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Exhibit 1
AGREEMENT BETWEEN CITY OF MIAMI AND THE PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY, FLORIDA THIS AGREEMENT, dated , 2012, but effective as of October 1, 2012, byand between the City of Miami, a municipal corporation of the State of Florida, (hereinafter referred to as the "CITY") and the Public Health Trust of Miami -Dade County, Florida, an agency and instrumentality of Miami -Dade County, Florida (hereinafter referred to as the "TRUST") which operates the Jackson Health System and other designated health care facilities. RECITALS WHEREAS, The CITY issued a Request for Proposals ("RFP") No. 289267 on March 23. 2012, which is attached hereto as Exhibit "A" for the provision of Medical Direction Services for the City's Department of Fire -Rescue for its Emergency Medical Services (the "Services") and TRUST's proposal ("Proposal"), which is attached hereto as Exhibit "B", in response thereto, has been selected as the most qualified proposal for the provision of the Services. The RFP and the Proposal are sometimes referred to herein, collectively, as the Solicitation Documents, and are by this reference incorporated into and made a part of this Agreement; and WHEREAS, The Commission of the City of Miami, by Resolution No. adopted on , 2012 approved the selection of TRUST and authorized the City Manager to execute a contract, under the terms and. conditions set forth herein. NOW, THEREFORE, in consideration of the mutual covenants and promises herein contained, TRUST and the CITY agree as follows: TERMS 1. RECITALS: The recitals are true and correct and are hereby incorporated into and made a part of this Agreement. 2. TERM: The term of this Agreement shall be three (3) years, commencing on October 1, 2012, and expiring on September 30, 2015. 3. OPTION TO EXTEND: The term hereof may be extended, by mutual agreement in writing of the parties, for two (2) additional terms of two (2) years each, on the same terms and conditions, except that compensation payable to the TRUST shall not exceed a 5 percent increase on an annual basis, subject to the availability and appropriation of funds, after the initial three (3) year period limited to the recent years annual increase of the Consumer Price Index for All Urban Consumers (CPI-U), Not Seasonally Adjusted, Miami -Fort Lauderdale, FL, Medical Care , Base Period 1982-84 = 100, . Changes in the CPI-U will be measured from October of the previous year to October of the current year. 1 The following example illustrates the computation of percent change: CPI for Current Period: Less CPI for Previous Period: Equals Index Point Change: Divided by Previous Period CPI: Result multiplied by 100: Equals percent change: 393.665 (October 2011) 376.093 (October 2010) 17.572 0.047 0.047 x 100 4.7 City Commission approval shall not be required as long the total extended term does not exceed two (2) additional terms of two (2) years each, or a period equal to the original term of this Agreement, whichever is longer. 4. SCOPE OF SERVICES: A. Generally, the Services consist of the provision of certain services, including Medical Directorship for the Emergency Services ("EMS") provided by the City of Miami Fire -Rescue Department, and to the Village of Key Biscayne, as more specifically described in Exhibit "C" hereto, which by this reference is incorporated into and made a part of this Agreement. B. TRUST represents and warrants to the CITY that: (i) it possesses all qualifications, and expertise required under the Solicitation Documents for the performance of the Services; (ii) it currently possesses, and at all time during the term hereof shall maintain, all licenses, permits and authorizations required for the proper performance of the Services, (iii) it is not delinquent in the payment of any sums due the CITY, including, without limitation, payment of permit fees and occupational licenses, nor in the performance of any obligations to the CITY; (iv) all personnel assigned to perform the Services are and shall be, at all times during the term hereof, fully licensed, qualified and trained to perform the tasks assigned to each, as required in Exhibit "C"; and (v) the Services will be performed in the manner described in Attachment "C". C. In connection with the provision of the Services hereunder, the CITY agrees to comply with all of the provisions set forth in Exhibit "C". 5. COMPENSATION: The CITY agrees to pay to the TRUST, as compensation for Services, the amount of $224,560.00 for the period of October 1, 2012 through September 30, 2012, payable annually. 6. OWNERSHIP OF DOCUMENTS: TRUST understands and agrees that any information, document, report or any other material whatsoever which is given by the CITY to TRUST or which is otherwise obtained or prepared by TRUST pursuant to or under the terms of this Agreement is and shall at all times remain the property of the CITY. TRUST agrees not to use any such information, document, report or material for any other purpose whatsoever without the written consent of CITY, which may be withheld or conditioned by the CITY in its sole discretion. 2 7. AUDIT AND INSPECTION RIGHTS: A. The CITY may, at reasonable times, and for a period of up to five (5) years following the date of final payment by the CITY to TRUST under this Agreement, audit, or cause to be audited, those books and records of TRUST which are related to TRUST's performance under this Agreement. TRUST agrees to maintain all such books and records at its principal place of business for a period of five (5) years after final payment is made under this Agreement. B. The CITY may, at reasonable times during the term hereof, inspect TRUST's facilities and perform such tests, as the CITY deems reasonably necessary, to determine whether the goods or services required to be provided by TRUST under this Agreement conform to the terms hereof and/or the terms of the Solicitation Documents, if applicable. TRUST shall make available to the CITY all reasonable facilities and assistance to facilitate the performance of tests or inspections by CITY representatives. All test and inspections shall be subject to, and made in accordance with, the provisions of Section 18-101 of the Code of the City of Miami, Florida, as same may be amended or supplemented, from time to time. 8. AWARD OF AGREEMENT: TRUST represents and warrants to the CITY that it has not employed or retained any person or company employed by the CITY to solicit or secure this Agreement and that it has not offered to pay, paid, or agreed to pay any person any fee, commission, percentage, brokerage fee, or gift of any kind contingent upon or in connection with, the award of this Agreement. 9. PUBLIC RECORDS: TRUST understands that the public shall access, at all reasonable times, to all documents and information pertaining to CITY contracts, subject to the provisions of Chapter 119, Florida Statutes, and agrees to allow access by the CITY and the public to all documents subject to disclosure under applicable law. TRUST's failure or refusal to comply with the provisions of this section shall result in the immediate cancellation of this Agreement by the City. 10. COMPLIANCE WITH FEDERAL, STATE AND LOCAL LAWS: A. TRUST understands that agreements between private entities and local governments are subject to certain laws and regulations, including but not limited to laws pertaining to public records, conflict of interest and record keeping. CITY and TRUST agree to comply with and observe all applicable laws, codes and ordinances as they may be amended from time to time. B. Patient Information: The Medical Director and his/her designates shall carry out his/her obligations under this Agreement in compliance with the privacy regulations pursuant to Public Law 104-191 or August 21, 1996, known as the Health Insurance Portability and Accountability Act of 1995, Subtitle F-Administrative Simplification, Sections 261, et seq., as amended ("HIPAA"), to protect the privacy of any personally identifiable protected health information ("PHI") that is collected, processed or learned as a result of performing the duties of Medical Director for the City of Miami Department of Fire -Rescue. 11. INDEMNIFICATION: Subject to the provisions and limitation of Section 768.28, Florida Statutes as it may be amended, and to the extent permitted by Florida Statutes, TRUST shall indemnify, defend and hold harmless the CITY and its officials, employees and agents (collectively referred to as "Indemnities") and each of them from and against all loss, costs, penalties, fines, damages, claims, expenses (including attorney's fees) or liabilities (collectively referred to as "Liabilities" by reason of any injury to or death of any person or damage to or destruction or loss of any property arising out of, resulting from, or in connection with (i) the performance or non-performance of the Services contemplated by this Agreement which is or is alleged to be directly or indirectly caused, in whole or in part, by any act, omission, default or negligence (whether active or passive) of TRUST or its employees, agents or subcontractors (collectively referred to as "TRUST"), or (ii) the failure of the TRUST to comply with any of the paragraphs herein or the failure of the TRUST to conform to statutes, ordinances or other regulations or requirements of any governmental authority, federal or state, in connection with the performance of this Agreement. TRUST expressly agrees to indemnify and hold harmless the Indemnities, or any of them, from and against all liabilities which may be asserted by an employee or former employee of TRUST, or any of its subcontractors, as provided above, for which the TRUST's liability to such employee or former employee would otherwise be limited to payments under state Worker's Compensation or similar laws. TRUST further agrees to indemnify, defend and hold harmless the Indemnities from and against (i) any and all Liabilities imposed on account of the TRUST's violation of any law, ordinance, order, rule, regulation, condition, or requirement, in any way related, directly or indirectly, to TRUST's performance hereunder, compliance with which is left by this Agreement to the TRUST, and (ii) any and all claims, liens and/or suits for labor and materials furnished by the TRUST or utilized in the performance of this Agreement. Nothing herein shall be interpreted to be a waiver of sovereign immunity afforded to the TRUST and as set forth in Section 768.28, Florida Statutes, as it may be amended. 12. DEFAULT: If TRUST fails to comply with any term or condition of this Agreement, or fails to perform any of its obligations hereunder, then TRUST shall be in default. Upon the occurrence of a default hereunder the CITY, in addition to all remedies available to it by law, may immediately, upon written notice to .TRUST, terminate this Agreement whereupon all payments, advances, or other compensation paid by the CITY to TRUST while TRUST was in default shall be immediately returned to the CITY. TRUST understands and agrees that termination of this Agreement under this section shall not release TRUST from any obligation accruing prior to the effective date of termination. 13. RESOLUTION OF CONTRACT DISPUTES: TRUST understands and agrees that all disputes between TRUST and the CITY based upon an alleged violation of the terms of this Agreement by the CITY shall be submitted to the City Manager for his/her resolution, prior to TRUST being entitled to seek judicial relief in connection therewith. In the event that the amount of compensation hereunder exceeds $25,000, the City Manager's decision shall be approved or disapproved by the CITY Commission. TRUST shall not be entitled to seek judicial relief unless: (i) it has first received City Manager's written decision, approved by the CITY 4 Commission if the amount of compensation hereunder exceeds $25,000, or (ii) a period of sixty (60) days has expired, after submitting to the City Manager a detailed statement of the dispute, accompanied by all supporting documentation (90 days if City Manager's decisions is subject to CITY Commission approval); or (iii) CITY has waived compliance with the procedure set forth in this section by written instruments, signed by the City Manager. 14. TERMINATION RIGHTS: A. Either party shall have the right to terminate this Agreement, at any time, by giving at least 60 days prior written notice of termination to the other party. Notice must be by certified mail, return receipt requested, to the party and address specified in this Agreement. Notice is effective upon receipt. In such event, the CITY shall pay to TRUST compensation for services rendered and expenses incurred prior to the effective date of termination. In no event shall the CITY be liable to TRUST for any additional compensation, other than that provided herein, or for any consequential or incidental damages. B. The CITY shall have the right to terminate this Agreement, without notice to TRUST, upon the occurrence of an event or default hereunder. In such event, the CITY shall not be obligated to pay any amounts to TRUST and TRUST shall reimburse to the CITY all amounts received while TRUST was in default under this Agreement. 15. INSURANCE: The TRUST is a state agency as defined in Section 768.28(2), Florida Statutes. The TRUST represents and warrants to the CITY that it is self -insured by liability, both public and property, and Workers Compensation coverage, as set forth under Sections 768.28 and 440, Florida Statutes. The TRUST agrees to provide to the CITY a Certificate of Insurance within ten (10) days after receipt of the City's Notice of Award. Certificate of Insurance must have the insurance coverage as provided in Section 768.28, and 440 F.S. 16. CONFLICT OF INTEREST: A. TRUST is aware of the conflict of interest laws of the City of Miami (Miami City Code Chapter 2, Article V), Miami -Dade County, Florida (Miami -Dade County Code, Section 2- 11.1 et. seq.) and of the State of Florida as set forth in the Florida Statutes, and agrees that it will fully comply in all respects with the terms of said laws and any future amendments thereto. B. TRUST covenants that no person or entity under its employ, presently exercising any functions or responsibilities in connection with this Agreement, has any personal fmancial interests, direct or indirect, with the CITY. TRUST further covenants that, in the performance of this Agreement, no person or entity having such conflicting interest shall be utilized in respect to services provided hereunder. Any such conflict of interest(s) on the part of TRUST, its employees or associated persons, or entities must be disclosed in writing to the CITY. 5 17. NONDISCRIMINATION: TRUST represents and warrants to the CITY that TRUST does not and will not engage in discriminatory practices and that there shall be no discrimination in connection with TRUST's performance under this Agreement on account of race, color, sex, religion, age, handicap, marital status or national origin. TRUST further covenants that no otherwise qualified individual shall, solely by reason of his/her race, color, sex, religion, age, handicap, marital status or national origin, be excluded from participation in, be denied services, or to be subject to discrimination under any provision of this Agreement. 18. ASSIGNMENT: This Agreement shall not be assigned by TRUST, in whole or in part, without the prior written consent of the CITY, which may be withheld or conditioned, in the CITY sole discretion. 19. NOTICES: All notices or other communications required under this Agreement shall be in writing and shall be given by hand -delivery or by registered or certified U.S. Mail, return receipt requested, addressed to the other party at the address indicated herein or to such other address as a party may designate by notice given as herein provided. Notice shall be deemed given on the day on which personally delivered; or, if by mail, on the fifth day after being posted or the date of actual receipt, whichever is earlier. TO THE CITY: Johnny Martinez, P.E. City Manager City of Miami 444 S.W. 2"4 Avenue, 10th Floor Miami, Florida 33130 with copies to: Julie O. Bru City Attorney City of Miami 444 S.W. 2nd Avenue, Suite 945 Miami, Florida 33130 Maurice L. Kemp Fire Chief City of Miami 1151 N.W. 7th Street Miami, Florida 33136 TO TRUST: Carlos Migoya Chief Executive Officer The Public Health Trust 1611 N.W. 12th Avenue Miami, FL 33136 6 20. MISCELLANEOUS PROVISIONS: A. This Agreement shall be construed and enforced according to the laws of the State of Florida. B. Title and paragraph headings are for convenient reference and are not a part of this Agreement. C. No waiver or breach of any provision of this Agreement shall constitute a waiver of any subsequent breach of the same or any other provision hereof, and no waiver shall be effective unless made in writing. D. Should any provision, paragraph, sentence, word or phrase contained in this Agreement be determined by a court of competent jurisdiction to be invalid, illegal or otherwise unenforceable under the laws of the State of Florida or the CITY of Miami, such provision, paragraph, sentence, word or phrase shall be deemed modified to the extent necessary in order to conform with such laws, or if not modifiable, then same shall be deemed severable, and in either event, the remaining terms and provisions of this Agreement shall remain unmodified and in full force and effect or limitation of its use. E. This Agreement constitutes the sole and entire agreement between the parties hereto. No modification or amendment hereto shall be valid unless in writing and executed by property authorized representatives of the parties hereto. F. It is further provided that in no event shall the agents, contractors, officers, servants or employees of the CITY or the Village of Key Biscayne be considered to be agents, officers, servants or employees of the TRUST. G. It is further provided that in no event shall the agents, contractors, officers, servants or employees of the TRUST be considered to be agents, officers, servants or employees of the CITY or the Village of Key Biscayne. 21. SUCCESSORS AND ASSIGNS: This Agreement shall be binding upon the parties hereto, and their successors, or assigns. 22. INDEPENDENT CONTRACTOR: TRUST has been procured and is being engaged to provide services to the CITY as an independent contractor, and not as an agent or employee of the CITY. Accordingly, TRUST shall not attain, nor be entitled to, any rights or benefits under the Civil Service or Pension Ordinances of the CITY, nor any rights generally afforded classified or unclassified employees. TRUST further understands that Florida Workers' Compensation benefits available to employees of the CITY are not available to TRUST, and agrees to provide workers' compensation insurance for any employee or agent of TRUST rendering services to the CITY under this Agreement. 23. CONTINGENCY CLAUSE: Funding for this Agreement is contingent on the availability of funds and continued authorization for program activities and the Agreement is subject to amendment or termination due to lack of funds, reduction of funds and/or change in regulations, upon sixty (60) days' notice. 24. REAFFIRMATION OF REPRESENTATIONS: TRUST hereby reaffirms all of the representations contained in the Solicitation Documents. 25. ENTIRE AGREEMENT: This instrument and its attachments constitute the sole and only agreement of the parties relating to the subject matter hereof and correctly set forth the rights, duties, and obligations of each to the other as of its date. Any prior agreements, promises, negotiations, or representatives not expressly set forth in this Agreement are of no force or effect. 26. COUNTERPARTS: This Agreement may be executed in two or more counterparts, each of which shall constitute an original but all of which, when taken together, shall constitute one and the same agreement. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by their respective officers thereunto duly authorized this the day and year above written. "CITY" CITY OF MIAMI, a municipal corporation ATTEST: By: Priscilla A. Thompson, City Clerk Johnny Martinez, P.E. City Manager APPROVED AS TO LEGAL FORM AND APPROVED AS TO INSURANCE CORRECTNESS: REQUIREMENTS: Julie O. Bru City Attorney Calvin Ellis, Director Department of Risk Management 8 ATTEST: "TRUST" Public Health Trust of Miami -Dade County, Florida, an agency and Instrumentality of Miami -Dade County, Florida By: By: Print Name: Title: Print Name: Title: APPROVED AS TO FORM AND LEGAL SUFFICIENCY BY THE MIAMI-DADE COUNTY ATTORNEY'S OFFICE APPROVED FOR SUFFICIENCY AS TO INSURANCE AND/OR LIABILITY BY RISK MANAGEMENT, JACKSON HEALTH SYSTEM By: By: Print Name: Print Name: Title: Title: This Agreement was authorized and approved by the Board of Trustees of the Public Health Trust of Miami -Dade County, Florida, pursuant to Trust Resolution No. PHT 9 EXHIBIT "A" REQUEST FOR PROPOSALS ("RFP") NO. 289267 10 Tag of 4i1EUami KENNETH ROBERTSON JOHNNY MARTINEZ, P.E. Chief Proem -molt Officer City Manager ADDENDUM NO. 1 RFP No. 289267 March 15, 2012 Request for Proposals (RFP) for Medical Direction Services for EMS TO: ALL PROSPECTIVE PROPOSERS: The following changes, additions, clarifications, and deletions amend the RFP documents of the above captioned RFP, and shall become an integral part of the Contract Documents. The remaining provisions are now in effect and remain unchanged. Please note the contents herein and reflect same on the documents you have on hand. QI : Please provide a list of interested vendors for this RFP. Al: In addition to this RFP being publicly noticed in three (3) newspapers of general circulation, the following additional potential Proposers received an electronic notification via the City's Oracle system: 6 D.O.F. Consultants LLC Basil Mangra MD PA Center for Disease Detection, Concentra JMB BioMed International Las Mercedes Medical Center Laurel Medical Management Group Managed Medical Equipment, Inc Metro Dade Firefighters Wellness . Risk & Insurance Management Services Jackson Memorial Hospital Baptist Health South Florida Mercy Medical Development Inc Metropolitan Health Comm Sery Mount Sinai Medical Center Larkin Community Hospital Kendall Regional Medical Center Miami Beach Community Health Center North Shore Medical Center Palmetto General Hospital Aventura Hospital & Medical Center University of Miami Miller School of Medicine Medical Staffing Network CityCare Health Inc Inphynete South Broward Inc.° ALL OTHER TERMS AND CONDITIONS OF THE RFP REMAIN THE SAME. Sincerely, v Kenneth Robertson Director/Chief Procurement Officer KR/ yg Cc: RFP File Page 1 City of Miami Request for Proposals (RFP) Purchasing Department Miami Riverside Center 444 SW 2nd Avenue, 6th Floor Miami, Florida 33130 Web Site Address: http://ci.miami.fl.us/procurement RFP Number: Title: Issue Date/Time: RFP Closing Date/Time: Pre -Bid Conference: Pre -Bid Date/Time: Pre -Bid Location: Deadline for Request for Clarification: Buyer: Hard Copy Submittal Location: Buyer E-Mail Address: Buyer Facsimile: 289267 Medical Direction Services for EMS 01-MAR-2012 03/23/2012 @ 14:00:00 None Monday, March 12, 2012 at 5:00 PM Gonzalez, Yusbel City of Miami - City Clerk 3500 Pan American Drive Miami FL 33133 US YGonzalez@ci.miami.fl.us (305) 400-5104 Page 1 of 45 Certification Statement Please quote on this form, if applicable, net prices for the item(s) listed. Return signed original and retain a copy for your files. Prices should include all costs, including transportation to destination. The City reserves the right to accept or reject all or any part of this submission. Prices should be firm for a minimum of 180 days following the time set for closing of the submissions. In the event of errors in extension of totals, the unit prices shall govern in determining the quoted prices. We (I) certify that we have read your solicitation, completed the necessary documents, and propose to furnish and deliver, F.O.B. DESTINATION, the items or services specified herein. The undersigned hereby certifies that neither the contractual party nor any of its principal owners or personnel have been convicted of any of the violations, or debarred or suspended as set in section 18-107 or Ordinance No. 12271. All exceptions to this submission have been documented in the section below (refer to paragraph and section) . EXCEPTIONS: We (I) certify that any and all information contained in this submission is true; and we (I) further certify that this submission is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a submission for the same materials, supplies, equipment, or service, and is in all respects fair and without collusion or fraud. We (I) agree to abide by all terms and conditions of this solicitation and certify that I am authorized to sign this submission for the submitter. Please print the following and sign your name: SUPPLIER NAME. ADDRESS - PHONE: FAX - EMAIL: BEEPER: SIGNED BY- TITLE: DATE. FAILURE TO COMPLETE. SIGN. AND RETURN THIS FORM SHALL DISQUALIFY THIS BID. Page 2of45 Certifications Legal Name of Firm: Entity Type: Partnership, Sole Proprietorship, Corporation, etc. Year Established: Office Location: City of Miami, Miami -Dade County, or Other Occupational License/Business Tax Receipt Number: Occupational License/Business Tax Receipt Issuing Agency: Occupational License/Business Tax Receipt Expiration Date: Respondent certifies that (s) he has read and understood the provisions of City of Miami Ordinance No. 10032 (Section 18-110 of the City Code) pertaining to the implementation of a "First Source Hiring Agreement.": (Yes or No) Do you expect to create new positions in your company in the event your company was awarded a Contract by the City? (Yes or No) In the event your answer to question above is yes, how many new positions would you create to perform this work? Please list the title, rate of pay, summary of duties, number of positions, and expected length or duration of all new positions which might be created as a result of this award of a Contract. Please list and acknowledge all addendum/addenda received. List the addendum/addenda number and date of receipt (i.e. Addendum No. 1, 7/1/12). If no addendum/addenda was/were issued, please insert N/A. Page 3 of 45 Page 4 of 45 Line: 1 Description: PROSPECTIVE PROPOSERS ARE NOT REQUIRED TO ENTER A PRICE IN THIS LINE. PROPOSER SHALL SUBMIT A COMPENSATION PROPOSAL AS INDICATED IN SECTION 4 OF THIS RFP, ENTITLED "SUBMISSION REQUIREMENTS". Category: 94874-49 Unit of Measure: Dollar Unit Price: $ Number of Units: Total: $ Page 5 of 45 Request for Proposals (RFP) 289267 Table of Contents Terms and Conditions 7 1. General Conditions 7 1.1. GENERAL TERMS AND CONDITIONS 7 2. Special Conditions 28 2.1. PURPOSE 28 2.2. DEADLINE FOR RECEIPT OF REQUEST FOR ADDITIONAL INFORMATION/CLARIFICATION 28 2.3. TERM OF CONTRACT 28 2.4. CONDITIONS FOR RENEWAL 28 2.5. NON -APPROPRIATION OF FUNDS 28 2.6. PROPOSER MINIMUM QUALIFICATIONS 28 2.7. PRE-BID/PRE-PROPOSAL CONFERENCE 29 2.8. CONTRACT EXECUTION 29 2.9. FAILURE TO PERFORM 29 2.10. INSURANCE REQUIREMENTS 30 2.11. CONTRACT ADMINISTRATOR 31 2.12. TERMINATION 31 2.13. ADDITIONAL TERMS AND CONDITIONS 32 2.14. PRIMARY CLIENT (FIRST PRIORITY) 32 2.15. UNAUTHORIZED WORK 32 2.16. CHANGES/ALTERATIONS 32 2.17. COMPENSATION PROPOSAL 33 2.18. EVALUATION/SELECTION PROCESS AND CONTRACT AWARD 33 2.19. ADDITIONAL SERVICES 34 2.20. RECORDS 34 2.21. TRUTH IN NEGOTIATION CERTIFICATE 34 3. Specifications 35 3.1. SPECIFICATIONS/SCOPE OF WORK 35 • 4. Submission Requirements 42 4.1. SUBMISSION REQUIREMENTS 42 5. Evaluation Criteria 45 5.1. EVALUATION CRITERIA 45 Page 6 of 45 Request for Proposals (RFP) 289267 Terms and Conditions 1. General Conditions 1.1. GENERAL TERMS AND CONDITIONS Intent: The General Terms and Conditions described herein apply to the acquisition of goods/equipment/services with an estimated aggregate cost of $25,000.00 or more. Definition: A formal solicitation is defined as issuance of an Invitation for Bids, Request for Proposals, Request for Qualifications, or Request for Letters of Interest pursuant to the City of Miami Procurement Code and/or Florida Law, as amended. Formal Solicitation and Solicitation shall be defined in the same manner herein. 1.1. ACCEPTANCE OF GOODS OR EQUIPMENT - Any good(s) or equipment delivered under this formal solicitation, if applicable, shall remain the property of the seller until a physical inspection and actual usage of the good is made, and thereafter is accepted as satisfactory to the City. It must comply with the terms herein and be fully in accordance with specifications and of the highest quality. In the event the goods/equipment supplied to the City are found to be defective or does not conform to specifications, the City reserves the right to cancel the order upon written notice to the Contractor and return the product to the Contractor at the Contractor's expense. 1.2. ACCEPTANCE OF OFFER - The signed or electronic submission of your solicitation response shall be considered an offer on the part of the bidder/proposer; such offer shall be deemed accepted upon issuance by the City of a purchase order. 1.3. ACCEPTANCE/REJECTION — The City reserves the right to accept or reject any or all responses or parts of after opening/closing date and request re -issuance on the goods/services described in the formal solicitation. In the event of such rejection, the Director of Purchasing shall notify all affected bidders/proposers and make available a written explanation for the rejection. The City also reserves the right to reject the response of any bidder/proposer who has previously failed to properly perform under the terms and conditions of a contract, to deliver on time contracts of a similar nature, and who is not in a position to perform the requirements defined in this formal solicitation. The City further reserves the right to waive any irregularities or minor informalities or technicalities in .any or all responses and may, at its discretion, re -issue this formal solicitation. 1.4. ADDENDA — It is the bidder's/proposer's responsibility to ensure receipt of all Addenda. Addenda are available at the City's website at: http://www.ci.miami.fl.us/procurement 1.5. ALTERNATE RESPONSES MAY BE CONSIDERED - The City may consider one (1) alternate response from the same Bidder/Proposer for the same formal solicitation; provided, that the alternate response offers a different product that meets or exceeds the formal solicitation requirements. In order for the City to consider an alternate response, the Bidder/Proposer shall complete a separate Price Sheet form and shall mark "Alternate Response". Alternate response shall be placed in the same response. This provision only applies to formal solicitations for the procurement of goods, services, items, equipment, materials, and/or supplies. 1.6. ASSIGNMENT - Contractor agrees not to subcontract, assign, transfer, convey, sublet, or otherwise dispose of the resulting Contract, or any or all of its right, title or interest herein, without City of Miami's prior written consent. 1.7. ATTORNEY'S FEES - In connection with any litigation, mediation and arbitration arising out of this Contract, each party shall bear their own attorney's fees through and including appellate litigation and any post judgment Page 7 of 45 Request for Proposals (RFP) 289267 proceedings. 1.8. AUDIT RIGHTS AND RECORDS RETENTION - The Successful Bidder/Proposer agrees to provide access at all reasonable times to the City, or to any of its duly authorized representatives, to any books, documents, papers, and records of Contractor which are directly pertinent to this formal solicitation, for the purpose of audit, examination, excerpts, and transcriptions. The Successful Bidder/Proposer shall maintain and retain any and all of the books, documents, papers and records pertinent to the Contract for three (3) years after the City makes final payment and all other pending matters are closed. Contractor's failure to or refusal to comply with this condition shall result in the immediate cancellation of this contract by the City. 1.9. AVAILABILITY OF CONTRACT STATE-WIDE - Any Governmental, not -for -profit or quasi -governmental entity in the State of Florida, may avail itself of this contract and purchase any and all goods/services, specified herein from the successful bidder(s)/proposer(s) at the contract price(s) established herein, when permissible by federal, state, and local laws, rules, and regulations. Each Governmental, not -for -profit or quasi -governmental entity which uses this formal solicitation and resulting bid contract or agreement will establish its own contract/agreement, place its own orders, issue its own purchase orders, be invoiced there from and make its own payments, determine shipping terms and issue its own exemption certificates as required by the successful bidder(s)/proposer(s). 1.10. AWARD OF CONTRACT: A. The Formal Solicitation, Bidder's/Proposer's response, any addenda issued, and the purchase order shall constitute the entire contract, unless modified in accordance with any ensuing contract/agreement, amendment or addenda. B. The award of a contract where there are Tie Bids will be decided by the Director of Purchasing or designee in the instance that Tie Bids can't be determined by applying Florida Statute 287.087, Preference to Businesses with Drug -Free Workplace Programs. C. The award of this contract may be preconditioned on the subsequent submission of other documents as specified in the Special Conditions or Technical Specifications. Bidder/Proposer shall be in default of its contractual obligation if such documents are not submitted in a timely manner and in the form required by the City. Where Bidder/Proposer is in default of these contractual requirements, the City, through action taken by the Purchasing Department, will void its acceptance of the Bidder's/Proposer's Response and may accept the Response from the next lowest responsive, responsible Bidder or Proposal most advantageous to the City or re -solicit the City's requirements. The City, at its sole discretion, may seek monetary restitution from Bidder/Proposer and its bid/proposal bond or guaranty, if applicable, as a result of damages or increased costs sustained as a result of the Bidder's/Proposer's default. D. The term of the contract shall be specified in one of three documents which shall be issued to the successful Bidder/Proposer. These documents may either be a purchase order, notice of award and/or contract award sheet. E. The City reserves the right to automatically extend this contract for up to one hundred twenty (120) calendar days beyond the stated contract term in order to provide City departments with continual service and supplies while a new contract is being solicited, evaluated, and/or awarded. If the right is exercised, the City shall notify the Bidder/Proposer, in writing, of its intent to extend the contract at the same price, terms and conditions for a specific number of days. Additional extensions over the first one hundred twenty (120) day extension may occur, if, the City and the Successful Bidder/Proposer are in mutual agreement of such extensions. F. Where the contract involves a single shipment of goods to the City, the contract term shall conclude upon completion of the expressed or implied warranty periods. Page 8 of 45 Request for Proposals (RFP) 289267 G. The City reserves the right to award the contract on a split -order, lump sum or individual -item basis, or such combination as shall best serve the interests of the City unless otherwise specified. H. A Contract/Agreement may be awarded to the Bidder/Proposer by the City Commission based upon the minimum qualification requirements reflected herein. As a result of a RFP, RFQ, or RFLI, the City reserves the right to execute or not execute, as applicable, an Agreement with the Proposer, whichever is determined to be in the City's best interests. Such agreement will be furnished by the City, will contain certain terms as are in the City's best interests, and will be subject to approval as to legal form by the City Attorney. 1.11. BID BOND/ BID SECURITY - A cashier's or certified check, or a Bid Bond signed by a recognized surety company that is licensed to do business in the State of Florida, payable to the City of Miami, for the amount bid is required from all bidders/proposers, if so indicated under the Special Conditions. This check or bond guarantees that a bidder/proposer will accept the order or contract/agreement, as bid/proposed, if it is awarded to bidder/proposer. Bidder/Proposer shall forfeit bid deposit to the City should City award contract/agreement to Bidder/Proposer and Bidder/Proposer fails to accept the award. The City reserves the right to reject any and all surety tendered to the City. Bid deposits are returned to unsuccessful bidders/proposers within ten (10) days after the award and successful bidder's/proposer's acceptance of award. If sixty (60) days have passed after the date of the formal solicitation closing date, and no contract has been awarded, all bid deposits will be returned on demand. 1.12. RESPONSE FORM (HARDCOPY FORMAT) - All forms should be completed, signed and submitted accordingly. 1.13. BID SECURITY FORFEITED LIQUIDATED DAMAGES - Failure to execute an Agreement and/or file an acceptable Performance Bond, when required, as provided herein, shall be just cause for the annulment of the award and the forfeiture of the Bid Security to the City, which forfeiture shall be considered, not as a penalty. but in mitigation of damages sustained. Award may then be made to the next lowest responsive, responsible Bidder or Proposal most advantageous to the City or all responses may be rejected. 1.14. BRAND NAMES - If and wherever in the specifications brand names, makes, models, names of any manufacturers, trade names, or bidder/proposer catalog numbers are specified, it is for the purpose of establishing the type, function, minimum standard of design, efficiency, grade or quality of goods only. When the City does not wish to rule out other competitors' brands or makes, the phrase "OR EQUAL" is added. When bidding/proposing an approved equal, Bidders/Proposers will submit, with their response, complete sets of necessary data (factory information sheets, specifications, brochures, etc.) in order for the City to evaluate and determine the equality of the item(s) bid/proposed. The .City shall be the sole judge of equality and its decision shall be final. Unless otherwise specified, evidence in the form of samples may be requested if the proposed brand is other than specified by the City. Such samples are to be furnished after formal solicitation opening/closing only upon request of the City. If samples should be requested, such samples must be received by the City no later than seven (7) calendar days after a formal request is made. . 1.15. CANCELLATION - The City reserves the right to cancel all formal solicitations before its opening/closing. In the event of bid/proposal cancellation, the Director of -Purchasing shall notify all prospective bidders/proposers and make available a written explanation for the cancellation. 1.16. CAPITAL EXPENDITURES - Contractor understands that any capital expenditures that the firm makes, or prepares to make, in order to deliver/perform the goods/services required by the City, is a business risk which the contractor must assume. The City will not be obligated to reimburse amortized or unamortized capital expenditures, or to maintain the approved status of any contractor. If contractor has been unable to recoup its capital expenditures during the time it is rendering such goods/services, it shall not have any claim upon the City. 1.17. CITY NOT LIABLE FOR DELAYS - It is further expressly agreed that in no event shall the City be liable Page 9 of 45 Request for Proposals (RFP) 289267 for, or responsible to, the Bidder/Proposer/Consultant, any sub-contractor/sub-consultant, or to any other person for, or on account of, any stoppages or delay in the work herein provided for by injunction or other legal or equitable proceedings or on account of any delay for any cause over which the City has no control. 1.18. COLLUSION —Bidder/Proposer, by submitting a response, certifies that its response is made without previous understanding, agreement or connection either with any person, firm or corporation submitting a response for the same items/services or with the City of Miami's Purchasing Department or initiating department. The Bidder/Proposer certifies that its response is fair, without control, collusion, fraud or other illegal action. Bidder/Proposer certifies that it is in compliance with the Conflict of Interest and Code of Ethics Laws. The City will investigate all potential situations where collusion may have occurred and the City reserves the right to reject any and all bids/responses where collusion may have occurred. 1.19. COMPLIANCE WITH FEDERAL; STATE AND LOCAL LAWS - Contractor understands that contracts between private entities and local governments are subject to certain laws and regulations, including laws pertaining to public records, conflict of interest, records keeping, etc. City and Contractor agree to comply with and observe all applicable laws, codes and ordinances as that may in any way affect the goods or equipment offered, including but not limited to: A. Executive Order 11246, which prohibits discrimination against any employee, applicant, or client because of race, creed, color, national origin, sex, or age with regard to, but not limited to, the following: employment practices, rate of pay or other compensation methods, and training selection. B. Occupational, Safety and Health Act (OSHA), as applicable to this Formal Solicitation. C. The State of Florida Statutes, Section 287.133(3) (A) on Public Entity Crimes. D. Environment Protection Agency (EPA), as applicable to this Formal Solicitation. E. Uniform Commercial Code (Florida Statutes, Chapter 672). F. Americans with Disabilities Act of 1990, as amended. G. National Institute of Occupational Safety Hazards (NIOSH), as applicable to this Formal Solicitation. H. National Forest Products Association (NFPA), as applicable to this Formal Solicitation. I. City Procurement Ordinance City Code Section 18, Article III. J. Conflict of Interest, City Code Section 2-611;61. K. Cone of Silence, City Code Section 18-74. L. The Florida Statutes Sections 218.73 and 218.74 on Prompt Payment. M. First Source Hiring Agreement, City Ordinance No. 10032, as applicable to this Formal Solicitation. Implemented to foster the creation of new and permanent jobs for City of Miami residents; requires as a condition precedent to the execution of service contracts including professional services. Lack of knowledge by the bidder/proposer will in no way be a cause for relief from responsibility. Non-compliance with all local, state, and federal directives, orders, and laws may be considered grounds for termination of contract(s). Copies of the City Ordinances may be obtained from the City Clerk's Office. 1.20. CONE OF SILENCE - Pursuant to Section 18-74 of the City of Miami Code, a "Cone of Silence" is imposed upon each RFP, RFQ, RFLI, or IFB after advertisement and terminates at the time the City Manager issues a written Page 10 of 45 Request for Proposals (RFP) 289267 recommendation to the Miami City Commission. The Cone of Silence shall be applicable only to Contracts for the provision of goods and services and public works or improvements for amounts greater than $200,000. The Cone of Silence prohibits any communication regarding RFPs, RFQs, RFLI or IFBs (bids) between, among others: Potential vendors, service providers, bidders, lobbyists or consultants and the City's professional staff including, but not limited to, the City Manager and the City Manager's staff; the Mayor, City Commissioners, or their respective staffs and any member of the respective selection/evaluation committee. • The provision does not apply to, among other communications: oral communications with the City purchasing staff, provided the communication is limited strictly to matters of process or procedure already contained in the formal solicitation document; the provisions of the Cone of Silence do not apply to oral communications at duly noticed site visits/inspections, pre -proposal or pre -bid conferences, oral presentations before selection/evaluation committees, contract negotiations during any duly noticed public meeting, or public presentations made to the Miami City Commission during a duly noticed public meeting; or communications in writing or by email at any time with any City employee, official or member of the City Commission unless specifically prohibited by the applicable RFP, RFQ, RFLI or IFB (bid) documents (See Section 2.2. of the Special Conditions); or communications in connection with the collection of industry comments or the performance of market research regarding a particular RFP, RFQ, RFLI OR IFB by City Purchasing staff. Proposers or bidders must file a copy of any written communications with the Office of the City Clerk, which shall be made available to any person upon request. The City shall respond in writing and file a copy with the Office of the City Clerk, which shall be made available to any person upon request. Written communications may be in the form of e-mail, with a copy to the Office of the City Clerk. In addition to any other penalties provided by law, violation of the Cone of Silence by any proposer or bidder shall render any award voidable. A violation by a particular Bidder, Proposer, Offeror, Respondent, lobbyist or consultant shall subject same to potential penalties pursuant to the City Code. Any person having personal knowledge of a violation of these provisions shall report such violation to the State Attorney and/or may file a complaint with the Ethics Commission. Proposers or bidders should reference Section 18-74 of the City of Miami Code for further clarification. This language is only a summary of the key provisions of the Cone of Silence. Please review City of Miami Code Section 18-74 for a complete and thorough description of the Cone of Silence. You may contact the City Clerk at 305-250-5360, to obtain a copy of same. 1.21. CONFIDENTIALITY - As a political subdivision, the City of Miami is subject to the Florida Sunshine Act and Public Records Law. If this Contract/Agreement contains a confidentiality provision, it shall have no application when disclosure is required by Florida law or upon court order. 1.22. CONFLICT OF INTEREST — Bidders/Proposers, by responding to this Formal Solicitation, certify that to the best of their knowledge or belief, no elected/appointed official or employee of the City of Miami is financially interested, directly or indirectly, in the purchase of goods/services specified in this Formal Solicitation. Any such interests on the part of the Bidder/Proposer or its employees must be disclosed in writing to the City. Further, you must disclose the name of any City employee who owns, directly or indirectly, an interest of five percent (5%) or more of the total assets of capital stock in your firm. A. Bidder/Proposer further agrees not to use or attempt to use any knowledge, property or resource which may be within his/her/its trust, or perform his/her/its duties, to secure a special privilege, benefit, or exemption for himself/herself/itself, or others. Bidder/Proposer may not disclose or use information not available to members of the general public and gained by reason of his/her/its position, except for information relating exclusively to governmental practices, for his/her/its personal gain or benefit or for the personal gain or benefit of any other person Page 11 of 45 Request for Proposals (RFP) 289267 or business entity. B. Bidder/Proposer hereby acknowledges that he/she/it has not contracted or transacted any business with the City or any person or agency acting for the City, and has not appeared in representation of any third party before any board, commission or agency of the City within the past two years. Bidder/Proposer further warrants that he/she/it is not related, specifically the spouse, son, daughter, parent, brother or sister, to: (i) any member of the commission; (ii) the mayor; (iii) any city employee; or (iv) any member of any board or agency of the City. C. A violation of this section may subject the Bidder/Proposer to immediate termination of any professional services agreement with the City, imposition of the maximum fine and/or any penalties allowed by law. Additionally, violations may be considered by and subject to action by the Miami -Dade County Commission on Ethics. • 1.23. COPYRIGHT OR PATENT RIGHTS — Bidders/Proposers warrant that there has been no violation of copyright or patent rights in manufacturing, producing, or selling the goods shipped or ordered and/or services provided as a result of this formal solicitation, and bidders/proposers agree to hold the City harmless from any and al] liability, loss, or expense occasioned by any such violation. 1.24. COST INCURRED BY BIDDER/PROPOSER - All expenses involved with the preparation and submission of Responses to the City, or any work performed in connection therewith shall be borne by the Bidder(s)/Proposer(s) . 1.25. DEBARMENT AND SUSPENSIONS (Sec 18-107) (a) Authority and requirement to debar and suspend. After reasonable notice to an actual or prospective Contractual Party, and after reasonable opportunity for such party to be heard, the City Manager, after consultation with the Chief Procurement Officer and the city attorney, shall have the authority to debar a Contractual Party, for the causes listed below, from consideration for award of city Contracts. The debarment shall be for a period of not fewer than three years. The City Manager shall also have the authority to suspend a Contractual Party from consideration for award of city Contracts if there is probable cause for debarment, pending the debarment determination. The authority to debar and suspend contractors shall be exercised in accordance with regulations which shall be issued by the Chief Procurement Officer after approval by the City Manager, the city attorney, and the City Commission. (b) Causes for debarment or suspension. Causes for debarment or suspension include the following: (1) Conviction for commission of a criminal offense incident to obtaining or attempting to obtain a public or private Contract or subcontract, or incident to the performance of such Contract or subcontract. (2) Conviction under state or federal statutes of embezzlement, theft, forgery, bribery, falsification or destruction of records, receiving stolen property, or any other offense indicating a lack of business integrity or business honesty. (3) Conviction under state or federal antitrust statutes arising out of the submission of Bids or Proposals. (4) Violation of Contract provisions, which is regarded by the Chief Procurement Officer to be indicative of nonresponsibility. Such violation may include failure without good cause to perform in accordance with the terms and conditions of a Contract or to perform within the time limits provided in a Contract, provided that failure to perform caused by acts beyond the control of a party shall not be, considered a basis for debarment or suspension. (5) Debarment or suspension of the Contractual Party by any federal, state or other governmental entity. Page 12 of 45 Request for Proposals (RFP) 289267 (6) False certification pursuant to paragraph (c) below. (7) Found in violation of a zoning ordinance or any other city ordinance or regulation and for which the violation remains noncompliant. (8) Found in violation of a zoning ordinance or any other city ordinance or regulation and for which a civil penalty or fine is due and owing to the city. (9) Any other cause judged by the City Manager to be so serious and compelling as to affect the responsibility of the Contractual Party performing city Contracts. (c) Certification. All Contracts for goods and services, sales, and leases by the city shall contain a certification that neither the Contractual Party nor any of its principal owners or personnel have been convicted of any of the violations set forth above or debarred or suspended as set forth in paragraph (b) (5). (d) Debarment and suspension decisions. Subject to the provisions of paragraph (a), the City Manager shall render a written decision stating the reasonsfor the debarment or suspension. A copy of the decision shall be provided promptly to the Contractual Party, along with a notice of said parry's right to seek judicial relief. 1.26. DEBARRED/SUSPENDED VENDORS —An entity or affiliate who has been placed on the State of Florida debarred or suspended vendor list may not submit a response on a contract to provide goods or services to a public entity, may not submit a response on a contract with a public entity for the construction or repair of a public building or public work, may not submit response on leases of real property to a public entity, may not award or perform work as a contractor, supplier, subcontractor, or consultant under contract with any public entity, and may not transact business with any public entity. 1.27. DEFAULT/FAILURE TO PERFORM - The City shall be the sole judge of nonperformance, which shall include any failure on the part of the successful Bidder/Proposer to accept the award, to furnish required documents, and/or to fulfill any portion of this contract within the time stipulated. Upon default by the successful Bidder/Proposer to meet any terms of this agreement, the City will notify the Bidder/Proposer of the default and will provide the contractor three (3) days (weekends and holidays excluded) to remedy the default. Failure on the contractor's part to correct the default within the required three (3) days shall result in the Contract being terminated and upon the City notifying in writing the contractor of its intentions and the effective date of the termination. The following shall constitute default: A. Failure to perform the work or deliver the goods/services required under the Contract and/or within the time required or failing to use the subcontractors, entities and personnel as identified and set forth, and to the degree specified in the Contract. B. Failure to begin the work under this Contract within the time specified. C. Failure to perform the work with sufficient workers and equipment or with sufficient materials to ensure timely completion. D. Neglecting or refusing to remove materials or perform new work where prior work has been rejected as nonconforming with the terms of the Contract. E. Becoming insolvent, being declared bankrupt, or committing any act of bankruptcy or insolvency, or making an assignment for the benefit of creditors, if the insolvency, bankruptcy, or assignment renders the successful Bidder/Proposer incapable of performing the work in accordance with and as required by the Contract. F. Failure to comply with any of the terms of the Contract in any material respect. Page 13 of 45 Request for Proposals (RFP) 289267 All costs and charges incurred by the City as a result of a default or a default incurred beyond the time limits stated, together with the cost of completing the work, shall be deducted from any monies due or which may become due on this Contract. 1.28. DETERMINATION OF RESPONSIVENESS - Each Response will be reviewed to determine if it is responsive to the submission requirements outlined in the Formal Solicitation. A "responsive" response is one which follows the requirements of the formal solicitation, includes all documentation, is submitted in the format outlined in the formal solicitation, is of timely submission, and has appropriate signatures as required on each document. Failure to comply with these requirements may deem a Response non -responsive. 1.29. DISCOUNTS OFFERED DURING TERM OF CONTRACT - Discount Prices offered in the response shall be fixed after the award by the Commission, unless otherwise specified in the Special Terms and Conditions. Price discounts off the original prices quoted in the response will be accepted from successful Bidder(s)/Proposer(s) during the term of the contract. Such discounts shall remain in effect for a minimum of 120 days from approval by the City Commission Any discounts offered by a manufacturer to Bidder/Proposer will be passed on to the City. 1.30. DISCREPANCIES, ERRORS, AND OMISSIONS - Any discrepancies, errors, or ambiguities in the Formal Solicitation or addenda (if any) should be reported in writing to the City's Purchasing Department. Should it be found necessary, a written addendum will be incorporated in the Formal Solicitation and will become part of the purchase agreement (contract documents). The City will not be responsible for any oral instructions, clarifications, or other communications. A. Order of Precedence — Any inconsistency in this formal solicitation shall be resolved by giving precedence to the following documents, the first of such list being the governing documents. 1) Addenda (as applicable) 2) Specifications 3) Special Conditions 4) General Terms and Conditions 1.31. EMERGENCY / DISASTER PERFORMANCE - In the event of a hurricane or other emergency or disaster situation, the successful vendor shall provide the City with the commodities/services defined within the scope of this formal solicitation at the price contained within vendor's response. Further, successful vendor shall deliver/perform for the city on a priority basis during such times of emergency. 1.32. ENTIRE BID CONTRACT OR AGREEMENT - The Bid Contract or Agreement consists of this City of Miami Formal Solicitation and specifically this General Conditions Section, Contractor's Response and any written agreement entered into by the City of Miami and Contractor in cases involving RFPs, RFQs, and RFLIs, and represents the entire understanding and agreement between the parties with respect to the subject matter hereof and supersedes all other negotiations, understanding and representations, if any, made by and between the parties. To the extent that the agreement conflicts with, modifies, alters or changes any of the terms and conditions contained in the Formal Solicitation and/or Response, the Formal Solicitation and then the Response shall control. This Contract may be modified only by a written agreement signed by the City of Miami and Contractor. 1.33. ESTIMATED QUANTITIES —Estimated quantities or estimated dollars are provided for your guidance only. No guarantee is expressed or implied as to quantities that will be purchased during the contract period. The City is not obligated to place an order for any given amount subsequent to the award of this contract. Said estimates may be used by the City for purposes of determining the low bidder or most advantageous proposer meeting specifications. The City reserves the right to acquire additional quantities at the prices bid/proposed or at lower prices in this Formal Solicitation. Page 14 of 45 Request for Proposals (RFP) 289267 1.34. EVALUATION OF RESPONSES A.Rejection of Responses The City may reject a Response for any of the following reasons: 1) Bidder/Proposer fails to acknowledge receipt of addenda; 2) Bidder/Proposer mistates or conceals any material fact in the Response ; 3) Response does not conform to the requirements of the Formal Solicitation; 4) Response requires a conditional award that conflicts with the method of award; 5) Response does not include required samples, certificates, licenses as required; and, 6) • Response was not executed by the authorized agent. The foregoing is not an all inclusive list of reasons for which a Response may be rejected. The City may reject and re -advertise for all or any part of the Formal Solicitation whenever it is deemed in the best interest of the City. B. Elimination From Consideration 1) A contract shall not be awarded to any person or firm which is in arrears to the City upon any debt or contract, or which is a defaulter as surety or otherwise upon any obligation to the City. 2) A contract may not be awarded to any person or firm which has failed to perform under the terms and conditions of any previous contract with the City or deliver on time contracts of a similar nature. 3) A contract may not be awarded to any person or firm which has been debarred by the City in accordance with the City's Debarment and Suspension Ordinance. C. Determination of Responsibility 1) Responses will only be considered from entities who are regularly engaged in the business of providing the goods/equipment/services required by the Formal Solicitation. Bidder/Proposer must be able to demonstrate a satisfactory record of performance and integrity; and, have sufficient financial, material, equipment, facility, personnel resources, and expertise to meet all contractual requirements. The terms "equipment and organization" as used herein shall be construed to mean a fully equipped and well established entity in line with the best industry practices in the industry as determined by the City. 2) The City may consider any evidence available regarding the financial, technical and other qualifications and abilities of a Bidder/Proposer, including past performance (experience) with the City or any other governmental entity in making the award. 3) The City may require the Bidder(s)/Proposer(s) to show proof that they have been designated as an authorized representative of a manufacturer or supplier which is the actual source of supply, if required by the Formal Solicitation. 1.35. EXCEPTIONS TO GENERAL AND/OR SPECIAL CONDITIONS OR SPECIFICATIONS - Exceptions to the specifications shall be listed on the Response and shall reference the section. Any exceptions to the General or Special Conditions shall be cause for the bid (IFB) to be considered non -responsive. It also may be cause for a RFP, RFQ, or RFLI to be considered non -responsive; and, if exceptions are taken to the terms and conditions of the resulting agreement it may lead to terminating negotiations. 1.36. F.O.B. DESTINATION - Unless otherwise specified in the Formal Solicitation, all prices quoted/proposed by the bidder/proposer must be F.O.B. DESTINATION, inside delivery, with all delivery costs and charges included in the bid/proposal price, unless otherwise specified in this Formal Solicitation. Failure to do so may be cause for Page 15 of 45 Request for Proposals (RFP) 289267 rejection of bid/proposal. 1.37. FIRM PRICES - The bidder/proposer warrants that prices, terms, and conditions quoted in its response will be firm throughout the duration of the contract unless otherwise specified in the Formal Solicitation. Such prices will remain firm for the period of performance or resulting purchase orders or contracts, which are to be performed or supplied over a period of time. 1.38. FIRST -SOURCE HIRING AGREEMENT (Sec. 18-110) (a) The Commission approves implementation of the first -source hiring agreement policy and requires as a condition precedent to the execution of service contracts for facilities, services, and/or receipt of grants and loans, for projects of a nature that create new jobs, the successful negotiation of first -source hiring agreements between the organization or individual receiving said contract and the authorized representative unless such an agreement is found infeasible by the city manager and such finding approved by the City Commission at a public hearing. (b) For the purpose of this section, the following terms, phrases, words and their derivations shall have the following meanings: Authorized representative means the Private Industry Council of South Florida/South Florida Employment and Training Consortium, or its successor as local recipient of federal and state training and employment funds. Facilities means all publicly financed projects, including but without limitation, unified development projects, municipal public works, and municipal improvements to the extent they are financed through public money services or the use of publicly owned property. Grants and loans means, without limitation, urban development action grants (UDAG), economic development agency construction loans, loans from Miami Capital Development, Incorporated, and all federal and state grants administered by the city. Service contracts means contracts for the procurement of services by the city which include professional services. Services includes, without limitation, public works improvements, facilities, professional services, commodities, supplies, materials and equipment. (c) The authorized representative shall negotiate each first -source hiring agreement. (d) The primary beneficiaries of the first -source hiring agreement shall be participants of the city training and employment programs, and other residents of the city. 1.39. FLORIDA MINIMUM WAGE - The Constitution of the State of Florida, Article X, Section 24, states that employers shall pay employee wages no less than the minimum wage for all hours worked in Florida. Accordingly, it is the contractor's and its' subcontractor(s) responsibility to understand and comply with this Florida constitutional minimum wage requirement and pay its employees the current established hourly minimum wage rate, which is subject to change or adjusted by the rate of inflation using the consumer price index for urban wage earners and clerical workers, CPI-W, or a successor index as calculated by the United States Department of Labor. Each adjusted minimum wage rate calculated shall be determined and published by the Agency Workforce Innovation on September 30th of each year and take effect on the following January 1st. At the time of responding, it is bidder/proposer and his/her subcontractor(s), if applicable, full responsibility to determine whether any of its employees may be impacted by this Florida Law at any given point in time during the term of the contract. If impacted, bidder/proposer must furnish employee name(s), job title(s), job description(s), and current pay rate(s). Failure to submit this information at the time of submitting a response constitute successful bidder's/proposer's acknowledgement and understanding that the Florida Minimum Wage Law will not impact its prices throughout the term of contract and waiver of any contractual price increase request(s). The City reserves the Page 16 of 45 Request for Proposals (RFP) 289267 right to request and successful bidder/proposer must provide for any and all information to make a wage and contractual price increase(s) determination. 1.40. GOVERNING LAW AND VENUE - The validity and effect of this Contract shall be governed by the laws of the State of Florida. The parties agree that any action, mediation or arbitration arising out of this Contract shall take place in Miami -Dade County, Florida. 1.41. HEADINGS AND TERMS - The headings to the various paragraphs of this Contract have been inserted for convenient reference only and shall not in any manner be construed as modifying, amending or affecting in any way the expressed terms and provisions hereof. 1.42. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPPA) - Any person or entity that performs or assists the City of Miami with -a function or activity involving the use or disclosure of "individually identifiable health information (IIHI) and/or Protected Health Information (PHI) shall comply with the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the City of Miami Privacy Standards. HIPAA mandates for privacy, security and electronic transfer standards, which include but are not limited to: A. Use of information only for performing services required by the contract or as required by law; B. Use of appropriate safeguards to prevent non -permitted disclosures; C. Reporting to the City of Miami of any non -permitted use or disclosure; D. Assurances that any agents and subcontractors agree to the same restrictions and conditions that apply to the Bidder/Proposer and reasonable assurances that IIHUPHI will be held confidential; E. Making Protected Health Information (PHI) available to the customer; F. Making PHI available to the customer for review and amendment; and incorporating any amendments requested by the customer; G. Making PHI available to the City of Miami for an accounting of disclosures; and H. Making internal practices, books and records related to PHI available to the City of Miami for compliance audits. PHI shall maintain its protected status regardless of the form and method of transmission (paper records, and/or electronic transfer of data). The Bidder/ Proposer must give its customers written notice of its privacy information practices including specifically, a description of the types of uses and disclosures that would be made with protected health information. 1.43. INDEMNIFICATION - Contractor shall indemnify , hold harmless and defend the City, its officials, officers, agents, directors, and employees, from liabilities, damages, losses, and costs, including, but not limited to reasonable attorney's fees, to the extent caused by the negligence, recklessness or intentional wrongful misconduct of Contractor and persons employed or utilized by Contractor in the performance of this Contract and will indemnify, hold harmless and defend the City, its officials, officers, agents, directors and employees against, any civil actions, statutory or similar claims, injuries or damages arising or resulting from the permitted work, even if it is alleged that the City, its officials and/or employees were negligent. These indemnifications shall survive the term of this Contract. In the event that any action or proceeding is brought against City by reason of any such claim or demand, Contractor shall, upon written notice from City, resist and defend such action or proceeding by counsel satisfactory to City. The Contractor expressly understands and agrees that any insurance protection required by this Contract or otherwise provided by Contractor shall in no way limit the responsibility to indemnify, keep and save harmless and defend the City or its officers, employees, agents and instrumentalities as herein provided. The indemnification provided above shall obligate Contractor to defend at its own expense to and through appellate, supplemental or bankruptcy proceeding, or to provide for such defense, at City's option, any and all claims of Page 17 of 45 Request for Proposals (RFP) 289267 liability and all suits and actions of every name and description which may be brought against City whether performed by Contractor, or persons employed or utilized by Contractor. This indemnity will survive the cancellation or expiration of the Contract. This indemnity will be interpreted under the laws of the State of Florida, including without limitation and which conforms to the limitations of §725.06 and/or §725.08, Fla. Statues, as amended from time to time as applicable. Contractor shall require all Sub -Contractor agreements to include a provision that they will indemnify the City. The Contractor agrees and recognizes that the City shall not be held liable or responsible for any claims which may result from any actions or omissions of the Contractor in which the City participated either through review or concurrence of the Contractor's actions. In reviewing, approving or rejecting any submissions by the Contractor or other acts of the Contractor, the City in no way assumes or shares any responsibility or liability of the Contractor or Sub -Contractor, under this Agreement. 