Loading...
HomeMy WebLinkAboutContract 63226CSC No. 63226 EMPLOYMENT AGREEMENT This agreement ("Agreement") is made and entered by and between the City of Fort Worth, a municipal corporation (the "Employer"), and Jeffrey L. Jarvis, M.D. ("Employee"), an individual, to be effective as of the date signed by the Employer's Assistant City Manager. Employer and Employee may be referred to herein as a "Party" or the "Parties." WHEREAS, in 1988, Employer 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 interlocal 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 "Interlocal Agreement") and an updated uniform EMS ordinance; WHEREAS, the Interlocal Agreement further provides that the Authority shall continue in existence until all units of 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 Employer 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 Employer, to be administered by the City of Fort Worth Fire Department with independent medical direction provided by a Medical Director through the new City of Fort Worth Department Office of the Medical Director; WHEREAS, the Employer has established an emergency medical services division through the City of Fort Worth Fire Department ("FWFD") for the provision of out of hospital EMS, non -emergency medical services, unscheduled medical transportation and ambulance services, and mobile integrated healthcare ("MIH") (collectively the "EMS System"); WHEREAS, Employee is the current Medical Director and Chief Medical Officer for the Authority; WHEREAS, Employer wishes to engage Employee to provide professional services as its Chief Medical Officer and the City of Fort Worth EMS System Medical Director ("Medical Director"), and Employee agrees to serve the Employer, in the capacity and for the term of employment specified herein; and WHEREAS, Employer is authorized to enter into this Agreement with Employee pursuant to Section 2254.008 of the Texas Government Code. Click here to enter text. OFFICIAL RECORD CITY SECRETARY - FT. WORTH, TX 1. Responsibilities and Duties. Employee will be employed by the Employer as the Chief Medical Officer and Medical Director for the Employer's EMS System and pursuant to the terms and provision of this Agreement. Employee agrees to serve the Employer in that capacity and for the term of employment specified herein. Employee affirms that he has the necessary occupational licenses and experience necessary and required for EMS System Medical Directors. During the term of employment, the Employee shall: (a) Diligently and to the best of his ability perform the duties and responsibilities listed in the Employer's EMS Interlocal Agreements with each local jurisdiction who has contracted with the Employer to receive EMS System services and the Employer's Uniform EMS Ordinance (Ordinance. No. 27501-02-2025); (b) Comply with the Employer's Personnel Rules and Regulations for General Employees, Code and Charter, and policies, as amended; (c) Be subject to the authority of the City of Fort Worth City Council and the City of Fort Worth City Manager and Assistant City Managers; (d) Participate in the Medical Control Advisory Board ("MCAB") and the Emergency Services Advisory Board ("EAB") or appoint a designee to serve in his stead; (e) Devote full attention to the performance of his duties hereunder and the business of the Employer as an employee, subject to the terms herein. Employee may engage in outside employment with prior written approval from Employer. Any outside employment shall be secondary to the Employee's duties and obligations to the Employer. Employee must satisfactorily perform all responsibilities under this Agreement and remain reasonably accessible and available as required to fulfill their role; (f) Maintain his Texas medical license and board certification in Emergency Medicine, and any other occupational licenses as may be required of an EMS System Medical Director, for the duration of this Agreement; (g) Perform the responsibilities provided in the Job Description for the City of Fort Worth Chief Medical Officer and EMS System Medical Director, attached hereto as Exhibit A. Employee shall also have such other specific duties and responsibilities as are assigned or delegated to him by Employer from time to time. Employee will commence employment on July 1, 2025 (the "Commencement Date"). 2. Compensation: (a) Salary. For all services rendered by Employee under this Agreement, Employer agrees to pay Employee a fixed annual gross salary of Two Hundred Seventy Thousand and No/100 Dollars ($270,000.00) ("Base Salary"), subject to deductions and withholding mandated by law, payable every two weeks as bi-weekly payments and in accordance with Employer's regular payroll practices and procedures. The parties agree Click here to enter text. that the statement of Employee's Base Salary on an annual basis will not be interpreted as a guarantee of employment for any length of time. (b) Benefits. Employee shall be entitled to participate, at Employee's option, in all employee benefit plans sponsored or maintained by Employer, for which Employee is eligible and as such benefits and other plans, if any, are in effect from time to time, including