HomeMy WebLinkAbout940657.tiff RESOLUTION
RE: APPROVE PURCHASE OF SERVICES AGREEMENT BETWEEN THE COLORADO DEPARTMENT OF
HEALTH'S MIGRANT HEALTH PROGRAM AND FAMILY EDUCATIONAL NETWORK OF WELD
COUNTY (FENWC) AND AUTHORIZE CHAIRMAN TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado,
pursuant to Colorado statute and the Weld County Home Rule Charter, is vested
with the authority of administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Purchase of Services Agreement
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of Family Educational Network of Weld
County (FENWC) , and the Colorado Department of Health's Migrant Health Program,
commencing June 1, 1994, and ending October 10, 1994, with further terms and
conditions being as stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said
agreement, a copy of which is attached hereto and incorporated herein by
reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Purchase of Services Agreement between the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld
County, on behalf of FENWC, and the Colorado Department of Health's Migrant
Health Program, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is,
authorized to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 13th day of July, A.D. , 1994, nunc pro tunc
June 1, 1994.
PILLBOARD OF COUNTY COMMISSIONERS
ATTEST: WELD COUNTY, OLO ADO
Weld County Clerk to the Board11! /1)14//f
W. H. ebster, Chairman
BY: /O Q,? EXCUSED
/ Deputy Cle k to the Boa Dale Hall, P7-Tem//"�/�
APPROVED AS TO FORM: `/�^ Cie /1
George'E. Baxter
EXCUSED
County Att rney Constance L. Harbert
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�/ .✓ .✓i5i/7t�c 4 L
Barbara J. Kirkmeyer O
940657
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PURCHASE OF SERVICES AGREEMENT
THIS AGREEMENT, made and entered into this /34 day of
, 1994, by and between the Colorado Department of Health's Migrant
ealth rogram, hereinafter referred to as "Health Program," and the Weld County
Division of Human Resources' Family Educational Network of Weld county,
hereinafter referred to as "FENWC."
In order to provide medical and dental services to approximately 386 eligible
Migrant Head Start children ages 0 - 5 in the following areas in Weld County:
Hudson, Frederick, Ft Morgan, and six sites located in Greeley, and the Western
Slope (Olathe & Grand Junction).
FENWC cooperatively enters into this Agreement with the Colorado Department
of Health's Migrant Health Program, such services as defined within will be provided
per this Agreement.
NOW, THEREFORE, in consideration of the mutual covenants herein, the
parties hereto agree as follows:
1. Physical Examinations:
The Health Program will provide physical examinations for eligible Migrant
Head Start children. FENWC agrees to reimburse the Health Program a
maximum of $10.00 per child for the examination services not to exceed
$3,860.00 ($10.00/child x 386 children = $3,860.00).
2. Personnel services to be provided: Time and Cost Breakdown.
All staff will keep accurate time records documenting time allocated to the
FENWC program and billing.
A. Nursing Services:
The Health Program will provide nurses and nursing students to serve
all centers. The services to be provided are defined in the attached
Memorandum of Understanding.
Budgeted time and cost for nursing staff is as follows:
• Greeley Sites
2 Nurse (100%) @ 9.00/hr X 696 hrs x 2 =
$12,528.00
1 Nursing Student (100%) $250/mo. X 2 = $500.00
Total of $13,028.00
• Frederick/Hudson Sites
1 Nurse (100%) @ 9.00/hr X 696 hrs = $6,264.00
1 Nursing Student (100%) $250/mo X 2 =
$500.00 Total of $6,764.00
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• Western Slope Sites
2 Nurse (100%) @ 9.00/hr. X 400 hrs = $7,200.00
• Fort Morgan Site
1 Nurse (100%) @ 9.00/hr. x 376 hrs = $3,384.00
• Nursing Coordination/Supervision
Jean Schuhle @ $16/hr. x 250 hrs = $4,000.00
FENWC agrees to reimburse the Health Program a maximum of $9.00 per
hour for nursing services and $250.00 per month for each FTE nursing
student and for 250 hours of nursing coordination/supervision at
$16/hour for a total not to exceed $34,376.00. All staff will keep
accurate time records documenting time allocated to the FENWC program
and billing.
