HomeMy WebLinkAbout121911_ca14
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_ Consent Agenda
~~~O~) JEFFERSON COUNTY PUBLIC HEALTH
~~#' 615 Sheridan Slreel' Port Townsend' Washington' 98368
'- . www.JeffersoncountypubDchealth.ol.ll
December 5, 2011
JEFFERSON. COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Jean Baldwin, Director
DATE: ~0 l~L2.0L~
SUBJECT: Agenda Item - Professional ServIces Agreement - Jumping Mouse
Children's Center; January 1, 2012 - December 31,2012; $18,800
STATEMENT OF ISSUE:
Jefferson County Public Health, as the fund manager of the 1/10 of 1% sales tax treatment funds, Is
requesting Board approval of the Professional Services Agreement - Jumping Mouse Children's Center;
January 1, 2012 - December 32, 2011; $18,800
ANALYSIS/STRATEGIC GOAlS/PRO'S and CON'S:
This Is a one year contract with JCPH and Jumping Mouse Children's Center to provide services
negotiated by the BoCC Advisory Committee.
This contract funds Jumping Mouse Children's Center, serving 24-40 Jefferson County at-risk youth (2 - 12,
years of age) and their families. This Contractor will provide expressive mental health therapy to children
and Intensive education and support for their parents.
Mental Health treatment Is a priority Identified by the committee who chose to allocate the majority of these
funds to adults with mental health and substance abuse problems.
Through thIs contract services will be Increased for Jefferson County citizens who have no other source of
payment for services.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
ThIs Is sales tax revenue raIsed by the County In the 1/10 of 1% Fund and are allocated by BOCC based on
the Mental Health! Chemical Dependency Committee. The contract states If the sales tax revenue decreases
the vendor will be contacted and the contract may be renegotiated. ~"'-'pJ,...t Ci6>vs. c. r-e.:;..p.",JJ
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COMMUNITY HEALTH
DEVELOPMENTAL DISABILITIES
MAIN: (380) 385.9400
FAX: (380) 385-9401
PUBLIC HULTH
AlWAYS WORIING FOR A SAlER AIID
HEALTHIER COMMUNITY
ENVIRONMENTAL HEALTH
WATER QUALITY
MAIN: (360) 385-9444
FAX: (380) 379-4487
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Consent Agenda
RECOMMENDATION:
JCPH management request approval of the Professional Services Agreement - Jumping Mouse Children's
Center; January 1, 2012 - December 31, 2012; $18,800
REVIEWED BY:
IM<j(lr
Date
(Routed to all Public Health Managers)
CONTRACT AGREEMENT
By and Between
Jumping Mouse Children's Center
And
Jefferson County
For Expanded Mental Health (MH) & Chemical Dependency (CD) Treatment 2012
Section 1: PURPOSE:
THIS AGREEMENT for Professional Services is entered into between Jefferson County herein
referred to as the "County" and Jumping Mouse Children's Center, herein referred to as the
"Contractor" to provide mental health services to individuals impacted by mental
health/substance abuse issues in Jefferson County, Washington.
Section 2: TERMS:
1bis Agreement shall commence on January 1,2012 and continue through December 31, 2012,
unless terminated as provided herein.
Section 3: SCOPE OF AGREEMENT:
Contractor wiIl increase mental health treatment options to Jefferson county residents. Through
the use of these funds the provider will increase the number of citizens receiving Mental Health
services. The goal of this funding and sales tax increase is to improve the quality of life for
Jefferson County citizens by improving aCcess to mental health and substance abuse treatment.
A. Contract Representatives:
Jefferson County and Jumping Mouse Children's Center 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:
JCPH Contract Reoresentative
Jean Baldwin, Director
Jefferson County Public Health
615 Sheridan St.
Port Townsend, W A 98368
(360) 385-9400
Contractor's Contract Reoresentative
Kris Becker, Executive Director
Jumping Mouse Children's Center
1809 Sheridan St.
Port Townsend, W A 98368
(360) 379-5109
Jumping Mouse Children's Center
Section 4: COMPENSATION:
The total amount payable under this Contract by County to CONTRACTOR shall not exceed
$18,800.00 in completion of this project without express written amendment signed by both
parties to this Agreement. The parties acknowledge that funding for this contract is contingent
on the continuation of sales tax revenue in 2012. If the sales tax revenue decreases by five
percent (5%) when applicable sales tax revenues are compared between the most recently
completed quarter year and the same quarter year revenues for 2011, then this contract may be
renegotiated. The parties acknowledge the funding connected to this contract is revenue of last
resort and therefore Contractor will bill all other sources of revenue first.
A. Contractor shall be paid for services as outlined in Exhibit B - Fee Schedule.
B. Contractor shall submit invoices to JCPH, 615 Sheridan St., Port Townsend, WA 98368,
Attn: Finance Department, once a month for payment of work actually completed to date.
C. The Contractor will submit invoices and report log to the County, monthly, for work
completed to date. The County will review such invoices and report logs, and upon
approval thereof, payment will be made to the Contractor in the amount approved.
D. The County will make final payment of any balance due the Contractor promptly upon
determining that i) the Contractor has completed its obligations under this Agreement and
ii) the County can and does accept the work performed by the Contractor.
E. Contractor records and accounts pertaining to this agreement are to be kept available for
inspection by representatives of the County and state for a period of six (6) years after
final payments. Copies shall be made available upon request.
F. The cost principles ofOMB circular A-122, Cost Principles for non-profits is applicable
to this award. (If the recipient does not have a previously established indirect cost rate, it
agrees it will prepare its indirect cost rate proposal and lor cost allocation plan in
accordance with OMB Circular A-122.)
Section 5: INDEMNIFICATION:
The Contractor shall indemnifY, defend and hold harmless the County, 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 Contractor or damage to personal property)
if said injury or damage was caused by the negligent acts or omissions of the Contractor.
Section 6: INSURANCE:
The Contractor shall obtain and keep in force during the terms of this Agreement, or as otherwise
required:
A. Professional Liability Insurance providing $2,000,000 per incident; $4,000,000
aggregate. Contractor shall name Jefferson County Public Health as additional insured.
Jumping Mouse Children's Center
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B. All employees or subcontractors of the Contractor undertaking the performance of mental
health/substance abuse services under this agreement are required to be professionally
licensed or certified by the State.
C. The Contractor shall participate in the Worker's Compensation and Employer's Liability
Insurance Program as may be required by the State of Washington.
D. It is agreed by the parties that insurers shall have no right of recovery or subrogation
against the County (including its employees and other agents and agencies) it being
the intention of the parties that the insurance policies listed above shall protect both
parties and be primary coverage for any and all losses covered by the above-listed
insurance policies. It is further agreed by the parties that any and all deductibles made
part of the above-listed insurance policies shall be assumed by, paid for and at the risk
of the Contractor.
Section 7: CONFIDENTIALITY:
Contractor, its employees, subcontractors and their employees will maintain the confidentiality
of all information provided by JCPH 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 ofCh. 42.56 RCW, the Public Records Act.
Section 8: ASSIGNMENTS AND SUBCONTRACTING
The Contractor shall not sublet or assign any of the services covered by this agreement without
the express written consent of the County.
Section 9: INDEPENDENCE
The Contractor and the County agree that the Contractor is an independent Contractor with
respect to the services provided pursuant to this agreement. Nothing in this agreement shall be
considered to create the relationship of employer and employee between the parties hereto. The
Contractor shall not be entitled to any benefits accorded County employees by virtue of the
services provided under this agreement. The County 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 provide a monthly data template to the County. The monthly data template
shall contain a brief summary of the work performed, relationship to the tasks identified in
Exhibit A and the total hours worked. The monthly report shall be submitted to Jefferson
County Public Health in care of the Jean Baldwin, Director, 615 Sheridan, Port Townsend, and
W A 98368 for payment by the last working day of the month.
Monthly Data Report Template will be submitted electronically to Jefferson County Public
Health's Assessment contractor.
Jumping Mouse Children's Center
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Section 12: TERMINATION
The County reserves the right to tenninate this contract in whole or in part, with 30 days notice,
in the event that expected or actual funding from any funding source is withdrawn, reduced, or
limited in any way after the effective date of this agreement. In the event oftennination under
this clause, the County shall be liable for only payment for services rendered prior to the
effective date of tennination.
A. This agreement may also be tenninated as provided below:
I. With 30 days notice by the Board of County Commissioners for any
reason, or
2. With 30 days notice by the Board of County Commissioners for non-
perfonnance of the specific job duties in Exhibit A
3. With 30 days notice by the Contractor by voluntary resignation.
Section 13: MODIFICATION
This professional services agreement may be modified at any time by written agreement of either
party and may be modified if tax revenue decreases
Section 14: DISPUTE RESOLUTION
Any dispute or disagreement concerning the terms and obligations of this Contract shall initially
be brought to the attention of the Public Health Director via a written document. The Public
Health Director shall make a detennination with reasonable promptness, Le., a decision within
ten business days shall be deemed to have been made with reasonable promptness. If the
aggrieved party is not happy with that decision, then the Jefferson County Administrator (or as
may hereafter be amended), will decide the appeal of the Director's decision.
Section 15: 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 only by written instrument signed by both County and Contractor.
Approved this
day of
,2011.
BOARD OF COUNTY COMMISSIONERS
JEFFERSON COUNTY, WASHINGTON
John Austin, Chairperson
Jumping Mouse Children's Center
Jumping Mouse Children's Center
4
ArrEST:
Elizabeth Hill, Clerk of the Board
Approved as to form only:
0, tLh J!-'a 11
Jeffersoo Co. Prosecutor's 0
Jumping Mouse Children's Center
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Exhibit A
Scope of Work
RESPONSIBILITIES:
The Jumping Mouse Children's Center Services agency as a contracted provider, agrees
to:
1. Clinical and care management services for 7-10 clients
2. Background checks are required for all employees; to be redone for every employee
every 3 years
3. Provide long-term therapy to the children of mentally ill and/or substance abusing parents
4. Provide parent support and education to the adults of the children covered in this contract
5. Work with social services or other agencies as needed for dually served families with
mental health or chemical dependency issues
6. MaintaIn a secure records system guaranteeing the confidentiality of PHI pursuant to
HIPPA
7. Bill other revenues whenever they exist
8. Monthly data template on client utilization, referrals, outcomes, and required reporting,
in standard form as specified by Jefferson County Public Health
9. Provide adequate office space for staff and client services, as well as waiting room, group
room and private therapy areas
10. Group or individual therapy, or a combination of the two, of a specified duration, using
evidence based models of treatment. Applicant will identify the number of clients seen,
how often each week, and the number of hours per week and per month for treatment
enrollment
11. Documentation of client progress
12. Referra1 for mental health medication and monitoring as needed
13. Care coordination with other involved agencies, and referral to supportive services such
as housing, transportation and vocational services; tracking of client involvement in
recommended services, including 12-step or comparable support.
14. Preparation of progress reports if needed, e.g. to court.
Jumping Mouse Children's Center
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15. Collection and preparation of data for internal and external evaluation purposes, and
reporting
16. Staffed by I (one) licensed mental health professional,S (five) registered counselors,
with support staff to include billing, supervision,janitorial and contract administrator
counselors who, between them, are state-credentialed in mental health and co-licensed;
17. Clerical, billing, and general office support
18. Agency oversight regarding record keeping, data collection, legal and ethical issues and
standards of care
19. Weekly clinical supervision
20. Services need to be available through out the county
21. Provide data including:
. Number of intakes, individual sessions, psychiatric visits, and adult education visits
provided
. Age, sex, drug of choice, psychiatric diagnosis of clients
. Referrals to other agencies
. Client satisfaction form indicating client's view of how program helped in their life
Jumping Mouse Children's Center
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Exhibit B
Fee Scbedule
Clinical Director @ $30.00/hour
Parent Clinician/Lead Therapist @ $25.00/hour
Therapist 1 @ $22.00/hour
Therapist 2 @$21.00/hour
Clinical support staff 10 hours/week @ $15.00/hour
Overhead - up to 12% on total clinical hourly cost
Not to exceed $18,800.00 in completion of services for tbe duration of this contract without
express written amendment.
Jumping Mouse Children's Center
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