HomeMy WebLinkAbout962108.tiff RESOLUTION
RE: APPROVE PURCHASE OF SERVICES AGREEMENT FOR PRENATAL AND FAMILY
PLANNING SERVICES BETWEEN HEALTH DEPARTMENT AND MONFORT, INC.,
AND AUTHORIZE CHAIR 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 for
prenatal and family planning services between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the Weld County
Health Department, and Monfort, Inc., commencing June 1, 1996, and ending May 31, 1997,
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 for prenatal and family
planning services between the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County, on behalf of the Weld County Health Department, and
Monfort, Inc., be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair 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 25th day of November, A.D., 1996, nunc pro tunc June 1, 1996.
BOARD OF COUNTY COMMISSIONERS
WEED COUNTY, COLORADO
,V� ,• i� L4/1&d47 _ ; ,/tu. zip L% 4, f .E_/7c., 7 L
r FxCIISFn nATF OF SinNINC;' (AYF1
.i i' t�t~�.j, =� Barbar J. Kirkmeyer, Chair
�' ��el'',u ty Clerk to the Board 7
®U 1 M tili ne Ser, prnTem
Deputy CIe6(to the Board FxCI iSFn
Dale K. Hall
APP
( AS TO Cori ispnConstance
��Jp L. Harbert�/Q � �p�
Attorney T,�/l _ 0./��P��� U
ty Attorne
W. H. Webster
962108
de : /7/L) Mar, r . HL0022
PURCHASE OF SERVICES AGREEMENT 7/
Sr-
THIS AGREEMENT is made and entered into this d day of , 1996
by and between the County of Weld, State of Colorado, by and through oard of County
Commissioners of Weld County, hereinafter referred to as "Weld County," on behalf of the Weld
County Health Department, hereinafter referred to as "Health Department," and Monfort, Inc.,
hereinafter referred to as "Contractor."
WITNESSETH
WHEREAS, Contractor desires to offer prenatal and family planning services as mutually
agreed upon, to Monfort, Inc. employees and dependents covered under Monfort comprehensive health
plan; and
WHEREAS, Contractor desires to purchase such services from Health Department; and
WHEREAS, Health Department desires to provide such services; and
WHEREAS, the parties desire to reduce the terms of their agreement to writing.
NOW, THEREFORE, for and in consideration of the covenants, conditions, agreements, and
stipulations hereinafter expressed, the parties do hereby agree as follows:
1. Term of Agreement
This agreement shall be effective from the date of its signing, nunc pro tunc June 1,
1996, through May 31, 1997, and may be renewed each year thereafter by written
agreement between the parties, subject to the provisions of Paragraph 8 of this
agreement.
2. Compensation
A. Prenatal
In consideration of prenatal care services to be provided by Health Department,
Contractor agrees to pay Health Department $1386.00 per client per course of
routine pregnancy for bundled prenatal care services (Attachment A). Any
additional medically necessary expenses incurred outside of the services listed in
Attachment A will be reflected on the periodic billing statement.
B. Family Planning Services
In consideration of the family planning services to be provided by Health
Department, Contractor agrees to pay Health Department $118.67 per client for
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bundled family planning services (Attachment B). Expenses for client birth
control methods will be billed separately on the periodic billing statement.
C. Health Department will submit an invoice, for Family Planning Services and
Prenatal Services on a form set forth in Attachment C, to Contractor at the end
of each month services are provided and the expense incurred. Contractor
agrees to reimburse Health Department within 30 days after submission of the
invoice.
3. Services
A. Staff Qualifications
The nurses and nurse practitioner provided by Health Department shall meet or
exceed all of the qualifications and requirements of Colorado law. The health
care services will be provided pursuant to this Agreement by a nurse practitioner
in consultation with a physician.
B. Services To Be Provided
During the term of this Agreement, Health Department agrees to provide
prenatal, postpartum, and family planning services in accordance with the
schedule of services set forth in Attachment A including education and
counseling , in accordance with the "Prenatal Care Guidelines" provided by the
Colorado Department of Health. This program does not include the cost of the
following: off-site laboratory testing; non-stress tests; ultrasound; other
evaluation or testing done by an agency other than the Health Department;
emergency room visits; hospitalizations; delivery costs; referral for consultation
or complications; abnormal pap follow-up; sick child care to the newborn; or
expenses not otherwise listed in Attachments A and B.
These items as well as any other care provided to the client outside the Health
Department will be billed by that agency to the client's insurance.
Health Department will coordinate care between medical providers and the local
health agency, including assistance in securing delivery services and referrals
and assistance in seeking infant health care.
Health Department will provide appropriate equipment and materials in order to
adequately provide the above set forth services. Health Department will make
some services available in the evening hours to be set at the convenience of
Health Department and will provide Spanish-speaking staff during normal clinic
hours.
