HomeMy WebLinkAboutResolution - 4008 - Contract - TTUHSC - Case Management Services, Health Department - 10/22/1992Resolution No. 4008
October 22, 1992
Item #36
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 a contract and
associated documents by and between the City of Lubbock, acting by and
through the Lubbock City Health Department, and the Texas Tech University
Health Sciences Center, acting by and through Office of Maternal and Infant
Health, attached herewith, which 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_ftom copied herein in detail.
Passed by the City Council thin 22nd /N. ay
ff�Aa
EVIEWE'Er
ATTEST:
C S ak aw'e_
sally Still Ab4e Acting City Secretary
APPRO D AS..TO TENT:
R. D. Goo man, Public Health
Administrator
APPROVED AS TO FORM:
uonaia u. vanaiver, rirst Assistan
City Attorney
DGV:dw/Agenda-D2/K-TTUHSC.Res
October 13, 1992
ctober , 1992.
Resolution No. 4008
October 22, 1992
Item #36
AGREEMENT
This is a letter of agreement between the City of Lubbock acting by
and through the Lubbock City Health Department (hereafter referred
to as LCHD) and the Texas Tech University Health Sciences Center,
acting by and through Office of Maternal and Infant Health, Lubbock
(hereafter referred to as OMIH). This agreement will be carried
out through the Texas Department of Health Case Management 1993
grant funding, for the purpose of providing new maternal and infant
support services to residents living within Lubbock County.
This agreement is based upon the Texas Department of Health Case.
Management 1993 grant proposal which describes the plan for
delivery of case management services in Lubbock County, Texas,
through a joint effort between OMIH in Lubbock and LCHD. This
agreement is, therefore, included within the revised TDH Contract,
TDH document number C3000462, effective September 1, 1992, between
the Texas Department of Health and TTUHSC Lubbock.
ARTICLE I
The following is agreed upon by LCHD and OMIH:
OMIH, through TDH funding, will pay for one maternal/infant care
case worker who will be stationed at the LCHD clinic at 1902 Texas
Avenue, Lubbock, Texas, according to the following:
a. 1.0 full-time equivalent position (40 hours per week) at a
salary not to exceed $14,165 per annum.
b. Funding of $5021 to cover fringe benefits commensurate with
the usual and customary fringe benefit rate at LCHD for
equivalent positions.
c. Funding for this position is contingent upon renewal and
continuance of the TDH M&CH Family Health Services Contract.
This agreement is contingent upon funding being available for
the term of the contract and LCHD will have no right of action
against HSC in the_ event that HSC is unable to perform its
obligations under this agreement as a result of suspension,
termination, withdrawal, or failure of funding to HSC from
Texas Department of Health.
d. Funding is to be used solely for salary and fringe benefits of
this 1.0 FTE position, and cannot be used to offset other LCHD
expenditures.
ARTICLE II
The scope of work for the employee covered in this agreement will
be as outlined in the attached documents entitled Outreach Worker I
Job Description, and Letter of Cooperation, and will include
screening and enrolling into high risk case management all prenatal
women and infants using LCHD clinics.
1
ARTICLE III
Payments will be made to the LCHD quarterly from TDH grant funds
through the OMIH according to the following schedule.
September 15: 4796.50
December 15: 4796.50
March 15: 4796.50
June 15: 4796.50
Payments for services must reflect only time periods where the
employee mentioned in this agreement remains on LCHD staff.
ARTICLE IV
LCHD agrees to: (1) provide office and/or clinic space, clerical
supplies, and telephone access which are necessary to carry out
normal tasks relating to the MIHIA program; (2) be responsible for
the hiring and dismissal of the employee under this agreement.
ARTICLE V
Nothing contained herein shall be construed as creating the
relationship of employer and employee between LCHD and TTUHSC.
LCHD shall be deemed at all times to be an independent contractor.
In carrying out the terms of this Agreement, LCHD shall select its
own employees and such employees shall be and act under the control
of the employer.
ARTICLE VI
Regardless of the date of execution hereof, this Agreement shall
become effective September 1, 1992, and continue in full force
until August 31, 1993. This Agreement is automatically renewable
for a period of one year.
ARTICLE VII
Either party may terminate this Agreement with or without cause
with thirty (30) days written notice to the other party. Should
this Agreement be terminated within a billing quarter, any unearned
portion of that quarter's payment made by TTUHSC will be refunded
on a prorated monthly basis at the rate of $1598.83.
ARTICLE IX
The laws of the State of Texas shall govern the validity,
performance, and enforcement of this Agreement and the venue for
any legal proceedings shall be in Lubbock County, Texas.
The undersigned parties bind themselves to the faithful performance
to this Agreement.
