HomeMy WebLinkAboutRES 21-276RESOLUTION NO. 21-276
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 Allegiance Mobile Health 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
PASSED BY THE CITY COUNCIL of the City of Beaumont this the 26th day of
October, 2021.
RA4. )
- Mayor Robin Mouton -
Emergency Medical Services
Agreement to Provide Supplemental Response to the
City of Beaumont Emergency Medical Services System
Allegiance Mobile Health 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).
Allegiance Mobile Health 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 Allegiance Mobile Health 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. Allegiance Mobile Health will provide the City of Beaumont EMS Division a copy
of their Protocols, signed by their Medical Director.
2. Allegiance Mobile Health 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.
Allegiance Mobile Health agrees that, when responding to an emergency call at the request of
the City of Beaumont, Allegiance Mobile Health 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 Allegiance Mobile Health unit
will exceed 12 minutes.
3. Notify Fire Alarm by the Unit Driver or Dispatcher of Allegiance Mobile Health 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"
Emergency Medical Services
Allegiance Mobile Health 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.
Allegiance Mobile Health will charge the patient as per their normal procedures. There will be
no exchange of monies between Allegiance Mobile Health and the City of Beaumont.
Allegiance Mobile Health 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 Allegiance Mobile Health ambulance unit. In this
situation, the Beaumont EMS paramedic shall be operating under the authority and protocols of
the Beaumont EMS medical director.
Allegiance Mobile Health's EMS personnel may assist the Beaumont EMS paramedic within the
scope of their authorization under their medical director. Allegiance Mobile Health 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 party 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
Allegiance Mobile Health
By: By:
Signature of Authorized Official Signature
Date Date
Kyle Hayes
City Manager Printed Name and Title
City of Beaumont
801 Main Street, Ste. 300
Address
Beaumont, TX 77701
City, State, Zip
409-880-3716
Telephone Number
Kyle.Hayes@BeaumontTexas.gov
Rollover Rotation Agreement
Revised August 19, 2021
Page 3 of 7
Emergency Medical Services
OPERATIONAL PROCEDURES
I. 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.
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 41, 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
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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)
1. 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 #1 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).
e. 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 anytime 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
When the BEMS system is reduced to only one available ambulance unit ("level
I"), 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.
3. 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
jiK
Emergency Medical Services
system at "level-2" until two BEMS units become available. Once two BEMS
units are available, the private ambulance(s) can be released from post.
D. Rotation
The rotation list will be updated annually or on as needed bases.
2. This list is subject to change at the discretion of the Fire Chief.
3. Private ambulance responses will be rotated among the listed agencies in turn.
4. If an agency is contacted but cannot respond, that agency will go to the bottom of
the rotation.
II. Non -dispatched 9-1-1 Calls Procedures
A. If a private ambulance encounters a medical emergency in the City, the private
ambulance must notify the City dispatch center of said emergency as soon as practical.
The private ambulance personnel shall render appropriate medical care to the
patient(s).
B. Private ambulances may not respond to medical emergencies in the City, except when
specifically requested to do so by the City dispatch center. Should a private
ambulance service receive a call requesting an ambulance response to a medical
emergency, the private ambulance service must immediately notify the City dispatch
center of the nature and location of the call.
C. Requesting for assistance from the City of Beaumont EMS.
The ranking city EMS paramedic or officer or, when applicable, the Incident
Commander as authorized by the EMS Manager of the city, on the scene of a
medical emergency in the city has the responsibility and authority over all
aspects of the medical operations and medical care at the incident. This authority
includes, but is not limited to, assigning patient care and transport
responsibilities, and directing the transport destination of patients.
2. City of Beaumont EMS ambulances may only transport patients to hospitals
within the city limits, except when specifically authorized to transport elsewhere,
by the Fire Chief or the City of Beaumont EMS Manager, or their designees.
Rollover Rotation Agreement
Revised August 19, 2021
Page 7 of 7
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Emergency Medical Services
Agreement to Provide Supplemental Response to the
City of Beaumont Emergency Medical Services System
Allegiance .Mobile Health agrees to respond, when requested by the City of Beaumont Fire 1
Emergency Medical Services (GEMS) 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),
Allegiance .Mobile Health 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 Allegiance Mobile Health 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. Allegiance .Mobile Health will provide the City of Beaumont EMS Division a copy
of their Protocols, signed by their Medical Director.
