Resolution 246-1990
RESOLUTION NO. 246-1990
A RESOLUTION OF THE BOARD OF COUNTY COMMIS-
SIONERS OF MONROE COUNTY, FLORIDA, AUTHORIZING
THE MAYOR/CHAIRMAN OF THE BOARD TO EXECUTE TRAUMA
CARE AGREEMENT WITH KEYS HOSPITAL FOUNDATION,
INC. D/B/A MARINERS HOSPITAL (THE DISTRICT
HOSPITAL) CONCERNING EMERGENCY TRAUMA-RELATED
HEALTH CARE.
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, that the Mayor/Chairman of the Board is
hereby authorized to execute a trauma care agreement with Keys
Hospital Foundation, Inc. d/b/a Mariners Hospital, a copy of same
being attached hereto and made a part hereof, concerning
emergency trauma-related health care.
PASSED AND ADOPTED by the Board of County Commissioners of
Monroe County, Florida, at a regular meeting of said Board held
on the 18th day of April, A.D. 1990.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
cftt..~
BY:-
MAYOR/CHAIRMAN
(Seal)
Attest: DANNY L. KOLHAGE, Clerk
~ f!4./).t!.
CLERK
APPR01ffl3'E. 1. FORM
AND LE A 'U le/ENer.
BY
Attorney's Office
V'Z: [d or tidlJ 06.
OCJOJ3Cj dO.::l 031/.:j
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TRAUMA CARE AGREEIvIENT
WHEREAS, the Board of County COlnmissioncrs of Monroe County
has, by Ordinance No. 008-1988 (amended by Ordinances 041-1988
and 052-1988) created the Upper Keys Health Care Taxing District
for the purposes of providing certain health and trauma care,
and,
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HHEREAS, aforesaid Ordinance provides for the designation of
"the District Hospital" for the purposes of receiving funds from
the Upper Keys Health Care Taxing District, which was
accomplished by Board of County Commissioner's Resolution No.
298-1989, and
\VHEREAS, aforesaid Ordinance provides that fund.s may be
paid, as aid for off-setting costs of pre-transport treatment, if
unassumable by the patient, to the District Hospital for pre-
transport hospital and physician care, if necessary, prior to
transfer to medical institutions outside of Monroe County, and
\'IHER.EI~S, upon recommendation of the Upper Keys Health Care
Taxing
District
Advisory
Board,
the
Board
of
County
Commissioners, sitting as the governing body of the Upper Keys
Health Care Taxing District has recommended to the governing body
the need and desirability to enter into this agreement with Keys
Hospital Foundation, Inc., DBA Mariners Hospital for ordinanced
purposes, therefore,
The following Trauma Care Agreement is entered into between
the Board of County COIT~issioners, acting as the governing body
of the Upper Keys Health Care Taxing District and Keys Hospital
Foundation, Inc., DBA Mariners Hospital:
Section 1.
Purpose
The purpose of this agreement is to formalize
,
an arrangement whereby the Upper Keys Health Care
Taxing District will reimburse Mariners Hospital
for patients receiving pre-transport treatment and
physician care, if necessary, prior to transfer of
trauma-related
injury
patients
to
medical
institutions outside of Monroe County, if cost of
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sucn care is_ unassumable by the patient, and as
qualified elsewhere within this agreement.
section 2. Provisions
a) Mariners Hospital agrees to treat patients, in
its F~ergency Room, who qualify for pre-transport
treatment prior to transfer to medical
institutions outside of I'1onroe County, and who are
being handled under other provisions of th~ Upper
Keys Health Care Taxing District as to criteria in
place with accepting institutions outside of
Monroe County.
Such criteria shall be, at a minimum:
1) Trauma Score 12, coma score 10, or
evidence of shock at the scene \.Jith
systolic BP 90 or below.
2) Or that the tra.uma victim has
experienced amputat.ion proxi.mal to the
hand or foot.
3) Or any other tralli~a triage as may be
required in trauma transport protocols.
4) And that a Certificate of Eligibility
has been signed by one of the designated
Trauma Transport Officers.