1.44. INFORMATION AND DESCRIPTIVE LITERATURE -Bidders/Proposer must furnish all information requested in the spaces provided in the Formal Solicitation. Further, as may be specified elsewhere, each Bidder/Proposer must submit for evaluation, cuts, sketches, descriptive literature, technical specifications, and Material Safety Data Sheets (MSDS)as required, covering the products offered. Reference to literature submitted with a previous response or on file with the Buyer will not satisfy this provision. 1.45. INSPECTIONS - The City may, at reasonable times during the term hereof, inspect Contractor's facilities and perform such tests, as the City deems reasonably necessary, to determine whether the goods and/or services required to be provided by the Contractor under this Contract conform to the terms and conditions of the Formal Solicitation. Contractor shall make available to the City all reasonable facilities and assistance to facilitate the performance of tests or inspections by City representatives. All tests and inspections shall be subject to, and made in accordance with, the provisions of the City of Miami Ordinance No. 12271 (Section 18-79), as same may be amended or supplemented from time to time. 1.46. INSPECTION OF RESPONSE - Responses received by the City pursuant to a Formal Solicitation will not be made available until such time as the City provides notice of a decision or intended decision or within 30 days after bid closing, whichever is earlier. Bid/Proposal results will be tabulated and may be fumished upon request via fax or e-mail to the Sr. Procurement Specialist issuing the Solicitation. Tabulations also are available on the City's Web Site following recommendation for award. 1.47. INSURANCE - Within ten (10) days after receipt of Notice of Award, the successful Contractor, shall furnish Evidence of Insurance to the Purchasing Department, if applicable. Submitted evidence of coverage shall demonstrate strict compliance to all requirements listed on the Special Conditions entitled "Insurance Requirements". The City shall be listed as an "Additional Insured." Issuance of a Purchase Order is contingent upon the receipt of proper insurance documents. If the insurance certificate is received within the specified time frame but not in the manner prescribed in this Solicitation the Contractor shall be verbally notified of such deficiency and shall have an additional five (5) calendar days to submit a corrected certificate to the City. If the Contractor fails to submit the required insurance documents in the manner prescribed in this Solicitation within fifteen (15) calendar days after receipt Notice of Award, the contractor shall be in default of the contractual terms and conditions and shall not be awarded the contract. Under such circumstances, the Bidder/Proposer may be prohibited from submitting future responses to the City. Information regarding any insurance requirements shall be directed to the Risk Administrator, Department of Risk Management, at 444 SW 2nd Avenue, 9th Floor, Miami, Florida 33130, 305-416-1604. The Bidder/Proposer shall be responsible for assuring that the insurance certificates required in conjunction with this Section remain in effect for the duration of the contractual period; including any and all option terms that may be Page 18 of 45 Request for Proposals (RFP) 289267 granted to the Bidder/Proposer. 1.48. INVOICES - Invoices shall contain purchase order number and details of goods and/or services delivered (i.e. quantity, unit price, extended price, etc); and in compliance with Chapter 218 of the Florida Statutes (Prompt Payment Act). 1.49. LOCAL PREFERENCE A. City Code Section 18-85, states, "when a responsive, responsible non -local bidder submits the lowest bid price, and the bid submitted by one or more responsive, responsible local bidders who maintain a local office, as defined in Section 18-73, is within fifteen percent (15%) of the price submitted by the non -local bidder, then that non -local bidder and each of the aforementioned responsive, responsible local bidders shall have the opportunity to submit a best and final bid equal to or lower than the amount of the low bid previously submitted by the non -local bidder. Contract award shall be made to the lowest responsive, responsible bidder submitting the lowest best and final bid. In the case of a tie in the best and final bid between a local bidder and a non -local bidder, contract award shall be made to the local bidder." B. City Code Section 18-86, states, "the RFP, RFLI or RFQ, as applicable, may, in the exercise of the reasonable professional discretion of the City Manager, director of the using agency, and the Chief Procurement Officer, include a five (5%) percent evaluation criterion in favor of proposers who maintain a local office, as defined in Section 18-73. In such cases, this five (5%) percent evaluation criterion in favor of proposers who maintain a local office will be specifically defined in the RFP, RFLI or RFQ, as applicable; otherwise, it will not apply. 1.50. MANUFACTURER'S CERTIFICATION - The City reserves the right to request from bidders/proposers a separate Manufacturer's Certification of all statements made in the bid/proposal. Failure to provide such certification may result in the rejection of bid/proposal or termination of contract/agreement, for which the bidder/proposer must bear full liability. 1.51. MODIFICATIONS OR CHANGES IN PURCHASE ORDERS AND CONTRACTS - No contract or understanding to modify this Formal Solicitation and resultant purchase orders or contracts, if applicable, shall be binding upon the City unless made in writing by the Director of Purchasing of the City of Miami, Florida through the issuance of a change order, addendum, amendment, or supplement to the contract, purchase order or award sheet as appropriate. 1.52. NO PARTNERSHIP OR JOINT VENTURE - Nothing contained in this Contract will be deemed or construed to create a partnership or joint venture between the. City of Miami and Contractor, or to create any other similar relationship between the parties. 1.53. NONCONFORMANCE TO CONTRACT CONDITIONS - Items may be tested for compliance with specifications under the direction of the Florida Department of Agriculture and Consumer Services or by other appropriate testing Laboratories as determined by the City. The data derived from any test for compliance with specifications is public record and open to examination thereto in accordance with Chapter 119, Florida Statutes. Items delivered not conforming to specifications may be rejected and returned at Bidder's/Proposer's expense. These non -conforming items not delivered as per delivery date in the response and/or Purchase Order may result in bidder/proposer being found in default in which event any and all re -procurement costs may be charged against the defaulted contractor. Any violation of these stipulations may also result in the supplier's name being removed from the City of Miami's Supplier's list. 1.54. NONDISCRIMINATION —Bidder/Proposer agrees that it shall not discriminate as to race, sex, color, age, religion, national origin, marital status, or disability in connection with its performance under this formal solicitation. Furthermore, Bidder/Proposer agrees that no otherwise qualified individual shall solely by reason of Page 19 of 45 Request for Proposals (RFP) 289267 his/her race, sex, color, age, religion, national origin, marital status or disability be excluded from the participation in, be denied benefits of, or be subjected to, discrimination under any program or activity. In connection with the conduct of its business, including performance of services and employment of personnel, Bidder/Proposer shall not discriminate against any person on the basis of race, color, religion, disability, age, sex, marital status or national origin. All persons having appropriate qualifications shall be afforded equal opportunity for employment. 1.55. NON-EXCLUSIVE CONTRACT/ PIGGYBACK PROVISION - At such times as may serve its best interest, the City of Miami reserves the right to advertise for, receive, and award additional contracts for these herein goods and/or services, and to make use of other competitively bid (governmental) contracts, agreements, or other similar sources for the purchase of these goods and/or services as may be available. It is hereby agreed and understood that this formal solicitation does not constitute the exclusive rights of the successful bidder(s)/proposer(s) to receive all orders that may be generated by the City in conjunction with this Formal Solicitation. In addition, any and all commodities, equipment, and services required by the City in conjunction with construction projects are solicited under a distinctly different solicitation process and shall not be purchased under the terms, conditions and awards rendered under this solicitation, unless such purchases are determined to be in the best interest of the City. 1.56. OCCUPATIONAL LICENSE - Any person, firm, corporation or joint venture, with a business location in the City of Miami and is submitting a Response under this Formal Solicitation shall meet the City's Occupational License Tax requirements in accordance with Chapter 31.1, Article I of the City of Miami Charter. Others with a location outside the City of Miami shall meet their local Occupational License Tax requirements. A copy of the license must be submitted with the response; however, the City may at its sole option and in its best interest allow the Bidder/Proposer to supply the license to the City during the evaluation period, but prior to award. 1.57. ONE PROPOSAL - Only one (1) Response from an individual, firm, partnership, corporation or joint venture will be considered in response to this Formal Solicitation. When submitting an alternate response, please refer to the herein condition for "Alternate Responses May Be Considered". 1.58. OWNERSHIP OF DOCUMENTS - It is understood by and between the parties that any documents, records, files, or any other matter whatsoever which is given by the City to the successful Bidder/Proposer pursuant to this formal solicitation shall at all times remain the property of the City and shall not be used by the Bidder/Proposer for any other purposes whatsoever without the written consent of the City. 1.59. PARTIAL INVALIDITY - If any provision of this Contract or the application thereof to any person or circumstance shall to any extent be held invalid, then the remainder of this Contract or the application of such provision to persons or circumstances other than those as to which it is held invalid shall not be affected thereby, and each provision of this Contract shall be valid and enforced to the fullest extent permitted by law. 1.60. PERFORMANCE/PAYMENT BOND —A Contractor may be required to furnish a Performance/Payment Bond as part of the requirements of this Contract, in an amount equal to one hundred percent (100%) of the contract price. 1.61. PREPARATION OF RESPONSES (HARDCOPY FORMAT) —Bidders/Proposers are expected to examine the specifications, required delivery, drawings, and all special and general conditions. All bid/proposed amounts, if required, shall be either typewritten or entered into the space provided with ink. Failure to do so will be at the Bidder's/Proposer's risk. Page 20 of 45 Request for Proposals (RFP) 289267 A. Each Bidder/Proposer shall furnish the information required in the Formal Solicitation. The Bidder/Proposer shall sign the Response and print in ink or type the name of the Bidder/Proposer, address, and telephone number on the face page and on each continuation sheet thereof on which he/she makes an entry, as required. B. If so required, the unit price for each unit offered shall be shown, and such price shall include packaging, handling and shipping, and F.O.B. Miami delivery inside City premises unless otherwise specified. Bidder/Proposer shall include in the response all taxes, insurance, social security, workmen's compensation, and any other benefits normally paid by the Bidder/Proposer to its employees. If applicable, a unit price shall be entered in the "Unit Price" column for each item. Based upon estimated quantity, an extended price shall be entered in the "Extended Price" column for each item offered. In case of a discrepancy between the unit price and extended price, the unit price will be presumed correct. C. The Bidder/Proposer must state a definite time, if required, in calendar days for delivery of goods and/or services. D. The Bidder/Proposer should retain a copy of all response documents for future reference. E. All responses, as described, must be fully completed and typed or printed in ink and must be signed in ink with the firm's name and by an officer or employee having authority to bind the company or firm by his/her signature. Bids/Proposals having any erasures or corrections must be initialed in ink by person signing the response or the response may be rejected. F. Responses are to remain valid for at least 180 days. Upon award of a contract, the content of the Successful Bidder's/Proposer's response may be included as part of the contract, at the City's discretion. G. The City of Miami's Response Forms shall be used when Bidder/Proposer is submitting its response in hardcopy format. Use of any other forms will result in the rejection of the response. IF SUBMITTING HARDCOPY FORMAT, THE ORIGINAL AND THREE (3) COPIES OF THESE SETS OF FORMS, UNLESS OTHERWISE SPECIFIED, AND ANY REQUIRED ATTACHMENTS MUST BE RETURNED TO THE CITY OR YOUR RESPONSE MAY BE DEEMED NON -RESPONSIVE. 1.62. PRICE ADJUSTMENTS — Any price decrease effectuated during the contract period either by reason of market change or on the part of the contractor to other customers shall be passed on to the City of Miami. 1.63. PRODUCT SUBSTITUTES - In the event a particular awarded and approved manufacturer's product becomes unavailable during the term of the Contract, the Contractor awarded that item may arrange with the City's authorized representative(s) to supply a substitute product at the awarded price or lower, provided that a sample is approved in advance of delivery and that the new product meets or exceeds all quality requirements. 1.64. CONFLICT OF INTEREST, AND UNETHICAL BUSINESS PRACTICE PROHIBITIONS - Contractor represents and warrants to the City that it has not employed or retained any person or company employed by the City to solicit or secure this Contract and that it has not offered to pay, paid, or agreed to pay any person any fee, commission, percentage, brokerage fee, or gift of any kind contingent upon or in connection with, the award of this Contract. 1.65. PROMPT PAYMENT —Bidders/Proposers may offer a cash discount for prompt payment; however, discounts shall not be considered in determining the lowest net cost for response evaluation purposes. Bidders/Proposers are required to provide their prompt payment terms in the space provided on the Formal Solicitation. If no prompt payment discount is being offered, the Bidder/Proposer must enter zero (0) for the percentage discount to indicate no discount. If the Bidder/Proposer fails to enter a percentage, it is understood and agreed that the terms shall be 2% 20 days, effective after receipt of invoice or final acceptance by the City, Page 21 of 45 Request for Proposals (RFP) 289267 whichever is later. When the City is entitled to a cash discount, the period of computation will commence on the date of delivery, or receipt of a correctly completed invoice, whichever is later. If an adjustment in payment is necessary due to damage, the cash discount period shall commence on the date final approval for payment is authorized. If a discount is part of the contract, but the invoice does not reflect the existence of a cash discount, the City is entitled to a cash discount with the period commencing on the date it is determined by the City that a cash discount applies. Price discounts off the original prices quoted on the.Price Sheet will be accepted from successful bidders/proposers during the term of the contract. 1.66. PROPERTY - Property owned by the City of Miami is the responsibility of the City of Miami. Such property furnished to a Contractor for repair, modification, study, etc., shall remain the property of the City of Miami. Damages to such property occurring while in the possession of the Contractor shall be the responsibility of the Contractor. Damages occurring to such property while in route to the City of Miami shall be the responsibility of the Contractor. In the event that such property is destroyed or declared a total Loss, the Contractor shall be responsible for replacement value of the property at the current market value, less depreciation of the property, if any. 1.67. PROVISIONS BINDING - Except as otherwise expressly provided in the resulting Contract, all covenants, conditions and provisions of the resulting Contract shall be binding upon and shall inure to the benefit of the parties hereto and their respective heirs, legal representatives, successors and assigns. 1.68. PUBLIC ENTITY CRIMES - A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a response on a contract to provide any goods or services to a public entity, may not submit a response on a contract with a public entity for the construction or repair of a public building or public work, may not submit responses on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list. 1.69. PUBLIC RECORDS - Contractor understands that the public shall have access, at all reasonable times, to all documents and information pertaining to City contracts, subject to the provisions of Chapter 119, Florida Statutes, and City of Miami Code, Section 18, Article III, and agrees to allow access by the City and the public to all documents subject to disclosure under applicable law. Contractor's failure or refusal to comply with the provision of this section shall result in the immediate cancellation of this Contract by the City. 1.70. QUALITY OF GOODS, MATERIALS, SUPPLIES, PRODUCTS, AND EQUIPMENT - All materials used in the manufacturing or construction of supplies, materials, or equipment covered by this solicitation shall be new. The items bid/proposed must be of the latest make or model, of the best quality, and of the highest grade of workmanship, unless as otherwise specified in this Solicitation. 1.71. QUALITY OF WORK/SERVICES - The work/services performed must be of the highest quality and workmanship. Materials furnished to complete the service shall be new and of the highest quality except as otherwise specified in this Solicitation. 1.72. REMEDIES PRIOR TO AWARD (Sec. 18-106) - If prior to Contract award it is determined that a formal solicitation or proposed award is in violation of law, then the solicitation or proposed award shall be cancelled by the City Commission, the City Manager or the Chief Procurement Officer, as may be applicable, or revised to comply with the law. Page 22 of 45 Request for Proposals (RFP) 289267 1.73. RESOLUTION OF CONTRACT DISPUTES (Sec. 18-105) (a) Authority to resolve Contract disputes. The City Manager, after obtaining the approval of the city attorney, shall have the authority to resolve controversies between the Contractual Party and the city which arise under, or by virtue of, a Contract between them; provided that, in cases involving an amount greater than $25,000, the City Commission must approve the City Manager's decision. Such authority extends, without limitation, to controversies based upon breach of Contract, mistake, misrepresentation or lack of complete performance, and shall be invoked by a Contractual Party by submission of a protest to the City Manager. (b) Contract dispute decisions. If a dispute is not resolved by mutual consent, the City Manager shall promptly render a written report stating the reasons for the action taken by the City Commission or the City Manager which shall be final and conclusive. A copy of the decision shall be immediately provided to the protesting party, along with a notice of such party's right to seek judicial relief, provided that the protesting party shall not be entitled to such judicial relief without first having followed the procedure set forth in this section. 1.74. RESOLUTION OF PROTESTED SOLICITATIONS AND AWARDS (Sec. 18-104) (a) Right to protest. The following procedures shall be used for resolution of protested solicitations and awards except for purchases of goods, supplies, equipment, and services, the estimated cost of which does not exceed $25,000. Protests thereon shall be governed by the Administrative Policies and Procedures of Purchasing. 1.Protest of Solicitation. i. Any prospective proposer who perceives itself aggrieved in connection with the solicitation of a Contract may protest to the Chief Procurement Officer. A written notice of intent to file a protest shall be filed with the Chief Procurement Officer within three days after the Request for Proposals, Request for Qualifications or Request for Letters of Interest is published in a newspaper of general circulation. A notice of intent to file a protest is considered filed when received by the Chief Procurement Officer; or ii. Any prospective bidder who intends to contest the Solicitation Specifications or a solicitation may protest to the Chief Procurement Officer. A written notice of intent to file a protest shall be filed with the Chief Procurement Officer within three days after the solicitation is published in a newspaper of general circulation. A notice of intent to file a protest is considered filed when received by the Chief Procurement Officer. 2. Protest of Award. i. A written notice of intent to file a protest shall be filed with the Chief Procurement Officer within two days after receipt by the proposer of the notice of the City Manager's recommendation for award of Contract, which will be posted on the City of Miami Purchasing Department website, in the Supplier Corner, Current Solicitations and Notice of Recommendation of Award Section. The notice of the City Manager's recommendation can be found by selecting the details of the solicitation and is listed as Recommendation of Award Posting Date and Recommendation of Award To fields. If "various" is indicated in the Recommendation of Award To field, the Bidder/Proposer must contact the buyer for that solicitation to obtain the suppliers name. It shall be the responsibility of the Bidder/Proposer to check this section of the website daily after responses are submitted to receive the notice; or ii. Any actual Responsive and Responsible Bidder whose Bid is lower than that of the recommended bidder may protest to the Chief Procurement Officer. 'A written notice of intent to file a protest shall be filed with the Chief Procurement Officer within two days after receipt by the bidder of the notice of the city's determination of non responsiveness or non responsibility. The receipt by bidder of such notice shall be confirmed by the city by facsimile or electronic mail or U.S. mail, return receipt requested. A notice of intent to file a protest is considered filed when Page 23 of 45 Request for Proposals (RFP) 289267 received by the Chief Procurement Officer. iii. A written protest based on any of the foregoing must be submitted to the Chief Procurement Officer within five (5) days after the date the notice of protest was filed. A written protest is considered filed when received by the Chief Procurement Officer. The written protest may not challenge the relative weight of the evaluation criteria or the formula for assigning points in making an award determination. The written protest shall state with particularity the specific facts and law upon which the protest of the solicitation or the award is based, and shall include all pertinent documents and evidence and shall be accompanied by the required Filing Fee as provided in subsection (f). This shall form the basis for review of the written protest and no facts, grounds, documentation or evidence not contained in the protester's submission to the Chief Procurement Officer at the time of filing the protest shall be permitted in the consideration of the written protest. No time will be added to the above limits for service by mail. In computing any period of time prescribed or allowed by this section, the day of the act, event or default from which the designated period of time begins to run shall not be included. The last day of the period so computed shall be included unless it is a Saturday, Sunday or legal holiday in which event the period shall run until the end of the next day which is neither a Saturday, Sunday or legal holiday. Intermediate Saturdays, Sundays and legal holidays shall be excluded in the computation of the time for filing. (b) Authority to resolve protests. The Chief Procurement Officer shall have the authority, subject to the approval of the City Manager and the city attorney, to settle and resolve any written protest. The Chief Procurement Officer shall obtain the requisite approvals and communicate said decision to the protesting party and shall submit said decision to the City Commission within 30 days after he/she receives the protest. In cases involving more than $25,000, the decision of the Chief Procurement Officer shall be submitted for approval or disapproval thereof to the City Commission after a favorable recommendation by the city attorney and the City Manager. (c) Compliance with filing requirements. Failure of a party to timely file either the notice of intent to file a protest or the written protest, together with the required Filing Fee as provided in subsection (f), with the Chief Procurement Officer within the time provided in subsection (a), above, shall constitute a forfeiture of such party's right to file a protest pursuant to this section. The protesting party shall not be entitled to seek judicial relief without first having followed the procedure set forth in this section (d) Stay of Procurements during protests. Upon receipt of a written protest filed pursuant to the requirements of this section, the city shall not proceed further with the solicitation or with the award of the Contract until the protest is resolved by the Chief Procurement Officer or the City Commission as provided in subsection (b) above, unless the City Manager makes a written determination that the solicitation process or the Contract award must be continued without delay in order to avoid an immediate and serious danger to the public health, safety or welfare. (e) Costs. All costs accruing from a protest shall be assumed by the protestor. (f) Filing Fee. The written protest must be accompanied by a filing fee in the form of a money order or cashier's check payable to the city in an amount equal to one percent of the amount of the Bid or proposed Contract, or $5000.00, whichever is less, which filing fee shall guarantee the payment of all costs which may be adjudged against the protestor in any administrative or court proceeding. If a protest is upheld by the Chief Procurement Officer and/or the City Commission, as applicable, the filing fee shall be refunded to the protestor less any costs assessed under subsection (e) above. If the protest is denied, the filing fee shall be forfeited to the city in lieu of payment of costs for the administrative proceedings as prescribed by subsection (e) above. 1.75. SAMPLES - Samples of items, when required, must be submitted within the time specified at no expense to Page 24 of 45 Request for Proposals (RFP) 289267 the City. If not destroyed by testing, bidder(s)/proposer(s) will be notified to remove samples, at their expense, within 30 days after notification. Failure to remove the samples will result in the samples becoming the property of the City. 1.76. SELLING, TRANSFERRING OR ASSIGNING RESPONSIBILITIES - Contractor shall not sell, assign, transfer or subcontract at any time during the term of the Contract, or any part of its operations, or assign any portion of the performance required by this contract, except under and by virtue of written permission granted by the City through the proper officials, which may be withheld or conditioned, in the City's sole discretion. 1.77. SERVICE AND WARRANTY —When specified, the bidder/proposer shall define all warranty, service and replacements that will be provided. Bidders/Proposer must explain on the Response to what extent warranty and service facilities are available. A copy of the manufacturer's warranty, if applicable, should be submitted with your response. 1.78. SILENCE OF SPECIFICATIONS - The apparent silence of these specifications and any supplemental specification as to any detail or the omission from it of detailed description concerning any point shall be regarded as meaning that only the best commercial practices are to prevail and that only materials of first quality and correct type, size and design are to be used. All workmanship and services is to be first quality. All interpretations of these specifications shall be made upon the basis of this statement. If your firm has a current contract with the State of Florida, Department of General Services, to supply the items on this solicitation, the bidder/proposer shall quote not more than the contract price; failure to comply with this request will result in disqualification of bid/proposal. 1.79. SUBMISSION AND RECEIPT OF RESPONSES - Responses shall be submitted electronically via the Oracle System or responses may be submitted in hardcopy format to the City Clerk, City Hall, 3500 Pan American Drive, Miami, Florida 33133-5504, at or before, the specified closing date and time as designated in the IFB, RFP, RFQ, or RFLI. NO EXCEPTIONS. Bidders/Proposers are welcome to attend the solicitation closing; however, no award will be made at that time. A. Hardcopy responses shall be enclosed in a sealed envelope, box package. The face of the envelope, box or package must show the hour and date specified for receipt of responses, the solicitation number and title, and the name and return address of the Bidder/Proposer. Hardcopy responses not submitted on the requisite Response Forms may be rejected. Hardcopy responses received at any other location than the specified shall be deemed non -responsive. Directions to City Hall: FROM THE NORTH: I-95 SOUTH UNTIL IT TURNS INTO US1. US1 SOUTH TO 27TH AVE., TURN LEFT, PROCEED SOUTH TO SO. BAYSHORE DR. (3RD TRAFFIC LIGHT), TURN LEFT, 1 BLOCK TURN RIGHT ON PAN AMERICAN DR. CITY HALL IS AT THE END OF PAN AMERICAN DR. PARKING IS ON RIGHT. FROM THE SOUTH: US1 NORTH TO 27TH AVENUE, TURN RIGHT, PROCEED SOUTH TO SO. BAYSHORE DR. (3RD TRAFFIC LIGHT), TURN LEFT, 1 BLOCK TURN RIGHT ON PAN AMERICAN DR. CITY HALL IS AT THE END OF PAN AMERICAN DR. PARKING IS ON RIGHT. B. Facsimile responses will not be considered. C. Failure to follow these procedures is cause for rejection of bid/proposal. D. The responsibility for obtaining and submitting a response on or before the close date is solely and strictly the responsibility of Bidder/Proposer. The City of Miami is not responsible for delays caused by the United States mail Page 25 of 45 Request for Proposals (RFP) 289267 delivery or caused by any other occurrence. Responses received after the solicitation closing date and time will be returned unopened, and will not be considered for award. E. Late responses will be rejected. F. All responses are subject to the conditions specified herein. Those which do not comply with these conditions are subject to rejection. G. Modification of responses already submitted will be considered only if received at the City before the time and date set for closing of solicitation responses. All modifications must be submitted via the Oracle System or in writing. Once a solicitation closes (closed date and/or time expires), the City will not consider any subsequent submission which alters the responses. H. If hardcopy responses are submitted at the same time for different solicitations, each response must be placed in a separate envelope, box, or package and each envelope, box or package must contain the information previously stated in 1.82.A. 1.80. TAXES - The City of Miami is exempt from any taxes imposed by the State and/or Federal Government. Exemption certificates will be provided upon request. Notwithstanding, Bidders/Proposers should be aware of the fact that all materials and supplies which are purchased by the Bidder/Proposer for the completion of the contract is subject to the Florida State Sales Tax in accordance with Section 212.08, Florida Statutes, as amended and all amendments thereto and shall be paid solely by the Bidder/Proposer. 1.81. TERMINATION —The City Manager on behalf of the City of Miami reserves the right to terminate this contract by written notice to the contractor effective the date specified in the notice should any of the following apply: A. The contractor is determined by the City to be in breach of any of the terms and conditions of the contract. B. The City has determined that such termination will be in the best interest of the City to terminate the contract for its own convenience; C. Funds are not available to cover the cost of the goods and/or services. The City's obligation is contingent upon the availability of appropriate funds. 1.82. TERMS OF PAYMENT - Payment will be made by the City after the goods and/or services awarded to a Bidder/Proposer have been received, inspected, and found to comply with award specifications, free of damage or defect, and properly invoiced. No advance payments of any kind will be made by the City of Miami. Payment shall be made after delivery, within 45 days of receipt of an invoice and authorized inspection and acceptance of the goods/services and pursuant to Section 218.74, Florida Statutes and other applicable law. 1.83. TIMELY DELIVERY - Time will be of the essence for any orders placed as a result of this solicitation. The City reserves the right to cancel such orders, or any part thereof, without obligation, if delivery is not made within the time(s) specified on their Response. Deliveries are to be made during regular City business hours unless otherwise specified in the Special Conditions. 1.84. TITLE - Title to the goods or equipment shall not pass to the City until after the City has accepted the goods/equipment or used the goods, whichever comes first. 1.85.TRADE SECRETS EXECUTION TO PUBLIC RECORDS DISCLOSURE- All Responses submitted to the City are subject to public disclosure pursuant to Chapter 119, Florida Statutes. An exception may be made for Page 26 of 45 Request for Proposals (RFP) 289267 "trade secrets." If the Response contains information that constitutes a "trade secret", all material that qualifies for exemption from Chapter 119 must be submitted in a separate envelope, clearly identified as "TRADE SECRETS EXCEPTION," with your firm's name and the Solicitation number and title marked on the outside. Please be aware that the designation of an item as a trade secret by you may be challenged in court by any person. By your designation of material in your Response as a "trade secret" you agree to indemnify and hold harmless the City for any award to a plaintiff for damages, costs or attorney's fees and for costs and attomey's fees incurred by the City by reason of any legal action challenging your claim. 1.86. UNAUTHORIZED WORK OR DELIVERY OF GOODS- Neither the qualified Bidder(s)/Proposer(s) nor any of his/her employees shall perform any work or deliver any goods unless a change order or purchase order is issued and received by the Contractor. The qualified Bidder(s)/Proposer(s) shall not be paid for any work performed or goods delivered outside the scope of the contract or any work performed by an employee not otherwise previously authorized. 1.87. USE OF NAME - The City is not engaged in research for advertising, sales promotion, or other publicity purposes. No advertising, sales promotion or other publicity materials containing information obtained from this Solicitation are to be mentioned, or imply the name of the City, without prior express written permission of the City Manager or the City Commission. 1.88. VARIATIONS OF SPECIFICATIONS - For purposes of solicitation evaluation, bidders/proposers must indicate any variances from the solicitation specifications and/or conditions, no matter how slight. If variations are not stated on their Response, it will be assumed that the product fully complies with the City's specifications. Page 27of45 Request for Proposals (RFP) 289267 2. Special Conditions 2.1. PURPOSE The purpose of this Solicitation is to establish a contract, for Medical Direction Services for EMS, as specified herein, from a source(s) of supply that will give prompt and efficient service fully compliant with the terms, conditions and stipulations of the solicitation. 2.2. DEADLINE FOR RECEIPT OF REQUEST FOR ADDITIONAL INFORMATION/CLARIFICATION Any questions or clarifications concerning this solicitation shall be submitted by email or facsimile to the Purchasing Department, Attn: Yusbel. Gonzalez; fax: (305) 400-5104 or email: ygonzalez@ci.miami.fl.us. The solicitation title and number shall be referenced on all correspondence. All questions must be received no later than Monday, March 12, 2012 at 5:00 PM. All responses to questions will be sent to all prospective bidders/proposers in the form on an addendum. NO QUESTIONS WILL BE RECEIVED VERBALLY OR AFTER SAID DEADLINE. 2.3. TERM OF CONTRACT The proposer(s) qualified to provide the service(s) requested herein (the "Successful Proposer(s)") shall be required to execute a contract ("Contract") with the City, which shall include, but not be limited to, the following terms: (1) The term of the Contract(s) shall be for three (3) years with an option to renew for two (2) additional two (2) years periods. (2) The City shall have the option to extend or terminate the Contract. Continuation of the contract beyond the initial period is a City prerogative; not a right of the bidder/proposer. This prerogative will be exercised only when such continuation is clearly in the best interest of the City. 2.4. CONDITIONS FOR RENEWAL Each renewal of this contract is subject to the following: (1) Continued satisfactory performance compliance with the specifications, terms and conditions established herein. (2) Availability of funds 2.5. NON -APPROPRIATION OF FUNDS In the event no funds or insufficient funds are appropriated and budgeted or are otherwise unavailable in any fiscal period for payments due under this contract, then the City, upon written notice to Contractor or his assignee of such occurrence, shall have the unqualified right to terminate thecontract without any penalty or expense to the City. No guarantee, warranty or representation is made that any particular or any project(s) will be awarded to any firm(s). 2.6. PROPOSER MINIMUM QUALIFICATIONS Page 28 of 45 Request for Proposals (RFP) 289267 The following represent the minimum qualification requirements for a Proposer to be deemed responsive by the City, and Proposers shall satisfy each of the following minimum qualifications cited below. Each of these minimum qualifications must be addressed in detail in Proposal submission to determine Proposer's responsiveness. Failure to meet each of the following qualification requirements, and/or failure to provide sufficient detail and/or documentation in its Proposal to determine responsiveness by the City, may result in the Proposal being deemed non -responsive. Proposer shall: A. Be currently providing services similar to those described in this RFP, at least for the last three (3) consecutive years; have sufficient financial support, equipment and organization to ensure that it can satisfactorily execute the services if awarded a Contract under the terms and conditions herein stated. B. Provide medical direction for a State of Florida licensed Advanced Life Support (ALS) Emergency Medical Services (EMS) provider (such as the City of Miami) in compliance with all requirements of Florida Statutes (FS), Chapters 458 and 401, and Florida Administrative Code (FAC), Chapter 64E-2, as amended, as they pertain to an ALS EMS provider and its medical direction. C. Ensure that each of its proposed Medical Director, Associate Medical Director, Primary Response Physicians, and First Response Radio Physicians meet the minimum qualification requirements identified in Section 3.1 of this RFP, entitled "Specifications/Scope of Work". D. Have no record of pending lawsuits, bankruptcies, or criminal activities and no Conflicts of Interest as defined by applicable law with the City (Miami City Code §2-611), Miami -Dade County, Florida (Miami -Dade County Code §2-11.1); and the State of Florida, Chapter 112, Part III, Florida Statutes, as amended. E. Ensure that neither Proposer nor any member, officer, or stockholder of Proposer(s) be in arrears or in default of any debt or contract involving the City, (as a party to a contract, or otherwise); nor have failed to perform faithfully on any previous contract with the City. The City reserves the right, before awarding the Contract, to require a Proposer(s) to submit such evidence of his/her qualifications as it may deem necessary and as part of the Evaluation Committee's process, may consider any evidence available to it of the financial, technical, and other qualifications and abilities of a Proposer, including previous experiences of same with the City and performance evaluation for services, in making the award in the best interest of the City. 2.7. PRE-BID/PRE-PROPOSAL CONFERENCE None 2.8. CONTRACT EXECUTION The selected Proposer(s) evaluated and ranked in accordance with the requirements of this Solicitation, shall be awarded an opportunity to negotiate a contract ("Contract") with the City. The City reserves the right to execute or not execute, as applicable a Contract with the selected Proposer(s) that is determined to be most advantageous and in the City's best interest. Such Contract will be furnished by the City, will contain certain terms as are in the City's best interests, and will be subject to approval as to legal form by the City Attorney. 2.9. FAILURE TO PERFORM Should it not be possible to reach the contractor or supervisor and/or should remedial action not be taken within 48 hours of any failure to perform according to specifications, the City reserves the right to declare Contractor in Page 29 of 45 Request for Proposals (RFP) 289267 default of the contract or make appropriate reductions in the contract payment. 2.10. INSURANCE REQUIREMENTS INDEMNIFICATION Bidder shall pay on behalf of, indemnify and save City and its officials harmless, from and against any and all claims, liabilities, losses, and causes of action, which may arise out of bidder's performance under the provisions of the contract, including all acts or omissions to act on the part of bidder, including any person performing under this Contract for or on bidder's behalf, provided that any such claims, liabilities, losses and causes of such action are not attributable to the negligence or misconduct of the City and, from and against any orders, judgments or decrees which may be entered and which may result from this Contract, unless attributable to the negligence or misconduct of the City, and from and against all costs, attorneys' fees, expenses and liabilities incurred in the defense of any such claim, or the investigation thereof. The bidder/proposer shall furnish to City of Miami, c/o Purchasing Department, 444 SW 2nd Avenue, 6th Floor, Miami, Florida 33130, Certificate(s) of Insurance which indicate that insurance coverage has been obtained which meets the requirements as outlined below: (1) (f) Commercial General Liability: A. Limits of Liability Bodily Injury and Property Damage Liability - Each Occurrence: $1,000,000 General Aggregate Limit: $2,000,000 Personal and Adv. Injury: $1,000,000 Products/Completed Operations: $1,000.000 B. Endorsements Required: City of Miami included as an Additional insured; Premises and Operations Liability; Contingent and Contractual Liability BusinessAutomobile Liability A. Limits of Liability Bodily Injury and Property Damage Liability Combined Single Limit Any Auto, including Hired, Borrowed, or Non -Owned Autos. Any One Accident - $1,000.000 B. Endorsements Required: City of Miami included as an Additional Insured Worker's Compensation A. Limits of Liability Statutory - State of Florida Employer's Liability A. Limits of Liability $100,000 for bodily injury caused by an accident, each accident. $100,000 for bodily injury caused by disease, each employee. Page 30 of 45 Request for Proposals (RFP) 289267 $500.000 for bodily injury caused by disease, policy limit. (IV) Professional Liability/Errors and Omissions Coverage Combined Single Limit Each Claim: $1,000.000 General Aggregate Limit: $2,000,000 Retro Date Coverage Specified The above policies shall provide the City of Miami with written notice of cancellation or material change from the insurer in accordance to policy provisions. BINDERS ARE UNACCEPTABLE. The insurance coverage required shall include those classifications, as listed in standard liability insurance manuals, which most nearly reflect the operations of the bidder/proposer. All insurance policies required above shall be issued by companies authorized to do business under the laws of the State of Florida, with the following qualifications: The Company must be rated no less than "A" as to management, and no less than "Class V" as to financial strength, by the latest edition of Best's Insurance Guide, published by A.M. Best Company, Oldwick, New Jersey; or its equivalent. All policies and/or certificates of insurance are subject to review and verification by Risk Management prior to insurance approval. NOTE: CITY BID/RFP NUMBER AND/OR TITLE OF BID MUST APPEAR ON EACH CERTIFICATE. Compliance with the foregoing requirements shall not relieve the bidder/proposer of his/her liability and obligation under this section or under any other section of this Agreement. --If insurance certificates are scheduled to expire during the contractual period, the Bidder/Proposer shall be responsible for submitting new or renewed insurance certificates to the City at a minimum of ten (10) calendar days in advance of such expiration. --In the event that expired certificates are not replaced with new or renewed certificates which cover the contractual period, the City shall: (1) Suspend the contract until such time as the new or renewed certificates are received by the City in the manner prescribed in the Invitation To Bid. (2) The City may. at its sole discretion, terminate this contract for cause and seek re -procurement damages from the Bidder in conjunction with the General and Special Terms and Conditions of the Bid. The Bidde/Proposer shall be responsible for assuring that the insurance certificates required in conjunction with this Section remain in force for the duration of the contractual period; including any and all option terms that may be granted to the Bidder. 2.11. CONTRACT ADMINISTRATOR Upon award, contractor shall report and work directly with Terrence W. Davis, Assistant Fire Chief, who shall be designated as the Contract Administrator. 2.12. TERMINATION Page 31 of 45 Request for Proposals (RFP) 289267 A. FOR DEFAULT If Contractor defaults in its performance under this Contract and does not cure the default within 30 days after written notice of default, the City Manager may terminate this Contract, in whole or in part, upon written notice without penalty to the City of Miami. In such event the Contractor shall be liable for damages including the excess cost of procuring similar supplies or services: provided that if, (1) it is determined for any reason that the Contractor was not in default or (2) the Contractor's failure to perform is without his or his subcontractor's control, fault or negligence, the termination will be deemed to be a termination for the convenience of the City of Miami. B. FOR CONVENIENCE The City Manager may terminate this Contract, in whole or in part, upon 30 days prior written notice when it is in the best interests of the City of Miami. If this Contract is for supplies, products, equipment, or software, and so terminated for the convenience by the City of Miami the Contractor will be compensated in accordance with an agreed upon adjustment of cost. To the extent that this Contract is for services and so terminated, the City of Miami shall be liable only for payment in accordance with the payment provisions of the Contract for those services rendered prior to termination. 2.13. ADDITIONAL TERMS AND CONDITIONS No additional terms and conditions included as part of your solicitation response shall be evaluated or considered, and any and all such additional terms and conditions shall have no force or effect and are inapplicable to this solicitation. If submitted either purposely, through intent or design, or inadvertently, appearing separately in transmittal letters, specifications, literature, price lists or warranties, it is understood and agreed that the General Conditions and Special Conditions in this solicitation are the only conditions applicable to this solicitation and that the bidder's/proposer's authorized signature affixed to the bidder's/proposer's acknowledgment form attests to this. If a Professional Services Agreement (PSA) or other Agreement is provided by the City and is expressly included as part of this solicitation, no additional terms or conditions which materially or substantially vary, modify or alter the terms or conditions of the PSA or Agreement, in the sole opinion and reasonable discretion of the City will be considered. Any and all such additional terms and conditions shall have no force or effect and are inapplicable to this PSA or Agreement. 2.14. PRIMARY CLIENT (FIRST PRIORITY) The successful bidder(s)/proposer(s) agree upon award of this contract that the City of Miami shall be its primary client and shall be serviced first during a schedule conflict arising between this contract and any other contract successful bidder(s)/proposer(s) may have with any other cities and/or counties to perform similar services as a result of any catastrophic events such as tornadoes, hurricanes, severe storms or any other public emergency impacting various areas during or approximately the same time. 2.15. UNAUTHORIZED WORK The Successful Proposer(s) shall not begin work until a Purchase Order is received. 2.16. CHANGES/ALTERATIONS Proposer may change or withdraw a Proposal at any time prior to Proposal submission deadline; however, no oral Page 32 of 45 Request for Proposals (RFP) 289267 modifications will be allowed. Written modifications shall not be allowed following the proposal deadline. 2.17. COMPENSATION PROPOSAL Each Proposer shall detail any and all fees and costs to provide the required services as listed herein. Proposer shall additionally provide a detailed list of all costs to provide all services as detailed in Section III Scope of Services, as proposed. The City reserves the right to add or delete any service, at any time. Should the City determine to add an additional service for which pricing was not previously secured, the City shall seek the Successful Proposer to provide reasonable cost(s) for same. Should the City determine the pricing unreasonable, the City reserves the right to negotiate cost(s) or seek another vendor for the provision of said service(s). Failure to submit compensation proposal as required shall disqualify Proposer from consideration. 2.18. EVALUATION/SELECTION PROCESS AND CONTRACT AWARD The procedure for response evaluation, selection and award is as follows: (1) Solicitation issued. (2) Receipt of responses (3) Opening and listing of all responses received (4) Purchasing staff will review each submission for, compliance with the submission requirements of the Solicitation, including verifying that each submission includes all documents required. (5) An Evaluation Committee, appointed by the City Manager, comprised of appropriate City Staff and members of the community, as deemed necessary, with the appropriate technical expertise and/or knowledge, shall meet to evaluate each response in accordance with the requirements of this Solicitation and based upon the evaluation criteria as specified herein. (6) The Evaluation Committee reserves the right, in its sole discretion, to request Proposers to make oral presentations before the Committee as part of the evaluation process. The presentation may be scheduled at the convenience of the Evaluation Committee and shall be recorded. (7) The Evaluation Committee reserves the right to rank the Proposals and shall submit its recommendation to the City Manager for acceptance. If the City Manager accepts the Committee's recommendation, the City Manager's recommendation for award of contract will be posted on the City of Miami Purchasing Department website, in the Supplier Corner, Current Solicitations and Notice of Recommendation of Award Section. The notice of the City Manager's recommendation can be found by selecting the details of the solicitation and is listed as Recommendation of Award Posting Date and Recommendation of Award To fields. If "various" is indicated in the Recommendation of Award To field, the Bidder/Proposer must contact the buyer for that solicitation to obtain the suppliers name. The City Manager shall make his recommendation to the City Commission requesting the authorization to negotiate and/or execute an agreement with the recommended Proposer(s). No Proposer(s) shall have any rights against the City arising from such negotiations or termination thereof. (8) The City Manager reserves the right to reject the Committee's recommendation, and instruct the Committee to re-evaluate and make'another recommendation, reject all proposals, or recommend that the City Commission reject all proposals. (9) The City Commission shall consider the City Manager's and Evaluation Committees' recommendation(s) and, if appropriate and required, approve the City Manager's recommendation(s). The City Commission may also reject any or all response. Page 33 of 45 Request for Proposals (RFP) 289267 (10) If the City Commission approves the recommendations, the City will enter into negotiations with the selected Proposer(s) for a contract for the required services. Such negotiations may result in contracts, as deemed appropriate by the City Manager. (11) The City Commission shall review and approve the negotiated Contract with the selected Proposer(s). 2.19. ADDITIONAL SERVICES Services not specifically identified in this request may be added to any resultant contract upon successful negotiation and mutual consent of the contracting parties. 2.20. RECORDS During the contract period, and for a least five (5) subsequent years thereafter, Successful Proposer shall provide City access to all files and records maintained on the City's behalf. 2.21. TRUTH IN NEGOTIATION CERTIFICATE Execution of the resulting agreement by the Successful Proposer shall act as the execution of truth -in -negotiation certificate stating that wage rates and other factual unit costs supporting the compensation of the resulting Agreement are accurate, complete, and current at the time of contracting. The original contract price and any additions thereto shall be adjusted to exclude any significant sums by which City determines the contract price was increased due to inaccurate, incomplete, or non -current wage rates and other factual unit costs. All such contract adjustments shall be made within one (1) year following the end of the Agreement. Page 34 of 45 Request for Proposals (RFP) 289267 3. Specifications 3.1. SPECIFICATIONS/SCOPE OF WORK I. BACKGROUND The City of Miami ("City") is seeking a qualified person, firm, or health care organization (Proposer) to provide Medical Direction Services to the Department of Fire -Rescue for its Emergency Medical Services ("EMS"). The Successful Proposer will provide medical direction for a State of Florida licensed Advanced Life Support ("ALS") EMS provider, and must do so in compliance with all requirements of Florida Statutes ("FS"), Chapters 458 and 401, and Florida Administrative Code ("FAC"), Chapter 64E-2, as amended, as they pertain to an ALS EMS provider and its medical direction. II. SCOPE OF WORK The City intends to secure medical direction services under a four (4) tier system as follows: TIER 1: MEDICAL DIRECTOR Successful Proposer shall designate an individual who will act as Medical Director and who shall have the following responsibilities, at a minimum: 1. Supervise and provide medical oversight for the medical performance of the City's Paramedics and Emergency Medical Technicians ("EMT's"), as required in Florida Statute § 401.265(2011), as amended; 2. Supervise and prescribe medical oversight to the City's Public Access Defibrillation ("PAD") Program. This shall include the issuance of Prescriptions for any AED that is installed under the PAD Program. 3. Select physicians, described in Tier 3 and Tier 4, for 24 hour on-line medical control; 4. Ensure the satisfactory performance of Associate Medical Director (Tier 2), Tier 3, and Tier 4 physicians; 5. Upon appropriate notice from the City, bar from further participation in the performance of medical direction services resulting from this Request for Proposals ("RFP") any lower tier physicians who fail to perform in a manner commensurate with the expectations of the City; 6. Develop and sign medically correct standing orders (treatment protocols) for Advanced Life Support ("ALS") and Basic Life Support ("BLS") care, and medically -related policies and procedures, and subsequently review such policies and procedures to ensure correctness at least every two (2) years; 7. Be available (or designate an alternate physician during periods of unavailability) 24 hours a day, 365 days a year, to answer system questions of an emergent or immediate nature that are beyond authority of the Tier 3 and Tier 4 physicians; 8. Provide medical oversight for and participate as a member of the City's Quality Management Program ("QMP") and Continuous Quality Improvement ("CQI") Committee for medically -related issues. Such participation shall require attendance at a minimum of 40 meetings per year (average duration is 2 hours) ; 9. Participate as a member of the Medical Priority Dispatch System's ("MPDS") Steering Committee, and attend its meetings. MPDS Committee has 4 to 6 meetings per year, each with an average duration of 2 to 3 hours; 10. Provide medical oversight for the City's MPDS Quality Assurance Program ("QAP") which monitors the dispatching of EMS units; 11. Attend and actively participate in a majority of the State of Florida's Quarterly EMS Meetings, Page 35 of 45 Request for Proposals (RFP) 289267 particularly those meetings regarding the development of State policies and procedures, legislation and proposed legislation review, etc. Issue a report to the City on issues relevant to it; 12. Participate in an ongoing program of Protocol Testing of all system paramedics; 13. Participate in the Infection Control Program and aid in the development of the program's policies and procedures; 14. Provide prescriptions and authorization for all medications and medical equipment, including controlled substances; 15. Obtain and maintain a Drug Enforcement Agency ("DEA") license for the City of Miami's Department of Fire -Rescue; 16. Develop and revise, when necessary, Trauma Transport Protocols to comply with the State of Florida requirements; 17. Evaluate and approve continuing education hours for re -certification of paramedics, EMT's, and Emergency Medical Dispatchers ("EMD's"); 18. Consult with the Department of Fire -Rescue on medically -related issues for EMS personnel (e.g. legal issues, policy development on issues such as, but not limited to: Dive Team, Technical Rescue Team or Hazardous Materials Team medical evaluations, etc.) on an as needed basis; 19. Fulfill all duties required of the Medical Director under Florida Statutes, Section 401.2701(2011), for the City of Miami Department of Fire Rescue - Miami Dade County Public Schools Emergency Medical Service Training Programs, including being actively involved with the evaluation of students' performance throughout the training program and, certifying that graduates have successfully completed all phases of the training program and are proficient in basic or advanced life support techniques, as applicable; and 20. Perform such other duties as may be negotiated or required. The Village of Key Biscayne, Florida receives its Medical Direction Services from the City of Miami. Therefore, the Medical Director shall have additional responsibilities relating to the needs of the Village of Key Biscayne's Department of Fire -Rescue. Medical Director must perform all services to Key Biscayne in the same manner as provided to the City in addition to the following responsibilities: 1. Review 100% of ALS incidents (report review and crew remediation if necessary) and completion of the Quality Assurance Form; 2. Review 25% of all BLS incidents (report review and crew remediation if necessary); 3. Meet monthly with EMS Captain or Department Designee (2 hours per month); and 4. Meet bi-annually with the Deputy Fire Chief (2 hours each meeting); Minimum Qualifications for Medical Director The Medical Director must satisfy the following minimum qualifications: • Florida licensed Medical Doctor ("M.D.") or Doctor of Osteopathy ("D.O."); • Board certified or Board qualified in Emergency Medicine preferred; or Board certified or Board qualified in Internal Medicine or Family Practice, with a minimum of two (2) years experience as a physician in an Emergency Department in the past five (5) years; • Advanced Cardiac Life Support ("ACLS") and Advanced Trauma Life Support ("ATLS") provider certification, with instructor certification in at least one of them; • Primary residence and work location within standard portable radio range of the City's radio system, in Page 36 of 45 Request for Proposals (RFP) 289267 order to monitor calls as needed (i.e., not to exceed 25 miles in any direction from the Main transmitter located at 111 NW 1st Street, Miami, FL); • Shall possess education and/or experience in EMS education; • Possess a minimum of two (2) years experience as an EMS Medical Director in the State of Florida or four (4) years as an Assistant Medical Director in the State of Florida or four (4) four years as a Medical Director in a State other than Florida; • Be Drug Enforcement Administration (DEA) licensed for Schedule II, IV, and V controlled substances; and • Satisfactorily fulfill all responsibilities and comply with all qualifications listed herein throughout the duration of the contract with Successful Proposer. TIER 2: ASSOCIATE MEDICAL DIRECTOR Successful Proposer shall designate an individual who will act as Associate Medical Director and who shall have the following responsibilities, at a minimum: 1. Report to EMS Medical Director; 2. Maintain familiarity with all equipment and medications carried on ALS units; 3. Maintain familiarity with all EMS protocols and policies; 4. Maintain familiarity with federal, state, and local laws and administrative codes as they apply to EMS; 5. Maintain knowledge and skills in Disaster Management and in local, federal, and state disaster response plans; participate in MCI drills with Miami Fire Rescue (MFR); 6. Serve as Acting Medical Director during the Medical Director's absence; 7. Respond to EMS scenes with EMS crews for training and quality management; 8. Review and approve EMT recertification course content; 9. Investigate new EMS equipment or treatments for adoption by MFR; 10. Participate in ALS classroom teaching (lectures or procedural skills) and course development; 11. Participate in development and revision of EMS medical protocols; 12. Participate in education and evaluation of new recruits during their probationary period; 13. Participate in medical control radio coverage at Successful Proposer's location; 14. Develop an EMS research project with the Medical Director; 15. Develop Tactical EMS protocols; 16. Assist Quality Management (QM) officers with periodic QM newsletter; 17. Participate in Hazardous Materials response planning; 18. Work an average of eight (8) hours per week over an annual period; 19. Attend majority of meetings for: o EMS Equipment Committee; o Region 7 WMD committees (primarily EMS); o Miami -Dade County OEM meetings for hospitals and/or EMS; and o MFR Curriculum Committee 20. Attend the following meetings periodically: o MFR CQI Committee meetings; o FOAM-D EMS Subcommittee; and Page 37 of 45 Request for Proposals (RFP) 289267 o Area hospital meeting 21. Assist the Medical Director with the following: o Liaison to local Emergency Departments on EMS issues; o Participation in Continuous Quality Improvement program; o Protocol re -testing of paramedics; o Attendance and participation at State Bureau of EMS meetings; o PAD Program; o Orientation and assistance for Tier 4 Radio Physicians (residents); and o Emergency Medical Dispatch oversight; Minimum Qualifications for Associate Medical Director The Associate Medical Director must satisfy the following minimum qualifications: • Florida -licensed M.D. or D.O.; • United States ("US") residency -trained and board certified in his/her specialty; • Advanced Cardiac Life Support ("ACLS") certified and either Advanced Trauma Life Support ("ATLS") or Pediatric Advanced Life Support ("PALS") certified, with instructor certification in at least one of those fields; • Minimum of two (2) years experience in EMS -related duties; and • Satisfactorily fulfill all responsibilities and comply with all qualifications listed herein throughout the duration of the contract with Successful Proposer. TIER 3: PRIMARY RESPONSE PHYSICIANS' GROUP (ON-LINE MEDICAL ADVISORS) Successful Proposer shall designate a group of Primary Response Physicians (on-line Medical Advisors accessible by radio) who shall have the following responsibilities at a minimum: 1. Report to the Medical Director; 2. Monitor City of Miami Medical Channel radio traffic on a 24 hour per day, 365 days per year basis, either through direct radio response to each EMS call (no matter what the destination hospital), or by monitoring the Tier 4 physicians response. Tier 3 Physicians shall have responsibility to immediately override any advice given by Tier 4 physicians that is not in accord with departmental protocols or standard of care for EMS; 3. Act in accordance with City EMS protocols, and medical policies and procedures; 4. Maintain a current knowledge of City EMS protocols and medical policies and procedures to the satisfaction of the Medical Director; 5. Ride with City's EMS crew for a minimum of four (4) hours prior to assumption of duties; 6. Train with the Medical Director for the period designated by the Medical Director prior to assumption of duties; 7. Develop knowledge in the operation of the City's EMS system prior to assumption of duties; and 8. Develop knowledge of the City's EMS protocols (standing orders) prior to assumption of duties. Minimum Qualifications for the Primary Response Physicians' Group /On -Line Medical Advisors) The Primary Response Physicians Group must satisfy each of the following minimum qualifications: • Florida licensed M.D. or D.O. • Advanced Cardiac Life Support ("ACLS") Provider • Possess Active medical staff privileges at a hospital, within the corporate limits of the City of Miami. Page 38 of 45 Request for Proposals (RFP) 289267 TIER 4: FIRST RESPONSE RADIO PHYSICIAN GROUP Successful Proposer shall designate a group of First Response Radio Physicians who shall have the following responsibilities at a minimum: 1. Monitor and respond to City of Miami Medical Channel radio traffic on a 24 hour per day, 365 days per year basis, with medically appropriate orders, and be available by radio to on -scene EMS personnel as a resource for treatment and/or transportation questions of an immediate nature; 2. Train with the Medical Director prior to assumption of duties; 3. Be available during a tour of duty at a hospital within the jurisdiction of the City of Miami to answer questions from, and interact with, City of Miami Fire -Rescue EMS crews in reference to their duties; 4. Maintain a current knowledge of City EMS protocols and medical policies and procedures to the satisfaction of the Medical Director; 5. Develop knowledge in the operation of the City's EMS system prior to assumption of duties; and 6. Develop knowledge in the City's EMS protocols (standing orders) prior to assumption of duties. Minimum Qualifications for the First Response Radio Physician Group The First Response Radio Physicians must satisfy each of the following minimum qualifications: • Possess active medical staff privileges, if individually licensed, or residency in good standing with an accredited training program, at a hospital within the corporate limits of the City of Miami. • Possess a M.D. or D.O. with either an individual Florida Medical License or licensed under a hospital license for physicians in an accredited residency training program. Physicians in residence must have entered at least their Second (2nd) year of residency. III. ADDITIONAL DUTIES FOR SUCCESSFUL PROPOSER In addition to the foregoing, the Successful Proposer shall have the responsibility, at a minimum, to: 1. Remunerate the Medical Director, Associate Medical Director,, and the physicians described in Tier 3 and Tier 4. 