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HomeMy WebLinkAboutCity of Tamarac Resolution R-2013-086TR 12381 Page 1 August 5, 2013 CITY OF TAMARAC, FLORIDA RESOLUTION NO. R-2013 -9(0 A RESOLUTION OF THE CITY COMMISSION OF THE: CITY OF TAMARAC, FLORIDA ACCEPTING AN EMERGENCY MEDICAL SERVICES GRANT AWARD IN THE AMOUNT OF $62,406 FROM THE FLORIDA DEPARTMENT OF HEALTH, BUREAU OF EMERGENCY MEDICAL SERVICES; AUTHORIZING THE APPROPRIATE CITY OFFICIALS TO EXECUTE A GRANT AGREEMENT PENDING LEGAL REVIEW BETWEEN THE FLORIDA DEPARTMENT OF HEALTH AND THE CITY OF TAMARAC FOR GRANT FUNDING IN THE AMOUNT OF $62,406 WITH A 25 PERCENT MATCH OF $209802 IN LOCAL FUNDS FOR THE PURCHASE AND INSTALLATION OF THREE (3) POWER - LOAD COT FASTENER SYSTEMS AND ONE (1) POWER PRO XL AMBULANCE COT; AND AUTHORIZING THE APPROPRIATE CITY OFFICIALS TO ENTER INTO THE NECESSARY AGREEMENTS PENDING LEGAL REVIEW BETWEEN THE CITY OF TAMARAC AND STRYKER, A SOLE SOURCE PROVIDER, FOR THE PURCHASE OF SAID FASTENER SYSTEMS AND COT; PROVIDING FOR CONFLICTS; PROVIDING FOR SEVERABILITY; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, The City of Tamarac has provided high quality emergency medical services, including emergency medical transportation, to the community since 1996; and WHEREAS, the City Commission desires to improve patient transfer and transport in emergency situations within the City of Tamarac through the use of hydraulic stretchers and power load systems for hydraulic stretchers to improve patient and firefighter safety; and WHEREAS, the City applied and was awarded a Florida Department of Health, Bureau of Emergency Medical Services matching grant in the amount of $62,406 to purchase three (3) power -load cot fastener systems and one (1) power pro ambulance cot to be installed on department rescue units; and WHEREAS, the Florida Department of Health, Bureau of Emergency Medical Services grant program requires a 25 percent match and the City is willing to provide this match in the amount of $20,802 in local funds through the FY14 Fire Rescue budget; and TR 12381 Page 2 August 5, 2013 WHEREAS, the Fire Chief and the Purchasing and Contracts Manager recommend acceptance of these grant funds and execution of the project agreement pending legal review between the Florida Department of Health and the City of Tamarac, and to enter into the necessary agreements with Stryker pending legal review for the purchase of three (3) power -load cot fastener systems and one (1) power pro ambulance cot; and WHEREAS, as a result of standardization and the lack of dealers, Stryker is a sole source provider; and and WHEREAS, Stryker does not utilize a dealer network and markets all products directly; WHEREAS, the City Commission of the City of Tamarac, Florida, deems it to be in the best interest of the residents and businesses of the City of Tamarac to accept grant funding for three (3) power -load cot fastener systems and one (1) power pro ambulance cot; and to execute a project agreement pending legal review between the Florida Department of Health, Bureau of Emergency Medical Services and the City of Tamarac for grant funding in the amount of $62,406 and provide a 25 percent match of $20,802 in local funds; and to enter into the necessary agreements pending legal review between the City of Tamarac and Stryker, a sole source provider, for the purchase and installation of said fastener systems and cot to enhance the overall care afforded to our patients. NOW THEREFORE BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF TAMARAC, FLORIDA: SECTION 1: The foregoing "WHEREAS" clauses are HEREBY ratified and confirmed as being true and correct and are HEREBY made a specific part of this Resolution. All Exhibits attached hereto are incorporated herein and made a specific part of this Resolution. TR 12381 i Page 3 August 5, 2013 SECTION 2: The City Commission of the City of Tamarac HEREBY accepts the grant award of $62,406, as written in the June 14, 2013 award letter from the Florida Department of Health, which is attached hereto as Exhibit A and is incorporated herein by this reference. SECTION 3: The appropriate City Officials are HEREBY authorized to execute the Emergency Medical Services grant agreement pending legal review between the City of Tamarac and the Florida Department of Health for grant funding in the amount of $62,406, providing a 25 percent match of $20,802 in local funds through the FY14 Fire Rescue budget, and is attached hereto as Exhibit B which is incorporated herein by this reference. SECTION 4: The appropriate City Officials are HEREBY authorized to enter into the necessary agreements pending legal review between the City of Tamarac and Stryker, a