STRATEGIC PRIORITY: Public Safety
AGENDA DATE: September 23, 2020
COUNCIL DISTRICT(S): All
DEPARTMENT: Fire-Rescue Department
EXECUTIVE: Jon Fortune
______________________________________________________________________
SUBJECT
Title
Authorize Supplemental Agreement No. 2 to the Medical Director Services Contract to (1) exercise a renewal option to the Medical Director Services and Quality Management program contract; and (2) amend the contract to add provisions to enable the expansion of the RightCare Program and make other changes to service delivery and pricing breakdown for the services with The University of Texas Southwestern Medical Center at Dallas for the State required medical direction services for the period October 1, 2020 through September 30, 2021 - Not to exceed $1,284,815.52 - Financing: General Fund (subject to appropriations)
Body
BACKGROUND
State law under Texas Administrative Code: Title 25, Part 1, Chapter 157, Subchapter A; Rule 157.2(56) requires a Medical Director, licensed physician who provides medical supervision to the Emergency Medical Service personnel of a licensed EMS provider or a recognized First Responder Organization under the terms of the Medical Practices Act (Occupations Code, Chapters 151 - 165 and rules promulgated by the Texas Medical Board. Also, referred to as off-line medical control. The Medical Director provides protocols for paramedics to follow and permits paramedics to operate under his/her license.
The Dallas Fire-Rescue Department (DFR) has for over 45 years provided 9-1-1 out-of-hospital EMS for the City of Dallas. DFR dispatches ambulances (“Rescues”), fire engines and trucks staffed by paramedics, EMT’s and First Responders to over 200,000 patients each year. Historically, medical direction and clinical oversight of the DFR’s EMS Program has been managed by the UT Southwestern Department of Emergency Medicine through the appointment of Medical Director and Associate Medical Directors contracted at set number of hours per week for under various program requiring medical direction.
The current contractual services include medical direction for the EMS, Mobile Community Health Program, RightCare Program, and Quality Management Program as required by Texas Department of State Health Services. Supplemental Agreement 2 will enable the expansion of the RightCare Program from one team to five teams.
PRIOR ACTION/REVIEW (COUNCIL, BOARDS, COMMISSIONS)
On September 25, 2019, City Council authorized an Interlocal Agreement for Medical Director Services by Resolution No. 19-1493.
On April 22, 2020, City Council authorized a Supplemental Agreement No. 1 to the medical director services contract to add the required Quality Management Program by Resolution No. 20-0621.
City Council will be briefed by memorandum regarding this matter on September 14, 2020.
FISCAL INFORMATION
|
Fund |
FY 2020 |
FY 2021 |
Future Years |
|
General Fund |
$1,284,815.52 |
$0.00 |
$0.00 |
M/WBE INFORMATION
In accordance with the City’s Business Inclusion and Development Plan adopted on October 22, 2008, by Resolution No. 08-2826, as amended, the M/WBE participation on this contract is as follows:
|
Contract Amount |
Category |
M/WBE Goal |
M/WBE % |
M/WBE $ |
|
$1,284,815.52 |
Interlocal Agreement |
N/A |
N/A |
N/A |
|
• The Business Inclusion and Development Plan does not apply to Interlocal Agreements |
OWNER
The University of Texas Southwestern Medical Center at Dallas
Daniel K. Podolsky, M.D., Ph.D., President, UTSWMCD