HomeMy WebLinkAboutRES 21-275RESOLUTION NO. 21-275
BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF BEAUMONT:
THAT the City Manager be and he is hereby authorized to execute an Agreement
between the City of Beaumont and American Medical Response, Inc., (AMR) to provide
supplemental response to the City of Beaumont Emergency Medical Services System in
the event no City ambulance units are available, posting for 9-1-1 coverage, or a patient
is to be transported to a medical facility other than those facilities to which Beaumont
EMS can transport. The Agreement is substantially in the form attached hereto as
Exhibit "A" and made a part hereof for all purposes.
The meeting at which this resolution was approved was in all things conducted in
strict compliance with the Texas Open Meetings Act, Texas Government Code, Chapter
551.
PASSED BY THE CITY COUNCIL of the City of Beaumont this the 26th day of
October, 2021.
dt/
- Mayor Robin Mouton -
Emergency Medical Services
Agreement to Provide Supplemental Response to the
City of Beaumont Emergency Medical Services System
American Medical Response, Inc. (AMR) agrees to respond, when requested by the City of
Beaumont Fire / Emergency Medical Services (BEMS) communications center ("Fire Alarm"),
to emergency calls in the following circumstances:
1. When no City ambulance units are available to respond, OR
2. When posting for 9-1-1 coverage, OR
3. When the patient is to be transported to a medical facility other than those facilities to
which Beaumont EMS can transport (outside the City limits or non -acute care
facilities, for example).
AMR agrees to be available for post AND/OR respond to 9-1-1 rollovers: 90% of requests made
by Fire Alarm each quarter AND no more than two (2) unavailable incidents per week.
1. (Private Service) will be removed from rotation for one (1) month for each
unavailable incident beyond the two allotted per week.
2. (Private Service) will be removed from rotation for six (6) months for not meeting the
90% availability for each quarter.
The City of Beaumont and AMR agree that the specific operational parameters of this agreement
will be documented in a separate "Operational Procedures" document, and that document is
included in this agreement by reference.
1. AMR will provide the City of Beaumont EMS Division a copy of their Protocols,
signed by their Medical Director.
2. AMR will provide a copy of the patient care report (PCR) to the City of Beaumont
EMS Division QA/QI Supervisor, either by fax or direct delivery, within 24 hours of
the time the call was cleared.
AMR agrees that, when responding to an emergency call at the request of the City of Beaumont,
AMR shall:
1. Only respond a unit which is staffed, equipped, and authorized to provide paramedic -
level (preferred) care, and have in their possession a City of Beaumont Ambulance
Drivers Permit, issued by the City of Beaumont EMS Division.
2. Notify Fire Alarm if the estimated response time of AMR unit will exceed 12
minutes.
3. Notify Fire Alarm by the Unit Driver or Dispatcher of AMR if at any time units are
running emergency traffic inside the city limits of the City of Beaumont and the
dispatched address.
Rollover Rotation Agreement
Revised August 19, 2021
EXHIBIT "A"
1 0 1 ' IT I - - , LA
Emergency Medical Services
AMR agrees that the unit and personnel responding to an emergency call at the request of the
City of Beaumont will:
1. Follow the direction and orders of Fire Alarm, AND
2. Communicate directly with Fire Alarm on Beaumont EMS primary or Beaumont Fire
primary channels (at the direction of Fire Alarm) if the unit is so equipped.
a. Regarding the unit's status AND
b. Location (as per the "Operational Procedures" document) AND,
3. Follow the direction and orders of the on -scene Incident Commander and Beaumont
EMS personnel.
AMR will charge the patient as per their normal procedures. There will be no exchange of
monies between AMR and the City of Beaumont.
AMR agrees to allow, at the discretion of the ranking Beaumont EMS paramedic on the scene, a
Beaumont EMS paramedic to assume or maintain control of patient care. At the discretion of the
ranking Beaumont EMS paramedic, a Beaumont EMS paramedic may accompany the patient to
the hospital in AMR ambulance unit. In this situation, the Beaumont EMS paramedic shall be
operating under the authority and protocols of the Beaumont EMS medical director.
AMR's EMS personnel may assist the Beaumont EMS paramedic within the scope of their
authorization under their medical director. AMR ambulance service will charge the patient for
their services as per usual procedure.
Rollover Rotation Agreement
Revised August 19, 2021
Page 2 of 7
Emergency Medical Services
This agreement shall commence upon signing and terminate on (expiration date), unless
cancelled by either parry as described below.
Either parry may terminate this agreement with thirty (30) days advance written notice.
Additionally, the City may unilaterally terminate the agreement with no advance notice should
such termination be in the best interest of the public's safety and welfare.