B. Health Aides:
The Health Program will provide health aides for all centers. The
services to be provided are defined in the attached Memorandum of
Understanding.
Budgeted Time & Cost for is as follows:
• Fort Morgan
1 Health Aide (50%) @ 6.25/hr x 188 hours =
$1,175.00
• Greeley
2 Health Aides (100%) @ 6.25/hr X 696 hours/each =
$8,700.00
• Frederick/Hudson
1 Health Aide (100%) @ 6.25/hr x 696 hours =
$4,350.00
• Western Slope
2 Health Aide (50%) @ 6.25/hr X 200 hours =
$2,500.00
FENWC agrees to reimburse the Health Program a maximum of$6.25 per
hour for health aides for a total not to exceed $16,725.00 ($6.25/hr x
2,676 hours = $16,725.00).
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C. Dental Hygienists
The Health Program will provide dental hygienists to all centers.
FENWC agrees to reimburse the Health Program a maximum of
$11,128.00. The services to be provided are defined in the attached
Memorandum of Understanding.
Budgeted time and cost for dental hygienists is as follows:
• Greeley/Frederick/Hudson
1 Dental Hygienist (100%)
@ $13.00/hr X 656 hrs = $8,528.00
• Western Slope
2 Dental Hygienists (25%) @ 13.00/hr X 100
hrs/each = $2,600.00
D. Dental Students/Graduates:
The Health Program will provide dental students/graduates for
all centers except Greeley.
Budgeted time & cost for dental students is as follows:
• Frederick/Hudson
4 Dental Students (10%) @ 5.50/hr X 35 hrs/each =
$770.00
• Western Slope
2 Dental Students (10%) @ 5.50/hr X 35 hrs/each =
$385.00
• Fort Morgan
2 Dental Students (10%) @ 5.50/hr X 35 hrs/each =
$385.00
FENWC agrees to reimburse the Health Program a maximum of
$1,540.00 for dental students. All staff will keep accurate time
records documenting time allocated to the FENWC program and
billing.
E. Fringe Benefits
FENWC agrees to reimburse the Health Program a maximum of
$7,468.00 for fringe benefits on all staff noted in this agreement
calculated at approximately 12% of gross salary.
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3. Dental Services:
The Health Program will provide dental work specified in the
attached Memorandum of Understanding for FENWC centers.
FENWC will reimburse the Health Program a maximum of: $15.00
per child served up to a maximum of 386 children totalling
$5,790.00.
4. Medical Care
The Health Program will arrange and provide medical care for
acute conditions and follow up on abnormal screening results
specified in the attached Memorandum of Understanding for all
FENWC centers. FENWC agrees to reimburse the Health Program
$35.00 per child served up to a maximum of 386 children totalling
$13,510.00. All staff will keep accurate time records
documenting time allocated to the FENWC program and billing.
5. Pharmacy Services
The Health Program shall arrange and provide for pharmacy
services to include perscriptions and supplies for all FENWC
Centers. FENWC agrees to reimburse the Health Program a
maximum of $18.00 per child served up to a maximum of 386
children totalling $6,948.00.
6. Travel
The Health Program will pay summer staff for travel related to
fulfilling this contract including nurses, nursing students,
health aides, and dental hygienists assigned to all sites. FENWC
agrees to reimburse the Health Program .20/documented mile up
to a maximum of $2,800.00.
7. Operating Expenses:
The Health Program will provide direct operating cost to the staff
it employs to fulfill this contract including costs for recruitment,
equipment, orientation, nursing supplies, dental supplies,
health education supplies, office supplies, forms and keypunch.
FENWC agrees to reimburse the Health Program for direct
operating expenses up to a maximum of $4,830.00. All staff will
keep accurate time records documenting any costs allocated to
the FENWC program and billing.
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8. Indirect Costs:
FENWC agrees to pay the Health Program a maximum of 15%
indirect costs calculated on actual costs of program, not to
exceed $16,346.00.
9. Maximum Reimbursement:
The total maximum amount to be reimbursed to the Health
Program under this Agreement is $125,321.00. The Health
Program will submit a bill for services to FENWC no later than
November 15, 1994.
