Ambulance RFQ BLANK - FY 2027.pdf

REQUEST FOR QUOTATION (RFQ)

Ambulance Services

Institution: Mansfield Correctional Institution

Address: 1150 North Main Street

Mansfield, Ohio 44903

This is a Request for Quote (RFQ) for the Ohio Department of Rehabilitation and Correction (ODRC) for the listed institution to obtain pricing for Ambulance Services for the inmate population. If suitable pricing is offered, the

Institution may enter into an Ambulance Services Agreement to have the selected Contractor provide transportation.

The Supplier shall specify willingness to provide local services only, out-of-county services only or both.

All emergency/non-emergency trips to hospitals within the local area, including all disposables and basic and advanced life support services.

▪ BLS $ ____________________

▪ ALS $ ____________________

▪ All emergency/non-emergency trips to The Ohio State University Medical Center or the Franklin Medical Center, including all disposables and basic and advanced life support services.

▪ BLS $ ____________________

Any return trip to be charged will be at the appropriate BLS/ALS rate.

SCOPE OF SERVICES

1. Scope of Services – Responsibilities of the Contractor

The Contractor agrees to provide the specified services below and any other emergency medical transport services as part of providing emergency medical transport service. The Contractor agrees to do all the following:

(a) The Contractor agrees to provide emergency medical transportation for the inmate population from

Mansfield Correctional Institution(s) to Ohio Health Med-Central hospital emergency department and/or Ohio State University Hospitals or Franklin Medical Center, Columbus, Ohio. During a riot or disaster situation the Institution(s) may use its discretion to seek additional help beyond the ambulance service’s capacity.

(b) The Contractor must maintain adequate liability insurance and provide proof of certification. Loss of necessary insurance will result in immediate termination of this Agreement.

(c) The Contractor is responsible for maintaining any and all required professional licensing. It is the

Contractor’s responsibility to notify the Institution(s), in writing, of any change in the status of required licensing.

(d) The Contractor must respond to medical emergencies with State Certified personnel.

(e) The Contractor must maintain accurate run reports and all records or documentation as required by law. Contractor will provide the Institution with a copy of the ER run report.

(f) During riots or disasters, the Contractor agrees to provide all available vehicles and personnel to assist as requested by the Institution(s). The Contractor agrees to charge agreed upon rates for any transport during such an emergency.

(g) The Contractor agrees that all rates are inclusive for each transport and that no additional charges will be made for disposable supplies, equipment or special services.

(h) The Institution(s) agrees that transport of a patient to the local hospital with a later transfer to a second facility constitutes two separate trips and should be charged accordingly.

(i) The Contractor must ensure that emergency medical transportation is provided within response time of fifteen minutes or less as location allows. This is measured from the time of the initial call into dispatch until the unit marks as being on location, as maintained by the Institution. The Institution(s) will only need to call the Contractor for all inmate medical transportation needs. If at any time the

Contractor cannot provide emergency transportation within an acceptable time frame, the Contractor agrees to:

▪ Document the information provided as if the Contractor were performing the “emergency” response.

▪ Call another ambulance service that can provide the same level of service to respond to the emergency and transport to Mansfield Med-Central hospital.

▪ Bill the Institution(s) the amount indicated in this Agreement and pay the agency that performed the service for the Contractor. The Institution(s) will not reimburse any other agency for providing the service, providing the Contractor had the opportunity to run the call per the provisions of this contract.

(j) All of the Contractor’s employees and/or subcontractors agree to provide services in compliance with all federal, state and local laws; state and federal licensure, certification or registration requirements;

ODRC security protocol; appropriate standards of medical care and American Correctional

Association (ACA) standards.

(k) The Contractor must provide Basic Life Support (BLS) – Basic ambulance transportation and emergency procedures consisting of but not limited to: CPR, shock and bleeding control, MAST trousers, splinting, bandaging, spinal immobilization, airway management, oxygen administration and suctioning.

(l) The Contractor must provide Advanced Life Support (ALS) – All services included under BLS and

IV therapy, cardiac monitoring and defibrillation, intubation and drug administration per protocol or direct order.

(m) Contractor must provide the institution with a copy of their medical ER protocol, signed by their

Medical Director.

2. Scope of Services – Responsibilities of the Institution(s)

The Institution(s) agrees to do all of the following:

(a) Agrees to call the Contractor exclusively to handle primary care emergencies. If attending physician deems necessary, air transport will be called.

(b) Agrees to cooperate with care for the inmates and provide at least one staff member to accompany the inmate during the time from pick-up until inmate is delivered to hospital’s care (local) and/or turned over to receiving hospital (out of county).

(c) Agrees to pay the Contractor as follows for all emergency/non-emergency trips to hospitals within the local area, including all disposables and basic and advanced life support services, in accordance with ORC Section 341.192 (services to persons confined in state correctional institutions).

▪ BLS $ ____________________

(d) Agrees to pay the Contractor as follows for all emergency/non-emergency trips to The Ohio State

University Medical Center or Franklin Medical Center, including all disposables and basic and advanced life support services, in accordance with ORC Section 341.192 (services to persons confined in state correctional institutions).

▪ BLS $ ____________________