4. Accept Grant Award and Approve Memorandum of Understanding - Fire Dept_I' FIRE DEPARTMENT
PO Box 1997
Daniel Diehl — Fire Chief 312 First Avenue East
Dave Dedman — Assistant Chief Kalispell, Montana 59901
Cec Lee — Executive Secretary Phone: (406) 758-7760
Is FAX: (406) 758-7777
REPORT TO: Doug Russell, City Manager
FROM: Dave Dedman, Fire Chief
SUBJECT: Mission Lifeline Grant and Memorandum of Understanding
MEETING DATE: November 3, 2014
BACKGROUND: The Kalispell Fire Department applied for and received a grant from Mission
Lifeline, partnering with the American Heart Association, for the purchase of a cardiac monitoring
device with Advanced Life Support features.
This grant award differs from the norm as a monetary amount is not specified, however, the estimate
is approximately $20,000. If the city council accepts the grant and approves the attached
Memorandum of Understanding, the cardiac heart monitor will be purchased by the Kalispell Fire
Department and the invoice sent to Mission Lifeline for reimbursement.
RECOMMENDATION: It is recommended the city council accept the grant and approve the
Memorandum of Understanding with Mission Lifeline.
FISCAL EFFECTS: None.
Attachments: Letter of Grant Award
Memorandum of Understanding
"Protecting our community with the highest level ofprofessionalivin."
The American Heart Association, Mission Lifeline Montana would like to congratulate and
inform you that your agency's grant application has been approved.
The following steps should now be completed:
1. Complete and return the MOU and W-9 forms
2. Contact the equipment representative and develop an equipment invoice:
a. Physio Control:
i. Matthew Hense
ii. 406.581.2656 (cell)
iii. 800.442.1142 (toll free)
iv. matthew.hense@physiocontrol.com
b. Zoll:
i. Brian Price
ii. 858.229.1717 (cell)
iii. 800.242.9150 x9257 (vm)
iv. bprice@zoll.com
c. Philips:
i. Chris Matthews
ii. 406.980.1203 (cell)
iii. chrism@respondwest.com
3. Submit the invoice to Mission Lifeline Montana as soon as possible.
4. After the invoice is received by Mission Lifeline Montana, a grant agreement will be sent
to the awarded agency. Review and sign the equipment grant agreement from AHA as
soon as possible. Grant funding will be disbursed to the awarded agency within 14 days
of receiving a fully executed (signed) grant agreement.
5. NOTE: If all paperwork is not completed within 60 days of award, funding may be
withdrawn.
:',:Please note that Zoll and Phillips equipment options are funded by a different funding
source than the Physio equipment. This could result in a later disbursement date of funds for
Zoll and Phillips equipment.
If you are aware of any members of your community that would have interest in providing
grant funds to the AHA Mission Lifeline - Montana project, please inform us accordingly.
Together we can decrease the morbidity and mortality of cardiovascular disease and stroke
by 20% and promote a 20% increase in cardiovascular health for ALL Americans by 2020.
Address any comments, questions, or concerns to the following persons:
David Simpson, DO Amanda (Andrews) Cahill
EMS Director, Mission Lifeline - MT Director, Mission Lifeline - MT
david.simpson@heart.org amanda.andrews@heart.org
P 406-799-5418 F 214.706.8536 P 406.220.0063 F 214.706.8534
American Heart MISSION:
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THIS MEMORANDUM OF UNDERSTANDING (this "Agreement") is made by and among the
American Heart Association ("AH-A") and each of the Emergency Medical Service agencies ("EMS
agencies") and hospitals ("Hospital") participating in Mission: Lifeline Montana executing a signature
page hereto, and is effective as of the date set forth on the signature page below.
