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CONTRACT 5141 Service AgreementAgreement No. 5141 UCLA And The City of El Segundo Services Agreement This Agreement ( "Agreement ") is made and entered as of June 07, 2016, by and between The Regents of the University of California, a California corporation, on behalf of the UCLA Center for Prehospital Care ( "UCLA ") and The City of El Segundo ( "City "), on behalf of the El Segundo Fire Department ( "Fire Department ") and El Segundo Police Department ( "Police Department ") (collectively the "Departments "). RECITALS A. The UCLA Center for Prehospital Care conducts continuing education in prehospital and emergency medicine for students to maintain licensure as EMT- Basic and Paramedic (collectively referred to as "CE Programs "), conducts primary education to obtain licensure as an EMT - Defibrillation ( "EMT -D ") Provider, provides quality improvement services to maintain or enhance the quality of patient care (referred to as "QI Services "), and conducts Automatic External Defibrillation ( "AED ") training to law enforcement and if needed, personnel in City Buildings. B. Department desires to utilize UCLA's services to maintain the certifications of their employees and to continue to deliver quality patient care to their community. NOW THEREFORE, the Parties hereby agree as follows; Agreement No. 5141 Article 1 Rights and Responsibilities of UCLA 1.1 Provide a Nurse Educator ("Educator"). UCLA shall provide one Educator to the Fire Department to conduct CE Programs and QI Services and an AED Coordinator ( "Coordinator ") to conduct AED education and services to Police Department and personnel in City Buildings. The Educator and Coordinator shall be subject to the mutual approval of both UCLA and Fire Department. 1.2 Provide CE Programs for Fire De artment. 1.2.1 Scheduling CE Programs. UCLA shall provide and schedule three hour CE Programs, each month, for each of three shifts. UCLA shall develop a schedule and submit it to the Fire Department for approval. The schedule will provide a minimum of twenty -four (24) hours of continuing education for each Fire Department EMT - Paramedic and twelve (12) hours of continuing education for each Fire Department EMT - Basic. This will provide a Fire Department Paramedic thirty -six (36) hours of continuing education annually if he /she attends all continuing education conducted on their scheduled shifts. 1.2.2 CE Pro rain Content. All CE Programs shall have content that meets the criteria established by the County of Los Angeles and the State of California to fulfill EMT -Basic and EMT - Paramedic continuing education and recertification requirements. Content shall be developed in collaboration with Fire Department. _2.. Agreement No. 5141 1.3 Provide EMT -D Education and Services for Fire De artment. UCLA shall provide a coordinator ( "Coordinator ") to conduct the services under this section. The Coordinator shall do the following: 1.3.1 Work cooperatively with the Educator. 1.3.2 Review operational policies for operation of the EMT -D program at Fire Department and submit revisions or recommendations to Fire Department 1.3.3 Provide competency testing annually for sixty (60) Fire Department personnel. Education session dates /times will be decided upon by the Coordinator and Fire Department personnel. 1.3.4 Review Fire Department patient care reports, dispatch records, and AED usage downloads where appropriate within 72 hours for each cardiac arrest and generate a report that will be reviewed by the Medical Director. 1.3.5 Maintain and submit bi- annually a log that will include usage of the AED, primary education dates, competency test dates, and AED maintenance logs. 1.3.6 Prepare the annual EMT -D report for the Fire Department to submit to the Los Angeles County Department of Health Services as required by policy 412 of the Los Angeles County Department of Health Services Prehospital Care Policy Manual and included as Exhibit A. 1.4 Provide a Medical Director. UCLA shall provide a medical director ( "Medical Director ") to supervise the EMT -D Education and Services, including the quality of instruction and use of the AED, as defined by policy 412 of the Los Angeles County Department of Health Services Prehospital Care Policy Manual and included as Exhibit A. UCLA and Medical Director assume no responsibility for -3- Agreement No. 5141 the clinical activities and care provided by any of City's or Departments' employees or agents, including but not limited to care relating to the EMT- Defibrillation. 1.5 Provide Q1 Services for Fire Department 1.5.1 On Site Evaluation. The Educator shall ride along and evaluate Fire Department personnel under field conditions and design and provide education to any specific needs identified. These on -site evaluations will be conducted three times each month for approximately seven to eight hours each time. 1.5.2 ualu' Improvement Aetivities. The Educator shall develop, coordinate and maintain a quality improvement plan for Fire Department. This shall include: developing a system to review Fire Department's patient care reports, developing patient care report review criteria, reviewing patient care reports, coordinating quarterly quality improvement meetings, providing direct field observation, developing a plan to evaluate the competency of Fire Department personnel, assisting in fact - finding for specific incidents, and attending the Los Angeles County EMS Agency Quality Improvement Committee meetings to gather information regarding updates and changes to policies and /or procedures and reporting to the Fire Department. 