HomeMy WebLinkAbout2012 Ordinance No. 014ORDINAI\CE NO. i-4-
SEIUES OF 2011
CQN'l'n·•-
·••.nru..J. No. :i. '-;.Z.o/ ~
BY AUTHORITY
COUNCIL RILL NO. 12
INTRODUCED DY COUNCIL
MEMBER WOODWARD
A.'1 ORDINANCE Alm·IORJZING AN APPLICATION FOR AND ACCEPTANCE OF
"COLORADO EMERGENCY MEOICAL AND TRAUMA SER VICES (EMTS) PROVIDER
GRANT" BETWEEN THE CITY OF ENGLEWOOD, COLORADO AND THE STATE OF
COLORADO.
\lil!EREAS, the Culorado EmLTgcncy Medical and Trauma Services (EMTS) Provider Grant
program is intended to assis1 public and privalc organizations in maintaining. improving and
expanding lhe emergency medical and trauma services in Colorado; and
WHEllEAS, the City of Englewood , Colorado, desires to apply for che Colorado Emergency
Medical and Trauma Services (EMTS) Provirler Grant frnm the State of Colorado to assist with
the purchase of High Plains lnfomiation Systems' PhysioContrul Lifcl'nk 12115 interface
software; and
WHEREAS, the PhysioContro! LifePak 12115 interface software will greatly enhance patient
outcomes; and
\\'HEREAS, 11'the City 1s granled che Colorado Emergency Medical and Trauma Services
(EMTS) P~ovider Grant, which is a macching grant requiring o minimum of a 50% match, lhe
City's share will be $1,950;
NOW, THEREFORE, DE IT ORDA!NED BY THE CITY COUNC[L OF THE CITY OF
ENGLEWOOD, COLORADO, THAT:
Section I . lbe Cicy of Englewood , Colorado , is herehy aulhurized to file an applicaiion for
lhe Colorado Emergency Medic al and Trauma Scn·,ces (EMTS) Provider Grant pr~i;ram from
lhe State of Colorado, attached h,,rcto as Exhibit A.
Section 2. The Fire Chief is authorized 10 sign all nec essary documencs for the Colorado
Emergenc y Medical and Trauma Services (EMTS) Pro\'ider Gram applicacion for and on behalf
of lhe City Council and the Ciry c,fEnglewood .
Secli~,:_J. T:ie City Council of the City of Englewood, Colorado hereby aulh orizes the
acccpcance of lhe Colorado Emergency Medical and Tracma Scn•icc, (EMTS ) Provider Gran! should
it be awa rded by the Slate of Colorado.
Section 4. The Granl funds will be award"d from the Seate of Colorado and lhe City 's
matching requirement of$1,950 w;ll be from lhe Fire Dc;,artmml 2012 Budge! for "Durable
Medical Supplies"
9 b iii
Seel ion 5. Upon m,·t1rd of the Cflloradc Emergen cy Mcdi t.:11 1 ;111d T1auu1a St.:1 v1i..:t:s (EMTS)
11rc,\1idcr Grant th1.: Ma yor is hereby m1thon zt-d to sign fl,r :md 1111 hcl1a 1r of 1!1c City o:~Englcwol1d,
Col orado .
l11troduc cd. rca:I in li>II, mid pa ss ed on I rst rcadi11~ on the 5th da y ,,f March. 2012
l'uhlishctl by Title ns n Hill for rm Orrlin:m cc iu lht : f'it y\ 11i'fic 1al rn~,,·~p:1p1~r nn th e 1J'11 da y o r
March . '.'OP
l1uhli~hcd a~ n llill for 311 Ordin :,ncc nn th e Cit y':-. of'tic,.:i:il wcb:.it;: l1cgi11111ng on the.: 71h da y ol'
M11rch, 2012 for thi11y ()0) d11 ys .
ltcnrl hy :itlc and pa .iscd flll tim1I rcm.l in A en the 1 i)Lh ,fa y of Milrch.1012 .
l'ublishcd hy 11 :lc in the C1t)"s onidal newspaper us Ordinanc~ No . fr , Serie s uf 21112 , on
the 23 "1 d11y of March, 2012 .
l'ubli sheu by ti:lc on the City's official website beg innm~ nn lhe 21" day of
March. 2012 for1hirty (30) day.s.
ATTEST
I. Kerry Bush, Depu1y City Clerk oflhe Cit y nl Ensl.,wnorl. ColN:,rln . hcn,hy c,rtify th:tt th e
nhnvr. nnrl foregoing is ~\true copy of tho Ordinance passed on final reading and puhlishcd by
title ns Ordinance No . \4 , Serie, of 2012 .
Colora:1o EMTS Provider Grant Request
C1::>se
~.nglewood Fi re Department (1521)
Date tubmitted : 2/1 ~/2012
Agency Information
l. Legal Name of Agency :
2 . Business Nane:
3. Federal lax JD:
4. Grant Contact:
5 . Agency Mailing Address:
6 . Pr imary Phone Number :
/. Fax :
8 . E-Mail :
9. Completed ty:
Grant Options
Englewood Fi re Departme~t
Englewood Fire Department
84 6000583
Steve Green
E'1S Coorjlnator
35 15 5 Elatl St
Englewooj, CO 80110
303-762·24 76
303-762 -2 406
s~reen@englcwoodgov.o rg
Steve Green
I . Organiz ation Match Percentage : 50%
2 . Is th is a multl•organiz atlonal Application? No
3. Select the counties that this grant project Arapahoe
impac-.s:
4 . Please describe you: overall grant requ~st In t~n sentences or Ices :
We are requesting gran: assistance so we can purchase a softwere ~atch for our electronic
patient car~ reporting (EPCR) system . Ou :-goal is to Include field cardiac tracings as a part or
the EPCR . Pape r copies of cardiac tracings are frequently separated from the rest of the patient
care report and are not available to in-hospital care providers lncluding It In the EPCR would
allow us to ensure that field cardiac tracings would be c _.i,c ~ part of t he pa:lent's p~rmanent
re co rd . The des ired snrtware patch would all ow us to uploao field care lac tracings from our
LifePak 12~ to ou r EPCR system .
