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99-23339 RESO RESOLUTION NO. 99-23339 A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, APPROVING AN AGREEMENT BETWEEN THE CITY OF MIAMI BEACH AND HARRY HEINITSH, M.D. AS MEDICAL DIRECTOR FOR THE CITY OF MIAMI BEACH EMERGENCY MEDICAL SERVICES (EMS), FROM OCTOBER 1, 1999 TO SEPTEMBER 30, 2000, FOR AN ANNUAL SALARY OF $65,372; AUTHORIZING THE MAYOR AND CITY CLERK TO EXECUTE THE AGREEMENT;FURTHER THAT THE MEDICAL DIRECTOR SHALL PRESENT HIMSELF AND/OR BE AVAILABLE AT SUCH TIMES AS REQUIRED BY THE FIRE CHIEF AND HIS COMMAND STAFF. WHEREAS, the City of Miami Beach has contracted with Harry Heinitsh, M.D., to act as Medical Director for the City's Emergency Medical Service from August 28, 1986 through September 30, 2000; and WHEREAS, upon expiration of the latest Agreement, the City wishes to enter into a new one (1) year Agreement for his services, from October 1, 1999, through September 30, 2000 (Agreement). NOW, THEREFORE, BE IT DUL Y RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, the Mayor and City Commission of Miami Beach, Florida, approve and authorize the Mayor and City Clerk to execute an Agreement between the City of Miami Beach and Harry Heinitsh, M.D., as Medical Director for the City of Miami Beach Emergency Medical Services (EMS), from October 1, 1999 to September 30, 2000, for an annual salary of $65,372; further, the Medical Director shall present himself and/or be available at such times as required by the Fire Chief and his Command Staff. PASSED AND ADOPTED THIS 6th day of October ,1999. ATTEST: () ,A APPROVED p.s TO r CL~ ~ORM & LANGUAGE CITY CLERK & FOR EXECUTION I~J ~/11 MAYOR C:Rcscuc\RcsoCmj()(),HH ~~ /!~J/J9 CITY OF MIAMI BEACH CITY HALL 1700 CONVENTION CENTER DRIVE MIAMI BEACH, FLORIDA 33139 http:\\ci.miami-beach.fl.us COMMISSION MEMORANDUM NO. ..J..l.i.:.i 9 SUBJECT: Mayor Neisen Kasdin and DATE: October 6,1999 Members of the City C mission Sergio Rodriguez I~~ City Manager ~ A Resolution uthorizing the Extension of the Agreement Between Harry Heinitsh, M.D., and the City of Miami Beach as the Medical Director for the City of Miami Beach Fire Department. TO: FROM: ADMINISTRATION RECOMMENDATION: Adopt the Resolution. BACKGROUND Florida Statute 401.265 and 64E-2 requires that all Fire Department Emergency Medical Services have a licensed Medical Director. The City of Miami Beach entered into an Emergency Medical Service Director Agreement with Harry Heinitsh, M.D., commencing August 28, 1989. Upon the passing of City Physician, Dr. Leo Grossman, the City reviewed the qualifications of three (3) Fire Rescue Doctors that it had under contract at that time, and selected Dr. Heinitsh. He was subsequently offered the position of Medical Director. Dr. Heinitsh accepted the position and the "EMS Medical Director Agreement" was established with a provision that the term may be extended for one (1) year, upon mutual agreement by both parties. Agenda Item C ~ l F Date I 0 ~to- C1 q Commission Memorandum Page 2 ANALYSIS In addition to being Medical Director, Dr. Heinitsh also serves as a Quality Assurance Officer and Infection Control Officer for the Fire Department. Furthermore, he has a Memorandum of Understanding for medical direction with our Beach Patrol, Medical Dispatching and Police S.W.A.T. Medics, at no extra cost to the City. A comparison survey of other Medical Directors salaries and hours of work (see attachment) within Miami-Dade County illustrates that the full time contract with Dr. Heinitsh is a greater value and benefit for the City of Miami Beach. The Cities of Coral Gables and Hialeah pay their Medical Directors, respectively, $40,000 'and $45,000 per year for a two-hour work week. That computes to $384 per hour. Dr. Heinitsh's minimum 40 hours per week computes to $30 per hour. A full-time Medical Director has provided Miami Beach with the highest level of quality medical oversight and direction. A part-time Medical Director will reduce the quality and value we now receive without the quality assurance required by the State for emergency medical dispatch and the EMT s employed by Beach Patrol. Dr. Heinitsh is also provided a 24-hour vehicle used to respond to any medical hazardous material, complaint or issue at a medical facility requiring the attention of a physician. Though the actual number of responses are not recorded, Dr. Heinitsh has always responded to every incident, without direction, where his expertise is needed. Fire Administration is requesting a 2% increase in the current salary of $64,090 for a new salary of $65,372, for the next contract year beginning October 1, 1999. The current salary has been