HomeMy WebLinkAboutOrdinance 10094v
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ORDINANCE NO.
,'
AN ORDINANCE REPEALING CHAPTER 5 OF THE CODE OF THE CITY
OF FORT WORTH (1986), AS AMENDED, AND ENACTING A NEW
CHAPTER 5 IN LIEU THEREOF, ENTITLED "AMBULANCES/EMERGENCY
MEDICAL SERVICES," AND PROVIDING FOR THE ESTABLISHMENT OF
AN AMBULANCE SERVICE SYSTEM TO SERVE THE CITY AND OTHER
JURISDICTIONS UNDER APPLICABLE LAW AND THE OPERATIONAL AND
MEDICAL REGULATION THEREOF; PROVIDING A PENALTY CLAUSE;
PROVIDING P, SEVERABILITY CLAUSE; PROVIDING FOR PUBLICATION
AS REQUIRED BY LAW; PROVIDING FOR ENGROSSMENT AND ENROLL-
MENT OF THIS ORDINANCE BY THE CITY SECRETARY; AND PROVID-
ING AN EFFECTIVE DATE.
NOW THEREFORE, BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY
OF FORT WORTH, TEXAS:
SECTION 1.
That Chapter 5 of the Code of the City of Fort Worth (1986), as
amended, is hereby repealed and there is hereby enacted in lieu
thereof a new Chapter 5, entitled "Ambulance/Emergency Medical
Services," the text of which shall read as set forth in Exhibit "A",
attached hereto and incorporated herein.
SECTION 2.
Repealer. Ordinances and any resolutions in conflict herewith
are hereby repealed effective August 1, 1988.
SECTION 3.
Severability. It is the intention of this Jurisdiction that
the separate provisions of this Ordinance and applicable Rules and
Regulations shall be deemed independent of all other provisions
contained herein and it is further intended that if any of the
provisions of this Ordinance and/or Rules be declared invalid, all
other provisions hereof and thereof shall remain valid and enforce-
able.
W
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SECTION 4.
Publication. That the City Secretary of the City of Fort
Worth, Texas is hereby directed to publish the caption summarizing
the purpose of this Ordinance and the penalty clause prescribing the
penalties for violation of this Ordinance in the manner provided by
applicable state law.
SECTION 5.
The City Secretary of the City of Fort Worth, Texas is hereby
directed to engross and enroll this Ordinance by copying the caption
and penalty clause in the minutes of the City Council and by filing
the Ordinance in the Ordinance records of the City.
SECTION 6.
Effective Date. This Ordinance shall be effective August 1,
1988.
APPROVED AS TO FORM AND LEGALITY:
i p
City Attorney
Date:
ADOPTED:
EFFECTIVE DATE:
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EXHIBIT' A. ~NIFOI~M ~M~ ORDINANCE
Be it ordained by the City Council of FORT y~toRt~ ,
Texas•
SEC. 1 STATUTOIrY AUTIiORITY.
This Ordinance is enacted by the City Council of Loa-- U~oan~ ,
Texas, pursuant to Sec. 3.10, Art. 44470 Texas Civil Statutes, which
provides that local governmental units may establish standards for
ambulances, and to Sec. 4(a), Art. 4413(32c) Texas Civil Statutes
which provides that combinations of local governmental units may
contract for the provision of governmental services.
SEC. 2 GENERAL PURPOSES A1VD INTENT OF OR]DIIVANCE.
It is the purpose of this Ordinance
A. To establish a regulated ambulance service system which
` can provide state-of-the-art clinical quality of care, with
reasonable, reliable response time standards, and with the goal
of furnishing the best possible chance of survival, without
disability or preventable complication, to each ambulance
patient.
B. To establish asole-provider ambulance system, because it is
unreasonable to have unnecessarily high rates and/or public
subsidy to make needed improvements to ambulance service in
the Service Area, when a more efficiently designed system can
achieve the same results at lower cost. The most efficient
design to achieve the goals of high-quality service, at the
lowest cost, consistent with the quality of care required, is the
implementation of the system described herein.