those detailed in Chapter 6 of the Personnel Rules and Regulations for General Employees. As part of the Employee's total compensation, the Employer shall provide a vehicle allowance in the amount of $3,600 annually, to be paid in equal monthly installments of $300. This allowance is intended to cover costs associated with the Employee's use of their personal vehicle for work -related purposes. The vehicle allowance will be subject to applicable payroll taxes and deductions but is not considered part of the Employee's base salary. (c) Performance. Employee's performance management during the term of employment will be evaluated by City Manager, or their designee, and is subject to Chapter 7 of the Employer's Personnel Rules and Regulations for General Employees. Additionally, the EAB is tasked with reviewing on matters related to the performance of the EMS System, which shall include review of the medical direction and clinical oversight provided by the Medical Director. The MCAB shall review the Medical Director's clinical performance through processes established by the Employer. 3. Term. Unless earlier terminated as provided herein, the term of this Agreement shall commence on the Commencement Date and shall continue for a period of ten (10) years. Thereafter, this Agreement shall automatically renew from year to year unless either Party gives written notice of non -renewal or termination to the other Party no later than 90 days prior to the expiration of the then current term. The parties agree that this term of employment will not be interpreted as a guaranteed period of employment for any length of time. 4. Leave. During the term of employment, the Employee shall be entitled to vacation leave, sick leave, major medical leave, short-term sick/family leave, holidays, and other conditions concerning leave as detailed in Chapter 5 of the Employer's Personnel Rules and Regulations for General Employees. 5. Non -Exclusivity. Employee may engage in other business or investment activities provided such business or activities do not interfere with the performance of Employee's duties or conflict with Employer policy, rules, or regulations. Employee may, at his option, periodically accept EMS -related speaking engagements and teaching assignments, provided such activities are reasonably limited and do not interfere with the performance of the Employee's duties and responsibilities as Medical Director under this Agreement. If Employee intends to engage in outside employment (including in a self-employed capacity) then Employee must comply with Chapter 4 of the Employer's Personnel Rules and Regulations for General Employees, regarding Secondary Employment. 6. Termination. Notwithstanding anything to the contrary in this Agreement, Employee and Employer acknowledge and agree that Employee's employment hereunder is an Click here to enter text. "at -will" employment and that such employment can be terminated at any time by either party for any reason or no reason. In the event of termination of Employee's employment with Employer, including Employee's own resignation from employment, Employee shall be entitled to receive only the final pay as provided in Chapter 2 of the Employer's Personnel Rules and Regulations for General Employees. Employer and Employee shall have no further obligations to each other, except as set forth in any other written agreement Employee subsequently enters into with Employer. 7. Return of Confidential Information and Companv Property. Immediately upon termination of Employee's employment with Employer, Employee shall return to Employer all of Employer's property relating to Employer's business, including without limitation all of Employer's property which is in the possession, custody, or control of Employee such as confidential information, products, documents, hard copy files, copies of documents and electronic information/files. 8. Liability Insurance Coverage. Employer shall provide and maintain adequate self-insurance in an amount sufficient to cover claims or liabilities arising from the acts or omissions of the Medical Director in the performance of his duties as an Employee of the Employer, provided such acts or omissions occur within the course and scope of the Medical Director's employment. This self-insurance coverage shall comply with all applicable federal, state, and local laws, including but not limited to the Texas Tort Claims Act, and shall address claims of medical malpractice and related professional liabilities. Employer shall indemnify, defend, and hold harmless Employee from and against any claims, demands, or liabilities arising out of his employment with the City, provided such claims arise from acts or omissions within the course and scope of the Medical Director's duties. Such indemnity shall apply to claims regarding Employee's employment even if such claims are brought after he ceases being employed by Employer. In addition, to the extent not covered by MedStar's insurance or other indemnification arrangements, Employer shall indemnify, defend, and hold harmless Employee from and against any claims, demands, or liabilities arising out of the Medical Director's prior service