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HomeMy WebLinkAboutResolution - 2018-R0442 - Employee Medical Clinic Services - 12/17/2018Resolution No. 2018-RO442 Item No. 6.11 December 17, 2018 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock is hereby authorized to execute for and on behalf of the City of Lubbock, an Agreement for Employee Medical Clinic Services, by and between the City of Lubbock and UMC Physicians, and related documents. Said Agreement 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 on December 17, 2018 DANIEL M. POPE, MAYOR IN81 111 A- Rebec a Garza, City Secretary 0 APPROVED AS TO NT: q�-11 Leisa Hutc eson, Director of Human Resources & Risk Management . Mnite,Wrst ._ ccdocs/RES.Agrmt- Employee Medical Clinic Services November 16, 2018 Resolution No. 2018-RO442 AGREEMENT FOR SERVICES for City of Lubbock Employee Medical Clinic Services This Agreement is between UMC Physicians ("UMCP") and the City of Lubbock ("the City"). City is a Texas municipality. It maintains the City of Lubbock Health Care Plan for its employees and their eligible dependents (hereinafter called "Plan Members"). City desires to establish medical clinic locations within the city limits of Lubbock, Texas for City's Plan Members. The availability of one or more medical clinics would provide convenience and greater access to quality health care for Plan Members at an efficient and affordable cost to the City. UMCP is a Texas nonprofit corporation that operates and manages medical clinics and physician practices. UMCP desires to provide medical services to Plan Members. Therefore, the parties agree: ARTICLE 1: TERM AND TERMINATION 1.1 Term. The term of this Agreement begins on February 1, 2019 for one year with four additional one year terms, not to exceed five (5) years. 1.2 Renewal. This Agreement shall renew only upon further written agreement of the parties. 1.3 Termination. Either party may terminate this Agreement at any time without cause by giving the other party ninety (90) days written notice of termination. Either party may terminate the agreement for cause provided the other party fails to cure a default within fifteen days prior written notice of the default. ARTICLE 2: RESPONSIBILITIES 2.1 Medical Clinics. UMCP shall provide access to Plan Members age two years and above at 10 medical clinic locations as described below. 2.1.1. West Wind Primary Health Center. West Wind is located at 4th Street and Elkhart Avenue, Lubbock, Texas (Northwest location). West Wind Primary Health Center will provide primary and acute health care services. All of the services will be directed by the health care provider as needed to provide the high quality health care. If the Plan Member needs care outside the scope of the services offered at West Wind, UMCP will assist in obtaining an appointment for the Plan Member with an appropriate health care provider within the Plan Member's Health Plan Network. West Wind will be open seven days a week with extended hours. West Wind will be open Monday through Friday 8:00 AM until 8:00 PM, Saturday 9:00 AM until 5:00 PM, and Sunday 1:00 PM until 5:00 PM. If these hours change substantially, UMCP will notify the City. Plan Members may obtain services on a walk-in or appointment basis. 2.1.2 Express Care Boston and Express Care Avenue Q. The Boston Express Care clinic is located in the United Supermarket at 82"d and Boston Avenue, Lubbock, Texas (South location). The Avenue Q Living Express Care clinic is located in the Untied Supermarket at 50th Street and Avenue Q. The clinics will provide acute care services. The Health Care Provider will determine if the Plan Member needs to be treated at a different location. If the Plan Member needs care outside the scope of the services offered at the clinic, UMCP will assist in obtaining an appointment for the Plan Member with an appropriate health care provider within the Plan Agreement for Services: City of Lubbock Medical Clinic Services Page 1 of 9 Member's Health Plan Network. The Boston clinic will be open Monday through Friday 9:00 am until 7:00 PM, Saturday 9:00 AM until 6:00 PM, and Sunday 1:00 PM until 6:00 PM. The Avenue Q clinic will be open Monday through Friday 7:00 AM until 4:00 PM. If these hours change substantially, UMCP will notify the City. Plan Members may obtain services on a walk-in basis. 