Such care offered by Mariners Hospital shall
be to assure stabilization and other advanced
trauma life support (ATLS) actions sufficient to
enable transportation to other institutions
outside of Monroe County for additional treatment
for such trauma-related injury "'Thich cannot be
provided by Mariners Hospital.
As part of such emergency room treatment,
coordination shall be made by Mariners Hospital
Emergency Room physician by verbal review of the
nature of the injuries of each patient with the
emergency room physicians and trauma surgeons of
the receiving hospital.
Mariners Hospital further agrees to transfer
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complete medical records, to include emergency
room report, with the patient when transferred to
institutions outside of Monroe County. Mariners
Hospital shall also obtain the signature of an
authorized paramedic, acting on behalf of the
Upper Keys Health Care Taxing District, on a
Certification of Eligibility form to accompany the
patient.
b) Mariners Hospital agr~es to bill any
insurance carrier which such trauma-injury related
patients may have, and to bill such trauma-related
injury patients themselves for all balances not
covered by insurance.
c) Mariners Hospi tal agrees to bill Upper Keys
Health Care Taxing District for such trauma-
related injury patients who are not covered by any
insurance carriers and have no means of paying for
their pre-transport trauma-related injury care at
Mariners Hospital, including but not limited to
Emergency Room fees, ancillary fees to include but
not be limited to laboratory fees, X-ray fees,
Respiratory therapy fees, etc.
d) For those patients listed in c) above, the
Upper Keys Health Care Taxing District agrees to
pay 80% of such patient's accrued charges and
Mariners Hospital to absorb the remaining 20% of
such patient's accrued charges.
e) Mariners Hospital agrees to accept the
assignment of Medicare and Medicaid patients as
payment in full.
f) Mariners Hospital agrees to allow the Upper
Keys Health Care Taxing District to send a
designated individual representing the Upper Keys
Health Care Taxing District to audit any bills
which are presented for payment.
g) Upper Keys Health Care Taxing District agrees
to pay Mariners Hospital within thirty (30) days
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v~ ~~ceipt of bill from Mariners HospitaL LUr any
qualifying
patien.t,
not
awaiting
Medicaid
eligibility.
h) The Board of County Commissioners, acting' as
governing body of the Upper Keys Health Care
Taxing District, to aid in the effectiveness of
and as requirement for evaluation of this
agreement, shall require the Medical Director of
any Monroe County Emergency Services District
involved to implement criteria and protocols
included herein regarding patients transported to
Mariners Hospital under this agreement from within
the geographic area of the Upper Keys Health Care
Taxing District, which shall include reporting of
patient on-scene score report, Air-Rescue One or
land transport report, disposition of patient and
follow-up of hospital treatment logs and reports,
to the County Administrator and the Upper Keys
Health Care Taxing District for statistical and
effectiveness d~terminations.
i) The Upper Keys Health Care Taxing District
and Mariners Hospital and its medical staff and
administration
agree
to
participate
in
a
Utilization Review in order to determine any
disputed medical or social needs of the patient,
to be able to effectively utilize available
resources under this agreement.
Section 3
Termination
a)
Either party may terminate this agreement,
wi th or without cause, upon thirty (30) days
written notice to the other party.
b} In the event that a thirty (30) day
termination notice is invoked by either party, or
other termination, all obligations incurred on the
part of the Upper Keys Health Care Taxing
District, under the terms of this agreement, or
under any amendments thereto, prior to the date of
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nnination, shall be fulfilled as pc
e terms
of this agreement, and as it may be amended.
"
IN \vIl'NESS \'Il-IEHEOF, the parties be 1m... have caused this
i1uthorizcd,
aqrecmcnt to be executed by their undersigned officials as duly
(SEAL)
Attest:
Clerk
Witnesses
BOARD OF COUN1~ CO~1ISSIONERS
OF MONROE COUNryy, FLORID~
,
BY
t<layor /Chairman
Date
KEYS HOSPITAL FOUNDATION, INC.
DBA& MARINERS HOSPITAL
By
Title
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Date
I,
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. ~ll1i~;~ FORM
, AN((UCC/fNCY.
BY
Att"'f1f'v's C,"