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HomeMy WebLinkAboutCAG1996-0216 - Original - Valley Medical Center - Jail Health Services - VMC-OHS - 04/01/1996 is+,;'A 980,55 Valley Medical Center Contractor: Public Hospital District No. I of King County d/b/a Valley Medical Center, Occupational Health Services (OHS) Address: 220 S.W. 43rd Street Renton, WA 98055 Services Provided: Jail Health Services Amount: $84,000 (April 1, 1996 - December 31, 1996) $1 17,880 (January 1, 1997 - December 31, 1997) Duration: April 1, 1996 - December 31, 1997 Liaison OHS/VMC: Kelly Morse, RN (206) 656-5439 City of Kent: Captain Charles E. Miller 220 Fourth Avenue South Kent, WA 98031 CONTRACT FOR SERVICES THIS AGREEMENT, entered into as of the 1st day of April, 1996, by the City of Kent, hereinafter referred to as the "City," and the Public Hospital District No. 1 of King County, a Washington municipal corporation d/b/a Valley Medical Center Occupational Health Services, hereinafter referred to as the "Contractor," WITNESSETH 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. Scope of Service A. The Contractor's responsibilities include: 1. Scheduling An RN will be scheduled for 36 hours per week, and a Physician Assistant will be scheduled for 4 hours per week or a combination of staff and hours to equal 40 clinical staff hours per week, excluding holidays. Holidays and leaves of absence will necessitate variation in the scheduling of personnel and ability to recruit appropriate staff may limit ability to provide services. For the eight (8) holidays listed in Exhibit B, Contractor CONTRACT FOR SERVICES-APRIL t, 1996 CITY OF RENT/VMC-OHS Valle 3/28/96 edical Y PAGE 1 M Center will not provide staff and coverage in the clinic. However, telephone consultation services will be available. The 64 hours resulting from the eight holidays will be scheduled and worked throughout the year the holidays occurred. An RN and/or PA will staff those hours, 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 yearly TB test. 3. Sick Call a. A minimum of 20 liours/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 A.1. b. Treatment of acute or chronic medical conditions will be limited by: - licensure, certification, and training of the RN and PA availability 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. 4. 14-Day Health Appraisal a. 14-day health appraisals will be conducted within the 1 Oth and 17th day of confinement. b. The 14-day health appraisal will include: - basic medical/health history, - vital signs, - brief physical examination, - TB skin test, - syphilis serology, - review of Contractor-approved Reviewing/Screening form. 5. Health Receiving Screening CONTRACT FOR SERVICES-APRIL 1, 1996 CITY OF KENT/VMC-OHS 3/28/96 PAGE 2 a. The Contractor will update, as necessary, the Health Receiving/Screening form. b. The Contractor staff will train officers in use and application of the form. C. The Contractor staff will review all Health Receiving/Screening 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 Friday clinic hours. C. Contractor staff will prioritize complaints/requests and will follow-up as appropriate. 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. Contractor is the keeper of the medical records. Release of any confidential medical information will be done by the Contractor per the Contractor's policy and procedures. f. Contractor will provide clerical staff to handle medical records. S. Policy and Procedure 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-Friday. Contractor will identify and stock over-the- counter drugs that are commonly used, and bill City a monthly fee for the amount of inventory used. 10. Medication Administration CONTRACT FOR SERVICES-APRIL 1, 1996 CITY OF KENT/VMC-OHS 5/28/96 PAGE 3 Contractor staff will administer all jail health-approved medications to the individual inmates when such staff are on-site during normal Monday through Friday 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-Friday 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 after-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/screening and not be construed as emergency care. Contractor staff will provide advice regarding necessary further action required. Contractor and the City will develop written guidelines for use of the telephone consultation service. 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 of Kent Correctional Facility administrator. 13. Coordinate Appointments Contractor will coordinate all appointments that utilize outside providers and services including dental. Contractor will work with corrections staff to assure 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 CONTRACT FOR SERVICES-APRIL i, 1996 CITY OF KENT/VMC-OHS 3/28/96 PAGE 4 applicable. The Contractor will also make all the appropriate inquiries regarding health care coverage. 