2.1.3. Express Care Clinic at South Plains Mall. Express Care Clinic is located at 6002 Slide Road, Lubbock, Texas (inside the South Plains Mall). Express Care Clinic Primary Health Center will provide acute health care services. All of the services will be directed by the health care provider as needed to provide the high quality health care. If the Plan Member needs care outside the scope of the services offered at Express Care Clinic, UMCP will assist in obtaining an appointment for the Plan Member with an appropriate health care provider within the Plan Member's Health Plan Network. Express Care Clinic will be open seven days a week with extended hours. Express Care Clinic will be open Monday through Saturday 9:00 AM until 8:00 PM, and Sunday 12:00 PM until 6:00 PM. If these hours change substantially, UMCP will notify the City. Plan Members may obtain services on a walk-in or appointment basis. 2.1.3 Milwaukee Family Medicine. Milwaukee Family Medicine is located at 7301 Milwaukee Avenue Lubbock, TX. This clinic will provide primary and acute medical services. The Health Care Provider will determine if the Plan Member needs to be treated at a different location. If the Plan Member needs care outside the scope of the services offered at the clinic, UMCP will assist in obtaining an appointment for the Plan Member with an appropriate health care provider within the Plan Member's Health Plan Network. The clinic will be open Monday through Friday from 8:00 AM until 8:00 PM, Saturday 9:00 AM until 5:00 PM and Sunday 1:00 PM until 5:00 PM. If these hours change substantially, UMCP will notify the City. Plan Members may obtain services on a walk-in or appointment basis. 2.1.4. 1-27 Medical Center. 1-27 Medical Center is located at 1-27 and 42th Street, Lubbock, Texas. 1-27 Medical Center will provide primary and acute health care services. All of the services will be directed by the health care provider as needed to provide the high quality health care. If the Plan Member needs care outside the scope of the services offered at 1-27 Medical Center, UMCP will assist in obtaining an appointment for the Plan Member with an appropriate health care provider within the Plan Member's Health Plan Network. 1-27 Medical Center will be open seven days a week with extended hours. 1-27 Medical Center will be open Monday through Friday 8:00 AM until 8:00 PM, Saturday 9:00 AM until 5:00 PM, and Sunday 1:00 PM until 5:00 PM. If these hours change substantially, UMCP will notify the City. Plan Members may obtain services on a walk-in or appointment basis. 2.1.5. Orchard Park Family Medicine. Orchard Park Family Medicine is located at 4420 114tn Street, Lubbock, Texas. Orchard Park Family Medicine will provide primary and acute health care services. All of the services will be directed by the health care provider as needed to provide the high quality health care. If the Plan Member needs care outside the scope of the services offered at Orchard Park Family Medicine, UMCP will assist in obtaining an appointment for the Plan Member with an appropriate health care provider within the Plan Member's Health Plan Network. Orchard Park Family Medicine will be open seven days a week with extended hours. Orchard Park Family Medicine will be open Monday through Friday 8:00 AM until 8:00 PM, Saturday 9:00 AM until 5:00 PM, and Sunday 1:00 PM until 5:00 PM. If these hours change substantially, UMCP will notify the City. Plan Members may obtain services on a walk-in or appointment basis. 2.1.6 Northwest Pediatrics located at 416 Frankford Avenue, Lubbock, Texas. Northwest Pediatrics will provide primary and acute health care services. All of the services will be directed by the health care provider as needed to provide the high quality health care. If the Plan Member needs care outside the scope of the services offered at Northwest Pediatrics, UMCP will assist in Agreement for Services: City of Lubbock Medical Clinic Services Page 2 of 9 obtaining an appointment for the Plan Member with an appropriate health care provider within the Plan Member's Health Plan Network. Northwest Pediatrics will be open Monday through Friday 8:00 AM until 5:00 PM. If these hours change substantially, UMCP will notify the City. Plan Members may obtain services on a walk-in or appointment basis. 