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HomeMy WebLinkAboutc3medstopmedclinic FROM: Garret Olson, Fire Chief Prepared By: Julie Cox, Administrative Analyst SUBJECT: AGREEMENT WITH MED-STOPS MEDICAL CLINIC, INC. FOR FIRE FIGHTERS MEDICAL EXAMS RECOMMENDATION: 1. Approve five year agreement with Med-Stops Medical Clinic, Inc., (Med-Stop) authorizing Med-Stop to provide Firefighter Medical Exams. 2. Authorize the Mayor to execute the agreement. DISCUSSION Medical examinations for City firefighters are required annually. Several changes have occurred with regard to firefighter medical examinations from FY 2008-09 to present. • In FY 2009-10, Fire Department budget reductions included reducing medical examinations from $37,000 to $5,000. The three year contract with French Hospital ended and French Hospital was not interested in renewing the contract. • In FY 2009-10 a one year agreement was approved with Med-Stop for Fire Fighter Medical Exams at a cost of $17,190. • In FY 2010-11, a three year agreement with Med-Stop was approved to provide the medical exams. Staff recommends awarding a sole source agreement to Med-Stop for these medical examinations. Currently Med-Stop provides medical examinations to the Cambria, South Bay Fire, Five Cities Fire Department and SLO County Fire Department and has provided good service to each of those agencies. Med-Stop is located within the City of San Luis Obispo and this fact allows for scheduling the exams to occur in a manner that minimizes the disruption in emergency response. There is $25,000 budgeted for firefighter medical exams for FY 2013-14. There will be no additional cost to the General Fund for FY 2013-14. ALTERNATIVES Develop a request for proposals. This option is not recommended as Med-Stop is a professional specialized service located within the City making it efficient to schedule and has kept firefighters in the city should their immediate response be needed. (Section 3.24.070. of the Purchasing Ordinance). Meeting Date Item Number 2/4/2014 C3 - 1 Firefighter Medical Exam Agreement Page 2 ATTACHMENT Firefighter Medical Exam Agreement T:\Council Agenda Reports\2014\2014-02-04\Fire Dept Agreement Medstop (Olson-Cox)\E-CAR Agreement with MedStop.docx C3 - 2 1 Attachment CITY OF SAN LUIS OBISPO AGREEMENT FOR MEDICAL PROVIDER SERVICES THIS AGREEMENT, is made and effective as of ____________, (“Effective Date”) between the City of San Luis Obispo Fire Department (“City”) and Med-Stops Medical Clinic, Inc., a professional corporation (“Medical Provider”). RECITALS WHEREAS, the City has the obligation to verify that its public safety employees employed by the City Fire Department (“Public Safety Employees”) meet the physical standards necessary to perform the responsibilities as required by their jobs; and WHEREAS, the Medical Provider is a professional corporation employing duly licensed physicians, physician assistants, nurse practitioners and other personnel who have the expertise to perform medical evaluations to determine whether the Public Safety Employees meet the physical standards necessary to perform their responsibilities as required by their jobs (“Medical Evaluations”); and WHEREAS, the City desires to engage the services of the Medical Provider as an independent contractor to provide such Medical Evaluations, to interpret the results from such medical evaluations, and to provide medical advice based on the results of those medical evaluations; and Therefore, in consideration of the mutual covenants and conditions set forth herein, the parties agree as follows: 1. TERM This Agreement shall commence on the effective date and shall remain and continue in effect for five years. 2. SERVICES TO BE RENDERED BY MEDICAL PROVIDER (a) Medical Provider shall provide Medical Evaluations as requested by the City. Medical Evaluations include any of the physical examinations, individual diagnostic studies or immunizations listed on Exhibit A, attached hereto, and incorporated by reference. Attached as Exhibit B is Medical Provider’s estimate of Medical Evaluations that Medical Provider will provide based on information provided by the City about its current Public Safety Employees. (b) Within five (5) business days of the Medical Evaluation being completed, Medical Provider shall either provide a Clearance for Duty Certificate or notify the City that a Clearance for Duty Certificate will not be provided, whichever is applicable in the professional judgment of the Medical Provider. A Medical Evaluation deemed completed the date that the Medical Provider examines the City’s Fire Department public safety employee or the date that all results from diagnostic studies are received by the Medical Provider, whichever date is later. C3 - 3 2 (c) Subject to federal and state privacy laws, Medical Provider shall take all steps necessary to facilitate the transfer of the medical records of the Public Safety Employees from any other medical provider identified by the City as having Public Safety Employees’ medical records to Medical Provider. 