HomeMy WebLinkAboutAgreement - Stanford Health Care - 3rd Amendment - Medical Director Services - Signed 2022-08-08City of Gilroy
Agreement/Contract Tracking
Today’s Date:
June 23, 2022 Your Name: Jennifer Fortino
Contract
Type:
Other (Non-Standard contracts
must be reviewed by the City
Administrator prior to initiating)
Phone Number: 408-846-0371
Contract Effective Date:
(Date contract goes into effect)
8/8/2022
Contract Expiration Date: 8/7/2023
Contractor / Consultant Name:
(if an individual’s name, format as
last name, first name)
Stanford Health Care
Contract Subject:
(no more than 100 characters)
Third amendment to contract for medical director services
Contract Amount:
(Total Amount of contract. If no
amount, leave blank)
$16,350
By submitting this form, I confirm
this information is complete:
Date of Contract
Contractor/Consultant name and complete address
Terms of the agreement (start date, completion date or “until
project completion”, cap of compensation to be paid)
Scope of Services, Terms of Payment, Milestone Schedule and
exhibit(s) attached
Taxpayer ID or Social Security # and Contractors License # if
applicable
Contractor/Consultant signer’s name and title
City Administrator or Department Head Name, City Clerk
(Attest), City Attorney (Approved as to Form)
Routing Steps for Electronic Signature
Risk Manager
City Attorney Approval As to Form
City Administrator or Department Head
City Clerk Attestation
DocuSign Envelope ID: 5A2AEA31-26AE-4500-95DD-29D5474A4550
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THIRD AMENDMENT TO AGREEMENT BETWEEN THE CITY OF GILROY AND
STANFORD HEALTH CARE FOR PROFESSIONAL SERVICES
This Third Amendment to Professional Services Agreement (the “Third Amendment”)
is effective as of August 8, 2022, (“Third Amendment Effective Date”) by and between Stanford Health
Care (“CONSULTANT”), a California non-profit public benefit corporation, and the City of Gilroy
(“CITY”) with respect to the following:
RECITALS
A. CONSULTANT and CITY have entered into that certain Agreement for Professional
Services dated August 8, 2017 (the “Agreement”) pursuant to which CONSULTANT, through its
arrangement with the Stanford University School of Medicine, provides medical direction for the
CITY’s Fire Department’s Emergency Medical Services Program.
B. CONSULTANT and CITY desire to extend the term of the Agreement and amend the
Agreement as set forth herein.
AGREEMENT
IN CONSIDERATION of the foregoing recitals and the mutual promises and covenants
contained herein, CONSULTANT and CITY agree as follows:
1. Defined Terms. Capitalized terms not otherwise defined herein shall have the meaning
ascribed to them in the Agreement.
2. Section 1. Section 1 to the Agreement is hereby deleted and replaced in its entirety with
the following:
“1. Term of Agreement. This Agreement is effective and shall cover services rendered from
August 8, 2022, until August 7, 2023, at which time CONSULTANT’S Services shall be
completed, unless terminated earlier pursuant to Section 4 of this Agreement.
3. Section 3.1. Section 3.1 to the Agreement is hereby deleted and replaced in its entirety
with the following:
“3.1 Amount. CITY shall pay CONSULTANT $1,362.50 per month for the Services, for a
maximum amount of $16,350 annually.”
4. Exhibit A. Exhibit A is hereby deleted and replaced in its entirety with the Exhibit A
attached hereto.
5. Exhibit B. Exhibit B is hereby deleted in its entirety.
6. Continuation of Agreement. Except as specifically amended by this Third Amendment,
the Agreement shall continue in full force and effect, and the parties shall continue to comply with the
terms and conditions of the Agreement as existing on the date of this Third Amendment.
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7. Conflicts. In the event of any conflict between the terms and provisions of this Third
Amendment and the terms and provisions of the Agreement, the terms and provisions of this Third
Amendment shall control.
8. Reference. The terms and provisions of this Third Amendment are incorporated by this
reference in the Agreement as though fully set forth in the Agreement. After the date of this Third
Amendment, any reference to the Agreement shall mean the Agreement as amended by this Third
Amendment.
9. Counterparts. This Third Amendment may be executed in one or more counterparts,
each of which shall be deemed to be an original, but all of which together shall constitute one and the
same instrument.
[signature page follows]
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IN WITNESS WHEREOF, CONSULTANT and CITY have executed this Third
Amendment as of the Third Amendment Effective Date.
ATTEST: CITY OF GILROY
City Clerk City Administrator
Thai Pham
Jimmy Forbis
Print Name Print Name
Date: Date:
APPROVED AS TO FORM: Stanford Health Care
City Attorney By:
Andrew Faber
Title:
Print Name
Date:
Alison M. Kerr, Vice President,
Neuroscience and Orthopedic Service
Lines and Chief Administrative
Officer, Clinical Operations
Date:
Acknowledged by:
By:
Title:
Date:
Andra Blomkalns, M.D.
