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Home My WebLink About042318_ca05615 Sheridan Street Port Townsend, WA 98368 �effetson www.JeffersonCountyPublicHealth.org 5 Consent Agenda is Healt January 1, 2018 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Vicki Kirkpatrick, Director DATE: q J�,3/ / Z SUBJECT: Agenda Item — Amendment No. 1 — Jefferson Healthcare — ARNP Services for School Based Health Center (SBHC); $40,500 (plus CPIW adjustment) for the 2017-2018 School Year STATEMENT OF ISSUE: Jefferson County Public Health is requesting Board approval of Amendment No. 1 — Jefferson Healthcare — ARNP Services for School Based Health Center; The dollar amount is based upon the 2016- 2017 school year amount of $40,500 (plus CPIW adjustment) to be effective beginning with the 2017-2018 School Year and to continue unless and until changed by either partyand approved by all signatories to the original contract and any approved amendments. The purpose for the amendment is to provide more flexibility in use of the funds to support the School Based Health Centers and also to remove the requirement that the funds go specifically to support the salary and benefits of an ARNP only in the Chimacum School District, The amendment allows the funds from Jefferson Healthcare to be used to support the continued provision of school-based health centers in Jefferson County school districts — currently Port Townsend and Chimacum. ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S: This is an amendment to the contract to provide nurse practitioner (ARNP) services to Jefferson Healthcare (JHC) for School Based Health Centers (SBHC). Sections amended include contract representatives, compensation and statement of work. Compensation will now include an annual dollar amount and an annual increase based on the Consumer Price Index. Statement of work requirements have been specified as applicable to JCPH school-based clinics. This is a change from an annual amount based on the salary and benefits of a specific ARNP in the Chimacum School District. It provides much needed flexibility in how the funds are used to support the SBHCs and no longer requires them to be spent in only the Chimacum School District. FISCAL IMPACT/COST BENEFIT ANALYSIS: The budget is neutral. JHC will continue to provide the same funding level adjusted annually by the CPIW so the amendment is revenue neutral.. Jefferson Healthcare CEO has approved of these changes to the contract. 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 Public Hea RECOMMENDATION: JCPH management request approval of the Amendment No. 1 and Jefferson County Public Health for— support for the School 2018 School Year. REVIEWS 6 9L, �;�' Philip Morley, Couky Administrator Community Health Developmental Disabilities 360-385-9400 360-385-9401 (f) Date 615 Sheridan Street Port Townsend, WA 98368 www.JeffersonCountyPublicHealth.org to the contract between Jefferson Healthcare Based Health Centers effective for the 2017 - Always working for a safer and healthier community Environmental Health Water Quality 360-385-9444 (f) 360-379-4487 AMENDMENT #1 TO CONTRACT BY AND BETWEEN JEFFERSON COUNTY PUBLIC HEALTH AND JEFFERSON HEALTH CARE For provision of one (1) ARNP in school based health center setting 11.11; 1{OfJ,,f.�' INO C"ONTRACTSI C] ION S ARJ[c ,SMF NIXED AS 4'�Olj: (. ws: Contract Title: Replace "For provision of one (1) ARNP in school based health center setting" with "For partial support of school based health centers" Section 1: Purpose is amended to read as follows: THIS AGREEMENT for partial support of two school-based health clinics is entered into between Jefferson County Public Health, (JCPH) herein referred to as the "County" and Jefferson Healthcare (JHC), herein referred to as the "Contractor" to provide health care services in a school based health setting in Jefferson County, Washington. Section 3: SCOPE OF AGREEMENT: Scope of Agreement is amended to read as follows: County will provide health care services in two school based clinics. Section 3 A: Contract Representatives: The County and Jefferson Healthcare 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: "OL1111y o1',1C 11li I t c rla 1 1 prc crl Mcicy Vicki Kirkpatrick, Director Jefferson County Public Health 615 Sheridan Street Port Townsend, WA 98368 (360) 385-9400 ( _otanictor's (,!olitntct 1 epresetit:ttivc Jennifer Wharton, Chief Medical Group and Ambulatory Officer Jefferson Healthcare 834 Sheridan Street Port Townsend, WA 98368 (360) 385-2200 Jefferson Healthcare — ARNP — SBHC 1 November 2017 Section 4: COMPENSATION: Is replaced by the following language: Jefferson Healthcare agrees to provide the following: A. Jefferson Healthcare will provide Jefferson County Public Health an amount not to exceed $40,500 adjusted annually by the inflation factor used by Jefferson County not to exceed 5% in support of two school-based health clinics. B. The effective date of Amendment #1 begins July 1, 2017 through June 30, 2018 and the contribution is based on an average 12 hours of clinic time per week/per school- year. C. The annual contribution shall be adjusted on the first business day of September by the inflation factor used by Jefferson County to adjust expenditures. Increases will be rounded to the dollar. If the inflation factor is less than 0.00, the total contribution will remain the same as the previous year. Any increases in accordance with this calculation shall not exceed 5 percent per year. This annual adjustment shall begin in September 2017 based on the inflation factor used by Jefferson County from September 2016 to September 2017. D. County shall submit a monthly invoice equal to 1/12 1h of the annual amount. E. County records and accounts pertaining to this agreement are to be kept available for inspection by representatives of the Contractor and state for a period of six (6) years after final payments. Copies shall be made available upon request. Section 12: INTEGRATED AGREEMENT This amendment supersedes contract agreement and statement of work affected by these changes. The contract agreement, together with exhibits, addenda, and amendments 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 or modified only by a written instrument signed by both County and Contractor. EXHIBIT A - STA.1"1 ',N4]',, ` 't' OF WORK FOR SCHOOL BASED C 1,1NICS IS AMENDED AS FOLLOWS: Exhibit A — Statement of Work for School Based Clinics Jefferson Healthcare agrees to provide: A. Financial support (at the level articulated in the Contract By and Between JHC and JCPH and any subsequent Amendments) for JCPH school-based clinics that provide: a. Clinical treatment services for Jefferson County high school students Jefferson Healthcare — ARNP — SBHC 2 November 2017 b. Collaboration with local mental health and substance use disorder treatment agencies c. Accountability of operations to County, State and all other funding sources d. Acquisition of health care equipment and supplies e. Maintenance of medical records per HIPAA, and all other state and federal requirements. Approved this day of 2018. BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY, WASHINGTON David Sullivan, Chairperson JEFFERSON HEALTHCARE Mike Glenn, CEO APPROVED AS ""('��') FORM: e 1 lunsucker, Chief Civ -l' 7" Dep ,lty Prosecutor ATTEST: Carolyn Galloway, Clerk of the BOCC .Jefferson Healthcare — ARNP — SBHC 3 November 2017