in effect since October I, 1997. CONCLUSION It is in the best interest ofthe City of Miami Beach to renew and extend the contractual agreement from October 1, 1999 through September 30,2000. ~~. , S Ime 7V A:\c ~ moOO,HI! Attachment EMS MEDICAL DIRECTOR AGREEMENT THIS AGREEMENT made this 14th day of September, 1999 by and between the CITY OF MIAMI BEACH, a Florida Municipal Corporation having an address of 1700 Convention Center Drive, Miami Beach, Florida 33139 (City), and HARRY HEINITSH, M.D., having an address of 6396 Manor Lane, Apartment 6, South Miami, Florida 33143 (Contractor). WITNESSETH WHEREAS, The City wishes to enter into an agreement for Medical Director of the City's Emergency Medical Services (EMS) provided by the City's Fire Department (Agreement); and WHEREAS, Contractor wishes to serve as the Medical Director for the City's EMS. NOW THEREFORE, in consideration of the mutual covenants and other good and valuable consideration the receipt and sufficiency of which is hereby acknowledged the parties agree as follows: 1. Term. The term of the Agreement shall be for one (1) year, commencing on the 1st of October 1999, and ending on the 30th Day of September 2000. The term may be extended by mutual agreement of the parties hereto. 2. Services. Contractor agrees to direct and coordinate the delivery of the City's EMS system in accordance with the State of Florida Department of Health; F.A.C. 64E-2.004 Medical Direction, F.S. 401.265 Medical Directors, and other pertinent State, County and Local Laws. A copy of 64E-2.004 and F .S. 401.265 are attached hereto as Exhibit "A" and by reference made a part hereof. Contractor acknowledges that he has read and is familiar with the foregoing codes and statues. 3. Payment. City agrees to pay Contractor compensation for the above services at an annual rate of sixty five thousand three hundred seventy two dollars ($65,372.00), payable in 26 equal bi-weekly amounts. 4. Medical Malpractice Insurance. City agrees to provide, on behalf of Contractor, medical malpractice liability insurance for the period of time he acts as the City's Medical Director. Such insurance shall cover Contractor only for the activities relating to Contractor's capacity as Medical Director and not to any other activities of Contractor. City shall have the option to self insure Contractor's medical malpractice liability, to the extent permitted by law, but only up to the limits of liability set forth in Section 768.28, Florida Statutes. 5. No Partnership. Nothing herein contained shall create or be construed as creating a co- partnership between the City and the Contractor or to constitute the Contractor as an agent of the City. Contractor shall be deemed to be an independent contractor and not an agent or employee of the City; and shall not attain any rights or benefits under the Civil Service or Pension Ordinance of the City; or any rights generally afforded classified or unclassified employees. Furthermore, he shall not be entitled to Florida Workman's Compensation benefits as an employee of the City or accumulation of sick or annual leave. 6. It is further agreed that this Agreement may be altered, extended and amended only upon the prior written consent of both parties. Contractor shall not assign, transfer or subcontract his rights and obligations under this Agreement. 7. The Contractor covenants that he presently has no interest and shall not acquire any interest, direct nor indirectly, which should conflict in any manner or degree with the performance of the services to be provided hereunder. 8. This Agreement may be terminated without cause for the convenience of either party at any time upon furnishing sixty (60) days' written notice to the other party. In the event of termination for convenience of either party, the Contractor shall be paid a sum equal to all payments due to him up to the date of termination of this Agreement, provided Contractor is continuing to provide all services pursuant to the Agreement up to the date of termination. 9. Contractor agrees to indemnify, defend and hold harmless, the City of Miami Beach and its officers, employees and agents, from and against any and all actions, claims, liabilities, losses and expenses, including, but not limited to, attorney's fees, for personal, economic or bodily injury, wrongful death, loss of or damage to property, in law or in equity, which may arise or be alleged to have arisen from the negligent acts or omission or other wrongful conduct of the Contractor in connection with the Contractor's performance of services pursuant to this Agreement. The Contractor's obligation under this article shall not include the obligation to indemnify the City of Miami Beach and its officers, employees and agents, from and against any actions or claims which arise or are alleged to have arisen from negligent acts or omissions or other wrongful conduct of the City and its officers, employees or agents. The parties each agree to give the other party prompt notice of any claim coming to its knowledge that in any way directly or indirectly affects the other party. 