CITY OF BEAUMONT
By:
Signature of Authorized Official
Date
Kyle Hayes
City Manager
City of Beaumont
801 Main Street, Ste. 300
Beaumont, TX 77701
409-880-3716
Kyle.Hayes@BeaumontTexas.gov
American Medical Response
By:
Signature
Date
Printed Name and Title
Address
City, State, Zip
Telephone Number
Rollover Rotation Agreement
Revised August 19, 2021
Page 3 of 7
Emergency Medical Services
OPERATIONAL PROCEDURES
Dispatching Procedures for Utilization of Private Ambulances
A. "Rollover" Response — Emergency call, any priority, when no BEMS ambulance is
available or posting.
Dispatch Beaumont Fire Responders if appropriate per protocol/procedure.
2. Dispatch BEMS Shift Commander (501) if appropriate per protocol/procedure.
Otherwise, simply notify the Shift Commander.
a. Shift Commander will respond at his/her discretion.
b. The Shift Commander will no longer respond to ALL rollover events but IS
to be notified.
3. Dispatch next rotation private ambulance service. The dispatcher shall ask if a
Paramedic unit is available. If so, dispatch that unit. If not, consult with 501 for
approval OR move to the next private company in rotation.
a. The private unit should communicate with Fire Alarm on EMS Channel #1.
At the dispatcher's discretion, the private ambulance may be assigned to
another channel (Fire Channel #1, for example). The private unit should
notify Fire Alarm via radio of the following intervals:
(1) Responding to call. The private unit will state from what location they
are responding.
(2) Arriving at scene.
(3) Transport priority and destination. The dispatcher should enter this
information into the CAD notes.
(4) Arrival at destination (at this point, the unit can be "cleared" from the
call).
(5) If the patient is not transported; the disposition of the patient (refusal,
etc.) should be entered into the CAD notes by the dispatcher.
4. If the first service contacted does not have a unit available:
a. Dispatch the EMS Shift Commander, if not already done so, AND
b. Contact the next -up rotation private company.
Rollover Rotation Agreement
Revised August 19, 2021
Page 4 of 7
Emergency Medical Services
5. Within 24 hours of the transport, the private unit will send, by fax or hand
delivery, a copy of the transport run to the Clinical Supervisor of Beaumont
EMS.
B. "Referral" Responses — BEMS unit is requesting private ambulance to transport to
alternative destination)
For "referral" calls, the private ambulance will respond non -emergency (Priority
3), unless expressly requested by the on -scene EMS personnel.
2. Ascertain if the if the patient has a specific preference for a private ambulance.
If so, dispatch that service.
3. If the patient does not have a preference, dispatch the next rotation private
ambulance service. The dispatcher shall ask if a paramedic unit is available. If
so, dispatch that unit. If not, move to the next private company in rotation.
4. The private unit will communicate with Fire Alarm via EMS Channel 41 and
advise Fire Alarm of the following intervals:
a. Responding to call. The private unit will state from what location they are
responding.
b. Arriving at scene.
C. Transport priority and destination. The dispatcher should enter this
information into the CAD notes.
d. Arrival at destination (at this point, the unit can be "cleared" from the call).
C. If the patient is not transported; the disposition of the patient (refusal, etc.)
should be entered into the CAD notes by the dispatcher.
f. Responding "emergency traffic" at any time in the city limits and their
route.
5. Within 24 hours of the transport, the private unit will send, by fax or hand
delivery, a copy of the transport run to the Clinical Supervisor of Beaumont EMS
C. "Posting" Responses — Private ambulance is being brought into BEMS system for
coverage.
Rollover Rotation Agreement
Revised August 19, 2021
Page 5 of 7
Emergency Medical Services
1. When the BEMS system is reduced to only one available ambulance unit ("level
1 "), Fire Alarm shall contact a private ambulance service and request that they
provide a paramedic -level ambulance for deployment into the BEMS system.
2. The private services will be contacted for this assignment based upon
geographical need and "rotation." For example:
a. If the BEMS system's geographical deployment need is for a unit for the
south district of the city, then Fire Alarm will contact a provider which is
stationed in the south district.
b. This provider will be selected from among the other services stationed in
that area based upon a rotation system.
The private service will only deploy paramedic -level ambulances for posting
assignments unless approved by 501 otherwise.
4. Once placed on "post," the assigned private ambulance shall notify Fire Alarm
via radio of their availability and location.
a. The private ambulance may post anywhere within the given geographical
sector of the city.
b. The private ambulance shall continuously monitor the assigned radio
channel for a response assignment from Fire Alarm until released from post
by Fire Alarm.
