Advanced Life Support, Paramedic Program Medical Director Services

City of Redmond, Washington
Purchasing Division, M/S: 3NFN
15670 NE 85 Street
th
PO Box 97010
Redmond, WA 98073-9710
RFP 10919-26
Request for Proposals
Advanced Life Support, Paramedic Program Medical Director Services
The City is soliciting proposals from qualified licensed professionals to provide Advanced Life
Support, Paramedic Program Medical Director Services
Posting Date: October 5, 2026
Questions Due Date October 12, 2026 at 2PM (PST)
Proposals Due: October 19, 2026 at 10:00AM (PST)
The City of Redmond, Washington (the "City") requests interested parties to submit proposals for the above
referenced Request for Proposals (RFP).
Background
The City of Redmond, WA is a suburb of Seattle and hub for residential and employment growth due to its
strong technology business sector. The City encompasses an area of over 17 square miles and is located
less than 20 miles east of downtown Seattle. The City has three urban growth centers in Downtown,
Overlake, and Marymoor, which are expected to grow significantly in the next 25 years. Today, the City has
about 82,000 residents and 99,000 jobs and by 2050, it is expected to have 152,000 residents and 131,000
jobs. The Redmond Fire Department serves as a regional provider of Advanced Life Support (ALS) services
across northeast King County, supporting the cities of Duvall, Kirkland, Redmond, and Woodinville, as well
as surrounding unincorporated communities. The program serves an area of approximately 250 square
miles and a population of roughly 350,000 residents. Accordingly, the Medical Program Director provides
clinical leadership, medical oversight, and system-level guidance for a complex, multi-jurisdictional ALS
delivery model extending well beyond the boundaries of the City of Redmond
The Redmond Fire Department is composed of approximately 179 employees, including 30 Advanced Life
Support (ALS) personnel assigned to the EMS division. The Redmond Fire Department requires more than a
contract physician for its Advanced Life Support (ALS) and Paramedic Program. The department seeks an
actively engaged clinical leader who is accountable for the quality, consistency, and ongoing advancement
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of ALS care. The contracted program physician occupies a delegated Medical Program Director role with
direction of the County-MPD, must provide hands-on clinical oversight, robust quality assurance and quality
improvement processes, and thorough review of electronic patient care reports. This role also includes
delivering relevant continuing education, offering timely and decisive guidance to support provider
performance, and collaborating closely with Fire/EMS leadership. Through this partnership, the Medical
Director will help ensure that Redmond paramedics consistently deliver safe, evidence-based, and high-
performing patient care.
Recommended Scope of Work
Scope Area Recommended Expectation
Provide physician medical oversight for the City's ALS/paramedic program
Medical Oversight
consistent with Washington law, King County EMS standards, County MPD
and Clinical
direction, applicable protocols, and City policies. Serve as the City's principal
Governance
physician advisor regarding prehospital ALS clinical practice.
Conduct ongoing reviews of electronic patient care records using a risk-based
Clinical Quality and performance-based approach. Review sentinel events, unusual cases, high-
Assurance / Quality risk procedures, complaints, clinical variances, and selected patient populations.
Improvement Identify individual and system trends and recommend corrective or improvement
actions.
Include focused review of cardiac arrest, airway management, stroke, STEMI/ACS,
High-Risk Case trauma, respiratory emergencies, pediatric/OB cases, medication events, whole-
Review blood administration where applicable, and other cases identified by Fire
Department Leadership and County MPD.
Develop and participate in a coordinated annual CME plan and provide physician-
Continuing Medical led education at monthly paramedic CME/Medic Meetings. Use contemporary
Education evidence, protocol changes, system trends, and actual case review to connect
education directly to clinical performance.
Provide physician consultation when clinical performance concerns arise. Review
Individual Paramedic
relevant cases, meet with Fire/EMS medical administration and providers as
Performance
appropriate, recommend education or remediation, and assist in developing
Improvement
measurable clinical performance-improvement plans.
Evaluate aggregate ALS performance and identify opportunities for system
Program-Level
improvement. Advice on outcome measures such as cardiac-arrest performance,
Performance
airway management, stroke/STEMI care, trauma care, clinical documentation,
Improvement
protocol compliance, and other agreed-upon indicators.
Assist in interpreting and implementing King County ALS guidelines and
Protocols, Policies, protocols; provide clinical consultation regarding new medications, equipment,
and Clinical Practice procedures, technology, and emerging standards of care; and assist with City
EMS policies having a clinical component.
