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0City of Santa Ana <br />administrative, relating to their billing or reimbursement practices, and that <br />Contractor shall not employ or utilize individuals for the performance of services <br />hereunder who have been excluded from any state or federal health care <br />program. Contractor must agree to notify the OCFA of any imposed exclusions <br />or sanctions covered by this warranty and the OCFA in consultation with the <br />City of Santa Ana reserves the right to immediately terminate the Contract upon <br />receipt of such notice. <br />4.3.15 External Medical Quality Control _ <br />Contractor must fully comply with all federal, state, and local medical <br />standards, protocols, and rules and regulations, applicable to the provision of <br />private, emergency BLS ambulance transportation, including those established by <br />OCEMS. Contractor must at all'times during the contract term cooperate with the <br />OCEMS program managers and'the OCEMS Medical Director in the monitoring, <br />regulation, management, oversight, and administration of the County EMS system. <br />The OCEMS Medical Director, or his designee, has both the authority and <br />responsibility to routinely establish and monitor private, emergency ambulance <br />system performance, including but not limited to: ambulance equipment standards; <br />medical protocols; personnel standards; training standards; medical dispatch <br />procedures; first responder practices and training; medical control; and to effect <br />corrective and disciplinary action as necessary. <br />4.3.16 Internal Medical.Quality Control <br />Contractors must establish a Continuous Quality Improvement ("CQI") <br />program directed at, but not limited to, effective administration and management <br />of clinical performance, response time performance, driver performance, dispatch <br />performance, and for all other BLS service levels. <br />City of Santa Ana Page 155 <br />Fire/EMS Emergency Ambulance Transportation and Related Services <br />Request for Proposals: # 18-059 <br />August 28, 2018 <br />I <br />