Loading...
Agenda 04/09/2013 Item #10A 011,4: 4/9/2013 10.A. • • RY.1Nf1. pUN1 Board of Collier County Commissioners Donna Fiala Georgia A. Hiller, Esq. Tom Henning Fred W.Coyle Tim Nance District 1 District 2 District 3 District 4 District 5 MEMORANDUM Date: March 18, 2013 To: Leo Ochs From: Fred W. Coyle Re: Reconsideration of Item 10H from 3.12.13 BCC Meeting The Board of County Commissioners, while convened on March 12, 2013, discussed Item 10H : Recommendation that the Board of County Commissioners direct staff to prepare solicitations for the post of County Medical Director and Deputy County Medical Director; that the positions of County Medical Director and Deputy County Medical Director be posted to accept applications by April 1, 2013; further, that staff bring back the slate of all applications received for the board's review and consideration by the first board meeting in May, 2013. The solicitation for the position of County Medical Director shall provide that the applicant shall not be affiliated directly, nor indirectly, with any local hospital, or, in the alternative, must be affiliated with all local hospitals. The County Medical Director approves the county's emergency service protocols and as such all conflicts of interest in appearance and in fact must be avoided for ethical and legal reasons. I would like to bring Item 10H back for reconsideration at the April 9, 2013 BCC meeting. Thank you. Fred W. Coyle Commissioner, District 4 FWC/kjb 3299 Tamiami Trail East,Suite 303•Naples,Florida 34112-5746.239-252-6097•FAX 239-252-3602 Packet Page-20- 4/9/2013 10.A. 3/12/2013 10.H. EXECUTIVE SUMMARY Recommendation that the Board of County Commissioners direct staff to prepare solicitations for the post of County Medical Director and Deputy County Medical Director; that the positions of County Medical Director and Deputy County Medical Director be posted to accept applications by April 1,2013; further, that staff bring back the slate of all applications received for the board's review and consideration by the first board meeting in May, 2013. The solicitation for the position of County Medical Director shall provide that the applicant shall not be affiliated directly,nor indirectly with any local hospital. The County Medical Director approves the county's emergency service protocols and as such all conflicts of interest in appearance and in fact must be avoided for ethical and legal reasons. OBJECTIVE: That the Board of County Commissioners direct staff to prepare solicitations for the post of County Medical Director and Deputy County Medical Director; that the positions of County Medical Director and Deputy County Medical Director be posted to accept applications by April 1, 2013; further, that staff bring back the slate of all applications received for the board's review and consideration by the first board meeting in May, 2013. The solicitation for the position of County Medical Director shall provide that the applicant shall not be affiliated directly, nor indirectly with any local hospital. The County Medical Director approves the county's emergency service protocols and as such all conflicts of interest in appearance and in fact must be avoided for ethical and legal reasons. CONSIDERATIONS: The Board of County Commissioners owes the community the duty to ensure that it is staffing the county at the administrative leadership level with the best and brightest. The board further owes the community the assurance that the staffing of leadership positions within the county's top administration is such that the individuals selected have no conflicts of interest in appearance or in fact, to ensure that the decisions made by such individuals doesn't unfairly inure to the benefit or detriment of any special interest or the public in general. As such, the board in good conscience shall post the position of County Medical Director and Deputy County Medical Director to seek applicants that can provide the highest level of emergency service leadership, and in the case of the County Medical Director, (the decision maker as to county emergency service protocols), that there be no conflicts of interest. Such conflicts of interest are avoided by requiring the County Medical Director be completely independent of any local hospital. FISCAL IMPACT: None LEGAL CONSIDERATIONS: This item has been approved by the County Attorney and raises no legal issues at this time. Dr. Tober's contractual issues will be addressed