1.5.3 Reports and Records. The Educator will report on QI Activities to the Fire Department Chief and QI Designee (as identified in Section 3.2 below) and implement any recommendations under the direction of the QI Designee. -4- Agreement No. 5141 1.6 AED Services for Police Department. Coordinator shall do the following: 1.6.1 Provide two re- training courses each year. One program may be scheduled as a primary course to accommodate new personnel. 1.6.2 Maintain a master list of employees' training and re- training dates. 1.6.3 Review Police Department, dispatch records, and AED usage downloads where appropriate within 72 hours for each cardiac arrest and generate a report that will be reviewed by the Medical Director. 1.6.4 Maintain a log that will include usage of AED, primary education dates, competency test dates, and AED maintenance logs. 1.6.5 Prepare the annual AED Service Provider Report on behalf of the Police Department to submit to the Los Angeles County Department of Health Services as required by policy 413 of the Los Angeles County Department of Health Services Prehospital Care Policy Manual and included as Exhibit B. 1.6.6 Coordinate the re- approval of the AED Service Provider Program with the Los Angeles County Department of Health Services. 1.7 AED 5crvices for Cit y Personnel in Cily Buildings. Coordinator shall do the following: 1.7.1 Provide primary AED /CPR training up to four courses per year as requested. 1.7.2 Recommend key personnel in each location for training and recommend the placement location of the AED in each building. 1.7.3 Maintain master list of City employee training and re- training dates. _5. Agreement No. 5141 1.7.4 Review all AED usage downloads if notified and where appropriate, within 72 hours for each cardiac arrest and generate a report that will be reviewed by the Medical Director. 1.7.5 Maintain a log that will include usage of AED, primary education dates, competency test dates, and AED maintenance logs. 1.7.6 Prepare and submit operational policies for operation of the AED at four City locations (e.g., City Hall, Police Department, Parks and Recreation facility and the Urho Saari Swim Stadium "The Plunge "). Article 2 Confidentiality 2.1 definition, For purposes of this Agreement, the term "Confidential Information" shall mean any information disclosed in order to accomplish the work under this Agreement by one party ( "Disclosing Party ") to another party ( "Receiving Party ") that is considered confidential by the Disclosing Party, provided such information is in writing or other tangible form and clearly marked as confidential when disclosed, or is so designated in writing within thirty (30) days of such disclosure. The Parties agree to disclose only information that is necessary to the work and to send such information directly to the Parties noticed in Section 9 of this Agreement. 2.2 Obligations of the Parties. The Receiving Party agrees, to the extent permitted by law, that Confidential Information shall remain the property of the Disclosing Party and that the Receiving Party shall only use, disclose or distribute Confidential Information within its own organization as is reasonably necessary to -6- Agreement No. 5141 carry out the intent of this Agreement. For the period of the Agreement and for a period of five (5) years after disclosure, Confidential Information shall not be used or disclosed to others except in furtherance of this Agreement, provided, however, that the foregoing obligation of non -use and non - disclosure shall not apply to any portion of the Confidential Information that: 2.2.1 is or shall have been known to the Receiving Party before his /her receipt thereof; 2.2.2 is or shall have been disclosed to the Receiving Party by a third party; 2.2.3 is or shall have become known to the public other than through the Receiving Party; 2.2.4 is independently created by the Receiving Party's personnel who have had no exposure to the Confidential Information; or 2.2.5 is required bylaw, regulation, a court of competent jurisdiction or any rules of civil procedure applicable to any court or administrative proceeding to be disclosed. 2.3 Return of Confidential Information. Upon the expiration or earlier termination of this Agreement, the Receiving Party shall promptly return to the Disclosing Party all Confidential Information of the Disclosing Party and any copies made thereof, whether in written, electronic or any other form. Article 3 Rights and Responsibilities of City and Departments 3.1 Provide Space and E cuui pment. City and Departments shall provide a classroom in a facility sufficient to provide quality instruction, audiovisual equipment, and �7- Agreement No. 5141 access to City's training equipment and supplies for the purposes of CE Programs and instruction. Specifically, the City will provide access to training AEDs and manikins for the EMT -D and AED courses. 