HomeMy WebLinkAboutResolution - 2006-R0425 - Contract For Medical Services - Physicians Network Assistance - 09_13_2006Resolution No. 2006-RO425
September 13, 2006
Item No. 5.21
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the City Manager of the City of Lubbock BE and is hereby authorized and
directed to execute for and on behalf of the City of Lubbock, a Contract for medical
services per Contract #7192, by and between the City of Lubbock and Physicians
Network Assistance (PNA) of Lubbock, Texas, and related documents. Said Contract is
attached hereto and incorporated in this resolution as if fully set forth herein and shall be
included in the minutes of the City Council.
Passed by the City Council this 13th day of September , 2006.
DAVID A. MILLER, MAYOR
ATTEST:
Rebe ca Garza, City Secretary
APPROVED AS TO CONTENT:
kLn Fd�v�
Victor Kilnien
Director of Purchasing and Contract Management
APPROVED AS TO FORM:
oWm M. Knight, Ass' t it
jk/ccdocs/PNA Contract.res
9.5.06
Resolution No. 2006-R0425
September 13, 2006
Item No. 5.21
MEDICAL SERVICES AGREEMENT
This MEDICAL SERVICES AGREEMENT is made and entered into by and between the
City of Lubbock, Texas, hereinafter referred to as "City", and the Physicians Network
Association, hereinafter referred to as "PNA". The City of Lubbock Police Department
shall hereinafter be referred to as L.P.D.
WHEREAS, the City Council for the City of Lubbock, Texas has resolved that it
is in the public interest to provide medical services to those who are in the L.P.D.'s
temporary holding facility;
WHEREAS, Physicians Network Association is qualified to provide the medical
services necessary for operation of the L.P.D.'s Temporary Holding Facility;
NOW THEREFORE, the City and PNA, the parties hereto, mutually agree that
medical services shall be provided by PNA to the City upon the following terms and
conditions, to wit:
I.
DEFINITIONS
The following terms shall have the meanings indicated when used in this Agreement;
PNA agrees to perform the services set forth within these definitions.
1.1 First Aid Assessment. Training in first aid assessment will be given by PNA's
staff to personnel designated by the L.P.D., for purposes of training L.P.D.
personnel in the recognition of certain medical symptoms that may require
immediate attention or the need to contact professional medical services. The
training given shall include instruction on identifying situations that require
medical intervention in basic patient triage, and includes: (a) pain assessment,
including (i) head, (ii) chest, and (iii) blood pressure, and (iv) diabetes. The
training is not for certification and does not include C.P.R. or provision of
"hands-on" first aid.
2 Intake Personnel. Intake personnel are those persons assigned by the L.P.D.
to, or having as a part of their duty work at, the City of Lubbock Temporary
Holding Facility.
1.3 Primary Care Physician (PCP). Primary care physician is the medical doctor
(MD), nurse practitioner (NP), or physicians assistant (PA) on call for the care
of the inmates in the City of Lubbock Temporary Holding Facility. PNA
medical staff will determine medical necessity and appropriateness for calling
the primary care physician (PCP).
1.4 Primary Care Physician Case Management. Primary care physician case
management will be the monitoring by Dr. Vernon C. Farthing, Jr., on his
designee, of any person in the custody of the L.P.D. to be held as an inmate in
the City of Lubbock Temporary Holding Facility, who is admitted as patient
at the University Medical Center for medical necessity. This will assure
appropriateness of ancillary services. Primary care physician case
management will be performed by PNA at no charge to the City of Lubbock.
1.5 Standing Orders and Nursing Protocols. Standing orders and nursing
protocols shall be directives or instructions provided by PNA to aid medical
personnel. These standing orders and nursing protocols will remain on -site at
the City of Lubbock Temporary Holding Facility for the sole use and
assistance of attending medical staff.
1.6 Suicide Assessment. PNA will train City/L.P.D. personnel in recognizing and
evaluating warning signs for potential suicide victims. The training schedule
will be arranged and coordinated through PNA Vice President of Operations.
II.
TERM
2.1 Term. The term of this Agreement is for five (5) years commencing on the 1"
day of October, 2006, and ending on the 30`h day of September, 2011.
