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HomeMy WebLinkAbout050916_ca03Public Halt 615 Sheridan Street Port Townsend, WA 98368 www.JeffersonCountyPublicHealth.org Consent Agenda April 7, 2015 JEFFERSON COUN'T'" BOARD, OF COUNTY COMMISSIONERS TO: FROM: DATE: SUBJECT: AGENDA REQUEST Board of County Commissioners Philip Morley, County Administrator Dunia Faulx, Community Health Director Agenda Item — Professional Services Agreernent between Jefferson County Public Health and the Chimacum School District for School Nurse; 8/1/2016 — 6/30/2017; $53,915.86 STATEMENT OF ISSUE: Jefferson County Public Health, Community Health, contracts with the Chimacum School District to provide School Nursing services to students enrolled in the district. The Professional Services contract agreement is for the 2016-2017 school year. This agreement commences on August 1, 2016 and continues through June 30, 2017, or until either party terminates the contract agreement. ANALYSIS STRATEGIC GOALS PRO'S and CON'S: Jefferson County Public Health contracts with the Chimacum School Districts to provide school nursing services. Schools have state mandates concerning nursing services that JCPH staff conduct. The contracting of JCPH public health nurse allows schools to have highly trained specialists without trying to employ and supervise nurses in each district. Provisions for administration expenses are included in the contract language. Formerly, JCHP collaborated through a contract with OESD 114; this collaboration ended in 2014 and JCPH has negotiated for the full amount of the service contract funding available through the school district. JCPH will provide a registered nurse to the school for up to 880 -working hours to be used over 11 months. The contract provides for the purchase of supplies and the provision of a workstation for the school nurse. FISCAL IMPACT COST BENEFIT ANALYSIS: The contract is budget neutral, in that the fiscal revenues match expenditures. The district is charged $56.78 per hour for one public health nurse not to exceed $49,966.40. Additional payment by the school district covers supplies, not to exceed $200.00; repair and maintenance of hearing and vision machines, not to exceed $75.00; travel, not to exceed $417.12; administrative support costs, not to exceed $3,2:34. The compensation rate is reviewed and updated annually, and is finalized by both parties each year. Community Health Developmental Disabilities 360-385-9400 360-385-9401 (f) Environmental Health Water Quality 360-385-9444 (f) 360-379-4487 RECOMMENDATION JCPH management request approval of the Professional Services Agreement with Chimacum School District for School Nurse; August 1, 2016 — June 30, 2017; $53,915.86. Oiilip Mork County Administrator- Date Chimacum School District 2016-2017 Contract Agreement By and Between Chimacum School District And Jefferson County Public Health Section 1: Purpose: THIS AGREEMENT for Professional Services is entered into between Jefferson County Public Health (JCPH), herein "County", and Chimacum School District (CSD), herein "District", for the purpose of providing services to meet state regulations. Section 2: Terms: THIS AGREEMENT is an 11 -month contract and shall commence on August 1, 2016 and continue through June 30, 2017; JCPH school nurse will provide services not to exceed 20 hours per week throughout the term of the contract. Section 3: Scope of Agreement: The County will provide school nursing services to meet state regulations and as described in Exhibit A, attached hereto and incorporated herein. The District will provide a confidential work area in the school, which will be equipped with working telephone and computer. JCPH will provide a confidential work area, telephone, computer with current operating system and software, and IT support. This contract provides for the purchase of supplies, such as blood pressure cuff, stethoscope, and miscellaneous office supplies, to be used to support the public health nurse; repair and maintenance of vision and hearing machines; one hour of travel per week for 48 weeks at a rate of $0.54 per mile between JCPH and school sites. Section 4: Agreement Representatives: The County and the District will each have agreement representatives who will have the responsibility to administer the agreement for that party. Representatives may be changed upon written notice. The parties' representatives are as follows: COUNTY Dunia Faulx, Community Health Director Jefferson County Public Health 615 Sheridan Street Port Townsend, WA 98368 Chimacum School District 2016-2017 360-385-9443 DISTRICT Rick Thompson, Superintendent P.O. Box 278 Chimacum, WA 98325 Section 5: Compensation: The District will pay the County for agreed upon services for up to 880 working hours to be used over 11 months, August 1, 2016 — June 30, 2017 at the rate of $56.78 per hour for one Public Health Nurse not to exceed $49,966.40 for the duration of this agreement; annual supplies will not exceed $200.00; repair and maintenance will not exceed $75.00; travel will not exceed $417.12; JCPH administrative and support costs associated with this agreement will not exceed $3,257.34. The total dollar allowance attached to this agreement, for the 11 -month duration of this agreement, is $53,915.86. JCPH will invoice the District monthly for hours worked and any actual expenses for supplies and travel plus administration costs. Section 6: Indemnification: The District 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 fees and costs, arising from any injury to persons or a person (including death or injury of any party to this Agreement or damage to personal property) if said injury or damage was caused by negligent acts or omissions of the District or its employees or representatives. In the event of concurrent liability, the District and the County shall have the right of contribution in proportion to respective determined liability. Nothing contained herein shall be deemed to waive immunities established pursuant to state statute or to create third -party rights or immunities. Section 7: Insurance: 1. The District shall, at its own expense, obtain and continuously maintain the following insurance coverage. All insurers providing such insurance shall be licensed to do business in the State of Washington and admitted by the Washington State Insurance Commissioner. Coverage limits shall be the minimum limits identified in the Agreement, or the coverage limits provided or available under the policies maintained by the District without regard to the Agreement, whichever are greater OR the requirements of this subsection "a)" may be satisfied by the District upon the District providing to the County proof of its current membership in a governmental entity Risk Pool providing third party liability coverage or Chimacum School District 2016-2017 joint self-insurance to the District with liability limits equal or exceeding those listed here: General Commercial Liability - $1,000,000 Minimum, Each Occurrence $2,000,000 Minimum, Annual Aggregate Coverage shall include personal injury, bodily injury, property damage for Premises / Operations Liability, Products / Completed Operations, Personal / Advertising Injury, Contractual Liability, Independent Contractor Liability, and Stop Gap / Employer's Liability. Coverage shall not exclude or contain sub -limits less than the minimum limits required, unless approved in writing by the County. ii. Business Automobile Liability - $500,000 Minimum, Each Occurrence $500,000 Minimum, Annual Aggregate Coverage shall include liability for any and all owned, non -owned and hired motor vehicles. Coverage may be satisfied by way of endorsement to the General Commercial Liability. a.) Primary, Non-contributory Insurance: The District's insurance policies and any endorsements shall provide primary insurance coverage, and any third party liability coverage, self-insured retention, deductible or joint self-insurance provided to the County by its membership in a governmental entity Risk Pool shall be non-contributory and excess to such insurance policies. b.) Endorsements and Certificates of Insurance: The District shall, for each required insurance policy, provide a Certificate of Insurance, with endorsements attached, evidencing all required coverages, limits, deductibles, self-insured retentions and endorsements and which is conditioned upon the County receiving thirty (30) days prior written notice of reduction in coverages, cancellation, or non -renewal. Each Certificate of Insurance and all insurance notices shall be provided to the Clerk of the Jefferson County Board of County Commissioners, P.O. Box 1220, Port Townsend, WA 98368. c.) No Limitations on Liability: The insurance maintained under this Agreement shall not in any manner limit or qualify the liabilities or obligations of the District under this Agreement. All insurance policy deductibles and self-insured retentions for policies maintained under this Agreement shall be paid by the District. d.) Workers' Compensation: The District shall maintain Workers' Compensation coverage as required under the Washington State Industrial Insurance Act, RCW Title 51, for all District's employees, agents, and volunteers eligible for such coverage under the Industrial Insurance Act. Section 8: 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 the District and the County or acquired in performance of this Agreement as required by HIPPA and other privacy laws. This Agreement, once executed by the parties, is and remains a Public Record and is therefore subject to the provision of Ch. 42.56 RCW, the Public Records Act, Section 9: Ownership and Use of Documents: Chimacum School District 2016-2017 The parties herein agree they share no joint acquisition of property, and agree any and all documents, drawings, reports, and the like resultant from services rendered hereunder are the sole property of each party. Each party, with no further permission required from the other party, may publish, disclose, distribute, reproduce, or otherwise copy or use, in whole or in part, such items produced during the course of the Agreement to the extent disclosure is allowed by HIPPA and Section 8 of this Agreement. Section 10: 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 the District employees by virtue of the services provided under this Agreement. The District shall not be responsible for withholding or otherwise deducting federal income tax, FICA or Medicare tax, or for contributing to the state industrial insurance