3. CITY’S OBLIGATIONS (a) The City shall provide an Employee Medical Questionnaire (“EMQ”) to each City employee requiring a medical evaluation and shall deliver the EMQ completed by the City employee in a sealed envelope at least five (5) business days before the scheduled Medical Evaluation. (b) The City shall provide a City employee’s job description to the Medical Provider when requested by the Medical Provider. 4. PERFORMANCE STANDARDS Services rendered under this Agreement by the Medical Provider shall be provided by duly licensed, certified or otherwise authorized, and accredited personnel who shall provide such services consistent with the scope of their license, certification or accreditation and in accordance with generally accepted medical and surgical practices and standards prevailing in the applicable professional community and all applicable requirements of federal, state and local law. 5. LICENSES Medical Provider acknowledges that all of its directors, officers, employees or agents (“Medical Provider’s Employees”) that will participate in delivering a Medical Evaluation, interpreting a Medical Evaluation or rendering medical advice based on a Medical Evaluation shall be licensed as required by the laws of the State of California and shall be in good standing with both the Federal Government of the United States of America and the State of California. Furthermore, Medical Provider’s Employees shall remain fully licensed to practice medicine in compliance with the applicable law during the term of this Agreement 6. CITY MANAGEMENT City’s Fire Chief shall represent City in all matters pertaining to the administration of this Agreement, review and approval of all services rendered by Medical Provider, but not including the authority to enlarge the scope of services rendered or to change the payment due to Medical Provider. C3 - 4 3 7. PAYMENT (a) The City agrees to pay Medical Provider monthly, in accordance with the payment rates and terms and the schedule of payment as set forth in Exhibit A, attached hereto and incorporated herein by this reference as though set forth in full, based upon actual services rendered. Medical Provider may adjust the payment rates annually effective January 1, 2015 and annually thereafter in proportion to the change in the Los Angeles- Riverside-Orange County Consumer Price Index. However, in no event shall the annual increase exceed three percent (3%). The indexes shall be for All Urban Consumers as published by the Bureau of Labor Statistics. (b) Medical Provider shall not be compensated for any services rendered in connection with its performance of this Agreement which are in addition to those set forth in Exhibit A or Exhibit B, unless such additional services are authorized in advance and in writing by the City Manager. Medical Provider shall be compensated for any additional services in the amounts and in the manner as agreed to by City Manager and Medical Provider at the time City’s written authorization is given to Medical Provider for the performance of said services. The City Manager may approve additional work not to exceed ten percent (10%) of the amount of the Agreement, but in no event shall such sum exceed ten-thousand dollars ($10,000.00). Any additional work in excess of this amount shall be approved by the City Council. (c) Medical Provider will submit invoices monthly for actual services performed. Invoices shall be submitted on or about the first business day of each month, or as soon thereafter as practical, for services provided in the previous month. Payment shall be made within thirty (30) days of receipt of each invoice as to all non-disputed fees. If the City disputes any of Medical Provider’s fees, it shall give written notice to Medical Provider within thirty (30) days of receipt of an invoice of any disputed fees set forth on the invoice. 