III.
COMPENSATION
3.1 Compensation. For services rendered under this Agreement, PNA shall be
entitled to $20,000.00 for each twelve (12) month term. The fee for services
will be payable by the City quarterly at the rate of Five Thousand Dollars and
no/cents ($5,000.00), payable on or before the fifteenth (15) day of the
calendar month, following the quarter in which services are provided.
IV.
TERMINATION
4.1 Termination. Either party to this Agreement, during the term hereof or any
extension or renewal of the term hereof, may terminate this Agreement upon
sixty day written notice, first delivered in person or addressed by certified
mail, to the other party. Unless otherwise notified any notice required under
this Agreement shall be delivered to respective party at the following address:
Assistant Chief Tom Mann, L.P.D.
916 Texas Avenue
P.O. Box 2000
Lubbock, TX 79457
Physicians Network Association
Attention: Joe Ince
1622 6`h St.
Lubbock, TX 79401
2
V.
SCOPE OF SERVICES
5.1 Intake Forms. PNA will provide the template for intake screening,
assessment, and evaluation forms to be used by the L.P.D. for operation of the
City of Lubbock Temporary Holding Facility.
5.2 Access to Physician, Nurse Practitioner or Physicians Assistant. PNA will
provide continuous access to either a physician, nurse practitioner or
physician's assistant.
5.3 Primary Care Physician Case Management. Primary care physician (PCP)
case management for inpatients at the University Medical Center (UMC) will
be provided at no charge to the City.
5.4 Basic First Assessment Training. PNA will provide basic first aid assessment
training in a class format for up to four (4) classes per twelve month term of
this Agreement at no additional charge to the City. PNA will provide
additional basis first aid assessment training upon request at the rate of
twenty-five dollars ($25.00), per hour per additional class.
5.5 Suicide Assessment. PNA will provide suicide assessment training in a class
format for up to two (2) classes per twelve month term of this Agreement at
no additional charge to the City. PNA will provide additional suicide
assessment training upon request at the rate of fifty dollars ($50.00), per hour
per additional class.
5.6 Training on Forms. PNA will provide training on the use of intake screening
and evaluation forms.
5.7 First Aid Kit. PNA will provide replacement supplies for the first aid kit
maintained at the City of Lubbock Temporary Holding Facility.
5.8 PNA Not Responsible for Payment of Costs. PNA will not be responsible for
payment of transportation costs or admittance costs to any clinic, hospital, or
healthcare provider for any inmate, resident, or person being held by the City
in the City of Lubbock Temporary Holding Facility. Payment for all x-ray,
lab tests, ancillary services, or necessary medical examinations delivered or
provided off site from the holding facility shall be the responsibility of the
individual receiving medical care or other responsible party, not PNA or the
City of Lubbock. Any medications prescribed shall be the responsibility of
the patient or other responsible party, other than PNA or the City of Lubbock.
5.9 Special Services. PNA will provide for on site personnel on request of the
City/L.P.D. at the hourly rate of twenty dollars ($20.00), which rate shall be
3
in addition to the compensation provided for under Part III of this Agreement.
This additional services is provided in anticipation of extraordinary needs for
operation of the City's Temporary Holding Facility, such as may occur during
holidays.
VI.
INSURANCE
6.1Insurance Requirements of PNA.
General. Contractor shall procure and carry, at its sole cost and expense
th,rough the life of this Contract insurance protection hereinafter specified in
the form and substance satisfactory to the City. City must approve all policies
prior to the commencement of any activities whether performed by the
Contractor, subcontractor, agents, or third parties. The insurance carrier must
be an insurance company authorized to transact business in the State of Texas
and have a Best's Financial rating of A:VII. A Certificate of Insurance
specifying each and all coverage shall be submitted to City prior to the
execution of this Contract. All insurance shall be prepared and executed by
the insurance company or it's authorized agents and shall contain an
endorsement naming the City of Lubbock an additional insured. Written
notice of cancellation or any material change will be provided thirty (30) days
in advance of cancellation or change. All insurance, other than Worker's
Compensation, shall provide a waiver of subrogation in favor of the City of
Lubbock, and shall contain cross liability and severability clauses.