2. Schedule Tier 3 and Tier 4 physicians to ensure adequate coverage, and, prior to the first (1st) of every month, supply the City with a work schedule of the Tier 3 physicians for that month. 3. Document and supply education, training, and quality management for all physicians described in Tier 3 and Tier 4 4. Provide such other administrative support, including office space, to Medical Director as may be required to perform the medical direction services. 5. To the extent appropriate, support legal services such as: limited case review, as may be required by the Medical Director in the performance of his/her responsibilities. 6. Comply with the below listed requirements and all applicable Health Insurance Portability and Accountability Act of 1996 ("HIPAA") requirements as they pertain to Miami Fire -Rescue ("MFR") patients and those patient's medical records. The Successful Proposer, including his/her agents, servants, subcontractors and employees, shall carry out its obligations under his Agreement in compliance with the privacy regulations of HIPAA as amended from time to time, and the regulations promulgated therein, in order to protect the privacy of all individually identifiable Protected Health Information ("PHI") that is created, received, collected, processed or learned as a result of the services provided pursuant to this RFP. In conformity therewith, the Successful Proposer shall agree that he/her and his/her agents, servants, Page 39 of 45 Request for Proposals (RFP) 289267 subcontractors, and employees shall: a. Not use or further disclose PHI except as permitted under this Agreement or required by law; b. Use appropriate safeguards to prevent use or disclosure of PHI except as permitted by this Agreement and shall not use or further disclose PHI in a manner that would violate HIPAA's requirements if done by Miami Fire -Rescue; c. As soon as reasonably practical, report to MFR any use or disclosure of PHI not provided for by this Agreement of which Successful Proposer becomes aware, and mitigate, to the extent possible, any harmful effect of such use or disclosure of PHI; d. Ensure that any business associates, agents or subcontractors, to whom Successful Proposer provides PHI, or who have access to PHI, agree to the same restrictions, terms, and conditions that apply to Successful Proposer with respect to such PHI; e. Make PHI available to MFR and to individuals who have a right of access to information under HIPAA; f. Incorporate any amendments to PHI in accordance with HIPAA when notified to do so by MFR; g. Provide an accounting to the City's authorized representative of all uses or disclosures of PHI made by Successful Proposer, in accordance with HIPAA, within sixty (60) days; h. At the termination or expiration of any Agreement, Successful Proposer shall return to MFR all PHI received from, or created or received by Successful Proposer on behalf of MFR that Successful Proposer still maintains in any form and shall not retain copies of such information. If such return is not feasible, Successful Proposer shall continue to protect such PHI in accordance with this Agreement and HIPAA, and must limit further uses and disclosures of such PHI for those purposes that made the return of such PHI not feasible. i. Except as otherwise limited in an Agreement, Successful Proposer may use or disclose PHI to perform functions, activities, or services for, or on behalf of, the City as specified in the Agreement, provided that such use or disclosure would not violate HIPAA's requirements if done by MFR. j. Successful Proposer may, if necessary, use and disclose PHI for the proper management and administration of Successful Proposer or to carry out the legal responsibilities of Successful Proposer. However, in order to disclose PHI: i. The disclosure must be required by law; or ii. Successful Proposer must obtain reasonable assurances from the person to whom the information is disclosed that it will be held confidentially and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person; and iii. The person must notify Successful Proposer of any instances of which it is aware in which the confidentiality of the information has been breached. Page 40 of 45 Request for Proposals (RFP) 289267 7. Shall protect, defend, reimburse, indemnify, and hold the City, its' agents, employees and elected officers, harmless from and against all claims, liability, expense, loss, cost, penalties, damages or causes of action of every kind or character, including attorney's fees and costs, whether at trial or appellate levels or otherwise, arising as a result of any disclosure of protected health information due to the actions or inactions of Successful Proposer. IV. DUTIES OF THE CITY The City shall have the responsibility to: 1. Pay the Successful Proposer, as compensation for services, the negotiated dollar amount. 2. Ensure that all paramedical and Emergency Medical Technician personnel assigned to advanced life support vehicles are approved by the Medical Director and the Department of Fire -Rescue; 3. Provide the Medical Director a list of equipment carried on the advanced life support vehicles which shall be in accordance with the equipment required by regulations of the Department of Health and Chapter 401 of the Florida Statues; 4. Carry said equipment on all EMS vehicles used. In the event the Medical Director determines that the equipment listed does not meet the requirements of the regulations, the City agrees that it will immediately take the necessary action to bring the equipment carried on the advanced life support vehicles into compliance with the regulations; 5. To support the Medical Director by providing the personnel (paramedic, EMT's, EMD's), to support protocol development and review in conjunction with the Medical Director, and to provide Quality Assurance review in each division in keeping with regulations of the Department of Health, Florida Administrative Code 64-E, and Florida Statute 401. Necessary support positions include those of a full-time Paramedic Instructor, of two (2) full-time Quality Management ("QM") Officers, and of sufficient part-time training personnel to provide twenty-four (24) hours per week of medical educational support in addition to that provided by the Paramedic Instructor and QM Officers. In addition, a full-time Quality Assurance Officer for Emergency Medical Dispatch must be assigned, and sufficient part-time personnel for Quality Assurance reviews, dispatcher education, and other requirements to meet national certification standards of the Medical Priority Dispatch System. Assignment of specific support personnel is subject to the approval by a Selection Committee with Representatives from MFR Labor and Management. The Medical Director or his/her designee will be a part of this Selection Committee. 6. Provide and maintain a radio communication system that assures effective and un-interrupted radio communication capability between EMS personnel and the designated radio physician. 7. To the extent appropriate, support legal services such as limited case review as may be required by the Medical Director in the performance of his/her responsibilities. 8. Provide remote access to Fire -Rescue Computer Aided Dispatch ("CAD") and Records Management System ("RMS"). Page 41 of 45 Request for Proposals (RFP) 289267 4. Submission Requirements 4.1. SUBMISSION REQUIREMENTS Proposers shall carefully follow the format and instruction outlined below, observing format requirements where indicated. Proposals should contain the information itemized below and in the order indicated. This information should be provided for the Proposer and any sub-consultants/contractors to be utilized for the work contemplated by this Solicitation. Proposals submitted which do not include the following items may be deemed non -responsive and may not be considered for contract award. The response to this solicitation shall be presented in the following format. Failure to do so may deem your Proposal non -responsive. ALL RESPONSES SHALL BE SUBMITTED IN HARD COPY FORMAT TO INCLUDE ONE (1) ORIGINAL AND FIVE (5) COPIES. 1. COVER PAGE The Cover Page should include the Proposer's name; Contact Person for the RFP; Firm's Liaison for the Contract; Primary Office Location; Local Business Address, if applicable; Business Phone; Fax Number; applicable Email address(es); Title of RFP; RFP Number; Federal Employer Identification Number or Social Security Number. 2, TABLE OF CONTENTS The table of contents should outline, in sequential order, the major sections of the proposal as listed below, including all other relevant documents requested for submission. All pages of the proposal, including the enclosures, should be clearly and consecutively numbered and correspond to the table of contents. 3. EXECUTIVE SUMMARY A signed and dated sunmrnary of not more than two (2) pages containing a comprehensive narrative statement that illustrates Proposer's understanding of the requirements of the Scope of Work stipulated within this RFP. Executive Summary should also briefly address Overall Qualifications and Experience, Ability and Capability to Perform Required Services, and Overall Approach and Methodology, as contained in the submittal. 4. PROPOSER'S QUALIFICATIONS AND EXPERIENCE a) Describe the Proposer's organizational history and structure; years Proposer has been in business providing a similar service(s), and indicate whether the City has previously awarded any contracts to the Proposer. b) Provide a list of all principals, owners or directors. c) Identify the location from where the services will be performed. d) Provide a complete list of clients for which Proposer has provided a similar service as required in this RFP, and that can attest to the operation and management, and/or other relevant experience, of Proposer. This list should include those governmental entities of a similar size and diverse population to the City of Miami, for whom services have been performed during the past five (5) years, particularly in the South Florida area. Include the address, phone number(s), email address and contact persons within each organization. References are subject to verification by the City and may be utilized as part of the evaluation process. e) Provide copy(s) of all current applicable license(s) to provide required services stated in this RFP. f) Discuss Proposer's access to facilities (i.e. operating rooms, emergency rooms, classrooms) in which to train EMS staff, as may be necessary. Facilities are subject to inspection by the City and may be utilized as part of the evaluation process. Page 42 of 45 Request for Proposals (RFP) 289267 g) Provide the names of the hospitals, located within the corporate limits/jurisdiction of Miami -Dade County, with which the Proposer, Medical Director and/or lower tier physicians have a relationship and discuss said relationship. h) Provide a list of clients that have, for whatever reason, discontinued to use Proposer's services within the past three (3) years, and indicate the reasons for the same. The City reserves the right to contact any reference as part of the evaluation process. i) Provide a minimum of two (2) Letters of Reference on letterhead from similar entities to the City of Miami for whom similar services have been performed by Proposer. The City reserves the right to contact any reference as part of the evaluation process. j) Provide any other information or documentation that demonstrates the Proposer's ability to perform the work required within this RFP. 5. MEDICAL DIRECTOR'S OUALIFICATIONS AND EXPERIENCE a) Identify the individual who shall serve as Medical Director. b) Provide detailed experience and current and complete resume of Medical Director for the performance of Medical Direction Services as specified in this RFP. The City reserves the right to contact any reference as part of the evaluation process. c) Provide a copy of all medical licenses, including Medical Director's M.D. or D.O.; any Board certifications; ACLS/ATLS certifications (including instructor certification in one of those); any certificates obtained for EMS education and/or training; and DEA licenses as provided for in the minimum responsibilities for Tier 1. d) Discuss the participation the Medical Director may have had in the development of local, regional, and state mass casualty and disaster plans, or the implementation thereof. e) Discuss the experience the Medical Director may have in coordinating and conducting training sessions. f) Discuss the primary work location of the Medical Director. g) Discuss the Medical Director's history of participation in the State of Florida's Quarterly EMS; other EMS -related organizations; and/or physicians' professional associations, including offices held, special projects, etc. h) Provide a minimum of two (2) Letters of Reference on letterhead from similar entities to the City, for whom similar services have been performed by the proposed Medical Director. The City reserves the right to contact any reference as part of the evaluation process. i) For the provision of an Associate Medical Director, provide the name, contact information, and experience of the proposed Associate Medical Director, including resume and all applicable licenses, certifications listed under the Minimum Qualifications for Associate Medical Director section, located under TIER 2, in Section 3 of the RFP. 6. OVERALL APPROACH AND METHODOLOGY a) Discuss in detail Proposer's Overall Approach and Methodology to the work to be performed for each Tier, and for both the City and the Village of Key Biscayne. b) Detail the source from which Proposer will obtain candidates for lower tier (Tier 3 and 4) physician positions. Proposer shall also detail the methodology that the Medical Director will employ to secure the lower tier physicians; the size of the pool from which the. Medical Director will draw; the level of experience that the lower tier physicians are likely to have; and how the Medical Director will ensure diversity in its staff, including language(s) spoken. Page 43 of 45 Request for Proposals (RFP) 289267 c) Provide its tentative date(s) by which Medical Director will have secured the lower tier physicians, following contract execution, in order to perform in accordance with the specifications of this RFP. d) Discuss its plan to work with the City and coordinate all required services. 7. COMPENSATION PROPOSAL Proposer shall outline its annual costs/fees for providing the Medical Direction Services under the four (4) tier system as required in this RFP. Costs for the provision of all required services for the Village of Key Biscayne must be listed separately from those of the City of Miami. The City requests, if possible, that Proposer's annual costs/fees remain fixed and firm for the first three (3) years of the contract. Proposer's cost shall include the cost of staffing the Medical Director, Associate Medical Director, Primary Response Physicians, First Response Radio Physicians, administrative services, obtaining any facilities that may be necessary for training, and any and all other costs that may be encountered in performing all of the services specified within this RFP. Proposer shall provide an itemized Cost/Fee Proposal that encompasses all cost/fees associated with providing medical directions services to the City of Miami, and the Village of Key Biscayne, as outlined herein. Services and related Cost/fees for any optional services not specified, may be proposed by the Proposer. As part of contract negotiations, the City has the right to negotiate the proposed costs for services under each tier and/or remove tiers for which the City considers costs to be unreasonable. 8. TRADE SECRETS EXECUTION TO PUBLIC RECORDS DISCLOSURE All Proposals submitted to the City are subject to public disclosure pursuant to Chapter 119, Florida Statutes. An exception may be made for "trade secrets." If the Proposal contains information that constitutes a "trade secret", all material that qualifies for exemption from Chapter 119 must be submitted in a separate envelope, clearly identified as "TRADE SECRETS EXCEPTION," with Proposer's name and the RFP number marked on the outside. Please be aware that the designation of an item as a trade secret by Proposer may be challenged in court by any person. By designating material contained in the Proposal as a "trade secret", Proposer agrees to indemnify and hold harmless the City for any award to a plaintiff for damages, costs or attorney's fees and for costs and attorney's fees incurred by the City by reason of any legal action challenging Proposer's claim. 9. LOCAL PREFERENCE City Code Section 18-86, states, "the RFP, RFLI or RFQ, as applicable, may, in the exercise of the reasonable professional discretion of the City Manager, director of the using agency, and the Chief Procurement Officer, include a five (5%) percent evaluation criterion in favor of proposers who maintain a local office, as defined in Section 18-73. In such cases, this five (5%) percent evaluation criterion in favor of proposers who maintain a local office will be specifically defined in the RFP, RFLI or RFQ" Prospective Proposers seeking Local Preference consideration in the evaluation process must provide the exact address of the "Local office" located within the corporate limits of the City of Miami, Florida. A Local Office, in accordance with Section 18-73 of the City Code entitled Definitions, is defined as "a business which conducts all or a portion of its operations from a permanent structure that is located within the corporate limits of the city, and has operated legally pursuant to all applicable zoning and licensing laws for a minimum of six months prior to the date bids or proposals were received for the purchase or contract at issue. A post office box shall not be sufficient to constitute a local office within the city. If the business is located in the permanent structure pursuant to a lease, such lease must be in writing, for a term of no less than one year, have been in effect for no less than six months prior to date bid or proposal was received, and be available for review and approval by the chief procurement officer or its designee. " Page 44 of 45 Request for Proposals (RFP) 289267 5. Evaluation Criteria 5.1. EVALUATION CRITERIA Proposals shall be evaluated based upon the following criteria and weight: Proposer's Qualifications and Experience: L Medical Director's Qualifications and Experience: 30 Overall Approach and Methodology: 20 Compensation Proposal: Z_Q Local Preference: 5 TOTAL: 100 Page 45 of 45 EXHIBIT "B" TRUST'S PROPOSAL 11 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS The Public Health Trust of Miami -Dade County ! Jackson Memorial Hospital 1611 NW 12th Avenue Miami, FL 33136 Federal Employee Identification No, 59-1713947 Response to City of Miami RFP # 289267 Medical Direction Services for EMS RFP Contact Person/Contract Liaison: Andrew Gordon Telephone: 305-585-7544 Fax: 305-355-2323 agordon2@j hsm iami.org Primary Office Location: Jackson Medical Towers-820 E 1500 NW 12th Avenue Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS TABLE OF CONTENTS SECTION DESCRIPTION PAGE 3. Executive Summary 3-4 4. Proposer's Qualifications and Experience 5-14 5. Medical Director's Qualifications and Experience 15-32 6. Overall Approach and Methodology • 33-41 7. Fee Proposal 42-43 8. Trade Secrets Execution to Public Records Disclosure 43 9. Local Preference 43 Attachments A. Certification Statement 44-46 B. AHCA & TJC Certifications 47-52 C. Certificate of Insurance 53-54 D. Letters of Reference 55-62 E. Resume of Medical Director • 63-81 F. Medical Licenses for Medical Director 82-156 G. Resume & Licenses for Associate Medical Director 157-170 Addendum #1 171-172 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS 3. EXECUTIVE SUMMARY Public Health Trust of Miami -Dade County/Jackson Memorial Hospital (PHT/JMH) is UNIQUELY QUALIFIED to provide emergency medical services (EMS) to the City of Miami Fire Rescue Division given its community history, resources, commitment and professional capabilities. As the incumbent Medical Direction Service for the City of Miami and Key Biscayne EMS, PHT/JMH seeks to continue the provision of the highest standard of pre - hospital emergency care via a coordinated, radio assisted system collaboratively developed by the Medical Center and the respective EMS Departments. PHT/JMH's system is efficient, effective, and responsive; and serves the best interests of the taxpayers. As the facility of choice for almost half of Miami's emergency medical transports, JMH plays a critical role in pre -hospital support via radio for the integrityand continuity of emergency medical care for thousands of patients. JMH has integral involvement with EMS providers in community planning for response to Mass Casualty Incidents and serves as the primary receiving hospital should such a catastrophe occur. PHT/JMH's long-term contractual relationship with the City of Miami Fire Department is evidence of the ongoing faith of the City in the hospital's ability. The dedicated physicians of JMH have provided medical direction and round-the-clock, year-round medical guidance via an exclusive radio network to City of Miami Fire Rescue calls since 1978. At that time, the City and Trust formalized a relationship originally established in 1967. In 1987, PHT/JMH proudly established a Medical Directorship contract with Miami -Dade Fire Rescue; in addition to the City of Miami. In 1993, the Village of Key Biscayne Fire Department was established, and. its Medical Directorship was added into the contract with Miami Fire Rescue; its "sister" service. PHT/JMH is able to offer its EMS Medical Directors a full array of administrative support and expertise, as described in this proposal. The medical and administrative staff is familiar with the City of Miami's EMS protocols, policies and procedures. All systems are in place and fully operational to support this proposal. We believe that our record of performance has been excellent and remain deeply committed to the support of the community's EMS providers. JMH staff is proud of the strong professional relationship and sense of mission that has been forged over the years, and therefore welcomes the opportunityto extend the current relationship for an additional term of three years minimum. PHT/JMH is an integral part of the Miami community. A unique alliance with the University of Miami, Miller School of Medicine combined to create the UM/Jackson Memorial Medical Center; world famous for its emergency, trauma, burn, and multi -specialty care capabilities. Comprehensive inpatient care, community primary care, emergency and critical care, outpatient clinics and rehabilitation services are also available. We are the second largest teaching hospital in the United States and have a world famous flagship facility, the Ryder Trauma Center. Our Emergency Care Center is dedicated to pediatric and adult emergency care, and is optimally and strategically located for residents of Miami and Key Biscayne. Through its alliance with the University of Miami, the JMH campus hosts fifty (50) accredited medical residency training programs. Of particular relevance are the training programs for paramedic post -graduate education, where City of Miami EMS personnel have trained for two 3 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS decades. We are especially proud of our cardiac and stroke response training programs that have helped reduce untold human suffering, saved countless lives and healthcare dollars, as well as the more recently developed Emergency Response to Terrorism curriculum that prepares all of our personnel to respond to potential terrorist events. PHT/JMH proposes that Kathleen Schrank, MD, continue to serve as Medical Director for the City of Miami and Village of Key Biscayne EMS. Dr. Schrank will be responsible for serving as the primary contact (business phone 305/585-7793) and for performing all of the duties listed in the RFP Section 3.1: Specifications/Scope of Work, including the recruitment and training of Tier 2 and Tier 3 physicians. Dr. Schrank has provided all said services to the City of Miami since 1987, and hereby agrees to continue performing in the role of the EMS Medical Director. She has unique experience and exceptional expertise in emergency medical care, EMS, disaster management, teaching, administration and quality management. PHT/JMH also proposes that Paul Adams, DO, continue to serve as the Associate Medical Director for the City of Miami and Village of Key Biscayne Fire Rescue Departments. He has provided this service since September, 2011, following the departure of his predecessor, Dr. Marc Grossman, who now serves as the Miami Dade County Assistant EMS Medical Director. Dr. Adams has been a fulltime Emergency Medicine physician here at JMH for the past 2 years and has a wealth of experience in. Emergency Medicine, as well as in EMS as a former paramedic, EMS instructor, and as the former EMS Medical Director of a helicopter service. The Tier 3 physicians, currently titled Medical Advisors, will continue to be selected from the ranks of our Emergency Medicine and Trauma faculty. Tier 4 physicians will consist of second -year surgical residents and emergency medicine residents who are assigned to the Ryder Trauma Center resuscitation team, plus second and third -year Emergency Medicine residents assigned to the Emergency Care Center. These resident physicians are well known to the Medical Advisors, and they allreceive a comprehensive orientation prior to being assigned an EMS role. The performance of the residents is subject to ongoing supervision and review by Drs. Schrank and Adams, with feedback to their Residency Program Directors and to the Chief of Trauma, Dr. Nicholas Namias. All assigned staff meets the qualifications, have a strong positive track record in performance of the roles described in the RFP, and are able to fulfill all responsibilities and expectations listed in Section 3.1- Scope of Work. The Medical Director and many of the Tier 2 through 4 physicians reside within range of the City's emergency radio system. The primary office location of the proposer, Medical Director, Associate Medical Director, clinical and administrative staff is at: 'Jackson Memorial Hospital, Emergency Care Center 1611 NW 12th Street, Miami, FL. 33136-1094. Consistent with the terms and conditions of the RFP, we propose to provide Medical Directorship services to the City of Miami and -the Village of Key Biscayne Fire Departments. PHT/JMH - an outstanding' partnership with the City of Miami and Village of Key Biscayne Fire Depa ' r ents that is vital to the citizens of these respective communities. We look forward to conti s relationship in the future, and are pleased to submit this proposal. Signature Date 4 Response of the Public Health Trust ofMiami-Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS 4. PROPOSER'S QUALIFICATIONS AND EXPERIENCE 4a) Organizational History & Structure: The Public Health Trust of Miami -Dade County d/b/a Jackson Health System (PHT/JHS) is an integral part of the history and heart of the Miami -Dade County community. Jackson Memorial Hospital (JMH) was established as Miami City Hospital in 1918 with a 13 bed capacity. It was renamed the James M. Jackson Memorial Hospital in honor of its founding physician in 1924. In 1973, the Board of County Commissioners established the Public Health Trust of Miami - Dade County to serve as the independent goveming body for Jackson Memorial Hospital (JMH) as authorized under Florida Statute 154. Since the 1970's, JMH has expanded rapidly into what is today the Jackson Health System (JHS), a comprehensive countywide health system. - The mission of JHS is "to build the health of the community by providing a single, high quality standard of care education and research, regardless of ability to pay." This mission differentiates Jackson from other hospitals which are driven by episodic reimbursement maximization. Jackson is focused on improving the overall health status of the community members. JHS is the largest provider of healthcare services in Florida and one of the largest providers of care in the United States. It is an integrated health care delivery system comprised of: ✓ 2,482 licensed hospital and nursing home beds with 64,803 inpatient admissions annually across six hospitals, including Jackson Memorial Hospital, Holtz Children's Hospital, Jackson Rehabilitation Hospital, Jackson South Community Hospital, Jackson North Medical Center and Jackson Mental Health Hospital; serving the north, south and central areas of Miami -Dade County; ✓ four primary care centers providing 360,376 encounters annually; ✓ the largest Emergency Department in South Florida; treating ✓ a 35 specialty care clinics complex; ✓ Diagnostic and Treatment Center in each of the three main campuses with a comprehensive scope providing 420,000 diagnostic services a year; ✓ Long-term centers with 400 beds; ✓ The number 3 Transplant Center if the Nation; ✓ The only adult and pediatric level 1 Trauma Center in Miami -Dade County; therefore receives all victims of major trauma as defined by the State of Florida Trauma Center Criteria. Ryder Trauma treats more than 90% of all major trauma patients (State of Florida Trauma Triage Criteria) in Miami -Dade County. Additional JMH emergency and urgent care treatment areas include the Mental Health Emergency Service, Rape Treatment Center, and Corrections Medical Service. Further support for emergency care includes the Poison Information Center (1 of 3 in Florida), Burn Center, Regional Spinal Cord Injury Center (1 of 17 in the nation), Miami Project to Cure Paralysis, Neonatal Intensive Care Unit (the state's largest) and Neonatal Transport Team, Acute Stroke Intervention Team, the STEMI team, and immediate availability of all major medical and surgical specialties. JMH receives approximately 40% of all City of Miami Fire Rescue patient transports each year. 5 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Because of its expansive array of services, JHS receives between 3,500 to 4,000 specialty referrals from other community providers monthly. Beyond its size and history, JHS' outcomes have earned recognition for more of its specialty services than any other South Florida hospital and Jackson Health System is consistently ranked among "America's Best Hospitals" by US News and World Report. Recently, US News and World Report named the UM/Jackson Memorial Medical Center as the # 1 hospital in the Miami/Ft. Lauderdale area. Through its relationship with two of Miami's major academic medical institutions, the University of Miami and Florida International University, JHS and its patients benefit from the latest research -proven healthcare techniques and services. JMH has nationally accredited residency training programs for the education of physicians in the many medical specialties and subspecialties. JMH serves as the major teaching facility for .the University of Miami Miller School of Medicine, whose faculty physicians form the core of the JMH active medical staff, along with physicians hired directly by the PHT. JMH and the University of Miami Miller School of Medicine have jointly adopted the following Mission Statement: `To provide a single high standard of health care for those we serve...the newborn...the sick and injured...the critically ill... the needy of our community; To render medical service with human kindness... with respect for patients' rights to dignity and privacy...with concern for all who are entrusted to our care; To deliver the most advanced treatment and specialty care...to, promote healing and rehabilitation...to seek cures for complex illnesses; To command a pre-eminent position in research for the advancement of medical science and technology...to conquer disease...to improve the quality of life; To foster a coordinated system of health care for our community...to promote healthy lifestyles with programs in health education and disease prevention to decrease illnesses and injuries; To utilize the resources of the Medical Center in the most appropriate and cost-effective manner while maintaining quality of service; To fulfill our commitment to progressive educational experience for students, physicians, nurses and health care professionals upon whom wedepend for our future well-being." Administratively, JHS is comprised of the President/CEO, 6 Senior Vice -Presidents, 3 Executive Vice -Presidents, 3 Chief Administrative Officers (Surgery, Pediatrics, and Mental Health), 9 Directors of Patient Care Services for Medical Affairs and 18 Chiefs of Service. The proposed Medical Director serves within the administration of the Chief Medical Officer (Michael Butler, MD) and the Chief of Emergency Medicine (Lily Lee, MD). The PHT/JMH is tax exempt as a County institution, under State of Florida consumer's Certificate of Exemption number 23-08-329118-53C. Attending physicians are formally trained, fully credentialed and are licensedby the Florida Board of Medicine. The majority of the medical staff serves as faculty at the University of Miami, Miller School of Medicine. The arrangement between the PHT and UM is outlined in an Annual Operating Agreement. The medical school took over medical administration at JMH and the responsibility for appointing the attending physician staff in 1954. The JMH attending physician staff is responsible for patient care, supervision and education of resident physicians, supervision and education of medical students, and healthcare administration. 6 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Jackson Memorial Hospital is a. center for clinical research and provides the setting for the majority of clinical research projects conducted by the medical staff. Notable examples of our research programs include the William Lehman Study Center on auto injuries, the Miami Project to Cure Paralysis for spinal cord injuries, the Women's Health Initiative, the AIDS Clinical Research Unit, the Sylvester Comprehensive Cancer Center projects, and the Acute Stroke Intervention (Brain Attack) Program. JMH has provided EMS Medical Direction services for the City of Miami since 1967, with written contracts since 1978. These same services have also been provided to the Village of Key Biscayne since 1993 (under the City of Miami contract) and to Miami -Dade County since 1987 (under a separate contract). JHS Facilities Location Hospitals Holtz Children's Hospital 1611 NW 12th Avenue, East Tower Miami, FL 33136 Jackson Memorial Hospital 1611 NW 12th Avenue, Miami, FL 33136 Jackson Mental Health Hospital 1695 NW 9th Avenue, Miami, FL 33136 Jackson North Medical Center 160 NW 170th Street, North Miami Beach, FL 33169 Jackson Rehabilitation Hospital 1611 NW 12th Avenue, Miami, FL 33136 Jackson South Community Hospital 9333 SW 152nd Street, Miami, FL 33157 Primary Care Centers Community Health of So. Dade, Inc.(CHI) — Doris Ison 10300 SW 216th St., Miami 33190 Jackson Care -A -Van Rotates sites Jefferson Reaves, Sr. Health Center 1009 NW 5th Avenue, Miami 33147 Jackson North Community Mental Health Center (CMHC) 20201 NW 37th Avenue, Miami, FL 33056 Jackson North CMHC Satellite Branch 15055 NW 27th Ave, OpaLocka, FL 33054 Jackson North CMHC Diagnostic.Ctr 14701 NW 27th Ave, OpaLocka, FL 33054 North Dade Health Center 16555 NW 25tn Avenue, Miami Correctional Healthcare Facilities Interim Central Detention Center 1145 NW 11th Street, Miami Metro West Detention Center 13850 NW 41st Street, Miami North Dade Detention Center 15801 State Road 9, Miami Pre -Trial Detention Center 1321 NW 13th Street, Miami Training and Treatment Center (Stockade) 6950 NW 41st Street, Miami Turner Guilford Knight Center 7190 NW 41st Street Women's Detention Center 1401 NW 7th Avenue Long Term Care Centers Jackson Memorial LTCC 2500 NW 22nd Avenue, Miami 33142 7 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial. Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Perdue Medical Center 19590 Old Cutler Road, Miami 33157 4b) Principles, Owners, Board of Trustees: JHS is governed by the Public Health Trust of Miami -Dade County (PHT), created in 1973 by the Board of County Commissioners as an independent goveming body for the hospital as authorized under Florida Statute 154. JHS is owned and supported by the taxpayers of Miami - Dade County and is governed by the seven -member Public Health Trust Financial Recovery Board under the auspices of the Miami -Dade County Mayor and Board of County Commissioners. The PHT Executive Officers and Financial Recovery Board are: Executive Officers: Carlos Migoya, Don Steigman, Mark Knight, Donn Szaro, Michael Butler, MD President and CEO Executive VP and COO Executive VP and CFO Executive VP/Chief Strategy Officer Chief Medical Officer Owner.. Miami -Dade County, Florida PHT Financial Recovery Board: Marcos Jose Lapciuc, Chair Darryl K. Sharpton, Vice Chair Joe Arriola, Treasurer Joaquin del Cueto, Secretary Michael Bileca Mojdeh L. Khaghan Stephen S. Nuell 4c) Location JMH serves all of Miami -Dade County, particularly the areas nearest to our primary location within the City of Miami. The main medical campus is located at 1611 NW 12th Avenue, Miami, FL, spread out over 70 acres and includes the University of Miami Miller School. All emergency services are situated at this location, including all services to be provided under this Proposal. The office of the proposed EMS Medical Director is located at this address in room 1143 of the Emergency Care Center. The physicians on radio duty (Tiers 3 and 4) are also located at this address, in the Emergency Care Center and Ryder Trauma Center. 4d) Experience & Client References The Public Health Trust/Jackson Memorial Hospital has over twenty-five years of experience in the provision of assistance to local Emergency Medical Services (EMS) providers. Within the past 5 years PHT/JMH has provided Medical Directorships and support for City of Miami Fire Rescue (which includes Village of Key Biscayne Fire Rescue) and Miami -Dade County Fire Rescue. The Trust seeks to foster a coordinated system of health care for our community, which begins with the patient's first contact with a pre -hospital health care provider, and because approximately 40% of all City of Miami Fire 8 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Rescue patients are transported to JMH emergency services, we strongly believe that this close relationship provides top. quality care .for our patients, and is very much a part of the mission of this medical center. PHT/JMH has provided contractual support for EMS Medical Direction Services for the City of Miami for approximately 34 years, for the Miami -Dade Fire Rescue Department for about 20 years, and for the Village of Key Biscayne Department of Fire Rescue since the Village's inception in 1993. All three can attest to the operation, management, and relevant experience. of JMH. Contact Person Contact Information Director and Chief Maurice Kemp City of Miami Department of Fire Rescue 1151 NW 7th Street Miami, FL 33136 Office: 305-416-5401 Director and Chief William Bryson or Division Chief David Downey Miami -Dade County Fire Rescue Department 9300 NW 41st Street Miami, FL 33178 Offices: 786-331-5000 or 786-331-4402 Chief Eric Lang Village of Key Biscayne Department of Fire Rescue 560 Crandon Boulevard Key Biscayne, FL 33149 . Office: 305-365-8989 PHT/JMH has provided contractual support for EMS Medical Direction Services for the City of Miami for approximately 34 years, for the Miami -Dade Fire Rescue Department for about 20 years, and for the Village of Key Biscayne Department of Fire Rescue since the Village's inception in 1993. All three can attest to the operation, management, and relevant experience of JMH. Since at least 1978, JMH physicians have provided 24-hour supervision on the Miami radio for every rescue run called in by Miami personnel, no matter what the hospital destination is for the patient; with two physicians available on the radio at all times. This centralized medical control structure provides round-the-clock experienced physician support for Miami EMS personnel and assures appropriate patient evaluation, treatment, and transport, and assistance with any urgent problems that might arise (e.g., medico -legal issues such as patient's refusal of treatment or transport, emergency care of minors, hospital closures to Rescue, medically inappropriate orders from on -scene physicians who are unaware of Miami treatment protocols, management of mass casualty incidents, significant exposures or injuries to firefighters). Under this medical supervisory plan, a core group of JMH attending physicians who are well -versed in City of Miami medical protocols monitor all the radio calls, with all calls answered either by the radio resident physician (now to be termed "Tier 4") and/or the attending physician. All physicians who answer the radio calls are trained directly by the EMS Medical Director or Associate Medical Director, and their activities are evaluated as part of the Miami Fire Rescue Quality Management Program. 9 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS The Medical Directors and other Public Health Trust Personnel have fulfilled all of the Specification/ Scope of. Work items listed for City of Miami in the RFP Section 3.1, with the notation that BLS standing orders are not currently written as an independent set of orders, since all transport vehicles are ALS-capable. BLS orders as currently written are therefore part of ALS standing orders (MFR Medical Policy and Procedure Manual), forming the initial steps of each protocol, with authorized BLS procedures listed under the separate Scope of Practice Policy and the semiautomatic defibrillator standing orders. A separate set of BLS standing orders can be readily developed if the Fire Department so desires. Several of the responsibilities listed in RFP Section 3.1 were added to the MFR Medical Director's scope of work over the past 29 years by the current Medical Director:, these include direction of and participation in the Fire Department's Quality Management Program, participation in the Medical Priority Dispatch Systemcomponents, active participation at the State of Florida's quarterly EMS meetings, participation in State of Florida Bureau of EMS development of legislation and policies, provision of Trauma Transport Protocols, and Medical Directorship of the Village of Key Biscayne Department of Fire Rescue. From 1993 to date, the current Medical Director has also fulfilled the services requested by the Village of Key Biscayne Fire Department. The experience and qualifications of the Medical Director and the Tiers 2 through 4 physicians are detailed under sections 5 and 6, below. 4e) Current Applicable Licenses JMH is fully accredited by The Joint Commission (TJC) and licensed by the State of Florida, Agency for Healthcare Administration (AHCA). Residency training programs in 50 specialties and subspecialties are accredited by the Accreditation Council for Graduate Medical Education. The Ryder Trauma Center is certified by the State of Florida as a Level One Trauma Center for adults, and as a Pediatric Trauma Receiving Facility. Additionally, the various programs at JMH are accredited and/or certified by the relevant agencies (e.g., the Rehabilitation Center holds accreditation from the Commission on Accreditation of Rehabilitation Facilities, pathology laboratories are accredited by the College of American Pathologists and by the Health Care Financing Administration and are licensed by the Agency for Healthcare Administration, AHCA); a complete listing is available upon request. Refer to Attachment B for copies of the AHCA and TJC certifications. 4f) Facilities — Access & Training: Numerous facilities at JMH can be made available for training of EMS staff, as may be necessary, and as requested by the Medical Director. The Medical Director currently utilizes classroom facilities in the Emergency Care Center (ECC) and Ryder Trauma Center for orientation and training of the Tier 3 and Tier 4 radio physicians. These classrooms are also used for lectures and training of paramedic students from Miami -Dade College. The ECC conference room (275 square feet) is scheduled through the ECC Administration Office, and the Ryder Conference Room (approximately 500 square feet) is scheduled through the Trauma Service. JMH has 3 classrooms in the Ambulatory Care Center, a large auditorium in the Central Wing, and numerous small conference rooms throughout the institution. The Diagnostic Treatment Center includes a large Conference Center, with multiple rooms available. Any of these facilities may be scheduled on an as -needed basis by the EMS Medical Director; with advanced coordination and scheduling as they are used by other training programs and JMH staff. 10 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Access to emergency treatment areas, trauma rooms, and operating rooms is available through the Medical Director for EMS staff training. Dr. Schrank can arrange access for EMS staff training in the Emergency Care Center treatment areas (adult & pediatric) by working with the ECC Director of Patient Care Services, Trauma Resuscitation Unit (with the Trauma Service or TRU Head Nurse) and operating rooms (with the surgical services or Anesthesiology). A written agreement between the City of Miami, Village of Key Biscayne, and the PHT/JMH will be necessary before EMS staff is able to be present in patient treatment areas for training; similar agreements are currently in place with other agencies and training programs, therefore such an agreement is readily available. 4g) Relationship with Other Hospitals JMH has established relationships with many area hospitals, including several within the corporate limits/jurisdiction of the City of Miami. There are affiliation agreements with Mount Sinai Medical Center, the Miami Veterans Administration Medical Center, the University of Miami Hospital and Clinic, the University of Miami Hospital and Miami Children's Hospital for resident physician training. There are contractual agreements with the University of Miami Hospital, the Bascom Palmer Eye Institute, the UMHC/Sylvester Comprehensive Cancer Center, and the Miami Veterans Administration Medical Center related to patient care. Dr. Schrank and all lower tier physicians are on the staff of Jackson Memorial Hospital, working either in its Emergency Care Center or Ryder Trauma Center. Dr. Schrank and all Tier 2 and 3 physicians are active members of the PHT/JMH medical staff in good standing, with credentials in either Emergency Medicine or Surgery. All Tier 4 physicians are resident (house staff) physicians in good standing in the accredited JMH Surgical Residency Training Program or in the accredited Mount Sinai Medical Center Emergency Medicine Residency Training Program. All duties and responsibilities related to this Proposal are a part of the physician's role at JMH. Dr. Schrank is also a past member of the medical staff at the University of Miami Hospital and Clinic/Sylvester Comprehensive Cancer Center (UMHC/SCCC), which is on the UM/JMH medical center campus (specific address is 1475 NW 12th Avenue). She maintains membership and benefits as a faculty member of the University of Miami Medical Group, but no longer treats patients at the UMHC/SCCC. As a UMMSM faculty member, she does have active medical staff privileges at the University of Miami Hospital (UMH), but has never done patient care there (maintenance of privileges allows for the possibility of assistance there in event of a disaster situation). Dr. Schrank has assisted both the UMHC/SCCC and UMH with emergency and disaster planning and assisted UMH with its recent recruitment of a Chief of Emergency Medicine and attending physicians for their Emergency Department. In their roles as EMS Medical and Associate Medical Directors, JMH physicians do work actively with area receiving hospitals regarding MFR and KBFR, EMS patients transported there. Dr. Schrank chairs a large meeting that includes all area hospitals and EMS; this group meets three times per year to discuss any problems or concerns that might arise, and to update the receiving hospitals on EMS treatment protocols and new medical equipment. They have also assisted other hospitals in their internal development of additional emergency 11 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS department or inpatient programs to improve emergency medical care, most notably in their development of protocols and procedures to provide induced hypothermia for patients resuscitated from cardiac arrest; this latter endeavor has finally allowed a network of hypothermia centers to develop to serve the entire Miami -Dade population. Some of the Tier 3 physicians maintain active medical staff privileges at area hospitals where they worked previously or work occasional shifts; this is a common physician practice, and does not interfere with their related EMS duties under this proposal. The hospitals with whom any current Tier 3 physicians have worked during the current PHT/City of Miami EMS Medical Direction agreement have been the Miami VA Medical Center, South Miami Hospital, Doctors Hospital and West Kendall (Baptist) Hospital. The Tier 4 surgical resident physicians rotate through several surgical specialties as part of their residency training; these may include rotations at JMH, the Miami Veteran's Administration Hospital, and UMHC/SCCC; all EMS radio duties are performed during their rotations in the JMH Ryder Trauma Center's Trauma Resuscitation Unit. The Tier 4 emergency medicine resident physicians rotate through several specialties as part of their Mount Sinai EM residency training; these include rotations at Mount Sinai Medical Center, JMH and Miami Children's Hospital. Here at JMH, the emergency medicine residents work in the Ryder Trauma Center, Emergency Care Center, and the Poison Information Center; their EMS radio duties are performed during their Trauma Resuscitation Unit and ECC rotations only. The emergency medicine residents work at JMH under an affiliation agreement between the Public Health Trust/Jackson Memorial Hospital and the Mount Sinai Medical Center. The PHT also has established relationships with other hospitals for purposes of response to Mass Casualty Incidents and/or Weapons of Mass Destruction terrorism incidents; these agreements allow rapid coordination and mobilization of patient care space in the event of a disaster. For example, ifa smallpox outbreak should occurin this community, JMH could rapidly transfer some of its inpatients to other nearby hospitals, enabling quick implementation and opening of its "Type C Facility" (smallpox isolation unit), which is a specially remodeled inpatient floor normally in use for routine patient care. JMH participates actively in the Civic Center Disaster Committee, which includes Cedars Medical Center, the Miami Veterans Administration Medical Center, Bascom Palmer Eye Institute/Ann Bates Leach Eye Hospital, and the UMHC/SCCC. 4h) Discontinued Clients The Miami -Dade County Fire Department discontinued utilizing JHS/JMH for its EMS Medical Direction approximately 3 years ago when the Fire Department decided to hire its EMS Medical Director directly as one of its employees, rather than through a contract with another healthcare entity. There were no stated concerns with the quality of services that were provided by JMH, and the same EMS Medical Director converted his position there to fire department employee status. The City of Coral Gables terminated its agreement with JHS/JMH for EMS Medical Direction approximately 2 years ago with the stated reason that its financial status necessitated a lower 12 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS fee for such services; there were no stated concerns with the quality of services that were provided by. JMH. JHS/JMH. chosenot tosubmit a proposal for the Coral Gables RFP. 4i) Letters of Reference Letters of Reference (see Attachment D) are enclosed from the Village of Key Biscayne Department of Fire Rescue, Miami -Dade County Fire Rescue, and the Center for Research in Medical Education. Chief Eric Lang Village of Key Biscayne Dept. of Fire Rescue 560 Crandon Boulevard Key Biscayne, FL 33149 Office: 305-365-8989 Dr. Donald Rosenberg, Medical Director Miami -Dade County Fire Rescue Department 9300 NW 41st Street Miami, FL 33178 Office: 786-331-5000 Dr. Ivette Motola, Director Div. of Pre -hospital and Emergency Healthcare Gordon Center for Research in Medical Education University of Miami Miller School of Medicine 1120 NW 14th Street Miami, FL 33136 4j) Other supports PHTIJMH provides a broad spectrum of medical services to the public, from primary health care to highly specialized tertiary care. Diagnostic and treatment services include emergency, critical, inpatient, ambulatory, and rehabilitative care in all major and minor medical specialties. Regarding EMS Hospital Capability Survey categories, JMH provides all services listed. JMH is a Level 1 hospital for emergency cardiac care and acute stroke care; both are available on a 24-hour basis. Focusing on emergency care, the JMH Emergency Care Center treats a wide variety of emergency medical conditions in patients of all ages at multiple treatment areas. The adjacent Ryder Trauma Center, equipped with a helipad, treats adult and pediatric victims of major trauma. Patients with acute psychiatric emergencies are treated in the Mental Health Emergency Service (Crisis Intervention Unit). Women with obstetric emergencies are treated in the on the Labor and Delivery floor. Ambulatory walk-in adult patients with minor illnesses are treated in the Minor Care Area and same -day clinics. Victims of sexual assaults are treated in the Rape Treatment Center, and/or the ECC as needed. Patients in the custody of the Corrections Service who have minor injuries or illnesses are treated in the Corrections Medical Service (Ward D). Many special units at JMH handle complex emergencies, such as the Burn Unit, Spinal Cord Injury Center (1 of 17 in the nation), Cardiac Catheterization Lab, Electrophysiology Studies Lab, and Neonatal Intensive. Care unit (thestate's largest), as well as our several Intensive Care Units. Special services at this medical center include the Poison Information Center (1 of 13 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS 3 in Florida), the Acute Stroke Intervention Team, the Neonatal Transport Team, and the Miami Project to Cure Paralysis.. The JMH Weapons of Mass Destruction Decontamination Team stands ready to respond should the need arise to treat mass casualties from chemical or biological exposures. All major medical and surgical specialties are available to support emergency care. All of the above emergency services are at our primary hospital location, JMH. Available diagnostic testing includes the full spectrum of radiology, nuclear medicine, and pathology laboratory services, all available on a 24-hour basis. Emergency radiology services including ultrasonography, CT scan and angiography are located in the ECC, and an MRI is on campus. The following additional specialties and services are available at JMH: Bum Unit Cardiology, General Cardiology, Invasive Cardiology, Pediatric Endocrinology Family Medicine Gastroenterology Gynecology Hematology Hepatology Hyperbaric Medicine Infectious Diseases Internal Medicine Intensive Care Immunology Neonatal services Nephrology Neurology Neurosurgery Nuclear Medicine Obstetrics Oral Surgery Orthopedics Otolaryngology Pediatrics, General Pediatrics, Critical Care Poison treatment Psychiatry Pulmonary Medicine Radiation Therapy Radiology Rehabilitation Medicine Spinal Cord injury Surgery, Cardiothoracic Surgery, General Surgery, Re -implantation Surgery, Transplant Surgery, Trauma Surgery, Vascular Urology 14 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS 5. TIER1: MEDICAL DIRECTOR'S QUALIFICATIONS & EXPERIENCE 5a) Medical Director The Public Health Trust strongly recommends Kathleen Schrank, MD, FACEP, FACP, to continue her service as EMS Medical Director for the City of Miami Fire Rescue and Village of Key Biscayne Fire Rescue. She has served in this position for twenty four (24) years and has fulfilled all requirements of the previous RFP under the current contract. Dr. Schrank has authorized the Public Health Trust/Jackson Memorial Hospital to represent her consent to continue serving in her current role as part of this Proposal. Dr. Schrank has been a member of Jackson Memorial Hospital's Active Medical Staff since 1982,.and is an attending physician in the JMH Emergency Care Center. She served as the JMH Chief of Emergency Medicine from 1988 to 1997, and is a Professor at the University of Miami Miller School of Medicine. She will perform all responsibilities and meets all qualifications listed in the RFP Section 3.1 Specifications/Scope of Work. Dr. Schrank has established an excellent record of performance of these duties for EMS, has eamed the respect of her peers and colleagues in the field, and her credentials are outstanding in terms of medical knowledge, emergency medical care, teaching, administration, academic recognition, community service and leadership. 5b) Experience Kathleen Schrank, MD, has served as the Medical Director for City of Miami Fire Rescue since 1987 and for Village of Key Biscayne Fire Rescue since its creation in 1993. Prior to becoming an EMS Medical Director, she gained considerable EMS experience as an Assistant Medical Director to the City of Miami Fire. Department from 1983 to 1987. Under the guidance of the Medical Director, Dr. Bemard Elser, she developed expertise in EMS principles and systems, Teamed EMS treatment and transport protocols, provided radio physician supervision of paramedics, presented lectures and training for paramedics, spent invaluable time in the field with paramedic crews, and established a strong relationship with Miami Fire Rescue crews as a resource physician on duty in the JMH Emergency Care Center. Drs. Elser, Schrank, and Weinbach (Assistant Medical Director, 1982-1984) established a protocol testing program in order to maintain EMS quality of care; which continues today under Dr. Schrank's supervision. Since becoming the City of Miami's Medical Director in 1987, Dr. Schrank has seen the role of an EMS Medical Director expand considerably, and has increased her time commitment to EMS duties and her knowledge base accordingly. Added responsibilities for this role since 1987 have included quality management (QM) programs, emergency medical dispatch (EMD), supervision of Basic Life Support personnel, oversight of a much larger EMS service (from approximately 90 paramedics in 1987 to more than 650 today), increased State regulatory requirements, community disaster planning and response, and terrorism response planning. A medical quality management program was organized and established under Dr. Schrank's leadership for the Miami Rescue Division; which expanded to include all EMS personnel. The City's Quality Management Program now has two full-time Fire Department Officer positions permanently assigned to this endeavor. The Continuous Quality Improvement Committee meets weekly, and Dr. Schrank attends 40-45 meetings per year. CQl currently includes the 15 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS two QM officers, the Paramedic Instructor, the EMS Battalion Captains, a KBFR EMS Officer, and the Medical Directors. Recognizing the need to separate the QM process from departmental disciplinary actions (an essential element for open communication with all EMS personnel regarding QM topics), a separate Medical Advisory Committee was created, which adds in the participation of the EMS Chief and additional Fire Administration Officers as needed; this team meets weekly to oversee the entire EMS operation plus handles recurrent and/or non -remediable QM concerns. For the Village of Key Biscayne, Dr. Schrank completes all assigned duties, including Quality Management reviews and meetings as requested with the EMS Officers, EMS personnel, and Chiefs. The current Miami and Key Biscayne programs established by Dr. Schrank meet all state requirements for quality management programs as mandated by the State Bureau of EMS. Dr. Schrank had considerable training in quality management through JMH where, as Chief of Emergency Medicine for 8 years, she was responsible for the entire emergency medicine physician QM program and very active in the overall Emergency Care Center and JMH QM programs for the hospital, State Agency for Healthcare Administration and Joint Commission. Her ECC physician reports were presented to the hospital -wide QM program quarterly, with positive feedback. She was a member of the Executive Committee of the Medical Staffs Medical Review Committee for 8 years, which oversees the physician QM program for the entire institution. Dr. Schrank attended 2 intensive continuing education courses on quality management, one from the Joint Commission and one from the Public Health Trust for Chiefs of Service, plus numerous update sessions on healthcare performance improvement for physicians, hospitals, and EMS systems. She also participates actively in the Eagles Consortium, a national group that developed and is updating national benchmarks for EMS performance. Dr. Schrank has participated in several sessions at the state level with the Bureau of EMS and the Florida Association of EMS Medical Directors in order to develop recommendations for EMS quality management programs to be used throughout Florida. Dr. Schrank also participates in the activities and meetings of the Florida EMS Quality Managers Association. Since Dr. Schrank became its Medical Director, the Miami Fire Department expanded the responsibilities of its Medical Director and extended its EMS services. Dr. Schrank became involved in BLS activities for the Fire Department, which included establishment of the semi- automatic defibrillator program (protocols, training, QM) whereby all fire engines were equipped with these life-saving devices. In 1993, the Village of Key Biscayne established its own Fire Department and contracted with Miami for support services, which included EMS Medical Direction; Dr. Schrank therefore added another EMS service, with a separate staff and QM program. State of Florida regulatory requirements have also expanded over the years, and the Medical Director worked effectively with the two EMS services to meet all requirements. Statewide QM surveys were completed. Specified recertification educational requirements for EMS personnel were met, as were various new EMS regulations. For example, Trauma Transport and Acute Stroke protocols were developed, paramedics and EMT's were trained, and QM tracking programs were instituted. Dr. Schrank continues to participate in the EMS QM program of the 16 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical .Direction Services for EMS Ryder Trauma Center, the Miami Stroke Coalition, and the JMH Stroke Advisory Team. Florida's Do Not Resuscitate regulations required protocol revision and training, and she is active in the State project to convert these to the new «POLST" guidelines, assuring that State developments accommodate EMS perspectives and needs. Dr. Schrank also developed a proactive role in State of Florida legislative activities and various state organizations that included review and comment on proposed statutory and regulatory changes, as detailed in section #5g of this proposal. She currently serves on the Governing Board for the Florida Association of EMS Medical Directors, and attends a majority of the State Bureau of EMS constituency meetings (now held 3 times per year); this assures the fire department's voice in the development of State policies and procedures, legislation and proposed legislation review, with information reported back to the MAC team. Regarding the City of Miami Alarm Office and emergency medical dispatch, Dr. Schrank initiated a project with the Rescue Division Chief in 1989 to establish a priority medical dispatch system (MPDS) that would meet voluntary national standards. The Medical Director was a key member of the project, which required evaluation of Miami's previous system and other available programs, selection of the MPDS from Medical Priority Consultants, Inc., site visits, adaptation of the MPDS to Miami, training, protocols, system development, and on- going quality management. Dr. Schrank is a member of the MPDS Steering Committee, provides medical oversight for the MPDS QAP, and responds to questions and concems as they arise. In 1997, the City of Miami received national accreditation as a Center for Excellence for its comprehensive priority medical dispatch program and continues that certification. Medical standing orders (treatment protocols for BLS and ALS care) are the responsibility of the Medical Director, and these have been developed through collaboration between the Medical Director and the MFR Paramedic Instructor, and then reviewed through the EMS Protocols and Curriculum and MAC Committees. . Miami protocols have been expanded in scope and updated frequently over the past decade, with Dr. Schrank reviewing, approving, and signing for each new change. As an example, protocols on emergency cardiac care were expanded to include recognition and management of acute myocardial infarction (performance and interpretation of 12-lead electrocardiograms for cardiac ischemia and infarction, pre - hospital administration of aspirin, evaluation and preparation of candidates for thrombolysis, triage of infarction patients to hospitals with specific cardiac capabilities), and medical intervention for supraventricular tachycardias. New pediatric protocols were written and implemented. New medications (adenosine, subcutaneous epinephrine, magnesium sulfate, aspirin, glucagon, midazolam, diltiazem, amiodarone, midazolam and etomidate) and procedures (e.g., external cardiac pacing, pediatric and then adult intraosseous access, alternative airways, nasotracheal intubation,Continuous Positive Airway Pressure mask ventilation, tourniquets and needle thoracostomy) were added by Dr. Schrank and MFR over the past 24 years, with considerable support from the Paramedic Instructor and training team. The Village of Key Biscayne utilizes the same set of standing orders and protocols as MFR, as developed and approved by Dr. Schrank, and is able to make additions as needed. Her upcoming plans with both departments include the implementation of a new alternative airway device, major revisions/updates in EMS protocols, and clinical trials of new CPAP devices and defibrillators. 