8.1 Medical Director ContractCITY OF SALINA
REQUEST FOR CITY COMMISSION ACTION DATE TIME
01/10/2011 4:00 P.M.
AGENDA SECTION ORIGINATING DEPARTMENT: APPROVED FOR
NO: 8 AGENDA:
FIRE
ITEM
BY: Larry Mullikin, Fire Chief
NO. 1
BY:
Page 1
Greg Brockway, Chief of EMS
ITEM:Resolution No. 11-6797
A resolution authorizing the Mayor to execute the renewal of a professional services contract for
physician services as the Fire Department’s Medical Director.
BACKGROUND:
As required by State law, Dr. Sean Herrington has served as the fire department’s medical director for
the past two years. In his role as medical dire ctor, the fire department and the community has
benefited greatly from Dr. Herrington’s foresight and responsiveness. For example:
When the swine flu vaccinations were being hamper ed by a lack of nurses to deliver the shots,
Dr. Herrington arranged the necessary protocols an d direction in place for fire department
paramedics to assist in vaccinating children and adults.
Dr. Herrington assisted in developing and approv ing medical protocols for the rural fire
department first-responders to improve the consistency of patient treatment and put a medical
quality control mechanism in place.
When the Chief of EMS position for the fire department was filled, Dr. Herrington played a
major role in assessing the candidates and recommending the top candidate.
Dr. Herrington has routinely intervened to assi st with coordination be tween fire department
paramedics and other physicians when conflicts or issues arise.
The deployment of new technology and te chniques allows the paramedics to be more
successful in the field. Not to be lost in this background information is the fact that Dr.
Herrington has to continually demonstrate considerable courage and take on significant risk
when new protocols and te chniques are deployed – that also escalates the cost of medical
insurance.
There is no increase in cost from the previous year in the contracted amount of $30,000.
FISCAL NOTE:
The fire department has adequate funding for the contract amount of $30,000 in the 2011 fiscal year.
CONFORMANCE WITH STRATEGIC PLAN
Goal #3:
The City will provide the high est quality of services, cons istent with Governing Body
direction, available resources and staff commitment to quality.
RECOMMENDATION ACTION:
Adopt Resolution No. 11-6797 author izing the Mayor to execute a contract renewal for medical
director services with Dr. Sean Herrington in the amount of $30,000.
City of Salina, Kansas
Professional Services Contract for Medical Director of Emergency Medical Services
AGREEMENT
BETWEEN
Made as of the ____ day of ________, 2011, the City of Salina, Kansas, hereafter referred
to as the “City” and Dr. Sean Herrington, hereafter referred to as the “Medical Director.”
For professional emergency medical oversight and control to meet the requirements of the Kansas State
Chapter 65.—“Public Health”, Article 61.—“Emergency Medical Services”, KSA 65-
Statutes
6126.—“Medical Adviser”,
for the delivery of Advanced Life Support services provided by the Salina
Fire Department (SFD) through Ambulance and Fire Services to the City 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 SFD procedures for providing pre-hospital medical
care of persons requiring the services of the SFD Ambulance and Fire Services.
109-1-
1.2 The Medical Director shall meet the requirements under Kansas Administrative Regulations,
2, “Medical Advisor”
.
1.3 The Medical Director will work directly for the Fire Chief of the SFD.
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 SFD personnel operating under his/her authority are in
compliance with provisions of the K.S.A., 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 SFD.
1.6 The Medical Director will provide the Fire Chief with yearly reports as requested. At a minimum,
yearly reporting will include 1) a report of his/her 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
policies and procedures when in his/her 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 SFD 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 SFD Command
personnel in obtaining physician support.
2.5 Personally respond to the scene of an injury a ccident to personally evaluate the performance of the
Fire Department medical personnel.
ARTICLE 3. MISCELLANEOUS PROVISIONS
3.1 The appointment as Medical Director shall be reviewed by the Fire Chief and will continue unless
either party provides 120 days notice of its int ention to terminate this agreement or requests a
renegotiation of the terms and conditions in this contract.
3.2 The SFD shall supply the Medical Director with a pager, portable radio, and transportation to the
scene of emergencies when needed, the necessary SFD 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 or the SFD. The
Medical Director shall receive a fixed amount of $30,000.00 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 pr ofessional services as required by the Kansas
Board of Emergency Medical Services and Kansas State law to the SFD.
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 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 compensat ion, 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 the City 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, of if
the City determines it is in its best interest to end the contract. If the City terminates the contract,
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.
PASSED AND APPROVED THIS _________ DAY OF _________ 2011.
___________________ ___________________ _______________________
MAYOR CITY MANAGER MEDICAL DIRECTOR
ATTEST:
CITY CLERK
APPROVED AS TO FORM AND LEGALITY THIS ________ DAY OF _________, 2011
CITY ATTORNEY