HomeMy WebLinkAbout010515_ca02TO:
FROM
DATE:
Consent A enda
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
October 23, 2014
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
Board of County Commissioners
Philip Morley, County Administrator
Jean Baldwin, Director _
SUBJECT: genda Item — Contract Agreement between Port Gamble S'Klallam
Tribe and Jefferson County Public Health; January 1, 2015 — December
3112016; $12,625.91
STATEMENT OF ISSUE:
Jefferson County Public Health, Community Health, requests Board approval of the Contract
Agreement with Port Gamble S'Klallam Tribe and Jefferson County Public Health; January 1, 2015 —
December 31, 2016; $12,625.91.
ANALYSIS /STRATEGIC GOALS /PRO'S and CON'S:
This Agreement allows the Port Gamble S'Klallam Tribe to continue its participation in the evidence -based
Nurse Family Partnership program under the umbrella of JCPH. This is the continuation of a 12 -year,
regional partnership that allows JCPH to provide infrastructure support in the form of nursing supervision to
the Port Gamble S'Klallam Tribe. This approach helps provide needed services to smaller communities not
able to support evidence -based programs on their own.
FISCAL IMPACT /COST BENEFIT ANALYSIS:
The Contract Agreement is based on an annual fee for NFP nursing supervision for one NFP nurse. This
Agreement also has provisions for travel and mileage at current GSA rates, and stipulations regarding extra
services and or required purchases.
RECOMMENDATION:
JCPH management request approval of the Contract Agreement with Port Gamble S'Klallam Tribe and
Jefferson County Public Health for NFP nurse supervision; January 1, 2015 — December 31, 2016;
$12,625.91
REVI BY• -I
/ �Y
Philip Morley, 06nty Aoministmtor Date
Community Health Environmental Health
Developmental Disabilities Water Quality
360 -385 -9400 360 -385 -9444
360- 385 -9401 (f) Always working for a safer and healthier community (f) 360- 379 -4487
CONTRACT AGREEMENT
By and Between
Port Gamble S'Klallam Tribe and Jefferson County Public Health
For provision of one (1) Public Health Nurse for ;Nurse Family Partnership (NFP) Supervisor Role
Section 1: PURPOSE:
THIS AGREEMENT for Professional Services is entered into between Port Gamble S'Klallam
Tribe, herein referred to as the "Tribe" and Jefferson County Public Health (JCPH), herein
referred to as the "Contractor" to provide services as a Nurse Family Partnership Supervisor.
Section 2: TERMS:
This Agreement shall commence on January 1, 2015 and continue through December 31, 2016
unless terminated as provided herein. The agreement may be extended beyond December 31,
2016 upon mutual written consent of the Tribe and the Contractor.
Section 3'. SCOPE OF AGREEMENT:
Contractor will provide Public Health Nurse services for Nurse Family Partnership Supervisor
Role.
A. Contract Representatives:
The Department and Contractor 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:
Port Gamble S'Klallam Tribe Contract Representative
Jolene George, Behavioral Health Services Director
Children and Family Services
31912 Little Boston Road NE
Kingston, WA 98346
(360) 279 -9674
Contractor's Contract Representative
Jean Baldwin, Director
Jefferson County Public Health
615 Sheridan St.
Port Townsend, WA 98368
(360) 385 -9400
Section 4: COMPENSATION:
Port Gamble agrees to provide the following:
A. Pay Contractor an annual fee for regular supervision of $12,625.91 for services to Port
Gamble S'KIallam Tribe for Nurse Family Partnership supervisory role, which maybe
billed monthly at the rate of $1,052.16 or quarterly $3,156.48, whichever is agreed upon
by the Tribe and the Contractor.
Port Gamble S'Klallam Tribe - Jefferson County Public Health I
B. In addition, Tribe will provide reimbursement for travel and mileage incurred in
connection with provision of stated services at the current year's GSA reimbursement
rate. The Tribe will be billed quarterly for travel and mileage.
