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08-8210 Presented By: Referred To: z 3 a s s i a Committee: Date RESOLVED, thaf the proper City officials are hereby authorized and directed to execute a Metropolitan EMS Regional Compact agreement for use of EMS personnel and equipment with the Emergency Services agencies located in the seven-county metropolitan area, hich includes an indemnification clause, as provided by Saint Paul's Department of Fire and Safety Services; a copy of said agreement is to be kept on file and of record in the Office of Financial Services. Requested by Department of: Fire & Safe Services By: �� 7r/- Approval Recommended by Director of Financial Services: Q� Adopted by Council: Date �/�iG�G:S� Adoption Certified by Council Secretary: L� �m"',' � Councif File # Uo'8�' GreenSheet# 3057236 RESOLUTION OF SAINT PAUL, MINNESOTA � Form Approv �� � or ey: By: /`��,_,_ Approved b rforSubmi io to Coa cil: B y : _ _ ,. . � Green Sheet Green Sheet Green Sheet Green Sheet Green Sheet Green Sheet � OS -g�-J - -�- i IIepartmenVgfficetcouncii: - --�, -- ,- - �ateinftlatert: �- .:. .,-__ _ - - -.-_- . - __ —_ . _ _ _ _.._ _ FR - Fve 23-JUL-08 Green Sheet N0: `30573 == __ _____ ___ _ _______ _ ______- __-�' __-_,_- __-_ __— - _ _ . _ ___ - _ -_- . _ _ _ .___ --__ -_ '_'-_ .__� __ .____ _,_._ - . _ __ __ ._ ' _ '— ' _' ' "' " Contact Person & Phone: Department Sent To Person InitiallDate Chief Tim Buller � 0 FSre . _ 222-0477 p,ssign , 1 Fire __— ___De� _ i . Must Be on Council Agenda by (Date): Number , 2 'City Anorney � For --- — ' Routing � 3 Mayar'sOffice ___ Mayor/Ass istant__ ______ ��� Doa Type: RESOIUTION . Order �, 4 Council � ' '. E-Docume�rt Required: Y DocumentConWd: JiIILaCasse Contact Phone: 228-6257 5 �LSri Clerk ' C�LY Clerk Total # of Signature Pages _(Clip All Locations for Signature) Approval of the attached Council Resolution authorizing the Depar[ment of Fire and Safety Services [o enter into a Metropolitan EMS Regional Compact with the sucrounding communiries in the seven-county area for EMS services. or must nnswe� Planning Commission 1. Has this persoNfirm ever worked under a contract for this department? �i CIB Committee Yes No Civil Service Commission 2. Has this person/firm ever been a city employee? � Yes No i 3. Does this person/firm possess a skill not normalty pwsessed by a�y �' current city employee? I � Yes No ! I Explain all yes answers on separate sheet and attach to green sheet I, , _—_---_ __--- _ - __ �__.____. —�, ' Initiating Problem, Issues, Opportunity (Who, What, When, Where, Why): , � The purpose of this agreement is to make EMS equipment, personnel, and other resources available in the event of disaster or special evenUmcSdent m a surzounding community. ; �� Advantages If Approved: ---����_ �_-- -- ��,, ' In the event of a large scale incident, the City of Saint Paul would have back up EMS assistance and resources from the surrounding ' �i� communities. � Disadvantages If Approved: None. Disadvantages If Not Approved: The City of Saint Paul will not be able to share resources with the surrounding communities. i '� Total Amount of CostlRevenue Budgeted: � Transaction: � Funding Source: Activity Number: Financial Information: (Expiain) � .��� 2 � ?��� I i "�a�^��� •� . . . . _. . � & July 23, 2008 9:25 AM Page 1 . i� „ METROPOLITAN EMS REGIONAL COMPACT This Compact is made and entered into by and between the thirty undersigned Emergency 5ervices (EMS) agencies located in the seven-county metropolitan area. RECITALS WHEREAS, this Compact is not a legally binding contract but rather this Compact signifies the belief and comxnitment of the undersigned EMS services that in the event of a disaster or special evenUincident, the medical needs of the community wili be best met if the undersigned EMS agencies cooperate with each other and coordinate their multi jurisdictional, multi-agency mutual aid response efforts. WHEREAS, the undersigned EMS agencies desire to set forth the basic tenets of a cooperative and coordinated response plan in the event of a disaster or special event/incident with the goal to provide a consistent level of care using resource sharing throughout the Metro Region rather than allowing for the provision of divergent standards of care during such events. WHEREAS, the undersigned EMS agencies desire to cooperate and collaborate in the event of a disaster or special evenUincident, in which an EMS agency(s) within the