Item C10
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: April 17. 2002
Division: Public Safety
Bulk Item: Yes X No
Department: EMS
AGENDA ITEM WORDING: Approval of Agreement Addendum for Medical Director Services, to
change the contractor's name to Professional Emergency Services, Inc.
ITEM BACKGROUND: A contract for Medical Director Services was approved with Physician
Resources, Inc. The contractor's name has been changed from Physician Resources, Inc. to
Professional Emergency Services, Inc., see enclosed letter.
PREVIOUS REVELANT BOCC ACTION: On January 19, 2000, Board granted approval and
authorized execution of a Contract between Monroe County and Physician Resources, Inc. as Medical
Director/Fire Department Physician for Emergency Medical Services and Fire Departments, effective
January 1, 2000 through JUlluary I, 2002.
At the November 20,2001, Board of County Commissioner's meeting the Board granted approval and
authorized execution of a Contract Addendum between Monroe County and Physician Resources, Inc.
to extend Agreement for Medical Director Services for an additional two year period, effective January
2, 2002.
CONTRACT/AGREEMENT CHANGES: I) Agreement addendum with Physician Resources, Inc,
to change the contractor's name to Professional Emergency Services, Inc.; 2) Effective April 01, 2002,
the City of Marathon is providing their own EMS service so the annual contract amount is reduced by
$4,000.00.
ST AFF RECOMMENDATIONS: Approval.
TOTAL COST: N/ A
BUDGETED: Yes X
No
COST TO COUNTY: N/A
REVENUE PRODUCING: Yes
No X AMOUNT PER MONTH N/ A Year
APPROVED BY: County Atty YES OMB/Purchasing YES Risk Management YES
DIVISION DIRECTOR APPROVAL:
DOCUMENTATION:
Included X To Follow
Not Required
AGENDA ITEM # ~ /C)
DISPOSITION:
Apr 02 02 OS:54a
p. 1
MONROE COUNTY BOARD OF COUNTY,COMMISSIONERS
CONTRACT SUMMARY
Contract #
Contract with: Professional Emergency Effective Date: April 1. 2002
Services, Inc.
Expiration Date: January 1. 2004
Contract Purpose/Description: 1) Contract addendum with Physician Resources. Inc. to change
the contractor's name to Professional Emergency Services. Inc. 2) The City of Marathon will
provide their EMS service as of April 1. 2002. so the annual contract amount is reduced by
$4.000.00)
Contract Manager: James R. Paros
(Name)
6002
(Ext.)
Public Safety - Stop 14
(Department)
for BOCC meeting on April 17. 2002
Agenda Deadline: Aoril 3 2002
CONTRACT COSTS
Total Dollar Value of Contract: $48,000 yr,
Budgeted? Y es~ No 0 Account Codes:
Grant: $
County Match: $
Current Year Portion: $24.000.00 (6 mos)
13001-530340 - $10.000
11500-530340 - $12.000
12500-530340- $ 2.000
- - - -
----
ADDITIONAL COSTS
Estimated Ongoing Costs: $~yr For:
(Not included in dollar value above) (e~. maintenance, utilities. ianitorial. salaries, etc,)
;)
CONTRACT REVIEW
9}teIn ~:~s h~yJut
Division Director tf( i/6 1...- YesD No~ 77?~.)'"L-
t 1 ~ /':; ~ f"t
Risk Management TJ -z. 0 Z- YesD No!.:j l. r CJ(L~r \'..........~~'-'LI... ':~Z''''-
O.M.B.lPurchasing '1ldOl.- YesDNo!:l/~SOJ _
County Attorney .:3/;;. g-/o z.. YesO No[Lt"" ~
tt{ II t5
J;;'~2..
Comments:
OMB Form Revised 9/11195 MCP #2
Apr 02 02 12:07p
~e~t By: B 0 C c;
'npr u~ u~ U9:54.
Sandra Sohwemmer
Dr.
1 305 289 6336j
3058525347
Apr-2-0211:36;
AGRDMXNr ADDENDUM
ror
l\fEDICAL DlRJ:crOIl BaVlCF-S
nus AGlIEEI.mNr ADDJ!NDuM is -.a entered illlo Ibis , doy
of - . 2IlO2, "'-Ihe Boord oleo...y Commissioaen, Momo.