Background
Mission: Lifeline Montana is the American Heart Association's regional grant -funded initiative
to advance the systems of care for cardiac patients beginning with ST-segment elevation myocardial
infarction (STEMI) patients. The overarching goal of the initiative is to reduce mortality and morbidity
for STEMI patients and to improve their overall quality of care. To meet the overarching goal, Mission:
Lifeline Montana will bring together:
• Patients and care givers
• EMS
• Physicians, nurses and other providers
• Non-PCI (Percutaneous Coronary Intervention) capable STEMI Referral hospitals
• PCI capable STEMI-Receiving hospitals
• Departments of Health
• EMS regulatory authority/ Office of EMS
• Rural Health Association
• Quality Improvement Organizations
• State and local policymakers
• Third -party payers
For each component of the system of care, Mission: Lifeline Montana will: 1) define the ideal
practice; 2) recommend strategies to achieve the ideal practice; 3) provide resources/tools to achieve the
ideal practice; 4) recommend metrics for structure, process, and outcomes; and 5) recommend criteria for
recognition and certification in a comprehensive system design as shown below.
To meet the needs of the patient throughout the continuum of care (beginning with the patient's
entry into the system at symptom onset, through each component of the system, and the patient's return to
the local community and physician for rehabilitative care), Mission: Lifeline Montana uses a
community -based, multidisciplinary, patient -centric approach.
This Agreement marks the launch of the local Mission: Lifeline Montana STEMI system
development. The goal for Mission: Lifeline can only be accomplished through collaborative efforts at the
local level with EMS agencies and hospitals to develop a STEMI system of care.
This effort will launch a collaboration between each EMS agency and Hospital executing this MOU
(collectively, "Mission: Lifeline System Participant") and the ARA.
By participating in this effort, system participants will commit to making changes in their
infrastructure and operations to improve their ability to identify, triage and treat STEMI patients with the
most appropriate and timely care. Each Mission: Lifeline System Participant will support these goals by
working with one another as set forth in this Agreement.
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1. EMS Agency Commitments.
To achieve the goals contemplated by this Agreement, each EMS agency agrees to undertake the
following:
a. Participate on the regional Mission: Lifeline Stakeholder/Taskforce group to contribute to the
development of the regional STEMI System of Care plan.
b. Participate in the AHA EMS Survey to help identify resource and training needs from each
EMS agency.
c. Based on the results of the EMS Survey, commitment to develop a plan for allocating resources
for equipment and training of EMS personnel that are sent to suspected cardiac patients for
potential identification of STEMI patients.
d. Commit to purchase, install and begin utilizing allotted number of 12L ECG equipment as
outlined in the separately executed Grant Agreement from the vendor of their choice, and
submit all final invoices to AHA Mission: Lifeline Director within 12 months of signing this
agreement.
e. Commitment to develop and/or refine EMS triage and transfer plans to be in compliance with
the regional STEMI systems of care plan. (Could include, but not limited to Reperfusion
Checklists, Protocol recommendations, Transport Guidelines, STEMI recognition
communication, and optimizing reperfusion strategies by transporting to the most appropriate
hospital destination given the time to treatment outlined in the most current STEMI guidelines.)
f. Participate in internal data collection, quality improvement efforts and feedback loops to ensure
optimal STEMI patient care is delivered.
2. Non-PCI (Percutaneous Coronary Intervention) Capable Hospital Commitments.
To achieve the goals contemplated by this Agreement, each Non-PCI Capable Hospital agrees
to undertake the following:
a. Participate on the regional Mission: Lifeline Stakeholder group and hospital subcommittees to
contribute to the development of the regional STEMI System of Care plan.
b. Commitment to the hospital's Emergency Department (ED) having adequate staff, equipment,
and training to perform ED rapid evaluation, triage, transport and treatment for suspected
STEMI patients.
c. Commitment to develop and/or refine hospital's ED triage for rapid reperfusion, either a
transfer protocol to facilitate emergent Percutaneous Coronary Intervention or Fibrinolytic
therapy combined with transfer, dependent on time and distance from Cath Lab PCI
(percutaneous coronary intervention) capable hospitals to be in compliance with the regional
STEMI systems of care plan.
d. Commit to accept, install and begin utilizing grant -funded 12L ECG receiving system
equipment and/or software and 5 year license and/or 12 L ECG acquisition equipment within
6 months of signing this agreement to ensure optimal STEMI patient care is delivered.
e. Commitment to develop a plan with local EMS to ensure support of field pre hospital
identification of STEMI on 12L ECG, internal STEMI team mobilization to assess and
administer medical therapy as indicated and arrange urgent inter -hospital transfer.
f. Commitment to develop a plan to utilize Equipment and/or Software provided for STEMI
Recognition and/or 12L ECG Receiving Systems provided by Grant to facilitate efficient
delivery of care and transfer of STEM] patients identified by field pre hospital 12L ECG.
g. Participate in internal data collection of key metrics, and quality improvement efforts and
feedback loops to ensure optimal STEMI patient care is delivered.
