Item C12 C.12
County f � .�� ",�, 1 BOARD OF COUNTY COMMISSIONERS
Mayor Craig Cates,District 1
Mayor Pro Tem Holly Merrill Raschein,District 5
The Florida Keys
Michelle Lincoln,District 2
James K.Scholl,District 3
David Rice,District 4
County Commission Meeting
May 17, 2023
Agenda Item Number: C.12
Agenda Item Summary #12053
BULK ITEM: Yes DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: James Callahan (305) 289-6088
NA
AGENDA ITEM WORDING: Issuance (renewal) of a Class A and Class B Certificate of Public
Convenience and Necessity (COPCN) to Rapid Response Medical Transportation for the operation
of an ALS and BLS transport ambulance service for the period May 22, 2023 through May 21, 2025.
ITEM BACKGROUND:
On May 22, 2019, a Class A and Class B COPCN was issued to Rapid Response Medical
Transportation to operate an ALS and BLS transport ambulance service for the period May 22, 2019
through May 21, 2021.
On April 21, 2021, both Class A and Class B COPCNs were approved for renewal by the BOCC for
the period May 22, 2021 through May 21, 2023. In view of the foregoing, Rapid Response Medical
Transportation is once again applying to renew their Class A and Class B COPCNs which would
become effective May 22, 2023 and expire on May 21, 2025.
PREVIOUS RELEVANT BOCC ACTION:
1) On January 23, 2019, agenda item C.8, the Board granted approval to advertise for a Public
Hearing to be held on February 20, 2019, to consider the application of Rapid Response
Medical Transportation.
2) On February 20, 2019, agenda item R.10 was continued to March 21, 2019.
3) On March 21, 2019, agenda item 0.2 was continued to May 22, 2019.
4) On May 22, 2019, agenda item Q.1, the Board granted approval for the issuance of a Class A
and Class B COPCN to Rapid Response Medical Transportation.
5) On April 21, 2021 BOCC approved renewal of COPCN effective May 22, 2021 through May
21, 2023.
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
Packet Pg. 568
C.12
DOCUMENTATION:
Rapid Response Medical Transportation Class A COPCN Application—Redacted
Rapid Response Medical Transportation Class B COPCN Application—Redacted
Rapid Response - COPCN Ambulance Request Form
Rapid Response Class A COPCN Certificate - Expires 5-21-2025
Rapid Response Class B COPCN Certificate - Expires 5-21-2025
FINANCIAL IMPACT:
Effective Date: 5/22/23
Expiration Date: 5/21/25
Total Dollar Value of Contract: N/A
Total Cost to County: N/A
Current Year Portion: N/A
Budgeted: N/A
Source of Funds: N/A
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: N/A If yes, amount: N/A
Grant: N/A
County Match: N/A
Insurance Required: Yes,per Statutory Requirements
Additional Details: N/A
REVIEWED BY:
Christina Cory Completed 04/28/2023 2:57 PM
RL Colina Completed 05/01/2023 7:56 AM
Purchasing Completed 05/01/2023 8:41 AM
Budget and Finance Completed 05/01/2023 11:19 AM
Brian Bradley Completed 05/01/2023 11:46 AM
Lindsey Ballard Completed 05/02/2023 10:04 AM
Board of County Commissioners Pending 05/17/2023 9:00 AM
Packet Pg. 569
MONROE COUNTY,FLORIDA
APPLICATION FOR CERTIFICATE OF PUBLtC CONVENIENCE AND NECESSITY (C'OPC'N)
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DATE OF INCORPORATION OR FORMATION OF THE BUSJNESS'ASSOCIATION
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10. ATTACH A STATEMENT INDICATING THE METHOD Of SCREENING THAT WILL BE, USF D TO ASSURE
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AMENDED AGREEMENT FOR PROFESSIONAL MEDICAL DIRECTION SERVICES
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THIS PROFESSIONAL SERVICES AGREEMENT (herein "Agreement") is, made
effective and entered into as of the - 31 day of �anuary 2023 by and between
the RAPID RESPONSE MEDICAL TRANSPORT, LLC, a Florida corporation U)U)
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medical doctor llicensed to practice such profession, in, the State of Florida M
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W I TN E S S E T H:
WHEREAS, RRMT desires to retain a medical doctor to provide medical
director adviser services to RRMT such services include, but are not limited to,
medical direction, education assistance,, development of emergency medical care
policies and procedures,, and the development of the emergency and non-
emergent transportation, program in compliance with local, State, and federal
regulations governing the private EMS industry/practices (herein the "Services");
WHEREAS, a competent medical doctor will be required for the Services;
WHEREAS, the Services are of a distinct and non-competitive nature; .2
WHEREAS, the MEDICAL DIRECTOR is a duly^ licensed physician by the State <
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WHEREAS, the MEDICAL DIRECTOR desires that the RRMT make payments
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the Services in accordance with the terms of and subj�ect to the conditions in 0
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A. The MEDICAL DIRECTOR agrees to provide general med call direction, as 0
described in Exhibit A attached hereto and incorporated herein by
reference for the RRMT as required on a timely basis,
E. The MEDICAL DIRECTOR shall be available to render professional W
services set forth, herein, includiingi miedlicail direction, response
to major medical emergencies, protocol interpretation, disaster E
management, or critical community health crises) seven (7) days
per week, twenty-four (24) hours per day.