sole source provider, for power -load cot fastener systems and a power pro ambulance cot, where vendor quotation and sole source justification forms are attached hereto as Exhibits C and D and are incorporated herein by this reference. SECTION 5: All Resolutions or parts of Resolutions in conflict herewith are HEREBY repealed to the extent of such conflict. SECTION 6: If any clause, section, other part or application of this Resolution is held by any court of competent jurisdiction to be unconstitutional or invalid, in part or application, it shall not affect the validity of the remaining portions or applications of this Resolution. TR 12381 Page 4 August 5, 2013 SECTION 7: This Resolution shall become effective immediately upon its passage and adoption. PASSED, ADOPTED AND APPROVED this a0 day of , 2013. r— - -— at 20 ATTEST: PATRICIA TEUF�, CMC CITY CLERK RECORD OF COMMISSION VOTE: MAYOR TALABISCO: Q±�! DIST 1: COMM. BUSHNELL DIST 2: COMM. ADKINS-GRAD DIST 3: COMM. GLASSER tea DIST 4: V/M. DRESSLER HEREBY CERTIFY that have approved this RESOLUTION as to form It �S7�MUEL S. GOREN CITY ATTORNEY KICK *rAK% Mission: To protect, promote & improve the health of all people in Florida through Integrated state, county & community efforts. 013 JUM z 1 PH 12., 2� HE—ALT� John Governor H. Armatw�s MD, FACs ��+ ,��State Surgeon General & Secretary Vision: To be tlhe HWlgdpt Sb�e in the N '!T1' Op TAP RAC June 14, 2013 Mr. Michael Cemech, City Manager,�,�� City of Tamarac Fire Rescue C �= � `mil P�"10 7525 Northwest 88th AvenueTamarac, Florida Florida 33321 Dear Mr. Cernech: I am pleased to award City of Tamarac Fire Rescue an emergency medical services (EMS) matching grant in the amount of $62,406.00. The grant ID code is M2101. In accordance with section 401.113(2)(b), Florida Statutes, the grant budget is 75 percent state funds and 25 percent matching funds. Your required local cash match for this grant is $20,802.00. The purpose of this grant is to improve and expand EMS by assisting your organization in the purchase of three power load units for current Power Pro stretchers and one Power Pro stretcher. This grant program is number 64.003 in the Florida Catalog of State Financial Assistance. The state money is paid from the Department of Health's EMS Trust Fund and there are no federal funds involved. Your signed grant application affirms you have read, understand, and will comply with the terms and conditions in the "Florida EMS Matching Grant Program Application Packet, June 2008.E The grant begins the date of this letter and ends June 30, 2014. Reports are due the third week of November 2013, March 2014, and July 2014 (the final report). Please include with your final report a refund check for any unspent state funds and interest earned, if any. Enclosed is a copy of the expenditure report form and the reporting requirements. Thank you for your participation in this state EMS grant program. If you need assistance, please feel free to contact Mr. Alan Van Lewen, Health Services and Facilities Consultant in the EMS Program, at (850) 245-4440, extension 2734. Sincerely, Victo(/(Ohnson, Director Division of Emergency Preparedness and Community Support VJ/avl Enclosures cc: Mr. Steve Stillwell, Division Chief of Professional Standards Florida Department of Health wwwAoridasHealth,com Division of Emergency Preparedness and Community Support TWITTER:HealthyFLA 4052 Bald Cypress Way, Bin A-23 * Tallahassee, FL 323994748 FACEBOOULDepartmentof eith PHONE: 85012454440- • FAX 8501921-8162 1 YOUTUSE: fidoh 11 0 Department of Health EMS GRANT PROGRAM EXPENDITURE REPORT Organization Name: Grant 1D Code,," Time Period Covered: Beginning Date: Ending Date: Earned Interest: Amount $ as of: Day Month Year Final Report (Check one): E]Yes- F-1 N o Approved Expenditure to Date by Major Line items) TOTAL EXPENDITURES BALANCE (Budgeted Less Actual Expenditures) $ 0.00 incruae wim me progress notes an explanation of how project personnel, equipment, and any problerns or barriers maX LMact on the grant.2rogress. 