with MedStar, provided that the acts or omissions fall within the course and scope of duties performed for MedStar as the EMS System Medical Director.. The City's self-insurance fund shall serve as the source of funding for costs associated with claims under this provision, subject to the terms and limitations of the Texas Tort Claims Act and other applicable laws. This provision shall not apply to claims arising from acts of willful misconduct, gross negligence, or actions outside the scope of the Medical Director's employment with the City, as determined by the City in its sole discretion. The City will assess any such allegations and determine whether the acts in question were intentional, grossly negligent, or outside the course and scope of employment. Until such a determination is made, the City shall provide defense for any claims arising under this Agreement. 9. Amendment. No variation hereof shall be deemed valid unless in writing and signed by the parties hereto, and no discharge of the terms hereof shall be deemed valid unless by full performance by the parties hereto or in writing and signed by the parties hereto. 10. Choice of Law/Choice of Venue. This Agreement shall be construed and enforced in accordance with the laws of the State of Texas, notwithstanding any state's choice of law rules to the contrary. The parties agree that any legal action relating to this Agreement shall be Click here to enter text. commenced and maintained exclusively before any appropriate state district court located in Tarrant County, Texas. The parties hereby submit to the jurisdiction of such courts and waive any right to challenge or otherwise object to personal jurisdiction or venue, in any action commenced or maintained in such courts. 11. Severability. Each provision of this Agreement is intended to be severable from the others so that if any provision or term hereof is illegal or invalid for any reason whatsoever, such illegality or invalidity shall not affect the validity of the remaining provisions and terms hereof. 12. Cautions. Captions used in this Agreement are used for convenience only and are not intended to, nor are they to be construed to, have any substantive meaning or control in the construction of this Agreement. 13. Notice. Unless a party provides written notice of an alternative address or e-mail address, any notices required or permitted to be given under this Agreement shall be sufficient if in writing and if sent by certified mail, hand -delivery, or electronically to Employer or Employee at the respective addresses listed with each parties' signature below. 14. No Third -Party Benefits. Except as otherwise provided by law, Employee shall not have any power in any manner to alienate, anticipate, charge, or encumber any payments contemplated by this Agreement, and all rights and benefits of Employee shall be for the sole personal benefit of Employee, and no other person shall acquire any right, title or interest hereunder by reason of any sale, assignment, transfer, claim or judgment or bankruptcy proceedings against Employee. 15. Ownership of Work Product. Employer will be the sole and exclusive owner of all reports, work papers, procedures, guides, and documentation that are created, published, displayed, or produced in conjunction with the services provided under this Agreement (collectively, "Work Product"). Further, Employer will be the sole and exclusive owner of all copyright, patent, trademark, trade secret and other proprietary rights in and to the Work Product. Ownership of the Work Product will inure to the benefit of the Employer from the date of conception, creation or fixation of the Work Product in a tangible medium of expression (whichever occurs first). Each copyrightable aspect of the Work Product will be considered a "work -made -for -hire" within the meaning of the Copyright Act of 1976, as amended. If and to the extent such Work Product, or any part thereof, is not considered a "work -made -for -hire" within the meaning of the Copyright Act of 1976, as amended, Employee hereby expressly assigns to Employer all exclusive right, title and interest in and to the Work Product, and all copies thereof, and in and to the copyright, patent, trademark, trade secret, and all other proprietary rights therein, that Employer may have or obtain, without further consideration, free from any claim, lien for balance due, or rights of retention thereto on the part of Employer. 16. Notices. Notices required pursuant to the provisions of this Agreement will be conclusively determined to have been delivered when (1) hand -delivered to the other party, its agents, employees, servants or representatives, (2) received by the other party by United States Mail, registered, return receipt requested, addressed as follows: Click here to enter text. To Employer: City of Fort Worth Attn: Assistant City Manager 100 Fort Worth Trail Fort Worth, TX 76102 With copy to Fort Worth City Attorney's Office at same address To Employee: Jeffrey L. Jarvis, M.D. 101 Whitney Court Aledo, TX 76008 17. Compliance with Laws, Ordinances, Rules and Regulations. Employee agrees that in the performance of his obligations hereunder, he will comply with all applicable federal, state and local laws, ordinances, rules and regulations and that any work he produces in connection with this Agreement will also comply with all applicable federal, state and local laws, ordinances, rules and regulations as may be applicable. If Employer notifies Employee of any violation of such laws, ordinances, rules or regulations, Employee will immediately desist from and correct the violation. 