6.2 Required Coverage. Contractor shall obtain and maintain policies of insurance
throughout the Contract term in limits specified below.
6.3 Worker's Compensation. The Contractor shall maintain Workers'
Compensation and Employer's Liability insurance coverage as required by
statute or coverage approved by the City Risk Management Coordinator.
6.4 Commercial General Liability. The Contractor shall maintain Commercial
General Liability coverage endorsed to include premises/operations,
contractual liability, and independent contractors' and completed operations.
The policy shall have a minimum of Three Hundred Thousand and no/100
Dollars ($300,000.00) combined single limit in the aggregate and per
occurrence.
6.5 Commercial Automobile liability. Commercial Automobile Liability. The
Contractor shall maintain Commercial Automobile Liability coverage with a
minimum of Three Hundred Thousand and no/100 Dollars ($300,000.00)
combined single for Bodily Injury and Property Damage and shall include any
auto or in the alternative, owned autos, non -owned autos and hired autos.
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6.6 Professional Liability Insurance. The Contractor shall maintain Professional
Liability Insurance coverage with a minimum of One Million and no/100
Dollars ($,000,000.00) combined single limit in the aggregate and per
occurrence.
PNA will ensure that all of it's subcontractors, i.e., nurse practitioners,
physicians assistants, and others, are covered by medical malpractice insurance.
EXECUTED THIS 13th day of September , 2006.
ATTEST:
Rebecca Garza, City Secretary
Claude 1 ones, Chief of Police
PHYSICIANS NETWORK ASSOCIATION
J4 T. Ince, Executive Vice President
CITY OF LUBBOCK, TEXAS
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R• S Me.
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APPROVED AS TO FORM:
Knight, start Filty Attorney
Medical Services Agreement-PNA
8.30.06
0
Resolution No. 2006-RO425
CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDTWVy)
07/66/20(bG
PRODUCER (806) 797-4131 FAX (806) 793-1629 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Ince Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR.
P. 0. Box 64850 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOIAI
Lubbock, TX 79464
Shirley Couch INSURERS AFFORDING COVERAGE NAIC #
INSURED Physicians Network Associates INSURERA: Scottsdale Insurance Company
1622 - 6th Street INSURERB: Trinity Universal of Kansas
Lubbock, TX 79401 INSURERC: Mt. Hawley Insurance Company
INSURER D: Evanston Insurance Company
INSURER E:
L9il1' a:I_1C13!'1
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTNATHSTANp1NG
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
DD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
Aff
GENERAL LIABILITY
X1 COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
CLS1207751
03/12/2006
03/12/2007
1 EACH OCCURRENCE
$ 11000 00 01
DAMAGE TO RENTED
CFC�Fw ,rr,
S 100,00
MED EXP (Any one person)
$ S 00
PERSONAL & ADV INJURY
$ Not Co
GENERAL AGGREGATE
$ 3.1.00G, 00
GENL AGGREGATE OMIT APPLIES PER:
POLICY PRO- LOC
PRODUCTS - COMP/OP AGG
$ Not Co
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEOAUTOS
HIREDAUTOS
NON -OWNED AUTOS
CAP 0005686
08/12/2005
08/12/2006
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000.000
BODILY INJURY
(Per Person)
S
X
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY ALTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
S
S
C
EXCESSIUMBRELLALIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
MXL0359030
03/12/2006
03/12/2007
EACH OCCURRENCE
$ 9,000 O0
AGGREGATE
$
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBF.R EICLUDEO7
It yes, desmt>e under
L PROVISIONS helav
N.0 STATU- OTH-
LIM
E.L. EACH ACCIDENT
S
El DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
ssional Liability
LD
SM-843256
FOR SPECIFIED MEDICAL
ROFESSIONS CLAIM MADE
06/30/2006
06/30/2007
$1,000,000 Per Occurence
$3,000,000 Aggregate
$25,000 Deductible
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
City of Lubbock
Sgt John Casple
PO Box 2000
Lubbock, TX 79457
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVA _ I ( I
ACORD 25 (2001l08) FAX: 775-2781 OACORD CORPORATION 1988
ACORD 26 (2001/08)