K
ATTEST:'
0� 10/22/92
Acting C y Secretary DATE
Sally Still Abbe
APPROVED AS TO CONTENT:
C'Z'T�"" 4A---
0/ 2
R.D. Goodman, inistrator DATE
Lubbock City Health Department
APPROVED AS TO FO
Wald G. Vandiver, First DATE
Assistant City Attorney
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
OFFICE OF MATERNAL AND INFANT HEALTH
Elmo M. Cavin,VP, Fiscal Affairs DATE
Texas Tech University Health Sciences Center
REVIEWED FOR FORM:
Beni Hemmeline DATE
Associate General Counsel
Texas Tech University Health Sciences Center
3
0t1'l'RFACH WORKER I
The MIHIA case worker will serve as the primary contact with medically needy high risk
obstetric patients and their infants. Responsibilities include patient case finding, financial
screening, Medicaid enrollment facilitation, MIHIA enrollment, patient counseling, case
tracking, home visitation, and supplying the documentation for these activities as required
by the Texas Department of Health and the MIHIA Contractor.
The community-based case worker will act as the MIHIA spokesperson and representative
to the local community, and will maintain a positive and professional attitude in all MIHIA-
related activities. The case worker will make every effort to integrate MIHIA services into
local clinics and to establish good relationships with these agencies and with the local
Department of Human Services Medicaid Certifiers. The case worker will be expected to
travel between local health agencies in the fulfillment of his/her duties, and may, upon
occasion, be required to work unusual hours, but no overtime hours.
The case worker is required at all times to show a caring and respectful attitude toward
MIHIA patients.
SPECIFIC RESPONSIBILITIES:----- ^---------- - ---- — —
A. Case Finding 25%
1. Interview prenatal patients for MIMA and Medicaid financial eligibility and
historical high risk conditions using MEMA protocols. These interviews will take
place at designated clinic sites, including WIC, family planning, health
department clinics, and/or designated locations.
2. Explain MIHIA and Medicaid Program benefits and enrollment procedures to all
potentially eligible patients.
3. Schedule all potentially eligible patients to complete MIHIA eligibility
detenninat:on, a*id inform patients of ne�r�PLt rinriiri�n4atitJn
4. Inform all prenatal patients of prenatal clinic locations, and the financial
requirements of the clinics.
5. Schedule all potentially eligible patients into the designated prenatal health clinic.
6. With the MIHIA case management team, develop resources to promote
community awareness of the MIHIA Program.
7. Develop community awareness to the problems of teen pregnancy.
8. Communicate weekly with the WIC and Family Planning agencies in the district.
B. Financial Screening and Enrollment 25%
1. Complete an integrated MHUA/Medicaid screening form for each patient with a
suspected high risk condition.
2. Complete all required MEMA financial application materials and demographic
information for MIHIA eligible patients.
3. Explain the MIHIA case management philosophy and obtain the patient
participation commitments and signatures from MIHJA enrollees.
4. Explain Medicaid application procedures and assist the patient sin completing the
Medicaid application form and in gathering necessary documentation.
5. Follow up missed Medicaid appointments and troubleshoot Medicaid problems.
C. Patient Counseling and Management 25%
1. Maintain a professional and sympathetic relationship with the patient, and make
patient facilitation a chief priority.
2. Develop a patient case load, and provide support and counseling for each patient
from the time of enrollment through the fust year of the infant's life, as a part of a
case management team, thereby promoting continuity of care.
3. Refer socially or medically very high risk patients to the MIHIA Case Manager
according to established protocols.
4. Follow up all missed appointments of maternal and infant patients in the case
----—load:--- -- ----------- — -- - -- ----- -
5. Participate in patient education, under the direction and instruction of the Case
Manager, on such topics as family planning, well baby care, and locations of
infant care.
6. Provide local community resource information to the patients for both medical and
social problems. Make interagency referrals as appropriate, under the guidance of
the Case Manager.
7. LAxat:, l;;,ali::.,, ....:;e:: ;,)r I'VITH'A. i:,;ants, and make appointments as needed.
8. Patient assistance mwy include occasional home visits, but will not include patient
9. Assist patients with billing questions or problems, and facilitate problems with
hospitals or providers under the direction of the MIHIA Director.
10. Follow the case management responsibilities outlined in the TDH 1991 Case
Management Handout.
D. Case Tracking and Documentation 25%
1. Coordinate and send on time, all necessary enrollment and tracking paperwork to
the central office.
----------
2. Document all patient contacts and follow-up activities by using a tickle -card
system.
3. Be responsible for program enrollment documentation.
4. Track the progress of all Medicaid applications and approvals, and record ultimate
Medicaid status.
S. Communicate weekly with the MIHIA certifier and local Medicaid certifier to
ensure adequate feedback.
6. With the local participating nurse, complete required postpartum information on
mothers and infants by using medical records and patient interviews.
7. Follow each patient's infant until one year past birth by establishing contact
according to MEHA case tracking protocols.
Centrally based OW I positions will also:
I Staff the 1-800 maternal and infant care line.
2. Facilitate Medicaid enrollment for all potentially eligible women using -the Department
r
of OB/Gyn prenatal clinics.
3. Make hospital visits under the direction of the case manager, to ensure continuity of
care and tracking, as well as patient education.
