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Home My WebLink About07. 13-544 DECEMBER 10, 2013 13-544 RESOLUTION (CARRIED__7-0____LOST________LAID OVER________WITHDRAWN________) PURPOSE: APPROVE PURCHASE THROUGH STATE OF WISCONSIN COOPERATIVE CONTRACT FOR CARDIAC MONITORS / DEFIBRILLATORS FOR FIRE DEPARTMENT TO PHYSIO CONTROL, INC. ($269,746.17) INITIATED BY: PURCHASING DEPARTMENT WHEREAS, the Fire Department’s current cardiac monitors/defibrillators are no longer manufactured and will not be supported by the manufacturer after 2015; and WHEREAS, Physio Control, Inc. cardiac monitors/defibrillators meet all evaluated requirements; and WHEREAS, pricing for Physio Control, Inc. equipment was secured through the State of Wisconsin Automatic Electronic Defibrillators (AED) Cooperative Contract. NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that the proper City officials are hereby authorized and directed pursuant to section 12-15 of the Oshkosh Municipal Code to purchase new monitors/defibrillators from: PHYSIO CONTROL, INC. 11811 Willows Road NE PO Box 97023 Redmond, WA 98073-9723 Total (net with trade-in): $269,746.17 BE IT FURTHER RESOLVED that the proper City officials are hereby authorized and directed to enter into an appropriate agreement for the purpose of same. Money for this purpose is hereby appropriated from: Acct. No. 323-0230-6537-06328 – Equipment Fund – Safety Equipment TO: Honorable Mayor and Members of the Common Council FROM: Jon Urben, General Services Manager DATE: November 22, 2013 RE: State of Wisconsin Cooperative Purchase Monitors /Defibrillators for Fire Department of Cardiac BACKGROUND The Oshkosh Fire Department carries cardiac monitors /defibrillators on all of their ambulances and fire apparatus. The current units were first purchased in 1998 and include 15 Physio- Control LifePak 12's and 5 Physio - Control LifePak 500's. These models are no longer manufactured and will not be supported by the manufacturer after 2015. In anticipation of this phase out the Common Council approved a total allocation of $314,000 in the 2012 and 2013 CIP to replace these units. ANALYSIS In early fall of this year the Fire Department's Continuous Quality Improvement (CQI) Committee conducted a thorough review of the cardiac monitor /defibrillator equipment of the three industry leaders which included Phillips, Physio- Control and Zoll. The CQI's evaluation process included a questionnaire, literature submission and an onsite equipment demonstration by each manufacturer. The four major criteria evaluated were patient monitoring, electronic data collection/transfer, preventative maintenance /repairs scheduling and equipment training. The first evaluation criterion involved patient monitoring. The ambulance cardiac monitor /defibrillator patient monitoring required four lead EKG monitoring, 12 lead EKG monitoring, defibrillation, pacing, pulse oximetry, continuous quantitative waveform capnography, non - invasive blood pressure and carbon monoxide monitoring. Each monitor was evaluated for these requirements in addition to ease of use while providing life saving measures. The evaluation concluded all three manufacturers could meet this requirement. The fire apparatus cardiac monitor /defibrillator monitoring required defibrillation and 3 lead EKG monitoring. In addition, to streamline use and control end user costs, the fire apparatus monitor /defibrillator should be able to use the 21 same defibrillation patches as the ambulance unit and should be able to view 3 lead EKGs using standard EKG patches —a requirement that the evaluation concluded only the Physio - Control equipment could meet. The second evaluation criterion involved electronic data collection/transfer. Each manufacturer's equipment was evaluated on the monitor's ability to collect and transfer critical data in compatibility with Imagetrend, the industry's standard patient care support/software system. Both Zoll and Philips equipment could meet these requirements in various degrees if additional equipment and/or components were purchased for more cost. In contrast the evaluation concluded the Physio- Control equipment could meet these requirements without any additional costs or equipment. The third evaluation criterion involved preventative maintenance /repair scheduling. All cardiac monitors/defibrillators require regular preventative maintenance to ensure the units are operating correctly. Each manufacturer's equipment was evaluated on how preventative maintenance /repairs are provided and the net result to the operational needs of these units. Both Zoll and Philips would require their units to be packaged and shipped to their service centers for preventative maintenance and repairs. Both Zoll and Philips also suggested the Fire Department could consider engaging a local bio- medical division to provide the maintenance /repairs, but this option also would require the units to be taken offsite, in addition to the involvement of an additional third party for warranties and repairs. In contrast, Physio - Control provides a technician to come onsite for all preventative maintenance and repairs which has been proven to be very effective for the current Physio - Control units and has minimized the time these units are out of service. The evaluation concluded Physio - Control provided the best solution for preventative maintenance and repairs. The fourth evaluation criterion involved the Fire Department's anticipated time investment to train all 106 personnel on each manufacturer's cardiac monitors /defibrillators. Considering all personnel are trained on the current Physio - Control equipment and given the similar familiarity /compatibility of the newer Physio - Control equipment, the anticipated time investment for training for their units would be minimal. In contrast, the Zoll and Philips equipment would be new to personnel and would require a significant initial training investment (anticipated at 9 -15 hours per person) in addition to refresher training throughout the first two years of use. The evaluation concluded a significant training savings would be realized by maintaining the current Physio- Control equipment line. Based on the evaluation of each manufacturer's equipment against our four major criteria requirements it was the consensus of the Fire Department CQI Committee, Fire Chief Tim Franz and the Purchasing Division that the Physio- Control cardiac monitors /defibrillators best met the operational needs for the Fire Department. Having made this determination the Purchasing Division secured pricing for Physio- Control equipment through the State of Wisconsin AED- Automatic Electronic Defibrillators Cooperative Contract ( #11 -46514 -101). FISCAL IMPACT With a $48,000 trade -in for the 9 current ambulance defibrillators and factoring in the state contract pricing/discounts, the net total fiscal impact of the new cardiac monitors /defibrillators will be $269,746.17. A total of $314,000 was approved in the 2012 & 2013 CIP for these units. Funding for these units would be charged to CIP A/N #: 323-0230-6537-06328. RECOMMENDATION Section 12 -15 of the Municipal Code provides that subject to approval of the City Manager, cooperative purchases pursuant to a contract with any other local, state or federal governmental unit or agency may be made without following a competitive bidding or quotation process. In accordance with Section 12 -15 of the Municipal Code and because this cooperative purchase is in excess of $75,000, we are hereby requesting Council approval of this purchase. Respectfully Submitted, Approved: 4 1 k Jon G. Urben, General Services Manager Mark A. Rohloff, City Manager