17 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Dr. Schrank has considerable experienceinthe development and implementation of pre - hospital protocols, and frequently consults on protocols for other departments. She served on the South Florida Regional Common EMS Protocols development teams for cardiac care and toxicology and Miami -Dade County EMS Protocol Committee. Other credentials and training relevant to EMS medical protocols include 30 years of Emergency Medicine experience in Jackson's high volume, high acuity emergency department; continuing medical education courses in Internal Medicine, Emergency Medicine, and EMS; active contribution to the State of Florida ALS and BLS Protocol guidelines; frequent interaction with other EMS medical directors and paramedic educators; participation in national consensus statements with the Eagles Coalition (formally known as the US Metropolitan Municipalities EMS Medical Directors Coalition); and self -education from EMS texts and journals. Other areas of her training (such as Tactical EMS Medical Direction, Hyperbaric Medicine, Hazardous Materials response, Advanced Hazardous Materials Life Support, Disaster Response) benefit Miami's special EMS teams. In addition to medical treatment protocols, many other related policies and procedures are necessary for EMS operations. Dr. Schrank has revised previous policies and procedures and developed many new ones, in collaboration with the MFR MAC team. Recent examples include policies on airway management, toumiquet use, recognition and treatment of tension pneumothorax, termination of resuscitation in the field, and sedation/analgesia. Again, development of each policy required experience, research, discussion, drafting, training, and quality management. Dr. Schrank has nearly 30 years of experience in the performance of all duties required of the Medical Director for the City of Miami, and similarly, 19years of experience with the Village of Key Biscayne. She is well -versed in Florida statutory and regulatory requirements. As required by Florida Statute 401, she accepts and provides supervisory responsibility and medical oversight for the medical performance of the City's and .Village's paramedics and EMT's. As required by Florida Statute 458, she maintains written communication to the Board of Medicine of all paramedics and EMT's working under her medical license. She is readily available in person, by phone, by radio, or by beeper on a 24 hour basis for emergent or immediate EMS questions, as well as for questions of lower urgency, whether from EMS personnel, radio physicians, or local emergency departments. In order to assure a strong and centralized system of medical oversight of EMS, she organized the 24/7 physician radio coverage for the City and Village, which involves selection of physicians, orientation, double coverage with them during their first several radio shifts, quality management (feedback on performance, education as needed, removal from radio duty if necessary), scheduling, and communication of new or revised procedures. She has written guidelines and orientation materials for these physicians, and both medical directors assure the training for each new radio physician (Tiers 3 and 4). The establishment of dual tiers of. radio physicians began under previous medical directors, and continues to assure that a minimum of 2 (most of the time 3) qualified physicians are on the Miami radio at all times for immediate response to EMS. 18 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Dr. Schrank has actively participated in assurance that active duty EMS personnel are qualified to provide emergency medical care to the public, as required by Florida Statute 401. She is involved in the protocol testing of all MFR paramedics and works closely with the testing design and updating for both departments. She has been working with the Infection Control Program throughout her career in close collaboration with the Infection Control Officer on policies and procedures reviewing regulations, responding with medical help on various exposures (e.g., dive team and Miami river risks, tuberculosis exposures, blood borne exposures, preventive measures for search and rescue and disaster medical teams, HIV/AIDS concerns, plus counseling of personnel and occasionally family members), and coordinating care of EMS personnel with their healthcare providers. Dr.. Schrank has worked with the fire departments to assure compliance with US Drug Enforcement Agency and Florida regulations on prescriptions; licensure; policies; storage and inventory for medications, intravenous fluids and medical supplies; and security regarding controlled substances. She maintains a separate DEA license for the fire department, as required by the DEA and City, and provides prescriptions and authorization for all medications and medical equipment, including controlled substances. In order to assure the onerous task of compliance for her own and other EMS providers, Dr. Schrank has performed extensive review of the regulations, discussions with national experts, complete revisions of her systems' controlled substance policies and systems, and many lecture presentations for other State of Florida EMS Medical Directors and providers, She is working with national leaderships from the American College of Emergency Physicians' EMS Committee toward national education programs and legislative adaptation of regulations to EMS systems. An EMS Medical Director is required by Florida regulations to review and authorize continuing education and recertification requirements for paramedics and EMT's; Dr. Schrank has done so since 1987, and has also reviewed and approved similar requirements for Emergency Medical Dispatchers under the National Academy of EMD. Her experience and qualifications in conducting training sessions are described below in section 5e. One of the major educational accomplishments of Dr. Schrank's partnership with City of Miami Fire Rescue over the past 7 years has been the establishment of an outstanding resource for our community, the EMT certification training program at Miami Edison Senior High School. Under the leadership of Chief Maurice Kemp, the City allied with the Miami Dade County Public Schools to pilot the expansion of the Fire Cadet program into the creation of a true EMS certification class that allows inner city youth to prepare for a career as Emergency Medical Technicians. Despite a variety of regulatory and financial hurdles, the program now graduates high school students each year who are qualified to take the State's EMT Certification exam and pursue jobs in EMS and other medical fields. Dr. Schrank was instrumental in making this happen, and obtained all credentials required by the State of Florida to serve as the Medical Director of this training program. This program now functions under the auspices of Fortis College, a State - approved training center. Dr. Schrank served as its initial Medical Director, maintains her certifications, and has continued to assist the current Medical Director from Fortis, Dr. Joe Nelson, and Fortis College faculty with these students as needed, including service to Fortis College on its Advisory Board. 19 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Dr. Schrank also has frequent contact with physicians at other hospitals or clinics to discuss EMS problems, contact with other physicians to assist with treatment of ill or injured EMS personnel, assistance for the City of Miami attorneys on legal cases related to EMS, handling radio equipment problems, reviewing physical layout of ambulance entrances at area hospitals, and assistance with EMS billing operations and Medicaid audits. She worked closely with Florida EMS constituency groups regarding Florida Medicaid's adverse rulings related to EMS billing for services provided. She has provided consultation whenever requested by the departments on a variety of medical issues, such as Dive Team medical screening, Haz-Mat team medical screening, Tactical EMS team supplies, DMAT and USART supplies, malfunction of medical equipment, firefighter rehabilitation and smoke inhalation. Recent endeavors include medical oversight for the critically important Public Access Defibrillation (PAD) program initiated by the Miami Fire Department (service includes medical oversight, prescriptions, procedures, committee meetings), coordination of EMS response to local jails and medical facilities, implementation of hazardous materials treatment protocols and antidotes, assistance with the City's new ePCR computerized run reporting system, and - work with the Miami -Dade County Commission, Police Chiefs Association, Corrections Bureau, Fire Officers Association, and Medical Examiners Office on protocols for handling victims of excited delirium and/or Taser® use. Dr. Schrank has been an emergency physician in Jackson Memorial Hospital's Emergency Care Center for 29 years, treating patients with all types of emergency medical conditions, and she is board certified in both Emergency Medicine and Internal Medicine. Her Internal Medicine background provides an in-depth knowledge of cardiac and respiratory emergencies. Dr. Schrank has also lectured extensively on emergency cardiac care and toxicology, as well as several topics (such as heat illness, near drowning, pediatric airway management, less - than -lethal law enforcement equipment, sepsis, hemorrhage control, smoke inhalation, dive medicine, and envenomations) that are helpful to EMS protocol development and personnel safety. Dr. Schrank served as the Chief of Emergency Medicine for JMH more than 8 years and in 1989 successfully organized an entire new program for 24 hour coverage of the JMH ECC by qualified attending physicians, rather than resident physicians only. This program required considerable administrative change, development of new contracts and an entire administrative structure, and recruitment of a group of more than 20 high quality full-time physicians. She was responsible for the recruitment, hiring, orientation, problem -solving, and occasional firing of these attending physicians. She learned procedures for staff physician credentialing, contract negotiation, budget development, facility planning, medical equipment evaluation, coordination of support services, public relations, medical billing, disaster response and crisis management. She was a member of many administrative committees and chaired several. Dr. Schrank participated successfully in numerous site visits from state and federal regulatory agencies. She continues her leadership role at the medical school as the UM Division Chief for Emergency Medicine, with many administrative duties, and provides administrative support for the JMH Chief of Emergency Medicine. Dr. Kathleen Schrank has achieved considerable experience and expertise in EMS, and.clearly demonstrated her ability to perform all aspects of an EMS Medical Director's duties as required 20 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS in this RFP. Her contributions to EMS have been recognized by the State of Florida Bureau of EMS Advisory Council in their award in 2000 as the State of Florida EMS Medical Director of the Year, by the City of Miami as the Intra-Departmental Employee of the Month in 2000, and by her selection to core membership in the US Metropolitan Municipalities EMS Medical Directors (Eagles) association in 2004. The current and complete resume of Dr. Kathleen Schrank is included as Attachment E. 5c) Medical Licenses Copies of Dr. Schrank's Florida medical license, board certifications, ACLS Instructor certification, required provider certifications, certificates for EMS -related education or training from 2005 to date, and DEA licenses are included in Attachment F. Also included are copies of her fellowship and relevant awards. Copies of certificates for other emergency medicine and internal medicine continuing education are available upon request, as are copies of EMS - related education and training prior to 2005. All pre-2005 certificates for her EMS education and/or training were supplied in the previous proposals for EMS Medical Direction Services. Copies of Dr. Schrank's publications are available upon request. Copies of licenses and certifications for the Tier 3 or 4 physicians are maintained by the JMH Office of Physician Services and are available upon request. 5d) Local, regional, and state mass casualty and disaster plans Kathleen Schrank, MD, has extensive experience in disaster management and planning, which includes knowledge of the varying types of responses necessary (depending on the disaster's type, location, number of victims, etc.). From her EMS experience, Dr. Schrank is well -versed in the START (Simple Triage and Rapid Treatment) and modified START procedures and mass casualty plans used by the Fire Department. She has participated in EMS planning for mass casualty incidents (MCI's) and disaster response with Miami, Key Biscayne, Miami -Dade County, and the State. Dr. Schrank has been on site for several MCI drills with MFR, worked at the hospital receiving end on several others, manned the hospital's command post in some, and participated actively in follow up critiques. She is very familiar with issues relating to protection of EMS personnel, and well-acquainted with principles and practice of firefighter rehabilitation activities on site. She has responded to the scene of actual MCI's. Following injuries to firefighters on various occasions, Dr. Schrank has coordinated JMH resources in their care. Dr. Schrank participated actively in the development of and then approved the Miami Fire Department's MCI Plan. Experience of the proposed EMS Medical Director in real disaster and MCI response includes Hurricane Andrew, the ValuJet crash, an ammonia leak at a factory, a chemical leak at. JMH, a transformer fire in downtown Miami, and various smaller incidents. As the PHT/JMH Chief of Emergency Medicine and the MFR EMS Medical Director in 1992, Dr. Schrank worked round the clock before, during and after Hurricane Andrew. Along with hospital staff, she orchestrated the response of the Emergency Care Center (medical and nursing coverage, medical supplies, food and water, boarding for nursing home evacuees), and met daily with hospital command personnel. When outside communication with area hospitals proved impossible, she organized the area's Emergency Department Medical Directors, EMS Chiefs, Health Department physicians, and (later) State of Florida Bureau of EMS personnel and 21 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Mianzi RFP # 289267 Medical Direction Services for EMS military commanders to meet repeatedly at JMH in order to coordinate a community -wide medical response. She worked with the Miami -Dade County Emergency Operations Center staff, and with the disaster teams that came into our area. Dr. Schrank also worked extensively with the South Florida EMS Task Force and the county Office of Emergency Management both before and for years after Hurricane Andrew regarding disaster planning, preparation, and response; work with the county OEM continued for the many years of its active Terrorism Advisory Committee. In May, 1996, Dr. Schrank was consulted by Miami -Dade County Fire Department for input on medical care and personnel safety following the ValuJet crash, and assisted county EMS personnel at the crash site staging area. Her role focused on assessment and prevention of risks to field . personnel, including - heat illness, mosquitoes, lightning, venomous snakes, bacteriologic exposures, alligators, hazardous materials, and wounds. She worked with Miami - Dade EMS, University of Miami experts on the Everglade's pathogenic risks, and nearby emergency departments, and provided written advisories to area hospitals on wound management issues. As JMH Chief of Emergency Services, Dr. Schrank served as a member of the JMH Disaster Committee from 1987 until 1993, when the committee was dissolved by the hospital, with functions assumed by the Executive Safety Committee. In her role as Chief of the Emergency Care Center and Disaster Committee member, she played a vital part in disaster planning for this medical center. Experience included drafting of policies and procedures, coordination of medical response, and coordination of the many essential support elements (medical supplies and equipment, medical records, blood bank, radiology, laboratory, security, housekeeping, engineering, communications, food and water supplies). Her specific expertise included response to hazardous materials (chemical, biological and radioactive). She drafted plans for the Emergency Care Center staff to develop capability for decontamination of such victims, which later evolved into the JMH HazMat Response Team where she served as an initial member. She served on the Civic -Center Disaster Committee for many years, participating in MCI planning and drills; this group included the Civic Center hospitals and MFR. Dr. Schrank served in a leadership role in the hospital's Internal Disaster Subcommittee for many years, and she continues to work with JMH, including service as a liaison to the fire departments and component of the hospital Command Structure. Additional hospital experience included planning for VIP treatment in the ECC, VIP visits to the medical center, the Summit of the Americas conference, presidential and papal visits to the Miami area, Superbowis, and the Miami Free Trade Agreement Association meeting. As a member of several local agencies (the South Florida EMS Task Force, the County's Trauma Advisory and Terrorism Advisory Committees, the Emergency Department Council of Miami -Dade County, and the Miami -Dade County EMS Medical Directors Association), Dr. Schrank participated in considerable disaster planning for our community. She is well -versed in the structure, requirements and planning for FEMA Urban Search and Rescue Teams and Disaster Medical Assistance Teams; providing assistance (e.g., obtaining supplies and medications on short notice, immunizations, medical screening, advice for foreign travel regarding infectious diseases and environmental risks), and has recruiting physicians. 22 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Dr. Schrank was involved in.the extensive planning required for 1996 Summer Olympic Soccer games held locally. The 1996 local group (fire and EMS providers, EMS medical directors, local law enforcement, local representatives of federal organizations) continued to meet to provide ongoing local response organization with the County Office of Emergency Management. In 1998 this evolved into the County OEM's Terrorism Early Warning Committee and planning committee for the Metropolitan Medical Response System's Strike Team; which later included the Urban• Area Security Initiative program. In 2002-03, she worked closely with the County Health Department, hospitals, and EMS providers to develop and implement the smallpox vaccination program. Dr. Schrank works closely with the City of Miami Emergency Operations Center, where she will serve as needed at the ESF-8 seat. Her disaster management experience has included work with various state and federal agencies, including the State EOC and EMS Medical Director. Now, through the Eagles Consortium of EMS Medical Directors, she has a good working relationship with medical direction personnel from the FBI, US Secret Service, DHS and White House Medical team. Through formal courses (several Haz-Mat courses and various continuing medical education sessions) and self -education (texts, disaster journals, FBI handbooks, Department of Defense handbook, videos), Dr. Schrank has developed an extensive knowledge base in disaster management, mass casualty incident response, medical planning for mass gatherings, decontamination and medical management of hazardous materials exposures (nuclear, biological, and chemical). She participated in the curriculum development of the first Hazardous Materials Response Training Course planned by the UM Gordon Center for Research in Medical Education, and in their current Emergency Response to Terrorism course. She works closely with the UM/JMH Poison Information Center, whose director, Richard Weisman, Pharm. D., has extensive experience in toxicology, as well as in disaster response and antiterrorist activities from his previous position in New York City (first World Trade Center bombing, various threats of biological weaponry use) and continued state and federal activities. She has arranged for and worked with the fire departments on Critical Incident Stress Debriefing for fire and EMS personnel following difficult situations. Dr. Schrank is also a member of the American College of Emergency Physicians Section on Disaster Medicine, which provides publications and computer resources. All of the affiliations listed above have provided Dr. Schrank with extensive networking opportunities that benefit the local EMS providers. 5e) Training Experience The proposed EMS Medical Director, Kathleen Schrank, MD, has a wealth of experience in educating leamers at a wide variety of levels of expertise, with teaching activities ranging from small groups to large audiences, and from . classroom teaching to overall curriculum development. She has been a teacher since 1972, when she graduated from the University of Wisconsin with a Bachelor of Science degree in Secondary Education and Zoology. She taught middle school, junior high, and high school science classes for three years before entering medical school. Her undergraduate curriculum included educational methodology, teaching skills, lesson planning, and curriculum development. Her experience with secondary education -level students was invaluable in enhancingher teaching skills. During her internship and residency in Internal Medicine, Dr. Schrank was directly responsible for the medical 23 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS education of medical students and junior residents assigned to her. In her role as Chief Medical Resident from 1982-1983 (a faculty position for the University of Miami Miller School of Medicine), she coordinated the conference schedules for all JMH Internal Medicine residents in training —selecting topics, recruiting faculty speakers, assuring compliance with residency regulatory requirements, and selecting outstanding medical cases for presentation. Continuing as a UM faculty member for the past 29 years, Dr. Schrank has extensive teaching experience. She has taught first year through fourth year medical students, resident physicians from many specialties, paramedics, nurses, community physicians, and other faculty physicians. Details of past and current teaching roles are listed in her resume. Current UM teaching assignments include Clinical Clerkship Curriculum Committee membership, co - direction of the senior medical student mandatory rotation in Emergency Medicine, and course coordination, curriculum development, and lectures in the Emergency Responder Course for first year medical students. Past experience includes the sophomore Medical Ethics course and Course Coordinator for the junior Medical Clerkship. Dr. Schrank has served as an invited speaker for several annual UM continuing medical education courses for community physicians, including the Emergencies in Internal Medicine Courses, the Teaching Conferences in Clinical Cardiology, and the Internal Medicine Board Review Courses (topics are listed in her resume). At the University of Miami Gordon Center for Research in Medical Education, Dr. Schrank is currently an instructor for Advanced Cardiac Life Support (ACLS) courses, and past instructor for Pre -hospital Management of Acute Myocardial Infarction, Advanced Trauma Life Support and Pre -hospital Management of Acute Stroke courses. Dr. Schrank served for years on the Gordon Center's Goveming Board of the Emergency Medical Skills Training Program. She worked on course development and revisions for paramedic ACLS, Pre -hospital Trauma Management, Acute Myocardial Infarction/12 Lead EKG courses, Emergency Response to Terrorism and Acute Stroke courses (content, structure, written cases, audiovisual materials, protocols, scenarios, testing, text materials). She was a leading participant in the first course on .Recognition and Management of Acute Myocardial Infarction developed with the City of Miami Fire Rescue service in 1989, in which the paramedics not only learned to perform 12 lead electrocardiograms, but to interpret them for acute myocardial ischemia and infarction. This was a national "first," with an outstanding performance by Miami paramedics. Results from this successful program were presented by Dr. Schrank to the Society for Academic Emergency Medicine at an annual national scientific conference, and to the Florida Association of EMS Medical Directors at a state EMS conference. Dr Schrank underwent additional training in educational methodology in achieving Instructor status in ACLS and ATLS, and must periodically be monitored and critiqued by affiliate faculty. Her academic contributions to the medical school were recognized in her election to UM's Iron Arrow honor society, the 1999 UMMSM Faculty Teaching Award, and promotion to full Professorship in the Clinical Educator track. At JMH, Dr. Schrank currently participates as a Core Faculty member in Emergency Medicine, assisting with the coordination of JMH teaching programs for staff and residents, including the Emergency Medicine Lecture Series (various emergency topics) to an audience that includes 24 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS JMH nurses, mid -level providers and technicians. She also provides Simulation Laboratory, education for medical students, hands-on emergency medicine training for residents from various specialties and provides lectures and board exam preparation sessions for Osteopathic Emergency. She teaches small and large groups in classroom sessions and at the patient's bedside, providing didactic instruction, interactive procedure training, and hands- on clinical teaching. Feedback on teaching performance has been formally provided to Dr. Schrank from all teaching venues (multiple continuing medical education courses, ACLS and ATLS courses, the EM Lecture Series and the Internal Medicine residency training program). All evaluations have been exceedingly positive. She provides paramedic lectures through the MFR EMS Medical Director Lecture series plus skills training at the UM Gordon Center. Dr. Schrank has in-depth experience in planning and coordinating educational modules. For. UM, her course coordinator roles included overall curriculum planning, recruitment and supervision of teaching faculty, student evaluation/testing, audiovisual content development and equipment trouble -shooting, logistics, and scheduling. Past UM experience also included the development of clinical competency examinations for medical students, and membership in the UM Task Force on Generalist Medical Education of the school's Curriculum Committee. At JMH, Dr. Schrank has worked extensively with educational accreditation. bodies regarding residency training programs (Internal Medicine, Surgery, and Oral Surgery), and is quite familiar with curriculum development, site visits, review, and revisions to programs. She was one of two JMH attending physicians who produced the hospital's first application to establish an Emergency Medicine Residency Training Program; a task that took several years of planning, extensive curriculum development, and an 800 page application. Provisional accreditation was granted by the national Residency Review Committee in the first application cycle, which was an unusually successful result at the national level. Unfortunately, the program itself was unable to start at that time. For EMS education, Dr. Schrank participates actively in teaching, coordination, and testing aspects of training. She has reviewed and authorized content for paramedic recertification courses for the 2 fire departments for many years, and has reviewed the Emergency Medical Technician refresher courses provided for Miami by the Miami -Dade College faculty. Recent projects included development and approval of each Paramedic Refresher module with the MFR Paramedic Instructor, and national EMS presentations at the Gathering of Eagles "EMS State of the Science", Conferences in Dallas (annually since 2004). Past MFR teaching also included presentations to new officers and new recruits. She has reviewed and approved EMT and paramedic refresher training for JMH ECC personnel as well. Local paramedic teaching directly provided by Dr. Schrank during the past year has included local lectures and case presentations (e.g., cardiac emergencies, major trauma, respiratory failure, 12 lead EKG interpretation pitfalls, EMS legal issues) and small group discussions on multiple occasions with Key Biscayne EMS personnel. Recent national EMS presentations included lectures at the Eagles "EMS State of the Science" conferences in Dallas and at the IAFF's Dominic F. Barbera EMS Conference in New York City. Dr. Schrank conducts oral examinations of learners in ACLS and ATLS courses, using scenarios and evaluation tools similar to those developed for the MFR paramedic testing 25 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Mianzi RFP # 289267 Medical Direction Services for EMS system. She served as a test -item writer and committee chair for the National Board of Medical Examiners (national examination for physician Iicensure), and received considerable test -writing education from them. She has authored multiple choice examinations for UM medical students and contributed test items for the Family Practice board certification examination. Along with the MFR Paramedic Instructor, QM officers, and EMS Captains, Dr. Schrank participated in every aspect of the development of Miami's Clinical Competency evaluation program for paramedics, and continues to provide direct evaluation of paramedics in Clinical Scenario examinations. She presented a summary of Miami's evaluation program to a national group of EMS medical directors and paramedics in 2004. 5f) Primary work location Dr. Kathleen Schrank's primary work location is the JMH Emergency Care Center, 1611 NW 12 Avenue, Miami, FL 33136, where the hospital provides an office for her (room number. Holtz 1143), although many EMS activities are performed at MFR and KBFR locations. Her JMH office is conveniently located for frequent contact with Miami EMS crews as they bring patients to JMH and for immediate contact with the system's radio physicians. Her routine support services from the hospital are located within the Emergency Care Center. Both her primary work location and her residence on Key Biscayne are within standard portable radio range of the City's radio system. 5g) Experience in Professional EMS -related Organizations and Activities The proposed Medical Director, Dr. Kathleen Schrank, has been an active member of several EMS organizations since 1987, with participation at the local, state, and national levels. The following discussion is a summary of her major activities related to EMS through professional organizations at the local, state, and national levels. Other professional activities not directly related to EMS are omitted here, but are listed in her resume. Additional details are available upon request. State of Florida Bureau of EMS Advisory Council and Quarterly EMS Meetings: In 1989,, Dr. Schrank began participating in these State -coordinated EMS meetings, which are now held 3 times per year. The State meeting schedule covers a three day period at various locations around Florida, and each set of meetings includes the EMS Advisory Council's formal meeting as well as approximately 35 meetings ,of the EMS constituency groups, committees, and project teams. Active input is sought in these forums from all participating groups. Depending upon the specific meeting schedule, Dr. Schrank's active participation normally includes, at a minimum: ▪ State of FL Bureau of EMS Advisory Council's Medical Care Committee . Bureau of EMS Update and Briefing • EMSAC Legislative Committee • Florida Quality Managers Association ▪ Florida EMS Educators Association • Florida Association of EMS Medical Directors ▪ Continuing medical education presentation of the Florida Association of EMS Medical Directors. Several additional meetings are attended depending upon the State's schedule and current topics of discussion. Since the content of the formal Advisory Council meeting on the third 26 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS morning of each session is always readily available in detailed minutes or verbatim transcripts, and since these are minimally interactive sessions with the audience, Dr. Schrank may opt to review their records rather than attend. Following these meetings, Dr. Schrank provides a summary of relevant information to Miami Fire Rescue MAC members and Key Biscayne Fire Rescue. Overall, she has attended the majority of the State's meetings for many years. At the local level: Dr. Schrank is a member of the 2 active local EMS -related organizations. The primary local EMS organization is the Fire Officers Association of Miami-Dade's EMS Subcommittee, which includes all area EMS Chiefs and EMS Medical Directors, with monthly meetings to discuss a wide variety of current EMS topics. Dr. Schrank attends the majority of its meetings, as well as some meetings of the FOAM-D Steering. The Dade County EMS Medical Directors Association (.1987-present) membership includes the 6 Medical Directors of all local EMS providers. Meetings were held two to three times annually to discuss a variety of local concerns, but the group has not met formally for the past few years, since its members frequently meet together in conjunction with other meetings. Dr. Schrank has worked extensively in our community toward state-of-the-art pre -hospital systems and networks for emergency care of the victims of acute strokes, heart attacks and cardiac arrests. This EMS work with MFR and KBFR was recently recognized by the American Heart Association/American Stroke Association with its annual Cor Vitae Award for Stroke Care and by the Florida Heart Research Institute in its 2011 Volunteer Hero Award for Education and Prevention. In the past, Dr. Schrank was also an integral member of several other local EMS groups, many of which disbanded after accomplishing their goals: • The Miami -Dade Trauma Advisory Committee (and its Quality Assurance Subcommittee, the Trauma Agency Application Development Subcommittee, and its Ad Hoc Committee on Drowning and Near Drowning). • The Terrorism. Advisory Committee (previously Terrorism Early Waming Committee and MMRS Team) was a multidisciplinary group organized by the Miami -Dade Office of Emergency Management, where Dr. Schrank was an active member of the main committee and several subcommittees. The South Florida EMS Task Force (1988-1996): An effective regional planning and action group whose membership included the EMS Medical Directors, EMS Chiefs, Emergency Department (ED) Medical Directors, ED administrators, ED nursing directors, and members of the South Florida Hospital Association. This group tackled issues such as hospital ED closures, pre -hospital triage of pediatric and obstetrical patients, hurricane response and planning, and hospital self -categorization of capabilities. Dr. Schrank was also a member of its Subcommittee on Hazardous Materials, which met from 1994 through 1995. • UM GCRME Governing Board of the Emergency Medical Skills Training Program /1987-1997): Provided input and advice regarding the post -graduate training of 27 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS paramedics during the training program's formative years. The same group (no title) has continued to meet annually at GCRME. The Emergency Department Council of Dade County (1987-1992): This council included all ED and EMS medical directors and met from 1987 through 1992. The group was organized by four ED directors, including Dr. Schrank, and looked at several common ED concerns. • South Florida Regional EMS Protocols Committees: Organized by Broward EMS providers, this group developed and revised EMS protocols that are now in wide use. Dr. Schrank has participated on various committees over the past 10 years, most recently their Toxicology and Cardiac Care teams (2002-4). • CPR/ Emergency Cardiac Care Committee (1988 to 1993): Dr. Schrank served on this committee of the American Heart Association of Greater Miami for 6 years. This group provided coordination and policy -making for local training programs in cardiopulmonary resuscitation and advanced cardiac life support courses. • Civic Center Disaster Committee (discussed in prior section #5d) At the state level: Dr. Schrank has been a participating member in the Florida Association of EMS Medical Directors (FAEMSMD) since 1987, served as President from 1998-2000 and as Governing Council member (2004-06 and 2010 to date), and worked on several subcommittees. She also presented some of the group's continuing medical education sessions. Completed tasks include consensus statement on EMS Medical Directors' statutory disciplinary reporting regulations, bylaws revisions, position paper on EMS Medical Directors' ride time regulations, position paper on qualifications of EMS Medical Directors, job description for State of Florida EMS Medical Director, presentation of state survey on ED diversions of EMS, and initial and updated versions of the Physician's Guide to Florida EMS. Current activities include consensus statements to the Bureau of EMS on recommendations for change to Florida Statute 401, on use of tourniquets by EMS and on spinal immobilization protocol guidelines. For the Florida Bureau of EMS, Dr. Schrank was selected to participate in multiple projects over the past 18 years, including membership in the Medical Directors Advisory Panel (representing Emergency Medicine in a multidisciplinary panel of 6 physicians) from 1991 to 2003. Past projects include the Access to Care Technical Advisory Panel (TAP), the EMS for Children Technical Advisory Panel (TAP), EMS 2010, the Transformation of EMS Team, the Bioterrorism Work Group, the EMS State Plan's Community Health Care Implementation Team, and Co -Chair of the Advisory Council's Medical Care Committee. Her membership in the Florida College of Emergency Physicians (FCEP) since 1987 has included service in their EMS/Trauma Committee, Board of Directors (1992-98), and Legislative Key Contact (approximately 1992 to 2003). FCEP legislative activities have been numerous over the past 15 years. Dr. Schrank has also served as an invited speaker for the Florida Emergency Medicine Foundation on EMS continuing education topics (Clincon 1989 and 1993). 28 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Mianzi RFP # 289267 Medical Direction Services for EMS Dr. Schrank has considerable legislative expertise and training, and has been active in many state legislative initiatives for the FAEMSMD, FCEP, the Bureau of EMS, and the University of Miami/Jackson. Memorial Medical Center. The Bureau of EMS Access to Care TAP provided considerable input into Florida statutes and regulations on access to emergency care for all persons regardless of ability to pay. The EMS for Children TAP drafted regulations on pediatric equipment to be carried by all EMS providers. Tallahassee meetings with legislators for FCEP covered reimbursement by managed care plans for emergency care rendered, funding for Emergency Medicine residency programs, and access to emergency care. Her FAEMSMD legislative roles have included drafting statutory and regulatory language, and presenting positions regarding EMS medical direction; medical directors' ride time with EMS; extension of firefighter and EMS workers'. compensation to include TB, hepatitis and AIDS as occupationally -related illnesses (unless other known exposure); revision of Do Not Resuscitate regulations for EMS; injury prevention legislation; attempted revision of Medicaid reimbursement for EMS providers; acute stroke care by EMS, and EMS STEMI programs. For UM/JMMC, Dr. Schrank worked extensively on legislative and Board of Medicine revisions of informed consent issues related to Institutional Review Board -approved clinical research in critical care emergency situations, and on access to emergency care regulations in the 1990s. At the national level: Dr. Schrank is a member of the American College of Emergency Physicians (ACEP), including their sections for Disaster Medicine and EMS; she was elected to fellowship by ACEP in recognition of her academic contributions to the specialty. She has presented EMS lectures to the ACEP membership in the "EMS Medical Directors Forum" preconference and taught the EMS Section membership the critical information gained by City of Miami Fire Rescue regarding potential pitfalls of medical devices in critically ill patients. She is currently working with the EMS Section leadership to educate EMS Medical Directors about DEA regulations and to draft potential regulatory language change, with a meeting being planned with the DEA and Department of Justice in May. Dr. Schrank is a member of the Society for Academic Emergency Medicine including sections on EMS and Medical Student Education; she is a past member of their EMS Committee and has presented EMS research results at their Annual Meeting; 2 additional EMS research poster presentations are scheduled for the upcoming Annual Meeting in May. During her work with the National Board of Medical Examiner's Acute Care and Rem Review Committees for the US Medical Licensing Exam (Step 3), Dr. Schrank was the first member to include questions for physicians regarding the EMS system and its patient care treatments, and she revised numerous test items from other authors that reflected on EMS inaccurately. In 2004, Dr. Schrank was selected to join the core coalition of the US Metropolitan Municipalities EMS Medical Directors (Eagles Coalition), which meets at least twice a year and produces educational conferences and consensus statements on a variety of EMS issues and concerns. The Eagles Coalition includes the EMS medical directors of the largest cities in the US (who collectively control the pre -hospital care for more than 60,000,000 citizens), plus several federal officers, including the medical directors for the FBI, White House Medical Unit, Department of Homeland Security and the US Secret Service. Through her, the Eagles Coalition offers EMS unique access to many of the "best and brightest" in EMS medical leadership, such as the groups "flash polls", whereby a member can ask the group for input on 29 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Mianzi RFP # 289267 Medical Direction Services for EMS any problematic topic and get a minimum of 20 answers from across the US within 24 hours; Miami's answers have also served to help dozens of other EMS systems. For her work in EMS education, the Eagles Coalition recognized Dr Schrank in February 2012 with their Annual Excellence in EMS Medical Education Award, named in honor of Corey M. Slovis, an outstanding pioneer in EMS systems and education. Through the Eagles leadership, she has also providednational lectures on EMS topics at conferences of the International Association Fire Fighters, ACEP, and will teach at the upcoming national conference "Emergency Cardiac Care Update" this fall. The extensive networking, knowledge, and legislative skills gained from all of the aforementioned professional activities provide considerable benefit to local EMS providers. Dr. Schrank has proven herself as a seasoned .and effective advocate for EMS at all levels. 5h) Letter of Reference Letters of Reference are enclosed, from the individuals listed below, in Attachment D: Donald Rosenberg, MD EMS Medical Director, Miami Dade County Fire Rescue Professor, University of Miami Miller School of Medicine Division of Cardiology (D-1) UMHC/SCCC Suite 4011 1475 NW 12th Avenue Miami, FL 33136 305-243-7242 drosenbe(c�med.miami.edu Ivette Motola, MD, FACEP Assistant Professor of Medicine Director, Division of Pre -hospital and Emergency Healthcare University of Miami Miller School of Medicine Michael S. Gordon Center for Research in Medical Education Clinical Research Building 1100 NW 14th Street Miami, FL 33136 305-243-6491 imotola@med.miami.edu Both individuals have many years of EMS -related experience and are quite familiar with Dr. Schrank's performance. The Committee is welcome to contact these individuals for any further information that might be helpful. Additional information is also available, if needed, from the individuals listed below, regarding our proposed Medical Director's involvement in local and state EMS activities, including disaster planning, professional affiliations, and legislative activities. Joe Nelson, DO State of Florida EMS Medical Director 30 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS 5551 NW 9th Ave. Ft. Lauderdale, FL 33309 1-954-776-3300 Jnelson197@aol.com Beth Brunner Executive Director Florida College of Emergency Physicians 3717 S. Conway Road Orlando, FL. 32812 Office: 800-766-6335 bbrunner@fcep.org Mayor Carlos Gimenez Miami -Dade County Stephen P. Clark Center 111 NW 1st Street, 29th Floor Miami, Florida 33128 305-375-5680 carlosgimenez@miamidade.gov John Gilbert Manager, Village of Key Biscayne 560 Crandon Blvd Key Biscayne, FL 33149 305-365-3951 jcgilbertakeybiscayne.fl.gov Paul Pepe, MD Professor and Chair, Emergency Medicine University of Texas — Southwestern Medical Center 5323 Harry Hines Blvd, Mail Code 8579 Dallas, TX 75390 214-648-6166 Paul.pepe@utsouthwestem.edu 51) Associate Medical Director Jackson Memorial Hospital strongly recommends that Paul Adams, DO continue in his role as the EMS Associate Medical Director under the terms of this proposal. This Associate Medical Director brings to the City a wealth of experience that supplements that of the Medical Director, and is currently expanding his participation in numerous EMS activities. Dr. Adams has been a fulitime attending physician in Emergency Medicine at Jackson Memorial Hospital since July of 2010, and became the Associate Medical Director for MFR and KBFR in September, 2011. 31 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Dr. Adams completed his medical degree at the Chicago College of Osteopathic Medicine, Chicago, Illinois and alsocompleted his internship . and Emergency Medicine Residency training program with the Chicago College of Osteopathic Medicine at Provident and Cook County Hospitals. He is Board Certified in Emergency Medicine by the American Osteopathic Board of Emergency Medicine and has an active and unrestricted medical license in Florida. Prior to medical school, Dr. Adams was a certified paramedic in Arizona, where he worked as an EMS paramedic and supervisor, and then as a paramedic in law enforcement agencies. He has 5 years of experience as an Arizona Highway patrol State Trooper and Helicopter Paramedic, and provided a considerable amount of EMS education in those roles which led to the State of Arizona Governor's Award for Academic Excellence. His law enforcement experience also makes him uniquely qualified to serve as a liaison for the fire departments with local law enforcement agencies. As. an ACLS Instructor for many years, he received the Award for Teaching ACLS Excellence from the University of Illinois Hospitals system while he was still an intem. Dr Adams' career also includes considerable leadership experience, both prior to medical school and during his service as the Chairman for the Department of Emergency Medicine at Cleveland Clinic -Florida. Here at JMH, he also serves as a Core Faculty member in the Emergency Care Center, with responsibilities for student and resident education as well as administrative duties. His specific Core Faculty assignment is to serve JMH as the liaison to all local EMS providers. Dr. Adams can assist the Medical Director and extend physician involvement in the performance of all duties listed in the RFP, particularly paramedic Protocol Testing, the Public Access Defibrillation Program, quality management, EMS education, and assistance for special teams. He will spend additional time in the field with EMS personnel, and is working with Dr. Schrank to establish clinical research projects in EMS (as approved and monitored through the UM/JMMC Institutional Review Board), to directly provide additional EMS classroom education, and to evaluate and integrate newmedical treatments and equipment. He is already participating in the development of the IGel supraglottic airway device clinical trial with Dr. Schrank, Dr. Theiler (from UM/JMH Anesthesiology) and the fire department, which is IRB approved to start after MFR implements its planned deployment of the device. Dr. Paul Adams will continue to serve as the Acting EMS Medical Director in the event of Dr. Schrank's absence from Miami. Should there be any unforeseen need to move up to the EMS Medical Director position in the event of illness or injury of Dr. Schrank, Dr. Adams is readily able to meet the Medical Directorship qualifications, with his two years of past experience as the Medical Director for the Adult LifeFlight Helicopter Program during his Emergency Medicine years at the Cleveland Clinic -Florida. In that event, the Proposer has additional Emergency Medicine physicians already in place who qualify for the Associate Medical Director position. Resume and licenses for Dr. Adams are included in Attachment G. 32 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS 6. OVERALL APPROACH & METHODOLOGY 6a) Approach & Methodology in Detail As the incumbent provider and the highest volume emergency care provider in both the City of Miami and all of Miami -Dade County, Jackson Memorial Hospital is strongly committed to this project. The Approach and Methodology of the proposed initiative will follow a similar path of past contractual arrangements for this service between the City of Miami and the JHS. Namely, Kathleen Schrank, MD, will continue to serve as Medical Director for the City of Miami and Village of Key Biscayne EMS and she will be responsible for serving as primary contact and will be performing all of the duties listed in the RFP Section 3.1: Specifications/Scope of Work, including the recruitment and training of Tier 2 through 4 physicians. Dr. Schrank has provided all said services to the City of Miami since 1987, and hereby agrees to continue performing in the .role of the EMS Medical Director. She has unique experience, unparalleled insights and exceptional expertise in emergency medical care, EMS, disaster management, teaching, administration and quality management. She is a highly regarded professional and a proven leader in the State of Florida EMS activities. Paul Adams, DO, will continue to serve as the Associate EMS Medical Director. New to this role in 2011, Dr. Adams brings with him a wealth of Emergency Medicine, EMS, and other leadership experience, and he is enthusiastically supporting EMS activities throughout the fire department. The Tier 3 physicians, currently titled Medical Advisors, will continue to be selected by Dr. Schrank from the ranks of our Emergency Medicine faculty, a pool of more than 40 qualified physicians. Tier 4 physicians will consist of second -year surgical and second or third year Emergency Medicine residents who are assigned to the Ryder Trauma Center resuscitation team, plus some second and third -year Emergency Medicine residents rotating through the Emergency Care Center. While these residents will rotate each year, all must be in good standing with accredited Residency Training Programs. These resident physicians are well known to the Medical Advisors, and they all receive a comprehensive orientation prior to being assigned an EMS role. The performance of the residents is subject to ongoing supervision and review by Drs. Schrank and Adams, as well as by Dr. Nicholas Namias from the Ryder Trauma Center. All assigned staff meets or exceed the qualifications, have a strongly positive track record in performance of the roles described in the RFP, and are clearly able to fulfill all responsibilities and expectations listed in Section 3.1- Scope of Work. The Medical Director and many of the other physicians reside within range of the emergency radio system. The primary office location of the proposer, Medical Director, Associate Medical Director, clinical and administrative staff is at: Jackson Memorial Hospital, Emergency Care Center 1611 NW 12th Street, Miami, FL. 33136-1094. Consistent with the terms and conditions of the RFP, JMH will provide Medical Direction services to the City of Miami and the Village of Key Biscayne Fire Departments. The Proposer firmly believes that this is an outstanding partnership with the City of Miami and Village of Key Biscayne Fire Departments that is vital to the citizens of these respective communities, and strongly beneficial to all parties involved. , JMH, Dr. Schrank, Dr. Adams, and our Radio 33 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Medical Advisors look forward to continuing this partnership into the future, and are proud to submit this proposal. • 6b) Lower Tier Details The Medical Director will secure Tier 2, 3 and 4 physicians. Drs. Schrank and Adams will orient them to their duties, and evaluate their performance, providing feedback and assistance as necessary. The Medical Director has the authority to remove any physicians who do not fulfill their duties appropriately. All Tier 1 through 3 physicians for this Proposal are already in place and oriented; Tier 4 resident physicians are already on duty in their respective accredited residency training programs, and are oriented at the beginning of their residency year and at the beginning of their radio duties. Tier 2 and 3 physicians: The Medical Director will continue to select the Tier 2 and 3 physicians from the active medical staff (attending physicians) of JMH. Since 1988, these physicians have. been recruited entirely from the Emergency Medicine and Trauma services. The Medical Director invites participation by interested attending physicians from these services, knows them all well from daily ECC work, selects the radio physicians based on interest and experience, and retains those who complete their duties successfully. The Medical Directors also serve as Tier 3 physicians. All current Medical Advisors (Tier 3 physicians) have agreed to continue in this role under this proposal, and all meet the responsibilities and qualifications as listed in the RFP. The current method of recruiting and scheduling physicians will continue under this Proposal. Should the recruitment of additional physicians be appropriate during the contractual period, the Medical Director has a large pool of qualified physicians to consider. All potential Tier 2 and 3 physicians are well known to the Medical Director prior to their assumption of EMS duties. The majority of our Tier 3 physicians have more than 5 years of. EMS radio experience and more than 10 years of emergency experience. The Tier 3 physicians group is secured as of the date of this proposal, ready to continue on October 1, 2012. A brief description of some of the current Medical Advisors who will continue to serve as Tier 3 physicians under this Proposal follows; several are well-known to EMS through their work in other capacities. All are Florida -licensed MDs, ACLS providers, ATLS providers, and have active and unrestricted medical staff privileges at JMH. The full curricula vitae of all our Tier 3 physicians are available upon request. All Tier 3 physicians have spent time with EMS on a Rescue truck. > Jeffrey Bernstein, MD, FACEP: Dr. Bernstein is the Medical Director for the UM/JMH Poison Information Center and an emergency physician in the JMH ECC. He is board certified in Emergency Medicine and Toxicology, and has 21 years of experience in Emergency Medicine. He has served as a radio Medical Advisor for Miami Fire Rescue since coming to JMH in early 1997. Dr. Bernstein lectures extensively in the field of Toxicology, with research activities focused on animal envenomations. As a trained toxicologist, he is well versed in the management of exposures to hazardous materials (chemical, biological, nuclear). He participated in the development of HazMat treatment protocols for Miami Fire Rescue and the South Florida Regional EMS Protocols. He is a 34 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS member of the PHT WMD Medical Advisory Board, and is a coordinator and team leader for the JMH WMD/Decon Team. He will play an integral role in EMS support should any hazardous materials exposure occur. ➢ John Cienki, MD, FACEP: Dr. Cienki is a full-time emergency physician with board certification in Emergency Medicine and Toxicology. He has 23 years of EM experience, including 16 years at JMH. Dr. Cienki also works for our Poison Information Center, and has provided assistance for local Haz-Mat teams. He has served on the Miami Fire Rescue radio for 16 years, and is the Emergency Medicine Research Director, with several published articles and abstracts related to EMS. ➢ Winifred Fili, MD: Dr. Fili has 27 years of full-time experience in Emergency Medicine. She has been a full-time JMH ECC physician for 23 years and EMS Medical Advisor since 1993. She is residency trained and board eligible in Internal Medicine. ➢ Mitchell Grubman, MD: Dr. Grubman completed his Emergency Medicine residency program at Grady Memorial Hospital in 1995, and then joined our full-time emergency physician staff. He has been a radio Medical Advisor since that time, and is board certified in Emergency Medicine. ➢ Jerry Immergluck; MD: Dr. Immergluck is board certified in Emergency Medicine and Internal Medicine, with 28 years of emergency medicine experience. Dr. Immergluck has been a radio Medical Advisor for Miami Fire Rescue since 1995, and served as the JMH Chief of Emergency Medicine from 1997 to 1999. ➢ Melody Land, MD: Dr. Land is board certified in Internal Medicine and Pediatrics and completed her residency training in both at JMH. She has worked as a fulltime emergency physician and radio Medical Advisor at JMH for more than 10 years and frequently assists Drs. Schrank and Adams as the Acting EMS Medical Director if both are away at an EMS meeting or conference. Dr. Land also assists with pediatric EM protocols. ➢ Lily Lee, MD: Dr. Lee has 17 years of fulltime experience in Emergency Medicine, including 29years at JMH with radio Medical Advisor duties. She is residency trained and board certified in Emergency Medicine. Dr. Lee is currently the Interim Chief of Emergency Medical Services at Jackson Memorial Hospital. ➢ Linda Robinson, MD, FACEP: Dr. Robinson has been a fulltime emergency physician at JMH since 1992, and served as an Associate Medical Director and Residency Coordinator in the ECC in the past. She has 18 years of emergency medicine experience, including 13 years at JMH. This is her first year of service as an EMS Medical Advisor. ➢ Jennifer Seirafi, MD: Dr. Seirafi is residency trained and board certified in Emergency Medicine, with 9 years of EM experience and 8 years of Medical Advisor experience. ➢ Andrew Ta, MD: Dr. Ta is now an Assistant Chief Medical Officer for Jackson Health Systems, following his outstanding service as the JMH Chief of Emergency Medical 35 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Services. He completed residency training and Board Certification in Emergency Medicine, has 13 years of fulltime EM experience, provides considerable medical education residents, medical students and emergency staff, and serves as a Board Examiner for the American Board of Emergency Medicine. Dr. Ta has extensive leadership experience and over 10 years of EMS radio experience. ➢ David Woolsey, MD: Dr. Woolsey is board certified in Internal Medicine, with 22 years of full-time Emergency Medicine experience at JMH. He has served as a radio Medical Advisor for Miami Fire Rescue for since he was hired here, with considerable positive feedback from the paramedics for his help. He has also been recognized for his excellence in teaching by the JMH resident physicians who rotate through the ECC, and was repeatedly selected by their vote for the Emergency Medicine Teaching Award. > Larry Zaret, DO: Dr. Zaret is board certified in Emergency Medicine, a fulltime emergency medicine physician at JMH, and the JMH Director of Medical Student Education for Emergency Medicine. He previously worked at the Cleveland Clinic in Florida, where he also worked with EMS. Dr. Zaret has served as a radio Medical Advisor since he came to JMH. Tier 4 Physicians: Under this Proposal, the Tier 4 physicians will be the Trauma Resuscitation Unit's second year JMH residents and Emergency Medicine second and third year residents, as in the past. These resident physicians are members in good standing in their residency training programs, which may include JMH residencies in surgical fields or Emergency Medicine residency. All these surgical and EM residents rotate through the Ryder Trauma Center as a required part of their training curriculum The Trauma Resuscitation Unit resident rotation includes serving as the initial Trauma Resuscitation Team Leader (under the supervision of the Trauma attending physician and/or Trauma fellow) and as the first response radio physician on the Miami Fire Rescue radio (under the supervision of the Emergency Medicine faculty) and the Miami -Dade County Fire Rescue radio. All Emergency Medicine residents from the Mount Sinai EM program rotate through the Ryder Trauma Center and the Trauma Resuscitation Team Leader and through the Emergency Care Center, serving on the Miami radio during those rotations. All Tier 4 physicians graduated from accredited medical schools prior to beginning their residencies. Since at least 1977, JMH resident physicians have served as the first responder (under the direct supervision of the Medical Director and the Medical Advisors) for all Miami ALS runs, no matter what the hospital destination. This is considered to be a valuable component of their physician training, offering them experience in responding to medical, pediatric, obstetrical, psychiatric, and trauma emergencies. This relationship and experience fosters a tremendous respect for EMS among physicians -in - training, which carries into their future community practice. For the City of Miami, this relationship provides a group of very enthusiastic physicians -in -training who are eager to understand the EMS system, and who are physically present 24 hours a day in the Ryder Trauma Center or Emergency Care Center, receiving EMS patients. The residents are trained by the Miami EMS Medical Directors, with input from Trauma. Prior to their Trauma and EM 36 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS rotations, these residents receive access to the Miami Fire Rescue protocols, an EMS orientation manual written by .the Medical Director, and a training session with the Medical Directors on the MFR/KBFR treatment protocols. Most spend time riding with EMS, where paramedics provide them with field experience. As an optional EMS experience, these residents may also elect to fly with the Miami -Dade County Air Rescue Service. The attending and resident medical staff at. JMH is a culturally, ethnically, and experientially diverse group of physicians, and the composition of the Tier 3 and Tier 4 radio physicians group reflects this diversity. The Proposer strongly supports maintaining this diversity and encourages and enables the Medical Directors to do so under this proposal. During her participation in the recruitment and hiring of new ECC attending EM physicians, Dr. Schrank is able to support the JMH Chief of Emergency Services in ensuring this diversity in the pool of physicians from which the Tier 3 physicians are selected. Similarly, the Surgery and EM residency programs have a consistent history in selecting a diverse group of resident physicians. Each year, this residency group also includes some graduates from Latin American medical schools who have done well on their U.S. standardized medical examinations, which include testing of a broad base of medical knowledge and proficiency in English. All EMS radio communication is done in English, so this is the primary language needed to fulfill this contract. In addition, many of the Tier 3 and Tier 4 physicians are fluent in Spanish, and several are fluent in French and/or Creole. A variety of other languages are spoken by members of these 2 groups, including Hebrew and Arabic languages. A complete listing of current Tier 3 and Tier 4 physicians' language proficiencies can be provided upon request. 6c. Performance Schedule All' tier 2 and. 3 physicians have already been secured by JMH; in addition to the Medical Director under the current contract and are ready to continue under this proposal. The Tier 4 residents' academic calendar runs from July 1 through June 30 of each year, and the agreements regarding their participation inthe program are already in place. Thus, all physicians for the new contract are already secured, plus all Tier 1 through 3 physicians are secured, trained, and ready to assume duties under the new contract as of October 1, 2012. As in prior contracts, JMH reserves the right to hire new recruits as described in the processes above. 6d. Coordination Plan JMH has been and will continue to be committed to supporting the overall management of the project, its coordination requirements and the administrative needs of the City of Miami EMS Medical Director. In keeping with the historic commitment and civic responsibilities, the administrative staff and management at JMH will continue to exceed this RFP's requirements. The City provides the radio system for direct contact with EMS teams in the field and/or en route to the hospital, and we are happy to provide the space needed for it. Multi -line telephones, fax, computer, copying support and office space are also provided by JMH as part of the commitment to comprehensive coordination and administrative support. 37 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS The key JMH professionals that will be assisting with coordination and other aspects of this initiative include the following. ➢ The EMS Medical Director: Dr. Kathleen Schrank is the current and proposed EMS Medical Director of the City of Miami and Village of Key Biscayne, a position which includes considerable administration of the radio physicians group, budget, contract, etc., and oversight of the entire contract. She participates in the hiring of all ECC attending physicians, and controls the selection, orientation, and evaluation of those who participate in radio supervision of EMS. She approves each monthly schedule for Tier 3 radio physicians' coverage. Dr. Schrank is a full-time, senior attending physician in the Emergency Care Center of Jackson Memorial Hospital who oversees all emergency care rendered in the treatment area while she is on duty. ➢ The EMS Associate Medical Director: > Dr. Paul Adams is the current and proposed Associate Medical Director, and is able to assist Dr. Schrank is all aspects of coordination and performance of this agreement. He is a full-time attending physician in the ECC and has considerable emergency medicine and administrative experience. Dr. Adams also serves as the ECC's liaison to all other EMS providers. > Emergency Care Center Director of Patient Care Services: Janice Gonzalez, RN, is the Director of Patient Care Services in the JMH Emergency Care Center. In this role Ms. Gonzalez ensures, oversees and supervises the integrity and continuity of nursing care. Support Functions of Secretarial and Clerical Staff: > Physician Coordinator: Ms. Marcia Steiner (JMH Medical Secretary 3, ECC Physician Coordinator) has assisted Dr. Schrank since 1987. Her EMS responsibilities include (but are not limited to) the following: scheduling support of third -tier physicians, coordination of scheduling changes, distribution of monthly schedules, payroll processing, contact person for radio repairs, processing reimbursements for work -related travel and/or professional expenses and general secretarial support. Ms. Steiner also provides administrative support for hiring and credentialing all attending physicians in the Emergency Care Center. This complex responsibility entails: employment file management of all Emergency Care Center attending doctors, accurate copies of employment contracts, professional licenses, delineation of hospital privileges, curricula vitae, professional board certifications, etc. > Our ECC support staff, including Ms. Isabel St. Cyr, Assistant to the Chief of EM Services and Ms. Vinessa Edwards, Medical Student Clerkship Coordinator, is also available to assist as needed, located in the JMH ECC Administration Office along with Ms. Steiner; Ms. Edwards is also responsible for EM residents rotating through the Emergency Care Center. 38 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Several hospital departments provide additional coordination and administrative support for EMS endeavors: > JMH Accounting: The hospital Controller oversees the Grant Operations Office, which directly manages the City of Miami — EMS Medical Director Trust Fund Account. This office provides monthly account balance statements to the Medical Director and issues the monthly invoice to the City of Miami for services rendered under the financial terms of the City of Miami — EMS Medical Director Contract. > JMH Payroll Office: The payroll supervisor processes salary payments to eligible physicians for their radio coverage. > JMH Accounts Receivable/Payable: Provides intake, processing and disbursement of duly executed requests for payment of any and all contract -related expenses. > JMH Human Resources Department: Assists with recruitment and hiring of JMH attending and resident physicians, including those chosen by the Medical Director for radio service to EMS. Responsibility for successful completion of the application and hiring intake process that includes: upholding of EEOC regulations, employment eligibility, employment application documentation, fingerprinting and background check, health screening, drug screening, and hospital orientation. For those attending physicians hired by the UM School of Medicine (e.g., Dr. Schrank), a similar process is performed by the University of Miami Department of Human Resources. ➢ Office of Physician Services: This department reviews, confirms and approves the hospital credentialing process for all attending physicians and resident physicians, and maintains relevant personnel files. This is a lengthy, cumbersome, and critical process that occurs after a favorable determination of qualification for employment. This process is repeated every two (2) years for our attending physicians (Tiers 1 through 3). To complete the process, .each attending physician must provide the following information: > A current copy of his/her curriculum vitae > Copies of all licenses and board certifications > A complete application for PHT Medical Staff Privileges > Current list of education and training ➢ Professional and personal references > Disciplinary actions from other hospitals or regulatory agencies > Legal claims and/or active/pending lawsuits > Health status (list of impairments) ➢ Delineation of privileges (listing the specific procedures the physician wishes to be allowed to perform at the hospital with a matching list of qualifications and experience) The entire information packet is reviewed by the JMH Chief of Emergency Medicine for initial employment and re -confirmation of existing employment for all attending physicians (except Dr. Byers, who undergoes the same process under the Chief of Surgery). The Chief authorizes or rejects the application of the candidate and issues an authorization for 39 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RTP # 289267 Medical Direction Services for EMS specific privileges to be granted by the area of practice/service. The credentialing process includesconfirmation of licensure status with the Florida Board of Medicine, an audit of the National Practitioners Data Bank regarding claims and lawsuits, confirmation of education and training with the institutions listed, a survey of all references listed, and review by the PHT Credentials Committee for approval or denial of staff privileges. This office provides a physical contact address (mailbox) to all residents. It also maintains records of employment and licensure of all residents under the general hospital license, assists with visa applications for residents who are not US citizens, coordinates and administers the orientation process, provides payroll coordination and distribution of paychecks to resident physicians. > The Surgical Housestaff Office and Accredited Surgical Residency Training Program is responsible for the coordination and administrative aspects of all Tier 4 surgical resident physicians, who are surgical residents in training, and visiting EM residents during rotation through the JMH Ryder Trauma Center. As such, the program is charged with verification of the applicants' educational credentials prior to the initial hiring. The Director of the Surgical Residency Program and the attending physicians recruit, train, evaluate, supervise and promote the surgical residents, many of whom will be trained by the EMS Medical Director as Tier 4 radio physicians. > The Miami -Dade County Attorney's Office provides assistance to the Medical Director with contract development, statutory interpretation, and guidance through legal aspects of healthcare practice. > JMH Risk Management Department reviews contracts and provides medico -legal expertise in the event of patient care concerns that might be raised by the Medical Director. An example for such input includes EMS treatment policies regarding patient consent or treatment of minors. > JMH Department of Social Work often assists the City of Miami Fire Rescue with resolution of non -medical problems such as patient neglect, networking with a supporting network of social services, processing of eligibility for social and medical entitlement programs and evaluation of concerns about nursing home care. Description of Institution's Methodology: > Physician Scheduling: The hospital's Standard Operating Procedures provide a seamless, effective and timely framework for coordination of physician scheduling. The JMH Chief of Emergency Medicine, with the support of the Physician Coordinator and Core EM Faculty members, arranges the attending physicians' and emergency medicine residents' work schedule each month. Scheduling of the third -tier radio physicians is then reviewed and approved once monthly by the EMS Medical Director, after the Emergency Care Center. The Surgical Housestaff Office arranges for scheduling of fourth -tier Trauma Resuscitation Unit Residents. 