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HomeMy WebLinkAboutCSD-001-23Clarftwn Staff Report If this information is required in an alternate accessible format, please contact the Accessibility Coordinator at 905-623-3379 ext. 2131. Report To: General Government Committee Date of Meeting: March 20, 2023 Report Number: CSD-001-23 Submitted By: George Acorn, Director of Community Services Reviewed By: Rob Maciver, Deputy CAO/Solicitor Resolution#: GG-077-23 File Number: By-law Number: Report Subject: Lakeridge Health Public Access Defibrillator Program Agreement Renewal Recommendations: 1. That Report CSD-001-23 be received; 2. That Council authorize the Director of Community Services to sign the agreement provided by the Central East Prehospital Care Program (CEPCP), on behalf of Lakeridge Health (Attachment #1), for the period April 1, 2023, to March 31, 2026; and 3. That the CAO be authorized to approve subsequent renewals of agreements with Lakeridge Health that pertain to the subject matter of Report CSD-001-23. Municipality of Clarington Report CSD-001-23 Report Overview Page 2 This report seeks Council approval on a new three-year agreement with Lakeridge Health for the Cardiac Safe Community Public Access Defibrillator Program in all municipal buildings. The proposed agreement would also see the Municipality incorporating the library locations, creating one operating agreement and streamlining the process. 1. Background 1.1 The Municipality has been involved with the Cardiac Safe Community Public Access Defibrillator Program, coordinated by the Central East Prehospital Care Program (CEPCP) since 2005. The program began with the installation of our first automatic external defibrillator (AED) unit at Courtice Community Complex that year. 1.2 As recommended in the 2020 Organizational Structure Review, responsibility for hall boards and other non -municipally operated buildings transferred from Operations to Community Services, including the administration of this program at all buildings, excluding libraries. In 2021, operating budget changes 1.3 The current agreement is scheduled to expire on March 31, 2023. 2. Program Details 2.1 By continuing to work with CEPCP under this agreement it is ensured that the Municipality and the Public Access Defibrillator (PAD) responders are working under the oversight of the CEPCP of Lakeridge Health when providing defibrillation to a victim of sudden cardiac arrest. 2.2 The agreement includes medical oversight, annual certification training, biomedical servicing of all AED units, and ongoing staff support of the program. 2.3 With the recent addition of Clarington Public Library units, the proposed agreement totals 33 AED units. Community Services administer the program in all municipal locations listed in the attachment. 2.4 The terms and conditions of the current agreement remain unchanged in the proposed agreement attached. The term of this agreement is three years, effective April 1, 2023, and expiring on March 31, 2026. Municipality of Clarington Report CSD-001-23 3. Financial Considerations Page 3 3.1 The program fees and services proposed in this agreement remain unchanged from the current agreement. All costs associated with this program, excluding libraries, are included in the Community Services approved 2023 budget. The costs for administering the program for library facilities have been approved in their 2023 budget and will be invoiced to them by Financial Services. 4. Concurrence This report has been reviewed by the Deputy CAO/Director of Legislative Services who concurs with the recommendations. 5. Conclusion It is respectfully recommended that the recommendation in the report be approved. Staff Contact: George Acorn, Director of Community Services, 905-623-3379 ext. 2502 or gacorn@clarignton.net. Attachments: Attachment 1 — Semi Automatic External Defibrillation Agreement Interested Parties: List of Interested Parties available from Department. Semi Automatic External Defibrillation Agreement For the Cardiac Safe Community Public Access Defibrillation Program for Durham Region BETWEEN Lakeridge Health ("The Hospital") and The Municipality of Clarington Agreement LH/The Municipality of Clarington Agreement April 2023 - March 2026 Page 1 of 11 Princivle Statement This agreement between the above parties will ensure that the The Municipality of Clarington and Public Access Defibrillation (PAD) responders are working under the oversight of the Central East Prehospital Care Program (CEPCP) of Lakeridge Health when providing semi automated external defibrillation (SAED) to a victim of sudden cardiac arrest (SCA). It also provides for the provision of medically current training services in SAED & CPR to those PAD Responders by and under the direction of the CEPCP Medical Advisory Board Physicians. These conjoint efforts are focused on the provision of medically appropriate care for the citizens in our community. THEREFORE in consideration of the mutual covenants contained herein and subject to the terms and conditions hereinafter set forth the parties hereto agree to participate in the Central East Prehospital Care Program Cardiac Safe Community PAD Program in accordance with the terms outlined in the Agreement. 1. Program Components and Recommendations (a) The following items will be components of program maintenance: ■ Provision of medical oversight by the Central East Prehospital Care Program (CEPCP) for the Cardiac Safe Community Program for Durham Region. ■ Provision of initial certification training and evaluation for SAED for PAD responders. ■ Provision of recertification evaluation for SAED. ■ Provision of C.P.R. recertification evaluation and training of the PADresponder employees as required. ■ Development and provision of in-house reviews of SAED. ■ Provision of Biomedical Engineering by the Lakeridge Health Biomedical Engineering Program, once per year or after each use, to ensure that the SAEDs are maintained according to the manufacturer's standards, including biomedical direction for the replacement of batteries and pads when mandated by the manufacturer or the Biomedical Department. ■ Method design for the collection of patient care outcome data by the CEPCP to provide the basis for ongoing patient care quality assurance programs. ■ A Site Coordinator's Meeting will be organized by CEPCP on an annual basis to review the program's goals, outcomes, and patient care protocols. Additional meetings between The Municipality of Clarington and the CEPCP will be held at the request of either party. ■ Availability of the CEPCP staff and physician to consult on and review issues and procedures as required. ■ Dedication of a designated CEPCP PAD Coordinator as a prime contact for the PAD site. LH/The Municipality of Clarington Agreement April 2023 - March 2026 Page 2 of 11 ■ CEPCP medical and logistical support for the development of Conjoint Public Access Defibrillation Programs in our Community. ■ The CEPCP will provide instructors (Paramedics and Firefighters) to deliver SAED training, using the principles of Adult Learning. The scope of this training will include, but is not limited to the content of the Canadian Heart and Stroke Foundations CPR & SAED recommendations. All curriculum content and instructor training and qualifications will be approved by the Central East Prehospital Care Program Medical Advisory Board Physicians. ■ To identify placement of such SAED throughout the site to ensure time to defibrillation can be achieved in 3-5 minutes or less from time of recognition of cardiac arrest; (b) The following items are recommendations of program maintenance: ■ To recommend the SAED be placed in an Emergency Response Case that will audiblyand visually (flashing red light) alert staff that the emergency response case door has been opened. When the SAED is removed from the Emergency Response Case, a call is automatically made to the alarm company who in turn will notify 911 to activate emergency services (Fire Service and Emergency Medical Service). ■ To establish an action plan in the case of an emergency and AED use. ■ To maintain quality assurance by establishing a collaborative environment between the rescuers, CEPCP, Fire Service, and Emergency Medical Services (EMS) Paramedics through training, feed -back, group sharing of knowledge and learning from experience, and to establish a follow-up support system for rescuers post-SAED use (ie. critical incident stress intervention). 