Categories Selected
Catego·y
Other Categor ie s
To ta l for Al Categories
Total Price Ma tch
5'3,900.00 50%
$3,900 .00
Agency State Amou>t
AmoLnt
$1 ,950 .00
1,950 .00
$1,95 0 .00
$1,9 50 .00
A111uu nt
Funded
·---------·--•·---·-----------------------
~ ..
I
f
T
A
Other r:ategory Request
Hems r.cqt1ested :
Qunnut~-De!:cnptlo n
Phy!'.io -Cnntro l LifePa l<
12/15 l nlorfilc.e
Other C.:ttcr,nry Tnt:a l
Service Nee1ls:
Pr ice Each
1,,,900.no
t . Briefly dec.cribe your proposed project:
Total Pr ice Percent Age ncy Sta t e A·t101Jnt
Match /\rnount AITIO'Jnt Funded
t,,90Q on t;f,U/n ·;i ,9,;o .nn -..1 ,'l,n .nn
~:.{1 900.(IU 1,J ,l)50 .{J0 ~-l,9:,0.00
lhi~ project, the purch~se of i:he Lifer ti r< : 2/ 1 S lntertnce;, 'NIii c1llow :>ur provlr;ers to inclu de
elect, ocarcl;oy;-a ph trar.ings (E:Gs) In the elect rcnl,: patient care report (C:PCR). We use H gr.
Flc1 i11~ Fhl: M"nayer EPCR software and LifePak 12 rnnnltors. The interface is the soltwa--e
, c:c tlc:c.J Lu <1lluw :hat transfer of information to ta ke plar.e.
2. E,:plain why this proj ect should be considered 111 tl1i~ particular category:
We r~c l urli,d this proj~ct in the ''Other" :u,egory because It ctld not seem to flt In any other
category. It Is a form or data rnl ection, but not r~lated to required State of Colorado data . The
project Is related to cur cardiac moni t or, bu t does no: meet :he defini t ion of durable medical
equiprnent, as we unde·stand It.
3. De!:cribe the need for this project and how it wlll benefl: C\ilorcdo's EMS c1nd trauma svstem:
Paper ECGs lHE! frequcrtly not t ransferred with the p.Jticnt or arc lo!it during record:,. tran~fers,
prior to permanent storage . Lack of field ECGs can result In ths loss o f critical information, t he
posslblllty of a rrlssed diagnosis, o reduced quality of long -term care and a reduced ability to
evaluate the quality of care pr,vlded. Our rncdleul director, field providers and
wtornatic/mu:ual old portners a·e all in support of our obtaining this capabl'lty. Insurance
companies are beginning to ask t hat field cardiac t rn cl ngs will be Included In the patient cure
r~purt, as well. By providing a higher level of do cumentation, a higher level of long terr.1 care Is
afforded ti re µatlenl.
4. list the specific deliverables for this project, Incl uding the parties responsible for
Implementation an -j the proposed timeline :
The lmnlementatlon of this project will oe through the EMS Coore'inator and Deputy Chief's
nffices. Tile rn ;erfilGe would be purchased immed iately on approval of the re~u<'!sted ~rant and
trr-i:i1ing on its use wll l be sc i1eduled as soon as possible nrte~ msta llation 1 wlth :n 30 days.
5, Descri be the r.utco.1-ic mei:tsures related to the · d~llvernbles. llcw will pcrformur1cc be
111t id:,u1t:d?
Perlormanc~ will tie measu re d on a per~entag e of cardiac tracing; 2ttached :.o EPCRs versus
ECG evaluatlor,~ noted In EPCRs. Our target outcome Is that l0l'% 01 · t::CGs pe.-rorme:t wil l be
attached tu tt1e related EPCR . This .evalciation wl'I i1itlally be p~rtormed by the EMS Coordinator
and Deputy Chief, subsequently by the Fire Departme nt's st~.,dlrg ::1'15 Pertoniance
lm~roveme,t Committee. Long term outcome lmp,ovement Is more difficult to meas,Jre, out Is
considered high ly likely In a percentage or t ne patlen:s cont acted.
5 . · How will evaluation resu lts and best· nrnctlr.P.s he sh;.-P.rl, If >rnlirable :
Our e va luati on result£ wil l be !:hared thro•Jgh the Denver Metro EMS Coord instor s and Medi cal
Directors mcctingr. througt, il .-ipo1t to tl;.:it grm.p, ar, well a~ ilny other information of 11terei:::;t
thttt m ay ccll'h.' out o f cv.:i lui:'lt ing ou~ ccmplluncc witt-. the til rg~t outcome.
•• 1,:• . .'i'i.l C1(.• ~lVI l ;:, 1•1"{\l 'tlll"I 1,11,1/U
7. Describe local suppo,·. fo r th is proJect and how this support will help ensure successful
completion:
A letter rrom Kaiser Permanente related to this need is attached.
Priority to Underdeveloped or Aged Systems:
B. Explain how th:s proposed project addresses an underdeveloped or aged component of
Colorado's EMS and trauma system:
Our UfePak 12s are all about nine )'ears old . We are careful to kee;, them well maintained, In
part beca~se er their age and high usage, but also be cause of the critical nature of their
fu11 ctlon . The capability of seeing 1':CGs In the fidd is not new, nor Is the desire to transmit or
deliver that Information to the receiving facility . We are, however, well behind the standard of
care in the DenvP.r MP.tro area for bei ng able to attact this information to patient care r epo,ts.