.,
(Exhibit A. Uniform EMS Ordinance, cont....) 2
C . To provide more effective system performance through the
provision of services by a competitively selected qualified
private operator, rather than d}rect governmental operation of
ambulance services.
D. To provide more effective medical control by establishing a
multi-jurisdictional Emergency Physicians Advisory Board
(EPAB) and by empowering that Board to oversee and regulate
all clinical aspects of the emergency medical system which
affect patient care.
SEC.3 DEFINITIONS.
For the purposes of this chapter, the following words and
phrases shall have the meanings respectively ascribed to them by this
section:
A. Advanced Life Support Ambulance. Any vehicle which is
equipped to provide treatment of life-threatening emergencies
through the use of advanced airway management, intravenous
therapy, and other advanced prehospital care procedures, and
which is equipped to transport sick or injured persons to or
from health care facilities.
B. Approved Rate Schedule. Those fees for ambulance
services rendered which have been establish~cl for this
Jurisdiction by the Ambulance Authority from the Uniform
Schedule of Price/Subsidy Options.
C. Area Metropolitan Ambulance Authority t"Ambulance
Authority"). That public administrative agency established to
oversee the operation. of the ambulance system established by
this Ordinance.
D. Base Stati®n Physician. A physician licensed to practice
medicine in the State of Texas, knowledgeable in the
"~ `~ (Exhibit A. Uniform EMS Ordinance, cont....) 3
prehospital emergency medical protocols, EMS radio
procedure and the general operating ~olicies of the ambulance
system, and a person from whom ambulance personnel may
take medical direction by radio or other remote com-
munications device.
E. Contractor. That person selected by the Ambulance
Authority, pursuant to the Request for Proposal process, which
is awarded the right to provide all ambulance services in this
jurisdiction, except those specifically exempted by Section 6F of
this Ordinance
F. Emergency Medical Technician (EMT). An individual who
is a "specially skilled emergency medical technician" under Sec.
1.03 (10) of Art. 44470, Texas Civil Statutes.
G. EMS Control Center or Control Center. The single
facility designated by the Ambulance Authority as the central
communications center from which all ambulances operating in
the Service Area shall be dispatched and controlled.
H. Emergency Physicians Advisory Board ("EPAB"). The
medical board created by this Qrdinance and empowered to
promulgate the various standards, rules and regulations
related to clinical aspects of ambulance service and first
responder services within the Service Area, and to perform
medical audits and otherwise monitor system performance
I. First Responder. Any person, fire department vehicle,
police vehicle, or other vehicle not normally used for purposes
of patient transport, but which vehicle and on-board personnel
are capable of providing first responder services in medical
emergencies.
J. Helicopter Rescue Unit. Any rotary wing aircraft
providing basic or advanced life support services and patient
~~ (Exhibit A. Uniform EMS Ordinance, cont....)
transportation originating from the scene of emergency
incidents which occur within the Service Area.
K. Interlocal Cooperative Agreement ("Agreement"). That
contract adopted by this jurisdiction concurrently with the
passage of this Ordinance, which contract is entered into by
this Jurisdiction pursuant to Art. 4413(32c) Texas Civil Statutes
more commonly known as the "Interlocal Cooperation Act "
L. Medical Audit. An official inquiry into the circumstances
involving an ambulance run or request for ambulance service,
conducted by the Medical Director or a licensed physician
designated by the Medical Director
M. Medical Control. Direction given ambulance personnel by
a base station physician through direct voice contact, with or
without vital sign telemetry, as required by applicable medical
protocols promulgated by the EPAB, and by Sec. 10.3(19), Art
44470, Texas Civil Statutes.
N. Medical Lirector. The licensed physician appointed by the
EPAB serving as administrative officer in carrying out the
duties and powers of the EPAB.
O. Medical Protocol. Any diagnosis-specific or problem-
oriented written statement of standard procedure, or
algorithm, promulgated by the EPAB as the normal standard of
prehospital care for a given clinical condition.