8. SUSPENSION OR TERMINATION OF AGREEMENT WITHOUT CAUSE (a) The City may at any time, for any reason, with or without cause, suspend or terminate this Agreement, or any portion hereof, by serving upon the Medical Provider at least one (1) day prior written notice. Upon receipt of said notice, the Medical Provider shall immediately cease all work under this Agreement, unless the notice provides otherwise. If the City suspends or terminates a portion of this Agreement such suspension or termination shall not make void or invalidate the remainder of this Agreement. (b) Medical Provider may at any time, for any reason, with or without cause, suspend or terminate this Agreement, or any portion hereof, by serving upon the City at least sixty days (60) day prior written notice. (c) In the event this Agreement is terminated pursuant to this Section, the City shall pay to Medical Provider the actual value of the work performed up to the time termination, provided that the work performed is of value to the City. Upon termination of the Agreement pursuant to this Section, the Medical Provider will submit an invoice to the City pursuant to Section 7. C3 - 5 4 9. INDEMNIFICATION (a) Indemnification for Professional Liability. When the law establishes a professional standard of care for Medical Provider’s Services, to the fullest extent permitted by law, Medical Provider shall indemnify, protect, defend and hold harmless City and any and all of its officials, employees and agents (“Indemnified Parties”) from and against any and all losses, liabilities, damages, costs and expenses, including attorney’s fees and costs to the extent same are caused in whole or in part by any negligent or wrongful act, error or omission of Medical Provider, its officers, agents, employees or sub-contractors (or any entity or individual that Medical Provider shall bear the legal liability thereof) in the performance of services rendered under this Agreement. (b) Indemnification for Other Than Professional Liability. Other than in the performance of professional services and to the full extent permitted by law, Medical Provider shall indemnify, defend and hold harmless City, and any and all of its employees, officials and agents from and against any liability (including liability for claims, suits, actions, arbitration proceedings, administrative proceedings, regulatory proceedings, losses, expense or costs of any kind, whether actual, alleged or threatened, including attorneys fees and costs, court costs, interest, defense costs, and expert witness fees), where the same arise out of, are of a consequence of, or are in any way attributable to, in whole or in part, the performance of this Agreement by Medical Provider or by any individual or entity for which Medical Provider is legally liable, including but not limited to officers, agents, employees or sub-contractors of Medical Provider. (c) General Indemnification Provisions. Medical Provider agrees to obtain executed indemnity agreements with provisions identical to those set forth here in this section from each and every sub-contractors or any other person or entity involved by, for, with or on behalf of Medical Provider in the performance of this agreement. In the event Medical Provider fails to obtain such indemnity obligations from others as required here, Medical Provider agrees to be fully responsible according to the terms of this section. Failure of City to monitor compliance with these requirements imposes no additional obligations on City and will in no way act as a waiver of any rights hereunder. (d) This obligation to indemnify and defend City as set forth here is binding on the successors, assigns or heirs of Medical Provider and shall survive the termination of this agreement of this section. 10. INSURANCE Medical Provider shall maintain prior to the beginning of and for the duration of this Agreement adequate professional liability insurance coverage as required by law, and Medical Provider further agrees that during the term hereof he shall maintain a policy of malpractice insurance in the minimum amount of one (1) million per occurrence with an aggregate amount of three (3) million. Medical Provider shall, upon execution of this Agreement, provide City with proof of insurance. Such insurance during the term hereof shall not be changed or terminated without at least thirty (30) days notice in writing to the City. C3 - 6 5 11. INDEPENDENT MEDICAL PROVIDER (a) Medical Provider is and shall at all times remain as to the City a wholly independent Medical Provider. The personnel performing the services under this Agreement on behalf of Medical Provider shall at all times be under Medical Provider’s