Common use of Related Duties Clause in Contracts

Related Duties. During the course of carrying out the responsibilities listed immediately above, the MEDICAL DIRECTOR shall: 1. Conduct ongoing review of all written protocols of the EMS system, including dispatch protocols, medical protocols, transport protocols and all other protocols of the system. Such review shall take into consideration the results of medical audits conducted throughout the year, a review of the EMS literature regarding new findings which might impact protocol revision and input from field personnel and interested physicians. 2. Using an inspection checklist and documentation form, the MEDICAL DIRECTOR or their CITY approved designee shall periodically inspect the on-board medical equipment on EMS vehicles subject to regulation by the “Ambulance Service” Chapter of the Code of the City of ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇, as amended. Where appropriate, such inspections shall include functional testing of on-board equipment to ensure that such equipment is in good working order. Where a deficiency is found which could jeopardize patient care, the operator of the vehicle shall be directed to remove the vehicle from service until the deficiency has been corrected and confirmed by reinspection. EMS vehicles shall also be subject to unscheduled (surprise) inspections. Mechanical inspections of EMS vehicles shall not be a responsibility of the MEDICAL DIRECTOR. However, the MEDICAL DIRECTOR may cause these inspections to be done. 3. The MEDICAL DIRECTOR shall conduct medical audits of EMS and non- emergency medical transportation performance in regard to specific cases as follows: a. Whenever an audit is requested by a physician involved with an incident or by a patient’s personal physician; b. Whenever a paramedic, EMT Intermediate, EMT or non-emergency medical transportation provider requests an audit of a case in which that particular paramedic, EMT Intermediate, EMT or medical transportation provider was involved; c. Whenever an audit is requested by a member of EPAB; d. Whenever an audit is requested by the City Manager, Fire Chief, an elected official of the City of Arlington, or a member of the management staff of Arlington’s private ambulance contractor; or e. Whenever the MEDICAL DIRECTOR has determined that an audit should be conducted. The method and extent of investigation employed during any given audit may be determined by the MEDICAL DIRECTOR and may range from a simple review of written documentation to a full review of tape-recorded information (e.g., telephone request for service, dispatch communications), interviews with involved personnel and a formal review attended by persons involved with the case. Upon request of the EPAB or CITY, the MEDICAL DIRECTOR shall conduct a more extensive investigation. In general, the tone and purpose of such medical audits shall be positive and educational. To the extent allowed by law, persons whose work is the subject of an audit process may be invited to attend any such review, and may not be excluded from such reviews, and may be required to attend such audit reviews when the MEDICAL DIRECTOR has determined that such attendance is appropriate. Whenever audit findings indicate that exemplary care was provided, recognition shall be given. Should audit findings indicate a performance discrepancy, the MEDICAL DIRECTOR shall direct that appropriate steps shall be taken to prevent repetition (e.g., revised or clarified medical protocols, refresher training for one or more persons or other appropriate action). 4. CITY and CONTRACTOR affirm that CONTRACTOR is an independent contractor as set forth in this contract. The CONTRACTOR MEDICAL DIRECTOR shall be reimbursed for travel and meeting or conference expenses as approved in advance by the Fire Chief. In order to provide an orderly process for expense pre approval and reimbursement, CITY Administrative Regulations that apply to CITY employees shall be applied regarding reimbursement for travel and meeting or conference expenses. The MEDICAL DIRECTOR shall be reimbursed as approved in advance for representing the Arlington Emergency Medical Services System at state and national meetings related to EMS matters of interest to Arlington, such as annual meetings of NAEMSP, National ACEP Scientific Assembly and Texas State EMS. 5. The MEDICAL DIRECTOR shall serve as an ex-officio, non-voting member of the EPAB and shall attend all regularly scheduled meetings. 6. The MEDICAL DIRECTOR shall establish, in consultation with the EPAB, criteria to monitor the ongoing performance of the ambulance contractor based upon the requirements contained in the contract between the ambulance contractor and the City of Arlington. 7. The MEDICAL DIRECTOR shall serve as the primary liaison with the City of Arlington EMS administrators and the local medical community, ascertaining and being responsive to the needs of both. 8. The MEDICAL DIRECTOR shall be expected to perform any other duties as provided for by the “Ambulance Service” Chapter of the Code of the City of ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇, as amended. 9. The CONTRACTOR and MEDICAL DIRECTOR shall perform their duties to the prevailing professional standards consistent with the level of care and skill ordinarily exercised by members of their professions, both public and private, currently practicing in the same locality under similar conditions including but not limited to the exercise of reasonable, informed judgments and prompt, timely action. If the CONTRACTOR and MEDICAL DIRECTOR are representing that they have special expertise in one or more areas to be utilized in this contract, then CONTRACTOR and MEDICAL DIRECTOR agree to perform those special expertise services to the appropriate local, regional and national professional standards.