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962198
4. To Whom Services Are To Be Provided
Health Department and Contractor assure compliance with Title VI of the Civil Rights
Act of 1964, that no person shall, on the grounds of race, color, sex, religion, age,
national origin, or individual handicap, be excluded from participation in, be denied the
benefits of, or be subject to discrimination under any provision of this Agreement.
Health Department will not charge a fee to the qualified program participants for any of
the covered services.
Health Department agrees to provide services to all program participants and employees
in a smoke-free environment. Smoking may not be permitted in waiting areas,
examination rooms, formal education sessions, therapy, or similar services.
Designated smoking areas may be established for staff, program participants, family
members, and visitors.
5. Parties' Relationship
The parties to this Agreement intend that the relationship between them contemplated
by this Agreement is that of independent entities working in mutual cooperation. No
employee, agent, or servant of one party shall be or shall be deemed to be an employee,
agent, or servant of another party to this Agreement.
6. Limitations-Liabilities-Indemnification
Each party shall not be responsible or liable for acts or omissions or failure to act by the
other party. Accordingly, to the extent permitted by law, Health Department agrees to
indemnify and hold Contractor harmless from any and all liability incurred by acts or
omissions or failures to act by Health Department and, likewise, Contractor agrees to
indemnify and hold Health Department harmless from any and all liability incurred by
acts or omissions or failures to act by Contractor. Because Health Department is a
department of Weld County Government, Contractor acknowledges that its agreement
to indemnify and hold harmless Health Department extends to Weld County, its
employees, agents, subcontractors, and assignees. The term "liability" includes, but is
not limited to, any and all claims, damages, and court awards, including costs, expenses,
and attorney fees incurred as a result of any act or omission by the applicable party who
acted or failed to act. Not withstanding the provisions of this section 6, nothing in this
agreement is intended to be waived by Weld County of government immunity rights
pursuant to Colorado law and statute.
7. Non-Assignment
This Agreement shall not be assignable without prior written consent of Health
Department or Contractor, whichever is the non-assigning party.
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962198
8. Termination
Either party may terminate this Agreement for cause upon ten(10) days written notice
and for any reason so long as thirty (30) days written notice of its intent to so terminate
is given to the other party. If this Agreement is so terminated, Health Department shall
receive that compensation which duly reflects the actual amount not previously
reimbursed for which Health Department provided services pursuant to this Agreement.
9. Notices
Any notice provided for in this Agreement shall be in writing and shall be served by
personal delivery or by certified mail, return receipt requested, postage prepaid, at the
addresses set forth in this Agreement, until such time as written notice of any change is
received from the party wishing to make a change of address. Any notices so mailed
and any notice served by personal delivery shall be deemed delivered and effective upon
receipt or upon attempted delivery. This method of notification will be used in all
instances, except for emergency situations when immediate notification to the parties is
required.
HEALTH DEPARTMENT:
Weld County Department of Health
c/o Judy Nero
1517 16th Avenue Court
Greeley, Colorado 80631
CONTRACTOR:
Monfort, Inc.
Department of Risk Management
Lucille Gallagher, Vice President
PO Box G
Greeley, Colorado 80632
10. Modification
This Agreement contains the entire agreement of understanding between the parties to
this Agreement and supersedes any other agreements concerning the subject matter or
this transaction, whether oral or written. No modification, amendment, novation,
renewal, or other alteration of or to this Agreement and the attached exhibits shall be
deemed valid or of any force or effect whatsoever, unless mutually agreed upon in
writing by the undersigned parties. No breach of any term, provision, or clause of this
Agreement shall be deemed waived or excused, unless such waiver or consent shall be
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962108
in writing and signed by the party claimed to have waived or consented. Any consent
by any party hereto, or waiver of, a breach by any other party, whether express or
implies, shall not constitute a consent to, waiver of, or excuse for any other different or
subsequent breach.
11. Other Laws and Regulations Incorporated
This Agreement is expressly made subject to all laws and regulations of the United
States and the State of Colorado. Contractual provisions required by such laws and
regulations but not having been set out herein are hereby incorporated by this reference
as though expressly set out in full. All parties to this Agreement are hereby put on
notice and charged with the responsibility of compliance with such contract provisions
as required by law.
12. Severability
If any term or condition of this Agreement shall be held to be invalid, illegal, or
unenforceable, this Agreement shall be construed and enforced without such a
provision, to the extent this Agreement is then capable of execution within the original
intent of the parties.
13. Funding
No portion of this Agreement shall be deemed to create an obligation on the part of the
County of Weld, State of Colorado, or Health Department to expend funds not
otherwise appropriated during the term of this Agreement. No portion of this
Agreement shall be deemed to create an obligation on Contractor to expend funds not
otherwise appropriated during the term of this Agreement.
Dollar amounts and numbers of program participants for the contract year are subject to
change based on differences between estimated and actual amounts. When a
modification of the dollar amount or the number of program participants or both is
necessary, Health Department will so notify Contractor. Contractor will confirm the
modification in accordance with the form attached hereto as Attachment D.
14. Records
Each party agrees to keep any and all records and information confidential, in
compliance with all laws and regulations concerning the confidentiality of such records.
Health Department shall be responsible for maintaining program participant records.
Information concerning eligibility and participation for any program participants who
may be participating under this Agreement shall be released to Contractor only after a
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signed release has been obtained from the participant and presented to Health
Department. Information regarding care received will be released only on a need-to-
know basis and only after a signed release from the relevant participant has been
presented to the Health Department.
15. Inurement
This Agreement shall inure to the benefit of the heirs, assigns, and successors in interest
of the parties hereto.
16. No Third Party Beneficiary Enforcement
It is expressly understood and agreed that enforcement of the terms and conditions of
this Agreement, and all rights of action relating to such enforcement, shall be strictly
reserved to the undersigned parties and nothing contained in this Agreement shall give
or allow any claim or right of action whatsoever by any other person not included in this
Agreement. It is the express intention of the undersigned parties that any entity, other
than the undersigned parties, receiving services or benefits under this Agreement, shall
be deemed an incidental beneficiary only.
J N WITNESS WHEREOF, the parties have hereunto set their hand and seals this /1 day
ofJ// ' , 1996, nunc pro tunc June 1, 1996.
WELD COUNTY HEALTH DEPARTMENT MONFORT,
INC.
Pickle, R.S., M.S.E.H. Lucille Gallagher
Director Vice President
/ 9, 9/6,
t Date
BOARD OF COUNTY COMMISSIONERS
i^e= = 1 �" �l Mat WELD COUNTY, COLORADO
THE BOARD
•
Deputy Cle/ to the Board Barbara J. Kirkmeyer, Chair 1
ATTEC T: :G F^ C n IRO OF COUNT(. 1/-- �(5 9l0
CGoe::.` ; d L:GIATURES ONLY
Date
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962198
Attachment A
Monfort Purchase of Services Agreement-Prenatal Services
Prenatal Program/Staffing Plan-Initial Visit
Total No.Visits
Discipline Hourly Rate Hours/Client Expense x 1
Nurse Practitioner 23.90 1.50 35.85
Registered Nurse 16.51 2.00 33.02
Office Technician/Health Aide 10.43 0.50 5.22
Physician 65.00 0.00 0.00
Subtotal-Initial Visit 115.84 4.00 74.08 74.08
Prenatal Program I Staffing Plan-Routine Visit
Total
Discipline Hourly Rate Hours/Client Expense X 14
Nurse Practitioner 23.90 0.33 7.89 110.42
Registered Nurse 16.51 0.33 5.45 76.28
Office Technician/Health Aide 10.43 0.25 2.61 36.51
Health Educator/Nutritionist 13.75 0.00 0.00 0.00
Physician 65.00 2.00 130.00 130.00 (x2)
Subtotal-Routine Visit 129.59 2.91 145.94 353.20
Subtotal-Staffing Plan - 427.28,
Case Management 13.56 1 13.56
•
Case Management-Travel 20 x.27 5.40
(WCHD will provide assurance that case management services are not duplicated through the First Steps Program)
Subtotal-Other Staffing 18.96
Total-Staffing Plan -- 446.24
Clinic and Laboratory Expense/Fees
Consumable Clinic Supplies: $8.00 /Client Visit X 14 112.00
Consumable Lab Supplies $8.00 /Client Visit X 14 112.00
Laboratory Fees $14.10 /Client Visit per schedule 248.84
Total Other Expense 472.84
Administrative Overhead Expense
(1) Program Supervisor 151.92
(2) Administrative Overhead per Delivery 189.00
(3) Fringe Benefits(18%total wages) 126.00
Total Cost per Client per Course of Routine Pregnancy 1386.00
•
962198
Attachment A
Monfort Purchase of Services Agreement-Prenatal Services
Schedule of Routine Clinical Procedures -Prenatal
Total Total
Cost Inital Visit Routine Visit Frequency Cost
Pregnancy Test 14.75 14.75 1 14.75
Hemaglobin 8.50 8.50 8.50 2 17.00
Urine Analysis(Dipstick 1.00 1.00 18 18.00