3.2 Designate Q1 Pei-son. Fire Department shall designate a person responsible for QI Services in the Departments and to receive the information under this agreement and direct the QI Activities ( "QI Designee "). 3.3 Desi anate: Maintenance Person. Fire Department shall designate a person responsible for the maintenance checks on AEDs in the Fire Department, Police Department, and City buildings. 3.4 Training Re uirements. 3.4.1 Fire Department shall ensure all personnel are currently certified EMT- Basic to ensure certification as an EMT -D provider. 3.4.2 Police Department shall ensure all specified personnel maintain a current CPR and First Aid card every two years. 3.5 Registration. The City will coordinate the registration of City personnel into AED courses at City buildings. 3.6 Textbooks. The City will provide the textbooks for participants at AED courses at City buildings. 3.7 1es poa". City understands and accepts the responsibility for the clinical activities and care provided by its employees and agents and for the implementation of all services provided herein. g ,. Agreement No. 5141 Article 4 Term 4.1 The term of this Agreement shall be for three (3) years, from June 1, 2016, through June 30, 2019.This Agreement shall automatically renew for two additional one -year terms unless terminated earlier as set forth in this Agreement. Article 5 Termination 5.1 Termination without Cause. Either party may terminate this Agreement at any time without cause by providing the other party with sixty (60) days written notice to the names set forth in Article 9 below. 5.2 Termination for Cause. Either party may terminate this Agreement for cause or a material breach by providing the other party with thirty (3 0) days written notice to the names set forth in Article 9 below. If the breaching party fails to cure the breach, the termination shall be effective at the end of the thirty (30) day period. Article 6 Payment 6.1 Compensation for Services. City agrees to compensate UCLA for the services provided under this Agreement at the rates set forth in Exhibit C. UCLA will invoice City on a monthly basis. City shall pay the invoiced amount due within 30 days of receipt of the invoice from UCLA. .9_ Agreement No. 5141 6.2 PaPayment. Any payment to UCLA made pursuant to this Agreement shall be made by check payable to the Regents of the University of California and mailed to: Business Services Director UCLA Center for Prehospital Care 10990 Wilshire Blvd., Suite 1450 Los Angeles, CA 90024 Article 7 Insurance 7.1 The Parties agree to obtain and maintain the insurance set forth in Exhibit D. Article 8 Indemnification 8.1 Departments and the City agree to defend, indemnify, and hold harmless UCLA, its officers, employees and agents from and against any and all liability, loss, expense (including reasonable attorneys' fees) or claims for injury or damages arising out of the performance of this Agreement, but only in proportion to and to the extent such liability, loss, expense, attorneys' fees, or claims for injury or damages are caused by or result from the negligent or intentional acts or omissions of the Departments and City, its officers, employees or agents. 8.2 UCLA agrees to defend, indemnify, and hold harmless Departments and the City, its officers, employees and agents from and against any and all liability, loss, expense (including reasonable attorneys' fees) or claims for injury or damages arising out of the performance of this Agreement, but only in proportion to and to the extent such liability, loss, expense, attorneys' fees, or claims for injury or -10- Agreement No. 5141 damages are caused by or result from the negligent or intentional acts or omissions of UCLA, its officers, employees or agents. Article 9 Notice 9.1 Any notice required to be given to any Party is deemed to have been given and to be effective on the date of delivery if delivered in person, or five days after mailing if mailed by first -class certified mail, postage paid, or on the date of the fax confirmation if made by fax, to the respective addresses given below or to any other address as designated in writing to the other Party: UCLA: Todd LeGassick Managing Director UCLA Center for Prehospital Care 10990 Wilshire Blvd., Suite 1450 Los Angeles, CA 90024 With a copy to: UCLA Healthcare Legal Affairs 924 Westwood Blvd., Suite 1050 Los Angeles, CA 90024 City: City Clerk's Office City of El Segundo 350 Main Street El Segundo, CA 90245 With a copy to: El Segundo Fire Department 314 Main Street El Segundo, CA 90245 -11- Agreement No. 5141 Article 10 Use of Name 10.1 Neither Party may use the name of the other without the prior written approval of the authorized representative of the other Party. City and Departments agree that any use of the "University of California" or similar references to the University of California Los Angeles, its employees, programs and/or facilities, shall be subject to the prior written consent of The Regents of the University of California in accordance with the provisions of applicable law, including but not limited to California Education Code Section 92000, and University of California policy. Article 11 General Terms 11.1 Relationship. . This Agreement is not construed as creating a partnership, joint venture, or agency relationship among the Parties. The relationship between the Parties shall at all times be that of independent contractors. 