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HomeMy WebLinkAboutItem 07 Approval of Florida Department of Health EMS Matching Grant for the Purchase of Four (4) Cardiac Monitor Safety Technimounts ocoee Florida AGENDA ITEM COVER SHEET Meeting Date: February 18, 2020 Item # Reviewed By: + �/ Contact Name: John Miller, Fire Chief Department Director: Fire Chief J• Miller Contact Number: 407-905-3140 City Manager: gz/r/�'_` /'- Subject: Approval of Florida Department of Health EMS Matching Grant Application for the Purchase of Four (4) Cardiac Monitor Safety Technimounts Background Summary: The fire department would like to submit a matching (75%125%) grant through the Florida Department of Health. The grant request is for four (4) Technimount Cardiac Monitor Safety Mounts. The Technimount cardiac monitor safety mounts is critical to the safety and efficiency of patient transport. The Technimount cardiac monitor safety mounts meet the State of Florida Department of Health requirements for securing medical devices in the back of transport apparatus during transport to the hospital Issue: Should commission approve submittal of the grant application? Recommendations Staff recommends the approval to submit the grant application. Attachments: Florida Department of Health EMS Matching Grant Application Financial Impact: The total cost of the Technimount Cardiac Monitor Safety Mounts is $12,932.00. The State of Florida Department of Health Matching Grant would provide 75% ($9,699.00) of the total cost. If successful, the financial impact on the city would be the remaining 25% ($3,233.00). The grant funding process allows for city's contribution to be budgeted in the 2020-2021 fiscal year. Public Hearing For Clerk's Dept Use: Ordinance First Reading X Consent Agenda Ordinance Second Reading Public Hearing Resolution Regular Agenda 7— Commission Approval Discussion&Direction Original Document/Contract Attached for Execution by City Clerk Original Document/Contract Held by Department for Execution Reviewed by City Attorney N/A Reviewed by Finance Dept. r N/A Reviewed by 0 N/A 2 1 InEMS MATCHING GRANT APPLICATION a FLORIDA DEPARTMENT OF HEALTH Emergency Medical Services Program HEALTH Complete all items unless instructed differently within the application. Type of Grant Requested: ❑Rural 0 Matching ID Code(The State EMS Section will assign the ID Code—(leave this blank)IMINIII 1. Organization Name: Ocoee Fire Department 2. Grant Signer:(The applicant signatory who has authority to sign contracts,grants,and other legal documents. This individual must also sign this application.) Name: John Miller Position Title: Fire Chief Address: 563 S. Bluford Ave City: Ocoee County: Orange State: Florida Zip Code: 34761 Telephone: 407-905-3140 Fax Number: 407-905-3129 Email Address: jmiller@ocoee.org 3. Contact Person: (The individual with direct knowledge of the project on a day-to-day basis and responsibility for the implementation of the grant activities. This person may sign project reports and may request project changes. The signer and the contact person may be the same.) Name: Corey Bowles Position Title: Captain Address: 563 S.Bluford Ave City: Ocoee County: Orange State: Florida Zip Code: 34761 Telephone: 407-202-8189 Fax Number: 407-905-3129 Email Address: cbowles@ocoee.org DH FORM 1767 [2013] 64J-1.015, F.A.C. 1 4. Legal Status of Applicant Organization(Check only one response): (1)❑ Private Not for Profit [Attach documentation-501 (3)©] (2)❑ Private for Profit (3)® City/Municipality/Town/Village (4)❑ County (5)❑ State (6)El Other(specify): 5. Federal Tax ID Number(Nine Digit Number): VF 19_0_1_2164 4.___ 6. EMS License Number: 4819 Type: ®Transport ❑Non-transport ['Both 7. Number of Permitted Vehicles by Type: BLS 4 ALS Transport 7 ALS non-transport 8. Type of Service(check one): ❑ Rescue ® Fire ❑ Third Service(County or City Government,non-fire)❑ Air Ambulance El Fixed Wing El Rotor Wing ❑ Both ❑ Other(specify) 9. Medical Director of Licensed EMS Provider: If this project is approved, I agree by signing below that I will affirm my authority and responsibility for the use of all medical equipment and/or the provision of all continuing EMS education in this project. [No signature is needed if medical equipment and professional EMS education are not in this project Signature: Date: 01/27/2020 Print/Type: Name of Director Christian Zuver Florida License Number ME97144 Note: All organizations that are not licensed EMS providers must obtain the signature of the medical director of the licensed EMS provider responsible for EMS services in their area of operation for projects that involve medical equipment and/or continuing EMS education. If your activity is a research or evaluation project,omit Items 10, 11, 12, 13,and skip to Item Number 14. Otherwise,proceed to Item 10 and the following items. 