at such time, if any, the Board elects to retain a different County Medical Director. This item requires majority vote for approval. -JAK RECOMMENDATION: Recommendation that the Board of County Commissioners direct staff to prepare solicitations for the post of County Medical Director and Deputy County Medical Packet Page-586- Packet Page-21- 4/9/2013 10.A. 3/12/2013 10.H. Director; that the positions of County Medical Director and Deputy County Medical Director be posted to accept applications by April 1, 2013; further, that staff bring back the slate of all applications received for the board's review and consideration by the first board meeting in May, 2013. The solicitation for the position of County Medical Director shall provide that the applicant shall not be affiliated directly, nor indirectly with any local hospital. The County Medical Director approves the county's emergency service protocols and as such all conflicts of interest in appearance and in fact must be avoided for ethical and legal reasons. PREPARED BY: Commissioner Georgia Hiller,Chair-District 2 Attachments-County Medical Director Contract Packet Page-587- Packet Page-22- 4/9/2013 10.A. - 3/12/2013 10.H. • COLLIER COUNTY EMERGENCY SERVICES MEDICAL CONSULTANT CONTRACT THIS MEDICAL CONSULTING CONTRACT made this .// day of Sc prke yt.W.,2001 by and between ROBERT BOYD TOBER/INC-,hereinafter referred to as Consultant,and COLLIER COUNTY,FLORIDA,hereinafter referred to as the County. • WTTNESSETfl WHEREAS, the County is responsible for emergency services in COLLIER COUNTY, Florida;and WHEREAS,Emergency Medical Services, (hereinafter-EMS"),are a logical extension of existing health cam services performed by the County in the above described geographic area and WHEREAS,Consultant ROBERT TOBER,M.D.,a duly licensed physician in the State of Florida who is specially trained in the field of emergency medicine;and WHEREAS, the County and Consultant have previously entered into a Medical Consulting Contract dated June 18, 1996 which provides for automatic renewal pursuant to certain conditions; and WHEREAS, said conditions have been met for renewal of the contract and the parties hereto manifest their mutual desire to renew same with certain changes contained herein;and NOW THEREFORE, in consideration of the promises and the mutual covenants hereinafter set forth, the parties hereto agree as follows: 1. LICENSE; ROBERT TOBER, M.D. is at the present time a duly licensed physician in the State of Florida and he has agreed to maintain his license in full farce and effect during the term of this contract. If for any reason during the term of this Contract,the County no longer contracts with DR. TOBER, or if DR. TOBER should lose his license to practice medicine, this contract shall immediately become null and void. Packet Page-589- Packet Page-23- 4/9/2013 10.A. 3/12/2013 10.H. 2. GENERAL DUTIES; Consultant shall be an independent contractor and shall be directly responsible to the Division Administrator of the Emergency Services Division for the performances of services as Medical Director as more specifically defined in this agreement and as set forth in Section 401.265, Florida Statutes. The Consultant shall be responsible for the implementation of such planning and coordination as may be necessary to deliver advanced life support by Paramedics (including EMS and Fire District personnel) trained to the level of advanced and basic medical technicians, which may require intravenous administration of emergency resuscitative drugs and the performance of sophisticated technical emergency procedures. 3. TERM OF CONTRACT: The initial term of this contract shall be from October 1, 2000 to September 30, 2001. The parties agree that the term of the Contract shall be automatically renewed on a yearly basis from October 1, through September 30 with the same terms,conditions and obligations as set forth herein,unless terminated by County upon sixty(60) days written notice to Consultant. 4. COMPENSATION: The County shall pay to the Consultant the sum of $50,000 per annum, as full compensation for the services rendered herein and no other compensation. The County will pay the cost of the professional liability insurance. The Medical Director shall not be eligible for any employee benefits other than this compensation. This sum shall be paid to the Consultant in twelve (12) equal monthly payments commencing with the effective date of the Contract, with each monthly payment being payable by the 10th of each month. The Consultant will be entitled to a 5% annual increase beginning October 1,2001 upon written notification by the Emergency Services Administrator by September 15'" of each year, beginning on September 15,2001,and upon approval by the Board of County Commissioners. 