18. Electronic Signatures. This Agreement may be executed by electronic signature, which will be considered as an original signature for all purposes and have the same force and effect as an original signature. For these purposes, "electronic signature" means electronically scanned and transmitted versions (e.g. via pdf file or facsimile transmission) of an original signature, or signatures electronically inserted via software such as Adobe Sign. 19. Mutual Non -Solicitation Agreement. (a) Employee agrees that for a period of twelve (12) months following the termination of Employee's employment relationship with Employer, Employee shall not, directly or indirectly, solicit, induce, recruit, or encourage any of Employer's employees to terminate their relationship with Employer, or attempt to solicit, induce, recruit, encourage or take away employees of Employer, either for Employee or for any other person or entity. (b) Employer agrees that for a period of twelve (12) months following the termination of Employee's employment relationship with Employer, Employer shall not, directly or indirectly, solicit, induce, recruit, or encourage any of Employee's employees to terminate their relationship with Employee, or attempt to solicit, induce, recruit, encourage or take away employees of Employee, either for Employer or for any other person or entity. Click here to enter text. IN WITNESS WHEREOF, the parties hereto have executed this Agreement in multiples. CITY OF FORT WORTH: 141 By:Valerie Washington (Ma , 02515:22 CDT) Valerie Washington Assistant City Manager Date: 05/06/2025 APPROVAL RECOMMENDED: By: Holly Moyer Interim Director, Human Resources ATTEST: By: Jannette Goodall City Secretary Click here to enter text. ga4vvop�� °ono 0 °0o* a�(p501 444q � oa CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. By: O&Q-A- Leila Peeples Assistant Director, Human Resources APPROVED LEGALITY: B : G/`—709 — Y AS TO FORM AND Taylor Paris Assistant City Attorney CONTRACT AUTHORIZATION: M&C: 25-0354 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX JEFFREY L. JARVIS, M.D. By: J e�V. ' , M (May 025 =2 EDTW) Jeffrey L. Jarvis, M.D. Date: 05/06/2025 Click here to enter text. City of Fort Worth, Texas Job Description Classification Title EMS Chief Medical Officer Job Code: EX1051 Job Family: Executive Pay Grade 312 Date Created: 10/31/2024 FLSA Status Exempt Date Revised: GENERAL SUMMARY Plans, directs and manages the activities and operations of the Office of Medical Director ("OMD"). Provides medical direction and oversight, consultation, training, education, clinical quality assurance and improvement for the Fort Worth Fire Department and participating First Responder Organizations ("FROs"). Performs all duties required of EMS Medical Directors by the State of Texas and performs the duties set forth in the Interlocal Agreement between the Authority and additional cities served by the OMD. ESSENTIAL DUTIES & RESPONSIBILITIES The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job -related tasks other than those specifically presented in this description. 1. Directs the activities of the OMD, which includes planning, coordinating, administering, and evaluating programs, projects, processes, procedures, systems, standards, and/or service offerings; ensures compliance with federal, state, and local laws, regulations, codes, and/or standards. 2. Supervises clinical staff, which includes prioritizing and assigning work; conducting performance evaluations; ensuring staff is trained; ensuring credentialed providers follow policies and procedures; maintaining a healthy and safe working environment; and, making hiring, termination, and disciplinary decisions or recommendations. 3. Directs and manages the development and implementation of departmental goals, objectives, policies and priorities for OMD, and applicable FRO organizations, and explains, justifies and defends department programs, policies and activities. 4. Monitors and evaluates the efficiency and effectiveness of clinical protocols, clinical credentialing, clinical education and clinical quality assurance & improvement, and research methods; and allocates resources accordingly. 5. Leads the development and administration of the department budget; approves the forecast of funds needed for staffing, equipment, materials and supplies; approves expenditures; and implements budgetary adjustments as appropriate and necessary. 6. Serves on a variety of boards, commissions and committees, as required; and prepares and present staff reports and other necessary correspondence. Page 1 of 4 7. Represents OMD to other departments, elected officials and outside agencies; coordinates assigned activities with those of other departments and outside agencies and organizations; and negotiates and resolves sensitive and controversial issues. 