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Home My WebLink AboutCSD-002-15 Clarftwn Community Services Report If this information is required in an alternate accessible format, please contact the Municipal Clerk at 905-623-3379 ext. 2102. Report To: General Purpose and Administration Committee Date of Meeting: March 30, 2015 Report Number: CSD-002-15 Resolution: GP4- a-ka-\_5 File Number: N/A By-law Number: Report Subject: Public Access Defibrillator Program - Lakeridge Health Agreement Renewal Recommendations: 1. That Report CSD-002-15 be received; 2. That Council authorize the Mayor and Clerk to sign the Agreement provided by the Central East Prehospital Care Program (CEPCP), on behalf of Lakeridge Health; and 3. That Central East Prehospital Care Program be advised of action taken. Municipality of Clarington Report CSD-002-15 Page 2 Report Overview This report recommends approval of the renewal agreement with Central East Prehospital Care Program for the Public Access Defibrillator program in municipal facilities and buildings. 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 At the November 5, 2012 meeting, Council authorized the Mayor and Clerk to sign program agreements for the ten (10) AED units in place at municipal facilities and buildings. These locations included all Community Services indoor recreation facilities in addition to Orono Arena, Newcastle Memorial Arena and Newcastle Community Hall. 1.3 At the same meeting, Council ratified a resolution directing staff "to report back to the November 12, 2012 General Purpose and Administration Committee meeting on providing defibrillator service at all the hall boards." 1.4 On November 19, 2012, Council approved the expansion of the defibrillator program to be offered to all hall boards and other non-municipally operated buildings such as the Bowmanville Museum, Clarington Beech Centre and Visual Arts Centre. As directed, the funding for the additional AED units and program support was included in the 2013 Operating Budget. This expanded program was to be administered by the Operations Department. 2. Proposal 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 components of the agreement includes medical oversight; annual certification training; biomedical servicing of all AED units; and ongoing staff support of the program. 2.3 The agreement (Attachment 1) has been set-up to include all AED locations. The Operations Department will continue to administer the AED units located in board operated community halls and buildings. The Community Services Department will Municipality of Clarington Report CSD-002-15 Page 3 continue to administer the AED units located in municipally operated indoor recreation facilities. 2.4 The term of this agreement is for three years, effective April 1, 2015 and expiring on March 31, 2018. 3. Financial Considerations 3.1 The Program Fees listed in the attached agreements are consistent with the previous agreements with no increase in fees. The required funds for the applicable fees have been budgeted for in the appropriate department's operating budgets. 4. Concurrence 4.1 This report has been reviewed by Fred Horvath, Director of Operations who concurs with the recommendations. 5. Conclusion 5.1 It is respectfully recommended that Council approve the renewal of these agreements and the Municipality continues to partner with CEPCP for the provision of medically appropriate care for our citizens and our visitors. 6. Strategic Plan Application Not applicable. Submitted by: g e, t Reviewed by':``- ` Joseph P. Caruana, Franklin Wu, D*ector of Community Services Chief Administrative Officer Staff Contact: George Acorn, Manager of Facilities, 905-623-3379 ext. 2503 or gacorn @clarington.net Attachments: Attachment 1 — Semi Automatic External Defibrillation Agreement Municipality of Clarington Report CSD-002-15 Page 4 List of interested parties to be notified of Council's decision is on file in the Community Services Department. JPC/GAM/G i Attachment 1 to CSD-002-15 Semi Automatic External Defibrillation Agreement For the Cardiac Safe Community Public Access Defibrillation Program for Durham Region BETWEEN Eakeridge Health ("The Hospital") and The Municipality of Clarington ("MOC") Agreement LH/MOC Agreement April 2015 - March 2018 Page 1 of 12 Principle 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 PAD responder 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 MOC