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Consent Agenda
i.~O:N ~t;b
l(i!0~i JEFFERSON COUNTY PUBLIC HEALTH
"1i~.,bV 615 Sheridan Street. Port Townsend. Washington. 98368
.it!!' ' www.JeffersoncountypubIlchealth.org
September 16, 2011
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Jean Baldwin, Director
DATE: 0c..+obe4 3 J J..D II
SUBJECT: Agenda Item - Contract Amendment with Olympic Educational Service
District 114 for School Nurse Corp Program; August 1, 2011-
October 31, 2011; add' $1,162 total $32,674
STATEMENT OF ISSUE:
Jefferson County Public Health, Community Health, Is requesting Board approval of the Contract Amendment
wlth Olympic Educational Service DIstrict 114 for School Nurse Corp Program; August 1, 2011-
October 31, 2011; add1 $1,162 total $32,674
ANALYSIS/STRATEGIC GOALS/PRO'S anct CON'S:
This Is an on-golng agreement between Jefferson County Public Health and Olympic Educational Service
DIstrict 114 for school nurse services. This amendment will add school nursing hours to the Brlnnon and
Qullcene School DIstricts. This amendment wlll fund 4 health service hours per month (2 visits) to the
Brlnnon School DIstrict and 6 health services hours every other week (5 vlslts) to the Qullcene School
District. Nursing staff mileage wlll also be reimbursed.
Jefferson County Public Health services Include: assessment, referrals and follow-up of emergent care,
assess physical and emotional health needs, provldlng training, supervision and consultation to school
personnel, Identifying resources for health care as requested, participation In MDT meetings, consultation in
communicable disease, assisting In development/revlslon of district health policies & procedures Including
forms and records, consulting In Immunization compliance, and provldlng mandated screenings programs.
COMMUNITY HEALTH
DEVELOPMENTAL DISABILmES
MAIN: (360) 385-9400
FAX: (360) 385-9401
PUBLIC HEALTH
AJ.WAYS WORlllNG FOil Do SAFEIl AND
HWTHIER COMMUNITY
E~RONMENTALHEALTH
WATER QUALITY
MAIN: (360) 385-9444
FAX: (360) 3794487
Consent Agenda
FISCAL IMPACT ICOST BENEFIT ANALYSIS;.
This agreement will fund the school health hours that we provide to Brlnnon and Qullcene Schools through
October 2011.
RECOMMENDATION:
JCPH management request approval of the Contract Amendment wIth Olympic Educational Service DIstrict
114 for School Nurse Corp Program; August I, 2011- October 31, 2011; add1 $1,162 total $32,674
REVIEWED BY:
76-~
Date
(Routed to all Public Health Managers)
CONTRACT AMENDMENT 2011-12
Modification of Contract between the Olympic Educational Service District 114, State of Washington
(hereinafter referred to as OESD)
and
Jefferson County Health Department
(hereinafter referred to as Contractor)
Which commenced the 29th day of August, 2011, and terminates the October 31, 2011.
For and in consideration of the mutual promises contained in this modification of contract, the OESD
and Contractor do mutually agree to modify the contract identified above as follows:
A. DUTIES OF OESD, The OESD agrees to amend the contract to read as follows,
Pay Contractor thirty-eight dollars and nineteen cents ($38.19) per hour to provide 4
health services hours per month (2 visits) to the Brinnon School District, not to exceed
$306.
Pay Contractor thirty-eight dollars and nineteen cents ($38.19) per hour to provide 6
health services hours every other week (5 visits) to the Quilcene School District, not to
exceed $ 1,146.
Provide for reimbursement of nursing stafffor mileage incurred in connection with
provision of above services at the rate of $. 51lmile, not to exceed $210.
Brinnon mileage $77 (2 visits).
Quilcene mileage $128.40 (5 visits).
CONTRACTOR
OLYMPIC EDUCATIONAL
SERVICE DISTRICT 114
(Contractor Signature)
Who certifies that he/she is the
Contractor identified herein, or
in the alternative, a person du1y
qualified and authorized to bind
the Contractor so identified to
the foregoing agreement.
Dr. Walt Bigby, Superintendent
Signed this
of
day
.2011.
Approved as bo fom only:
() q IZz.J1I
OESD USE ONLY
PURCHASE ORDER NO.
Signed this day
of .2011.
