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Home My WebLink AboutResolution - 4370 - Interlocal Contract - UMC, COL Health Department, LCDBS - HIV Early Primary Care - 01_27_1994Resolution No. 4370 January 27, 1994 Item #27 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock BE and is hereby authorized and directed to execute for and on behalf of the City of Lubbock an Interlocal Contract, attached herewith, by and between Lubbock County Hospital District, d/b/a University Medical Center and the City of Lubbock, Health Department, La Clinica De Buena Salud for early primary care for HIV infected individuals, and any associated documents, which Contract shall be spread upon the minutes of the Council and as spread upon the minutes of this Council shall constitute and be a part of this Resolution as if fully copied herein in detail. Passed by the City Council this /27th 1E ATTEST: &t'- �-k ��OLV'j Betty M. Johnso City Secretary APPROVED AS TO CONTENT: Doug Goo an, Public Health Administrator APPROVED AS TO FORM: !L4I&L111 Ix Z- �V- G. Vandiver, First Assistant City DGV:cWccdocs/HIVINFCT.res January 18, 1994 January 1994. MAYOR Resolution No. 4370 January 27, 1994 Item #27 INTERLOCAL CONTRACT This Agreement is between LUBBOCK COUNTY HOSPITAL DISTRICT, d/b/a UNIVERSITY MEDICAL CENTER ("Hospital") and THE CITY OF LUBBOCK, HEALTH DEPARTMENT, LA CLINICA DE BUENA SALUD ("Clinic"). The City of Lubbock, acting through its Health Department has established and operates a health clinic to increase the availability of early primary care for HIV infected individuals which includes laboratory testing, pharmaceutical, providers, and dental care. The Clinic has been operating approximately three years under grants, but funding is not provided for clinical services after November 30, 1993. Without the Clinic, HIV individuals will receive no care or inadequate care, the result of which will be an increase in uncompensated Hospital admission, emergency room visits and unreimbursed calls to Hospital primary care clinics. Thus it is advantageous to the Hospital for the Clinic to continue operation, it is advantageous to the Lubbock County residents who are other wise unable to pay for or receive appropriate care, and it is advantageous to the Clinic to receive services or funds so that operations may continue. WHEREFORE, the parties, pursuant to Chapter 791 (Interlocal Cooperation Contracts), Government Code, agree as follows: Clinic agrees that it will continue operations through September 30, 1994, and will obtain funding for the cost of pharmaceutical, providers, and dental care for HIV patients who are residents of Lubbock, Lubbock County, Texas. Clinic's services will be given through a physician, a nurse practitioner, other nurses and a social worker and through these individuals the Clinic will provide weekly health care, wellness education, case conferences, social support and referrals, as needed. Included in the care given by Clinic will be outpatient end -stage care. 2. The Hospital agrees to provide laboratory testing services to HIV Clinic patients. The Hospital's testing will be bodily fluid samples taken by Clinic at Clinic's place of business, after which taking, the Hospital will analyze the samples and return the results of the testing to the Clinic. The Hospital will not be required to extract the bodily fluid samples or to provide supplies for doing so. 3. To the extent that any payment is required for the performance of this contract or the furnishing of services under it, such payments will be made from current revenues available to the paying party. Each to this contract will be performing services for which it is authorized to perform fairly compensated. This contract may be renewed annually. 4. The agreements made by the parties to this contract shall not be taken as an assumption of responsibility by either party for the functions, responsibilities or obligations of the other. Laboratory services furnished by Hospital shall be only for HIV patients who are residents of Lubbock, Lubbock County, Texas. 