5. PATIENT RECORDS: The County shall make available, within two days of request, any and all medical records, reports,documents and other relevant materials,including 9 Packet Page-590- Packet Page-24- 4/9/2013 10.A. 3/12/2013 10.H. audio and visual tapes requested by the Consultant. This includes all run reports, medical test results,recordings on tape and any other reasonably available sirnilarinformation. 6. CONFIDENTIAL COMMUNICATIONS: Except as may be provided by general law, the County agrees to keep all medical records confidential and allow no communication of records or patient information without a written release from the patient or the Consultant. 7. REPORT; The County agrees to give the Consultant full and detailed reports regarding any case which it reasonably believes has the potential for legal action against the County or its employees pertaining to EMS. 8. DISCIPLINARY ACTIONS: The County agrees to give the Consultant a full written report of any and all Emergency Medical Services personnel who are known to have violated any standing or verbal orders. Consultant shall be given full support for removal of any program participant as provided for in State regulations governing Advanced Life Support Providers. 9. DUTIES AND RESPONSI$ILITIES OF THE CONSULTANT: a. He shall be from a broad-based medical specialty such as emergency medicine, internal medicine,anesthesiology,'or other surgical specialty,with demonstrated experience in plc-hospital care and hold an ACLS certificate of successful course completion or be board certified in emergency medicine. b.He shall demonstrate and have available for review documentation of active participation in a regional or statewide physician group involved in pea-hospital care. c. He shall supervise and accept direct responsibility for the medical performance of the paramedics working for Collier County EMS. d. He shall develop medically correct standing orders or protocols relating to life support system procedures when communication cannot be established with a • 3 Packet Page-591- Packet Page-25- 4/9/2013 10.A. 3/12/2013 10.H. • supervising physician or when any delay in patient care would potentially threaten the life or health of the patient. e. He shall issue standing orders and protocols to Collier County EMS to ensure that it transports each of its patients to facilities that offer a type and level of care appropriate to the patient's medical condition if available within the service region. 1. He or his appointee "shall provide continuous 24-hour-per-day. 7-day-per-week medical direction which shall include,in addition to the development of protocols and standing orders, direction to Collier County EMS personnel as to the availability of "off-line" service to resolve problems, system conflicts, and provide services in an emergency as that term is defined by section 252.34(3),Florida Statutes. g. He shall establish a quality assurance committee to provide for quality assurance review of all paramedics operating under his supervision. h. He shall audit the performance of system personnel by use of a quality assurance program that includes but is not limited to a prompt review of patient care records, direct observation, and comparison of performance standards for drugs, equipment, system protocols and procedures. He shall be responsible for participating in quality assurance programs that may be developed by the department. i. He shall ensure and certify that security procedures of the Collier County EMS for medications,fluids and controlled substances are in compliance with chapters 401, 499 and 893, Florida Statures, and chapter 10D-45 of the Florida Administrative Code. j. He shall create, authorize and ensure adherence to, detailed written operating procedures regarding all aspects of the handling of medications, fluids and controlled substances by the EMS personnel and comply with all requirements of chapters 401, 499 and 893,Florida Statutes. 4 Packet Page-592- Packet Page-26- 4/9/2013 10.A. 3/12/2013 10.H. k. He shall notify the Florida Department of Health,(hereinafter the"Department") in writing when the use of telemetry is not necessary. 