11. Agreement Criteria for PAD Program It is clearly understood and agreed to by both parties that medical consultation to the PAD Responder for the purpose of SAED is provided under the following conditions: A. Consultation with respect to the Cardiac Safe Community PAD program is provided under the auspices of the CEPCP Medical Advisory Board Physicians. B. Consultation is available when the PAD responder is acting in the best interest of a SCA victim. This may include the utilization of a SAED in another PAD site. Anyone who has been taught PAD under our program can assist citizen responders in the use of a PAD response. The audio and text prompts from the SAED must be followed exactly. C. Non -trained responders who use the SAED in good faith and voluntarily are protected from liability by the Chase McEachern Act (Heart Defibrillator Civil Liability), 2007, S.O.2007, c. 10, Sch. N (Appendix B) and the Good Samaritan Act, 2001 S.O. 2001, CHAPTER 2 (Appendix C). Ill. Training Develovment Academic Goals and Standards A. All training materials and lesson plans in the initial and on -going program development process will be scrutinized by qualified adult educators. "Qualified Adult Educators" for the purpose of this agreement are prehospital care professionals with LH/The Municipality of Clarington Agreement April 2023 - March 2026 Page 3 of 11 practice qualifications of at least the Advanced Care Paramedic Level and with formal certification in adult education from a recognized community college or university. B. All learning objectives and learning outcomes for this program will be approved by a physician who is qualified as a specialist in Emergency Medicine and hasexperience providing medical direction in the field of out -of -hospital Emergency Care. This Agreement is for a term of three years, effective April 1, 2023, and expiring on March 31st 2026, or as terminated pursuant to Section VII: Dispute Resolution. V. Program Fees and Services Provided A. Fees: 1. Initial Site setup, including site assessment, signage, initial Biomed visit and PAD awareness session is a one time fee of $600.00. 2. Annual training and certification of providers is at a fee of $750.00 for a class size between 7 — 12 participants. Class duration will be 6'/2 — 7 hours which includes all breaks. Classes must be cancelled no less than 2 business days prior to the scheduled session, otherwise the usual charge applies. 3. Program Support is an annual fee of $1,000.00 for the initial unit at a site. Additional units at the same location require an annual fee of $450.00 per unit. HST is not included in the above fees. Program fees will be subject to review and increase on renewal of this contract. For PAD Responders requiring remedial continuing education from the CEPCP PAD Coordinator or the CEPCP Physician over and above the instruction detailed the CEPCP and the RMDSS will negotiate a fee for that service at that time. B. Invoicing: Training costs will be invoiced on a per course basis. Program and Biomedical Engineering support costs will be invoiced quarterly starting in April of each year. The number of sites to be billed is determined by the site list contained in Appendix A. Sites that become active during the year will be billed when they become a live site. The initial setup fee will apply in full and the support fees will be calculated on a prorated basis, based on the number of whole months the site will be active in that calendar year. C. Services: Emergency Action Plan Development: - site assessment to determine the number of SAED's required - direct best placement for access to SAED - medical emergency response plan implementation (site specific) LH/The Municipality of Clarington Agreement April 2023 - March 2026 Page 4 of 11 2. CPR Education Review (Canadian Heart & Stroke Foundation Guidelines): - placing 911 call (role of police, fire, and ambulance) - risk factors of heart disease - recognition of heart attack - choking emergencies - patient assessment - one and two person adult CPR 3. Defibrillation Training: - SAED shock & nonshockable protocols - scenarios (based on Emergency Action Plan) - trouble shooting - SAED weekly, monthly, and after use checks - communication/documentation 4. PAD awareness session for Non -targeted Responders - concept of rapid defibrillation/medical direction of defibrillation - medical legal liabilities and issues - questions and concerns 5. Physician/Physician Review and Oversight of: - program design - operational critique for every event 6. Newsletter for Targeted Responder (continuing educational topics formedical emergencies) 7. Quality Assurance and Risk Management: - identify and provide ongoing training for site coordinators - daily, monthly, and