2.1.7 KingsPark Urgent Care is located at 7501 Quaker Avenue, Lubbock, Texas. KingsPark Urgent Care will provide acute health care services. All of the services will be directed by the health care provider as needed to provide the high quality health care. If the Plan Member needs care outside the scope of the services offered at KingsPark Urgent Care, UMCP will assist in obtaining an appointment for the Plan Member with an appropriate health care provider within the Plan Member's Health Plan Network. KingsPark Urgent Care will be open seven days a week with extended hours. KingsPark Urgent Care will be open Monday through Friday 8:00 AM until 9:00 PM, Saturday and Sunday 9:00 AM until 6:00 PM. If these hours change substantially, UMCP will notify the City. Plan Members may obtain services on a walk-in or appointment basis. 2.1.8 UMC Urgent Care Center is located at 808 Joliet Ave Suite 110, Lubbock, Texas. UMC Urgent Care will provide acute health care services. All of the services will be directed by the health care provider as needed to provide the high quality health care. If the Plan Member needs care outside the scope of the services offered at UMC Urgent Care Center, UMCP will assist in obtaining an appointment for the Plan Member with an appropriate health care provider within the Plan Member's Health Plan Network. UMC Urgent Care will be open Monday through Friday 7:00 AM until 4:00 PM. If these hours change substantially, UMCP will notify the City. Plan Members may obtain services on a walk-in or appointment basis. 2.2 Services. UMCP shall use its best efforts to provide safe, high -quality, efficient healthcare to Plan Members. 2.2.1 Primary and Acute Medical Services. Plan Members may obtain medical care for primary and acute health care issues at any of the ten clinics. Primary and acute medical services include the services listed in Exhibit A. 2.2.2 Health Screening. UMCP will perform Health Screenings for the Plan Members to include: (1) Blood draw (CBC, CMP, PSA (males over 50), Lipid Profile), Body Mass Index, Body Fat Percentage, weight, height, blood pressure, and pulse. UMCP will mail the Plan Member their results with explanations and meanings of each result. UMCP will perform pre -scheduled Health Screenings in coordination with the City's preferences at the KingsPark Lab. 2.2.3 Reporting. UMCP will provide to the City, no later than the 15th day of the month immediately following the end of each month of the calendar year, a written report with respect to the provision of the medical services during the immediately preceding month. The written report shall be in a form reasonably satisfactory to the City and shall specifically indicate (a) the number of covered Plan Members seen with diagnosis codes, (b) the number of Health Risk Assessments conducted, and (c) savings report in a form to be agreed upon by UMCP and the City. UMCP will also work with the City's ASO, Blue Cross Blue Shield of Texas, to ensure clinic data is integrated with the City's Health Plan. This data share will be complete no later than the 15th of the month immediately following the end of each month of the calendar year. 2.3 Medical Staffing. The Express Care clinics and the Urgent Care clinics will be staffed with nurse practitioners and physician assistants under the supervision of a physician. The West Wind, Milwaukee, Orchard Park, 1-27 Northwest Pediatrics clinics will be staffed with physicians, nurse practitioners, physician assistants, laboratory technicians, radiology technicians, and other ancillary personnel. All Agreement for Services: City of Lubbock Medical Clinic Services Page 3 of 9 personnel will be appropriately qualified, licensed and credentialed to provide medical services in the State of Texas. 2.4 Operational Issues. UMCP and the City designate the following contact persons for operational issues and coordination of services, as well as for any notices required to be delivered hereunder: UMCP: Glen Frick Executive Director 5219 City Bank Parkway, Suite 135 Lubbock, TX 79407 (806)761-0333 glen.frick@umchealthsystem.com City: Leisa Hutcheson Director of Human Resources & Risk Management 1625 13th Street Lubbock, TX 79408 (806)775-2277 lhutcheson@mylubbock.us With copy to: City Attorney City of Lubbock 1625 13th Street Lubbock, Texas 79401 A party will notify the other party promptly of any change to the contact information. 