6253 - Professional Services for Medical Control Services for Fire Department, 3.Statement of Work/ Specifications
The scope of work and services shall be finalized upon the selection of the Firm. The respondent’s submission shall have accurately described your understanding of the objectives and
scope of the requested products and services and provided an outline of your process to implement the requirements of the scope of work and services. Medical direction will be given
primarily in two methods: on-line medical direction, which will primarily be actual communications between the Medical Director or his or her designee and Fire personnel; and off-line
medical direction, which will include additional administrative duties of the Medical Director as outlined in the off-line medical direction section below. It is anticipated that the
scope of work and services will include, at a minimum, the following:
On-Line Medical Direction in the following areas:
On-line services shall be provided as required by the Texas State Board of Medical Examiners’ Emergency Medical Services (EMS) regulations for Medical Directors.
On-line service capable of receiving 12-lead electrocardiogram (EKGs) data from the City of Denton Fire Department (DFD) shall be provided 24 hours a day, 7 days per week (currently
DFD transmits data via Physio Control from Lifefpak 15s).
On-line medical control shall be demonstrated with a hospital located within the city limits of Denton.
Additional on-line services shall be provided during disasters and Mass Casualty Incidents (MCIs).
Audio recordings shall be maintained of all on-line medical direction and copies will be provided to the designated DFD personnel upon request.
The Medical Director or a similarly-qualified designee shall be available 24 hours per day, 7 days per week, and 365 days per year.
Off-Line Medical Direction in the following areas:
Off-line services shall be provided as required by the Texas State Board of Medical Examiners’ EMS regulations for Medical Directors.
The Medical Director shall be a board certified Emergency Medicine Physician.
The Medical Director shall provide protocols that will address basic and advanced life support procedures. Two (2) copies, one (1) written and one (1) electronic, of the
protocols shall be provided to the DFD EMS Program Manager no later than 30 days from the start of the contract.
Continuous protocol development and review will be provided with input from the DFD EMS Program Manager and DFD Field Training Officers (FTO). At a minimum, all protocols will be reviewed
and/or updated annually.
A Quality Assurance/Quality Improvement Program shall provide a systematic plan and shall include a system that uses audits to drive training needs, protocol development, quality assurance,
and quality improvement.
A skills review and protocol test shall be formulated by the Medical Director.
A written remediation plan shall define procedures for DFD employees who fail to meet minimum requirements of the evaluation tools used by the Provider and Texas Department of State
Health Services (DSHS).
The Medical Director shall provide EMS Continuing Education (CE) once a quarter (4 times a year). Each CE shall be offered twice to each of the three (3) shifts for a total of six (6)
classes per quarter. The current format is EMS CE being offered for three (3) consecutive days with one (1) morning and one (1) afternoon session each day. Each class session shall
be approximately three (3) hours in length.
Medical Director shall support DFD efforts to develop specialty courses such as ACLS, BTLS, ITLS, PEPP/PALS and others.
Medical Director shall provide a mechanism that encourages the local medical community to collaborate on issues of concern on a continuous basis.
Medical Director shall enable DFD to use the Medical Director certification(s), DEA #, etc. that is necessary to procure equipment, medications, controlled substances, etc. deemed necessary
as outlined in the EMS Protocols.