1 certify the above reports are true and correct. Expenditures were made only for items allowed by the above referenced grant. rrrrrrwr. w.rr -- - - Signature of Authorized Grantee* Official Date uu■ninrrrrr+�r.w.rrr. - - - -- rr�.. - - Printed Name DH 1684A, December 200.8 64J-1.015, F.A.C. REPORTS . INTERIM REPORTS Me of )rm folly Each grantee shall.submit two reports to the department. The due dates for the required reports are specified in the award letter from the -department notifying the grantee of the grant award. These reports shall include, at a minimum, a narrative of the activities completed or the* progress of grant activities during the reporting period. A report shall be submitted b the p y due date whether or not any action or expenditures have occurred. FINAL REPORTS A final report shall be submitted to the departmentby its due date. The fins! report shall at a minimum contain a narrative describing the activities conducted including any bid or purchasing process and a copy of all invoices, canceled checks or other payment documentation relating to the purchase of any equipment, services, expenses, and supplies. If the activity funded was for training a list of all individuals receiving g the training shall be submitted along with the dates, times and location of the training. If the grant was for training to be obtained by staff then a copy of all invoices and payment. documents for the training shall also be submitted. If any refund -is due to the state, the paper check will need to be sent tows. Also, please briefly summarize a description of the impact of the project. DH 1684A, December 2008 64J-1.0151 F.A.C. I. 13 EMSMATcHiNG GRANT APPLICATION FLORIDA DEPARTMENT OF HEALTH Bureau of Emergency Medical Services Complete all items unless instructed differently within the application Type of Grant Requested: ❑Rural x Matching ID. Code (The State Bureau of EMS will assign the ID Code —leave this blank 1. Organization Name: City of Tamarac Fire Rescue 2. Grant Signer: (The applicant signatory who documents. This individual must also sign this Name: Michael Cernech has authority to sign contracts, grants, and other legal application) Position Title: City Manager Address: 7525 NW 88,nAvenue City: Tamarac County: Broward State: Florida Zip Coder 33321 Telephone: 954-597-3510 Fax Number: 954-597-3520 E-Mail Address: michael.cernech@tamarac.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: Steve Stillwell Position Title: Division Chief of Professional Standards Address: Tamarac Fire Rescue 6000 Hiatus Road City: Tamarac County: Broward State: Florida Zip Code: 33321 Telephone: 954-597-3800 Fax Number: 954-597-3810 E-mail Address: steve.stillwell tamarac.or DH Form 1767, December 2008 1 EXHIBIT B 4. Legal Status of Applicant Organization (Check only one response}: (1) ❑ Private Not for Profit [Attach documentation-501 (3) ©J (2) ❑ Private For Profit (3) x City/Municipality/Town/Village (4) ❑ County (5) ❑ State (6) ❑ Other (specify): 5. Federal Tax ID Number (Nine Digit Number,). VF 5 9— 1 0 3 9 5 5 2 6. EMS License Number: 0636 Type: x Transport ❑Non -transport ❑Both 7. Number of permitted vehicles by type: BLS 8 ALS Transport 4 ALS non -transport. 8. Type of Service (check one): ❑Rescue x Fire EJThird Service (County or City Government, nonfire) EJAir ambulance: E:]Fixed wing EIRotowing [:]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: Print/Type: Name of Director Nabil Alphonse El Sanadi, MD FL Med. Lic. No. ME 67187 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, 129 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, December 2008 2 EXHIBIT B 10. Justification Summary A) Problem Description: Tamarac Fire Rescue (TFR) uses hydraulic stretchers on our rescue vehicles and is in need of upgrading our rescues to a more user friendly patient loading device to decrease lifting injuries. Even though over the past couple of years, we have experienced a decrease in the number of neck and back strains and sprains resulting from the implementation of hydraulic stretchers, we still continue having injuries related to patient loading and unloading for transport. B) Present Situation: Tamarac Fire Rescue has five (5) Stryker Power stretchers and use one (1) Ferno (34x) "Pro-Flexx" stretcher (purchased 2004) on our main frontline rescues. Due to increased staffing changes, TFR has increased from five (5) front-line rescues to periodically requiring six (6) rescues. The sixth rescue uses the older stretcher (purchased 2004) and requires modification to the newer hydraulic stretcher that was awarded on the 2009 DOH -EMS grant. Based on power stretcher research, it was determined that a stretcher will be raised and lowered seven times per call. Additionally, when the power stretcher is used in conjunction with the hydraulic loading system it decreases each rescuer's lift approximately 300 Ibs per individual patient or about 3,000 Ibs throughout one's shift. In 2012, 6,374 patients were transported and 1,472 patients have been transported in the first quarter of 2013. There were an additional 898 incidents where EMS personnel responded and unloaded and loaded the stretcher. In our estimation, our EMS personnel were exposed to over 61,208 individual opportunities of sustaining injury or injuring a patient as the stretcher was raised and lowered during those calls as well