Cost Effectiveness:
9. Brleny de sc ribe the alte rn atives your agency considered and why this Is the most cost effective
alternative :
Outside or th e current pro:edure, t he only other known alterna tive to a sof:ware interface :s
having a person assigned or a procedure established to cre~te a scanned electronic copy or the
ECG and manually attach It to the appropriate patient care report . This would bP. a very costly,
tlme-consJmlng alternative and has a substantial potential for time delays and errors.
10. lf applicable, briefly describe ttie process used te, select the vendor(s):
This Is a sole source proJect. We have to USL ou r current EPCR vendor to provide this lriterface .
11. How will this project be susta ined r•,anclall y In ruture years?
There are no known costs to sustain this p roject. Software updates are pla nned for as a part of
111al nta 1n111 g the basic EPCR system.
Applicant's qualifications:
12 . Ex r,laln how adequate res ources anc! ex perience are 2vallable to help e nsure successful
completion of th is prJJect :
We ha ve the hardware and EPCR. sysl~m in place to allow successful installation of the
Interface . We have perso nne l experienced In the u se or the Mlgh Plair-is ercR system who c.i n
teach providers t o use the inh~rface su ccessfully and we have the personnel In place to ev~luate
whether or not we are meeting our target IJO?ll of 10 0% coi1plla i1ce .
:3. Explain how the a1,,,1icant's qualifications will help e11sure long term sust:illnablllty of this
project:
We have been pr-ov ldin~ EMS services for about forty years. Our r,el d providers are becom ing
more and more astute regard in g technology and are eager to maintain a cutting edge, state of
the art EMS system . I t Is also 0•Jr feeling that, in the near future, th is capabil ity will be
considered a minim.:m standard for providers obtaini ng ECGs in the field or EMS .
System~, l ntog,·atic,n :
J '1 . I-tow clnes th is prl1Je ct 1rn,-,rov e sy stem co rnpa t lbili :y di 1cJ/or red uce duplicatlo r1
Our 3djuinlns ag encies already have the capabl !lty of a:t nc ' ·r,g ECG s to EPCRs . This I" OJec:
wo1Jlcl 1•Hi ng our capabilities in line with t1e1rs 1 In i:hlr. crea .
Financial f\·,eed:
15 . Explain why y~u r orga:,iiat ion 1e:ds grant fun di ng to :omplete this p r ,iect :
As no ted Ir our fi nancial statement, the Ci ty of Englewood ~,as had, at best, a f13t r evenue
streair for about 14 years. This has made It ex tremely difficult ,o maintain our :'l~S sys ten, ,n
(1r-ne,-,1 i, much le ss as state of the art. 0Jr retu rn on EMS billlnQ, be tween 25 and '.:> 7%, ·eflects
the challenges that co me with that fl at revenue stream . Our EMS service has been reculred .o
re so~t tn orrm ts to fu r d such ba sics ~s aoparatus repL:cement and equi1)ment purchase,
beca us,;, of ,, lar.i, of ava il ab le f-Jn j s In the City bur1g et.
l fi , What would ha ppen If t hese grant funds were nut secwr~d ?
We hCWP. r,:4ut.:sled fun ds for this lnterfe:e for at IC.::!it fi ve co n!';<:?LtJtive yeurs , without su c;ce s:;.
I do not ,;ce tl1dl uul~arn e cha nging, if the gr3nt fund s arc not sccu rec.
FIie Attachments
17. Upicads -vendor quote required , letlers or
support· recommended :
Kaise r C-CG letter .pdr
LIF ErAf: 12 -15 lnterfacc Qc,ol:e.pdf
--------------------------·------
Orgarization Profile for Englewood Fire Department
Org~nization Datu
A. A!JCIIC\' / Foclllty Informntion
1. Legal Name of Organization,
ID Number:
Profile Year:
Submission Date:
2 . Doing Business Name of
Organization:
3. Physical Address::
Englewood Fire Department
1521
2012
1/30/201 2
Eng le wood Fire Department
3615 S Elatl St
Engl ewood, CO 80 l 10
Physical County:
1. Malling Addreos:
5. Person Fllllng out this Profile:
6. Primary Phone Number:
7. Fax Phone:
8, E•Mall:
9. Web Site:
10 , RETAC Affiliated W ith :
B. Organization Types
Arapahce
3615 S :lat, St
Englewood, CO 80110
Steve Green
303-76,·2470
303-762-2406
sgreen@englewoodgov .org
englewoodgov .org
Mile-High
I. EMS Response: Yes
2, Medical Facility : No
3, EMS Education Program: No
4. County officials i ssuing ambulance No
llcenses or County EMS Councils:
5 RETAC: Nr,
6 . Association / Foundation / Other: Nv
C. Servh;e A.ran
l . In one or two short paragraphs
describe the geographic area
serviced by this organization:
The City of E:nglewood ,s ?. full se1'\llce Cit'{ of
about 32 . 000 resident, in an urbar-area of
approxlmaL~ly 6.4 sq •Jar~ miles, loca ted bctwc"n
Denver, Littleton, Sheridan and Cherry HIiis.
Houslr>g Is about lull rental and half owner-
occup ied, resident demograohlc Is described by
tha US Census as "lov,er middle ;ncome."
T~e city Is traversed by two highways that are
also haz-mat transportation ruutes, US 285
(Hampden Ave) and US 85 (Sante Fe Drive),
hea vy rail carr1•ing about 44 frei ght trains a my,
und light rail.
Englewood F:re Department provices tr,e city with
fire ·•rotection, EMS, building and fire code
enforcement, public education, fire and medica l
rei3ted training and other safety relatec: services,
lnL•u1\111y Lai seat Inspections ond CO detector
in~~ .. ,iztion .