Related Duties. During the course of carrying out the responsibilities listed immediately above, the MEDICAL DIRECTOR Medical Director shall: 1. Conduct ongoing : Annually complete a comprehensive review of all written protocols of the EMS system, including dispatch protocols, medical protocols, transport protocols protocols, and all other protocols of the system. Such review shall take into consideration the results of medical audits conducted throughout the year, a review of the EMS literature regarding new findings which might impact protocol revision revision, and input from field personnel and interested physicians. 2. Periodically review as appropriate a program of certification and recertification for the following types of personnel: first responders, emergency medical technicians, paramedics,, emergency medical dispatch personnel and on-line medical control physicians. Prerequisites for such certification may include reference to other certification or licensee standards, training requirements, evidence of successful participation in required in- service training programs, testing to ensure knowledge of local protocols, cooperation in medical audits when requested, additional written or practical skills testing, direct observation by more experienced personnel during a probationary period, minimum frequencies of encounters with defined patient conditions and/or minimum frequencies of performance of named clinical procedures to ensure against skill degradation; and such other requirements as may be deemed appropriate. Frequency of recertification of all personnel shall be no longer than every two years. Using an inspection checklist and documentation formform approved by the MCB, the MEDICAL DIRECTOR Medical Director or their CITY approved his designee shall periodically inspect the on-board medical equipment on EMS all vehicles subject to regulation by the “Ambulance Service” Chapter of Uniform EMS Ordinance for Emergency Medical Services as such term is defined in the Code of the City of ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇, as amendedInterlocal Agreement. Where appropriate, such inspections shall include functional testing of on-board equipment to ensure that such equipment is in good working order. Where a deficiency is found which could jeopardize patient care, the operator of the vehicle shall be directed to remove the vehicle from service until the deficiency has been corrected and confirmed by reinspectiona re-inspecting. EMS vehicles Every vehicle subject to inspection shall be inspected at least annually to obtain the required vehicle permit or permit renewal and shall also be subject to unscheduled (surprise) inspections. Mechanical inspections of EMS vehicles shall not be a responsibility of the MEDICAL DIRECTOR. However, the MEDICAL DIRECTOR may cause these inspections to be done. 3. The MEDICAL DIRECTOR Medical Director shall conduct medical audits of EMS and non- emergency medical transportation system performance in regard to specific cases as follows: a. : Whenever an audit is requested by a physician involved with an incident incident, or by a patient’s 's personal physician; b. ; Whenever a paramedic, EMT Intermediate, EMT or non-emergency medical transportation provider paramedic certified by MCB requests an audit of a case in which that particular paramedic, EMT Intermediate, EMT or medical transportation provider the Paramedic was involved; c. ; Whenever an audit is requested by a member of EPAB; d. MCB; Whenever an audit is requested by EMSA's President; Whenever an audit is requested by the City Manager, Fire Chief, city manager or mayor of an elected official of the City of Arlington, or a EMSA member of the management staff of Arlington’s private ambulance contractorjurisdiction; or e. and Whenever the MEDICAL DIRECTOR Medical Director has determined that an audit should be conducted. The method and extent of investigation employed during any given audit may shall be determined by the MEDICAL DIRECTOR Medical Director and may range from a simple review of written documentation to a full review of tape-recorded information (e.g., telephone request for service, dispatch communications, and medical control conversations), interviews with involved personnel personnel, and a formal review hearing attended by persons involved with the case. Upon request of the EPAB or CITY, the MEDICAL DIRECTOR shall conduct a more extensive investigation. In general, the tone and · The purpose of such medical audits shall be positive and educational. To the extent allowed by law, persons Persons whose work is the subject of an audit process may shall be invited to attend any such review, and may not be excluded from such reviews, and may as a condition of certification be required to attend such audit reviews when the MEDICAL DIRECTOR Medical Director has determined that such required attendance is appropriate. Whenever audit findings indicate that exemplary care was provided, recognition shall be given. Should Whenever audit findings indicate a performance discrepancydeficiency, the MEDICAL DIRECTOR Medical Director shall direct that appropriate steps shall be taken to prevent repetition of that deficiency (e.g., revised or clarified medical protocols, refresher training for one or more persons persons, a change in the certification testing process for paramedics or medical control physicians, or other appropriate action). 