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