P. Mutual Aid Agreement. A written agreement between the
Ambulance Authority and one or more entities whereby the
signing parties agree to provide backup ambulance service to
one another under conditions and pursuant to terms specified
in the agreement as approved by the Ambulance Authority
4
=> (Exhibit A. Uniform EMS Ordinance, cont....) 5
Q. Paramedic. A person qualified as a certified "paramedic
emergency medical technician" as defined by Sec. 1 03(11) of
Art 44470, Texas Civil Statutes.
R. Patient. An individual who is ill, sick, injured, wounded or
otherwise incapacitated and is in need of or is at risk of needing
medical care during transport to or from a health care facility.
S. Pexson. Any individual, firm, association, partnership,
corporation, governmental entity, or other group or
combination acting as a unit.
T. Response Tirne. The actual elapsed time between receipt
of notification at the EMS Control Center that an ambulance is
needed at a location within the Service Area and the actual
arrival of an ambulance at that location.
U. Senior Paramedic in Charge. That person among the
certified personnel assigned to an ambulance, not the driver,
who is a certified paramedic designated as the individual in
command of the ambulance.
~7. Service Area. That geographic area whic~i is contained
within the boundaries of all of the jurisdictions which adopt
this Uniform EMS Ordinance, and which adopt and execute
the Interlocal Cooperation Agreement implementing the
Ordinance, thereby becoming members of the Ambulance
~.uthority.
W. Special Event. Any public event located within the Service
Area, for which standby ambulance service is arranged in
advance, and for which an ambulance (or ambulances) are
hired by the sponsor of the event or other interested party.
~C. Specialised Mobile Intensive Care Unit. A vehicle which is
specially constructed, equipped, staffed, and employed in the
(Exhibit A. Uniform EMS Ordinance, cont....)
interfacility transport of patients whose requirements fob
enroute medical support are likely to exceed the clinical
capabilities of an advanced life support ambulance.
SEC. 4 EMERGENCY PHYSICIANS ADVIS(7RY BARD (EPAB).
There is hereby created an Emergency Physicians Advisory Board
which shall oversee and regulate on behalf of this city all medical
aspects of the ambulance system which affect patient care.
A. The EPAB shall consist of a board whose membership shall
be composed as follows:
(1) The medical director, or his designee, of each
hospital emergency department which is located within
the Service Area and which maintains an emergency
medical services department staffed twenty-four (24)
hours per day, seven (7) days per week by in-house
physicians; all EPAB members shall be licensed
physicians, preferably engaged ~n the full-time practice of
emergency medicine; and,
(2) Five (5) additional licensed physicians with active
specialties or sub-specialties of benefit in developing
standards for emergency prehospital care, and who are
appointed by and serve at the pleasure of the Tarrant
County Medical Society.
(3) The EPAB may, at its option, elect from among its
members an Executive Board consisting of not less than
seven nor more than nine physicians, which Executive
Board shall exercise such powers and duties of EPAB as
are set forth in written by-laws approved by atwo-thirds
majority vote of the entire EPAB membership.
(Exhibit A. Uniform EMS Ordinance, cont....)
B. The EPAB shall appoint a Medical Director who shall be
responsible for the day-to-day affairs of the EPAB in carrying
out its duties under this Ordinance. The Medical Director shall
be a licensed physician who is board-certified in emergency
medicine The Medical Director shall serve at the pleasure of
EPAB.
C. The EPAB shall have the following powers and duties:
(1) To recommend to the Ambulance Authority medically
appropriate response time standards for this Jurisdiction,
(2) To establish standards for patient care, including
standards for ambulance and first responder vehicles and
on-board equipment;
(3) To develop medical protocols for ambulance and first
responder services and periodically revise same;
(4) To develop control center protocols and periodically
revise same;
(5) To conduct medical audits and develop standards
and procedures for the conduct of such audits;
(6) To develop and periodically revise and administer
both written and practical tests for the certification and
licensing of emergency medical services personnel,
including ambulance personnel, first responders, and
EMS control center personnel;
(7) To develop and periodically revise and administer
educational material, programs and/or tests to insure
that base station physicians are knowledgeable of the
local ambulance system, its medical protocols, radio
7
(Exhibit A. Uniform EMS Ordinancc, cont....)