program, or otherwise assuming the duties of an employer with respect to its employee. Furthermore, nothing herein shall create or be deemed to create any relationship of agency, joint venture, or partnership between either party to this Agreement. Neither shall either party have the power to bind or obligate the other in any manner except as expressly articulated in this Agreement. Section 11: The County will assure the professional preparation and training; will provide supervision of its nursing staff; will complete background checks; will assure licensure; and will maintain proper liability insurance coverage on all its personnel performing duties. Section 12: Termination: Either party may terminate this Agreement for any reason upon at least sixty (60) days written notice; such notice shall not be effective until completion of said semester in which termination notice is asserted. Either party may terminate this Agreement at any time if the other party/parties default in any of its material obligations hereunder, but only if such defaults shall have continued for a period of ten (10) days after the receipt of written notice thereof from the other party/parties. Section 13: Discrimination: Neither party shall discriminate or permit discrimination against any person or group of persons on the basis of race, color, creed, national origin, age, gender, sexual orientation, or material status. Both parties shall comply with the Americans with Disabilities Act and all regulations interpreting or enforcing such Act. Section 14: Opening discussions for the 2017-2018 school year will begin in April of 2017, Section 15: Amendments: Chimacum School District 2016-2017 This Agreement may be amended by mutual written consent and signature of both named agreement Representatives. Section 16: Integrated Agreement: This Agreement together with attachments or addenda represents the entire and integrated agreement between the District and the County and supersedes all prior negotiations, representations, or agreements written or oral between said parties. Approved this day of _..__ 2015. BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY, WASHINGTON Kathleen Kler, Chairwoman, Jefferson County Board of County Commissioners Rick Thompson, Superintendent, Chimacum School District A provedas to form only Lll� orson CoProjecutor, David Alvarez, Chief Civil DPA Chimacum School District 2016-2017 Exhibit A Statement of Work set forth in this Agreement The County agrees to provide: A. Public Health Nurse, school nursing services to include: 1. Access and provide for the emergency 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 plans 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 school nurse practice; initiate referrals for further diagnosis and treatment of identified health needs and provide follow-up; communicate health concerns on a need -to -know basis with appropriate school staff that may impact learning, health and safety in the school setting. 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 (medication, 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 IEP as resources permit. 9. Provide nursing consultation in communicable disease. 10. Provide health education directly or in consultation with school staff. 11. Assist in development and/or revision of district health policies and procedures, records and forms and indicated and requested by the district. 12. Provide nursing consultation in student immunization compliance. Chimacum School District 2016-2017 13. Provide supervision and evaluation of nursing staff in performance of the above - enumerated duties. 14. Maintain proper liability insurance coverage on all its nursing personnel performing the above enumerated duties. B. Public Health Nurse coordination of annual hearing/vision screening for grades K-1-2-3-5-7 per WAC 249-148, 248-150): • Coordinate screening location and scheduling with school staff • Provide accurate, calibrated screening equipment • Train and supervise volunteers assisting with screening procedures • Re -screen students as necessary • Provide parent/guardian letters of recommendation for further screening as needed for individual students • Provide ongoing support and resources for students, staff and families concerned about vision/hearing deficits • Inform district staff on a need -to -know basis of individual student vision or hearing deficits, so appropriate accommodations can be made to support their education C. Public Health Nurse will work 20 hours per week, with 2.5 days per week in the school. D. Public Health Nurse meets with school Superintendent once per month for updates and reviews focused on immunizations with the goal of improving rates significantly through making sure all school staff and others know the importance of immunizations. E. Communicable Disease Prevention and Response: Public Health shall take actions necessary to prevent spread of and absenteeism due to communicable disease by: • Investigating, advising, and implementing control measures in the event of outbreaks • Providing in-service education and implementing control measures in the event of an outbreak • Providing in-service education and advice to appropriate District staff concerning new communicable disease guidelines