10. Assurances:
a. The Health Program agrees that it is an independent
contractor and that its officers, employees, and clients do
not become employees of Weld County, and therefore are
not entitled to any employee benefits as Weld County
employees, as a result of the execution of this Agreement.
b. FENWC, the Weld County Board of Commissioners, its
officers and employees, shall not be held liable for injuries
or damages caused by any negligent acts or omissions of
the Health Program, its employees, volunteers, or agents
while performing this Agreement. The Health Program, its
officers and employees, shall not be held liable for injuries
or damages caused by any negligent acts or omissions of
FENWC, or its employees, volunteers, or agents while
performing functions as described in this Agreement. The
Health Program shall provide adequate liability and
worker's compensation insurance for all of its employees,
volunteers agents engaged in the performance of this
Agreement, as required by the Colorado Worker's
Compensation Act. Likewise, FENWC, by and through the
Board of Weld County Commissioners, shall provide
adequate liability and workers' compensation insurance for
all employees of FENWC engaged in the performance of this
Agreement.
c. No officer, member, or employee of Weld County and no
member of their governing bodies shall have any pecuniary
interest, direct or indirect, in the approved Agreement or
the proceeds thereof.
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d. The Health Program understai s that monitoring and
evaluation of the performance of this Agreement shall be
conducted by the Weld County Division of Human
Resources and the results provided to the Weld County
Board of Commissioners.
e. The Health Program and FENWC assure compliance with
Title VI of the Civil Rights Act of 1986, and that no person
shall, on the grounds of race, creed, color, sex,
handicap, or national origin be excluded from participation
in, be denied the benefits of, or be otherwise subjected to
discrimination under the approved Agreement.
IN WITNESS WHEREOF, the parties hereunto have caused this
Agreement to be duly executed as of the day and year first hereinabove set
forth.
WELD COUNTY BOARD OF COMMISSIONERS
P
V
W.H. Webster, Chairperson Col o epartment of Health's
Migrant Health Program
WE D CO TY DIVISION OF HUMAN RESOURCES
e eckman, Executive Director
AT EST M(444
WELD COUNTY CLERK THE BOARD
By: A
Deputy Clerk to the B
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1994 MEMORANDUM OF UNDERSTANDING
By and Between
Colorado Migrant Health Program (CMHP) and
Family Education Network of Weld County (FENWC)
Purpose:
The purpose of this Memorandum of Understanding is to define and clarify roles, responsibilities, and
activities in support of the contract between CMHP and FENWC for the provision of health services
to migrant children in summer Migrant Head Start Programs. 1994 sites will be: Greeley,
Frederick, Hudson, Ft. Morgan, Grand Junction and Olathe (Western Slope).
Nursing Services:
1. As defined in the contract, CMHP will recruit, hire, train, and provide professional nursing
supervision for RN's in the Greeley, Ft. Morgan, Hudson, Frederick and the Western Slope
sites.
2. CMHP will assure that nurses provide those services outlined in the Head Start Nurse job
description. Any other nursing services not explicitly defined in the job description need to
be negotiated between CMHP and FENWC.
3. CMHP will recruit, hire, train, and provide professional supervision for undergraduate
nursing students working at all sites.
4. Nursing staff will notify the service coordinators of their hours and when they will not be on
site.
Medical Care:
1. As defined in the contract and Head Start Performance Standards, 45-CFR-1304, and per the
CMHP provider reimbursement schedule, CMHP will pay for all students.
2. Nursing staff will be responsible for triaging, referring, and case managing the students
needing care. FENWC will provide guidelines to nursing staff for referrals to specialists
within each area.
Pharmacy Services:
1. As defined in the contract, and per the CMHP pharmacy reimbursement guidelines, CMHP
will pay for pharmacy services.
2. Vaccine and PPD testing material will be available for all sites with contract clinics and
county health departments.
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Health and Dental Screening:
1. CMHP nursing and dental staff at all sites will assure that students are screened for the
following, according to protocol: dental, height (length), weight, head circumference, blood
pressure, hematocrit, and vision within five days of the child entering the Head Start
program.
Hearing Screening:
1. CMHP will provide hearing screening with the audiometer for all four and five year olds and
appropriate screening for younger children.
