HomeMy WebLinkAboutCAG1999-0363 - Original - Valley Medical Center (OHS) - Jail Health Services - 07/01/1999 Contractor: Public Hospital District No. iI of King County d/b/a Valley Medical Center,
Occupational Health Services (OHS)
220 S.W. 43rd Street
Renton, WA 98055
Services Provided: Jail Health Services
Liaison OHS/VMC: Kelley Morse, RN
(425) 656-5439
City of Kent: Chief Ed Crawford
220 Fourth Avenue South
Kent, WA 98032
CONTRACT F04 SERVICES
THIS AGREEMENT, entered into as of the /3 day of ISP-42- 1999, by the
City of Kent, a Washington municipal corporation (hereinafter "City"), and the Public Hospital
District No. 1 of King County, a Washington mWcipal corporation d/b/a Valley Medical Center
Occupational Health Services, (hereinafter "Contractor"). This contract supersedes all other
contracts and addenda previously entered into by: and between City and contractor for medical
services provided at the Kent Corrections Facility.
WITNES$ETH
WHEREAS,the City is undertaking certain activities necessary to meet health needs as they
relate to correctional health services; and
WHEREAS, the City desires to engage the Contractor to render certain services in
connection with such undertaking of the City.
NOW THEREFORE, the parties do mutually agree as follows:
I. Scone of Service.
A. The Contractor's responsibilities include:
1. A Registered Nurse("RN")will be scheduled for 80 hours per week,
and a Physician Assistant ("PA") will be scheduled for 4 hours per
week or a combination of staff and hours to equal 84 clinical staff
hours per week, excluding holidays. RN and PA hours will be
scheduled in a manner that provides the staffing of an RN or PA at
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the Kent Corrections Facility during the daytime hours of each day
and during the evenings on Monday, Wednesday, and Friday.
Prior to performing more than 10 hours of overtime during a
continuous week, Contractor shall notify the City, and receive
approval therefore.
Holidays and leaves of absence will necessitate variation in the
scheduling of personnel and ability to recruit appropriate staff may
limit ability to providee services. For the eight (8) holidays listed in
Exhibit B,Contractor Will not provide staff and coverage in the clinic.
However,telephone conversation services will be available. The 64
hours resulting from the eight holidays will be scheduled and worked
throughout the year that the holidays occurred. An RN and/or PA
will staff those hour$, and a report of the hours worked will be
provided at the City's request and at each quarterly meeting.
2. Staff Assistance.
Contractor will provide assistance to staff for minor injuries,
vaccinations, and a y@arly TB test.
3. Sick Call.
a. A minimum of 20 hours/week of sick call will be available.
It will be scheduled Monday through Friday. Clinic hours will
be determined)by mutual agreement. Sick call consists of
diagnostic and treatment services for acute and chronic illness
and will be provided by an RN and Physician Assistant
consistent with Section I(A)(I).
b. Treatment of acute or chronic medical conditions will be
limited by:
• Licensiure, certification, and training of the RN and
PA; and
• Availalbility of monitoring, observational and
treatment capabilities of qualified staff.
C. Laboratory tests ordered by Contractor staff will be handled
by the Contractor. Lab tests are not included in the base
agreement.
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4. 14-Day Health Appraisal.
a. 14-day health appraisals will be conducted within the 101 and
14'h day of confinement.
b. The 14-day health appraisal will include:
• Basic',medical/health history;
• Vital Signs;
• Brief physical examination;
• TB sl in test;
• Syphilis serology; and
• Revieiw of Contractor-approved Reviewing/Screening
form.',
5. Health Receiving Screening,
a. The Contractor will update, as necessary, the Health
Receiving/Scteening form.
b. The Contractor staff will train Corrections officers in use and
application of the form.
C. The Contractor staff will review all Health
Receiving/Sckeening forms and recommend appropriate
follow-up.
