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Public Healt Consent Agenda
October 2, 2019
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Apple Martine, Community Health Director
DATE:
SUBJECT: Agenda Item — Memorandum of Understanding (MOU) with First Step Family
Support Center; Upon signature — until terminated
STATEMENT OF ISSUE:
Jefferson County Public Health requests approval of a MOU with First Step Family Support Center in Port
Angeles, WA to house one Registered Nurse (RN) for Jefferson County Public Health Nurse Family
Partnership (NFP) program's expansion to serve Clallam County residents; Upon signature — until
terminated
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
The purpose of this MOU is for Jefferson County Public Health to utilize First Step Family Support's referral
and outreach system by employing a NFP RN in Port Angeles. Along with providing physical space for a
NFP RN, First Step Family Support Center will collaborate with Jefferson County Public Health in reaching
out to local Physicians, Midwives and families with information about the NFP program in an effort to reach
and recruit eligible pregnant women to the NFP program.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
There is no exchange of money associated with this agreement.
RECOMMENDATION:
JCPH Management recommends BOCC signature of the MOU with First Step Family Support Center to house
one Registered Nurse for Jefferson County Public Health Nurse Family Partnership program; Upon signature
— until terminated
REVIEWED BY:
- 6,
ip Morley, �i�.unty Administrator Date
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
Memorandum of Understanding
First Step Family Support Center and Jefferson County Public Health
Jefferson County Public Health and First Step Family Support Center both provide health
education and prevention based services for families in Jefferson and Clallam Counties. The
collaboration therein seeks to better serve low income families with children 0-2 years old in
Clallam County where Nurse Family Partnership's intensive home visiting for high risk families
has not been available until now. This MOU represents First Steps Family Support Center's
willingness to host one Nurse Family Partnership Nurse Home Visitor in their agency upon hire.
First Step Family Support Center will:
A. Host/house one NFP RN at our facility, located at 323 E. 6th St. Port Angeles, WA. This
RN will be employed by Jefferson County Public Health,trained by Jefferson County
Public Health,and supervised by Jefferson County Public Health;
B. Utilize First Step Family Support's current referral and outreach systems for identifying
and referring first-time pregnant(<1=28 weeks gestational age)women to this NFP RN
for NFP service;
C. Collaborate with Jefferson County Public Health in reaching out to local Physicians,
Midwives and families with information about the NFP program in an effort to reach and
recruit eligible pregnant women to the NFP program;
D. Provide a desk,access to a copier, scanner, fax machine,access to a refrigerator and
microwave, a key to the building,and access to internet services ; and,
E. Designate parking accommodations at First Step Family Support for the NFP RN.
Jefferson County Public Health will:
A. Provide liability coverage for the JCPH employee;
B. Provide a computer and printer(laptop or desktop, monitor,keyboard and mouse);
C. Provide a cell phone and cell phone service;
D. Provide a two drawer file cabinet and office supplies such as pens,pencils, white out,
note books, etc.;
E. Provide an office chair that meets the needs of the JCPH employee;
F. Provide all supplies and equipment necessary for the NFP RN to participate in
meetings/trainings/webinars onsite;
G. Provide all supervision, required by the NFP model for fidelity,to the NFP RN;
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H. Provide reimbursement to First Step Family Support Center for copier charges incurred
monthly via invoice to JCPH;and,
I. Provide mileage reimbursement and all accompanying vehicle support to JCPH employee
for attending home visits,meetings and trainings authorized by the NFP supervisor.
Shared Responsibilities include:
Both agencies agree that there will be no charge to the other agency for these services,except for
copies made by JCPH staff. Both parties agree to be responsible for the negligent acts or
omissions of its own employees, officers,or agents in the performance of this Agreement.
Designated Contacts:
The designated contact person for First Step Family Support will be Venita Lynn and the
designated person for contact with Jefferson County Public Health will be Yuko Umeda,NFP
supervisor.
Confidentiality:
The Parties to this Agreement and their employees and representatives, and subcontractors and
their employees, will maintain the confidentiality of health information.All health services are
protected as required by the Health Insurance Portability and Accountability Act of 1996
("HIPPA")and all other applicable federal and state privacy laws.
Termination:
Any party may terminate this MOU for any reason upon at least sixty(60)days written notice.