Assist the City and County MPD as appropriate with paramedic credentialing,
Certification and
recertification, skills maintenance, competency assessment, and clinical-
Clinical Competency
performance documentation.
Hospital and Regional Maintain effective relationships with receiving hospitals, base-station physicians,
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Scope Area Recommended Expectation
Medical Liaison King County EMS, the County MPD, Harborview/UW paramedic education
resources, neighboring ALS programs, and other regional clinical partners.
Complaints and Provide physician review of patient, hospital, provider, or agency concerns
Significant Clinical involving ALS patient care and assist with investigation, clinical findings,
Events recommendations, and follow-up.
Operational and Serve as a physician resource regarding MCI/disaster medicine, emerging clinical
Emergency threats, infectious disease, special-event planning, and other medical issues
Preparedness affecting EMS operations when requested.
Observe paramedic operations through ride-alongs, skills activities, simulations,
Field Engagement or other field-based interaction to maintain familiarity with personnel, system
capabilities, and operational realities.
Meet routinely with designated Fire/EMS leadership and participate in QA/QI,
Administrative
training, or administrative meetings as required. Provide physician consultation to
Collaboration
the Fire Chief/designee and EMS administration on significant clinical matters.
Maintain defined availability for consultation regarding significant clinical events
Availability
and urgent program matters.
Provide periodic summaries of QA/QI activity, CME delivered, trends identified,
Reporting and
improvement initiatives, unresolved issues, and recommendations. Participate in
Accountability
an annual program review with Fire/EMS leadership.
Performance-Improvement Authority
The medical director should identify clinical concerns, conduct reviews, make clinical recommendations,
develop remediation expectations with the Medical Services Administration (MSA), and coordinate with the
County MPD when appropriate. The City should retain administrative, personnel, and disciplinary authority.
Term
The City intends to enter into an initial four-year agreement, with one (1) optional four-year renewal term,
for a potential maximum total term of eight (8) years provided that 1) Medical Director is in compliance with
the terms and conditions of the contract and, 2) that the annual payment is cost-effective as determined by
the City, and 3) that sufficient funds have been appropriated by the City. The City reserves the right to
cancel this contract at any time, upon thirty (30) days written notice to Medical Director.
Should the City exercise a renewal option, the City and Medical Director may discuss a price adjustment, in
accordance with the Bureau of Labor Statistics Consumer Price Index (CPI-W) for the Seattle-Tacoma-
Bellevue area occurring during the immediately preceding 12-month period for which CPI-W data is
available, or a fixed 3% increase, whichever is greater. The Bureau of Labor Statistics website can be found
at: https://www.bls.gov/cpi/data.htm. Medical Director shall notify the City in writing at least thirty (30) days
prior to a proposed price adjustment. Acceptance of such a request will be at the sole discretion of the
City.
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Proposed Timeline
The following table outlines the anticipated schedule for this RFP process. The City reserves the right to
modify or reschedule milestones as necessary.
Item Date
RFP Announced October 5, 2026
Proposals Due October 19, 10AM (PST)
Evaluation of Proposals October 20 to October 23, 2026
Interviews (optional at City discretion) October 26 to October 30, 2026
Medical Director Selected October 30, 2026
Contract Negotiation November 2026
City Council Approval (if required) December 2026
Main Task Order Timeframe January 2027
Proposal Due Date/Time
10:00AM (local time) on Monday, October 19, 2026. The City must receive proposals no later than said
date and time.
Proposal Submittal Procedures
City of Redmond now utilizes Docusign for the electronic submittal of bids and proposals. This service is
free of charge for bidders and does not require that a bidder have a DocuSign account to complete the
signature process. Please refer to the instructions shared in the online posting for this RFP on
www.redmond.gov/bids for step-by-step instructions for submitting a proposal.
The City of Redmond must receive electronically submitted proposals no later than said date and time.
Responses received after such time will be returned unopened. By submitting a proposal, respondents
acknowledge their satisfaction as to the size, scope and location of the work to be performed.
Response Requirements & Format
All costs for developing a response to this RFP are the obligation of the respondent and are not
chargeable to the City. The respondent must bear all costs associated with the preparation of the
submittal and of any oral presentation requested by the City. All responses and accompanying
documentation will become property of the City and will not be returned. Proposals may be withdrawn at
any time prior to the published close date, provided notification is received in writing to the below listed
City agent(s). Proposals cannot be withdrawn after the published close date.