11.2 Non-solicitation. City and Departments agree that they will not solicit UCLA Educator(s) for employment at the City or Departments during the term of the Agreement and for twelve 12 months after the end of its term. 11.3 Governing Law. This Agreement must be interpreted and construed according to the laws of the State of California. 11.4 Modifications'. cations. Any amendments or modifications to this Agreement must be in writing and signed by authorized representatives of both Parties. -12- Agreement No. 5141 11.5 Assignment. Neither Party may assign their rights, duties, or obligations under this Agreement, either in whole or in part, without the prior written consent of the other Party. 11.6 Severability. The provisions of this Agreement are severable. If any provision of this Agreement is determined to be invalid or unenforceable under any controlling body of law, the invalidity or enforceability does not in any way affect the validity or enforceability of the remaining provisions of this Agreement. 11.7 Waiver. Waiver by any Party of any breach of any provision of this Agreement or warranty or representation shall not be construed as a waiver of any subsequent breach of the same or any other provision. The failure to exercise any right in this Agreement shall not operate as a waiver of such right. 11.8 Entire Agreement. This Agreement, and the Exhibits, contain the entire Agreement between the Parties with respect to the subject matter of the Agreement and supersedes all prior written or oral agreements with respect to the subject matter in the Agreement. 11.9 No 'Third Party Beneficiaries. None of the provisions contained in this Agreement are intended by the Parties, nor shall they be deemed, to confer any benefit on any person not a Party to this Agreement. - 13 - Agreement No. 5141 IN WITNESS THEREOF, the Parties hereto have executed this Agreement on the dates indicated. DATE: THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, on behalf of the UCLA Center for Prehospital Care By. _.__ ww On bclial.f of U ALA Kelsey Martin, M.D., Ph.D. Interim Dean, David Geffen School of Medicine at UCLA DATE THE 01 OF �VI, SEGUNDO .. ....... _----------------- - - - --_ A aerrera. w c Greg pent 'µ, City Manager DATE: �� �' ATTEST: I'r -y We f e „ .ity Clerl -14- Agreement No. 5141 Exhibit A L,os An eles CounLy Department of Health Services Prehos ital Care Policy Manual Policy - 15 - DEPARTMENT OF HEALTH SERVICES COUNTY OF LOS ANGELES SUBJECT: EMT AED SERVICE PROVIDER PROGRAM REQUIREMENTS Agreement No. 5141 REFERENCE NO. 412 PURPOSE: To establish policies and procedures for EMT AED service providers in Los Angeles County. AUTHORITY: Health and Safety Code Sections; 1797.170, 1797.190, 1797.196 California Code of Regulations, Title 22, Division 9, Chapter 2 Sections 100056,100056.1, 100063, 100063.1. DEFINITIONS: AHA ECC: American Heart Association Emergency Cardiovascular Care Automated Exte-rnal Defibrillator (AED): An external defibrillator capable of cardiac rhythm analysis that will charge and deliver a shock, either automatically or by user interaction, after electronically detecting and assessing ventricular fibrillation or ventricular tachycardia. Authorized Individual: EMT personnel employed by an EMT AED service provider who has met the training requirements and is authorized to use an AED. CPR: Cardiopulmonary Resuscitation EMT (Emergency Medical Technician): An individual who is currently certified in California as an EMT. EMT AED Service Provider: An agency or organization approved by the EMS agency and is responsible for and authorizes EMTs to operate an AED for the purpose of providing services to the general public. PRINCIPLES: All EMT AED service provider agencies shall meet State regulations and established EMS Agency policies. 2. Only agencies or organizations that employ EMTs are eligible for approval as an EMT AED service provider. 3. An approved EMT AED service provider and their authorized personnel shall be recognized statewide. 4. Agencies that employ both EMTs and public safety personnel and seek approval as an AED service provider agency must comply with the policy requirements for each entity. Medical Dir, or, EMS Ay PAGE 1 OF 6 Agreement No. 5141 SUBJECT: EMT AED SERVICE PROVIDER PROGRAM REQUIREMENTS REFERENCE NO. 412 POLICY; 1. Approving Authority The EMS Agency shall be the approving authority for all EMT AED service provider programs whose headquarters /local operations are located within Los Angeles County. ll. Program Approval The EMS Agency: A. Shall notify the applicant within ten (10) working days that the application was received and specify what information, if any, is missing or deficient. B. Shall review and approve all CPR /AED training programs which are not approved by American Heart Association (AHA), American Red Cross (ARC), or the EMS Authority. C. May conduct a site survey prior to approval. D. Shall provide written approval authorizing AED services within fourteen (14) working days, when all requirements have been met. E. May revoke or suspend an EMT AED program, prohibiting the use of AEDs, if the EMT AED service provider: 1. Is found to be out of compliance with applicable State regulations and /or EMS Agency policies, procedures or reporting requirements. 