10. Justification Summary: Provide on no more than three one-sided,double-spaced pages, a summary addressing this project covering each topic listed below. A) Problem description(Provide a narrative of the problem or need); B) Present situation(Describe how the situation is being handled now); C) The proposed solution(Present your proposed solution); D) Consequences if not funded(Explain what will happen if this project is not funded); E) The geographic area to be addressed(Provide a narrative description of the geographic area); F) The proposed time frames(Provide a list of the time frame(s)for completing this project); G) Data sources(Provide a complete description of data source(s)you cite); H) Statement attesting that the proposal is not a duplication of a previous effort(State that this project doesn't duplicate what you've done on other grant projects under this grant program). DH FORM 1767[2013] 2 10.Justification Summary A. Problem Description In 2019,the Ocoee Fire Department responded to 4,835 emergency medical calls for service. Of these calls for service, 2,535 involved advanced life support monitoring and or intervention.All of these patients were placed on a cardiac monitor as a diagnostic tool and to aide in the decision process for determining treatment modalities.The Ocoee Fire Department has successfully completed it's first year of providing fire-based EMS transport services to the citizens of the City of Ocoee and West Orange County.After completing a formal appraisal of the emergency medical services programs,the agency has identified opportunities to improve on safety of patients and personnel while providing transporting. While the Ocoee Fire Department considers the first year of fire-based EMS transport a success, there has been incidents of unsecured equipment in the patient transport compartment becoming a projectile during transport causing minor injuries to patients and personnel.This grant funding request is for(4) cardiac monitor safety mounts which will have a direct and immediate improvement on patient and personnel safety once placed into service. B. Present Situation The Ocoee Fire Department is provided medical oversight from the Orange County Office of the Medical Director(OC-OMD).As part of this medical oversight protocols have been created which provide standing orders to paramedics.Within the OC-OMD Medical Protocols, paramedics shall decide within 3 minutes after patient contact if advanced life support measures will be needed and to complete a comprehensive exam. Part of the comprehensive exam includes the cardiac monitor. Every ALS patient is placed on a cardiac monitor to assess critical vital signs which include but not limited to cardiac rhythm,capnography, oxygen saturations, and 12-lead interpretation. Once it has been determined that the patients fit the advanced life support criteria, continuous monitoring is provided cardiac monitoring, oxygen saturation, ETCO2, and possible transmission of critical EKG data directly to hospitals while enroute to the hospital which expedites the treatment of those critical patients needing immediate cardiac treatment intervention. Currently, during transport paramedics are placing the cardiac monitor in various unsecured throughout the patient compartment including loosely hooked to the stretcher, on the bench seat or shelf, or across the patient's legs. In all cases the cardiac monitor is a potential projectile in the event of a sharp turn, rapid deceleration, or vehicle accident. c. Proposed Solution The use of cardiac monitor safety mounts has been proven to improve safety of both the patient and responder.The safety mounts which would be utilized would be certified to meet the high impact resistance in accordance to SAE J3043, and compatible with the current stretcher equipment utilized by the Ocoee Fire Department.At the same time the cardiac monitor mount increases the ability of the paramedics to view the cardiac monitor screen from various seating positions in the patient compartment cab while still remaining seat belt restraints. In order to provide the highest of quality emergency medical services, it is imperative to first responders with equipment required to do so.The utilization of the cardiac monitor safety mounts will provide the patients and paramedics with a safer transport environment.The Ocoee Fire Department is seeking financial assistance to the acquisition of(4)four cardiac monitor safety mounts. D. Consequences if not funded In the event the Ocoee Fire Department does not receive funding towards the purchase of the cardiac monitor safety mounts, paramedics will be forced to continue using traditional, unsafe and antiquated practices to secure equipment in the patient compartment during transport to the hospital. If this project is not funded patient care and responder safety will not be improved. E. Geographic area to be addressed The Ocoee Fire Department provides fire suppression and emergency medical services to more than 50,000 permanent residents over 15 square miles. Ocoee is also home to Orlando Health