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HomeMy WebLinkAbout20181096.tiffRESOLUTION RE: APPROVE SERVICES AGREEMENT FOR ZIKA ULTRASOUNDS AND AUTHORIZE CHAIR TO SIGN - BANNER HEALTH, DBA 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 Services Agreement for Zika Ultrasounds 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, and Banner Health, dba North Colorado Medical Center, commencing upon full execution of signatures, 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 Services Agreement for Zika Ultrasounds 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, and Banner Health, dba North Colorado Medical Center, 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 4th day of April, A.D., 2018. BOARD OF COUNTY COMMISSIONERS WELD≤OUNTY, COLORADO ATTEST: dia4,,,v�...aC,lso•t�. Weld County Clerk to the Board BY: Deputy Clerk to the Steve Moreno, Chair 1ti rbara Kirkmeye, Pro -Ter / Sean P. Conway APPR• ED XCUSED Attorney Julie A. Cozad Mike Freeman Date of signature: D4-/2-1.9 �c HL C TG,) 4 -0? -6 -/ f 2018-1096 HL0050 EvtAiYard )-1W,2_ Memorandum TO: Julie A. Cozad, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE: March 27, 2018 SUBJECT: Banner Health/North Colorado Medical Center (Banner/NCMC) 2IKA Ultrasounds Contract Enclosed for the Board's approval is a contract between Banner Health/North Colorado Medical Center (Banner/NCMC) and the County of Weld, by and through the Board of Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment (WCDPHE). The Health Department is requesting approval to enter into a contract with Banner/NCMC to provide the technical component of diagnostic imaging/radiology services (the taking of x-rays or ultrasounds) for Weld County Prenatal -Sunrise patients referred to Banner/NCMC by the Health Department. Specific services will include ultrasound imaging for pregnant mothers, if patient screening indicates this critical need, that will specifically look for clinical signs that may indicate exposure to the Zika virus. The term of this agreement shall begin on the date this contract is fully executed by both parties, and continue for one year, and upon mutual written agreement, may be extended for additional one-year terms. The Weld County Prenatal -Sunrise program is a thriving clinical program that assists Weld County pregnant mothers with low-cost prenatal care. Each year as the winter and spring break travel seasons begin, we see an increase in international travel to warm climates where the Zika virus is still a legitimate threat to women and men of reproductive age. Our Weld County citizens that travel to those countries affected by the Zika virus are at risk of contracting the virus which can cause pregnancy loss or a life -threatening condition called microcephaly and brain damage in babies. This contract amendment was approved for placement of the Board's agenda via pass -around dated January 15, 2018. I recommend approval of this contract with Banner Health/North Colorado Medical Center. 2018-1096 yW DocuSign Envelope ID: 131E8A14-OF89-43BA-B417-681231D5613A SERVICES AGREEMENT Banner Health Provided Services (Banner Health Contract Number 0314 03 59276) This Services Agreement (the "Agreement") is entered into effective as of the last date of signature ("Commencement Date") by and between County of Weld, State of Colorado, by and through the Board of Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment ("WCDPHE") and Banner Health, an Arizona nonprofit corporation dba North Colorado Medical Center ("Banner") (collectively the "Parties" and individually the "Party"). Recitals: A. Banner is in the business of providing the services described in Exhibit A (the "Services"), and WCDPHE desires to engage Banner to provide the Services. THEREFORE, in consideration of the mutual covenants contained herein it is agreed to by the Parties: Agreement: 1. Services and Rates. Banner will provide the Services described in, and at the rates or other compensation set forth in Exhibit A, attached hereto and incorporated herein. Banner shall devote commercially reasonable efforts and resources, and shall apply the requisite expertise and skill in carrying out the Services. 2. Term and Termination. The term of this Agreement shall begin on the Commencement Date and shall continue for one (1) year. The term may be extended upon mutual written agreement of the Parties. This Agreement may be terminated by either Party at any time without cause by giving the other Party at least thirty (30) days prior written notice. 3. Governing Law. This Agreement shall be governed by the internal substantive law of the state in which the services are performed, without regard for conflicts of laws. 4. Compliance with Applicable Third -Party Standards. Each Party shall comply with all third -party standards applicable to the Services, as such standards may be amended from time to time, including, but not limited to: (i) the standards of the Joint Commission and other accreditation agencies, (ii) the standards, rulings and regulations of any federal, state and local governmental agency, corporate entity or individual having authority to administer, regulate, or otherwise set standards for healthcare facilities, and (iii) third party payor standards and requirements. If any of the Services provided under this Agreement are services which WCDPHE may, directly or indirectly, obtain compensation or reimbursement from any governmental health program (e.g. Medicare, Medicaid, Arizona Health Care Cost Containment System (AHCCCS), or TRICARE), Banner shall comply with all government requirements, and shall assist WCDPHE in completing documents as reasonably necessary to evidence the performance of the Services and to enable WCDPHE to obtain any reimbursement which WCDPHE is entitled to receive for the Services. 