HomeMy WebLinkAboutUW School of Public Health ff 615 Sheridan Street
Port Townsend, WA 98368
aeehson www.JeffersonCountyPublicHealth.org
Consent Agenda
Public Healt
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Mark McCauley, County Administrator
FROM: Apple Martine, Public Health Director
Denise Banker, Community Health Division Director
DATE: Oc vloe,- 21, 2-c'72 V
SUBJECT: Agenda item — Memorandum of Agreement with University of Washington
School of Public Health; Upon signature - until termination; No monetary
exchange.
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH), Community Health Division, requests Board approval of the
Memorandum of Agreement with University of Washington School of Public Health (University) to provide
opportunity for practicum field experience.
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
Students of University will be supervised by JCPH medical providers for a duration agreed upon between
supervisors at University and JCPH providers. This cooperative relationship between service institution and
educational intuition is mutually beneficial.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
There is no fiscal impact.
RECOMMENDATION:
JCPH management requests approval of the Memorandum of Agreement between JCPH and University for
practicum field experience; Upon signature - until termination; No monetary exchange.
REVIEWED BY:
L
0,44,/,,,,%
,,,-- ,, ,,,,,,,,,/,/,7
Mark McCauley, Administrator ��~ Date
Y� tY
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
N-24-032
CONTRACT REVIEW FORM I Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: UW School of Public Health Contract No: N-24-032
Contract For: Practicum Field Experience Term: Upon signature- until terminated
COUNTY DEPARTMENT: Public Health
Contact Person: Denise Banker
Contact Phone: x438
Contact email: dbanker@co.jefferson.wa.us
AMOUNT: -0- PROCESS: Exempt from Bid Process
Revenue: Cooperative Purchase
Expenditure: Competitive Sealed Bid
Matching Funds Required: Small Works Roster
Sources(s) of Matching Funds Vendor List Bid
Fund# RFP or RFQ
Munis Org/Obj Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COM =h E WIT "" lip, ND CHAPTER 42.23 RCW.
CERTIFIED: ■ N/A: / 10" July 22,2024
Signature Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEET DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: N/A: 11 G�� July 22,2024
Signa ure Date
STEP 3: RISK MANAGEMENT REVIEW (will be added electronically through Laserfiche):
Electronically approved by Risk Management on 7/24/2024.
STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 7/24/2024.
Negotiated with PAO assistance.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
1
Docusign Envelope ID:BFBA3390-F583-431D-AA06-1DC46ECDO4BE
MEMORANDUM OF AGREEMENT
BETWEEN
JEFFERSON COUNTY
AND
UNIVERSITY of WASHINGTON, SCHOOL of PUBLIC HEALTH
This Memorandum of Agreement (this "Agreement") is between Jefferson County ("Agency")
and University of Washington, School of Public Health ("University"). The Agency and the
University agree as follows.
WHEREAS, the University, through its School of Public Health (SPH), requires a practicum
experience for students in its SPH program, and
WHEREAS, the Agency recognizes that practicums under appropriate guidance and supervision
is essential for student development of effective skills, judgment, and a sense of professional
responsibility, and
WHEREAS, it is recognized that a cooperative relationship between a service institution and an
educational institution can be mutually beneficial,
BE IT AGREED that the Agency and the University desire to enter into an agreement whereby
students in the University SPH program shall receive experiences in practicum field experience
in the Agency. This Agreement shall be governed by the following conditions:
I. THE UNIVERSITY SHALL:
A. Retain control of, and responsibility for, all phases of the education program.
B. Cooperate with the Agency in making arrangements for the practicum not less
than six months prior to the start of each academic term. Arrangements shall be
mutually determined by agreement of the parties and may be altered by mutual
agreement.
C. Cooperate with the Agency in planning, scheduling and implementing an
orientation program for faculty responsible for the practicum.
D. Provide an orientation for students to assigned units.
E. Provide the Agency with the following written information two weeks prior to the
start of each practicum:
1. Specific days and hours students will be in service areas.
2. Names of students and responsible faculty.
3. Objectives of the practicum.
4. Documentation of professional liability insurance for students and faculty.
Revised 6/4/2020,7/25/22,2/13/23,5/23/24
N-24-032
Docusign Envelope ID:BFBA3390-F583-431D-AA06-1DC46ECDO4BE
6. Other appropriate information as requested.
F. Provide qualified faculty in a faculty-student ratio of at least 1:10.
G. Plan individualized experiences for students in consultation with appropriate
Agency personnel based on the objectives of the practicum and available learning
opportunities.
