10/18/2000 Agreement
Cled( OIlhe
CircuI coon
Danny L. Kolhage
Phone: 806-292-8560 Fax: 305-296-3616
MemnrandIon
To:
Reggie Paros, Director
Public Safety Department
From:
Isabel C. DeSant~ C f}:
Deputy Clerk ..,
Date:
Tuesday, November 7,2000
At the Board of Commissioners' Meeting on October 18, 2000, the Board granted
approval and authorized execution of the fOllowing:
1. Medicare EDI Enrollment Form in regards to ambulance billing services.
2. Non-Institutional Medicaid Provider Agreement in regards to ambulance
billing services.
3. Florida Medicaid Provider/Billing Agent Agreement in regards to
ambulance billing services.
4. Agency for Health Care Administration Electronic Claims Submission
Agreement in regards to ambulance billing services.
5. Agreement between Monroe County and the City of Key West concerning the
issuance and utilization of automated external defibrillators
Attached are fully-executed duplicate originals ofthe above documents for your
handling.
Should you have any questions concerning this matter please feel free to contact
this office.
Copies: Finance
County Attorney
File
o
0:::
o
(..)
W
0:::
~
C41.
I..\...
o
W
.-J
u-
AGREEMENT
BETWEEN
BOARD OF COUNTY COMMISSIONERS, MONROE COUNTY, FLORIDA
AND
CITY OF KEY WEST, FLORIDA
2.
\D w .S
C) ::.; .J
< Ij,.
c;, --. ;,.:
s: :::iU..-
Q.. c3cix
_.~-=>
. (..) <:>
'7 T~~~rd of County Commissioners, Monroe County, Florida, hereinafter referred to as
E; C~, and City of Key West, Florida, hereinafter referred to as CITY, mutually agree as
;;I: ..- x
ofOI~S:~
o
The COUNTY has acquired Automatic External Defibrillators (AED's) through a grant provided by
the Florida Department of Health, Bureau of Emergency Medical Services.
3.
It is to the benefit of the residents and visitors of the COUNTY and CITY that the Key West Fire
and Police departments participate in a program of providing First Responder care in the event of
a cardiac emergency. This includes the use of AED's to enhance the probability of survival from
cardiac arrest.
4.
The CqUNTY shall assign and distribute six (6) AED's to the CITY for use by Key West Fire
Department and Key West Police Department in their capacity as First Responders to cardiac
emergencies.
5. Maintenance and quality assurance of the AED's will be the responsibility of the CITY. The CITY
shall perform property inventory and control functions for the AED's, provide for the periodic
inspection and testing of the AED's, and provide preventative and general maintenance and
repair of the AED's in accordance with industry standards, as a minimum. The CITY shall be
responsible for all costs of functions and services associated with the AED's.
6. AED's assigned to and used by CITY remain the property of the COUNTY. AED's shall be
available for inspection by the COUNTY during normal business hours. AED's shall not be
transferred or loaned to any other agency or individual, and notification shall be made to the
COUNTY if any unit(s) are taken out of service.
7. The assignment and distribution of the AED's to CITY is contingent upon CITY executing a
Memorandum of Understanding (MOU) with American Medical Response d.b.a. Key West
Rescue in accordance with Florida Statute 401.435(2), "Each first responder agency must take all
reasonable efforts to enter into a MOU with the emergency medical services licensee within
whose territory the agency operates in order to coordinate emergency services at an emergency
scene." A copy of the fully executed MOU shall be submitted to the COUNTY.
1
8. CITY employees participating as First Responders shall at all times remain under the professional
and administrative controls of CITY. CITY employees while engaged in First Responder's training
or performing those services do so within the course and scope of their duties as employees of
CITY.
9. Every employee participating in the training and use of AED's in a prehospital emergency
situation shall comply with appropriately established medical treatment protocols.
10. The Medical Director of Key West Rescue is responsible for establishing medical treatment
protocols and reviewing and approving CITY employees training procedures for use of the AED.
The training may be an add-on component with biennial certification in Cardio-Pulmonary
Resuscitation (CPR) to the BLS-C or professional rescuer level under the American Heart
Association (AHA) protocols.
11. The Medical Director shall provide for each CITY employee who will be a participant in the AED
program a training format as follows:
a} Provide training consistent with established BLS-C and established guidelines from the
manufacturer for issued AED's.
b} Coordinate with CITY supervising staff members, as determined by the CITY Fire and
Police Chiefs or their designees, assignments that may be assumed by the CITY
employees during their training.
c) Provide materials and maintain personnel records and reports necessary for the
performance and documentation of CITY employees' training.
d} Coordinate enforcement of such training requirements and performance of CITY
employees with the CITY Fire and Police Chiefs or their designees.
e} Provide a methodology for data collection for Quality Assurance purposes.
12. The parties to this AGREEMENT stipulate that each is a state governmental agency as defined
by Florida Statutes and represents to the other that it has purchased suitable Public Liability,
Vehicle Liability, and Workers' Compensation insurance, or is self-insured, in amounts adequate
to respond to any and all claims within the limitations of Florida Statute 768.28 and 440, arising
out of the activities governed by this AGREEMENT.
Each party shall be responsible for any acts of negligence on the part of its employees, agents,
contractors, and subcontractors and shall defend, indemnify and hold the other party harmless
from all claims arising out of such actions to the extent authorized by Sec. 768.28 F.S.
13. This AGREEMENT will commence on the date of full execution and will continue indefinitely or
until terminated by either party. The COUNTY and CITY will review this AGREEMENT annually
incorporating changes required by statutes, Executive Orders, or regulations. Such changes will
be evidenced by a modification to this AGREEMENT or by a superseding AGREEMENT. If the
parties fail to agree on any such changes, the AGREEMENT will be terminated.
2
14. Tennination may be effected by either the COUNTY or CITY, upon thirty (30) days written notice
when deposited in the United States Postal Services mail, and directed to the party to whom
notice is being given, at the addresses set forth below:
FOR THE COUNTY:
James L. Roberts, County Administrator
Monroe County
5100 College ~oad
Key West, FL 33040
FOR THE CITY:
Julio Avael, City Manager
City of Key West
P.O. Box 1409
Key West, FL 33040
In Witness whereof the parties have caused this memQrandum of understanding to be executed
authorized representatives on this the I ~th. day of October, 2000.
By .Jlo.klf!. .,*~
Deputy Clerk 10 ../ t>, 00
(SEAL)
By:
Q~
Shir1ey Freema ,Mayor/Chainnan
Monroe County, Florida
3