HomeMy WebLinkAboutCAG1999-0363 - Amendment - #1 - Valley Medical Center (OHS) - Jail Health Services Addendum & Extension - 01/01/2001 . y
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ADDENDUM ONE AND EXTENSION TO CONTRACT FOR SERVICES
THIS ADDENDUM ONE AND EXTENSION TO CONTRACT FOR SERVICES, entered
into as of this F/�� day of becem b e.�- . 2000, by the City of Kent, a
Washington municipal corporation (hereinafter"City', and the Public Hospital District No. 1 of
King County,a Washington municipal corporation d/bi/a Valley Medical Center Occupational Health
Services, (hereinafter"Contractor'.
WITNESSETH
WHEREAS, the City is required to provide certain medical services to the inmates of the
Kent Correctional Facility; and
WHEREAS,the City desires to engage the Contractor to render said medical services to the
inmates of the Kent Correctional Facility for an additional one year term;
NOW THEREFORE, the parties do mutually agree as follows:
1. The Contract for Services, entered into between the parties on or about December 13,
1999,which currently terminates on December 31,2000, shall be extended for an additional one year
term, commencing January 1, 2001, and ending December 31,2001.
2. The Fee Schedule attached hereto as Exhibit"A'shall replace and supercede Exhibit
"A"to the original Contract for Services, executed on or about December 13, 1999.
3. The remainder of the original Contract for Sevrices shall remain in full force and
effect, except to the extent that the terms of said Contract for Services conflicts with this Addendum
One and Extension.
IN WITNESS WHEREOF,the parties hereto have caused this Addendum One and Extension
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 Heal Services
By: 0 By:
Print N e: J- White Print Name: 6.1 PA. Ls.'w
Its: Mayor Its: AFL w._ua h..ge=— Ub4 e- S<!n,..Gv
CONTRACT FOR SERVICES- 1
City of KenVWC-OHS- 10/4/00
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By:
Print Name: Ed C raw ford
Its: Chief of Police
ATTEST: ATTEST:
By: By:
Brenda Jacob . ity Clerk Print Name and Title:
APPROVED AS T
Arthur` Fitzpatrick
Assistant City Attorney for the
City of Kent
CONTRACT FOR SERVICES-2
City of KenV VMC-OHS- 10/4/00
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EXHIBIT A
FEE SCHEDULE
BASIC PROGRAM COMPONENTS FEE
Clinical Staff and Services
Registered Nurse&Physician Assistant January 1,2001-December 31,2001
Malpractice Insurance $260,920
Trained clinicians for back-up/coverage
Medical Director Oversight
On-site services 84 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 Director
Regular business hours
Quarterly Meeting Attendance
Ongoing Personnel Management
Problem-Solving
Identifying Service Gaps
Medical Oversight
Access to Medical Oversight
24 hours/day,7 days/week
Quarterly Meeting Attendance
Quality Assurance
Quality Improvement
Scope of Practice Monitoring
Referral Monitoring
CONTRACT FOR SERVICES-August,2000
CITY OF KENT/VMC-OHS
EXHIBIT A
BASIC PROGRAM COMPONENTS(continue ) 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
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 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-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/bour
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 I Usual and customary rates
Psychiatric Services No additional charge for evaluating
alternatives
CONTRACT FOR SERVICES-August,2000
CITY OF KENT/VMC-OHS