H. Abide by the written administrative and programmatic policies or procedures of
the Agency while using its facilities.
Require that all faculty and students who may be at risk for occupational exposure
to blood or other potentially infectious materials be:
1. Trained in accordance with the Occupational Safety and Health
Administration's(OSHA)Occupational Exposure to Blood borne
Pathogens Final Rule 29 CFR Part 1910.1030, as published in the Federal
Register Friday, December 6, 1991.
2. Trained in the modes of transmission,epidemiology and symptoms of
Hepatitis B virus (HBV) and Human Immunodeficiency(HIV)and other
blood borne pathogens.
3. Trained in the methods of control that prevent or reduce exposure
including universal precautions, appropriate engineering controls,work
practices, and personal protective equipment.
4. Provided information on the Hepatitis B vaccine, its efficacy, safety,
method of administration, and benefits of being vaccinated.
5. Vaccinated for HBV or have begun the vaccination series for HBV or
have signed a refusal to acquire HBV vaccination.
J. Maintain for itself and provide to Students or require that Students obtain and
maintain appropriate general and professional liability insurance coverage in the
amounts of at least$1,000,000 per occurrence and$3,000,000 in the aggregate,
with insurance carriers or self-insurance programs approved by Agency, in
accordance with Agency's bylaws,rules and regulations. A copy of the certificate
of insurance shall be provided to the Agency (in which the Certificate Holder is
identified as"Jefferson County).
II. THE AGENCY SHALL:
A. Retain full responsibility for client care and for control of established standards of
care.
2
Docusign Envelope ID:BFBA3390-F583-431D-AA06-1DC46ECD04BE
B. At least six months prior to each academic term,provide the University with the
maximum number of students(from all educational programs)that can be
assigned to service area during each eight-hour assignment period.
C. Provide an orientation for faculty assigned to the Agency prior to the practicum
subject to conditions in Article I. Section C.
D. Assist the University faculty in orientation of students to the Agency at a mutually
agreed upon time.
E. Provide,within Agency limitations,conference rooms and desk space as requested.
F. Provide any special clothing required for participation in learning activities in
selected service areas of departments of the Agency.
G. Reserve the right and authority to request the withdrawal of any faculty or student
who does not adhere to appropriate dress code,behavior standards, administrative
and medical policies, does not maintain professional liability insurance; or cannot
provide safe care due to physical or mental illness.
H. Permit University faculty to conduct research in accordance with established
policies and research protocols of the Agency with prior written approval.
I. Comply with all applicable federal and state health and safety laws and
regulations.
J. Prohibit the disclosure of personally identifiable information,as defined by the
Family Educational Rights and Privacy Act, of a student without the prior consent
of the student, and to limit Agency's use of such information only for the purpose
for which it obtained such information.
K. Require and provide an orientation to the faculty and students before direct client
contact is allowed. Orientation by the Agency shall include information
regarding:
1. The Agency's Exposure Control Plan for blood borne pathogens and the
means by which students and faculty can obtain a copy of the written plan.
2. The engineering controls used within the Agency's work site.
3. The personal protective equipment available in each of the Agency's work
areas.
4. The identification of tasks and patient-related activities which increase the
risk of exposure to HBV, HIV, and other blood borne pathogens.
5. What constitutes an exposure.
3
Docusign Envelope ID:BFBA3390-F583-431D-AA06-1DC46ECDO4BE
6. The established procedure to follow after an exposure to blood or body
fluids occurs including the methods of reporting the incident and the
medical follow-up required.
L. Provide appropriate and readily accessible personal protective equipment at no
cost to faculty and students to use in the work site during the practicum
experience.
M. Maintain general liability coverage(including errors and omissions coverage) in
the amounts of at least$1,000,000 per occurrence and$3,000,000 in the
aggregate,with its membership in the Washington Counties Risk Pool.A copy of
the certificate of membership in the risk pool shall be provided to the University.
III. IT IS MUTUALLY AGREED THAT:
A. Indemnification. The University shall defend, indemnify and hold the Agency, its
officers, officials,employees, agents and volunteers(and their marital
communities)harmless from any claims, injuries, damages, losses or suits,
including attorney's fees, arising out of or resulting from the negligent acts or
omissions of the University in performance of this Agreement, except for injuries
and damages caused by the sole negligence of the Agency. Agency agrees to
indemnify and hold harmless University against any and all liability for personal
injury, including injury resulting in death, or damage to property, or both,
resulting from the negligent acts and/or omissions of its employees. Should a
court of competent jurisdiction determine this Agreement is subject to RCW
4.24.115 if liability for damages occurs arising out of bodily injury to persons or
damages to property caused by or resulting from the concurrent negligence of the
Agency and the University, its officers, officials, employees, agents and
volunteers(and their marital communities)the University's liability, including the
duty and cost to defend, shall be only for the University's negligence. It is further
specifically understood that the indemnification provided constitutes the
University's waiver of immunity under Industrial Insurance, Title 51 RCW, solely
for the purposes of this indemnification. This waiver has been mutually negotiated
by the parties. This section shall survive the expiration or termination of this
Agreement.
B. Public Records. To the extent any record, including any electronic, audio, paper
or other media, is required to be kept or indexed as a public record in accordance
with the Washington Public Records Act, Chapter 42.56 RCW, as may hereafter
be amended,the University agrees to maintain all records constituting public
records and to produce or assist the Agency in producing such records,within the
time frames and parameters set forth in state law. The University further agrees
that upon receipt of any written public record request covering information that
may be considered confidential under this Agreement, University shall,within
two business days, notify the Agency by providing a copy of the request per the
notice provisions of this Agreement.
4
Docusign Envelope ID:BFBA3390-F583-431D-AA06-1DC46ECDO4BE
C. Disputes. The parties agree to use their best efforts to prevent and resolve disputes
before they escalate into claims or legal actions. Any disputed issue not resolved
pursuant to the terms of this Agreement shall be submitted in writing within 10
days to the Agency Risk Manager,whose decision in the matter shall be final,but
shall be subject to judicial review. If either party deems it necessary to institute
legal action or proceeding to enforce any right or obligation under this
Agreement, each party in such action shall bear the cost of its own attorney's fees
and court costs. Any legal action shall be initiated in the Superior Court of the
State of Washington for Jefferson County. The parties agree that all questions
shall be resolved by application of Washington law and that the parties have the
right of appeal from such decisions of the Superior Court in accordance with the
laws of the State of Washington. The University hereby consents to the personal
jurisdiction of the Superior Court of the State of Washington for Jefferson
County.
IV. DURATION OF THIS AGREEMENT,TERM, MODIFICATION:
A. This Agreement is effective as of the date last signed below.
B. This Agreement shall remain in effect until terminated. Either party may terminate
this Agreement, with or without cause, by written notice to the other party at least
sixty (60) days prior to the commencement of the next academic term. Students
enrolled in the practicum at the time notice is given shall have the opportunity to
complete the course of study in progress.
C. The parties to this Agreement may amend this Agreement as deemed necessary
provided, however, that no amendment to this Agreement shall be valid unless in
writing and signed by the duly authorized representatives of the parties.
D. All the terms, conditions and provisions agreed upon by the parties to this
Agreement are incorporated in this document.
(SIGNATURES FOLLOW ON THE NEXT PAGE)
5
Docusign Envelope ID:BFBA3390-F583-431 D-AA06-1 DC46ECDO4BE
SIGNATURE PAGE
JEFFERSON COUNTY WASHINGTON UNIVERSITY OF WASHINGTON
1820 Jefferson Street School of Public Health
Port Townsend, WA 98368 Box 351616
Seattle, WA 98195-1616
DocuSigned by:
Grp br'owv,Sotk, 9/11/2024
By: By:
Kate Dean, Chair Date Craig Brownson, MHA Date
Board of County Commissioners Assistant Dean, School of Public Health
SEAL:
ATTEST:
Carolyn Gallaway, Date
Clerk of the Board
Approved as to form only:
0- July 24, 2024
Philip C. Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
6