procedures, and transport protocols; and to certify
qualified physicians as base station physicians;
(8) To conduct inspections of vehicles, equipment and
supplies on both an annqunced and unannounced basis;
(9) To monitor response time performance, in this
regard, the Ambulance Authority shall furnish such
statistical information regarding response time
performance as maybe requested by EPAB;
(10) To develop standards and procedures for the
resolution of disputes regarding the application of
exemptions from late run penalties assessed against the
ambulance service contractor for failure to meet response
time standards;
(11) To periodically conduct intensive reviews of the
system's performance relative to specific clinical types
and to revise medical protocols and such other standards
of the system as may be appropriate in light of the
findings;
(12) To conduct medical audits of individual cases as
requested by the Ambulance Authority, by any elected
official of a member jurisdiction, by any licensed
physician regarding a patient of such physician, or by any
paramedic involved in the case which is the subject of the
audit request;
(13) To annually present a written and oral report to the
Ambulance Authority concerning the state of clinical
performance of the ambulance system; each member
jurisdiction shall be informed of the time and place of
such oral report at least 30 days in advance of that
8
(Exhibit A. Uniform EMS Ordinance, cont....)
meeting and shall be invited to send representatives, and
shall be furnished a copy of the written report;
(14) To establish such committees as may be necessary
to aid in the performance of its powers and duties;
(15) To approve standards governing the operation of
specialized mobile intensive care units, including
standards limiting the types of patients which may be
transported thereby, and to issue, suspend, revoke, and
renew permits for the operation of such units as required
by this Ordinance;
(16) To approve standards governing the operation of
helicopter rescue units, including standards defining the
circumstances under wluch such units maybe deployed to
emergency scenes, and to issue, suspend, revoke, and
renew permits for the operation of such units as required
by this Ordinance; and,
(17) To approve standards governing the operation of
point-to-point wheelchair transport units, including
standards limiting the types of patients which may be
transported thereby, and to issue, suspend, revoke, and
renew permits for the operation of such units as required
by this Ordinance.
D For each patient transported by the Ambulance Authority or
its contractor, and for eaclt patient transported by other
providers issued permits pursuant to this Ordinance, the
transporting provider shall pay to EPAB a fee of three dollars
($3.00), which sum shall be used to defray the costs of medical
regulation of the EMS system. Such payments shall be made
monthly by the fifteenth (15th) day of each month for services
rendered during the previous calendar month. Such funds
shall be maintained in a separate account administered by the
9
(Exhibit A. Uniform EMS Ordinance, cont....)
Ambulance Authority on EPAB's behalf, and shall be expended
solely for the purposes set forth in this Sec. 4 as approved by
EPAB or its Executive Board. Effective August 1, 1990, this
per-transport fee shall be automatically increased to four
dollars ($4 00) per patient transported, and may thereafter be
periodically increased at the discretion of EPAB, subject to
approval by the Ambulance Authority, but not more often than
annually, and no single increase may exceed five percent (5%).
E. Effective August 1, 1988, funds then remaining in the
account of the Emergency Physicians Advisory Board of the
City of Fort Worth shall be automatically transferred to the
EPAB account established and maintained by the Ambulance
Authority.
F . This Jurisdiction shall indemnify and hold harmless EPAB,
its members, its Medical Director, and EPAB staff members
from liability for .actual damage, including costs and attorney's
fees, arising from any claim, lawsuit, or judgement resulting
from an act or omission of said EPAB member, the Medical
Director, or EPAB staff member while acting in the scope and
course of his office, provided that such liability arises out of or
in connection with the provision of ambulance services or first
responder services originating within the corporate limits of
this Jurisdiction.
SEC. 5 AREA 1VIETROPOI.ITAN AMBULANCE AUTHORITY.
By adopting this Ordinance, and concurrently therewith
executing and approving the Interlocal Cooperative Agreement,
there is hereby established an Area Metropolitan Ambulance
Authority, which is herein called the "Ambulance Authority;" and in
regard to that Ambulance Authority the following shall apply:
10
A. The Ambulance Authority is hereby designated as the sole
provider of all ambulance services within this Jurisdiction,
(ExYcibit A. Uniform EMS Ordinance, cont....)
pursuant to the terms, conditions and provisions of the
Interlocal Cooperative Agreement, except for those services
exempted by Sec. ~F, below.