15. Optional Services a. Transportation - Contractor is not responsible for transporting inmates to and from medical facilities. Transporting, escort services and security will be provided by the City. b. X-Ray and Urgent 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 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 health 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. 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 security 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. 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. IL Time of Performance The services of the Contractor are to commence on the 1st day of April, 1996, and terminate on the 31st day of December, 1997. The duration of the contract may be extended or terminated upon mutual written agreement between the parties hereto and pursuant to the terms and conditions of the agreement. All requests for extensions and changes to the Contract must be provided to the Corrections Facility Administrator by June 1 of the year the Contract expires. CONTRACT FOR SERVICES-APRIL 1, 1996 CITY OF KENT/VMC-OHS 3/28/96 PAGE 5 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 this Agreement. 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 on Exhibit A shall be billed by Contractor at its usual and customary rates. IV. Indemnification The City will protect, defend, indemnify, and save 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 extend to any claim, demand and/or cause of action brought by or on behalf of any employees, or agents. For this purpose, the City, by mutual negotiation, hereby waives, as respects 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 therefrom including attorney's fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable from the City. The Contractor will protect, defend, indemnify, and save harmless the City, 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 Contractor, its officers, employees, and/or agents. 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 brought by or in 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. Changes 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. CONTRACT FOR SERVICES-APRIL 1, 1996 CITY OF KENT/VMC-OHS 3/28/96 PAGE 6 VI. Termination The City may, by written notice of default to the Contractor, terminate the whole or any part of the Agreement if, (1) the Contractor fails to provide services called for by this Agreement within the time specified herein, or if, (2) 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. IN WITNESS WHEREOF,the parties hereto have caused this Contract to be executed the day and year first herein written. City Of Kent Public Hospital District No. 1 of King County d/b/a Valley Medical Center Occupational Health Services nnature Signature Jim White Phillip J. Haas Mayor, City of Kent Administrator Primary and Managed Care Services ATTEST: ATTEST: City Clerk A RM: oger A. Lubovich, City Atto,xiw-y--- CONTRACT FOR SERVICES-APRIL 1, 1996 CITY OF KENT/VMC-OHS 3/28/96 PAGE 7 EXHIBIT A FEE SCHEDULE BASIC PROGRAM COMPONENTS NORM FEE Clinical Staff and Services April 1-December 31, 1996 Registered Nurse&Physician Assistant $84,000 Malpractice Insurance Trained clinicians for back-up/coverage January 1-December 31, 1997 Medical Director Oversight $117,880 On-site services 40 hours/week(including a minimum 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 relief 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 rates 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 Quality Assurance Quality Improvement Scope of Practice Monitoring Referral Monitoring CONTRACT FOR SERVICES -APRIL 1, 1996 CITY OF KENT/VMC-OHS 3/28/96 EXHIBIT A BASIC PROGRAM COMPONENTS continued FEE Lab &Health Appraisal Tests Blood Draw $15.00(off-site only) CBC with Differential $12.00 $11.00 (off-site only) Urine Collection 00 Urinalysis $1 .95 Throat Culture $ . RPR $10.00 Dilantin Level $30.00 Chem Panel-19 $20.00 $17.00 VDRL 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 custom:a rates ADDITIONAL PROGRAM ELEMENTS FEE Supplies&Medication Stocking No additional charge for inventory monitoring. Actual goods billed at OHS' cost. Delivery of Medication Daily Delivery of Prescription Medication (Monday-Friday) No additional charge Weekend and Emer ency Deliveries Arranged at a ne otiated 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-site 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/hour X-Ray Usual and customary rates Urgent Care Services(available Monday-Friday,6:00am-6:00pm, OHS fee schedule(based on the Dept. at OHS Renton,and 7:00am-5:00pm at OHS Auburn) of Labor and Industries fee schedule) Emergency Services at VMC's Emergency Department Usual and customary rates Psychiatric Services No additional charge for evaluating alternatives CONTRACT FOR SERVICES-AFRIL 1, 1996 CITY OF KENT/VMC-OHS 3/28/96 EXHIBIT B 1996 HOLIDA YS NEW YEARS DAY MONDAY,JANUARY I MEMORIAL DAY MONDAY,MAY 27 INDEPENDENCE DAY THURSDAY,JULY 4 LABOR DAY MONDAY, SEPTEMBER 2 THANKSGIVING THURSDAY,NOVEMBER 28 FRIDAY,NOVEMBER 29 CHRISTMAS EVE TUESDAY, DECEMBER 24 CHRISTMAS DAY WEDNESDAY,DECEMBER 25 1997 HOLIDAYS NEW YEARS DAY WEDNESDAY,JANUARY I MEMORIAL DAY MONDAY,MAY 26 INDEPENDENCE DAY FRIDAY,JULY 4 LABOR DAY MONDAY, SEPTEMBER I THANKSGIVING THURSDAY,NOVEMBER 27 FRIDAY, NOVEMBER 28 CHRISTMAS EVE WEDNESDAY,DECEMBER 24 CHRISTMAS DAY THURSDAY, DECEMBER 25 CONTRACT FOR SERVICES-APRIL i, 1996 CITY OF KENT/VMC-OHS 3/28/96 CITY OF ���Jy, Jim White, Mayor __VmCIX, October 16 , 1997 Ms . Jody A. Mahoney Accounts Manager Occupational Health Services 220 SW 43rd Street Renton, WA 98055 Dear Ms . The Kent City Council recently approved the new contract, including the new terms which increase the RN service hours from 36 to 40 per week and include four physician' s assistant hours per week. I have signed both originals of the contract addendum dated May 12 , 1997 . One is enclosed for your files and I have kept one for our records . We appreciate the good service we receive from Occupational Health Services and look forward to continuing our good working relation- ship in the years to come . Sincerely, Charles E. Miller, Captain Kent Police Department Corrections Division CEM: rcb Enclosure nO d)h AVE SO.. /KI Nl WASIIIN6ION 9-W-612 -WA-1 I fFi6N1. (-1)61854-ttp111 FAX k R54-iitq ling 5onith 43rd Ftrvet Rrnton, WA (48(y ; 01 128•14;0 FAV 10(,o175-2;q'1 N c lIlo May 12, 1997 Captain Charles E. Miller City of Kent 220 Fourth Avenue South Kent, WA 98031 Re: Valley Medical Center Occupational Health Services/City of Kent Jail Health Services Contract Dear Captain Miller: Please consider this letter as an addendum and extension to that Contract for Services dated April 1, 1996, between the City of Kent and Valley Medical Center Occupational Health Services. We welcome the opportunity to continue to provide services for the City of Kent. The following are updates to the contract which will otherwise stay in full force and effect: 1. The new scheduling for RN and Physician Assistant time according to I.A.1. shall be forty(40) hours per week for the RN and four(4) hours per week for Physician Assistant, or a combination of staff and hours to equal forty-four(44) clinical staff hours per week, excluding holidays. 2. A list of holidays pursuant to paragraph I.A.1. shall be as attached hereto. 3. A new section should be added as 1.18., as follows: 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 c. Medical visits/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 full payment within thirty (30) days of receipt of such bill. It will be the City's responsibility to collect from the subcontractor. 1 4. The new duration of the contract in accordance with II. shall be January 1, 1998, through December 31, 2000. Further, the date for requests for extensions and changes to the contract Captain Charles E. Miller May 12, 1997 Page 2 which must be provided to the Corrections Facility Administrator prior to contract expiration shall be May 1 (instead of June 1). 5. The new annual fee in accordance with III.A. of the contract shall be: $140,245 (1/1/98 - 12/31/98) $151,466 (1/1/99 - 12/31/99) $163,582 (1/1/2000 - 12/31/2000) 6. By way of clarification, notwithstanding the letter dated July 8, 1996, Contractor will continue to manage Department of Social and Health Services patients as has been done to date, and by identifying patient eligibility and billing the Department of Social and Health Services as required by RCW 70.48.130. Again, we greatly appreciate the opportunity to provide services to the City of Kent. If you have any questions, please do not hesitate to call. Otherwise, please sign below indicating your acceptance of these changes. Thank you very much. Very truly yours, Phillip J. Haas Administrator Primary&Managed Care Services The above terms and conditions are hereby agreed to and accepted: CITY OF KENT 1",Ieme4 �- -=-- Captain Charles E. Miller PJH/cm Attachment 07107/contrads 022-497.add EXHIBIT B 1998 HOLIDAYS New Years Day Thursday,January I Memorial Day Monday, May 25 Independence Day Friday,July 3 Labor Day Monday, September 7 Thanksgiving Thursday, November 26 Friday, November 27 Christmas Eve Thursday, December 24 Christmas Day Friday, December 25 1999 HOLIDAYS New Years Day Friday,January I Memorial Day Monday, May 31 Independence Day Monday,July 5 Labor Day Monday, September 6 Thanksgiving Thursday, November 25 Friday, November 26 Christmas Eve Friday, December 24 Christmas Day Monday, December 27 2000 HOLIDAYS New Years Day Friday, December 31 Memorial Day Monday,May 29 Independence Day Tuesday,July 4 Labor Day Monday, September 4 Thanksgiving Thursday, November 23 Friday, November 24 Christmas Eve Friday, December 22 Christmas Day Monday, December 25