40 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS > Management of Payroll: JMH provides payroll management services. The Physician Coordinator maintains records of second -tier radio physician coverage and reports the resulting information to the JMH Payroll Office every 2 weeks. Payment for Tier 3 services rendered by the University of Miami physicians is processed via the Accounts Payable Department, once monthly. For Tier 3 JMH physicians, the Payroll Office processes the data; calculates and makes allowances for mandatory fringe benefits; calculates, processes and remits federal withholding tax, FICA, and Medicare payments; maintains and produces income tax records; and produces the payroll checks for JMH attending physicians. Payroll checks are then distributed directly to the physicians through the established JMH ECC payroll check distribution procedures. Reimbursement for radio shifts performed by third -tier physicians whose regular paycheck originates from the University. of Miami are processed under a separate procedure: Accounts Payable issues a reimbursement check on a, monthly basis, mails it directly to the physician, maintains income tax information, and distributes a 1099 form annually; the physician is responsible for payment of estimated tax to the IRS. Payroll management for the fourth -tier physicians is the responsibility of the Office of Physician Services and Payroll Office; paychecks to the residents are issued every two weeks, with all appropriate payroll procedures completed by the hospital. Radio coverage by the Tier 4 residents is an expected part of their Trauma and Emergency Medicine resident responsibilities, and therefore is part of their annual salary from the Trust. > Administrative Support — Salary of the Medical Director: Consistent with the Annual Operating Agreement between the Public Health Trust of Miami -Dade County and the University of Miami Miller School of Medicine, there is seamless coordination by JMH of payment for the Medical Director's salary via an inter - organizational transfer from the PHT Office of Trusts & Grants to the University of Miami. The Medical Director is therefore paid for this duty througha monthly paycheck from the University of Miami Miller School of Medicine. The internal process calls for the University of Miami to send a periodic invoice to JMH for the amount due. JMH pays the invoice to UM. UM calculates and processes mandatory fringe benefits; calculates, processes and remits withholding tax, FICA, and Medicare payments; maintains and produces income tax records; and produces the monthly payroll check. > Additional administrative functions: Based on performance over the past 24 years of Dr. Schrank's tenure as Miami's Medical Director, the established procedures and personnel at JMH will continue to be available and able to provide fluid coordination of additional administrative functions that may be necessary to support this proposal. The offices listed in the description of our infrastructure above are familiar with the prior contracts and will continue to assist as needed. 41 Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS 7, COST/FEE PROPOSAL Cost/Fee Proposal EMS medical direction services will be provided by the Emergency Care Center of Jackson Memorial Hospital in consideration of the following: (Detail outlined in Figure 1.) Year #1 $ 224,560 Contract Cost (Base Contract Fee) $ 213,332 Miami component $11,228 Village of Key Biscayne component Year #2 $ 224,560 Contract Cost $ 213,332 Miami component $11,228 Village of Key Biscayne component Year #3 $ Contract Cost $ 213,332 Miami component $11,228 Village of Key Biscayne component All costs include the costs of staffing the Medical Director and lower tier positions at the levels outlined all administrative services, all facilities and materials necessary for the duties outlined, and all program supervision costs. Figure 1: Fee Proposal Base Contract Year Year 2 Year 3 Med. Director's Stipend, Miami (MFR) $130,150 $130,150 $130,150 Village of Key Biscayne (KBFR) $6,850 $6,850 $6,850 Sub -Total $137,000 $137,000 $137,000 Associate. Medical Director Stipend, MFR $28,500 $28,500 $28,500 KBFR component $1,500 $1,500 $1,500 Sub -Total $30,000 $30,000 $30,000 Radio Physicians Stipend (Tier 2), MFR $49,932 $49,932 $49,932 KBFR component $2,628 $2,628 $2,628 Sub -Total $52,560 $52,560 $52,560 Miscellaneous Expenses (Membership, travel expenses, training materials, certifications etc) MFR, $4,750 $4,750 $4,750 KBFR component • $250 •$250 $250 Sub -Total $5,000 $5,000 $5,000 MFR component $213,332 $213,332 $213,332 Village of Key Biscayne component $11,228 $11,228 $11,228 TOTAL $224,560 $224,560 $224,560 42 Figure 2: Fee Proposal For optional renewals Response of the Public Health Trust of Miami Dade County/ Jackson Memorial Hospital to City of Miami RFP # 289267 Medical Direction Services for EMS Option #1 to Renew Option # 2 to renew Med. Director's Stipend, Miami (MFR) $134,055 $138,076 Village of Key Biscayne (KBFR) $7,055 $7,267 Sub -Total $141,110 $141,110 Associate Medical Director Stipend, MFR $29,355 $30,236 KBFR component $1,545 $1,591 Sub -Total $30,900 $31,827 Radio Physicians Stipend (Tier 2), MFR $51,430 $52,973 KBFR component $2,707 $2,788 Sub -Total $54,137 $55,761 Miscellaneous Expenses (Membership, travel expenses, _ training materials, certifications etc) MFR, $4,750 $4,750 KBFR component $250 $250 Sub -Total $5,000 $5,000 MFR component $219,589 $226,034 Village of Key Biscayne component $11,557 $11,897 TOTAL $231,146 $237,931 8. TRADE SECRETS TO PUBLIC RECORDS DISCLOSURES: Not applicable. There are no trade secretsin the Proposal. 9. LOCAL PREFERENCE Response: PHT/JMH is requesting Local Preference. The primary office location of the proposer is: The Public Health Trust/Jackson Memorial Hospital is located within the city limits of Miami at 1611 NW 12 Avenue, Miami, Florida 33136-1094. The primary office location of the proposed Medical Director, Dr. Kathleen Schrank, and the location from which she will be based to perform the work is in the Emergency Care Center of the University of Miami/Jackson Memorial Medical Center. The physical address is consistent with the one given above. 43 A. Certification Statement Certification Statement Please quote on this form, if applicable, net prices for the item(s) listed. Return signed original and retain a copy for your files. Prices should include all costs, including transportation to destination. The City reserves the right to accept or reject all or any part of this submission. Prices should be firm for a minimum of 180 days following the time set for closing of the submissions. In the event of errors in extension of totals, the unit prices shall govern in determining the quoted prices. We (I) certify that we have read your solicitation, completed the necessary documents, and propose to furnish and deliver, F.O.B. DESTINATION, the items or services specified herein. The undersigned hereby certifies that neither the contractual party nor any of its principal owners or personnel have been convicted of any of the violations, or debarred or suspended as set in section 18-107 or Ordinance No. 12271. All exceptions to this submission have been documented in the section below (refer to paragraph and section). EXCEPTIONS: . We (I) certify that any and all information contained in this submission is true; and we (I) further certify that this submission is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a .submission for the same materials,. supplies, equipment, or service, and is in all respects fair and without collusion or fraud. We (I) agree to abide by all terms and conditions of this solicitation and certify that I am authorized to sign this submission for the submitter. Please print the following and sigri your name: SUPPLIER NAME: Public Health Trust /dba. Jackson Health System. ADDRESS : 1600 NW 12 Ave. Miami. FI 33136 PHONE: 3 05-5 85-671 FAX: EMAIL: Carlo 4i ')'hsmiami.ora BEEPER: SIGNED BY: TITLE:14eS CG) DATE: FAILURE TO COMPLETE, SIGN, AND RETURN THIS FORM SHALL DISOUALIFY THIS BID. Certifications Legal Name of Firm: Public Health Trust /dba Jackson Health System Entity Type: Partnership, Sole Proprietorship, Corporation, etc. Agency of Miami Dade County — County Public Health Trust Year Established: 1918/ 1973 Public Health Trust was created. Office Location: City of Miami, Miami -Dade County, or Other Miami -Dade County Occupational License/Business Tax Receipt . Number: N/A Occupational License/Business Tax Receipt Issuing Agency: N/A Occupational License/Business Tax Receipt Expiration Date: N/A Respondent certifies that (s) he has read and understood the provisions of City of Miami Ordinance No. 10032 (Section 18-110 of the City Code) pertaining to the implementation of a "First Source Hiring Agreement.": (Yes or No) Yes. Do you expect to create new positions in your company in the event your company was awarded a Contract by the City? (Yes or No) No. In the event your answer to question above is yes, how many new positions would you create to perform this work? N/A Please list the title, rate of pay, summary of duties, number of positions, and expected length or duration of all new positions which might be created as a result of this award of a Contract. N/A Please list and acknowledge all addendum/addenda received. List the addendum/addenda number and date of receipt (i.e. .Addendum No. 1, 7/1/12). If no addendum/addenda was/were issued, please insert N/A. -- ADDENDUM No. 1, ( received: 3/15/12) . B. AHCA & TJC Certifications September 28, 2011 Carlos Migoya, MBA CEO Jackson Memorial Hospital 1611 Northwest 12th Avenue Miami, FL 33136-1094 Dear Mr. Migoya: Jam. Joint Commission ID #: 6850 Program: Hospital Accreditation Accreditation Activity: 60-day Evidence of Standards Compliance Accreditation Activity Completed: 09/08/2011 The Joint Commission would like to thank your organization for participating in the accreditation process. This process is designed to help your organization continuously provide safe, high -quality care, treatment, and services by identifying opportunities for improvement in your processes and helping you follow through on and implement these improvements. We encourage you to use the accreditation process as a continuous standards compliance and operational improvement tool. The Joint Commission is granting your organization an accreditation decision of Accredited for all services surveyed under the applicable manual(s) noted below: . Comprehensive Accreditation Manual for Hospitals This accreditation cycle is effective beginning May 14, 2011. The Joint Commission reserves the right to shorten or lengthen the duration of the cycle; however, the certificate and cycle are customarily valid for up to 36 months. Please visit Quality Check® on The Joint Commission web site for updated information related to your accreditation decision, We encourage you to share this accreditation decision with your organization's appropriate staff, leadership, and governing body. You may also want to inform the Centers for Medicare and Medicaid Services (CMS), state or regional regulatory services, and the public you serve of your organization's accreditation decision. Please be assured that The Joint Commission will keep the report confidential, except as required by law. To ensure that The Joint Commission's information about your organization is always accurate and current, our policy requires that you inform ns of any changes in the name or ownership of your organization or the health care services you provide. Sincerely, Ann Scott Blouin, RN, Ph.D. Executive Vice President Accreditation and Certification Operations 48 RICK SCOTf GOVERNOR January 31, 2012 Carlos A Migoya, CEO Jackson Metiorial Hospital 1611 Nw 12th Ave Miami, FL 33136 Dear Mr. Mlgaya: DAAGENCY FOR H - HCAE AI IN Bettor Health Caro for all Floridians ELIZABETH DUDEK SECRETARY itIxelved - Executive Office FE —3 2012 The unclosed hospital license with license number 3991 And with Certificate Ntnnber 5102 is issued for the following reason: update Jackson South Coirmiunitt Hospital's licensed program from Adult Inpatient Diagnostic Cardiac Catheterization to Level 1 Adult Cardiovascular Services. JACKSON MEMORIAL HOSPITAL - File # 100.022 Service Classification: Class 1 Hospital Number of Licensed Beds: Acute Care: 1053; Adult Psych: 180; Adult Subs: 15; China Psych: 44; Comp Me41 Rehab 8.0; NICU Level 2: 60; NICII Level 3; 66 Licensed Programs: DD`u-rn Uiiit, 'Comprehensive Stroke Center, Level 2 Adult Cardiovascular Services Dedicated Emergency Depaiittnent JACKSON NORTH MEDICAL CENTER = File 0.1000114 Service Classification: Class 1 Hospital Acute Care: 3254 Adult Psych: 35; Comp Med Rehab: 12; EMU Leve12: 10 Licensed Programs; Level 1 Adult Cardiova eular Services, Primary Stroke Curter JACKSON SOUTH CO HOSPITAL File # 100208 Service Classification: Class 1 Hospital Acute Care: 170; Adult Psych: 29 Licensed Programs: Level . Adult Cardiovascular Services Effective Date: 01/19/2012 Expiration Date: O6/30/2013 If we may be of further assistance; please. contact Me by pliorie at.$50-412.435$ or by email -at plaggejt abicaanyf1orida.coin, Sincere/ r, /' }lack Flame jPrograin Administrator -"Hospital & Outpatient Servicis Unit • Division .of Healtli Quality ASSurance Enclosure cc: Hospital Distribution List 2.727 Mahan Drive, IVI8#31 T'allaha•ssee, Florida 320.8 Visit AH'CA online at phea.myficrida,com „ ,firer. ..AAN ,1-14=3 ri •14k.ti•st 5 -(t:•••N,FT0 -*-34 -Km v.• /. ,••• • r, y LICENSE #: 3998 AGENCY FOR -HEALTH CARE ADMINISTRAI ION DIVISION OF REALM QUALITY ASSURANCE OSPITAL Aotive. This 'is to eonfirra that PtikLICHEAtaa ERUST OF mrAme,DADE•COTTNIV:has complied with the ittle and reiItcns. adivte:d. b.y State of FIotida.„ Agen'y tbr EOM CareAtittlini§tratioti, and authorized uLChapter395,. Patti, Florida Statutes, adjs. authorized to .operate.tb.e hospit4 prerrdses:. Jaokson Meraoriati-losyitaLTACKSONNORTIIMEDTCAL CENTEtti. JACKSON Sour. commuirrry WS:MAL atiss 1 }InspitaI NIR313 Levet 2: 60 Nnuaber LicensedBeat NICU Lev#13:. 66 Acute Care: IOSS Adult Peych.:180 Adult gubst. Abuse: 1'4 Child Psyrir 44 Comp Med Rerabt 80. JACKSON MEMORIAL ROIL 1611 NW ITAVB IOW; FL 33.1.6 TOTAL CAP.ACITY: 1498 LieeerdPr.ct,ganas:.13:unaUIIt, Ciunprebensive:SIToke.Ceuter.„Lev.012: Adrift OardiovascWar.gervices. D'edinatuor Zaaergencybeitarthrenttevel 1liattnu..CenterElnetgertcy$ervices: Aesthesia,. 8111735, Catdidakr, C;ordiuwrscntar CotA: :Rectal, Sin.; EnaergericyMe.diaae,Endnerinbia;4,ry,.:Oasitcrenievoirtz .n-eneral. glittery, Griemiegyi aeraattiro,11.*thatieMedicite, Interualkedicilae; I4:epirology, NertekgyNernuStirgert ObStetifts Ophthd1mo10 OrelMagalk4acialSurgety, OrtitniyediCs, Otdiutyngoloa, Plastic Surgery, ?ddiatryi Psycbiatsy, PLdradtEry Mdkne,.RjThitjni.fruto&,.*sculer gliqery .:WFECITY.tbATI17. atti9:12,01.2 E&TRAttO li68-0/2,011 Mo• •1,)'op gmqxeci. • q..W4 .14 A, .t'w Fos, NrN. gfiektyM\ 4:tVo of Florida AGENCY FOR HEALTH CARE ADMINISTRATION - DIVISION' OP PIE TH QUALITY ASSURANCE .TACKSON NORTn MEDICAL cwrEit 160 NW 170TH ST NORTH MIAMI DEACT-T FL 32169 • TOTAL CAPACITY: 382 Class-1 Hospital 'Number :of Licensedlieds: Adute'eare:: :325;. Aault.Psych: .35.; Congp Med:Relialr: 12; NICLT Leve1:2;1 •Lioetised.Prog: 1,63;ra AdultCardioresnlar- Services, Prima y:Stroke Center Dedicated:pnetgenoy:D'epartinegt Emergency Services: Anesthe.lia, c iIogy, Cardiovasculo Surg., Colon &Rectal:Surg, Emergency 'Medicine., FrldoctincYlogy, Oqtroeliterology, Oweral Stirguy,. eytgeolpgy Hematology,:intrp.a Medicine, NepbrolOgy, IiIeurokigy„ Nenrostrgeryi Olis-tetrics.;„9pIrthalmolOgy, OrallMeetillo-facial Sorgem Orthopedics, Otolaryngology, Plastic:Surgexy Podiatry, Ptyctiatm Pdmonary Medicine, RadibIogy, Thoracic Surgery:, Urology, Va.scular Surgery *FMCTIS?::$ DATE•t.., aiA9/20.12 . . EXPIRAVOV.f-DA•0;:-;.1Y6i3C0.01:.4. • • • 44,-I-vta. v140-4„,, f*: 01 1!&4....r. • • rc-5,11-: JACKSON SOUTH COMMUNITY HOSPITAL 9331 SW .i.52ND ST MIAMI,. FL 31157 TOTAL CAPACITY: 199 Cla8s 1 Hospitm l\Turaber ofticensed Beds: Acute Care: 170; Adult Psy0/: 29 Licensed:Programs: Lave' 1 •Adult Cardiovasculai• Service's Dedicated Etnemenoy begEtrizaett Einergeacy S:erviQks: A stliegia, Cardiology, Colon & Rectal Svrg., Emergency Medi6ine, tudo'cric' itiloo;.GaOrti6iiterologr, General Surgery, igyttecciogy, 4euraltiology.; Internal Medicine, Xtlybrolog,y, Neu:T.61oz 'Obstetticg, tiphThalrdology, Sttrvry, (:)i-thopoclks, Otolatyngology,. Plastit Sutgexy, Roc:EWA PsYch-ii Pulmonary Medicine, Radiology, Thoracic Surgery, Urology, Vitsculqr Surgery • C. Certificate of Insurance AcostagonOsyskom Risk Management Department 1500 N.W.12th Avenue Jackson Medical Towers- Suite 102 Miami, Florida 33136-1096 T 305-585-2900 F 305-355-2330 Certificate of Insurance The Public Health Trust d/b/a Jackson Health System is considered to be a Public Body Corporate in Politic and an agency and instrumentality of Metropolitan Dade County. The Public Health Trust d/b/a Jackson Health System provides employees professional liability insurance through its Self Insured Trust. This Trust has no policy number or an expiration date, The Public Health Trust dl bl a Jackson Health System benefits from the Waiver of Sovereign immunity as set -forth in Florida Statute section 768.28. As such, its liability in Tort shah not exceed the sum of $200,000.00 per claim or $300,000.00 in aggregate. The Public Health Trust also maintains workers' compensation coverage for its employees in accordance with Florida Statute chapter 440. Sandra L. Gorski, B SN, JD, CPHRM, LHRM Director, Risk Management Jackson Health System An Equal Opportunity Employer 54 D. Letters of Reference VILLAGE OF KEY BISCAYNE Department of Fit Rescue Village Corned Franklin H. Caplan, Mayor Michael E. Kelly, Vire Mayor Michael W. Davey Rnrique Garcia Robert Gusman Mayra P. Lindsay James S. Taintor Chief Rarue Eric Lang March 20, 2012 Evaluation Committee Proposals for Medical Direction Services for EMS City of Miami —City Clerk 3500 Pan American Drive Miami FL 33133 RE: Letterof Reference for Jackson Health Services/Jackson Memorial Hospital as EMS Medical Director for City of Miami Fire Rescue To whom it may Concern; In 1993,. Kathleen Schrank, M.D. became Key Biscayne Fire Rescues first Medical Director. During the last 19 years, her services as Medical Director along with the support staff at Jackson Memorial Hospital have far exceeded our expectations. The exceptional reliability of Dr. Schrank, the radio Medical Advisor along with the current and past Associate Medical Directors has truly made a difference for the Residents and Visitors of the Village of Key Biscayne. I personally have had treated patients alongside the highly trained staff of the Miami Fire Department and 1 can personally attest to the difference Dr. Schrank and her staff has made in saving lives on Key Biscayne, the City of Miami and the surrounding areas. The Medical Director has been incredibly dedicated to assuring that pre hospital emergency medicine can be provided to patients outside of the hospital by highly trained Firefighter Paramedics. Dr. Schrank stays connect to the personnel via the radio and frequently interacts with Fire Rescue personal. It is not uncommon to receive advise or accolades regarding medical cases with the JMH physicians during transports to the emergency room. In addition, Dr. Schrank works with our Fire Department Emergency Medical Services (EMS) staff to assure -closed loop feedback is accomplished through an extremely effective confidential. • 560 Crandon Boulevard • Key Biscayne, Florida_33149 • (305) 365-8989 • Fax (305) 365-8933 MISSION smrovMENn ,TO PROVIDE A SAFE, QUALITY COMMUNITY EIMIONMRNT FOR ALL ISLANDERS THROUGFI RESPONSIBLE GOVERNMENT"• www keybis cayne. f.gov quality assurance process. Dr. Schrank and the JMH Staff is involved within the region and provides vital support to improving the procedures, treatments and training to provide pre hospital care that can truly change the outcome of emergencies. Two initiatives that Dr. Schrank and her staff have been instrumental in changing the lives of thousands of patients in the Greater Miami Area include: STEMI Network— is a program that protocols were created to treat patients that are identified as having a heart attack by paramedics in a pre hospital setting. The paramedics initiate treatment and activate a waiting team at the hospital. Each STEMI Alert is tracked through the system and standards are maintained at any hospital that is participating. The result has been over 2500 patients have successfully been treated within Miami Dade County since the. program's inception. Miami Stroke Collation was developed by Dr. Alejandro Forteza, M.D., a world-renowned stroke specialist, and is the founder of the Stroke Center which is part of the Jackson Health System. Paramedics have protocols in place that help identify if a patient is having a stoke and what medical procedures to initiate. The rescue crews notify the appropriate hospital and a team isprepared to initiate treatment immediately at the once the patient arrives at the emergency room. The Medical Protocols that guide hundreds of responders within the City of Miami and Key Biscayne support programs like the STEMI Network and the Stroke Coalition. The firefighter paramedics are required maintained, practiced, and execute under the guidance of Dr. Schrank. She has successfully continued a long standing tradition and leadership of providing outstanding Emergency Pre Hospital treatment which was started with the Miami Fire Department in the 1960s. I highly recommend that the City of Miami renews the contract with Dr. Kathleen Schrank, MD and the Jackson Health System. The Village of Key Biscayne has been very happy with our long partnership with JMH and its Emergency Medicine physicians in providing EMS medical direction for our personnel and our patients. If I can provide additional information regarding the professional services that we have received, please contact me at elang kevbiscavne.fi.gov or 305-365-8989. Sincerely, Eric Lang Fire Chief 57. Miami Dade County Fire Rescue Department 9300 N.W. 41 Street Miami, Florida 33178-2414 (786) 331-5000 March 15, 2012 City of Miami Evaluation Committee for Medical Direction .Services for EMS City Hap, 1" floor 3500 Pan American Drive Miami, FL 33133.5504 Dear Committee: RE: Schrank, Kathleen, M.D. This is a letter of recommendation and strong support for Kathleen Schrank, MID, regarding her bid to continue as EMS Medical Director for City of Miami Fire Rescue and the Vllage of Key Biscayne Fire Rescue, through the JMI-1 Proposal for Medical Direction Services. I am the Medical Director for Miami - Dade County Fire Rescue, and Professor of internal Medreine in the Division of Cardiology at the University of Miami Miller School of Medicine. l have worked with Dr. Schrank in both regards as far as her services to EMS and the medical school. I remember her years as Chief of the Emergency Room a: Jackson Memorial Hospital, and she did a far better job than anyone before or after her has done. She continues her work at JMH as an Emergency Medicine physician, as she has since 1983. Dr, Schrank Is Board Certified in both Emergency Medicine and Internal Medicine, and has served as the EMS Director for City of Miami Fire Rescue since 1987. i have worked with Dr. Schrank on patients who came into the Emergency Room, and I have been working with her on numerous local and State EMS committees. She has considerable expertise and training in disaster management (planning, response, and mitigation) and in handling HazMat and/or CBFiNE incidents. Dr. Schrank was an active member of the Miami -Dade Office of Emergency • Management's Terrorism Advisory Committee during its many years of function, and she has experienced actual MCIs'and disasters, for instance Hurricane Andrew, where she took a lead role in the EMS and ED community's response to widespread destruction. I most vividly remember the Value Jet crash, because. both she and I were out there, monitoring the scene and trying to protect our divers and workers since there were no survivors of that crash. Always Ready, Proud To Serve 58 MiaxxdDade County Fire Rescue Department 9300 N.W. 41 Street Miami, Florida 33178-2414 (786) 331-5000 She was invaluable in providing information to protect our Fire Rescue Personnel, and easily tapped into medical school experts for backup whenever needed: She has completed numerous training courses on terrorism response and hazardous materials concems, including suiting up for Hot Zone work. ( also teach at the UM Gordon Center for Research in Medical Education and have worked with Dr. Schrank there on curriculum development for EMS courses on Acute Myocardial Infarction and 12 Lead EKG interpretation, Dr. Schrank is an instructor there in ACLS, with past instructor status in AILS and as an ACLS Course Coordinator. Currently, she is the co -director for the senior medical student rotation in Emergency Medicine and provides many lectures in Emergency and Wilderness Medicine at the medical school, plus state and national lectures on various EMS topics. She has considerable training in educational methodology (including as a junior high teacher on South Beach prior to medical school), and also th test -writing, with national level service to the National Board of Medical Examiners for the US Medical Licensing Exam (Step 3). At the State level, Dr. Schrank was President of the Florida Association of EMS Medical Directors and is on the current Governing Council. She also worked for the Bureau of EMS for many years as part of a 6 member Medical Director Advisory Panel selected by the State EMS Medical Director. Her leadership was second to none in these positions. On the national EMS level, she was selected for membership in the Eagles group of EMS Medical Directors of major metropolitan cities, and just received their 2012 award for EMS Education. 1 also know Dr. Schrank as a human being. She has compassion for her patients, no matter how crowded the ER is or how difficult the situation may be. She has always managed to keep her composure, to assure that the patients are treated properly and with dignity, and to make sure that her residents, students and EMS personnel all put the best interest of the patient as top priority. When necessary, she's had no difficulty arguing with her hospital or her medical school administration to do what is medically right for patient care. A!ways Ready, Proud To Serve 59 Miami -Dade County ;Fire Rescue Department 9300 N.W. 41 Street Miami, Florida 33178-2414 (786) 331-5000 Dr. Schrank is extremely brilliant, both in Internal Medicine and Emergency Medicine, and I would urge that she continue as your EMS Medical Director. Sincerely, Donal 1-S -Rosenberg, M Professor Of clinical Med ine Medical Director, Miami Dade C6Gnty Fire Rescue Division of Cardiology Always Ready,Proud To Serve 60 • A University of Miami Center of Excellence Feldman Division? of MaltiOnafessiona! Health Education Friends For Life Division -of Research and Technology Kennedy .. . Division of .Prehospital and Emergency Healthcare Miami International Alliance for Medical -education Innovation a woldwtde consortium_ • •ofphysiciam and -educators .. • • Michael S. Gordon Center for Research in Medical Education "Saving Lives Through Simulation Technology" March 15, 2012 City of Miami Evaluation Committee for "Medical Direction Services for EMS" . 3500 Pan American Drive Miami, FL33133 Dear Committee Members: RE: Schrank, Kathleen, MD, FACEP, FACP • I am happy to provide a strongly positive letter of recommendation for Kathleen Schrank, MD, in support of her application to continue as the EMS Medical Director for City of Miami Fire Rescue and the Village of Key Biscayne Fire Rescue, through the Jackson Health Services Proposal to continue providing your EMS Medical Direction Services. 1 serve as the Director for the Division of Prehospital and Emergency Healthcare at the UM Michael S. Gordon Center for Research in Medical Education, and am an Assistant Professor of Medicine at the University of Miami Miller School of Medicine. I have enjoyed working with Dr. Schrank since I returned to Miami in 2005, including our clinical Emergency Medicine work at JMH, medical education at UM and JMH, and in working with your EMS personnel. Dr. Schrank is a dedicated, actively involved and enthusiastic EMS Medical Director. From all of my interactions with local EMS personnel, she is extremely highly regarded by them and respected for holding them to high expectations of excellence. She has extensive EMS experience and is readily able to translate medical science into practical approaches to prehospital emergency care. From my work with the State Bureau of EMS and many projects at the State level, she is also very highly regarded by EMS leadership throughout Florida, with a long track record of service at the local and State levels. Unlike many EMS Medical Directors, Dr. Schrank has been deeply involved in all aspects of prehospital systems, - including system design, Emergency Medical Dispatch, special teams (such as the Dive Team, :Tactical EMS, and HazMat), legislative development, and regulatory compliance. She is an Advanced Hazardous Life Support provider and instructor, and •a past Advanced Trauma Life • :Support instructor. Through faculty colleagues at the University of Miami Miller School of • •Medicine, Dr. Schrank is also able to easily tap into the expertise of faculty in any and ail medical and surgical specialties, as needed to support EMS. • • IJIHealth UNIYERAIYoo MUM I AM SY5 Et MILLER. a'Ltzoot. or MEutCT E 'UNIVERSITY o1rlflTMir Post Office Box 016960 (D-41) • Miami, Florida 33101 Location_ 1120 N.W. 14th Street a Miami, Florida 33136 Tel: 305-243-6491 • Fax: 305- 43-3347 • Web: www.gcrm.e.miarni.edu A University of Miami Centerr of Excellence Peldman Division of Mu7tiprOfessldltal Health E-duration r-riends For Life Division Of Research and Technology • Kennedy. " Division of Prehospital and £rnergericy Healthcare Michael S. Gordon Center for Research in Medical Education "Saving Lives Through Simulation Technology" Here at the medical school and the Gordon Center, Dr. Schrank has worked as an Educator for decades. She is one of our ACLS Instructors and has assisted the Gordon Center with curriculum development, course evaluation, and teaching ever since Dr. Gordon first began offering continuing education for paramedics. She has participated in the development of courses on cardiac emergencies, stroke recognition, terrorism response, prehospital trauma care, and airway management. Her classroom teaching skills are excellent and readily adaptable to a variety of learners. it is also clear that she enjoys learning from prehospital providers as much as teaching them. In the JMH Emergency Department, Dr. Schrank provides direct patient care plus supervision and bedside teaching for medical students and residents. Despite the typical chaos of that high volume, high acuity emergency department, she manages to serve as a valuable role model for others in placing the best interest of the patient above all else, and in taking the time that is needed in order to assure that top quality emergency care is delivered. I believe that Dr. Schrank has a very strong background in many areas of medical expertise that are relevant to the role of an EMS Medical Director, not only in general emergency care, but also in disaster management, hazardous chemical exposures, toxicology, hyperbaric medicine and environmental emergencies. She has served our community well, with major involvement in emergency cardiac care, the STEMI Network, Stroke Center development, public education projects, and collegial relationships with the entire Emergency Medicine community and hospital leadership. Her accomplishments and dedication were recently recognized with this year's Cor Vitae Award for Stroke Care from the American Heart Association and American Stroke Association last week. M+amr - ..........Sincerely, lntemational • . • Alliance for Medical.eduoation innovation • . a woridiwirle ' consartiu»t • ..ofPftysiciarts• - •.and edtrcatQrs Ivette Motola, MD, MPH Director Division of Prehospital and Emergency Healthcare Gordon Center for Research in Medical Education University of Miami Miller School of Medicine �.JHealth Uttrois 1VOFMV MI FlEAllit5Y3TEM MILLER KCEL'O6(.Or NIW mitt': INIVEOSLI'YOP, an Post Office Box 016960 (D-41) • Miami, Florida 33101 Location: 1120 N.W. 14th Street . Miami, Florida 33136 Tel: 305-243-6491 ■ Fax: 305 6243.3347 ■ Web: www.gcrme.miami.edu E. Resume of Medical Director KATHLEEN S. SCHRANK, MD, FACEP, FACP UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE CURRICULUM VITAE & RESUME 1. DA'i J .: March 19, 2012 PERSONAL 2. NAME: Kathleen Schrsnk, MD, FACEP, FACP 3. HOME/CELL PHONES: Home: (305) 361-9066. Cell (786) 295-9382 4. OFFICE PHONE: (305) 585-7793 (305) 585-0170 FAX Location: JMH Emergency Care Center (ECC) room 1143 UMMSM Locator Code: M-842 (Mailbox) 5. HOME ADDRESS: 270 Glenridge Road Key Biscayne, FL 33149 6. CURRENT ACADEMIC RANK: Professor of Clinical Medicine 7. PRIMARY DEPARTMENT: Medicine 8. SECONDARY APPT: N/A 9. CITIZENSHIP: U.S. 10. VISA TYPE: None (U.S. Citizen) HIGI-(K;R EDUCATION 11.. INSTITUTIONAL: Jackson Memorial Hospital (JMI-1), Internal Medicine Residency (June 1979 through June 1982) University of Miami School of Medicine, MD, June, 1979 (August 1975 to June 1979) University of Wisconsin, BS, Zoology & Secondary Education, June, 1972 (Sept 1968 to June 1972) 12, NON -INSTITUTIONAL: None 13. CERTIFICATION, LICENSURE: Diplomate, American Board of internal Medicine, 1982 (to present, no recertification required) Diplomate, American Board of Emergency Medicine 1991-2001, Recertification 2000-2010, 2009-2019 Fellow, American College of F. nergency Physicians, 1991 to present Fellow, American College of Physicians, 1996 to present Diplomate, National Board of Medical Examiners, 1980 State of Florida Licensure (#0039896), 1982 to present DEA Licensure 1982 to present (#AS 16-16563, #BS 14713 87) 64 Course Certifications: Advanced Cardiac Life Support, Instructor and Provider, June 2011— June 2013 .Advanced Trauma Life Support, Instructor and Provider, March 1988 — April 2008; Provider, April 2008 — April, 2012 Basic Life Support, March 1976 — July 2012 Pediatric Advanced Life Support, August 2008 — October, 2013 Prehospital Trauma Life Support, October 2008 — October 2010 (recertification not required) Advanced Hazardous Materials Life Support, January 2009 — Jan 2013 Advanced Wilderness Medicine Life Support, June 2008 — May 2012 EXPERIENCE 14, ACADEMIC: EMPLOYMENT: Medical Faculty, University of Miami Miller School of Medicine (UMMSM), June 1982 to present CURRENT ACADEMIC APPOINTMENTS: • Professor of Clinical Medicine, University of Miami Miller School of Medicine, June 1995 to present • Chief of Division of Emergency Medicine, Department of Medicine, UMMSM, June 1994 to present • JIYIJ{ Emergency Care Center (ECC) Emergency Medicine Core Faculty member, June 2003 to present • Course Co -Director, UMMSM Medical Student Elective/Clerkship inEM, June 2004 to present; Director, June 1999 to May 2004 • Course Coordinator, UMMSM "Emergency Responder Course" for freshman medical students, August 2006 to present • Nova Southeastern University Voluntary faculty, Clinical Associate Professor, Dept. of Family Medicine, Division of Emergency Medicine, June 1994 to May 2006, Clinical Professor, June 2006 to present • Advanced Cardiac Life Support Instructor, 3-me 1985 to present • Advanced Hazardous Materials Life Support Instructor, January 2009 to present PAST ACADEMIC APPOINTMENTS: • Advanced Trauma Life Support Instructor, June 19.88 to April 2008 • UM/JMH Emergency Medicine Residency Program development, June 1990 to 1995,,June 2003 to 2009 • Educational Coordinator, J"MH ECC, June 1999 to 2003; Assistant Coordinator, June 2003 to May 2004 • Course Coordinator, UMMSM Freshman Medical Students, Clinical Skills Program, Basic Emergency Care Course, August 1991 to September 2000 • Chief of Emergency Medicine, Jackson Memorial Hospital, June 1988 to February 1997 • Member, Governing Board, Emergency Medical Skills Training Program, UM Medical Training and Simulation Laboratory, June 1987 to May 1997 • UMMSM Associate Professor of Clinical Medicine, June 1989 to May 1995 • UMMSM Assistant Professor of Clinical Medicine, June 1983 to May 1989 • Assistant Medical Director, JMH Emergency Care Center, July 1983 to May 1988 • Course Director, Senior Medical Students, Medical ER Elective, June 1983 to May 1989 65 • Assistant Course Director, Junior Medical Students, Clinical Clerkship in Medicine at JMH, June 1984 to May 1988 • UMMSM Clinical Instructor, June 1982 to May 1983 • JMH Chief Medical Resident, June 1982 to May 1983 • Internship and Residency, Internal Medicine, Jackson Memorial Hospital, June 1979 to June 1982 15. HOSPITAL APPOINTMENTS: Jackson Memorial Hospital, Medical Staff, July 1982 to present; Service Chief of Emergency Medicine, June 1988 to February 199.7 University of Miarni Medical Group, July 1982 to present (previously titled UM PIP, 1982 to 1987) University of Miami Hospital, Medical Staff, December 2007 to present University of Miami Hospital and Clinics, Medical Staff, Internal Medicine June 1983 to May 1999 16. NON-ACADEMIC APPOINTMENTS,past and present: EMS Medical Director, City of Miami Fire Rescue: paramedic and emergency medical technician training, supervision, recertification, direct radio control; protocol and policy development; disaster planning and response; accountability for patient care, quality management, controlled substances, state provider licensure; 911 Emergency Medical Dispatcher training, quality management, protocol development; 650+ EMS personnel; 80,000+ patient runs per year; medical management by special teams (Dive Team, Tactical EMS, Technical EMS, Hazardous Materials); June 1987 to present Current Committees: Medical Advisory, CQI, MPDS Steering, Protocol, Equipment EMS Medical Director, Village of Key Biscayne Fire Rescue, responsibilities sauce as above; 40 personnel, June 1993 to present Chief of Emergency Medicine, Jackson Memorial Hospital, June 1988 to February 1997 Member, State of Florida Department of Health Bureau of EMS Advisory Council's Medical Care Committee: 5 member panel appointed by Bureau's EMS Advisory Council, July 2002 to July 2006 Member, State of Florida Department of Health Bureau of Emergency Medical Services Medical Director's Advisory Panel: multidisciplinary 6-member panel for review and recommendation on all EMS concerns such as EMS legislation, rules and regulations, EMS for children, infection control, quality management, certification process, EMS State Plan; July 1991 to June 2003 Clinical care of patients, Jackson Memorial Hospital and University of Miami Hospital and Clinics: Emergency Medicine, June 1983 to present (JMH) Internal Medicine, July 1982 to present (JMH), July 1987 to June 1994 (UMHC) Member, Board of Directors, Florida College of Emergency Physicians, August 1992 to August 1998 Member, Governing Council, Florida Association of EMS Medical Directors, 2000 — 2002, 2004 — 2006, 2010 to present, Assistant Medical Director, City of Miami Fire Rescue: paramedic supervision, training, direct radio control, protocol development; July 1983 to May 1987 Medical Director, JMH Prison Medical Service: Nurse Practitioner supervision and licensure, patient care, policy and procedure development, quality assurance; June 1988 to September 1990 PAST EMPLOYMENT: Resident, Internal Medicine at Jackson Memorial Hospital, June 1979 — June 1982 Classroom Teacher, Dade County (Florida) Public Schools: Junior High Life Science, General .Science, and Advanced Placement Biology, August 1973 to June 1975 Classroom Teacher, Dane County (Wisconsin) Public Schools: grades 7-12; August 1972 to June1973 17. MILITARY: None 66 PUBLICATIONS 18. BOOKS, BOOK CHAPTERS AND MONOGRAPHS: Schrank, K: Constipation. In: Emergency Medicine, J. Adams, ed., Saunders/Elsevier, 353-360, 2008 Schrank, K, Zosel A: Arthritis and Inflammatory Joint and Synovial Disorders. In: Emergency Medicine, J. Adams, ed., Saunders/Elsevier, 1157-1174, 2008 Schrank K: Cardiopulmonary Resuscitation. In: Kelley's Textbook of Internal Medicine, 4th edition, H. D. Humes ed., Lippincott, Williams & Wilkins, 345-349, 2000 Memon A, Schrank K: Hypertensive Emergencies. In: Principles and Practice of Emergency Medicine, 4th edition, G. Schwartz ed., Williams & Wilkins, 522-532,1999 Schrank K: Hypertensive Emergencies, Antlhypertensive Medications, Calcium Channel Blockers, Beta Blockers. In: Principles and Practice of Emergency Medicine, 3'd edition, G. Schwartz ed., Lea & Febiger, 1341-1354, 1355-1361, 1415-1422, 1423-1430; 1992 Schrank K: Cocaine -related Emergency Department. Presentations. In: Acute Cocaine Intoxication: Current Methods of Treatment, H. Sorer ed., NIH National Institute on Drug Abuse Research Monograph, 123: 110-128, 1992 Schrank K: Poisonings, In: Acute Internal Medicine, L. B. Gardner ed., Medical Examination Publishing, 467-484, 1986 Chapters in publication for 2012: Schrank K: Arthritis and Inflammatory Joint Disorders. In: Emergency Medicine, J. Adams, ed., Elsevier Schrank K: Constipation. In: Fm ergency Medicine, J. Adams, ed., Elsevier, second edition 19. JURIED OR REFEREED JOURNAL ARTICLES AND EXHIBITIONS: Friedman M, Fleming L, Feinandez M, Bienfang P, Schrank K, Dickey R, Bottein M, Backer L, Ayyar R, Weisman R, Watldns S, Granade R, Reich A: Ciguatera fish poisoning: treatment, prevention and management. Mar Drugs, 6(3):456-79, 2008 Myers J, Slovis C, Eckstein M, Goodloe J, Isaacs S, Loflin J, Mechem C, Richmond N, Pepe P; US Metropolitan Municipalities' EMS Medical Directors (38 collaborators including Schtank K): evidence based performance measures for emergency medical services systems: a model for expanded EMS benchmarldng Prehosp Emerg Care 12(2):141-51, 2008 Friedman M, Arena P, Levin B, Fleming L, Fernandez M, Weisman R, Bernstein J, Schrank K., Blythe D, Backer L, Reich A: Neuropsychological consequences of ciguatera fish poisoning: a longitudinal case -control study. Abstract and poster presentation by first author, American Psychological Association Convention, Washington, DC, 2005; Archives of Clinical Neuropsychology 22:545-553, 2007 Gerhardt R, Furlong R, Schrank K, Ress B: Adenosine conversion of supraventricular tachycardia associated with high dose epinephrine therapy for cardiac arrest. Prehospital and Disaster Medicine, 14: 97-9, 1999 Furlong R, Gerhardt R, Farber P, Schrank K, Willig R, Pittaluga J: Intravenous adenosine as first -line pre- hospital management of narrow complex tachycardias by EMS personnel without prior physician control; abstract presentation by first author, Society for Academic Emergency Medicine Annual Meeting, New Orleans, 1992; American Journal of Emergency Medicine, 13: 383-388, 1995 Johnson M, Furlong R, Schrank K: Diagnostic use of emergency department echocardiogram in massive pulmonary emboli, Ann Emerg Med 21: 760-763, 1992. Presentation by first author at American College of Emergency Physicians Anneal Scientific Meeting, Boston, 1991 Schrank K: Hypertensive urgencies and emergencies: avoiding diagnostic pitfalls, Consultant 31:32-35, 1991 67 Schrank K: Hypertensive urgencies and emergencies: avoiding overshot in therapeutic options, Consultant 31: 39-47, 1991 Schrank K: Hypertensive urgencies, avoiding `overshoot' and other pitfalls, Consultant 28: 33-45, 1988 Research Accepted for Poster Presentations: Goodloe J, Lehrfield D, Schrank K: A Nationwide Survey of Emergency Medical Services Standards of Care for Cardiac Arrest - Variability Amongst America's Largest Urban Systems. Accepted for presentation at the American College of Cardiology 61st Annual Scientific Session & Expo, Chicago, March, 2012, and at the Society for Academic Emergency Medicine Annual Meeting, Chicago, May, 2012 Ingalsbe G, Cienki J, Schrank K: Emergency Medical Service Providers' Perspectives on Management of the Morbidly Obese. Accepted for presentation at the Society for Academic Emergency medicine Annual Meeting, Chicago, May, 2012 20. OTHER WORKS, PUBLICATIONS AND ABSTRACTS: Schrank K: More than just a number: Treat the patient, not the monitor. Journal of Emergency Medical Services (JEMS) 35:36-38, 2010 Schrank K, Grossman M: 'On diversion': dealing with emergency department overcrowding and requests for EMS to transport elsewhere. JEMS.com electronic publication, pages 1-7, May 26, 2009 Garza M, Schrank K: New technology poses new challenges. EMS Insider 36 (5):8-9, 2009 Schrank K: Waveform capnography and EMS: Loose connections and pitfalls in interpretation. ACEP EMS Section e-publication May 8, 2008 Rodriguez y, Pascual M, Seo D, Ferreira A, Schrank K, Grossman M, O'Neill W, Heldman A: Fmergency Medical Services -to balloon improvement program in a large public hospital: impact and spill -over effects for walk-in S 1'BMI patients. Poster presentation at Masters in Repair of Structural Heart Disease Conference, Miami, 2008. Schrank K: Better ventilation: the science to support your CPAP protocol. JEMS 32 (10): S17-19, 2007 Schrank K: JMH ECC Teaching Modules for IM residents (CHF, Syncope) 2007 Schrank K: EMS Tips: Caught without your calipers? JEMS (electronic publication), March, 2005 Schrank K (contributor): Toxicology and hazardous materials exposure, cardiac care and transport protocols. In Florida Regional Common EMS Protocols, M Hohl, ed, Jones and Bartlett, 2004 Schrank K: Assessing Local Fmergency Medical Service. Public Entity Risk Institute Virtual Symposium "Evaluating Community Emergency Services", pages 1-9, September 27, 2002 (www.rislcinstitute.ors; peer -reviewed Internet publication) Johnson M, Furlong R, Schranlc K, Weisman R, Memon A, Body packers in Miami: A review of 573 cases, presentation by first author at American College of Emergency Physicians Scientific Assembly, Washington, D.C., 1995 Schrank K, Littrell K, Rosenberg D, Farber P, Prehospital paramedic interpretation of 12-lead electrocardio— grams for acute myocardial infarction and ischemia, abstract presentation by first author, Society for Academic Emergency Medicine Annual Meeting, San Francisco, 1993; abstract, (refereed) Annals of Emergency Medicine 22: 924, 1993; also presented to Florida Association of EMS Medical Directors CME lecture, Jacksonville, 1994 Baikovitz H, Schranlc K, Solomon J, Rogers A, Upper gastrointestinal bleeding: an analysis of risk factors, poster presentation by Baikovitz H, at American College of Gastroenterology Annual Meeting, Boston, 1991 Furlong R, Schrank K, Cardiac arrest/ALS update perspective: Sudden cardiac death, Sterling Clinical Bulletin 2:1-8, 1996 Blythe D, Fleming F, Ayyar R, DeSylva D, Baden D, Schrank K, Mannitol therapy for acute and chronic Ciguatera fish poisoning, Memoirs of the Queensland Museum. 34:.1-6,1994 68 Dylewski J, Chahine R, Norberg D, Sequeira R, Schrank K, Are hospital admissions for patients with chest pain and moderate to low probability of acute myocardial infarction really justified?, abstract (refereed) presented by first author at American Heart Association 67th Scientific Session, Dallas, Texas, 1994 Saef S, Schrank K, Application for Residency Training Program in Emergency Medicine, Jackson Memorial Hospital, submitted to Accreditation Council for Graduate Medical Education, Residency Review Committee for Emergency Medicine, 823 pages, 1993; approved, 1994 Mash D, Tanis D, Schrank K, Augenstein J, Rose S, Hearn W, Gavancho-Sotomayor M, Stitt F, Toxicology screens for cocaethylene in emergency departments and trauma admissions associated with cocaine intoxication, abstract, NIB NIDA Research Monograph 119:489, 1992 Blythe D, DeSylva D, Fleming L, Ayyar R, Baden D, Schrank K, Clinical experience with intravenous mannitol in the treatment of cguatera, Bull Soc Path Ex 85:425-426, 1992. Abstract presentation (refereed) by first author at Fourth International Conference on Ciguatera Fish Poisoning, Tahiti, 1992 Schrank K: Avoid miscall of hypertensive emergency. Letter, Consultant 31:50, 1991 Schrank K: City of Miami Fire -Rescue: a perspective, Mercy Medicine 8:23-27, 1989 Schrank K: Groom J, eds: City of Miami Rescue Procedures and Protocols, 240 pages, 1988; annual revisions through 1993. With Farber P: New editions 1994, 1998, 2001, 2009 with annual revisions 21. WORKS IN PREPARATION: Schrank K, et al: Death in the Field: Prehospital protocols and controversies regarding assessiuent for irreversible death and non-salvageability (policy statement and white paper from US Metropolitan EMS Medical Directors Consortium Schrank K: Pelvic ring instability. An overlooked but common cause of low back pain and sciatica Schrank K: Pediatric cardiac emergencies: Case presentations from EMS and review of the literature Schrank K: Significant errors related to technologic pitfalls of medical monitoring devices PROF'LSSIONAL 22. FUNDED RESEARCH PERFORMED: • Society for Academic Emergency Medicine — Emergency Medicine Foundation Medical Student Research Grant: Adenosine in Prehospital Emergency Care. Robert Gerhardt (Principal Investigator), R Furlong, K Schrank (Co -Inv), $2,500, 1991 • ICON Clinical Research: Treatment of CommnnityAcquired Pneumonia. M. Johnson (Principal Investigator), R. Furlong, K. Schrank, $10,000, 1995 GRANT APPLICATIONS SUBMITTED IN 2010, NOT FUNDED: • NIH/NINDS ZNSI SRB-R(46) 1P50NS070798-01 Specialized Program of Translational Research in Acute Stroke (SPOTRIAS), R Sacco PI, UMMSM Department of Neurology: o Co -PI on Core A; 10% effort for 4 years, oversight, coordination and facilitation of acute stroke care county -wide, screening and enrollment of patients into data registry and research projects (Total Direct Costs for Core A $743,869 over 4 years) o Co -Inv on Project 1, Neustart 2, 5% effort for 4 years, phase 2a multicenter randomi7ecl clinical trial testing high -dose short-term statin therapy against placebo in acute stroke (Total Direct Costs for Project 1 $445,078 over 4 years) o Co -PI on. Core D, unfunded, research fellowship and translational career development program to train clinician -scientists in translational acute stroke research 69 • NII3/NINDS NETT-R(O1) 1R01NS071155-01 Acute Rapid Cooling Therapy for Injuries of the spinal Cord (ARCTIC), M Wang PI, D Dietrich PI, UMMSM Department of Neurosurgery: o Co -Investigator, 3% effort for 5 years, coordination and facilitation of acute spinal cord injury care with EMS and Emergency Medicine (Total Direct Costs $8,939,102 over 5 years) • AHRQ (RFA-HS-10-005) Acute Cardiovascular Event Registry (ACER), G Nichol PI, University of Washington Department of Emergency Medicine: o Site PI, 5% effort for 3 years, coordination and outcome tracking of all MFR EMS patients with acute myocardial infarction and/or cardiac arrest GRANT APPLICATIONS SUBMITTED IN 2011, UNDER REVIEW: • NIH R(03) 1590624458A Prediction of Sudden Death in Multiethnic Communities: o Site PI, 1-0%.effort for 4 years, coordination, data extraction, blood sampling. for genetic markers, and outcome tracking of all MFR EMS patients with non -traumatic cardiac arrests, total site costs $1,109,250 CURRENT RESEARCH PROJhCTS/1NTERESTS (unfunded): • Cardiac Arrest Registry to Enhance Survival (CARES), US Center for Disease Control and Prevention's Division for Heart Disease and Stroke Prevention and Emory University Department of Emergency Medicine, B McNally PI: o Site PI for enrollment and hospital outcome tracking of all out -of -hospital cardiac arrest patients from Miami Fire Rescue • Use of a new supraglottic airway device (the IGel) by EMS paramedics,lRB application approved • End -tidal CO2 waveform monitoring in prehospital emergency care (pitfalls of current electronic devices) • Electrocardiographic monitoring in prehospital emergency care (electronic limitations in asystole, external pacer use, and ventricular dysrhythmias) • Ciguatera research collaborators group (UM-RSMAS, UMMSM,. CDC, WHO, University of Hawaii., French Polynesia), 1997 to present • Less -than -lethal law enforcement devices 23. EDITORIAL RESPONSIBILIi lES: Reviewer, Journal of P.m ergency Medicine, 2004 to 2011 Editorial Board Member, Journal of Emergency Medical Services, June 2009 to present 24. PROFESSIONAL AND HONORARY ORGANIZATIONS: Member, Eagles Consortium (US Metropolitan. Municipalities' EMS Medical Directors, a selected group of EMS Medical Directors collectively responsible for prehospital emergency care for approximately 60,000,000 people), 2004 to present Member (non -voting), Fire Officers Association of Miami -Dade EMS Subcommittee, 2005 to present Member, University of Miami Iron Arrow (honor society), 1993 to present Fellow, American College of Emergency Physicians, 1991 to present; member, 1987 to present; section memberships in Disaster Medicine, Tactical EMS, Emergency Medical Services; Spokesperson Network Member, Florida College of Emergency Physicians, 1987 to present; Board of Directors 1992 to 1998; past committee memberships (EMS -Trauma, Governmental Affairs, Legislative Ivey Contact) Member, Society for Academic Emergency Medicine, 1989 to present; EMS Committee, 1994 to 1995; section memberships in EMS and Clerkship Directors in Emergency Medicine Fellow, American College of Physicians, 1996 to present; member, 1984 to present 70 Member, Florida EMS Medical Directors Association, 1987 to present; President 1998 to 2000; Governing Board, 2000 to 2002, 2004 to 2006 and June 2010 to present Member, Alpha Omega Alpha, 1979 to present Member, National Association of EMS Physicians, 1988 to present Member, Wilderness Medical Society, 1985 to present Member, Divers Alert Network, 1985 to present Member, Phi Beta Kappa, 1972 to present Member, Dade County EMS Medical Directors' Association, 1987 to present Member, National Board of Medical Examiners, United States Medical Licensing Examination, Step 3 Test Material Development Committee for Acute Care, 1999 to 2008, Committee Chair, 2004 to 2008; Interdisciplinary Review Committees, 2003 to 2009, Committee Chair 2009 Member, Undersea and Hyperbaric Medical Society, 1986 to 2009 Member, American Association of Women Emergency Physicians, 1994 to 1998 Member, Emergency Department Council of Dade County, 1987 to 1992 25. HONORS AND AWARDS: American Heart Association/American Stroke Association, Florida: 2012 Cor Vitae Stroke Award, March 2012 Eagles Consortium: 2012 Corey M. Slovis Award for EMS Education, February, 2012 Florida Heart Research Tnstitute: 2011 Volunteer Honoree for Education and Prevention, February, 2012 City of Miami Fire -Rescue Depatiinent: Leadership Award, 2010 Emergency Medicine Residents Association, Certificate of Appreciation (for medical student efforts), 2004 Iron Arrow, Bronze Arrow recognition, 2003-2004 State of Florida Department of Health, Bureau of Emergency Medical Services, `Raymond Alexander, MD, EMS Medical Director of the Year" award, 2000 Miami Association of Firefighters Local 587 Outstanding Service Award, 2000 City of Miami Fire Rescue Department: Infra -departmental Employee of the Month, April, 2000 University of Miami School of Medicine Faculty Teaching Award, 1999 Jackson Memorial Hospital, Doctor of the Year, 1991 Alpha Omega Alpha, University of Miami, 1979 American. Medical Women's Association Award for Scholastic Achievement, 1979 Phi Beta Kappa, University of Wisconsin, 1972 26. POST DOCTORAL FELLOWSHIPS: None 27. OTHER PROFESSIONAL ACTIVITIES: Prehospital Emergency Medical Service Medical Director, City of Miami Fire Rescue, 1987 to present, and Village of Key Biscayne Fire Rescue, 1993 to present: Coordinator of paramedic continuing education, training and recertification Radio supervision (12 to 80 hours per month assigned as Medical Advisor, 120+ hours/month unassigned) Treatment protocols and medical policy development Disaster and Mass Casualty management (planning, response, mitigation, drills) Quality management, Continuous Quality Improvement Committee Emergency medical dispatching, medical coordination of 911 system, MPDS Steering Committee Review of personnel (650+) medical performance on 80,000+ patient runs annually Medical equipment evaluation, field testing, purchasing Compliance with State of Florida (Board of Medicine, Bureau of EMS, Board of Pharmacy) and U.S. Drag Enforcement Agency regulatory requirements 71 24-hour per day rapid availability for problem resolution Infection Control procedures for personnel Radio physician recruitment, scheduling, payroll, training Selection Committees for key EMS personnel UMMSM Medical Student career advising and counseling: Faculty Advisor for Emergency Medicine Student Association, 1999 to present Individual career counseling and mentorship for students interested in Emergency Medicine, 1985 to present UMMSM Career sessions (2 per year), 1998 to present Residency Match assistance for EM candidates, 1985 to present Ciguatera research collaborators group (UM-RSMAS, UMMSM, CDC, WHO, University of Hawaii, French Polynesia), 1997 to present Legislative activities related to emergency medicine, access to emergency care statutes, acute stroke care, ' acute myocardial infarction care and EMS; review of proposed statutes and rules and regulations with commentary to State Offices, presentations in Tallahassee or at regional meetings; for Florida Association of EMS Medical Directors, Jackson Memorial Hospital, and/or Florida College of Emergency Physicians; 1986 to present Florida Stroke Advisory Task Force, FL Bureau of EMS, 2010 to present Invited participant, CDC Stroke Advisory Panel, Florida Stroke Care, Miami, July 2009 Emergency Medicine Residency Program development, 1990-1995; 2003 to 2009: Program and curriculum development Rotation coordination with other departments Budget negotiation Resource development A.C.G.M.E application (JMH EM residency program approved 1994 but withdrawn by JMH; application resubmitted in 2003 but accreditation withheld) Residence Review Committee site visits Housestaf and faculty recruitment Panel member, Florida Emergency Medicine Foundation, Orlando, Florida, 2001: EMS Medical Director Liability Moderator & Panel member, Florida Emergency Medicine Foundation, Melbourne, Florida, 2000: Emergency Department Closures to EMS Legislative development and multiple presentations related to informed consent requirements for emergency and critical care research, coalition of 3 Florida medical schools and Florida College of Emergency Physicians, 1991-1992, 1997-2004; review and commentary on federal regulation, 1995 Patient education, development of programs and materials, JMH Emergency Care Center, 1989 to 1994 TEACHING 28. TEACHING AWARDS RECEIVED Eagles Coalition, Corey M. Slovis Award for EMS Education, 2012 University of Miami School of Medicine, Faculty Teaching Award, 1999 University of Miami Medical Women, Outstanding Faculty Award, 1987; faculty recognition award Nominations, 1984-1989 Jackson Memorial Hospital, Department of Nursing Education, annual faculty recognition award, 1987-1989 29. '1BACHING SPECIALIZATION: CURRENT TEACHING RESPONSIBILITIES; 72 Co -Director, UMMSM clinical clerkship in EM (4 week required block for seniors) 2003 to present • -Curriculum development and content • Syllabus (goals, objectives, evaluation tools, rules) • Evaluation and grades • Scheduling • Counseling • LCME compliance, self -evaluation and recertification Lecturer/Preceptor, .JMH Emergency Medicine Education: • Case Presentations (4 half -day sessions/year) and JMH Simulation Lab sessions (6 half -day sessions perr year) for UMMSM medical students, 2007 to present • Mt Sinai EM Residency Grand Rounds/Lecture Series, 2001 to present: o Cardiotoxic Drug Overdoses, 2011 o Dive Medicine, 2011 o Management of Cocaine Overdose, 2010 o Massive Hemorrhage, 2010 o Excited Delirium Patients and Law Enforcement's "Less than Lethal" weapons, 2009 o Dive Medicine and Emergencies 2008 o High Altitude Illness, 2007 o Near Drowning 2007 o Accidental Hypothermia and Heat Illness 2006 o Cardiac Arrest Management 2006 o Toxicology Parts 1 and 2, 2005 o Acute Asthma and COPD Exacerbations 2005 o EMS Radio Medical Supervision, annually 2001 to present -a Mt Sinai EM Residency Oral Board Examination Exercise (half -day per year) 2008 to present • JMH Emergency Medicine Lecture Series for Emergency Nurses, coordinator and lecturer, 2008 to present: o Sepsis: Early Recognition and Management, 2011 o Cardiac Dysrhythmia Management, parts 1 and 2.2010 o Lab Abnormalities, 2009 o Pelvic Tnfections, 2008 o Arrhythmia Recognition, Parts 1 and 2, 2008 Faculty, Advanced. Cardiac Life Support Courses, UMMSM Gordon Center for Research in Medical Education (GCR1AB): Lectures, practice stations, testing stations (1-4 courses per year), 1985 to present; course director (one course per year), 1985-1993, 2001-2003 Coordinator and faculty, UMMSM Emergency Responder Course for freshmen (8 hours/year) 2006 to present Attending physician and preceptor, JMH Emergency Care Center, student and housestaff clinical education in Emergency Medicine (several shifts per month), 1983 to present Coordinator, paramedic education and recertification, Miami Fire Rescue, 1987 to present; Key Biscayne Fire Rescue, 1993 to present EMS Medical Director Lecture Series, 6-10 per year, January 2010 to present: o Management of Cardiac Arrhythmias o EMS Case Review: The Good, the Bad, and the Ugly o Chest Pain and 12 lead EKGs o Sorting out the Tachycardias o Complex Pediatric Patients o Patients with Complex Medical Devices o EMS and the Law o Ventilation Techniques and Pitfalls (Noninvasive and Invasive) 73 Attending physician and coordinator, JMH EMS Radio Physicians program; education, training and supervision of radio control physicians for prehospital emergency care; 1983 to present PRESENTATIONS/CLASSES TAUGHT (Continuing Medical Education): Invited Faculty, EMS State of the Science: A Gathering of Eagles (international conference, 600-800 registrants), University of Texas Southwestern, Dallas: • Gestational Crises: Cardiovascular Emergencies in Pregnancy, 2012 • ACLS/BLS Guidelines 2010: Adapting Them for Your EMS Agency, 2011 • Tourniquets for Massive Hemorrhage, 2010 • Excited Delirium and CEDs: More Miami Mayhem, 2010 • Child Welfare: When EMS Confronts Complex Pediatric Emergencies, 2009 • When EMS Confronts Complex Medical Devices, 2008 • Potential Flaws with EMS Monitoring Devices, 2008 • Noninvasive Ventilation with Prehospital CPAP, 2007 • WhatThey Don't Know Can Hurt You: the Need. for Hospital Tnservices by EMS, 2007 • Conductive Electrical Devices and Excited Delirium, 2006 • Medical Consequences of Law Enforcement Devices, 2005 • Paramedic Performance Assessment, 2004 • Also panel member for 5 to 8 panels per year Invited Faculty: International Association of Fire Fighters John P. Redmond Symposium and Dominick F. Barbera EMS Conference, New York City, 2011: • Workshop: Medical Director Course • Ask the Medical Directors: Eagles Answer Invited Faculty, Journal of EMS webcast (international, 950 registrants), November 2010: • Breathe Deeply: How CPAP can help your patients Invited Faculty, Emergency Care & Trauma Symposium, Emergency Nurses Association (state conference, 30 registrants) Miami, November 2010: • Interpretation of Laboratory Studies in Emergency Patients Invited Faculty, Florida Association of EMS Medical Directors Association (state conference, 5.0 registrants), Orlando: • EMS Medical Directors and the DEA (2010) • EMS and Complex Medical Devices (2009) Invited Faculty, Annual Scientific Assembly, Advanced EMS Medical Directors Forum and Workshop (national, 150 registrants), Boston, October 2009, lectures and panels: • Diversionary Tactics: When Hospitals Ask EMS to Go Elsewhere • Pediatric Emergencies: When EMS confronts Complex Pediatric Problems • Panel Moderator and Coordinator: The Optimal EMS Airway Question • Panel Member: Emergency Cardiovascular Care Updates and Initiatives - Invited Faculty, International Association of Firefighters Fire -Based Dominic F. Barbera EMS Conference (national conference, — 1200 registrants), Miami Beach; June 2009, Co -Speaker with ]Jr. Paul Pepe:. • Using Data to Tell Your Story: Measuring What Matters • Fire -Based EMS: Report from the Eagles 2009 Invited Faculty, First There/First Care EMS conference (regional conference, —200 registrants), Fort Lauderdale, 2009: • Complex Medical Devices: Ours and Theirs Invited Faculty, EMS Today (national conference, —1800 registrants), Baltimore, 2009: • EMS State of the Art (panel member) • Tourniquets in EMS 74 • Eagles EMS Medical Directors Update (panel member) • EMS Monitoring Devices • Complex Medical Devices Encountered in Out -of -Hospital Care Faculty, Advances in Medicine 2008, UMMSM Department of Medicine, Miami 2008: • Emergencies in Women Invited Faculty, Emergency Department and Interventional Cardiology Therapeutic Teams (EDICT) conference, University of Massachusetts, Miami FL 2007 •` Management of Acute Coronary Syndrome- (panel member) UMMSM Department of Medicine Grand Rounds: • Cardiotoxic Drug Overdoses, 2010 • Cardiotoxic Drug Overdoses, 2004 • Seafood. Poisoning, 2000 • Principles of Prehospital Emergency Medical Services, 1993 • Pulmonary Embolization by Fat, Air, or Amniotic Fluid, 1989 Invited Faculty, Mount Sinai Medical Center Emergency Medicine Grand Rounds, 2001: Panel member, • Update on New ACLS Guidelines Invited Faculty, Miami Children's Hospital Grand Rounds, 2000: Seafood Poisoning Invited Faculty, "Pri-Med," Harvard Medical School and University of Miami, Ft. Lauderdale, 1999: • Acute Poisoning • Cocaine Overdose Invited Faculty and Panel Member, 'Workshop Conference on Seafood Intoxications," World Health Organization, Pan AmericanrHealth Organization, University of Miami, Miami, 1995 • Emergency Management of Ciguatera Poisoning (panel) Invited Faculty, "The Florida Poison Tnformation Network: Saving Lives, Saving Money," Florida Medical Association, Miami, 1995: Pharmaceutical Poisonings Invited Faculty, "Symposium by the Sea," Florida College of Emergency Physicians, Palm Beach, 1.993: • Snake Bite Invited Faculty, "Clincon 93," Florida Emergency Medical Foundation, Orlando, 1993: • Heart Smart —Cardiovascular Assessment Invited Faculty, "21.st Annual Physician Assistant Conference," American Academy of Physician Assistants, Miaini Beach, 1993: Management of the Overdose Patient Invited Faculty, Management of Acute Cocaine Intoxication Technical Review Panel, NTH National Institute on Drug Abuse, Bethesda, 1991: Cocaine -related Emergency Department Presentations Invited Faculty, "Cocaine Abuse," Harris County Hospital District CME, Houston, 1989: Medical Complications of Cocaine intoxication Invited Faculty, "Clincon '89," Florida Emergency Medicine Foundation, :Orlando, 1989: • Near Drowning • Hypothermia Faculty, "Emergencies in Internal Medicine," University of Miami Division of General Medicine, St. Thomas and Aruba: • Environmental Emergencies: Heat Illness, Lightning, Envenomations, High Altitude Illness, • Hypothermia, Sun Exposure (1993, 1995-1998) • Cardiac Poisonings (1992) • Drug Overdose (1984, 1985, 1992) • Medical Complications of Chest Trauma (1991) • Pulmonary Edema (1986-1988) • Sudden Cardiac Death (1986, 1992. 