HomeMy WebLinkAboutRes 06-51 Authorizing a Memorandum of Agreement for EMS Medical Direction with Dr. John H. Ansohn, D.O. TOWN OF WESTLAKE
RESOLUTION NO. 06-51
A RESOLUTION OF THE BOARD OF ALDERMEN OF THE TOWN OF
WESTLAKE, TEXAS, AUTHORIZING A MEMORANDUM OF AGREEMENT
FOR EMS MEDICAL DIRECTION WITH DR. JOHN H. ANSOHN, D.O.
WHEREAS,Dr. John H. Ansohn, D.O. is a licensed medical physician with the
State of Texas and desires to provide medical direction for the Town of Westlake's
Department of Public Safety EMS services for the period October 1, 2006 through
September 30, 2007; and
WHEREAS, the Board of Aldermen of the Town of Westlake does hereby desire
to secure the services of John H. Ansohn, D.O. for the purpose of providing the Town of
Westlake with medical direction for its Department of Public Safety.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF ALDERMEN OF
THE TOWN OF WESTLAKE, RYAS:
SECTION 1. All matters stated in the Recitals above are found to be true and
correct and are incorporated herein by reference as if copied in their entirety.
SECTION 2. The Board of Aldermen of the Town of Westlake, Texas, hereby
approves the Memorandum of Agreement, attached as Exhibit "A", for EMS medical
direction with Dr. John H. Ansohn, D.O., and further authorizes the Town Manager to
execute the agreement on behalf of the Town of Westlake, Texas.
PASSED AND APPROVED ON THIS 25TH DAY OF SEPTEMBER, 2006.
ATTEST: Scott Bradley, Mayor
ITLan Dwinnell. Town Secretary Trent O. Petty, T Manager
APPROVED S TO F
L. Stanton L&
, o ttorney
EMS Medical Director Agreement
Memorandum of Agreement
for EMS Medical Direction
For the mutual promises and consideration set forth herein, John H. Ansohn, D. O. and
the Westlake Fire Department do hereby agree as follows:
Dr. Ansohn will assist the Westlake Fire Department in satisfying certain requirements
pertaining to the operation of Emergency Medical Services (EMS). By law, each EMS is
required to have a Medical Director who is responsible for all aspects of the operation of
an EMS system concerning the provision of medical care. This person is referred to as
the Medical Director (off-line).
Either party may terminate this agreement prior to the'annual renewal date with or
without cause and ninety(90)days prior written notice. The agreement is effectivc
October 1, 2006 and is renewed automatically each year unless ninety (90) days prior
written notice is provided to the-address of record.
Medical Director Functional Responsibilities
The Medical Director will maintain Off-Line Medical Director requirements as
determined by law. These include:
1. Current license as a physician to practice in Texas and registration as an EMS
Medical Director with the Texas Department of State Health Services;
2. Familiarity with the design and operation of EMS systems,
3. Experience in prehospital emergency care and emergency management of ill and
injured patients;
4. Active involvement in:
a. The training and continuing education of EMS personnel operating in this
department at their respective levels of certification or licensure;
b. The medical audit, review and critique of the performance of EMS
personnel operating in this Department,
c. Maintaining knowledge about local multi-casualty plans;
d. Familiarization with dispatch and communications operations of
prehospital emergency units; and
e. Knowledge about laws and regulations affecting local, regional and state
EMS operations,with active involvement in the Governor's EMS and
Trauma Advisory Council (GETAC) and the North Central Texas Trauma
Regional Advisory Council (NCTTRAC).
The Medical Director is an independent contractor whose agreement is administered by
the Fire Chief on the authority of the City Council,by City Manager designation. The
Medical Director serves as the clinical leader of the EMS System and has the following
responsibilities:
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EMS Medical Director Agreement
1. Recommend to the Fire Chief, or proper delegated person,medically appropriate
response time standards;
2. Approval of the level of prehospital care by credentialing processes which may be
rendered locally by each of the EMS personnel employed by and/or volunteering
with the EMS under the Medical Director's supervision, regardless of the level of
state certification or licensure, before the certificant or licensee is permitted to
provide such care to the public;
3. To develop, implement and revise protocols and/or standing delegation orders as
appropriate governing prehospital care and medical aspects of patient triage,
transport, transfer, dispatch, extrication, rescue and radio-telephone-telemetry
communication by the EMS;
4. Maintenance of the standards of patient care for ambulance and first responder
vehicles, and to establish and monitor compliafice with field performance
guidelines for EMS personnel;
5. Direction and oversight of an effective EMS system audit and quality assurance
program;
6. To establish standards and monitor compliance with training guidelines which
meet or exceed the minimum standards set forth in the Texas Department of State
Health Services EMS certification/license requirements. This includes serving as
a liaison with any contracted education providers and having oversight and final
authority when necessary to assure the quality of education and compliance to the
Medical Director's medical oversight and protocols.