as lifting the patient into and out of the rescue. In 2012, Fire -Rescue staffs three (3) personnel on each rescue daily; however, due to limitations in our overtime and staffing assignments, a Memorandum of Understanding (MOU) was instituted to allow staffing of two (2) personnel for up to a 9 hour timeframe within each 15-hour period of a 24 hour shift. This has resulted in an increase of minimum staffing 20% of the time, thus resulting in additional personnel to be assigned to an emergency response as well as increasing the risk for potential crew injury to those on rescue. Based on the data for the 2009 DOH -EMS grant, Tamarac Fire Rescue had a 79% increase (18 more incidents) in stretcher and patient lifting accidents resulting in a 35% increase in worker compensation claims. In 2008,12 out of 18 (67%) with 92% of the cases resulting in neck and back injuries directly related to patient lift and stretcher handling, including patient loading and unloading from TFR and risk management DH Form 1767, December 2008 3 EXHIBIT B data. This data resulted in employee lost time, back -fill, overtime and light duty assignments accounting for over $85,370 and $109,400 in 2007 and 2008, respectively. After implementation of the 2009 DOH -EMS grant award until today, the number of injuries directly related to neck and back injuries directly related to patient lifting and stretcher handling, including patient loading and unloading resulted in a significant decrease in injures. They are as follows: 2009 — 5 injuries (1 Calf, 1 Knee, and 3 Back); 2010 — 4 injuries (3 Back & 1 Shoulder); 2011 — 2 injuries (1 Back & 1 Neck), and in 2012- 1 injury (1 Neck). Obviously the success of the aforementioned project is noteworthy and our request for power lifting equipment and one stretcher should reduce our injuries to a negligible number. Unfortunately, the average cost for each back injury remain approximately $50,000 / case and according to our City's Risk Manager, "this is the area that we are going to continue to hone in on for a solution with the Fire Department as patient handling and transfer (lifting) is one of your primary functions as paramedics." Tamarac Fire Rescue is currently faced with several problems associated with their existing equipment that involved injuries to our personnel and patients. 1) Equipment that is difficult to use due to inadequate ergonomic design — the ratchet -type system design on our one stretcher which has become a front line response vehicle. TFR previously evaluated three power stretchers in 2008, they were the Ferno, Stryker and Milwaukee models; however, due to incompatibility issues the Ferno and Stryker models were evaluated in the field resulting in Stryker model being chosen overwhelmingly by our crews for ease of use and durability that has been extremely successful in reducing our injuries. 2) Personnel injuries resulting from improper operation, excessive efforts related to patient loading and unloading. The repetitive nature of lifting on the spine builds muscle memory and fatigues the individual throughout their shift. 3) As our bodies age they become more susceptible to injuries and the average age of reported injuries were in their late thirties to early forties, which can be attributed to the line of work engaged in by paramedics that routinely lift and move numerous patients (TFR Injury Reports). C) Proposed Solution: In 2012, the City of Tamarac submitted for an EMS Matching Grant. We applied for six (6) power load systems, and one (1) Power Pro Stretcher and its accessories. We were successful in being awarded a partial grant which included three (3) Stryker power load systems. Our proposed solution is Lin rur r i i i t o i, UUUU1 I luul GVVO E EXHIBIT B to outfit our remaining three (3) front line rescues with three additional power load systems to complement our current hydraulic stretchers to assist in the raising and lowering patients without endangering EMS personnel. Additionally, replace the last remaining manual stretcher with a hydraulic stretcher in an effort to achieve consistency and meet our goal in reducing injuries. The power load system would improve our personnel's ergonomic working conditions and patient safety by supporting the stretcher throughout the loading and unloading process. The fastener system lifts and lowers the stretcher into and out of the rescue, reducing spinal loads and the risk of cumulative trauma injuries upwards of 90%. D) Consequences if not funded: If the grant is not funded, the risk to our personnel will probably to continue to result in neck and back injuries due to current stretcher operations and patient lifting. On scene times may be delayed waiting