Physical Examinations:
1. CMHP will assure physical examinations are completed on all students.
Developmental Evaluation and Intervention:
1. FENWC will provide developmental evaluation and necessary intervention at all sites.
Results will be shared with the nursing staff and developmental records will be filed in the
health record.
2. CMHP nurses will be responsible for identifying medical handicaps for children and referring
them to the Health Care Program for Children with Special Needs.
Dental Hygiene Services:
1. As defined in the contract, CMHP will hire dental hygienists to provide preventive dental
services at all sites.
2. CMHP dental teams will provide dental screening.
3. Inservice programs will be provided upon request.
Dental Care:
1. As defined in the contract, CMHP will provide dental treatment.
Overtime/Compensatory Time:
1. Staff employed by the CMHP will follow the CMHP policy on overtime and
compensatory/flex time.
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Travel/Miscellaneous Expense:
1. As defined in the contract, FENWC will contract with CMHP for travel and miscellaneous
expense for summer migrant Head Start health staff placed on CMHP payroll. Staff will be
reimbursed through CMHP for travel and miscellaneous expense per CMHP guidelines and
protocol.
Health Aides:
1. CMHP will hire health aides for all sites. Health aides will be placed on CMHP payroll.
Health aides will be included in the nursing orientation.
2. Nurses will assume responsibility for the professional supervision of health aides.
3. Duties are as outlined in the job description and include: providing translation for non Spanish
speaking health team members at the Head Start center and on home visits, assisting with
home visits, including some evening home visits, and delivering messages to parents from the
health team. In addition, Health Aides will assist with provider visits on site including
assuring patient encounter forms and pharmacy forms are completed appropriately and
assisting with physical exams, dental screening and referrals, audiology screening, and record
keeping.
Translation:
1. FENWC will assure that translators are available to health staff at the Head Start site, at
medical/dental appointments, and on home visits. A list of the person(s) available to provide
translation for each site will be given to CMHP.
Transportation:
1. Health aides in all sites will provide transportation for Migrant Head Start students who have
appointments with medical or dental providers.
Site Coordinators:
1. Will orient the summer health team to the site.
2. Will provide administrative direction and support as needed. Will notify CMHP staff of
issues relating to health team activities or health care service delivery.
3. Will ensure the recruiters complete health history forms and immunization/PPD consent forms
when enrolling students and give information to health team. Records will be available at the
beginning of the summer and as students enroll.
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4. Will assist health teams with home visits as needed and provide guidance to health teams for
strategies in working with families.
5. Will assist and provide guidance to health team with child abuse cases and legal
responsibilities for reporting.
Bus Drivers:
1. Will deliver health messages to parents as requested by health team.
Orientation/Training:
1. Staff attending orientation will include: CMHP nursing staff, nursing students, dental
hygienists, health aides, site coordinators, and FENWC health/education coordinators. A list
of the FENWC staff attending the orientation will be given to CMHP.
2. CMHP will take the lead role in developing the agenda and providing training. FENWC staff
will provide consultation to and assist CMHP in orientation.
3. CMHP will provide lunch one day of the orientation; FENWC will provide lunch the other
day. FENWC will provide coffee and paper supplies (cups, plates, napkins, etc.).
4. FENWC will assure that summer health team members have the opportunity for local
orientation, i.e. meeting with FENWC director and health coordinator, site coordinators, case
managers, teaching staff, local health providers, etc.
5. FENWC staff will assure that teaching staff have been trained on appropriate handwashing
procedures.
Environment:
FENWC will assure that in all sites:
1. Separate sinks will be available for handwashing and preparation of bottles and food.
2. Refrigerators for vaccine and medications will be available at all sites.
3. A telephone for use by the health team will be available at each site.
4. A file cabinet will be available at each site to store health records. Health records will be
stored in either a locked file cabinet or locked room in order to maintain confidentiality.
5. A private place where children may be examined by health providers will be available at each
site.
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6. A place where sick children may rest will be provided at all sites. When the nurse is not on
site, FENWC will assure appropriate supervision of sick children after receiving instruction
for care by nurse.
7. A desk/table and cabinet will be available at each site where the nurse can store supplies,
forms, and teaching aids. Also, a place for the nurse to do paperwork will be provided.