exclusive direction and control. Neither City nor any of its officers, employees, or agents shall have control over the conduct of Medical Provider or any of Medical Provider’s officers, employees, or agents, except as set forth in this Agreement. Medical Provider shall not at any time or in any manner represent that it or any of its officers, employees, or agents are in any manner officers, employees, or agents of the City. Medical Provider shall not incur or have the power to incur any debt, obligation, or liability whatever against City, or bind City in any manner. (b) No employee benefits shall be available to Medical Provider in connection with the performance of this Agreement. Except for the fees paid to Medical Provider as provided in the Agreement, City shall not pay salaries, wages, or other compensation to Medical Provider for performing services hereunder for City. City shall not be liable for compensation or indemnification to Medical Provider for injury or sickness arising out of performing services hereunder. 12. LEGAL RESPONSIBILITIES The Medical Provider shall keep itself informed of State and Federal laws and regulations which in any manner affect those employed by it or in any way affect the performance of its service pursuant to this Agreement. The Medical Provider shall at all times observe and comply with all such laws and regulations. The City, and its officers and employees, shall not be liable at law or in equity occasioned by failure of the Medical Provider to comply with this Section. 13. UNDUE INFLUENCE Medical Provider declares and warrants that no undue influence or pressure is used against or in concert with any officer or employee of the City in connection with the award, terms or implementation of this Agreement, including any method of coercion, confidential financial arrangement, or financial inducement. No officer or employee of the City will receive compensation, directly or indirectly, from Medical Provider, or from any officer, employee or agent of Medical Provider, in connection with the award of this Agreement or any work to be conducted as a result of this Agreement. Violation of this Section shall be a material breach of this Agreement entitling the City to any and all remedies at law or in equity. 14. NO BENEFIT TO ARISE TO LOCAL EMPLOYEES No member, officer, or employee of City, or their designees or agents, and no public official who exercises authority over or responsibilities with respect to the services rendered during his/her tenure or for one year thereafter, shall have any interest, direct or indirect, in any agreement or sub-agreement, or the proceeds thereof, for work to be performed in connection with the services rendered under this Agreement. C3 - 7 6 15. RECORDS (a) All information gained by Medical Provider in performance of this Agreement shall be considered confidential and shall not be released by Medical Provider without City’s prior written authorization. Medical Provider, its officers, employees, agents, or sub-contractors, shall not without written authorization from the City Manager or unless requested by the City Attorney, voluntarily provide declarations, letters of support, testimony at depositions, response to interrogatories, or other information concerning the work performed under this Agreement. Response to a subpoena or court order shall not be considered “voluntary” provided Medical Provider gives City notice of such court order or subpoena. (b) Medical Provider shall promptly notify City should Medical Provider, its officers, employees, agents, or sub-contractor be served with any summons, complaint, subpoena, notice of deposition, request for documents, interrogatories, request for admissions, or other discovery request, court order, or subpoena from any person or party regarding this Agreement and the work performed thereunder. City retains the right, but has no obligation, to represent Medical Provider and/or be present at any deposition, hearing, or similar proceeding. Medical Provider agrees to cooperate fully with City and to provide the opportunity to review any response to discovery requests provided by Medical Provider. However, City’s right to review any such response does not imply or mean the right by City to control, direct, or rewrite said response. (c) The City hereby acknowledges that information obtained directly from the City’s employee during the course of a Medical Evaluation by Medical Provider is subject to both federal and California state privacy laws. (d) Medical Provider