Packet Pg. 578
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C, RRMT agrees that it shall to perform the responsibilities, as described (n
in ExNbit B attached hereto and incorporated herein by reference. U
D, Government Access to Records. To the, extent required by Section 18,61
(v) (1l) (1) of the Social Security Act, each party shall, upon proper request, U)
U)
ailllow the United Stated Department of Health and Human Services, the .2
U
Comptroller General of the Unifted States, and their dluly authorized M
4-
representative access to this Agreement and to alll books, documents,, and 0
records, necessary to verify the nature and extent of the costs of services
provided by either party under this Agreement, at any time during the term
of this Agreement and for an additional period of four (4) years following
the last date services are furnished under this Agreement. If either party
carries: out any of its, duties under this Agreement through an agre!emenit
between it ancl an individual or organization related to it, any party to this
U)
Agreement shall require that a clause be included inI such agreement so .0
that, the related organization shall make available, upon request by the
United States Department of Health and Human Services, the Comptroller
General of the: United States, or any of their duly authorized
representatives, all agreernients, books, documents, and records of such
related organization that are necessary to verify the nature and extent of
the costs of Services provided under this, Agreement.
.2
0.
E. HIlPAA Compliance. The MEDICAL DIRECTOR and RRIVIT shall comply
with privacy regulations pursuant to Public Law 104-,191 of August 21,
Z
1996, known as the Health Insurance Portability and Accountability Act of U
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1996. The MEDICAL DIRECTOR and IEMR further agree that they shall 0
fully comply withi all the requilremenits set forth in Exhibit C attached hereto U
and incorporated herein by reference.
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F, If the MEDICAL DIRECTOR. is engaged in providiingl these types of C
Services for persons or entities other than, RRMT, RRMT acknowledges, .2
that the MEDICAL DIRECTOR is not required to provide Services
1-
0
exclusively to the RRMT during the term of Ws Agreement. However, the
MEDICAL DIRECTOR agrees not to render such Services to RRIVIT's direct
competitors, in the geographical regions where RRMT is presently
rendering emergency and non-lemiergent medical transportation, This 76
.2
restriction is, limited to a radius of five (5) miles of ainy of facilities presently
contracting RRIVIT's services. This llimutation in not applicable to MEDICAL
DIRECTOR's present of future engagement in providing such Services to U)
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municipal EMS/Fire organizations. 0
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2.00 TERM: AND TERMINATION
This agreement is effective January 31.......... 21023 and shall end on, dune 01
20 2'3 The MEDICAL DIRECTOR may terminate this Agreement at any time by
giving, RRMT a written notice of not less than ninety (9101) days. RRMT may
E
terminate this, Agreement at any time in the event that the MEDICAL DIRECTOR
violates the terms of this
Packet Pg. 579
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Agreement or fails to, produce a result that meets the specifications, of this Agreement. U)
Upon termJnation, the MEDICAL DIRECTOR shiall be entitled to colmpensaton for the U
MEDICAL DIRECTOR'S services performed prior to such termination date,
3.00 CONFLICT OF INTER U)EST U)
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The MEDICAL DIRECTOR and RIFT declare that declare that as of the M
4-
date of this declaration that no conflicts of interests exist affecting their ability to, 0
enter into this Agreement.
4.00 MEDICAL DIRECTOR'S LICENSING
The MEDICAL DIRECTOR hereby, certifies that the MEDICAL
DIRECTOR presently is, and shall continue to be throughout the Term, licensed to
U)
perform the Services.