Proposals must include all information requested and meet all specifications and requirements outlined
in this RFP. The following submittals must be part of your proposal; if any are not included, your proposal
may be judged as non-responsive. A committee will evaluate the submitted proposals. During the
evaluation process, the City reserves the right to request additional information or clarification from firms
responding to this RFP.
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A complete response will include:
Minimum Qualifications - Pass/Fail
Minimum
Recommended Standard
Requirement
Physician licensure Current, unrestricted Washington MD or DO license throughout the contract
EMS medical Demonstrated experience with prehospital EMS, preferably ALS/paramedic medical
oversight direction
King County Ability and willingness to function within King County EMS medical-control structure
relationship and obtain/maintain any required designation, delegation, or approval
Current or recent experience in emergency, critical-care, EMS, or closely related acute
Clinical experience
clinical medicine
Professional Disclosure of current or previous licensing restrictions, disciplinary actions,
standing malpractice claims, or other matters materially affecting ability to perform the contract
Insurance Professional liability/malpractice insurance meeting City Risk requirements
Ability to comply with HIPAA, City privacy/security requirements, and appropriate
Privacy/security
handling of PHI contained within ePCR systems
Ability to meet the City's minimum meeting, CME, case-review, consultation, and
Availability
physician-time expectations
Disclosure of outside employment, medical-director relationships, hospital affiliations,
Conflicts
or other interests that could materially conflict with the City's program
Washington requires the county MPD to hold a current physician license and be qualified and
knowledgeable in the administration and management of emergency medical care and services. The
contracted program physician occupies a delegated MPD role with direction of the County-MPD,
certification in Emergency Medicine and/or EMS Medicine is preferred but is not mandatory.
A complete proposal should include:
Please limit your response to 7 (seven) pages, Times New Roman 12 Font.
1. Executive Summary and Understanding of the Role: Describe the respondent's understanding of
physician medical oversight within a high-performance ALS system and the relationship among the
City, paramedics, Fire/EMS administration, King County EMS, the County Medical Program Director,
receiving hospitals, and other regional partners.
2. Physician Qualifications: Identify the physician proposed to serve as Medical Director and provide
a curriculum vitae documenting medical education, residency/fellowship training, board
certification, Washington licensure, EMS experience, clinical practice, teaching experience,
leadership experience, and prior medical-director appointments.
3. Relevant ALS/EMS Medical-Direction Experience: Describe experience providing medical
oversight for fire-based EMS, third-service EMS, paramedic systems, or comparable prehospital
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organizations. Include program size, physician responsibilities, length of service, and examples of
measurable contributions to clinical performance.
4. Proposed Medical-Oversight Approach: Explain the respondent's philosophy and approach to
clinical governance, physician-paramedic relationships, evidence-based practice, patient safety,
provider accountability, and continuous clinical improvement.
5. QA/QI and ePCR Review Plan: Describe how patient-care records will be selected and reviewed,
how high-risk cases and clinical trends will be identified, how findings will be documented, how
feedback will be delivered to providers, and how aggregate findings will be converted into
program-level improvement.
6. Performance-Improvement and Remediation Approach: Describe the approach to an individual
paramedic whose clinical performance raises concern, including case review, provider engagement,
remediation, competency evaluation, documentation, follow-up, collaboration with EMS
administration, and coordination with the County MPD when appropriate.
7. Continuing Medical Education Plan: Describe the proposed approach to monthly physician-led
CME, including case-based learning, protocol updates, clinical literature, adult education
techniques, simulation or skills activities, and integration of QA findings.
8. Data and Program Performance: Describe experience using EMS data to evaluate patient
outcomes, identify clinical variation, establish performance indicators, and support evidence-based
system improvement.
9. Regional and Hospital Collaboration: Describe experience working with hospitals, base-station
physicians, EMS system medical directors, training programs, fire/EMS administration, and other
external clinical partners.
10. Availability and Time Commitment: State the number of hours anticipated per week/month;
expected in-person presence; availability for scheduled and unscheduled consultation; expected
response to significant clinical events; attendance at meetings; and backup arrangements during
vacation, illness, or other absence.
11. References and Past Performance: Provide at least three references related to EMS medical
direction, physician oversight, EMS education, or closely related services.
12. Cost Proposal: Provide a fixed annual fee covering the defined scope of work, the number of
physician hours/services included within that fee, hourly or event-based rates for any services
outside the base scope, reimbursable expenses, and proposed annual escalation methodology.
13. Disclosures and Conflicts of Interest: Identify current EMS medical-director contracts, hospital
relationships, consulting relationships, or other activities that may compete for physician time or
create an actual or perceived conflict. Include any professional-license actions or other disclosures
required by the solicitation.
