HomeMy WebLinkAboutResolution - 2014-R0346 - MOA - STARCARE Specialty Health System - Disaster Services - 10/09/2014RESOLUTION
Bl" IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the City Manager of the City of Lubbock is hereby authorized and directed
to execute for and on behalf of the City of Lubbock, an Memorandum of Agreement
(MOA) with the STARCARE Specialty Health System (STARCare) to provide mental
health services, immunizations and/or prophylaxis at mass care shelters during disasters.
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 Council.
Passed by the City Council this 7th day of October 2014.
ATTEST;.
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RebCl-ea Garza, Citygecretatv
APPROVED AS TO CONTENT:
Mike Kemp, Fire Chi'e'f
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8.28.1 A.doc
MEMORANDUM OF AGREEMENT
Between
The City of Lubbock
And
STARCARE Specialty Health System
This Memorandum of Agreement (MOA) is entered into by and between the City of Lubbock
Fire Rescue and STARCARE Specialty Health System to assist in a behavioral health
response to a disaster or emergency event. This agreement also provides for STARCARE
Specialty Health System to dispense medication to their staff and families, and their clientele
as a closed point of dispensing for mass prophylaxis.
I. Purpose
The City of Lubbock Fire Rescue ("Department") is required, by the City of
Lubbock/Lubbock County Emergency Management Plan and by grant directives, to plan and
prepare for emergencies which may result from natural or man-made causes. Such
emergencies may require either immunization of large numbers of people in the area served
by the Department or operation of a mass care shelter.
Mass Care shelters are recognized as short-term shelters of last resort for those persons who
have evacuated from their communities who cannot make other provisions to have their
needs met during an evacuation or displacement due to a disaster, whether natural or man-
made. The level of services and care provided in mass care shelters are meant to sustain the
health and well-being of individuals during the prevention, response and recovery phases of a
disaster and are not intended to provide acute and/or invasive medical care.
Mass prophylaxis will occur through open or closed Point of Dispensing (POD) sites. Open
POD sites will serve the general population and are open to the public. Closed POD sites,
are sites for specific populations, such as businesses or community organizations. Prior
public health experience has shown that creating closed POD sites by delivering medication
and medical supplies to corporate or community partners to be beneficial to all parties
because: 1) delivery allows businesses to dispense medication to their staff and families,
decreasing employee absenteeism, and their clientele; and 2) delivery decreases number of
citizens to be medicated at open public PODs.
The STARCARE Specialty Health System ("Recipient") is a state -contracted agency that
provides a system of services for the conservation and restoration of mental health among
South Plains citizens. STARCARE's responsibilities are to provide, coordinate, develop, and
improve services to people with a diagnosis of mental illness, intellectual disability, chemical
dependency, or HIV so that they will be afforded the opportunity to live as useful and
productive a life as possible. As a contractor for the Texas Department of State Health
Services (DSHS), STARCARE will provide disaster mental/behavioral health services.
STARCARE will coordinate disaster mental health services with the City of Lubbock.
No Party to this agreement shall present any claim of any nature against another Party for
compensation for any loss, damage, personal injury or death occurring in consequence of the
performance of the services called for in this Agreement. This does not, however, preclude
the requesting party from replenishing or replacing supplies, materials or products loaned to
that party by another after the disaster has been resolved.
II. Emergencies Requiring Mass Care Sheltering
This agreement will go into effect for mass care sheltering during a disaster declaration in
which Lubbock has activated a shelter.
Disaster behavioral health is a departure from traditional behavioral health practice in many
ways. Disaster behavioral health interventions are designed to address incident specific stress
reactions, rather than ongoing or developmental behavioral health needs. Outreach and crisis
counseling activities are the core of disaster behavioral health activities. Behavioral health
professionals work hand-in-hand with paraprofessionals, volunteers, community leaders, and
survivors of the disaster in ways that may differ from their formal clinical training.
Primary victims of a disaster are those people directly affected. Potential secondary victims
are family and significant others related to the primary victims, witnesses and workers
assisting primary victims. When providing psychological services to victims, priority will be
given to those most directly affected, as determined by brief assessment and triage reports
from psychological/medical teams and/or emergency management personnel.
A. Responsibilities
1. Department (City of Lubbock Fire Rescue)
a. The Department through the City of Lubbock Emergency Management
Coordinator or designee will contact the STARCARE Executive
Director or designee in an effort to coordinate the behavioral health
response during an emergency.
b. The Department will make an official request for trained mental health
professionals to STARCARE in the event of a mass care shelter
activation, specifying the number of personnel requested, and the
location and duration of the proposed assignment.