1998) • Management of Diving Injuries (1986-1989, 1991) • CPR and Brain Resuscitation (1988-1990) 75 • Hazardous Marine Life (1989) • Protection of Emergency Dept. Personnel (1990-1991) Faculty, "Teaching Conference in Clinical Cardiology," University of Miami, Miami: Acute Stroke Management (panel, 2000) • Management of Acute Ischeraia (panel, 1994-1997, 1999) • Emergency Cardiac Care (panel, 1988-1989, 1992, 1994-1997) • Thrombolytic Therapy (panel, 1991, 1994) • Cardiac Complications of Drug Overdose (1990) • Cardiac Arrest Management Practice (1991) Faculty, `Board Review Course in Internal Medicine" and "Fundamental and Clinical Aspects of Internal Medicine," University of Miami Department of Medicine, Miami: • Alcohol Abuse (1985-1988) • Drug Overdose (1985-1993) • Hypothermia (1987-1989) • Near -Drowning (1987-1989) • Pulmonary Embolization by Fat or Air (1989-1993) • Emergency Medicine for the Internist (1994, 1998-1999) Faculty and Course Development, Early Recognition of Acute Myocardial infarction courses for paramedics, UM GCRME, 1990-1991, 1994, 1997-1999; for emergency physicians, 1994 (1-3 courses per year) Faculty and Course Development, Prehospital Management of Acute Stroke, UM GCRME, 1997 to 1999 Faculty, "The Interface of Science, Ethics, and Law in Hyman Subjects Research," National Institute of Health Office for Protection from Research Risks, Food and Drug Administration, and University of Miami, Miami, 1998: Coordinator and Speaker, "The Waiver of Informed Consent." Faculty, Advanced Cardiac Life Support Tnstructor Courses, UM GCRIViE, 1987 to 1997, instructor selection and educational methodology (one course per year) Faculty and Course Development, Management of Ha72rdous Materials Exposures, UM GCRME, 1994- 1996 Faculty and Course Development, Prehospital Trauma Management Course, UM GCRME, 1988 to 1995 (8 courses per year) Faculty, JMH Emergency Care Center Nursing Internship programs, lectures, 1990 to 1995 Faculty, "Instruct the Instructors Course," UM Medical Training and Simulation Laboratory (UM-MTSL), 1990: Update in Cardiac Pharmacology Faculty, Critical Care Nursing courses, Jackson Memorial Hospital, 1986-19.89 • Cardiac Pharmacology • Cardiac Arrest Management Faculty, "Selected Aspects of Internal Medicine," University of Miami, Colorado and Utah, 1987 and 1988: • High Altitude Illness • Hypothermia • New Approaches to Cardiopulmonary Resuscitation • Hypertensive. Emergencies and Urgencies • Pathophysioiogic Approach to Poisoning Faculty, Tratuna Nurse Specialist courses, Jackson Memorial Hospital, 1985-1986: • Acid Base Disturbances • Airway Assessment and Management • Dangerous Marine Animals • Environmental Emergencies 76 OTHER/PAST TEACHING RESPONSIBILITIES: Faculty, Eagle Creek (non-CME conference, attendance by invitation only), U Texas -Southwestern, Dallas: Induced hypothermia in cardiac arrest: Problems with the 2012 Italian study, 2012 Eagles survey research paper on cardiac arrest protocols 2012 Proposal for Eagles survey on cardiac arrest protocols, 2011 Legislative approach to S'1'1;MI Care: Be Wary, 2009 Who is Dead Dead?, 2009 Serious glitch identified in Lifepak 12 EMS waveform capnography device, 2008 Faculty, EM Lecture Series, various topics (10-15 lectures per year 1983-2006, 8 lectures and case presentations per year 2007 to 2008) for medical students and JMH residents Faculty, Advanced Trauma Life Support Courses, UMMSM Division of Trauma and GCRME; lectures, practice stations, testing (1-2 courses per year), 1988 to 2008 Faculty, UMMSM OSCE, 1999, 2006, 2008 Discussant, Emergency Medicine Journal Club, 2003-2009 (various topics) Faculty, Airway Skills Lecture Series, UMMSM Center for Research in Medical Education, 2004 Faculty, UMMSM William J. Harrington Medical Conferences, Managern ent of Poisoning, 2003 Faculty, UMMSM course on Medical Ethics, Law, and Social Policy for freshman medical students (one session per year), 1992-2003 Attending physician and preceptor, JMH inpatient ward medicine service, student and housestaff clinical education in Internal Medicine (one to four months per year),1982-2003., 2008 Educational Director and Coordinator, EM elective for medical senior medical students from US allopathic and osteopathic medical schools; PA students from Barry University, Nova Southeastern, University of Florida and Miami -Dade Community College; 1999-2003 Invited Faculty, Mount Sinai Medical Center Osteopathic Emergency Medicine Residency Program 2001: Near -Drowning Hypothermia Coordinator and Faculty, Basic Emergency Care Course for Freshmen medical students, 16 curriculum hours per year, Clinical Shills Program, 1991-2000 Coordinator and Lecturer, UMIJMH Emergency Medicine Lecture Series, 1983 to 1996 (various topics, 10- 15 lectures per year) Faculty, UMMSM Freshmen medical students, Clinical Applications sessions during basic sciences, 1992- 1993 (one per year) Faculty, UMMSM Junior medical students, Basics of Medical Practice orientation course, 1990 to 1995, 1998 (one per year) Preceptor, UMMSM medical student exams: Freshman/Sophomore Physical Exam Competency, 1983 to 1995 Faculty, UMMSM Student Council Convention, workshop moderator, 1994 Faculty, Intern Emergency Medicine Lecture Series, University of Miami, Department of Medicine; Prevention of Medication Errors (2007) Cardiac Emergencies (2003) Drug Overdose (1982-1992, 1994, 2002) Discussant, Medical Morbidity and Mortality Conferences, University of Miami, 1983-1986, 1990-1993 Discussant, Internal Medicine Journal Club, 1983-1993 (various topics) Preceptor, UMMSM Sophomore Medical students, Physical Diagnosis courses, 1983-1991 Preceptor, UMMSM Junior medical students, Patient -Oriented Problem Solving sessions, 1988 to 1998 (8- 10 per year); Lectures on Arrhythmia Recognition and Management, 1988 to 1996 (8 per year) Attending physician, MI Medical Consultation Service, 1983 to approximately 1988, housestaff education in Internal Medicine Consultation (one month per year) 30. THESIS AND DISSERTATION ADVISING: None 77 SERVICE 31. MEDICAL CENTER COMMITTEE AND ADMINISTRATIVE RESPONSIBILITIES: UMMSM Chief of Emergency Medicine, June 1989 to present: Chief, Division of EM, June 1994 to present Chief, Section of EM in Division of General Medicine, June 1989-May 1994 Faculty recruitment, development, evaluation (June 1989-September 2006) Physician billing (June 1989-May 2008) JMH departmental planning, policy and procedure development, equipment (1989-2001) Budget development Voluntary Clinical Faculty appointments for JMH EM physicians' group Faculty advisor, UMMSM Emergency Medicine Student Association UMMSM Junior/Senior Promotions Committee, June 2005 to present UMMSM Clinical Clerkship Advisory Committee, June 2002 to present TMH Emergency Medicine Core Faculty administrative roles (appointment and assignments from JMH EM Chief of Service), May 2000 to present: JMH STEMI (ST-Elevation Myocardial Tnfarction) Program development, March 2007 to present JMH Stroke Council, October 2006 to present JMH Induced Hypothermia after cardiac arrest program, March 2006 to present Assistant to EMS Liaison Coordinator, July 2005 to present JMH EM faculty development mentoring, May 2000 to present Core Faculty meetings (6-10 per year), May 2000 to present Equipment and supply recommendations, May 2000 to present Policy and procedure development recommendations, May 2000 to present Attending physician recruitment, May 2000 to present Disaster response and planning, May 2000 to present ECC Administrative MD on call (24/7 for 2 to 3 weeks per year), May 2000 to present Liaison with JMH Medical Service May 2000-October 2005 JMH ECC Clinical Practice Committee, June 2004 to May 2006 Associate Medical Director Selection Committees, 2008 UMMSM LCME Reaccreditation Institutional Self -Study, Committee on Undergraduate Medical Education, Curriculum Management Subcommittee, December 2007 to May 2009 TJ M MSM Curriculum Advisory Committee, June 2004 to May 2005 JMH Access to Emergency Care Committee, compliance with federal and state Regulations; Chairperson, June 1996 to May 2001; member June 1996 to Deo 2007 JMH Hazardous Materials Response Team development, June 1988-May 1996, June 1999 to May 2006; Weapons of Mass Destruction Medical Advisory Board member, June 2001 to date; Decon Team member, June 2001 to May 2007 UMMSM Appointments, Promotions and Tenure Committee, School of Medicine, June 1997 to May 2001 UMMSM Senior Women Faculty Assembly, June 1994 to May 1999 Risk Management case reviews, UMMSM, JMH, Miami EMS, Metro -Dade EMS, June 1986 to May 2003 JMH Internal Medicine Intern Selection Committee, June 1983 to May 2000, June 2001 to May 2005 JMH Medical Intern Advisor, June 1985-May 1986, June 1987 to May 1990; housestaff clinical competence exams for ABIM requirements, June 1989 to May 2003 JIVER Chief of Emergency Medicine, June 1988 to May 1997: Establishment of a new hospital program for round-the-clock attending physician coverage for ECC Pediatric, Medical and Surgical Treatment Areas, June 1988-May 1989 Physician recruitment and development (15 fulltime and more than 20 parttime positions) Physician credentialing and staff privileges 78 Physician personnel issues (JMH procedures, contracts, salaries, evaluations, benefits package, scheduling, disciplinary action) Coordination of Emergency Medicine activities with all clinical departments at UM/JMMC Non -physician personnel issues (recruitment, orientation, staff meetings, evaluations) Compliance with local, state and federal regulatory requirements Quality Management Program (Annual Plan, quarterly reports, Annual Summary, coordination with Nursing, ICAHO and HRS visits) Policy and Procedure development and approval Medical equipment evaluation and purchasing Physician billing (contract with outside vendor, audits, complaints, administration) Budget development and negotiation Facility planning (design, evaluation, architect selection) Coordination of ancillary services Medical Record development Public Relations resource for media Daily problem solving UMSM Facilities and Library Self Study Committee for LCME Reaccreditation, June -Dec 1994 UMSM Task Force on Generalist Medical Education, June -Dec 1994 UMSM Search Committee for Chairman of Department of Surgery, June -Dec 1993 UMSM Strategic Planning Retreat, June -Dec 1993 UMSM MP -Planning Workshop, Committee on Governance, June to December 1993 UMSM Clinical Skills Evaluation Committee, June to December 1992 PHT Executive Committee of the Medical Staff, June 1988 to February 1997 PHT Medical Review Committee, June 1989 to February 1997 UM/JMMC Florida Poison Information Center Advisory Board, June 1990 to May 1996 JMH Emergency Care Center Quality Improvement Council, Co -chairperson, June 1995 to February 1997 JMH Security Task Force, June 1993 to May 1994 JMH ECCIUCC Admissions Project Action Team June 1994 to May 1995 JMH ECC Committee; member June 1983-May 1987, Chair June 1988 to May 1997 JMH ECC Executive Committee, Chair June 1988 to May 1995 JMH ECC Triad, July 1983 to May 1997 JMH ECC Triage Clinical Practice Committee, June 1989 to May 1993 JMH Disaster Committee, June 1987 to May 1994; Subcommittee on internal Disaster Response, June 1988 to May 1994 JMH Mental Health Facility Architect Selection. Panel, June to December 1993 JMH Trauma Center Planning Committee, June -Dec 1990 JMH CPR Committee, June 1988-May 1993; Chair, Subcommittee on Emergency Cardiac Equipment, June 1988-May 1990 JMH ECC-UCC Subcommittee, June 1980-May 1993 JMH Urgent Care Center Committee, June 1988-May 1992 JMH Liaison Attending Committee, June 1987-May 1989 JMH ECC Department Head/Joint Staff Committee, June 1988-May 1990 TNIH Ambulatory Care QA Committee, June 1989-May 1990 TMH Task Force on Abuse/Neglect of the Elderly, June -Dec 1989 TMH ECC Medical Record Forms Committee, June 1986-May 1988 JMH Nurse Recruitment Search Committees, June —Dec 1986 Assistant Medical Director, JMH Emergency Care Center, July 1983-May 1988: Coordinator, Emergency Medicine Lecture Series Housestaff, scheduling, supervision, evaluation Medical student scheduling, evaluation Coordinator, in -patient medical transfers from other hospitals 79 Coordinator, medical admissions Liaison, JMH Admitting and Bed Control JMH Cost Containment Committee ECC Followup Clinic, development and scheduling Assistant Course Coordinator, third year medical students, Medical Clerkship, June 1984-May 1988 Clinical Instructor/Chief Medical Resident, June 1982-June 1983: Coordination of housestaff education Housestaff scheduling and evaluation 32. COMMUNITY ACTIVITIES Chair, EMS and area hospital meetings (county wide group), meeting 3 times per year to coordinate prehospital and hospital emergency care, 2001 to present Medical Director, Public Access Defibrillation. Deployment Program, City of Miami Fire Rescue, 2005 to present (more than 700 AEDs placed to date throughout the area with on site lay public trained in BLS/CPR) Instructor and Assistant Medical Director for Miami Edison Senior High School's EMT Cadet Training Program, joint project of City of Miami Fire Rescue, Miami Dade County School Board, and Fortis College; new career pathway for 20-25 senior students per year; 2005 to present Member, Fire Officers Association of Miarni-Dade EMS Chiefs Committee, 2005 to present: Common Protocols Development Committee, 2008 to 2011 Stroke Network (county -wide) development, 2005 to present; Stroke Coalition 1997 to present STEMI Network (county -wide) development, 2007 to present Induced. Hypothermia (county -wide) development, 2007 to present Monthly meetings, various projects (e.g., public education on PUSH CPR) Consultant, City of Miami Police Department program for Conductive Electrical Devices (TASER), including various panels and committees with county -wide police chiefs association, Office of the Medical Examiner, Office of Corrections, and Miami Dade County Commission, 2000 to present Coordinator, International Association of Fire Fighters "CPR Anytime" training class for community leaders and media personnel, 2009 Advisor, Miami Dade County Health Department, various committees and teams on epidemic/pandemic influenza, SARS, smallpox threat response and vaccination program, biological terrorism monitoring and response, 1995 to 2008 Member, Public Access Defibrillation Program Medical Steering Committee, Miami Dade County 2005 to 2008 Member, Terrorism Advisory Committee and Planning Committee for Metropolitan Medical Strike Team and Miami -Dade Office of Emergency Management, 1998 to 2007 Member, Dade County TrarirnaAdvisory Committee, Miami -Dade County Commission, 1990 to 2006; QA Subcommittee, 1991-1993; Trauma Agency Application Development Subcommittee, 2001-2002 Member, South Florida regional common EMS protocols development group, ad hoc committees for cardiac care/transport and toxicology/haznaat, 2002-2003 . Member, State of Florida Bureau of EMS, EMS Transformation Team, 1999-2001 Member, State of Florida Department of Health, Bioterrorism Work Group, 2000-2001 Reviewer, State of Florida Bureau of EMS, Trauma Center application, 2000 Member, planning committee for South Florida Venue for 1996 Olympic Soccer (disaster and threat assessment and response to chemical and biological weapons attack) and for all Superbowls Member, State of Florida Bureau of EMS State Plan, Goal #5. Community Health Care Tmplementation Team, 1997-1999 Member, EMS Task Force of Dade County, multidisciplinary group (emergency physicians, EMS chiefs, hospital administrators, emergency nurses), to address local EMS issues and disaster response, 1988- 1996 80 Member, Practice Parameter Committee, Florida College of Emergency Physicians and State of Florida. Agency for Health Care administration, 1995-1996 Member, South Florida EMS Task Force Conn nittee on Hazardous Materials, 1994-1995 Advisor, local development of FEMA Urban Search and Rescue Team, and PIMA Disaster Medical Assistance Team (DMAT); 1993-1994 Member, Subcommittee on EMS Protocol Development, Florida College, of Emergency Physicians, 1988- 1993 Member, CPR/Emergency Cardiac Care Committee, American Heart Association of Greater Miami, 1988- 1993 Member, Emergency Department Medical Directors Association, 1988-1993 Member, multiple groups for disaster response coordination, Hurricane Andrew, 1992 Advanced Cardiac Life Support Instructor, community courses, 1985-1991 Member, State. of Florida Department of Health and Rehabilitative Service, Technical Advisory Panel on Access to Emergency Care 1988-1989 Panel member, Dade County Substance Abuse Council, 1987 81 F. Medical Licenses & Certificates for Medical Director • FL Medical License • DEA Registration "A" License for UMJJMH "B" License for City of Miami Fire Rescue • ACLS Instructor Certification • PALS Provider Certification • Health Care BLS Certification • PHTLS Advanced Provider Certification • ATLS Provider Certification • ABIM-Board Certification -Internal Medicine • ABEM-Board _Certification -Emergency Medicine 82 DER a1118120�2' ,z. �r+r[ENSEN • 1UI1; 3J896 =� 44. e:., ti TH • -t r SSURA .E'°` ., .i; of %' us••^ •The- ; '.:. , 9 , .' . named�belovcr as` rrretalfirecia ements'Of . the laWs,;and rules, o ¢ih state of Florida. ' • EXO at bn lafeu - JAN,, ARY 31, 2014 KA'ifILEE t ,SChIRA1 =` • JACKSON MEMORIAL ECC , HOLtZ 1 1611 j`t;1 +1f 2Tt f VE n f'` >✓" y's . MIAMI, FC k •313 ` . x ;.:n, -- 4,Rick:Scott 1fF IO;R DISRL:' I^.. ank,Farmer, JC,::M E}, A D�, F .CSTATE SURC QN GJERAL -ea'7 • •` - tc r • EXPIRATION DATE: JANUARY 31, 2014 Your lloe'nsc number is AtZ 39896; please use it in all correspondence with your board/council. Each ihhensee is solely:responaible for notifying the departmeritin writing of the licensee's current Mailing address and practice location address. If you have not received your renewal notice 90 days prior to the esplra(io'n data shown oh this license, please ca11-(850) 488-0595. ' Use this section to report name change, Name changes require legal documentadon showing the name change. Please make sure that a photocopyof,one of the foltiowing accompanies this forin:'a marriage license,' a divorce decree or a court order. A daivet's iicenie or socfai: seaurlty card is not considered Jogai documentation. • Medical location Quality Assurance offers you the convenience'of several -online services. These services eve you the ability to renew your license, update your mailing and practice addresses and update your profile Information. 1. Go krwwwllhen;,thsourae.00ia 2. Click on Licensee/Provider Click on Ptactitibriet Login '4. Seiectyourprofessiori 5. filter the account ID and password thatwas-providedto'you on your initial license arid Click on „Legin'. 6. ff you do not know your account ID and password, click on °Gat;'ogin Help" or call our Customer.Contact Center at (850) 458-0595 for assistance. MAIL TO; DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE LICENSING AND AUDITING SERVICES UNIT R;D, BOX$320 TALLAHASSEE, FLORIDA 32314-6320 J. NAME CHANGE (ATTACH 'LEGAL DOCUIVIENTATION) :ROM: LAST FIRST MIDDLE `O: LAST FIRST MIDDLE WI 2103, 5/98 83 i Li=r-t-vc 1 MCry ! ur !Vitt) ILA -254Z) PO BOX 016960 MIAMI, FL 33101-0000-000 1 iIl 1)11rl,III11u„riiilllu.11>;rllu„IlirrlljlllliiiIIuil DEA REGISTRATION THIS REGISTRATION NUMBER EXPIRES FEE PAID AS161,5563 02-28-2014 $551 SCHEDULES BUSINESS ACTIVITY ISSUE DATE 2,2N, PRACTITIONER 01-20-2011 3,3N,4,5, SCHRANK, 'KATHLEEN S MD • UM SCHOOL OF MEDICINE DEPARTMENT OF MEDICINE(M-842) . PO BOX 016960 : MIAMI, FL 33101-0000 CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE UNITED STATES DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATION WASHINGTON D.C. 20537 Sections 304 and 1008 (21 USG 824 and 958) of the Controlled Substances Act of 1970, as amended, provide that the Attorney General may revoke or suspend a registration to manufacture, distribute, dispense, import or export a controlled substance. THIS CERTIFICATE IS NOT TRANSFERABLE ON CHANGE OF OWNERSHIP, CONTROL, LOCATION, OR BUSINESS ACTIVITY, AND IT IS NOT VALID AFTER THE EXPIRATION DATE. CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE UNITED STATES DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATION WASHINGTON D.C. 20537 DEA REGISTRATION THIS REGISTRATION NUMBER EXPIRES FEE PAID AS1616563 02-28-2014 $551 SCHEDULES BUSINESS ACTIVITY ISSUE DATE 2,2N, 3,3N,4,5, PRACTITIONER 01-20-2011 SCHRANK, KATHLEEN S MD UM SCHOOL OF MEDICINE DEPARTMENT OF MEDICINE(M-842) PO BOX 016960 MIAMI, FL 33101-0000 Sections 304 and 1008 (21 USC 824 and 958) of the Controlled Substances Act of 1970, as amended, provide that the Attorney General may revoke or suspend' a registration to manufacture, distribute, dispense, import or export a controlled substance. THIS CERTIFICATE IS NOT TRANSFERABLE ON CHANGE OF OWNERSHIP, CONTROL LOCATION, OR BUSINESS ACTIVITY, AND IT IS NOT VALID AFTER THE EXPIRATION DATE. -mom ,.. t.... 84 SCHRANK, KATHLEEN S MD CITY OF MIAMI FIRE RESCUE 1151 N W 7TH STREET MIAMI, FL 33136-0000-000 1I I llIzI IIg,nillIII 1llUIIIII I,IJIInQll IIIluIJlnlhItI DEA RE NUMBER BS1471387 SCHEDULES RA 2, 3,3N,4,5, THIS REGISTRATION EXPIRES _*FEE PAID 02 28-2015 FEE EXEMPT • BUSINESS ACTIVITY PRACTITIONER ISSUE DATE 02-.1 5-2012 SCHRANK, KATHLEEN S MD CITYOF MIAMI FIRE RESCUE 1151 N W 7TH STREET - MIAMI, FL 33136-0000 CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE UNITED STATES DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATION WASHINGTON D.C. 20537 This registration Is only for use at Federal or State Instil/10ns. Sections 304 and 1008 (21 USC 324 and 956) of the Controlled Substances Act of 1970, as amended, provide that the Attorney General may retoke or suspend a registration to manufacture, distribute, dispense, Import or export a controlled substance. THIS CERTIFICATE IS NOT TRANSFERABLE ON CHANGE.OF OWNERSHIP, CONTROL, LOCATION, OR BUSINESS ACTIVITY, AND IT 1S NOT VALID AFTER THE EXPIRATION DATE M'YIfY'r'ui s-. �1CA ' aotr* 4 DEA REGISTRATION NUMBER CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE UNITED STATES DEPARTMENT OF JUSTICE •DRUG ENFORCEMENT ADMINISTRATION • WASHINGTON D.C. 20537 THIS REGISTRATION EXPIRES PEE PAID BS1471387 02-282015 FEE EXEMPT' SCHEDULES BUSINESS ACTIVITY ISSUE DATE 2, 3,3N,4,5, PRACTITIONER 02-15-2012 SCHRANK, KATHLEEN S MD CITY OF MIAMI FIRE RESCUE 1151 N W 7TH STREET MIAMI, FL 33136-0000 This registration is only.. for use at Federal or • State institutions. Sections 304 and 1008 (21 USC 824 and 958) of the Controlled Substances Act of 1970, as amended, provide that the Attorney General may revoke or suspend a registration to manufacture, distribute, dispense, Import or export a controlled substance. THIS CERTIFICATE IS NOT TRANSFERABLE ON CHANGE O 'OWNERSHIP, CONTROL, LOCATION, OR BUSINESS ACTIVITY, AND IT IS NOT VALID AFTER THE EXPIRATION DATE. American Heart Association Learn and Live ACLS Instructor Kathleen Schrank This card certifies that the above Individual has successfully completed the national cognitive and skills evaluations In. accordance with the curriculum of the American Heart Association for the Advanced Cardiovascular Life Support Instructor d uct 01 Program. 6! 2011 Expiration care issue Date TG Address Contact Info Mille Course Location TO Coordinator An el Bretons EMT—P Holder's t / Signatur®r�,� -- — with WS Mai will alter he appearance. 70.2921 2000 Amo�ican Heart'As:ociotlort "rbmP°f+^9 70-2g21 R12108 American Academy f' j of Pediatricsi� ntpultJ1t o 10 THE nEava in ALL CJuiP.O, - American Heart F , Association 4 Learn and Live Fortis College Center Training Ce(305) 717-7057 Cent 7757 West Flagier St. - Suite 230 TO Address Contact Info Miami, FL 33144 USA PALS Provider Course Fortis College I(athy Sohrank Location This card certifies that the above Individual has successfully Jig Torres completed the national cognitive and skills evaluations In Instructor sf accordance with the curriculum of the American Heart Association �.� for the Pediatric Advanced Lite Support Program. Holder's Signature ti�G 10-2013 Date 10-17-2011 �n Orb will emu, , 70.2B18 issue Date Recommended Renewed D. _ ®Zpapp ►{esrtgssodatwt 7wnperFRq ._ --. .. . • - - Replacement fee for lost card = $12.25 70-2918 R1/08 87 American Heart Association Learn and Live Healthcare Provider Kathleen Schraxtic:_ TC Address Contact Info Miller SChool of Med. — cRB Course Location GCRME Thls card certifies that the above individual has successfully completed the national cognitive and skills evaluations in Instructor Angel Bro to11s , EMT—P accordance with the curriculum of the American Heart Association fo r the BLS fot Healthcare Providers (CPR & AEA} Program. Holder's . 7/13/2010 ' 7/2012 signature Issue Date Recommended Renewal Date S 2000 Anwcroan HoaH Asswiallon 7empar*g with fhb card wtl attarits appearance. 70-2916 70-2915 R1ro8 88 Generated by TaIIPDF � Evaluation Dear Kathleen, Congratulations on your successful completion of a NAEMT-sponsored Advanced Provider course In Prehosplta( Trauma life Support on 10/0912006. We look forward to a long and productive relationship In the EMS Community. We will attempt to remind you when you are due to renew so please keep your course Coordinator, B111 McGrath @ 954-752-1414 advised of your current address and contact information. Prehospital Trauma Life Support Sponsoring Organization Kathleen Schrank MD Antonio Gandia Course Medical Director Bql McGrath has successfully completed the Course Coordinator . national cognitive and skills PH-0&27'6-02 examinations in accordance with standards of the National Association of National Course # Emergency Medical Technicians for Florida Medical Training Institute-C Advanced Provider Course Stare Course # Date Monitored Affiliate Signature 10/0912008 10/2012 This reco pponn s sble share senates provisions licenand sing in6 acts. of Dare of Issue Dare of Expiration PHI LS 1Aaim { FJlfgCtbr: ': 411 National PI- LLS Chairperson Course Coordinator PtITLS Faculty Representative PN-t1R-222642 101091%008 National Course Number Date Issued E THIS IS T o ACKNOWLEDGE THAT Kathleen Schrank MD has successfully completed the Advanced Provider Course sponsored by the National Association of Emergency Medical Technicians, in cooperation with the Committee on Trauma of the American College of Surgeons and Florida Medical Training Institute-C This continuing education activity is approved by NAEMT, an organization accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS). CECBEMS No. 07-NAEMT-F2A-0007 assigned 16 CE Hours Advanced Antonio Gandia Course Medical Director Bill McGrath 1.0/2012 Date Expired Click here to unlock TaIIPDF.NEf 89 54ea/ oqGE 0> C"4,7 rg2 N:\1111L\ ICU 411,1 Ott' 'la AltTEU - FIDLIMY 'PROMS sp. • Ilm;41, '"'SrfA..-.5.17+4.War"rt'...11.11=4 5 . • Kathleen Schrank, M.D. is recognized as having sucCessfuity completed the NILS' Course for Doctors according to the standards established by the ACS Committee on Trauma. • Gorc164 90 American Board of Emergency Medicine diP AM:ER]CAN BOARD of EMERGENCY g MEDICINE jke American Board of Emergency Medicine Established for the Certification of Emergency Physicians Hereby Declares that 4.1(51 3-(,ATE[ SUS.: N- sC 'RAN.X, *v, Has Successfully Fulfilled the Requirements of the Emergency Medicine Continuous Certification Program and is Certified as a Diplomate of the American Board of Emergency Medicine Octber 20, 2009 — December 31, 2019 Presidentl-�- Secretary m0 Certification Number 15493 O. t� L CHA MNR CNNRMAN.EIECt VICE PRSOENS NUMBER 86750 BOARD OF I INCORPORATED 1936 ATTESTS THAT Jkattri i •,usarf. runI HAS MET THE REQUIREMENTS OF THIS BOARD AND IS HEREBY DESIGNATED A DIPLOMATE CERTIFIED IN THE SPECIALTY OF N. INTERNAL MEDICINE: DATE SEPTEMBER 15, 1982 w.laaotee/ea-eez,o P�_ ►•_, ev_et - )LLAW,d4 FORM 300.1.82 VMS CVIE Certificate http:l/wms.org/members/cme certificate.asp CO w TM 'WILDERNESS MEDICAL SOCIETY • This document certifies that 7Ca11ilee,i S clptarai has participated in online continuing educational activities based on the medical journal Wilderness & Environmental Medicine (Volume: 20, Issue: 2, Eye Problems in Mountain and Remote Areas: Prevention and Onsite Treatment/Official Recommendations ofthe International Commission for Mountain Emergency) on 1/8/2012 and is awarded 1 hour AMA. PRA Category 1 CreditTM ):NALL, Tony Islas, MD, FAWM Loren Greenway , PhD, FAWM WMS President WMS CEO This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the Wilderness Medical Society. The Wilderness Medical Society is accredited by the ACCME to provide continuing medical education for physicians. (Print this certificate for your records) _rn 1/411(111 G•74 AAA MS CME Certificate littp://wms.oremembers/cme_sertificate.asp IMl WILDERNESS MEDICAL SOCIETY This document certifies that fiMkei S el/lair/1i has participated in online continuing educational activities based on the medical journal Wilderness & Environmental Medicine (Volume: 20, Issue: 2, Exercise -Associated Hyponatremia: Overzealous Fluid Consumption) on 1/8/2012 and is awarded 1 hour AMA PRA Category 1 CreditTM Awl Tony Islas, MD, FAWM Loren Greenway , PhD, FAWM WMS President WMS CEO This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the Wilderness Medical Society, The Wilderness Medical Society is accredited by the ACCME to provide continuing medical education for physicians. (Print this certificate for your records) _rn 1/2/1(111 5•11 AM CONTINUING MEDICAL Elk -CATION CERTTFTCA'1'E The University of Texas Sou i`iwestern Medical Center "EMS State of the Science: Gathering of Eagles XLV" Saturday; Feb ary J5, 2012 INSTRUCTIONS Please press fit when completing this form 1, Complete the Credits Claimed box for each lecture attended 2. Total the Credits Claimed in the bottom row 3. Complete and sign the remaining sections of this form 4. Return white copy to the registration desk upon departure 5. Retain yellow copy for your records PLEASE PRINT LEGIBLY 1-1 Name Address h c— -, a7; : s_, ter• 1 r- 0 C i 3 3 i'-j i n City State Zip Code Last 4 digits of your SSN Select either PHYSICLAN or: OTAFR CLINICIAN below: Course Lecture '1." - - Eligible Credits Credits Claimed 7:45 -9:55 ate- Two -Thousand & Twelve Challenges for EMS r':'" if '7Prdviders.. ' 10:15-12:00 pm • A Systems Approach to EMS: 2012 Issues in Destination Hospitals agrftr'rocess Analysts 1 A : %i , tt . ,t {J t • - i-- 1:30-2:15 i 2012 Approaches to Termination of Resuscitation P ��.,. PP cItatioa i� (t ��''��-, ,l3,R4 ,, , d 7 C 2:15-3:00 pm). More Two -Thousand & Twelve Safety Considerations: and Risk Management Concerns iu prehvspittil Care tSafety `;f#F "a ;�d ' � , 1-7s7S) pm:. - • The Eagles Wing It: Saturday Lightning Rounds # 2 i r`4 .a3:15-3:45 3:45-4:50 p4"' Two -Thousand and Twelve Ways to Use the Data: Evolving Consideratidiis to EMS Data Evaluation '1 , N .., ?i,�' (IE, / • 4:50-5:15 pill The Last Stand— Wrap up with the Ragles k f d5 l lr S 1 TOTALr, _ �I, e4 h' 4t, it S 1 • 7A 5- The University of Texas Southwestern Medical Center at Dallas certifies that • titled "EMS State of the Science: A Gathering of Eagles XIV" at The Sheraton Dallas .,rt." (Name/Degree, please print legibly) Hotel in Dallas, TX on February 25, 2012. 'PHYSICIAN ...and is awarded '' 5-- AMA PRA. Category 1 Credit(s)Th (Total Credits Claimed) Signature for attestation of credits claimed wit participated in the live activity J. Gregory Fitz, M.D. Dean, UT Southwestern Medical School CONTINUING MEDICAL.. EDUCATION CERTIFICATE The University of Texas Southwestern Medical Center "EMS State of the Science: A Gathering of Eagles HIV' Friday, February 24, 2012 • INSTRUCTIONS Please press firmly when completing this fount 1. • Complete the Credits Claimed box for each lecture attended 2. Total the Credits Claimed in the bottom row 3. Complete and sign the remaining sections of this form 4. Return white copy to the registration desk upon departure 5. Retain yellow copy for your records PLEASE PRINT LEGIBLY • �i..`i. 1� 1 Q.e t') l"• n Y. L. ^ tL ri-,‹ Name Address if r' . 17f i .,.7 e 33tyq City 'State Zip Code Last 4 digits of your SSN Select eitlier.:PBYSICIAN or:OTUER CLINICIAN below: Course Number: RP1202A Lecture . Eligible Credits Credits Claimed ? 7:30 -7:55 am 1111. 2012 CONFERENCE RENCE BEGINS �'tlnh. ! - 5 7:55-8:15 am The Quintessential Experience) jk ji • • • - c 8:15 — 9:00 am As Serious as a Heart Attack: Two -Thousand & Twelve Ways to Deal with Myocardial Infarction i 1 • ' 'fi'a 41tit•. -7 'S 9:00 - 9 55 am The Results Are In: The Outcomes of Recent Outcome Studies z r nF ' I 10:10-10:30 am The Eagles Whig It: Lightning Rounds if 1. it is am 10:30 — 12:00 pm New Devices, New Protocols and New Concerns: Navigating New Devices In Times of Budgetary Constraints a ,ti i ' 11- N_ 1:10-1:55 pm Operating with Great Dispatch.: A Mini -Symposium about Call- Center Issues in EMS i1 h k �h 41 11 i n 1, 1:55 — 3:00 pm Two -Thousand & Twelve Ways to Deal with Injuries: A Mini - Symposium about EMS and Trauma Care - yygj 0 3:15-3:45 pm The Eagles wing Its Lightning Rounds # 2 q is' R " 3:45-4:45 pm 2012 Alternatives to EMS Patient Disposition: Handling 9-1-1 System "Loyalty Program Members" 1 .i..� 9i j `�. $ 1. t,' 4:45-5:45 pn. 2012 Safety Concerns In EMS: From Preventing Errors to Preventing Injnr!es •t R G • I - 0 TOTAL The University of Texas Southwestern Medical Center at Dallas certifies that et-i1-1 1e e Sr ><, \- £, 1 c ! :'1 D has participated in the live activity (Name/Degree, please print legibly) titled "EMS State of the Science: A Gathering of Eagles XIV" at The Sheraton Dallas Hotel in Dallas, TX on February 24, 2012. `PHYSICIAN ...and is awarded � � AMA PRA Category 1 Credit(s)'h`. (Total Credits Claimed) f• Wit_ i. Signature for attestation of credits claimed J. Gregory Fitz, M.D. Dean, UT Southwestern Medical School 1JNIVifSfTYOF XITAM9 MILLER SCHOO.r . of NI J CME Transcript January 01, 2010 - December 31, 2011 Kathleen S Schrank, MD 270 Glenridge Road Key Biscayne, FL 33149 AMA PRA Category 1 Credit(s) TPd Event Date Conference Name 9/14/2010 i Cardiology Grand Rounds 2010-2011 Hypothermia After Cardiac Arrest 9/15/2010 Medical Grand Rounds 2009-2010 New Left Ventricular Assist Devices 12/1/2010 : Medical Grand Rounds 2009-2010 Novel Neuroprotective Strategies after Cardiac Arrest 5/18/2011 '. Medical Grand Rounds 2009-2010 Chief Residency at University of Miami; The Past, Prestent and Future • 10/19/2011 Ethics Grand Round 2011-2012 Po1,41. d- t%NRv Type Credit Credit AMA PRA Category 1 Credit(s)Th 1.00 i AMA PRA Category 1 Credit(s) TM ; 1.00 AMA PRA Category 1 Credit(s) 1.00 • AMA PRA Category 1 Credit(s)w 1.00 AMA PRA Category 1 Credit(s)TM ; 1.00 AMA PRA Category 1 Credit(s)TM' - 5.00 The University of Miami Leonard M. Miller School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Thursday, December 29, 2911- 19:10:51 PM Page 1 of 2 97 UNIVEnsrr'YOF MIAMI MILLER SCH001. Cif MEDICINE j Patricia A. Masters, M.S.N. Director of Continuing Medical Education umcme@med.miami.edu Thursday, December29, 2011 -10:10:51 PM CME Transcript January 01, 2010 - December 31, 2011 Page 2 of 2 98 IUNIVERIaSITYdY MIAMI MILLER SCHOOL or MEDICINE i CME Transcript January 01, 2009 - October 31, 2011 Kathleen S Schrank, MD 270 Glenridge Road Key Biscayne, FL 33149 AMA PRA Category 1 Credit(s)TM Event Date ; Conference Name 8/19/2009 Medical Grand Rounds 2008-2009 Why Should f Worry About Peripheral Vascular Disease? 9/14/2010 Cardiology Grand Rounds 2010-2011 Hypothermia After Cardiac Arrest 9/15/2010 Medical Grand Rounds 2009-2010 New Left Ventricular Assist Devices 12/1/2010 ; Medical Grand Rounds 2009-2010 Novel Neuroprotective Strategies after Cardiac Arrest Type Credit ; Credit AMA PRA Category 1 Credit(s)T"° : 1.00 • • • • AMA PRA Category 1 Credit(s)1'" i 1.00 ' AMA PRA Category 1 Credit(s)7Dd 1.00 AMA PRA Category 1 Credit(s)T61 ' 1.00 AMA PRA Category 1 Ciedit(sFM - 4.00 The University of Miami Leonard M. Miller School of Medicine is accredited by the Accreditation Council for Continuing Medical. Education to provide continuing medical education for physicians. Patricia A. Masters, M.S.N. Director of Continuing Medical Education Tuesday, October 18, 2011 - 4:31:19 PM Pagel eft 99 MS CME Certificate bttp://wins.orwmembersicme_ceruncate.asp 0 CD Tivl e ti DERNESS MEDICAL SOCIETY This document cei tiles that dTabffeeli 5a/tat/A has participated in online continuing educational activities based on the medical journal Wilderness & Environmental Medicine (Volume: 21, Issue: 2, Adverse Encounters WithMilli:tors in the 'United States: Au Update) on 12/30/2011 and is awarded 1 hour AMA. PICA Category 1 CreditTM Tony Islas, MD, FAWM WMS President 4-14-14'444-7 Loren Greenway , PhD, FAWM WMS CEO This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the Wilderness Medical Society. The Wilderness Medical Society is accredited by the ACCME to provide continuing medical education for physicians. (Print this certificate for your records) 12/30/2011 8:I2 PM 'MS CME Certificate http://wms.org/members/cme_certificate.asp 0 tvi WILDERNESS MEDICAL SOC.IEr,' This document certifies that 7rb'ileeii Saa,z4 has participated in online continuing educational activities based on the medical journal Wilderness & Environmental Medicine (Volume: 20, Issue: 1,'Human.Fatalities ktesultingFrom Dog Attaclts in.the United States, 1979 - 2005) • on 12/30/2011 and is awarded 1 hour AMA PRA Category 1 CreditTM 1 NA. Tony Islas, MD, FAWM Loren Greenway , PhD, FAWM WMS President WMS CEO This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the Wilderness Medical Society. The Wilderness Medical Society is accredited by the ACCME to provide continuing medical education for physicians. (Print this certificate for your records) 12/30/2011 8.03 PM . n•::y.. - - jf" °7.t r.;T;' _Y2: ia:. . ti8i}.iG .'^P: 's,i• ..y,.L �i, v%n - 1 u•:�3i:°ias 9:7• 'a1`+:P •� r . ,-+]� Ys!• .triC�a�:. J) gip; ,:.•C% r7b yy i•✓ ti4r;.i:.. .js+. �y:•,.;..�,.. `K:,•trF.y.a : •A,�1...: !Yw ..uiwR` „'�..... c. ti .. ..a{,.i i. ,s,'.. •i :t. a.7, - ,ct(,**:; Y;b:1..°NSF,9;"�._�":4�::<.��•.sc..sC!-`1�z°.f+�diLQ::t��.<>�..a�v:f::�:r.':✓1;_,..,.,,...x.•�1ta.`.5.....i:s.,:.,�.:v�.;.t.,._,,:..a_..�a�a4,.,'4:1.�. M•.:•... .....:_ Y.. Certificate of completion Dr. Kathleen S Schrank, MD, FACHP A255525 270 Glenridge Rd Key Biscayne, FL 33149-1312 has completed Focus ON Issue 72 Sep 2011 Focus On: Perinatal Disaster Management Activity Completed on: December 30, 2011 Score: 100, for 1 AMA PRA Category 1 Credit'•M and ACEP Category I credit. The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American College of Emergency Physicians designates this enduring material for a maximum of 1 AMA PRA Category 1 CrediP . Physicians should claim only the credit commensurate with the extent of their participation it the activity. Each issue of Focus On is approved by ACEP for 1 ACEP Category I Credit. America). College of • Emergency Physicians® ADVANCING EMERGENCY CARE—_ 102 /MS CME Certificate http://wms.org/rnerabers/cme_certificate.asp 's,V.LDE ?MESS TvIEDIGAL SOCIETY This document certifies that f�iM/eei, SamA has patticipated in online continuing educational activities based on the medical journal Wilderness & Environmental Medicine (Volume: 21, Issue: 4, Accuracy of Internet Recommendations Regarding Snalce Bite Pre -hospital Care ) on 12/30/2011 and is awarded 1 hour AMA PRA Category 1 CreditTM Tony Islas, MD, FAWM WMS President Loren Greenway , PhD, FAWM WMS CEO This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the Wilderness Medical Society. The Wilderness Medical Society is accredited by the ACCME to provide continuing medical education for physicians. (Print this certificate for your records) 17/1l1/'(111 7•A6 AM M CME Certificate http://wms,org/members/cme certificate.asp TM WILDERNESS MEDICAL SOCIETY This document certifies that Jtn½ee,i St&am has participated in online continuing educational activities based on the medical journal Wilderness & Environmental Medicine (Volume: 21, Issue: 4, Expedition Medicine —the risks of illness and injury) on 12/30/2011 and is awarded 1 hour AMA PRA Category 1 CreditTM Tony Islas, MD, FAWM WMS President Loren Greenway , PhD, FAWM WMS CEO This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the Wilderness Medical Society. The Wilderness Medical Society is accredited by the ACCME to provide continuing medical education for physicians. (Print this certificate for your records) • Certificate of Completion Dr. Kathleen S Schrank, MD, FACEP A255525 270 Glenridge Rd Key Biscayne, FL 33149-1312 has completed Focus ON Issue 58 Jul 2010 Focus On: Trauma in the Obstetric Patient Activity Completed on: December 29, 2011 Score: 86, for 1 AMA PRA Category 1 Credit and ACEP Category I credit. The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American College of Emergency Physicians designates this enduring material for a maximum of 1AMf1 PRA Category 1 Credif'M. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Each issue of Focus On is approved by ACEP for l ACEP Category I Credit. Amer cal College 6F iM6M99S38 1111111.13111116111 Emergency Physicians® ■MA(A�NIiB ADVANCING EMERGENCY GORE_ nraaneMn NINON NMI 105 Corti/caw Comthiin CME Resource certifies that Kathleen Schrank ME39896 has participated in the enduring material titled # 9 7 8 7 Domestic Violence: The Florida Requirement on December 26, 2011 and is awarded 2 AMA PRA Category 1 Credit (s) TM Freda S. O'Brien Director of Academic Affairs k77-)X-rft-r-A-1 Erin K. Meinyer Executive Director CME Resource is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Florida CE Broker Provider #50-2405, Board of Medicine. This course fulfills the Florida requirement for 2 hours of Domestic Violence education every third renewal period. This activity is designed to comply with the requirements of California Assembly Bill 1195, Cultural and Linguistic Competency. c RESOURCE Continuing Medical Education PO BOX 997571 • SASMEi4TO, CALIFORNIA 95999-7571 • 1-800-232-4CEU CCI!f/catc ComWotzew CME Resource certifies that Kathleen Schrank ME39896 has participated in the enduring material titled #9133 Medical Error Prevention and Root Cause Analysis on December 26, 2011 and is awarded 2 AMA PRA Category 1 Credit(s) TM . 7i-)Ati-eAJ• Freda S. O'Brien Director of Academic Affairs Erin K. Meinyer Executive Director CME Resource is accredited by the Accreditation Councillor Continuing Medical Education to provide continuing medical education for physicians. Florida CE Broker Provider #50-2405, Board of Medicine. Thiscourse fulfills the Florida requirement for 2 hours of education on the Prevention of Medical Errors. This activity is designed to comply with the requirements of California Assembly Bill 1195, Cultural and Linguistic Competency. CM RESOURCE Continuing Medical Education PO BOX 997571 • SACrIEPTrO, CALIFORNIA 95899-7571 • 1-80D-232-4CEU Certificate of Completion Dr. Kathleen S Schrank, MD, FACEP A255525 270 Glenridge Rd Key Biscayne, _FL 33149-1312 has completed Focus ON Issue 70 Jul 2011 Focus On: Transcutaneous and Transvenous Cardiac Pacing Activity Completed on: November 7, 2011 Score: 80, for 1 AMA PRA Category 1 Crediirm and ACEP Category I credit. The .American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American College of Emergency Physicians designates this enduring material for a maximum of 1 AMA PRA Category 1.GredifrM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Each issue of Focus On is approved by ACEP for 1 ACEP Category I Credit. 111 11 H1YM31 American College of .. MOM NMI MM.eMM9M MesMeeee■ Emergency Physicians° ■MeMMeM■ ADVANCING EMERGENCY CARE 108 Certificate of Completion Dr. Kathleen S Schrank, MD, FACEP A255525 270 Glenridge Rd Key Biscayne, FL 33149-1312 -has completed. Focus ON Issue 68 May 2011 Focus On: Therapeutic Hypothermia After Cardiac Arrest Activity Completed on: December 29, 2011 Score: 80, for 1.AMA PRA Category 1 Creditrin and ACEP Category I credit. The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American College of Emergency Physicians designates this enduring -material for a maximum of 1 Alta .P.RA Category 1 Creditr'M. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Each issue ofFocus On is approved by ACEP for 1 ACEP Category I Credit. NIMBM::: erica11 College of IAWWWWIYWA iY:SAi1CW Emergency Physicians° ADVANCING EMERGENCY CARE�� 109 University of Miami Gordon Center for Research in Medical Education Division of Prehospital and Emergency Healthcare Certificate of Training presented to Kathleen Schrank for successful completion of .American Heart Association Instructor Update 2010 Start Date: 12/15/2010 End Date: 12/15/2010 Ang61 Brotons, EMT P Associate Director, Operations and Instructors Development Division of Prehospital and Emergency Healthcare 4vice-reV ^mmns.�::rn.� rpn;��-mna;ae+�rr. s:,sso-:::criorrr.::r-�cns:.a:.ostxa:-0•s:,..m,rsesnl,..x�en-::•,z„neeamuer:«�irxs3�nvr+a;;r�...yr...evs�r✓�.rr:'rv.wxear�e•:a „naarem�x.:rw:=cr MILLER SCHOOL OF MEDICINE UNIVERSITY OF MIAMI MI iami Page l of 2 University of Miami recognizes Kathleen Schrank for the successful completion of Sedation Analgesia 2009 3/31/2010 Signature: 8/18/2010 Grade: Pass Score: 100 111 //nmiami inta11ingsr rnm/miami/lancr..an/manaaPmPnt/T.M.R An112 .nnnr!'R acn7ArtTr1=1114.1 16-.1"TQPrMnr1 R/1 R/90111 Advanced Hazmat Life Support Or. Kathleen Schrank has successfully completed the national course and passed the exmminatlon in•acco:dance with the curricatt ra of theA'HLS Provider and Instructor Course. February 2009 January 31, 2013 Card Issue Date Expiration Date Cardholder's Signature PaUl 4046 AHL S International office Miami_ FL Jan.2009 Course Successful completion does not warrant performance, authorize, or qualify the cardholder to perform any procedure. fperformance, 112 (CLrttfttatE of (ttiubantt The American College of Emergency Physicians Certifies that Kathleen S Schrank, MD, FACED has participated in the educational activity titled EMS Medical Directors Forum. at Boston, MA October 4-4, 2009 And is awarded 8 AMA. PRA. Category 1 Credits The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American College of Emergency Physidans designates this live activity for a maximum of 8 AMA PRA Category 1 Credits �: Physicians should claim only the credit commensurate with the extent of their participation in the activity. Approved by the American College of Emergency Physicians for 8 hours of ACEP Category I credit. The American Osteopathic Association has approved this program for. 8 of AOA Category 2-A CME credit. This continuing medical education activity has been reviewed by the American Academy of Pediatrics and is acceptable for up to 8 AAP credits. This activity has been reviewed and is accepted for up to 8 prescribed credits by the American Academy of Family Physicians. 'MSS!UM MIX American College of rM131a�aa31a oa�a� �a�a� uda.sga■ :.:..p... Emergency Physicians® ADVANCING EMERGENCY CARE ,Ar_ CERTIFICATE F CONTINUING MEDICAL EDUCATION Act SPONSORED UT THE r -. Sown? SroG E3YTHE SOUTH AROLACOLEyE OF AMERICAN OTlE OF EMERGENCY PHYSICIANS EMERGENCY [ICL1 This activity has been planned and implemented in accordance with. the Essentials Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of AGEP and the South Carolina College of Emergency Physicians. The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. he American College of Emergency Physicians designates this education activity for a maximum of 16 hours in Category 1 credit towards the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in. the educational activity. Approved by the American College of Emergency Physicians for 16 hours of ACEP Category I Credit. - .. ii :i.,.r, „} ..i r .� rr 1 f r ti. .. I .. .. _ ... Y IJ . '"•1' 1' . .. I. ... %rc •. ,.1. � _t,t! lr' _ rl_ iE _ UI.I„I , 1 4E d ^I i{' "�!rt��- ,rr..�.. - I I .,.. ,.. f, . ,-., n . Ir r ILL. . I E , I . A .r Ill : r , 1 • 1 , . , di , Y•": r r: -grr - �, , , _ _ - n L r -.: t . . ..,. .a r r. „ . t, f , t . , ,. , : � .. :,,. I - , t I . ! T::i�41. -1 :i9'�i� � '. , , F " h. .,. .IF' ,,, _-Y o <._ l.. I.,. �.1. >:I_,. at, .. I IL .I .:.., r, t. :,1. 1,l,• G ,r•� t I ,i,r .. 1�)L r S i r u ., , � .. y ... .. -.. (• I'L 1.. 1 y ,r .. ti' Ay. 1 , .) nrl I� Il�..l.,Ert ' -.- ... 111 i! 1 i. ... 4.F4`ter': �v!1-Iji:.�,. �'1III• ii�i 1:'ii �'. 1. S ELu ..t .,, i. ,I i i r ,1 _n. xx_, t ... I I 1 .. ,I I _L _r,.0 1Illl 1l .lf ... +I .!.t.-._.�.r,.•r.r,i�Jrl�,...In..Ir.CIZ.InJt!rt.lErr.,Sl lh1_[P,,f�.,Ir,lr_III,IIIL.,�.�I11f�..r�rLN171rlgY�-,A..i.�llt-,TlrNl,i.;a.•-1.r..�l},�L;rfir.E,�t,ryilt��..J��ii,jl,'jllllrclllif•E:�Ifx�ll E.ty�4�1!,I�Illltlllly�tc:+:pr,r.9.it1!:�W!„�!:.lt!1!�ii4.Y.E:>.•.�,,.�.nS=6��..�:_�^:JIL'ii.^l.-..,:L��Il,:mi!:]':y'{.?::llyi�:� n Yi, I, • Certificate Attendance 0.: of r:• it!,i; The American College of Emergency Physicians Certifies that ;p. }{F S;II Kathleen S Schrank, MD, FACEP ,t st. . has participated in the educational activity titled ;x ACEP Advanced EMS Medical Directors Forum and Workshop �ills. t]' i h At Boston, MA October 4, 2009 ! And is awarded 8.0 AMA PRA Category 1 Credits TM t rIIL i4• i;! t d, The American College of Emergency Physicians is accredited by the Accreditation Council �. ik for Continuing Medical Education to provide continuing medical education for physicians. k?' TA The American. College of Emergency Physicians designates this educational activity for a maximum of 8 AMA PRA E;i f'n Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the I<<^ activity. Approved by the American College of Emergency Physicians for 8 hours of ACEP Category I credit. fi �y €i{r This continuing education activity is approved by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS). The American ;I: .. �;•:. I; Academy of Physician Assistants accepts AMA Category 1 credit for the PRA from organizations accredited by ACCME. l;d¢ 'r 1. {{1�7 . ua tl',l f .......... :ran::: American College MOM MOM • or �J y 111111111 II Mk !ICI11111 Emergency Physicians' ADVANCING EMERGENCY' CARE fir, ll kt=i ,_. oil{{). .._I 1 1 , . I ... -, •...r ry •„ -.. •.,. . a y ; r n yr: ,.',., _-,..: P•• i•C rgl.1, . -Ii,al •t , ni.I i. y ! t !tut • i t, Iqr r . -I- n I Ih is :I - g01 6:• b•: ;'-' M'_ .t. 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I. t .I A .:r c. ii •q - :.c: Certiflcate of Completion This is to cent that Kathleen S Schrank, MD, FACEP has completed PEER VII October 19, 2009 developed by rrrr rau* .xtl American College of ✓ rrrrrr■ rrr ✓ rrwwrrr rrrrrrMM , ;::q:•�� Emergency .IPhysicians® 11111/111411111111E The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians, The American College of Emergency Physicians designates this educational activity for a maximum of 50 .AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Approved by the American College of Emergency Physicians for 50 hours of ACED Category I credit, Approved by the American Osteopathic Association for 50 hours of AOA Category 2-B credit. A255525 1(1P5 Qri!/ate. (ompIeti�'n. CME Resource certifies that Kathleen Schrank ME39896 has participated in the educational activity titled #9134 Medical Error Prevention and Root Cause Analysis on. November 30, 2009 and is awarded 2 AMA PRA Category 1 'Credit(s). Freda S. ()Brien Director of Academic Affairs Erin K. Meinyer Executive Director CME Resource is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Florida CE Broker Provider #50-2405.1, Board of Medicine. This activity is designed to comply with the requirements of California Assembly Bill 1195, Cultural and Linguistic Competency. CME RESOURCE i continuing Medical Education PO BOX987571 SACRAMENTO, CALIFORNIA95BS9-7571 1-800-2324CEU Advanced HAZIVIAT ' Life Support T The University of Arizona College of Medicine at the Arizona Health Sciences Cen ter certifies that Dr. Kathleen Schran has participated in the ATIE S Provider and Instructor program, received an 80% or higher on the Provider pre -test and passed the final examination and is awarded 30175 category 1 credits toward the Physician's Recognition Award The University of Arizona College of Medicine at the Arizona Health Sciences Center designates this educational activity for a maximum of 30.75 AMA PRA Category 1 Credit(s)(trn). Physicians should only claim credit commensurate with the extent of their participation in the activity. The University of Arizona College of Medicine at the Arizona Health Sciences Center is accredited by the Accreditation Councillor Continuing Medical Education to provide continuing medical education for physicians. Approved by the American College of Emergency Physicians for 31 hours ofACEP Category I credit January 15-17, 2009 Miami, FL AB "S International Orrice Critical Decisions --'-in Emergency Medicine' ..........,_...i �.Y1_�.� � �'::-w •:C 1:)N:T.-.�"�i.i...�.._�, rG.......���,•—..��. •5:.. 'L.:✓t..w..i � - •i;iY I -,- 1,�.:t�:�'—�M;s,7; -;5 +�1. :1�. 'c.r ,.fx�:k4aly+.-.21'-P^: .:�r� 41 n,'��um�r?�sz-�;t'�::�27•ISw: ;- ._.��l.' `�-�':.x!•xr•:., :-• r ..:..�.?f..;.._ dr...:_.?•9...a,,..;'?�R Y�.•t,..h. ai.;:,.5...:.f...�nl ..:.I�.: t,..�r i„t�.ru+c� :r.•....m��:..r_.i.. Certificate of Completion. Kathleen S Schrank, MD, FACEP IN A255525 has completed: Critical Decisions in Emergency Medicine Volume 22, Number 10 June 2008 Lesson 19: Myocarditis in Children Lesson 20: Hypoglycemic Emergencies in Diabetic Patients Activity completed on: August 07, 2008 Score: 100, for a maximum of 5 AMA PRA Category I Credit''M 1 ACEP Category 1 credits The American College of Emergency Physicians is accredited. by the Accreditation Council for Continuing Medical Education to provide coutnuing medical education for physicians. ACEP designates this educational activity (each issue) for a maximum of 5 AMA PRA Category 1 Creditsm. Physicians should only claim credit commensurate with the extent of their participation . in the activity. Each issue of Critical Decisions in Emergency Medicine is approved by ACEP for 5 ACEP Category I credits. PPIN American College of 1 Emergency Physicians` G3rdlYttiWi79 �, ADVANCING EMERGENCY CARE 119 Critical Decisions mergency Medicine ;_:-.�;,... ;:. ._. ye r• :--:,�:• _v,:r.::r.-:::;^.srsre.:e.. �,T.:_'=`q.'^.:.sk.; �v_uv�:ra+x:.�...p ,:-d_,.,_ . ��.,.....�..._.Wx-�....w. �r �. _ ''�'''•�..-�"8i=p«+,;..� ,J,p c• .++k..fkT�- i-i!�. .3 r�r ..Zar. � .' ,,,., rz.... 4.,' .9—.. _r.: r7.1�ms j'C''L.."., ,i• a� su -x .,, _� . irx-a ? ti, .....r !fit` 1:t�... :.• �4f1:<."�.`!'3,-.1`-�i-. : i� 1i`�T-rl+.,e, i�:: •'F.'�.trcV�x..�ek'Jx.Chl"_. �tix-:.+ ;�-+.I 1.�hi, •Y:C�C.,..t;^. �iti'G4+w�L� Certificate of Completion Kathleen S Schranlc, MD, FACEP ID# A255525 has completed: Critical Decisions in Emergency Medicine Volume 22, Number 9 May 2008 Lesson 17: Major Trauma: Initial Assessment Lesson 18: Major Trauma: Evaluation and Management Activity completed on: August 07, 2008 Score: 100, for a maximum of 5A&IA PRA Category 1 Creditno I ACEP Category 1 credits The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ACEP designates this educational activity (each issue) for a maximum of 5AMA PRA Category 1 CrediesTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Each issue of Critical Decisions In Emergency Medicine is approved by ACEP for 5 ACEP Category 1 credits. IBM American CoLege of nmaais;am6 ammm��� x�isuiu"i���edi ,• G Emergency ician ---, ADVANCING EMERGENCY CARE . 120 ritical. Decisions edichie" mergenc -' '-.�F.;'��li:• a"�..- .�_.. i?.'7-� �%m�%'1,�..�� y„i?v: •u�.s.�ra=xY'rr� r•.�•;�erv_ 3.�%y�y-;r Certificate of Completion Kathleen S Schrank, MD, FACEP ID# A255525 has completed: Critical Decisions in Emergency Medicine Volume 22, Number 8 April 2008 Lesson 15: Supraventricular Tachycardia in Pediatric Patients • Lesson 16: The Challenge of Pericarditis Activity completed on: August 07,2008 Score: 100, for a maximum of 5AMA PRA Category 1 Credifr•"x 1 ACEP Category 1 credits The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ACEP designates this educational activity (each issue) for a maximum of 5 4MA PRA Category 1 Creditsml. Physicians should only claim credit commensurate with the extent of their participation in the activity. Each issue of Critical Decisions in Emergency Medicine is approved by ACEP for 5 ACEP Category t credits. American College of nzar3!aID8fi49r7 anme C1K1 p•� yqy fir, y* y� �.-ry '�j7 /'�{ /� 3 FBI iRK�.HGi�a .hme6 gency 3. h sicians° ADVANCING EMERGENCY CARE 121 ar at vanawiliyi itical. Decisions rergency Medicine — ::r: ;:.."ate eG o :tr:.:.-:c:::.�.�fr_•:r. e�sa:.`•b.•2�°:.::•caa:,.sy'--.rar�:iew^;(�•..rtia�..::..i?:M; �l;j�.:',�-;w;�..i._�;}.. ;•':rir..-�:;.,:p..^,ei-rjl+}�:,}.'.,1cr�rF::� tl i.� x .,,_,,.•.z...-_�-,4''F,`li'�"!'Y?i+.le'��i—„��'�F%M1n:G.-.=;^;?.�..t:•�-`-+.^tom ai ns.} v., ...fr T?�"F�. �... :? :?�':. �'.7^t: ..;'y .!��r..,.�..� l�, t� ..+tv..;F.,..:, ri..ct4n.��...R'. ^� Certificate of Completion Kathleen S Schrank, MD, PACBP ITO A255525 has completed: Critical Decisions in Emergency Medicine Volume 22, Number 7 March 2008 Lesson 13: Foreign Bodies Lesson 14: Syncope Activity completed on: August 07, 2008 Score: I00, for a maximum of 5 AMA PRA Category l Credilr•m I ACEP Category I credits The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ACEP designates this educational activity (each issue) for a maximum of 5 AMA PRA Category 1 Creditr'M. Physicians should only claim credit commensurate with the extent of their participation 'in the activity. Each issue of Critical Decisions in Emergency Medicine is approved by ACEP for 5 ACEP Category I credits. American College of Emu BIDC3q�0H Emergency Physicians auEm11lsEeEEna ADVANCING EMERGENCY CARE blaen NE111 Ili:iElR39 122 ritic Decisions yin Emergency Medicine __ _ ���. �i\. `.�'x'..:�m•.�zi":Gi��r,.._ :r: _�—s�',eT, _ _...�- �.t ._..'�--._.:ti.. ':ev:�a•'C-!"—�_.*:M ..�E•w"�'usP.i.`"d: "'�ej:.i�„t`1^xwux'i5.i� d:-s x''y" ,.^.k§.. �-. „�;w,tt . 'ksTt; �a;:J�� .�a.. ,. :",`}.�.�ci.���rce�','�:�F-_*•.sk4c�r.t:,.:-� ��'-'"r'fr..4�_._._.�''.�n'�:��crGe...•,�.:..i..?�, .,,s�"....,.�fY�'�9a-r �s�;�.av,�..:r.:��.i.a!?;_yL'c1.�i� Certificate of Completion Kathleen S Schrank, MD, FACEP ID# A255525 has completed: Critical Decisions in Emergency Medicine Volume 22, Number 4 Dec 2007 Lesson 7: A Rational Approach to Vertigo Lesson 8: Hyperthermia Activity completed on: April 02, 2008 Score: 100, for a maximum of 5AMYlA PRA Category 1 Craig" I ACEP Category l credits The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ACEP designates this educational activity (each issue) for a maximum of 5 AMA PRA Category I CreditsThl. Physicians should only claim credit commensurate with the extent of their participation in the activity. Each issue of Critical Decisions in Emergency Medicine is 'approved by ACEP for 5 ACEP Category I credits. NEE American College of mmr€� C Mint rr ergency :thy sic ans F7Eira6FBnnRi 7 ADVANCING EMERGENCY CARE it.. 123 Critical Decisions .in Emergency Medicine :.c,. �_. .._^....:..:.-=_.._..; ._: ccr.: .,,,� .«-c'^^;:._-'�+-; %_. a'='^"^ :—!:�ri:::u:.ca�ri r��—:::r4 :-eye �r:�c:?,3rii"r.:�i=net•_ __. A'�1'-i�'f;'�7rieF;v::rMr..�:_-4r.,�[_C.2�rr:, rv.:r _.... ..,5'e'-�.,. ti+x �. �... � ,���•y�,� ",,.-'_ ;+=t:�l?�.._ � r— y,,.. :.• �. _ -- 11`. 7+ ::'�'.:. fur_ - .ri e. ,.- -'e� r`r'�c`§Tr��r-ems--r�''i. o� .ri-.1_•. K,. _>:.._i.i_ ��=.. _ _ .. ... . Certificate of Completion Kathleen S Schrank, MD, FACEP ID# A255525 has completed: Critical Decisions in Emergency Medicine Volume 22, Number 5 Jan 2008 Lesson 9: Epi.sta cis and Auricular Hematoma Lesson 1.0: Extremities in Extremis: Acute Arterial Occlusion and Compartment Syndrome . Activity completed on: April 02, 2008 Score: 100, for a maximum of 5AIWA PRA Category 1 Credifru I ACEP Category I credits The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ACEP designates this educational activity (each issue) for a maximum of 5AMA PRA Category 1 Credil.STM, Physicians should only, claim credit commensurate with the extent of their participation in the activity. Each issue of Critical Decisions in Emergency Medicine is approved by ACEP for 5 ACEP Category I credits. ry =x�° erican College of MN �8 ®Fs4 Emergency Physician(' ADVANCING EMERGENCY CARE 124 ritic Decisions din Emergency Medicine -�.v.!_:::.+• c_.�-i :r,.0 "�1�. _ a-ar�knr..._ _ —_ __ ,...;a;-•.=.G-r-'"r:=?� �9;`c c- '_ m:�; C' - "rca'.':.v:=i`'Cz � r 4 _�� �� +�r,.�''.i� =L _,�_ Si-i"�u-+�.r.�r..r. �.,.,....a ..�>;a�r' ....r•_... _i;7_,� ,��•"=ti.+:i�.{cu.:. �-. ;t: 1... �'r a.;•,�:.-�-•�.�:. r.�a iPi.:.,:aY::'_'•.r-i:�i Certificate of Completion Kathleen S Schrank, MD, FACED MAL A255525 has completed: Critical Decisions in Emergency Medicine Volume 22, Number 6 Feb 2008 Lesson 11: Selected Issues in Medical Ethics Lesson 12: Hot Topics in Wound Management Activity completed on: April 02, 2008 Score: 90, for a maximum of 5 AMA PRA Category Y Creditrm 1 ACEP Category I credits • The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ACEP designates this educational activity (each issue) for a maximum of 5AM/1 PRA Category 1 CreditsTM: Physicians should only claim credit commensurate with the extent of their participation in the activity. Each issue of Critical Decisions in Emergency Medicine is approved by ACEP for 5 ACEP Category 1 credits. Kg American College of Miff Emergency Physician? ADVANCING EMERGENCY CARE,A- 125 i • INSTRUCTIONS • cbnykk. &ad s4n.:efiti tor& . Tterurn valite copy to ifie.Taestmatax AAA up oft an) oxiseve '.3". • Rpe•alil yellow copy far your ;molds .111i.NT LEGIBLY •Palice • Address ki City P.;1)-7 5' ac.:7„.."'„Site - Zip code 3 1 V-5 C Y-1') • 9! last 4 digits of SW. .51-‘ 9-3 • • (1 Two Thousand & Eight Problems to Solve Two Thousand & Eight Ways To Do Quality Assurance 3.75 Two Thousand & Eight Ways to Treat Patients * Two Thousand & Eight Ways to Manage Major Incidents 4.2.5 TOTAL (Maximum 8.0) 8', 0 4_4e, I The thaiversity of Texas Southwestern:Medical Center certifies that — has participated in the educational activity titled (Name) • "EMS State of the Science: A Gathering of Eagles X" at the Dallas Marriott Las Colinas in Irving, TX on February 23, 2008 • • ' A.Teplacemoeut certificate will. cost $20. • For additional information please visit our website at .:Www.utsouthwestem.eduiciae or call 1 (800)688-867?;. coure,I,Tiamber:.p.P0021i ' /Si 'Participant Apo -titre Susan..K Cox, M.D. Assocfat Dean forMedtallEctstrartion • INSTRUCTION '1. Completesivttzhlsfortn 2.111.. t= white copy so the registratlsatilesh naon.dPpartart "3. Reirdn.yeliowcopy for yaw. records PENT LEGIBLY • • • ie; . • • • r 1•1yc.Y,tr ✓ City �i�s c. tl�, st? l� FOCI£ S t! Last 4 cilgits of SSI4 Two Thousand & Eight Destination Decisions Two Thousand & Eight Ways to Teach CPR, • Two Thousand, & Eight Dead -On Decisions Two Thousand &.Eight Therapeutic Techniques Two Thousand & Eight Challenges • . 4.0 4.0 TOTAL (Maximum 8.0) The University of Texas SouthwestemMedical Centex certifies that < LA- `r = r- -�-�• has participated in the educational activity titled Nye) "EMS State of the Science: A Gathering of Eagles X" at the Dallas Marriott Las Colinas in Irving, TX on February 22, 2008: A replacement ceriiflrate will cost $20. Pox additional information:please visit our website at www.utsouthwestem.edulane or call 1(800)688-8678. Course Number: 14.1'0802B ' Participant Signature susuti abi: Cca, MD. • Associate Dean jnrbfedial ort BfoP. A University of Miami Center of Excellence =eldman )MMislon of ilgJtiprofessional lean EdLcatiort ?lends For Life )ivision• of . . . end Technology Michael S. Gordon Center for Research in Medical. Education "Saving Lives Through Simulation Technology" August 25, 2008 Dr. Kathleen Schrank "270 Glenridge Road • Key Biscayne, FL 33149- Re: Pediatric Advanced Life Support, 2-day Provider 8/20/2008 Dear Dr. Schrank: We are happy to inform you that you have met the national criteria set forth by the American Heart Association for Pediatric Advanced Life Support (PALS). This training is valid for two years. The University of Mi mi 'lier School of Medicine Pediatric Advanced life Support Course consists f 16 hou of didactic and practical psychomotor skills in PALS, including lectures, - ' e and testing stations. The lectures emphasize emergency management of the pediatric population. This is a two-day course. Your PALS card is enclosed. Please be sure to sign it and keep a.copy with your important papers. There is a fee for duplicate cards. If we can be of further assistance, please call. It was a pleasure to have you participate in our program, and we look forward to seeing you again here at the Michael S. Gordon Center for Research in Medical Education. Sincerely yours, Angel Brotons, EMT-P AHA Training Center Coordinator Associate Director for Operations & Instructor Development DiVisii3n of Prehospitaf and Emergency *Healthcare Enclosures LEONARD M. MILLER SCHOOL OF MEDICINE Post Office Box oA,po (D-41) ■ Miami, Florida 33101 Location: 11201V Q'14t Street .. Miami, Florida 33136 TA. 4f1S_7Q;..c.al ■ Fow• 2n15-942-i12t . 'w.k. tvnv, rnnnr.m an.%1.ST r Generated by Ta11PDF, . T Evaluation 10/05, Dear Kathleen, • Congratulations on your successful completion of a NAEMT-sponsored Advanced Provider course In Prehospital Trauma Life Support on 10/09/2008. We look forward to a long"and productive relationship In the EMS Community. We will attempt to remind you when you ere due to renew so please keep your course Coordinator, Bill McGrath @ 954-752-1414 advised of your current address and contact information. Prehospital Trauma Life Support Kathleen Schrank MD has successfully completed the national cognitive and skills examinations in accordance with standards of the National Association of Emergency Medical Technicians for ' Advanced Provider Course 10/09/2008 10/2012 Date of Issue Date of Expiration PHTLS iViedlcat Director jUcLL Natinnai P L5 Chairperson Florida Medical Training institute-C Sponsoring Organization Antonio Gandia Course Medical Director Blli McGrath Course Coordinator P-I-08-2226-Q2 National Course # NAEMT State Course # Date Monitored Affiliate Signature This recognition is sublet./ to the provisions and limiations of applicable state statutes and licensing acts. NAEM S THIS IS To ACKNOWLEDGE THAT Kathleen Schrank MD has successfully completed the. Advanced Provider Course • sponsored by the National Association of Emergency Medical Technicians, in cooperation with the Committee on Trauma of the American College of Surgeons and , Florida Medical Training Institute-C This continuing education activity Is approved by NAEMT, an organization accredited bythe Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS). CECBEMS Nb. 07-NAEMT-F2A-0007 assigned 16 CE Hours Advanced PHTIS Faculty Representative PH-t7 -22PA422 Antonio Gandia • :'.ti.ir.;t'•tcthi.ti i`•irc:n>r Course Coord nntor il11n.9/2of7, National Course Number Date Issued Bill McGrath I0/201 Luc Expired Click here to unlock Tal1PDF.NET 129 AFETY TRAINING & CONSULTATIONS .• _ International hereby cerOfies chrank Has attended 24 hours of training meeting the requirements of BAUR: CBRNE/Hazinat Medic Essentials Course• For having successfully demonstrated the ability to meet the requirements of 29 CFR 1910.120; National Fire.Protection Association related standards; State of Florida Fire College offering #PD5475 and STC,I. Provider# STCI43236 or AHC-13078 FCDICE# PD5475 STCI No. HMIR-HLVI 08-1114 gram M STCI azardous Mittejia&4D Arm amp B elacqu Insfructar/SME STCI November 20, 2008 gip our ar 4K41 'O Vat V 0�teor. or Wu° The `University of Oklahoma College of Medicine IRWIN H. BROWN OFFICE OF CONTINUING MEDICAL EDUCATION Certificate of Completion The University of Oklahoma College of Medicine certifies that Kathleen Schrank, MD Has completed the educational activity titled: MRSA : An Emerging Crisis in the ED Course #8E003 August '12, 2008 This activity was designated for the AMA PRA Category 1 Credits TM below: 2 AMA PRA Category 1 CreditsTM This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of Oklahoma College- of Medicine and TIV, inc. The University of Oklahoma College of Medicine is accredited by the ACCME to provide continuing medical education for physicians. • The University of Oklahoma College of Medicine designates this educational activity for a maximum of 2 (two) AMA PRA Category 1 CreditsTM. Physician's should claim only credits commensurate with their participation in the activity. Margie Miller Director, Continuing Medical Education The University of Oklahoma College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medicaleducation for physicians. P.O. Box 26901, ROB 202, Oldahoma City, OK 73190 (or) 800 N.E. 15th, Rm 202, Oklahoma City, OK 73104 (405) 27J-2350 e FAX: (405)271-3087 • 1-888-OUCME4t s teruet: CME2 ouhsc.edu * Horoepage: http://cme.ouihsc.edu V 1 N ATLS® 2-Day STUDENT COURSE CT�JE CREDITS Please jeep this document a-s" a record of your attendance in • an ATtS© Student -type Course and receipt of CME credits. Name: Kathleen Schrank, MD Course date: 5/7- 5/8/08 Total coedits Ciaimedt 19 Course serial number: 31859-P The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American College of Surgeons designates this educational activity for a maximum of 19 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate - -with the extent of their participation to the activity. Approved by the American College of Emergency Physicians for up to 19 Category 1 credits (1 hour =1 credit). A document verifying your successful completion of the AILS® Course will be sent to you. This document and your AILS° status are valid for 4 years from the date of issue. The date of expiration is included on the successful course completion document If you relocate during this 4-year period, please contact the American College' of Surgeons (ACS) office with your change of address. If you wish to maintain a current status in the ACS ATLS® Program, you are encouraged to reverify your status every 4 years by participating in an ATLS® Student Refresher Course. You have up to 6 months after your status expires to complete this process. If you have not completed the process within this time frame, you will need to take the A'1'LS® Student Course again, in its entirety. A complete listing .of courses is available on the College's ATLS® Web site at http://www.fats.org/trauma/atls/index.html. 1 Attendance at the entire coarse is required as part of your successful course completion and to receive the full complement of 19 CME credits 132 WMS CME Certificate log Page l of 1 Wi L D E RNESS MEDICAL SOCIETY Y This document certifies that ykil,q/?ee,i SeiuL&• has participated in the educational activity entitled Advanced Wilderness Life Support Course. (AWLS) in Moab, UT, on 5/28/2008 and is awarded 24.5 hours AMA PRA Category 1 CreditTM Colin Grissom, MD, WMS President Loren Greenway , PhD, WMS CEO This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the sponsorship of the Wilderness Medical Society. The Wilderness Medical Society is accredited by the ACCME to provide continuing medical education forphysicians. (Print this certificate for your records) 133 http://wmns.orghnetnbers/cme certificate.asp?MembeID 753&LocID=239 8/20/2008 HEALTHCARE Sterling Healthcare certifies that .Kathleen Schrank, MD participated in fhe educ.alional activity titled In MI:01111, FL, on march 14th 16th, and is awarded. 27.5 hours of Category 1 credit toward the AMA Physiciares.Recognition Award. The Cerifficate Was issued: 16y.1Dr. Brian Hancock 04 March 161h, 2008. J. Brian Hancock, MD, FACE!" 6_25 out of 22.5 hours are designated Trauma hour 5 Chief Medici:1i Offfcer EMERGENCY MEDICINE LEARNING & RESOURCE CENTER Certifies that: Kathleen S shrank MD Attended the; Florida Association of EMS Medical Directors "Hypothermia in Resuscitation" JANUARY 24, 2008 PRIME OSBORNE CONVENTION CENTER JACKSONVILLE, FLORIDA W SPONSORED BY: THE EMERGENCY MEDICINE LEARNING AND RESOURCE CENTER IN COLLABORATION WITH: THE FLORIDA COLLLEGE OF EMERGENCY PHYSICIANS The Florida Emergency Medicine Foundation is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The Florida Emergency Medicine Foundation designates this continuing medical education activity for up to 1.0 credit hours in Category i of -the Physician's Recognition Award of the American Medical Association Wicks1vinski, MOM EMLRC President Hours Registered For: 1.0 I verify attendance of (_0 program hours. Attendee Signature EIMIL{RAC UPESAVINO Et7UtA'i ONV FOR LIPESAVERS WicdiaerLozano, MD, MET FAEMSMD President Certiflcate of Completion This is to certifr that Kathleen S Schrank, MD, FA CEP has completed Urgent Management of Acute Decompensated Heart Failure: Evolving Treatment Strategies April 30, 2007 developed by A:.