for additional resources to assist with patient movement and transport. Finally, these power load devices would be slowly phased in over the next several years within our capital equipment plan; however, TFR believes these funds may be in jeopardy. E) The geographic area to be addressed: This grant will serve the entire 12 square miles of the City of Tamarac, located in west Broward County. Tamarac Fire Rescue has three fire stations and uses a minimum of four Advanced Life Support (ALS) rescues and three ALS engines serving a population over 60,000 as well as a 2,500 seasonal residents and an estimated daily transient population of 10,000 (City of Tamarac, Community Development, 2011). In addition, the City also has agreements such as automatic and/or mutual aid agreements with border cities, encompassing approximately 25 square miles. F) Proposed Project Time Frames: Tamarac Fire Rescue expects to select a vendor within 30-90 days of receiving the grant monies and receiving purchase approval by the City Commission. The Department will order the power load devices and power stretcher within 90-150 days of receiving the grant funds. Training on the devices will begin within 30 days of their receipt, with devices placed on the specified vehicles for use within the same time period as training. After placing power load system and stretcher on rescue vehicles, tracking of employee injuries and patient transports compared to previous years would be evaluated. Also see # 16 for timeframes. G) Data sources: 1) City of Tamarac Fire Rescue, State Aggregate Data/EMSTARS 2004-2012. 2) City of Tamarac Risk Management, 2005-2012. 3) City of Tamarac Community Development, 2011. 3) Stryker DH Form 1767, December 2008 Stretcher Manufacturer and Power Load Guides and Research. EXHIBIT B 4) Ergonomics and Back Injuries, hftr)://www.spine-health.com/. 5) "http://ems.stryker.com/products/cot-fasteners/power-load" 6) McGill Study on spine htt ://d 1 hbru03z3491 h.cloudfront.net/includes/files/assets/file/1314373475 me ill study.pdf. injuries H) Statement attesting to no duplication: The City of Tamarac applied for the EMS Matching Grant and was awarded three (3) of the six (6) power load systems submitted in 2012. Our proposed solution is to outfit our three (3) remaining rescue vehicles with power load systems to complement our current hydraulic stretchers to assist in the raising and lowering of patients without endangering EMS personnel. Additionally, replace the last remaining manual stretcher with a hydraulic stretcher in an effort to achieve consistency and meet our goal in reducing injuries. DH Form 1767, December 2008 Con EXHIBIT B Next, only complete one of the following: Items 11, 12, or 13. Read all three and then select and complete the one that pertains the most to the preceding Justification Summary. 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 Traininq 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 For 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) Explain the derivation of all numbers. D) How does this integrate into your agency's five year plan? DH Form 1767, December 2008 5 EXHIBIT B 11.Outcome for Projects that Provide or Effect Direct Services to Emergency Victims A) 12-Month Situation — In 2012, Tamarac Fire Rescue responded to 7,502 EMS -related calls and transported 6,374 patients, which is an increase of 4.5 percent from 2009 grant data. Based on review of injuries, the average patient weight of injuries reported was 325 lbs. Resulting medical claims were in 2009 — 5 injuries (1 Calf, 1 Knee ($21,000) and 3 Back); 2010 — 4 injuries (3 Back ($4,400 for one case) & 1 Shoulder); 2011 — 2 injuries (1 Back ($1,300) & 1 Neck); and in 2012- 1 injury (1 Neck) a combined loss work and employee back filling amounting to $94,000 continuing today. Other injuries were first aid only with minimal lost time and are not in the calculations listed. Finally, there was only one minor patient associated injury related to stretcher operations that required additional medical intervention over the initial EMS call. B) Projected Outcomes — In a recently published literature, the reduction in injuries related to using patient lift assist .devices and power stretchers have shown an improvement in reducing the overall musculoskeletal injuries that are common when lift and moving patients. In 2009, the power -assisted stretchers DOH -EMS grant assisted in reducing the exertional loads our fire -rescue personnel and other first responders subject themselves to while lifting, transferring or moving patients in the field setting. Based on manufacturer and independent studies, report a reduction in patient, personnel and workers' compensation