HomeMy WebLinkAbout2008 Ordinance No. 034•
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ORDINAN CE NO . .3i.
SER IES OF 200 8
llY AU THORITY
COU NCIL BILL NO . 40
INTRODUCED BY COUN CIL
MEMBER MOORE
AN ORDI NANCE AP PROV ING AN INTERGOVE RNMENTAL AG REEMENT (!GA)
ENT ITLED "COLORADO'S NORTH CENT RAL ALL-HAZARDS REG ION HEAL TH ANO
MEDI CAL MEMORANDUM OF UNDERSTANDING " (MOU) BETWEEN THE
PART ICIP AT ING HOSPITALS LOCATED lN THE TEN-COUNTY METROPOLITAN
AREA , KNOWN AS TH E COLORADO ALL-H AZARDS NORT H CENT RAL REG ION
("NCR"), THE STATE AND LOCAL HEA LTH DEPARTM ENTS , TH E 460m MEDI CAL
GROUP (460 MDG) LOCA T ED AT BU CKLEY AIR FORCE BAS E, AND THE LOCAL
OFF ICES OF EME RGENCY MA NAGE MENT AND THE CITY OF ENGLEWOOD ,
CO LORADO.
WH EREAS , the Federa l Emergency Managemen t Agency (FEMA) requires that agreemen ts
between parties fo r reimbu rsement during an emergency be in pince prio r to th at emergency ; and
WH EREAS, thi s Agreemen t is pan of th e overa ll di sas ter preparedne ss process for th e region and
th e Ci ty of Englewood, and refl ec ts th e broad sco pe of the coo perative nature of dis as ter
preparedness; and
WHEREAS , th e passage o f thi s Ordin ance auth orizes th e MOU which es tab lishes a fr amewo rk
for coo perati on betw een hos pita ls and ot her hosp ital s, loca l publi c hea lth age ncies , Ci ty and Co unt y
em ergency mana ccment offi ces and the Sta te dcpanment of health , as required by FEMA to be in
place pri or to an eme rgency fo r reimbursem ent to take place fo ll ow in g that emergen cy;
NOW, TH EREFORE , BE IT ORDAINED BY T HE CITY COUNC IL OF THE CITY OF
ENGLE WOOD, COLORADO, AS FOLLOWS :
Sectio n I. The Cit y Co unti l of Englewood, Co lora do, hereb y approves th e lnt crgovenun ent al
Agreement enti tl ed "Co lnrado 's Nonh Cen tral All -Hazard s Region Hea lth and Med ica l
Memorandu m nf Un dcrs·anding''. a copy of which is attach ed hereto as Att achm ent I.
Sect ion 2. Pursuant to Art ic le V, Secti on 40 , of the Eng lew ood Home Ru ic Chart er, th e Cit y
Co un ci l has dctcnnin cd th at Attachment I, att ached to thi s Ordinan ce, shall not be publi shed
becau se of it s size . A co py is avai lab le in the Office of th e Englewood it y Clerk.
Sec tion 3. The Mayo r is hereby nu thm·;·~OO to sign said In tergovernmenta l Ag ree ment for and
on be half of the it y of Englewood.
Int rod uced, read in full , and passed on first r,·ad in g on the 7th day of July, 2008 .
9 b ii
Pu blished as a Bill for an rdinance on th e 11 • day of Jul y, 2008 .
Read by title and passed on final rea ding on th e 2 1st day of Jul y, 2008.
Publ ished by title as Ordin ance No. W,serie s of 2008, on the 25th day of Ju ly, 2008 .
I, Loucrishia A. Elli s, Ci ty Clerk of the Cily of Englewood , Colorado, hereb y ce rt ify that the
ab<-vc and foregoing is ',~ copy of the Ord inance passed on fin ding and published by
ti tl e as Ordi nance No . .::iJ ~cries of 2008 .
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COLORADO '. NORTH CENTRAL ALL-HAZARDS REGION
HEALTH AND MEDICAL
MEMOJ, 4.NDUM OF UNDERSTANDING
TillS MEMORANDUM OF UNDERSTANDING (''MOU") concerning a health and
medical response to a disaster is made and entered into thi s __ day of ____ _
2008, by and between the participating hospitals located in the ten-county (Adams, Arapahoe,
Boulder, Broomfield, Clear Creek, Elbert, Gilpin, Denver, Douglas and Jefferson) metropolitan
area, known as the Colorado All-Hazards North Central Region ("NCR"), the state and local
health depattments, the 460 1h Medical Group (460 MDG) located at Buckley Air Force Base, and
the loCl'J Offices of Emergency Management as listed below. Collectively, these parties :.hall be
referred to as either the "parties" or the "participants" or the "hospitals" or the "agencies" .
INTRODUCTION AND BACKGROUND
At any time a disaster or emergency condition, natural or man-made, may occur
anywhere in the ten-county geographic region or in a participating hospital that exceeds a
particular Participating Hospital 's available resources . Such a disaster could generate an
overwhelming numbe: of patients simultaneously, or could result in a smaller number of patients
but with specialized medical requirements that exceed the resources oftht impacted facility (e.g.
hazmat injuries, pulmonary, trauma surgery, radiation contamination, etc.), or could x,•quire the
partial or complete evacuation due to an incident at a Participating Hospital .
Disaster conditions such as these are neither frequent nor predictable, and the actual risk
is therefore difficult to determin e for any individual Participating Hospital. However, 1he
significant potential for harm to patients and the vital role played by the hospitals in the NCR in
addressing and recovering from such a disaster require that hospitals consider and address the
potential consequences of such an evenl
Because the role of Local Public Health and City and County Local Emerg ency
Management is vital to the co=unication and distribution of assets during an emergency , th eir
participation in this Memorandum of Understanding (MOU) is an important pi~ce in the disaster
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Additionally because the Stat e of Colorad o utili zes the All-Hazard s Homeland Securi ty Re gions
for the purpo ses of planning and distrib uti on of Department of Homeland SP.curity funds, it is
imp ortant that a MOU be in place between Hospitals, City and Co unty Local Eme rgen cy
Managers an d Lo cal Public Health . Thi s MOU will outlin e the roles and responsibiliti es of -,ach
of these entities in a disaster situation .
