HomeMy WebLinkAbout911077.tiff SWEDISH MEDICAL CENTER STUDENT
AFFILIATION AGREEMENT
THIS AGREEMENT, made as of the first day of August , 194L, is
between SWEDISH MEDICAL CENTER, a Colorado nonprofit corporation ("Swedish") ,
and Weld County Ambulance ("Agency") .
RECITALS
Swedish desires that certain of its students (the "Students") , and when
appropriate certain of its faculty members, be permitted to visit and utilize
the Agency's facilities to afford the Students the opportunity to have practical
learning and clinical experiences at the Agency. The Agency desires to aid in the
education and training of health professionals and, subject to the terms and
conditions of this Agreement, is willing to make its facilities available for such
purposes.
AGREEMENT
In consideration of the foregoing and the mutual covenants and agreements
herein contained, the receipt and sufficiency of which is hereby acknowledged, the
parties agree as follows:
1. Responsibilities of Parties. During the term hereof, the Agency
shall make available to designated Students its physical facilities and clinical
equipment to provide such Students the opportunity to obtain clinical training and
experience and Swedish shall coordinate with the Agency for the supervision of its
Students that are selected to participate in the clinical education program (the
"Program") , all in accordance with the terms and conditions set forth herein.
2. Term. This Agreement shall commence on the date hereof. This
Agreement shall be automatically renewed for successive one-year terms unless
terminated in accordance with the provisions set forth in Section 9, below.
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3. Student Selection for Program. The Agency and Swedish shall mutually
agree on the accepted level of academic preparation required of each Student that
will participate in the Program. Swedish shall determine the adequacy of each
Student's educational experience in theoretical training, basic skills and
professional ethics and shall assess the Student's attitude and behavior before
suggesting a Student for clinical assignment to the Agency. The Agency and
Swedish agree that there shall be no discrimination on the basis of age, race,
religion, creed, sex, national origin, handicap or veteran's status in connection
with Student selection for Program participation.
4. Clinical Education Program.
(a) Swedish and the Agency shall mutually agree upon and arrange the
objectives of instruction, the periods of assignment for each Student and
the number of Students eligible to participate concurrently in the Program.
(b) The Agency shall designate a member of its staff to act as its
program coordinator and work with a designated member of Swedish's Pre-
hospital Department (the "Department") in coordinating the Program for the
Students at the Agency. A program coordinator, the faculty member assigned
by Swedish, shall make on-site visits to the Agency, when appropriate, to
observe and supervise the Students. If Swedish's program coordinator or
any other faculty member desires to be involved in providing clinical
instruction to the Students at the Agency, the Agency shall have the right
to approve the character and extent of such faculty member's participation
in clinical instruction at the Agency.
(c) Swedish shall designate a member of the Department to be
coordinator of the Program on behalf of Swedish. This Department member
shall function as clinical supervisor and shall be the person with whom the
Agency's program coordinator shall communicate regarding the conduct of the
Program. Swedish's Department coordinator shall work with the Agency's
program coordinator to develop program objectives, schedules and other
details of the Program.
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(d) Students shall be permitted to perform services for patients only
when under the supervision of a registered, licensed or certified therapist.
Such registered therapists are to be certified or licensed in the discipline
in which supervision is provided. Students shall work and perform
assignments at the discretion of their supervisors designated by the Agency.
Students are trainees, not employees, and are not to replace the Agency
staff.
(e) During periods of clinical assignment at the Agency, Students
shall remain subject to the authority, policies and regulations imposed by
Swedish and shall be subject to all standards, rules, regulations,
administrative practices and policies of the Agency. Similarly, any of
Swedish's faculty visiting or participating in clinical instruction at the
Agency shall be subject to the standards, rules, regulations, administrative
practices and policies of the Agency. Swedish and the Agency shall arrange
and provide orientation of faculty members and Students concerning the
Agency's standards, rules, regulations, administrative practices and
policies.
(f) Swedish shall maintain all educational progress records
pertaining to its Students and the Agency shall only have the obligation to
make reports to Swedish regarding the Students participating in the Program.
5. Insurance and Indemnity.
(a) Swedish hereby certifies that medical professional liability
insurance, as stated on the attachment, is in full force and effect and
insures each Student and faculty member of Swedish while on the premises of
the Agency. Such insurance coverage shall, throughout the term of this
Agreement, inure to the benefit of the Agency to the extent that it incurs
any claim, loss, damage or liability as a result of the negligent acts or
omissions of a Student during the period of his or her clinical assignment
at the Agency or of a faculty member during any visit or teaching stay at
the Agency. Swedish shall give the Agency written notice 30 days prior to
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the effective date of any changes in the terms of such insurance. In the
event the insurance is cancelled in whole or in part or as to any insured,
Swedish shall immediately notify the Agency and the Agency may immediately
terminate this Agreement in whole or in part or require that an uninsured
Student be removed immediately from the Program.
(b) To the extent not covered by the insurance referred to in
subsection (a) above, Swedish hereby agrees to indemnify and hold harmless
the Agency, its directors, officers, agents and employees from any claims,
liability or damages (including without limitation reasonable attorneys'
fees) resulting from the negligent acts or omissions of a Student or faculty
member that is participating in the Program.
6. Health Care and Other Benefits. Costs and Expenses.
(a) Neither the Students nor the faculty members shall be considered
employees of the Agency for any purpose and the Agency shall not be required
to provide in any way any pecuniary benefits or other fringe benefits to
Students or faculty members of Swedish. The Agency shall not be required
to purchase any form of insurance, including but not limited to liability,
property damage, malpractice, accident, health or Worker's Compensation, for
the benefit or protection of any Students or faculty of Swedish.