14. Contract Compliance: Acknowledge the City's business-license, insurance, privacy/security, public-
records, contract, and proposal-validity requirements and clearly identify any requested exceptions.
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15. Proposals must be made in the official name of the firm or individual under which business is
conducted (showing official business address) and must be signed by a person duly authorized to
legally bind the person, partnership, company, or corporation submitting the proposal. A
corporation must indicate place and date of incorporation.
16. Provide a statement to the effect that you understand and agree to obtain a City of Redmond
business license as a requirement for performing these services. If your place of business is not
located within the City limits, but you or your agents will be physically coming into the City to
conduct business, call on clients, or provide services, you will need a Redmond business license. A
City business license application can be found at: http://www.redmond.gov/BusinessLicense.
17. Provide a statement indicating the number of calendar days the proposal shall be valid (the City's
minimum number of days is 60).
The City of Redmond is an active member of the King County Directors Association (KCDA) and several
other joint purchasing entities and would be eligible to seek access to any and all price considerations,
terms and conditions outlined in master agreements formed by one of these agencies. If a proposal is
based on any of these pricing agreements/arrangements it shall be the responsibility of the bidder to
identify such. It is requested that the City be contacted prior to bid submission if beneficial pricing may be
achieved by the City via access to an existing contract with one of these agencies.
Selection and Award
All interested parties are requested to provide a response containing all required elements herein to the
City by the deadline given. A selection committee will review and evaluate all proposals, with the intention
of selecting a Medical Director who provides a proposal that, in the opinion of the City, provides the best
value (receives the highest score, as determined by the evaluation criteria listed below). If the selection
committee so chooses, respondents may be invited for an interview to supplement their submission. A
separate set of interview questions and scoring will be shared with shortlisted candidates.
Evaluation Criteria Weight
Physician qualifications, licensure, education, and professional credentials 15
Relevant ALS/paramedic medical-direction and prehospital clinical experience 15
QA/QI, ePCR review, patient-safety, and performance-improvement approach 15
CME, education, mentoring, and provider-development approach 10
Understanding of King County EMS, regional medical control, and hospitals 10
Proposed Fees/Cost. Cost will be evaluated by using the formula: (Lowest Bid/Bid
10
Evaluated) x total points available for scoring.
Availability, dedicated physician time, continuity, and responsiveness. 5
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Evaluation Criteria Weight
References and demonstrated past performance 5
Finalist interview 15
TOTAL 100 pts
The City reserves the right to reject any or all proposals and to waive any irregularities or information
in the evaluation process. The final decision is at the City's sole discretion and respondents to this
request have no appeal rights or procedures guaranteed to them.
The City reserves the right to re-evaluate firms who were not originally short-listed at any time before the
determination of a finalist is made. Upon notification of an intent to award, the City reserves the right to
limit the period of contract development to thirty (30) days, after which time project award may be
rescinded. The City has the option not to award a contract at the end of this process.
Terms and Conditions
The City reserves the right to amend terms of this RFP to circulate various addenda, or to withdraw the RFP
at any time, regardless of how much time and effort firms may have spent on their responses. Terms of the
agreement are outlined in this solicitation and include the following documents, which are incorporated
herein by this reference:
* RFP 10919-26
* Attachment A, Consulting Services Agreement (boilerplate)
Contracting notice:
Upon selection of Medical Director, the City intends to enter into an agreement using its standard
Consulting Services Agreement which shall be used to secure these services. A copy of this document is
attached, as Attachment A and will be the governing document. The City reserves the right to amend or
update the contract language as deemed necessary, and any such revisions shall be provided to the
Medical Director for review prior to approval. No changes or deviations from the terms set forth in this
document are permitted without the prior approval of the City.
Performance Criteria
Medical Director shall perform in accordance with the terms and conditions as stated herein and in
accordance with the highest standards and commercial practices. Charges of poor performance/service
against the Medical Director shall be documented by the City and submitted to the Medical Director for
corrective action. Continued poor performance shall be deemed a breach of City requirements and shall
be the cause for immediate termination of services.
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Insurance
Medical Director must maintain insurance as outlined in the Consulting Services Agreement (Attachment A).
Prior to performing any services, Medical Director shall provide the City a standard ACORD Form 25
Certificate of Insurance, naming the City as Additional Insured. Failure of the City to demand such
certificate or failure of the City to identify a deficiency in the insurance documentation shall not be
construed as a waiver of Medical Director's obligation to maintain such insurance.
Invoicing and Payment
Medical Director may invoice the City no more frequently than once per month for work completed.
Invoices shall contain an itemized listing of all expenses. The City will make payment to Medical Director
within thirty (30) days after receipt and approval of said invoices. Invoices shall be delivered to:
City of Redmond
Accounts Payable, M/S: 3SFN
P.O. Box 97010
Redmond, WA 98073-9710
accountspayable@redmond.gov
Public Disclosure Notice
Proposals that are submitted in response to this Invitation to Bid or Request for Proposal are subject to
public release under the Washington State Public Records Act, chapter 42.56 RCW ("PRA"). Respondents
are strongly encouraged to avoid including confidential and/or proprietary information in their
proposals. If a respondent includes confidential and/or proprietary information in its proposal, and wishes
for the City to withhold it from public release under RCW 42.56.070(1), the respondent's submission
should: (a) clearly identify which information should be withheld, (b) cite the legal authority that allows the
City to withhold such information, and (c) explain in detail why the information is exempt from release
under the PRA. Marking an entire proposal as confidential and/or proprietary will NOT be accepted or
honored and may result in disqualification of the proposal. If the City receives a PRA request for a
proposal that contains information, which a respondent has identified in whole or in-part as exempt from
release, the City will review the proposal and then determine whether the information must be released
under the PRA based solely on the information provided by the respondent.
Cooperative Purchasing
The City has entered into intergovernmental (interlocal) purchasing agreements pursuant to RCW 39.34 with
other Washington agencies under which either party may make purchases at the other party's accepted bid
price. By submitting an offer, the respondent agrees to make the same bid terms and price, exclusive of
freight, available to other Washington governmental agencies. Only those public agencies that have
complied with the requirements outlined in RCW 39.34 are eligible to use this contract. Further, the public
agency accepts responsibility for compliance with any additional or varying laws and regulations governing
purchases by or on behalf of the public agency in question. A purchase by a public agency shall be affected
by a purchase order from the public agency, directed to the Medical Director or other party contracting to
furnish goods or services to the City. The City of Redmond will not accept responsibility for purchase orders
issued by other public agencies.
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This offer of cooperative purchasing shall be extended by the Medical Director to cover the City's contract
duration (for any subsequent purchase orders/contracts resulting from this RFP) or 60 days post award (for
one-time purchases).
Non-Collusion
By submission of this proposal, respondent and each person signing on behalf of respondent certifies, and
in the case of joint proposal, each party thereto certifies as to its own organization, under penalty of perjury,
that to the best of his/her knowledge and belief: (1) The prices of this proposal have been arrived at
independently, without collusion, consultation, communication, or agreement with any other respondent or
competitor, for the purposes of restricting competition or as to any matter relating to price. (2) Unless
otherwise required by law, the prices quoted in this proposal have not been knowingly disclosed by
respondent and will not be disclosed by respondent directly or indirectly to any other respondent or
competitor before proposals are opened. (3) No attempt has been made or will be made by the respondent
to induce any other person, partnership or corporation to submit or not to submit a proposal on any portion
of the project work. If collusion is uncovered, the City maintains the right to reject all proposals from
implicated parties
Governing Law and Venue
In the event of litigation, the submittal documents, specifications, and related matters shall be governed by
and construed in accordance with the laws of the State of Washington. Venue shall be with the appropriate
state or federal court located in King County.
Bid Protest
Respondents have the right to protest certain decisions in contract solicitation, selection and award
processes made by the City. The City will consider protests alleging to issues related to: (1) A matter of
bias, discrimination or conflict of interest, (2) Errors in computing score (3) Non-compliance with procedures
described in the solicitation or City policy.
All protests shall be in writing and clearly state that the respondent is submitting a formal protest. Protests
must be emailed to the RFP content contact listed below. Bid Protests will not be accepted later than two
(2) business days after respondents are notified of award details. The City's Technical Contact and RFP
Content Contact will review any protest and respond to protestor within ten (10) business days. The City
may request additional time if needed. Protestor and the other respondents will be notified in writing if
protest results in a change to award details and/or protest results in a new solicitation process.
Americans with Disabilities Act (ADA) Information
The City of Redmond in accordance with the Americans with Disabilities Act of 1990 and Section 504 of the
Rehabilitation Act of 1973 will make every reasonable effort to provide equal opportunity to submit
qualifications in response to this request. Visit http://redmond.gov/ADA for more information. This
material can be made available in an alternate format by contacting the Customer Service Center at
info@redmond.gov or 425-556-2900, option 7.
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