The fire de;,artment consists of 51 responders and
5 support staff. Two am bulances arc equipped
ar,d staffed for 24-hour a day, seven day av.eek
advanced life support care and provide full
transport se rv ices . The fire department responded
to 4,259 calls fo, service In 2011, with 2,752
patient contacts . About 85% of the 2,3~6 pa:ients
transported ,n 20 11 we r e res idents of the city .
l 1 1lt11 ;1. l1, I ·. vi I .. 1·10 ·, 1,l ::1 t 11 ,,lli
I>. Fundlnu
l 'o!:' ' . ' I :
Tre fire depa rtment is rumh~<.J Uy t"le citt's
Gener di Fund. The mojo1 it y or revenuer. fo r trn s
fu,d arc gene rated from sales t etx P.~. Amhul;rnce
transport fees go to the Genera l Fund . a nd do not
directly benefit the fire dcpartmen:.
The EMS budget Is for e x p9ndable and durnb,e
medical supplies , c liMges fo r patient blll lny c1111J
t r a1n1nq .
t. ls this c,rn;anization interested in Ye~
EMTS Section funding prngrams?
F.MS ContilctS
A. ~MS Or genh:nlion
I. EMS Organization Name:
2. Licensing:
Is this organization a county
llcensad ground ambulance
s;ervice?
Is this organization a Colorado
licensed air ambulanr.e !=.ervice or
currr.ntly applying for licensure?
D. EMS Sc.rvlcr. Director
D i rector's Name:
Job Title :
2. f\llaillng Addr~ss:
3. Primary Phone Numl,er:
4. E-Mail:
C. EMS Alt-~rn;,te Contact
l . Alternate Contact's Name:
Job Title:
2 . E-Mail:
Englc wnod Fire Dcpun:ment
Yes
No
Michael rattaro2zl
nre Chie f
JG l!j S C:iatl St
l:nglewood, CO 80ll0
303 7 6 2-2~81
mputt1Jrozzi@e ngl ewooclgov.org
Richard Petau
Deputy Fire Chief
rp etau@ englew ood ~ov .org
O. EMS Medical Olroctor
l , Medical Director's Name:
2. Malllng Address:
3. Primary Phone Number:
4 . E-Mail :
5 . Colorado Medical License Number:
e. !MS Data Ad ministriltnr
l. EMS Data Administrator Name:
Job Title:
2 Primary Phone Number:
3, E-Mail:
f, emorgencv 24 Hour Contact
1. Emergency Contact Name:
Job Title:
2. Primary Phone Number:
3. E-Mail :
Services and Structure
l. Organizational Structure:
2 . Corporate/ T.ix Status:
3 Gcvernment Type:
3a . ls this EMS service established as a
governmental enterprise or
enterprise fund?
3b. Indicate the Type of Special District
for this EMS Service:
4. Funding Types:
5. Billing Method:
G. Primary service provided by ynur
EMS Organization:
7. Other services provided by your
EMS organization:
8. What level or provider can your
service send to EVERY call?
o y·ldn Luyten
c/O Heatlh One EMS
300 E Hampden Ave Suite 100
Englewood , CO BO J 10
303•7eB-6819
tJluylen@rrec.com
40919
Steve Green
EMS Coordinator
303-762-2476
sgreen(gl en glewoodgov. org
Disp atch Dispatch
Englewood Dispatch Center
303-762·24 38
Fire based
oover~ment
Mun icipal • town / city
No
NIA
User ==ees,
Tax Funding/ Mill Levy,
grant
Contract s~1 vi1:t:
Scene response with transpo1:
Scene response without transport,
Rescue,
Hazardous Materials Re sponse
Parc!medic
Pcr:.,,ru,cl
Category
J.. r-1rs1 l\~sponder
L. i::mergency Medical I edm c.i;in
(E MT ):
3. A 1'1vanccd Emergen cy Mr.die~!
re:hnlclar (/\~i'ff):
11 Inter-mediate
5 . Paran,e.:~/ic
6 . "1ur !,e
7. r,1,\,slclan
R. IH1 mi ni~ITMl'ivf' / nt·h0.r
~1. r-,111 -Time f:q11lv=ilP-nt· Cn11nt:
Re.q uests for EMS Services
l. Emergency Response with
,.r ansport:
2. Interf;•elllt·.-Transports:
J . Emer!Jency Response, no Transport:
4. Emer,:1ency Response Care
Tran•;ferred / Transport by Other:
5. Sta•,clby:
fi . Cancelled Calls:
7. Total:
B. EMS Fimmdul Rc!:ourcc!.
l . 1 otal Annual l:MS Budget for this
Organizatio11 :
2 . Tutal Annuttl EMS Clrnr~es B il!cd:
3 . Tutal Annual EMS Charges
Collected:
4. Crude Collection R.itc:
Cou nties License d In
J. List all counties where this agency
i s licensed for Ground transport
services:
Fu.I Time
27
3CO
40
2 ,7 66
$b~1uuu.uu
~2,0~8,697 .00
$571,898.00
28.19%
Arapaho e
Volunteer Total
27
Vehicles
Unit Make/ Mocel / Year Box Make Mil eage EqUIJ;ped All Type Bought Replacen-ent
Number For Wheel <kk .1822 with Yea,
6482 Ford / E·4 50 / 1999 Wheeled 79,825 ALS
Coach
6491 Ford/ E-450 / 200 1 McCoy MIiier 85 ,369 ALS
650) Ford/ E-450 / 2005 Wheeled 57,601 ALS
Coach
EMS Ground Demographics
A, Demographics of Service Area for Ground Trnnsport
1. Population Density/ Urbanlclty:
2. Employment Type:
3. Number of stations for this Service:
Urban
Paid
3
Drive EMS
Ill
Ill
Ill
Funds
4 . Average Call Time (Ol~patch to
Back-In-Service:):
42.00 minutes
5. Average patient mileage per
transport:
6 . Total square miles of your primary
service area (land & water):
7. Estimated permanent population of
your primary service area:
8. Population Density of Service Area:
B. System Participation
3.50 miles
7
32,300
4,614.29
1. ls your agency National Jnddent YPs
Management System (NIMS)
cumplic1nrt
C. EMS Ground HIiiing Rates
1. BLS Emergency • HCPCS Code
A0429:
2. ALS Em'ergency • HCPCS Code
A0427:
3. ALS Level 2 • HCPCS Code A0433:
4. Specialty Care Transport -HCPCS
Code A0434:
5. Mileage Rate -HCPCS Code A0425 :
$725 .00
$725.00
~72 5.00
$0 .00
$12 .00
2312
2012
2014
F11ncli11g lntr,rmatioo
Legal Name of Organization:
::i. Tax ID Number;
Gr;a nt M n n uocmu.ml :011tilcl
1. Grctnt Mrmaycmcnt Cont.1ct N a rn e:
lob Title:
~-Mailing Address:
3. Primary l'hone Number:
4. E-Mail:
Authorlzod (1tt u:lt1I
1. Name of Authorized Officinl able to
~igr, contr;")cts :
Job Ti tle:
2. Is the Authorized Official the chulr
or president of the govto "••lng board
for this organization?
