HomeMy WebLinkAbout1371 Agreement with The Univeristy of Missouri for Emergency Medical Students BILL NO. 2014404 ORDINANCE NO. Q?/
AN ORDINANCE APPROVING AN AGREEMENT WITH THE CURATORS OF
THE UNIVERSITY OF MISSOURI
BE IT ORDAINED BY THE BOARD OF ALDERMEN OF THE CITY OF
RIVERSIDE, MISSOURI AS FOLLOWS:
SECTION 1 — AGREEMENT APPROVED. That the Riverside Board of Aldermen
hereby approves the Emergency Medical Services Student Clinical Affiliation Agreement
For Field-Based Sites by and between the City of Riverside and the Curators of the
University of Missouri, in substantially the form attached hereto, and the Mayor is
authorized to execute the Agreement.
SECTION 2 — AUTHORITY GRANTED. The Mayor, the City Administrator and
other appropriate City officials are hereby authorized to take any and all actions as may
be deemed necessary or convenient to carry out and comply with the intent of this
Ordinance and to execute and deliver for and on behalf of the City all certificates,
instruments, agreements and other documents, as may be necessary or convenient to
perform all matters herein authorized.
SECTION 3 — EFFECTIVE DATE. This Ordinance shall be in full force and effect
from and after its passage and approval.
BE IT REMBERED that the above was read two times by heading only, PASSED AND
APPROVED by a majority of the Board of Aldermen and APPROVED by the Mayor of
the City of Riverside this day of , 2014.
y
or Kathleen L. Rose
;ATTEST:
Robin Littrell,City Clerk
EMERGENCY MEDICAL SERVICES
STUDENT CLINICAL AFFILIATION AGREEMENT
FOR FIELD-BASED SITES
P
THIS AGREEMENT is made and dated tms,day of 2014, by and
between THE CURATORS OF THE UNIVERSITY OF MISSOURI, a public corporation,
hereinafter referred to as UNIVERSITY, and the City of Riverside, Missouri a Missouri
municipal corporation,hereinafter referred to as CLINICAL SITE.
WITNESSETH:
WHEREAS,the UNIVERSITY is engaged in the education of students participating in a
State of Missouri-accredited Emergency Medical Services Program;and
WHEREAS, the CLINICAL SITE is organized for the purpose of providing advanced
life support emergency medical service to the community through its fire department; and
WHEREAS, the parties desire to enter into an agreement to create an affiliation where
University students enrolled in the Emergency Medical Services Program may be assigned to
CLINICAL SITE for clinical education under the direction of a state-licensed emergency
medical technician or paramedic.
NOW, THEREFORE, in consideration of the mutual covenants herein contained and
intending to be legally bound hereby,the parties hereby agree as follows:
1.UNIVERSITY Agrees:
1.1 To assume full responsibility for planning and execution of an educational program for
emergency medical technicians, emergency medical technician-intermediates, and paramedics,
including programming, administration, curriculum content, faculty appointments, faculty
administration,and the requirements for matriculation,promotion,and graduation.
1.2 To be responsible for planning the schedule of student assignments to CLINICAL SITE
and to notify CLINICAL SITE in advance of its planned schedule of student assignments to
clinical areas, including the dates, number of students, and type of experience. The assignment
of students will be carried out in a mutually cooperative fashion.
1.3 To provide students who meet established standards for clinical education.
1.4 To keep all records and reports of students' clinical education.
1.5 To provide orientation to the educational program for CLINICAL SITE staff in
consultation with CLINICAL SITE.
1.6 To assume responsibility for, and require students comply with all rules and regulations,
policies, procedures, and directions of CLINICAL SITE insofar as they may pertain to the
activities while at CLINICAL SITE.
1.7 To require students to wear photo identification tags at all times when on CLINICAL SITE
premises,or while in vehicles,or otherwise accompanying employees of CLINICAL SITE while
performing their duties.
1.8 To require that each student assigned to CLINICAL SITE, is responsible for his/her own
accident insurance protection, and for all financial obligations incurred as a result of exposure at
CLINICAL SITE. Proof of such insurance protection will be maintained by UNIVERSITY.
1.9 To require each student to provide medical professional liability insurance in the
minimum amount of one million dollars ($1,000,000) per occurrence, and three million dollars
($3,000,000) annual aggregate for all students assigned to CLINICAL SITE. Such protection
shall inure to CLINICAL SITE to the extent that a claim or loss results from a student acting
without direction or not having accurately followed the directives, orders, or instructions of the
student's supervisor provided by either UNIVERSITY or by CLINICAL SITE. The insurance
policy shall also provide for the insurance company giving CLINICAL SITE at least ten (10)
days written notice prior to any lapse,cancellation, or modification of this insurance. CLINICAL
SITE may terminate the Agreement immediately for UNIVERSITY or Student's failure to
comply with this Paragraph.