's Office
c
(
2011~12 School Year
INTERGOVERNM!lNTAL AGREEMENT
BE'IWEEN
OLYMPIC EDUCATIONAL SERVICIl DISTRIcr 114
SCHOOL NURSE CORPS PROGRAM
(hereinafter referred to asOESD 114)
105 National Avenue North
Breme;rton. WI>. 98312
AND
Jefferson County Health & Human Services
(hereinafter referred to as Contractor)
615 Sheridan Port Townsend. WI>. 98368
This agreement is entered into by the Schoal Nurse Corps Program as administered
by the Olympic Educational Service District (OESD) and Jefferson County Health &
Human Services for the purpose of providing nursing services appropriate to the
needs of identified Jefferson County public schools.
Jefferson County Health & Human Services agrees .to provide registered nurse
services to include the following:
1. Assess and p;rovide for the emergent care needs of students. emergency
plans for students with life-threatening medical conditions. students
with acute or chronic health conditions. students with health concerns
and/or requiring nursing treatments or care. Develop individualized
care plane for these students. including training of unlicensed staff
in the care of students.
2. Assess the physical and emotional health of students as related to the
educational process and within the scope of the school nurse practice;
initiate referrals for further diagnosis and treatment of identified
health needs and provide follo~up; communicate health concerns that
may impact learning to appropriate staff with parent and/or student
consent.
3. Delegate and provide training and consultation of non-nurse school
staff in the provision of nursing services and procedures that can
by law be delegated to unlicensed school personnel.
4. Provide interpretation of medical and nursing needs and district
reSOurces for health care to parents of students with health problems
as requested by districts.
5. Assist district personnel in monitoring educational effect of
treatment program (mads. etc.)
6. Establish procedures for emergency care of students and training of
staff.
7. Interpret medical records for district staff as educational placement
and services are being determined.
8. Provide nursing consultation regarding students in special education.
Participate in MDT meetings for students with significant medical
problems and assist in initial development of IE? as resources permit.
9. PrOVide nursing consultation in communicable disease.
,
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: "" 'IC, governmental Agreem~nt '
Jefferson Coun'ty Health Dept. 2011-12
Paglil ,2
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. " 'io .:'Provide!'1EUl.ltll e;ru~tj,ondirectly;ot' in consUltation wi thschool
'stEiU>', " '"co ,,' " , , " ','
'" -':" "-,: '- .,' , , -.' , - , -'- -'. " - - -
11 ;1iSsist 'indEWelop~tand/pr revisiqnol distrlc:theal th polici";s and
p~res; r,ecordsandfot'lll$as,indicatali and, requssted by districts.'
- _" 'C." , " ,
~;)?rov],denursi#g ~nSUltationin studentinununizatipn Compliance. '
Estllhlish "mandatory scre~l1itl~ progiallls( per WAC ' 249'-148;' 2411-150) for
districts., . ' ",
14; "prOVid'ls;'pervis~onaf\d ml4atloi! of nursing staff j,il perfOrtDanee 01 '.
thsabove';''lnumElrat~ddllties. ,'",'", ,', ,," ".,," ",,' ,,'" ,'"
,15. .' Maintain pz.QparliabiHtylnsuraoCecovst'ageonall ,its nuridng
personna,l. plilrfQ1'\llinll thlil, above-entllllElrated duties; " .' ,,'
Th$ uticational ServicEl!Districl;agrees~oprovide th$follow1ng: , '
, 'i., pI'Clvid<l a nurS$ coordinator who will support. consnl t. and tJ;'ain nurSing'
stafLassigned to perform above duties. , ,
- ':- . -- ,"---" .,'- -." -> 'j''-' ',' '. -' -' - . '-' --- .
2. pay Contractor' thirtye:tgl1tdolhirsaild ,ninE~teeri centS ($311.19 }' Iter hour
,or, lass ,,(depending on s\;af~lIssigned? ,for nursing services described' ,
IIbov.e for up to E1i9I1t(8) hours weekly. for thirty-aiX{36J wooks,not to
~ceed$ll;OOotChJ.macUi!'SehoolI)j'13trl.ctJ' '. .,... ..... . . .'
3.PayContraetor~hirtyElight do1J,lIr13'and nineteen C'lilts ($3S, in per hour .'.
. 0. less (dep"ndl;ng, qn~j:llff ssaign$i) for nurSing services described .... .' .......
llbovsfor Ill' to eight IS' hpU;ra-~.kly.forthiI'ty..six (36) weeks. not to
ElXCeed '$11 ;QOOtP<>rt :r<)Wl)SElmlSchool nistrietJ. "" .... .' .' .
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4. p~y COntrllctor 1:h.iI'~eight doHars arid nin<ltS$n ceilts ('$38,.19Iperhour
or less (depending onstllffa~ignedlfor ilursingservicasdesc,ibed
aboVe forl.oUr (4)II<iditionalnursiitg serVic:e$ hours p.er week for 11 .... .
wS$ks bagillllingAugust 2,lill aAA..endiitg Octooor21l11. not to. exceed $1. sso'
{CIlima<:UlllSqh~olIliSt1;iCt)., ..... ..... .... .' ....... ....... ......... '. '.
5,'I.'llyConttactorj;hb:t)'$ightdollllrs,ilnd!nineteen csnts ($311,19} par hour
or lass (dep$llding onStaffllssignsd 1 ~or nursing' services described <
above for .aix1(een( 15 li!dliitionaln!m1ingserviceshourli; per weeRior 12
weeks beginp;ing,>.ugust ,2(ll'land .Qn'dingNovember zon.'not"to ElXcaed '.'
. $'l:332(POr~ToWl\llendSchOdll:li.striet)',. ',r .'.' ........ ..... . .'....,.
6.
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~r~vida fCltr~iJllbursemanj; of nursing staff for mil$lIgs,ineurred in
.connectionwithprovillion of llbow services lit the rate of $. 51Anile-.
." ''to.ElXCeed $5'3,1'" '.~' ' ""
not
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7. 'l.>aYContra~torfOk- sciho()'l health provider' s.pr~fessi;nklPevelopmant
expenses.' Le.. .regil3trll~ion, milSllgE!.lodging andmealsotf~ by J;hs'
School ~uI'Se corpe.nottot>l<ceed $700 ,Not~Jwur/y~emei1twhiJetrrN~trIg
and(J/J~iheQOF(erenC?ls,no;~ .... '.' ..... ..... .'
'.~ >-: T",
BillillgshaU' ~ dOllEilll()n~hJ,Ywttb'<lfinaJ,.))igsublllittEldPt,iOI' .to :rima 30. .2012. .'
ai thet pa,rtyupti1l30 dllys 'IIdvan~ii''!fritta~notic~to ilie.other partY1llBY t$rmina'j:e
this agre<llilell~ ill wholEl. or.1n part, ..... ...... '." ". " .', . ..' ..., '..:' .',,'
"'1-1.6 period ". ofP,edot'lll$ncef~fhis~aelila'nt siiIlUlle~gust.2;ll1throug/l' June .
~1l12s(jhoolyear.' ",:,.,.. ,', . . . .
.0ESn'.' agrees. to.COlnP.1Y. wit..hll1.1pro.v....is. 1.0llS.. o. t. the ..;.me.r....iC!lnl.l wtthPisa.bilitiSSACl; ,,'.
a.nd all "regulations ,intel'pI'lilting,:or an forcil1g , 81lch act.', -. ,',' _, '.
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Jefferson
Ii :governmental Agreement
County Health Dept. 2011-12
Page 3
(
Each party to this agreement shall be solely responsible for any damage or injury
to persons or property resulting from its own negligence or the negligence of its
employees. agents or officers. and the cost or expense of defending. including
attorney's fees any claim. action. suit or other legal proceeding arising or
caused by the allegedly negligent acts and omissions of its employees. agents or
officers. The parties acknowledge this paragraph required each of them to hold
the other party harmless and indemnify them for the negligent acts and omissions
of its employees. agents. or officers. Neither party assumes responsibility to
the other party for conseque~ces of acts or omissions of any persons. companies or
corporations not party to thlS agreement.
TERMINATION
This Contract may be terminated by the OESD 114 Superintendent at any time. with
or without reason. upon written notification thereof to the Contractor. This
notice shall specify the date of termination and shall be conclusively deemed to
have been delivered to and received by the Contractor as of midnight of the second
day following the date of its posting in the United States mail--addressed as
first noted herein--in the absence of proof of actual delivery to and receipt by
the Contractor by mail or other means at an earlier date and/or time.
In the event of termination by the OESD 114. the Contractor shall be entitled to
an equitable pro ration of the total compensation provided herein for
uncompensated services. which have been performed as of the date of termination of
this agreement.
(
Irl governmental Agreement
Jefferson County Health Dept. 2011-12
Page 4
IN WITNESS THEREOF. OESD 114 and Contractor have executed this Agreement
consisting of three pages.
CONTRAcroR
OLYMPIC
EDUCATIONAL SERVICE DISTRICT 114
The undersigned certifies that
he/she is the person duly
qualified and authorized to
bind the Contractor so
identified to the foregoing
Agreement and under penalty of
perjury. certifies the Social
Security Number or Federal
Identification Number provided
is correct.
Signed this
L~
day
Signed this
day
of
-s, ~.h ~
2011.
of
~~
2011
'OESD USE ONLY
Approved as t:.l form only:
~aJ ~ rAj13J~11
Jeffmson Co. l'rosM1tOI". ~
APPROVALS:
DATE
~
DATE
PURCHASE ORDER NUMBER