PCI-Capable Hospital Commitments.
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To achieve the goals contemplated by this Agreement, the PCI-Capable Hospital agrees to
undertake the following:
a. Participate on the regional Mission: Lifeline Stakeholder group and Tertiary hospital
subcommittees to contribute to the development of the regional STEMI System of Care plan.
b. Commitment to the hospital's Emergency Department (ED) and Cardiac Catheterization Lab
having adequate staff, equipment, and training to perform rapid evaluation, triage, and
treatment for STEMI patients.
c. Commitment to develop and/or refine hospital's ED and cath lab triage and transfer receiving
protocol to facilitate activation of cardiology and cath lab teams based on STEMI's identified
by field pre hospital 12L ECG's received, and to be in compliance with the regional STEMI
systems of care plan.
d. Commit to accept, install and begin utilizing grant -funded 12L ECG receiving system
equipment and/or software and 5 year license and/or 12 L ECG acquisition equipment within
6 months of signing this agreement to ensure optimal STEMI patient care is delivered.
e. Commitment to develop a plan with EMS to ensure inter -hospital transfers and fibrinolytic
ineligible patients receive priority response and are communicated en -route where appropriate.
f. Commitment to develop a plan to utilize Equipment and/or Software provided for 12L ECG
Receiving Systems provided by Grant to facilitate efficient delivery of care of STEMI patients
identified by field pre hospital EMS or non PCI capable Hospital 12L ECG's.
g. Participate in internal and external data collection to referring EMS and hospitals via the
ACTION Registry, quality improvement efforts and feedback loops to ensure optimal STEMI
patient care is delivered.
4. ABTA Commitments.
To achieve the goals contemplated by this Agreement, the AHA agrees to undertake the
following:
a. Facilitate and conduct regional Mission: Lifeline Stakeholder group meetings.
b. Ensures communication between state -level Mission: Lifeline activities and regional Mission:
Lifeline activities.
c. Facilitate, conduct and communicate results of EMS survey and allocation plan.
d. Work with regional STEMI system champions to ensure system registration with Mission:
Lifeline.
e. Consults with each individual Mission: Lifeline system participant as needed to assist with plan
development and execution of participation in Mission: Lifeline regional system.
f. Facilitate equipment placement and provider education to create a statewide functional STEMI
System of care.
5. Other Efforts.
The parties to this Agreement may from time to time choose to engage in additional efforts to
enhance or support the work contemplated by this Agreement. Such additional efforts shall be
separately agreed upon, in writing, by the parties and will be made a part of this Agreement by
being attached as an addendum and/or amendment to this Agreement.
6. Term/Termination
The term of this Agreement shall commence upon the date of execution by the AHA and an
individual Mission: Lifeline System Participant, and shall continue until such time as either party
provides the other party with not less than ninety (90) days prior written notice of its desire to
terminate this Agreement, provided, however, that: (i) termination shall not discharge any
obligations of either party under Sections 5-7 of this Agreement; and (ii) the AHA and individual
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Participant may terminate this Agreement if the other party fails to perform its obligations
hereunder and such failure to perform is not cured within thirty (30) days following written notice
from the complaining party of such failure to perform.
Trademarks.
a. Each Mission: Lifeline System Participant acknowledges the AHA's ownership of the
American Heart Association name, heart -and -torch logo and slogan "Learn and Live", and
Mission: Lifeline name and logo (the "AHA Marks"). This Agreement shall not be construed
to grant any Mission: Lifeline System Participant any license to use the AHA Marks, without
the prior written consent of the AHA.
b. The AHA acknowledges each Mission: Lifeline System Participant's ownership of its name
and logo (the "Participant's Marks"). This Agreement shall not be construed to grant the
AHA any license to use a Participant's Marks, without the prior written consent of the
Participant. Any and all requests for use of a Participant's Marks shall be submitted to the
Participant and will require written approval prior to any such use.
