HomeMy WebLinkAboutRES 17-166RESOLUTION NO. 17-166
BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF BEAUMONT:
THAT the City Manager be and he is hereby authorized to execute all documents
necessary to enter into an Affiliation Agreement between the City of Beaumont EMS
Division and Lamar State College Orange for clinical experience and educational
purposes under the supervision of the City of Beaumont EMS Division. The Affiliation
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 15th day of
August, 2017.
ayor Becky
X
AW
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AFFILIATION AGREEMENT
AN AGREEMENT FOR THE USE OF CLINICAL FACILITIES
FOR THE EDUCATION
OF
EMERGENCY MEDICAL SERVICES CREDIT COURSE STUDENTS
BETWEEN
LAMAR STATE COLLEGE ORANGE
AND
CITY OF BEAUMONT EMS
2017-2018
EXHIBIT "A"
I
AFFILIATION AGREEMENT
EMERGENCY MEDICAL SERVICES PROGRAM
The following Affiliation Agreement is entered into between Lamar State College —
Orange, Orange, Texas, for and on behalf of the Emergency Medical Services
Program, hereinafter referred to as "College" and City of Beaumont EMS hereinafter
referred to as "Clinical Affiliate", on behalf of "College" students enrolled in the
Emergency Medical Service Program. It is agree by both parties to be of mutual
interest to give students an opportunity to utilize the EMS Ambulance as a clinical
facility for educational purposes. The "College and "Clinical Affiliate" agree to
accept the responsibilities and duties stated herein.
1. It is mutually agreed by the "Clinical Affiliate" and the "College" that the
educational program and curricula of the Emergency Medical Services
Program is and shall be the responsibility of, and shall be carried out under
the direction of personnel of the "College".
2. It is mutually agreed that clinical experiences and supervision for students
enrolled in the Emergency Medical Services Program will be provided by
"Clinical Affiliate" while the student is participating in the clinical setting.
3. It is mutually agreed that the "College" will select and assign learning
experiences for students, and will further provide for teaching, evaluation,
overall supervision and record keeping of students. "Clinical Affiliate"
instructors will adhere to policies as agreed upon by the two parties and will
monitor students adherence to policies mutually agreed upon.
4. It is mutually agree that "College" and "Clinical Affiliate" do not, and will
not discriminate against any student, employee or applicant for participation
in the learning experience because of race, religion, sex, color, creed, marital
status, age, or national origin.
5. It is mutually agreed that the period of assignment, and the number and
distribution of students among divisions of the "Clinical Affiliate" will be
determined by representatives of the "College" and "Clinical Affiliate".
6. It is mutually agreed that representatives of the "College" and "Clinical
Affiliate" shall meet regularly to discuss issues of mutual concern, and to
make such suggestions and changes as are need. Both parties will share
information pertinent to the Affiliation Agreement.
II
To carry out these general areas of agreement, the "College" is responsible for and
agrees to:
1. Protect the health and safety of all parties by:
a. Requiring student to obtain professional liability insurance of no less
than $1,000,000 per occurrence and in the aggregate and to provide
"Clinical Affiliate" proof of such insurance.
b. Requiring an annual health and physical examination at no cost to
"Clinical Affiliate".
c. Requiring Compliance with Center for Disease Control, Texas
Department of State Health Services and "Clinical Affiliate" rules as
regarding health, safety, dress and conduct and
d. Providing, or otherwise arranging for, faculty and student orientation to
"Clinical Affiliate", its major policies, rules and regulations.
2. Make arrangements with the Medical Director and specified designates, for
clinical learning experiences need for students prior to each semester, The
"College" representative will provide these parties with:
a. Name(s) of students;
b. Name(s) of faculty;
c. Dates, days, times of clinical learning experience as previously agreed
upon (in I,5).
3. Arrange for clinical personnel to participate in evaluation of student
performance.
4. Make the individual student responsible for equipment damaged or broken
due to the student's negligence.
5. Make the individual student responsible for their own health needs including
emergency care or follow-up in any accidents (i.e. needle sticks) at the clinical
site.
6. Assure that each instructor and student signs an agreement (see Attachment
A, incorporated herein by reference) which states that "Clinical Affiliate" has
the absolute right and responsibility to terminate an individual's clinical
rotation at "Clinical Affiliate" based on attitude and behavior. Such right of
"Clinical Affiliate" is not negotiable or subject to discussion. Withdrawal
from "Clinical Affiliate" of a student or faculty of the "College" may be
requested by "Clinical Affiliate". "Clinical Affiliate" has the right to remove
a student from participation under this agreement with or without cause.