2. Fails to correct identified deficiencies within the specified length of time after receiving written notice from the EMS Agency. M. Program Staff Requirements Each program shall designate a program coordinator. A. Requirements An individual designated by the fire chief or general manager of the EMT AED service provider organization or agency. B. The duties shall include but are not limited to: 1. Program management. 2. Data collection. 3. Annual report submission. 4. Ensure that a California licensed physician, physician assistant, registered nurse or paramedic, who has the ability to interpret ECG rhythms, will timely and competently: PAGE 2OF5 Agreement No. 5141 SUBJECT: EMT AED SERVICE PROVIDER PROGRAM REQUIREMENTS REFERENCE NO. 412 a. Review all cases where an AED was applied. b. Log required data. C. Review and summarize system performance. d. Make recommendations, as indicated, for modification of system design, performance protocols or training standards designed to improve patient outcome. 5. Comply with department and EMS Agency policies and procedures. IV. Program Requirements A. Initial Application An organization or agency employing certified EMTs may seek approval by submitting the following: 1. A complete application. 2. All required documents as outlined in the application packet. 3. A written request or letter of intent which includes the following: a. A statement that the organization or agency is willing to abide by Los Angeles County EMS Agency Reference No. 412, EMT AED Service Provider Program Requirements. b. An assurance that all AED devices in use meet current AHA ECC guidelines. C. Changes in key personnel or equipment will be reported to the Los Angeles County EMS Agency within thirty (30) days. d. Notification of discontinuance of an approved EMT AED program will be sent to the Los Angeles County EMS Agency within thirty (30) days. B. Training and Competency Requirements are as follows; 1. CPR with AED training to the level of health care provider or professional rescuer in accordance with current American Heart Association /Emergency Cardiovascular Care guidelines. 2, Orientation to the use and maintenance of the EMT service provider's specific AED device(s). PAGE 3OF5 SUBJECT: C C E. Agreement No. 5141 EMT AED SERVICE PROVIDER PROGRAM REQUIREMENTS REFERENCE NO. 412 3. Instruction in documentation, internal response and operational plan, reporting requirements and EMS Agency policies and procedures related to AED use. 4. Continued competency training and documented demonstration of skills proficiency which shall occur, at a minimum, every two (2) years. Provide the following to the EMS Agency or EMS Authority upon request for each EMT AED authorized user: 1. EMT certification number with expiration date and issuing agency. 2. Date of most recent CPR /AED training. 3. Most recent AED skills competency date. Maintenance of Equipment/Supplies 1. Have a written policy with the procedure to be used to ensure AED equipment is properly maintained. 2. All AEDs and supplies shall be maintained and inspected after each use and, at a minimum, every thirty (30) days. Response and Operational Plan All EMT AED service providers shall have a response and operational plan for AED use to include the following: 1, How emergency response will be activated e.g. 9 -1 -1 call, internal number, radio, etc. 2. Geographical response area, location of each AED and number of AEDs in service. 3. Response personnel. 4. Scene safety. 5. Documentation post AED application. V. Program Review and Reporting A. Approved programs shall be subject to periodic on -site surveys by the EMS Agency, in conjunction with other surveys whenever possible. B. The EMS Agency shall be notified in writing within thirty (30) days of any change in program coordinator, and /or changing, adding or upgrading of AEDs. C. The EMS Agency annual report shall be submitted by March 31St for the previous year. The annual report shall include, but may not be limited to the following: PAGE 4OF5 Agreement No. 5141 SUBJECT; EMT AED SERVICE PROVIDER PROGRAM REQUIREMENTS REFERENCE NO. 412 1. The total number of cardiac arrest responses. 2. The total population served. 3. The number of patients with sudden cardiac arrest receiving CPR prior to arrival of the EMT AED service provider on whom an AED was applied. 4. The number of persons who suffered a witnessed cardiac arrest whose initial monitored rhythm was ventricular tachycardia or ventricular fibrillation on whom an AED was applied. 5. The number of patients who were defibrillated: a. Witnessed b. Un- witnessed 6. Number of personnel who are authorized to perform defibrillation by the EMT AED service provider: a. EMTs b. Lay public VI. Record Keeping A. Each program shall maintain the following records for four (4) years which shall be available for review: 1. All documentation required for program approval. 2. Training and competency rosters. 3. Instructional and testing material. 4. Maintenance /inspection log sheets. 