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2. Recipient (STARCARE Specialty Health System)
a. Recipient will maintain updated 24-hour contact numbers for
STARCARE representative.
b. Recipient will maintain a list, updated at least annually, of staff trained
in disaster behavioral/mental health.
c. Recipient will coordinate the recruitment, credentialing, and
assignment of mental health professionals with the appropriate
agencies.
III. Emergencies Requiring Mass Prophylaxis
This agreement will go into effect only if the State Commissioner of Health or the Lubbock
Health Authority declares that large scale immunizations or treatment is necessary as a
control measure for an outbreak of communicable disease or if mass prophylaxis against a
bioterrorism agent or other infectious disease is required.
The Strategic National Stockpile (SNS) is a federal resource of critical medical assets made
available to the State during a public health emergency, disaster, or catastrophic incident to
augment local and state resources. The Receiving, Staging, and Storing (RSS) site carries
out storage and routine movement of SNS product, including the delivery of materiel to open
and closed POD sites. The operation of the RSS is a state responsibility managed at the
Department of State Health Services (DSHS) Health Service Region (HSR) level.
A. Responsibilities
1. Department (City of Lubbock Fire Rescue)
a. The Department agrees to identify possible POD sites for closed
populations and maintain a Memorandum of Agreement (MOA) with
corporate and/or community partners.
b. SNS materiel will be delivered to a site designated by the Recipient,
with map and directions on file with the Department. The SNS
medical materiel will be delivered with a manifest, handling
instructions, and State of Texas treatment guidelines for the use of
antibiotics and handling of controlled substances.
c. The Department will provide training to the Recipient on SNS
functions and overall POD management.
2. Recipient (STARCARE Specialty Hospital)
a. Recipient agrees that upon delivery of the SNS medical materiel, the
Recipient is responsible for maintaining the physical security and
integrity of the SNS medical materiel. Recipient agrees to comply
with the handling instructions provided by the State of Texas, and
applicable federal and State of Texas laws and regulations. Recipient
further agrees to comply with State of Texas treatment guidelines for
the use of antibiotics and handling of the controlled substances.
b. Recipient agrees to provide SNS medical materiel free -of -charge to the
STARCARE clientele, staff and their immediate family members.
Documentation including demographics and drug information will be
provided to the Department following the event.
c. The CDC retains title to all unused SNS medical materiel or portions
thereof. Recipient agrees to assist Department of State Health
Services (DSHS) Health Services Region 1 (HSRI) and the
Department to reassemble locally all unused SNS medical materiel.
Recipient agrees to be responsible for storing unused medical materiel
until it is returned to the RSS.
d. A complete inventory manifest of all SNS medical materiel delivered
will be provided to the recipient. Recipient agrees to maintain and
provide copies of, or access to, records accounting for SNS medical
materiel received, used, returned, or disposed of, to the DSHS HSRI
and to the Department.
e. The Recipient is responsible for determining a dispensing site,
developing a dispensing plan, establishing a clinic, and providing
personnel needed to administer the medication, to the extent
reasonably practicable under the circumstances, within 24 hours of
notification by the Department.
f. The Recipient will provide and maintain an after hours emergency
contact to the Department.
g. The Recipient is responsible for attending POD training provided by
the Department or a training of similar content.
h. The Recipient is responsible for maintaining an estimated number of
dosages needed and providing dosage requirements to the Department
at least 24 hours prior to delivery to the extent reasonably practicable
under the circumstances.
i. All or portions of this document are confidential under Texas
Government Code Chapter 418. To the maximum extent allowed by
law recipient agrees not to release this agreement outside the recipient
agency without consulting the Department.
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IV. Term
This agreement becomes effective after approval by the governing bodies of the Recipient
and Department as indicated below. It may be canceled by either party by ,giving thirty days
notice to the other party, otherwise it remains in effect for five years and may he renewed by
mutual agreement expressed in writing.
This agreement executed this of .2014.
STARCAREPECIALTY HEALTH SYSTEM
CATHY POPE. C+#-IIEF EXECUTIVE OFFICER
CITY OF LUB13OCK
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ATTEST:
;CGA; GARZA, CIT SE TARP
APPROVED AS TO CONTENT:
Chief Mike Kemp, Fire Chief
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