5. Change in Law; Regulatory Termination. If any law, regulation or rule is enacted or modified or there is any substantial change in the judicial or administrative interpretation of an existing law, regulation or rule, in either case in a manner that materially and adversely affects a Party's ability to perform under this Agreement or to realize the intended benefits of this Agreement, or if any governmental entity determines that this Agreement is illegal or jeopardizes Banner's tax exempt status, then either Party may, in lieu of giving a notice of termination, give written notice of such event to the other Party and the Parties shall thereafter use their best efforts to modify this Agreement in a manner that mitigates the effect of the change or removes the illegality or jeopardy to tax exempt status. If no modification can be agreed upon by the Parties within a reasonable period following the notice (not to exceed thirty DavidB ixbyEditedand Approved 1.18.16 Weld -0314 03 59276 (112917).docx By: P O'Donnell Page 1 of 7 Confidential 1 o�/t-/°?� 6) DocuSign Envelope ID: 131E8A14-0F89-43BA-8417-681231D5613A (30) days), then either Party, in its discretion, may terminate this Agreement immediately by written notice to the other Party. 6. No Federal Exclusion. Each Party represents and warrants that neither it nor its employees, directors, officers, equity owners, and agents under this Agreement are excluded from participation or are otherwise ineligible to participate in a "federal health care program" (as defined in 42 U.S.C. §1320a-7b(f)) or in any other government payment program. Each Party will routinely assess the status of its employees, directors, equity owners and agents as required by the US Department of Health and Human Services and shall notify the excluded Party in writing within three (3) days (i) following discovery of any debarment, exclusion, suspension or other event that makes the excluded Party ineligible to participate in the federal health care programs or in federal procurement or non -procurement programs; or (ii) after the excluded Party or any of its employees, directors, officers, equity owners or agents has been convicted of a criminal offense that falls within the ambit of 42 U.S.C. § 1320a -7(a), even if they have not yet been excluded, debarred, suspended or otherwise declared ineligible. Upon the occurrence of such exclusion, debarment or conviction, whether or not notice is given, the other Party may immediately terminate this Agreement. The excluded Party will be responsible for any and all expenses incurred by the other Party as a result of the excluded Party's failure to screen or to notify the other Party of any such occurrence. The excluded Party will also be responsible for any and all related expenses directly or indirectly caused by the failure to identify excluded individuals, including reimbursement of the other Party for any amounts the other Party is required to repay to any federal health care program because of the involvement of any excluded individual in the provision of the Services. 7. Compliance with Employment Law. Banner is a federal contractor, and as such, is obligated to comply with federal, state, and local requirements governing immigration, equal employment, and affirmative action including 42 U.S.C. Sec. 2000(e) et seq., the Civil Rights Act of 1964, the Civil Rights Act of 1991, § 503 of the Rehabilitation Act, 29 U.S.C. § 793, the Vietnam Era Veterans Readjustment Assistance Act, 38 U.S.C. § 4212, as amended, Executive Order 11246 of September 24, 1965, and Executive Order 13496 of January 30, 2009. Each Party may be obligated to comply with certain employment requirements. Specifically, where applicable, the Parties and any subcontractor(s) shall abide by the requirements of 41 C.F.R § 60-300.5(a) and 41 C.F.R § 60-741.5(a) which prohibit the discrimination against qualified protected veterans and qualified individuals on the basis of disability. 8. Mutual Indemnification. To the extent permitted by law, each Party shall indemnify, defend, and save harmless the other for, from and against all actions, liabilities, losses, damages, claims and demands whatsoever, including costs, expenses and attorneys' fees resulting from or claimed to have resulted from any intentional or negligent acts or omissions of the indemnifying party or its employees or agents engaged in the work under this Agreement at the time of the event or occurrence upon which such actions, claims or demands are based. Where both Banner and WCDPHE, including their respective employees or agents, participated in the liability causing event, each Party shall contribute to the common liability a pro rata share based upon its relative degree of fault. 9. Insurance. Each Party shall maintain insurance coverage during the term of this Agreement, of reasonably appropriate types and amounts, and shall provide upon request of the other Party, certificates of insurance evidencing such coverage(s). 10. Independent Contractor. Banner shall at all times be deemed to be an independent contractor of WCDPHE. Banner's employees shall not be regarded as employees or agents of WCDPHE for the payment of any employer taxes such as Federal Insurance Contributions Act (FICA), unemployment, and worker's compensation; WCDPHE shall not be responsible for such taxes or any fringe benefits for Banner's employees. Further, the employees of Banner shall not be regarded as employees of WCDPHE with respect to any intentional or negligent activity in which they may be involved or for any other purpose. 11. HIPAA. Each Party is required to comply with the Standards for Privacy of Individually Identifiable Information under the Health Insurance Portability and Accountability Act of 1996, as amended (HIPAA). Each Party warrants that if it receives Protected Health Information (PHI) it will ensure Services comply with privacy and security requirements imposed by HIPAA, the Health Information Technology for Economic and Clinical Health Act DavidB ixbyEditedandApproved I. 18 16 Weld -0314 03 59276 (112917).docx By: P O'Donnell Page 2 of 7 Confidential DocuSign Envelope ID: 131E8A14-0F89-43BA-B417-681231O5613A (HITECH), and with the other Party's compliance policies, and will, upon request, execute a Business Associate Agreement. 12. Retention and Inspection of Records. All records related to this arrangement shall be kept on file by each Party for a period of four (4) years from the date the record is made. Upon reasonable prior notice, the other Party shall give the requesting Party, or its authorized representative, the ability to inspect, examine, and audit, during normal business hours, the other Party's business records as are relevant to this Agreement. The cost of such inspection, examination, and audit shall be at the sole expense of the requesting Party, and such inspection, examination, and audit shall be conducted where the records are normally maintained. 13. Intellectual Property. Each Party represents and warrants that the Services do not infringe the intellectual property rights of any third party or cause the other Party to infringe the intellectual property rights of any third party. 14. Compliance Training. Banner has implemented a corporate compliance program to ensure compliance with federal, state, and local laws and regulations. WCDPHE shall either: (i) provide an attestation that is reasonably acceptable to Banner stating that WCDPHE has a compliance program that meets federal, state, and local requirements, will train the employees and agents involved in the Services (the "WCDPHE Personnel") through Banner's compliance program, and will provide materials as requested, including, but not limited to, a code of conduct, compliance policies, training modules, and training logs, to validate the representations made in the attestation; or (ii) require WCDPHE Personnel to attend Banner's Corporate Compliance Training. 15. Conflict of Interest. Each Party represents and warrants that, to the best of its knowledge, it is not aware of any information bearing on the existence of any actual or potential conflict of interest where any representing Party's employee or any physician who is a member of the medical staff of any representing Party's facility has a financial interest in the other Party or in the Services that (i) may compromise or bias the judgment or objectivity; (ii) appear to compromise that person's objectivity in the performance of his/her responsibilities in respect to this Agreement; or (iii) creates an excess benefit for such person. The representing Party agrees that if it identifies any such actual or potential conflict of interest then the representing Party will immediately make a full disclosure in writing to the other Party. Upon discovery of any such actual or potential conflict of interest after the execution of this Agreement, the other Party may terminate this Agreement immediately if it deems such termination necessary and appropriate. If the representing Party was aware of an actual or potential conflict of interest prior to the execution of this Agreement, or discovers an actual or potential conflict after execution and does not disclose it or misrepresents relevant information to the other Party, the other Party may terminate the contract for breach and may also pursue other remedies for breach • of contract. 16. No Inducement of Referrals. Except as expressly stated herein, this Agreement is not intended to induce either Party to refer patients to the other Party. 17. Assignment. This Agreement may not be assigned by either Party without the prior written consent of the other Party. If consent to an assignment is obtained, this Agreement will be binding on the successors and assigns of the Parties to this Agreement. Notwithstanding any provision of this Agreement to the contrary, Banner shall have the right to assign or otherwise transfer its interest under this Agreement to any related entity. For the purposes of this section, a related entity shall be deemed to include a parent, subsidiary, any entity that acquires all or substantially all of Banner's assets or operations relating to this Agreement, and the surviving entity of any merger or consolidation involving Banner. Any assignment to a related entity shall not require the consent or approval of WCDPHE in order to be effective. 