B . The Ambulance Authority shall comply with all terms of the
Interlocal Cooperative Agreement, and have all of the duties,
powers and responsibilities enumerated therein.
C . The Ambulance Authority is reduirec~ to provide this
Jurisdiction with advanced life support ambulance service.
Such service shall comply with all applicable state laws and
rules, as well as all rules, regulations, standards and response
times as the Ambulance Authority or EPAB may from time to
time promulgate.
D. After termination of the current competitively-awarded
contract between the City of Fort Worth and Texas Lifeline
Corporation, which amended contract shall be assigned to the
Ambulance Authority effective August 1, 1988, and any
extensions thereof, the Ambulance Authority shall provide such
ambulance service by the award of a contract to a qualified
provider after a competitive bid process. However,
compliance with response time and duality of care standards
are the non-delegable duty of the Ambulance Authority
SEC.6 VIOLA'T'IONS.
It shall be unlawful.
A. To perform duties as an ambulance driver, attendant
(EMT or paramedic), or EMS dispatcher without a current
certification issued by the EPAB;
B. To permit a person to work as an ambulance driver,
attendant or EMS dispatcher without a current license issued
by the EPAB;
11
'' '- (Ex}iibit A. Uniform EMS Ordinance, cont....)
C . To use, or cause to be used any ambulance service other
than that of the contractor authorized to operate in this
Jurisdiction by virtue of its contract with the Ambulance
Authority, except those services described in Paragraph F of
this Section 6.
D. For any person, firm or organization to provide ambulance
service within this Jurisdiction, other than the contractor which
contracts with the Ambulance Authority; or to provide point-
to-point wheelchair transport services to or from health care
facilities, helicopter rescue services, or specialized mobile
intensive care services except in accordance with EPAB
regulations governing the delivery of such services, and then
only pursuant to a permit issued by EPAB for the operation of
such units; or after August 1, 1989 to provide first responder
services without a first responder permit issued by EPAB. All
such special permits when issued by EPAB shall be valid for a
period of two (2) years, and then shall be subject to provisions
governing renewal, such provisions to be developed by EPAB
Holders of such permits shall comply with requirements for
payment of permit fees as set forth in Section 4D, hereof.
E. To knowingly give false information to induce the dispatch
of an ambulance or helicopter rescue unit.
F. It shall be a defense to any alleged violation of this Section 6
that the vehicle is being used solely in any of the following
manners.
(1) A privately owned vehicle not ordinarily used in the
business of transporting persons who are sick, injured,
wounded, incapacitated or helpless
12
(2) A vehicle rendering service as an ambulance in the
event of a major catastrophe or extreme system overload
~~
(Exhibit A. Uniform EMS Ordinance, cont....) 13
when such condition is declared by the Medical Director,
the Executive Director of the Ambulance Authority, or by
an authorized representative of the Ambulance
Authority's contracted ambulance service provider, and
such assistance has been requested by the Control Center.
(3) Any ambulance owned or operated by the federal or
state government.
(4) Any transport to a location within the Service Area,
which transport originated from a point outside the
Service Area.
(5) Mutual aid calls when rendered pursuant to a
mutual aid agreement approved by the Ambulance
Authority.
(6) Special events coverage, so long as such service is
provided without charge by an emergency medical
services volunteer provider, as defined in Sec 1.03(18),
Art. 44470, Texas Civil Statutes.
(7) Wheelchair transport services which are not
provided on a point-to-point basis, but which provide
pickup and delivery by way of regularly scheduled routes.
(8) Medical transports by helicopter where such
transports originate outside the Service Area or at a
hospital location within the Service Area.
(9) Point-to-point wheelchair transport services
rendered by not-for-profit organizations.
~~ ~ (Exhibit A. Uniform EMS Ordinance, cont....)
SEC.7 PENALTIES.
