HomeMy WebLinkAboutContract 63587CSC No. 63587
CITY OF FORT WORTH
ASSIGNMENT
WHEREAS, the Metropolitan Area EMS Authority dba MedStar Mobile Healthcare ("Assignor")
and Baylor All Saints Medical Center d/b/a Baylor Scott & White All Saints Medical Center — port
Worth (`Baylor") entered into a Program Letter Agreement, dated effective June 12, 2024 (the
"PLA") concerning the rotation of the Emergency Medical Services Fellowship Program Physician
Trainees from Baylor to Assignor;
WHEREAS, Assignor, the City of Fort Worth ("Assignee"), and Baylor have agreed to amend
the PLA as set forth herein; and
WHEREAS, Assignor desires to assign, and Assignee desires to assume, the PLA, as amended
(collectively, the "Contract"), with the consent of Baylor;
NOW, THEREFORE, Assignor, Assignee, and Baylor agree as follows:
I. AMENDMENT
The PLA is hereby amended as follows:
Section 7., entitled "Insurance" is hereby amended to include the following;
"Alternatively, Participating Institution may, at its discretion, elect to self -insure provided
that such self-insurance meets the applicable statutory requirements and guidelines set forth
by state law, including but not limited to chapter 2259 of the Texas Government Code."
Section 10., entitled "General Indemnity' is hereby amended to include the following:
"The above notwithstanding, in no event will this provision be construed as to require, or
otherwise obligate, Participating Institution to establish a sinking fund."
Section 15., entitled "Notices" is hereby amended to replace the information referring to Assignor
with information relevant to Assignee, as follows:
100 Fort Worth Trail
Fort Worth, Texas 76102
With copy to City Attorney's Office
The PLA is further amended such that all references to Participating Institution shall refer to the
City of Fort Worth.
All other terms of the PLA remain in full force and effect. OFFICIAL RECORD
CITY SECRETARY
II. ASSIGNMENT FT. WORTH, Tx
Assignment Page 1 of 5
Assignor hereby assigns to Assignee all of its rights, duties, and obligations under the
Contract, between Assignor and Baylor. Assignee agrees to assume and perform all duties and
obligations required of Assignor under the terms of the Contract, as amended.
This Assignment constitutes the entire agreement between Assignor and Assignee with
respect to the subject matter hereof. No modification of any provision of this Assignment shall be
effective unless in writing and signed by Assignor and Assignee. This Assignment shall inure to
the benefit of and be binding upon Assignor and Assignee and their respective successors and
assigns. This Assignment shall be governed by the Iaws of the State of Texas, without application
of principles of conflicts of law.
This Assignment may be executed in one or more counterparts each of which shall be
deemed an original but all of which together shall constitute one and the same instrument. Signed
signature pages may be transmitted by facsimile or e-mail, and any such signature shall have the
same legal effect asanoriginal. �--
Dated. the ((,-?— day of c 1 tJ K' 2025.
Metropolitan .
Mobile Heald
(Assignor)
By:
Print:
Title:
Frank
interin
Assignment Pagc 2 of 5
City of Fort'' /Worth (Assignee):
Vey WAA -A
By:
Valerie Washington (Jul 1, 202510:15 CDT)
Name: Valerie Washington
Title: Assistant City Manager
Date: 07/01 /2025
CITY OF FORT WORTH INTERNAL ROUTING PROCESS:
Approval Recommended:
By: v ✓✓ //
Name: Jeffrey Jarvis
Title: EMS Chief Medical Officer
Approved as to Form and Legality:
By:
Name: Taylor Paris
Title: Assistant City Attorney
Contract Authorization:
M&C: N/A
Assignment
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:
Name: Dwayne Howerton
Title: AD Office of Medical Director
City Secretary:
a
0
aaQp nEoos``4tl
By:
Name: Jannette S. Goodall
Title: City Secretary
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 3 of 5
NOTARY ACKNOWLEDGEMENT
On the day of ) (2025
�,_J ,ersonall appeared
p Y
YLts'1 (1r�c;�, who acknowledged to me that (s)he is the Interim Chief Executive Officer
of Metropolitan Area EMS Authority dba MedStar Mobile Healthcare ("Assignor"), and that (s)he
executed this document for the purposes and consideration contained herein.
Metropolitan Area EMS Author' db edS Mobile
Healthcare
By:
Print: Frank Gresh
Title: Interim Chief Executive Officer
SUBSCRIBED TO before me on this 1�1 day of J-Urle , 2025.
.:_ MONiCACRUZ diary public in and for the St of
My Notary JD y 10, 202Sili ly commission Expires: ,�.(C�,Gj �
An o ;E*' Expires May 20, 2028 - J
-4-0-6-00
Assignment Page 4 of 5
CONSENT TO ASSIGNMENT
Baylor All Saints Medical Center d/b/a Baylor Scott & White All Saints Medical Center —
Fort Worth hereby consents to the assignment of the Program Letter of Agreement dated effective
June 12, 2024, as amended by the Amendment executed concurrently herewith (collectively, the
"Contract"), between Baylor All Saints Medical Center d/b/a Baylor Scott & White All Saints
Medical Center — Fort Worth and Metropolitan Area EMS Authority dba MedStar Mobile
Healthcare ("Assignor") to City of Fort Worth ("Assignee"). Baylor All Saints Medical Center
d/b/a Baylor Scott & White All Saints Medical Center — Fort Worth acknowledges and agrees that
Assignee shall assume all rights, duties, and obligations of Assignor under the Contract, as
amended, provided that Assignee complies with all terms of the Contract.
Baylor All Saints Medical Center d/b/a
Baylor Scott & White All Saints Medical
Center — Fort Worth
By:
Name: I_A V Re
Title:_i f5 1
Date: _f�j D r�
Assignment Page 5 of 5
DocuSign Envelope ID: 5A33CDOD-S92F-4CA1-65E2-20606413D503
PROMAM LETTER OE A EMENT
This Program Letter of Agreement ("PLA") documents the agreement between Baylor All Saints
Medical Center d/b/a Baylor Scott & White All Saints Medical Center -- Fort Worth ("Sponsoring
Institution"), located at 1400 811 Avenue, Fort Worth, Texas 76104, and the Metropolitan Area
EMS Authority d/b/a MedStar Mobile Healthcare ("Participating Institution"), with its primary
location at 2900 Alta Mere Dr., Fort Worth, TX 76116, concerning the rotation of the Emergency
Medical Services Fellowship Program Physician Trainees ("Physician Trainees") from Sponsoring
Institution to Participating Institution:
The Supervising Individual ("Local Site Director") at Participating Institution who will
assume educational and supervisory responsibilities for the Physician Trainees is Jeffrey L
Jarvis, M.D., MS, EMT-P. Participating Institution shall provide notice to Sponsoring
Institution upon the appointment of a new Local Site Director.
2. The Local Site Director and certain other physicians, paramedics, and other individuals on
the staff at Participating Institution as designated by Sponsoring Institution and approved
by Participating Institution from time to time will provide clinical supervision for the
Physician Trainees at Participating Institution (collectively with the Local Site Director, the
"Faculty Members").
3. The educational Goals and Objectives of the Sponsoring Institution's Emergency Medicine
Fellowship Training Program to be attained at the Participating Institution in the six (6) core
competencies with progressive Ievels of responsibility are outlined in Exhibit A attached
to this PLA and incorporated herein by reference.
There may be other educational goals and objectives which Sponsoring Institution may
communicate to Participating Institution from time to time.
4. The period of assignment of the Physician Trainees to the Participating Institution, the
financial arrangements, and details for insurance and benefits are as follows:
Up to two (2) Physician Trainees shall be assigned for a one month rotation each for twelve
(12) months at the Participating Institution. No Physician Trainees assigned to Participating
Institution under this PLA shall in any way be considered an employee or agent of the
Participating Institution, nor shall any such Physician Trainee be entitled to any fringe
benefits, Worker's Compensation, disability benefits or other rights normally afforded to
employees of the Participating Institution. The Sponsoring Institution acknowledges and
shall require Physician Trainees to also acknowledge that Physician Trainee is not entitled
to nor promised in any manner an employment position at Participating Institution after
completion of the educational experience. The Sponsoring Institution will be responsible
for any stipend and other compensation and/or benefits to be paid or provided to the
Physician Trainees during the rotation.
The Physician Trainees assigned to the Participating Institution shall participate in the
rotation under the clinical supervision of the Faculty Members. The Faculty Members will
be responsible for the general day- to -day supervision and the training of the Physician
Trainees, in coordination and cooperation with Sponsoring Institution's faculty during the
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DacuSign Envelope ID: 5A33CDOD-B92F-4CA1-85E2-20606413D503
rotation. The Local Site Director will be responsible for clinical supervision of the
Physician Trainees in compliance with applicable accreditation standards. The Local Site
Director will be responsible for completing the electronic evaluations of the Physician
Trainees' performance in Sponsoring Institution's Residency Management System (RMS),
New Innovations, at the end of the rotation within thirty (30) days after the end of the
rotation. The Local Site Director agrees to contact ,Sponsoring Institution regarding any
issues completing the evaluation within thirty (30) days after the end of the rotation.
6. Policies and procedures that will govern the Physician Trainees' education while rotating
to the Participating Institution are as follows:
To the extent applicable, Physician Trainees will comply with the policies and procedures
of Sponsoring Institution and Participating Institution while participating in the rotation
at Participating Institution.
While at Participating Institution, the Participating Institution shall ensure that the
Physician Trainees only participate in the care and treatment ofpatients as provided herein.
The Physician Trainees may be involved in the care and treatment of patients only under
the direction and supervision of the Faculty Members. The Faculty Members shall have
primary responsibility for the care of Participating Institution patients, but may delegate
patient care duties, as deemed appropriate, to the Physician Trainees. The Participating
Institution shall ensure that the Physician Trainees shall not have any primary,
unsupervised patient care responsibility delegated to them by the Faculty Members.
7. Insurance:
Participating Institution shall maintain occurrence -based professional liability insurance
for Participating Institution and its employees and agents in an amount not less than
$1,000,000 per occurrencel$3,000,000 annual aggregate, in such form and by an insurance
company as are acceptable to Sponsoring Institution. Participating Institution shall furnish
Sponsoring Institution written confirmation of this professional liability coverage.
Participating Institution shall provide Sponsoring Institution written notice of cancellation
of any such professional liability coverage at least thirty (30) days in advance of the
cancellation. Physician Trainees assigned to Participating Institution are not covered by the
Participating Institution's professional liability coverage,
8. Term of PLA:
This PLA shall be effective on July 1, 2025. This PLA shall continue in force and effect
for an initial one (1) year term, unless sooner terminated in writing by either party. After
the initial one (1) year term, this PLA shall automatically renew from year to year for five
(5) years in succession, unless sooner terminated in writing by either party. Either party
may terminate this PLA at any time without cause by giving the other party ninety (90)
days written notice of intention to terminate this PLA. Either party may terminate this PLA
for cause if the other party fails to cure the default after the terminating party provides ten
(10) days written notice to the other party describing the default.
9. General Terms:
Physician Trainees shall be assigned under this PLA without regard to race, religion, sex,
creed, national origin, or disability. No Physician Trainee shall be considered an agent or
employee of the Participating Institution; the Participating Institution retains the exclusive
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Docusign Envelope 1D; 5A33CDOD-B92F-4CA1-B5E2-2060fi413D503
control of its premises, operations and all aspects of its patient services, other than the
practice of medicine by the Faculty Members and Physician Trainees.
10. General Indemnity:
To the extent allowed by the Texas constitution and the laws of the state of Texas, each
party shall defend, indemnify and hold harmless the other party and the other parry's
officers, directors, shareholders, partners, employees, and agents from any and all
threatened or actual claims, proceedings, losses, damages, fines, penalties, liabilities, costs
and expenses of any nature, including attorneys' fees and court costs sustained or incurred
by or asserted against the other party arising from (i) the indemnifying parry's breach of
this PLA in any material respect or (ii) the indemnifying party's conduct in connection
with the performance of this PLA that constitutes gross negligence, fraud, willful
misconduct or a knowing violation of law. Nothing in the provision shall otherwise limit
or waive any other immunity or defense available to either party or its agents and
employees.
11. Governing Law and Venue:
This PLA shall be governed by the laws of the State of Texas without regard to its conflict
of laws provisions. The venue of any litigation arising from this PLA will be in the United
States District Courts, Fort Worth Division of the Northern District of Texas if the litigation
arises in Federal Court or in the District Courts of Tarrant County, Texas if the litigation
arises in State Court. The venue of any dispute resolution activity shall be in Fort Worth,
Tarrant County, Texas.
12. Severability:
Should any part, term, or provision of this PLA be declared to be invalid, void, or
unenforceable, all remaining parts, terms, and provisions hereof shall remain in full force
and effect, and shall in no way be invalidated, impaired, or affected thereby. Each invalid
provision shall be revised only to the extent necessary to bring it within the requirements
of such law or regulation.