5. This contract is performable in Lubbock, Lubbock County, Texas where venue of all action shall lie. OA SIGNED at Lubbock, Texas this Z day of . January, 1994. LUBBOCK COUNTY HOSPITAL DISTRICT d/b/a UNIVERSITY M EWAL CENTER; ATTEST: C-fTkOF LUBBOCK, d/b/a LA CLINICA DEB NA S VID R. LANOTON, ATTEST: Awmm L�� &&'- 1K c"L "-) Secretary Betty A Johnson, ity Secretary DV/dp g\ccdocs\C-UMC.doc January 19, 1994 APPROVED AS TO CONTENT: Doug Goo , Public Health Administrator APPROVED AS TO FORM: CYAZJ�) A LQ�A D&fmld G. Vandiver, First Assistant City Attorney L TEXAS DEPARTMENT OF HEALTH 1100 WEST 4'9TH STREET AUSTIN, TEXAS 78756-3199 CONTRACT CHANGE NOTICE NO. 4 STATE OF TEXAS TDH Document No. C4000133 COUNTY OF TRAVIS The Texas Department of Health, hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in writing with LUBBOCK CITY HEALTH DEPARTMENT hereinafter referred to as PERFORMING AGENCY. The parties thereto now desire to amend such contract as follows: SUMMARY OF TRANSACTION: Revision to public health services contract. ; Attachment No. 02A — Amendment for Community & Rural Health to provide public health services including personal and environmental health services. Attachment No. 07 — Amendment to add a new attachment for investigation, control measures, and immunization services. All terms and conditions not hereby amended remain in full force and effect. EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN, CITY OF LUBBOCK ' Authorized Contracting Entity (type above if different from PERFORMING AGENCY) d in behalf of: ' LUBBOCK CITY H LTH 0 TEXAS DEPARTMENT OF HEALTH PERFO AG NCV RECEIVING AGENCY B : - —--- - --- B SWtture of person autWized to sign contracts) David R. Langston. Mayor (Name and Title) Date: 02/ 18/94 SW na ure of person authorized to sign contracts) Linda Farrow, Chief Bureau of Financial Services (Name and Title) Date: APPROVED AST OR By: l By: `. (PERFORMING AGENCY Director, Office of General C nsel if different from person ; authorized to sign contract) ; Cover - Page t RECEIVED 211994 LUMCK CITY PF,SLTH DEFT. 0:TAILS OF ATTACHMENTS Att nancial Assls:ance ' A.m. TDH Tern Source of Direct Total Assistance No, Program Beoin End Funds, ,mount Assistance Amount (TDH Share) 01 NCH%FHS-LHS 9i 1i93; 8/31/9a; STATE 364,981,00: 32,516.00' 397,597.00; 02A. I CRH-LHS 9r 1,/93; 8/ %94; STATE 119,182.00; 13,440.0011 152,622.00; ?3 iI : LAB-LHS 9j 'iu3 9 " 94; STATE 00; 76,000.00; 75,000.00; 04 1 HIYiEDUC-LHS 9i 1i93; 8/3'l94; STATE 43,471.001' .00; 43,471,00; 05 TBjOUTR-LHS 9/ 1i93' 8/31/941 i STATE 20,073,001 00; 20,073.00; 06A ; MICICARO-LHS ;101 i 1193; 9i30194; I 10.557 STATE .00; .00; 00; 07 I ; IMM/OPTS-LHS ; I 1 9./ 1i93; 8/31/94; I STATE 1 68,356.00; I 140,011.00; I 208,367,001 I i 1 ! i I i 1 I 4 1 I I ! 1 1 I I 1 I I I I 1 1 i I 1 I t 1 I t i I I t i I 1 I i 1 l 1 1 I I I 1 I I 1 1 1 I I I I I 1 1 1 t ! I 1 I 1 1 1 1 1 1 1 i 1 I i i I t I I I I i I t i 1 t I 1 I I I I I I 1 i 1 i 1 I 1 1 1 1 I I i I I 1 1 t t I I t I I I I I I i 1 I I I I i I I I I I 1 i I I i I I I I I I 1 1 1 1 1 I 1 t 1 I I t 1 i 1 i 1 I I I I I I I I 1 I I 1 1 1 I 1 1 1 I I I 1 I I I 1 I I t 1 I I 1 1 I I 1 I 1 1 i 1 1 1 1 I 1 I I 1 I 1 I 1 1 I I 1 I i 1 I I 1 1 I 1 I 1 1 I I I I 1 I I I i I I 1 I 1 1 1 I I i I i 1 1 1 1 I I I 1 I i 1 i I 1 I 1 t 1 1 i 1 1 i I I 1 I I 1 1 1 1 1 1 1 1 I 1 1 1 I 1 1 I 1 I l I 1 i 1 I I 1 1 1 i 1 1 1 I I I I 1 i 1 1 i i 1 I t I I I 1 1 1 1 I i 1 I I I 1 1 I I I i I 1 I I t I 1 t I 1 I 1 1 I i t I I I i i i I I i 1 i i 1 1 1 1 i I I 1 i 1 I 1 1 1 I 1 1 I I 1 1 i I i 1 I I I 1 1 I 1 I 1 1 1 i i 1 1 1 1 1 1 i 1 I 1 1 i I 1 1 I I I I 1 i I I i I I 1 1-------------------------------------------------------------------------------------------------------------------- 1 I 1 1 I I 1 ' TDH Document No. C4000133 TOTALS i 616,063.00: S 292,067.00: f 908,130.00 Change No. 04 ' I i I 1 $Federal funds are indicated by a number from the Catalog of Federal Domestic REFER TO BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS. Assistance (CFDA), if applicable. COVER - Page 2 r DOCUMENT NO. C4000133 ATTACHMENT NO. 02A PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT RECEIVING AGENCY PROGRAM: COMMUNITY AND RURAL HEALTH TERM: September 1, 1993 THROUGH August 31, 1994 It is mutually agreed by and between the contracting parties to amend the conditions of Document No. C4000133-02 as written below. All other conditions not hereby amended are to remain in full force and effect. SECTION I. SCOPE OF WORK: Paragraphs 6 through 15 regarding Immunization Vaccine Support are no longer applicable to this Attachment. SECTION III. SPECIAL PROVISIONS: Paragraph 2 regarding Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) is no longer applicable to this Attachment. Paragraphs 4 through 8 regarding Overtime for Immunization activities are no longer applicable to this Attachment. SECTION IV. BUDGET: FINANCIAL ASSISTANCE Financial assistance involves payment of funds to PERFORMING AGENCY for costs incurred in carrying out approved activities. Personnel $81,766.00 Fringe Benefits 