1. He shall notify the department in writing of each substitution by Collier County EMS of equipment or medication. m. He shall assume direct responsibility for the use by a Collier County paramedic of an automatic or semi-automatic defibrillator and the performance of esophageal intubation, and on routine interfacility transports, the monitoring and maintenance of non-medicated I.V.s, He shall ensure that the paramedic is trained to perform these procedures; shall establish written protocols for the performance of these procedures; and shall provide written evidence to the department documenting compliance with the provisions of this paragraph. n. He shall ensure that all paramedics are trained in the use of the trauma scorecard methodologies as provided in sections 64E-2.017 of the F.A.C.,for adult trauma patients and 64E-2.0175,F.A.C..for pediatric trauma patients. o. He shall participate as a crewmember on an EMS vehicle for a minimum of 10 hours per year and complete a minimum of 10 hours per year of continuing medical education related to pre-hospital care Or teaching or a combination of both. p. He shall ensure that all Collier County paramedics have all proper certifications and receive all training necessary to maintain their certification. 10. ADDITIONAL DUTIES: Consultant shall also be responsible for assisting in the following additional duties: a. Consultation in the planning for Emergency Medical Services Department to be provided by the County, including the design of vehicles, equipment, supplies, distribution resources, emergency medical services personnel ,training and medical policy,protocol,planning and development. Packet Page-593- Packet Page-27- 4/9/2013 10.A. 3/12/2013 10.H. • b. Consultation in the coordination of training of paramedical personnel, including the determination of training criteria for certification. c. Organizing, coordinating and participating as an instructor in the in-service education programs and quality control of the patient care in day-to-day delivery of emergency medical services by the County. d.' Serving as a liaison between the County and the appropriate cottrntunity hospitals, medical societies,practicing physicians and training facilities in the area. e. Providing such assistance as may be required in the preparation and administration of any grant programs for the establishment and improvement of the system. f. All duties outlined in Rule 64-E Florida Administrative Code for Emergency Medical Services Medical Director that are not specifically set forth herein and as may be changed from time to time by the department.. g. He shall keep adequate records and supporting documentation, which concern or reflect his services under this Contract. h. Consultant represents that it presently has no interest and shall acquire no interest, either direct or indirect, which would conflict in any manner with the performance of services required hereunder. 11. LIABILITY AND REMEDIES IN BREACH OF CONTRACTS: It is recognized that the provision of advanced life support services requires that the County have a Medical Director. Accordingly,the Consultant shall not refuse to perform these services during the terms of this Contract so tong as it is able to so perform, and the County shall have the right to specific performance of the provisions of this contract. In addition, the Consultant shall be liable to the County for his unreasonable failure or refusal to perform the services required hereunder. Naw- B Packet Page-594- _.__.__.. _ Packet Page-28- 4/9/2013 10.A. 3/12/2013 10.H. No modification,or change in this Agreement shall be valid or binding upon the parties, unless in writing,and executed by the party or parties intended to be bound by it. Unless otherwise specified,the laws,rules and regulations of the State of Florida shall govern this Agreement. Any suit or action brought by either party to this.Agreement against the other patty relating to or arising out of this Agreement must be brought in the appropriate Florida State Court in Collier County,Florida. 12. CONFLICTING EMPLOYMENT OR CONTRACTUAL.RELATIONSHIP; Nothing in this Contract shall be interpreted as preventing the Consultant from operating any other business or being similarly employed with any other emergency medical service that is lawfully licensed by the County(within Collier County,Florida)and the State. However the Consultant shall not accept any employment or enter into any contractual relationship that would create a conflict between such interest and the performance of its duties hereunder. Nothing in this Contract shall be Interpreted as preventing the Consultant, 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. 13. SUCCESSOR: The Contract shall be binding upon the successors of the County. This Contract shall not be assignable by the Consultant. 14. TERMINATION: This Contract may be terminated by either party, with or without cause, upon sixty (60) days written notice to the other party of such party's intention to terminate the Contract. 15. PRO-RATIONS UPON TERMINATION: In the event of the termination of this Contract,the Consultant's compensation due under Paragraph 4 shall be prorated on the basis T Packet Page-595- Packet Page-29- 4/9/2013 10.A. 3/12/2013 10.H. of the number of days elapsed from the effective date of the Contract,divided by three hundred sixty-five (365). 16. MANUALS: All manuals of procedure and instructional material, which are created or prepared by the Consultant,shall be and remain the property of the Consultant. 17. ADDITIONAL LICENSESt Consultant agrees to obtain and maintain throughout the period of this Agreement, all such licenses as are required to do business by the Consultant in the State of Florida and in Collier County,Florida,including,but not limited to,all licenses required by any State Boards or other Governmental agencies responsible for regulating and licensing the professional services to be provided and performed by the Consultant,pursuant to this Agreement. 18. INSURANCE The County shall, pay for, and maintain,during the Iife of this agreement, professional liability insurance. Collier County shall be named as an additional insured on the certificate of insurance for the policy. B Packet Page-596- Packet Page-30- 4/9/2013 10.A. 3/12/2013 10.H. IN WITNESS WHEREOF, the parties have executed this agreement as of the date first written above. ATTEST. 4 4'. • . • ryWtGHT E.B toCK,CLERK BOARD OF COUNTY COMMISSIONERS of Courts OF COLLIER COUNTY,FLORIDA ll• . Chairman f JAMES ',TARTER,Ph.D., r l'MAN H. to 's 9—ft—O f signet only. Witness ROBERT BOYD TOBER,INC. BY: fir" l rai_1—_____ ROBERT BOYD TOBER.,PRESIDENT Approved as to form and Legal Sufficiency: • • a-•14.1..C•24.'.. c:. 414:41 Z52•C4.-- CQUELINE HUBBARD ROBINSON ssistant County Attorney H/lackieJEMS CoovacJrober Medical Conrad 2100 Revised - • • 9 Packet Page-597- Packet Page-31- 4/9/2013 10.A. • 3/12/2013 10.H. !3.0 - - • 16K2 FIRST AMENDMENT TO COLLIER COUNTY EMERGENCY SERVICES ,.• MEDICAL CONSULTANT CONTRACT This First Amendment to the Collier County Emergency Services Medical Consultant Contract("Amendment") is made this 14th day of October,2008,by and between Robert Boyd Tober,lac.("Consultant"),and Collier County,Florida("County"). WHEREAS, by agreement dated September 1, 2001, the parties entered into a Collier County Emergency Services Medical Consultant Contract ("Agreement"), a copy of which is attached to this Amendment;and WHEREAS, at a regularly noticed public meeting on September 23,2008,the Board of County Commissioners directed that the Agreement be amended to authorize the Consultant to be directly responsible to the Board of County Commissioners;and WHEREAS, the parties believe that such an amendment is in the interest of health, safety and welfare of the citizens of the County. NOW, THEREFORE, the parties hereby amend Paragraph 2 of the Agreement as follows: "Consultant shall be an independent contractor and shall be directly responsible to the `' . _ _._• Board of County Commissioners of Collier County, Florida for the performances of services as Medical Director as more specifically defined in this agreement and as set forth in Section 401,Florida Statutes..." Except as specifically set forth herein, all other terms and conditions of the Agreement remain in full force and effect. IN WITNESS THEREOF, the parties have executed this First Amendment to the Agreement as of the date first written above. Page 1 of 2 ��� 1.0 / /d{ ' =rl.3cic:. Packet Page-598- Packet Page-32- 4/9/2013 10.A. 3/12/2013 10.H. • 16K2 • ROBERT BOYD TOBER,INC. By: 421 ,4.4 ���1.��.. -� g1a,4>7 ROBERT BOYD TOBER,PRESIDENT �1 BOARD OF COUNTY COMMISSIONERS pvK3HT.E, RICK,CLERK OF COLLIER OUNTY FLORIDA•i._._' 4," r,. L, Z By. .. • , ,Deputy Clerk TOM - NNIN ,CHAIRM Approval as to form and legal sufficiency: Jeffrey A K kow +1")-- County Attorney 08-COA-00127/2 Uem g *cup Data Page 2 of 2 • Packet Page-599- Packet Page-33- 4/9/2013 10.A. ---- 3/12/2013 10.H. 16E SECOND AMENDMENT TO COWER COUNTY EMERGENCY SERVICES MEDICAL CONSULTANT CONTRACT This Second Amendment to the Collier County Emergency Services Medical Consultant Contract("Amendment")Is made this Z1/4, lday of Ib1,9y , 2009, by and between Robert Boyd Tober,Inc.("Consultant")and Collier Countty,Florida("County"). WHEREAS, by Agreement dated September 1, 2001, the parties entered into a Collier County Emergency Services Medical Consultant Contract ("Agreement"), a copy of which is incorporated herein by reference;and NOW, THEREFORE, the parties hereby amend the Agreement to add Item 19, EXPENSES,as follows: 19. EXPENSES. County shall pay expenses for Dr.Tober,and/or his assistant related to County business, to include, but not be limited to, mailings, office supplies, training, education, seminars, lodging (actual cost of lodging at single occupancy rate with a cap of no more than $150.00 per night), air travel (actual ticket cost limited to tourist or coach class fare), and rental car(actual rental cost limited to compact or standard-size vehicles). Except as specifically set forth herein, all other terms and conditions of the Agreement remain in full force and effect. IN WITNESS WHEREOF,the parties have executed this Second Amendment to the Agreement as of the date first written above. CONSULTANT: TW• t' TNESSES: ROBERT BOYD TBER,MC-0' �.� dl �L . A By: Robert Boyd Tober,President Type/Print Name SESX>I ITNESS �.6L Type/Print Name Packet Page-600- Packet Page-34- 4/9/2013 10.A. • • • 3/12/2013 10.H. 16E 9 Date: Mac, 2�� z_ccy OWNER: ATTEST: BOARD OF COUNTY COMMISSIONERS OF DWIGHT E.,NC±¢i"o COLLIER COUNTY FLORIDA CLERK OCCOURTS• '• •- By , ..��.._Dated _ - ifdq'ti•i BY: fSgAL) 'V Donna Fiala,Chairman *Mtn itiAbilliikam s s$ylisti re Oki Approved As To Form a d L al Sufficiency: D AseirAast County Attorney Print Name: .54.71"1 7lic.Ll Packet Page-601- Packet Page-35- 4/9/2013 10.A. - - 3!12/2013 10 1 J 'F'111 THIRD AMENDMENT TO COLLIER COUNTY EMERGENCY SERVICES MEDICAL CONSULTANT CONTRACT THIS THIRD AMENDMENT to the Collier County Emergency Services Medical Consultant Contract is made this 13th day of November, 2012, by and between Robert Boyd Taber,Inc.("Consultant"),and Collier County,Florida("County"). WHEREAS, by agreement dated September 1, 2001, the parties entered into a Collier County Emergency Services Medical Consultant Contract, a copy of which is attached hereto, together with the First Amendment dated October 14, 2008, and the Second Amendment dated May 26,2009(collectively referred to as the"Agreement");and WHEREAS, at a regularly noticed public meeting on October 9, 2012, the Board of County Commissioners directed that the Agreement be amended to provide for annual performance evaluations;and WHEREAS, certain clarifications are recommended as it relates to compensation upon termination;and WHEREAS,the parties believe that such amendments are in the interest of health,safety and welfare of the citizens of the County. NOW, THEREFORE, IN CONSIDERATION of the mutual promises and for other good and valuable consideration,the receipt and sufficiency of which are acknowledged by the parties,it is agreed that: 1. Paragraph 15 of the Agreement is hereby amended as follows: 15. PRO RATIOONS T PON T E I14 wTION COMPENSATION UPON TERMINATION: In the event of the termination of this Contract,the ' ' Consultant shall be paid only for services rendered in accordance with this Contract. Compensation due for any partial month's services will be at a daily rate determined by dividinz the annual contract rate by three hundred sixty- five(365). 2. Paragraph 20 is hereby added to the Agreement as follows: Words Struek Through are deleted;Words linclalkesl are added Packet Page-602- Packet Page-36- 4/9/2013 10.A. 3/12/2013 10.H. I. 11V 'F.141 THIRD AMENDMENT TO COLLIER COUNTY EMERGENCY SERVICES MEDICAL CONSULTANT CONTRACT THIS THIRD AMENDMENT to the Collier County Emergency Services Medical Consultant Contract is made this 13th day of November, 2012., by and between Robert Boyd Tober,Inc.("Consultant"),and Collier County,Florida("County"). WHEREAS, by agreement dated September 1, 2001, the parties entered into a Collier County Emergency Services Medical Consultant Contract, a copy of which is attached hereto, together with the First Amendment dated October 14, 2008, and the Second Amendment dated May 26,2009(collectively referred to as the"Agreement");and WHEREAS, at a regularly noticed public meeting on October 9, 2012, the Board of County Commissioners directed that the Agreement be amended to provide for annual performance evaluations;and WHEREAS, certain clarifications are recommended as it relates to compensation upon termination;and WHEREAS,the parties believe that such amendments are in the interest of health,safety and welfare of the citizens of the County. NOW, THEREFORE, IN CONSIDERATION of the mutual promises and for other good and valuable consideration,the receipt and sufficiency of which are acknowledged by the parties,it is agreed that: 1. Paragraph 15 of the Agreement is hereby amended as follows: 15. ;R F TION8 UPGN TERM4NATIOON COMPENSATION UPON TERMINATIQN: In the event of the termination of this Contract,the ' Consultant shall be paid only for services rendered in accordance with this Contract. Compensation due for any partial month's services will be at a daily rate determined by diYidine the annual contract rate by three hundred sixty- five(365). 2. Paragraph 20 is hereby added to the Agreement as follows: Words are deleted;Words'laggard are added Packet Page-602- Packet Page-37- 4/9/2013 10.A. ._ .. ..... . . 3/12/2013 10.H. N. ANNUAL PERFORMANCE EVALUATION The Consultant will prepare a performance self-assessment alone with proposed goals for the next year on an annual basis and submit this evaluation to the Public Safety Authority (PSA) no later than the first day of June. The PSA will review the Consultant's self- assessment and will make an independent performance evaluation and recommendations, which the PSA will forward to the Board of County Commissioners no later than the first day of July. The Commissioners wilt review both the Consultant's self-assessment and the Public Safety Authority's performance evaluation and will prepare separate performance evaluations and recommendations. The Consultant will forward the self- assessment, PSA review and recommendations, and the individual Commissioners' evaluations as an agenda item on the last regular meeting in July. The Commissioners will conduct the reauired evaluation, approve the proposed goals. and recommend any, additional areas of focus for the next evaluation period. AiLundated performance evaluation plan may be developed in good faith between the Consultant and the County, and adopted by the County prior to October 1" of each year for implementation in the next year, 3. Except as expressly provided herein, the Agreement, as amended, remains in full force and effect according to the terms and conditions contained therein. IN WITNESS WHEREOF, the Consultant and the County have executed this Third Amendment to Collier County Emergency Services Medical Consultant Contract as of the date first Y_yrittei,abcye. '.f .t4 ;.• BOARD OF COUNTY COMMISSIONERS DW IH .BIgOGR,Clerk COLLIER COUNTY,FLORIDA Br- ',R ::: �.a�• i y'FRED W.COYLE, H ' latest,_it:to 'l l Deputy WITNESSES: ROBERT BOYD TOBER,INC. By: Print Name: Robert Boyd o' , ' esident Print Name: A. • t ; •. v. form and legal sufficiency: Je'i ' �+tzkow Co ttorney 2 Packet Page-603- Packet Page-38- 4/9/2013 10.A. COLLIER COUNTY Board of County Commissioners Item Number: 10.10.A. Item Summary: Request for reconsideration of Item 10H from the March 12, 2013 BCC meeting titled: Recommendation that the Board of County Commissioners direct staff to prepare solicitations for the post of County Medical Director and Deputy County Medical Director;that the positions of County Medical Director and Deputy County Medical Director be posted to accept applications by April 1, 2013; further, that staff bring back the slate of all applications received for the board's review and consideration by the first board meeting in May, 2013. The solicitation for the position of County Medical Director shall provide that the applicant shall not be affiliated directly, nor indirectly with any local hospital. The County Medical Director approves the county's emergency service protocols and as such all conflicts of interest in appearance and in fact must be avoided for ethical and legal reasons. (Commissioner Coyle) Meeting Date: 4/9/2013 Prepared By Name: BrockMaryJo Title: Executive Secretary to County Manager, CMO 3/21/2013 8:30:05 AM Submitted by Title: Executive Secretary to County Manager, CMO Name: BrockMaryJo 3/21/2013 8:30:08 AM Approved By Name: OchsLeo Title: County Manager Date: 3/30/2013 5:40:15 PM Packet Page-39-