4. CITY and CONTRACTOR affirm that CONTRACTOR is an independent contractor as set forth in this contract. The CONTRACTOR MEDICAL DIRECTOR Medical Director, subject to budgetary constraints. shall be reimbursed develop and implement an organized program of EMS research and publication, including application to appropriate sources for funding of EMS research. Within the amount budgeted by MCB for travel and meeting or conference expenses expenses, and as approved in advance or assigned by the Fire Chief. In order to provide an orderly process for expense pre approval and reimbursementMCB, CITY Administrative Regulations that apply to CITY employees the Medical Director shall be applied regarding reimbursement for travel and meeting or conference expenses. The MEDICAL DIRECTOR shall be reimbursed as approved in advance for representing represent the Arlington Emergency Medical Services System EMS system at state and national meetings related relating to EMS matters of interest to Arlington, such as annual meetings of NAEMSP, National ACEP Scientific Assembly and Texas State EMS. 5the EMS system. The MEDICAL DIRECTOR Medical Director shall annually present to a joint public meeting of the elected officials of EMSA's member jurisdictions a written and oral report outlining the clinical performance of the EMSA system, its deficiencies, its progress, and its future. The Medical Director shall serve as an ex-officio, non-ex official member without voting member rights of the EPAB Board of Trustees of EMSA, and shall attend all regularly scheduled meetings. 6meetings of that Board and of ERF and MCB. The MEDICAL DIRECTOR shall establish, in consultation with In the EPAB, criteria to monitor the ongoing performance event of a tie vote of the ambulance contractor based upon EMSA Board of Trustees, the requirements contained in Medical Director shall cast the contract between deciding vote. With the ambulance contractor assistance of the EMSA staff, and subject to approval by the City MCB, the Medical Director shall annually prepare and periodically review as appropriate a budget for operation of Arlington. 7. The MEDICAL DIRECTOR the medical quality control program, and shall serve as the primary liaison with the City of Arlington EMS administrators and the local medical community, ascertaining and being responsive conform to the needs of both. 8approved budget in operating the program. The MEDICAL DIRECTOR shall be expected to perform any other duties as provided for by the “Ambulance Service” Chapter of the Code of the City of ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇, as amended. 9. The CONTRACTOR and MEDICAL DIRECTOR shall perform their duties to the prevailing professional standards consistent with the level of care and skill ordinarily exercised by members of their professions, both public and private, currently practicing in the same locality under similar conditions including but not limited to the exercise of reasonable, informed judgments and prompt, timely action. If the CONTRACTOR and MEDICAL DIRECTOR are representing that they have special expertise in one or more areas to be utilized in this contract, then CONTRACTOR and MEDICAL DIRECTOR agree to perform those special expertise services to the appropriate local, regional and national professional standards.·

Related Duties. During the course of carrying out the responsibilities listed immediately above, the MEDICAL DIRECTOR shall: 1. Conduct ongoing review of all written protocols of the EMS system, including dispatch protocols, medical protocols, transport protocols and all other protocols of the system. Such review shall take into consideration the results of medical audits conducted throughout the year, a review of the EMS literature regarding new findings which might impact protocol revision and input from field personnel and interested physicians. 