13,416.00 Travel .00 Equipment .00 Supplies .00 Contractual 24,000.00 Other .00 Total Direct Costs $119,182.00 Indirect .00 TOTAL $119,182.00 Financial status reports (FSRs) are due the 30th of December, March, June, September and the 15th of October. RECEIVING AGENCY financial assistance will not exceed $119,182.00. -1- DIRECT ASSISTANCE Direct assistance involves the assignment of state funded positions or the provision of supplies such as vaccines in lieu of cash. Personnel [02 position(s)] $43,440.00 TOTAL $43,440.00 Direct assistance for personnel in the amount of $43,440.00 is shown on the attached list of positions and budgetary amounts which is an integral part of this attachment. State salary warrants for net earnings will be issued in accordance with state regulations. Financial status reports (FSRs) are not required on direct assistance. Program income generated from activities supported with direct assistance will be reported on FSRs required for financial assistance provided through this attachment, if applicable, or through other program attachment(s) benefiting from this assistance. RECEIVING AGENCY direct assistance will not exceed $43,440.00. Total RECEIVING AGENCY assistance will not exceed $162,622.00. -2- DOCUMENT NO. C4000133 ATTACHMENT NO. 07 PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT RECEIVING AGENCY PROGRAM: IMMUNIZATION DIVISION TERM: September 1, 1993 THROUGH August 31, 1994 SECTION I. SCOPE OF WORK: PERFORMING AGENCY will use direct assistance and/or financial assistance from RECEIVING AGENCY for the implementation of an immunization program with special emphasis on children two years old or younger. The goal of the immunization program is to prevent, control, and eradicate vaccine - preventable disease in all populations by providing/administering biologicals, promoting immunizations, and applying epidemiologic/outbreak controls within budgetary constraints. PERFORMING AGENCY will endeavor to achieve and main- tain 90% immunity levels for pre-school children. PERFORMING AGENCY agrees to conduct at least one seminar or training session concerning immunization requirements in conjunction with the Licensing Branch of the Texas Department of Human Services and the RECEIVING AGENCY Program. INVESTIGATIONS/CONTROL MEASURES PERFORMING AGENCY will investigate 100% of suspected cases of measles, rubella, pertussis, poliomyelitis, and diphtheria within 24 hours after a report is received. PERFORMING AGENCY will investigate 90% of suspected mumps cases and 100% of suspected tetanus cases within 48 hours after a report is received. For the above diseases, PERFORMING AGENCY will implement the most current outbreak control procedures/measures and contact RECEIVING AGENCY, Immunization Division, within 48 hours after an investigation is initiated. Reporting Requirements PERFORMING AGENCY understands that all vaccines used in RECEIVING AGENCY Immunization Programs are purchased with public funds and must be accounted for the same as other public property. PERFORMING AGENCY further understands that vaccine loss, destructions, spoilage, or other waste, may be investigated by the RECEIVING AGENCY, Immunization Division, which may then require reimbursement or replacement of the lost vaccines. PERFORMING AGENCY agrees to provide RECEIVING AGENCY, Immunization Division, by January 31st, of each year, a report detailing storage measures and methods used to control vaccine loss including methods to monitor and record daily vaccine storage temperatures. The report will be submitted in a format provided by RECEIVING AGENCY, Immunization Division. PERFORMING AGENCY agrees to provide RECEIVING AGENCY, Immunization Division, monthly reports of vaccine utilization/loss, within ten days after the end of each month, on forms provided by RECEIVING AGENCY (forms C5, CSA, C33, C33A). PERFORMING AGENCY will obtain monthly biological reports from private 6C t physician offices and others who receive state supplied biologicals. Status reports of program activities must be submitted to the RECEIVING AGENCY using the most current "Immunization Program Performance Indicators Report". PERFORMING AGENCY will be evaluated on both the number of doses administered and the number of DTP 4 administered to children who are two years old or younger. PERFORMING AGENCY agrees to comply with the following: Texas Immunization Laws, Rules, and Regulations; Chapter 42, Human Resources Code; Sections 2.0 and 2.09A, Texas Education Code; and, Section 317 of the PHS Act as amended. PERFORMING AGENCY agrees to closely adhere