claims by approximately 90-95%; however, TFR was able to lower those types of injuries 70% with the hydraulic stretcher. TFR fully expects to see very continued positive results in reducing our overall injuries related to patient lift and moving through the use of this power load device — to less than 3.0%. C) Justification for 11A and 11B - The data numbers in part A above was derived from Florida Aggregate Data and EMSTARS Data is the actual figures for that year. The data presented and estimates in part B are derived from Florida Aggregate and EMSTARS Data for those years cited and from studies/results detailed in a variety of sources that are listed in the justification section of this proposal. All figures are conservative estimates and much higher results are hoped for and anticipated. There is also mounting evidence in studies and actual incidences throughout EMS that indicate additional safety measures should be taken for paramedics in the field in regard to their neck and back safety directly related to patient lifting and movement. DH Form 1767, December 2008 C:? EXHIBIT B D) Other Possible Outcomes — In addition to the above projected outcomes, Tamarac Fire Rescue anticipates that injuries to paramedics should be diminished due to not having to place the additional stress and strain on backs and other areas of the body that occurs during stretcher operations and patient loading, unloading when transporting is performed. In addition, the patient's weight limit will be increased up to 700 lbs. due to the power stretcher's capabilities while reducing the likelihood of personal and patient injury. Although not all lifting injuries can be avoided, the introduction of these devices into the City of Tamarac should reduce employee injuries and keep them on the front-line where they are needed for patient care. If the devices perform as expected, Tamarac Fire Rescue anticipates that there will be a positive impact on the City budget as the economic environment remains tight and revenues diminished by reducing the overall costs associated with these aforementioned injuries. E) Integration into 5-Year Plan - This project integrates into our 5 year plan by improving safety to our employees and transported patients. Most importantly, this equipment serves to reduce the number of strains, sprains and vertebral injuries to our employees as well as reduced the number of partial patient drops due to proper stretcher loading, operations and patient's weight. DH Form 1767, December 2008 7 EXHIBIT B 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. 1) Describe how you will collect and analyze the data. 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 NIA 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, December 2008 EXHIBIT B 15. Statutory Considerations and Criteria A) Serve the population: This grant would provide the needed risk protection to all EMS personnel, patients and serve the entire population of Broward County through the provision of safe transport of all our patients. B) Conform to State Standards: This project specifically helps Tamarac Fire Rescue to address Goal 9.41 2010-2014 draft Statewide EMS Goals and Objectives, which aims to "reduce the number of on-the- job injuries." The patient lifting devices and power stretcher could reduce the number of patient and personnel injuries to 90% and beyond, thereby reducing workers compensation and litigation claims. C) Minimum equipment and supplies: Yes. Currently, under Chapter 64J these stretcher lifting devices will meet all FDA, state and local requirements for safe loading/unloading and transport of a patient. D) Communications: N/A E) Enable your organization to improve or expand: This project improves the provision of EMS services within the city and countywide through the provision of safe transport of all our patients. In addition, it will continue to reduce the potential number of injuries related to patient lifting and loading as well as to provide a resource to any other jurisdiction requesting automatic and/or mutual aid routine assistance and in times of declared regional, state or national disasters, when assistance is requested. DH Form 1767, December 2008 9 EXHIBIT B 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 Select lift device vendor Month 0 Month 3 Purchase lift devices Month 3 Month 5 Receive stretchers and patient lift devices Month 5 Month 8 Place devices on response units Within one month after receiving devices and/or wring rescue build. Train personnel on devices and stretchers Immediately after training. Monitor patient and personnel injuriesOn-going and continuous 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. NIA