2. Using an inspection checklist and documentation form, the MEDICAL DIRECTOR or their CITY approved designee shall periodically inspect the on-board medical equipment on EMS vehicles subject to regulation by the “Ambulance Service” Chapter of the Code of the City of ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇, as amended. Where appropriate, such inspections shall include functional testing of on-board equipment to ensure that such equipment is in good working order. Where a deficiency is found which could jeopardize patient care, the operator of the vehicle shall be directed to remove the vehicle from service until the deficiency has been corrected and confirmed by reinspection. EMS vehicles shall also be subject to unscheduled (surprise) inspections. Mechanical inspections of EMS vehicles shall not be a responsibility of the MEDICAL DIRECTOR. However, the MEDICAL DIRECTOR may cause these inspections to be done. 3. The MEDICAL DIRECTOR shall conduct medical audits of EMS and non- non-emergency medical transportation performance in regard to specific cases as follows: a. Whenever an audit is requested by a physician involved with an incident or by a patient’s personal physician; b. Whenever a paramedic, EMT Intermediate, EMT or non-non- emergency medical transportation provider requests an audit of a case in which that particular paramedic, EMT Intermediate, EMT or medical transportation provider was involved; c. Whenever an audit is requested by a member of EPAB; d. Whenever an audit is requested by the City Manager, Fire Chief, an elected official of the City of Arlington, or a member of the management staff of Arlington’s private ambulance contractor; or e. Whenever the MEDICAL DIRECTOR has determined that an audit should be conducted. The method and extent of investigation employed during any given audit may be determined by the MEDICAL DIRECTOR and may range from a simple review of written documentation to a full review of tape-recorded information (e.g., telephone request for service, dispatch communications), interviews with involved personnel and a formal review attended by persons involved with the case. Upon request of the EPAB or CITY, the MEDICAL DIRECTOR shall conduct a more extensive investigation. In general, the tone and purpose of such medical audits shall be positive and educational. To the extent allowed by law, persons whose work is the subject of an audit process may be invited to attend any such review, and may not be excluded from such reviews, and may be required to attend such audit reviews when the MEDICAL DIRECTOR has determined that such attendance is appropriate. Whenever audit findings indicate that exemplary care was provided, recognition shall be given. Should audit findings indicate a performance discrepancy, the MEDICAL DIRECTOR shall direct that appropriate steps shall be taken to prevent repetition (e.g., revised or clarified medical protocols, refresher training for one or more persons or other appropriate action). 4. CITY and CONTRACTOR affirm that CONTRACTOR is an independent contractor as set forth in this contract. The CONTRACTOR MEDICAL DIRECTOR shall be reimbursed for travel and meeting or conference expenses as approved in advance by the Fire Chief. In order to provide an orderly process for expense pre approval and reimbursement, CITY Administrative Regulations that apply to CITY employees shall be applied regarding reimbursement for travel and meeting or conference expenses. The MEDICAL DIRECTOR shall be reimbursed as approved in advance for representing the Arlington Emergency Medical Services System at state and national meetings related to EMS matters of interest to Arlington, such as annual meetings of NAEMSP, National ACEP Scientific Assembly and Texas State EMS. 5. The MEDICAL DIRECTOR shall serve as an ex-officio, non-voting member of the EPAB and shall attend all regularly scheduled meetings. 6. The MEDICAL DIRECTOR shall establish, in consultation with the EPAB, criteria to monitor the ongoing performance of the ambulance contractor based upon the requirements contained in the contract between the ambulance contractor and the City of Arlington. 7. The MEDICAL DIRECTOR shall serve as the primary liaison with the City of Arlington EMS administrators and the local medical community, ascertaining and being responsive to the needs of both. 8. The MEDICAL DIRECTOR shall be expected to perform any other duties as provided for by the “Ambulance Service” Chapter of the Code of the City of ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇, as amended. 9. The CONTRACTOR and MEDICAL DIRECTOR shall perform their duties to the prevailing professional standards consistent with the level of care and skill ordinarily exercised by members of their professions, both public and private, currently practicing in the same locality under similar conditions including but not limited to the exercise of reasonable, informed judgments and prompt, timely action. If the CONTRACTOR and MEDICAL DIRECTOR are representing that they have special expertise in one or more areas to be utilized in this contract, then CONTRACTOR and MEDICAL DIRECTOR agree to perform those special expertise services to the appropriate local, regional and national professional standards.