5. Curriculum vitae and qualifications for program coordinator. B. Patient care records shall be maintained in accordance with EMS Agency policies. CROSS REFERENCE- Prehospital Care Manual: Reference No. 412.1, EMT AED Service Provider Program Application Reference No. 413, Public Safety AED Service Provider Program Requirements Reference No. 602, Confidentiality of Patient Information Reference No. 606, Documentation of Prehospital Care Reference No. 610, Retention of Prehospital Care Records Reference No. 814, Determination /Pronouncement of Death in the Field PAGE 5 OF 5 Agreement No. 5141 Exhibit B Los An gcic,s Counly Department of Health Services Prehos pital Care Policy Manual Pow 413 -16- Agreement No. 5141 DEPARTMENT OF HEALTH SERVICES COUNTY OF LOS ANGELES SUBJECT: PUBLIC SAFETY AED SERVICE PROVIDER PROGRAM REQUIREMENTS REFERENCE NO. 413 PURPOSE: To establish policies and procedures for Public Safety AED Service Providers in Los Angeles County. AUTHORITY: Health and Safety Code Sections; 1797.170, 1797.190, 1797.196 California Code of Regulations, Title 22, Division 9, Chapter 1.5 Sections 100005 - 109016, 1 00018 - 100028. Penal Code Sections 830 — 830.65 DEFINITIONS: AHA ECC: American Heart Association Emergency Cardiovascular Care Automated External Defibrillator (AED): An external defibrillator capable of cardiac rhythm analysis that will charge and deliver a shock, either automatically or by user interaction, after electronically detecting and assessing ventricular fibrillation or ventricular tachycardia. Authorized Individual: Public safety personnel employed by a public safety AED service provider who has met the training requirements and is authorized to use an AED. CPR: Cardiopulmonary Resuscitation EMT (Emergency Medical Technician): An individual who is currently certified in California as an EMT. Public Safety AED Service Provider: An agency or organization approved by the EMS agency and is responsible for and authorizes public safety personnel to operate an AED for the purpose of providing services to the general public. Public Safety Personnel: Firefighter, lifeguard or peace officer (as defined by section 830 of the Penal Code) not employed as an EMT. PRINCIPLES: All public safety AED service provider agencies shall meet State regulations and established EMS Agency Policies. 2. Only agencies or organizations that employ public safety personnel are eligible for approval as a public safety AED service provider. 3. An approved public safety AED service provider and their authorized personnel shall be recognized statewide. Medical Direct r„ EMS Age PAGE 1 OF 6 SUBJECT PUBLIC SAFETY AED SERVICE PROVIDER PROGRAM REQUIREMENTS Agreement No. 5141 REFERENCE NO. 413 4, Agencies that employ both public safety and EMT personnel and seek approval as an AED service provider, must comply with the policy requirements for each entity. POLICY: Approving Authority The EMS Agency shall be the approving authority for all public safety AED service provider programs whose headquarters are located within Los Angeles County. Program Approval The EMS Agency: A. Shall notify the applicant within ten (10) working days that the application was received and specify what information, if any, is missing or deficient. B. Shall review and approve first aid and /or CPR /AED training programs which are not approved by American Heart Association (AHA), American Red Cross (ARC), Peace Officer's Standards and Training (POST) or the EMS Authority. C. May conduct a site survey prior to approval. D. Shall provide written approval authorizing AED services within fourteen (14) working days, when all requirements have been met,. E. May revoke or suspend a public safety AED program, prohibiting the use of AEDs, if the public safety AED service provider: Is found to be out of compliance with applicable State regulations and /or EMS Agency policies, procedures or reporting requirements. 2. Fails to correct identified deficiencies within the specified length of time after receiving written notice from the EMS Agency. III, Program Staff Requirements Each program shall designate a program coordinator. A. Requirements An individual designated by the chief or general manager of the public safety AED service provider organization or agency. B. The duties shall include but are not limited to: Program management. 2. Data collection. PAGE 2OF6 Agreement No. 5141 SUBJECT: PUBLIC SAFETY AED SERVICE PROVIDER PROGRAM REQUIREMENTS REFERENCE NO. 413 3. Annual report submission. 4. Ensuring a California licensed physician, physician assistant, registered nurse or paramedic, who has the ability to interpret ECG rhythms, will timely and competently: a. Review all cases where an AED was applied.. b. Review system performance. C. Make recommendations, as indicated, for modification of system design, performance protocols or training standards designed to improve patient outcome. 5. Complying with department and EMS Agency policies and procedures.. IV. Program Requirements A. Initial Application An organization or agency employing public safety personnel may seek approval by submitting the following: 1. A complete application. 2. All required documents as outlined in the application packet. 