Chair, Department of Emergency
Medicine, Stanford University School
of Medicine
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EXHIBIT A
SCOPE OF SERVICES
1 SCOPE OF SERVICES:
The following provides a general description of the scope of services to be provided by
CONSULTANT. This list is agreed upon by all entities but not limited to, as EMS is
dynamic with priorities changing throughout the year and influenced by external
factors such as the County EMS Ag ency.
1.1. Provide representation, medical control, and oversight for Emergency Medical
Services (EMS) including but not limited to:
1.1.1. Assist the Program Manager(s) in maintaining an EMS program
consistent with the National Highway Traffic Safety Administration’s
EMS Curriculum.
1.1.2. Attend Santa Clara County EMS Agency committee meetings as
mutually agreed upon with the Program Manager(s) such as such as;
Santa Clara County Medical Advisor Committee, Prehospital Quality
Improvement Committee, Stroke Advisory Committee, Cardiac
Advisory Committee and Trauma Advisory Committee) as well as the
EMS Medical Directors Association of California.
1.1.3. Represent and advocate for the agency in cooperation with the County
EMS Agency Medical Director on related EMS matters.
1.1.4. Work with Program Manager(s) to educate personnel to provide care that
is consistent with federal, state, and local “standards of practice and
care.”
1.1.5. Act as a consultant to the Program Manager(s) when developing
internal policies pertaining to EMS.
1.1.5.1. Specifically, evaluate policies and procedures to determine if
they may have a negative impact on patient care and
recommend suspension of any operation or procedure that
poses a risk to patients or personnel.
1.1.6. If the agency has an AED program, provide oversight as required by the
State of California.
1.1.7. At the request of the Program Manager(s), assist in evaluation of EMS
personnel including:
1.1.7.1. Evaluation of employees identified by the Program
Manager(s) who require guidance or further training in
medically-related matters and submission of findings to
the EMS Program Manager; and
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1.1.7.2. Participation in the development of any Personal
Improvement Plan (PIP) as needed.
1.1.8. Participate in call review and feedback, including PCR review, as
requested by the EMS Program Manager(s).
1.1.9. Perform ongoing evaluation of Advance Life Support (ALS) and
Basic Life Support (BLS) program effectiveness by reviewing and
evaluating data.
1.1.10. Present research and development opportunities for pre-hospital care
(e.g., medical procedures, techniques, medications, equipment,
Integrated Healthcare, etc.) and assist the EMS program in improving
its emergency service responses.
1.1.11. Review and assist in preparation of quality reports, as requested by the
Program Manager(s)
1.1.12. Oversee and facilitate obtaining the controlled medications necessary
to meet county requirements. The CONSULTANT will ensure a
primary physician contact will obtain a DEA registration specific to the
agency that can be used to order controlled medications. In addition,
the CONSULTANT will ensure a primary physician contact with a valid
and unrestricted medical license from the California Medical Board that
can be used for ordering medical supplies as needed. Make
recommendations for modifications of system design, performance,
protocols and training standards designed to improve patient outcomes.
1.1.13. Review and analyze clinical reports.
1.1.13.1. Make recommendations on system identified issues;
1.1.13.2. Assist Program Manager(s) in developing internal training
(see Section 1.4 for further);
1.1.13.3. Provide subject matter expertise as applicable
1.1.13.4. Provide patient outcome data if possible.
1.1.13.5. Participate in PCR review of designated calls (such as airway
or cardiac arrest) and review specific PCRs as requested by the
program manager
1.2. Provide medical oversight for Emergency Medical Dispatc h Syst em
(EMDS) as required by the State of California, including but not limited to:
1.2.1. Serve as liaison to County EMS.
1.2.2. Monitor and participate in an ongoing quality assurance/quality
improvement plan
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1.2.3. Ensure ongoing compliance by participating in periodic control room
sit- along provide guidance regarding the application of protocols and
participate in the call review process, as needed.
1.2.4. Evaluate the effectiveness of the EMDS program.
1.2.5. To aid in better understanding of the use and concepts of EMDS,
the CONSULTANT shall assign a minimum of one physician to
complete the International Academies of Emergency Dispatch (IAED)
24-hour Emergency Medical Dispatcher (EMD) course within 12
months of the start of the Agreement.
1.3. Work with the Program Manager to develop, review, and maintain a
continuous quality improvement program (CQI) in clinical performance as
required by the State of California, as well as actively participate in agency
continuous quality improvement meetings. The CONSULTANT will evaluate
the program plan and provide feedback on suggested changes. Specific to this
task, CONSULTANT may be asked to assist in:
1.3.1. Determining appropriate levels of medical training have been received
to ensure competence of newly hired personnel.