Flnimdal NnrrntivP..:
l. Briefly Describe how this
organization is funded and why It
may require EMTS grants:
2 . Briefly describe any affiliations or
partnerships this organization has
with any parent or subsidiary
organiz,.tion,;:
:1. rile rittilchmcnts :
Past Years Grant History
YPet r r.r.le~or·y
Englewo:,d Fire Department
84 -6000583
Steve Gre~n
EMS Coor cJ in .:i t or
35 15 S Elat1 St
E·1yl ~wu:.id 1 CO 80110
J ~.J-/b:!·24 /6
sgreen@ienglewoodgo·,.org
t.Jlchil el Pattc1rozzl
Ftre CH ief
No
~lease se e t he Atta:l1ed Fl11an clal Narrative .
N/A.
Tota l Sta te Amount Fun ded Am:,unt Spent
Requested
20 12 ,,rnbulance and Other $175,oon .oo $87,SJD.OO $72,000 .00 $0.00
Ve hicles
20 11 AnlJulance and Other $163,047.00 $81 ,52 3.50 $77,674 .0 C $C.O O
Vehl :.ltS
20C9 EM~ and Tracma =QuI pment $47,209 .52 $23,004 .7G $9,270.00 $9 ,270 .00
Additional Attachments
J. W-9 , Vendo r Dlsclcs;;re and Attestation: Gra nt Attcsta:ion.pdf
Vendor rn~r:ln~t 1~e StatPrnP~t .r,cif
W-9,pdf
l:-.ngh:1 WGOC.: Fm Dupar1r rn-!lll
:)f:i 1 !l S u11lh ~IUli S1101;.i1
l:r19h,,wr.oa, CO [1(11 , o
·1 o : !JA nver 1\/.nlrr.i =:MS agencif:!S
Patient Care Records Request
I ho f<oiser Por11rnnen1 e Cardiulo;Jy UICJUJJ rcr.;u~11i zes l ha l mrin y poliun:~ with variour. c:artllac 1cG ue:r. a,o traated and
1ran !.pot1ecJ by EMS, iJUtJ, as £J rnsult of lhc upµ1upn11te r..urc provirk:>I by HIS cn,iw:;, lho r_;nntior. conrfi1ion th e nahanl
E-r.pnmmr.Hd ;,rior tr. cm lval al the ho spital hu~ lJlWll .:idclrezsc r1 .
01 cour se, the in•hospilel ECG rm.1dmJs dl1 11ol 1Hllul.l the c,a·cli!lC condition th e member nxporionctid in Iha pre-hospital
S('.llltng . Th is 1nfornwtion is r1xuemBly impor\c111I md u<:ca sionally f:S!"'.Cmlia lo th e Pllysicianr: lrnatin~ t:1 c patiunt.
Rti1;;1uso ol lhis, l<aiGl:H Pormanenl~•~ Cardiology gruup is 1eques:ing thu1 nl C\t1S agnm:1cs inohidc: cc)ples c.:f any ard
rill ECG tr acings lt:i subrr,ille d with lhc PCR wha t: !.U b111il t'11y t:lai,ns 101 payme·1t and pron essing.
Wf:t would ar,::>recmtf. this ve,y much. lt will con\llbutH to 11:t:: uv1:1ml1 qu ci li1y of ratient care, which is irutial Hd by EMS
CrAW!i Ill Iha fiol1 .
Shuuld you have r.ny questions, comments or com:ern~ re:ga11.l 111y l\:1i~H 1 Pi::1 nwne1 11 tc mombers, I c1m alway; ot you :
service.
5.:unuul D. VVils :m 13,\, 1,mr.1~7 .p
Ambulance Uai~ur1
IJ1 ec1ic;al Sorvincs 1v1nnaoenierl
t<a 1r.rn Fut1 nrl nl 011 Hc-:allh Plan
Colorado R~gi<m
Ollic:c: (303) 63fi·33q5
Pager: (303) 2C3 --12() 1
r-,u:: (303) 636·33G0
~r1m111:a l.ci .wil!inr1~kp .c:rg
l~:11',t'I h 1111 a l.·l i1 11 1 t+::i !lli l'l:111
,'\1111111 l;II H'l' l kti,11'111 1\'II :
~-~ . .::,r, ":--:••.11h /',1 11:t'I 1:,1 ;1 i \~u,1 :· .1111 1
·\11 , ,. :: r rd, ,r.1, I·, ~'.llll 1-1
!i!~~~rre~~~J~f_;>fi~Jation Systems, Inc. ~l U O 'l A.'T L Q l"i•~
Quote Number: 09-076 su,10 1025
en1ennial, CO 80 °11-4905
Voice : (303) 721-e!D0
Fax : (303) 721-1199
Englewooo Fire Departmenl
3S15 South Elali S1reel
Englewooo , CO 80110
n
1 .00
--------------
in
Quote Dalo: Mar 24, 2011
Page : 1
7
.S ti
Phys io-Conlrol LIFEPAK 12/15 lnlerta~ 3, 00.001 3,~00.00
I
_____ , ---------------';...• _______ !,_ _____ _,,
1~u_!:!ot ~I ______ 1..... 3,900 .00 ~
: S:?lesTar.