3. A written request or letter of intent which includes the following: a. A statement that the organization or agency is willing to abide by Los Angeles County EMS Agency Reference No. 413, Public Safety AED Service Provider Program Requirements. b. An assurance that all AED devices in use meet current AHA ECC guidelines. C. Changes in key personnel or equipment will be reported to the Los Angeles County EMS Agency within thirty (30) days. d. Notification of discontinuance of an approved public safety AED program will be sent to the Los Angeles County EMS Agency within thirty (30) days. B. Initial Training Training requirements include: 1. First aid training not less than 15 hours. 2. CPR training not less than 6 hours. PAGE 3OF6 SUBJECT: PUBLIC SAFETY AED SERVICE PROVIDER PROGRAM REQUIREMENTS Agreement No. 5141 REFERENCE NO. 413 Note: POST - approved basic academy training covers the training requirements in section IV.B.1 and 2 of this policy. 1 AED training not less than 4 hours and shall include the following topics and skills: a. Proper use, maintenance and periodic inspection of the AED. b. The necessity of CPR, defibrillation, advanced life support (ALS) and adequate airway care c. Overview of the EMS system, 9 -1 -1 access, interaction with EMS personnel, and organization's internal response and operational plan. d. Assessment of an unconscious patient, to include evaluation of airway, breathing and circulation to determine cardiac arrest. e. Appropriate care if rhythm analysis reports "no shock advised." f. AED safety precautions to enable the individual to administer a shock without jeopardizing the safety of the patient, rescuers or bystanders. g. Recognition that an electrical shock has been delivered to the patient and that the defibrillator is no longer charged. h. Rapid, accurate assessment of the patient post defibrillation. i. Appropriate care following defibrillation. j. Documentation and reporting requirements. C. Skills Competency All programs shall test AED competency for each authorized individual at least annually and when changes in equipment occur. 2. Complete a retraining course in first aid, CPR and AED use once every three (3) years at a minimum which consists of not less than twelve (12) hours. OR 3. Pass a competency based written and skills pretest on first aid, CPR and AED use every three (3) years at a minimum with the following restrictions: a. Appropriate retraining is provided on those topics indicated necessary by the pretest in addition to any new developments in first aid, CPR and AED use. b. A final test is given and passed covering the topics on which retraining occurred. PAGE 4 OF 6 SUBJECT: PUBLIC SAFETY AED SERVICE PROVIDER PROGRAM REQUIREMENTS Agreement No. 5141 REFERENCE NO. 413 D. Provide the following to the EMS Agency or EMS Authority upon request for each public safety AED authorized user: 1. Dates of most recent first aid, CPR and AED training. 2. Most recent AED skills competency date. E. Maintenance of Equipment/Supplies 1. Have a written policy with the procedure to be used to ensure AED equipment is properly maintained. 2, All AEDs and supplies shall be maintained and inspected after each use and, at a minimum, every thirty (30) days. F. Response and Operational Plan All public safety AED service providers shall have a response and operational plan for AED use which includes the following: 1. How emergency response will be activated e.g., 9 -1 -1 call, internal number, radio, etc. 2. Geographical response area, location of each AED and number of AEDs in service. 3. Response personnel. 4. Scene safety. 5. Documentation post AED application. V. Program Review and Reporting A. Approved programs shall be subject to periodic on -site surveys by the EMS Agency. B. The EMS Agency shall be notified in writing within thirty (30) days of any change in program coordinator, and /or changing, adding or upgrading of AEDs. C. The EMS Agency annual report shall be submitted by March 31 st for the previous year. The annual report shall include, but may not be limited to the following: 1. The total number of cardiac arrest responses. 2. The total population served.. 3. The number of patients with sudden cardiac arrest receiving CPR prior to arrival of the public safety AED service provider on whom an AED was applied. PAGE 5OF6 Agreement No. 5141 SUBJECT: PUBLIC SAFETY AED SERVICE PROVIDER PROGRAM REQUIREMENTS REFERENCE NO. 413 4. The number of persons who suffered a witnessed cardiac arrest whose initial monitored rhythm was ventricular tachycardia or ventricular fibrillation on whom an AED was applied. 5. The number of patients who were defibrillated: e. Witnessed f. Un- witnessed 6. Number of personnel who are authorized to perform defibrillation by the public safety AED service provider: a. Public safety b. Lay public VI. Record'Keeping Each program shall maintain the following records for four (4) years which shall be available for review: A. All documentation required for program approval. B. Training and competency rosters. C. Instructional and testing material. D. Maintenance /inspection log sheets. E. Curriculum vitae and qualifications for program coordinator. CROSS REFERENCE: Prehos ital Care Manual: Reference No. 412, EMT AED Service Provider Program Requirements Reference No. 413.1, Public Safety AED Service Provider Program Application PAGE 6OF6 Agreement No. 5141 Exhibit C Fees 1. Fire Department & City Building Services: $ 3054.71 per month 2. Police Department Services: $ 534.51 per month -17- Exhibit D Insurance I. UCLA Agreement No. 5141 UCLA at its sole cost and expense shall insure or self - insure its activities in connection with this Agreement by maintaining programs of self - insurance as follows: 1, General Liability Self- Insurance Program with limits of five million dollars ($5,000,000) per occurrence, with a general aggregate of five million dollars ($5,000,000). If such insurance is written on a claims - made form, it shall continue for three (3) years following termination of this Agreement. The insurance shall have a retroactive date prior to or coinciding with the effective date of this Agreement. 