08-8210
Presented By:
Referred To:
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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:
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Adopted by Council: Date �/�iG�G:S�
Adoption Certified by Council Secretary:
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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 : _ _
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� Green Sheet Green Sheet Green Sheet Green Sheet Green Sheet Green Sheet �
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- -�- i IIepartmenVgfficetcouncii: - --�, -- ,- - �ateinftlatert: �- .:. .,-__ _ - - -.-_- . -
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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)
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July 23, 2008 9:25 AM Page 1
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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:
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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.
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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.
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Metropolitan EMS 7
Regional Compact Agreement-September 2007 6 0 � p
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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
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Metropolitan EMS g
Regional Compact Agreement-September 2007
�g��'al
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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.
,
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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.
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Metropolitan EMS 10
Regional Compact Agreement-September 2007
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— EXH�IT B - —_ --
METROPOLITAN EMS REGION
INCIDENT RESPONSE PLAN
SEE THE FOLLOWING TWO(2) PAGES