shall maintain all patient medical records relating to the Medical Evaluations provided, in such form and containing such information as required by federal, state and local law. Medical records shall be maintained in a current manner that is legible, complete, organized, and shall permit effective patient care and review by any third- party medical provider. Subject to all applicable patient confidentiality laws, upon written request, with at least five (5) business days to respond, Medical Provider shall provide to City or its delegate, the City’s respective expenses, copies of the Public Safety Employees’ medical records for the purposes of conducting quality assurance and utilization review, claims processing, verification and payment, resolving any grievances and appeals, and other activities reasonably necessary for the proper administration of this Agreement consistent with the law. Medical records shall be retained by Medical Provider for at least five years following a medical evaluation and as required by law. This section survives termination of the Agreement. C3 - 8 7 16. NOTICES Any notices which either party may desire to give to the other party under this Agreement must be in writing and may be given either by (i) personal service, (ii) delivery by a reputable document delivery service, such as but not limited to, Federal Express, which provides a receipt showing date and time of delivery, or (iii) mailing in the United States Mail, certified mail, postage prepaid, return receipt requested, addressed to the address of the party as set forth below or at any other address as that party may later designate by notice: To City: City of San Luis Obispo Attn: Fire Chief 2160 Santa Barbara Ave. San Luis Obispo, California 93401 To Medical Provider: Med-Stops Medical Clinic, Inc. Attn: Brian Roberts, M.D. 283 Madonna Rd., Suite B San Luis Obispo, California 93405 17. ASSIGNMENT The Medical Provider shall not assign the performance of this Agreement, nor any part thereof, nor any monies due hereunder, without prior written consent of the City. Because of the personal nature of the services to be rendered pursuant to this Agreement, only Medical Provider shall perform the services described in this Agreement. 18. NO THIRD PARTY BENEFICIARIES This Agreement shall not confer or be construed to confer any rights or benefits to any person or entity other than the Parties. 19. GOVERNING LAW The City and Medical Provider understand and agree that the laws of the State of California shall govern the rights, obligations, duties, and liabilities of the parties to this Agreement and also govern the interpretation of this Agreement. Any litigation concerning this Agreement shall take place in the municipal, superior, or federal district court with jurisdiction over the City. C3 - 9 8 20. ENTIRE AGREEMENT This Agreement contains the entire understanding between the parties relating to the obligations of the parties described in this Agreement. All prior or contemporaneous agreements, understandings, representations, and statements, oral or written, are merged into this Agreement and shall be of no further force or effect. Each party is entering into this Agreement based solely upon the representations set forth herein and upon each party’s own independent investigation of any and all facts such party deems material. Any future modification or amendment to this Agreement must be in writing. The illegality, invalidity or unenforceability of any provision, or part any provision, of this Agreement shall not affect any other provisions of this Agreement, which shall continue in full force and effect. 21. SEVERABILITY If any provision of this Agreement, in whole or in part, or the application of any provision in whole or in part, is determined to be illegal, invalid or unenforceable by a court of competent jurisdiction, such provision, or part of such provision, shall be severed from this Agreement. 