8. Maintain clinical skills and field employee interaction by providing clinical services to local hospitals, as appropriate. 9. Establish patient care standards for all medical services provided by the Fire Department and FROs 10.Assures that only those personnel appropriately credentialed perform the clinical duties of the role they are assigned. 11. Develop, direct and conduct clinical quality assurance, improvement, and medical review programs of the delivery of medical care, transportation, MIH, and prehospital emergency medical service, and review individual cases as appropriate. 12. In coordination and collaboration with administration, develop, implement and oversee an organized, ongoing program of EMS research to improve medical protocols and contribute to the EMS knowledge base. 13. Provide all independent medical direction and function as the exclusive source of medical direction and oversight for the city and FROs. 14. Maintain qualification as and perform duties required of EMS Medical Directors by the State of Texas (See 22 TX ADC § 197). 15. Be available to field personnel for medical consultation and direction on a 24-hour basis, either directly or through delegation to other qualified individuals, including through on-line medical directors as described in 22 TX ADC § 197.2 16. Perform other duties as described in State law pertaining to EMS Medical Director, including but not limited to: a. Suspending a certified EMS individual from medical care duties for due cause pending review and evaluation; b. Establishing the circumstances under which a patient might not be transported; c. Establishing the circumstances under which a patient may be transported against his or her will in accordance with state law, including approval of appropriate procedures, forms, and a review process 17. Establishing criteria for selection of a patient's destination. 18. Provide Medical Direction and Oversight to the 911 EMS Communication Center, including quality assurance, improvement, and protocol review. 19. Performs other related duties as required. Page 2 of 4 20.Adheres to assigned work schedule as outlined in the Department and City attendance policies and procedures; ensures all behaviors comply with the City's Personnel Rules and Regulations. 21. Pursuant to the City of Fort Worth's Code of Ordinances and Personnel Rules and Regulations, employees in this position cannot file an appeal of disciplinary actions taken against them. KNOWLEDGE, SKILLS & ABILITIES • Knowledge of: ➢ EMS clinical principles, practices and techniques. ➢ Prehospital patient care. ➢ Medical quality assurance and improvement techniques. ➢ Medical research and quantitative data analysis ➢ Mobile Integrated Health services. ➢ Clinical review processes and procedures. ➢ Principles of supervision, training and performance evaluation. ➢ Pertinent Federal, State and local laws, codes and regulations. ➢ Principles and procedures of record keeping. • Skill in: Implementing effective clinical protocols for prehospital patient care. Establishing and maintaining clinical education and training programs Leading dynamic clinical quality assurance, improvement, and research processes. • Ability to: ➢ Communicate clearly and concisely, both orally and in writing. ➢ Execute the strategic initiatives of the Office of the Medical Director. ➢ Oversee the clinical review, quality assurance, improvement, and clinical education processes ➢ Develop and maintain clinical protocols for the Fort Worth Fire Department and FRO personnel. MINIMUM JOB REQUIREMENTS Graduation from an accredited School of Medicine with a board certification in Emergency Medical Services and three (3) years of experience as an EMS Medical Director (or Associate) for a medium or large size EMS system providing medical oversight to include quality improvement and EMS provider credentialing. OTHER REQUIREMENTS Valid Texas Driver's License Board Certification in Emergency Medical Services License to practice medicine in the State of Texas, current and unrestricted Page 3 of 4 WORKING CONDITIONS The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Occasionally: Confined areas, extreme hot and cold, wet and/or humid conditions, noise, vibration, mechanical and electrical equipment, moving objects, high places, fumes/odors/mists, dirt and dust, gasses, toxic conditions, human excrement, blood, urine, mucous, tissue. Frequently works alone, with and around others, face to face and verbal contact, inside and outside temperature changes. Work hours may vary due to office needs hearing/listening, clear speech, touching, walking inside and outside, sitting. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Heavy Work — Depending on assignment, positions in this class typically exerting up to 100 pounds of force occasionally, up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly having to move objects. Page 4 of 4 City of Fort Worth, Texas Mayor and Council Communication DATE: 04/22/25 M&C FILE NUMBER: M&C 25-0354 LOG NAME: 14EMPLOYMENT AGREEMENT EMS MEDICAL DIRECTOR SUBJECT (ALL) Authorize Execution of an Employment Agreement with Dr. Jeffrey Jarvis for Employment as the City of Fort Worth Emergency Medical Services Medical Director with an Initial 10-Year Term and in the Amount of $270,000.00 Annually and Authorize Execution of Vendor Service Agreements with the University of Texas Southwestern Medical Center and Integrated Emergency Services Physician Group, P.A. to Provide the City with the Services of Associate Medical Directors for the Office of Medical Director in an Annual Amount Not to Exceed $102,000.00 for the Initial Term and $440,000.00 for any Renewal Term, Collectively RECOMMENDATION: It is recommended that City Council: 1. Authorize execution of an employment agreement with Dr. Jeffrey Jarvis to hire Dr. Jarvis as an employee of the City of Fort Worth and the City of Fort Worth Emergency Medical Services Medical Director, and department head over the City of Fort Worth Office of Medical Director, in the amount of $270,000.00 annually; and 2. Authorize execution of vendor services agreements with the University of Texas Southwestern Medical Center and Integrated Emergency Services Physician Group, P.A. to provide the City with the services of associate medical directors, as independent contractors, to assist the City's Emergency Medical Services Medical Director and the Office of Medical Director in an amount not to exceed $102,000.00 for the Initial Term and $440,000.00 for any renewal term, collectively. DISCUSSION: In 1988, the City of Fort Worth (City) and certain other local jurisdictions 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 interlocal cooperative agreement under the provisions of Section 773.051 of the Texas Health and Safety Code and pursuant to Ordinance Number 10094. Known as the Metropolitan Area EMS Authority and operating under the trade name MedStar Mobile Healthcare, the Authority operated 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. The Agreement provided that the Authority would continue in existence until all units of governments that are party to the Agreement (the Member Cities) withdraw from the Agreement. The Member Cities have, pursuant to the Memorandum of Understanding and Agreement (MOUA) executed by each Member City (Fort Worth City Secretary Contract No. 62555) 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. Pursuant to the MOUA, the Authority will continue to exist, operate and serve as the EMS Provider for the Member Cities in a transitional capacity until at least July 1, 2025 (the Transition Period) under the management and control of the City. It remains in the best interests of the public health and welfare of the people of the Member Cities' jurisdictions to have available to them a regulated EMS System with an exclusively contracted EMS Provider. Therefore, the City has established an EMS division through the City of Fort Worth Fire Department to operate a new EMS System and provide services to the people of the jurisdictions who execute an EMS Interlocal Agreement with the City, each a "Client City." The Texas Administrative Code, Title 25, Part 1, Chapter 157, and specifically § 157.11(c)(6)(L), requires the City, as the applying entity for its EMS Provider license, to provide a copy of a signed contract or agreement with a physician who is currently licensed in the state of Texas to be employed as its Medical Director. As a result, a formal, written, agreement for the City's EMS Medical Director is required. The purpose of this Mayor and Council Communication (M&C), in part, is to authorize the City to engage Dr. Jeffrey Jarvis as a City of Fort Worth employee and to authorize execution of the employment agreement. Dr. Jarvis is a physician who is licensed in Texas and board certified in emergency medicine and currently serves as the Chief Medical Officer and Medical Director for the Authority. Dr. Jarvis has agreed to serve as the Chief Medical Officer and Medical Director for the City's EMS system (the Medical Director). Additionally, by and through Ordinance No. 27372- 12-2024, adopted by the City Council on December 10, 2024, the City established a new department, the Department of Office of the Medical Director (OMD), which shall be responsible for serving as the clinical office through which the Medical Director carries out his rights, duties, and obligations under the City's Uniform EMS Ordinance and the City's EMS Interlocal Agreements. Dr. Jarvis, as the Medical Director, will be the head of the OMD and subject to the authority of the City of Fort Worth City Council and the City of Fort Worth City Manager and Assistant City Managers. The Medical Director is charged with providing medical direction and oversight, consultation, training, education, clinical quality assurance and improvement for the EMS System and participating First Responder Organizations and all duties required of EMS Medical Directors by the State of Texas and the City's EMS interlocal Agreements with Client City's. The Medical Director must also participate in the City's EMS advisory boards, known as the Medical Control Advisory Board and the EMS Advisory Board. In addition to the requirements of general city employees and the City's personnel rules and