Related Duties. During the course of carrying out the responsibilities listed immediately above, the MEDICAL DIRECTOR shall: 1. Conduct ongoing review of all written protocols of the EMS system, including dispatch protocols, medical protocols, transport protocols and all other protocols of the system. Such review shall take into consideration the results of medical audits conducted throughout the year, a review of the EMS literature regarding new findings which might impact protocol revision and input from field personnel and interested physicians. 2. Using an inspection checklist and documentation form, the MEDICAL DIRECTOR or their CITY approved designee shall periodically inspect the on-board medical equipment on EMS vehicles subject to regulation by the “Ambulance Service” Chapter of the Code of the City of ▇▇▇▇▇▇▇▇▇Arlington, ▇▇▇▇▇Texas, ▇▇▇▇1987, as amended. Where appropriate, such inspections shall include functional testing of on-board equipment to ensure that such equipment is in good working order. Where a deficiency is found which could jeopardize patient care, the operator of the vehicle shall be directed to remove the vehicle from service until the deficiency has been corrected and confirmed by reinspection. EMS vehicles shall also be subject to unscheduled (surprise) inspections. Mechanical inspections of EMS vehicles shall not be a responsibility of the MEDICAL DIRECTOR. However, the MEDICAL DIRECTOR may cause these inspections to be done. 3. The MEDICAL DIRECTOR shall conduct medical audits of EMS and non- non-emergency medical transportation performance in regard to specific cases as follows: a. Whenever an audit is requested by a physician involved with an incident or by a patient’s personal physician; b. Whenever a paramedic, EMT Intermediate, EMT or non-non- emergency medical transportation provider requests an audit of a case in which that particular paramedic, EMT Intermediate, EMT or medical transportation provider was involved; c. Whenever an audit is requested by a member of EPAB; d. Whenever an audit is requested by the City Manager, Fire Chief, an elected official of the City of Arlington, or a member of the management staff of Arlington’s private ambulance contractor; or e. Whenever the MEDICAL DIRECTOR has determined that an audit should be conducted. The method and extent of investigation employed during any given audit may be determined by the MEDICAL DIRECTOR and may range from a simple review of written documentation to a full review of tape-recorded information (e.g., telephone request for service, dispatch communications), interviews with involved personnel and a formal review attended by persons involved with the case. Upon request of the EPAB or CITY, the MEDICAL DIRECTOR shall conduct a more extensive investigation. In general, the tone and purpose of such medical audits shall be positive and educational. To the extent allowed by law, persons whose work is the subject of an audit process may be invited to attend any such review, and may not be excluded from such reviews, and may be required to attend such audit reviews when the MEDICAL DIRECTOR has determined that such attendance is appropriate. Whenever audit findings indicate that exemplary care was provided, recognition shall be given. Should audit findings indicate a performance discrepancy, the MEDICAL DIRECTOR shall direct that appropriate steps shall be taken to prevent repetition (e.g., revised or clarified medical protocols, refresher training for one or more persons or other appropriate action). 4. CITY and CONTRACTOR affirm that CONTRACTOR is an independent contractor as set forth in this contract. The CONTRACTOR MEDICAL DIRECTOR shall be reimbursed for travel and meeting or conference expenses as approved in advance by the Fire Chief. In order to provide an orderly process for expense pre approval and reimbursement, CITY Administrative Regulations that apply to CITY employees shall be applied regarding reimbursement for travel and meeting or conference expenses. The MEDICAL DIRECTOR shall be reimbursed as approved in advance for representing the Arlington Emergency Medical Services System at state and national meetings related to EMS matters of interest to Arlington, such as annual meetings of NAEMSP, National ACEP Scientific Assembly and Texas State EMS. 5. The MEDICAL DIRECTOR shall serve as an ex-officio, non-voting member of the EPAB and shall attend all regularly scheduled meetings. 6. The MEDICAL DIRECTOR shall establish, in consultation with the EPAB, criteria to monitor the ongoing performance of the ambulance contractor based upon the requirements contained in the contract between the ambulance contractor and the City of Arlington. 