5. If needed for a response assignment, the private ambulance will be dispatched
directly by Fire Alarm via an alert tone.
a. The private ambulance will continue to communicate directly with Fire
Alarm as specified in the procedures developed for "Rollover" responses.
6. Should the private service need the posted private ambulance for a "private call"
or transfer, the private service or the private unit will notify Fire Alarm of their
need to leave post. Unless Fire Alarm has an impending response assignment for
that unit, the unit will be released from post for the "private call" or transfer.
7. Once dispatched to a response assignment, the private ambulance will adhere to
all policies and procedures as implemented for other "Rollover" responses.
8. Private ambulance units, on a rotation basis among the companies operating
within the sector of interest, will continue to be utilized to maintain the BEMS
Rollover Rotation Agreement
Revised August 19, 2021
Page 6 of 7
DocuSign Envelope ID: D7A40F56-F3Fo•4DB4-87DE-85FAC1 DE18C3
A U` M0ft N I
Emergency Medical Services
Al greement to Provide Supplemental Response to the
City of Beaumont EmergenN1,
edical Services System
Ambulance service
Atnet tcatt MedicalResponse, lite. (AMR) agrees to respond, when requested by. the City of
Beaumont Fite / Eme-gencyMedical Services (BEMS) communications center ("Fire Alarm'),
to emergency calls' the following circumstances:
1. When nb City ambulance units are available to respond, OR
2. When Utel
Isting for 9-1 -1 coverage, OR
3. When patient is to _be transported to a medical facility other than those facilities to
which Be umont EMS can transport (outside the City limits'or non -acute care
facilities, ror example).
AMR agrees to be available for post AND/OR respond to 9-1-1 rollovers: 90% of requests made
by Fire Alarm each quarter AND no more than two (2) unavailable incidents per week,
1. (Private Service) will be.removed from rotation for one (I) month for each
unavailz le incident beyond the two allotted -per week.
2. (Private - ervice) will be removed from rotation for six (6)•months fornot meeting the
90% avd ability for each quarter.
The'City of Beaumbnt and AMR agree that the specific operational parameters of this agreement
will be documented in a separate "Operational Procedures" document, and that document is
included in this agrI ement by reference.
1. AMR will provide the City of Beaumont EMS Division a copy of their Protocols,
signed b their Medical Director.
2. AMR will provide a copy of the patient care report (PCR) to the City of Beaumont
EMS Division QA/QI Supervisor, either by fax or direct delivery, within 24 hours of
the time the call was cleated.
AMR agrees that, v hen responding to an emergency call at the request of the City of Beaumont,
AMR shall:
1. Only retond a unit which is staffed, equipped, and authorized to provide paramedic -
level (p deferred) care, and have in their possession a City of Beaumont Ambulance
Driverlermit,-issued by the City of Beaumont EMS Division,
2. Notify Fire Alarm if the estimated response time of AMR unit will exceed 12
3. Notify
Alarm by the Unit Driver or Dispatcher of AMR if at any time units are
Lergency traffic inside the city limits of the City of Beaumont and the
address.
Rollover Rotation Agreement
Rovised August 19, 2021
Page I of 7
DocuSign Envelope 1D: D7.
AC1 DE18C3
AMR agrees that i
City of Beaumont
1. Follow
2. Commi
a.
b.
3. Follow
EMS-P
AMR will charge
monies between!
Emergency Medical Services
t and personnel responding to an emergency call at the request of the
direction and orders of Fire Alarm, AND
ate directly with Fire Alarm on Beaumont EMS primary or Beaumont Fire.
rnnels (at the direction of Fire Alarm) if the unit is so equipped.
;aiding the unit's status AND
.ation (as per the "Operational Procedures" document) AND,
direction and orders of the on -scene Incident Commander and Beaumont
patient as per their normal procedures. There will be no exchange of
Z and the City of Beaumont.
AMR -agrees to allc at the discretion of the ranldng Beaumont EMS'paramedic on the scene, a
Beaumont EMS pa •medic to assume or maintain control of patient care. At the discretion of the
ranking Beaumont B MS paramedic, a Beaumont EMS paramedic may aceornpany.the patient to
the hospital in AM i ambulance unit. In this situation, the Beaumont EMS paramedic shall be
operating under thllauthority and protocols of the Beaumont EMS medical director.
AMR Is EMS pe
authorization un
their services as
mel may assist the Beaumont EMS paramedic within the -scope of their
their medical director. "I? ambulance sez-vice will charge the patient for .
usual procedure.