2. Business Automobile Liability Self- Insurance Program with a combined single limit of not less than one million dollars ($1,000,000) per occurrence, if such automobile insurance is not included as part of UCLA's General Liability Coverage.3. Professional Medical and Hospital Liability Self- Insurance Program with limits of five million dollars ($5,000,000) per occurrence and a general aggregate of five million dollars ($10,000,000). 4. Workers' Compensation and Employers Liability Self- Insurance Program covering University's full liability under the Workers' Compensation Insurance and Safety Act of the State of California as amended from time to time. 5. Such other insurance in such amounts which from time to time may be reasonably required by mutual consent of the Parties against other insurable risks relating to performance. It should be expressly understood, however, that the coverages required under Sections 1, 2, and 3 above shall not in any way limit the liability of UCLA. If such insurance is written on a claims -made form, it shall continue for three years following termination of this agreement. The insurance shall have a retroactive date prior to or coinciding with the effective date of this Agreement. The coverages referred to under Sections 1 and 2 above shall include Departments and City as insureds. Such a provision, however, shall apply only in proportion to and to the extent of the negligent acts or omissions of UCLA, its officers, employees and agents under this Agreement. UCLA, upon execution of this Agreement, shall furnish City and Departments with Certificates of Self- Insurance evidencing compliance with all requirements. II. Ci and Departments -18- Agreement No. 5141 City and Departments at their sole cost and expense shall insure or self - insure their activities in connection with this Agreement by maintaining programs of self - insurance as follows: 1. General Liability Self- Insurance with a limit of five million dollars ($5,000,000) per occurrence and a general aggregate of five million dollars ($5,000,000). 2. Business Automobile Liability Self- Insurance Program with a combined single limit of not less than one million dollars ($1,000,000) per occurrence with additional coverage available, if such automobile insurance is not included as part of City and Departments' General Liability Coverage. 3. Professional Medical Liability Self - Insurance Program with limits of three million dollars ($3,000,000) per occurrence, and a general aggregate of ten million dollars ($10,000,000). If such insurance is written on a claims - made form, it shall continue for five (5) years following termination of this Agreement. The insurance shall have a retroactive date prior to or coinciding with the effective date of this Agreement and a deductible of no more than five hundred thousand dollars ($500,000). In the event that a claims -made policy is canceled or non - renewed, then City and Departments shall obtain extended reporting (tail) coverage for the remainder of the five (5) year period. 4, Workers' Compensation and Employers Liability Self - Insurance Program covering Department's full liability under the Workers' Compensation Insurance and Safety Act of the State of California as amended from time to time. 5, Such other insurance in such amounts which from time to time may be reasonably required by mutual consent of the Parties against other insurable risks relating to performance. It should be expressly understood, however, that the coverages required under Sections 1, 2, and 3 above shall not in any way limit the liability of City or Departments. If such insurance is written on a claims -made form, it shall continue for three years following termination of this agreement. The insurance shall have a retroactive date prior to or coinciding with the effective date of this Agreement. The coverages referred to under Sections 1 and 2 above shall include UCLA as insured. Such a provision, however, shall apply only in proportion to and to the extent of the negligent acts or omissions of City or Departments, their officers, employees and agents under this Agreement. City and Departments, upon execution of this Agreement, shall furnish UCLA with Certificates of Self - Insurance evidencing compliance with all requirements. -19- Agreement No. 5141 III. NOTICE Each party shall provide the other with at least thirty (30) days advance written notice to the names set forth in Exhibit D of this Agreement of any changes, modifications or cancellations of the above coverages. -20-