7. The MEDICAL DIRECTOR shall serve as the primary liaison with the City of Arlington EMS administrators and the local medical community, ascertaining and being responsive to the needs of both. 8. The MEDICAL DIRECTOR shall be expected to perform any other duties as provided for by the “Ambulance Service” Chapter of the Code of the City of ▇▇▇▇▇▇▇▇▇Arlington, ▇▇▇▇▇Texas, ▇▇▇▇1987, as amended. 9. The CONTRACTOR and MEDICAL DIRECTOR shall perform their duties to the prevailing professional standards consistent with the level of care and skill ordinarily exercised by members of their professions, both public and private, currently practicing in the same locality under similar conditions including but not limited to the exercise of reasonable, informed judgments and prompt, timely action. If the CONTRACTOR and MEDICAL DIRECTOR are representing that they have special expertise in one or more areas to be utilized in this contract, then CONTRACTOR and MEDICAL DIRECTOR agree to perform those special expertise services to the appropriate local, regional and national professional standards.

Related Duties. During the course of assisting and supporting the Medical Director in carrying out the responsibilities listed immediately above, the MEDICAL DIRECTOR shallAssociate Medical Director shall assist and support the Medical Director in the following as directed by the Medical Director: 1. Conduct ongoing i) Annually complete a comprehensive review of all written protocols of the EMS system, including dispatch protocols, medical protocols, transport protocols protocols, and all other protocols of the system. Such review shall take into consideration the results of medical audits conducted throughout the year, a review of the EMS literature regarding new findings which might impact protocol revision revision, and input from field personnel and interested physicians. 2ii) Periodically review as appropriate a program of certification and recertification for the following types of personnel: first responder, paramedics, control center personnel and on- line medical control physicians. Prerequisites for such certification may include reference to other certification or licensee standards, training requirements, evidence of successful participation in required in-service training programs, testing to ensure knowledge of local protocols, cooperation in medical audits when requested, additional written or practical skills testing, direct observation by more experienced personnel during a probationary period, minimum frequencies of encounters with defined patient conditions and/or minimum frequencies of performance of named clinical procedures to ensure against skill degradation; and such other requirements as may be deemed appropriate. Frequency of recertification of all personnel shall be no longer than every two years. iii) Using an inspection checklist and documentation formform approved by the MCB, the MEDICAL DIRECTOR or their CITY approved designee Assistant Medical Director shall assist the Medical Director in periodically inspect inspecting the on-board medical equipment on EMS all vehicles subject to regulation by the “Ambulance Service” Chapter of Uniform EMS Ordinance for Emergency Medical Services as such term is defined in the Code of the City of ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇, as amendedInterlocal Agreement. Where appropriate, such inspections shall include functional testing of on-on- board equipment to ensure that such equipment is in good working order. Where a deficiency is found which could jeopardize patient care, the operator of the vehicle shall be directed to remove the vehicle from service until the deficiency has been corrected and confirmed by reinspectiona re-inspecting. EMS vehicles Every vehicle subject to inspection shall be inspected at least annually to obtain the required vehicle permit or permit renewal and shall also be subject to unscheduled (surprise) inspections. Mechanical inspections of EMS vehicles shall not be a responsibility of the MEDICAL DIRECTOR. However, the MEDICAL DIRECTOR may cause these inspections to be done. 3. iv) The MEDICAL DIRECTOR Associate Medical Director shall conduct assist the Medical Director in conducting medical audits of EMS system performance. v) The Associate Medical Director, subject to budgetary constraints, shall assist the Medical Director in development and non- emergency medical transportation performance implementation of an organized program of EMS research and publication, including application to appropriate sources for funding of EMS research. vi) The Associate Medical Director shall assist the Medical Director in regard to