after use checks - Emergency Action Plan Audit - Begin development of local on -site coordinators to enhance initial certification process for new employees 8. Six month reviews (site visits) to: - Ensure weekly and monthly checks are being completed - Ensure adequate signage is placed to direct persons to the AED - continue development of local on -site coordinators 9. Office Administration - maintenance of certification records - updates of protocol changes - clinical co-ordinator dedicated to Targeted Responder Program - Program representative on call 24/7 to respond to any issues/concerns or post- SCA events 10.Critical Incident Stress management services. - demobilization education is provided for the Site co-ordinator and staff that will be called in to talk with PAD responders following a SCA - when Targeted Responder personnel are involved in an event, the Cardiac Safe Community Program will ensure incident debriefings are facilitated LH/The Municipality of Clarington Agreement April 2023 - March 2026 Page 5 of 11 - the Cardiac Safe Community Program is affiliated with and supports the Durham Region Critical Incident Stress Management Team Services 11.Biomedical Engineering Support and Operational Risk Management - check SAED once a year - change SAED battery as required - change SAED pads as required - ensure SAED meets operational needs - certification of machine safety and operation V/�i iLTft1E:7/ .R:Ca'iTi7f :i1C-1 OVUM The Hospital agrees to indemnify and save the The Municipality of Clarington harmless from all loss, cost, expense, judgment or damage on account of injury to persons including death or damage to property, in any way caused by the negligence of the hospital, its servants, agents or employees related to or arising out of programs or other matters to which this agreement pertains, together with all legal expenses and costs incurred by the The Municipality of Clarington in defending any legal action pertaining to the above. The The Municipality of Clarington agrees to indemnify and save the Hospital harmless from all loss, cost, expense, judgment or damage on account of injury to persons including death or damage to property, in any way caused by the negligence of the The Municipality of Clarington, its servants, agents, or employees related to or arising out of programs or other matters to which this agreement pertains, together with all legal expenses and costs incurred by the Hospital in defending any legal action pertaining to the above. V/1 ��7�:11 ita:Z�111 iit:7i1 If either party is dissatisfied with the performance of the other party, the dissatisfied party may give written notice of the dissatisfaction to the other party and shall provide the other party with thirty (30) days within which to rectify the matter of dissatisfaction. Where the matter is not corrected to the satisfaction of the party giving notice within the thirty (30) day period, the dissatisfied party may terminate this Agreement by giving the other party ninety (90) days written notice of the party's intention to terminate the Agreement. The ninety (90) day period of notice shall commence five (5) business days after the notice has been mailed to the other party or twenty-four (24) hours following delivery of the notice by hand or by facsimile transmission. LH/The Municipality of Clarington Agreement April 2023 - March 2026 Page 6 of 11 killfli • IVA The parties mutually agree that this Agreement will be reviewed, prior to the end of its term, by Lakeridge Health and the The Municipality of Clarington. Any such renewal shall be based upon such terms and conditions, including any or all of the provisions of this Agreement, as may be mutually agreed to by the parties. The parties have caused this Agreement to be executed by their authorized representatives. The Municipality of Clarington Print Date Representative Lakeridge Health Print Vice President Finance and Information Management Date LH/The Municipality of Clarington Agreement April 2023 - March 2026 Page 7 of 11 Appendix A to Semi Automatic External Defibrillation Agreement between Lakeridge Health and The Municipality of Clarington April 1, 2023 to March 31, 2026 This appendix maintains a complete list of all sites covered under this Agreement and will be updated when sites become active or are deactivated. Date of current Appendix A: February 6. 2023 The Municipality of Clarington Site Locations Address.