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HomeMy WebLinkAboutMINUTES - 09211993 - 1.33 (Y- TO: BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director (rvt �� Contra By: Elizabeth A. Spooner, Contracts Administrator COSta DATE: September 7, 1993 County SUBJECT: Approval of Coordinated Services Agreement #29-654-3 with Planned Parenthood: Shasta-Diablo SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Chair, Board of Supervisors, to execute on behalf of the County, Coordinated Services Agreement #29-654-3 with Planned Parenthood: Shasta-Diablo, for the period from July 1, 1993 through June 30, 1994, for provision of coordinated obstetrical services for clients receiving prenatal services through Planned Parenthood: Shasta-Diablo. II. FINANCIAL IMPACT: The County incurs no financial obligation to the Agency under this Agreement. The County will bill Medi-Cal or other third-party payors for inpatient obstetrical services provided to Planned Parenthood clients. Planned Parenthood will pay the County $46. 00 per hour for outpatient consultation and evaluation services provided to their clients by a County Staff Physician and $20. 00 per hour for services provided to their clients by a County Resident Physician. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: The purpose of this agreement is to increase access to early and consistent prenatal care for low-income women in Contra Costa County. This agreement describes the areas of cooperation between Planned Parenthood and the County and specifies the responsibilities of each party in providing coordinated prenatal, delivery, and post-partum services. Planned Parenthood will provide routine prenatal care to clients through the 35th week of pregnancy under the supervision of a Board certified California-licensed obstetrician/gynecologist. High-risk clients will be immediately transferred to County for prenatal care and will become participants in the County's Healthy Start Program. Merrithew Memorial Hospital will provide prenatal care beginning with the 36th week of pregnancy and will provide labor and delivery obstetrical services. The Department will be reimbursed for out- patient consultation and evaluation services requested by Planned Parenthood. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME AT N OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON SFP 2 1 iqql APPROVED AS RECOMMENDED: OTHER VOTE OF SUPERVISORS UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: l.11l,IV,V NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. Contact: Frank Puglisi, Jr. (370-5100) ,, CC: Health Services (.Contracts) ATTESTED SEP 2 1 1993 Risk Management g Phil Batchelor,Clerk of the Board of Auditor-Controller Supervisors and County Administrator.: Contractor M382/7-83 BY ­ DEPUTY Contra Costa County � Standdrd Form 2/90 COORDINATED SERVICES AGREEMENT Number 29-654-3 1. Contract Identification. Department: Health Services - Hospital and Clinics Division Subject: Coordinated prenatal, delivery, and post-partum services for Planned Parenthood clients 2. Parties. The County of Contra Costa, California (County) , for its Department named above, and the following named Agency mutually agree and promise as follows: Agency: PLANNED PARENTHOOD: SHASTA-DIABLO Capacity: Nonprofit corporation Address: 1291 Oakland Boulevard, Walnut Creek, California 94596 3. Term. The effective date of this Contract is July 1. 1993 and it terminates June 30. 1994 unless sooner terminated as provided herein. 4. County's Obligations. County shall provide prenatal, delivery and post-partum care for prenatal clients referred by Agency beginning with the 36th week of a client's pregnancy, subject to all the terms and conditions contained or incorporated herein. County shall incur no financial obligation to Agency hereunder. 5. Agency-'s Obligations. Agency shall provide routine prenatal care to clients from the time of enrollment in Agency's Prenatal Program through client's 35th week of pregnancy, under the supervision of a Board-certified California licensed Obstetrician/Gynecologist and fulfill the obligations described in the attached Service Plan which is incorporated herein by reference, subject to all the terms and conditions contained or incorporated herein. Agency shall pay County for outpatient consultation and evaluation services as set forth in Paragraph 3.e. of the Service Plan. 6. Conditions. This Contract is subject to the Conditions and Special Conditions (if any) attached hereto, which are incorporated herein by reference: 7. Proiect. This Contract implements in whole or in part the following described Project, the application and approval documents of which are incorporated herein by reference: Not Applicable 8. Legal Authority. This Contract is entered into under and subject to the following legal authorities: California Government Code Sections 26227 and 31000. 