Rollover Rotation Agreement
Revised August 19, 2021
Page 2 of 7
DocuSign Envelope ID: D7
This agreement she
cancelled'by. either
Either: party may to
Additionally, the C
such termination bt
CITY OF BEAUMON
By:
Signature of Author
A
Date
Kyle Hayes
City Manager
City of Beaumont
801 Main Street, St
Beaumont, TX 77'
409-880-3716
DEi8C3
Emergency Medical Services
co;inmence upon signing and terminate on (expiration date), unless
•ty as described below.
�lnate this agreement with thirty (30) days advance written notice.
may unilaterally terminate the agreement with no advance notice should
jn the best interest of the public's safety and welfare.
Ambulance service, Inc.
American Medical Besponse
poeuSlpnedly:
ad Official Sign >85f8815248402.,.
- Z { 8/16/2022
Date
Regional)DM'dw President
Printed Name and Title
300 616 N. Hwy 81
Address
1
Duncan, OK 73533
City, State, Zip
918.240.9246
Telephone Number
Rollover Rotation Agreement
Revised August 19, 2021
Page 3 of 7
DocuSign Envelope ID; D7A40F56-F3F0-4PB4-87BE-85FAC1DE18C3
WEAUMONT
Emergency Medical Services
OPERATIONAL PROCEDURES
I. Dispatching �rOcedures for Utilization of Private Ambulances
A. "Rollov r' Response — Emergency call, any priority, when no BEMS ambulance is
availabi r posting.
1. Dispatch Beaumont Fire Responders if appropriate per protocol/procedure.
2. Disp� tch BEMS Shift Commander (501) if appropriate per protocol/procedure.
Ot4e�wise, simply notify the Shift. Commander,
a. Shift Commander will respond at his/her discretion.
b. IThe Shift Commander will no longer respond to ALL rollover events but IS
to be, notified.
3. Di, next rotation private ambulance service. The dispatcher shallask if a
P l edic unit is available. If so, dispatch that unit. If not, consult with 501 for
apx loval OR move to the next private company in rotation.
a. The private unit should communicate with Fire Alarm on EMS Channel #1.
At the dispatcher's discretion, the private ambulance may be assigned to
another channel (Fire Channel 01, for example). The private unit should
notify Fie Alarm via radio of the following intervals:
(1) Responding to call. The private unit will state from what location they
are responding.
(2) Arriving at scene.
(3) Transport priority and destination. The dispatcher should enter this
information into the CAD notes.
(4) Ai -rival. at destination (at this point, the unit can be "cleared" from the
call).
(5) If the patient is not transported; the disposition of the patient (refusal,
etc.) should be entered into the CAD notes by the dispatcher.
4. If the first service contacted does not have a unit available:
a,
0
Dispatch the EMS Shift Commander, if not already done so, AND
Contact the next -up rotation private company.
Rollover Rotation Agreemenf
Revised August 19, 202i
Page 4 of 7
DocuSign Envelope ID: D7A40F58-F3
DE1803
5. Wit
deli{{
EM
B. "Referra�
alternati�
1. For
3),
2. As�
If si
3. If t�
amt
1
So,!
4. Th
adv
5. W'
de
C, "PostinO
Emergency Medical Services
24 hours of the transport, the private unit will send, by fax or hand
t, a copy of the transport run to the Clinical Supervisor of Beaumont
i
'j Responses — BEMS unit is requesting private ambulance to transport to
,e destination)
` referral" calls, the private ambulance will respond non -emergency (Priority
unless expressly requested by the on -scene. EMS personnel.
Irtain if the if the patient has a specific preference for a private ambulance.
dispatch that service.
11 patient does not have a preference, dispatch the next rotation private
>ulance service. The dispatcher shall ask if a paramedic unit is available. If
ispatch that unit. If not, move to the next private company in rotation,
private unit will communicate with Fie Alarm via EMS Channel fil and
'se Fire Alarm of the following intervals:
Responding to call. The private unit will state fiom what location they are
responding.
Arriving at scene.
Transport priority and destination. The dispatcher should enter this
information into the CAD notes.
Arrival at destination (at this point, the unit can be "cleared" fiom.the call).
If the patient is not transported; the disposition of the patient (refusal, etc.)
should be entered into the CAD notes by the dispatcher.
Responding "emergency traffic" at any time in the city limits and their
route.
hin 24 hours of the transport, the private unit will send, by fax or hand
�ve>y, a copy of the transport run to the Clinical Supervisor of Beaumont EMS
" Responses — Private ambulance is being brought into BEMS system for
Rollover Rotation Agreement
Revised August 19, 2021 :
Page 5 of 7
DocuSIgn Envelope ID: D7A40F56-F3F0;4QB4-87BE-85FAC1DE1803
B"EAUMONT
Emergency Medical Services
1. Wh A the BEMS system is reduced to only one available ambulance unit ("level
1"), Fire Alarm. shall contact a private ambulance service and request that they
pro ide a paramedic -level ambulance for deployment into the BEMS system.
