Specifications include, but are not limited to: The scope of work encompasses the following tasks and responsibilities: A. Field Service Activities 1. The Provider shall be responsible for providing all ALS 911 ground ambulance service, including, but not limited to the following: a) Be equipped and staffed to operate at the ALS level, on all 911 emergency calls. b) Utilize the State’s designated 911 dispatch center. c) Provide ground ambulance transport. d) As necessary, provide emergent interfacility ground transports, including but not limited to, transporting patients to and from the nearest airport or helipad for aeromedical transport service. e) Participate in developing and implementing DOH’s community paramedic initiatives. 2. The scope of this contract does not include the provision of: a) Non-emergent interfacility patient transports. b) Aeromedical transport services. 3. Clinical performance must be consistent with the current approved State Standing Orders (See Section 5, Attachment F) and State of Hawaii scope of practice. 4. Upon transfer of care from ambulance to receiving facility or aeromedical service provider, the following minimum information must be transmitted electronically or in written form: a) Patient demographics. b) History and exam findings. c) Vital signs. d) Treatment provided and patient response. B. District and Ambulance Service Operations 1. The Provider shall provide continuous 911 ALS emergency ground ambulance services twenty-four (24) hours per day, seven (7) days per week in the County of Maui, during the contract period. 2. All response units shall be in compliance according to RFP specifications at the the start of the contract period. If unable to be in compliance at the start of the contract, Provider must have a plan on how they will achieve compliance within the first year of the contract. 3. The Provider shall categorize and utilize its ambulance fleet within three (3) distinct categories: Primary, Backup, and Other. a) Primary category: The Provider may operate used ambulances but the engines in these ambulances must not have been in service for more than seven (7) years or have more than two hundred fifty thousand (250,000) recorded miles, whichever comes first, from the date it was initially placed in service. Additionally, these ambulances must be approved by the DOH and undergo annual inspections. b) Backup category: The Provider may operate used ambulances as stated in the Primary category and may include ambulances that exceed the stated mileage and age provision with a licensed mechanic’s certification and DOH written approval. c) Other category: Ambulances designated for parts or disposal. 4. The minimum number of ALS ambulance units operating per island shall be as follows: a) Maui - Eight (8) ALS ambulance units, (1) ALS rapid response unit b) Molokai - Two (2) ALS ambulance units. c) Lanai - One (1) ALS ambulance unit. 5. On each island in Maui County, the Provider shall assign at least one (1) primary ambulance to each of the ten (10) districts. A second ambulance unit shall be assigned to the Molokai district. Geographic boundaries can be found in Section 5, Attachment E of this RFP. 6. The rapid response units must be staffed by at least one (1) paramedic for the purpose of rendering ALS care. 7. The Provider shall designate unit locations approved by DOH prior to the contract start date. Documentation shall become part of the Provider’s Standard Operating Procedure Manual...