5.00 DISPUTES
Any dispute conceminig a question of fact in connection with the Services not
disposed of by agreement between RRIVIT anidl/or the MEDICAL DIRECTOR
shall be referred to American Arbitration Association ("AAA"), and the AAA
decision regarding such disputed question of fact shall be fined and binding.
.2
6.00 COMPLIANCE WITH LAWS
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RRMT and the MEDICAL DIRECTOR agiree to observe and to comply at all 0
times with all applicable Federal, State, and local laws, ordinances, and regulations U
in any manner affecting the conduct of the work and to comply with aill instructions
and ardeirs4ireictives issued) by the regulatory body with the stated purpose of
improving and coordinating emergency medical services. U
7.00 COMPENSATION
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RRMT agrees to, pay the MEDICAL DIRECTOR monthly, based upon actual
services rendered by the MEDICAL DIRECTOR at the agreed upon amount shown
in, Exhibit B attached hereto and incorporated herein by this, reference. Ali
payme!nts under this Agreement sh�alll be made to the MEDICAL DIIRECTOR or the .2
entity listed on the IRS W-9 form provided by the MEDICAL DIRECTOR to RRMT,
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Packet Pg. 580
8.00 CONTROL
All Services afire to be performed in accordance with established professional U)
standards applicable to the practice of medicine and in accordance with the established U
customs, pra�ctices, standards and procedures prolmuilgsated and established in the
State of Florida, and the municipal ities wherein RRMT is providing services, except as
such, might not be consistent with lestablished professional stand U)ards applicable to U)
the (practice of medicine. .2
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9.00 REIMBURSEMENT FOR, EXPENSES 0
The MEDICAL DIRECTOR shall not be reimbursed for any expenses,
unless, such expenses are authorized in writing by RRMT before the, MEDICAL
DIRECTOR inicuirs any such expenses, Subject at all times to the requirement that
the MEDICAL DIRECTOR must seek the RRIVIT's prior approval of any expenses,;
in no event shall the MEDICAL DIRECTOR, charge RRMT any amount for any
expense which exceeds, the amount paid by the MEDICAL DIRECTOR for such
expenses.
10.,00 CLAIMS., ILIABI,UTY,..IN,DEMNITYA,ND, llN�SURANICE
A, MT shall assume all risk in connection with MEDICAL DIRECTOR'S
performance of this Agreement, and shall be liable for any darnages to .2
CL
persons or property resulting from the negligent acts, errors, or CL
omissions of the IMEDICAL DIRECTOR, his/her agents,, servants,, z
and/or employees, irni connection with the prosecution and completion U
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of the Services, RRMT agrees to procure a professional liability 0
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insurance,, provided same is reasonably available to RRIVIT, which
will Indemnify the MEDICAL DIRECTOR for any and all acts and/or
omissions arising from executing and/or discharging his/her U
responsi bi I I ties under the Agreement. The indemnities, set forth herelin C
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shall survive the expiration or term,inat�ion of this, Agreement,
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B MEDICAL DIRECTOR, and RRMT shall comply with state and federal U
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requireliments pertaining to Wolrkmen's Compensation insurance and
emiployee liability insurance, MEDICAL DIRECTOR
acknowledges that they and any of their employees are not entifl U)ed U)
to une!mploymienit insurance benefits from RRMT and that the RRMT will U
not pay for or otherwise provide such coverage to, MEDICAL DIRECTOR. M
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11.010 EQUAL EMPLOYMENT OPPORTUNITY
In carrying out the Services uindler this Agreement, RRIVIT and the
MEDICAL DIRECTOR shall not discriminate against any ernployee or applicant for
employment, because of race, creed, color, national origin or sex, RRIVIT and
the MEDICAL DIRECTOR shall take affirmative action to ensure that applicants
are employed, and that employees are treated during employment without regard to
their race, creeds, color, national origin or sex. Such action shall include, but not be
limited to, the following: employing; upgrading; demoting; oir transferringi;
recruiting or paying recruitment cornpensationm and selecting for braining, including
apprenticeships.