2.5 City Health Plan. UMCP will cooperate with the City to work within the City's health benefit structure and assure proper services and referrals within the provider network and available benefits. This provision shall not restrict a healthcare providerfrom discussing all health care options with a patient. The parties will cooperate to promote the use of the clinics to Plan Members. 2.6 Plan Member Identification. The City will provide its Plan Members with identification cards that show the person's status as a Plan Member. 2.7 Patient Information. All medical records and patient information maintained by the medical clinic shall be the property of UMCP. UMCP shall protect the confidentiality of patient information in compliance with all state and federal laws. UMCP shall not disclose patient information to the City without the Plan Member's written authorization unless disclosure is permitted by law. If UMCP ceases operation of a medical clinic, UMCP will transfer medical records and patient information to a successor medical provider in accordance with applicable laws. 2.8 Insurance. UMCP shall maintain professional liability insurance for itself and its medical providers throughout the term of this Agreement, in the minimum annual coverage amounts and type acceptable to the City. In the alternative, if UMCP self -insures as defined under the Texas Insurance Code, UMCP shall provide to the City all state filings indicating solvency of any self -insured plan and any other proof of solvency as may be required by the City. UMCP shall maintain general liability insurance with a combined single limit of a minimum of $500,000 each occurrence and in the aggregate. UMCP shall maintain automobile liability with a combined single limit of a minimum of $500,000 each occurrence and in the aggregate. UMCP shall maintain professional/medical malpractice liability with limits of $300,000/$900,000 each occurrence and in the aggregate. UMCP shall maintain cyber liability insurance Agreement for Services: City of Lubbock Medical Clinic Services Page 4 of 9 of a minimum of $1,000,000 in the aggregate. UMCP shall maintain worker's compensation insurance for its employees and shall provide a waiver of subrogation in favor of the City. 2.9 Indemnity. UMCP SHALL PROTECT, DEFEND, INDEMNIFY, AND HOLD HARMLESS, TO THE FULLEST EXTENT PERMITTED BY LAW, THE CITY AND CITY'S OFFICERS, EMPLOYEES, ELECTED OFFICIALS, AND/OR AGENTS FROM AND AGAINST ANY AND ALL LOSSES, DAMAGES, CLAIMS OR LIABILITIES, OF ANY KIND OR NATURE, WHICH ARISE DIRECTLY OR INDIRECTLY FROM, OR ARE RELATED TO, IN ANY WAY, MANNER OR FORM, THE ACTIVITIES OF UMCP CONTEMPLATED HEREUNDER, OR THE OMISSION OF THE ACTIVITIES OF UMCP CONTEMPLATED HEREUNDER. UMCP FURTHER COVENANTS AND AGREES TO DEFEND ANY SUITS OR ADMINISTRATIVE PROCEEDINGS BROUGHT AGAINST THE CITY AND/OR THE CITY'S OFFICERS, EMPLOYEES, ELECTED OFFICIALS, AND/OR AGENTS ON ACCOUNT OF ANY SUCH CLAIM, AND, WITHOUT LIMITING THE INDEMNITY PROVIDED HEREIN, TO PAY OR DISCHARGE THE FULL AMOUNT OR OBLIGATION OF ANY SUCH CLAIM INCURRED BY, ACCRUING TO, OR IMPOSED ON THE CITY, OR THE CITY'S OFFICERS, EMPLOYEES, ELECTED OFFICIALS, AND/OR AGENTS, AS APPLICABLE, RESULTING FROM ANY SUCH SUITS, CLAIMS, AND/OR ADMINISTRATIVE PROCEEDINGS OR ANY MATTERS RESULTING FROM THE SETTLEMENT OR RESOLUTION OF SAID SUITS, CLAIMS, AND/OR ADMINISTRATIVE PROCEEDINGS. UMCP DOES NOT AGREE TO PROTECT, DEFEND, INDEMNIFY, AND HOLD HARMLESS THE CITY AND CITY'S OFFICER, EMPLOYEES, ELECTED OFFICIALS, AND/OR AGENTS FROM AND AGAINST CLAIMS AND LIABILITIES ARISING FROM THE CITY'S DUTIES, ACTS, OR OMISSIONS REGARDING ACTIVITIES UNDER THIS AGREEMENT. THE INDEMNITY AND RELEASE PROVIDED HEREIN SHALL SURVIVE THE TERMINATION OR VOIDANCE OF THIS AGREEMENT. ARTICLE 3: COMPENSATION 3.1 Fees. The City will pay UMCP the following amounts, payable within 30 days of the City's receipt of a monthly invoice from UMCP: Primary/Acute Medical Services - $67,500 each month for up to 750 Plan Member