7. Make the following affirmations to ensure Fair Labor Standards Act
requirements are met:
a. The special regulations in the Fair Labor Standards Act covering
"student — learners" enrolled in a bona fide technical program are
applicable to Program students.
b. The "College" is accredited by the Commission on Colleges of the
Southern Association of Colleges and Schools to award associate of
arts, associate of science, associate of applied science degrees and
certificates of completion,
c. No hourly compensation is applicable to the student — learner while in
the Program in the learning experience at "Clinical Affiliates" site.
d_ A student is not considered an employee of "Clinical Affiliate" and not
eligible for Workers Compensation.
8. Assure confidentiality of patients and "Clinical Affiliate" matters by:
a. Instructing faculty and students to maintain the confidentiality of
patient and "Clinical Affiliate" information and records.
b. Assuring each student and faculty member execute a confidentiality
agreement (Attachment A, incorporated herein by reference) before
beginning rotation at "Clinical Affiliation"
c. Agreeing that any breach of confidentiality will result in the immediate
expulsion from "Clinical Affiliate" of the person(s) responsible for the
breach and may result in termination of the entire affiliation.
The "Clinical Affiliate" is responsible for, and agrees to"
1. Permit the use of clinical facilities by students enrolled in the Emergency
Medical Services Program for the purpose of clinical education.
2. Maintain approval by the appropriate state and/or properly designated
accrediting body, and inform the "College" of any changes in that approval.
3. Inform the "College" and participate in joint planning, prior to accepting
Emergency Medical Services students from any other institutions.
4. Provide to the extent possible, conference rooms for student counseling, and
locker rooms or other secure space for student to store coats, books, etc, while
on duty.
5. Allow student and faculty access to, and use of, facilities maintained by the
"Clinical Affiliate" following specific policies, fees or charges, such as
Library or Cafeteria.
6. Charge no fees for clinical experience.
7. Collaborate with Emergency Medical Services educators to influence
curricula, including clinical and/or managerial learning experiences, when
"Clinical Affiliate" provides clinical facilities for the Emergency Medical
Services education program.
8. Assist in evaluating student performance.
IV
TERMS OF AGREEMENT:
Only insofar as it is authorized by law to do so, the "college" agrees to hold the "Clinical
Affiliate" harmless from any and all liability for personal injury including injury resulting
in death, or damage to property, or both, resulting directly or indirectly from the use by the
college of the "Clinical Affiliate's" clinical facility.
Nothing in the Affiliation Agreement is to be construed as transferring financial
responsibility from one party to another.
The terms of the Agreement may be modified upon mutual consent of the parties.
Plans to initiate termination of the Agreement may be instituted by either parry upon no
less than 6 months within notice by mail. The plans for termination must include specific
procedures to assure that there will be no adverse effect to the rights and privileges of
students actually enrolled in the program as long as they are making normal progress
toward completion.
Annual review of the Agreement will be made
FOR THE COLLEGE:
LSC -O President
Director of Allied Health
Emergency Medical Services
Program Course Coordinator
FOR THE CLINICAL AFFILIATE:
City Manager
City of Beaumont
Date Completed Date omp ete
ATTACHMENT A
Lamar State College Orange EMS Program
Student, Contracted and Agency Personnel Confidentiality Statement
In consideration of the Beaumont EMS agreeing to provide certain confidential information to
Lamar State College Orange EMS Program_ students, Said student(s) provided with confidential
information agree to abide by the terms of this statement.
A. Patient care information, whether in written, oral, or electronic computer system form, may be
accessed only by Beaumont EMS employees or contracted personnel who need that
information to perform their job or contractual responsibilities. Patient Care information
may only be released to individuals outside the health system by authorized Beaumont
EMS employees.
B. I understand that this information belongs to the patient and I am only the caretaker and must
guard the information appropriately. This includes, but is not limited to, keeping patient
information secure, private, and out of public viewing, protecting computerized data by
logging off when leaving a work station, and keeping information secure by not discussing
patient issues in public areas such as elevators, etc.
C. Contracted personnel / students may only access data necessary to perform their contracted
responsibilities. Contracted personnel / students agree not to disclose, communicate or use
any patient care information in any manner whatsoever other than in the provision of
contracted services and, even within the scope of those services, must limit dissemination to
those who have signed confidentiality agreements and have a need to know.
D. Contracted personnel / students agree not to copy or download this confidential information.
If for some reason confidential information must be copied, the contracted personnel / student
must obtain permission from Beaumont EMS facility and must return such information to
Beaumont EMS' facility immediately after completion of that particular activity.
E. The confidentiality of this information survives the termination of your privileges and
contracted personnel / student status,
F
I understand that if I do not keep patient information confidential, or if I allow or participate
in the inappropriate dissemination of or access to patient care information, my employer will
be sanctioned monetarily and criminal offenses will be reported to the appropriate authorities.
G. Contracted personnel / student agree to comply with all state and federal laws applicable to
the use of this confidential patient information.
My signature attest to the fact that I have read, understand and agree to abide by the terms of this statement
and the Beaumont EMS' policies on confidentiality of patient care information (IAA Policy
Manual)
Name:
Contracting company:
Signature: Date: