Agenda 09/22/2015 Item #16E 8 9/22/2015 16.E.8.
EXECUTIVE SUMMARY
Recommendation to exercise the renewal option under the agreement for Collier County
Emergency Services Medical Director for a period of one year in accordance with the terms of the
contract.
OBJECTIVE: To provide professional medical direction to Collier County EMS in accordance with
Chapter 401, Florida Statutes and Chapter 64-J-1, Florida Administrative Code, Rules of Department of
Health.
CONSIDERATIONS: Collier County EMS contracts for the services of licensed physicians to serve in
the capacity of Medical Director to supervise and assume direct responsibility for the medical
performance of emergency medical technicians and paramedics and to establish and oversee quality
assurance standards.
On January 28, 2014 (Agenda item 16K3),the Board entered into a contract for Medical Director services
with Robert Boyd Tober, Inc for a period of two years. January 28, 2014 through January 27, 2016. The
contract allows for up to three additional one year terms based on satisfactory performance, mutual
acceptance and determination that the contract is in the best interest of the County and further provides
that the Medical Director be given 120 days notice of the County's intent to renew the contract or allow it
to expire without renewal.
Dr. Tober has met or exceeded expectations and fully complied with the terms and scope of his contract
since inception. At this time, staff recommends renewal of the contract for Medical Director services.
The contract for Deputy Medical Director services with Douglas S. Lee, M.D. is valid through January
2019 and does not require notification of intent to renew at this time.
FISCAL IMPACT: Compensation for the Medical Director is currently $76,500. The contract requires
the base salary to be adjusted annually to reflect any general wage adjustment granted to other County
employees and allows the Medical Director to request a 5%annual increase. If adopted as presented,the
general wage adjustment granted to other County employees (1.5%)will result in an annual compensation
for the Medical Director of$77,647.50. Any additional increase is subject to the approval of the Board
and, if requested,will be brought back as a separate item.
GROWTH MANAGEMENT IMPACT: There are no Growth Management Impacts associated with
this action.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to
form and legality, and requires majority vote for approval. -JAK
RECOMMENDATION: That the Board of County Commissioners declares its intent to renew the
Collier County Emergency Services Medical Director Agreement with Robert Boyd Tober, Inc for a one
year period commencing on January 28, 2016 through January 27, 2017.
Prepared by: Len Golden Price,Department Head, Administrative Services
Attachments: Medical Director Agreement
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.E.16.E.8.
Item Summary: Recommendation to exercise the renewal option under the agreement
for Collier County Emergency Services Medical Director for a period of one year in accordance
with the terms of the contract.
Meeting Date: 9/22/2015
Prepared By
Name: pochopinpat
Title: Operations Coordinator, Administrative Services Department
9/1/2015 10:52:56 AM
Submitted by
Title: Department Head-Administrative Svc, Administrative Services Department
Name: PriceLen
9/1/2015 10:52:57 AM
Approved By
Name: pochopinpat
Title: Operations Coordinator, Administrative Services Department
Date: 9/1/2015 11:01:15 AM
Name: KopkaWalter
Title: Chief-Emergency Medical Services, Administrative Services Department
Date: 9/1/2015 11:30:23 AM
Name: SummersDan
Title: Division Director-Bureau of Enter Svc, Bureau of Emergency Services
Date: 9/1/2015 2:43:10 PM
Name: KlatzkowJeff
Title: County Attorney,
Date: 9/1/2015 2:55:00 PM
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9/22/2015 16.E.8.
Name: PriceLen
Title: Department Head-Administrative Svc, Administrative Services Department
Date: 9/1/2015 5:07:12 PM
Name: KlatzkowJeff
Title: County Attorney,
Date: 9/4/2015 1:28:19 PM
Name: WellsLaura
Title: Management/Budget Analyst, Senior, Office of Management&Budget
Date: 9/8/2015 2:15:16 PM
Name: CasalanguidaNick
Title: Deputy County Manager, County Managers Office
Date: 9/8/2015 2:36:15 PM
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COLLIER COUNTY EMERGENCY SERVICES
MEDICAL DIRECTOR AGREEMENT --
THIS. MEDICAL DIRECTOR AGREEMENT made this ZSAAA day of
�elhtua- , 2014, by and between ROBERT BOYD TOBER, INC., hereinafter
referred to as MEDICAL DIRECTOR, and COLLIER COUNTY, FLORIDA, hereinafter
referred to as the COUNTY.
WITNESSETH:
WHEREAS, the COUNTY is responsible for emergency services in Collier County,
Florida;and
WHEREAS, Section 401.265, Florida Statutes, requires the COUNTY as a basic and
advanced life support service provider to employ a medical director;and
WHEREAS, ROBERT BOYD TOBER, M.D., is a duly licensed physician in the State
of Florida who is specially trained in the field of emergency medicine;and
WHEREAS,the COUNTY and the MEDICAL DIRECTOR are presently parties under a
Medical Consultant Contract, and wish to continue their relationship under the terms and
conditions set forth below.
NOW THEREFORE,in consideration of the promises and mutual covenants hereinafter
set forth,the parties hereto agree as follows:
ARTICLE 1-SERVICES
The MEDICAL DIRECTOR'S responsibility under this Agreement is to provide
professional services as Medical Director for COUNTY in accordance with Chapter 401,Florida
Statutes and Chapter 64-J-1,Florida Administrative Code,Rules of the Department of Health,as
more specifically set forth in the Scope of Work and specifications detailed in Article 3.
ARTICLE 2—SCHEDULE AND RENEWAL
The MEDICAL DIRECTOR shall commence services on the date first written above and
complete all services by two (2) years from date written above. This Agreement may be
renewed for up to three additional one (1) year terms by the Board of County Commissioners
based on satisfactory performance, mutual acceptance and determination that the contract is in
the best interest of the COUNTY. The MEDICAL DIRECTOR shall be given one hundred-
twenty days (120)notice of the COUNTY's intent to renew the contract or to allow the contract
to expire without renewal. Any renewal will be subject to appropriation of funds by the Board of
County Commissioners.
ARTICLE 3—SCOPE OF WORK
This Agreement is personal to Dr. Tober, and as such the duties set forth herein cannot be
delegated or assigned except as expressly permitted by Chapter 401, Florida Statutes and
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Chapter 64-J-1, Florida Administrative Code, Rules of the Department of Health or as otherwise
provided in this Agreement. Exhibit A outlines the specific scope of work and responsibilities of
the MEDICAL DIRECTOR.This does not limit duties to the following requirements,which may
be subject to revision/addition/deletion upon written agreement by both parties.
ARTICLE 4—PAYMENTS TO MEDICAL DIRECTOR
The COUNTY shall pay to the MEDICAL DIRECTOR the sum of seventy-five thousand
($75,000) per year, as full compensation for the services rendered herein and no other
compensation. The COUNTY will pay the cost of the professional liability insurance and
reasonable and necessary legal services as set forth below. The MEDICAL DIRECTOR shall
not be eligible for any employee benefits other than this compensation. This sum shall be paid to
the MEDICAL DIRECTOR in twelve (12) equal monthly payments commencing with the
effective date of the Agreement, with each monthly payment being payable by the 10th of each
month. On the date that general wage adjustments(i.e.,cost of living adjustments, special study
pay adjustments, etc.) are granted generally to COUNTY employee, the MEDICAL
DIRECTOR'S base salary shall be modified to reflect the general wage adjustment granted to
other COUNTY employees. In addition,on each annual anniversary date during the term of this
Agreement, including any renewal terms, the MEDICAL DIRECTOR will be entitled to a 5%
annual increase upon the written notification to County Manager fifteen (15) days prior to the
annual anniversary date and subsequent approval by the Board of County Commissioners, with
any increase to be retroactive to the first day after the annual anniversary date.
ARTICLE 5—REPORTING/ANNUAL CONTRACTOR EVALUATION
The MEDICAL DIRECTOR shall report to the County Manager or designee for the Atotiu
services as MEDICAL DIRECTOR as more specifically defined in this Exhibit A and as set
forth in Section 401.265,Florida Statutes.
The MEDICAL DIRECTOR will submit a contractor self-assessment along with
proposed goals for the next year on an annual basis to the County Manager or designee no later
than the first day of June. The County Manager or designee will review the MEDICAL
DIRECTOR's self-assessment and may request an independent evaluation and recommendations
from a Board authorized Advisory Board. Any performance issue will be taken to the Board of
County Commissioners. An updated contractor evaluation plan may be developed in good faith
between the MEDICAL DIRECTOR and the County Manager or designee and adopted prior to
October I"of each year for implementation in the next year.
ARTICLE 6—TERMINATION
This Agreement is subject to termination without cause by either party to this Agreement
upon sixty (60) days written notice. Such notice shall be forwarded by certified mail to the
addresses set forth in Article 19.
This Agreement is subject to immediate termination for cause in the event:
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(a) MEDICAL DIRECTOR fails or refuses to prosecute the Scope of Work or any severable
part, with the diligence that will insure its completion within the time specified by the
COUNTY;
(b) MEDICAL DIRECTOR violates law, ordinances,rules, regulations or any governmental
authority having jurisdiction;
(c) MEDICAL DIRECTOR materially breaches any of the provisions of this Agreement.
ARTICLE 7—AVAILABILITY OF FUNDS
The COUNTY'S performance and obligation to pay under this Agreement is contingent
upon an annual appropriation for its purpose by the Board of County Commissioners.
ARTICLE 8—INSURANCE
A. Coverage is afforded under the COUNTY'S SELF-INSURED RETENTION PLAN and
SPECIFIC EXCESS INSURANCE POLICY as follows:
SELF-INSURED RETENTION PLAN
$300,000 each occurrence
SPECIFIC EXCESS INSURANCE POLICY
$2,000,000 each occurrence combined single limit
Coverage is afforded to the MEDICAL DIRECTOR and DEPUTY MEDICAL
DIRECTOR by endorsement. Coverage for back-up physicians shall be subject to the
prior approval of the COUNTY's insurance underwriters.
B. Additional Malpractice Coverage shall also be afforded by the COUNTY hereunder as has
been historically provided by COUNTY to MEDICAL DIRECTOR for activities while
riding as crew member of EMS vehicle as required by this Agreement and by State Law.
C. The COUNTY reserves the right, but not the obligation, to purchase separate liability
insurance on behalf of the MEDICAL DIRECTOR, the Deputy Medical Director and back-
up physicians in lieu of providing the coverage as mentioned above. Such insurance will be
limited to those matters arising out of this Agreement.
D. The requirements contained herein are not intended to and shall not in any manner limit the
Liabilities and obligations assumed by the MEDICAL DIRECTOR under this Agreement.
ARTICLE 9—REMEDIES
This Agreement shall be governed by the laws of the State of Florida. Any and all legal
action necessary to enforce the Agreement shall be held in Collier County.
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ARTICLE 10—CONFLICT OF INTEREST
MEDICAL DIRECTOR shall at all times act in the COUNTY'S best interest.Nothing in
this Agreement shall be interpreted as preventing the MEDICAL DIRECTOR from operating
any other business or being similarly employed with any other emergency medical service which
is lawfully licensed by the COUNTY (within Collier County, Florida) and the State. However
the MEDICAL DIRECTOR shall not accept any employment or enter into any contractual
relationship which would create a conflict between such interest and the performance of its
duties hereunder. To that end, the MEDICAL DIRECTOR shall promptly notify the
COUNTY'S representative, in writing, by certified mail, of all other prospective employment,
business association, interest or other circumstance which MEDICAL DIRECTOR plans to
engage in throughout the term of this Agreement. Such written notification shall identify the
prospective business association,interest or circumstance,the nature of work that the MEDICAL
DIRECTOR may undertake and request an opinion of the COUNTY as to whether the
association, interest or circumstance would, in the opinion of the COUNTY, constitute a conflict
of interest if entered into by the MEDICAL DIRECTOR. The COUNTY agrees to notify the
MEDICAL DIRECTOR of its opinion by certified mail within thirty (30) days of receipt of
notification by the MEDICAL DIRECTOR. If in the opinion of the COUNTY, the prospective
business association, interest or circumstance would not constitute a conflict of interest by the
MEDICAL DIRECTOR, the COUNTY will so state in the notification and the MEDICAL
• DIRECTOR shall,at is option,enter into said association,interest or circumstance and it shall be
deemed not a conflict of interest with respect to services provided to the COUNTY by the
MEDICAL DIRECTOR under the terms of this Agreement.
Nothing in this Agreement shall be interpreted as preventing the MEDICAL DIRECTOR,
a contractual employee of the COUNTY, from being employed in any other capacity, including,
but not limited to the operation of a medical practice,the employment as a staff member of any
hospital, or the serving as a MEDICAL DIRECTOR for any other emergency medical service
which is lawfully licensed by the COUNTY (if located within Collier County) and the State.
Nor shall anything in this Agreement be interpreted as preventing the MEDICAL DIRECTOR
from continuing with any employment or other work in which he was already engaged at the
time this Agreement was entered, which employment or work includes without limitation
employment and work with NCH,The Wound Care Center and The Neighborhood Clinic.
ARTICLE 11 —DISCLOSURE AND OWNERSHIP OF DOCUMENTS
The MEDICAL DIRECTOR shall deliver to the COUNTY'S representative for approval
and acceptance, and before being eligible for final payment of any amounts due, all documents
and materials prepared by and for the COUNTY under this Agreement.
The COUNTY and the MEDICAL DIRECTOR shall comply with the provisions of
Chapter 119, Florida Statutes (Public Records Law), HIPAA, HITECH, HIPAA Regulations,
and any other applicable law relating to records and/or confidentiality of records. To that end,
MEDICAL DIRECTOR shall execute the COUNTY's standard Business Associate Agreement.
All covenants, agreements, representations and warranties made herein, or otherwise
made in writing by any party pursuant hereto, including but not Iimited to any representations
made herein relating to disclosure or ownership of documents, shall survive the execution and
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delivery of this Agreement and the consummation of the transactions contemplated hereby.
ARTICLE 12—INDEPENDENT CONTRACTOR RELATIONSHIP
•
The MEDICAL DIRECTOR is,and shall be,in the performance of all work services and
activities under this Agreement, an Independent Contractor, and not an employee, or servant of
the COUNTY. All persons engaged in any of the work or services performed pursuant to this
Agreement shall at all times, and in all places,be subject to the MEDICAL DIRECTOR'S sole
direction, supervision, and control, The MEDICAL DIRECTOR shall exercise control over the
means and manner in which it and its employees, agents, subcontractors, Deputy Medical
Director and back-up physicians perform the work, and in all respects the MEDICAL
DIRECTOR'S relationship,and the relationship of its employees,agents,subcontractors,Deputy
Medical Director and back-up physicians, to the COUNTY shall be that of an Independent
Contractor and not as employees or agents of the COUNTY. The MEDICAL DIRECTOR, the
Deputy Medical Director and all back-up physicians shall comply with all COUNTY policies
concerning conduct and security when performing services hereunder. The MEDICAL
DIRECTOR does not have the power or authority to bind the COUNTY in any promise,
agreement or representation other than specifically provided for in this Agreement.
ARTICLE 13—LEGAL EXPENSES OF THE MEDICAL DIRECTOR
The County agrees to reimburse the MEDICAL DIRECTOR for any reasonable legal
expenses and costs incurred by the MEDICAL DIRECTOR in the performance of his duties or
resulting from his holding of the Medical Director's position and title, including without
limitation expenses and costs associated with legal opinions or assistance needed in the
interpretation, application and compliance with statutes, ordinances and administrative
regulations,e.g.,Chapter 401,Chapter 119 and F.A.C. 64-5-1,and litigation expenses.
ARTICLE 14—ENFORCEMENT COSTS
If any legal action or other proceeding is brought for the enforcement of this Agreement,
or because of an alleged dispute, breach, default or misrepresentation in connection with any
provisions of this Agreement,each party shall bear its own attorney's fees and costs.
ARTICLE 15—AUTHORITY TO PRACTICE
The MEDICAL DIRECTOR hereby represents and warrants that he has and will continue
to maintain all licenses and approvals required to conduct his business, and that he will at all
times conduct his business activities in a reputable manner. Proof of such licenses and approvals
shall be submitted to the County Manager of designee upon request. The MEDICAL
DIRECTOR further represents and warrants that he will continue to maintain the requisite
qualifications, knowledge and experience required of a medical director by Section 401.265,
Florida Statutes and Rule 645-1.004,F.A.C.,and any other applicable laws and regulations.
ARTICLE 16—SEVERABILITY
If any term or provisions of this Agreement, or the application thereof to any person or
circumstances shall, to any extent, be held invalid or unenforceable, the remainder of this
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Agreement,or the application of such terms or provisions to persons or circumstances other than
those as to which it is held invalid or unenforceable, shall not be affected, and every other term
and provision of this Agreement shall be deemed valid and enforceable to the extent permitted
by law.
ARTICLE 17—ENTIRETY OF CONTRACTUAL AGREEMENT
The COUNTY and the MEDICAL DIRECTOR agree that this Agreement sets forth the
entire agreement between the parties,and that there are no promises or understandings other than
those stated herein. None of the provisions, terms and conditions contained in this Agreement
may be added to, modified, superseded or otherwise altered, except by written instrument
executed by the parties hereto.
ARTICLE 18—MODIFICATIONS OF WORK
The COUNTY reserves the right to make changes in the Medical Director's Exhibit A
Scope of Work, including alterations, reductions therein or additions thereto. Upon receipt by
the MEDICAL DIRECTOR of the COUNTY'S notification of a contemplated change, the
MEDICAL DIRECTOR shall, in writing: (1) provide a detailed estimate for the increase or
decrease in cost due to the contemplated change, (2) notify the COUNTY of any estimated
change in the completion date, and (3) advise the COUNTY if the contemplated change shall
affect the MEDICAL DIRECTOR'S ability to meet the completion dates or schedules of this
Agreement.
If the COUNTY so instructs in writing, the MEDICAL DIRECTOR shall suspend work
on that portion of his duties affected by a contemplated change, pending the COUNTY'S
decision to proceed with the change.
If the COUNTY elects to make the change, the COUNTY shall initiate an Agreement
Amendment and the MEDICAL DIRECTOR shall not commence work on any such change until
such written amendment is signed by the MEDICAL DIRECTOR and approved and executed by
the COUNTY Board of County Commissioners.
ARTICLE 19—NOTICE
All notices required in this Agreement shall be sent by certified mail, return receipt requested,
and if sent to the COUNTY'S representative shall be mailed to:
Leo E.Ochs,Jr.,County Manager
3299 East Tamiami Trail,Suite 202
Naples,FL 34112
And if sent to the MEDICAL DIRECTOR shall be mailed to:
ROBERT BOYD TOBER, INC.
Collier County Emergency Medical Services
8075 Lely Cultural Parkway,Suite 267
Naples, FL 34113
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ARTICLE 20—REGULATIONS;LICENSING REQUIREMENTS
The MEDICAL DIRECTOR shall comply with all laws, ordinances and regulations
applicable to the services contemplated herein,to include those applicable to conflict of interest
and collusion. MEDICAL DIRECTOR is presumed to be familiar with all federal, state and
local laws, ordinances, codes and regulations that may in any way affect the services offered.
MEDICAL DIRECTOR shall keep all required licenses and corporate records current throughout
the term of this Agreement,and shall on request provide proof thereof.
IN WITNESS WHEREOF, the Board of County Commissioners of Collier County,
Florida, has made and executed this Agreement on behalf of the COUNTY and MEDICAL
DIRECTOR has hereunto set its hand the day and year above written.
ATTEST: BOARD OF COUN COMMISSIONERS
DWIGHT E. BROCK,Clerk COLLIER '•UN ,/I LORIDA
By: _lam- �i R c . By: O�� �.
i �De u Clerk • •M HENNING,C ' •
atf�t�s.t� , ,�,, s„ p ri y
signature onl , ,z .:' . ti
WITNESS:•;at''' ROBERT BOYD TOBER,INC.
Print Name: Max y gL i / /2a45
By: Vri::/ . t1k
/i,.,, 1...,401" A_ ;•�, Robert Boyd Tober,Preside1nt C
Of
Print N•' e:
Approili • 'i Tril
and legality:
Jeffrey A.,,. a :' ow
County A ,
i
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Exhibit A
Scope of Work
A. Attend at least once quarterly a scheduled emergency medical services meeting where
discussions will involve patient care, quality, mandated Paramedic and EMT training,
Paramedic requirements, addition or deletion of equipment available to Paramedics and
EMT's. Ample notice for all such meeting will be supplied by the County Manager or
designee.
B. Except during scheduled vacations or personal emergencies, when the Deputy Medical
Director or other approved back-up physician shall be available via radio or telephone
communication on a 24 hour a day, 7 day per week basis for on line medical control.
Notwithstanding anything to the contrary contained herein,MEDICAL DIRECTOR may use
reasonable discretion in determining the appropriateness of his response to calls.
C. MEDICAL DIRECTOR shall ride as a crew member on an EMS vehicle a minimum of ten
(10) hours annually or as otherwise expressly required by state law to evaluate the skills and
maintain a working relationship with EMT's, assigned Paramedics, and probationary
Paramedics.
