The URL can be used to link to this page

Home My WebLink AboutResolution 6036-12-2024A Resolution NO. 6036-12-2024 CREATING THE EMS ADVISORY BOARD AND THE MEDICAL CONTROL ADVISORY BOARD WHEREAS, in 1988, the City of Fort Worth (the "City") and certain other Tarrant County municipalities came together to create a regional ambulance and emergency medical services ("EMS") agency known as the Area Metropolitan Ambulance Authority, d/b/a Medstar, (the "Authority") through the adoption of a uniform EMS ordinance and interlocai cooperative agreement under the provisions of Section 773.051 of the Texas Health and Safety Code and pursuant to Ordinance Number 10094; WHEREAS, now known as the Metropolitan Area EMS Authority and operating under the trade name Medstar Mobile Healthcare, the Authority operates under the Restated and Amended Interlocal Cooperative Agreement executed in 2020 (Fort Worth City Secretary Contract No. 54348; hereinafter, the "Agreement") and an updated uniform EMS ordinance; WHEREAS, the Agreement provides that the Authority shall continue in existence until all local governments that are party to the Agreement (the "Member Cities") withdraw from the Agreement; WHEREAS, the Member Cities have, pursuant to the Memorandum of Understanding and Agreement ("MOUA") executed by each Member City agreed to: withdraw from and terminate the Agreement; dissolve the Authority; and designate the City as the licensed EMS Provider for the Member Cities' jurisdictions; WHEREAS, the MOUA further provides for the transition of all EMS related services, operations, assets, and responsibilities to the City, to be administered by the City of Fort Worth Fire Department; WHEREAS, the Fort Worth Fire Chief, acting under the direction of the Fort Worth City Manager or their designee, � shall be responsible for providing direct management and day-to-day oversight of City EMS and the EMS System and will have the powers and duties afforded and required of fire chiefs under state law; WHEREAS, the City and the Member Cities, by and through the MOUA and each Member City's EMS Interlocal Agreement, agree that, to ensure medical best practices, Member City representation, and community engagement, it is necessary to create the EMS Advisory Board and the Medical Control Advisory Board; WHEREAS, on May 21, 2024, and pursuant to Resolution No. 5956-05-2024, the Fort Worth City Council approved the recommendation to create two new advisory boards in support of the new EMS System; and WHEREAS, this Resolution shall be effective as of the date of its adoption by the Council. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FORT WORTH, TEXAS, THAT: 1. The Fort Worth City Council hereby approves the appointment of the EMS Advisory Board (the "EAB"). The EAB is hereby created as an advisory body to the City and for the purposes of performing review of and providing advice to the City on matters related to the EMS System, the EMS System budget, and the associated service to the City and those units of government who have contractually agreed to receive EMS System services from the City through an EMS Interlocal Agreement. a. The EAB's membership will consist of the following voting members: one representative designated by each of the units of government that is a party to an EMS InterlocaI Agreement with the City, and the Fort Worth Fire Chief, or their designee, who shall serve as the EAB Board Chair. The Medical Director, or their designee, shall serve as a non -voting member. Accordingly, the initial appointments for the EAB shall include the following representatives, or their appropriately named designee: i. Blue Mound — Fire Chief Jason Wood ii. Edgecliff Village — Fire Chief Jeffrey Ballew iii. Forest Hill — Fire Chief Steve Gutierrez iv. Fort Worth — Fire Chief Jim Davis, Chair v. Fort Worth Medical Director — Dr. Jeffrey Jarvis, MD — Non -Voting vi. Haltom City -- Fire Chief Brian Jacobs vii. Haslet — Fire Chief Kirt Mays viii. Lake Worth — Fire Chief Ryan Arthur ix. Lakeside — City Administrator Norman Craven x. Richland Hills — Fire Chief Russell Shelley xi. River Oaks — Fire Chief Russell Shelley xii. Saginaw — Fire Chief Doug Spears xiii. Sansom Park — Fire Chief Dave Lincoln xiv. Westover Hills — Sgt. Aaron Sheehan xv. Westworth Village — City Administrator Brandy Barrett xvi. White Settlement — Fire Chief Rick Sanderson b. The EAB shall review and advise on matters related to the performance of the EMS System and advise the City regarding issues related to the EMS System's goals and standards, including medical direction and clinical oversight and selection of the Medical Director; c. The EAB will recommend performance standards for the EMS System, including response travel times, call processing time, and data collection and reporting standards; d. To ensure Iong-term fiscal sustainability of the EMS System, the EAB will review the EMS System budget and conduct an annual budget workshop to advise the City concerning revenue and expenditures for the EMS System; e. The EAB may, as determined by a majority vote of its members, establish various subcommittees, consisting of members of the EAB, for purposes that the EAB deems necessary and that are consistent with its general role as provided by this Resolution and the EAB's governing documents; and f. The EAB shall establish and adopt written bylaws consistent with this Resolution and to include other matters as may be required and prudent for the EAB to adopt. 2. The Fort Worth City Council hereby approves appointment of the Medical Control Advisory Board (the "MCAB"), which shall serve as an advisory body to the City and for the purposes of advising the City about the clinical performance of the EMS System. a. The MCAB's membership will consist of the following voting members: (1) the Medical Director (or a designated associate medical director), who shaII serve as the Board Chair; (2) the Emergency Department physician medical director, or designee, from each full -service Emergency Department located in the Service Area; and (3) at least four physician members to represent relevant specialties or sub -specialties of benefit in developing standards for emergency out -of -hospital care, with broad representation from different hospital systems, with such members to be recommended by a majority of the then -existing members of MCAB and to be appointed by the City. The Fort Worth Fire Chief, or their designee, shall serve as a non- voting member. A majority of the voting members of the MCAB must be physicians who are board certified in Emergency Medicine or Pediatric Emergency Medicine, or a related medical field. The MCAB may, by an affirmative vote of two-thirds of its voting members, elect to add other non- voting members as it deems appropriate. Accordingly, the initial appointments for the MCAB shall include the following representatives, or their appropriately named designee: i. Baylor All Saints — Dr. Michael Flores, DO I Cook ChiIdren's - Dr. Daniel D. Guzman, MD iii. Fort Worth Fire Chief — Jim Davis, Non -Voting iv. Fort Worth Medical Director — Dr. Jeffrey L Jarvis, MD — Chair v. JPS Health Network -- Dr. Jessica J. Kirby, DO vi. Medical City Alliance — Dr. Sam Matthews, MD vii. Medical City Fort Worth — Dr. Alana Snyder, DO viii. THR Alliance — Dr. Brad Commons, MD ix. THR Fort Worth (Harris) - Dr. Terrance McCarthy, MD x. THR Southwest -- Dr. Michelle Beeson, MD xi. THR Hugley — Dr. Sam Haraldson, MD b. The MCAB shall advise the City about the clinical performance of the EMS System; c. The MCAB shall review medical protocols and clinical policies and procedures for the EMS System and make recommendations to the Medical Director; d. The MCAB will represent the interests of the medical community and First Responders, Medical Transportation Providers, and ambulance standby providers by making recommendations for improvements to the EMS System as needed; e. The MCAB will recommend and review research conducted within the associated service area of the EMS System; f. The MCAB shall participate in the selection of the Medical Director and review of the Medical Director's clinical performance through processes established by the City, provided, however, that the then -current Medical Director will not participate in matters related to their current duties and performance; and g. The MCAB shall establish and adopt written bylaws consistent with this Resolution and to include other matters as may be required and prudent for the MCAB to adopt. Adopted this 101h day of December 2024. ATTEST: By: Jannette S. Goodall, City Secretary