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HomeMy WebLinkAboutJefferson Healthcare - 042318AMENDMENT #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 THE FOLLOWING CONTRACT SECTIONS ARE AMENDED AS FOLLOWS: 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: County of JCPH Contract Representative Vicki Kirkpatrick, Director Jefferson County Public Health 615 Sheridan Street Port Townsend, WA 98368 (360) 385-9400 Contractor's Contract Representative 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 1/12th 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 — STATEMENT OF WORK FOR SCHOOL BASED CLINICS 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 3 = day of , 2018. BOARD OF COUNTY COMMISSIONERS JEFFERSON COUNTY, WASHINGTON David Sullivan, Chairperson JEFFERSON HEALTHCARE 1W I 11A I* -.- Mike Glenn, tM APPROVED A TO ORM: &,- zlell 0 Philip Hunsucker, Chief Civil Deput Prosecutor ATTEST: Erin Lundgren, Clerk of t�e Board J Jefferson Healthcare — ARNP — SBHC 3 November 2017 Public Hea 615 Sheridan Street Port Townsend, WA 98368 www.JeffersonCountyPublicHealfh.org JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of CouAty Commissioners Philip Morley, County Administrator FROM: Vicki Kirkpatrick, Director DATE: Consent Agenda January 1, 2018 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 parry and 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 615 Sheridan Street Port Townsend, WA 98368 www.JeffersonCountyPublicHealth.org Public Hea RECOMMENDATION: JCPH management request approval of the Amendment No. 1 to the contract between Jefferson Healthcare and Jefferson County Public Health for— support for the School Based Health Centers effective for the 2017- 2018 School Year. REVIEWE Philip Morley, Cou Administrator Date Community Health Developmental Disabilities 360-385-9400 360-385-9401 (f) Always working for a safer and healthier community Environmental Health Water Quality 360-385-9444 (f) 360-379-4487 O 8 20110-96-A1EC CONTRACT REVIEW FORM DEC CONTRACT WITH: Jefferson Healthcare CONTRACT FOR: ARNP for School Based Health Center TERM: July 1, 2017 — June 30, 2018 COUNTY DEPARTMENT: Jefferson County Public Health For More Information Contact: Vicki Kirkpatrick Contact Phone #: X408 --. RETURN TO: Jenny Matter RETURN BY: ASAP AMOUNT: $40,500 (plus CPIW adjustment) Revenue: $40,500 Expenditure: Matching Funds Required: Source(s) of Matching Funds: Step 1: REVIEW BY RISK Review by: /, Date Reviewed{ APPROVED FORM iments: PROCESS: ❑ Exempt from Bid Process ❑ Consultant Selection Process ❑ Cooperative Purchase ❑ Competitive Sealed Bid ❑ Small Work Roster ❑ Vendor List Bid ❑ RFP or RFQ ❑ Other: rned for revision (See Comments) Step 2: REVIEW BY PROS, 1TI G T Y Review by: M Date Reviewed: Z47/6 APPROVED AS TO FORM Returned for revision (See Comments) Comments: (This form to stay with contract throughout the contract review process) CONTRACT AGREEMENT By and Between Jefferson County Public Health And Jefferson Healthcare Hospital For provision of one (1) ARNP in school based health center setting Section 1: PURPOSE: THIS AGREEMENT for Professional Services 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 nursing services in a school based health setting in Jefferson County, Washington. Section 2: TERMS: This Agreement shall commence on August 16, 2010 and continue through June 30, of each school year until terminated by either party. Section 3: SCOPE OF AGREEMENT: County will provide nurse practitioner ARNP services in the School based clinics. 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: County or JCPH Contract Representative Jean Baldwin, Director Jefferson County Public Health 615 Sheridan St. Port Townsend, WA 98368 (360) 385-9400 Contractor's Contract Representative Paula Dowdle, Chief Operating Officer Jefferson Healthcare 834 Sheridan St. Port Townsend, WA 98368 (360) 385-2200 Jefferson Healthcare — ARNP — SBHC !4, Section 4: COMPENSATION: Jefferson Healthcare agrees to provide the following: A. Pay County the actual cost of Employee's services to Jefferson Healthcare for School Based Health Center. This reimbursement rate will be based on the Employee's current rate of compensation as a Jefferson County Public Health employee at the time the service is provided, plus a proportionate share of benefits, and covered employee expenses incurred by Jefferson County Public Health. The reimbursement rate for Employee for 2010 is currently $58.05 / hour. The reimbursement rate will be readjusted in January of each calendar year, or as needed, to reflect changes in Employee's current rate of compensation as a Jefferson County Public Health employee. JCPH will provide nursing services described herein at 12 hours weekly. Additional hours worked above the agreed upon 12 hours weekly, will be charged at the same hourly rate. B. In addition, provide for reimbursement of nursing staff for mileage incurred in connection with provision of stated services at the rate of $0.50 per mile or the current IRS Standard Business Mileage Rate. C. County shall submit invoices of actual cost to Jefferson Healthcare quarterly for payment of work completed to date. D. 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 5: INDEMNIFICATION: The County shall indemnify, defend and hold harmless the Contractor, its officers, agents and employees, from and against any and all claims, lawsuits, demands for money damages, losses- r 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 County or damage to personal property) if said injury or damage was caused by the negligent acts or omissions of the County or its employees or representatives. Section 6: INSURANCE: The County 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 County shall participate in the Worker's Compensation and Employer's Liability Insurance Program as may be required by the State of Washington. Jefferson Healthcare — ARNP — SBHC D. Its membership in the Washington Counties Risk Pool. 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 JHC 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 County in the performance of the service hereunder, either solely and/or jointly with the Contractor shall be the sole and exclusive property of the County. The County will grant shared use of said materials following HIPPA; medical records, HIPPA charts owned by JCPH, referrals made to JHC for medical follow up, primary care, lab, x-ray, specialty care and ER, trademarks, trade names and other intellectual property right claims for said materials. Other materials produced by the County in connection with the services rendered under this agreement shall be the property of the County 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 County shall not be entitled to any benefits accorded Contractor employees by virtue of the services provided under this agreement. The Contractor 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 continue in the partnership with the County, attending the Governance Committee, the community advisory committee with citizens review of the work performed, in relationship to the tasks identified Exhibit A, Statement of Work. Yearly end of year report will notify all parties of client volumes and diagnoses. Section 11: TERMINATION The Contractor and the County 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 Contractor shall be liable for only payment for services rendered prior to the effective date of termination. Jefferson Healthcare — ARNP — SBHC Section 12: 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 or modified only by a written instrument signed by both County and Contractor. Approved this day of2010. BOARD OF COUNTY COMMISSIONERS JEFFERSON C TY, WASHINGTON David Su ivan, Chairperson --7 Gf '• Jefferso� althcare Jefferson Healthcare — ARNP — SBHC Approved as to form only - 4 Z3 fig Exhibit A Statement of Work for School Based Clinics Jefferson Healthcare agrees to provide: A. One (1) medical provider with medical liability coverage or to pay for additional staff from JCPH B. Clinical treatment services for additional Jefferson County high school students C. Work collaboratively with local mental health and substance abuse treatment agencies D. Accountability of operations to County, State or other funding sources E. Health care equipment and supplies F. Maintenance of medical records per HIPAA, state and federal requirements Jefferson Healthcare — ARNP — SBHC