12.010 RELATIONSHIP .2
The parties understand and algiree that the MEDICAL DIRECTOR is an
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independent contractor and that the MEDICAL DIRECTOR is not an empiloyee, agenit U
or servant of RRMT, nor is the MEDICAL DIRECTOR entitled to RRMT CL
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employment benefits. THE MEDICAL DIRECTOR UNDERSTANDS AND AGREES U
THAT THE MEUCAL DIRECTOR IS NOT ENTITLED TO WORKER'S U)
COMIPENSATION BENEFITS AI ID THAT THE MEDICAL DIRECTOR IS U)
OBLIGATED TO PAY FEDERAL AND STATE INCOME TAX ON ANY MONEYS U
EARNED PURSUANT TO THIS CONTRACT. As independent contractors, the
�MED,ICAL DIRECTOR agrees that:
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A. The MEDICAL DIRECTOR does not have the authority to act for the
RRIVIT, or to bind RRMT in any respect whatsoever, or to Incur any
debts or iIabiljfies in the name of or on behalf of the RRMT; and
.2
E. The MEDIICAL DIRECTOR has and hereby retains control of and
supervision over the pe'rformance of MEDICAL DIRECTOR'S oNkgations
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hereunder aind control over any persons, employed by the MEDICAL a
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DIRECTOR for performing the Servi� 0.ces hereunder; and U)
C. The MEDIICAL DIRECTOR will not combine its business
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operations in any way with, the RRMT"s business operaflons, and each,
party shall maintain their operations, as separate ands distinct.
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Packet Pg. 582
1100 THEE'' MEDICAL IDIRECT' ESPONSIBILITIES
In addition to all other obligations contained herein, the MEDICAL U)
DIRECTOR agree. U
A, To proceed with diligence and promptness, and hereby warrant that suich <
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Services shall be performed in accordance with the highest professional U)
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workmanship and service standards in the field to the satisfactionof the U
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B, To comply, at their own expense, wraith the provislons, of all state, local and
federal laws, regulations, ordinances, requirements and codes which are!
applicable to, the performance of the Services hereunder or to EMIR or 2
MEDICAL IDIRECTOR as employer.,
14.00 GEINIERAL PRO,VISION S U)
A. Notices, All notices, requests, consents, appirovalls, written instructions, 2
reports or other communication from or to the MEDICAL IDIIf ECTOR or
RR MT, under this Agreement, s,hallll be, in writing, and shall be deemed
to have given or served, if delivered or if mailed by certified mull), .2
postage prepaid or (hand delivered to the parties, as foflows:
.2
......-M, E-0,1-�C,-A-1-6-1,R-E,...C"TO'R. ........................R-A--P 10 R,E S,P".......0' -i S—E-M--E-D-,-1C A-L, ............. <
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TRANSPORT, LLC U
83,30 West SIR 84 0-
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Davie, Florida 33324 U
(954) 9198-10117 M
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Either party may chainge the address to which notices,, requests, consents, 9=
appirovals, written instructions,, reports or other communications, are to be .2
given by a notice olf change of address given in the manner set forth in this
1-
0
paragraph A.
B. This Agreement may be madified or amended only by a, duly
authorized written Instrument executed by the parties hereto. 76
.2
C, Attorney's Fees. If an action is, brought to enforce this, Agreement,
the prevailing party shall be entitled to costs and reasonable attorney's
U)
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fees, 0
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0. Assignment of Work, The work and services, required of the
MEDICAL DIRECTOR are personal and shall not be assigned, sublet
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or transferred without the RRIVIT's prior written consent,
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Packet Pg. 584
Exhiibit "A"
Medical Direction of Emergency Medical Services
In accordance with the Rules of the Florida Department of H�ealth,Chapter 40111, Florida
Statutes and Florida Administrative Code 64,11-1.004, the MEDICAL DIRECTOR U)
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shall be aipplointed as Emergency Medical Services ("'EMS"') Medical Di�rector for the U
RRMT and shall provide medical supervision of RRMT and assure the provision olf
quality emergency and non-emergent medicW care throughout the State of Florida
pursuant to service agreements secured/awarded to RRMT. The MEDICAL U)
DIRECTOR shall develop and enforce patient, care policies and medical
procedures and shall modify system design and regularly evaluate operations through U
an established Continuous Quality Improvement ("CQI")program to ensure that 4-
pire-ho,spital and/or EMS providers meet or exceed the staindard of care in a�lll patient .2,
encounters.
The MEDICAL DIRECTOR shall have the power to limit the activities of those under
the MEDICAL DIRECTOR'S supervision that deviate from the established clinical
standards of care or do not meet training standards pursuant to approphate rules and
regulations established by the MEDICAL DIRECTOR and RR MT, Additional
respionis,ibilities of the MEDICAL DIRECTOR shall include, but not be limited to,
involvement with the design, operation, evaluation and ongoing revision of the EMS
system(s) including, without limitation, initial patient access, dispatch, pre-hospital'
care and dellivery to the emergency department, The means utilized by the
MEDICAL DIRECTOR to direct pre-hospital emergency care may include, but are
not limited to , off-fine and on-line imedical direction using prospective, concurrent
and/or retrospective methods.
.2
off-Line f Pros
and RetrospqqtIve) Medical Direction, <
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Off-fine medical direction Is, the administrative promulgation and enforcement of U
accepted stanidairds of pre-hospital care. Off: line medical direction can be 0
accomplished through both prospective and retrospective miethiods, Prospective U
methods include, Ibut are not limited to, training, testing and certification of providers; U)
protocol development; operational policy and procedures development; and legislative (n
activities, Retrospective activities include, but are not limi'ted to, medical audit and, U
review of care, direction of remedliail edlucatiion, and limitation of patient care,funic0n$
if needed,
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On-Lilne (Concurrent) Medical Direction
On-line medical direction is the medical direction provided Erectly to pre-hospital
providers by the Mle licall Director or designee either on-scene or by direct voice
.2
communication, Ultimate authority and responsibility for concurrent medical
direction rests with the Medical Director,
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Role of the EMS Medical Director U)CL
THIS EXHIBIT IS AN ESSENTIAL PART OF THE AGREEMENT OF THE PARTIES
AND MUST BE INCLUDED WITH ANY AND ALL COPIES OF THE AGREEINIENT.
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Packet Pg. 585
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Thee Medical Director will have authority over all clinical and patilent care aspects of the U
EMS system or service, with the specific duties and responsibilities dictated by
RRIVIT's requirements.
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Qualifications, U
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To optimize medical direction of RRMT's pre-hospital emiergiency medical services, 4-
the service shall be managed by a Medical Director who mleets the following .2,
minimurn qualifications:
1 ., Possess a license to practice medicine in the State of Florida,
2 Possess a valid DEA Certification of Registration;
3, Possess Board Certification oir board eligibility in Emergency Medicine, OR in
Family Medicine/Internal Medicine with extensive work experience in
Emergency Department;
4, Possess, a valid Staite of Florida IDrivers, License;
5, Be familiar with thie deli in ands operation of pre-hospital EM1S systems;
6 Experience or training in the pre-hiosplital emergency care of the acutely KI
or injured patieft,
7. Experience or,training in medical direction of pre-hospital emergency units�
& Active participation in, the management of the acutely ill or injured patient,
9. Experience or traininig in the instruction of pre-hospitail personnel;
10 MS, Experience or training in the E quality improvement CLt process; CL
11, Knowledge of Florida EMS, laws and regUationso� z
12. Knowledge of Florida EMS dispatch and comm Uunications; CL
11 Knowledge of local mass casualty and disaster plans; 0
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14. Evidence of high, ethical standards and no, conflicts of interest, ao
15. Not be restricted from) participating, or otherwise limited by, State Medlicaid aind
Federal Medicare programs;
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16. Possess valid State and Federal, including DEA, ciredentials pursuant to which, 9=
.2
RRMT can obtain aind administeir controlled substances, including narcotics.
Responsibilities 0
The MEDICAL, DIRECTOR's responsibilities for RRIVIT's prehospital emergency medical
:services shall include, but are not limited to, the following minimum responsibllitiesn
1 Serve as a patient advocate in the RRMT-runi EMS (emergency and non-
emergent transport) system; .2
2, Set ands ensure compliance with patient care standards, inclluding but not
limited to communications standards and dispatch and medical protocols;
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31, Develop and implement protocols and standing orde!rs under which, the 9=
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pre-hospital care provider functions; CL
4 Develop and implement thie process, for the provision of concurrent medical
direction;
5. Ensure the appropriateness of initial qualifications of pre-hospital personnel
involved in patient care andl dispatch;
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TRIS EXHIBIT IS AN ESSENTIAL PART OF THE AGREEMENT OF THE PARTIES
AND, MUST BE INCLUDED WITH ANY AND, ALL COPIES OF THE AGREEMENT.
