Common use of Certifications and Standards Clause in Contracts

Certifications and Standards. 1. ▇▇▇▇▇▇▇ shall be responsible for securing on-line and off-line medical control as defined in the Rules and Regulations of the Mississippi State Department of Health, Division of Emergency Medical Services. On-line Medical Control will be with a physician and/or physician group and hospital meeting requirements set forth by the State and located in the Central Mississippi metroplex. On-line Medical Control will be to one of the hospitals to which ▇▇▇▇▇▇▇ transports on a routine basis. Off and on-line Medical Control will be available to all Madison County Fire Departments and response entities. 2. ▇▇▇▇▇▇▇ shall afford equal employment opportunities and will not discriminate based on race, color, religion, gender, age, physical disability, or natural origin, or any other basis prohibited by applicable law, with respect to hiring, compensation, promotion, training, or any other conditions of employment. 3. The conduct and appearance of ▇▇▇▇▇▇▇’▇ personnel must be professional and courteous at all times. ▇▇▇▇▇▇▇ shall provide its current employee Policies and Procedures to the County. 4. ▇▇▇▇▇▇▇ must make an unrelenting effort to detect and correct performance deficiencies and to continuously upgrade the performance and reliability of the entire EMS system. Clinical and response-time performance must be extremely timely and reliable, with equipment failure and human error held to an absolute minimum through constant attention to performance, protocol, procedure, performance auditing, and prompt and definitive corrective action. This process requires the highest levels of performance and reliability, and mere demonstration of effort, even diligent and well-intentioned effort, shall not substitute for performance results. ▇▇▇▇▇▇▇ shall provide quarterly internal evaluations and shall, as requested by the County, provide such documentation as may be required for the County to perform evaluation of ▇▇▇▇▇▇▇’▇ performance. 5. ▇▇▇▇▇▇▇ shall provide the highest quality clinical care, provide a reliable EMS service at a reasonable cost to consumers, and provide the community with an operationally and financially stable system. ▇▇▇▇▇▇▇ shall be the sole provider of emergency and non- emergency ambulance services in the County. 6. Patient treatment and transport shall be performed in accordance with all applicable laws and regulations, which may include, in the case of paramedics, making contact with a mobile intensive care nurse (MICN) or physicians at a designated base hospital to obtain direction in management of the patient. 7. ▇▇▇▇▇▇▇ shall coordinate with the County EMS Coordinator or designee to logistically locate emergency ambulance transporting units to provide the maximum required response times listed within this Agreement. 8. The minimum ambulance crew staffing for a required ALS ambulance unit will consist of one (1) Nationally Registered EMT - Paramedic or Nationally Registered EMT – Advance and one (1) Nationally Registered EMT - Basic per ambulance unit. 9. ▇▇▇▇▇▇▇ shall provide the highest levels of performance and reliability. The demonstration of effort, even diligent and well-intended effort, will not replace demonstrated performance results. ▇▇▇▇▇▇▇ shall be notified of any negative performance issues and afforded a reasonable opportunity to correct and to cure the performance issues. Notwithstanding any other provision of this Agreement, if ▇▇▇▇▇▇▇ breaches its obligation to timely respond to calls for service in accordance with the schedule provided in this Agreement, ▇▇▇▇▇▇▇ shall pay the County $250 per each delay (during any ninety day period) outside the allowed average, as liquidated damages for delay. The parties agree that quantifying losses arising from ▇▇▇▇▇▇▇’▇ delay is inherently difficult insofar as delay may impact the County’s reputation or otherwise potentially subject the County to investigatory and administrative expense in responding to citizen inquiries or claims, and further stipulate that the agreed upon sum set forth herein is not a penalty, but rather a reasonable measure of delay damages, based upon the parties’ experience in the industry and given the nature of the losses that may result from the delay. 10. Satisfactory Performance Standards Include, but are not limited to: (a.) Ambulance response times;

Certifications and Standards. 1. ▇▇▇▇▇▇▇ shall be responsible for securing on-line and off-line medical control as defined in the Rules and Regulations of the Mississippi State Department of Health, Division of Emergency Medical Services. On-line Medical Control will be with a physician and/or physician group and hospital meeting requirements set forth by the State and located in the Central Mississippi metroplex. On-line Medical Control will be to one of the hospitals we transport to which ▇▇▇▇▇▇▇ transports on a routine basis. Off and on-line Medical Control will be available to all Madison County Fire Departments and response entities. 2. ▇▇▇▇▇▇▇ shall afford equal employment opportunities and will not discriminate based on race, color, religion, gender, age, physical disability, or natural origin, or any other basis prohibited by applicable law, with respect to hiring, compensation, promotion, training, or any other conditions of employment. 3. The conduct and appearance of ▇▇▇▇▇▇▇’▇ personnel must be professional and courteous at all times. ▇▇▇▇▇▇▇ shall provide its current employee Policies and Procedures to the County. 4. ▇▇▇▇▇▇▇ must make an unrelenting effort to detect and correct performance deficiencies and to continuously upgrade the performance and reliability of the entire EMS system. Clinical and response-time performance must be extremely timely and reliable, with equipment failure and human error held to an absolute minimum through constant attention to performance, protocol, procedure, performance auditing, and prompt and definitive corrective action. This process requires the highest levels of performance and reliability, and mere demonstration of effort, even diligent and well-intentioned effort, shall not substitute for performance results. ▇▇▇▇▇▇▇ shall provide quarterly internal evaluations and shall, as requested by the County, provide such documentation as may be required for the County to perform evaluation of ▇▇▇▇▇▇▇’▇ performance. 5. ▇▇▇▇▇▇▇ shall provide the highest quality clinical care, provide a reliable EMS service at a reasonable cost to consumers, and provide the community with an operationally and financially stable system. ▇▇▇▇▇▇▇ shall be the sole provider of emergency and non- emergency ambulance services in the County. 6. Patient treatment and transport shall be performed in accordance with all applicable laws and regulations, which may include, in the case of paramedics, making contact with a mobile intensive care nurse (MICN) or physicians at a designated base hospital to obtain direction in management of the patient. 7. ▇▇▇▇▇▇▇ shall coordinate with the County EMS Coordinator or designee to logistically locate emergency ambulance transporting units to provide the maximum required response times listed within this Agreement. 8. The minimum ambulance crew staffing for a required ALS ambulance unit will consist of one (1) Nationally Registered EMT - Paramedic or Nationally Registered EMT – Advance and one (1) Nationally Registered EMT - Basic per ambulance unit. 9. ▇▇▇▇▇▇▇ shall provide the highest levels of performance and reliability. The demonstration of effort, even diligent and well-intended effort, will not replace demonstrated performance results. ▇▇▇▇▇▇▇ shall be notified of any negative performance issues and afforded a reasonable opportunity to correct and to cure the performance issues. Notwithstanding any other provision of this Agreement, if ▇▇▇▇▇▇▇ breaches its obligation to timely respond to calls for service in accordance with the schedule provided in this Agreement, ▇▇▇▇▇▇▇ shall pay the County $250 per each delay (during any ninety day period) outside the allowed average, as liquidated damages for delay. The parties agree that quantifying losses arising from ▇▇▇▇▇▇▇’▇ delay is inherently difficult insofar as delay may impact the County’s reputation or otherwise potentially subject the County to investigatory and administrative expense in responding to citizen inquiries or claims, and further stipulate that the agreed upon sum set forth herein is not a penalty, but rather a reasonable measure of delay damages, based upon the parties’ experience in the industry and given the nature of the losses that may result from the delay. 10. Satisfactory Performance Standards Include, but are not limited to: (a.) Ambulance response times;