2. Allegiance Mobile Health will provide a copy of the patient care report (PCR) to the
City of Beaumont EMS Division QAIQI Supervisor, either by fax or direct delivery,
within. 24 hours of the time the call was cleared.
Allegiance Mobile Health agrees that, when responding to an emergency call at the request of
the City of Beaumont, Allegiance .Mobile Health 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 Allegiance Mobile Health unit
will exceed 12 minutes.
3. Notify Fire Alarm by the Unit Driver or Dispatcher of Allegiance .Mobile Health 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, 202I
Page 1 of 7
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Emergency Medical Services
Allegiance .Mobile Health 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.
Allegiance Mobile Health will charge the patient as per their normal procedures. There will be
no exchange of monies between .Allegiance Mobile Health and the City of Beaumont.
Allegiance Mobile Health 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 Allegiance Mobile Health ambulance unit. In this
situation, the Beaumont EMS paramedic shall be operating under the authority and protocols of
the Beaumont EMS medical director.
Allegiance .Mobile Health's EMS personnel may assist the Beaumont EMS paramedic within the
scope of their authorization under their medical director. Allegiance .Mobile Health ambulance
service will charge the patient for their services as per usual procedure.
Rollover Rotation Agreement
Revised August 19, 2021
Page 2 of 7
0 41
Th�is agreement shall commence upon signing and terminate on (expi'ration date), unles
cancelled by either party as described below. i
Either party 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 blest interest of the public's safety and welfare.
nip
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CITY OF BEAU, ONT rc Mobi, Heck
. . .......... .
By: By:_
Signature of Authorized Official Signature
I ma� I
1 yle Hayes,
City Manager
City of Beaumont
801 Main Street, Ste. 300
ff4j?J-PFr "- ifl�� •
12/01/2021
Date
Daniel Gillespie, COO
Printed Name and Title
1702 N. Lexinaton BLVD
Address
Corpus Christi, TX. 78409
City, State, Zip
(214) 808-2053 (Cell Phone)
Telephone Number
(855) 247-5911 (Dispatch Phone)
DGillespie@allmh.com
Rollover Rotation Agreement
Revised August 19, 2021
I.
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Emergency Medical Services
OPERATIONAL PROCEDURES
Dispatching Procedures for Utilization of Private Ambulances
A. `Rollover" Response — Emergency call, any priority, when no BENTS ambulance is
available or posting.
1. Dispatch Beaumont Fire Responders if appropriate per protocol/procedure.
2. Dispatch BEMS Shift Commander (50 1) 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
NO
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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)
1. 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 ## 1 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 CAI) notes.
d. Arrival at destination (at this point, the unit can be "cleared" from the call).
e. 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 anytime 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
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Emergency Medical Services
l . 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.
3. 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 assigrurient 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
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Emergency Medical Services
system. at "level-2" until two BEMS units become available, once two BEMS
units are available, the private ambulance(s) can be released from post.
D. Rotation
1. The rotation list will be updated annually or on as needed bases.
2. This list is subject to change at the discretion of the Fire Chief.
3. Private ambulance responses will be rotated among the listed agencies in turn.
4. If an agency is contacted but cannot respond, that agency will go to the bottom of
the rotation,
II, Ikon -dispatched 9-1-1 Calls Procedures
A. If a private ambulance encounters a medical emergency in the City, the private
ambulance must notify the City dispatch center of said emergency as soon as practical.
The private ambulance personnel shall render appropriate medical care to the
patient(s).
B. Private ambulances may not respond to medical emergencies in the City, except when
specifically requested to do so by the City dispatch center. Should a private
ambulance service receive a call requesting an ambulance response to a medical
emergency, the private ambulance service must immediately notify the City dispatch
center of the nature and location of the call.
C. Requesting for assistance from the City of Beaumont EMS.
I . The ranking city EMS paramedic or officer or, when applicable, the Incident
Commander as authorized by the EMS Manager of the city, on the scene of a
medical emergency in the city has the responsibility and authority over all
aspects of the medical operations and medical care at the incident. This authority
includes, but is not limited to, assigning patient care and transport
responsibilities, and directing the transport destination of patients.
Z. City of Beaumont EMS ambulances may only transport patients to hospitals
within the city limits, except when specifically authorized to transport elsewhere,
by the Fire Chief or the City of Beaumont EMS Manager, or their designees.
Rollover Rotation Agreement
Revised August 191, 2021
Page 7 of 7