Medical Services 2007
The City of Salina, Kansas
Professional Services Contract for
Medical Director of Emergency Medical Services
AGREEMENT
Made as of the 15th day of August ,in the year of Two Thousand Seven, BETWEEN
the City of Salina, Kansas, hereafter referred to as the City, and the Medical Director Sean M.
Herrington, MD.
For professional emergency control to meet the requirements of the Kansas State Statutes
Chapter 65.-"Public Health", Article 61.-"Emergency Medical Services", KSA 65-
6126.-"Medical Adviser", for the delivery of Advanced Life Support services provided by the
Salina Fire Department through Ambulance and Fire Services to the City of Salina and Saline
County and its surrounding emergency response area.
The City and Medical Director agree as set forth below.
ARTICLE 1
MEDICAL DIRECTOR RESPONSIBILITY AND REQUIREMENTS
1.1 The Medical Director shall be responsible for the Salina Fire Department
procedures for providing pre-hospital medical care of persons requiring the services
of the Salina Fire Department Ambulance and Fire Services.
1.2 The Medical Director shall meet the requirements under Kansas Administrative
Regulations, 109-1-2, "Medical Advisor".
1.3 The Medical Director will work directly for the Fire Chief of the Salina Fire
Department.
1.4 The Medical Director will provide the Fire Chief professional opinions and guidance,
as necessary, to develop adequate budgeting for medical operations, adequate
personnel for the delivery of services, and improvements to operations and
equipment.
1.5 The Medical Director shall ensure that Fire Department personnel operating under
his/her authority are in compliance with provisions of the Kansas Administrative
Statutes, Chapter 65, Article 61 - Emergency Medical Services, and KAR 109-1-2;
Medical Advisor, and operate according to the protocol and standard operating
guidelines established by the Saline County Medical Society and Salina Fire
Department.
1.6 The Medical Director will provide the Fire Chief with yearly reports as requested. At
a minimum yearly reports will include 1)a report of hislher activities connected with
the position 2) a report on the state of EMS services in Saline County and 3) a
future planning report that will identify opportunities or barriers in providing premier
EMS services for Salina and Saline County.
ARTICLE 2
ADDITIONAL SERVICES
The Medical Director shall have the authority to:
2.1 Develop medical standards for EMS dispatch procedures to assure that the
appropriate unit(s) are dispatched in the appropriate manner to the scene of a
medical emergency or injury. The Medical Director may provide appropriate
medical quality assurance of dispatcher compliance with these established
protocols. The Medical Director will work through the Chief of Police, and with
assistance of the Fire Chief, when dispatch procedures are modified or
implemented.
2.2 Define the criteria for level of care and type of response and transportation to be
used in pre-hospital emergency care.
2.3 Have the authority to extend the procedures and protocols permitted beyond that
published in the polices and procedures when in hislher judgment, that is in the
best interest of that individual patient.
2.4 At his/her discretion; respond to the scene of emergencies at the request of the Fire
Department Command personnel to deal with situations requiring the presence of a
physician. At those times when the Medical Director is not available for such
response, he/she shall assist the Fire Department Command personnel in obtaining.
physician support.
2.5 Personally respond to the scene of an injury accident to personally evaluate the
performance of the Fire Department medical personnel.
ARTICLE 3
MISCELLANEOUS PROVISIONS
3.1 The appointment as Medical Director is for a term of one year beginning August
15, 2007 and ending December 31, 2008. This agreement may be renewed by the
parties hereto, provided that such is accomplished by November 30, 2008, or
either party provides 120 days notice of its intention to terminate this agreement.
3.2 The Salina Fire Department shall supply the Medical Director with a pager, portable
radio, and transportation to the scene of emergencies when needed, the necessary
Fire Department support personnel, and such assistance as may from time to time
be required and/or requested by the Medical Director.
3.3 The Medical Director shall receive no salary or benefit package from the City of
Salina or the Salina Fire Department. The Medical Director shall receive a fixed
amount of $20,000 each year to compensate the Medical Director for operating an
emergency medical services delivery system under the medical license of the
Medical Director, providing the necessary professional services as required by the
Kansas Board of Emergency Medical Services and Kansas State law to the Salina
Fire Department, to cover costs of equipment not provided by the Salina Fire
Department, travel by personal vehicle or commercial carrier, registration fees for
emergency medical service related meetings and seminars, and compensation for
damage to personal items.
3.4 The compensation provided to the Medical Director may be made on a monthly,
quarterly, or yearly basis as mutually agreeable between the Medical Director and
Fire Chief.
3.5 The Medical Director shall be responsible for and shall be required to maintain
his/her own malpractice insurance coverage.
3.6 The Medical Director shall be considered an independent contractor and as such is
not entitled to any benefits other than the annual fee. The Medical Director shall be
responsible for all taxes (income, self-employment, workers compensation, and any
other) due to any government or licensing authority as a result of this contract. The
Medical Director is not covered by any workers' compensation benefits, health
insurance benefits, pensions, leave or any other benefit.
3.7 This contract may be terminated by either party as provide in paragraph 3.1 or
without advanced notice if the Medical Director fails to maintain his/her license to
practice medicine, fails to provide services as agreed, violates any local, state, or
federal laws. If the contract is terminated by either party, the Medical Director shall
keep any funds paid to date. If that total is less than the prorated value of the
annual fee to date of termination, the City shall pay the remainder of the annual fee
to equal the prorated value.
This agreement entered into as the day and year first written above.
PASSEDANDAPPROVEDTHIS lJ;fit:; DAY OF ~2007.
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A YO CITY MANAGER ' L 01 R
ATTEST:
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CITY CLER
bl?, DAY OF ~. 2007
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