4 Staff the weekly Maternity Enrollment Clinic at HSC.
LETTER OF COOPERATION
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
OFFICE OF MATERNAL AND INFANT HEALTH
AND
LUBBOCK CITY HEALTH DEPARTMENT
The purpose of this letter is to delineate the scope of case management services provided by Texas Tech
University Health Sciences Center Office of Maternal and Child Health (OMIH) and Lubbock City
Health Department (LCHD). This letter will describe the case management coordination plan that
will serve for both the billable and unbillable case managed patients who qualify for MIHIA and/or
Medicaid case management. This letter will outline the methodology by which interagency patient
case management and care coordination, including the assignment of a single case manager for each
patient, is provided; to define the scope of management services for each agency; and to comply with
the Medicaid case management application requirement. For the purpose of clarification, the term
"case manager" in this letter refers to the case worker or agency who will be eligible to bill Medicaid
for case management. This letter in no way implies that either party is obligated to case manage
patients only under Medicaid -billable guidelines. This letter is not a formal contract.
SCOPE OF CASE MANAGEMENT RESPONSIBILITIES FOR EACH ACENCY
TTUHSC Office of Maternal and Infant Lubbock City Health Department will:
Health will:
1. Act as case manager for Lubbock County pre- 1. Act as case manager for prenatal patients
natal patients who qualify for this service who qualify for this service and who choose
and who choose to enter care at the TTUHSC to enter care at the LCHD OB clinic.
Department of Obstetrics and Gynecology
OB clinic. 2. Screen all new LCHD maternity patients for
2. Screen and enroll these patients in case
management, and maintain documentation of
the case management process in OMIH files
according to TDH and Medicaid guidelines.
Medicaid and MIHIA enrollment, and iden-
tify those patients eligible for high risk case
management services.
3. Continue to screen and enroll all eligible
patients entering care at TTUHSC for the
MIHIA program from the fifteen -county
MIHIA contract area.
4
S.
Q
7.
Assist Medicaid -eligible patients to obtain
eligibility and monitor the Medicaid status
throughout the pregnancy.
Continue to provide necessary services for
MIHIA mothers and infants per the existing
MIHIA contract.
Assist LCHD with patient information
gathering for patients being case managed
by LCHD but are receiving prenatal care at
TTUHSC Lubbock OB Clinic. Ensure that
these patients are also enrolled in the
MIHIA Program and are interviewed at
each visit to assess service needs.
Perform an initial OB medical record review
on Lubbock county patients using the
TTUHSC OB Clinic as part of the OMIH QA
process in order to ensure that the medical
and case management needs of each patient
will be met.
Refer University Medical Center Neonatal
Intensive Care Unit (NICU) infants from
Lubbock County to LCHD by means of a di-
rect conference between the OMIH nurse
practitioner and LCHD nurse. This referral
will be at the discretion of the two health
care agencies' health care nurses. This
3. Enroll eligible patients into the MIHIA pro-
gram and Medicaid case management pro-
gram, and maintain documentation of the case
management process in LCHD files according
to TDH and Medicaid guidelines appropriate
for Medicaid and MIHIA.
4. Assist Medicaid -eligible patients to obtain
eligibility and monitor the Medicaid status
throughout the pregnancy.
S. Continue to provide necessary services for
MIHIA patients per the existing MIHIA con-
tract.
6. Identify, by means of an identification card or
stamp, women whom LCHD has enrolled in
case management and who subsequently
transfer prenatal care to the HSC OB Clinic.
This card will serve to notify OMIH staff
that this patient is already in care.
7. Follow up infants of LCHD case managed
mothers, according to MCD/MIHIA guide-
lines. Assist OMIH with MIHIA information
gathering needed for completion of records,
including taking the responsibility for com-
pletion of the M&CH Tracking forms as
needed.
8. Act as case manager for University Medical
Center Neonatal Intensive Care Unit infants
after their return to the community, provided
that the mothers of these infants are under
referral will be followed by a formal refer-
ral document and pertinent medical man-
agement records. OMIH will be the case
manager of infants who are in the NICU.
Upon acceptance of the referral by LCHD,
the case management will be formally trans-
ferred. Past that time, OMIH will no longer
act as case manager.
9. OMIH nurse practitioner will act in a consul-
tive capacity with the primary case man-
ager and notify LCHD when high risk
infants using the HSC Pediatrics High Risk
Clinic can be discharged to a local clinic.
ffi7
Meet with LCHD and other agencies per-
forming maternal and child case manage-
ment services on a regular basis to discuss
overall community case management plan-
ning, regional policy, and regional needs.
n tanto i c r
ffice of Maternal and Infant Health
TTUHSC
� lZ-�
Dat9f 61
LCHD case management. This will require
close communication with OMIH staff who
have been working with the family during
the inpatient admission. Formal acceptance
of the patient by LCHD will be a part of this
process.
9. Meet with OMIH and other agencies perform-
ing maternal and child case management ser-
vices on a regular basis to discuss overall
community case management planning,
regional policy, and regional needs.
aj_�11
NAme
/- C7c;)-
Date