HomeMy WebLinkAboutCAG2019-1004 - Original - King County Behavioral Health and Recovery Division - Maintenance of Narcan Kits and the Application to Individuals - 01/17/2019MEMORANDUM OF AGREEMENT
between
King County Behavioral Health and Recovery Division
and
Kent Police Department
I. SUBJECT
The following Agreement is entered into between King County Behavioral Health and
Recovery Division, hereafter BHRD, and Kent Police Department, hereafter KPD.
II. PURPOSE
The purpose of this Agreement is to describe and assure continued partnership between
BHRD and the KPD for the maintenance of Narcan (or other naloxone) kits and the application
of Narcan to individuals requiring opioid antidote intervention.
III. DEFINTIONS
Narcan: Generic name naloxone, is a prescription medication used to treat opioid overdose.
Narcan is indicated for reversal of respiratory depression or unresponsiveness in the setting of
opioid overdose. lt is a narcotic antagonist which blocks the opioids in the body.
IV. RESPONSIBILITES
A. BHRD agrees to the following
1. Provide or coordinate initial training on how to administer Narcan or opioid antidote
intervention, if desired;
2. Coordinate Narcan kit orders for KPD with pharmacy;
3. Provide the Narcan kit(s) without a cost to the KPD and will refill the kits as resources
allow; and
4. Provide access to electronic naloxone incident and loss reportinq for data collection
purposes.
B. KPD agrees to the following
1. Provide all services under this agreement in compliance with BHRD Policy and
Procedures;
2. Coordinate with BHRD for the provision of services under this Memorandum ot
Agreement;
3. Ensure staff training:
a. All staff shall be trained to administer the intranasal form of Narcan; and
b. All staff shall receive an annual refresher training on Opioid Overdose Prevention
and Narcan administration;
Memorandum of Agreement - KPD Page 1 of 3 revised 0110412019
4. Order, Receive, and Store Narcan Kits:
a. Narcan kits shall be maintained in appropriate conditions in accordance with
pharmacy and manufacturer recommendations;
b. Naloxone kits shall be ordered through BHRD using the online naloxone portal. The
pharmacy will deliver Narcan to BHRD and BHRD will communicate to KPD when
naloxone is ready for pick up;
c. Narcan medication shall be kept in an Overdose Prevention Kit and will be stored
according to the manufacturer's recommendations and KPD policy and procedures;
5. Provide quality assurance
a. KPD shall create and maintain operational policy and procedures related to opioid
overdose response and Narcan administration. The policy and procedures shall
include:
Guidelines for staff response to a suspected opioid overdose;
ii. Staff training;
iii. Documentation standards related to staff administration of Narcan to residents:
and
iv. Guidelines to monitor Narcan supplies and ordering replacement kits when
refills are needed. This includes disposal of Narcan medication that has
expired; and
b. KPD shall seek guidance from BHRD staff, as needed, as it relates to the provision
of services under this memorandum of agreement;
6. Meet the following reporting requirements:
a. lncidence and Loss Reports: KPD shall submit an opioid overdose incident or loss
report to BHRD using the online naloxone portal each time a Narcan kit is applied
to an individual, lost, stolen, or for any other reason the kit is no longer available
for use;
Reporting to the online naxolone portal is required within 48 hours of the
occurrence.
b. One-Time-Only Reports: Upon request from the BHRD, KPD shall submit one or
more brief summaries of sample success stories accompanied by a release of
information as provided by the BHRD. Person-identifying information should NOT
be included; and
c. Otherwise suitable documentation mutually agreed upon
Memorandum of Agreement - KPD Page 2 of 3 revised 0110412019
V. CONFIDENTIALITY
All data concerning persons who received Narcan administration and their services shall be
held in the strictest confidence by both organizations. lnformation on individuals shall not be
disclosed directly or indirectly except where authorized by the person or requested by law. All
information, records, and data collected in connection with these services shall be protected
from unauthorized disclosure in accordance applicable regulations set forth in the Code of
Federal Regulations (42 CFR Part2) and compliant with all Federal HIPAA requirements.
VI. COORDINATION
Erin James and lleana Janovich will be the primary contact between KPD and King County
BHRD to collaborate on responding to information requests and resolving questions that may
arise.
vil.DISPUTE RESOLUTION
The parties shall use their best, good-faith efforts to cooperatively resolve disputes and
problems that arise in connection with this memorandum of agreement. Both parties shall
make a good faith effort to continue without delay to carry out their respective responsibilities
while attempting to resolve the dispute under this section.
lf there is a dispute of the terms and outcomes of this Agreement, the parties involved with the
dispute shall first work with the BHRD Director to resolve the matter. lf the matter is
unresolved, both parties agree to follow King County dispute resolution protocols and
procedures to resolve the matter.
VIII. TERMINATION
Either BHRD or KPD may terminate the Agreement, upon 30 days written notice. Required
reports and/or unused Narcan kits shall be returned to BHRD, if applicable.
lN WITNESS HERETO, the King County Behavioral Health and Recovery Division and Kent Police
Department below, have executed this Agreement as of the dates written below:
KING COUNTY BHRD KENT POLICE DEPARTMENT
/"*FOR <
Sig\ature
Kelli Nomura, lnterim Director and BHO
Administrator
S..^, t1 , Wn
Name, Title (Please type or print)
\5 \\
Date
Signature
Q.3;^"u An*wtcsol€-f,
Date
Memorandum of Agreement - KPD Page 3 of 3 revised 01lO4l2O19