1.10 To require each student to provide reasonable health related information, including proof
of the Hepatitis B vaccination and current TB screening results and to submit to any reasonable
health screening as the CLINICAL SITE requires.
1.11 To the extent permitted by Missouri law and not inconsistent with the doctrine of
sovereign immunity, assume responsibility for any and all claims, suits, liability, attorneys fees,
damages, costs and expenses incurred due to UNIVERSITY'S acts or omissions directly related
to the provision of services pursuant to this Agreement.
2. CLINICAL SITE Agrees:
2.0 To permit the Program Directors (or designees) of UNIVERSITY to visit CLINICAL
SITE for purposes of ascertaining that the educational objectives for each Student's rotation are
met.
2.1 To make available the clinical areas for student experience, including the necessary
equipment and supplies for giving medical care. CLINICAL SITE will coordinate daily
operating assignments.
2.2 CLINICAL SITE shall retain the right to designate dates and times that clinical
experience is available to UNIVERSH Y, and to set the maximum number of students allowed at
its site at any given time. CLINICAL SITE may temporarily suspend clinical experience when
necessary for the efficiency or effectiveness of its operations, or for the safety of its personnel
and students.
2.3 To provide qualified preceptors,with adequate orientation, for teaching and supervision of
students assigned to CLINICAL SITE for clinical education.
2.4 To assume responsibility for scheduling individual students to specific EMS unit
assignments,including scheduling orientation sessions at the initiation of the rotation.
2.5 That the preceptor and/or the other persons who have participated in the direct supervision
of the student, as designated by CLINICAL SITE, shall provide UNIVERSITY daily written
evaluations of students participating in the clinical rotation, within one week of the completion
of the clinical rotation. One evaluation must be completed for every shift the rotating student
participates in the clinical setting. UNIVERSITY shall provide printed evaluation forms to
CLINICAL SITE and the mechanism to ensure the timely delivery of those evaluations to
UNIVERSITY. UNIVERSITY agrees to keep CLINICAL SITE informed of the level of
education and training the student has received outside of CLINICAL SITE.
2.6 To furnish UNIVERSITY with a set of all policies and procedures applicable to the
educational program and in force within CLINICAL SITE.
2.7 To provide adequate parking space for students.
2.8 That CLINICAL SITE and/or the assigned preceptor retains ultimate responsibility for
patient care and retains the privilege of requesting the withdrawal of a student if it is felt to be in
the best interest of the patient or CLINICAL SITE.
2.9 Provide emergency care for Students in the event of injury or illness at the Facility,
including initial post-exposure treatment for blood borne pathogens. The level of care should be
equivalent to that provided to an employee of the Facility. It is understood, however, that any
care rendered shall be at the Student's sole cost.
3.Both Parties Agee:.
3.1 UNIVERSITY and CLINICAL SITE are separate and independent entities and neither
CLINICAL SITE, UNIVERSITY,nor the employees,agents, servants,students,or instructors of
any one party shall be considered the employer, agent, servant, or affiliate of the other party.
The students of UNIVERSITY are not eligible for any compensation or benefits (including
worker's compensation) provided by CLINICAL SITE. Each Emergency Medical Services
student participating in this program hereunder shall execute the Exhibit B attached hereto and
made a part hereof.
3.2 That UNIVERSITY shall not disclose, and shall strictly prohibit its students from
disclosing any and all confidential and medical information relating to patients at CLINICAL
SITE, information regarding the conduct of CLINICAL SITE and other medical personnel, or
CLINICAL SITE records. Prior to placement or assignment, UNIVERSITY shall obtain from
each student a written statement agreeing to hold all such information privileged and
confidential,and to refrain from disclosing such information to any third party. Each Emergency
Medical Services student participating in this program hereunder shall execute the Exhibit A
attached hereto and made a part hereof. To the extent permitted by Missouri law, and not
inconsistent with the doctrine of sovereign immunity,UNIVERSITY agrees to be responsible for
any violations of the above.
3.3 To have regular meetings between faculty and staff to discuss plans and concerns and to
cooperate in the ongoing and final evaluation of the educational experience and of the medical
student program.
3.4 This Agreement may be terminated by either party without cause upon written notice to
the other party.