8. Ownership of Materials.
All underlying marks, creative properties or materials (collectively, "Pre-existing Materials")
used by the AHA and each Mission: Lifeline System Participant, respectively, which were created
and/or developed by either party prior to the date of this Agreement and used in connection with
this Agreement shall not become the property of the other party. Each party represents and warrants
to the other that the Pre-existing Materials provided hereunder shall be original and unpublished
work, or that it owns all right, title and interest in the Pre-existing Materials, including all copyright
in the Pre-existing Materials, and that the Pre-existing Materials contain no defamatory or unlawful
matter and will in no way infringe the rights of any third party.
9. Confidentiality.
a. During the course of this Agreement, the parties may make available to each other certain
Confidential Information (as hereinafter defined) or one party may otherwise learn of
Confidential Information belonging to the other party. For purposes of this Section 7,
"Confidential Information" means any and all confidential or proprietary information
regarding a party or its business, including, without limitation, all products, patents,
trademarks, copyrights, trade secrets, processes, techniques, scientific information, computer
programs, databases, software, services, research, development, inventions, financial,
purchasing, accounting, marketing, and other information, whenever conceived, originated,
discovered or developed, concerning any aspect of its business, whether or not in written or
tangible form; provided, however, that the term "Confidential Information" shall not include
information (i) which is or becomes generally available to the public on a non -confidential
basis, including from a third party provided that such third party is not in breach of an obligation
of confidentiality with respect to such information, (ii) which was independently developed by
a party not otherwise in violation or breach of this Agreement or any other obligation of one
party to the other, or (iii) which was rightfully known to a party prior to entering into this
Agreement.
b. Except as otherwise provided herein: (i) the parties shall hold in strictest confidence any of the
other party's Confidential Information; (ii) the parties shall restrict access to the Confidential
Information to those of their personnel with a need to know and engaged in a permitted use of
the Confidential Information; (iii) the parties shall not distribute, disclose or convey
Confidential Information to any third party; (iv) the parties shall not copy or reproduce any
Confidential Information except as reasonably necessary to perform any obligations hereunder;
4
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and (v) the parties shall not make use of any Confidential Information for its own benefit or for
the benefit of any third party. The foregoing to the contrary notwithstanding, the parties shall
not be in violation of this subsection in the event that a party is legally compelled to disclose
any of the Confidential Information, provided that in any such event the disclosing party will
provide the other party with reasonably prompt written notice prior to any such disclosure so
that the non -disclosing party may obtain a protective order or other confidential treatment for
the Confidential Information, and in the event that a protective order or other remedy is not
obtained by the non -disclosing party, the disclosing party will furnish only that portion of the
Confidential Information which is legally required to be furnished.
10. Non -Exclusivity.
The parties acknowledge and agree that the relationship being created by this Agreement shall be
of a "non-exclusive" nature. Accordingly, the parties agree that each shall have the right to enter
into such other agreements, contracts, arrangements and understandings of any nature whatsoever,
with one or more third parties, whether or not the goods or services to be provided by such third
parties are of a kind which are the same or similar to those being provided by either party hereunder.
11. Independent Business Entities.
The parties acknowledge and agree that each is an independent business entity. As such, no agency,
partnership, joint venture, co -inventor, co-author, employee -employer or franchisor -franchisee
relationship is intended or created by this Agreement. Nothing in this Agreement shall result in an
obligation or create a duty to provide an accounting between the parties. Neither party shall make
any warranties or representations on behalf of the other party.
12. No Third Party Rights.
Nothing in this Agreement, whether express or implied, is intended to confer upon any person,
other than the parties identified herein, any rights or remedies under, or by reason of, this
Agreement
Acknowledged and agreed to this _ day of 9
Mission: Lifeline Montana System Participant:
Organization Name:
Authorized Representative Signature:
Title:
Signature:
Printed Name:
Title:
Printed Name:
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