18-APPROVE RESOLUTION AUTHORIZING EXECUTION OF AGREEMENT WITH ESSENT PRMC FOR ASSISTIVE SERVICES

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EMS QUALITY AND ACCESS AGREEMENT 1.2 Suqervision, Control. EMS Staff shall at all times, and for all purposes, remain under the exclusive direction and control of the City; provided, however, that while performing the Assistive Services defined in Section 1.7 of this Agreement, and for purposes only of performing the Assistive Services, EMS Staff shall be subject to the immediate medical oversight (`Bpisodic Supervision") of appropriate PRMC staff who are directing or providing medical services during the Emergency Episode, as that term is defined in Section 1.7 below. Episodic Supervision shall in no manner alter City's responsibility for direction and control of the EMS Staff, except in the event of gross misconduct by PRMC staff, as determined by PRMC's applicable quality review process, during the Emergency Episode. 1.3 Credentials. City shall ensure that all EMS Staff hold appropriate and current credentials to provide the Assistive Services, and shall furnish PRMC copies of such credentials at PRMC's request. 1.4 Exclusion, Debarment. Each Party shall ensure that no staff inember has ever been debarred or excluded from participation in federal or state health care payrnent programs, including but not limited to Medicare, Medicaid or other similar state and federally funded payrnent program, TriCare, Champus, or any other program. In the event a Party learns that a staff inember has been so debarred or excluded, the affected Party shall immediately remove such excluded or debarred staff inember from PRMC and providing services. Upon entering in into this Agreement and upon request from PRMC, City shall provide a list of the names of all EMS Staff to PRMC to check for debarment/exclusion and shall promptly update the list as EMS Staff are hired. In the event PRMC needs additional information to determine whether an individual is excluded or debarred, City shall promptly provide the information requested by PRMC. 1.5 Ambulance Service. City shall operate the emergency transport service in all respects, including dispatch, policies and procedures, staffing and oversight of pre-hospital care, and shall be solely responsible for all aspects of such operation. 1.6 Insurance. City shall furnish liability insurance coverage applicable to the provision of emergency medical transport services, and shall provide evidence of such coverage to PRMC upon PRMC's request. 1.7 Assistive Services. In the event of "exceptional need," as defined below (each an "Emergency Episode"), EMS Staff shall, if available, at the request and under the supervision of PRMC staff, assist PRMC staff in providing emergency medical care at the Hospitals; provided, however, that such assistance shall be limited to those services and tasks that are within the scope of the EMS Staff inember's license or certification ("Assistive Services"), and subject to coverage solely by City's liability insurance as set forth in Section 1.6 above. For purposes of this Section 1.7, "exceptional need" means any circumstance in which PRMC staff cannot, in the best judgment of the emergency department nursing supervisor then on duty at the Hospital (the "Supervisor"), meet the medical or safety needs of the individuals for whom the Supervisor is then responsible. 1.8 Compliance. EMS Staff shall, while on PRMC premises, comply with all applicable PRMC policies and procedures and, when performing Assistive Services, comply with 4424567.5 2 96