°...� American College of A... AA■ Emergency Physicists® The American College ofEmergency Physicians is accredited by the Accreditation Council for ContinuingMedical Education to provide continuing medical education for physicians. • The American College ofEmergency Physicians designates this educational activity for a maximum of 1 AMAPR4 Category I Credit(s)TM. Physicians should only claim credit commensurate with the extent of theirparticipation in the activity. • Approved by. iheAmerican College ofErnergency Physicians for 1 credit hour(.) ofACEP Category I credit(s). A255525 r...•. .:. ... ... .... ti.:.:c,,:::.w •�+"r � ti .. �„ rho '�vi r'F. u d ark 4 n '{5,�� ? ,,v M'1 c��S 5.���41${i'�y.r� ��.Pf�.�u.r.. 1���-�4 iti.���"� .....:: V' � �,, '�; •s.3r'•t!7,?t;%.YE�s9k? �...Y'�,1 .'rfi^.�_,�' �;�' ?�r aa��_'�1.4 „ y � �.�r,.>x .�h.._ . ,i�"',,.._ J,t... Certificate of Completion Kathleen S Schrark MD, FACEP ID# A255525 has completed: Critical Decisions in Emergency Medicine Volume 21, Number 11 July 2007 Lesson 21: Broken Hearts: Infants with Acyanotic Congenital Heart Disease Lesson 22: Broken Hearts: Infants with Cyanotic Congenital Heart Disease Activity completed on; November 14, 2007 Score: 100, for a maximum of 5Aillfi PRA Category 1 Credif''M I ACEP Category credits The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians, ACEP designates this educational activity (each issue) for a maximum of 5 AMA PRA Category 1 Creditss's. Physicians should only claim credit commensurate with the extent of their participation in the activity. Each issue of Critical Decisions in .Emergency Medicine is approved by ACEP for 5 ACEP Category I credits. IER IER ra Oi7® OMB J` �..,,,.,e1ican College of 15ao®®78Ma Wl }Ii1 1321BdHc'iEl&1 tg��L7P3FdftlH � glifil Emergency P ysicianS ADVANCING EMERGENCY CARE 137 ,4 • ica flJi€Tg€..flC' •1 ': .y,?!.'"iR; +„ .;cF t. . Rk •+:u. rn .,�,'P - p:Je� Y r.,,�.ih; ,' '_'w,?,; „e'rt-�` +*..;igik: ;:Sit ;m'F.' I�•(�: .v' �.._. g.itg�,�.5-``vw::%r+%::z,.y.'Oi;* ,.�n_��i..`:`3�[+.S`Yt;�;.7a,, s<x,''. d. Stt.�sr_,�jj�a.rV,lsiu":`:.�:.t"^,2�"iro !,%�Y� :2�!';'�?�i .a�fi^i,° .F� 4':`nvhNi??5'StT�F�.�,i ^t.�'1�17h iki�A -A� k.,iix 'lad � i'F<YN'r T�' i".,1"u�l S ."'i.�•r��n ,.. h r, e!h�. p. +y,` a. � y�. ,�. U; .4 t 1+" ' i:.,.. �_. g i;;-..w. �r,try�. Certificate of Completion Kathleen S Schrank, MD, FACEP 1D4 A255525 has completed: Critical Decisions in Emergency Medicine Volume 21, Number 12 Aug 2007 Lesson 23: Acute Renal Failure Lesson 24: Acute Stress Disorder and Post -traumatic Stress Disorder Activity completed on: November 07, 2007 Score: 100, for a maximum of 5AMA PR,4 Category 1 Credifrm I ACEP Category I credits The American. College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medlcal Education to provide continuing medical education for physicians, ACEP designates this educational activity (each issue) for a maximum of 5AMA PRA Category 1 Creditirm. Physicians should only claim credit commensurate with the extent of their participation in the activity. Each issue of Critical Decisions in Emergency Medicine is. approved by ACEP for 5 ACEP Category I credits. mu American a�a maF� .c meri'can o ege of VhIglIgg NEM Emergency Physicians' ADVANCING EMERGENCY CARE �_.. 138 INSTRUCTIONS Please press firmly when completing this form 1. Complete and sign this form. 2. • Return white copy to the registration desk upon departire 3. Retain yellow copy for your records Certificate of Participation ' The University of Texas Southwestern Medical Center 2007 EMS State of the Science: Gathering of Eagles IX February 16, 2007 J PRINT LEGIBLY Name �,F—:i Et•r3 Address `4 7 f City d-, Last 4 digits of your SSN cl 3 c Ar'a A replacement certificate -will cost $20. For additional infounatinnplease visit tnrrwebsite at wwwutsouthwestenLedukme or call 1(800) 688-8678. ' 1?' t' State Zip Code 33- Course Number. RY0702F idute The Long and Winding Road A Stroke in 'Brae: Clocking the 1..11)act of ,Stroke System Protocols Me We Using the "Cincinnati Prehospital Stroke Scale" —in Ctndnnati77 . . 1.75 The London Dye/ground: BypassingHospitals in the UK From England to New England: EMS Driving In -Hospital Cardiac Care. Same Day Cleaners: Introducing the Eagles' Flash -Poll Mini -Lightning Rounds The "How" Behind the "What': Operationaiiaing Prehospital Medicine One Good Attempt Doesn't Deserve Another Keeping Foreign Bodies out of the Airway • CPAP: It's a Basic Skilli The Eagles Wing It: Lightning-Ram:As I 1 1.75 Mind the Gap: The Seven -Seven London. Bombings `Tor the Life of All Flesh Is the Blood Thereof" (Leviticus) Bloodless Prehospital Care: HiBOCs in the Box • , I-O, I O, It's in the Bone We Go: New Indications for IO Access "Early ACLS": Effects of an Intraosseous Program Ready or Not for Prime Time: Pros and ComS of New Cyanide Eats 1.5 Mini. -Lightning Rounds on. Cyanide Kits and Trauma Issues The Eagles Wing It Lightning Rounds # 2 . The Evolving Role of the Medical Corr mmity at DRS Arresting Developments in the Age-01d Custody Battle A Shock to the System A Breath -Taking Protocol: Chest Compression -Only CPR in Matson Taking the 101 in. San. Diego: Start CPR at 10:1 and Don't Stop! The Eagles Wing it Lightning Rounds # 3 and TGIF WRAP-UP 2.25 TOTAL. (Maximum 7.25) 7';„ 7 The University of Texas Southwestern Medical Center certifies that "` �-- . r h r am' ? `phaa participated in the educational activity titled (Name) "2007 EMS State of the Science: Gathering 0f Eagles IX" at the Dallas Marriott Las Colinas in Irving, TX on February 16, 2007. Participant Signature Susan M. Cox, M.D. Associuta Dean far Medical Education 1 i .NSTI{UCTIONS PIease press firmly when completing this form 1. Complete and sign this form 2. Return white copy to the registration desk upon departure 3. Retain yellow copy for your records ce,-eficate of Tcirtfcfpalion The University of Texas Southwestern Medical Center 2007 EMS State of the Science: Gathering of Eagles ]X February 17, 2007 PRINT LEGIBLY Name 1 Gl 'rL 7 Address .c. �yt ri • c� ! CU t_�i ` Y- r r'i li (f/^"`'' City r< �� i s e_. State F-1- Zip Code % = / `/ t ' Last 4 digits of your SSN k A xeplacement certificate will oost;$20. ' For additional information please visit our website at wwWutsouthwesfem.edu/ca1G or call 1(800) 688-8678, Course Number. RP0702F LEM Gelling Back to Basic Advanced Cate: Five Basic Actions for Pararaedics Why This Was a Cool idea: Better Living Through Therapeutic Hypothermia Keeping a Cool Head after Resuscitation Shccesses, Pitfalls& Suggestions for Prehospital Body Cooling Supply and Demand: Finding Solutions to Overailiza ion of EMS Systems Forward to the Past Re-Visithlg the Concept of Nurse Screerdng at Dispatch Screen Tests in Virginia: The Richmond Experience with l wise Triage oneadzes Medicine isMother Centrv'sPoison Services Non-1 nsportSupport'IiaonghPoisonCetteus 1.75 Bask Care for Asthma: Utilizing El [Th for First Line Therapy of Asthma • Doing Whatever it Takes to Solve the Problem: The TED Alpha Track Concept Prom Feast to Famine.; How- Many Medics are Enough? Medics and Stake.holdcts Leading the Way: The Dallas EMS Vision Process The Eagles Wing It Lightning Rounds # 4 • L75 Last Day Keynote: Zen and the Art of EMS Immunity Care for Commnnfly Care 175 Controlling Controlled Substances: Evolving Standards for Pain Relief is F1vLS Sheet -Side Drag Corktaits• Featanyl-Laced Heroin When AA Else Faits, Raise Your Standards The Eagles Wing It Lightning Rounds if 5 What They Don't Know Can Hurt You: The Need for Hospital "InServices° Hanging 10 on. the VP Waves A Cross -the -Pond Tdal Rlghtfn the PALM of Your Hand; Tap Chart Formats for EMS Records Round the Clock Service: Dealing with Paramedic Wellness - The last Stand — Wrap op with the Eagles 2.75 TOTAL (Maximum 7.5) 7 S. The University of Texas Southwesteria Medical Center cert'Lties that f -�'{ 1 f; la, - _ i, r c;._.- _. has partidpated in the educational activity titled (Name) "2007 EMS State of the Science: Gathering of Eagles IX" at the Dallas Marriott Las Colinas in Irving, TX on February 17, 2007. • Participant Signature .4erN 41i Susan M. Cox, M.D. Associaix Dean fur Medical Education :i•}•: uS;• e:` "Ulut: ��: •it(;i iV„:Y`y:; ,'�l�,i'"" ::4h:r s'1�l :� .a :y,_ ; ., 7. I 5 j -}� . l.lC'4a . U'kfy '�w� r Rr 1 >, M sT" <e a5-. , tq eJ�x� ,rn- J trrJd C Fad,) gt��• L� -ayl y?, '�>Z A � r F k':I.�M� {a �f 0,1E�..,,,t'» .ic.....L . 51. �` r-�+1it�}•_' � 3 4 hj"'t 3 �c..vCY .a„9r-':.x t.�'�.1 ."��=I.� C*. . �', fi. ��S.hT �_�r{L f �rY. r`�..'r.`•�.. .e� S..'5.t.....�q:e� «l: r�nC x u w?R. a..,ie;.. � �. <. Certificate of Completion Kathleen S Schrank, MD, FACED ID# A255525 has completed: Critical Decisions' in Emergency Medicine Volume 21, Number 12 Aug 2007 Lesson 23: Acute Renal Failure Lesson 24:.Acute Stress Disorder and Posttraumatic Stress Disorder Activity completed on: November 07, 2007 Score: 100, for a maximum of 5 AMA FRA Category 1 Credifem I ACEP Category I credits. The American College of Emergency Physicians is Accredited by the Accreditation Council for Continuing Medical Filtration to provide continuing medical education for physicians, ACEP designates this educational activity (each issue) for a maximum of 5 AMA PM Category 1 Creditsh. Physicians should only claim credit commensurate with the extent of their participation in the activity. Each issue of Critical .neelsions in E,,lergency Medicine is approved by ACEP for 5 ACEP Category I credits. art sa.svwsAn`i�erican College o.. Emergency Physicians' ADVANCING EMERGENCY CARE 14.1 ltical Declsio S din rnergency Medicine . ... ..:. _. c.n:..�.::... .:.:r:;....�,y�^._:. ^)t.' T4r:. '•ti:_�:tP:i ':i :2r'^ = t� .. •.3: Ei i ii..+ki'f �"+� %�Y xi t•$, �' •':n •, f „5•::::•'e� ; �i`: :.aF'cs .. `,i�:mf . •,i:=.`'n.r.i-'•._fi:•i--Yd `:"'i' 1:j-+ �lu,c;, ..r.'tca:. ••.:x.. :.:�:: .,. i,•._.y,a •`��as.�'!'s o?r<i�:�.,,.._.....{y[:.,...,.:�.Z :�.f>"... _.,..-r.,�...':d,.,.L., .n..... .i .. 9...,.5: .. .... ......_..c-,._......,x:rr.�r.:avl..:�r,..,.�..h.� Cer ificate of Completion Kathleen S Schrank, MD, FACCP ID# A255525 has completed: Critical. Decisions in Emergency Medicine Volume 22, Number 1 Sept 2007 Lesson 1: The Challenge of Nontraumatie Back Pain Lesson 2: Diabetic Emergencies Activity completed on: November 26, 2007 Score: 100, for a maximum of SAMA PRA Category 1 Credem I ACEP Category I credits The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide coxtinuing medical education for physicians, ACEP designates this educational activity (each esua) for a maximum of 5 AMA PRA Category 1 Creditsm. Physicians should only claim credit commensurate with the e:trtt of their participation in the activity. Each issue of Critical Decisions in Emergency Medicine is approved by Ae for 5 AGbP Category I credits. MUMMMUMS UPWROMME HUU MIN UMMEME BdH®H900 MMEMBNIUM WIPMEOMO EIBINEURMW American College of Ern.ergency Physicians® ADVANCING EMERGENCY CARE 142 1+ I brn igeiic 18,10 edicine i c . ti c, �a;A: ?;;, :;¢: 't•;xu •: n'4 "'"5.^[ •Ysla='$v iock . ...61 }a jy •• - •✓A ,+I�31 -• n :,y:.tC: .:,:ii .•t:t :f. -rsts=: •' l.•G.....t!F diw; �ti :: ..!`?%s f+•.N;4i�:-a't•G:r....,t .-+.r-.,.?.,• ). �gep..�.Eye;.k,..try.�..�1�E.,;`i'��ru..�'„!t'.�•f�k 4�fi'•�.rf�s ..>t _4fi'�v�r,,E.,t-ye+�•�t„ @��5�'.. .•F.,�w,,...�.;Yal,,. ...,irur„ •.e r Y. w;,.a-ri.n}�'✓�•&�`•StYn�SYy� f....'{�taFS..F ......,... rot?�.5._..1..,.....a..» .:..,...... .. Certificate of Completion Kathleen S Schrank, MD, FACCEP ID# A255525 has completed: CriticalDecisions in Emergency Medicine Volume 22, Number 2 Oct 2007 Lesson 3: Meningocociai Disease Lesson 4: Toxic Alcohols Activity completed on: November 26, 2007 Score: 100, for a maximum of 5 AMA PRA Category 1 Credifrm I ACEP Category I credits The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical. Education to provide continuing medical education for. physicians. ACEP designates this educational activity (each issue) for a maximum of 5 AMA PRA Category 1 Credttsm. Physicians should only claim credit commensurate with the extent of their participation in the activity. Each issue of Critical Decisions in Emergency Medicine is approved by ACEP for 5 ACEP Category I credits. MENairlRialil QmrlRip® Am MIME 12111g eican College of FHIMISUOISI �a�a�eH>e �p��Hma Emergency Physicians® ADVANCING EMERGENCY CARE — 143 De ii.ergency Medicine �•�--.• - t r S t R:S t".}in�•Y2:+: tid'.t fati e�. Y a: � �c f..�.. a'�,,.�t ;t'�•a,.�`nt+ ..+r��; L � ,�?:•v+^"}iFit�'JJl i =!+��. i ,t>r.•i,'f :s:�i .a.oila:'. t•r.-'' •a2-"Alabc �i•�<.rY. � rt �.� nc.!!�n , .l rrk,.,x•_v - a[ •:l sd. .•.m.: ,•t.. i e s:1, r.,:,....E.v:>S•'_:+�[?{;!:r»..ra�S�i 9s'Iti .:ui£r!2r �•.. p��l "'ii. il3 J-x i-57 .• ,..•a'ry. J, �i .c3rsr. Y.i;F"-:..^!Mu:rcrY,'.�w.fJ.°?31K..%,;....h7.�.. r l uinE4".$&�'C .•c•.,. -.. Certificate of Completion Kathleen S Schranlc, MD, FACEP ID# A255525 has completed: Critical Decisions in Emergency Medicine Volume 21, Number 10 June 2007 Lesson 19: Sports Medicine Emergencies: Managing DI and Injured Athletes in the Emergency Department Lesson 20: Migraine Headache Evaluation and Treatment in the Emergency Department Activity completed on: July 09, 2007 Score: 95, for a maximum of 5 AMA PRA Category 1 Credifr'M / ACEP Category I credits The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ACEP designates this educational activity (each issue) for a maximum of .S AMA PRA Category I CredItirm. Physicians should only claim credit commensurate with the extent of their participation in the activity. Each issue of Critical Decisions in Emergency Medicine is approved by ACEP for 5 ACEP Category I credits. American College of Emergency Physicians® ADVANCING EMERGENCY CARET 144 CERTIFICATE OF PARTICIPATION The University of Cincinnati .College of Medicine certifies that Kathleen Schrank, Participated in the CME self -study activity ADVANCING THE STANDARD OF CARE: Cardiovascular and Neurovascular Emergencies February 2007 and is awarded 4 AMA PRA Category 1 credits TM Approval period: February 2007 February 2008 University of Cincinnati College of Medicine John R. Kues, Ph.D. Assistant Dean, CME The University of Cincinnati College of Medicine is accredited by the Accreditation Council for. Continuing. Medical. Education (ACCME) to sponsor continuing medical education for physicians. Office of CME: (513) 558-7350 weiganka@uc.edu Completed 3/1412007 145 The 'university of Oklahoma College of Jvtefitcine IRWIN EL BROWN OFFICE OF CONTINUING MEDICAL EDUCATION Certificate of Completion The University of Oklahoma College of Medicine certifies that Kathleen Schrank, MD Has completed the educational activity titled: Psychosis in the Emergency Department Course #7E012 March 19, 2007 This activity was designated for the AMA PRA Category 1 CreditsTM below: 2 AMA PRA Category 1 CreditsTM This activity has been planned and Implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Oklahoma College of Medicine and TIV, Inc. The University of Oklahoma College of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of Oklahoma College of Medicine designates this educational activity for a maximum of 2 (two) AMA PRA Category 1 CreditsTM, Physician's should claim only credits commensurate with their participation in the activity. Grmakez Margie Miller Director, Continuing Medical Education The University of Oklahoma College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. P.O. Box 26901., ROB 202, Oklahoma City, OK 73190 (or) 800 N.E. 15`11, Rm 202, Oklahoma City, OK 73104 - (405) 271-2350 • FAX: (405) 271-3087 •1-888-OUCMB4U14Gternet: CME(2 ouhsc.edu a 1-Iomepage: http://cme.onhsc.edu r University of �' Massachusetts 4lMASS.mMedical school Certificate of completion Kathleen Schrank Successfully completed Critical Challenges in Cardiovascular Medicine 04/28/2007 earning 3.00 CME credits The Office of Continuing Medical Education, designates this continuing medical education activity for 3.00 credit hours in Category 1 of the Physician's Recognition Award of the American Medical Association. ()LiCkAl1/4-.) Richard V: Aghababian, M.D., AssocOe Dean for Continuing Educadon April 8, 2006 Date Cotnptetect-• American Heart Assoczatm GUIDELINES ECC 21005 Joseph Scott, MD Regional Faculty Rtt t KJ.a oiTn CONTINUING MEDICAL EDUCATION CERT ui'ICA.'1.E The University of Texas Southwestern 1Viedical Center at Dallas EMS State of the Science: A Gathering of Eagles VIII February 17, 2006 INSTRUCTIONS Please press firmly wizen completing this form 1. Check the credit for eat]) lecture attended 2. Total the credits at the end of the day 3. Complete and sign this form 4. Return white copy to the registration desk upon departure 5_ Retain yellow copy for your records PRINT LEGIBLY Name. Address ri -i ! • �a- City .5"gz.13 0 telD O iz ii -331.4 State Zip Code Last 4 digits of your SSN A replacement certificate will cost $15. Course Number: RP0602A Lecture Welcome and Course Overview, History and Future as Catastrophic Anachronisms: The Past, Present and Future ... .50 The Big Easy's Big Hardship: Ground Zero with the N.O. EMS .50 Apocalyptic Challenges: Urban Search and Rescne in the Homeland .25 Mass Exodus Means Mass Medical Triage: On the Receiving Ed of a Disaster Evacuation 75 Houston - Yon Have a Problem: Public Heatiu.g, Public Safety & Public ffealth in the Wake of Katrina .25 The Eagles Wmg It: Lightning Rounds #1 .75 Lunch with the Bunch: Partldpants Break Bread with Eagles L25 SAES Du Jour: EMS Preparations for the Next Pandemic .25 Bugs in Your Bus: Bic safety Tuning Initiatives for EMS .25 Plane vs, Auto: Responding to a Runway Over•Run ,25 Taking a SIP in San Diego: A New Alcohol'. Solution • .25 Pre•Emplive Strikes: Urban Search and Rescue for inebriates .25 The Eagles Wing It: Lightning Rounds #2 .75 Surf and Turf: Integrating Ground and Lifeguard Paramedic ... .25 Louisville Sluggers: Stepping Up to the Plate with Data .25 Beyond Trauma Triage: Categorizing Medical Patients .25 From the West Wing to the Far East Rolling with the White ... .25 The Eagles Wing It: Lightning Rounds #3 .50 TOTAL GREDrrs GL JMED Maximum Eligible Credits (8.0) 4 0 For additional information please visit our website at www.utsouthwestern.edu/cme or call 1(800) 688-8678. The University of Texas Southwestern Medical Center at Dallas certifies that r `Nn �� �. r a.� ilAbhas participated in the educational activity titled .. (Name) "EMS State of the Science; A Gathering of Eagles VII ' at the l fllton Dallas Lincoln Centre in Dallas, TX on February 17, 2006 and is awarded ed AMA PRA Category 1 Credit(s)T`s. (Altai Credits Claimed) Physician Signature for Attestation of Credits Claimed Susan M. Cox, MD. Associate Dean for Professional Education CONTINUING MEDICAL EDUCATION CEi{r1l S`ICATE The University of Texas Southwestern Medical Center at Dallas EMS State of the Science: A Gathering of Eagles VJI February 18, 2006 INSTRUCTIONS Please press firmly when completing this form 1. Check the credit for each lecture attended 2. Total the credits at the end of the day 3_ Complete and sign this; form 4. Return white copy to the registration desk upon departure 5. Retain yellow copy for, your records PRINT LEGIBLY - 4) Imo. .5c. r1 rin Name Address City a r{ 1../1S & b tom; State Zip Code Last 4 diets of your SSN A replacement certificate will cost $15. Course Number: I2P0602A Lecture Credits Getting to the Heart of the Matter: Optimal Diagnosis & Field ... .25 Beyond Utstein; Re -Prioritizing Paramedic Quality Assurance ... .25 Making Progress by Returning to the Basics: Why a B City ... .25 . The South Milwaukee Diet A Lean, Mean Approach to.ltesusc.... .25 0f Vested Interest Latest Data from the RichmondAntoPulse ... 25 Aspiring to Better 0utcomes; A Clinical Trial of the AutoPulse Device .25 Panel on the AutoPulse Device and other CPRAtcts ......25 Live from Garland It 2006 Ways to Down -Load the Scene .25 The Eagles Wing It: Lightning Rounds #4 .75 Lunch with the Bunch: Participants Break Bread with Eagles L50 Cops and Docs: EMS and Medical Direction in Law 1 nforcement .25 ' A Shocking and Delirious Eagle Creek Report: A Position Statement on Conductive Electrical Devices .25 Panel on Law Enforcement Issues with the Eagles .25 The 6th Vital Sign: The Cardinal Role of Digital Capnagraphy ha EMS .25 Suit Yourself: When the 6th Vital Sign Is Not Enough Courfside • .25 The Eagles Wing It: Lightning Rounds #5 .75 Ra tors,Rap: The Eagles Poll the Audience CD 30: Basic CPR andAED Trainb g in 30 NTmutes-Is It Possible? A Pain in the Ambulance: Dealing with the Hurt in EMS .2 The Last Stand -Wrap Up with the Eagles Including a Report from the 2006 Eagle Creek Conclave • 50 TOTAL CREDITS CLAIMED Maximum Eligible Credits (8.0) - ,. 2.6- . For additional information please -visit our website at www.utsouthwestem.edulcme or call 1(800) 688-8678. f The University of Texas Southwestern Medical Center at Dallas certifies that 'i,A-rh le - c h r ct n khas participated in the educational activity titled (Name) "EMS State of the Science: A Gathering of Eagles VDT' at the Hilton Dallas Linclon Centre in Dallas, 'IX on February 18, 2006 and is awarded 6, 5' AMAPRA Category 1 Credit(s)TM. Physician Signature for Attestation of Credits Claimed (Total Credits Claimed) 5vd,, . st\ ray vklo Susan M. Cox, M.D. Associate Dean for Professional Education 9/7/2005 9/6/2006 9/13/2006 12/1/2006 3/21/2007 3/28/2007 5/16/2007 5/17/2007 6/6/2007 University of Miami Miller School of Medicine Division of Continuing Medical Education Miami, Florida Kathleen S Schrank, MD 270 Glenridge Road Key Biscayne, FL 33149 AMA PRA Category 1 Credit Summary April 01, 2005 - December 31, 2007 enealkrrr8�� 9/6/2005 i Medical Research Seminars Grand Rounds 2005-2006 !Medical Grand Rounds 2005-2006 Medical Grand Rounds 2006-2007 Diabetes -What's New Medical Grand Rounds 2006-2007 History of Mechanical Reperfusion Therapy of AMI Medical Education Grand Rounds 2006-2007 Evaluating Learning on Clinical Rotation: Achieving Fairness Medical Grand Rounds 2006-2007 Update in Internal Medicine 2006-2007 { Medical Grand Rounds 2006-2007 ` Medical Error Medical Grand Rounds 2006-2007 Palliative Care Everybody wants to go to heaven but nobody wants to die to get there Insitute for Women's Health Grand Rounds 2006-2007 Role .of Health Care Providers in stopping Domestic Violence Medical Grand Rounds 2006-2007 Diabetes Prevention: Are We in the right Move in miami and elsewhere? d AMA PRA Category 1 AMA PRA 4.00 AMA PRA Category 1 AMA PRA Category 1 AMA PRA 3.00 1.00 1.00 1.00 AMA PRA ; 1.00 AMA PRA Category 1 AMA PRA Category 1 1.00 1.00 AMA PRA 1.00 Category 1 AMA PRA 1.00 Category 1 AMA .PRA 15.00 The University of Miami Leonard M. Miller School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Tuesday, November 20, 2007 - 3:02:57 PM Kathleen S Schrank, MD 151 University of Miami Miller School of Medicine Division of Continuing Medical Education Miami, Florida Kathleen S Schrank, MD 270 Glenridge Road Key Biscayne, FL 33149 - AMA PRA Category 1 Credit Summary June 01, 2005 - September30, 2007 iforliite 1Vam 9/6/2005 Medical Research Seminars Grand Rounds 2005-2006 9/7/2005 9/6/2006 9/13/2006 12/1/2006 3/21/2007 3/28/2007 5/16/2007 5/17/2007 6/6/2007 Medical Grand Rounds 2005-2006 Medical Grand Rounds 2006-2007 Diabetes-What`s New `Medical Grand Rounds 2006-2007 History of Mechanical Reperfusion Therapy of AMI `Medical Education Grand Rounds 2006-2007 Evaluating Learning on Clinical Rotation: Achieving Fairness Medical Grand Rounds 2006-2007 Update in Internal Medicine 2006-2007 Medical Grand Rounds 2006-2007 Medical Error Medical Grand Rounds 2006-2007 Palliative Care Everybody wants to go to heaven but nobody wants to die to get there Insitute for Women's Health Grand Rounds 2006-2007 Role of Health Care Providers in stopping Domestic Violence Medical Grand Rounds 2006-2007 Diabetes Prevention: Are We in the right Move in miami and elsewhere? AMA PRA Category 1 AMA PRA AMA PRA Category 1 AMA PRA Category 1 AMA PRA AMA PRA AMA PRA Category 1 AMA PRA Category 1 3.00 4.00 1.00 1.00 1.00 1.00 1.00 1.00 AMA PRA 1.00 Category 1 AMA PRA i 1.00 Category 1 AMA PRA 15.00 The University of Miami Leonard M. Miller School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians, Monday, October 22, 2007 - 8:41:11 AM Kathleen S Schrank, MD 152 Com /crate Cornp&i�rn. CME Resource certifies that Kathleen Schrank ME39896 has participated in the educational activity titled #9483 .HIV/AIDS: Epidemic Update for Florida on November 20, 2005 and is awarded'. 10 category 1 credit(s) toward the AMA Physician's Recognition Award. .a 4 Freda S. O'Brien Erin K Meinyer Director of Academic Affairs Executive Director � �CME Resource is accredited by the Accreditation Council for Continuing Medical Education to �'-�\ provide continuing medical education for physicians. 41- Florida CE Broker Provider #50-2405-I, Board of Medicine. full theFloridarequirementfor 1 hour ofHIV/AIDS education. -- This coursefulfills is F da equ d. •,vt,,,,Itt*..,,1 4 galg CQ NUING MEDICAL EDUCATION PO BOX 15163 • SACRAMENTO, CALIFORNIA 95851-0163 • 1-800-232-4CEU EMERGENCY MEDICINE LEARNING & RESOURCE CENTER FLORIDA EMERGENCY MEDICINE FOUNDATION Certifies that: Attended the: Florida Stroke Act Irrip ementation JuLY 6, 2005 ROSEN CENTRE HOTEL ORLANDo, FL, SPONSORED BY: FLORIDA EMERGENCY MEDICINE FOUNDATION AND THE KralEkGENCY MEDICINE LEARNING AND RESOURCE CENTER IN COLLABORATION WITH.: THE FLORIDA. COLLLEGE OF EMERGENCY PHYSICIANS pie Florida Emergency Medicine Foundation Is accredited by tb.e .Accreditation Comidl for Continuing Medical Education to sponsor continuing medical education for physicians. The Florida Emergency Medicine Foundation designates this conttntzimg medical education activity for up to 14credit hour in Category 1 of the Physician's Recognition Award of the American Medical Association. Nurses — Up to 1 nursing contact hour will be provided by the Florida Emergency Medicine Foundation (FLMF). The FENT is approved as a provider of nursing education by the Florida Board of Nursing, Providertfr103/4 #273". Do not send this certificate to theBoard of Nursing, retain it for your records for 4 years. Hours Registered For: 1 X verify attendance of 1. program hour... Attendee Signature Rick _St inski, 0, EACEP Arthur L. Riskin 7030, FACET EMLRC President FCEP President Emergency Medicine Learning & Resource Center Florida Emergency Medicine Foundation ��flig .."Tiv.i tstkalhut.Nat--,1 kr :i P5-: . ° a1..E.SttEF�,S�"'.'i.. ' l7i'b`ti �S?Iy3 ` li:' :,Ir : ;¢ :.r�:o a �1 !1 .t �,:1 ,.. ,i ,o .. .. _ ..__:�.��r.:Tv,::a!'sly.x;�,...�._r,!4,.��:�.r},..�„riiP.,�:,,'a �:z.L�::ti,.,�cu:.'inic•:m.t z a; � 1 ' >�y t� "'f,. FL _.+;1;1: ;; }�: �.' :XJ+V.v%!7.. N /•'; :�J:,-,. £.'G�inr.Td>� M?i�.FASSLk' i d'•i'1iG:.; �ES'� •-M � . C ELSEVIER SAUNDERS ' THIS IS TO CERTIFY THAT KATIILEIN S. SCHRANK HAS COMPLETED THE POSTGRADUATE COURSE OF INSTRUCTION THE EMERGENCY CLINICS OF NORTH AMERICA UNSUSPECTED KILLERS/EMERGENCY MED NOVEMBER 2004 15,0 Category 1 AMA Credits Jane N. Fruchtnicht, MSN, RN, C CME Faculty Coordinator ti Va Continuing Medical Education U VERSITY le� IRGINIA,. B$VI3KilLh;�{ �F HEALTH SYSTEM The SCHOOL, of MEDICINE Office of ContinuingMedical Education Box 800711 Charlottesville, VA 22908-0711 This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of Yfrgiafa School of Medicine and TV. B. Saunders The University of Virginia School of Medicine is accredited by the ACCME to provide continuing medical education for physicians The American Medical Association has determined that physicians not licensed to the US who participate In this CME activity are eligible for AMA PRA category l credit. Hours actually spent in the activity (to be completed by learner) /%C. Please retain this certificate for your records. KEY FOR TEST NO. EM0411 1. C 16. C 2. A 17. A 3. B 18. D 4. D 19. A 5. B 20. A 6. D 21. B 7. C 22. B 8. A 23. C 9. C 24. A 10. B 25. D 11. A 26. B 12. C 13. A 14. C 15. C KATHLEEN S. SCHRANK 270 GLENRIDGE ROAD KEY BISCAYNE, FL 33149 CREDITS AWARDED: 6/07/05 2004 COPYRIGHT 2004 BY ELSEVIER, INC. ALL RIGHTS RESERVED. PRINTED IN THE UNITED STATES OP AMERICA_ P338 9998874344 Certificate . of Completion This is to certf that Kathleen S Sehrank,1MID, FACEP has completed Acute Coronary Syndromes and Thrombosis Treatment ■... ■M• May 5, 2005 developed by American College of :z MMI Emergency Physicians® Acute CoronarySyndromes and Thrombosis Treatment has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME). The American College of Emergency Physicians (ACEP) is accredited by the ACCME to provide continuing medical education for physicians. ACEP designates this educational activity for. a.maximum. of 2. Category I credits towards the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent on this educational activity. Acute Coronary Syndrornes and Thrombosis Treatment is approved by the American College of Emergency Physicians for 2 ACEP Category I credits. A255525 156 G. Resume & Licenses for Associate Medical Director Paul J. Adams, D.O., M.A., F.A.C.O.E.P. 1128 N.E. 17t Way Fort Lauderdale, FL. 33304 Phone (954) 815-1201 Home Phone (954) 525-2949 Email: DrPaulAdams@aol.com EDUCATION 1996-1999 Chicago College of Osteopathic Medicine, Chicago, Illinois Emergency Medicine Residency Provident/Cook County Hospital 1995-1996 Chicago College of Osteopathic Medicine, Chicago, Illinois Rotating Internship 1991-1995 Chicago College of Osteopathic Medicine, Chicago, Illinois Doctor of Osteopathic Medicine 1989-1991 Webster University, St. Louis, Missouri Masters of Arts in. Business Management 1986-1989 Northern Arizona University, Flagstaff, Arizona Bachelors of Liberal Arts HONORS, AWARDS & LICENSES 2001 Board Certified in Emergency Medicine by AOBEM 1996 The University of Illinois Hospitals: Award for Te40.111}g ACTS Excellence 1995 Licensed as a D.O. in the State of Illinois, Indiana and Flgrida. 1991 State of Arizona Governor's Award for Academic Excellence. 1984 Licensed by the National Registry of Emergency Paramedics. 158 Paul J. Adams,.D.O., M.A., F.A.C.O.E.P. 1128 N.E. 17t Way Fort Lauderdale, FL. 33304 Phone (954) 815-1201 Home Phone (954) 525-2949 Email: DrPaulAdams@aol.com CERTIFICATIONS American Osteopathic Board of Emergency Medicine Part I Written Feb., 2001 . Passed Part II Oral June, 2001 Passed Part III Cases Nov., 2001 Passed National Board of Osteopathic Medical Examiners (NBOME) Part I August, 1993 Passed Part II March, 1995 Passed Part III March, 1996 Passed Advanced Emergency Medicine Certifications Provider Status --Advanced Cardiac Life Support and former Affiliate Faculty Member Provider Status— Pediatric Advanced Life Support and former Affiliate Faculty Member Provider Status --Advanced Trauma Life Support 1991- Present 1991- Present 1996 - Present 1996 - Present 2009 - Present 2010 —Present 111EMBERSFILPS American Osteopathic Association (AOA) Illinois State Medical Society American College of Emergency Physicians American College of Osteopathic Emergency Physicians Fellow American Academy Emergency Medicine Fellow American College Osteopathic Emergency Physicians 159 Paul J. Adams, I.O., M.A., F.A.C.O.E.P. 1128 N.E. 17th Way Fort Lauderdale, FL. 33304. Phone (954) 815-1201 Home Phone (954) 525-2949 Email: DrPaulAdams@aol.com 7/2010-Present 9/2011-Present 2/2008-6/2010 10/2007-6/2010 7/2002-8/2009 4/2005-12/2007 9/2001-3/2003 EMPLOYMENT Attending Emergency Medicine Physician and Core Faculty Member, at Jackson Memorial Medical Center, a Level I Trauma Center. Responsible for Supervising Emergency Medicine Residents, and- all other Residents while they rotate through the Tertiary Care Hospital serving all of South Florida. Associate Medical Director Miami Fire Rescue. Assisted in QA, and Medical Direction to nearly 700 Paramedics in a busy Urban. Setting. Medical, Director for Adult LifeFlig1 t Helicopter Program. Trained Staff, initiated Adult Protocols and supervised Flight Staff Chairman, Dept of Emergency Medicine at Cleveland Clinic - Florida, a Tertiary Care High Acuity Emergency Dept. Duties included Budgeting, Supervision of an all Board Certified/Residency Trained Physician Staff, Supervision of Resident Physicians and Medical Students. Decreased wait times 100 minutes for non -admitted patients and 180 minutes for admitted patients while increasing volume 23%. Coordinated an Electronic Medical Record and assisted moving Nursing from 60% Contract/Agency Staffed, to 95% Cleveland Clinic Employees. Attending Emergency Medicine. Physician at Memorial Hospital, a High Acuity, 51,000 visit, Emergency Department. Provided Emergency Services to a Suburban population. This job included supervising newparamedics and student nurses. Attending Emergency Medicine Physician at Bethesda Memorial Hospital, a High Acuity, 55,000 visit, Emergency Department. Provided Emergency Services to a Urban population. This job included supervising Nova Medical Students, and P.A. students as well as Nurse Practitioner students and paramedic students. Attending Emergency Medicine.Physician at OSF St. Anthony Medical Center. Provided Emergency Services in a Level I Trauma Center/Regional Referral Center with its own Helicopter. This job included supervising paramedics, and student nurses. 160 Paul J. Adams, D.O., M.A., F.A.C.O.E.P. 1128 N.E. 17t Way Fort Lauderdale, FL. 33304 Phone (954) 815-1201 Home Phone (954) 525-2949 Email: DrPaulAdams@aol.com 6/1999-6/2001 7/1999 —12/2000 1998 - 2000 1994 - 1999 1985-1990 1984 -1985 1982 -1984 Attending Emergency Medicine Physician at Rush/Copley Medical Center. Provided Emergency Services in a Level II Trauma Center. This job included supervising new paramedics, student doctors, nurses and resident physicians. Attending Emergency Medicine Physician at Kishwaukee Medical Center. Provided Emergency Services in a full service Rural College town Community Hospital. This job included supervising new paramedics, student doctors and student nurses. Emergency Medicine Physician (while in Residency) for ECI Physician Group. Staffed Inner-city, Emergency Departments ranging in yearly patient volumes from 6,000 to 25,000 visits. These depatluents were full service Emergency Departments. Lead Instructor and Medical Director for Advanced rife Support Systems of Chicago. Tnstructed all aspects of Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS), as well as mentoring and training other Instructors. State Trooper/Helicopter Paramedic for the State of Arizona Highway Patrol. Assignments included Air Rescue Division, which is responsible for Highway Medivacs and High Priority Medical Air Transports. Other assignments included the Highway Patrol Bureau, Officer Training, Special Investigations, Special Operations and D.A.R.E. (A drug program for elementary children). Deputy/Paramedic for the Ingham County Sheriffs Department. Deputies were responsible for handling all types of law - enforcement requests and all emergency -medical requests -requiring advanced life support procedures. Paramedic/Supervisor for JaQlcson Emergency Medical Service. Paramedics responded to all calls and transported patients from Scenes to all types of Emergency Departments. 161 Page 1 of 2 gl E Eli El AMERICAN OSTEOPATHIC ASSOCIATION Continuing Medical•Eduoatlon View My CME Report D0 CME Caine More CME Opportunities CME Reporting Forms Continuing Me8laoi Education Guide CME Specialty Hours Frequently Asked Quostlons CME Decurnontn8on: AOA Carlitia it n CME Documentation: ABMS Certification DO Jabs Online AOA Board Certification PraeUce Management Quality and Research Pubao Health international Osteopathic Medicine FAQ 1 AOA Membership I Contact Us 1 DO Profile Reports Enter search keywords... �A > Irre do the AOA > Praf000)mwr Development > Cun linulno Maim Etiunal oa r CME Activity Report 2010-2012 CME Activity Report 2010-2012 2007 - 2000 CME Activity Report Other Reports 2004 - 2008 CME Activity Report 2001 - 2003 CME Activity Report Continuing Medloal Education Program - CME Activity Summary Paul J. Adams, DO 1128 NE 17th Way Fort Lauderdale. FL 33904-2432 CME Status Member I tD:063898 120 CME Hours Required from 1/1/2010 to 12131/2012 ::IfWe[s ct fi ie act a r•F e.- sRFoP' Overview Category 1-A Category 1-B Category 2A / 2B Total Category 1 and 2 Total Acceptable Hours Recorded 110 58 0.0 / 64 232 Hours Applcable Toward Requirement 90 78 64 232 Hours Needed 0.0 0.0 0 Requirement Fulfilled Yes Yes The requirement of the AOA is 120 hours over a three year period of which 30 hours must be recorded in AOA Category 1-A and the remaining 90 hours may be accumulated in any category 1-A, 1-B, 2-A or 2-3 credits. In addition, members who are board certified must earn a minimum of 60 credit hours (Category '1 or 2) In their primary specie ty Certification Board Requirements Name Total Hours Required Hours Applicable Hours Needed Requrremont Fulfilled A013EM 50,0 172.0 0.0 YES In addition, members who are board certified must earn a minimum of 50 credit hours (Category 1 or 2) in their primary apociaffy. Certificate of Excellence - 2010-2012 CME Cycle You havo eatnad 150 CME credit hours or more and are olights to receive a Olv1E certificate of excellence. ` IicilgRera-%t43rtnC=9 ireerfindaie_—ho CME activities related to online qukzes/ccurses completed in the DO -Online CME Center will be posted within 24-48 hours. The report of your continuing medical education activities has been compiled from documents submitted to and verified try the AOA Division of CME as of the date indicated. Alt acceptable CME-hours have been recorded, even though they may exceed .the maximum allowable for a particular category. Totalhoursapplicable to your ROA CME requirement- - are indreated )n the statistical summary (click the PDF link above). For more Information + Visit the complete calendar of AOA-approved CME courses. e The CME Guide contains complete information about the requirements, guidelines, and procedures of the AOA CME program. o AOA beard certified physicians must earn 6D CME hours in their specialty during each cycle. View the policy for the recording of specially credit 'hours. • Download CME reporting forms to report CME credits. - Please e-mail the CME Division at ome@osteopathlc.org if you feel an error has-been made In the report, or it some of your courses appear to be missing (allow 46 hours for online course credit to be posted). http://cf.osteopathic.org/cmeereport/emereport.cim162 3/14/2012 Page 2 of 2 Lreide the AOA • About the AOA • Events. • Education • Advooaay • Aotuedeelian • Wes & Publications • Protesolonal Development Osteopath& Medicine & Your Ho&th • About DOa • Find • DO • Ostoopathlo Manipulative treatment • Mart Vuur.Heatth • Becoming a DO Hot&rlal Osteopathic Advocacy Center 1080 Vermont Ave NW, Ouso 500 Washhnjton, D.C. 20008.4846 700•tree phOne:1800) 06241008 foerrarat Nexus (2021414.0144 Far 1202/ 644-3525 Privacy Policy Terms of !tee 1 Copyright Nano Chicago Moo Main Headquarters 142 E. Ontario St 0hfoge U. 80811-28E4 Toll -tree phone: MOO 821-1773 General phone:10121202.8000 Fax: (312) 202-8200 http://cf. osteopathic. org/cmereport/cmereport.cfm163 3/14/2412 Total Acceptable Hours Recorded 1 1 0 Hours Applicable Toward 90 Requirement Hours Needed 0.0 Requirement Fulfilled Continuing Medical Education Program - CME Activity Summary Paul J. Adams, DO 1128 NE 17th Way Fort Lauderdale, FL 33304-2432 CME Status: Member I ID:063898 120 CME Hours Required from 1/1/2010 to 12/31/2012 Overview 8 78 0.0 1i I 00/64 64 232 232! 0 Yes 111 R �B The requirement of the AOA Is 120 hours over a threeyear period of which 30 hours Must be recorded In AOA Category 1-A and the remaining 90 hours may be accumulated in any category 1-A, 1-B, 2-A or 2-B credits. In addition, members who are board certified must earn a minimum of 50 credit hours (Category 1 or 2) In their primary specialty. 1 11rt� Certification Board Requirements L lb All I AOBEM j 50.0 172 0 0.0 _...................�......_...._..,W_ _.._____�_....w...........__. Yes ._. .H.......,, In addition, members who are board certified must earn a minimum of 50 credit hours (Category 1 or 2) in their, primary specialty. r f. I th Eli 020.0111 Pio es Dh 11��i�EOC! P�s911¢Ot�,03 Prog. No. Program Name , . Firs/Cert. Hrs 1,i1 lijillilliiiiriipm:.,,,,N:16-1,016,410,0):,,, illino.4.1)1iiit Category J.,N...iddluliumillitdidp .1111Iii,1:1111,il...iii klidommliiim III .11,1111,111_1, i.111,,,hampl,w, li stob dwinum. idiuragl.i.IN mit Ilmii,111 aihl.liAlilill i .iillbi 1.40110iI gilthall kidail, LA 0 i ak ii l'hitAii:iii 1" iliFillitilli 1111111111 illilltlilliillillii ill ikt" 11111111,,ilifirriliiiitlimilimoll,llliillillii,ipip,iiiiri,liliii,11 - Jan 14 2010 150018 COLA MODULE 6/ACOEP 1B r.Mt•`f.:' ,.1!e•i.t•jl. 1'N' ‘',i'in., • ...• 11 Iit 1pidi'. .p. 11„,1ii.1'1p,411i1lM11.„1i1.1r11i1,l;1ill_'1lg1"1;e1.,0.,,.' •-, 01 4,, .,q,4.',1, H,4,1,i1l 1.„11i1, r1,111.h.ripl1i',V1,l",iIi',i i1liiillP„ii .„„. 14IDI, ,0. nI711 14b1111,1-11 }' 1' ...8/s.,8 11n 1 111111iiill01 11ir.:l.i.yif. .11 May 1 2010 150167 PALS/AMERICAN HEART ASSOCIATION 1ASTD 8 / 8 Koom*tiloriirrilimmliillliwill:11911'itrinlri'lii'l''i'll'firli"I''''' .., iwir,tw lititi, ytigipiputifttitTITtt" trwittigp II .1- Jun 1 2010 .r,._...-.11i 11 Litittt. m lit.t.i: . 1111 flit!. ttt ttlt. Litt1tt; ittiliditi .411. iill id. ;It ta ti ill . tt. It !Jr.(' ,t 13, „; ii, 1.., . ,i , 0 im i, gill. idi di . i.liti NI ill. ili ih I ilil ...11iIMIIIII.$ idillaii.11 -Ail !ill fill Iiiii.illiikililrilillitli 150166 1 f ACLS/AMERICAN HEART ASSOCEATION 1ASTD 4,.,,,,,!ifilim...:,,.,,,,,..,;„;;„,„.,,,„„:;,;, ., ,...t.,.„ .,.,, ;,:iii„,,,11 8 / 8 r „,,,.,,,,,...,,:i,„„,„:,„„i,„ , „...,,,, „,.•, , „• ,„. !ti.q.. 1,„„,,., if 1 'Nil 'Ili . 'llpiill 111111 111111110 'I'll I Ti. Jo, ;1!11 Date Program Details 094 Ihli.11111;1!1111,1111!11111i111 '101111111 1111121,111 11104.4 11:1411111.1111dIlli111111111111111111011 ihill 111111111 idi al, Aug 30 2010 150168 ATLS/AMERICAN COLLEGE OF 1ASTD SURGEONS/AHA . Jan 1 2011 155411 COLA MODULE 8/ACOEP 1, ",1;!1;lira h ilit 11111:11111111111illigilililld :1111 iii ;dr, h I h I I . 1111110111111111111IMPAIIIIIIILi 1111 1,111011111011111111,1111111111 Apr 1 2011 150019 COLA MODULE 7/ACOEP Iint:401101V pimply" I iiiilltiippiole i .111 In! 414,631AIRSaM r.nnituallinitibll I/ "1' gt,tA44 1 .111;111 ilihiliallivoLi;1 LI 1 ffiginiuid‘ L • i Feb 10 2012 151874 RECERT/AOA 1111 priIl utillitilir I ir 1B 8 / 8 1111; 111101:11IMIfill1111,1411111T11111111,1111111,1,111NINVIT It tit It 11.411114 111111111 1,4.1tthlt 1B 4 / 8 111111111[111,11111,11111i41g1 il.t,IIilill 8 / 8 1B 1)111 15 / 15 The report of your continuing medical education activities has been compiled from documents submitted to and verified by the AOA Division of CME as of the date indicated. All acceptable CME hours have been recorded, even though they may exceed the maximum allowable for a particular category, Total hours applicable to your AOA CME requirement are indicated in the statistical summary (click the PDF link above). For more information • Visit the complete calendar of AOA-approved CME courses. •The CME Guide contains complete information about the requirements, guidelines, and procedures of the AOA CME program. Ns wham:. ram Ig .341.1.1414 nor.o.ro 0211,..12 Ps1.10,4 aitianittir • AOA board certified physicians must earn 50 CME hours in their specialty during each cycle. View the policy for the recording,o pecialty credit hours. • Download CME reporting forms to report CM credits Please e-mail the CME Division at cmeosteopathic.org, if you feel an error has been made in the report, or If some of your courses appear to be missing (allow 48 hours for online course credit to be posted). tW el..wLYn b emNam aW maim n a moo erd,iailf 03f1112n10 PM11 eli nh iti iaeO W lit 1 142 East Ontario Street, Chicago, IL 60611-2864 312 202 8000 1800 621 1773 January 19, 2012 063898. Paul J. Adams, DO • 1128 NE 17th Way - Fort Lauderdale, FL 33304-2432 Dear Dr. Adams: Congratulations! On recommendation of the American Osteopathic Board of Emergency•Medicine, the Bureau of Osteopathic Specialists of .the American Osteopathic Association (AOA) has awarded -you? AOA-recertifizatiorr as follows: --_ _ -_•- __ .•.. - -- . ..-_._-. - Specialty: Certificate Number: Effective Date: Valid Through: Emergency Medicine 1069 01/0112012 12/31/2021 The AmericarrOsteapathicBoard of Emergency Medicine is preparing your recertification certificate, which will be mailed to your address of record within ninety (90) days. If you have any questions about your certificate, please contact the American Osteopathic Board of Emergency Medicine at (312) 335-1065. in order for.your AOA board certification to remain in "active" status, you must continue to meet maintenance of certification requirements. Information regarding criteria for the maintenance of certification, including Iicensure,.continuing medical education, and AOA membership may be found on the AOA website at www.osteopathic.org/inside-aoaldevelopmentlaoa-board-certification. If you have questions. regarding your osteopathic certification, you may contact the AOA Division of Certification at (800) 621-1773, ekt. 8266. Professional certification demonstrates your commitment to the osteopathic medical profession. Congratulations again on your achievement. • Sincerely Yours, • Cheryl Gross, MA, CAE, Secretary cc: American Osteopathic Board of Emergency Medicine ;Specialty College AOA Division of Certification 167 -:is recognized as having successfully completed the ATLSO Course for Doctors according to the stanclsrds established by the ACS Committee on Trauma. • Karen Brawl, ran, FAGS icaranbir S. GiU, MD PACs Chairperson, ACS Chairperson, ATL Subcommittee State/Provincial Committee on Trauma Date of Issue: 08/31/2010 COMMITTEE ON TRAUMA AILS Course Director • • • Date of Expiration: 08/31/2014 Paul J. Adams, DO isrecognized as having successfally completed the MIS® Coarse for Doctors according -to the standards established by the ACS Committee on Trauma. Issue Date:08/31/2010 Expiration Date:01/31/2014 Chairperson, AILS Subcommittee ACS Chairposon, State/Provincial . Committee on Trauma ATLS Course Director CS: 36623-P ATLS ID230440 Replacement AILS cards are available for a $10 USD fee. 168 Ani ican Heart • Association Learn and Live ACLS Provider 1000 W.. McNab Rd., 954-943-8002 Course PAUL ADAMS , D.O. Location Get CPR Smart 954-91.4-5422 This card certifies that the above Individual has successfully completed the natimlal cognitive and skills evaluations In Instructor for Al Lawrence accordance with iha ctmicuhmr of the American Heart Association for the Advanced Cardiovascular Life Support Program Holder's JUNE 2 010 JUNE 2 012 Stgnehae Issue Date Recommended Renewal Date r' American Heart Association Learn and Live Healthcare Provider • PAUL ADAMS, J.O. This card certifies that the above individual has successfully completed the national cognitive and stdlis evaluations in accordance with the curriculum of the American Heart Association for the BLS far Healthcare Providers (CPR & AED) Program. JUNE 2010 JUNE 2012 Issue Date Recommended Renewal Date I INSERT NEXT RECORD INDICATOR RERE) American Academy of Pediatrics r- i PALS Provider PAUL ADAMS, B.O. American Heart Association Learn and Live This card certifies that the above individual has successfully completed the national cognitive and skills evaluations in accordance with the curriculum of the American Heart Association for the Pediatric Advanced Life Support Program. JUNE ''2010 - • JUNE 2012 4 3 Issue Date Recommended Renewal Date zNAg 02000Amad®1 Meat As lmz 7Ampatrry withrds tmdwaagar Its appearances 70-2920 TO Address Contact info MOO W. McNab Rd-, 954 94340D2 Course Location Get CPR Smart 954 914-5422 70-292D R1/08 Instructor Al Lawrence Holder's Signature C 2000 Autarlcan Hearn Aare Iat/0n Temperingwdh rids old WI alter Its eppsamme. 70-2916 70-29f6 R1/08 Training Professional Medical Education, Inc.. Center TO Address Contact Info. 1-800-606-9023 www.pmeinc.net Course Get CPR Smart, Inc. Location Al Lawrence Instructor Holder's Signature 02000AmerieanHcratArreciallei TAmpmingmthrldsrem Tcalorilssppeamace. 70.2000 169 t. e DEA REGISTRATION THIS REGISTRATION FEE NUMBER IDVIREa PAID RA8786747 06-30-2013 $551 SCHEDULES BtJ EszACTMTY DATE ISSUED 2,2N,3 PRACTITIONER 3N,4,5 05-26-2010 • ADAMS,PAULJ,DO CLEVELANDCLINIC FLORIDA EMERGENCYMEDICINE 3100 WESTON ROAD WESTON, FL33331 CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE UNITED STATES DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATION WASHINGTON. D.C.2B5S7 Sections 304 and 1008 (21 U.S.C. 824 end 958) al the Controlled Substances Act o7 1970, as amended, provide That the Attorney General may revoke or suspend a registration to manufacturer, distribute, dispense, import or etrpml a tantretied substance. THIS CEHi1FRCA1E 13 NOT TRANSFERABLE ON CRANDE OF OWNENSI8P, CONTROL, LOCATION, OR OU3NESS ACTIVITY; AND 13 NOT VALIDAFIER WE EXPIRATION DATE. DEA REGISTRATION NUMBER CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE UNITED STATES DEPARTMENT OF JUSTICE DRUG ENFORCEMENTADMINISTRA31ON WASHINGTON, D.C, 20537 THIS REGISTRATTOTI' DLPIR'Sc FEE PAID BA8786747 0630-2013 $551 SCHEDULES BUSItVEss ACTNtTY DATE ISSUED 2,2N,3 PRACTITIONER 3N,4,5 115-26-2010 ADAMS, PAUL J, DO CLEVELAND CLINIC FLORIDA EMERGENCY MEDICINE 3100 WESTON ROAD WESTON, FL33331 Section's 304 and 1008 (21 DLSC. 824 and 9510 of the Controlled Substances Act of 1970, as amended, provide That the Attorney 'General may revoke or suspend a registration to manufacture, distribute, dispense, import or export a cantrolled substance. THIS CERTIFICATE IS NOTTRANSFERABLE ON CHANGE OF OWNERSHIP, CONTROL, LOCATION, BUSINESS ACTWf1 Y, OR VALUD AFTER THE EXPIRATION DATE. https://www.deadiversion.usdoj.gov/webfOrms/dupeCertPr ntCert.d0 6/1/2010 170 Addendum #1 X<SNNETH ROBERTSON IOBNNY MARTINBZ, P.B. Chief Procurement offices City Manager ADDENDUM NO. 1 .RFP No. 289267 March 15, 2012 Request for Proposals (RFP) for Medical Direction Services for EMS TO: ALL PROSPECTIVE PROPOSERS: The following changes, additions, clarifications, and deletions amend the RFP documents of the above captioned RFP, and shall become an integral part of the Contract Documents. The remaining provisions are now in effect and remain unchanged. Please note the contents herein and reflect same on the documents you have on hand. QI: Please provide a list of interested vendors for this RFP. Al: in addition to this RFP being publicly noticed An three (3) newspapers of general circulation, the following additional potential Proposers received an electronic notification via the City's Oracle system: 6 D.O.F. Consultants LLC Basil Mangra MD PA Center for Disease Detection, - Concentra JMB BioMed International Las Mercedes Medical Center Laurel Medical Management Group Managed Medical Equipment, Inc Metro Dade Firefighters Wellness . Risk & Insurance Management Services Jackson Memorial. Hospital Baptist Health South Florida Mercy Medical Development Inc Metropolitan Health Comm Sery Mount Sinai Medical Center Larkin Community Hospital Kendall Regional Medical Center Miami Beach Community•Health.Center North Shore Medical Center Palmetto General Hospital Aventura Hospital & Medical Center University of Miami Miller School of Medicine Medical Staffing Network CityCare Health Inc lnphynete South Broward ,Inc. ALL OTHER TERMS AND CONDITIONS OF THE RFP REMAIN THE SAME. Sincerely, Kehnneth Robertson Director/Chief Procurement Officer KR/ yg Cc: RFP File Page 1 172 EXHIBIT "C" SCOPE OF SERVICES The City intends to secure medical direction services under afour (4) tier system as follows: TIER 1: MEDICAL DIRECTOR The TRUST shall designate an individual who will act as Medical Director and who shall have the following responsibilities, at a minimum: 1. Supervise and provide medical oversight for the medical performance of the City's Paramedics and Emergency Medical Technicians ("EMT's"), as required in Florida Statute § 401.265(2011), as amended; , 2. Supervise and prescribe medical oversight to the City's Public Access Defibrillation ("PAD") Program. This shall include the issuance of Prescriptions for any AED that is installed under the PAD Program. 3. Select physicians, described in Tier 3 and Tier 4, for 24 hour on-line medical. control; 4. Ensure the satisfactory performance of Associate Medical Director (Tier 2), Tier 3, and Tier 4 physicians; 5. Upon appropriate notice from the City, bar. from further participation in the performance of medical direction services any lower tier physicians who fail to perform in a manner commensurate with the expectations of the City; 6. Develop and sign medically correct standing orders (treatment protocols) for Advanced Life Support ("ALS") and Basic Life Support ("BLS") care, and medically -related policies and procedures, and subsequently review such policies and procedures to ensure correctness at least every two (2) years; 7. Be available (or designate an alternate physician during periods of unavailability) 24 hours a day, 365 days a year, to answer system questions of an emergent or immediate nature that are beyond authority of the Tier 3 and Tier 4 physicians; 8. Provide medical oversight for and participate as a member of the. City's Quality Management Program ("QMP") and Continuous Quality Improvement ("CQI") Committee for medically - related issues. Such participation shall require attendance at a minimum of 40 meetings per year (average duration is 2 hours); 9. Participate as a member of the Medical Priority Dispatch System's ("MPDS") Steering Committee, and attend its meetings. MPDS Committee has 4 to 6 meetings per year, each with an average duration of 2 to 3 hours; 12 10. Provide medical oversight for the City's MPDS Quality Assurance Program ("QAP") which monitors the dispatching of EMS units; 11. Attend and actively participate in a majority of the State of Florida's Quarterly EMS Meetings, particularly those meetings regarding the development of State policies and procedures, legislation and proposed legislation review, etc. Issue a report to the City on issues relevant to it; 12. Participate in an ongoing program of Protocol Testing of all system paramedics; 13. Participate in the Infection Control Program and aid in the development "of the program's policies and procedures; 14. Provide prescriptions and authorization for all medications and medical equipment, including controlled substances; 15. Obtain and maintain a Drug Enforcement Agency ("DEA") license for the City of Miami's Department of Fire -Rescue; 16. Develop and revise, when necessary, Trauma Transport Protocols to comply with the State of Florida requirements; 17. Evaluate and approve continuing education hours for re -certification of paramedics, EMT's, and Emergency Medical Dispatchers ("EMD's"); 18. Consult with the Department of Fire -Rescue on medically -related issues for EMS personnel (e.g. legal issues, policy development on issues such as, but not limited to: Dive Team, Technical Rescue Team or Hazardous Materials Team medical evaluations, etc.) on an as needed basis; 19. Fulfill all duties required of the Medical Director under Florida Statutes, Section 401.2701(2011), for the City of Miami Department of Fire Rescue - Miami Dade County Public Schools Emergency Medical Service Training Programs, including being actively involved with the evaluation of students' performance throughout the training program and, certifying that graduates have successfully completed all phases of the training program and are proficient in basic or advanced life support techniques, as applicable; and 20. Perform such other duties as may be negotiated or required. The Village of Key Biscayne, Florida receives its Medical Direction Services from the City of Miami. Therefore, the Medical Director shall have additional responsibilities relating to the needs of the Village of Key Biscayne's Department of Fire -Rescue. Medical Director must perform all services to Keyaiscayne in the same manner as provided to the City, in addition to the following responsibilities: 1. Review 100% of ALS incidents (report review and crew remediation if necessary) and completion of the Quality Assurance Form; 13 2. Review 25% of all BLS incidents (report review and crew remediation if necessary); 3. Meet monthly with EMS Captain or Department Designee (2 hours per month); and 4. Meet bi-annually with the Deputy Fire Chief (2 hours each meeting); Minimum Qualifications for Medical Director The Medical Director must satisfy the following minimum qualifications: • Florida licensed Medical Doctor ("M.D.") or Doctor of Osteopathy ("D.O."); • Board certified or Board qualified in Emergency Medicine preferred; or Board certified or Board qualified in Internal Medicine or Family Practice, with a minimum of two (2) years experience as a physician in an Emergency Department in the past five (5) years; • Advanced Cardiac Life Support ("ACLS") and Advanced Trauma Life Support ("ATLS") provider certification, with instructor certification in at least one of them; • Primary residence and work location within standard portable radio range of the City's radio system, in order to monitor calls as needed (i.e., not to exceed 25 miles in any direction from the Main transmitter located at 111 NW 1st Street, Miami, FL); • Shall possess education and/or experience in EMS education; • Possess a minimum of two (2) years experience as an EMS Medical Director in the State of Florida or four (4) years as an Assistant Medical Director in the State of Florida or four (4) four years as a Medical Director in a State other than Florida; • Be Drug Enforcement Administration (DEA) licensed for Schedule II, IV, and V controlled substances; and • Satisfactorily fulfill all responsibilities and comply with all qualifications listed herein throughout the duration of the contract with The TRUST. TIER 2: ASSOCIATE MEDICAL DIRECTOR The TRUST shall designate an individual who will act as Associate Medical Director and who shall have the following responsibilities, at a minimum: 1. Report to EMS Medical Director; 2. Maintain familiarity with all equipment and medications carried on ALS units; 3. Maintain familiarity with all EMS protocols and policies; 4. Maintain familiarity with federal, state, and local laws and administrative codes as they apply to EMS; 5. Maintain knowledge and skills in Disaster Management and in local, federal, and state disaster response plans; participate in MCI drills with Miami Fire Rescue (MFR); 6. Serve as Acting Medical Director during the Medical Director's absence; 14 7. Respond to EMS scenes with EMS crews for training and quality management; 8. Review and approve EMT recertification course content; 9. Investigate new EMS equipment or treatments for adoption by MFR; 10. Participate in ALS classroom teaching (lectures or procedural skills) and course development; 11. Participate in development and revision of EMS medical protocols; 12. Participate in education and evaluation of new recruits during their probationary period; 13. Participate in medical control radio coverage at The TRUST's location; 14. Develop an EMS research project with the Medical Director; 15. Develop Tactical EMS protocols; 16. Assist Quality Management (QM) officers with periodic QM newsletter; 17. Participate in Hazardous Materials response planning; 18. Work an average of eight (8) hours per week over an annual period; 19. Attend majority of meetings for: o EMS Equipment Committee; o Region 7 WMD committees (primarily EMS); o Miami -Dade County OEM meetings for hospitals and/or EMS; and o MFR Curriculum Committee 20. Attend the following meetings periodically: o MFR CQI Committee meetings; o FOAM-D EMS Subcommittee; and o Area hospital meeting 21. Assist the Medical Director with the following: o Liaison to local Emergency Departments on EMS issues; o Participation in Continuous Quality Improvement program; o Protocol re -testing of paramedics; o Attendance and participation at State Bureau of EMS meetings; o PAD Program; o Orientation and assistance for Tier 4 Radio Physicians (residents); and 15 o Emergency Medical Dispatch oversight; Minimum Qualifications for Associate Medical Director The Associate Medical Director must satisfy the following minimum qualifications: • Florida -licensed M.D. or D.O.; • United States ("US") residency -trained and board certified in his/her specialty; • Advanced Cardiac Life Support ("ACLS") certified and either Advanced Trauma Life Support ("ATLS") or Pediatric Advanced Life Support ("PALS") certified, with instructor certification in at least one of those fields; • Minimum of two (2) years experience in EMS -related duties; and • Satisfactorily fulfill all responsibilities and comply with all qualifications listed herein throughout the duration of the contract with The TRUST. TIER 3: PRIMARY RESPONSE PHYSICIANS' GROUP (ON-LINE MEDICAL ADVISORS) The TRUST shall designate a group of Primary Response Physicians (on-line Medical Advisors accessible by radio) who shall have the following responsibilities at a minimum: 1. Report to the Medical Director; 2. Monitor City of Miami Medical Channel radio traffic on a 24 hour per day, 365 days per year basis, either through direct radio response to each EMS call (no matter what the destination hospital), or by monitoring the Tier 4 physicians response. Tier 3 Physicians shall have responsibility to immediately override any advice given by Tier 4 physicians that is not in accord with departmental protocols or standard of care for EMS; 3. Act in accordance with City EMS protocols, and medical policies and procedures; 4. Maintain a current knowledge of City EMS protocols and medical policies and procedures to the satisfaction of the Medical Director; 5. Ride with City's EMS crew for a minimum of four (4) hours prior to assumption of duties; 6. Train with the Medical Director for the period designated by the Medical Director prior to assumption of duties; 7. Develop knowledge in the operation of the City's EMS system prior to assumption of duties; and 8. Develop knowledge of the City's EMS protocols (standing orders) prior to assumption of duties. 16 Minimum Qualifications for the Primary Response Physicians' Group (On -Line Medical Advisors) The Primary Response Physicians Group must satisfy each of the following minimum qualifications: • Florida licensed M.D. or D.O. • Advanced Cardiac Life Support ("ACLS") Provider • Possess Active medical staff privileges at a hospital, within the corporate limits of the City of Miami. TIER 4: FIRST RESPONSE RADIO PHYSICIAN GROUP The TRUST shall designate a group of First Response Radio Physicians who shall have the following responsibilities at a minimum: 1. Monitor and respond to City of Miami Medical Channel radio traffic on a 24 hour per day, 365 days per year basis, with medically appropriate orders, and be available by radio to on -scene EMS personnel as a resource for treatment and/or transportation questions of an immediate nature; 2. Train with the Medical Director prior to assumption of duties; 3. Be available during a tour of duty at a hospital within the jurisdiction of the City of Miami to answer questions from, and interact with, City of Miami Fire -Rescue EMS crews in reference to their duties; 4. Maintain a current knowledge of City EMS protocols and medical policies and procedures to the satisfaction of the Medical Director; 5. Develop knowledge in the operation of the City's EMS system prior to assumption of duties; and 6. Develop knowledge in the City's EMS protocols (standing orders) prior to assumption of duties. Minimum Oualifications for the First Response Radio Physician Group The First Response Radio Physicians must satisfy each of the following minimum qualifications: • Possess active medical staff privileges, if individually licensed, or residency in good standing with an accredited training program, at a hospital within the corporate limits of the City of Miami. • Possess a M.D. or D.O. with either an individual Florida Medical License or licensed under a hospital license for physicians in an accredited residency training program. Physicians in residence must have entered at least their Second (2nd) year of residency. 17 III. ADDITIONAL DUTIES FOR THE TRUST In addition to the foregoing, the TRUST shall have the responsibility, at a minimum, to: 1. Remunerate the Medical Director, Associate Medical Director, and the physicians described in Tier 3 and Tier 4. 2. Schedule Tier 3 and Tier 4 physicians to ensure adequate coverage, and, prior to the first (1st) of every month, supply the City with a work schedule of the Tier 3 physicians for that month. 3. Document and supply education, training, and quality management for all physicians described in Tier 3 and Tier 4 4. Provide such other administrative support, including office space, to Medical Director as may be required to perform the medical direction services. 5. To the extent appropriate, support legal services such as- limited case review, as may be required by the Medical Director in the performance of his/her responsibilities. 6. Comply with the below listed requirements and all applicable Health Insurance Portability and Accountability Act of 1996 ("HIPAA") requirements as they pertain to Miami Fire -Rescue ("MFR") patients and those patient's medical records. The The TRUST, including his/her agents, servants, subcontractors and employees, shall carry out its obligations under his Agreement in compliance with the privacy regulations of HIPAA as amended from time to time, and the regulations promulgated therein, in order to protect the privacy of all individually identifiable Protected Health Information ("PHI") that is created, received, collected, processed or learned as a result of the services provided pursuant to this RFP. In conformity therewith, the The TRUST shall agree that he/her and his/her agents, servants, subcontractors, and employees shall: a. Not use or further disclose PHI except as permitted under this Agreement or required by law; b. Use appropriate safeguards to prevent use or disclosure of PHI except as permitted by this Agreement and shall not use or further disclose PHI in a manner that would violate HIPAA's requirements if done by Miami Fire -Rescue; c. As soon as reasonably practical, report to MFR any use or disclosure of PHI not provided for by this Agreement of which The TRUST becomes aware, and mitigate, to the extent possible, any harmful effect of such use or disclosure of PHI; d. Ensure that any business associates, agents or subcontractors, to whom The TRUST provides PHI, or who have access to PHI, agree to the same restrictions, terms, and conditions that apply to The TRUST with respect to such PHI; e. Make PHI available to MFR and to individuals who have a right of access to information under HIPAA; 18 f. Incorporate any amendments to PHI in accordance with HIPAA when notified to do so by MFR; g. Provide an accounting to the City's authorized representative of all uses or disclosures of PHI made by The TRUST, in accordance with HIPAA, within sixty (60) days; h. At the termination or expiration of any Agreement, The TRUST shall return to MFR all PHI received from, or created or received by The TRUST on behalf of MFR that The TRUST still maintains in any form and shall not retain copies of such information. If such return is not feasible, The TRUST shall continue to protect such PHI in accordance with this Agreement and HIPAA, and must limit further uses and disclosures of such PHI for those purposes that made the return of such PHI not feasible. i. Except as otherwise limited in an Agreement, The TRUST may use or disclose PHI to perform functions, activities, or services for, or on behalf of, the City as specified in the Agreement, provided that such use or disclosure would not violate HIPAA's requirements if done by MFR. j. The TRUST may, if necessary, use and disclose PHI for the proper management and administration of The TRUST or to carry out the legal responsibilities of The TRUST. However, in order to disclose PHI: i. The disclosure must be required by law; or ii. The TRUST must obtain reasonable assurances from the person to whom the information is disclosed that it will be held confidentially and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person; and iii. The person must notify The TRUST of any instances of which it is aware in which the confidentiality of the information has been breached. 7. Shall protect, defend, reimburse, indemnify, and hold the City, its' agents, employees and elected officers, harmless from and against all claims, liability, expense, loss, cost, penalties, damages or causes of action of every kind or character, including attorney's fees and costs, whether at trial or appellate levels or otherwise, arising as a result of any disclosure of protected health information due to the actions or inactions of The TRUST. IV. DUTIES OF THE CITY The City shall have the responsibility to: 1. Pay the The TRUST, as compensation for services, the negotiated dollar amount. 2. Ensure that all paramedical and Emergency Medical Technician personnel assigned to advanced life support vehicles are approved by the Medical Director and the Department of Fire - Rescue; 19 3. Provide the Medical Director a list of equipment carried on the advanced life support vehicles which shall be in accordance with the equipment required by regulations of the Department of Health and Chapter 401 of the Florida Statues; 4. Carry said equipment on all EMS vehicles used. In the event the Medical Director determines that the equipment listed does not meet the requirements of the regulations, the City agrees that it will immediately take the necessary action to bring the equipment carried on the advanced life support vehicles into compliance with the regulations; 5. To support the Medical Director by providing the personnel (paramedic, EMT's, EMD's), to support protocol development and review in conjunction with the Medical Director, and to provide Quality Assurance review in each division in keeping with regulations of the Department of Health, Florida Administrative Code 64.