Packet Pg. 586
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6. Ensure that the qualifications of pre-hospital personnel involved in patient i2
care and dispatch are maintained on an, ongoing basis through education, U
testing„ and credentialing;
7. Develop, and implement an effective quality, improvement program for
confinlJOILIS system and patient care improvement; V)V)
8, Promote EMS research; U
9� Act as liaison between the meducal community (emergency departments, M
4-
physicians, pre-hospital providers, and nurses) and particularly 0
receiving hospitals/facilities and the RRMT;
10. interact with regional, state and local EMS authorities to ensure that standards,
needs, andl requirements are met and resource utilization is opfirnizeld,
11. Arrange for coordination of activities, such as, mutual aid, disaster Iplanniing and
management, and hazardous materials response;
12, Promulgate public education and information on the prevention of emergencies.
11 Maintain knowledge levels appropriate for an EMS Medical Director through
continued ediucation;
14 Develop ands recommend patient care and triage criteria and protocols for the
EMS system; including, but not limited to the following- (if) Circumstances under
which transport or non-trainspoirt of a patient might occur; (iii) Level of care aind
transport to be used: inl pre-hospitalemergency caire, and (fil) Patient 0
destination;
15. Define the scope of on-line medical commands that may Ibe received by RRMT .2
EMS personnel from physicians at receiving hospitals; CL
16a Provide on-line and off-fline consultation with RRMT's EMTs, paramedics or z
supervisors when, requested; U
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17. Advise RRMT and make appropriate recommendations regarding equipment U
and staffing needs to further fa6lfitate and enhance pre-hospital/medical
transport,care of patients;
18. Provide medlical recommendations to RRM1T in the development and U
implementation of continuing education prograims; a
.2
119, Review and recommend continuing education course materials to ensure
medical content is appropriate; 0
K RegWarly participate ins the provision of continuing education to Emergency
Medical Technicians and Emergency Medical Technician Paramedics;
21. Reviewer quality assurance programs, including periodic review of paramedics"
written reports, run reviews, and other records, as the Medical Director .2
deems necessary to promote quality patient care;
22. Provide medical recommendations to the RRMT Communications regarding the
dispatch of'EMS calls,;
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21 Serve as RRMT's representative at the local town/muniicipal meeting, or before CL
credentialing bodies'
24. Meet regularly with RRMT's Quality Assurance Coordinator and the,
RRMT's Chief Executive Officer or Chief Operating Officer;
2,5, Advise RRMT on clinical risk management iss,ues,
2'6. Interact with the State and local EMS, community on behalf of RRMT:
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THIS EXHIBIT IS AN KSSENTIAL PART OF'JrHE AGREEMENT OF THE:PARTtEs
AND rvtUST BE INCLUDED, WITH ANY AND ALL C'OPIIES OF THE AGREEMENT.
Packet Pg. 587
2T Make appropriate recommendations to: RRMT regarding remedial training or u
education, where warranted, pending) review and evaluation of medical
treatment by an Emergency Medical Technician (EMT), or Paramedic',
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2& Make recommendations concerniing the curriculum for EMT$ and U)
Paramedics based on, the RRMT"s needs; u
29. Provide 24-hour availability for emergency consultations to RRM�T EMTs and Paramedics;
30. Make recommendations for ongoing efforts to enhance care by RRMT's, IEMTs
and Paramedics;
31 Comply with the State and local laws and: regulations governing the
receipt, handling, and use of controlled substances by EMS agencies;
Authority for Medical Direction
Ulnless otherwise defined or limited bly
state or RRMT requirements, the
Medical Director shall have authority over all clWcal and patient care aspects of
the EMS system including, but not limited to, the fdilowing:
1 recommend certification, recertification and decertification of pre-hospital
and EMS, transport personnel to the appropriate certifying agency;
2, Establish, implement, revise and authorize system-wide protocols, pollicies, and .2
procedures for all patient care activities from dispatch through triage, treatment
and transport;
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1 Establish criteria for determining patient destination; u
4, Ensure the competency of personnel who Iprovide concurrent medical direction, 0
to pre-hospital and EMS transport personnel Including, but not limited to, u
EMTs and paramedics: U)
Establish the Iproceduures. or protocols under wNch non-transport of patients U)
may occur; u
6, Require education to the Iev6l of proficiency approved for EMT's, Paramedics .2
and EMS (Dispatchers;
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7, Implement and supervise an, effective qivaility improvement program, The U)
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l" edicall Director shall have access to all relevant records needled to accomplish
this task;
& Remove a provider frorn rnedical: care duties for due cause, using an .2
appropriate review and appeals, mechanism;
9. Set or approve hiring standards, for personnel involved in patient care; and
10. Set or approve standards for equipment used in patient care,
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THIS EXHIBIT IS AN ESSENTIA,I.., PART' O,F THE AGREEMENT OF THE PARTIES E
AND MUST BE INCLUDED WITH ANY AND ALL COPIES OF THE AGREEMENT.