The following provisions for application of penalties for
violation of this Ordinance shall apply:
A. Any person convicted of violating the provisions of this
Ordinance shall be fined no more than five hundred dollars
($500.00). This does not serve to limit any other remedies
available to this Jurisdiction in law or equity.
B. Each day that any violation of this article is committed or
permitted to continue shall constitute a separate offense.
SEC. 8 TRAFFIC LAWS; EXEMPTION.
When the driver of an ambulance has reasonable grounds to
believe that an emergency exists, as determined by the EMS control
center, the driver of the ambulance may:
A. Park or stand, irrespective of the otherwise applicable
provisions of law, ordinance or regulations;
B. Proceed past a red or stop signal or stop sign, but only
after slowing down as may be necessary for safe operation;
C . Exceed the maximum speed limits permitted by law,
ordinance or regulation; provided, however, that life and
property are not endangered thereby,
D. Disregard laws, ordinances and regulations governing
directions or movements or turning in specified directions.
E. Provided, however,. that any exemption herein granted
shall apply only when such ambulance is operating with siren
and emergency lights in operation, and when such audible and
visual signals meet the requirements of law, ordinance or
regulation, and provided further, that the foregoing provisions
14
(Exhibit A. Uniform EMS Ordinance, cont....)
~~ ~, ~ 15
shall not operate to relieve the driver of any ambulance from
the duty to drive with due regard for the safety of all persons,
nor shall such provisions protect the driver from the
consequences of his reckless disregard for the safety of others.
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EMERG
N~~~NAGEMENT.11 REFERENCE SUBJECT APPROVAL OF EMS INTERLOCAL PAGE
NUMBER
4/12/88 C_10918 COOPERATION AGREEMENT ADOPTION OF lo>: 3
Recommendation
It is recommended that the City Council:
1) Authorize the City Manager to execute the attached EMS Interlocal
Cooperation Agreement, and
2) Adopt the attached Uniform EMS Ordinance; and
3) Appoint William Garrison, Bert Williams, Gary Gilley, and W. M. Lawhon as
Fort Worth's Area Metropolitan Ambulance Authority Board Members.
,,
Discussion
Following the recommendations approved by the Fort Worth Ambulance Authority and
presented to City Council at its December 8, 1987, pre-council meeting, the
City's EMS Consulting firm, The Fourth Party, developed the attached EMS
Interlocal Cooperation Agreement and Uniform EMS Ordinance as the legal
instruments to effect conversion of the current MedStar system to a multi-
jurisdictional ambulance authority. The Agreement and Ordinance were discussed
with City Council during the pre-council meeting on April 5, 1988 (I.R. 7270).
Interlocal Cooperation Agreement
Adoption of the Agreement by the ~,ity of Fort Worth and at least one other
jurisdiction will create the ~.ae'___M~t.~o~o~ati..an Ambulance Au wit The
Authority will be responsible for the provision of ambulance services to all
member jurisdictions through a contract with a private provider which shall be
competitively awarded from time to time; implementation of an ambulance service
subscription program which allows member residents to annually purchase and
prepay all uninsured portions of medically necessary ambulance service, and
assumption of EMS billing and collection functions currently performed by Texas
Lifeline Corporation.
~- _
The Ambulance Authority oard of Directo jll be composed of nine members,
one of which is the Me ica irec or of the Emergency Physicians Advisory
Board. Until such time as the total population of all member jurisdictions
exceeds 880,000 persons, the board will be composed of fo rs appointed by
Fort Wort two members appointed by the City of Arlington, if it chooses to
par ~cipate, and one member representing each 110,000 persons residing within
all other member jurisdictions combined, but no less than one representative.
Fort Worth may appoint the current Fort Worth Ambulance Authority members as its
board representatives on the new Authority.
At such time as the total population of all member jurisdictions exceeds
880,000, Fort Worth and Arlington may each appoint one board member for each
1/8th of the total population represented by each respective city. All other
member jurisdictions will appoint one board member for each 1/8th of the then
current population of all member jurisdictions.