C. Any additional fees required by Nurse - Family Partnership for training will be split
between Kitsap Public Health District, the Tribe, and the Contractor.
D. In the case approved program supplies required by NFP are unavailable for direct
purchase, Contractor will purchase supplies and bill the Tribe for incurred cost.
E. The Tribe may request additional nursing supervisory hours at an hourly rate
commensurate to Contractor's employee's hourly rate. In the case of emergency nursing
supervisory needs, Tribe will be charged an hourly rate.
F. Contractor records and accounts pertaining to this agreement are to be kept available for
inspection by representatives of the Department and state for a period of six (6) years
after final payments. Copies shall be made available upon request. ,
Section 5: INDEMNIFICATION:
The Contractor shall indemnify, defend and hold harmless the Tribe, 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 or its
employees or representatives.
Section 6: INSURANCE:
The Contractor 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 Contractor shall participate in the Worker's Compensation and Employer's
Liability Insurance Program, as may be required by the State of Washington.
D. Its membership in the Washington Counties Risk Pool.
Port Gamble S'Klallam Tribe - Jefferson County Public Health 2
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 Port
Gamble S'Klallam Tribe or acquired in performance of this Agreement as required by HIPAA
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 Contractor in the performance of the service hereunder,
either solely and/or jointly with the Tribe shall be the sole and exclusive property of the Tribe.
Other materials produced by the Contractor in connection with the services rendered under this
agreement shall be the property of the Tribe 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
HIPAA.
Section 9: INDEPENDENCE
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 Tribe employees by virtue of the services provided under this agreement. The Tribe
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 or quarterly report, whichever is agreed upon by the Tribe
and the Contractor, to the Tribe for payment for services rendered. The report shall contain a
brief summary of the work performed, relationship to the tasks identified in Exhibit A, and the
total lines generated.
Section 11: DISPUTE RESOLUTION
The Parties agree to work cooperatively to accomplish all of the terms of this Agreement,
however, acknowledge that there may be instances in which either the Tribe or the Contractor
has not complied with the conditions of this Agreement or that clarification is necessary to
interpret provisions of this Agreement. In such an instance, the Tribe and the Contractor shall
attempt to resolve the matter through discussion. If unsuccessful, the Tribe and the Contractor
agree to refer the matter to non - binding mediation.
If the mediator cannot resolve the conflict or dispute, then the issue shall be brought before a
Dispute Panel. The Dispute Panel shall review all issues, concerns, and conflicts with a goal to
determine acceptable solutions for both Parties. The decisions of the Dispute Panel shall be final
and binding on both Parties.
Port Gamble S'Klallam Tribe - Jefferson County Public Health 3
Section 12: DISPUTE PANEL
The Parties may voluntarily submit any contractual dispute to a dispute panel as follows: each
party will appoint one member to the panel and those two members in turn will appoint a third
member. The dispute panel will review the facts, contract provisions, and applicable law, and
then decide the matter. This provision does not affect the right of either party to seek a legal
recourse in a court of competent jurisdiction.
Section 13: TERMINATION
The Tribe and the Contractor 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 Tribe shall be liable for only
payment for services rendered prior to the effective date of termination.
Section 14: INTEGRATED AGREEMENT
This Agreement together with attachments or addenda represents the entire and integrated
agreement between the Tribe 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 Tribe and Contractor.
Section 15: PROGRAM MODEL ELEMENTS
The Tribe and the Contractor understand and agree that Program implementation by Tribe and
Contractor must be based on key parameters -Model Elements identified through research and
refined based upon the Program's experience since 1997 and attached to this agreement as
Exhibit B, Nurse- Family Partnership Model Elements.