Central Hospital, is a STEMI Alert receiving facility. F. Proposed Timeframes With approved funding, Ocoee Fire Department is committed to the proposed timeline: • Ordering the (4)Cardiac Monitor safety mounts • Train all Ocoee Fire Department personnel in the use of the device within a month of receipt of the equipment • Implement the safety mounts on all of the Ocoee Fire Department Rescue apparatus • Collect qualitative and quantitative data on the use and outcome of safety mounts as it relates to the safety of responders and patients. G. Data Sources • "Ambulance Equipment Mount Device or Systems." SAE International, 2020, www.sae.org/standards/content/j3043_201407/. • Zuver, C. (2019,July 19). Orange County, FL. H. Statement the proposal is not a duplication of previous effort This proposal is not a duplication of other grant projects under this grant program. provide the patients and paramedics with a safer transport environment.The Ocoee Fire Department is seeking financial assistance to the acquisition of(4)four cardiac monitor safety mounts. D. Consequences if not funded In the event the Ocoee Fire Department does not receive funding towards the purchase of the cardiac monitor safety mounts, paramedics will be forced to continue using traditional, unsafe and antiquated practices to secure equipment in the patient compartment during transport to the hospital. If this project is not funded patient care and responder safety will not be improved. E. Geographic area to be addressed The Ocoee Fire Department provides fire suppression and emergency medical services to more than 50,000 permanent residents over 15 square miles. Ocoee is also home to Orlando Health Central Hospital, is a STEM! Alert receiving facility. F. Proposed Timeframes With approved funding, Ocoee Fire Department is committed to the proposed timeline: • Ordering the (4)Cardiac Monitor safety mounts • Train all Ocoee Fire Department personnel in the use of the device within a month of receipt of the equipment • Implement the safety mounts on all of the Ocoee Fire Department Rescue apparatus • Collect qualitative and quantitative data on the use and outcome of safety mounts as it relates to the safety of responders and patients. G. Data Sources • "Ambulance Equipment Mount Device or Systems." SAE International, 2020, www.sae.org/standards/content/i3043 201407/. • Zuver, C. (2019,July 19). Orange County, FL. H. Statement the proposal is not a duplication of previous effort This proposal is not a duplication of other grant projects under this grant program. Next,only complete one of the following: Items 11, 12, 13 or 14. Read all four and then select and complete the one that pertains the most to the preceding Justification Summary. Note that on all,that credible before-after differences for emergency victim data are the highest scoring items on the Matching Grants Evaluation Worksheet used by reviewers to evaluate your application form. 11. Outcome for Projects that Provide or Effect Direct Services to Emergency Victims: This may include vehicles, medical and rescue equipment,communications,navigation, dispatch,and all other things that impact upon on-site treatment,rescue,and benefit of emergency victims at the emergency scene. Use no more than two additional one- sided,double-spaced pages for your response. Include the following. A) Quantify what the situation has been in the most recent 12 months for which you have data(include the dates). The strongest data will include numbers of deaths and injuries during this time. B) In the 12 months after this project's resources are on-line, estimate what the numbers you provided under the preceding"(A)"should become. C) Justify and explain how you derived the numbers in(A)and(B),above. D) What other outcome of this project do you expect? Be quantitative and explain the derivation of your figures. E) How does this integrate into your agency's five-year plan? 12. Outcome for Training Projects: This includes training of all types for the public,first responders, law enforcement personnel,EMS and other healthcare staff. Use no more than two additional one-sided, double-spaced pages for your response. Include the following: A) How many people received the training this project proposes in the most recent 12-month time period for which you have data(include the dates). B) How many people do you estimate will successfully complete this training in the 12 months after training begins? C) If this training is designed to have an impact on injuries,deaths,or other emergency victim data,provide the impact data for the 12 months before the training and project what the data should be in the 12 months after the training. D) Explain the derivation of all figures. E) How does this integrate into your agency's five-year plan? 13. Outcome or Other Projects: This includes quality assurance,management, administrative,and other. Provide numeric data in your responses, if possible,that bear directly upon