D. As part of the quality assurance committee, MEDICAL DIRECTOR shall assist the
COUNTY with obtaining patient outcome information from local hospitals.
E. MEDICAL DIRECTOR shall participate in regular Quality Assurance meetings with
Dispatch personnel.
Alk
F. MEDICAL DIRECTOR shall review and participate in the development of the Dispatch
Protocols followed by COUNTY EMS.
G. MEDICAL DIRECTOR shall participate in and direct EMS Advanced Cardiac Life Support
(ACLS) classes, and shall assist the County and EMS Chief in arranging additional training
to meet the needs of the community and the standards of care for the industry. The
MEDICAL DIRECTOR shall, upon request of the County Manager or designee, evaluate
COUNTY EMT's and Paramedical personnel during training exercises. MEDICAL
DIRECTOR shall review and approve the content of EMS training for medical correctness at
the request of the County Manager or designee.
H. MEDICAL DIRECTOR shall be physically present in the COUNTY EMS Administrative
Offices on as needed basis; in order to confer with the EMS Chief and other designated staff.
All official meetings attended by the MEDICAL DIRECTOR which have been approved by
the EMS Chief, will be recognized as part of the normal job duties of MEDICAL
DIRECTOR.
I. As required under Chapter 401, Florida Statutes, and Chapter 64J-1, F.A.C., MEDICAL
DIRECTOR shall develop,review and authorize use of ALS and BLS protocols which allow
personnel to properly manage medical emergencies. Such protocols shall be specific in
nature and shall provide for managing immediately life-threatening medical emergencies. As
required by Section 401.265, Florida Statutes, and Rule 64J-1.004, F.A.C, the MEDICAL
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DIRECTOR shall supervise and assume direct responsibility for the medical performance of
• all EMT's and paramedics operating for COUNTY EMS, including both ground and aero
medical personnel. MEDICAL DIRECTOR shall develop any other protocols as required by
Chapter 401, Florida Statutes,or Chapter 64J-1,F.A.C.,as they may be amended from time
to time.
J. MEDICAL DIRECTOR shall supervise the implementation and maintenance of a quality
assurance program as required by Section 401.265, Florida Statutes and Rule 64J-1.004
F.A.C.,to include spot-checking medical reports for completion and correctness. The quality
assurance program must cover dispatch,field paramedics,EMT's and Flight Medics.
K. MEDICAL DIRECTOR shall review and provide written affirmation of recertification
training of COUNTY EMS EMT and Paramedic personnel in accordance with Section
401.2715(3),Florida Statutes.
It is understood and agreed between the parties to this Agreement that all of the legal duties
and responsibilities of a medical director as set forth in Chapter 401,Florida Statutes, Rule
64J-1.004 FA.C., and any other applicable laws and regulations, shall remain with the
MEDICAL DIRECTOR at all times except during scheduled vacations or personal
emergencies, when the Deputy Medical Director or other approved back-up physician shall
be available pursuant to and in accordance with Article 3,Paragraph M.
L. MEDICAL DIRECTOR shall provide the County Manager or designee with a quarterly
report generally describing activities performed, with reference to the requirements of this
Agreement. COUNTY shall provide administrative support in order for the MEDICAL
DIRECTOR to meet the obligations of this paragraph. Back-up physicians may be used in
lieu of the MEDICAL DIRECTOR and/or Deputy Medical Director upon approval of the
County Manager or designee. Back-up physicians, when used, shall meet all of the
qualifications for a medical director as set forth in Section 401.265, Florida Statutes, and
shall be at no additional cost to the COUNTY.
M. MEDICAL DIRECTOR will coordinate the provision of coverage at all times not available
during the term of this Agreement; during such times, backup coverage may include the
Deputy Medical Director or an approved back-up physician.
N. MEDICAL DIRECTOR shall perform all other services required of a medical director, and
assume all legal duties and responsibilities of a medical director,as provided by Section 401,
Florida Statutes, Chapter 64J-1 F.A.C., and any other applicable laws and regulations, all as
may be amended from time to time.
O. Medical Director shall be available for consultation with the Director of Emergency
Management during activations of the County's Emergency Operations Center or eminent
emergency situation to assist in a public health emergency, disaster, pandemic, or mass
medical event. Such efforts shall be in coordination with the Public Health Director and not
in conflict with public health statutory authority.
P. Medical Director shall receive prior approval from the County Manager or designee
preceding any COUNTY communication with the media.
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