Metropolitan Region becomes incapabie of managing a large volume of incident related calls and/or incapable of managing cails within their PSA with the usual borderinglpaztnering mutuai aid agencies, by deploying assets or other support services as requested through usual mutual aid requesting protocols or by the Metro Regional EMS Multi-Agency Coordination Center (EMS-MACC), a metro Medicai Resource Control Center (MRCC), and/or a Metro Regional EMS Incident Management Team in order to support the affected requesting agency(s). NOW THEREFORE, in consideration of the above recitais, the undersigned EMS Agencies agree as follows: - ,� Metropolitan EMS 2 Regional Compact Agreement-Sepfember 2007 08�8a ARTICLE I COMMiJNICATION BETWEEN THE LJNDERSIGNED EMS AGENCIES DiJRING A DISASTER OR SPECIAL EVENT/INCIDENT The undersigned EMS agency will: 1.1 Communicate and coordinate efforts to respond to a disaster or special evenUincident in accordance to the Metro EMS Region Incident Response Plan (IRP) via their National Incident Management System (NIMS) compliant Incident Command Structure (ICS), primarily incident branch commanders and agency management, to the coordinating MRCC and the Metro Regional EMS-MACC and/or Metro EMS Incident Management Teams when acrivated or deployed. 1.2 Receive alert information via web-based EMS status system regarding any disaster or special evendincident with as well as a concurrent radio notification by East and West Metro MRCCs as a redundant back-up system. 13 Communicate with the Metro Regional EMS-MACC, when activated, and each other's Emergency Operations Centers (EOC) by phone, fax, email, and wili maintain radio capability to communicate with MRCC as a minimum back-up. 1.4 Utilize a Joint Public Information Center (JPIC) during a disaster to ailow their public relarions personnel to communicate with each other and release consistent community and media educational / advisory messages. Each undersigned agency should designate a Public Information Officer (PIO) who wiil be their EMS liaison with the 7PIC. Depending on the event, this may be coordinated through the Metro Regional Hospital Resource Center (IZfIRC), Minnesota Department of Health, Minnesota Division of Emergency Management, or the 1VIinnesota Hospitals and Healthcare Partnership. If no umbrella organizarion assumes responsibility, Hennepin County Medical Center (Hennepin Healthcare Services, Inc.), North Memorial Medical Center and/or Region's Hospital communication depariments will assume and coordinate this responsibility. 1.5 Provide according to the procedure outlined in the Metro region Incident Response Plan (IRP) through the coordinating MRCC, name and age of disaster victims which would then be disseminated to the regional EMS-MACC when activated, the RHRC or American Red Cross for disaster welfare inquiries for purposes of victim location by family members unless special circumstances preclude such information sharing. Provide to the coordinating MRCC, when pernutted, appropriately detailed information about unidenrified patients (John/Jane Doe) and their dispositions in order to facilitate identification. Metropofitan EMS Regional Compact Agreement-September 2007 i � ♦ � . ARTICLB II ONGOIIdG COMM[JNICATION ABSENT A DISASTER The undersigned EMS Agencies will: 2.1 Meet at least rivice yeazly under the auspices of the Metropolitan Regional EMS Emergency Preparedness Committee of the Metropolitan Emergency Services Board (MESB}, to discuss continued emergency response issues and coordination of response efforts. Meeting minutes, agendas, and progress reports wi11 be shared with appropriate organizations such as the MESB, the RT3RC, the Metropolitan Medical Response System (MIVIRS), regional emergency managers and county EMS councils or comxnittees. 2.2 Identify primary point-of-contact and back-up individuals for ongoing staffmg of Metro Regional EMS Incident Management Teams, the Metro Regional EMS- MACC and communication purposes. These individuals will be responsible for determining the distribufion of information within their EMS organizations and agencies. ARTICLE III ADAPTIVE OPERATIONS AND FORCED EVACUATION OF A METRO-RHI2.0 AFFILIATED HOSPITAL 3.1 If a disaster or response to a special evenUincident affects an undersigned agency(s) forcing partial or complete adaptive operations, the other undersigned EMS agencies agree to participate in the distribution of requests for service within the affected EMS agency's Primary Service Area (PSA), even if this requires acfivating emergency response plans at the assisting agency(s). 