6. Triage.
a. Corrections staff will collect written inmate
complaints/requests.
b. Contractor staff will review written inmate
complaints/requests during normal Monday through Sunday
clinic hours.
C. Contractor staff will prioritize complaints/requests and will
follow-up as appropriate.
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7. Medical Records.
a. Contractor staff will maintain the medical records system.
b. Contractor staff will maintain a system which protects the
confidentiality of health information.
C. Corrections staff will ensure the provisions of Section 6(A)
above are maintained.
d. Contractor staff, upon notification of Corrections staff, will
prepare appropriate information on inmates transferred to
another correctional facility.
e. Pursuant to RICW 70.02.050(1)(i), Contractor shall disclose
to the City upon its request health care information and records
concerning an inmate of the City Corrections Facility.
Contractor is the keeper of the medical records. With the
exception of those records released pursuant to RCW
70.02.050(1)0),the release of any confidential medical
information 41 be done by the Contractor per the Contractor's
policy and procedures.
f. Contractor will provide clerical staff to handle medical records.
8. Policy and Procedurq Manual.
Contractor will maintain a policy and procedure manual for activities
and services provided by Contractor staff.
9. Medications.
Prescriptions written by Contractor will be supplied in standard
pharmacy packing through a pharmacy contract of the Contractor.
Contractor will deliver prescriptions once a day, Monday through
Friday. Contractor will identify and stock over-the-counter drugs that
are commonly used, land bill City a monthly fee for the amount of
inventory used.
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10. Medication Administration.
Contractor staff will administer all jail health-approved medications
to the individual inmates when such staff are on-site during normal
Monday-Sunday clinic hours. The City will be responsible for
medication distribution at other times. Contractor will be responsible
for leaving written instructions for the correctional staff for after-hours
administration.
11. Dental Services.
On-site dental services will be limited to tooth blocking or pain relief
during normal clinic hours.
a. Emergency and traditional dental services will be scheduled
and coordinated by Contractor staff during normal, Monday-
Sunday clinic(hours. Individual dental clinics will handle
insurance billing and bill the City separately.
12. Telephone Consultation Services.
Contractor staff will provide limited telephone consultation to
Corrections staff during periods when the clinic is not scheduled to
be open, to include aOer-hours, weekends, and late night calls. This
service is subject to the following limitations:
a. Contractor staff will be available only at telephone numbers
which they will provide;
b. Contractor staff will not be on any form of"standby";
C. Telephone consultation will be limited to basic medical
triage/screen g and not be construed as emergency care.
Contractor stalwill provide advise regarding necessary further
action required. Contractor and the City will develop written
guidelines for',use of the telephone consultation service; and
d. Contractor staff who receive consulting telephone calls will
maintain a log indicating the date,time, length of call, and
general call content. This log will be reviewed at least
quarterly or upon request, with the City Correctional Facility
Administrator,
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13. Coordinate AnnointM'ents.
Contractor will coordinate all appointments that utilize outside
providers and service including dental. Contractor will work with
Corrections staff to ensure transportation is available for scheduled
appointments.
14. Direct Billing.
Contractor will participate in directly billing the Department of Social
and Health Services or private insurance companies where applicable.
The Contractor will also make all the appropriate inquiries regarding
health care coverage.
15. Optional Services.
a. Transportation,—Contractor is not responsible for transporAng
inmates to and from medical facilities. Transporting, escort
services, and security will be provided by the City.
b. X-ray and Ur ent Care Services—for certain offenders,
Contractor will provide x-ray and urgent care services to the
City at Contractor's location during normal clinic hours on a
pre-scheduled(basis. These services are not included in the
base agreement set forth in paragraph III(A).
C. Psychiatric Services—Contractor will assist the City in
identifying cost-effective alternatives for psychiatric services.
16. Quarterly Meetings.
The Contractor's Jail Health Services Administrator or designee will
meet quarterly with the City's Correctional Facility Administrator and
review the heath care delivery system.
17. Quarterly and Annual'(Reports.
The Contractor will provide quarterly and annual statistical reports on
the health care delivery system in the City's correctional facility, to
include, but not to be limited to:
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a. Number of hors of work performed for the City by Contractor,
b. The number of inmates for whom OHS staff performed service;
C. The number ottimes the hospital has been utilized for service;
and
d. The average number of after-hours pages received by OHS
staff.
18. Subcontractors.
Contractor shall bill',directly any subcontractors of the City that
Contractor provides services for to such subcontractor's inmates.
Such services being limited to the following services under the
Contract:
a. Over-the-counter medication;
b. Prescription medication; and
C. Medical visita/exams and ancillary services provided at
VMC's OHS clinic site.
If payment is not received by the City's subcontractor within sixty.
(60) days of billing by Contractor, Contractor shall bill the City and
the City shall remit Ul payment within thirty(30)days of receipt of
such bill. It will be!the City's responsibility to collect from the
subcontractor.
B. The City's responsibilities include:
1. Providing an appropriate examination room, furnishings,
telephone, and security for the Contractor's staff,
2. Providing for the secority of records and maintenance of
confidentiality when(Contractor staff is not on-site;
3. Providing medical, dental, pharmacy and psychiatric services not
specifically provided by the Contractor; and
4. The City's Correctional Facility administrator, or designee, will
meet quarterly with the Contractor's Jail Health Administrator, or
designee,to review the health care delivery system.
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II. Time of Performance.
The services of the Contractor are to commence of the Pt day of July, 1999, and to
terminate on the 31' day of Decembor, 2000. The duration of the contract may be
extended or terminated upon mutual written agreement between the parties hereto
and pursuant to the terms and cohditions of the agreement. All requests for
extensions and changes to the Contract must be provided to the Corrections Facility
Administrator by May 1 of the year the Contract expires.
III. Compensation and Method of Payment.
A. The City agrees to compensate Contractor as set forth in the Fee Schedule
attached hereto as Exhibit"A." The scope of Contractor's services shall
be as set forth in Exhibit"A"and as otherwise set forth in the Agreement.
Any service which is mentioned in this contract, but which is not mentioned
in Exhibit"A,"shall be included in the annual fee paid by the City as set forth
in Exhibit"A," and no further payment shall be forthcoming.
B. The City shall pay Contractor monthly and within 30 days of receipt of an
accurate invoice from Contractor. Late payments shall bear interest at 1%
per month.
C. Any services requested by City and provided by Contractor that are not set
forth in Exhibit"A," shall be billed by Contractor at its usual and
customary rates.
IV. Indemnification.
The City will protect, defend, indemnify, and hold harmless the Contractor, its
officers, employees, and agents from any and all costs, claims,judgments, and/or
awards of damages, arising out of or',in any way resulting from the negligent acts or
omissions of the City,its officers,employees, and/or agents. The City agrees that its
obligations under this subparagraph''11extend to any claim, demand, and/or cause of
action brought by or on behalf of any employee or agent. For this purpose,the City,
by mutual negotiation, hereby waves, in respect to the Contractor only, any
immunity that would otherwise be available against such claims under the Industrial
Insurance provisions of Title 51 RCW. In the event the Contractor incurs any
judgment, award, and/or cost arising jtherefrom, including attorney's fees,to enforce
the provisions of this article, all suc4 fees, expenses, and costs shall be recoverable
from the City.
CONTRACT FOR SERVICES-8
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The Contractor shall defend, indemnify, and hold the City, its officers, officials,
employees, agents, and volunteers (harmless from any and all , claims, injuries,
damages, losses or suits, including 01 legal costs and attorney's fees, arising out of
or in connection with the performance of this Agreement, except for injuries and
damages caused by the sole negligence of the City.
The City's inspection or acceptance!of any of Contractor's work when completed
shall not be grounds to avoid any of these covenants of indemnification.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT
THIS INDEMNIFICATION CONSTITUTES THE CONTRACTOR'S WAIVER
OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 R.C.W.,
SOLELY FOR THE PURPOSES OF'!THIS INDEMNIFICATION. THE PARTIES
ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS
WAIVER.
The provisions of this section shall survive the expiration or termination of this
Agreement.
The Contractor agrees that the obligation to indemnify, defend, and hold harmless
the City and its agents and employees, under this subparagraph extends to any claim,
demand, or cause of action brougt by or on behalf of any employee of the
Contractor, against the City, its officers, agents, or employees and includes any
judgment, award, and cost arising therefrom, including attorney's fees.
V. Chanees.
Either party may request changes in the scope of services, performing or reporting
standards, or budget provided herein. Proposed changes which are mutually agreed
upon shall be incorporated by written,amendments to this agreement, signed by both
parties. This contract supersedes all previous contracts or agreements relative to
services.
VI. Termination.
The City may,by written notice of default to the Contractor,terminate the whole or
any part of the Agreement if the Contractor fails to provide services called for by this
Agreement within the time specified herein, or if funding becomes no longer
available for the project described herein.
Either party to this Agreement may terminate the whole or any part of the Agreement
for any reason by providing written notice to the other party ninety (90) days prior
to the effective date of termination.
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VIL Notification.
Each party shall identify an individjual who can receive notification and assist in
solving problems which may arise out of or in connection with the performance of
this contract.
City of Kent Corrections Facility Valley Medical Center
Name: Ed Crawford Name: Kelly Morse
Title: Chief Title: Director,Renton Occupational Health Svcs.
Phone: (253) 856-5963 Phone: (425)228-3440, x5439
Address: 220 Fourth Ave. S. Address: 220 SW 43rd St.
Kent, WA 98032 Renton, WA 98055
VIII. Insurance.
The Contractor shall procure and maintain for the duration of this Agreement,
insurance against claims for injuries to persons or damage to property that my arise
from or in connection with the performance of the contract work by the Contractor,
its agents, representatives, employee's, or subcontractors.
Before beginning work on the project described in the Agreement, the Contractor
shall provide Certificate of Insurance evidencing:
A. Automobile Liability insurance with limits no less than$1,000,000 combined
single limit per accident for(bodily injury and property damage; and
B. Commercial General Liability insurance written on an occurrence basis with
limits no less than One Million Dollars ($1,000,000) combined single limit
per occurrence and Two Million Dollars($2,000,000)aggregate for personal
injury, bodily injury,and property damage. Coverage shall include but not
limited to: blanket contractual; products/completed operations/broad from
property damage; and employer's liability. Any payment of deductible or
self-insured retention shall by the sole responsibility of the Contractor.
The City reserves the right to receive a certified copy of all the required insurance
policies.
IX. Independent Contractor.
The parties shall intend that an Independent Contractor-Employer Relationship will
be created by this Agreement,the City being interested only in the results obtained
under this Agreement. This contract!'does not create an agency relationship between
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the care provider Occupational Health Services("OHS")or Valley Medical Center
("VMC") and the City of Kent. Neither OHS nor VMC is an agent or legal
representative of the City of any purpose. The agency is not granted any express or
implied right or authority to assume or create any obligation or responsibility on
behalf of or in the name of the City or to bind the City in any manner.
IN WITNESS WHEREOF,the parties hereto have caused this contract to be executed the
day and year first above written.
CITY: CONTRACTOR:
City of Kent Public Hospital District No. 1 of King County
d/b/a Valley Medical Center
_ Occupational Health Services
Ila—
By: cloBy: ilk
Print N Jim White Print Name: P u 1 M
Its: IV Mayor Its: /f d.......s yc.✓.r — tin c C 4 f-.:
By: _
Print Name: Ed Crawford
Its: Chief of Police
ATTEST: ATTEST:
By: By:
Brenda Jaco e City Clerk Print Name and Title:
APPRO ASTO
v:
�- rth5EVatlFitzpatrick
Assistant City Attorney for the
City of Kent
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EXHIM A
BASIC PROGRAM COMPONENTS FEE
Clinical Staff and Services July 1,1999—December 31,1999
Registered Nurse&Physician Assistant $115,440.00
Malpractice Insurance January 1,2000—December 31,2000
Trained clinicians for back-up/coverage $245,380.00
Medical Director Oversight
On-site services 84 hours/week(including a minimurp of 20
hours/week of sick call)
Injury and illness treatment services
14-day Health appraisal Exam services(see lab fees below)
Administration of vaccinations&TB tests
Basic dental services,i.e.tooth blocking&pain relied'
Triage system
Medication Administration
24 hour Telephone Consultation Services Included in annual rate
Access to clinical staff 24 hours/day,7 days/week
Telephone Consultation Guidelines
Policies/Procedures&Clinical Guidelines Included in annual rate
Operational Policies&Procedures
Clinical Protocols,Practice Parameters,&Triage
Guidelines
Dental Services Usual and customary rate
Appointment Coordination Included in annual rate
Ongoing Medical Records Management Included in annual rate
Initial Photocopying of Records One time fee at usual and customary
rates
Insurance Billing Included in annual rate
Program Set-Up,Management&Medical Oversight Included in annual rate
Program Set-up
Recruiting,Hiring,Credentialing Staff
Training
Scheduling
Medical Records System
Operational Maintenance
Access to Medical Director and Clinic Manager 24
hours/day,7 days/week
Quarterly Meeting Attendance
Ongoing Personnel Management
Problem Solving
Identifying Service Gaps
Medical Oversight
Access to Medical Director and Clinic Manager 24
hours/day,7 days/week
Quarterly Meeting Attendance
Quarterly Assurance
Quality Improvement
Scope of Practice Monitoring
Referral Monitoring
EXHIBITA
(CONTIATED)
ADDITIONAL PROGRAM ELEMENTS FEE
Lab&Health Appraisal Tests
Blood Draw $15.00(off-site only)
CBC with Differential $12.00
Urine Collection $15.00(off-site only)
Urinalysis $11.00
Throat Culture $26.95
RPR $10.00
Dilantin Level $30.00
Chem Panel—19 $20.00
VDRL $17.00
TB Skin Test $12.00
Culture Specimen,Bacteria $18.00
Gram's Stain,Smear(Stain&Interpretation) $9.00
Pregnancy Test,Urine $11.00
Chlamydia $13.50
Trichomonas $8.00
All other general medical related tests Usual and customary rates
Supplies&Medication Stocking No additional charge for inventory
monitoring. Actual goods billed at OHS'
cost.
Delivery of Medication
Daily Delivery of Prescription Medication(Monday-priday) No additional charge
Weekend and Emergency Deliveries Arranged at a negotiated rate
Occupational and Employee Health Services
On-the-Job Injury Triage System No additional charge
On-site Employee Health Services To be priced at competitive rates but
Flu Shots provided on-sire for convenience
TB Skin Test
Hepatitis B,Series of Three Injections(includes vaccine)
Hepatitis B,Injection Only
Hepatitis B Titer
Hepatitis B Vaccine—Booster
Drug Screen,Collection and Lab Processing
Drug Screen,Collection Only
Medical Review Officer Services
Breath Alcohol Test
Breath Alcohol Test Confirmation
OPTIONAL SERVICES FEE
Transportation No additional charge for coordination
responsibilities
Services Not in Jail Health Service Guidelines
On-site Physician Services $150.00/hour
X-ray Usual and customary rates
Urgent Care Services(available Monday-Friday,6:00am- OHS fee schedule(based on the Dept.of
6:00pm,at OHS Renton,and 7:00=-5:00pm at OHS Auburn) Labor&Industries fee schedule)
Emergency Services at VMC's Emergency Department Usual and customary rates
Psychiatric Services No additional charge for evaluating
alternatives