to both the spirit and intent of the "Standards for Pediatric Immunization Practices," as recommended by the National Vaccine Advisory Committee, approved by the USPHS, and endorsed by the American Academy of Pediatrics. PERFORMING AGENCY agrees to provide immunization services outside usual clinics hours (8am to 5pm) or on week -ends at least once each month or as needed to insure barrier free access to immuni- zation clinics. PERFORMING AGENCY residency requirements are not applicable under this Attachment. PERFORMING AGENCY cannot deny vaccinations to recip- ients because they do not reside within PERFORMING AGENCY's jurisdiction. PERFORMING AGENCY will provide services/units of service in cr benefiting the county(ies)/area defined as: LUBBOCK AND SURROUNDING COUNTIES. SECTION II. LEGAL AUTHORITY TO CONTRACT: Chapters 12 and 121 of the Health and Safety Code. SECTION III. SPECIAL PROVISIONS: PERFORMING AGENCY understands that federal law guarantees access to immuniza- tion services in public clinics regardless of ability to pay. PERFORMING AGENCY further understands that the bilingual poster "Fees for Vaccine Admin- istration," (Form 6-36, available from the Immunization Division) must be posted where it may be easily seen by patients in each immunization waiting room. PERFORMING AGENCY understands that Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) physicians and other private physicians, authorized by the RECEIVING AGENCY's vaccine distribution plan to administer state -supplied vaccines in their practices, are vital membars of the Texas Immunization Initiative. Accordingly, PERFORMING AGENCY agrees to assist in distributing state -supplied vaccines to EPSDT provides, medicaid providers, physicians, and other providers and organizations within PERFORMING AGENCY's local area. PERFORMING AGENCY agrees that fees collected will be kept within guidelines established by RECEIVING AGENCY and that no one may be denied immunization services because of inability to pay, the fee. Fee schedules will not be based -2- on per dose charges. For immunization activities per -Firmed under this Attachment, General Provisions, Overtime Compensatior. Article, is not applicable and PERFORMING AGENCY agrees to comply with zhs following paragraphs: PERFORMING AGENCY is authorized to pay employees who are not exempt under the Fair Lai -,or Standards Act (FLSA), 29 U.S.C., Section 20 et. seq., for overtime or compensatory time at the rate of time and one-half per FLSA. PERFORMING AGENCY is atitnorized to pay employees who are exempt under FLSA on a straight time basis for work performed on a holiday or for regular compensatory time hours when the taking of regular compensatory time off would be disruptive to normal business operations. Authorizatioo for payment under this provision is limited to work directly related to immunization activities and has to be in accordance with the amount budgeted in this contract Attachment. PERFORMING AGENCY is responsible for documenting proper authorization or approval for any work performed by exempt or non-exempt employees in excess of 40 hours in a workweek. PERFORMING AGENCY understands that if travel funds are provided, they are restricted for use by persons assigned to the immunization project only. All out-of-state travel funded by the Immunization Division requires prior approval by the RECEIVING AGENCY, Immunization Division Director. -3- SECT!'0N IV. BUDGET: FINANCIAL ASSISTANCE Financial assistance involves payment of funds to PERFORMING AGENCY for costs incurred in carrying out approved activities. Personnel $51,236.00 Fringe Benefits 17,120.00 Travel .00 Equipment .00 Supplies .00 Contractual .00 Other .00 Total Direct Costs $68,356.00 Indirect .00 TOTAL $68,356.00 Financial status reports (FSRs) are due the 30th of December, March, June, September and the 15th of October. RECEIVING AGENCY financial assistance will not exceed $68,356.00. -4- DIRECT ASSISTANCE Direct assistance involves the assignment of state funded positions or the provision of supplies such as vaccines in lieu of cash. Vaccine 140,011.00 TOTAL $140,011.00 Financial status reports (FSRs) are not required on direct assistance. Program income generated from activities supported with direct assistance will be reported on FSRs required for financial assistance provided through this attachment, if applicable, or through other program attachment(s) benefiting from this assistance. RECEIVING AGENCY direct assistance will not exceed $140,011.00. Total RECEIVING AGENCY assistance will not exceed $208,367.00. -5-