visits per month PLUS $75 for each Plan Member visit over 750 per month. Member Visits for the purpose of counting against the base 750 visits shall include only those visits where the Member is seen and treated by the health care professional. Member Visits shall not include paperwork drop-offs by Members, telephone consultations, if any, setting of appointments by Members, or other contacts wherein direct, in -person professional medical services are not rendered. • Lab tests and radiology tests will be excluded from this agreement and billed separately to the City's existing health insurance plan. • The health care provider will administer allergy injections if the Plan Member provides the allergy serum. The administration of the injection is included in the visit fee. • Workers Compensation is not part of this agreement. Health Screening -- $75 per Health Screening billed separately from medical services. Immunizations available at West Wind, Milwaukee, Orchard Park, 1-27, Northwest Pediatrics only and will be charged separately at the standard rates. The administration of the immunizations will be included. If UMCP provides services to Plan Members and the services are not covered by this Agreement, UMCP will bill the Health Plan, and the Plan Member will be responsible for applicable copayments. Agreement for Services: City of Lubbock Medical Clinic Services Page 5 of 9 3.2 Nonappropriation. All funds for payment by the City under this Contract are subject to the availability of an annual appropriation for this purpose by the City. In the event of non -appropriation of funds by the City Council of the City of Lubbock, for the services provided under this Agreement, the City may terminate the Agreement, without termination charge or other liability, on the last day of the then - current fiscal year or when the appropriation made for the then -current year for the services is spent, whichever event occurs first. If at any time funds are not appropriated for the continuance of this Agreement, cancellation shall be accepted by UMCP on thirty (30) days prior written notice. ARTICLE 4: RELATIONSHIP OF THE PARTIES INDEPENDENT CONTRACTOR STATUS: Nothing in this agreement is intended nor shall be construed to create an employer/employee relationship between the contracting parties. The sole interest and responsibility of the parties is to ensure that the services covered by this agreement shall be performed and rendered in a competent, efficient and satisfactory manner. ARTICLE 5: GENERAL PROVISIONS 5.1 Non -Discrimination. Each party shall provide services without discrimination on the basis of race, color, religion, sex (including pregnancy), national origin, age, physical or mental disability, genetic information, status as a protected veteran, or any other legally protected category, class or characteristic. 5.2 Waiver. The waiver by either party of a breach or violation of any provision of this Agreement shall not operate as or be construed to be a waiver of any subsequent breach of any provision of the Agreement. 5.3 Severability. If any term or provision of this agreement is held to be invalid for any reason, the invalidity of that section shall not affect the validity of any other section of this agreement provided that any invalid provisions are not material to the overall purpose and operation of this agreement. The remaining provisions of this agreement shall remain in full force and shall in no way be affected, impaired, or invalidated. 5.4 Assignment. Neither party shall have the right to assignor transfer their rights to any third parties under this agreement. 5.5 Governing Law and Venue. This agreement shall be governed by and construed and enforced in accordance with the laws of the State of Texas and any applicable Federal Law or Statute. Venue shall be in Lubbock, Lubbock County, Texas for all purposes. 5.6 Amendment. This agreement may be amended in writing to include any provisions that are agreed to by the contracting parties. The City Manager is authorized to agree to changes regarding medical clinic locations and services without need for further review or action by the City Council. 