I T6TAL 3,900.00
1 . l.egtt l f•l~rnc~ o f /1gE-rn.:y
-;,, DBA (Doinq OJ~ncs!: As . If Ap 1•h (.(1h\c ·
:·L ff::rJc 1·al r ;.1x 11) tJuiTll1 <.!1:
'1 . Granl Contact rcrson :
Autlw ri7.c•d Agc,\l
En ylew C\Od Fire: fl cparh 11 C11l
f:ny lewo od Fin: f,c1 :<1rl 111t !1 11
t,-1 u ,00583
Stf~ve Green
r-M~ (OOl'cl lnillJI'
1·ti~ 1rdlvldual whose m~me ii nd s1gnctture appt!tll h::luw , tm s been de~igniJtec.J by the
ag ency/organization list~d above as the Autho ·lze~ Aye 11l. l o co mplete and submit this gr;,nt
app lication o n its behalf . The age11cy/organl1at1on ayrees w crnn ply with the rnles pnd rc9ulatl on s
gov ernin g tl,e State or Colorado EMTS Grants 0 rog ra m conLcn<lng grMI reqLJests .
Financial Information
The /\uthorlzed Ag ent at·,ests to tae agencv or urga nl zatlon's abil ity t o provide the rnatchlng
5. fun ds (SO%, ~0%, 30%, 20% or IC%) l o complete t he purch~se or the gran, cward, should the
ugency be uwardcd state funds.
6· !~~ ~~~~~~a~~~e~i~~~1 ~~~~~~ ~~:\~~;G~f~:1~.::da~i ,;~1~f;~a~~~~~~~~!s:~:a~is;r L;,~,;:'.~~i"'
Tl 1e Aulhorl z~cl Ag e nt attests tt1a ·;, lo tile h~!>I. ur Ills /I er know lc:dge, the infonnatloi con~aim::d
7. he re in, with reg ard to the Agency 's f111 an c1al concJIUn11, i!) t1 ue, !,C.curcit~ ur1d corrc cll y refl ects
the financial condition of the agency/ol'g arolzatlon , ·
Not ification of Affected Entltlc,s
By r.lgnlng below, the Authorl2ed Agent also attests to the facl that :
The a1,cn r.y (ie s)/organizatlon(s) affected by t he possible ou tcome or t ii,s gr,•1H ,e~uu,l,
11 . l1dud lng but not llmlteC: to agen cl es/,rganl1.at,or,s listed in this appllr.auon If 11 Is " rn ul ll-
~o enry il ppl lca tlu1, has(huve) been noti fied and has(ha ve; agreed lo Its sulllT1>ss1on .
Applicant Duties and Obligations Should funcilnH be Awarded
Shc,11\ll the a gency /t1rya n i1.c1tion liste::l In thi~ nppUCiltlon rcccl \'<! fu ,cl ing unci e · th1 ~ {;r,~11,t
tJppll(nt lon , the agen cy/o ryc.11u2alion (h eielnafte r refcr rcC to U!i ''grantt--e ") shijll , anrt otnrr n.11·:ve ly
promises t.o, co mply wi t h all of tile µ1 uvlsiuns ~cl fo rth below .
9
_ Tl >e grantee shall use gran t funds l'acelved under ti-ls Qr'11\t In comp l ete all ,,spects ol Its
unml c1µ~)1ic.au on, end shcJII not u~c ::;uch fund f:. ro r purpo~es othe1 1·1inn this .
1
O. The grartee sha ll submit quarterly progr ess l'e ports to the Co lorad o Depa rtment of Puullc
Health a,,rJ Env iron ment, EtllTS Category (h ereinafter re ferred to as 't1e State').
J 1. Requi rement s for Training and Edurolion Grants
r-0I cny trd1nlny or e<lucatlon requests rund ~d hrn .1 llli ~ i.1p11l ltat•on the gr~ntce shall com ply with
U ,e l oli o wm (J le,ms ;.11cl co ndition s:
·' 1 .. 1 .........•
f'.e1rnli11rsc:me,,t iCJr illl trc,vel e;:µP.us~s .aS!.iOClttltid ·.yltl I th<:: tra1r1i n g 01 cwucat.1on p:·oy1 c111
A ~h.:lll be: mod£ IP occc1rdc:1,v:~ v..i t h the th c11 r:1.wrenl ~trttr: or Co1o rodc, 1el mbarsem1;:r·,l rn tt:s
r,,,. !:revel as s,1eclfit:d ri the F1 ~c al Rul~~-of th~ state of Cnlo ra\1o .
w-In en µroof Jf u,e s, ccessful comI,Ie tion of aI1y t raining or educational prn9ron'l sI11111 t,e
B. 5ubrnltted bt the S\Hllr: time r,s the lnvoic:e rcque!iti rig rP.i01burs!n1er,t for that training or
educational program .
C. Prompt Ill.ling al t'•re end of ~ach quarter or semester 1£ expect~d.
H the grantee I1rnvides a tra in 11g or educational program, rI,en the grantee sI ·,a11
acl mow ltu.l9e lhc: use cJf emcrgcr1ry medical ,;ind trauma SC:!rvic~s ilcc.:mmt grc1nt fur .d~ in
D. all publlc ~crvu::e anr1cunce.rnent!:, prog ram announcements, or ctnv othe r prlnt~d rm,t.erJtti
used for the purpose c•f pro111ot1ng or d<.lve rtislng the training o; <:dJcollonal program.