DgTE REFERENCE SUBJECT APPROVAL OF EMS INTERLOCAL PnGE
NUMBER
4/12/88 COOPERATION AGREEMENT ADOPTION OF 2 3
C-10918 fIAiTCnDM CMC nDnTRiAA1rC ~ --- ~f -----'
Initial membership in the Authority requires no financial investment on the part
of jurisdictions not currently subsidizing ambulance operations. The Agreement
specifies that any member jurisdiction which subsidizes ambulance services
during fiscal year 1987-88 will agree to subsidize the Authority in an amount
not less than 90% of that member's 1987-88 subsidy during the Authority's first
year of operation, beginning August 1, 1988.. The subsidy can be reduced by no
more than 10% of the 1987-88 amount in subsequent years, until the Authority°s
net worth reaches $5,000,000 or 50% of its annual operating budget, whichever is
greater At that time, the 10% cap on subsidy reduction will be waived, and
member jurisdictions may then accelerate their annual reduction beyond the 10%
limit.
The first year Fort Worth subsidy to the Authority, beginning August 1, 1988,
will be $1,188,287, and may be reduced by $132,032 each year thereafter.
Volume discounts will be offered member jurisdictions as the system expands.
The discounts range from two to fourteen percent, depending upon the collective
population of all member jurisdictions. Each jurisdiction will receive its
share of discounts based on its pro rata share of the total population served by
the Authority, and may use the discounts in any of the following ways
To reduce the price or subsidy level applicable in that jurisdiction,
To reduce the cost of subscription membership for residents of that
jurisdiction,
To recover costs of developing and implementing the MedStar system, or
Any combination of the above.
As they become available, Fort Worth may use its discounts to recover the costs
incurred from July, 1985 to August 1, 1988, in developing the MedStar system.
The current assets ~ a_tdeso.,.....I'IA~..~„~~,,,..including the medical
~..w.,~..~,
comatuc~.a,~.a~.i~o~.~,.,..s;V,s~~-ac~i~t~+; ~arrd=ed~e~laan.e~-,~ i.~ e s, w i l l b e trans e~"rr'e d"`t ~"'~i e
Aut pr,~ay«.~~~»t~~The Authority will assume responsibility~o payments o"~'"`"f"~"~sse
items. Each legal instrument used to effect the transfer will require City
Council approval, and will be structured so that the current financial liabiloty
of Fort Worth wi11 not be increased, and will decrease over time.
Uniform EMS Ordinance
Adoption of the ordinance creates the Emergency Physicians Advisory Board
(EPAB) in the same manner as the current ordinance. Exemptions from licensing
requirements are also similar to the current ordinance, with the addition of a
set of exemptions relating to whe@lchair transport services
The Fort Worth Ambulance Authority has met with the consultant on a regular
basis and in its meeting on March 28, 1998, approved the Interlocal Cooperation
Agreement and Uniform EMS Ordinance and recommends approval by the City Council
<~,
,.. ,''
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DATE REFERENCE
NUMBER SUBJECT APPROVAL OF EMS INTERLOCAL PAGE
4/12/88 COOPERATION AGREEMENT ADOPTION OF _3_0,__` 3
C-1091$ IINTF~RM FMC
Upon approval of these instruments by City Council, negotiations will begin on
conversion of the current Texas Lifeline Corporation contract, transfer of the
current MedStar system infrastructure, financing of required infrastructure
improvements, conversion of the accounts receivable management responsibility,
transfer of the three-way leasing program, conversion of the lock box banking
arrangement, transfer of the MedStar trade name and provider license,
development of a detailed long range financial plan, and other business.
transactions. In any event, City Council and Ambulance Authority approval will
be required on all of these documents before they are implemented. The schedule
projects an August 1, 1988 start-up date for the new system.
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City of Fort Worth, TexaB
SUBMITTED FOR THE
OFFICEABYGER'S gob Terrell DISPOSITION BY COUNCIL:
^ APPROVED PROCESSED BY
ORIGINATING
DEPARTMENT HEAD• B. Terrell ^ OTHER (DESCRIBE)
CITY SECRETARY
FOR ADDITIONAL INFORMATIAN Neuhaus 6170
K Adapted Ordinance No.
DATE
CONTACT