RECITALS:
WHEREAS, this MOU is not a legally binding contract but rather this MOU signifies the
belief and commitment of the undersigned parties that in th e event of a disaster, wh ether or not
the event bas been declared a disaster emergency by the Govern or pursuant to C.R.S. §24-32-
2104, th e medical needs of the community will be best met if the undersigned parties cooperate
with each other and co ordinate their respons e efforts ; and
WHEREAS, th e undersignecl parties desire to set forth the basic tenets of a cooperative
and coordinated respo nse plan in the ev ent of a disaster ;
NOW THEREFORE, in consideration of the above recitals, when one or more of the
participating entities determines that a disaster has occurred that exceeds their ability to respond
and manage , and communicate s their need fo r assistance to the other participating entities , the
undersigned parties agree that the following provisions shall be i..nplemented :
ARTICLE!
COMMUNJCA TION DURING A DISASTER
The participatin g entities will:
1.1 Co mmunicate w1d coo rdinate efforts to respond to a disaster via th eir liai son office rs,
publi c information office rs, and incident comm and ers.
1.2 Rece ive alert inform ati on via the Disaster Telephone Network (DTN), Health Alert
Network (HAN) or future replacement rutd EMSys tem or future repl acement regarding any
di sas ter or special in cident. The 460 MDG may also receive an alert via the 460 SW
Command Post or radio communications with the 460 SW Disaster Control Group .
1.3 Communi cate with each other's Emergency Operations Ce nt ers (EOC) including th e State
EOC by phone, fax, email and 91 I (dispatch or communication centers) during a disaster
or emergency incident. In addition participating entiti es will maintain a redundant
communicatio n system as back-·ap (e.g ., radio ca pability compliant with stato
requirements).
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1.4 Establish and uti lize a Joint Informati on Center (JTC) during a disaster to al low public
relatio ns personnel to comm uni cate with each oth er and release cons i stent communi ty and
media educati onal / adv isory messages . Each un dersigned enti ty sho uld des ignate a Public
Infonnati on Officer (PIO ) v.:,o will be the liaison with the JTC. Depending on th e event,
th e JT C may be coordinate d through th e local OEM , the local hea lth department, Colorado
Departm ent of Public Health and En viro,went (CDPHE}, or the Colorado Divi sion of
Emergen cy Management (C DEM). A lr :.d PIO shou ld be establi shed to manage the JJC ,
serve as an advisor to IC/UC , reco mmen d a strategy for disseminating information, and
obtain approval for release of information . If no umbrella organization asswnes
res ponsibility , local OEM, public health and hospital public relations departments will
ass ume joint responsibility for creating and di ssemi natin g a comprehensive publi c
message .
ARTICLE II
ONGOING COMMUNICATION ABSENT A DISASTER
The undersign ed hospitals and local public health departments will :
• 2.1 Meet regularly unde r the auspices of the Metropolitan Medical Response System (MMRS)
to di scuss emergency response iss ues and coort'jnation of response efforts .
2.2 Identify primary point-of-contact and back-up indiv iduals for ongoing communication
purposes. These individual s will be responsible for determining the distribution of
information within their organizations. These points-of-contact will be shared among the
MMRS , Hospitals , Public Health departments and City and County Office of Emergency
Management contacts.
ARTICLE ID
FORCED EVACUATION OF AN UNDERSIGNED HOSPITAL
3. I In th e event nf an anticipated ev ac uati on, transportation arrangements will be mad e in
acco rd ance w1,:1 th e affec ted hos pital's usual and customary practi ce .
3.2 If a disaster affects an undersigned hospital(s) forcing partial or complete facility
evac uation, and the affected hospital bas activated its emergency re sponse plan and
exhausted internal reso urces, th e other undersigned hos pitals agree to part ' cipate in
coordi nation with their lo cal OEM in the distribution of patients from the affected hospital,
even if thi s requires activatin g emergen cy re spon se plan s at the receiving hospital.
• 3.3 In the event of an evac uati on, to cal OEM and 91 I (dispat ch or communication ce nters)
will be the hospi tal point-of~co ntact to requ est sup port for organizing transportation (b us,
wheel cha:r, BLS , ALS, cri ti ca l care) for the evacuati on and in coo rdination with CDPHE
an d th e regi onal ho spitals will distribute patients to the unaffected und ersigne d hospita ls
base d on capaci ty and capabilities.
3.4 Th e undersig ned hospitals will co nta ct CDPHE and th e Health and Medical MACC for
ass istance in locating availab le hospital beds and thei r local OEM for ass istanc e in
trans portati n of patients .
ARTICLE IV
RESPONSE WHEN THE NATIONAL DISASTER
MEDICAL SYSTEM IS ACTIVATED
4. I If the National Disaster Medical System (NDMS) is activated in response to a disaster
outside the metropolitan area, the Federal Coordination Center Denver (FCC) at Evans
Army Hospital will req uest bed counts from the undersigned ho spitals.
4.2 If patients are w be received from outside the metropolitan area in response to the
activation of the NDMS, these patients will be distributed ar1.:ording to each hospital's bed
capacity and capabilities . The undersigniJ hospitals will cooperate by accepting transfers
in anticipation of arriving NDMS patients (for example, accept transfers from an
undersigned hospital to increase that hospital's capacity to accept NDMS patients requiring
th e specialized services of a burn unit) if needed.
4.3 If the NDMS is activated in response to a di saster in the metrop olitan area requiring
patients to be transported outside the state, NDMS will request information from the
undersigned hospitals regarding the number of patients that require transportation. CDPJ-IE
and/or the Colorado Division of Emergency Management (CDEM) wiU coordinate
resources with support from the US Public Health Service (USPHS). Once the NDMS has
been activated, the USPHS and/or the FCC Denver at Evans Army Hospital will work with
the CDPHE and/or CDEM to coordinate airlift requests .
ARTICLE V
REPO RTING BED CAPACITY AND CAPABILITY
5.1 Each ho spital will rep ort its bed capacity , its capabilities and its Eme rgency Department 's
ability to receive patient s as req uested throughout the duration of an emergency incident or
disaster. The capa city will be monitored by the MACC and the ESF 8 function within City
and/or County Emergency Management. Each hosp ital will upd ate thi s information as
conditions change . If the event escalates tc> involve NDMS, ho spit'..;; will report
information as requested by NDMS.