9. Signatures. These signatures attest the parties' agreement hereto: COUNTY OF CONTRA COSTA, CALIFORNIA ATTEST: Phil Batchelor, Clerk of the Board BOARD OF SUPERVISORS of Superv" s a d County Administrator By /orrl /97Z! C By Chairman/Designee Deput GA ENCy By � By Executi a Director Assoc, Exec. Director for Administration (Designate business capacity A) (Designate business capacity B) Mote to Contractor: For Corporation (profit or non profit), the contract must be signed by two off ieers. Signature A must be that of the president or vice-president and Signature E must be that of the secretary or assistant secretary (Civil Code Section 1190 and Corporations Code Section 313). All signatures must be acimowledged as set forth on page two. Contra Costa County Standard Form 1/87 APPROVALS/ACKNOWLEDGEMENT Number 29-654-3 APPROVALS RECOMMENI)ED/fY DEPARTMENT FORM APPROVED By By e ghee APPROVED: COUNTY ADMINISTRATOR By ACKNOWI.EDGEMENT State of California ACKNOWLEDGEMENT (By Corporation, Partne:r'ship, or Individual) County of 0 O nioa- cz The person(s) signing above for Agency, personally known to me in the individual or business capacity(ies) stated, or proved to me on the basis of satisfactory evidence to be the stated individual or the representative(s) of the partnership or corporation named above in the capacity(ies) stated;, personally appeared before me today and acknowledged that he/she/they executed it, and acknowledged to me that the partnership named above executed it or acknowledged to me that the corporation named above executed it pursuant to its bylaws or a resolution of its board of directors. Dated: tel¢,( '3 1 [Notarial Seal] k a*TICK SEAM Notary Public/Deputy County Clerk PATRICIA K ANDERSSON o ►NARY PUBLIC MIFOMIA CONTRA COSTA COUNTY .ra MY COMM EXPIRES MAR.13.1495 -2- SERVICE PLAN Number 29-654-3 1. u o e. The purpose of this agreement is to provide coordinated prenatal, delivery, and post-partum services to clients enrolled in the Agency's Prenatal Program. This agreement describes the areas of cooperation between the two parties and specifies the responsibilities of each party in working toward the objective of increasing access to early and consistent prenatal care for low-income women in Contra Costa County. This will be accomplished by establishing a coordinated and systematic service, referral, and consultation arrangement between Agency and County for prenatal care and labor and delivery services as specified below. 2. County's Obligations. County will provide obstetrical services to clients referred to County by Agency. County's services to Agency's clients shall include, but need not be limited to, the following: a. Obstetrical Services. (1) Routine prenatal care beginning with the 36th week of pregnancy and continuing until delivery; (2) Management of prenatal complications; (3) Labor room and delivery obstetrical services; (4) Post-partum care of clients up to the fourth week after delivery. b. Emergency Referrals. (1) Urgent Care. County agrees to accept emergency referrals from Agency for any prenatal client with a medical problem requiring urgent care. (2) High-Risk Client. County agrees to accept referrals from Agency, prior to the client's 36th week of pregnancy, for the management of any high-risk client, as defined in the Planned Parenthood: Shasta-Diablo's protocol, which is on file in the Office of the Executive Director, Merrithew Memorial Hospital. County shall provide prenatal care for the remainder of the high-risk client's pregnancy. Upon referral to County, Agency's high-risk clients shall become participants in County's Healthy Start Program. c. Transfer of Clients and Medical Records. At four weeks post-partum, County shall transfer each and every Agency client back to Agency for continuing care. County shall provide Agency with a copy of the medical records of each Agency client referred to County for obstetrical services. d. Outpatient Consultation and Evaluation Services. County shall provide a physician to Agency who will provide Agency clients with outpatient consultation and evaluation services on a regular schedule which shall be mutually agreed upon by County and Agency. Initials: 4gge�ncyy Co ty Dept. 1 SERVICE PIAN Number 29-654-3 e. Billin County shall bill Medi-Cal or other third-party payors for inpatient obstetrical services provided by the County to Agency's clients. County shall bill Agency for the outpatient consultation and evaluation services provided to Agency clients by County's physicians. 3. Agency's Obligations. a. Routine Prenatal Care. Agency shall provide routine prenatal care to clients upon their enrollment in Agency's Prenatal Program through the 35th week of pregnancy, in accordance with the Planned Parenthood: Shasta-Diablo's protocol, and under the supervision of a Board-certified California-licensed obstetrician/ gynecologist. b. Client Screening. Agency shall screen clients for high-risk factors and refer to County for prenatal care any client who Agency identifies as high risk (in accordance with the Planned Parenthood: Shasta-Diablo protocol) . High-risk clients referred to County are ineligible to continue prenatal care udder Agency's supervision and will not be allowed to participate in Agency's Prenatal Program. Upon transfer to County for prenatal services, high-risk clients shall become participants in County's Healthy Start Program. c. Transfer of Clients and Medical Records. Agency shall transfer each client to County for prenatal services beginning in her 36th week of pregnancy. Agency shall immediately refer to County any client who requires urgent care, emergency services, or who is identified by Agency as a high-risk client. Agency shall provide a copy of the client's medical records to County at the time the client is transferred to County for services. d. Post-Partum Care. Agency shall resume all responsibility for each client's post-partum care four weeks after the client's delivery. e. Payment to County. Agency shall pay County $46.00 per hour for outpatient consultation and evaluation services provided to Agency clients by County's Staff Physician and $20.00 per hour for services provided to Agency clients by County's Resident Physician. County shall mail to Agency a written demand for payment for services provided. Agency shall remit to County full payment for services provided within 15 days of the date the demand is mailed. 