the project and emergency victim deaths, injuries, and/or other data.Use no more than two additional one-sided,double-spaced pages for your response. Include the following. A) What has the situation been in the most recent 12 months for which you have data(include the dates)? B) What will the situation be in the 12 months after the project services are on-line? C) If this project is designed to have an impact on injuries, deaths, or other emergency victim data,provide the impact data for the 12 months before the project and what the data should be in the 12 months after the project. D) Explain the derivation of all numbers. E) How does this integrate into your agency's five-year plan? DH FORM 1767[2013] 3 11. Outcome for Projects that Provide Direct Services to Emergency Victims A. Quantify Situation for the most recent 12 months(data on deaths and injuries) In 2019,the Ocoee Fire Department began providing fire-based transport services. Over that calendar year the agency transported 2,878 patients.Of those patients 2,535 required ALS intervention. In 2019 the department experienced two transport related injuries, one to a patient and one to a paramedic, directly related to unsecured equipment during transport.The use of the cardiac monitor safety mounting device will complete the agencies safety improvement project which ensures that all equipment in the back of the rescues are secured during transport.As the number of transports naturally increase over time the goal is to see a decrease if not total elimination of injuries due to unsecured equipment in the patient compartment during transport. B. Estimate 12 months after outcome on (A) Specific data on the number of patient transports will be analyzed against the number of reported injuries in the rescue's patient compartment.The current injury log is recorded as required by Florida State Statutes.As the number of transports naturally increase over time the goal is to see a decrease, or even total elimination of injuries due to unsecured equipment and personnel in the patient compartment during transport. C.Justify A and B The Ocoee Fire Department expects to see an increase to the total number of patient interactions partly to an increase in population, assisted living facilities, and the fact that the agency has now assumed patient transport responsibilities. Based solely on the fact that we will have an increased number of patient interactions, if the agency continues to operate without the cardiac monitor safety mount we will see an increase in the number of injuries to patients and first responders due to the risk of unsecured equipment falling or becoming a projectile during transport. D. What other outcomes of this project do you expect? The cardiac monitor safety mounts will not only provide a safer patient compartment by securing loose equipment, it will also provide paramedics a realistic working platform to see and react more quickly to changes in patient conditions based on the data found on the cardiac monitor. Current mounting locations have the monitor facing the back of the patient compartment and can only be seen while sitting in the captain's chair. While sitting in the captains chair you are not in a position to continuously assess a patient, start and IV, begin a 12-lead without having to change seating positions. Moving the cardiac monitors to the mount in front of the patient will encourage paramedics to remain at the patient's side rather than behind the patient.This change in seating position behavior will contribute to a higher quality of service and face-to-face interaction with the patient. E. How does this integrate in to your agency's fire-year plan? As part of the Ocoee Fire Departments 2016-2021 strategic plan,the organization strives to provide the highest level of emergency medical services.The Ocoee Fire Department has begun providing emergency medical transportation services within this strategic planning period (January 2, 2019). Skip Item 14 and go to Item 15,unless your project is research and evaluation and you have not completed the preceding Justification Summary and one outcome item. 14. Research and Evaluation Justification Summary and Outcome: You may use no more than three additional one- sided,double spaced pages for this item. A) Justify the need for this project as it relates to EMS. B) Identify(1)location and(2)population to which this research pertains. C) Among population identified in 14(B)above,specify a past time frame,and provide the number of deaths, injuries, or other adverse conditions during this time that you estimate the practical application of this research will reduce(or positive effect that it will increase). D)(1) Provide the expected numeric change when the anticipated findings of this project are placed into practical use. (2) Explain the basis for your estimates. E) State your hypothesis. F) Provide the method and design for this project. G) Attach any questionnaires or involved documents that will be used. H) If human or other living subjects are involved in this research,provide documentation that you will comply with all applicable federal and state laws regarding research subjects. I) Describe how you will collect and analyze the data. ALL APPLICANTS MUST COMPLETE ITEM 15. 