Coun.y, Florida..... Physician &sourc:c.. Int.
W'HEIlBAs. on 1....81} 19, 2000, Che panies cnt~ into an I8reement for the
period JIIIu8ry J. 2000 throuah J.nuery I, 200:2; and
WHEREAS. on November 20, 2001, tile pania aareed to... ~
addend..... for the period ~81.11U11y 2., 2002 IIId endill8/l1DUy J. 2004; and
WHIlItl;M. ~ II dooind 10 - ia WI -.",..., lbo",-_ c:/ruse
01 Pbysicia R~ 'DC.; now therefore.
IT JS AGREED as foJlows:
1. CONlltACTOR: The asrecment for Medical Director Sennees wiD be between
die Boud of~ Commissioneq of Monroe County, florida.. Profislionil
Emqency Servica.lac.
2. COMPENSAnON: '" of April J, 2002, PAYmcat for services protrided .haJJ be
... annual fee 01$48,000 DOLLARs; 14,000 iavoiced and p.yabl. ltIOntbIy.
3, III aU 0Ihcr rapeas, the ~ beIw_ the parties dated Jaauary I, 2000. as
previUUtly amended, ftOI iacoas;"ent bern,jth. &ball feJn.u. iD full fbn:c iIIId elf'ea.
IN WITNr:.sS WHElt.EOF, the parties have hcret.mto 5et thair hands and seal. die
day and year firsr \WrittCIIIboWl.
OOAJlD c>>- COIhlTV COMMISSIONERS
OF MONROe COUNTY, nOJUDA
(SEAL)
ATTEsT: DANNY l. KoWAOIi. CLeRK
By:
Ma)'Ofichainiiaa
bijiIIi Oat
~
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p. 1
Page 1"
,..~
February 9, 2002
)~{2-/f:~:i
~&
TO: Darice Hayes
Monroe EMS
FROM: Dr. Schwemmer
&{ e
. 0 Jl-l-
RE: Corporate name change
As previously discussed, Physician Resources, Inc, has changed it's name back to Professional
Emergency Services, Inc.
Enclosed are the forms indicating the formal name c-hange with the Dept. of State, FL.
Tax iD number remains the same,
CaB me if you require additional information,
Apr 02 02 09:55a
p.3
CONTRACT ADDENDUM
THIS CONTRACT ADDENDUM is made and entered into this 20th day of
November ,2001, between the Board of County Commissioners of Monroe
County, Florida, and Physician Resources, Inc.. in order to amend the agreement between
the parties dated January 1,2000, as follows:
1. Term: This CONTRACT ADDENDUM shall become effective on January 2,
2002 and shaH expire on January I, 2004,
2. Compensation: Payment for services provided shall be an annual fee of$52.000
DOLLARS, $4.333.33 invoiced and payable monthly,
In all other respects, the agreement between the parties dated January I, 2000
remains in full force and effect.
IN WITNESS WHEREOF, the parties have hereunto set their hands and seal, the
day and year first written above,
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~-EST: DANNY L,
BOARD OF CO
OF MONROE C
TY COMMISSIONERS
, FLORIDA
B'
, .
MEDICAL DIRECTOR/FIRE DEPART\fENT PHYSICIAN
CONTRACT
THIS CONTRACT, made and entered into this ~ day of January, 2000, by and
between the Board of County Commissioners, Monroe County, Florida, hereinafter
referred to as the "COUNTY" and Physician Resources, Inc., hereinafter referred to as the
"Medical Director", also referred to as the "Fire Department Physician",
WITNESSETH:
WHEREAS, the COUNTY provides fire and emergency medical services pursuant
to Chapter 401, Florida Statutes, in the foJlowing geographic areas: Cow Key Channel
(mm4) to Channel 2 bridge (mm72.5) and from Tavernier Creek Bridge (mm90,5) to South
Bay Harbor Drive and Lobster Lane (mm95); also known ~s the Lower and Middle Keys
Fire and Ambulance District, and South Bay Harbor Drive and Lobster Lane (mm95) to
the Dade County line on US I (mm] 13) and north on SR 9:>5 to the intersection of Card
Sound Road, Municipal Service Taxing District 6, in regards to Key Largo Volunteer Fire
Department; and
WHEREAS, the COUNTY is required to employ (Ir contract with a Medical
Director who shall be a licensed physician; a corporation, association or partnership
composed of physicians; or physicians employed by any hospital which delivers in-
hospital emergency medical services and which employs or contracts with physicians
specifically for that purpose; and
WHEREAS, the COUNTY chooses to contract wilh a Medical Director for the
purpose of providing direction to the Fire and Emergency Medical Services;
Medical Director Contract - EMS
WHEREAS, legislation requiring the establishment of trauma systems requires
close interaction between the EMS system and hospitals; and
WHEREAS, the Medical Director is licensed in the State of Florida and desires to
provide professional services as the Monroe County Medical Director according to the
terms and conditions stated herein.