5.2 Bed capacity and capabilities will incln:ie at a minimum: medical/surgical fl oor, monitored
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(step down }, burn , pediatri c an d ICU . Reporting requ irements will be established as •
needed du ring an event.
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ARTICLE VI
AUXILIARY HOSPITAL AND CAS UALTY COLL ECTION LOCATION
All participants agree to participate in a surge capacity plan in clu ding avai labl e staff and
materials at alternate care (surge) site s. Each surg e capaci1y plan will be added as an appen di x to
thi s MOU as th ey are developed.
ARTICLEVll
STAFF. MEDICAL SUPPLIES, AND PHARMACEUTICAL SUPPLIES IN THE
EVENT OF A DI SASTER
7. I In the event of a disaster when patient care staff is in surplus at one of the ho spitals and
lacking at another , upon request by the short staffed hospital , the hospital with the surplus
agree to share staff to help ensure that the available hosp ital beds in the metropolitan area
are adequately staffed during a disaster. These requests and distribution of staff can be
made directly hospital to hospital, through the Health and Medical MACC or through
Emergency Management depending on the size of the incidt'"nl. Staffing may be
accomplished utilizing CPHMVS or other volunteers as appropriate ,
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8.1
The 460 MDG personne l and supplies located at Buckley AFB may be used in the event
of a disaster as authorized by official military direction,
In the event that needed supplies are in surplus at one of the undersigned hospitals and
lacking at another, upon request by the hospital in need, the undersigned hospital with the
surplus agree to share supplies to help ensure that patients in the metropolitan area receive
necessary treatment during a di saster. These requests and distribution of supplies can be
made directl y hospital to hos pital, through the Heal th and Medical MACC or through
Emergency Management depending on the size of the incid ent.
The above staff and suppl y shar in g will occ ur in cooperatio n between th e med ical in cid ent
co mmanders.
For initial mutu al aid res ponse, each mutual aid response agency will ass um e
responsibility for its own expenses during the fi rst full operational period, if established,
or th e firs t 12 hrs of an in cident. Th ereafter, the req uestin g agency /jurisd iction agrees to
reim burse prov iding agency/j uri sdi ction at actu al cost based on rates IO day s prio r to th e
onset of th e in cid ent/disaster.
ARTICLE VIII
LI ABILITY
Notwithstanding any other pro vis ion to the contrary, no term or co ndition of thi s MOU sha ll
be construed or interpreted as a wai ver, expres s or impl ied, of any of th e immuniti es , rights,
benefi ts, pro tection or oth er pro visions of th e Co lorad o Go vernm ental Immuni ty Act.
Secti n 24-10 -10 1 et.seq., CRS, as now or hereafter amer.ded . The partie s und erstand 11.'1d
agree that liability fo r claim s for injuries to perso ns or property ari sing out of negligen ce of
the State of Colorado , its departments, instituti ons , agenc ies, board s, official s and emp loyees
is controlled and limited by th e provi sions of Sectio n 24-10-101 et.seq., CRS an d th e risk
management statutes, Section 24-30 -1501 , et.seq ., CRS as now or hereafter amend ed.
8.2 For disasters th at do not rise to the level of a governor-declared emergency disaster
pursuant to C.R.S . § 24-32 -2 104 , all participating entities agree to release, discharge and
hold harmless the governmental participating entitie s from all liability, injuries, lo ss es or
damage s of any kind to persons, including death , or prop erty , resulting in whole or in
part, directly or indirectly from the response providc:d pursuant to this MOU.
8.3 For disasters that do not rise to the level of a governor-declared emergency disaster
pursuant to C.R.S. § 24-32-2104, the participating parties shall indemnify, save, and hold
harmless the governmental participating parties , their employees and agents , against any
and all claims , damages, Liability and court awards including costs, expenses, and attorney
fees and related costs, incurred as a result of any act or omission by a participating party
other than the participating governmental entity, or its employees, agents, subcontractors,
or assignees pursuant to the terms of this MOU .
8.4 Other than as set forth in paragraph 7.5 of Article VIl of this MOU, n o party to this
agreement shall be liable to any other party for the costs asso ciated with a response
provided pursuant to this MOU .
ARTICLE IX
MISCELLANEOUS PROVISIONS
9.1 This MOU together with the attached Exhibit and any appendices produced under Article VI
constitutes the entire MOU between the parties with respect to the su bject matter hereof and
supersedes all pri or oral or written statements, understandings or correspondence, if any , with
respect thereto.
9.2 Th is MOU may be amended only by on e 0r more Amr.ndatory MOUs executed in the same
mann er as this MOU, as well as by appendices ag reed to by all parties.
9.3 Any participating agency may termin ate its participation in the MOU by providin g sixty
(6 0) day's written notice to the lead administrator at ea ch of the hosp itals.
9.4 This MOU may be executed in counterparts, all of which shall be deemed to be an original,
and all of which, when taken together, shall constitute one and the same instrument.
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IN WITNESS WHEREOF , the parties have caused thi s Memoran dum of Understan ding
to be executed as of the day and ye.ar first above written.
HOSPITALS
BOULDER COMMUNITY HOSPITAL
By ___________ _
David Gehant,
Chief Executive Officer
Date ____________ _
CENTURAHEALTH
By __________ _
Arlen Reynolds, Interim Pres ident and CEO
President and Chief Executive Officer
Date __________ _
COLORADO MENTAL HEALTH INSTITUTE AT Ft. LOGAN
By _______________ _
Keith LaGrenade , M.D.
Hospital Director
Date _______________ _
DENVER HEAL TH AND HOSPITAL AUTHORITY
Including Denver Publi c Hea lth
By __________ _
Patrici a A. Gabow, M.D.
Chief Executive Officer
Date __________ _
EXEMPLAHEALTHCARE
By __________ _
Kathryn Ballinger
VP/General Counsel
Date _________ _
HEALTH ONE
By __________ _
Jeff Dorsey
President and CEO
Dare __________ _
KINDRED HOSPITAL DENVER
By
April Myers,
CEO
Date __________ _
LONGMONT UNITED HOSPITAL
By ___________ _
Neil Bertrand,
ChiefFinan.cial Officer
Date ___________ _
PLA'ITE VALLEY MEDICAL CENTER
By __________ _
John Hicks ,
CEO
Date __________ _
THE CHILDREN'S HOSPITAL ASSOCIATION
By __________ _
Jim Shm erling, DHA
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Pres id ent and EO
Date _________ _
UNJVERSITV orr OLORADO HOSPJTAL
By __________ _
Joyce Cas hm an,
Vice Pre sid ent
Date __________ _
PUBLIC HEAL TH
BOULDER COUNTY PUBLIC HEAL TH
By ________ _
Date ___________ _
COLORADO DEPARTMENT OF PUBL IC HEALTH AND ENVIRONMENT
By ____________ _
Date
ELBERT COUNTY J>UBLI HEALTH ANI) ENVIRONMENT
By ___________ _
Mary Sue Liss,
Director
Date __________ _
• JEFFERSON COUNTY DEPART.VIENT OF l'UIILI REAL TB AND ENVIRONMENT
By ___________ _
Cathy Corco ran ,
Pres id ent Board of Hea lth
Date ___________ _
TRI-COUNTY HEALTl:I DEPAHTMENT
By ____________ _
Ri chard L. Vogt. M.D.
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BROOMFIELD DEPARTMENT OF HEALTH AND HUMAN SERVICES
By ____________ _
Date ___________ _
UNITED STATES AIR FORCE on behalf of the 460 th Medical Group
By ________ _
Michael L. Chyrek, Colonel, USAF , BSC
Commander, 460th Medical Group
Date _________ _
By-----------
Donald W. McG ee, Col onel, USAF
Commande r, 460th Space Wi :ig
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CITIES AND COUNTIES
ADAM COUNTY BOARD OF COUNTY COMMISSIONERS
By ____________ _
Date ___________ _
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ARAPAHOE BOARD OF COUNTY COMMISSIONERS
By ___________ _
Dale __________ _
BOULDER COUNTY BOARD OF COUNTY COMMISSIONERS
By ___________ _
Date __________ _
• BROOMFIELD CITY AND COUNTY CITY COUNCIL
By ___________ _
Date __________ _
CLl!:AR CREEK COUNTY
By ___________ _
Date __________ _
DENVER CITY AND COUNTY CITY COUNCIL
By _________ _
• Date __________ _
DOUGLAS COUNTY BOARD OF COUNTY COMMISSIONERS
By ___________ _
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ELBERT COUNTY BOARD OF COUNTY COMMISSIONERS
By __________ _
Date __________ _
GILPIN COUNTY BOARD OF COUNTY COMMISSIONERS
By------------
Date __________ _
HOME RULE CITIES • AURORA CITY COUNCIL
By __________ _
Date __________ _
BOULDER CITY COUNCIL
By __________ _
Dute __________ _
BRIGHTON CJTV COUNCIL
By __________ _ •
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ENGLEWOOD CITY COUNCIL
By ___________ _
Date ___________ _
LITTLETON CITY COUNCIL
By ____________ _
.Tames Taylor .
President of City Council
• Date _________ _
THORNTON CITY COUNCIL
By ___________ _
Date ___________ _
WESTMINSTER CITY COUNCIL
By ___________ _
Mayor Jerry DiTullio
Date ___________ _
WHEATRIDGE CITY COUNCIL
By ___________ _ • Date ___________ _
EXHIBIT A -PARTI CIPATING ENTITIES CONTACT INFORMATION (to be up d::lcd
annually):
HOSPITALS
BOULDER COMMUNITY HOSPITAL
Dav id Gehant, CEO
PO Box 90 19
Boulder, Colorado 803 0 I
Phone: 303-440-2375
Fe deral Tax ID #
Holly Pederso n, BSN, MA
Director, ED & ICU
Phone: 303-440-2041
e-mail : hpederson@bch .o rg
CENTURA HEALTH
Arlen Reynolds, Interim President and CEO
188 lnvemess Drive West, Suite 500
Englewood, CO 80112
e-mail : ar lenreynol ds(@centura.org
Cent ura Avista Adventist Ho sp ital
Sue Kirk
Director of Emergency and Trauma Servi ces
Avista Adventist Hospital
I 00 Health Park Drive
Louisville , CO 80027
Phone : 303 -673 -11 24
e-mail : suekirk@ce ntura .org
Federal Tax ID#
Cc ntura Saint Anthony 's Central Ho sp ital
Peter Makows ki , CEO
423 1 W 16th Ave.
Denver, Co. 80204
Ph one: 303 629 -43 30
Fax: 303 629-2 31 8
e-mai l: petermakows ki @centura .o rg
Federal Tax ID# 84 -0405 257
Carrie Breece , Director of Safety and Emergenc:• Management
Phone: 303-629 -4541
e-m ail : carr iebreece@ce ntu ra.org
Centura Saint Anthony 's Nmth Hospital
Ji m Dover, CEO
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2551 W. 84 th Avenu e.
Westminster , Co. 80031
Phone : 303 426 2402
Fax: 303 426 2155
e-mail: jimd over(a)Cent ura .org
Federal Tax ID# 84-0405257
Carrie Breece, Director of Safety and Emergency Management
Centura Littleto n Adventi st Ho spital
Ken Bacon, Chief Executive Officer
7700 South Broadway
Littleton , Colorado 80122
Phone : 303 730-8900
Fax : 303 730-5858
e-mail: kenbacon@centura.org
Federal Tax ID# 84-0438224
Rick Boyer, Safety Officer
Phone : 303 -738-2643
• e-mai l: rickboyer@centura.org
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Centura Parker Adventist Hosrital
Terry Forde, CEO
9895 Crown Crest Blvd.
Parker, Colorado 80138
Phone: 303-269-4000
Fax: 303-269-4019
e-mai l: russellkoch@centura.o rg
Federal Tax ID#
Russ Koch, Faci lities Direr.tor & Safety Officer
Phone : 303 -269 -4012
e-mail : russe ll koc h@cen tural.org
Centura Pmter Adventist Hospi tal
Jim Boyle, Chief Exe~utiv e Officer
2525 So uth Downing Street
Denver, Colorado 80 21 0
Phone : 303 778-1955
'e-mail: boy lej@centura .o rg
Federal Tax ID#
Kelli Da hl, Di rector of Safety and Security
Phone : 303-765-6 147
e-mail : kellidahl@centura .org
DENVER HEALTH AND HOSPITAL A UTHORITY (DHHA)
Patri cia A. Gabo w, M.D.
Chi ef Exec uti ve Offi cer and Med ical Director
660 Bann ock Stree t, 5th Fl oor
Denver , Co lorad o 80 204
Phone : 303-436-6608
Fax : 30 3-436-5073
Federal Tax JD# 84-134 3242
Jenny Schmitz
Emergency Preparednes s Manager
Phone: 303.436.3086
Pager : 303.208 .0145
Fax: 303 .436 .5893
e-mail : jenny.schmitz@dhha.org
EXEMPLAHEALTHCARE
Kathry n Ballinger
VP/General Counse l
Legal Services
2420 West 26 th Ave Suite l 00-D
Denver, Colorado 80211
Pho ne: 303-813-5131
Fax: 303-81 3-5015
e-mail : BallingerK@exempl a.o rg
Exempla Good Samaritan Medical Center
David Hamm , President and CEO
200 Exemp la Circle
Lafayette , Colorado 80026
Phone: 303 -689-4000
e-mail: hammd@ex empla .org
Federal Tax ID# 98-16877-0000
Rob Robbin s, Sa fe ty Offi cer
Phone: 303-68 9-555 0
Fax : 303-689 -555 7
e-mail : Robbin sM@exempl a.o rg
Exempla Lutl1eran Medical Center
Robert Malte , Presi dent and CEO
830 0 W 38th Ave
Wheat Ridge, CO 80033
Phone: 303 -4 25 -4 50C
e-m ail : ma lt cr@exe mpla.org
Federa l Tax ID#
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Kim Vowe ll , Safe ty Office r
Phone: 303 -425-27 19
Fax: 303-4 67-8 854
e-m ail : vowe llk @ex em pl a.o rg
Ex emp la Saint Jose ph 's Hos pital
Robert Minkin, Pres ident and CE O
18 35 Franklin St
Denver, CO 802 1 8
Phone : 30 3-837-71 J I
e-mail : minkinr@e xempla .org
Federal Tax ID#
Brad Steininger, Safety Officer
Phone : 30 3-837-7408
e-mail : steiningerb@exempla .org
HEALTH ONE
Jeff Dorsey
President and CEO
4900 S. Monaco Street
Denver, CO 80 23 7
Centennial Medical Pl aza
John Hill, CEO
Stephanie Sparks, Safety Officer
1501 S. Potomac Street
Aurora, CO 80 012
Phone : 303-873-523 2
Fax : 30 3-8 73 -523 2
E-Mail : stephani e.sparks@hea lthon ecares.co m
Med ical Center of Aurora
John Hill , CEO
1501 S. Po tomac Street
Au ro ra, CO 80 012
Ph one: 303 -873-594 2
Fax: 30 3-695 -2714
Federal Tax ID#
Stephanie Spark s, Safety Office r
Pho ne: 303-695-2600
e-m ail: stephani e.s parks@ health onecares.co m
Nort h Suburban Medi cal Cen ter
To dd Stew ard, CEO
9191 Grant Street,
Thornton, Colorado 80229
Phone: 303 -450-4510
Fax: 303 -450-4458
E-Mail: todd .steward@hea lthoneca res .com
Federal Tax ID# 84-1321373
David Barron, Director of Plant Operatio ns
Ph one: 303-450-4411
e-mail: david.barron@health oneca res.com
Presbyterian Saint Luke's Hospital
Madeline Roberson
President & CEO
1719 E. 19th Ave .
Denver, CO 80218
Phone: 303-839-6100
Main : 303-839-6000
Email: mimi.robertson@healthon ecares.com
Federal Tax ID# 84-1 32 1373
Robert Starke
Director, Safety, Security, Emergency Preparedness
Phone : 303-869-2152
Fax: 303-839-6596
e-mail: robert.starke@healthonecares .com
Rose Medical Center
Erica Farber
Ethics and Compliance Officer
4567 E. 9th Ave.
Denver, CO 80220
Phone: 303.320.2036
E-Mai!: erica.farbercalhealthoneca , es .co m
Tax ID# 84-1321373
Roger Rewerts, Safety Officer
Phone : 303-320-2025
e-mail: roger .rewerts@healthonecares .com
Sky Ridge Medical Center
Maureen Tarrant,
President and CEO
Sky Ridge Medical Center
IO 10 I R.idgeGate Parkw ay
Lone Tree, Co 80 I 24
Ph one : 720-225-1000
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e-mail: ma ureen .tarra ntr@,health onec ares .co m
Federal Tax ID # 84 -1 32 1373
Chris Duran RN , BSN
EMS an d Trauma Prog ram Direc tor
Emergen cy Preparedn ess Coo rdi nator
Ph one : 72 0-22 5-1 4 7 5
Fax : 30 3-208 -6807
Email : Chri s.Duran @heal th onecares .co m
Swedish Medical Center
Mary White, CEO
501 E. Hampden Avenue
Englewood, Colorado 80113
Phone : 303-788-5000
Fax# 303-788 -6269
E-Mail : Mary . \Vhite@h eal thon ecares.com
Tax ID# 84-1321373
Denni s Bundy,
Phone : 303 -7 88-565 6
e-mail : denni s.bun dy@health oneeares .com
KINDRED HOSPIT Ai:. DENVER
April Myers , CEO
1920 Hi gh Street
Denver CO 802 18
Phone : 303-33 1-5219
Tax ID #
Emergen cy Preparedne ss Coo rdinator
Jean Pi erre Lewi s
r hone : 30 3 33 I 55 26
Fax: 303 33 1 555 4
Cell : 303 59 8 8599
E-Mail: jca n.pi erre .lewis@k indredhea lthcare.co m
LONGMONT UNITED HOSPITAL
Neil Bertrand , CFO
1950 Mountain Vi ew Ave .
Longm ont, CO 80501
Ph one : 303 -6451-5023
Fax: !03 -678 -4050
E-Mail : nbertrand @luh care s.org
Federal Tax ID# 84-0460697
Mary Pa nch eri , Safety Manager
Ph one: 303 -651 -548 3
Fax: 303 -485-4 556
e-mail: mpa ncher iwll uh cares.o rg
PLATTE VALLEY MEDICAL CENTE R
Kurt Gensen, RN, BSN , CEN
Director of Emergency Services
1600 Prairie Ce nter Parkway
Bri ghton, CO 80601
Phone: 303-498-1906
Fax: 303-498 -1 915
E-Mail: kg ense rt@pv mc.o rg
Tax ID# 84-04-82695
Trish Evans, Trauma Nurse Coordinator
Emergency Department Staff Edu cator
Phone : 303-498-1906
e-mail: TEvans @pv mc.org
THE CHILDREN'S HOSPITAL ASSOCI ATION
Jim Sbmerling , President & CEO
The Chi ldren 's Hospital
13123 West 16th Avenue
Aurora, CO 8004 5
Phone: 720-777-1234
Fax: 720 -777-6730
e-mail : Shm erli ng.ji m@tchden .org
Federal Tax ID# 84-0166760
Pegb'Y Henning se n, Emergency Management Coordina tor
Phone: 720-777-6307
e-mail : henningsen.peggy@tchdcn .org
U TVER SlTY OF COLORADO HO SPITAL
Joe Hart
Mana ger, Eng in eeri ng Serv ices
Anschutz Inpatient Pavilion
Mail Stop A07 3
P.O. Box 6510
Aurora, CO 80045
Phone -720-848 -6 63 6
Fax -720 -848 -5505
E-Ma il: joe.hart@ uch .edu
Tax ID # 84-11 79 794
Ji m Fei st, Safety Offi cer
Ph ne : 720 -48-66 32
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e-mail : ia mes.fei stcal uch.edu
• VETERANS AFFAIRS EA TERN COLORADO HEALTHCARE SYSTEM
Brad McCollam
Chi ef, Fa cilitie s Management
I 055 Clenno nt Street
Denver, CO 80220
Phone : 303-399-8020 ex 2604 or 4337
Fax: 303-393-5257
E-m ail address: brad.mccollam@va.gov
• COLORADO MENTAL HEALTH INSTITUTE AT FORT LOGAN
Ke ith LaGrenade
Hospital Director
3520 W. Oxford Ave.
Denver, Co lorado 80236
Phone: 303 866-7066
Fax: 303 -86 6-7048
Federal Tax ID#: 98 -02565
• BUCKLEY AIR FORCE BASE MEDICAL GROUP
460 MDG/SGSX, Medical Readiness
830 Potomac Circle ,
Aurora CO , 800 I 1
720-847-6769
720-84 7-6409
• denotes facilities which cannot participate in full MOU due to institutional restrict ions , but
support the process and general provisions .
l'UBLI C HEALTH DEPARTMENTS
BOULDER PUB LI C HEAL TH
3450 Broadway
Bou lder, CO 80304
(303) 441 -1100
CITY .-1.ND COUNTY OF l:l RO OMFIELD PUBLIC HEAL TH
(; r "Iden Center
B, uomfield, CO 80020 -1730
• Main Fhone : 720-887-22 00
CLEAR CREEK COUNTY NURSING ERVICE
15 3 1 Co lorad o Boul evard
Ida ho Sprin gs , CO 80452
Main Ph one : 303-56 7-3 147
Fa x Line : 303-567 -31 32
DENVER PUBLIC HEAL TH
605 Bannock, MC 2600
Denver, CO 80204-4507
Main Ph one : 303-436 -7200
DENVER ENVIRONMENTAL HEAL TH
201 W. Co lfax Avenue , Dept 1009
Denv er, CO 80202
Main Phone : 720-865 -5365
ELBERT COUNTY PUBLI C HEAL 11:1
205 Comanch e
Kiowa, CO 80117
Address : PO Box 20 I
Kiowa, CO 8011 7
Main Ph one: 303-621-31 44
GILPIN COUNTY PUBLIC HEAL TH NURSTI'1G SERVI CE
2960 Do ry Hill 1had, Suite 120
Black Hawk, CC/ 80403
Main Phone : 303-582-5803
Fax Line: 303-582-5798
JEFFERSON COUNTY DEPARTMENT OF HEALTI:I AND ENVIRONlv!ENT
I 80 I 19th Street
Golden Co lorado 80 40 I
Main Phone : 303-271-5700
TRJ-COUNTY HEALTH DEPARTMENT
700r i::. Belleview Ave , Sui te 30 1
Englewood , CO 80111
Main Ph one : 303-22 0-9200
COLORADO DEPARTMENT OF PUBLIC HEA LTH AND ENVIRONME NT (CDPHE )
4300 Cherry Creek Drive South
Denver, Col orado 80246-1 530
303-692 -2000
1-800-886-7689 (In-state)
COORDINATING OFFICES OF EMERGENCY MANAGEMENT:
ADAMS COUNTY OFFICE OF EMERGENCY MANAGEMENT
Adam s Co unty Offi ce of Emergen cy Man aiument
420 1 E. 7L nd Ave.
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Commerce City , CO 80022
Office : 720 -322-1400
FAX : 720 -32 2-14 04
Duty Officer pager: 303-609 --001 I
ARAPHAHOE COUNTY OFFICE OF EMERGENCY M l · •·/AGEMENT
Arapahoe County Emergency Preparedness
1310 I East Broncos Parkway
Centennial, CO 80 I 12
Office: 720-874-4186
FAX: 720-874-4158
AURORA OFFICE OF EMERGENCY MANAGEMENT
15151 E. Alarne<la Parkway
Suite 4100
Aurora, CO 80012
303 -739-7 636 -phone
303 -326-8986 -fax
BOULDER CITY AND COUNTY OFFICE OF EMERGENCY MANAGEMENT
1805 33rd St.
Bou lder, CO 80301
Office: 303-441-3653 or 303 -441-3390
FAX: 303-441-3884
BRIGHTON OFFICE OF EMERGENCY MANAGEMENT
City of Brighton/Greater Brighton Fire Protection District
3401 E. Brom ley Lane
Brighton, CO 8060 I
Office: 303-6 55 -23 I 6
FAX: 303-659 -69 61
BROOMFIELD OFFICE OF EMERGENCY MANA( EMENT
I I 600 Ridge Parkw .:y
Broomfield, CO 80021
Office: 720-887-2078
FAX : 720-887-2001
CLEAR CREEK OFFICE OF EMERGENCY MANAGEMENT
P.O. Box 2000
Georgetown , CO 80444
Office: 303 -679 -2320
FAX : 303-67 9-2440
DENVER OFFICE OF EMERGENCY MANAGEMENT
14 37 Bannock St., Rm . 3
Denve,, CO 80202
Office : 72 0-865 -7600
FAX: 720-865-769 1
DOUGLAS COUNTY OFFICE OF EMERGENCY MANAGEMENT
4000 Ju stic e Way
Castle Rock, CO 80 I 09
Office : 303-660-7505 x6 I 03
FAX: 303 -814-8 790
ELBERT COUNTY OFFICE OF EMERGENCY MANAGEMENT
P.O . Box 295
Kiowa , CO 80117
Office : 303 -805-6131
FAX: 303-621-2055
!';NGLEWOOD OFFICE OF EMERGENCY MANAGEMENT
F,uglewood Fire
3615 Soi;.ui Elati Street
Englewood, CO 80110
Office: 303-762-2476
24 hr: 303-761 -7490
FAX : 303-762-2406
GILPIN COUNTY OFFICE OF EMERGENCY MANAGEMENT
Gilpin Co Sheriff's Office
2960 Dory Hill Road
Golden, CO 80403
FAX: 303-582-3813
. Pager : 303-208-3909
JEFFERSON COUNTY DEPARTMENT OF EMERGENCY MANAGEMENT
80 0 Jefferso n Parkway
Golden, CO 804 l 9
Office : 303-271-4 900
FAX: 303 -27 1-4905
LITTLETON OFFICE OF EMERGENCY MANAGEMENT
City Manager's Office
2255 W. Berry Ave .
Littleton , CO 80165
Office : 303-795 -3720
FAX : 303-795-3818
THORNTON OFFICE OF EMERGENCY MANAGEMENT
Thornton Fire Department
9500 Civic Center Drive
Th ornton, Co lorad o 80229
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Office : 30 3-53 8-7652
FAX : 303-53 8-766 0
WESTMIN STER OFFICE OF EMERGENCY MAN AGEMENT
We stmjnster Fir e Departm ent
91 IO ~'ates St
Westminste r, CO 80031-2540
Offi cfl : 303-4 30-2400 x45 50
FAX : 303-70 6-3913
WHEA TRIDGE OFFICE OF EMERGENCY MANAGEMENT
Wheat Ridge Police Dept.
7500 W. 29th Ave.
Wheat Ridge, CO 8003 3-8001
Office: 303-235-2918
FAX : 303-235 -2949
EXHIBIT B -DEFINITIONS :
Advanced Life Support (ALS): Train ed em ergency medi cal services perso nn el whose scope of
practice authorizes th e use of inv asive therapi es including oral, intramuscular and intravenous
medication administration as well as advanced ski ll s in clu ding end otracheal intubati on ar,d
cardiac pacin g. A commo n ALS classification is that of paramedic, emergency medi cal
tecb.>tician (Elv.f)-interrned iate or EMT-paramedic.
Aux iliary Ho spital : A facility established to provide ongo ing patient care in a non -hosp,l:ll
environment, primarily to serve as austere care ov erflow bed space during an epidemic or other
pn:,longed emergency situation with mass casualties .
Basic Life Support (BLS): Trained emergency medical services personnel who se scope of
practice is limited to non-invasive patient care as describe under BME Rule 500. A BLS
responder is not authorized to perforrn invasive airway maneuvers such as endotracheal
intubation. A common BLS classification is that ofEMT-basic.
Casualty Collection Location: An area established to collect or triage casualties eithe r be• ,·e en
the scene of an incident and the hospital (e.g.: a casualty collection point at an air CI".sh si •e), or
between the hospital and outgoing transportation resources (e .g .: an airport h~ngc:r •'tu ,n,( a
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National Disaster Medical System evacuation from the Denver metro area). •
Co lorado Department of Public Health and Environment -Office of Emergency Preparedness
and Response (CDPHE-OEPR). CDPHE-OEPR is the state agency that will coordinate state and
federal resource response durin g a disaster.
Disaster: a s ituation or event that overwhelms local capacity, necessitating a request for external
re sources.
Disaster Telephone Network (DTN): An emergency telephone system that is used to provide
information to hos pitals during a disas ter or emergency incident. When the designated telephone
rings, hosp ital personn el simply pick up th e r eceiver and li sten to the information.
Em ergency Incident: Any occurrence which presents a serious threat to the health of the
community, di srupti on to the servi ce , or causes [or is likel y to cause] such numbers or types of
cas ualties as to require special arrangements to be implemented by hospital s, ambul ance service s
or health authorities .
Emergency Operation s Cent ers (EOC): The coordination center for emergency response to an
incident. The state, county, ci ty, and affected hos pitals may each have their own EOC for th eir
portion of the event, but liaison efforts between such centers are of critical importance.
EMSystem: An int ern et-based hospi tal status sys tem used by all NCR ho spitals to repo rt •
open /closed/di ·,ert status in real time. Messag ing funct:ons via EM System can rea ch all
hospitals wi th messages simultaneously . Additional fun ctionality accord ing to th e MOU
language udds bed capacity reporting prov isions which are to be upd ated daily so that real tim e
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data is available in case of a mas s casualty incident/disaster. The Co lorad o Hospital Asso ciation
(CHA ) and th e Regional Adm inistrator for EMSys tem oversee the EMS ystem .
HCS tandard: An in tern et-based hospital inventory sy stem purchased by the Colorado
Department of Pu r ·; Heath and Environme nt and that will be ma de avail able for hospitals to
in ventory and track their internal reso urces.
Hospital In cident Command System (HICS): A command framew ork for hospitals which is a
NIMS co mpatible inc id en t co mman d system and spec ifi es th e chain of co mm and and functional
po sitions that may be required during a ho sp ital's respo nse lo a disaster or emergency incident.
Inci dent Co mmander (IC): Th e Incident Command er is re sponsible fo r overall incident
man agement and all command an d ge neral staff functions . The IC will ~o ntrol all activities
associated with th e mitigation of the in cident qui ckly and economically and provide for the
safety of the public and responders. The IC will be selected based on qualifications and
experience.
Multi-Agency Coordination Center (1',IAC C): During a di snsle r the area hospitals and public
heal th agree to communicate with one another using pre-agreed technology to act as a unified
vo ice in the disaster response, and to determine th e distri buti on of needed assets as req ues ted by
Em ergency Management, Publi c Health or other hosp ital s. Thi s MACC can be either a physical
location or virtual communication between the entiti es.
Unified Co mmand: In !CS , Unified Command is a unified team effort which allows all agencies
with responsibility for the incident, eith er geographi cal or functi onal, to man age an in cident by
establishing a common set of incident objectives and strategies, This is accomplished with out
lo sing or abdicating agency authority, respon sibi lity, or accountabili ty.
Joint Information Ce nter (JI C): A source of inform ation that is designated by more than one
ag ency or gro up to speak on beh alf of all duri ng an emergency to ensure consistent messages and
flo w of information .
Liaison Officer (LO): The Liaison Officer is re ,. onsibl e for contact with outs id e agenc ies such
as health department s or th e loca l Office of Emctgency Management during an inci C.:ent. The LO
wi ll prov id e adv ice and inform ation on th e disaster or emergency response plan , th e name s of
contacts from outs id e age ncies and bus in esses as well as what is expected of those enti ties.
Metrop oli tan \1cdical Res pon se System (MMRS): The org ani zati on of public safety und health
agencies th at has prov id ed th e planning , oversight, and integration of weapons of mass
destruction planning into emergen cy planning for th e ten-co unty North Central Region und er
grants from the U.S. Departments of Health and Hwn an Serv ices and Home land Security .
Natio nal Disas ter Med ical System (ND MS ): A co ntin gency system of vol un tarily co,runitted
hos pital beds througho ut the United States that may be activated when a disa ster overwhelms
regional heal thcare resources and requires evacuation of patients to another reg ion of U,e nation
for care . Plans ure in place for the recept ion of patient s int o, and ev acuation out of, the Denvt•r
metropolitan area should this type of event occur.
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COUNCIL COMMUNICATION
Date : I Agenda Item: I Subject:
Jul y 7, 2008 9 a ii Met,opolitan Medica l Respons e Syste m
lnitiat~d By: Staff Source:
Englewood Office of Emergency Management Steve Green
Emergency Management Co o rdinator
COUNC IL GOAL AND PREVIOUS COUNCIL ACTION
This issu e was dis cuss ed at th e April 28, 2008 Cou ncil Study Sess io n.
RECOMMEND£D ACTION
Staff seeks Council approval of a Bill fo r an Ordinance approving Colorado's Nort1, Central All -
Hazards Region Health and Medical M emorandum o f Understanding (MPU ).
BACKGROUND, ANALYSIS, AND ALTERNATIVES IDENTIFIED
Th e Federal Emergency M anagement Agency (FEMA) requi res th at ag reements b etween parti es for
reimbursement during an emergency be in place pri o r tc tiiat em erg ency. This MOU es tabli shes
that language between hos pitals, public hea lth agen cies and emergency management jurisulctions
(bo th citi es and counti es).
Th e ag ree m en t is part of th e overall dis aster preparedness proc ess for th e reg ion and th e City of
Englewood, an d re fl ects th e uroad scope of the cooperative nature of dis as ter preparedn ess.
This MOU was reviewed and fou nd to b e lega ll y acceptable by th e City Attorney's offi ce in a letter
dated January 30, 2008.
FINANCIAL IMPACT
Th ere is no direct cos t to th e City o f Englewood associa ted w ith execut ing th e MOU. In th e eve nt
of a disaster in w hi ch the City of Engl ewood p rovided ass istance to o th er entities, fai lure to exec ut e
th e MOU would make FEMA rei mbursement difficult or impossibl e.
LIST Of ATTACHMENTS
Colo rad o Fro nt Ran ~0 M Ptro po litan M edi ca l Res p o nse Sys tem Summary
Proposed Bill for an Or :, ance
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S ummary of the Front Range Metropolitan Medical Re spon se Sys tem
Memorandum of Understanding
The purpose of th e Memorandum of Unders tanding (MOU) is to define the expectations
between hos pitals and emerge ncy management offices during a major mas s casualty
in cident , such as a tr ain derailment or bus acc id en t, or large sca le event, such as the DN C.
it is cons idered to be an important piece in th e disaster preparedness pl ans for the Front
Range area .
The geographi c area cove red by the MOU includes Adam s. Ara pahoe , Boulder,
Broomfield , Clear Creek Elb ert , Gilpin, Denver, Douglas and Jefferson Counties. The
signa tory parties include hosp it als wi thin th at geograp hi c area and the ci ty and co unt y
eme rgency management offices wi th in the geogra phi c area .
The MOU estab li shes a framewo rk for cooperation between hospitals and other hosp it als,
loca l public hea lth agenci es , city and cou nt y emergency management offices and the sta te
department of health .
The agreement , as written , is necessary for the invol ved parti es to be eligible for federal
di.aster reimbursement following an incident or event. Th ese agreements need to be in
place prior to the in ci dent or event for th e invo lved parties to seek reimbursement.
The MOU outlines th e need for the participating entiti es to co mmuni ca te be fo re and
during a disas ter (including large-sca le, planned even ts), coo perate an d coordi nate
activities during a forced hos pi ta l evacuation , coo perate an d com mun icate assistance
needs and capabilities during a di saster, and share inform ati on, staff and suppli es as
needed during a disaster.
The MO U has been reviewed by th e City Attorn ey's office, and fou nd to be lega ll y
acce pt able . Because it is, in part , an intergove rnm en tal agreement, it will require approva l
from City Co uncil for th e City of Englewood to be a sign atory party .