regulations, Dr. Jarvis' employment agreement (the Employment Agreement) requires that he maintain his Texas medical license and board certification in emergency medicine and any other occupational licenses as may be required of an EMS System medical director for the duration of his employment with the City. The Employment Agreement will be effective on July 1, 2025 with an initial term of 10 years. Thereafter, the Employment Agreement will automatically renew from year to year unless either the City or Dr. Jarvis provides 90 days' written notice of non -renewal or termination. Dr. Jarvis' employment is at will and can be terminated by either the City or Dr. Jarvis for any reason or no reason. Compensation for the Medical Director position includes a fixed annual gross salary of $270,000.00, subject to deductions and withholding mandated by law, payable every two weeks as bi-weekly payments and in accordance with the City's required payroll practices and procedures. The Employment Agreement includes benefits typical of general employees and pursuant to Chapter 6 of the City's Personnel Rules and Regulations. As part of the total compensation, the Medical Director will receive a vehicle allowance in the amount of $3,600 annually. With the approval of this M&C, the City Council will also authorize the City to execute vendor services agreements with the University of Texas Southwestern Medical Center (UTSW) and Integrated Emergency Services Physician Group, P.A. (IES) to provide the City with the services of specific associate medical directors to assist the Medical Director and the OMD. IES and UTSW will appoint Angela Cornelius, M.D. and Brian Miller, M.D., respectively, to serve as independent contractors and Associate Medical Directors of the City and its EMS System (Associate Medical Directors). The Associate Medical Directors will, at all times, exercise their own independent professional judgment in matters related to medical care and remain employees of UTSW and IES, respectively. The Associate Medical Directors will act as independent contractors with respect to the City and will not be an employee of the City. The Medical Director is charged with administering the Associate Medical Director agreements and reviewing each Associate Medical Director's performance. The Associate Medical Directors are charged with assisting the Medical Director in providing medical direction, consultation, training, and oversight for all clinical aspects of the EMS System and the First Responder Organizations in the EMS System, all of which requires physician expertise in emergency medicine and emergency medical services. The initial term of the Associate Medical Director Agreements will be for three months, beginning July 1, 2025 and ending September 30, 2025. The initial three-month term enables the Associate Medical Director Agreements to start before the City's fiscal year and align the renewal terms of the Associate Medical Director Agreements with the City's fiscal year. After the initial term, the Associate Medical Director Agreements will automatically renew for successive one-year renewal terms (each a "Renewal Term"), with the first Renewal Term beginning October 1, 2025 and ending September 30, 2026, unless terminated earlier in accordance with the terms of the Associate Medical Director Agreements. The City will pay IES and UTSW for the services of each Associate Medical Director an amount not to exceed $102,000.00 collectively for the initial term. Thereafter, the City will pay IES and UTSW an annual amount not exceed $440,000.00, collectively, for any single renewal term. Each Associate Medical Director may be provided with access to City vehicles for the performance of the services as required by the agreements. The City will provide coverage for losses arising out of the use of a City -owned vehicle only while conducting City business and has agreed to procure an auto liability policy for the vehicles. The Associate Medical Director and Medical Director Agreements are awarded pursuant to Section 2254.008 of the Texas Government Code and are exempt from competitive bidding. Upon the transition of EMS to the City of Fort Worth, funding will be available in the Emergency Medical Services Fund for the Fire Department. A Form 1295 is not required for a contract with Dr. Jarvis because it is an employment agreement with an individual, and a Form 1295 is not required for a contract with UTSW because it is with a governmental entity, state agency or public institution of higher education. A Form 1295 for IES has been attached to this M&C. -96'101_TvIkq1707NLVil_A01010UKN=1 AIIa1q_1 01_k F The Director of Finance certifies that upon approval of the recommendations and adoption of the Fiscal Year 2025 Budget for Emergency Medical Services by the City Council, funds will be available in the current operating budget, as appropriated, in the Emergency Medical Services Fund. Prior to an expenditure being incurred, the Fire Department has the responsibility to validate the availability of funds. Submitted for Citv Manaaer's Office bv: Dianna Giordano 7783 Oriainatina Business Unit Head: Dianna Giordano 7783 Additional Information Contact: