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Home My WebLink About20241635.tiffRESOLUTION RE: APPROVE PROGRAM LETTER OF AGREEMENT FOR FAMILY MEDICINE RESIDENCY AND AUTHORIZE CHAIR TO SIGN - BANNER HEALTH, DBA BANNER NORTH COLORADO MEDICAL CENTER 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 Program Letter of Agreement for a Family Medicine Residency between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment / Board of Public Health, and Banner Health, dba Banner North Colorado Medical Center, commencing upon full execution of signatures, with further terms and conditions being as stated in said letter of agreement, and WHEREAS, after review, the Board deems it advisable to approve said letter of 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 Program Letter of Agreement for the Family Medicine Residency between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment / Board of Public Health, and Banner Health, dba Banner North Colorado Medical Center, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair and Laura Leuhr, Board of Public Health, be, and hereby are, authorized to sign said letter of agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 19th day of June, A.D., 2024. BOARD OF COUNTY COMMISSIONERS WELD COUNT ATTEST:.isJ Weld County Clerk to the Board BY: •I.VOpn u) � ck_ Deputy Clerk to the Board Date of signature: Ke D. Ross, Chair C. ogpiazii 2024-1635 HL0057 Comm a a4-- I t± 347 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Banner Health - Northern Colorado Family Medicine Residency Program DEPARTMENT: PUBLIC HEALTH AND ENVIRONMENT DATE: May 31, 2024 PERSON REQUESTING: Jason Chessher, Executive Director Shaun May, Public Health Services Division Director Brief description of the problem/issue: The Northern Colorado Family Medicine Residency program, operated by Banner Health, provides training for physicians planning to practice full -spectrum family medicine. As part of their Family Medicine residency program, NCFM would like to partner with WCDPHE to offer to NCFM post -graduate 1g', 2"d, and 3rd year residents a 6 -week rotation working with Dr. Laura Leuhr, M.D. in our clinic. Specifically, the residents will be learning and gaining valuable experience from Dr. Leuhr about colposcopy and other GYN-related procedures. This Program Letter of Agreement will be for a term of 5 years. What options exist for the Board? If the Board chooses to approve this agreement, it will provide valuable experience and training for NCFM residents to learn about colposcopy and other GYN-related skills in a patient -centered rotation. This experience and training will help provide more local opportunities for NCFM medical residents to practice and hone their skills under experienced instructors. If the Board chooses to decline this agreement, the WCDPHE will not participate in the NCFM residency program. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): This is a no cost agreement. Recommendation: I recommend approval to place this Program Letter of Agreement on a future Board agenda for consideration. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L. Buck, Pro-Tem Mike Freeman Scott K. James Kevin D. Ross , Chair Lori Saine ?J' 2024-1635 HL,VV51` DocuSign Envelope ID: 4C72D0D1-6940-4603-9627-COEBC20C4046 PROGRAM LETTER OF AGREEMENT (Family Medicine) This Program Letter of Agreement (this "PLA") is entered into as of the later of the signature dates set forth below (the "Effective Date") by and between Banner Health d/b/a Banner North Colorado Medical Center, an Arizona nonprofit corporation ("Home Institution") and the Board of County Commissioners of Weld County, Colorado, on behalf of the Weld County Board of Health, Weld County, Colorado ("Host Institution"). RECITALS: A. Home Institution conducts a residency training program in the specialty of Family Medicine (the "Program"). B. Home Institution desires access to Host Institution's facilities where its Program residents in training (the "Residents") can obtain clinical learning experiences in the specialty of Calposcopy through the application of knowledge and skills in actual patient -centered situations (each, a "Rotation," and, collectively, the "Rotations"). C. Home Institution and Host Institution agree that it is to their mutual benefit to have the Residents rotate with Host Institution. D. The parties acknowledge that they are currently parties to that certain Agreement for Physician Services dated effective as of September 20, 1995, as amended by that certain Amendment to the Agreement for Physician Services dated effective as of February 21, 2001 (as amended, the "Original Agreement"), pursuant to which Home Institution agreed to provide Host Institution with physician and substitute medical consultant services and Host Institution agreed to provide clinical training sites for Residents employed by Home Institution. E. Home Institution and Host Institution acknowledge and agree that, as of the Effective Date, this PLA will terminate, supersede, and replace the Original Agreement. AGREEMENT: 1. Term and Termination. This PLA is effective beginning on the Effective Date and will continue for a term of 5 years. This PLA may be terminated by either party at any time upon 30 days' written notice to the other party. 2. Rotation Description and Length. Each Rotation will be for a combined total of 6 weeks (2 weeks and 4 weeks) and will be open to the following PGY level(s): 1, 2, and 3. The goals and objectives for each Rotation are attached hereto as Exhibit A and incorporated herein by reference. Home Institution will provide the Host Institution with a list of proposed Residents prior to each Rotation. Rotations will take place at the following location(s): Weld County Health Department 1555 N. 17th Ave. SRF / Y:\BCC_3\SHSLegal\CONTRACTS\Independent Agreements\0314 NCMC\Affiliation Agmts\PLA,Weld County Health Dept 1 oeopz J(,3 DocuSign Envelope ID: 4C72D0D1-6D40-4803-9627-COEBC20C4046 Greeley, CO 80631 3. Persons Responsible for Education and Supervision. At Home Institution: Dr. Asa Ware 1600 23' Ave Greeley, CO 80634 970-810-2424 asa.ware@bannerhealth.com At Host Institution: Shaun May 1555 N. 17th Ave. Greeley, CO 80631 806-900-2309 smay@weld.gov Site Director may assign additional supervising faculty as needed (collectively, "Host Faculty"). The Site Director and Host Faculty are responsible for the education and supervision of the Residents while at Host Institution. The Program Director, the Site Director and the Host Faculty are responsible for the day- to-day activities of the Residents to ensure that the outlined goals and objectives are met during the course of each Rotation. The Home Institution is responsible for the quality of the Residents' educational experience and retains authority over the Residents' activities while on rotation at Host Institution. Any problems that may arise during day-to-day activities of a Resident should be brought to the attention of the Program Director. 4. Responsibilities of Host Institution. a. The Site Director and Host Faculty will provide appropriate supervision and experience for the Residents in patient care activities and maintain a learning environment conducive to educating the Residents in the Accreditation Council of Graduate Medical Education ("ACGME") competency areas. Host Institution will ensure that all Rotations are carried out in accordance with ACGME rules and regulations. b. The Site Director and/or Host Faculty must evaluate Resident performance in a timely manner upon completion of a Rotation and submit the evaluation to Home Institution. c. Upon report of a Resident's exposure to an infectious agent or hazardous material (e.g., needle stick, inhalation, mucus membrane or skin exposure to blood or body fluids or airborne contaminants), the Host Institution will take all medically reasonable steps necessary to address the exposure, mitigate harm, and facilitate appropriate medical treatment for the Resident. The Host Institution will immediately make available to the affected Resident a copy of all records of such treatment and follow up if available and applicable. Upon request by the Home SRF / YABCC_3\SHSLegal\CONTRACTS\Independent Agreements\0314 NCMC\Affiliation Agmts\PLA,Weld County Health Dept 2 DocuSign Envelope ID: 4C72D0D1-6D40-4B03-9627-00EBC20C4046 institution or the Resident, the Host Institution will provide copies of all incident reports documenting the circumstances of the exposure, unless protected as a medical review and/or peer review record under applicable state and/or federal law. The Host Institution will not be responsible for any post -exposure testing and further prophylactic drug treatment. 5. Policies and Procedures that Govern Resident Education. a. Residents will be under the general direction of the Home Institution's Graduate Medical Education Committee's and Program's Policy and Procedure Manual, as well as Host Institution's policies for house staff activities while at Host Institution. b. Home Institution acknowledges and agrees that Residents participating in a Rotation are not entitled to receive compensation, directly or indirectly, from Host Institution, patients or payors for any services provided while on rotation at Host Institution. c. If and to the extent permitted by Health Insurance Portability and Accountability Act ("HIPAA"), Home Institution will have reasonable access during and after the term of this PLA to the medical records of the Host Institution relating to any claim brought against a Resident during the time of the Resident's Rotation. 6. HIPAA. Home Institution will direct all Residents to comply with the policies and procedures of Host Institution, including those governing the use and disclosure of individually identifiable health information under federal law, specifically 45 CFR parts 160 and 164. Solely for the purpose of defining the Residents' role in relation to the use and disclosure of Host Institution's protected health information, the Residents are defined as members of Host Institution's workforce, as that term is defined by 45 CFR 160.103. when engaged in activities pursuant to this Agreement, and no Business Associate Agreement is required between the parties. However, the Residents are not and will not be considered to be employees of Host Institution. APPROVED: Banner Health Banner North Colorado Medical Center Board of County Commissioners of Weld County, Colorado, on behalf of the Weld County Board of Health By: QSa r By:(/aura (Ada() (it.V. Asa Ware, M.D. Laura Leuhr, M.D. Program Director Site Director Signature Date: June 19, 2024 I 1:01 PM MST Signature Date: June 19, 2024 I 11:52 AM MST SRF / YABCC_3\SHSLega1CONTRACTS\Independent Agreements\0314 NCMC\Affiliation Agmts\PLA,Weld County Health Dept 3 DocuSign Envelope ID: 4C72D0D1-6D40-4B03-9627-00EBC20C4046 By: QLat , 6itaaS By:kvttn, Koss Alan Qualls Chief Executive Officer Kevin Ross Chair, Weld County Board of County Commissioners Signature Date: June 21, 2024 17:28'AM MST Signature Date: June 19, 2024 I 12:08 PM MST • SRF / Y.CC_MSHSLegal\CONTRACTS\Independent Agreements \0314 NCMC\Affiliation Agmts\PLAs\Weld County Health Dept 4 DocuSign Envelope ID: 4C72D0D1-6D40-4B03-9627-00EBC20C4046 Exhibit A Rotation Goals and Objectives: The resident will gain some experience with skills during their Colposcopy rotation including but not limited to cervical cytology, vulvar and vaginal biopsy, wide local excision of vulvar lesions for diagnosis and treatment, cervical polypectomy, endocervical curettage, and endometrial biopsy. The resident will have an understanding of: • The principles of colposcopy, including its limitations and the indications for referral for colposcopic assessment • How to identify the colposcopic features of dysplasia of the lower genital tract • The pathology relative to the cytology and the histology of dysplasia The resident should demonstrate the ability to: • Elicit the trust and cooperation of the female needing colposcopy • Explain clearly the risk, benefits of all potential management strategies • Use appropriate communication skills when interacting with clinic administrative staff and other members of the multidisciplinary health care team. The resident may also gain experience with other GYN procedures that could include but are not limited to: LARCs (IUD, Nexplanon placement/removals), Pap smears, endometrial biopsy. SRF / Y:.CC_3\SHSLegal\CONTRACTS\Independent Agreements\0314 NCMC\Affiliation Agmts\PLA,Weld County Health Dept 5 ct F Entity Information Entity Name * BANNER HEALTH Entity ID* @00013111 o New Entity? Contract Name* Contract ID NORTHERN COLORADO FAMILY MEDICINE RESIDENCY 8347 AGREEMENT Contract Status CTB REVIEW Contract Lead * BFRITZ Contract Lead Email bfritz@weld.gov;Health- Contracts@weld.gov Contract Description * NORTHERN COLORADO FAMILY MEDICINE RESIDENCY AGREEMENT Contract Description 2 Contract Type* AGREEMENT Amount* $0.00 Renewable* NO Automatic Renewal Grant IGA Department HEALTH Department Email CM-Health@weldgov.com Department Head Email CM-Health- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL DGOV.COM If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Parent Contract ID Requires Board Approval YES Department Project # Requested BOCC Agenda Due Date Date* 06/13/2024 06/17/2024 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Termination Notice Period Contact Information Review Date * 04/17/2029 Committed Delivery Date Renewal Date Expiration Date* 06/17/2029 Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head Finance Approver Legal Counsel JASON CHESSHER CHERYL PATTELLI BRUCE BARKER DH Approved Date Finance Approved Date Legal Counsel Approved Date 06/12/2024 06/14/2024 06/14/2024 Final Approval BOCC Approved Tyler Ref # AG 061924 BOCC Signed Date Originator BFRITZ BOCC Agenda Date 06/19/2024 Hello