Section 16: PROPRIETRARY PROPERTY
The Tribe and the Contractor understand and agree that Nurse - Family Partnership grants to the
Tribe and the Contractor a non - exclusive limited right and license to use the Proprietary Property
for the purpose of carrying out the obligations of the contract. Nurse- Family Partnership reserves
the right to modify the Proprietary Property from time to time in accordance with the data,
research, and current modalities of deliveries Program. Nurse - Family Partnership shall retain
ownership and all the rights to any Proprietary Property, whether modified or not by the Tribe
and /or the Contractor. In any event, all software, Nurse - Family Partnership Community and
Efforts to Outcomes Website content, excluding the Tribes and Contractors data shall remain the
sole property of Nurse - Family Partnership.
Approved this day of
f^
�r 1
Jeromy ulli Chair,
Port Gamble S'Klallam Tribe
John Austin, Chair
Jefferson Board of County Commissioners
Exhibit A
Port Gamble S'Klallam Tribe - Jefferson County Public Health 4
2014. A,Dproved as form only
k ersm Co. we
David Alvarez, Chief Civil DPA
Approved as to Form
Statement of Work
Model Elements implemented through facilitation by Nurse Supervisor — applies to all sites:
Model element and
JCPH
jKPHD
JPGST
Nurse Home visitors #
1 2
3
1
Model Elements implemented through facilitation by Nurse Supervisor — applies to all sites:
Model element and
JCPH
KPHD
PGST
description
#10, Work with NHVs
X
X
X
to increase
knowledge, practice,
and individualization
of NFP visit to visit
guidelines with
families across all
domains.
#11, Work with NHVs
X
X
X
to review and reflect
on theoretical bases
of NFP as related to
clinical practice.
#12, Work with NHVs
X
X
X
and team to maintain
required number of
clients. Includes
caseload
management,
outreach, referrals
and maintaining
community
relationships.
#13, Nurse supervisor
X
X
X
provides supervision
to 6 NHVs at this
time, appropriate for
.875FTE Nurse
supervisor
#14, Nurse supervisor
provides:
1. Weekly 1:1
X
In person weekly
X
In person at least
X In person at least
clinical
2x month
3x month & prn
supervision
meetings with Comm.
Health worker
2. Case
X
at least 2 x month
X
at least 2 x month
X at least 2 x month
conferences
3. Team
X
at least 2 x month
X
at least 2 x month
X at least 2 x month
meetings
4. Field
X
at least 3x year I
X
at least 3x year
X at least 3x year
Port Gamble S'Klallam Tribe - Jefferson County Public Health 5
Supervision
#15 Data is collected
X
X
X
and used to guide
practice, assess and
guide program
implementation,
inform clinical
supervision, enhance
program quality, and
demonstrate program
fidelity.
#17, Regional CAB
X
X
X
convened and will
meet at least 3x year
#18, Nurse
X
X
X
supervisor will help
support and facilitate
regional
communication to
assure accurate data
entry and
implementation of
program
Other related program implementation areas:
Port Gamble S'Klallam Tribe - Jefferson County Public Healtb 6
Other areas related to
JCPH
KPHD
PGST
program
implementation
NFP Tribal
0
0
Quarterly phone calls
Community of
or in- person meetings
Practice
with NFP Tribal Nurse
consultant, quarterly
Tribal COP calls or in-
person meetings.
Additional
communication with
NFP Nurse consultant
as needed.
Washington State
X
X
X
NFP Consortium:
1. Monthly calls
with WA State
Nurse
consultant
2. Monthly calls
with WA State
Nurse
supervisors
3. Quarterly
meetings with
WA State
nurse
supervisors
4. On -site visits
with WA state
nurse
consultant at
least
once /year.
Coordination of team
X
X
X
meetings, case
conferences, and
reflective supervision
times based on
regional composition,
including associated
travel.
Thrive by Five
X
X
0
Funding: application,
Monthly and quarterly
reports.
NFP required
X
X
X
Education and
Port Gamble S'Klallam Tribe - Jefferson County Public Health 7
training, such as
DANCE education
and annual NFP
National SVMOOSiL
Port Gamble S'Klallam Tribe - Jefferson County Public Health 8