5.7 Exclusion. Each party certifies that neither it nor its employees or contractors is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in any government program by any federal department or agency or by the State of Texas. EACH PARTY WILL NOTIFY PROMPTLYTHE OTHER PARTY if this status changes and the name of any person who provides services under this Agreement or is an agent or managing employee who is convicted of a criminal offense related to the person's involvement in a government program or is suspended, debarred, or excluded from participation in a government program. Agreement for Services: City of Lubbock Medical Clinic Services Page 6 of 9 5.8 Notice. All notices required or permitted to be given under this Agreement shall be sufficient if furnished in writing, sent by certified mail, return receipt requested to the party's last known principal office. 5.9 Authority. The undersigned to this Agreement hereby represent and warrant their respective authority to execute this Agreement. Date: — /2- b fi Date: // Z y /0 CITY OF LUBBOCK UMC PHYSICIANS By: By: Daniel M. Pope, Mayor Glen Frick, Executive Director ATTEST: Rebec(a Garza, City Secretary U APPRVDA T�ONTENT: Leisa Hutcheson, Director of Human Resources & Risk Management c Agreement for Services: City of Lubbock Medical Clinic Services Page 7 of 9 EXHIBIT A CLINIC LOCATIONS AND SERVICES Acute Care Services provided on a walk-in or appointment basis Express Care 806-761-0428 2703 82"d St. (82"d & Boston) Inside United Supermarket M-F 9:00 am-6:00pm; Sat 9:00am-6:00pm; Sun 1:00pm-6:00pm Express Care 806-761-0429 1701 50th St. (50th & Ave. Q) Inside United Supermarket M-F 7:00 am-4:00pm Express Care at South Plains Mall 806-761-0450 6002 Slide Road #D24 Inside the South Plains Mall M-F 9:00 am — 8:00pm; Sat 9:00am — 8:00pm; Sun 12:00pm — 6:00pm UMC Urgent Care Center 806-761-0546 808 Joliet Ave Suite 110 On the UMC Campus M-F 7:00 am-4:00pm KingsPark Urgent Care 806-788-3306 7501 Quaker Avenue M-F 8:00 am-9:00pm; Sat and Sun 9:00am — 6:00pm Services provided under this Agreement include but are not limited to: Diagnosis of diabetes and referral to PCP for treatment Asthma Acute conditions -sore throats, ears, headache, fever, body aches Allergies/Cough/Sinus Rashes Stomach aches Strains/sprains/musculoskeletal problems Immunizations/Injections: • Will be charged separately at standard rates • Administration included Agreement for Services: City of Lubbock Medical Clinic Services Page 8 of 9 Primary Care and Acute Care Services Services are provided on a walk-in or appointment basis. Northwest Pediatrics 806-761-0536 416 Frankford Avenue M-F 8:00 am — S:OOpm 1-27 Medical Center 806-762-2633 4105 1-27 M-F 8a-8p, Sat 9a-5p, Sun 1p-5p West Wind Primary Health Care 806-761-0475 5520 4th Street M-F 8a-8p, Sat 9a-5p, Sun 1p-5p Milwaukee Family Medicine 806-761-0464 7301 Milwaukee Ave M-F 8:00 am — 8:OOpm; Sat 9:OOam — S:OOpm; Sun 1:OOpm — S:OOpm Orchard Park Family Medicine 806-761-0420 4420 114th Street M-F 8:00 am — 8:OOpm; Sat 9:OOam — S:OOpm; Sun 1:OOpm — S:OOpm Services provided under this Agreement include but are not limited to: Ordinary and routine healthcare Chronic conditions- diabetes, hypertension, etc. Asthma Acute conditions- sore throat, ears, headache, fever, body aches Allergies/Cough/Sinus Rashes Stomach aches Strains/sprains/musculoskeletal problems Immunizations/Injections: • Will be charged separately at standard rates • Administration included Agreement for Services: City of Lubbock Medical Clinic Services Page 9 of 9 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties, OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2018-426247 UMC Physicians Lubbock, TX United States Date Filed: 11116/2018 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. City of Lubbock Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract, 914210 Medical Clinic Services 4 ' Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary UMC Physicians Lubbock, TX United States X 5 Check only if there is NO Interested Party. 6 UNSWORN DECLARATION My address is �v 3�y Ce - "14 7 t3 LQggoC.1,e_ Tn , 7-qt1L j U S (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. I Executed in �%�ba County, State of E—EX.-I—e- on the lv day of NJ�+ ��L , 20 (month) (year) l 5i nature of autho ized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711