H the grc1nt.:ec pro11ldes a lf a l11 t11g or educat.:Jor1al progrilm, thC.'11 the grante~ shall develop
and utilize a course evaluatlnn tnof to measure tt,e effectiveness of tt,at training or
E. educational program . The grantee shall submit a c~py of ~II evaluat ion reports to the
State upon completinn nf the lrainrng nr educational program .
12. ReGuir P.mP.nts fm Equipment Grants
f or ;,ny equlnm:nl Jurcha5es r-urrdecl from th !s appllr:otion, the grantee s11c1II comply wltr, the
follow ing requi rements .
The grantee shall provide the state with w ,ltten dc,cumentation of tile µurchase of the
A. spec/lied equipment
All co,imunlcations equipmen t shall be purchased from the State award for
cummunicatlc-ns equipment, or from another vendor for a comparable p ri C,? and quality,
If tho grantee desires to pu ,chase commu nica:•ons eq<1lrn1ent which Is not listed or, the
e. Seate award ~,en the gra ntee 1T1ust complete, with the State's assistance if needed, an
inforr.1al competltrve sol/citation process before purcheslng that equipment. Jf a
competitive solicllatio~ pr~cess Is usP.d, then the grantee shall purchase t~-e
communlcal:lons equipment fr•lm the lowest brdde : whc,se bid meets the L>rd
ipeclfications.
H the grantee de.sires lo purchar.e emergency vehicles other than ambulances , then the
grantee must complete , with the State's assistance if needed, an Informal competitive
solicllalicn p, ocess before purchasing that equ ipment. The proposer! specifications for
C. tl1ese emergency vel1 cles must be approved by the State prior to the inltlati9n of the
informal competitive solicitation pro cess . If a competitive sollc ltatlon process Is used,
th en t h e grar l ee shaf purchase the emergency vehicles from the lowest bl elder whose
bid meets the bid specifications .
If th f grantee desires to purcl)ase medical equi pment, then the grantee musl compl ete,
with :he ~tate 's nssist,:mc ~ If needed, an lnr-ur ;nal cCtmpetltiv n sollcltation proces!. before
D. purchas ,ng thilt equipment. If a co mpetitive so\lclrntlon proce ss Is used, then the grantee
shall purchc-ist the mcd lca l equipment frn rn tilt:: lowest bicl de1 "/hose bid rneetz th~ bid
~pec iFicationr,.
During the Initial term .int1 any rene.wal or exlerrs ,on term of the contract or purchase
order lssu~d to convey funding to the grantee, and Dfter tne cancellation, termln~tion, or
" exri•~tion d~tc of oal:1 con tract or purchase orrl~r , the grantee shall acquire and malrtaln
pe rsonal property casualty insurance for the 1·eplaceme11t value of all equipment It
purch ase s under tl11s grant for the useful liie of that purchased cqL1lpm~nt.
rr1e grc\ntee ;hc.1r keep invt:-11lu1·y c1 . .111t ra l recc ,rcJs icir :ill cqu ipmun l tt purcfli!:i<:~ ThP
f. {Jran:ee s!1r1II oh lc1in the pl'lor, c~x pres5 1 wrltt·en cCJriaent of lhe S:.rtte b~lo re re 1c,c atin9 ur
10.:i il<1r.,,ttn9 ;mv eq uipmen t ll r)lir ::h:l £.e!',
ill(• ~Jrl'.Hll.l::1 : !il t~dl fJ/'CJ\'ld..: thr:: ~Lene \Vitti b r:1ClUI{: nf l';i-Jd , 1.•1~:L:~: ur equq.1111t!lll ll
G, purc.:liil:.i C:;. l 'h<:: gr,1ntee muy submit a JJic.tun-: ol ct p1(.'t.t' uf r;u n.:hct !;!':d ct:.11111>rn~11t ;,,i ;:,ny
time, but h1 11L1 event nCJ liJl·er thar the diltc tl'l:: yrantc~'!, n11nl pruyre~~ n:pmt i!, cine to
tile srat1:-:.
Tlvt grunti!t! r.hall malntc1ln all equ ipm1:1nt It ~,urr.:hases In ,,oor.l worlrinQ 1,rrlm1 n1n11nl
wear aud tear el(ccptecl. TI,e grantee r.ha il p~rlo1rr, r1 II necessary rnalntenrmce !-Crvic:es
H. fo1· ,'l ll cqulpmr.:nt It purctwscr. In a timely rn:1nnt!r and In e1ccordance with iJII
nwnufuc l.urcr'r. spcclflcatlont. and !'1111m111ufctcb.tr~r ~ wr1rrt1n1·\, r~qulrcme::nt:s . Tht:· wc:,nlc.-e-
!;l)C:111 kt:!<.::p dctaller; und uccurat e: rccor c~ ul au 1rn-1in l<::11aw:e: ~~-v iu~t.: It r,C:irfon rn.~ <.11·, till
t:q1.1ip1nt.:nt it pu ~clmscz.
The, yrantr,e slrnll repair or replace: all ,,urch,Jsed r,qtJipment wfllc~, Is damaged, 1 · 1fr ,st.rnved, losl, ~t:ulen, 1.11· Involved In any otlu,r form nf cas,ml ry .
lf thr:: gr;Jnt~c ceases to provide emergency rriec1cc1I and tr cuma !H::rvlces lr1 the til'i l t: oi
Coioradti, then all equipment purchased under this grant sl1all eltI·,er be placed wl tt,
a11other or,erall,19 emergency mec:lcal services provider 1r tile st~te or COiorado, or be
sold at f)Ublic ,11 :ction for ltc then fair market value. l hat portion of the sale proceeds
.1. whlc:11 r,qtJ~ls 1'1'10 Stale's Initial flnancla contribution towards the purch ,,sc of l'lwt
equipment shilll be refunCl<'ci to tile Stat ~ hy the grantee . Tl' e grantee ch:,,, obtain the
prior, express written r:onse.nt or the Stat,, prior to any ,·elocatlon or sale of any
purchas ed equlprne.nt.
