Exhibit 1 - Agenda Information SheetCity of Denton
City Hall
215 E. McKinney Street
Denton, Texas
www.cityofdenton.com
AGENDA INFORMATION SHEET
DEPARTMENT: Procurement
ACM: Christine Taylor
DATE: July 15, 2025
SUBJECT
Consider adoption of an ordinance of the City of Denton, a Texas home-rule municipal corporation,
authorizing the City Manager to execute a contract with Questcare Medical Services, PLLC, for the
performance of medical direction services for the Denton Fire Department; providing for the expenditure of
funds therefor; and providing an effective date (File 8799 – awarded to Questcare Medical Services, PLLC,
for three (3) years, with the option for two (2) additional one (1) year extensions, in the total five (5) year not-
to-exceed amount of $400,000.00).
STRATEGIC ALIGNMENT
This action supports Key Focus Area: Support Healthy and Safe Communities.
INFORMATION/BACKGROUND
The proposed contract is for medical direction services provided to the Denton Fire Department as required by
the Texas Department of State Health Services (DSHS). The Fire Department employs Paramedics and
Emergency Medical Technicians (EMT) to provide emergency medical response within the City of Denton. To
perform emergency medical services, DSHS requires that Paramedics and EMTs operate under the direction
and board certification of an Emergency Medical Physician.
Medical direction will be given primarily in two methods: online medical direction, which will primarily be
actual communications between the Medical Director and Fire Department personnel; and off-line medical
direction, which will include additional administrative duties of the Medical Director.
Essential duties of online medical direction include the ability for Paramedics and EMTs to contact the medical
director or designee 24 hours per day, seven (7) days per week, and 365 days per year for receiving physicians’
orders. In addition, the medical director must have the ability to receive 12-lead electrocardiogram data
transmitted from the Fire Department.
Essential duties of off-line medical direction include the development of medical protocols, the provision of
quarterly continuing education training, and ad hoc specialty course instruction. In addition, this contract
stipulates the implementation of a clinical quality assurance and quality improvement program and the
development of a skills review. Lastly, the off-line services include the Drug Enforcement Agency physician’s
licensure for the procurement and administration of controlled substances and related medical equipment.
RECOMMENDATION
Award a contract with Questcare Medical Services, PLLC, for the performance of medical direction
services for the Denton Fire Department, in a three (3) year, with the option for two (2) additional one (1)
year extensions, in the total five (5) year not-to-exceed amount of $400,000.
PRINCIPAL PLACE OF BUSINESS
Questcare Medical Services, PLLC
Dallas, TX
ESTIMATED SCHEDULE OF PROJECT
This is an initial three (3) year contract with options to extend the contract for two (2) additional one (1)
year periods, with all terms and conditions remaining the same.
FISCAL INFORMATION
These services will be funded from General Fund Fire Department operations account 320001.7890.
Requisitions will be entered on an as-needed basis. The budgeted amount for this item is $400,000. The City
will only pay for services rendered and is not obligated to pay the full contract amount unless needed.
EXHIBITS
Exhibit 1: Agenda Information Sheet
Exhibit 2: Ordinance and Contract
Respectfully submitted:
Lori Hewell, 940-349-7100
Purchasing Manager
For information concerning this acquisition, contact: Lindsey Garrison, 940-349-8844.
Legal point of contact: Marcella Lunn at 940-349-8333.