- 120 Liberty Street South, Bowmanville CR+ AED Serial # 43019129 BioMed 804486 2226 Golf Course Road, Newcastle CR+ 45529861 805094 26 Beech Ave., Bowmanville, CR+ 41899916 804390 26 Beech Ave., Bowmanville, G3 4397960 803999 26 Beech Ave., Bowmanville, CR+ 45800313 805208 40 Temperance Street, Bowmanville CR+ 41899924 804450 132 Church Street, Bowmanville CR+ 41610234 804391 5360 Old Scugog Road, Hampton CR+ 45530053 805093 2320 Taunton Road, Hampton CR+ 41899917 804451 2503 Con Rd. 8, Haydon CR+ 42149184 804445 6742 Regional Rd 18, Kendal CR+ 41899925 804393 20 King Ave West, Newcastle CR+ 41899915 804392 103 Caroline Street West, Newcastle CR+ 41992471 804478 21 Church Lane, Newtonville, ON CR+ 42098646 804424 2 Princess Street, Orono CR+ 41992459 804850 3585 Taunton Road, Orono CR+ 41671451 804449 5315 Main Street, Orono CR+ 42241140 804474 178 Darlington Clark Townline Road CR+ 41899923 804453 62 Temperance Street, Bowmanville, CR+ 41899922 804452 1964 Concession Rd 6, Hampton CR+ 41227493 804322 1595 Prestonvale Road, Bowmanville G3 4390766 803995 2716 Concession Road 7, Tyrone CR+ 42149185 804454 143 Simpson Ave, Bowmanville CR+ 41671450 804430 49 Liberty Street, Bowmanville G3 4378809 804314 2375 Baseline Road, Bowmanville G3 4369478 803997 2950 Courtice Road, Courtice G3 4369864 803996 2440 Hwy # 2 Bowmanville G3 4389100 803998 1780 Rudell Road, Newcastle G3 4378757 804315 2276 Taunton Road, Hampton G3 4378862 804316 163 Church Street, Bowmanville On Site A18G-01799 805204 150 King Avenue, East, Newcastle On Site A18G-01893 805206 127 Church Street, Orono On Site A18G-01776 805205 2950 Courtice Road, Courtice G5 LH/The Municipality of Clarington Agreement April 2023 - March 2026 Page 8 of 11 Chase McEachern Act (Heart Defibrillator Civil Liability), 2007, S.O. 2007. c. 10. Sch. N Citation: Chase McEachern Act (Heart Defibrillator Civil Liability), 2007, S.O. 2007, c. 10, Sch. N Information about this Consolidation: No Amendments. text: URL: http://www.canIii.org/on/laws/sta/2007c.10sch.n/20070717/whole. html Version downloaded by CanLll on 2007-07-17 Chase McEachern Act (Heart Defibrillator Civil Liability), 2007 S.O. 2007, CHAPTER 10 Schedule N Definitions 1. In this Act, "defibrillator" means an automated external medical heart monitor and defibrillator that is capable of, (a) recognizing the presence or absence of ventricular fibrillation or rapid ventricular tachycardia, (b) determining, without intervention by an operator, whether defibrillation should be performed, (c) automatically charging and requesting delivery of an electrical impulse to an individual's heart as medically required, and (d) satisfying any other criteria that may be prescribed by regulation; ("defibrillateur") "emergency" means a situation during which the behaviour of an individual reasonably leads another individual to believe that the first individual is experiencing a life -threatening event that requires the provision of immediate care to assist the heart or other cardiopulmonary functioning of that person; ("situation d'urgence") "health care professional" means, (a) a member of a College of a health profession set out in Schedule 1 to the Regulated Health Professions Act, 1991, (b) such other persons or classes of persons as may be prescribed. ("professionnel de la sante") 2007, c. 10, Sched. N, s. 1. Protection from civil liability, user of defibrillator 2. (1) Despite the rules of common law, a person described in subsection (2) who, in good faith, voluntarily and without reasonable expectation of compensation or reward uses a defibrillator on a person experiencing an emergency is not liable for damages that result from the person's negligence in acting or failing to act while using the defibrillator, unless it is established that the damages were caused by the gross negligence of the person. 2007, c. 10, Sched. N, s. 2 (1). Persons covered (2) Subsection (1) applies to, LH/The Municipality of Clarington Agreement April 2023 - March 2026 Page 9 of 11 (a) a health care professional, if the health care professional does not use the defibrillator at a hospital or other place having appropriate health care facilities and equipment for the purpose of defibrillation; and (b) an individual, other than a health care professional described in clause (a), who uses a defibrillator at the immediate scene of an emergency. 