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Consent Agenda
JEFFERSON COUNTY PUBLIC HEALTH
615 Sheridan Street · Port Townsend · Washington · 98368
www.jeffersoncountypublichealth.org
August 6, 2010
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO:
Board of County Commissioners
Philip Morley, County Administrator
FROM:
DATE:
Jean Baldwin, Director
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SUBJECT: Agenda Item - Contract Agreement - Jefferson Healthcare - ARNP
Services for School Based Health Center; August 16, 2010 - upon
termination; $31,347 plus mileage
STATEMENT OF ISSUE:
Jefferson County Public Health is requesting Board approval of the Contract Agreement - Jefferson
Healthcare - ARNP Services for School Based Health Center; August 16, 2010 - upon termination;
$31,347 plus mileage
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
This is an ongoing agreement to provide nurse practitioner (ARNP) services to Jefferson Healthcare (JHC)
for the School Based Health Center (SBHC). In the original MOUI Agreement (2009) to develop the School
Based Health Center, Jefferson Healthcare agreed to provide a nurse practitioner at Chimacum School, 2
days a week. JCPH will continue to contract with JHC to provide these services.
JCPH will proVide a nurse practitioner in the School Based Health Center at Chimacum High School for 12
hours a week. JHC will reimburse JCPH for Nurse Practitioner wages and benefits as well as mileage. SBHC
is a proven success and this service continues to be a tremendous benefit for Chimacum School District and
community youth.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
The budget is neutral. JHC is covering all costs for nursing services.
COMMUNITY HEALTH
DEVELOPMENTAL DISABILITIES
MAIN: (360) 385-9400
FAX: (360) 385-9401
PUBLIC HEALTH
ALWAYS WORKING FOR A SAFER AND
HEALTHIER COMMUNITY
ENVIRONMENTAL HEALTH
WATER QUALITY
MAIN: (360) 385-9444
FAX: (360) 379-4487
Consent Agenda
RECOMMENDATION:
JCPH management request approval of the Contract Agreement - Jefferson Healthcare - ARNP Services for
School Based Health Center; August 16, 2010 - upon termination; $31,347 plus mileage
Cbli7 i9
Date
(Routed to all Public Health Managers)
CONTRACT AGREEMENT
By and Between
Jefferson County Public Health
And
Jefferson Healthcare Hospital
For provision of one (1) ARNP in school based health center setting
Section 1: PURPOSE:
THIS AGREEMENT for Professional Services is entered into between Jefferson County Public
Health, (JCPH) herein referred to as the "County" and Jefferson Healthcare (JHC), herein
referred to as the "Contractor" to provide nursing services in a school based health setting in
Jefferson County, Washington.
Section 2: TERMS:
This Agreement shall commence on August 16, 2010 and continue through June 30, of each
school year until terminated by either party.
Section 3: SCOPE OF AGREEMENT:
County will provide nurse practitioner ARNP services in the School based clinics.
A. Contract Representatives:
The County and Jefferson Healthcare will each have a contract representative who will have
responsibility to administer the contract for that party. A party may change its representative
upon providing written notice to the other party. The parties' representatives are as follows:
County or JCPH Contract Representative
Jean Baldwin, Director
Jefferson County Public Health
615 Sheridan St.
Port Townsend, W A 98368
(360) 385-9400
Contractor's Contract Representative
Paula Dowdle, Chief Operating Officer
Jefferson Healthcare
834 Sheridan St.
Port Townsend, W A 98368
(360) 385-2200
Jefferson Healthcare - ARNP - SBHC
Section 4: COMPENSATION:
Jefferson Healthcare agrees to provide the following:
A. Pay County the actual cost of Employee's services to Jefferson Healthcare for School
Based Health Center. This reimbursement rate will be based on the Employee's current
rate of compensation as a Jefferson County Public Health employee at the time the
service is provided, plus a proportionate share of benefits, and covered employee
expenses incurred by Jefferson County Public Health. The reimbursement rate for
Employee for 2010 is currently $58.05 / hour. The reimbursement rate will be readjusted
in January of each calendar year, or as needed, to reflect changes in Employee's current
rate of compensation as a Jefferson County Public Health employee.
JCPH will provide nursing services described herein at 12 hours weekly.
Additional hours worked above the agreed upon 12 hours weekly, will be charged at
the same hourly rate.
B. In addition, provide for reimbursement of nursing staff for mileage incurred in connection
with provision of stated services at the rate of $0.50 per mile or the current IRS Standard
Business Mileage Rate.
C. County shall submit invoices of actual cost to Jefferson Healthcare quarterly for payment
of work completed to date.
D. County records and accounts pertaining to this agreement are to be kept available for
inspection by representatives of the Contractor and state for a period of six (6) years after
final payments. Copies shall be made available upon request.
Section 5: INDEMNIFICATION:
The County shall indemnify, defend and hold harmless the Contractor, its officers, agents and
employees, from and against any and all claims, lawsuits, demands for money damages, losses or
liability, or any portion thereof, including attorney's fees and costs, arising from any injury to
person or persons (including the death or injury of the County or damage to personal property) if
said injury or damage was caused by the negligent acts or omissions of the County or its
employees or representatives.
Section 6: INSURANCE:
The County shall obtain and keep in force during the terms of this Agreement, or as otherwise
required.
A. Commercial Automobile Liability Insurance providing bodily injury and property
damage liability coverage for all owned and non owned vehicles assigned to
or used in the performance of the work for a combined single limit of not less than
$300,000 each occurrence.
B. Professional Liability Insurance providing $2,000,000 per incident; $4,000,000
aggregate.
C. The County shall participate in the Worker's Compensation and Employer's Liability
Insurance Program as may be required by the State of Washington.
Jefferson Healthcare - ARNP - SBHC
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D. Its membership in the Washington Counties Risk Pool.
Section 7: CONFIDENTIALITY:
All parties to this Agreement and their employees or representatives and their subcontractors and
their employees will maintain the confidentiality of all information provided by JCPH or JHC or
acquired in performance of this Agreement as required by HIP AA and other privacy laws. This
Contract, once executed by the parties, is and remains a Public Record subject to the provision of
Ch. 42.56 RCW, the Public Records Act.
Section 8: OWNERSHIP AND USE OF DOCUMENTS
The Contractor acknowledges and agrees that any and all work product directly connected and/or
associated with the services rendered hereunder, including but not limited to all documents,
drawings, reports, and the like which the County in the performance of the service hereunder,
either solely and/or jointly with the Contractor shall be the sole and exclusive property of the
County. The County will grant shared use of said materials following HIPP A; medical records,
HIPP A charts owned by JCPH, referrals made to JHC for medical follow up, primary care, lab,
x-ray, specialty care and ER, trademarks, trade names and other intellectual property right claims
for said materials. Other materials produced by the County in connection with the services
rendered under this agreement shall be the property of the County whether the projects for which
they are made are executed or not. Each party may, with no further permission required from the
other party, publish to the web, disclose, distribute, reproduce, or otherwise copy or use, in
whole or in part, such items produced during the course of the Project to the extent disclosure is
allowed by HIP AA.
Section 9: INDEPENDENCE
Nothing in this agreement shall be considered to create the relationship of employer and
employee between the parties hereto. The County shall not be entitled to any benefits accorded
Contractor employees by virtue of the services provided under this agreement. The Contractor
shall not be responsible for withholding or otherwise deducting federal income tax or social
security or for contributing to the state industrial insurance program, otherwise assuming the
duties of an employer with respect to employee.
Section 10: REPORTING
The Contractor will continue in the partnership with the County, attending the Governance
Committee, the community advisory committee with citizens review of the work performed, in
relationship to the tasks identified Exhibit A, Statement of Work. Yearly end of year report will
notify all parties of client volumes and diagnoses.
Section 11 : TERMINATION
The Contractor and the County reserves the right to terminate this contract in whole or in part,
with 30 days notice. In the event of termination under this clause, the Contractor shall be liable
for only payment for services rendered prior to the effective date of termination.
Jefferson Healthcare - ARNP - SBHC
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Section 12: INTEGRATED AGREEMENT
This Agreement together with attachments or addenda represents the entire and integrated
agreement between the County and the Contractor and supersedes all prior negotiations,
representations, or agreements written or oral between the parties. This agreement may be
amended or modified only by a written instrument signed by both County and Contractor.
Approved this
day of
,2010.
BOARD OF COUNTY COMMISSIONERS
JEFFERSON COUNTY, WASHINGTON
David Sullivan, Chairperson
Approved as to form only:
[) W/Z3/Jb
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Jefferson Healthcare - ARNP - SBHC
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Exhibit A
Statement of Work for School Based Clinics
Jefferson Healthcare agrees to provide:
A. One (1) medical provider with medical liability coverage or to pay for additional staff
from JCPH
B. Clinical treatment services for additional Jefferson County high school students
C. Work collaboratively with local mental health and substance abuse treatment
agencies
D. Accountability of operations to County, State or other funding sources
E. Health care equipment and supplies
F. Maintenance of medical records per HIP AA, state and federal requirements
Jefferson Healthcare - ARNP - SBHC
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