4.2. SR 10-08-2012 Elk REQUEST FOR ACTION
River
TO ITEM NUMBER
Mayor and City Council 4.2
AGENDA SECTION MEETING DATE PREPARED BY
Consent October 8, 2012 T.John Cunningham,Fire Chief
ITEM DESCRIPTION REVIEWED By
Agreement for First Responder Training and Medical Direction Cal Portner, City Administrator
Oversight Services REVIEWED BY
ACTION REQUESTED
Council is asked to approve the attached agreement for first responder training and medical direction
oversight services provided by Allina Health Emergency Medical Services.
BACKGROUND/DISCUSSION
Presently,all Elk River firefighters maintain, at a minimum, First Responder certification through the
Minnesota Emergency Services Regulatory Board (EMSRB). Many firefighters are also Emergency
Medical Technicians (EMT's),which is a higher level of training and certification.
The primary purpose of this contract is to provide regularly scheduled First Responder refresher training
for firefighters certified to the First Responder level.
Also included in the contract is medical direction oversight and the use of Allina's Emergency Medical
Service (EMS) protocols. While the Fire Department has a number of certified EMT's,the city does not
presently have a designed medical director to oversee medical policies, quality control,and advanced skills
variances.
Allina Health Emergency Medical Services currently provides such service to the Elk River (Fire and)
Ambulance Service, a separate 501(c)4 non-profit organization. This will provide consistent training,
policies, and medical direction to city-employed first responders.
FINANCIAL IMPACT
Fees associated with this agreement have been budgeted in the Fire Department's operating budget,
including 2012 and 2013.
ATTACHMENTS
■ Agreement between the Allina Health Emergency Medical Services and the City of Elk River.
Action Motion by Second by Vote
Follow Up
N:APublic Bodies\City Council\Council RCA\Agenda Packet\10-08-2012\Medical Director SR.docx 4A f U R E
Agreement for First Responder Training and Medical
Direction Oversight Services
This Agreement is made and entered into this 8t" day of October 2012 by and
between Allina Health Emergency Medical Services ("AHEMS"), a division of Allina
Hospitals and Clinics, a Minnesota nonprofit corporation having principal office at 167
Grand Avenue, St. Paul, Minnesota 55102 and the City of Elk River ("First Responder")
having principal offices at 13065 Orono Parkway N.W., Elk River, Minnesota 55330
Witnesseth
WHEREAS, First Responder is a governmental entity engaged in providing
emergency response, care and treatment services to patients within its geographical
service area; and
WHEREAS, Allina Health EMS is the ALS and/or BLS service provider in First
Responder's service area and has the personnel and resources to provide medical
direction services to First Responder; and
WHEREAS, First Responder wishes to utilize those medical direction services in
the manner and to the extent set forth in this Agreement and the attachments hereto;
NOW, THEREFORE, the parties hereto hereby agree as follows:
1 . Medical Direction. Allina Health EMS hereby agrees to provide medical direction
to First Responders throughout the term of this Agreement. For the purposes of
this Agreement, medical direction services will include:
a. Training for the fire department as specified in Exhibit A.
b. Annual physician skills review for the fire department.
C. Use of Allina Health EMS protocols.
d. Medical direction oversight will be provided by the Allina Health EMS
Medical Director and such other physicians as Allina Health EMS may
contract with from time-to-time for such services.
2. Contract Administration. Communications between the First Responder and
Allina Health EMS shall be coordinated though the paramedic coordinator of
Allina Health EMS assigned to First Responder. Physician medical direction
services will be provided through the Allina Health EMS Medical Director and
such other physicians as Allina Health EMS may contract with from time-to-time
for such services.
1
N:\Public Bodies\City Council\Council RCA\Agenda Packet\10-08-2012\2012-10-08 Contract.doc
3. Conditions of Medical Director Services. As a prerequisite of condition to Allina
Health EMS providing the Medical Director services contemplated herein, the
First Responder agrees that it will at all times during the term of this Agreement:
a. Operate under Allina Health EMS Services' protocols.
b. Utilize only certified EMT's and/or First Responders to provide direct
medical care.
C. Document the care and services of the First Responders utilizing the
standard format provided by Allina Health EMS.
d. Consult with the Allina Health EMS Coordinator and/or Medical Director on
major equipment purchases.
4. Additional Services. In addition to the Medical Directorship Services identified
above, Allina Health EMS will make available from time-to-time other services
including, but not limited to, those services set forth in Exhibit A attached hereto.
5. Fee. In exchange for the services to be provided by Allina Health EMS, First
Responder agrees to pay Allina Health EMS the annual fee(s) set forth in Exhibit
A attached hereto. Payment shall be due Allina Health EMS within thirty (30)
days following the effective date of this Agreement and the remainder paid
quarterly over the term of the Agreement. In the event Allina Health EMS
terminates this Agreement prior to the expiration of the term hereof, Allina Health
EMS shall refund to First Responder a pro rata portion of the annual fee(s).
6. Term and Termination. This Agreement shall be effective for a term of FIVE (5)
years from the date hereof. This Agreement may be terminated at any time by
either party, with or without cause, upon the giving of thirty (30) days written
notices to the other.
7. Insurance.
a. Allina Health EMS. Allina Health EMS agrees to maintain such policies of
insurance, self-insurance reserves, or combinations thereof in amounts
not less than $1,000,000.00 per occurrence and $3,000,000.00 umbrella
coverage. In addition, Allina Health EMS agrees to hold harmless and
indemnify First Responder from any and all liability which Responder may
incur as a result of the negligent or intentional misconduct of any Allina
Health EMS employee providing services pursuant to this Agreement.
b. First Responder. First Responder agrees to provide and maintain
insurance with limits of not less than $1 ,000,000.00 per occurrence and
$3,000,000.00 annual aggregate unless such entity is governmental entity.
First Responder agrees to indemnify and hold harmless Allina Health EMS
from any and all liability arising out of the negligent or intentional
misconduct of any of its employees.
2
N:\Public Bodies\City Council\Council RCA\Agenda Packet\10-08-2012\2012-10-08 Contract.doc
8. Governing Law. This Agreement shall be governed by and construed in
accordance with the laws of the State of Minnesota.
9. Nothing herein shall constitute a waiver of any defense or limitation on liability
established by M. S. Chapter 466. No person shall be considered as a third
party beneficiary of this Agreement.
IN WITNESS WHEREOF, the parties have entered into this Agreement this day
of 2012
Allina Health EMS
By:
It's Ambulance Operations Manager
City of Elk River
By:
Its Mayor
By:
Its City Clerk
3
N:\Public Bodies\City Council\Council RCA\Agenda Packet\10-08-2012\2012-10-08 Contract.doc
EXHIBIT A
City of Elk River
Medical Directorship Agreement
Basic Package: 2012-3 2013-4
• Medical Director $275.00 $275.00
• Administration
• Monthly In-service training for the fire department
• 11 in-services over 2 years — 2.5 hours each @ $1500.00 $1500.00
$100.00 per hour plus CPR refresher— 4 hours
• Use of Allina Health EMS Protocols Included Included
TOTAL PACKAGE COST:
2013 Cost $1775.00
2014 Cost $1775.00
The total contract will be paid in 8 quarterly payments at a rate of$443.75/quarter.
Additional Options:
• Cardiac Arrest Review and Feedback @ $50.00/event
• Run Review — 2 hours @ $100.00/event
• Additional In-services - 2 hours each @
$50.00 / instructor hour
4
N:\Public Bodies\City Council\Council RCA\Agenda Packet\10-08-2012\2012-10-08 Contract.doc