Packet Pg. 588
CoMpensation: M
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RRMT agirees to pay the MEDICAL, DIRECTOR a fee of ($ 30000 00l) per annumi for the! (n
perfwmance of suich Seir0ces, as are more specifically set foirthi above. This fee lincludes, but u
is not limited to, MEDICAL DIRE CTOR's firne associated withi performance of the Services
ass elated wraith this Agreement,
Any and/or alll playments maide under this Agreement shall be paid by check, payable to the
order of the MEDICAL DIRECTOR or the entity listed an the! IRS Form W-9 provided by the u
MEDICAL DIRECTOR and bile mailed to at, 4-
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�Name�: Geraldo Bandel
Address: 7378 Kirby Thompson Rd,
City/State/Zlipi: Labelle, FL. 3l3935
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WITNESS THE DUE EXECUTION HEREOF. �
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St ve Pia �v - CEO MEDICAL DIRECTOR �
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TRANSPORT, LLC
Date: . n"e w� Cute;
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Exhibit "C"'
HIRPA AGREEMENT U
................. ..............................................-1-1-111-1---.-...............
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1 RRMT and the MEDICAL DIRECTOR shall carry out their obligations under U
this Agreement in compliance with the privacy reguilations pursuant to, Public Law 4-
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104-19 1 of August 2 1, 119916, known as the Health Insurance Portability .2,
and Accountability Act of 19916, Subtitle F — Administrative Simplifications,
Sections 261 , et s,eq,,, as amended (HIPPA), to, protect the privacy of any
personially identifiable protected health information (PHI) that is collected, 2.
processed or learned as a result of the Billing Service provided heireunider.
In conformity therewith, RRM' T and the MEDICAL DIRECTOR agree that they will:
a, Not use or further disclose PHI exce�pit as permitted under this Agreement or
reqluired by law;
b. Use appropriate safe:guiards to prevent use or disclosure of PHI except as
permitted by this Agreement;
c. Report any use or disclosure of PHI not provided for by this
Agreement of which RRMT'anidlor the MEDICAL DIRECTOR becomes aware!;
& Incorporate any amendlmen:ts to PIHII when notified to do so b RRIVIT;
e, Providle an accounting of all uses or disclosures of PHI made by the
.2
MEDICAL DIRECTOR or RRMIT as required under the HIP AA privacy
ruffle within thirty (30),days; and
f, At the expiration or termination of this, Agreement, return or destroy allil PK) z
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received from, or created or received by the MEDICAL DIRECTOR. on 0-
behalf of the RRMT, and if return, is not feasible, thie protections of this 0 U
Agreement will extend to such, PHI and these obligations shall survive the
expiration or termination of this Agreement,
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2, The specific uses and disclosures, of PHI that may be made by the MEDICAL
DIRECTOR on behalf of the RRMT include:
a. Quaility Assurance oversight; 0
b. Research; U)
c. As needed for processing complaints; and
d. Luther uses or disclosures of RH I as permitted by H I PAA privacy ru lle.
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3 Notwithstanding any other provision, of the Agreement, this Agreement may be
terminated by the RRIVIT, in its, sole discretion, if the RRMT determines, that
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the MEDICAL DIRECTOR has violated a term or provision of this Agreement C
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Pertaining to RRMT's obligations under the HPAA I privacy rule, or if the MEDICAL 0.
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Director engages in conduct which would,, if committed by RRMT, result in a
violation of the HIP pdvacy rule by RRIVIT.
THIS EXHIBIT IS AN ESSENTIAL PART OF THE, AGREEMENT OF THE PARTIES
AND, MUST BE INCLUDED, WITH ANY AND ALL COPIES OF THE AGREEMENT.
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RRMT: G (? G ' 6
(Initials Medical Director-
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effective date of the 5 corporation election and does not need to file Fo= 8852. �
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