22. AUTHORITY TO EXECUTE THIS AGREEMENT The person or persons executing this Agreement on behalf of Medical Provider warrants and represents that he/she has the authority to execute this Agreement on behalf of the Medical Provider and has the authority to bind Medical Provider to the performance of its obligations hereunder. IN WITNESS HEREOF, the parties hereto have caused this Agreement to be executed the day and year first above written. CITY OF SAN LUIS OBISPO MEDICAL PROVIDER By: _______________________________ By: ____________________________ Jan Marx, Mayor (Signature) ____________________________ Attest: (Name) __________________________________ Its: ____________________________ Anthony J. Mejia, City Clerk (Title) Approves As to Form: ______________________________ J. Christine Dietrick, City Attorney C3 - 10 9 MED STOP DEPARTM ENT OF M EDICAL SERVICES HEALTH AND WELLNESS PROTECTION PROGRAM EXHIBIT A: SLO CITY FIRE PRICE LIST (Updated 1/1/2014) Physical Examination Charge Notes LEVEL II EXAM $127 PHYSICAL – Doctor’s complete physical exam with review of Employee Medical Questionnaire (EMQ). If physical exam, history or job description reveals the need to individual diagnostic studies, notification of those studies will be made and the cost will not exceed the amount itemized listed below. REVIEW OF EMQ $53 EMQ review charged only on years with no physical exam DMV PHYSICAL $50 When completed with a scheduled physical. DMV PHYSICAL $100 When completed without a scheduled physical. INDIVIDUAL DIAGNOSTIC STUDIES CHEST X-RAY (2-VIEW) $95 CHEST X-RAY (1-VIEW) $74 PULMONARY FUNCTION, PULSE OX ON ROOM AIR $74 RESTING EKG $90 TREADMILL $264 AUDIOGRAM $53 TITMUS / VISION ACUITY N/C Includes near, far, color and peripheral testing. BLOOD DRAW $11 CBC $26 CMP $26 LIPID PANEL $26 PSA $74 Lead Panel $47 URINE DIP $11 URINALYSIS W/ MICRO $16 If indicated. INSECTICIDE EXPOSURE PANEL $26 TB SKIN TEST $21 2ND TB SKIN TEST $16 For new employees only. QFT GOLD $ As per County charges IMMUNIZATIONS – NFPA 1582 touches on immunizations with recommendations not requirements. Cal OSHA however does have requirements. If yo u choose to pursue vaccinations I have included them below. Hepatitis A (2 shot series) $136 $68 EACH Hepatitis B (3 shot series) $252 $84 EACH Hepatitis A/B Titers $52 $26 EACH Varicella Zoster titer $25 C3 - 11 10 EXHIBIT-B SERVICE COST ESTIMATES FOR 2014 Firefighters under age 35 Level I Exam for this age group (Note: Level II Physical Exam done every 3 years) EMQ Review = $53 Tb Skin Test = $21 EKG = $90 Spirometry = $74 CBC = $26 UA-Dip = $11 CMP = $26 Lipids = $26 Total $327 Level II Physical Exam Cycle = add $127 (Plus $127 for Level II Exam, plus $53 Audiogram, minus $53 for EMQ) You have seven <35 y/o with Level I only services = $2,289 You have one <35 y/o with Level I and II services = $ 454 Age group sub-total in 2014 = $2,743 Firefighters age 35 - 45 Level I Exam for this age group (Note: Level II Physical Exam done every 2 years) EMQ Review = $53 Tb Skin Test = $21 EKG = $90 Spirometry = $74 CBC = $26 UA-Dip = $11 CMP = $26 Lipids = $26 Total $327 Level II Physical Exam Cycle = add $127 You have eleven 35 – 45 y/o with Level I only services = $3,597 You have twelve 35 - 45 y/o with Level I and II services = $5,448 Age group sub-total in 2014 = $9,045 C3 - 12 11 Firefighters age 46-49 Level I and II examination done every year Level II Exam = $127 Tb Skin Test = $21 Audiogram = $53 Spirometry = $74 CBC = $26 UA-Dip = $11 CMP = $26 Lipids = $26 EKG = $90 Total $454 You have seven 46 - 49 y/o with Level I and II services. Age group sub-total in 2014 = $3,178 Firefighters age 50+ Level I, II and III examination done every year. (Level III Exam = Treadmill) Level II Exam = $127 Tb Skin Test = $21 Audiogram = $53 Spirometry = $74 PSA = $80 CBC = $26 UA-Dip = $11 CMP = $26 Lipids = $26 Treadmill = $264 Total $708 You have four 50+ y/o with Level I, II and III services. Age group sub-total in 2014 = $2,832 C3 - 13 12 HAZMAT Cost Additions: SLO City Fire has 6 members on the SLO County HAZMAT Team. The enhanced HAZMAT Evaluations require a yearly Treadmill Test ($264) regardless of age. In addition, there is a Lead Exposure Panel ($47) and an Insecticide Exposure Panel ($26). Together this adds $337 each; times 6 Firefighters = $2,022. City Fire Estimated Total Cost in 2014: Firefighters under age 35 = $2,743 Firefighters age 35 – 45 = $9,045 Firefighters age 46-49 = $3,178 Firefighters age 50+ = $2,832 HAZMAT associated = $2,022 Total Cost Estimate 2014 = $19,820 * Please note – your costs ma y be higher, if the initial evaluations indicate a need for further testing and referrals to help assure good health and clearance for duty. ** Please note – a few Firefighters with histories of positive TB skin tests may require a QFT-Gold test done at the County Public Health Lab. We do not control this price. We “pass-through” our cost for this service, to the City. Currently that charge is about $62. Given the cost saved from the Tb Skin Test the net increase in cost to the City is about $40 per Firefighter so affected. Sincerely, Brian Roberts, MD C3 - 14