J\uthorlzo<I Agent
l.3. Name
14. Title
1s. Ui!yt1rne n,one Number
17 . Signatun: o1 /1.ut:·,orlzec! A9ent
Michael Pr1ttnrr:112i
Fire CHlcf
YENl)OR DlSCLOSURE STATEMENT
Contrncl J'~rl\►rmu11cc Outside the Unilt:cl suites or Colnradu
C:ulur~do Rcl'i~•d S1ulutc 24-1112-201,
Con1rt1r 11J1 1'11n .. :lm~t: Ord<!r Huulinl,'. Numt"lL·r : .. -··------
.,, ... ,,,1,,, N,·,,~. ,... ' 'i~ ~ ,•-;.)_;~ , :.. .. ---1· r f · r r .ti~ .. . , M &. _ . ~ _ ,., , : 0 re C t'"" ,1.ttf": ~ .... ./ ~· -,,._
• I~ ,.--
The 1wr.!icHt c.:ompll·Lin~ thi s form should bl' t.hc business ' 11n:sitlcnr, n,rnrd Chnirpc rM111,
Contntt•t 1 s AuU,u1 ·!1.l·d Siy.11a1ury o r the Jlurchu sc Ordnr'."-S1:1tcmcnl of V--'u r k Signult•rs .
This fonn shall he compleled :111d r~1urn1~d lf\ th~ cr.mtraclmg agcnq•. Thi s npplie~ ,o 1.1II sulli:
co111rnr.1:,. iHld pu1ch11 ~e urdc.r.!-for f;erVic<'.!: t: ~c culli U ;1flt:1 ,\ugu~I \ 2UIJ7.
1. Art ;u,y !li:n·ici.!S under ttir co111ro1c1 ot uny subcontn:C',l s m p11rch:1 S<' :,rdcr nn1icipa1cd IO be.:
pt!rformcd C•u~side lht Uni 11:.d S1a:cs or Colo:ild(ti
Ye~ 0 Nn
lf" Yes". please C',omr,lclc 111c ru11owl11g, 1wo question ~ u11d thc;1 ~;ign the form.
1r 0 No", please ~ign tl,e fo rm .
2 . When~ wilt tilt sc.rv1c:c~ he perfllrmcd unde : 1hc ~u11tr<1cl 1 indudin,; ur.) suCcon m,c:1 s u,
purch11st order'! (List coun~r y(ic.ti) und/or 1;1aLc(!.).
3 . Ex1ilai11 why ii is nec •,ss"'l' m advanr:igeou, lo go oulside or .he United Swlos 01 1hc Sw1c oi
Coicirudo \\.1 pt:rrnr111 :ht! !:~r,·1 c:!'li under l11c L!...,t111.n1ct ·.ir uny ,ubcrn:1ni c1s o r purclrn~c onlc1.
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COUNCIL COM~ :•JNICATION
I
Agenda Item: I Subject:
9 a iii EMS Provider Grant FY2013 t--------~-------~-.-------------------1
Date:
March S, 201 2
I Staff Source: Michael Pattarozzi, Fire Chief
Steve Green, EMS Coordinator
Initiated By:
Fire Department
COUNCIL GOAL ANO PREVIOUS COUNCIL ACTION
Staff continues to maximize City resources bv scekine alternative fundinB for needP.d rP~nurces .
RECOMMENDED ACTION
Staff seeks ior Council approval oi a bill for an ordinance authorizinr, appliotion for, and
acceptance uf, a grd11t frurn the Stale uf Colorado to assist with the purchase of High Plai ns
Information S\'stems' Phy;ioCon :rol Lile Pak 12/ 15 interlace software.
BACKCROUNO, ANALYSIS, AND ALTERNATIVES IDENTIFIED
The PliysioControl LilePak 12/15 interface software will allow the fire Uepartment to upload cardiac
tr,,cing, that are nbtaine·I during patient care into the patient care reporting system . T~is will allow
the Fire Department personnel, patients, anrJ subsequent care providers to review the cardiac
tracings. This Is not feasible without the interface. This information can greatly enhance patient
outcomes during subsequent care .
The Colora:lo Emergency Medical and Trau111a Se1vices (EMTS ) Prnvider Grant program is intended
to assist public and private organizations ma intain, improve and expand the emergency medical and
trauma services system in Colorado.
A minimum of a 50% cash match is required . Funds from the EMTS grant program may be used lo
impro-~ emergency medical s~rvices by assisting with the funding of ambulances, communication,
data collection, EMS equipment ,,nd EMS related education program,.
FINANCIAL IMPACT
The State grant requires a minimum of a 50% match. The City is required to fund the remainder of
the cost of the equ ipment. ·:1,e cost of the software is $3 ,900. The City would be required to
provirJ• $1 ,'1,n.oo to p :irchase the software, if the grant Is awarded, from th e Fire Department 2012
Budget for "Durable 'vledical Supplies". The quote attached is dated March ~4. 2011 , but is still
current.
UST OF ATTACHMENTS
So itware quote from H igh Pla ins Information S\'stems
Proposed Bill for an Ordinance
~~~!.~a~J1~!fJ,~atlon Systems, Inc.
ScllD 1025
.:e ntenn:al , ::o S01 11-4905
Voice : (303) 721-81 00
Fax : (303) 721 -8199
/~~~~ffif;Y~":.;-~ ... ~~~-{f·~~-··~-~~ .. ·,·•;;'?f:·· .. 1:r -·1
Eng lew ood Fire De part ment I
2615 SOulh Elali Street ,
1 Eng lewood . CO 80 ·, 10
I
L _I ~
QUOTATION
Quote Numbec 09-076
Quote Dale : Mar 24 , 2011
Pege : 1