3.5 Any notice request demand or other communication required by or permitted under this
Agreement shall be in writing and shall be deemed to have been duly given when received by the
party to whom directed; provided,however,that notice shall be conclusively deemed given at the
time of deposit in the United States mail and sent by certified or registered mail,postage prepaid,
to the other party at the following address:
IF TO THE UNIVERSITY:
The Curators of the University of Missouri
UMKC—School of Medicine
ATTN:Dean, School of Medicine
2411 Holmes Street
Kansas City,MO 64108
IF TO CLINICAL SITE:
Fire Chief
City of Riverside,Missouri
2990 NW Vivion Road
Riverside,MO 64150
3.6 This Agreement and the rights of the parties shall be construed and governed according to
the laws of the State of Missouri.
3.7 This Agreement may not be assigned by UNIVERSITY, without the express written
consent of CLINICAL SITE.
3.8 This Agreement may be amended at any time by mutual agreement of the parties,
provided that before any amendment shall be operative or valid, it shall have been reduced to
writing and signed by both parties. If any provision of this Agreement Is found to be in conflict
with the provisions of any governmental law, rule or regulation, such provision shall be
severable and the remainder of this Agreement shall not be impaired and shall remain in full
force and effeot.
3.9 There are no other agreements or understandings,either oral or written,between the parties
affecting this Agreement, except as otherwise specifically provided for or referred to herein.
This Agreement cancels and supersedes all previous agreements between the parties relating to
the subject matter covered by this Agreement. No change or addition to, or deletion o4 any
portion of this Agreement shall be valid or binding upon the parties hereto unless the same is
approved in writing by the parties.
3.10 Nothing in this Agreement shall be construed as creating or giving rise to any rights in
any third parties or any persons other than the parties hereto.
3.11 The captions or headings are for convenience only and are not intended to limit or define
the scope or effeot of any provision of this Agreement.
3.12 The parties shall comply with all applicable statues, rules,regulations and standards of
any and all governmental authorities and regulatory acrd accreditation bodies relating to
emergency medical services and the operation of the clinical site.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed on the day and year first above written.
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TIE CUBA F 13RSITY OF MISSOURI
BY: rAam:nsstrativ S rnao3
TITLE: f 0A, UMKC
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THE CITY OF RIVERSIDE,MISSOURI
BY: 1-
TITLE:
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E7MBIT A
STUDENT CONFIDENTIALITY STATEMENT
AND
STATEMENT OF RESPONSIBILITY
The undersigned hereby acknowledges his/her responsibility under applicable Federal
law and the Agreement between Curators of the University of Missouri ("University") and the
City of Riverside(Clinical Site)to keep confidential any information regarding Hospital patients,
as well as all confidential information of Clinical Site. The undersigned agrees,under penalty of
law, not to reveal to any person or persons except authorized clinical staff and associated
personnel any specific information regarding any patient and further agrees not to reveal to any
third party any confidential information of Clinical Site, except as required by law or as
authorized by Clinical Site.
The undersigned further agrees that for and in consideration of the benefit provided the
undersigned in the form of experience in evaluation and treatment of patients of Clinical Site,the
undersigned and his/her heirs, successors and/or assigns do hereby covenant and agree to assume
all risks and be solely responsible for any injury or loss sustained by the undersigned while
participating in the Program operated by University at Clinical Site unless such injury or loss
arises solely out of Clinical Site's negligence or willful misconduct.
Date:
Program Participant:
Signature
Printed Name
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EXHIBIT B
UMKC SCHOOL OF MEDICINE
DEPARTMENT OF EMERGENCY MEDICINE—EMS EDUCATION PROGRAM
ACKNOWLEDGEMENT OF STUDENT STATUS IN CLINICAL AND FIELD ROTATIONS
STUDENT:
PROGRAM: [ ]EMT [ ]AEMT [ ]PARAMEDIC
I understand that experience in the clinical and field setting is required for successful completion
of the EMS education program I am enrolled in, and that I may only attend clinical and field
experience at sites where a clinical affiliation agreement has been put in place between UMKC
and the site.
I hereby acknowledge that:
My presence and role in the clinical site is that of an EMS student,and that while in the role of a
student,I am not an employee of the clinical or field site.
I am not entitled to any compensation in the form of wages,healthcare insurance,unemployment
benefits, workers' compensation, or any other benefits that the clinical site may offer to its
employees.
While in the role of a student at a field site, I may not act as part of the regular staffing of an
EMS unit. Furthermore, at any time that I am working in the capacity of a crewmember on an
EMS unit either in a paid or volunteer capacity,I am not a student of the UMKC EMS Education
program,and that I may not perform any skills that are outside of the legal scope of practice for
my current level of EMS licensure.
Signed: (Student)
Date:
Program Representative:
Date: