Specifications include, but are not limited to: Develop and Implement EMS Protocols o Provide EMS treatment protocols that are compliant with nationally accepted patient care standards. o Review protocols annually and recommend updates/additions as appropriate to maintain compliance with nationally accepted patient care standards. o Accept responsibility for the medical correctness of any standing order which contractor authorizes for use by the City. o Provide Medical Direction o Ensure excellent clinical care through chart review, direct observation, quality assurance, and quality improvement processes and data analysis. o Provide, or cause to be available, 24/7/365 physician consultation for paramedics during medical incidents. o Provide field response as needed or requested, and periodically participate on scene calls with EMS crews.