Any Party may also terminate this MOU at any time if the other party defaults in any of its
material obligations,but only if such defaults have continued for a period of ten(10)days after
the receipt of a written notice from the other party.
Amendment:
This MOU may be amended by mutual written consent of all the parties.
No Partnership of Joint Venture.
Nothing in this MOU shall create or be deemed to create any relationship of agency,joint venture,
or partnership between the parties to this MOU. Neither shall any party have the power to bind or
obligate any other in any manner except as expressly provided in this MOU.
Limitation on Waiver.
Any waiver,express or implied,by any party of any rights,terms,or conditions of this MOU shall
not operate to waive such right, terms, or conditions or any other rights, terms, or conditions
beyond the specific instance of waiver.
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No Discrimination. No 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,
religion, marital status,or qualified individuals with disabilities. All parties shall comply with the
Americans with Disabilities Act and all regulations interpreting or enforcing such Act.
Indemnity.
Each party to this MOU shall indemnify, defend, and hold harmless the other party and their
officers,agents,employees,and volunteers 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 to any other party to
this MOU or damage to personal property) if said injury or damage was caused by the negligent
acts or omissions of the that party. In the event of concurrent liability, the parties shall have the
right of contribution in proportion to the respective liability of each party. Nothing contained in
this section shall be deemed to waive immunities established pursuant to state statute or to create
third-party right or immunities.
Required Liability and Workers Compensation Coverage.
The parties to this MOU shall obtain and keep in force during the terms of this MOU or as
otherwise required, the following coverage with commercial companies or through other sources
such as Risk Pools,approved by the State Insurance Commissioner pursuant to Ch. 48.05 RCW:
A. Worker's compensation and employer's liability insurance as required by the State of
Washington.
B. Commercial Automobile Liability Coverage 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$1,000,000 each occurrence.
C. General Commercial Liability Coverage, or the equivalent from other sources such as Risk
Pools legally authorized to operate in the State of Washington, in an amount not less than a
single limit of one million dollars($1,000,000.00)per occurrence and an aggregate of not less
than two (2) times the occurrence amount ($2,000,000.00 minimum) for bodily injury,
including death and property damage. The insurance coverage shall contain no limitations on
the scope of the protection provided and shall include the following minimum coverage:
1) Broad Form Property Damage,with no employee exclusion;
2) Personal Injury Liability, including extended bodily injury;
3) Broad Form Contractual/Commercial Liability- including completed operations
4) Premises- Operations Liability(M&C);
5) Independent; and,
6) Blanket Contractual Liability.
Required Professional Liability Insurance.
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If any party or its employee sis required to be professionally licensed or certified by the State in
the performance of services under this MOU, that party shall maintain professional liability
insurance in the amount of not less than one million dollars ($1,000,000).
No Joint Acquisition of Property.
This MOU does not contemplate the joint acquisition of property by the parties. At termination,
each party will remain the sole owner of its own property.
Integration.
This MOU,together with attachments or addenda, represents the entire and integrated MOU
between the County and the said parties and supersedes all prior negotiations,representations, or
MOUs written or oral between the parties.
Term:
This Agreement is effective upon hire of the new Nurse Family Partnership RN (Jefferson
County Public Health's employee)in 2019,and will continue year to year thereafter. This
Agreement will be reviewed no later than two years from its effective date,or earlier upon
request.
(SIGNATURES FOLLOW ON NEXT PAGE)
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JEFFERSON COUNTY WASHINGTON FIRST STEP FAMILY SUPPORT
CENTER
Board of County Commissioners
Jefferson County, Washington
r
By: By: ('/r�,�Cti- - 1 a l E�('1�
Kate Dean,Chair Date Venita Lynn, A Ed, Date
Address: 615 Sheridan Street Executive Director
Port Townsend, WA 98368 Address: 325 East 6th Street
Attn: Vicki Kirkpatrick Port Angeles, WA 98362
Phone: (360)385-9408 Phone: (360)457-8355
Email: vkirkpatrick@co.jefferson.wa.us Email: fstep@olypen.com
Date: . 6, gOici
SEAL:
ATTEST:
Carolyn Galloway Date
Deputy Clerk of the Board
Approved as to form only:
/2-- //c
Philip C. Hunsucker Date
Chief Civil Deputy Prosecuting Attorney
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