DH Form 1767, December 2008 irl EXHIBIT B 18. Bud et: Salaries and Benefits: For each position title, provide the amount of salary per hour, FICA per hour, fringe benefits, and the total number of hours. Costs Justification: Provide a brief justification why each of the positions and the numbers of hours are necessary for this project. NIA TOTAL: Expenses: These are travel costs and the usual, ordinary, and incidental expenditures by an agency, such as, commodities and supplies of a consumable nature, excluding expenditures classified as operating capital outlay (see next category). Costs: List the price and source(s) of the price identified. Justification: Justify why each of the expense items and quantities are necessary to this project. NIA TOTAL: $ DH Form 1767, December 2008 11 EXHIBIT B Vehicles, equipment, and other operating capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non expendable nature, and the normal expected life of which is 1 year or more. Costs: List the price of the item and the source(s) used to identify the price. Justification: State why each of the items and quantities listed is a necessary component of this project. (3) Power Load Units $ 71,458.59 Power unit to be incorporated into front line rescues for lifting Power Pro stretchers (6). (1) Power Pro Stretchers $ 11,750.00 Actual power stretcher to replace manual stretcher. TOTAL: $ 830208.59 State Amount (Check applicable program) x Matching: 75 Percent El Rural: 90 Percent Local Match Amount (Check applicable program) x Matching: 25 Percent El Rural: 10 Percent Grand Total DH Form 1767, December 2008 $ 62,406.44 $ 20,802.15 E15 $ 83,208.59 12 EXHIBIT B 19. Certification: M si nature below certifies the followin . I am aware that any omissions, falsifications, misstatements, or misrepresentations in this pplication may disqualify me for this grant and, if funded, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. certify that to the best of my knowledge 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 to 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 the Florida Bureau of EMS. accept that in the best interests of the State, the Florida Bureau of EMS reserves the right to reject or revise any and all grant proposals or waive any minor irregularity or technicality in proposals received, and can exercise that right. I, the undersigned, understand and accept that the Notice of Matching Grant Awards will be dvertised in the Florida Administrative Weekly, and that 21 days after this advertisement is published I waive any right to challenge or protest the awards pursuant to Chapter 120, F.S. I certify that the cash match will be expended between the beginning and ending dates of the rant and will be 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, pproved funds for those activities identified in the notification letter. No funds count towards atisfying this grant if the funds were also used to satisfy a matching requirement of another state rant. All cash, salaries, fringe benefits, expenses, equipment, and other expenses as listed in his application shall be committed and used for the activities approved as a part of this grant. cceptance of Terms and Conditions: If awarded a grant, I certify that I will comply with all of the above and also accept the attached grant terms and conditions and acknowledge this by signing below. Signature of Authorized Grant Signer MM / DID / YY Individual Identified in Item 2 DH Form 1767, Rev. June 2002 DH Form 1767, December 2008 13 EXHIBIT B FLORIDA DEPARTMENT OF HEALTH EMS GRANT PROGRAM REQUEST FOR GRANT FUND DISTRIBUTION In accordance with the provisions of Section 401.113(2) (b), F. S., the undersigned hereby requests an EMS grant fund distribution for the improvement and expansion or continuation of ,pre -hospital EMS. IDOH Remit Payment To: Name of Agency: City of Tamarac Fire Rescue Department Mailing Address: 6000 Hiatus Rd, Tamarac, FL 33321 Federal Identification Number 5 9- 1 0 3 9 5 5 2 Authorized Agency Official: Signature Michael Cernech, City Manager Type Name and Title Sign and return this page with your application to: Florida Department of Health BEMS Grant Program 4052 Bald Cypress Way, Bin C 18 Tallahassee, Florida 32399-1738 Date Do not write below this line. For use by Bureau of Emergency Medical Services personnel only Grant Amount For State To Pay: $ Approved By: Signature of EMS Grant Officer State Fiscal Year: - Organization Code 64-25-60-00-000 Federal Tax ID: Grant Beginning Date: E.O. OCA N_ N2000 VF DH Form 1767, December 2008 Grant ID Code: Object Code 7 Grant Ending Date: 14 Date EXHIBIT C Sales Proposal Quotation Date: 7/25/2013 Valid thru 09/27/13 (to beat Oct 1 Price