specific cases preparation and periodic review as follows: a. Whenever appropriate of an audit is requested by a physician involved with an incident or by a patient’s personal physician; b. Whenever a paramedic, EMT Intermediate, EMT or non-emergency medical transportation provider requests an audit of a case in which that particular paramedic, EMT Intermediate, EMT or medical transportation provider was involved; c. Whenever an audit is requested by a member of EPAB; d. Whenever an audit is requested by the City Manager, Fire Chief, an elected official annual budget for operation of the City medical quality control program and shall conform to the approved budget in operating the program. vii) The Associate Medical Director shall under the supervision of Arlingtonthe MCB perform the duties and responsibilities of the Medical Director in situations where the Medical Director is incapacitated; unable to fulfill the responsibilities and duties of the position, or a member the position of the management staff of Arlington’s private ambulance contractor; or e. Whenever the MEDICAL DIRECTOR has determined that an audit should be conducted. The method and extent of investigation employed during any given audit may be determined by the MEDICAL DIRECTOR and may range from a simple review of written documentation to a full review of tape-recorded information (e.g., telephone request for service, dispatch communications), interviews with involved personnel and a formal review attended by persons involved with the case. Upon request of the EPAB or CITY, the MEDICAL DIRECTOR shall conduct a more extensive investigation. In general, the tone and purpose of such medical audits shall be positive and educational. To the extent allowed by law, persons whose work Medical Director is the subject of an audit process may be invited to attend any such review, and may not be excluded from such reviews, and may be required to attend such audit reviews when the MEDICAL DIRECTOR has determined that such attendance is appropriate. Whenever audit findings indicate that exemplary care was provided, recognition shall be given. Should audit findings indicate a performance discrepancy, the MEDICAL DIRECTOR shall direct that appropriate steps shall be taken to prevent repetition (e.g., revised or clarified medical protocols, refresher training for one or more persons or other appropriate action)otherwise temporarily vacant. 4. CITY and CONTRACTOR affirm that CONTRACTOR is an independent contractor as set forth in this contract. The CONTRACTOR MEDICAL DIRECTOR shall be reimbursed for travel and meeting or conference expenses as approved in advance by the Fire Chief. In order to provide an orderly process for expense pre approval and reimbursement, CITY Administrative Regulations that apply to CITY employees shall be applied regarding reimbursement for travel and meeting or conference expenses. The MEDICAL DIRECTOR shall be reimbursed as approved in advance for representing the Arlington Emergency Medical Services System at state and national meetings related to EMS matters of interest to Arlington, such as annual meetings of NAEMSP, National ACEP Scientific Assembly and Texas State EMS. 5. The MEDICAL DIRECTOR shall serve as an ex-officio, non-voting member of the EPAB and shall attend all regularly scheduled meetings. 6. The MEDICAL DIRECTOR shall establish, in consultation with the EPAB, criteria to monitor the ongoing performance of the ambulance contractor based upon the requirements contained in the contract between the ambulance contractor and the City of Arlington. 7. The MEDICAL DIRECTOR shall serve as the primary liaison with the City of Arlington EMS administrators and the local medical community, ascertaining and being responsive to the needs of both. 8. The MEDICAL DIRECTOR shall be expected to perform any other duties as provided for by the “Ambulance Service” Chapter of the Code of the City of ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇, as amended. 9. The CONTRACTOR and MEDICAL DIRECTOR shall perform their duties to the prevailing professional standards consistent with the level of care and skill ordinarily exercised by members of their professions, both public and private, currently practicing in the same locality under similar conditions including but not limited to the exercise of reasonable, informed judgments and prompt, timely action. If the CONTRACTOR and MEDICAL DIRECTOR are representing that they have special expertise in one or more areas to be utilized in this contract, then CONTRACTOR and MEDICAL DIRECTOR agree to perform those special expertise services to the appropriate local, regional and national professional standards.