2007, c. 10, Sched. N, s. 2 (2)• Reimbursement of expenses (3) Reasonable reimbursement that a person receives for expenses that the person reasonably incurs in using a defibrillator shall be deemed not to be compensation or reward for the purpose of subsection (1). 2007, c. 10, Sched. N, s. 2 (3). Protection from civil liability, owner or operator of premises 3. (1) Despite the Occupiers' Liability Act and the rules of common law, any person who owns or occupies premises where a defibrillator is made available for use and who acts in good faith with respect to the availability or use of the defibrillator is exempt from civil liability for any harm or damage that may occur from the use of the defibrillator. 2007, c. 10, Sched. N, s. 3(1). Exception (2) Subsection (1) does not exempt the person who owns or occupies the premises where a defibrillator is made available for use from civil liability if, (a) that person acts with gross negligence with respect to making the defibrillator available; (b) that person fails to properly maintain the defibrillator; or (c) the premises where the defibrillator is made available for use is a hospital or other premises used primarily for the purpose of providing health care to individuals. 2007, c. 10, Sched. N, s. 3 (2). Regulations 4. The Lieutenant Governor in Council may make regulations, (a) prescribing criteria for the purpose of the definition of "defibrillator" in section 1; (b) prescribing persons or classes of persons for the purposes of the definition of "health care professional" in section 1; (c) governing standards for the proper maintenance of defibrillators; (d) respecting any matter necessary or advisable to carry out effectively the purposesof this Act. 2007, c. 10, Sched. N, s. 4. Applies to the Crown 5. This Act applies to the Crown and any agency of the Crown. 2007, c. 10, Sched. N, s. 5. 6. Omitted (provides for coming into force of provisions of this Act). 2007, c. 10, Sched. N, s. 6. 7. Omitted (enacts short title of this Act). 2007, c. 10, Sched. N, s. 7. Reference: Chase McEachern Act (Heart Defibrillator Civil Liability), 2007, S.O. 2007, c. 10, Sch. N; http://www.canlii.org/on/laws/sta/2007c.1 Osch.n/20070717/whole.html. LH/The Municipality of Clarington Agreement April 2023 - March 2026 Page 10 of 11 Annendix C Good Samaritan Act, 2001, S.O. 2001. CHAPTER 2 No amendments. Definition 1. In this Act, "health care professional" means a member of a College of a health profession set out in Schedule 1 to the Regulated Health Professions Act, 1991.2001, c. 2, s. 1.Protection from liability 2. (1) Despite the rules of common law, a person described in subsection (2) who voluntarily and without reasonable expectation of compensation or reward provides the services described in that subsection is not liable for damages that result from the person's negligence in acting or failing to act while providing the services, unless it is established that the damages were caused by the gross negligence of the person. 2001, c. 2, s. 2 (1). Persons covered (2) Subsection (1) applies to, a. a health care professional who provides emergency health care services or first aid assistance to a person who is ill, injured or unconscious as a result of an accident or other emergency, if the health care professional does not provide the services or assistance at a hospital or other place having appropriate health care facilities and equipment for that purpose; and b. an individual, other than a health care professional described in clause (a), who provides emergency first aid assistance to a person who is ill, injured or unconscious as a result of an accident or other emergency, if the individual provides the assistance at the immediate scene of the accident or emergency. 2001, c. 2, s. 2 (2). Reimbursement of expenses (3) Reasonable reimbursement that a person receives for expenses that the person reasonably incurs in providing the services described in subsection (2) shall bedeemed not to be compensation or reward for the purpose of subsection (1). 2001, c. 2, s. 2(3). 3. Omitted (provides for coming into force of provisions of this Act). 2001, c. 2, s. 3. 4. Omitted (enacts short title of this Act). 2001, c. 2, s. 4. Reference: Good Samaritan Act, 2001, S.O. 2001, CHAPTER 2; http://www.e- laws.gov.on.ca/html/statutes/engIish/elaws_statutes_01 g02_e.htm LH/The Municipality of Clarington Agreement April 2023 - March 2026 Page 11 of 11