NOW THEREFORE, in consideration of the mu':ual understandings and
agreements set forth herein, the COUNTY and Medical Director agree as follows:
1. Term.
This Contract shall become effective on January 1, 2000, and shall run through January 1,
2002, and shall be renewable thereafter at the option of the COUNTY for an additional two
(2) year period.
2. Termination.
(a) This Contract may be terminated by the Medical Director, with or without
cause, upon not less than ninety (90) days written notice delivered to the
COUNTY,
(b) The COUNTY may terminate this Contract in whole or in part, upon not
less than thirty (30) days written notice, ddivered to the terminated party or,
at the option of the COUNTY, immediately in the event that any party fails
to fulfill any of the terms, understandings ,)r covenants of this Contract.
3, Purpose.
The purpose of this Contract is to assure compliance of the COUNTY in medical direction
of its Fire and Emergency Medical Services System.
Medical Director Contract - EMS
2
4. Duties and Responsibilities.
The Medical Director shall be responsible to the Fire and Emergency Medical Service
Departments of the Division of Public Safety and report to the Emergency Medical
Services Chief.
The Medical Director shall adhere to the responsibilities ,$ set forth in Florida Statutes
40 I, Medical Directors, Florida Administrative Code 64E-2, Emergency Medical Services,
Medical Direction, and National Fire Protection Association 1582, These include
supervising and assuming direct responsibility for the medical performance of the
Emergency Medical Technicians, Paramedics and Firefighters operating for that
Emergency Medical Services system, The Medical director shall perform duties including
advising, consulting, training, counseling, and overseeing of services, but not including
administrative and managerial functions.
The Medical Director or designee will provide formal training with lecture topics and dates
which will allow each Monroe County EMT, Paramedic (;.nd Firefighter to fulfill the
continuing education requirements for bi-annual State of Florida re-certification.
Annually, the Professional Education Program will be evaluated for content, location and
dates.
The Medical Director will be available for consulting and advising on all EMS activities
undertaken by the career and volunteer emergency response departments of Monroe
County as requested by the County. The Medical Director shall be available 24 hours a
day for emergency consultation from system Fire-EMS provider. He/She shall carry a
pager and be supplied a portable radio by the Division of Public Safety, He/She shall
respond in a timely manner to any pages from the EMS Provider. In the event the Medical
Director is unavailable, he/she shall appoint a similarly qualified physician to cover all
responsibilities, The Medical Director may appoint a qualified individual to perform
Medical Director Contr<lct - EMS
3
certain duties and responsibilities as outline in this agreement, upon approval of the EMS
Chief,
PROTOCOLS
The Medical Director shall provide an annual documented review of the pre-hospital
treatment protocols and when necessary, the EMS providt:r and the Medical Director shall
jointly approve each protocol revision prior to implementltion. These protocols shall be
developed with consideration to the fiscal impact of such protocols on the participating
agencies and the citizens of Monroe County.
At such time as the County determines that implementation of Basic Life Support
protocols is appropriate and feasible for a particular volunteer fire department, the medical
director, assistants, and/or designee will assist in implem(:ntation and appropriate in-
servicing of the medical treatment protocols.
Deviations, from these protocols, shall be reviewed by the medical director and appropriate
corrective action shall be suggested to the EMS provider. Notification to State and local
agencies shall be completed in accordance with the appropriate laws,
QUALITY ASSURANCE
The Medical Director shall establish a quality assurance committee to provide for quality
assurance review of all emergency medical technicians and paramedics operating under
hislher supervision and function as an integral part of the County" Quality Assurance
program,
The Medical Director and/or each appointee of the medical director's staff shall audit the
performance of system personnel by use of a quality assurance program to include but not
limited to a prompt review of patient care records, direct observation, and comparison of
performance standards for drugs, equipment, system protocols and procedures. The
Medical Director Contract - EMS
4
Medical Director or appointee shall not be required to provide direct patient care during
these activities.
LOCAL DISASTERS
In the event of a local disaster or impending emergency situation with the possibility of
multiple casualties, the Medical Director or an appointee :;hall be available for emergency
consultation,
COST CONTAINMENT / EQUIPMENT & PROCEDURES
The Medical Director shall periodically review all policies and procedures for cost
effectiveness. Providing state of the art fire and emergenc:y medical services to the citizens
of Monroe County in the most cost effective manner shall be a top priority of the Medical
Director.
The Medical Director will consult and advise on all medit;al equipment to be carried and
utilized by a participating volunteer fire department and/e.r any other emergency response
agency. Specifically, if the County elects to implement use of Automatic External
Defibrillators (AED's), the Medical Director will develop the required protocols, and in
cooperation with the County EMS office, implement the necessary training.
INFECTIOUS DISEASE EXPOSLRE POLICY
The Medical Director shall assist in developing an infectious disease exposure policy that
complies with State and Federal requirements, The Medical Director shall assure that a
comprehensive plan exists for prompt medical review of all possible infectious exposures
reported by Monroe County EMS personnel and members of the participating volunteer
fire department, and for post-exposure medical follow-up when indicated,
Medical Director Contract - EMS
5
The Medical Director or designee shall be available to assist in the in-servicing of the
individual volunteer fire department regarding the exposure policy.
The Medical Director or designee shaH be available for consultations with field personnel
to determine the significance of any body fluid exposure and to suggest appropriate action
for such an exposure,
STATE INVOLVEMENT
The Medical Director shall become involved in the Florida Association of EMS Medical
Directors and preferably an equivalent Fire Association.
5. Insurance.
The insurance requirements for Agreements/Contracts whkh supply goods or services to
the County are incorporated by reference, submitted in Request for Qualifications, and
include the following:
. Indemnification and Hold Harmless Provisions
. General Insurance Requirements
. Workers' Compensation Provisions
6. Compensation.
(a) Payment for services provided shall be an annual fee of$56,000
DOLLARS, ($4,667) invoiced and payablt: monthly;
(b) The annual fee may be revised, based on future modifications to the
Countyts emergency response areas of responsibility, through a written
Medical Director Contracl - EMS
6
notification to the Contractor based on an annual fee of$4,000 for each of
the eight currently participatory volunteer fire departments and six existing
career Emergency Medical Services stations.
(c) Original invoices for compensation must b.: reviewed by the COUNTY on
or before the tenth (lOth) calendar day of eCich month. The COUNTY EMS
provider shall verify the information submitted and then process an original
invoice for payment by the County Financt: Office.
(d) Monroe County's performance and obligation to pay under this contract is
contingent upon an annual appropriation by the Board of County
Commissioners,
IN WITNESS WHEREOF, the parties hereto have caused this Medical Director Contract
to be executed the day and year first above written.
.' _.~.'
Board of County Commissioners of
M9"rr C<?un.~. Florir~
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,... . '.'. " .~" J~'.A oI.fJ 4~~ ~
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Mayor/Chainnan
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'. (SEAL)
AS 10 fORM
APPROVED HI '( .
AND AlSU
. r:NN!t~ 191:-
'" 60 11: ~ t~JU-,
-
ill.
Witness
Medical Director Contract - EMS
7
F@b 18 02 03:38p
FEB-l~-2e02 17:20
D~. Sand~a Sohwemme~
3058525347
p.3
,lICJDtICr.
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1650 West Courtney Ca~Dbell Cavy
Suite 800
TaIllPI I'L 33617 USA
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HOUlU. tB1S cumnCA'IE DOES 1'401' NaND, EXTEND OR
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Holder Identifier: