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,
, ON' Consent Agenda
~~~~,
(ij!'ri JEFFERSON COUNTY PUBLIC HEALTH
~~",,,,, 615 Sheridan Street . Port Townsend' Washington' 98368
'--- ' www.Jeffel'8oncountypubDchealth.org
December 3, 2011
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO:
Board of County Commissioners
Philip Morley, County Administrator
FROM:
Jean Baldwin, Director
DATE: ~c a~ 20 '-"\
SUBJECT: Agenda Item - Professional Services Agreement - JeffeJ:SQn Mental
Health Services; January 1, 2012 - December 31, 2012; $98,410.48
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 with Jefferson Mental Health Services for
Mental Health treatment; January 1, 2012 - December 31, 2012; $98,410.48.
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
ThIs Is a one year contract with JCPH and Jefferson Mental Health Services (JMHS) to provide services
negotiated by the BoCC Advisory Committee.
This contract funds JMHS serving 24-40 additional Jefferson County citizens seeking Mental Health
treatment. The treatment partnership with Safe Harbor to treat people with co-occurring disorders Is
Included In these Mental Health services. 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 ICOST ~E~EFIT ANALYSIS:
This Is sales tax revenue raised by the County In the 1/10 of 1% Fund and Is allocated by the BOCC with
advise from 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. JMHS responded to a local
Request for Proposal which was reviewed and chosen by the Committee.
COMMUNITY HEALTH
DEVELOPMENTAL DISABILmES
MAIN: (360) 385-9400
FAX: (360) 385-9401
PUBLIC HEALTH
llI.l'#AVi W'1I1!1l11l11 FIIR A SMell AIliI
HWTHIER COMMUNITY
ENVIRONMENTAL HEALTH
WATER QUALITY
MAIN: (360) 385-9444
FAX: (360) 379-4487
"'"
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Consent Agenda
RECOMMENDATION:
JCPH management request approval of the Professional services Agreement with Jefferson Mental Health
services for Mental Health treatment; January 1, 2012 - December 31, 2012; $98,410.48.
,2.19(((
Date
(Routed to all Publlc Health Managers)
CONTRACT AGREEMENT
By and Between
Jefferson Mental Health Services
And
Jefferson County
For Expanded Mental Health (MH) & Chemical Dependency (CD) Treatment 2012
Section I: PURPOSE:
THIS AGREEMENT for Professional Services is entered into between Jefferson County herein
referred to as the "County" and Jefferson Mental Health Services (JMHS), 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:
This Agreement shall commence on January 1,2012 and continue through December 31, 2012,
unless terminated as provided herein.
Section 3: SCOPE OF AGREEMENT:
Contractor will 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 treatment and improving partnerships with Safe
Harbor Recovery Center. Clients who need services of one agency will be screened and referred,
if necessary, to the other agency.
A. Contract Representatives:
Jefferson County and JMHS 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 Representative
Jean Baldwin, Director
Jefferson County Public Health
615 Sheridan St.
Port Townsend, W A 98368
(360) 385-9400
Contractor's Contract Representative
Sam Markow, Executive Director
Jefferson Mental Health Services
PO Box 565
Port Townsend, W A 98368
(360) 385-0321
Jefferson Mental Health Services
Section 4: COMPENSATION:
The total amount payable under this Contract by County to CONTRACTOR shaIl not exceed
$98,410.48 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 20 II, then this contract may be
renegotiated. The parties acknowledge the funding connected to this contract is revenue oflast
resort and therefore Contractor wiIl 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, W A 98368,
Attn: Finance Department, once a month for payment of work actuaIly completed to date.
C. The Contractor wiIl submit invoices and report log to the County, monthly, for work
completed to date. The County wiIl review such invoices and report logs, and upon
approval thereof, payment wiIl be made to the Contractor in the amount approved.
D. The County wiIl 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 of OMB 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 wiIl 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:
Jefferson Mental Health Services
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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. Contractor shall provide proof of insurance to the County
clo Contracts Manager at Jefferson County Public Health, 615 Sheridan St. Port
Townsend, W A 98368 prior to commencing employment.
B. Professional Liability Insurance providing $2,000,000 per incident; $4,000,000
aggregate. Contractor shall name Jefferson County Public Health as additional
insured.
C. 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.
D. The Contractor shall participate in the Worker's Compensation and Employer's
Liability Insurance Program as may be required by the State of Washington.
E. 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: 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.
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.
Section 11: TERMINATION
The County reserves the right to terminate 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 of termination under
this clause, the County shall be liable for only payment for services rendered prior to the
effective date of termination.
A. This agreement may also be terminated as provided below:
1. 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-
performance of the specific job duties in Exhibit A
3. With 30 days notice by the Contractor by voluntary resignation.
Section 12: 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 13: 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 her determination 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 Adminlstrator (or as
may hereafter be amended), will decide the appeal of the Director's decision.
Section 14: 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
Jefferson Mental Health Services
4
C (\ .--lLdvl
Jefferson Mental Health Services
A TrEST:
Elizabeth Hill, Clerk of the Board
Approved as to form only:
lL.)~)ID')
Jefferson Mental Health Services
5
Exhibit A
Scope of Work
RESPONSIBILITIES:
The Jefferson Mental Health Servi~es agency as a contracted provider, agrees to:
I. Clinical and care management services for 24-40 clients
2. Background checks are required for all employees; tobe redone for every employee
every 3 years.
3. Provide crisis interventions.
4. Run groups as appropriate.
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 confidentiality of PIll pursuant to lllPPA.
7. Bill other revenues whenever they exist
8. Monthly report on client utilization,referrals, outcomes and required reporting, in
standard formes) provided by JCPH.
9. Provide adequate office space for staff and client services, as welI as waiting room, group
room and private therapy areas
10. GrOllP or individual therapy, or a combination of the two, of a specified duration, using
evidence based models of treatment Applicant wilI identify the number of clients seen,
how often each week, and the number of hours per week and per month for treatment
enrolIment, also identify the aftercare plan weekly and monthly.
11. Chemical dependency, mental health and/or COD assessment, treatmentplan
development and review, documentation of client progress (group and individual session
notes), and aftercare planning and monitoring
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
Jefferson Mental Health Services
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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 counselor/case
managers, one licensed chemical dependency counselor, with support staff to include
nurse, billing, supervision, receptionist, janitorial and contract administrator counselors
who, between them, are state-credentialed in mental health and chemical dependency or
co-licensed; as well as one Bachelor's-Ievel care manager. The mental health counselor
will be a master's level practitioner.
17. Clerical, billing, and general office support
18. Agency oversight regarding record keeping, data collection, legal and ethical issues and
standards of care
19. Opportunities for regular clinical supervision and psychiatric consultation as needed
20. Services need to be available through out the county
21. Provide Codit Data including:
. Number of intakes, groups individual sessions, UAs, psychiatric visits, and case
management visits provided
. Age, sex, drug of choice, psychiatric diagnosis of clients
. Referrals to other agencies
. Client satisfaction form indicating client's view of how Cadit helped in their life
Jefferson Mental Health Services
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Exhibit B
Fee Schedule
Mental Health Professional salary and benefits@ $23.94/hour
Case Manager salary and benefits @ $24.35/hour
Group Attendance 1.5 hours/week @ $80.00/hour
Clinical Supervision@ $38.00/hour
Project Manager @ $42.02/hour
Receptionist 7 hour/week@$20.71
Nurse 2 hours/week @ $26.49/hour
ARNP Services, Psychiatric Consultation @$66.51
Overhead - travel and training
Not to exceed $98,410.48 in completion ofservices for the duration ofthis contract
without express written amendment.
Jefferson Mental Health Services
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