Urine Culture 10.30 10.30 1 10.30
* Pap Smear 9.00 9.00 1 9.00
Chlamydia 7.50 7.50 1 7.50
PPD 5.00 5.00 1 5.00
* Prenatal Blood Panel 38.25 38.25 1 38.25
* HIV(Optional) 51.00 51.00 1 51.00
* Multiple Marker 47.00 47.00 1 47.00
* One Hour Glucose 8.50 8.50 1 8.50
* Wet Prep 10.00 10.00 1 10.00
Vitamins 2.51 2.51 3 7.53
Iron Fortified 1.67 1.67 3 5.01
Total ***** 159.48 64 248.84
* Outside Laboratory
Multiple Marker- performed between 16 and 18 weeks
One Hour Glucose-performed between 24 and 26 weeks
Hemaglobin- performed on initial visit and repeated between 28 and 32 weeks
962199
Attachment B
Monfort Purchase of Services Agreement-Family Planning Services
Family Planning Program/Staffing Plan-Initial Visit
Total
Discipline Hourly Rate Hours/Client Expense
Nurse Practitioner 23.90 0.45 10.76
Registered Nurse 16.51 1.00 16.51 _
Office Techician/Health Aide 10.43 0.45 4.69
Subtotal-Initial Visit ""' 1.90 $31.96
Fringe Benefits(18%) 5.75
Total Wages&Benefits $37.71
Family Planning Program I Staffing Plan-Routine Visit
Total
Discipline Hourly Rate Hours/Client Expense
Registered Nurse 16.51 0.45 7.43
Office Technician/Health Aide 10.43 0.30 3.13
Subtotal-Routine Visit """ 0.75 $10.56
Fringe Benefits(18%) 1.90
Total Wages&Benefits $12.46
Clinic and Laboratory Expense I Fees
Consumable Clinic Supplies: $8.00 /Client Visit 8.00
Consumable Lab Supplies $8.00 /Client Visit 8.00
Laboratory Fees $30.50 /Client Visit 30.5
Total Other Expense per Intial Visit $46.50
Total Direct Cost per Client per Year _. $50.17
Total Projected Clients - -- -- - - 150
Total Projected Direct Cost per Year -- - . $7,525.51
Administrative Overhead Expense
Total Per Client
Program Supervisor(.25 FTE) 9154.00 61.03
Administrative Overhead(14.9%of Direct Costs) 1121.30 7.48
Total Administrative Overhead Expense $10,275.30 $68.50
Project Summary:
Per Client Total
Total Direct Costs per Year 50.17 7525.51
Total Adminstrative Costs 68.50 10275.30
Total Costs 118.67 17800.81
*In addition to contraceptive charges dependent on method
962108
Attachment B
Monfort Purchase of Services Agreement-Family Planning Services
Schedule of Routine Clinical Procedures
Total Total
Cost Inital Visit Routine Visit Freauencv Cost
Pregnancy Test 14.75 14.75 1 14.75
Hemaglobin 8.50 8.50 8.50 2 -17.00
Urine Analysis(dipstick) 1.00 1.00 1 1.00
Urine Culture 10.30 10.30 1 10.30
Pap Smear 9.00 9.00 1 9.00
Gonorrhea 5.00 5.00 1 5.00
Chlamydia 7.50 7.50 1 7.50
Total Routine Clinical Procedures $64.55
* Frequency=estimated numberof procedures per year
Monfort Family Planning Contract Proposal
Contraceptive Method
Method Cost Frequency Total
Condoms 14.75 1.00 14.75
Diaphragm 10,00 1.00 10.00
Spermicidal Foam 6.00 1.00 6.00
Spermicidal Cream/Gel 8.00 1.00 8.00
Depo Provera 45.00 4.00 180.00
IUD 150.00 1.00 150.00
Spermicidal Inserts 7.00 1.00 7.00
Oral Contraceptives 10.00 13.00 130.00
* Norplant Insert 400.00 1.00 400.00
* Norplant Removal 100.00 1.00 100.00
* Norplant Inserts are for Five Year Periods
* Frequency= number of clinic visits per year
96ti1f'8
mEmoRAnDum
Barbara Kirkmeyer, Chair
To Board of County Commissioners Date November 21, 1996
COLORADO
From John Pickle, Director, Health Department 1 Yea,,12c.
Subject: Purchase of Services Agreement with Monfort, I c.
Enclosed for Board approval is a purchase of services agreement between Weld County Health
Department (WCHD) and Monfort, Inc. for the time period June 1, 1996 through May 31, 1997.
Under the conditions of this agreement, WCHD will provide prenatal and family planning
services to Monfort, Inc. employees and their dependents covered under the company's
comprehensive health plan. Prenatal and post-partum services will be provided by the Health
Department at a cost of$1,386 per client per course of routine pregnancy for bundled prenatal
care services. The Health Department will assist the clients in securing delivery services and
referrals for infant health care.
Family planning services will be provided at a cost of$118.67 per client per year. Birth control
supplies will be billed in addition to this yearly cost.
I recommend your approval of this agreement.
Enclosure
962108
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