3.2 In the event of an emergent hospitaUmedical center evacuation, East andJor West Metro Medical Resource Control Centers (MRCC), in conjunction the Metro Regional EMS-MACC, will coordinate all patient transportation (bus, WC, BLS, ALS, crirical care) with the Regional Hospital Resource Center (RIIRC), the hospitals' point-of-contact, and assist affected hospital(s)/medicai center(s), as requested, with the internai organization of transportarion plans for the evacuarion of patients and wili distribute run volumes equitably. 3.4 In the event of an anticipated evacuation, transportation arrangements will be made in accordance with the affected hospital's usual and customary practice. Metropolitan EMS ¢ Regional Compact Agreement-September 2007 �TZCLE zv 6 8 -8a / RESPON�E WHEN THE NATI03�IAL DISASTER MEDiCAL STI'STEM - IS ACTIVATED 4.1 If the National Disaster Medical System (NDMS) is activated in response to a disaster outside the metropolitan area, the RFIRC will determine bed availability and with the Minueapolis Veterans Adiniiiistration Medical Center communicate EMS needs to the agency providing service to the Minneapolis-St. Paui Aarport. East andlor West Metro MRCC, upon request, will determine the surge capability of the undersigned agencies. Regional EMS Incident Management Teams andfor the Metro Regional EMS-MACC will be deployed and activated to assist with patient reception/evacuation pluining and coordination of EMS activifies with the RFII2C upon request. 4.2 If the National Disaster Medical System is activated in response to a disaster in the metropolitan azea, East and West Metro MRCC and the EMS-MACC, will obtain information from the RfIRC and/or regional healthcare facilities regarding the number of patients that require transportation, and will coordinate the EMS response and resource allocation with support from the RIIIZC, Minnesota Department of Health and the Deparhnent of Public Safety — Division of Homeland Security and Emergency Management. ARTICLE V REPORTING SURGE CAPACITY AND CAPABILTTY 5.1 The undersigned EMS agencies will use a desigiated web-based site to report the agency's surge capacity, its capabilities and its ability to transport patients. System capacity and reporting will be monitored by MRCC. The undersigned agencies wiil update this information on the web site at least once daily so that MRCC has current information to immediately determine system resoarces in the event of a disaster. In the event that the electronic system is non-functional, manual methods may be used to collect this data (eg: telephone reporting). 5.2 Surge capacity and capabilities will include at a minimum: licensed ALS and BLS vehicles, available staff and support personnel. A taskforce will examine optimum data and time reporting with input from each of the undersigned agencies. Metropolitan EMS 5 Regional Compact Agreement-September 2007 �TicLE vi bg � 8a I _ � AUXILIARY HOSPITAL ANB CASUALTX COLL�CTION 3,OCATI03�1 61 An altemate care site (ACS) auxiliary hospital and/or casualty collection location may be required in the event a disaster overwhelms the metropolitan azea hospitals' capacity and capabilities. 6.2 If an ACS, awciliary hospital and/or casualty collection location is required, HCMC will coordinate administration, staffing, and sate operations in Hennepin County for the west metropolitan area. Regions Hospital will coord'utate aduiiuistration, staffing, and site operations in Ramsey County for the east metropolitan area. 63 The undersigned agency may be asked to contribute volunteer andlor EMS staff to an ACS, auzciliary hospital or casualty collection location on an urgent basis, subject to availability. 6.4 The Regional EMS Incident Management Teams andlor the Metro Regional EMS-MACC will provide assistance the RHRC and the administrative coardinaring entity to determine the extent of EMS involvement and will construct short and long-term action plans. ARTICLE VII STAFF, MEDICAL SUPPLIES. AND PHARMACEUTICAL SUPPLIES IN THE EVENT OF A DISASTER 7.1 In the event of a disaster or special evenUincident when patient care staff is in suiplus at one of the undersigned agencies and lacking at another, the undersigned agency with the surplus will shate staff to help ensure that the available EMS agencies in the metropolitan area are adequately staffed during a disaster or special evenbincident. 