15. Statutory Considerations and Criteria: The following are based on s.401.113(2)(b)and 401.117,F.S. Use no more than one additional double-spaced page to complete this item. Write N/A for those things in this section that do not pertain to this project. Respond to all others. Justify that this project will: A) Serve the requirements of the population upon which it will impact. B) Enable emergency vehicles and their staff to conform to state standards established by law or rule of the department. C) Enable the vehicles of your organization to contain at least the minimum equipment and supplies as required by law,rule or regulation of the department. D) Enable the vehicles of your organization to have,at a minimum, a direct communications linkup with the operating base and hospital designated as the primary receiving facility. E) Enable your organization to improve or expand the provision of: 1) EMS services on a county,multi county,or area wide basis. 2) Single EMS provider or coordinated methods of delivering services. 3) Coordination of all EMS communication links with police, fire, emergency vehicles,and other related services. DH FORM 1767[2013] 4 15.Statutory Considerations and Criteria A. Serve the requirements of the population upon which it will impact. After completing the first year of fire-based transport services the agency has been successful at providing a quality service to the citizens.The City of Ocoee is experiencing a growth period and the B. Enable emergency vehicles to conform to state standards. Using the cardiac monitor safety mounts will allow paramedics to remain seated and belted during transport thus following state seatbelt laws while still being able to effectively visualize and operate the cardiac monitor. The safety features added through the use of the cardiac monitor safety mount will also help in the departments goal of CAAS accreditation. C. Enable vehicles to contain minimum equipment. The utilization of the cardiac safety mounts will all ensure that all rescue apparatus will remain in compliance with safety regulations. D. Enable vehicles to have direct communications. The utilization of the cardiac safety mounts will all ensure that all rescue apparatus will remain in compliance with safety regulations. E. Enable your Organization to improve or expand the provision of: 1. Ocoee Fire Department provides and has automatic/mutual response agreements with Winter Garden Fire Rescue, Orange County Fire Rescue Department,and Apopka Fire Department.This equipment would provide services to any jurisdiction requesting assistance. 2. N/A(addressed above) 3. N/A 16. Work Activities and Time Frames: Indicate the major activities for completing the project(use only the space provided). Be reasonable,most projects cannot be completed in less than six months and if it is a communications project,it will take about a year. Also, if you are purchasing certain makes of ambulances,it takes at least nine months for them to be delivered after the bid is let. Work Activity Number of Months After Grant Starts Begin End Purchase(4)Teclmimount Cardiac Monitor Mounts 0 1 Accept Receipt of the(4)Mounts 1 2 Train Personnel on the Device(72 Personnel) 2 3 Technimounts In Service 2 3 17. County Governments: If this application is being submitted by a county agency, describe in the space below why this request cannot be paid for out of funds awarded under the state EMS county grant program. Include in the explanation why any unspent county grant funds,which are now in your county accounts,cannot be allocated in whole or part for the costs herein. DH FORM 1767[2013] 5 18. Budget: Salaries and Benefits: For each Costs Justification: Provide a brief justification why position title,provide the amount of each of the positions and the numbers of hours salary per hour,FICA per hour,fringe are necessary for this project. benefits, and the total number of hours. TOTAL: $ 0.00 Right click on 0.00 then left click on"Update Field"to calculate Total Expenses: These are travel costs and Costs: List the price Justification: Justify why each of the expense the usual, ordinary,and incidental and source(s)of the items and quantities are necessary to this expenditures by an agency, such as, price identified. project. commodities and supplies of a consumable nature,excluding expenditures classified as operating capital outlay(see next category). TOTAL: $ 0.00 Right click on 0.00 then left click on"Update Field"to calculate Total DH FORM 1767 [2013] 6 Vehicles,Equipment,and Other: Costs: List the price of Justification: State why each of the items and Operating capital outlay means the item and the quantities listed