13. HIPAA Obligations:
Both parties acknowledge that they have obligations as "covered entities" under the Health
Insurance Portability and Accountability Act of 1996 (42 U.S.C. § 1320(d) ("HIPAA") and
its implementing regulations, including 45 C_F.R. parts 160 and 164, subparts A and E
("Privacy Rule") and 45 C.F.R. parts 160 and 164, subparts A and C ("Security Rule), and
agree to comply with the Health Information Technology for Economic and Clinical Health
Act of 2009 (42 U.S.C. 17921-53) and its implementing regulations.
14. Modification/Entire Agreement:
No supplement, modification, or amendment of any term, provision, or condition of this
PLA shall be binding or enforceable on either party hereto unless in writing signed by both
parties. The Parties agree that this PLA represents the complete and exclusive statement of
the agreement between them with respect to the subject matter hereof and supersedes all
other agreements, oral or written, among them relating to the subject matter of this PLA.
15. Notices:
All notices provided for by this PLA shall be made in writing either (a) by actual delivery
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DocuSign Envelope ID; 5A33CQ0D-B92F-4CA1-B5i^2-206064130503
(e.g., personally, by commercial courier service, or by confirmed telefaesimile) of the
notice, or (b) by the mailing of the notice by United States Postal Service certified or
registered mail, return receipt requested, and addressed to the party to be notified at the
address set forth below (or at such other address as may be given by notice by a party). The
notice shall be deemed to be received (i) if by actual delivery, on the date of its receipt by
the party, or (ii) if by mail, on the second day on which mail is delivered following the date
of deposit in the United States Postal Service.
If to Participating Institution:
Metropolitan Area EMS Authority 2900 Alta Mere
Drive
Fort Worth, Texas 76116
General Counsel
If to Sponsoring Institution:
Baylor Scott & White All Saints Medical Center
1400 Eighth Ave.
Fort Worth, Texas 76104
Baylor All Saints Medical Center
dlb/a Baylor Scott & White All Saints
Medical Center — Fort Worth
Angela Cornelius, M.D.
tMcu8l�aad by:
Date%i%44 ✓
Kollier Hinkle, M.D.
Signature wcusiamw by:
F"r .. Rub,, ACV
Date6/12/209'7...
With a copy to:
BSWH Legal Department
301 North Washington Ave.
Dallas, Texas 75246
Participating Institution
Jeffrey L Jarvis, M.D., MS, EMT-P
Local Site Director
�oo�us�aR.a by:
Yt[, 30Vu5
Date 5/'/'Z024
Kenneth J. Simpson
Chief Executive Officer
Signature DoCU9Ig,ed by.
Date
PAGE
❑ocuSign Envelope 1D: 5A33CDOD-892F-4CA1-85E2-20606413D5o3
Exhibit A
Baylor Scott & White All Saints Medical Center (BAS)
Emergency Medical Services (EMS) Fellowship
The goal of the Emergency Medical Services (EMS) fellowship is to
prepare highly qualified and motivated emergency physicians for
leadership and medical oversight of pre- and out -of -hospital emergency
care systems with advanced competencies in EMS system design,
administration, and clinical care.
OVERALL EDUCATIONAL OBJECTIVES - PY1
PATIENT CARE AND PROCEDURAL SKILLS
Fellows must be able to provide patient care that is compassionate, appropriate, and effective for the
treatment of health problems and the promotion of health.
Fellows must demonstrate competence in the practice of patient evaluation and treatment of patients
of all ages and genders requiring emergency medical services by:
1) Gathering accurate, essential information in a timely manner.
2) Evaluating and comprehensively treating acutely ill and injured patients in the pre -hospital setting.
3) Prioritizing and stabilizing multiple patients in the pre -hospital setting while performing other
responsibilities simultaneously.
4) Properly sequencing critical actions for patient care.
5) Integrating information obtained from patient history, physical examination, physiologic recordings,
and test results to arrive at an accurate assessment and treatment plan.
6) Integrating relevant biological, psychosocial, social, economic, ethnic, and familial factors into the
evaluation and treatment of their patients; and,
7) Planning and implementing therapeutic treatment, including pharmaceutical, medical device,
behavioral, and surgical therapies.
Fellows must be able to perform all medical, diagnostic, and surgical procedures considered essential
for the area of practice.
Fellows must demonstrate competence in the practice of technical skills for patients of all ages and
genders requiring emergency medical services by performing physical examinations relevant to the
practice of emergency medical services and performing the following KEY INDEX PROCEDURES:
(minimum requirements are in parenthesis)
1) Participate in a mass casualty/disaster triage at an actual event or drill (1).