7.2 In the event that needed supplies are in surpius at one of the undersigned agencies and lacking at another, the undersigned agency with the surplus will share supplies to help ensure that parients in the metropolitan area receive necessary treatment during a disaster or special event/incident. 73 The above staff and supply sharing will occur in cooperation between the management staff, incident commanders and designated EOC staff at the involved undersigned agencies. � Metropoiitan EMS 6 Regionaf Compact Agreement-September 2007 6S -Sa 1 ARTICLE VIII MISCELLANEOUS PROVISIONS 81 This Compact together with the attached E�ibits, constitutes the entire compact between the undersigned EMS agencies. 8.2 Amendments to this Compact must be in writing and signed by the participating agencies. Eachibits, such as the Incident Response Plan and response procedures, which are reviewed and revised periodically by some or all of the participating agencies, may be replaced with updated versions without formally amending this Compact. Such updated E�ibits shall be provided to ail participating agencies and shall become effective as to each agency upon receipt. 83 An undersigned EMS agency may at anytime terminate its participation in the Compact by providing sixty-day (60} written notice to the lead administrator at each of the undersigned agency. 8.4 This Compact is not intended to create a joint venture between any of the undersigned EMS agencies. Each E\YIS agency is responsible for supervising its own employees and volunteers, and sha11 not be liable for the acts or omissions of any other EMS agency based on the terms of this Compact. Neither Party to this Compact nor any officer of any Party witkrin the Compact shall be liable to any other Party within the Compact or to any other person for failure of any undersigned agency to fiunish assistance to any other Pariy within the Compact. 8.5 The undersigned agencies shall indemnify and hold harmless the other parties of this Compact, their officers, employees, members, shazeholders, directors, attorneys, agents, assigns, and other related parties, persons, entities against ali third party claims, losses, damage, liability, suits, judgments, costs and expenses arising from negligence or intentional misconduct of personnel assigied by any undersigned agencies based upon terms of this Compact. . Metropolitan EMS 7 Regional Compact Agreement-September 2007 6 0 � p O 0�•� / — - .. � � � � �s =n£� Signed Dated i,M��v /rI �=�/r Printed nam Received Participating EMS Agencies: ALF Ambulance Aliina Medical Transportarion Beile Plaine Community Ambulance Service Burnsville Fire Deparhnent CART Ambulance, Inc. Chaska Fire Department Ambulance (Ridgeview) Columbia Heights Fire, Rescue and Emergency Cottage Gmve EMS Edina Fire Department Hastings Fire Department EMS HCMC EMS HealthEast Medical Transportation Lakeview EMS Life Link III Lower St. Croix Valiey Fire Department Mahtomedi Fire Department Ambulance Service Maplewood EMS Marine on St. Croix Ambulance Mdewakanton Fire Department Minneapolis Fire Department New Prague Ambulance North Aircare 1�'orth Memorial Ambulance North Memorial Ambulance-Forest Lake Northfield Hospital EMS Oakdale Fire Ambulance Ridgeview Ambulance Service St. Paul Fire Deparhnent University o£Minnesota Ambulance White Bear Lake Fire Department Woodbury Ambulance � �� L��_#�UL. Title and EMS agency represented Dated � Metropolitan EMS g Regional Compact Agreement-September 2007 �g��'al -- EXHLBIT A _ - _ DEFINITION OF TERMS Affected EMS Agency: The EMS agency darectly impacted by the eventldisaster and the EMS agency's PSA where disaster occurred may be the recipient agency for supplies and personnel from another agency. Assisting EMS Agency: The contributing EMS agency that provides personnel, pharmaceuticais, supplies, and/or equipment to an agency experiencing a disaster or special evenUincident requesting assistance. Alternate Care Site (ACS): A facility established to provide ongoing patient care in a non-hospital environment, primarily to serve as austere care overflow bedspace during a epidemic or other prolonged emergency situation with mass casualties. Casualty Collection Location: An azea estabiished to collect or triage casualties either between the scene of an incident and the hospital (eg: a casualty collection point at a air crash site�, or between the hospitai and outgoing