is a necessary component of equipment, fixtures,and other tangible source(s)used to this project. personal property of a non- identify the price. consumable and non-expendable nature,and the normal expected life of which is 1 year or more. (4)Technimount Safety Arms $12,732 Freight $200 TOTAL: $12,932.00 Right click on 0.00 then left click on"Update Field"to calculate Total State Amount (Check applicable program) Right click on 0.00 then left click on"Update ® Matching: 75 Percent $9,699.00 Field"to calculate Total Right click on 0.00 then left click on"Update ❑Rural: 90 Percent $0.00 Field"to calculate Total Local Match Amount (Check applicable program) Right click on 0.00 then left click on"Update ® Matching: 25 Percent Field"to calculate Total $3,233.00 Right click on 0.00 then left click on"Update ❑ Rural: 10 Percent Field"to calculate Total $ 0.00 Grand Total $ 0.00 Right click on 0.00 then left click on"Update DH FORM 1767[2013] 7 19. Certification: My signature below certifies the following. am aware that any omissions, falsifications, misstatements, or misrepresentations in this application may disqualify me for this grant and, if funded, may be grounds for termination at a later date. I understand hat any information I give may be investigated as allowed by law. I certify that to the best of my owledge and belief all of the statements contained herein and, on any attachments, are true, correct, complete, and made in good faith. agree that any and all information submitted in this application will become a public document pursuant o Section 119.07, F.S. when received by the Florida Bureau of EMS. This includes material which the applicant might consider to be confidential or a trade secret. Any claim of confidentiality is waived by the applicant upon submission of this application pursuant to Section 119.07, F.S., effective after opening by he Florida Bureau of EMS. I accept that in the best interests of the State,the Florida Bureau of EMS reserves the right to reject or I evise any and all grant proposals or waive any minor irregularity or technicality in proposals received and can exercise that right. ,the undersigned, understand and accept that the Notice of Matching Grant Awards will be advertised in he Florida Administrative Weekly, and that 21 days after this advertisement is published I waive any right o challenge or protest the awards pursuant to Chapter 120, F.S. certify that the cash match will be expended between the beginning and ending dates of the grant and will •e used in strict accordance with the content of the application and approved budget for the activities identified. In addition,the budget shall not exceed the department approved funds for those activities identified in the notification letter. No funds count towards satisfying this grant if the funds were also used to satisfy a matching requirement of another state grant. All cash, salaries, fringe benefits, expenses, equipment, and other expenses as listed in this application shall be committed and used for the activities approved as a part of this grant. • cceptan of T: s and Conditions: If awarded a grant, I certify that I will comply with all of the above and also ept an"- ai\hed grant terms and conditions and acknowledge this by signing below. X71 6)Z 47 /20 Signatur- • • thorized Grant Signer MM/DD/YY (Indi‘ • al Identified in Item 2) DH FORM 176, 1 3 8 THE TOP PA- OF THE FOLLOWING PAGE MUST ALSO BE COMPLETED AND SIGNED. • FLORIDA DEPARTMENT OF HEALTH EMERGENCY MEDICAL SERVICES(EMS) GRANT UNIT REQUEST FOR GRANT FUND DISTRIBUTION In accordance with the provisions of section 401.113(2)(a),Florida Statutes, the undersigned hereby requests an EMS grant fund distribution for the improvement and expansion of pre-hospital EMS. DOH Remit Payment To: Ask a finance person in your organization who does business with the state to provide the information to complete the top part of this form, but it should be signed by the person identified in Item 2, 1St application page. Name of Agency: Ocoee Fire Department Mailing Address: 150 N. Lakeshore Dr Ocoee,FL 34761 Federal 9-digit Identification Numb- : • ' '6019764 3-digit Seq. Code 11/ Authorized County Official: A ., _ 2/7/2020 Signature Date John lle Fire Chief Type o P• nt Name and Title Sign and return this page with your application to: Florida Department of Health Emergency Medical Services Unit, Grants 4052 Bald Cypress Way, Bin A-22 Tallahassee, Florida 32399-1722 Do not write below this line. For use by State Emergency Medical Services Section Grant Amount for State to Pay: $ Grant ID: Code: Approved By: Signature of State EMS Unit Supervisor Date Approved By: Signature of Contract Manager Date State Fiscal Year: 2019 - 2020 Organization Code EO OCA Object Code Category 64-61-70-30-000 03 SF003 751000 059999 Federal Tax ID:VF Seq. Code: Grant Beginning Date: Grant Ending Date: DH 1767P, December 2008(rev. June 8, 2018), incorporated by reference in F.A.C. 64J-1.015 9