-E, and Florida Statute 401. Necessary support positions include those of a full-time Paramedic Instructor, of two (2) full-time Quality Management ("QM") Officers, and of sufficient part-time training personnel to provide twenty- four (24) hours per week of medical educational support in addition to that provided by the Paramedic Instructor and QM Officers. In addition, a full-time Quality Assurance Officer for Emergency Medical Dispatch must be assigned, and sufficient part-time personnel for Quality Assurance reviews, dispatcher education, and other requirements to meet national certification standards of the Medical Priority Dispatch System. Assignment of specific support personnel is subject to the approval by a Selection Committee with Representatives from MFR Labor and Management. The Medical Director or his/her designee will be a part of this Selection Committee. 6. Provide and maintain a radio communication system that assures effective and un-interrupted radio communication capability between EMS personnel and the designated radio physician. 7. To the extent appropriate, support legal services such as limited case review as may be required by the Medical Director in the performance of his/her responsibilities. 8. Provide remote access to Fire -Rescue Computer Aided Dispatch ("CAD") and Records Management System ("RMS"). 20 PROPOSAL FROM SECOND -HIGHEST RANKED FIRM: INPHYNET SOUTH BROWARD D/B/A TEAMHEALTH SOUTHEAST KENNETH ROBERTSON• Chief Procurement Officer (gag -of Atiami Dr. Frederick Keroff, M.D., FACEP Inphynet South Broward d/b/a TeamHealth Southeast 3501 Johnston Street Hollywood, FL 33021 May 4, 2012 JOHNNY MARTINEZ, P.E. City Manager SENT VIA EMAIUFAX: FKEROFF(E MHS.NET 954-893-3759 RE: Request for Additional Information - RFP 289267 Medicai Direction Services for EMS Dear Dr. Keroff: Pursuant to Section 4, Submission Requirements, subsection 7), of the RFP document, Prospective Proposers were required to do the following: Costs for the provision of all required services for the Village of Key Biscayne must be listed separately from those of the City of Miami. (...j Proposer shall provide an itemized Cost/Fee Proposal that encompasses all cosVfees associated with providing medical directions services to the City of Miami, and the Village of Key Biscayne, as outlined herein." Upon review of your Compensation Proposal, we realized that you failed to list separately, from that of the City of Miami the cost .for the provision of medical direction services to the Village of Kev Biscayne. • As such, utilizing the spaces below, please tternize your cost proposal to clearly identify the costs to the City of Miami and Village of Key Biscayne separately. Please note: your Itemized compensation below must not exceed the total dollar amounts submitted in your proposal response received March 22, 2012 Failure to follow this requirement shall deem your proposal as non -responsive and shall disqualify your firm from consideration City of Miami Village of Key Biscayne Total Medical Director ._ sb, 000 /Oi OQO— $50,000 Associate Medical Director a CI 000 )pp `" $30,000 PLI Insurance for the Medical Director and the Associate Medical Director _- '1; c� at COOT $10,000 Tier 3 and 4 Physicians . 7 t%, OOGY! (o .000 " $50,000 PU Insurance for the Tier 3 and Tier 4 Physicians t �� -- (oOO -•—• $5,000 TOTAL • 1 30 t c100 — a9 t too - • $155,000 Please sign and date below to cerrtiiffy� your response above: f i�cc�es�ic j4cca? t'C' • Print Name • Title Signs Date Dr. Frederick Keroff, M.D., FACEP May 4, 2012 Page 2 A response to this letter must be submitted to the attention of Mr. Yusbel Gonzalez, via email: ygonzalezna miamigov.com or fax: 305-400-5104, by no later than Monday, May 7, 2012, at 5:00 P.M. Failure to respond by the stipulated date and time may deem your proposal as non -responsive. Thank you for your cooperation. Sincerely, Kenneth Robertson ee Director/Chief Procurement Officer KR:yg Cc: Bid File Enclosure: Compensation Proposal Request for Proposals (RFP) 289267 COMPENSATION PROPOSAL Proposer shall outline its annual costs/fees for providing the Medical Direction Services under the four (4) tier system as required in this RFP. Costs for the provision of all required services for the Village of Key Biscayne must be listed separately from those of the City of Miami. The City requests, if possible, that Proposer's annual costs/fees remain fixed and firm for the first three (3) years of the contract. Proposer's cost shall include the cost of staffing the Medical Director, Associate Medical Director, Primary Response physician, First Response Radio Physicians, administrative services, obtaining any facilities that may be necessary for training, and any other costs that may be encountered in performing all of the services specified within this RFP. Proposer shall provide an itemized Cost/Fee Proposal that encompasses all cost/fees associated with providing medical direction services to the City of Miami, and the Village of Key Biscayne, as outlined herein. Services and related Cost/fees for any optional services not specified may be proposed by the Proposer. As part of contract negotiations, the City has the right to negotiate the proposed costs for services under each tier and/or remove tiers for which the City considers costs to be unreasonable. Medical Director $60,000 Associate Medical Director $30,000 PLI insurance for the Medical Director and the Associate Medical Director $10,000 Tier 3 and 4 physicians $50,000 PLI insurance for the Tier and 4 physicians $5,000 TOTAL COMPENSATION PROPOSAL $155,000 Dr_ Keroff believes thatthis compensation proposal can be reduced by $55,000 to a total of $100,000 by removing the monies for the Tier 3 and 4 physicians. Dr. Keroff does not believe thatthe Emergency Department physicians require any additional money to provide the limited amount of oversight that is usually offered by ED physicians. Respectfully submitted. 12 Lte: 4/13/2012 Time: 4:07 PM' To: 1.9548933759 Cx' of Miami Page: 003 KENNETH ROBERTSON Chief Procurement Officer Dr. Frederick Keroff, M.D., FACEP Inphynet South Broward d/b/a TeamHealth Southeast ' 3501 Johnston Street Hollywood, FL 33021 JOHNNY MARTINEZ, P.E. CityManager . April 12, 2012 SENT VIA EMAIL/FAX: FKEROFF(6 MHS,NET 954-893-3759 RE: Request for Additional Information/Documentation - RFP 289267 Medical Direction Services for EMS Dear Dr. •Keroff: The City of Mlaml Purchasing Department is in the process of evaluating your proposal response to.RFP 289267, Medlcai Direction Services for EMS. In an effort to move forward with the evaluation of your proposal response, we need additional Information regarding• your response. Pursuant -to Section 1.34, EVALUATION OF RESPONSES, the4ollowing is reflected: - A. Refection of Responses The City may reject a Response for any of the following reasons: 1) Bldder/Proposerfails to acknowledge receipt of addenda In your proposal response, you failed to acknowledge the receipt.of Addendum No. 1, published on March 15, 2012. Therefore, at this time, we request that you please sign and date below to acknowledge receipt of Addendum No. 1 (enclosed) published under RFP 289267. Print Name Signature,44.4e 40z au r ,g 1571-14 WV61 hirLaDr-cAP rile et> )cli r\) ice S A response to this letter must be submitted to the attention of Mr. Yusbe! Gonzalez, via email: ygonzatez(a miamkrov.com or fax: 305-400-5104, by no later than Tuesday, April 17. 2012, at 5:00 P.M. Faliure to respond by the stipulated date and time may deem your prop6sai non -responsive. Thank you for your cooperation. KR:yg Cc: Bid File Enclosure: Addendum No.1 Date Sincerely, Kenneth Robertson Director/Chief Procurement Officer Request for Proposals (RFP) 289267 PROPOSAL TO PROVIDE MEDICAL DIRECTION SERVICES TO THE CITY OF MIAMI DEPARTMENT OF FIRE -RESCUE FOR ITS EMERGENCY MEDICAL SERVICES RFP 289267 PROPOSER'S NAME: INPHYNET SOUTH BROWARD D/B/A TEAMHEALTH SOUTHEAST CONTACT PERSON: FREDERICK KEROFF, M.D., FACEP FIRM'S LIAISON FOR THE CONTRACT: FREDERICK KEROFF,. M.D., FACEP OFFICE LOCATION: 3501JOHNSON STREET HOLLYWOOD, FLORIDA 33021 BUSINESS PHONE: 954-265-6307 FAX NUMBER: 954-893-3759 EMAIL ADDRESS: FKEROFFa@MHS.NET TITLE OF RFP: MEDICAL DIRECTION SERVICES FOR EMS RFP NUMBER: 289267 FEDERAL EMPLOYEE IDENTIFICATION NUMBER: 65-0726225 1 City of Miami... Request for Proposals (RFP) Purchasing Department Miami Riverside Center 444 SW 2nd Avenue, 6th Floor Miami, Florida 33130 Web Site Address: http://ci.miami.fi.us/procurement RFP Number: Title: Issue Date/Time: RFP Closing Date/Time: Pre -Bid Conference: Pre -Bid Date/Time: Pre -Bid Location: Deadline for Request for Clarification: Buyer: Hard Copy Submittal Location: Buyer E-Mail Address: Buyer Facsimile: 289267 Medical Direction Services for EMS 01-MAR-2012 03/23/2012 @ 14:00:00 None Monday, March 12, 2012 at 5:00 PM Gonzalez, Yusbel City of Miami - City Clerk 3500 Pan American Drive Miami FL 33133 US YGonzalez@ci.miami.fi.us (305) 400-5104 Page 1 of 45 Certifications Legal Name of Firm: Entity Type: Partnership, Sole Proprietorship, Corporation, etc. Year Established: Office Location: City of Miami, Miami -Dade County, or Other S\ti.rtt'AStt..� ?{._ Occupational License/Business Tax Receipt Number 45--co`/a Occupational License/Business Tax Receipt Issuing Agency: Occupational License/Business Tax Receipt Expiration Date: Respondent certifies that (s) he has read and understood the provisions of City of Miami Ordinance No. 10032 (Section 18-110 of the City Code) pertaining to the implementation of a "First Source Hiring Agreement": (Yes or No) Yes Do you expect to create new positions in your company in the event your company was awarded a Contract by the City? (Yes or No) In the event your answer to question above is yes, how many new positions would you create to perform this work? tf Please list the title, rate of pay, summary of duties, number of positions, and expected length or duration of all new positions which might be created as a result of this award of a Contract. Please list and acknowledge all addendum/addenda received. List the addendum/addenda number and date of receipt (i.e. Addendum No. 1, 7/1/12). If no addendum/addenda was/were issued, please insert N/A. Page 3 of 45 Certification Statement Please quote on this form, if applicable, net prices for the item(s) listed. Return signed original and retain a copy for your files. Prices should include all costs, including transportation to destination. The City reserves the right to accept or reject all or any part of this submission. Prices should be firm for a minimum of 180 days following the time set for closing of the submissions. In the event of errors in extension of totals, the unit prices shall govern in determining the quoted prices. We (I) certify that we have read your solicitation, completed the necessary documents, and propose to furnish and deliver, F.O.B. DESTINATION, the items or services specified herein. The undersigned hereby certifies that neither the contractual party nor any of its principal owners or personnel have been convicted of any of the violations, or debarred or suspended as set in section 18-107 or Ordinance No. 12271. All exceptions to this submission have been documented in the section below (refer to paragraph and section). EXCEPTIONS: We (I) certify that any and all information contained in this submission is true; and we (I) further certify that this submission is made without prior understanding, agreement, or connection with any corporation, firth, or person submitting a submission for the same materials, supplies, equipment, or service, and is in all respects fair and without collusion or fraud. We (I) agree to abide by all terms and conditions of this solicitation and certify that I am authorized to sign this submission for the submitter. Please print the following and sign your name: SUPPLIER NAME- ADDRESS- �sO 1 �{ �(nhaa� S " i 1 l 11wcaj tPt- `aa 4` PHONE: f4 - bcg- FAX 9sq ` EMAIL• —P14 zz-A0 SIGNED BY- 4 TITTLE: Frederick M, Ke , M.D., FACEP BEEPER -32r q4- DATE• Mw4ck FAILURE TO COMPLETE. SIGN, AND RETURN THIS FORM SHALL DISOUALIFY THIS BM. Page 2 of 45 Request for Proposals (RFP) 289267 March 21, 2012 Executive Summary Dr. Keroff has read and understands the requirements of the Scope of Work stipulated within this RFP and believes that he has the experience and the will to provide an outstanding job for medical direction for the EMS services of the City of Miami. Dr. Keroff's experience with other local EMS agencies has prepared him to understand the issues confronting EMS agencies, the management and quality oversight of paramedics, and he can provide effective dealings with other agencies and area hospitals. It will be his pleasure to work with the City of Miami in this role. 13 Request for Proposals (RFP) 289267 Proposer's Qualifications and Experience a) Describe the Proposer's organizational history and structure Years Proposer has been in business providing a similar service(s), and Indicate whether the City has previously awarded any contracts to the Proposer Page 6 b) Provide a list of all principals, owners, or directors ...»._.»....».»...•»•..•.. Page 7 c) Identify the location from where the services will be performed Page 7 d) Provide a complete list of clients for which Proposer has provided a similar service as required in this RFP, and that can attest to the Operation and management, and/or other relevant experience, of Proposer. This list should include those governmental entities of a similar size and diverse population to the Cty of Miami, for whom services have been performed during the past five (5) years, particularly in the South Florida area. Include the address, phone number(s), email address and contact persons within each organization. References are subject to verification by the City and may be utilized as part of the evaluationprocess..._._._._._._._._._............._._...._............._..»_.......».».».»..._,.».».._.Page 7 e) Provide copy(s) of all current applicable license(s) to provide required Services stated in this RFP Attachment A f) Discuss Proposer's access to facilities (Le. operating rooms, emergency rooms, classrooms) in which to train EMS staff, as may be necessary. Facilities are subject to inspection by the City and may be utilized as Part of the evaluation process Page 8 g) Provide the names of the hospitals, located within the corporate limits/ Jurisdiction of Miami/Dade County, with which the Proposer, Medical Director and/or lower tier physicians have a relationship and discuss said relationship Page 8 h) Provide a list of clients that have, for whatever reason, discontinued to use Proposer's services within the past three (3) years, and indicate the reasons for the same. The City reserves the right to contact any reference as part of the evaluation process Page 8 2 Request for Proposals (RFP) 289267 I) Provide a minimum of two (2) Letters of Reference on letterhead from similar entities to the City of Miami for whom similar services have been performed by Proposer. The City reserves the right to contact any reference as part of the evaluation process..._.........._......._._.w .Attachment B j) Provide any other information or documentation that demonstrates the Proposer's ability to perform the work required within this RFP..._...._...._..............Page 8 MEDICAL DIRECTOR'S QUALIFICATIONS AND EXPERIENCE a) Identify the individual who shall serve as Medical Director—. 9 b) Provide detailed experience and current and complete resume of Medical Director for the performance of Medical Direction Services as specified in this RFP. The City reserves the right to contact any reference as part of the evaluation process...._..._ Page 9 c) Provide a copy of all medical licenses, including Medical Director's M.D. or D.O.; any Board Certifications; ACLS/ATLS certifications (including instructor certification in one of those); any certificates obtained for EMS education and/or training; and DEA licenses as provided for in the minimum responsibilities for Tier .... .Attachment A d) Discuss the participation the medical Director may have had in the development of local, regional, and state mass casualty and disaster plans, or the implementation thereof..._............................_......._............................. ...... .Page 9 e) Discuss the experience the Medical Director may have in coordinating and conducting trainingsessions .... ................... ..._......._..................._............._..............»..._Page 9 f) Discuss the primary work location of the Medical Director......_.—. ... ..._.... ..... .Page 9 g) Discuss the Medical Director's history of participation in the State of Florida's Quarterly EMS; other EMS -related organizations; and/or physicians' professional Associations, including offices held, special projects, etc Page 10 h) Provide a minimum of two (2) Letters of Reference on letterhead from similar Entities to the City for whom similar services have been performed by the proposed Medical Director. The City reserves the right to contact any reference as part of the Evaluationprocess.-- ..... —.-........-..........- ................... .......... ......... ............ Attachment B 3 Request for Proposals (RFP) 289267 i) Forthe provision of an Associate Medical Director, provide the name, contact Information, and experience of the proposed Associate Medical Director, including Resume and all applicable licenses, certifications listed under the Minimum Qualifications for Associated Medical Director section, located under Tier @, inSection 3 of the RFP......»....»....».»....».»..........»....»......................... ...».»....... »....... ...Attachment C OVERALL APPROACH AND METHODOLOGY a) Discuss in detail Proposer's Overall Approach and Methodology to the work to be Performed for each Tier, and for both the City and the Village of Key Biscayne... -.........Page 11 b) Detail the source from which Proposer will obtain candidates for lower tier (Tier 3 and 4) physician positions. Proposer shall also detail the methodology that the Medical Director will employ to secure the lower tier physicians; the size of the pool from which The Medical Director will draw; the level of experience that the lower tier physicians Are likely to have; and how the Medical Director will ensure diversity in its staff, Includinglanguage(s) spoken».».» ...... .»._.».»..... ..».»....»................ ».»................ _._...._.......Page 11 c) Provide its tentative date(s) by which Medical Director will have secured the lower tier Physicians, following contract execution, in order to perform in accordance with the Specifications of this RFP»._.»....».»....».».»....»....».»....».......».............».»................_....Page 11 d) Discuss its plan to work with the City and coordinate all required services Page 11 COMPENSATION PROPOSAL Proposer shall outline its annual costs/fees for providing. the Medical DireCtion Services under the four (4) tier system as required in this RFP. Costs for the provision of all required services for the Village of Key Biscayne must be listed separately from those of the City of Miami. The City requests, if possible, that Proposer's annual costs/fees remain fixed and firm for the first three (3) years of the contract. Proposer's cost shall include the cost of staffing the Medical Director, Associate Medical Director, Primary Response physician, First Response Radio Physicians, administrative services, obtaining any facilities that may be necessary for training, and any other costs that may be encountered in performing all of the services specified within this RFP. Proposer shall provide an itemized Cost/Fee Proposal that encompasses all cost/fees associated with providing medical direction services to the City of Miami, and the Village of Key Biscayne, as outlined herein. 4 Request for Proposals (RFP) 289267 Services and related Cost/fees for any optional services not specified may be proposed by the Proposer. As part of contract negotiations, the City has the right to negotiate the proposed costs for services under each tier and/or remove tiers for which the City considerscosts to be unreasonable.. ....... »....... ...».......... ......... ......... »....... »._................».»....... »...... .Page 12 5 Request for Proposals (RFP) 289267 Describe the Proposer's organizational history and structure Years Proposer has been in business providing a similar service(s). and indicate whether the City has previously awarded any contracts to the Proposer. InPhyNet South Broward Inc. has been in existence since 1996 and has managed the emergency room contract at the Memorial Healthcare system in South Broward County since May 1997. InPhyNet South Broward, Inc. currently employs about 125 full-time physicians and another 12 mid -level providers to render care at the South Broward Hospital system aka Memorial Healthcare System. Through Dr. Keroff, we have worked with Dade County EMS providers since 1988. Dr. Keroff was a participant of the Dade County Trauma Task Force charged with creating a county -wide Trauma system. Since 1998 Dr. Keroff has been the Medical Director for the Hialeah Fire Department. He has been the Medical Director for Miami Beach Fire Department since 2003 and the Medical Director for Coral Gables Fire Department since 2010. The City of Miami has not previously awarded any contracts to the Proposer. 6 Request for Proposals (RFP) 289267 Provide a list of all principals. owners. or directors. Owner Team Health, Inc. Directors David Grinbergs Greg Roth President Stephen Holtzclaw Executive VP Rob Evans Corporate Secretary Heidi Allen Treasurer David Jones Identify the location from where the services will be performed. Memorial Regional Hospital c/o Emergency Department Frederick Keroff, M.D. 3501Johnson Street Hollywood, Florida 33021 Provide a complete list of clients for which Proposer has provided a similar service as required in this RFP, and that can attest to the operation and management. and/or other relevant experience, of Proposer. This list should include those governmental entities of a similar size and diverse population to the City of Miami, for whom services have been performed during the past five (5) years, particularly in the South Florida area. Include the address. phone number(s), email address and contact persons within each organization. References are subject to verification by the City and may be utilized as part of the evaluation process. Mike Anchia Chief Hialeah 305-965-1087 305) 883-6908 manchia@ci.hialeahfl.gov Bill Azzinaro EMS Coord Miami Beach 954-263-2654 1-305-673-7130 WilliamAzzinaro@miamibeachfl.gov John Curry Div Chief Coral Gables 305-733-0021 1-305-460-5537 lcurry@coralcables.com Marcus de la Rosa Chief Hialeah 1-305-883-6916 305) 883-6908 mdelarosa@hialeahfl.gov Sal Frosceno Chief Hialeah 1-305-297-7601 305-883-6981 sfrosceno@hialeahfl.gov 305-297-7607 Steve LaRue Captain Hialeah 1-305-439-8971 1-305-883-6991 slarue@hialeahfl.gov Ray Morris Chief Miami Beach 1-305-796-9726 305-673-7000 RaymondMorris@miamibeachfl.gov Ext.2850 Walt Reed Chief Coral Gables 305-733-0015 1-305-460-5568 wreed@coralgables.com Eric Yuhr Chief Miami Beach 786-402-9920 305-673-7130 EricYuhr@miamibeachfl.gov 7 Request for Proposals (RFP) 289267 Provide copy(s) of all current applicable license(s) to provide required Services stated in this RFP. See attachment A. Discuss Proposer's access to facilities (i.e. operating rooms, emergency rooms, classrooms) in which to train EMS staff, as may be necessary. Facilities are subject to inspection by the City and may be utilized as part of the evaluation process. lnPhyNet South Broward, Inc. has access to the six (6) emergency rooms of the Memorial Healthcare System as well as the operating rooms for experience in airway management skills. Additional arrangements can be made with Hialeah Hospital and Palmetto General Hospital is needed. Dr. Keroff is ready to discuss any additional teaching needs with the local area hospitals to fulfill all of the needs of the paramedics and the Department. Provide the names of the hospitals, located within the corporate limits/Jurisdiction of Miami/Dade County. with which the Proposer, Medical Director and/or lower tier physicians have a relationship and discuss said relationship. Team Health Southeast contracts with Hialeah Hospital and Palmetto General Hospital for the provision of physician services in the Emergency Departments. As necessary, Dr. Keroff is ready to discuss creating additional relationships with other area hospitals. Provide a list of clients that have, for whatever reason, discontinued to use Proposer's services within the past three (3) years, and indicate the reasons for the same. The City reserves the right to contact any reference as part of the evaluation process. There are none. Provide a minimum of two (2) Letters of Reference on letterhead from similar entities to the City of Miami for whom similar services have been performed by Proposer. The City reserves the right to contact any reference as part of the evaluation process. See attachment B. Provide any other information or documentation that demonstrates the Proposer's ability to perform the work required within this RFP. Dr. Keroff has been involved with area EMS agencies since completing his training at Jackson Memorial Hospital in 1978. 8 Request for Proposals (RFP) 289267 MEDICAL DIRECTOR'S QUALJFICATIONS AND EXPERIENCE Identify the individual who shall serve as Medical Director. Frederick Keroff, M.D., FACEP Provide detailed experience and current and complete resume of Medical Director for the performance of Medical Direction Services as specified in this RFP. The City reserves the right to contact any reference as part of the evaluation process. See attachment A. Provide a copy of all medical licenses, including Medical Director's M.D. or D.O.; any Board Certifications; ACLS/ATLS certifications (induding instructor certification in one of those); any certificates obtained for EMS education and/or training; and DEA licenses as provided for in the minimum responsibilities for Tier L See attachment A. Discuss the participation the medical Director may have had in the development of local, regional, and state mass casualty and disaster plans, or the implementation thereof. Dr. Keroff has planned and participated in a number of mass casualty and disaster plans over the years both with EMS and with various hospitals in Dade and Broward Counties. Discuss the experience the Medical Director may have in coordinating and conducting training sessions. Dr. Keroff since his time as Chief Resident during his training at Jackson Memorial hospital has been actively involved in coordinating and conducting training sessions. He worked for a period of time at the Medical Simulation Lab on the JMH campus. He was an active ACLS and ATLS instructor for many years. He has held many EMS training and quality review sessions. He continues to teach paramedics, PA students, and medical students. Discuss the primary work location of the Medical Director. Dr. Keroff s office is in the Emergency Department of the Memorial Regional Hospital at 3501 Johnson Street, Hollywood, Florida 33021. 9 Request for Proposals (RFP) 289267 Discuss the Medical Director's history of participation in the State of Florida's Quarterly EMS; other EMS -related organizations; and/or physicians' professional Associations, inducting offices held, special projects, etc. Dr. Keroff was the secretary and then president of the Dade County Emergency Department Medical Director's Group in the 1980's. He was the President of the local South Florida Chapter of the American Trauma Society. He held many positions with the Miami South Florida American Heart Association including President and Florida State Board member. He is currently a member of the Florida Association of EMS Medical Directors. He is currently the Vice -Chair of the Broward County Regional EMS Counsel. Provide a minimum of two (2) Letters of Reference on letterhead from similar Entities to the City for whom similar services have been performed by the proposed Medical Director. The City reserves the right to contact any reference as part of the Evaluation process. See attachment B. For the provision of an Associate Medical Director, provide the name, contact Information, and experience of the proposed Associate Medical Director, including Resume and all applicable licenses, certifications listed under the Minimum Qualifications for Associate Medical Director Section, located under Tier 2, in Section 3 of the RFP. Randy Katz, DO Please see attachment C. Dr. Katz is currently the Medical Director of the Emergency Department of the Memorial Regional Hospital. He is also the current medical director for Medics Ambulance. 10 Request for Proposals (RFP) 289267 OVERALL APPROACH AND METHODOLOGY Discuss in detail Proposer's Overall Approach and Methodology to the work to be Performed for each Tier, and for both the City and the Village of Key Biscayne. Dr. Keroff has supervised and provided medical oversight for the Medical performance of paramedics and EMTs in his current positions as Medical Director for Hialeah, Miami Beach, and Coral Gables Fire Departments. Dr. Keroff believes that there are some unique opportunities for quality oversight and teaching the paramedics among the various Fire Departments. Dr. Keroff will work with the EMS leadership of the City to continue the excellent work that they have done and continue to do. Dr. Keroff has worked with Dr. Katz who is an outstanding physician leader. Dr. Katz will be a tremendous asset to the City Fire Department as a leader and a teacher. Currently, the Emergency Department physicians at Jackson Memorial hospital act as the Tier 3 and 4 physicians. This oversight would continue. Detail the source from which Proposer will obtain candidates for lower tier (Tier 3 and 4) physician positions. Proposer shall also detail the methodology that the Medical Director will employ to secure the lower tier physicians; the size of the pool from which The Medical Director will draw; the level of experience that the lower tier physicians are likely to have; and how the Medical Director will ensure diversity in its staff, Including language(s) spoken. Dr. Keroff will discuss with and obtain the Emergency Department physicians at Jackson Memorial Hospital, the University of Miami Hospital, and Mercy Hospital for the positions of Tier 3 and 4 oversight physicians for the City EMS units. English and Spanish speaking individuals wilt be available. Provide its tentative date(s) by which Medical Director will have secured the lower tier Physicians, following contract execution, in order to perform in accordance with the Specifications of this RFP. Within ninety (90) days of the contract execution. Discuss its plan to work with the City and coordinate all required services. Dr. Keroff has effectively worked with other municipalities in Dade County in the coordination of EMS services. Dr. Keroff was an early proponent of electronic run reports to improve the billing services of EMS. 11 Request for Proposals (RFP) 289267 COMPENSATION PROPOSAL Proposer shall outline its annual costs/fees for providing the Medical Direction Services under the four (4) tier system as required in this RFP. Costs for the provision of all required services for the Village of Key Biscayne must be listed separately from those of the City of Miami. The City requests, if possible, that Proposer's annual costs/fees remain fixed and firm for the first three (3) years of the contract. Proposer's cost shall include the cost of staffing the Medical Director, Associate Medical Director, Primary Response physician, First Response Radio Physicians, administrative services, obtaining any facilities that may be necessary for training, and any other costs that may be encountered in performing all of the services specified within this RFP. Proposer shall provide an itemized Cost/Fee Proposal that encompasses all cost/fees associated with providing medical direction services to the City of Miami, and the Village of Key Biscayne, as outlined herein. Services and related Cost/fees for any optional services not specified may be proposed by the Proposer. As part of contract negotiations, the City has the right to negotiate the proposed costs for services under each tier and/or remove tiers for which the City considers costs to be unreasonable. Medical Director $60,000 Associate Medical Director $30,000 PLI insurance for the Medical Director and the Associate Medical Director $10,000 Tier 3 and 4 physicians $50,000 PL1 insurance for the Tier 3 and 4 physicians $5,000 TOTAL COMPENSATION PROPOSAL $155,000 Dr. Keroff believes that this compensation proposal can be reduced by $55,000 to a total of $100,000 by removing the monies for the Tier 3 and 4 physicians. Dr. Keroff does not believe that the Emergency Department physicians require any additional money to provide the limited amount of oversight that is usually offered by ED physicians. Respectfully submitted. 12 ATTACH ENT A CURRICULUM VITAE Frederick Michael Keroff, M.D., FACEP Prepared August 2011 1 Address: 2883 East Lake Vista Circle Davie, Florida 33328-1127 Business Address: Personal: Education: Certifications: 3501 Johnson Street Hollywood, Florida 33021 Business: 954-265-6307 Email: Ilceroff@mhs.net Born: September 4,1948, Chicago, Illinois Married: Esther Fernandez-Keroff Children: Daniel, David, Sarah, Maia Bachelor of Science - University of Illinois - Urbana, Illinois, September 1966 - June 1970 Medical Doctor - University of Health Sciences The Chicago Medical School - Chicago, Illinois September 1970 - June 1975 Internship - Jackson Memorial Hospital University of Miami Medical School - Miami, Florida July 1975 - June 1976 Residency - Family Medicine - Jackson Memorial Hospital University of Miami Medical School - Miami, Florida, July 1976 - June 1978 Chief Resident - Family Medicine - Jackson Memorial Hospital University of Miami Medical School - Miami, Florida, July 1977 - June 1978 State of Florida - Department of Business & Professional Regulation Florida Medical License: ME0026979 Expires 01/31/2011 DEA: AK7087580 Expires 12/31/2013 American Board of Emergency Medicine Certified 1984; Recertified 1993, 2003, Expires 12/31/2013 American Board of Family Practice Certified 1978; Recertified 1985, 1991, 1997, 2004, Expires 12/31/2014 - - - - - American Board of Quality Assurance & Utilization Review Physicians Certified 1988; Recertified 1991, 1994, 1997 2 Clinical/Administrative Experience: Advanced Cardiac Life Support (ACLS) Provider 1977 - Present, Expires 12/2012 Instructor 1983 - Present, Expired 5/2000 Florida State Affiliate Faculty 1986-2001 Advanced Trauma Life Support (ATLS) Instructor 1981-1998, Provider 1981, expires 12/16/2012 Basic Cardiac Life Support (BCLS) Provider 1993, Expires 5/09 Pediatric Advanced Life Support (PALS) Provider 1988 - Present, Expires 3/2012 Instructor 1989 -1998 Keys Community Hospital - Tavernier, Florida Emergency Department Physician July 1978 - February 1980 - Full-time Coral Gables Hospital - Coral Gables, Florida Emergency Department Physician July 1978 - February 1980 - Full-time Coral Reef General Hospital - Miami, Florida Emergency Department Physician March 1980 - December 1981- Full-time TEAM. I1EALTHf1NPHYNET MEDICAL MANAGEMENT, INC. (EMSA) PHYSICIAN - Emergency Department Parkway Regional Medical Center - Miami, Florida, January 1982 - December 1983 MEDICAL DIRECTOR Palmetto General Hospital - Hialeah, Florida January 1984 - February 1992 February 1996 -.2001 ACTING MEDICAL DIRECTOR Deering Hospital (Jackson -South)- Miami, Florida, January 1999 - 2001 REGIONAL MEDICAL DIRECTOR Palmetto General Hospital - Hialeah, Florida January 1989 - 2002 Kendall Regional Medical Center - Miami, Florida, August 1992 - 2002 Plantation General Hospital - Plantation, Florida, July 1992 - 2000 - Northwest Medical Center - Margate, Florida July 1992 - 2000 3 Clinical/Administrative Experience (continued) Aventura Hospital & Medical Center - Miami, Florida, December 1992 - 2000 Delray Community Hospital - Delray Beach, Florida, December 1992 - 2000 Deering Hospital - Miami, Florida March 1995 - 2001 Westside Regional Medical Center - Plantation, Florida, September 1995 - 2001 Miami Heart Institute South - Miami, Florida January 1997 - 2000 Martin Memorial Hospital North/South - Stuart, Florida, September 1997 - 2000 Memorial Hospital Pembroke - Pembroke Pines, Florida, December 1992 - July Present West Boca Medical Center - Boca Raton, Florida December 1992 - April 1998 - Pompano Beach Medical Center -Pompano Beach, Florida, December 1992 - July 1998 Pensacola Naval Hospital - Pensacola, Florida February 1989 - December 1992 Homestead Air Force Base - Homestead, Florida, June 1989 - December 1992 England Air Force Base - Pineville, Louisiana February 1990 - December 1992 Victoria Hospital - Miami, Florida March 1991- December 1993 South Florida Reception Center - Miami, Florida State of Florida - Department of Corrections March 1992 - December 1993 Parkway Regional Medical Center - Miami Florida, December 1992 - August 1993 Cleveland Clinic Hospital - Ft Lauderdale, Florida, December 1992 - December 1994 DISTRICT MEDICAL DIRECTOR OF EMERGENCY SERVICES - Memorial Regional Hospital, Hollywood, Florida, September 2000 - Present - Memorial Hospital West, Pembroke, Florida - September 2000-- Present - . - . - Memorial Hospital Pembroke, Pembroke, Florida, September 2000 - Present - Joe DiMaggio Children's Hospital September 2000 - Present - Memorial Hospital Miramar, Miramar, Florida March 2005 - Present 4 Community Services: Hospital Committees: - Medical Director, Hialeah Fire and Rescue - .. Hialeah, Florida, March.1998 - Present - Medical Advisor, Metro -Dade Fire and Rescue Dade County, Florida, 1997 - Present - Medical Director, Miami Beach Fire and Rescue, Miami BeachFlorida 2003 - Present - Medical Director, Coral Gables Fire and Rescue, Coral Gables, Florida 2010 - Present Memorial Healthcare System, Hollywood, Florida - Credentials Committee, September 2000- Present - Medical Executive Committee, Memorial Regional Hospital September 2000 - 2007 Palmetto General Hospital, Hialeah, Florida Chief of Staff September 1997 - July 1999 Vice Chief of Staff 1996 -1997 Secretary/Treasurer, 1995 -1996 - Medical Executive Committee Member, 1984 - 2001 - Quality Assurance Committee Member, 1984 - 2001 Chairman, 1987 -1997 Tissue and Surgical Committee Member,1985 -1990 Chairman, 1986 -1987 Operating Room Committee Member, 1985 -1987 Disaster/Emergency Room Committee Member, 1984 - 2001 Section of Emergency Medicine Chairman, 1984 -1992 Member, 1984 to 2001 - Utilization Management Committee Member,1985 - 2001 Credentials Committee Member,1990 -1992 and 1993 - 2001 - Physician/Hospital Organization _ _ Medical Director, 1992 71993 ... . - Steering Committee - Physician Hospital Organization Member, 1992 -1993 5 Board Memberships: Medical Training & Stimulation Laboratory University of Miami School of Medicine, Miami, Florida, Medical Advisory Board Member - July 1987 - June 1988 Emergency Medical Group - Miami, Florida Board of Directors Member - November 1986 - January 1989 In1'hyNet Medical Management, Inc. (EMSA) - Ft Lauderdale, Florida Continuing Medical Education Program Chairman - February 1990 - 2001 University Affiliations: University of Miami School of Medicine = Miami- Florida Clinical Instructor - Department of Medicine July 1985 - June 1987 University of Miami School of Medicine - Miami, Florida, Medical Training and Simulation Laboratory Coordinator - Paramedic Advanced Life Support Program July 1986 - June 1987 University of Miami School of Medicine - Miami, Florida, Clinical Assistant Professor - Department of Medicine, January 1987 -1990 Community Involvement Nova Southeastern University of the Health Sciences, College of Osteopathic Medicine - North Miami Beach, Florida, Clinical Associate Professor - Department of Emergency Medicine January 1993- 2000 American Trauma Society - South Florida Unit President, 1986 Medical Advisory Council on Trauma for Dade County, Dade County, Florida Member, 1987 -1989 and 1992 -2000 . _ ... Dade County Trauma Advisory Committee Quality Management Sub -Committee Chairman, 1992 - 2000 Dade County Task Force on Trauma Member, 1987 -1989 State of Florida - Department of Health & Rehabilitative Services Trauma Center and Pediatric Trauma Referral Center Standards, Technical Advisory Panel, Member, 1987 American Heart Association of Greater Miami - Miami, Florida - ECC/CPR Quality and Standards Subcommittee Chairman, 1984 -1986 ECC/CPR Committee Member, 1984 - 2000 ECC/CPR Committee Co -Chairman, 1985 - ECC/CPR Committee Chairman, 1987 -1990 Community Site Action Committee Chairman, 1986 -1988 Board of Directors Member, 1986 -1992 - Board of Directors Vice-President,1988 -1989 - Board of Directors President -Elect, 1989 -1990 Board of Directors President, 1990 -1991 American Heart Association, Florida Affiliate State of Florida Affiliate Council ECC/CPR Committee Member, 1988 -1992 ECC/CPR Committee - ACLS Subcommittee Member,1992 -1994 ACLS Subcommittee - Region 13 Chairman, 1994 -1999 Board of Directors Member, 1988 and 1990 Emergency Department Council of Dade County - Secretary/Freasurer,1987 - 1988 - President, 1988 -1989 American College of Emergency Physicians - Education Committee - Florida Chapter - Member, 1990 - Legislative Committee Member, 1990 Broward County EMS Council - Member, 2004 - Vice Chairman, 2009 to present 7 Memorial Healthcare System/Joe Dimaggio C1uldrens Hospital Foundation - Board Member 2009 to present Professional Societies: American College of Emergency Physicians Fellow, 1986 to Present Awards: Articles: William B Peck Scientific Research Award Outstanding Family Medicine Resident University of Miami, Miami, Florida Jackson Memorial Hospital Trauma Management far Paramedics, Course Manual, Gordon, M., et al, Medical Training and Simulation Laboratory University of Miami School of Medicine,1986 Trauma Task Force Report on Trauma, Perez, C., et al Department of Transportation, 1988 8 DEA Certificate Page 1 of 1 DEA REGISTRATION NUMBER THIS REGISTRATION FEE Wif.tES - PAID ;12312012 Paid SCHEDULES , DATE ISSUED KEROFF, FRED€R1b.K. MICHAEL.' CITY OFHIALEiiFi.FRE RESCUE 83 E 5TH STREET HIALEAH, FL 33310 CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE UNITED STATES DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATION WASHINGTON, D.C, 20537 Sections 304 and 1008 (21 U.S.C. 824 and 958) of the Controlled Substances Act of 1970, as amended. provide That the Attorney General may revoke or suspend a registration to manufacturer, ' distnbute, dlspens°, Import or export a controlled substance. • THIS CERTIFICATE IS NOT TRANSFERABLE ON CHANGE OF OWNERSHIP, CONTROL, LOCATION, OR BUSINESS ACTIVITY, AND IS NOT VALID AFTER THE EXPIRATION DATE. Form DEA-223 (05104) DEARECISTRATiON CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE UNITED STATES DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATION WASHINGTON, D.C, 20537 THIS REGISTRATION NUMBER EXPIRES FEE PAID BK5827564 12-31.2012 Paid SCHEDULES BUSINESS ACTNITY DATE ISSUED 2,2N,3 ' PRACTITIONER 3N,4,5 11-11-2009 KEROFF, FREDERICK MICHAEL MD CITY OF HIALEAH FIRE RESCUE 93 E 5TH STREET HIALEAH, FL33010 Se:ifons 304 and , i008;;(21 [1 S,C_824',:and'l158) • ControlledSuhslances_'Aclof197Q,;as`iameJded, j that the Attorney Gsneral;tnay;reyoke,ioi.:ausl registration to manufaC,Ituf drsiibute,:dispense, irr export a controlled substance:".::::":`:':.. THIS CERTIFICATE IS NOT TRANSFERABLE ON CHANGE OF OWNERSHIP, CONTROL, LOCATION, BUSINESS ACTIVITY, OR Ni AFTER THE EXPIRATION DATE https://www.deadiversion.usdoj.govlwebforms/printCertImage.do 11/11/2009 DEA Certificate Page 1 of 1 NUMBER DEA REGISTRATION THIS REGISTRATION FEE NUMBER , ,• EXPIRES ; PAID 2.31.2012 Pald • SCHEDULES _,_BUSINESSACT.M KEROFF, FREDERICK ir11CHAEL? cm, OF MIAMI HE4CH; FIRE DEf ATT MEDICAL DIRECTOR:.;-:;: 2300 PINETREE DRIVE MIAMI BEACH, FL33140 . . DATE ISSUED CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE UNRED STATES DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATION WASHNGTON, D.C. 20537 Sections 304 and 1008 (21 U.S.C. 824 and 958) of the Controlled Substances Act of 1970, as amended. provide that the Attorney General may revoke or suspend a registration 10 manufacturer, distnbute. dispense, Import or export a controlled substance. • THIS C ERT FICATE IS NOT TRANSFERABLE ON CHANGE OF OWNERSHIP, CONTROL, LOCATION ORBUSINESS ACTIVITY, AND IS NOT VALID AFTER THE EXPIRATION DATE. CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE UNITED STATES DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATION WASHINGTON, D.C, 20537 DEAREGISTRATION THIS REGISTRATION EXPIRES FETE PAID AK7087580 12-31-2012 Pald SCHEDULES BUSINESSACTNRY DATE ISSUED 2,2N,3 PRACTITIONER 3N,4,5 11-11-2009 KEiROFF, FREDERICK MICHAEL MD CITY OF MIAMI BEACH, FIRE DEPT ATT MEDICAL DIRECTOR 2300 PINE TREE DRIVE MIAMI BEACH, FL33140 Sections 304::and ,10D0(21 U:SG 824and•950) Controlled Substances Act off970:as.amended, i that the: Atlorriey;'GeOeralmay;ievake,or''susf registration to manofac►uria, � d'Ishibute, dispense, Jn; export a controlled sutislanco.`' .•••.... • • THIS CERTIFICATE IS NOT TRANSFERABLE ON CHANGE OF OWNERSHIPP, CONTROL, LOCATION, BUSINESSACTIVITY, OR4 AFTER THE EXPIRATION DATE. hitps://www.deadiversion.usdoj.gov/webforms/printCertimage.do 11/11/2009 b 29 12 10:59a p.1 KEROFF, FREDERICK M MD CITY OF CORAL GABLES/FIRE DEPARTMENT/EMS 2815 SALZEDO STREET CORAL GABLES, FL 33134-0000-000 Ir1111, IIII1111111111h1111ti>l11+�1t�If111111111111111111111 DEA REGISTRATION THIS REGISTRATION FEE NUMBER EXPIRES PAM FK2229020 12-'31 2013 $551 SCHEDULES • $USRIESSACTIVITY : . ISSUE DATE 2,2N, PRACTITIONER•'- 09-08 2010 3,3N.4,5, • KEROFF, FREDERICK M MD • - CITY OF CORAL GABLES/FIRE DEPARTMENT/EMS 2815 SALZEDO STREET CORAL GABLES, FL 33184-0000 s CONTROLLED SUBSTANCE REGISTRAT1blI CERTIFICATE UNITED STATES DEPARTMENT OFJUSTICE. DRUG ENFORCEMENT ADMINISTRATION WASHINGTON D.C. 20537 Sections 304 end 1008 {21 USC 824 and 958) of the Controlled Substances Act of 1970. as amended, provide that the Attorney General may revoke or suspend a registration to manufacture, distribute, dispense, Import or export a controlled substance. • THIS CERTIFICATEIS NOT TRANSFERAt3LE ON CHANGE OF OWNERSHIP, CONTROL, LOCATION, OR BUSINESS ACTIVITY, AND IT IS NOT VALID AFTER THE EXPIRATION DATE. CONTROLLEDSUBSTANCE REGISTRATION CERTIFICATE UNITED STATES DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATION WASHINGTON D.C. 20537 DEA REGISTRATION THIS REGISTRATION NUMBER EXPIRES FEE PA10 FK2229020 12-31 2013 $551 SCHEDULES BUSINESS ACTIVITY ISSUE DATE 2,2N, 3,3N,4,5, PRACTITIONER 09-08-2010 KEROFF, FREDERICK M MD CITY OF CORAL GABLES/FIRE DEPARTMENT/EMS 2815'SAi ZEDO STREET CORAL GABLES, FL 33134-0000 Sections-304 and 'I008 (21 USC 824 and 958) of the Controlled Substances Mt of 1970,-as amended, provide that. (he Attorney. General may 'revoke or suspend a registration-' D manufacture, distribute, dispense, import or export a controlled substance. THIS CERTIFICATE IS NOT TRANSFERABLE ON CHANGE OF OWNERSHIP, CONTROL, LOCATION, OR BUSINESS ACTIVITY, AND IT IS NOT VALID AFTER THE EXPIRATION DATE. DATE T . LICENSE NO • . 1 CONTROL NO 10/23/2010 •,. - ME �26979_..; . 322849 . TwiiviEp CAL named' be owyhas met alt requirements o ae laws and rules of the state of i lo�iida' iratinn Rafe: ,1A[VUARY 31` FREDERICK MICHAE°L>KEROFF•. 3501,JQHNSON.STREEI;N:;:v:.:: 't MEMORIAL }EGIONAL HOSP •HOLLYWOOD FL 33021 DISPLA • Viamo te, Ros; IVL_D M F SKATE SURGEON GENERAL IFREQUTRED BYLAW _ Fu k/ AMERJCAN ' BOARD OF L v EMERGENCY V MEDICINE./ Established for the Certification of Emergency Physicians Hereby !I' eclares that Has Successfully Fulfilled the Requirements of the Board aid is Recertified as a Diplomate of the American Board of Emergency Medicine !.cturix z 29, ZfrEE3 Ptr m1r r 31, 20.3 President Secretary Certification Number 820650 FREDERICK K PRE F is recognized a s having successfully completed the ATLS° Course for Doctors according to the standards established by th CS Committee on Trauma. • .... aof•ECp1raUdn • •' ;12/i6112 Dale ° 10.08 ' +•.• Chairper Committe • �'•3362'I=SRC' .�'A =:82486 Advanced Trauma Life Support° American Heart Association Learn and Live ACLS Provider Frederick M. Keroff This card certifies that the above Individual has successfully completed the national cognitive and sidlls evaluations In accordance with the curriculum of the American Heart Association for the Advanced Cardlovascular Life Support Program. March 2010 March 2012 Issue Date American Academy of Pediatrics Recommended Renewal Date American Heart Association Lean: and Live PALS Provider Frederick M. Keroff This card certifies that the above individual has successfully completed The national cognitive and skills evaluations In accordance with the curriculum of the American Heart Association for the Pediatric Advanced Life Support Program. March 2010 March 2012 Issue Date Recommended Renewal Date .? h- WfitPV;',,','-;ti���'-:.;*'Grp.•.v�`zr.%%�;�ai:•r���r`•'"�FX American Heart Association Learn and Live Healthcare Provider Frederick M. Keroff This card certifies that the above Individual has successfully completed the national cognitive and skills evaluations in accordance with the curriculum of the American Heart Association for the BLS for Healthcare Providers (CPR & AED) Program. Mardi 2010 • • !thatch 2012 Issue Date Recommended Renewal Date American Board of Family Medicine, Inc. QualityUealthcare, Public Trust... getting iaStandards ,hi Fa�nityilfedicfue November 02, 2011 To Whom It May Concern: This letter verifies Frederick Michael Keroff, M.D. is currently certified with the American Board of Family Medicine (ABFM). Family Medicine Certification History: Aug 27, 1978 - Jul II, 1985 Jul 12, 1985 - Jul 11, 1991 Jul 12, 1991 - Jul 10, 1997 • Jul 11, 1997 - Jul 16, 2004 Jul 17, 2004 - Dec 31, 2014* * Three Year extension of certification earned by completion ofMC-FP requirements. Maintenance of Certification for Family Physicians (MC -FP): Current Status: 11:-; Meeting Requirements Beginning in 2004 with the family physicians who performed successfully on the Certification and Recertification examinations in 2003, the ABFM began a gradual transition from Recertification to Maintenance of Certification for Family Physicians (MC -FP). MC -FP was designed to transition all Diplomates into the program by 2010, enrolling all physicians who certified or recertified as they successfully passed the examination. The MC -FP program is divided into separate three-year stages. By completing Stage 1 and Stage 2 by specified deadlines, the life of a certificate will be extended from seven to ten years. Diplomates who are unable to complete these requirements will retain their original seven-year certificate. Regardless of whether a Diplomate is on a 10-year or 7-year cycle, MC -FP requirements must be completed prior to applying for the next MC -FP examination. The prior requirements for licensure and CMB are incorporated into the requirements of MC -FP. The ABFM website serves as primary source verification. Details of the MC -FP process are available online at www.theabfm.org. Sincerely, 'Incatet-rnteirtzook Mary McIntosh Verification Coordinator and Candidate Assistant 1648 McGrathlana Pk+ry,Ste. 550 I Lexington. KY 40511.3247 i Ph: B59-2G9.5G25 or 8gS•995.5700 J Per: 859.335-7501 I wwtti:thcabrm.otg • AMembrrBoatdofihcAmorlcanDona ofldcdlcalSptadtla ATTACHMENT B Carlos Hernandez Mayor Isis Garcia -Martinez Council President Luis Gonzalez Council Vice President March 19, 2012 City of Miami Fire Department 1151 NW 7th Street 3'd Floor Miami, FL 33136 City of Hialeah Council Members Jose F. Caragol Vivian Casals-Munoz Katharine E. Cue-Fuente Paul B. Hernandez Lourdes Lozano To whom it may concem: It is my pleasure to provide a recommendation for Frederick M. Keroff M.D., as a candidate for the position of Medical Director for the City of Miami Fire Department. I have known Dr. Keroff since 2000 and worked with him as EMS Chief since 2004. Dr. Keroff has performed an exceptional job as Medical Director. Under his tenure the Hialeah Fire Department has excelled as one of the leaders in Emergency Medical Services and is currently the State of Florida. EMS Provider of the year. As a Medical Director, Dr. Keroff is always available, has a high level of commitment, and recognizes that excellence is a joumey, not a destination_ As a patient advocate his leadership style has allowed the Hialeah Fire Department to implement a myriad of procedures, thus placing the department on the vanguard of EMS. Some of those achievements are; the implementation of electronic patient documentation, the first department in Miami Dade County to report data weekly to the Bureau of EMS, with 99.6% accuracy. The first department to implement the Autopulse® on all of their units, increasing return of spontaneous circulation (ROSC) in cardiac arrest from 15% to over 40%, thus increasing the survivability of the residents we serve. Most recently under his guidance, the Fire Officers of Miami Dade (FOAM-D) EMS Chiefs Committee has developed a Multijurisdictional Medical Protocols. This allows for consistency in patient care, training, as well as increasing our buying power. It is extremely important when choosing a Medical Director of an organization, that they possess a combination of professional experience, cognitive ability, and the other intangibles that lay the foundation for success. Therefore, it is without reservation that I highly recommend Dr. Frederick M. Keroff for the position of Medical Director for the City of Miami Fire Department. He will be a valuable asset to your organization. If you have any questions, do not hesitate to contact me. Sincer Miguel Achia Assistant Fire Chief Hialeah Fire Department Raul L. Manteca Government Center 501 Palm A enu . Ilialcah. Florida • 33010-4l19 wtmd iahahll.gov The City of Coral Gables Fire Department 28 I sAI 7rnO ST T CORAL GABLES, FLORIDA 33134 March 19, 2012 To Whom It May Concern: I would like to take this opportunity to provide a letter of recommendation for Frederick Keroff, M. D. for the position of Medical Director for the City of Miami. I have known Dr. Keroff for several years and have found him to be well prepared, knowledgeable, and professional. Dr. Keroff has served as the EMS Medical Director for the City of Coral Gables since September 2010 and has demonstrated leadership in prehospital emergency care repeatedly, and is viewed with tremendous respect throughout our EMS andmedical community. He works tirelessly to support our paramedics in their very difficult job and can be counted on to follow a problem throuJh to a good resolution. I am confident that Dr_ Keroff would be an outstanding EMS Medical Director for the City of Miami with a high level of involvement and total dedication to the advancement of our community and the well-being of its residents. Please accord Dr. Keroff the highest consideration in securing a position with your organisation_ If I can provide any further information, please do not hesitate to call. Walt Reed Fire Chief bpm P.O. BOX 141549 a CORAL GABLES, FLORIDA 33114-1549 • PHONE: (305) 442-1600 City of Miami Beach, 1680 Meridian Ave Suite , Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE FIRE CHIEF Tel: 305-673-7120 , Fax: 305-673-7257 March 20, 2012 Chief Maurice Kemp City of Miami Department of Fire and Rescue Miami, Florida 33933 Chief Jet ►fp:" I would like to personalty recommend to you and your Fire Department, Dr. Frederick Keroff for the position of Medical Director. Dr. Keroff has been the Medical Director of the Miami Beach Fire Department since 2003. In 2003; our prior Director became suddenly incapacitated and Dr. Keroff was quite. suddenly thrust into the role as our Medical Director. He assumed that role in a flawless transition and we were able to continue operations without missing a beat. Dr: Keroff has been instrumental since that time in the formation of your Medical Operations Protocols and in leading the quality assuranc equality control (QA/QC) meetings that review completed patient care records (PCR's). i asked the EMS. Division Chief, and his immediate predecessor, to give me their appraisals of Dr. Keroff and they were unanimous and effusive in their praise. They find Dr. Keroff responsive and reliable to their queries. They report that he is receptive to the input and concerns of the members of the. Department and is always willing to adapt to changes in the field. His direct connection to. Emergency Departrnents in Broward County, means that we are able to design and deliver services that meet the expectations of the Emergency Department's we deliver patients to. In conclusion, I cannot recommend highly enough the. services of Dr. Keroff for your consideration. If i can be of any further assistance I can be reached at my personal line (305) 673-7089. • Again, thank you for your time .in this matter, Professionally, Eric A. Yuhr, Fire Chief Julio Robaina Mayor Esteban Bovo Council President Carlos Hernandez Council Vice President July 22, 2008 City of Hialeah City of Coral Gables Office of Chief Procurement Officer Finance Department 2800 SW 72 Avenue Miami, Florida 33155 RE: Fredrick M. Keroff, M.D., FACEP To whom it may concern: Council Members Jose F. Caragol Vivian Casa Is-Mn noz Isis Garcia -Martinez Luis Gonzalez Jose Yedra am writing in reference to Fredrick M. Keroff, M.D.., FACEP, whom 1 have known. and had the pleasure to work with in his capacity as the Medical Director for the Hialeah Fire Department over the last seven years: Over that time period Dr. Keroff has overseen the education and development of our Paramedics as well as facilitating the enhancement of Emergency Medical Service {EMS) delivery to our community. In today's dynamic EMS arena, it is critical for fire rescue services to be proactive and innovative. Leaders in medical service. delivery must be adept at dealing with the persistent advancements in medical technologies, Fredrick M. Keroff; M.D., has a proven record of these traits and accomplishments throughout his tenure as the Medical Director for the City of Hialeah Fire Department. As a professional Fire Chief, I am pleased to be able to provide this letter of reference highlighting Dr. Keroff's abilities as an outstanding medical professional and fully endorse his application to be the City of Coral Gables Fire Rescue Medical Director. Please feel free to contact me for any further information. Sine Otto' Fire Chief . Raul L. Martinez Government Center 501 Paint Avenue, Hialeah, Florida • 33010-4719 www.hialeahfl.gov City of Miami Beach, 1680 Meridian Avenue, 2"d Floor, Miami Beach, FL 33139, www.miamibeochfl.gov FIRE DEPARTMENT, Rescue -Records Division Tel: 305-673-7130, Fax: 305-673-7257 July 15, 2008 RE: Letter of Recommendation To Whom It May Concern: Dr. Frederick Keroff has been employed as the Medical Director for the Miami Beach Fire Rescue Department since March 28th, 2002. He provides medical oversight for twelve (12) ALS response units, six (6) of which transport patients to area hospitals. He is responsible for the 187 paramedics, as well as the19 EMT's that staff our units. Upon his appointment as lvledical Director, Dr. Keroff established a protocol committee. and, through this.• indusive approach, established and authorized the Miami Beach Fire Rescue Department's Medical Operations Manual in 2004, a significant change over our previous protocol This method was used. in subsequent updates in 2006 as well the 2008 version which is currently being developed. Dr Keroff conducts Q.nality Assurance meetings at all fire stations in order to include Engine and Ladder personnel in the 'process. When the Fire Department assumed .oversight of the Beach Patrol, he established a memorandum of understanding that was signed by the Fire Chief and the director of the newly formed Ocean Rescue Division so that the role of the Lifeguards in medical treatment would be dearly defined: He has worked on our behalf with the Miami Beach Police Department in reviewing and. approving_ the Emergency Medical Dispatch protocols that are used by the call takers at the Miami Beach Public Safety Communications Unit , as Melt as providing input at the request of the Police Chief in the development of the SOP dealing with injured prisoners Over the 4 year term that I have served as Chief of EMS, Dr. Keroff has provided excellent medical oversight, has been extremely responsive to critical events as they have emerged, and has made significant contributions. to the• Miami Beach Fire Rescue Department's ability to. provide Rmergency. Medical Services at the very highest level possible, I endorse Dr. Keroff for any situation where comprehensive medical direction is desired, and I recommend him highly for any position where such skills and abilities are critical. Sincerely, --Christopher Parrino Chief of EMS Miami Beach Fire Rescue Department We ore commilled.io providing excellent public service and safely 10 all who live, .work, and ploy in our vibrant, tropical; historic community. ATTACHMENT C RANDY S. KATZ, D.O. 3227 NE 212 Street Miami, FL 33180 0: (954) 265 — 6307 H: (305) 937 — 0394 C: (786) 325 — 4860 rkatz@mhs.net CURRENT POS1'1IONS Memorial Regional Hospital, Chief of Emergency Services Memorial Regional Hospital, Attending Physician Nova Southeastern University College of Osteopathic Medicine, Associate Professor Barry University Physician Assistant Program, Clinical Professor Medics Ambulance, Medical Director Florida International University College of Medicine, Clinical Professor EDUCATION 2000 — 2004 Emergency & Internal Medicine Residency, St. Bamabas Hospital, Bronx, NY 1999 — 2000 Traditional Internship, Maimonides Medical Center, Brooklyn, NY 1995 —1999 Nova Southeastern University College of Medicine, DO, Fort Lauderdale, FL 1991-1995 University of Florida, College of Liberal Arts and Sciences, BS, Gainesville, FL COMMITTEES AND AWARDS 2008 — Present 2008 — Present 2008 — Present 2008 — Present 2007 —,Present 2006 — 2008 2003 — 2004 1999 1995.... -. --- Medical Issues Committee, Broward County EMS Council Florida Association of EMS Medical Directors, Associate Member PCI Steering Committee, Chairman, Memorial Regional Hospital Stroke Steering Committee, Memorial Regional Hospital Medical Executive Committee, Memorial Regional Hospital Memorial Regional Hospital, Associate Medical Director, Emergency Services St. Barnabas Hospital, Chief Resident, Emergency Medicine Matthew Terry, D.O. Memorial Award, Nova Southeastern University COM Phi Beta -Kappa University of Florida - - - - - - LICENSURE & CERTIFICATIONS Board Certification, Emergency Medicine, 2007 Medical License, Florida, 2003 Medical License, New York, 2002 ATLS Certification, Advanced Trauma Life Support, 2003 ACLS Certification, Advance Cardiac Life Support, 2002 DEA License, Florida 2003 PROI+'ESSIONAL ORGANIZATIONS American College of Emergency Medicine American Osteopathic Association American College of Osteopathic Emergency Medicine Florida Chapter of Emergency Physicians Broward County Medical Association LECTURES AND PUBLICATIONS Emergency Management of the Difficult Airway, Trauma Grand Rounds, Memorial Regional Hospital (2008) Therapeutic Hypothermia, Past, Present and Future, Hallandale Beach Fire Rescue Lecture Series (2008) Alcohol Related Injuries, ENA Injury Prevention Symposium, Nova Southeastern University (2010) Health Alert, Recognizing the Symptoms of a Heart Attack, Channel 4 News, WFOR PERSONAL Born in Miami, Florida Married with three children Fluent in Spanish 2 STATE OF- FLORIDA • DEPARTMENT•OF HEALTH . . DIVISION OF MEDICAL QUALITY ASSURANCE DATE •. LICENSE NO:.• CONTROL NO. 12/15/2009 OS 9149 28695 The OSTEOPATHIC PHYSICIAN named below'has met all requirements of the laws and rules of state state of Florida. Ezpiralion Date: MARCH 31, 2012 RANDYSCOTT KATZ 3501 JOHNSON STREET HOLLYWOOD; Fl;:. 33021 • •--:. ` • UNITED STATES , ;Charlie •Grist _ - ==Ana M. Viamonte,Ros„M:D:; MP.H. --• ;GOVERNOR STATE SURGEON GENERAL= DISPLAY 1F-R1=QUIRED BY LAW r,34,) ":Zi 0-.1 �'... w U 3 o w U Q tu 4 vo < m m -la n1 E u- m _, O N mU 2 Jd a a;ya.)4 -o¢.=.0 1.E o SC LLO OZti H N .03.21- ,U w •0 < in tte,rr o (c' N , i_Z O com . c • . wrc° ,- •o�• a 0 t- < co m m e{. Z . UJ 00 1-•c O Z -J 0 0 0 EXPIRATION DATE: MARCH 31, 2012 our license number is OS 9149, please use it in all correspondence with your board/council. Each licensee is solely responsible for notifying the department in writing 01 le licensee's current mailing address and practice location address. If you have not received your renewal notice 90 days prior to the expiration date shown on this license, lease call (850) 488.0595. se this section to report name change. Name changes require legal documentation showing the name change. Please make sure that a photocopy of one of the follotring companies this form; a marriage license, a divorce decree or a court order. A driver's license or social security card is not considered legal documentation. edical Quatily Assurance offers you the convenience of several online services. These services give you the ability to renew your license, update your mailing and practice cation addresses and update your profile information, 1. Go to wwwllhcslthsource.com 2. Click on Licensee/Provider 3, Click on Practitioner Login 4, Select your profession - 5. Enter the account ID and password that was provided to you on your initial license and click on "Login". 0. Flynn do not know your account JD and password, click on "Get Login Help" or call our Customer Contact Center at 1850) 488-0595 for assistance. ' AIL TO:DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE LICENSING AND AUDITING SERVICES UNIT P.O. BOX 6320 TALLAHASSEE, FLORIDA 32314-6320 NAME CHANGE (ATTACH LEGAL DOCUMENTATION) ): LAST FIRST MIDDLE LAST FIRST MIDDLE I'71n1 SIQR LICENSEE SIC;NATI IF?F DEA Certificate Page 1 of 1 DEA REGISTRATION ... 'nos REGISTRATION FEE NUMBER FJ:ayRES PAID BK8646494 "-"-- 1?,3,1=21312 Pald i SCHEDULES @V?:Swe:hellVl{N " DATE ISSUED 2,2N,3 PRACTiTIoislEtc-----_._" 12-07-2009 3N,4,5 — KATZ, RANDS 3227 NE 212 STR t AVENTURA, FL33110 CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE IMBED STATES DEPARTMENT OE JUSTICE DRUG ENF.ORCEJ:ENFADAllMSTRATION WASHINGTON. D.C, 20537 Sections 304 and 1003 (21 U.S.C- 824 end 958) of the Controlled Substances Act of 1970, as amended, provide that the Attorney General may revoke of suspend a registration to manufacturer, distribute, dispense, import or export a cpnlrotled substance. THIS CERTIFICATE IS NOT TRAHSFERABLEON CHANGE OF OWNERSHIP, CONTROL, LOCATION, OR BUSINESS ACTIVITY, AND IS NOT VALID AFTER THE EXPIRATION OATH. DEAREGISTRATION hWBE5 8K8545494 SCHEDULES CONTROLLED SUBSTANCE REGISTRATION CERTIF-ICATE UNITED STATES DEPARTMENT OR JUSTICE DRUG ENFORCEMENT ADMINISTRATION WASHINGTON, D.C, 20537 TIES REGISTRATION EXPIRES 12-1-2012 • BUSINESSACTWIP' 2,2N,3 PRACTITIONER 3N,4,5 KATZ, RANDY 3227 NE 212 STREET AVENTURA, FL33180 FEE PAID Pald DATE ISSUED 12-07-2009 Sg ns :;f.% 1QC° ts3) Of U?2 Cantmlled Sub talG99 (-3:a et AIM, ag Mat , Pr9.tt49 that ljse ' Attar,ny. @ta`2gl Lu@a 1ZF4fat vy; ¢uspord a registrat;Oq to man;t.)3 %-, t}'r�f 5ut'eC 33;gllse, hllp.ptt or export a controlled subslaia. THIS CE,RTIFIGATE IS NOTTRANSFERABLE ONCHANGE OF OWNERSHIP, CONTROL, LOCATION, BUSINESS ACTIVITY, OR VALID AETER THE EXP(RAT(QN f)A7E., littps://www.deadiversion.usdoj.gov/webforms/printCertimage.do 12/7/2009 H ealth care Provider —ar- PEEL HERE RANDY KATZ rife American Heart Association. This card certifies that the above Individual has successfully completed the cognitive and skills evaluations In accordance with the curriculum of the American Heart Association BLS for Healthcare lProvlders (CPR and AED) Program. 04/2011 Issue Date 04/2013 .Tralning Center Name EEL, INC. TC TCID# FL 4404 Info O .. CORAL SPRINGS,_FL 330S5 • $S4.753-6869 Course Location ROMANO'S WAY - 954-472-7662 Instructor Name Holder's Signature ' Inst. ID # CAROL S. ROMANO 12102195048 Recommended Renewal Date 0get 1AmelcanRawl Association Twnpodnpwith this card w)uVier its appannneo. e0-1802 Peel the wallet card off the sheet and fold it over. This card contains unique security features to protect against forgery. This card can be inserted into either a number 10 window or regular envelope. If using a number 10 regular envelope, peel off the address label and apply it to the outside of the envelope. 90-1802 3/11 a��la n,I1NF4t,tl R1?;c0'IMti" 1.14 h �h s altWt,' 11,E l American Heart Association Learn and Live ACLS Provider RANDY KAT7 This card certifies that the above individual has successfully completed the national cognitive and skills evaluations In accordance with the curriculum of the American Heart Association for the Advanced Cardiovascular Life Support Program. 04/2011 04/2013 Issue Date Recommended Renewal Date Vo L 11tit{4�ti1II,Eir Adi Training Center pi4this� i t'tt rt"i�e7 r� tto , iril �Std.in,tti�zt� FLORIDA TC Address Contact Into E.E.I. INC. ore 1.16`10A, Course Location FOR CLASSES CALL (954) 472-7662 instructor CAROL S. ROMANO - AHA #12102195048 Holder's Signature 0 2000 American Heart Association lbmporing MO this cord will alter Its oppemonee, 70-2008 This card can either be inserted into a number 10 window or regular envelope. If using a number 10 regular envelope, peel off the address label! and apply it to the outside of the envelope. 1. Peel wallet card off of sheet. 2. Fold over and seal. 70-2908 R12/08 • _ -..• •••- • • • ••• • • is recognized (:.,4::;:i AnSe CO establiglifPt Karen Drasel, MO FACS • 'r..2..Chairperson, Ans Subcommittee Date of Issue: 02/0812012 COMMITTEE ON TRAUMA • V.4".,k- • •s- '""•".- "4.E." ,41 • • ..s -4011,-; .4.15'lLete-t1" - • ortors, ace, 4w. •• - • o.nut itte e ta :14f.t4ibit§11, MD, StiipciaI Trauma • • • ATLS CoUrsliiid&rir . , • Date of Expiration: 02/08/201.0.: • - •••• ' Rend,' 'Katz is recognized as having successfully completed the ATLS® Course for Doctors according to the standards established bythe ACS Committee on Trauma. - Issue Date:02/08/2012 Expiration Date:02/08/2016 Chairperson, • ATLS Subcommittee /./ ACS Chairperson, ' " State/Provincial Comenittee on Trauma ATLS Course Director ••. ' • • - Replacement ATLS cards are available for a $10 USD fee. %1111-15-4; I N..1/..1146-411.10:114811-8. ti).65 via upon perommentlattoo tif the it nartl flf 11"•-ncif-.N. MO- rafifiess flint aanbu Nat, 1. 11 lino met the minket/ten:to of tilio !garb' mar 15 frerebg certiffeb luting/11Et! ebittne It 22, 207 metion Oszstenpathir Afsci anntion (fixectItrec iAte Inttor Q1111----- 41_, eriiiirnie 1 VI Li -A [no tic my CN1cnpu th Er u tub cti (.6 merynct "ineeeffiller 11 21117