Increase) Tamarac Fire Rescue 6000 Haitus Road, Tamarac, FL 33321 An: Chief Steve Stillwell 954-597-3800 Acct #1186896 Quote for 3 Power -Loads and 1 Power Pro -accessories EMS Equipment Steve Winsor Account Manager Stryker Medical PO Box 93308, Chicago, IL 60673 Cell 561-714-9578 Fax 561-354-6043 steve.wi nsorCastryker.com Standard Unit: List Price Unit Price Ext Sell 3 Power -Load Cot Fastener System #6390-000-000 23,950.00 199180.00 $57,540.00 1 Power Pro XT Ambulance Cot #6506-000-000 14,620.00 109818.80 10,818.80 on new P Pro 1 Power -Load Cot Compatibility Kit #6506-127-000 1,602.00 1,185.48 1,185.48 on existing P Pro 3 Power -Load Cot Compatibility Upgrade Kit #6500-700-064 2,904.00 2,050.00 6,150.00 Standard Features Include: 700-lb weight capacity 36 inch load height Settable load height w/ jog function SMRT Battery Pak (includes charger and 2 SMRT batteries) Automatic in -cot fastener shut-off bracket UL Listed/ Approved! IPX6 & IEC-60601 Battery powered hydraulic lift system Retractable Head Section (doesn't fold down) Automatic high speed retract (2.4 seconds!!) Preventative maintenance hour meter Power washable Ergonomic Foot and Head End Lift and Grip Design Lift Capable Safety Bar Oversized wheels with sealed precision caster and wheel bearings High visibility yellow powder -coated frame G Rated Bolster Mattress and G Rated Restraint Package! 3 year parts, labor, and travel on X-Frame components & Hydraulics 3 year limited power train warranty 2-year parts/labor/travel warranty -Electronics 1-year parts/labor/travel warranty (INCLUDING MATTRESS AND RESTRAINTS!) LIFETIME WARRANTY ON ALL WELDS! Selected Options and Accessories: 1 6500-140-000 Foot End Oxygen Bottle Holder 174.00 132.24 132.24 1 6500-215-000 3-Stage IV Pole (patient right) 325.00 247.00 247.00 1 6500-147-000 Equipment Hook 49.00 37.24 37.24 1 6500-130-000 Backrest Storage Pouches 244.00 185.44 185.44 1 6500-128-000 Flat Head End Storage Pouch 135.00 102.60 102.60 1 6506-040-000 XPS(expandable patient surface) 1,875.00 19425.00 1,425.00 Proposal Total (Including Shipping):1 $779823.80 To Place Order, scan and email to steve.winsor strvker.com Stryker EMS: Attention Steve Winsor Include your billing/shipping addresses, desired delivery dates, signature and terms (Net 30) THANK YOU! Order subject to approval by Stryker Corporation. Taxes will be invoiced as a separate item when applicable. Credit cannot be allowed on returns of special or modified items. All approved returns will be accepted ONLY in Portage, Michigan. SOLE SOURCE JUSTIFICATION To Be Submitted With All Requisitions For Sole Source Purchases above 2,,500. POLICY: A contract may be awarded for a supply, service, or construction item without competition when the Purchasing and Contracts Manager determines in writing that there is only one economically feasible source for the -required supply., service, or construction item, or when requirements for standardization, warranty, geographic and territorial �restrictions, or other factors create a situation where 00-.MpOtitjqn lis:elither not feasible or'pra6ticable. A City Department'requesting sole source procurement .0f,$2,500 or -it � written which must be accompanied by a. written der, must su�rn' a (I n re to the and Contracts for approval,, w M n Protification zigned by the department head. Solo source �reque,sts in :excess of $65,'000 will. require City Commission approvat. (Ta m araaRtocur eme W:Gode $0.0 (ion 6 48MR Date Vendor Name It Is �a M160y. to knowingly 01rcumvent a competitive process for commodities or services sole source, Florida Statute 7/2"6`113 'Department Fire Rescue r EMS Equipment PLEASE CKE. CK THE ATE OR APPROPRJ ATE TO THIS PURCHASE (Additional pages should be included for detailed justification: comments): One -of -a -kind The commodity or service has no competitive product (one -of -a -kind) AND IS AVAILABLE FROM ONLY ONE VENDOR, No Substitute A component or replacement part has.,no: substitute AND CAN BE OBTAINED FROM ONL Y ONE VENDOR. -�X— compatibility Compatibility Is the overriding consideration AND THE I TEMISER VICE CAN BE OB TAINED FROM ON L Y ONE VENDOR. Delivery Date: The ability of Y ONE. VENDOR: to meet -a necessary delivery date. FolloW49UP14rVice ONLY ONE VENDOR is able- to make on -calf repairs at a parficular* location. Emerg.oncy Urgent need- or the item or service does not permit soliciting competitive bids, as in cases of emergencies, disasters, etc. Monopoly A monopoly exists as 1'17 the case of the U. S. Post Office, Florida Power & Light, Sun. -Sentinel, Broward County and so on. Requested By Steve, Stillwell, DivisionChiefDate 7/2 5/13 VS Dept- Head Signature PURCHASING APPROVAL Date Date Z f /