CMHP will provide beepers for nurses and the dental hygienist in the Greeley sites.
Equipment:
1. CMHP and local dental providers will furnish all dental equipment.
2. Medical equipment will be provided as follows:
Site CMHP Mig. Educ. FENWC
Ft. Morgan Otoscope Audiometer
Centrifuge Standing Scale
Infant Scale
Frederick Otoscope Infant Scale
Centrifuge Standing Scale
Audiometer
Hudson Otoscope Infant Scale
Audiometer Standing Scale
Centrifuge Centrifuge
Greeley Centrifuge (2) Audiometer Infant Scale (1)
Otoscopes (2) Standing Scales
(5)
FENWC will provide 3 infant scale, 7 standing scales, UNC will provide an
audiometer when they do hearing screening. Cheryl Johnson will be
contracted to do hearing screening.
Olathe Otoscope Audiometer
Centrifuge
Standing Scale
Grand Junction Otoscope Audiometer
Centrifuge
Standing Scale
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CMHP Olathe and Grand Junction nursing staff will be responsible for returning all equipment at the
end of the program.
Dental Supplies:
1. CMHP will provide all dental supplies, including toothbrush kits, for all sites.
Nursing Supplies:
1. CMHP will provide all nursing supplies for all sites. A list will be given to FENWC.
Nursing staff will return unused nursing supplies to CMHP.
Office Supplies:
1. CMHP will provide office supplies for all sites. Nursing staff will return unused office
supplies to CMHP.
Forms:
1. CMHP will supply CMHP forms to all sites. A list will be given to FENWC.
2. FENWC will give CMHP any FENWC forms used by nursing or dental staff. CMHP will
pack these forms in the form boxes. (Physical exam forms, emergency cards)
Health Education Materials:
1. CMHP will provide a nursing resource box for all sites. Nursing staff will return the nursing
resource box to CMHP at the end of the program.
2. CMHP will provide a dental resource box for all sites.
3. FENWC will give CMHP any health education materials that need to be included in dental or
nursing resource boxes.
Recordkeeping:
1. All sites will utilize the Migrant Student Encounter Form. The white (original) copy will be
retained in the student's health record. The yellow copy will be forwarded to CMHP at the
end of the program.
2. Sites will use the 3-part patient encounter forms to document medical services by medical
providers. The white copy will remain in the student health record. The yellow and pink
copies will be sent to the clinic for enclosure in contract billings.
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3. Health records will be stored off-season at the FENWC office. If students are returning,
FENWC will assure that the health team receives the old health record.
immunizations/PPD Testing:
1. CMHP will obtain vaccine and PPD testing material for all sites contracting with local clinics
or county health departments.
Sub-Contracting:
The Health program may sub-contract salaries and stipends of the health professionals and students it
employs, and health care dollars for health services delivered, to the UCHSC Schools of Nursing and
Dentistry and Migrant Health Centers in areas of coordinated services (Sunrise Clinic and Salud
Clinic.)
Concurrence:
7I s(�
FE C 7� Date /
Tere Keller Amaya, Director
0 i
t-/4A4 /H - Sz ar .- ntW 7//A9V
CMHP / Date
Don Horton, Director
TS:ct
C:\DOCS\TERRI\MOU94;6/23/94
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940657
404; mtmoRnnDun.ucc . ;Y
Board of County Commissioners
To Constance County
L. Harbert, Chairpeq 3ai�t,",I:_J ty ii, 11.2974
COLORADO From Walter J. Speckman, Executive DirectdiLENman Services W�-
TJ TIEL:
sob)ece:Purchase of Services Agreement between FENWC and
Migrant Health
Enclosed for Board approval is a Purchase of Service Agreement between the Family
Educational Network of Weld County (FENWC) and the Colorado Department of
Health's Migrant Health Program (Health Program) .
FENWC agrees to reimburse the Health Program a maximum of $125,321.00. The
Health Program will submit a bill for services to FENWC no later than November
15, 1994.
The term of this Agreement is from June 1, 1994 through October 10, 1994.
If you have any questions, please call Tere Keller-Amaya at 353-3800.
940657
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