1.3.2. Determining if existing and proposed County and agency-based
concurrent field and telecommunications evaluation processes can
identify sub-optimal performance.
1.3.3. Determining if existing and proposed County and agency-based
continuing education (CE) programs address agency needs for
medical and operational training for both communications and field
personnel.
1.3.4. Determining if existing and proposed County and agency-based
retrospective review processes can determine the delivery of
appropriate pre-hospital medical care that is consistent with County
and agency-based protocols and procedures.
1.3.5. Developing a PIP (personal improvement plan) and/or medical
investigation, evaluation, and response, with Program Managers. The
PIP may include specific clinical time with a physician.
1.3.6. Ensuring that the EMS Program Manager is advised in all matters
related to the design and development of EMS quality management
programs at the regional and county level.
1.4. Provide medical oversight of EMS curriculum development and education,
including but not limited to:
1.4.1. Providing recommendations regarding adequacy of the EMS training
program and in-house Continuing Education activities and content.
1.4.2. Assisting with the design and implementation of the CE program in
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response to education and training needs. CONSULTANT will be used
as an expert resource in the development of CE programs and will
ensure consistency with emerging pre-hospital “standards of practice.”
1.4.3. Initiating recommendations, assisting with the development of EMS
Training Programs, and conducting in-service CE sessions.
1.4.4. Making recommendations regarding specific training programs being
considered or implemented.
1.4.5. Working with the program manager to develop a plan, and participate in,
training related to seldomly used skills and training related to the annual
updates released by the County EMS Agency
1.4.6. Working with the program manager to provide expert training and, as
needed, evaluation during the academy and accreditation process for
newly hired personal
1.4.7. Providing novel approaches to education to meet the CE needs of the
agency – for example online modules that can be delivered via online
tracking systems (such as Target Solutions) and in situational simulation
and skills training
1.5. Other related duties including, but not limited to:
1.5.1. Representing the Fire Department with the medical community to
ensure that the practices of the Agencies and personnel are satisfactorily
meeting treatment and operational policies.
1.5.2. Conducting new employee orientations, as needed, for agency
personnel relative to the Fire Department and Santa Clara County EMS
program.
1.5.3. Providing medical input regarding personal protective equipment.
1.5.4. Working in conjunction with the Fire Department’s Program Manager
to evaluate the exposure risks that Firefighters are subjected to including
cancer, blood borne pathogens, and aerosol transmissible diseases.
1.6. CONSULTANT shall ensure a physician is available in accordance with a
work schedule approved by the EMS Program Manager. In addition,
CONSULTANT shall ensure a physician from the EMS group is on standby
and able to be contacted via cellular telephone, pager and/or e-mail 24 hours
a day, 7 days a week for consultation regarding afterhours infectious contact
issues. CONSULTANT shall provide the EMS Program Manager with a plan
for the provision of physician responsibilities if the agency’s primary physician
contact is unavailable or unable to perform the required duties. The plan shall
include a list of alternates to call in the event the designated physician does
not respond within 45 minutes to an emergency request or 90 minutes to a
non-emergency request. For planned absences, CONSULTANT shall arrange a
specific contact from the list of alternates to provide continuous medical
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direction.
2 MINIMUM QUALIFICATIONS
2.1. The physicians assigned by the CONSULTANT are expected to possess
and maintain the following minimum professional licenses and qualifications:
2.1.1. Valid license to practice medicine in the State of California.
2.1.2. Be clinically active in Emergency Medicine.
2.1.3. Current board certification or active participation in the
exa minati on process leading to board certification in Emergency
Medicine by the American Board of Emergency Medicine or the
American Osteopathic Board of Emergency Medicine.
2.1.4. Preferred: Current board certification or active participation in
the examination process leading to subspecialty board certification
in Emergency Medical Services by the American Board of Emergency
Medicine
2.1.5. Successful completion of the Medical Directors’ Course presented by
the National Association of EMS Physicians (NAEMSP).
2.1.6. Minimum one (1) member of the physician group with successful
completion of the NAEMD EMD-Q Certification Course as presented
by the National Academy of Emergency Medical Dispatch, to be
completed within 12 months of the start of the agreement.
2.1.7. Valid California Driver’s license.
2.1.8. Worker’s Compensation Insurance.
2.1.9. Liability insurance as required by the CITY.
2.2. CONSULTANT shall assign a minimum of 1 Physician meeting the
minimum qualifications listed in this section as point of contact (POC) for the
CITY.
DocuSign Envelope ID: 5A2AEA31-26AE-4500-95DD-29D5474A4550