7. Provision of liaison, educational material, and orientation support to assure that
Grapevine hospital physicians as On-Line Medical Directors are knowledgeable
about this EMS System, its protocols and procedures;
S. Conducting inspections of vehicles, equipment and supplies at the request of the
Fire Chief or assigned officers;
9. Serving as the primary liaison between the Westlake Fire Department EMS
system administration and the local medical community, ascertaining and being
responsive to the needs of each.
Quality Assurance Standards
The Medical Director and the department will agree to support the provision of quality
assurance and performance improvement to include but not limited to:
1. Monthly report reviews with the Field Trainers or EMS Officers;
2. Participation in monthly scheduled Field Trainer meetings;
3. Provision of feedback and mentorship to EMS personnel at the Emergency
Department, including this department's treatment of transported patients;
4. Shadowing opportunities for Field Trainer Paramedics and New Paramedics
including graduates and personnel who are in a Performance Improvement Plan
program;
5. Review of the Medical Control Quality Management reports for:
a. Risk Management/Safety;
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EMS Medical Director Agreement
b. Appropriate assessment and management of patient care;
c. Paramedic compliance with Protocol and CQI guidelines; and
d. Evaluation of problem prone, high volume and high risk patient care
cases.
6. Provision of feedback to include Performance Improvement Plans as determined
by audit and/or consultation with Department officers;
7. Provision of fiirther recommendations as needed in special cases such as sentinel
events or focused audits in accordance with the Fire Chief and/or officers
assigned to the case.
8. Monthly visits to each shift to address the following areas:
a. Chart Reviews;
b. Questions and Answers;
c. Concerns;and
d. Protocol updates and clarifications.
Medical Control Management Function
The Medical Director will provide for Medical Control Management via his designated
individual or agency. This service will be provided to support the operation of EMS
services and coordination of services provided by his medical control agreement.
Fire Department Functional Responsibilities
Fire Department support of the Medical Director will be provided, but not limited, to:
1. Supporting attendance by the appropriate designees at meetings determined by
both parties to be beneficial to the EMS function of the department;
2. Provision of scheduling and contact information for key personnel of the
department, such as Field Training Paramedics;
3. Immediate notification of any duality assurance issue that presents a threat to the
public safety;
4. Immediate notification of any disciplinary action that resulted in termination or
suspension of any EMS certificant or licensee functioning under this medical
direction within the department;
5. Access as appropriate to documentation and/or recordings related to this EMS
medical control practice as agreed by.both parties to support quality assurance
processes.
6. Payment upon invoice of EMS Medical Direction fees in the per capita amount as
determined by an official agreed upon source of population statistics for the
Westlake Fire Department, as well as an annual fee per departmental EMS
certificate holder for EMS continuing education, and an annual, per certificate
holder system management fee. See Appendix A for current fee amounts.
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EMS Medical Director Agreement
This is an independent contractor Agreement. It is the express intent of the parties that
nothing in this Agreement shall be construed to create any employer-employee,principle
agent, partnership or joint venture relationship between the parties.
While this agreement is in effect, Dr. Ansohn shall carry professional liability insurance
in amounts not less than one million dollars ($1,000,000)per claim and three million
dollars ($3,000,000) aggregate for all claims in a policy period.
This agreement shall be governed by and construed in accordance with the laws of the
State of Texas. This memorandum comprises the entire, fully integrated Agreement
between the parties. Any additions or modifications to this Agreement must be in writing
and signed by both parties.
IN WITNESS WHEREOF, the parties hereto have signed this agreement through their
duly authorized representative:
WESTLAKE FIRE DEPARTMENT
Don Wilson, Fire Chief Date
EMS MEDICAL DIRECTOR
John H. Ansohn, D.O., F.A.A.F.P. Date
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APPENDIX
EMS Medical Direction and Control fees for Westlake Fire Department for
October 1 , 2006 through September 30, 2007:
Fee Description Formula count Minimum fee Talal
applied
EMS Medical $0.30 per capita* n/a $1 ,500 $1,500.00
Direction
Continuing Education 5216.00 per 11 n/a $2,376.00
Fee person
EMS Management $100.00 per n/a $1 ,500 $1 ,500.00
Fee person
Total Fees I 1 1 $5,376.00
* Per the most current www.NCTTCOG.org papulation estimates
Acceptance of Fee Addendum Current address of record:
Westlake Fire Department Westlake Fire Department
2650 Ottinger Road
Westlake, Texas 76262
Don Wilson, Fire Chief Date
EMS Medical Director Dr. John H. Ansohn
304 Donley Court
Southlake, TX 76052
John H. Ansohn, DO, FAAFP Date