10. The City desires to enter into this Agreement only if in so doing the City can place a limit on City's liability for any cause of action for money damages due to an alleged breach by the City of this Agreement, so that its liability for any such breach never exceeds the sum of $5,000.00. Contractor hereby expresses its willingness to enter into this Agreement with Contractor's recovery from the City for any damage action for breach of contract to be limited to a maximum amount of $5,000.00. Accordingly, and notwithstanding any other term or condition of this Agreement, Contractor hereby agrees that the City shall not be liable to Contractor for damages in an amount in excess of$5,000.00 for any action or claim for breach of contract arising out of the performance or non-performance of any obligations imposed upon the City by this Agreement. Nothing contained in this subparagraph or elsewhere in this Agreement is in any way intended to be a waiver of the limitation placed upon City's liability as set forth in Section 768.28, Florida Statutes. 11. All notices under the term of this Agreement shall be sent to the following: CONTRACTOR: DR. HARRY HEINITSH 6396 MANOR LANE APT. #6 SOUTH MIAMI, FL 33143 CITY: CITY OF MIAMI BEACH 1700 CONVENTION CENTER DRIVE MIAMI BEACH, FL 33139 WITH COPIES TO: OFFICE OF THE CITY ATTORNEY CITY OF MIAMI BEACH 1700 CONVENTION CENTER DRIVE MIAMI BEACH, FL 33139 12. This Agreement shall be enforceable in Dade County, Florida and if legal action is necessary by either party with respect to the enforcement of any and all terms or conditions herein, exclusive venue for the enforcement of same shall lie in Dade County, Florida. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by their appropriate officials, as of the date first entered above. ATTEST _~J- Pcwt- CITY CLERK WITNESS C#~~ ~'lwcJ D.\l~ C:Rc~(;uc:ResoCmj(){).HH CITY OE MIAMI BEACH CONTRACTOR ~,"'{j I,~,PPROVED AS TO FORM & lANGUAGE & fOR EXECUTION 1I/t~ ~ Miami Dade County Coral Gables Miami Hialeab MEDICAL DIRECTORS COMPARATIVE SALARIES $80,000 + $20,000 (fringe benefits) Medical Director $27,500 Assistant Medical Director $40,000 Medical Director (part-time, 2 bours per week) $95,000 $45,000 (part-time, 2 bours per week) Attacbment . WHAT IS AN FlfS MEDICAL DIRECTOR An EMS Medical Director is the individual primarily responsible for the care rendered to patients by the EMS agency. He must by law assume full responsibility for the actions of the EMT's and paramedics in the field. He is responsible to take steps to assure that the quality of care rendered meets an acceptable standard. He discharges this responsibility in four primary ways. First, by overseeing and requiring change in EMS system design. This is done primarily by establishin~ a set of standing orders and protocols directing the actions of his paramedics and EMT's in the care of their patients, but further by communicating with and interacting with administrative personnel in the proper design of operational procedm"es, all of which must be tailor-made to the particular needs of that agency. Second, through education - both direct teaching of his field staff and supervising the actions of training personnel to assure that field personnel have the necessary knowledge and skills. Third, through performance review and discipline by maintaining an ongoing quality assurance retrospective assessment program, problems are identified and remedies attempted. Further; when individuals whose care persistently fails to meet the standard, disciplinary action on the authority of the Medical Director precludes them from continuing to provide care beyond their level of acceptable function. Fourth, by acting as a liaison between the EMS Organization and the medical community both locally and at a state and national level, the Medical Director provides a vital link in the essential teamwork interaction, which is the cornerstone of all emergency medicine activities. The operational directors are the nervous system and skeleton of an EMS organization. The field personnel are its muscular system, the hands of the organization. The Medical Director leadership is truly the heart of any EMS organization and, as such, he is responsible for its vitality.