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HomeMy WebLinkAbout~Master - Reciprical Service Agreement between Mary Greeley Medical Center and the City of Ames RESOLUTION NO. 20-588 RESOLUTION APPROVING THE RECIPROCAL SERVICE AGREEMENT BETWEEN MARY GREELEY MEDICAL CENTER AND THE CITY OF AMES FOR THE CITY OF AMES,IOWA WHEREAS,Mary Greeley Medical Center(MGMC)and the City of Ames have had a long- standing cooperative partnership that has been forged over many years; and, WHEREAS, because of the investments that both organizations have made into growing this unique model of shared responsibilities, the Ames community and visitors alike have received exceptional emergency medical response services; and, WHEREAS, in an effort to better assist MGMC, which has the primary responsibility for emergency medical responses,it was agreed in 1996 that the Ames Fire Department would upgrade its emergency medical services(EMS)status to that of First Responder,which is the most basic level of EMS in the State of Iowa; and, WHEREAS, First Responders can perform basic medical procedures such as splinting extremities, maintaining airways, and controlling bleeding; and, WHEREAS, under this agreement, MGMC reimburses the City for monthly incentive pay provided to firefighters and lieutenants who maintain their First Responder credentials; and, WHEREAS,the incentive pay was established in the City's Collective Bargaining Agreement that outlines benefits for the firefighters and the Agreement also provides that MGMC would reimburse the City for the training costs and provide one defibrillator for each fire station; and, WHEREAS, in 1998, a service once provided by MGMC to the community was further enhanced when the Ames Fire Department was contracted to assume the primary responsibility for extrication of persons from motor vehicle accidents and this change allowed MGMC to focus attention on providing medical treatment to the patient(s) at the accident site; and, WHEREAS,within that contract,it was agreed that MGMC would pay for 50%of the costs for training, equipment, and apparatus needed to perform this additional service and in 2003, the contract was modified to further clarify responsibilities under the partnership; and, WHEREAS, in 2016, MGMC requested that the Ames Fire Department upgrade its EMS service level to Emergency Medical Technician(EMT);the EMT service level is designed to provide basic emergency care for critical and emergent patients; and, WHEREAS,which include the use of auto-injector epinephrine,blood glucose monitoring, and administering patient-assisted medications; and; WHEREAS, discussions occurred between the two parties regarding this requested change in service level, but no changes were agreed to by the parties; and, WHEREAS, in 2019, MGMC gave notice that it was canceling the contract with the Ames Fire Department for medical services; and, WHEREAS, MGMC canceled two other contracts with the Ames Police Department, one for Emergency Medical Dispatching(EMD)and the other for the interface connection between the Police Department's Computer Aided Dispatch System to MGMC ambulances; and, WHEREAS, although cancellation notices were received, the parties continued to operate under the original terms of the Agreements until a new contract could be negotiated; and, WHEREAS, despite the three cancellation notices, MGMC did express a desire to discuss and potentially enter into a new agreement and negotiations ensured immediately after the cancellation notices were received; and, WHEREAS, the three separate contracts were drafted into a single contract, and under the new Agreement, the following changes will take effect: The Ames Fire Department's EMS service level will increase to EMT within 18 months. The Department will transition to a Conditional EMT service early next year. At this level of service, EMT-level services may be provided when staffing allows, while MGMC provides EMT training and certification to the entire Department.The Department will transition away from the Conditional EMT service to an EMT service once the Department has more members trained and certified at the EMT level, which will be towards the end of 2021. - The Ames Fire Department will be responsible for 100% of the cost for extrication equipment and training. - MGMC will be responsible for 100%of the incentive pay paid to Ames Firefighters and Lieutenants for maintenance of their EMS license(see below regarding revisions to the agreement with the Fire Union). - MGMC will provide,free to the City,all equipment,initial and ongoing training,and disposable supplies in order to provide EMT services to the community. - Both parties have established performance measures that will be reviewed and agreed upon annually. They currently include EMT certification of the Ames Fire Department within 18 months,two annual continuing educational trainings per year with an additional certification training provided by MGMC, and timely response from the Medical Director in regards to changes in policy,procedures or protocols. - MGMC is responsible for developing emergency response plans related to medical 911 calls and providing Medical Director Services to create and manage the protocols for this service. - The City will allow MGMC a Computer Aided Dispatch (CAD) connection and assist with the on-going access to the City's Public Safety network. MGMC is responsible for the costs related to the data link between the City's dispatch system and their information management system. - MGMC will continue to have the primary responsibility for providing emergency medical services for victims at the scene of an incident and during transportation of the victim to the Medical Center. The initial term of this Agreement shall be for four years with one automatic renewal term of four years. If a new contract has not been agreed to at the end of the automatic renewal term,the contract will continue for one additional year if mutually agreed upon. Either party may cancel the contract with a 180-day written notice before the end of the contract term,but only if agreed upon performance measures are not being met. Both parties will have six months to remediate any identified issues. Upon cancellation or withdrawal of either party, the assistance provided by the City of Ames to MGMC for emergency medical response shall cease,the responsibilities for Emergency Medical Dispatch shall revert to MGMC,and the assistance provided by the Ames Police Communication Center shall cease. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Ames, Iowa, that the Reciprocal Service Agreement between Mary Greeley Medical Center and the City of Ames is hereby approved. ADOPTED THIS 10`h day of November, 2020. 1 � Diane R. Voss, City Clerk John A. Haila, Mayor Introduced by: Junck Seconded by: Corrieri Voting aye: Beatty-Hansen, Betcher, Corrieri, Gartin, Junck, Martin Voting nay: None Absent: None Resolution declared adopted and signed by the Mayor this 10"' day of November, 2020.