4. Evaluation of Agency's Clients for Prenatal Care,. In the event County requires the use of Agency facilities to consult with or evaluate Agency clients: a. Agency agrees to provide facilities, support staff, supplies, and equipment as are needed by County's physician. b. County agrees that the physician or resident: provided to Agency to evaluate and consult with Agency's clients will be experienced in obstetrics. Initials: ge rWy C unty Dept. 2 CONDITIONS Number 29-654-3 1. Insurance. During the entire term of this Contract and any extension or modification thereof, both parties shall keep in effect insurance policies, or a self- insurance program, meeting the following insurance requirements: a. Liability Insurance. Both parties shall maintain comprehensive liability insurance, including professional liability, and including coverage for owned and non-owned automobiles, with a minimum combined single limit coverage of $1,000,000 for all damages, including consequential damages, due to bodily injury, sickness or disease, or death to any person or damage to or destruction of property, including the loss of use thereof, arising from the act or omission of each party, its directors, officers, employees, and agents. b. Workers' Compensation. Both parties shall provide workers' compensation insurance coverage for its employees. 2. Compliance with Law. Both parties shall be subject to and comply with all Federal, State and local laws and regulations applicable with respect to its performance under this Contract, including but not limited to, licensing, employment and purchasing practices; and wages, hours and conditions of employment, including nondiscrimination. 3. Inspection. Both parties' performance, place of business and records pertaining to this Contract are subject to monitoring, inspection, review and audit by authorized representatives of the County, the State of California, and the United States Government. 4. Records. Both parties shall keep and make available for inspection and copying by authorized representatives of the County, the State of California, and the United States. Government, their regular business records and such additional records pertaining to this Contract as may be required by the County. 5. Retention of Records. Both parties shall retain all documents pertaining to this Contract for five years from the date of termination of this Contract. 6. Termination. This Contract may be terminated by either party, at their sole discretion, upon thirty-day advance written notice thereof to the other, and may be cancelled immediately by written mutual consent. County agrees that clients already enrolled in Agency's Prenatal Program, or enrolled during the 30-day notice of termination period, shall continue to be transferred to County for obstetrical services as set forth in Service Plan Paragraph 2 (County's Obligations). At four weeks post-partum, County shall transfer each Agency client back to Agency for continuing care. 7. Entire Agreement. This Contract contains all the terms and conditions agreed upon by the parties. Except as expressly provided herein, no other understanding, oral or otherwise, regarding the subject matter of this Contract shall be deemed to exist or to bind any of the parties hereto. Initials: A en Coun y Dept. 1 CONDITIONS Number 29-654-3 8. Further SD ecifications for Overating Procedures. Detailed specifications of operating procedures and budgets required by this Contract, including but not limited to, monitoring, evaluating, auditing, billing, or regulatory changes, may be developed and set forth in a written Informal Agreement between the Agency and the County. Such Informal Agreements shall be designated as such and shall not be amendments to this Contract except to the extent that they further detail or clarify that which is already required hereunder. Such Informal Agreements may not enlarge in any manner the scope of this Contract. Informal Agreements may be approved and signed by the head of the County Department for which this Contract is made or his designee. 9. Modifications and Amendments. a. General Amendments. This Contract may be: modified or amended by a written document executed by the Agency and the Contra Costa County Board of Supervisors or, after Board approval, by its designee, subject to any required State or Federal approval. b. Administrative Amendments. Subject to the Payment Limit, the Service Plan may be amended by a written administrative amendment executed by the Agency and the County Administrator or his designee, subject to any required State or Federal approval, provided that such administrative amendments may not materially change the Service Plan. 10. Disputes. Disagreements between the County and Agency concerning the meaning, requirements, or performance of this Contract shall be subject to final determination in writing by the head of the County Department- for which this Contract is made or his designee or in accordance with the applicable procedures (if any) required by the State or Federal Government. 11. Choice of Law and Personal Jurisdiction. a. This Contract is made in Contra Costa County and shall be governed and construed in accordance with the laws of the State of California. b. Any action relating to this Contract shall be instituted and prosecuted in the courts of Contra Costa County, State of California. 12. Conformance with Federal and State Regulations and Laws. Should Federal or State regulations or laws touching upon the subject of -this Contract be adopted or revised during the term hereof, this Contract shall be deemed amended to assure conformance with such Federal or State requirements. 