2. The lirivate services Will be contacted for this assignment based upon
geographical need and "rotation." For example:
a, if the BEMS system's geographical deployment need is for a unit for the
south district of the city, then Fire Alarm will contact a provider which is
stationed in the south district.
b.. If This provider will be selected from among the other services stationed in
Ithat area based upon a rotation system.
3-. Th4 brivate service will only deploy paramedic -level ambulances for posting
assignments unless approved by 501 otherwise.
4. On�� placed on "post," the assigned private ambulance shall notify Fire Alarm
via adio of their availability and location.
a, The private ambulance may post anywhere within the given geographical
sector of the city.
b. The private ambulance shall continuously monitor the assigned radio
channel for a response assignment from Fire Alarm until released from post
by Fire Alarm.
5. If nfeded for a response assignment, the private ambulance will be dispatched
directly by Fire Alarm via an alert tone.
a. The private albulance will continue to communicate directly with Fire
Alarm as specified in the procedures developed for "Rollover" responses.
6. Should the private service need the posted private ambulance for a "private caU"
or transfer, the private service or the private unit will notify Fire Alarm of their
need to leave post. Unless Fire Alarin has an impending response assignment for
that unit, the unit will be released fi om post for the "private call' or transfer.
7. On `ce dispatched to a response assignment, the private ambulance will adhere to
all policies and procedures as implemented for other "Rollover" responses.
8. Private ambulance units, on'a rotation basis among the companies operating
4hin the sector of interest, will continue to be utilized to maintain the BEMS
Rollover Rotation Agreement
Revised August 19, 2021
Page 6 of 7
DocuS[96 Envelope ID:
8C3
B sitAUM01,N]l
f},
Emergency•d
a at "level-2" until two BEMS units become available, . Once two BEMS
ire available, the private ambulance(s) can be released from post,
D. Rotation .
1. Th8 otation list will be updated annually or on as needed bases.
2. ThiP ist is subject to change at the discretion of the Fire Chief.
3. Priy4te ambulance responses will be rotated among the listed agencies in turn.
4. If a'a agency is contacted but cannot respond, that agency will go to the bottom of
the r tation.
H. Noh-dispatchE 19»1-1 Calls Procedures
A. If a private .ambulance encounters a medical emergency in the City, the private
ambularicl must notify the City dispatch center of said emergency as soon as practical.
The priv4:e ambulance personnel shall render appropriate medical care to the
B, Private a iibulances may not respond to medical emergencies in the City, except when
specifice �y requested to do so by the City dispatch center. Should a private
ambulan 3e service receive a call requesting an ambulance response to a medical
emergency, the private ambulance service must immediately notify the City dispatch
center o�j the nature and location of the call.
C. Request i;41g for assistance from the City of Beaumont EMS.
1. The ranldrig city EMS paramedic or officer or, when applicable, the Incident
Coi nmander as authorized by the EMS Manager of the city, on the -scene of a
me ical emergency in the city has the responsibility and authority over all.
aspects of the medical operations and medical care at the incident. This authority
me I� tdes, but is not limited to, assigning patient care and transport
res I� onsibilities, and directing the transport destination of patients.
2, Ci of Beaumont EMS ambulances may only transport patients to hospitals
WItAn the city limits, except when specifically authorized to transport elsewhere,
by tie Fire Chief or the City of Beaumont EMS Manager, or their designees.
Rollover Rotation Agreement
Revised August 19, 2021
Page 7 of 7
VIA HAND -DELIVERY
AND REGULAR U.S. MAIL
September 29, 2022
Chief Earl White
Beaumont Fire Department
PO Box 3827
Beaumont, TX 77704
Re: Rollover Rotat on Agreement
Dear Chief White:
American Medical Response of Texas, Inc. ("AMR") performs reviews of its agreements and.' business
relationships. We hale recently reviewed our agreement and business relationship. We regret to inform
you that we are termi ating the agreement pursuant to the terms outlined on page 3 of our agreement.
The termination will be effective October 31, 2022. .
If you have any questions, please feel free to contact Regional Director Mark Kessler at
mark.kessler@gmr.net or (817) 271-6828.
Sincerely,
L". V1,
Mark'Kessler
Regional Director
Cc: Contract Adn)inistration
Business Unt
6363 S. Fiddlers Green Circle. Suite 1400, Greenwood village, CO 80111