkAboutSan Diego Medical Services Enterprise SDMSE; 2008-11-01;SAN DIEGO MEDICAL SERVICES ENTERPRISE
AED/PAD PROGRAM
SERVICE LEVEL AGREEMENT
An agreement between San Diego Medical Services Enterprise (SDMSE) Automatic External
Defibrillator (AED)/Public Access Defibrillation (PAD) Program and
(Name/Title) City of Carlsbad
(Address) 2560 Orion Way, Carlsbad, CA 92010
for the period beginning 11/01/08 through 06/30/2010_
This agreement will provide program management for 25 AED unit(s) on site.
The purpose and objective of this agreement is to acknowledge that SDMSE PAD Program staff
can provide needed certification training and upon signature of this fully executed agreement will
provide PAD Program management services as outlined below in "Service Activities."
"Service Activities" include instruction of required training and complete PAD Program
Management services as follows:
PHASE I "Training." Identified persons to be trained in the use of AED's as required
by CCR Title 22, will receive instruction in the following subjects: Basic Life Support to include
but not be limited to; Adult and/or Pediatric CPR, Foreign Body Airway Obstruction and the
proper use of an AED. First Aid Training may be included at an additional rate. Re-certification
training is addressed bi-annually. Refresher training is currently required every twelve months.
Refresher training shall be arranged by the Program Liaison and agreed upon by both parties as
seen fit for each individual PAD Program. PAD Program Pricing rates as listed for training shall
apply to this Service Level Agreement.
PHASE II "PAD Program Management." Minimum management service activities
include; required Physician Medical Oversight, the arrangement of this Service Level Agreement,
24 hour AED Emergency Contact Service with a designated SDMSE PAD Program staff member
and complete record keeping services to assure quality program management. This service will be
provided at a rate of $125.00 for the first AED, $25.00 for each additional AED, up to ten units.
Annual reinstatement: $75.00 for the first AED, $25.00 for each additional AED, up to 10 units.
After 10 AEDs, the price for management is $10.00.
PHASE HI 'Incident Management." The services described below are
effective at the time of notification of an AED deployment. These services are provided at no
additional fee Monday through Friday between the hours of 0600 hours and 1800 hours (normal
business days/hours). All other hours to include weekends and all county recognized holidays are
payable at a rate of $55.00 per hour. A separate charge for the replacement of electrode pads at
$50.00 each shall be expected in the case of a deployment incident. Should a deployment incident
occur a SDMSE PAD Program representative will be notified and will arrive at scene within a
four hour time frame from formal point of notification. Once at scene they will perform the
following services; on-site downloading of data from the AED, replacement of electrode pads,
process and file required reports at the time of an incident for quality assurance and management
purposes. Critical Incident Stress Debriefing (CISD) can be arranged within 48 hours of the
incident to provide counseling services for the individuals involved. Certified SDMSE PAD
Program Associates are available for this service. * In the event that a company owns an AED
other than a Cardiac Science AED, please see the note at end of agreement.
Revised 08/08
Copyright 2003 SDMSE / San Diego Project Heart Beat
SDMSE PAD Program Training and Management Responsibilities
• Provide Physician Medical Oversight as is required in CA State Health & Safety Code
1797.196.
• Provide quality PAD Program Staff to include a CA. State licensed Physician / Surgeon,
a PAD Program Coordinator and other qualified personnel to offer 24-hour AED
emergency contact service.
• Provide qualified instructors to administer training and instruction as required through
CA State Health & Safety Code 1797.196.
• Instructors will have completed all required training and posses the necessary credentials
to be eligible to serve as a primary instructor in all of the above listed instruction.
• Instructors will use course curricula and materials approved by the American Heart
Association (AHA) for CPR/AED training.
• SDMSE will provide a suitable instructional classroom with the necessary training
equipment, basic audio/visual equipment and supplies.
• Provide record keeping services for program management, AED maintenance, service
level agreements, certifications, incident correspondence, and data collection and re-
certification notification.
• SDMSE Finance Department will invoice City of Carlsbad
within 30 days from the date of services rendered or agreed upon.
(Private/Public Sector) Responsibilities
• City of Carlsbad will reimburse SDMSE for all Service Activities rendered as
outlined within this Service Level Agreement sixty days from the date of invoice for the
services provided. All payment remittance will be sent to:
San Diego Medical Services Enterprise
10405 San Diego Mission Road Suite 100
San Diego, CA. 92108
City of Carlsbad
• will arrange the necessary re-certification and refresher training and notify the
appropriate SDMSE PAD Program staff within a timely basis so not to allow a lapse in
certification.
• City of Carlsbad will select a PAD Program Liaison to manage and be the contact
person for its PAD Program site. Responsibilities of this position will include oversight
of documented maintenance checks, scheduling recertification and refresher training and
all necessary correspondence between the site and SDMSE PAD Program Manager.
Revised 08/08
Copyright 2003 SDMSE / San Diego Project Heart Beat
City of Carlsbad will follow all requirements as outlined for a PAD Program as
written within CA State Health & Safety Code 1797.196.
The use of the classroom or facility designated for PAD Program AED training (if
arranged through SDMSE) shall be used solely for that purpose. Any unauthorized use
shall constitute a substantial default and subject this agreement to termination.
Schedules and Time Lines
• All training or other related schedules and time lines related to this Service Level
Agreement are to be established between SDMSE PAD Program Personnel and City of
Carlsbad.
Dispute Resolution Process
• Initial disputes if they should arise will be discussed and a resolution sought between
City of Carlsbad _ and the SDMSE PAD Program Manager/Coordinator.
• If resolution is not achieved, second- and third-level supervisors from SDMSE and City
of Carlsbad or their designee will seek resolution.
Upon signing this service agreement, City of Carlsbad will be invoiced only for "services
agreed upon and rendered" for program management as set forth by this service level agreement.
All invoices generated from services rendered are due within 60 days of receipt of invoice. A 5% late fee
for the total amount due will be added after 60 days from the date of invoice. An additional 5% late fee will
be applied every 30 days past the due date.
Modification of this Service Level Agreement
This Service Level Agreement may only be modified with the prior written approval of
both parties. .
5,
PAD Program Site Liaison / Contact Nd
SDMSE PAD Program Manager/Coordinator / Date AuttRflized Entity Signature / Date
* For program participants who utilize AEDs other than the Cardiac Science manufactured AED units, it is
recommended that the facility owning these units has a back stock of supplies, (defibrillator pads, spare
battery, etc...), and needed equipment (i.e. downloading software) per the manufacturers' recommendation,
SDMSE is not responsible for replacement/maintenance equipment.
** Incident Management will be invoiced for a minimum of four hours of service between the hours of
1800 hours to 0600 hours Monday through Friday and all hours Saturday and Sunday, as well as all City
recognized Holidays within San Diego County limits. An hourly cost for Incident Management will be
incurred for entities requesting staff response outside of the San Diego County limits at all times.
Revised 08/08
Copyright 2003 SDMSE / San Diego Project Heart Beat