13. Subcontract and Assignment. This Contract binds the heirs, successors, assigns and representatives of Agency. The Agency shall not. enter into subcontracts for any work contemplated under this Contract and shall not assign this Contract without the prior written consent of the County Administrator or his designee, subject to any required State or Federal approval. Initials: Ax Agency CoUifty Dept. 2 CONDITIONS Number 29-654-3_ 14. Independent Contractor Status. This Contract is by and between two independent contractors and is not intended to and shall not be construed to create the relationship between the parties of agent, servant, employee, partnership, joint venture or association. 15. Conflicts of Interest. Agency, its officers, partners, associates, agents, and employees, shall avoid any actual or potential conflicts of interest with respect to services provided under this Contract. 16. Confidentiality. Both parties agree to comply and to require its officers, partners, associates, agents and employees to comply with all applicable State or Federal statutes or regulations respecting confidentiality, including but not limited to, the identity of persons served under this Contract, their records, or services provided them, and assures that: a. All applications and records concerning any individual made or kept by either party or any public officer or agency in connection with the administration of or relating to services provided under this Contract will be confidential, and will not be open to examination for any purpose not directly connected with the administration of such service. b. No person will publish or disclose or permit or cause to be published or disclosed, any list of persons receiving services, except as may be required in the administration of such service. Both parties agree to inform all employees, agents and partners of the above provisions, and that any person knowingly and intentionally disclosing such information other than as authorized by law may be guilty of a misdemeanor. 17. Nondiscriminatory Services. Both parties agree that all goods and services under this Contract shall be available to all qualified persons regardless of age, sex, race, religion, calor, national origin, or ethnic background, or handicap, and that none shall be used, in whole or in part, for religious worship or instruction. 18. Indemnification. a. The Agency shall defend, indemnify, save, and hold harmless the County and its officers and employees from any and all claims, costs and liability for any damages, sickness, death, or injury to person(s) or property, including without limitation all consequential damages, from any cause whatsoever arising directly or indirectly from or connected with the operations or services of the Agency hereunder, resulting from the conduct, negligent or otherwise, of Agency, its agents or employees. b. County shall defend, indemnify, save, and hold harmless the Agency and its officers and employees from any and all claims, costs and liability for any damages, sickness, death, or injury to person(s) or property, including without Initials: Agency dounty Dept. 3 CONDITIONS Number 29-654-3 limitation all consequential damages, from any cause whatsoever arising directly or indirectly from or connected with the operations or services of County hereunder, resulting from the conduct, negligent or otherwise, of County, its agents or employees. 19. Notices. All notices provided for by this Contract shall be in writing and may be delivered by deposit in the United States mail, postage prepaid. Notices to the County shall be addressed to the head of the County Department for which this Contract is made. Notices to the Agency shall be addressedto the Agency's address designated herein. The effective date of notice shall be the date of deposit in the mails or of other delivery, except that the effective date of notice to the County shall be the date of receipt by the head of the County Department for which this Contract is made. 20. Primacy of Conditions. Except for Special Conditions which expressly supersede Conditions, the Special Conditions (if .any) and Service Plan do not limit any term of the Conditions. 21. Nonrenewal. Both parties understand and agrees that there is no representation, implication, or understanding that the services provided by the parties under this Contract will be continued under a new agreement following expiration or termination of this Contract, and waives all rights or claims to notice or hearing respecting any failure to continue such services after termination of this Contract. 23. Possessory Interest. If this Contract results in the Agency having possession of, claim to or right to the possession of land or improvements, but does not vest ownership of the land or improvements in the same person, or if this Contract results in the placement of taxable improvements on tax elcempt land (Revenue & Taxation Code Section 107) , such interest or improvements may represent a possessory interest subject to property tax, and Agency may be subject to the payment of property taxes levied on such interest. Agency agrees that this provision complies with the notice requirements of Revenue & Taxation Code Section 107.6, and waives all rights to further notice or to damages under that or any comparable statute. 24. No Third-Party Beneficiaries. Notwithstanding mutual recognition that services under this Contract may provide some aid or assistance to members of the County's population, it is not the intention of either the County or Agency that such individuals occupy the position of intended third-party beneficiaries of the obligations assumed by either party to this Contract. Initials: Agency ty Dept. 4