and the CEPCP will be held at the request of either party. I ■ 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/MOC Agreement April 2015 - March 2018 Page 2 of 12 • 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 audibly and 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). W. Training Development Academic Goals and Standards I 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/MOC Agreement April 2015 - March 2018 Page 3 of 12 i 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 has experience providing medical direction in the field of out-of-hospital Emergency Care. IV. Agreement Term This Agreement is for a term of three years, effective April 1, 2015, and expiring on March 31St 2018, 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, and initial Biomed visit and PAD awareness session is a onetime 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 Oshawa will negotiate a fee for that service at that time. C. Services: 1. 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) 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) LH/MOC Agreement April 2015 - March 2018 Page 4 of 12 I i - 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 for medical 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 - 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 i LH/MOC Agreement April 2015 - March 2018 Page 5 of 12 I VI. Mutual Indemnification Clause 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. Vll. Dispute Resolution 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/MOC Agreement April 2015 - March 2018 Page 6 of 12 V111. Review of Agreement 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. I The parties have caused this Agreement to be executed by their authorized representatives. The Municipality of Clarington Print Date Representative Lakeridge Health Print Date Vice President Finance and Information Management LH/MOC Agreement April 2015 - March 2018 Page 7 of 12 Appendix A to Semi Automatic External Defibrillation Agreement between Lakeridge Health and The Municipality of Clarington April 1; 2015 to March 31, 2018 i 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: April 1, 2015 Replaces dates of previous Appendix A: April 1, 2012 Municipality of Clarington Site Locations Site Locations Number of Activation De-activation SAEDs on Site Date of Site Date of Site (dd/mm/ dd/mm/ ) Municipal Administrative Centre 1 Sarah Jane Williams Heritage Centre 1 Clarington Community Resource Centre 1 Visual Arts Centre, 143 Simpson Ave 1 Bowmanville Bowmanville Memorial Park Clubhouse 1 Newcastle Memorial Arena, 103 Caroline st, 1 Newcastle Community Hall, 20 King Ave 1 Newtonville Hall, 21 Church Lane 1 Parks Depot 42, 178 Darlington/Clarke Townline 1 Road Orono Operations Centre, 3585 Taunton road 1 Hampton Operations Centre, 2920 Taunton road, 1 Haydon Community Centre, 2503 Concession 8, 1 Solina Community Centre, 1964 Concession 6 1 Tyrone Community Centre, 2716 Concession 7, 1 Orono Arena, 2 Princess Street 1 Orono Town Hall, 5315 Main Street 1 Clarington Beech Centre, 26 Beech Ave, 2 Bowmanville Kendal Community Centre, 6742 Reg Rd 17 1 LH/MOC Agreement April 2015 - March 2018 Page 8 of 12 i Site Locations Number of Activation De-activation SAEDs on Site Date of Site Date of Site dd/mm/ dd/mm/ Garnet Rickard Rec. Centre 1 South Courtice Arena 1 Bowmanville Indoor Soccer Facility 1 Darlington Sport Centre 1 Clarington Fitness Centre 1 Newcastle & District Rec. Centre 1 Courtice Community Complex 1 i i I I I I I i I i LH/MOC Agreement April 2015 - March 2018 Page 9 of 12 i Appendix B 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.canlii.org/on/laws/sta/2007c.10sch.n/20070717/whole.h tml 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). LH/MOC Agreement April 2015 - March 2018 Page 10 of 12 I i Persons covered i (2) Subsection (1) applies to, j (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 purposes of 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: LH/MOC Agreement April 2015 - March 2018 Page 11 of 12 i Chase McEachern Act (Heart Defibrillator Civil Liability), 2007, S.O. 2007, c. 10, Sch. N; hftp://www.caniii.org/on/laws/sta/2007c.1 Osch.n/20070717/whole.html. Appendix C i Good Samaritan Act 2001 S.O. 2001 CHAPTER 2 i I 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 be deemed 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 LH/MOC Agreement April 2015 - March 2018 Page 12 of 12 i