transportation resources (eg: an aitport hanger during a National Disaster Medical System evacuation from the Twin Cities area). Disaster or special evenUincident: A situation in which an incidenYs resource requirements exceed availabie resources to the point which an EMS agency is incapable of managing a large volume of incident related calls and/or incapable of managing calls within their PSA with the usual bordering/partnering mutual aid agencies. Emergency Operations Centers (EOC): The coordination center for emergency response to an event or incident. The State, County, City, and affected EMS agency may each have their own EOC for their portion of the event, but liaison efforts between such centers are of critical importance. Joint Public Infortnation Center (JPIC): A source of in£ormation that is designated by more than one agency or group to speak on behalf of all during an emergency to assure consistent messages and flow of information. National Incident Management System (NIMS): The Incident Command System that identifies the command structure and operational branches during an emergency. All public safety agencies in the State of Minnesota use a 1VIMS compatible system. , � Metropolitan EMS g Regional Compact Agreement-September 2007 bg � g / Metro Regional EMS Incident Management Team: A team comprised of specialized, - -- NIMS trained and incident command experienced BMS managemen4 and supervisory – personnel from agencies within the Metro Region who when requested and deployed uril� — either assist the EMS Branch Commander on scene of a disaster or special evenUincident, assist EMS Branch Command at various EOC's, and/or provide staff for the EMS- MACC. Metropolitan Medical Response System (MMRS): The organization of public safety and health agencies that has provided the planning, oversight, and integration of weapons of mass destruction planning into emergency pianning for the cities of Minneapolis and St. Paul under a grant from the U.S. Deparhnent of Health and Human Services. East and West Metro Medical Resource Control Centers (MRCC): Communications hubs located at Regions Hospital and Hennepin County Medical Center respectively that aze responsible for coordinating patient destination during a disaster or special eventlincident in relation to hospital resources, coordinating EMS communications and tracking patients during such an event as well as obtaining resources (medical director consultation / notification, CISD contact point, transport resources) among other responsibilities. Minnesota Homeland Security Emergency Management (MHSEM): Department of Public Safety division responsibie for disaster response coordination and mitigation. DPS-DEM is the state agency which will coordinate state and federal resource response during a disaster. National Disaster Medical System (NDMS): A contingency system of voluntarily committed hospital beds throughout the United States that may be activated when a disaster overwhelms regional healthcare resources and requires evacuation of patients to another region of the narion for care. Plans are in place for the reception of patients into, and evacuation out of the Twin Cities region should this type of event occur. MNTrac: Minnesota systems for Tracking Resources, Advisory/Alerts, and Communication is a database driven, password protected web application. The application has been designed specifically to track bed capacity, pharmaceuticals and resources (i.e. ventilators, personal protective and decontamination equipment) from all hospitals within the state to support surge capacity needs. Hospital bed diversion status, emergency event planning, emergency communication, and alert notifications are supported in real time. Regional Hospital Resource Center (RHRC): A designated regional hospital that performs clearinghouse functions for information during a disaster and may act to match available and requested resources from different facilities during a disaster situation. Resource needs may also be communicated from the RHRC to IocaUcounty emergency management and public health agencies. If a disaster occurs in East Metro, Regions Hospital will have primary responsibility for coordination, if the occurrence is in West Metro HCMC will have this funcrion primarily. ,- . . Metropolitan EMS 10 Regional Compact Agreement-September 2007 - �g,g�� — EXH�IT B - —_ -- METROPOLITAN EMS REGION INCIDENT RESPONSE PLAN SEE THE FOLLOWING TWO(2) PAGES