HomeMy WebLinkAbout2007-103 IGA - Supervising Physician Program
Penny Bergman
JACKSON COUNTY
oregon
June 5, 2007
1005 E. Main Street
Medford, OR 97504
Phone: (541) 774-7806
TTY: (541) 774-8138
bergmapl@jacksoncounty.org
www.jacksoncounty.org
Martha Bennett
City of Ashland
20 East Main St.
Ashland, OR 97520
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RE: Interagency Agreement
Dear Martha:
Enclosed please find the fully signed Interagency Agreement between the City of Ashland
(Ashland Fire & Rescue) and Jackson County in support of the Supervising Physician Program
for the 2007-2008 fiscal year.
If there are any questions or problems please don't hesitate to call.
Sincerely,
(};nX4 ~(/#-
Penny Bergma~
Enclosure(s): 1
Interagency Agreement
This agreement is between Jackson County acting by and through its Department of Health and
Human Services, hereinafter called "County", and the City of Ashland. In support of the
Supervising Physician program both parties agree to the following:
1. Effective Date and Duration. This agreement shall become effective on the date in which
the last party has signed the agreement. Unless earlier terminated or extended this
agreement shall expire on June 30, 2008.
2. Statement of Work. The statement of work is contained in Exhibit A hereto and by this
reference made a part thereof.
3. Consideration. City of Ashland will pay County $1 ,532.00 pursuant to this agreement. This
charge is a run fee of $0.51 and an EMT base fee of $6.50. This is a weighted fee based on
the level of the EMT. First Responders are weighted at 0.8 of the fee, EMT Basics are
weighted at 1.0, EMT Intermediates at 2.5 and EMT Paramedics at 4.0 of the base fee. In
consideration the County shall provide centralized clerical support in the form of a 0.35
F.T.E. Office Assistant IV to the Supervising Physician program in Jackson County and all
necessary office supplies to carry out activities as outlined in Exhibit A. County agrees to
employ, supervise and provide directions to ensure successful work of this staff person.
4. Access to Records. Duly authorized representatives of City of Ashland shall have access
to records concerning this centralized EMS clerical office and staff for this Supervising
Physician program.
5. Termination. This contract may be terminated by the mutual consent of the parties, or by
either party upon thirty (30) days notice unless a shorter period is agree to by both parties.
Notice oftermination shall be accomplished in writing, and delivered by certified mail or in
person.
6. Indemnification. To the extent permitted by Article 11, Section? and Article 11, Section
10 of the Oregon Constitution and the Oregon Tort Claims Act, each party hereto agrees to
indemnify, within the limits ofthe Oregon Tort Claims act, and save the other harmless from
any claim, liability or damage resulting from any error, omission, or act of negligence on the
part of the indemnifying party, its officers, employees or agents in the performance ( or
nonperformance) of its responsibilities under this Agreement, provided the parties will not
be required to indemnify the other for any such liability arising out ofthe wrongful act ofthe
other's officers, employees or agents.
Interagency Agreement-City of Ashland
7. HIP AA Compliance. If the work performed under this Interagency Agreement is covered
by the Health Insurance Portability and Accountability Act or the federal regulations
implementing the Act (collectively referred to as HIP AA), City of Ashland agrees to perform
the work in compliance with HIP AA. Without limiting the generality ofthe foregoing, ifthe
work performed under this Interagency Agreement is covered by HIP AA, City of Ashland
shall comply with the following:
(i) Privacy and Security of Individually Identifiable Health Information: City of
Ashland, it agents, employees and subcontractors shall protect individually
identifiable health information obtained or maintained about participants of City of
Ashland programs funded by this agreement from unauthorized use or disclosure,
consistent with the requirements of HIP AA. This Interagency Agreement may be
amended to include additional terms and conditions related to the privacy and
security of individually identifiable health information.
8. Merger Clause. This Interagency Agreement and attached Exhibit constitute the entire
agreement between the parties. No waiver, consent, modification or change ofterms ofthis
Interagency Agreement shall bind either party unless in writing and signed by both parties.
Such waiver, consent, modification or change, if made, shall be effective only in the specific
instance and for the specific purpose given. There are no understandings, agreements, or
representations, oral or written, not specified herein regarding this contract. City of Ashland,
by signature of its authorized representative, hereby acknowledges that he/she has read this
Interagency Agreement, understands it, and agrees to be bound by its terms and conditions.
Dated this
flA
day of
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, 2007 at Medford, Oregon.
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y J;rdan Date
County Administrator
Agency
Interagency Agreement-City of Ashland
Exhibit A
Jackson County
Supervising Physician Clerical Support
Jackson County agrees to supervise, provide direction, and ensure successful work ofa 0.25 F.T.E.
Office Assistant IV. The goal is to provide centralized clerical support for the Supervising Physician
program in Jackson County and specific coordinated emergency medical service functions.
Specific Activities
~ To maintain a phone access line and message system.
~ To maintain and update the Standing Orders for all EMS agencies as requested by the
Supervising Physician( s).
~ To maintain a Web page and Internet e-mail access.
~ To assure publication and distribution of an EMS newsletter.
~ To maintain attendance at peer reviews.
~ To maintain a listing of EMS educational activities.
~ To maintain EMT and First Responder training records provided by the County or the
Supervising Physician program.
~ To attend meetings, take and transcribe minutes of EMS/QA/MCI and other meetings as
assigned.
~ To provide general clerical support for the Supervising Physician(s).
~ To assist the Supervising Physician(s) in preparing for Peer Reviews.
~ To complete special projects as assigned.
~ To maintain records of correspondence of the Supervising Physician(s).