2) Participate in a sentinel event investigation (1).
3) Conduct a quality management audit (1).
4) Participate in a mass gathering medical plan and its implementation (1).
5) Participate in the revision or development of an emergency medical services protocol (1).
6) Obtain vascular access in the prehospital setting (5).
7) Manage cardiac arrest in the pre -hospital setting (5).
8) Mange a compromised airway in the pre -hospital setting (5).
9) Provide direct medical oversight on -scene, or by radio or phone (100).
10) Participate in hazardous materials response training (1).
11) Participate in tactical EMS training (1).
12) Participate in confined space, technical rescue, or collapse/trench training (1); and,
13) Participate in vehicle rescue/extrication training (1).
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DocuSign Envelope ID: 5A33CDOD-B92F-4CA1-65E2-20696413D503
MEDICAL KNOWLEDGE
Fellows must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological,
and social -behavioral sciences, as well as the application of this knowledge to patient care.
Fellows must demonstrate competence in their knowledge of the following:
1) Clinical manifestations and management of acutely ill and injured patients in the pre -hospital setting.
2) Disaster planning and response.
3) Evidence -based decision making.
4) Procedures and techniques necessary for the stabilization and treatment of patients in the pre -
hospital setting.
5) Provision of medical care in mass gatherings.
6) Public safety answering points, dispatch centers, emergency communication centers' operation, and
medical oversight.
7) Experimental design and statistical analysis of data related to emergency medical services clinical
outcomes and epiderniologic research.
S) Models, function, management, and financing of emergency medical services systems,
9) Principles of quality improvement and patient safety; and,
10) Principles of epidemiology and research methodologies in emergency medical services.
PRACTICE -BASED LEARNING AND IMPROVEMENT
Fellows must demonstrate the ability to investigate and evaluate their care of patients, to appraise and
assimilate scientific evidence, and to continuously improve patient care based on constant self -
evaluation and lifelong learning.
Fellows must demonstrate competence in the following:
1) Systematic analysis of practice using quality improvement methods and implement changes with the
goal of practice improvement.
2) Locate, appraise, and assimilate evidence from scientific studies related to their patients' health
problems; and,
3) Demonstrate proficiency in the critical assessment of medical literature, medical informatics, clinical
epidemiology, and biostatistics.
INTERPERSONAL AND COMMUNICATION SKILLS
Fellows must demonstrate interpersonal and communication skills that result in the effective exchange
of information and collaboration with patients, their families, and health professionals.
Fellows must demonstrate competence in the following:
1) Ability to relate, with compassion, respect, and professional integrity, to patients and their families,
as well as other members of the health care team, sensitive issues, or unexpected outcomes,
including diagnostic findings, end of life issues and death, and medical errors;
2) Ability to work effectively as a member or leader of a health care team or other professional group.
3) Effective teaching techniques include teaching peers, emergency medical services personnel, Other
health professionals, and patients.
4) Maintaining comprehensive, timely, and legible medical records; and,
5) Oral and written communication skills.
PROFESSIONALISM
Fellows must demonstrate a commitment to professionalism and an adherence to ethical principles.
Fellows must demonstrate:
1) A commitment to ethical principles pertaining to the provision or withholding of clinical care,
confidentiality of patient information, informed consent, and business practice.
2) A commitment to lifelong learning and an attitude of caring derived from humanistic and
professional values.
3) High standards of ethical behavior, including maintaining appropriate professional boundaries and
relationships with other physicians and avoiding conflicts of interest.
4) Respect, compassion, and integrity towards patients and other members of the health care team; and,
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DocuSign Envelope ID: 5A33CDOD-B92F-4CAi-B5E2-20606413DB03
5) Sensitivity and responsiveness to a patient's culture, age, gender, and disabilities.
SYSTEM -BASED PRACTICE
Fellows must demonstrate an awareness of and responsiveness to the larger context and system of
health care, including the social determinants of health, as well as the ability to can effectively on other
resources to provide optimal health care.
Fellows must demonstrate competence in:
1) Advocating for quality patient care and optimal patient care systems.
2) Appropriate resource allocation and utilization.
3) Cooperative interactions with other care providers
4) Interprofessional team participation for the enhancement of patient safety and the improvement of
patient care duality; and,
5) Leadership skills in the coordination and integration of care across a variety of disciplines and
provider types.
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