(b) The Agency shall be under no obligation to assume any costs
incurred by the Students or the faculty of Swedish during their scheduled
time at the Agency. The Agency shall not be required to provide any form
of transportation of Students or faculty of Swedish.
(c) The Agency shall be responsible for arranging immediate emergency
care of Students in the events of accidental injury or illness, but shall
not be responsible for any costs involved in providing such emergency care
or for follow-up care or hospitalization.
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7. Student Withdrawal from Program. The Agency may require Swedish to
withdraw from the Agency any Student whose performance is determined by the Agency
to be unsatisfactory or whose characteristics and activities are deemed by the
Agency to be detrimental to the Agency's responsibilities for health care.
Written requests for withdrawal of a Student shall be given by the Agency to
Swedish and shall contain a statement of facts describing the Student's
unacceptable conduct. Upon receipt of such notice from the Agency, Swedish shall
immediately withdraw the Student from clinical assignment at the Agency.
8. Medicare Statutory Requirements. To the extent required by Section
1861 (v)(1)(I) of the Social Security Act, as amended, and its implementing
regulations, the Agency agrees:
(a) Until the expiration of four (4) years after the furnishing of
services to Swedish pursuant to this Agreement, the Agency shall make
available upon written request from the Secretary of the Department of
Health and Human Services or upon request from the Comptroller General of
the United States, or any of their duly authorized representatives, this
Agreement and all books, documents, and records of the Agency that are
necessary to certify the nature and extent of such costs relating thereto;
and
(b) If the Agency carries out any of its duties pursuant to this
Agreement through a subcontract with a related organization, such contract
shall contain a clause to the effect that until the expiration of four (4)
years after the furnishing of such services pursuant to such subcontract,
the related organization shall make available, upon written request from the
Secretary, or upon request from the Comptroller General, or any of their
duly authorized representatives, the subcontract, and all books, documents,
and records of such organization that are necessary to verify the nature and
extent of such costs relating thereto.
(c) Notification. If the Agency is requested or ordered to disclose
any books, documents or records relevant to the Agreement for the purpose
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of an audit or investigation, the Agency shall notify Swedish of the nature
and scope of such request and shall make available, upon written request of
Swedish, all such books, documents, or records.
9. Termination.
(a) This Agreement shall terminate upon the expiration of its term
or any extension thereof or upon 90 days prior written notice from either
party to the other. Should notice of termination be given, Students then
assigned to the Agency shall be allowed to complete any previously scheduled
clinical assignment then in progress at the Agency.
(b) Termination or Amendment as the Result of Government Regulation.
Swedish shall have the right to terminate or unilaterally amend this
Agreement in order to comply with any legal order issued by a federal or
state department, agency or commission, without liability. In the event
Swedish elects or is required to amend this Agreement, the parties will use
their best efforts to negotiate such amendment after Swedish has notified
the Agency of such election or requirement. If the amendment is unaccep-
table to the Agency, the Agency may choose to terminate this Agreement
within thirty (30) days after such notice without liability for such
termination.
10. Gomvensation. Swedish shall pay to (Agency) Weld County Ambulance
the sum of zero dollars ($_2__) per (student and/or shift) shift
This payment shall be paid upon the completion of a full scheduled clinical course
following submission to Swedish by the Agency of an invoice listing the total
number of participating students and the total number shifts for the completed
clinical course.
11. Miscellaneous
(a) The terms and conditions of this Agreement may be amended only
be written instrument executed by both parties.
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(b) Any notice required or permitted hereunder shall be in writing
and shall be deemed given if delivered in person or three days after mailing
by United States registered or certified mail, postage prepaid, and
addressed as follows:
To Swedish:
Swedish Medical Center
501 E. Hampden Avenue
P.O. Box 2901-7226
Englewood, Colorado 80150-0101
To A¢encv:
Weld County Ambulance
%$NBXE[dS �dBX%%XAA5BH 7 Board of Coy}ntX Commissioners, P 0 Box 758
Greeley, CO BOBBY 80632 3
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(c) This Agreement shall be governed by and construed in accordance
with the laws of the State of Colorado.
(d) This Agreement shall be binding upon and inure to the benefit of
the parties hereto, their successors and assigns.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed on the date first above written.
SWEDISH MEDICAL CENTER AGENCY
By By
Title Vitt Pad 41.4 I Stv-0, Title Chairman, B rd of County Commissioners
Date aa31 � 1481 Date September 9, 1991
,� y ST. kal-147
t'.`=LD COUNTY a caK TO THE BOARD
BY: `_
D; C iie CLEI i( TO TELL
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4,!It•
l OFFICE OF COUNTY ATTORNEY
PHONE(303) 356-4000 EXT. 4391
P.O. BOX 1948 lot GREELEY,COLORADO 80632
O
• September 9 , 1991
COLORADO
Mr. Greg Mullen
Educational Director
Pre-Hospital Services
Swedish Medical Center
501 E . Hampden Avenue
P . O. Box 2901-7226
Englewood, Colorado 80150-0101
RE: Student Affiliation Agreement
Dear Mr. Mullen:
Enclosed herein please find one of the signed originals for the
Student Affiliation Agreement between Weld County, Colorado, and
the Sedsh is ment he
Boardwofi Countyic Commissioners Thof Weld eCounty a on approved
its Agenda
a on
September 9 , 1991 .
If you should have any questions regarding the implementation of
the Agreement, please direct those to Gary McCabe at 353-5700 .
Very�tru^ly yours,
Bra T. Barker
Weld County Attorney
BTB:bp
Encl .
xc : Gary McCabe, Director
Ambulance Services
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