18. Enforceability. If any term of this Agreement is found to be unenforceable or contrary to law, it shall be modified to the least extent necessary to make it enforceable, and the remaining portions of this Agreement will remain in full force and effect and shall be enforced to the fullest extent permitted by law. DavidBixbyEditedandApproved 1. 18. 16 Weld -0314 03 59276 (112917).docx By: P O'Donnell Page 3 of 7 Confidential DocuSign Envelope ID: 131E8A14-0F89-43BA-B417-681231D5613A 19. Force Majeure. Neither Party shall be liable for any delay in performance or any failure in performance caused in whole or in part by reason of force majeure, which shall be deemed to include the occurrence of any event beyond the control of the Parties, including, without limitation, war (whether an actual declaration thereof is made or not), sabotage, insurrection, riot and other acts of civil disobedience, action of a public enemy, laws, regulations or acts of any national, state or local government (or any agency, subdivision or instrumentality thereof), judicial action, accident, fire, explosion, flood, storm or act of God. 20. Banner Rules and Regulations. Where Banner provides Services on WCDPHE's premises, Banner and Banner Personnel shall comply with and observe all Banner rules and regulations. If providing on -site facility -type services, Banner shall adhere to the responsibilities of Banner's facilities services business protocols, including, where applicable, background check requirements. 21. Health Standards. Banner has implemented health standards for all individuals providing services within a clinical facility. Banner shall assure that all Banner Personnel comply with drug screening, annual influenza immunizations (due on or before December 1St of each year), and Measles, Mumps, and Rubella (MMR), Varicella, and Tuberculosis (TB) health standards prior to Banner Personnel providing Services in a WCDPHE clinical facility, and Banner shall provide proof of such tests upon request. If Banner is unable to assure compliance with this Section for any Banner Personnel, Banner shall assure that such Banner Personnel entering any WCDPHE facility are wearing surgical masks (if such Banner Personnel have not obtained influenza immunizations) and whenever entering a patient care area (if such Banner Personnel have not obtained the MMR, Varicella and TB health tests or influenza immunization). Surgical masks are provided by Banner at no cost to WCDPHE. 22. Notice. All notices must be in writing and effected by personal delivery, or by an overnight courier which provides receipts, or certified or registered mail, return receipt requested, postage prepaid and properly addressed to the Parties at the following addresses or such other addresses as the Parties may designate in writing from time to time: WCDPHE: Administrator Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley CO 80631 BANNER: Chief Executive Officer North Colorado Medical Center 1801 Greeley Street Greeley CO 80631 COPY TO: Chief Legal Officer/General Counsel Banner Health Legal Department 2901 North Central Avenue Suite S160 Phoenix AZ 85012 2700 23. Physician Ownership. Each Party expressly represents and warrants that one of the following provisions applies: (i) no physician, no physician organization and no member of any physician's immediately family owns or holds an ownership or financial interest in the other Party, including any affiliated or related entity or person, that is not the subject of an exception or "safe harbor" under applicable law, such as the exception for publicly -traded securities under 42 C.F.R. §411.356(a); or (ii) that the representing Party is a publicly traded company and is the subject of an exception under 42 C.F.R. § 411.356(a)(1) and (a)(2); or (iii) one or more physicians or a member of a physician's immediate family own or have a financial relationship with the other Party, and this Agreement is the subject of an arms -length negotiation and is for fair market value compensation, is not tied to or based on an expectation by Banner that WCDPHE or WCDPHE's physician owners shall refer patients to Banner, and that the volume or value of referrals by any physician is not a part of the consideration for this Agreement. DavidBixbyEditedandApproved 1.18.16 Weld -0314 03 59276 (112917).docx By: P O'Donnell Page 4 of 7 Confidential DocuSign Envelope ID: 131 E8A14-0F89-43BA-B417-681231 D5613A 24. Corporate Authority. Each Party represents and warrants that the individual executing this Agreement on behalf of such Party is duly authorized to execute and deliver this Agreement on behalf of such corporation, person, firm, partnership or other entity and that this Agreement is binding upon such entity in accordance with its terms. 25. Counterparts. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original and all of which shall constitute one and the same instrument. Signatures submitted via facsimile or electronic signature shall have the same force and effect as originals. 26. Entire Agreement. This Agreement, including Exhibit A, constitutes the entire agreement between the Parties, and supersedes all prior agreements, proposals, negotiations, representations or communications relating to the subject matter. In the event of any conflict between the provisions of this Agreement and Exhibit A, the provisions of this Agreement shall control. This Agreement may be modified only by a written instrument executed by both Parties. IN WITNESS WHEREOF, the Parties hereto have executed this Agreement effective as of the last date written below. Banner Health, an Arizona nonprofit corporation dba North Colorado Medical Center r--DocuSigned by: Iv: 114.006 I. 6ArstuA. t—AB5o26EE7A64156... N/Ir..g0E&SanrIEn IE CI ie '—A85026EE7AB4156.._ SignatureDate:November 29, 2017 I 4:07 PM MST County of Weld, State of Colorado, by and through the Board of Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment By: PLEASE SEE BELOW Name: Title: Signature Date: BOARD: November 29, 2017 I 4:07 PM MST Board of County Commissions Weld County, Colorado DavidB ixbyEditedandApproved 1. 18 16 Weld -0314 03 59276 (112917).docx By: P O'Donnell Signature Date: April 4, 2018 By: Name: Steve Moreno Title: Chair ignature Date: Title: Deputy Clerk to the Board Page 5 of 7 Confidential do/8-/° qG Cl DocuSign Envelope ID: 131E8A14-0F89-43BA-8417-681231D5613A EXHIBIT A Services and Rates (Banner Health Contract Number 0314 03 59276) 1. Background. 1.1 WCDPHE provides certain community health services that requires certain diagnostic/imaging radiology services to be provided to patients who qualify for certain health services programs offered by WCDPHE (the "Designated Patient(s)"). The health services program that is the subject of this Agreement is the Weld -Sunrise Prenatal Program (the "Program"). 1.2 Banner operates North Colorado Medical Center, an acute care hospital facility located in Greeley, Colorado ("NCMC"). Banner provides the technical component of diagnostic imaging/radiology services at NCMC. 1.3 WCDPHE has a separate agreement with a third party ("Professional Provider") to provide the professional component of diagnostic imaging/radiology services for the Designated Patient(s) at NCMC, including payments for the professional component of any services provided by Professional Provider. 2. Services. 2.1 Banner shall provide the technical component of obstetric ultrasound/diagnostic imaging/radiology services ("Services") to the Designated Patient(s) as set forth in the rates stated herein. WCDPHE will determine patients' eligibility for Services prior to referral to Banner. Referred patient must have an order of an appropriately licensed physician/provider which includes a diagnosis of ZIKA exposure. At the time of registration at NCMC, and prior to Banner performing Services pursuant to this Agreement, Banner shall require patients to present a WCDPHE Radiology Service Voucher for participation in the program ("Exhibit B"), attached hereto and incorporated herein by reference. 2.2 Banner shall prepare or cause to be prepared written or electronic reports in medical terminology with respect to all Services. Banner shall, upon request by a treating physician at WCDPHE, provide test results and Professional Provider's formal recommendations to WCDPHE within seven (7) days after test completion. Otherwise, Banner shall only provide information concerning the Designated Patient(s) to the extent necessary for WCDPHE to make payment for the Technical Services provided. 3. Rates. WCDPHE agrees to compensate Banner for Services at the rates stated herein. Banner shall submit invoices monthly to WCDPHE for Services. WCDPHE shall pay such invoices within thirty (30) days following the month in which Services were rendered. Banner shall not, under any circumstances, bill any Designated Patient(s) or third -party payer for Services provided pursuant to this Agreement DavidBixbyEditedandApproved 118. I6 Weld -0314 03 59276 (112917).docx By: P O'Donnell Page 6 of 7 Confidential DocuSign Envelope ID: 131E8A14-0F89-43BA-B417-681231D5613A CPT Description Rate Comment 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (14 weeks 0 days), trans abdominal approach, single or first gestation $153.64 --- 76802 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (14 weeks 0 days), trans abdominal approach, each additional gestation (list separately in addition to code for primary procedure) $153.64 No additional fee included with 76801. 76805 Ultrasound, pregnant uterus, fetal and maternal evaluation, >first trimester, trans abdominal approach, single or first gestation $153.64 --- 76810 each additional gestation (list separately in addition to code for primary procedure) $153.64 No additional fee included in 76805. 76815 Ultrasound, pregnant uterus, limited (fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses $153.64 --- 76816 Ultrasound, pregnant uterus, follow up (reevaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, reevaluation of organ system(s)) suspected or confirmed to be abnormal on previous scan),trans abdominal approach, per fetus $153.64 --- 76817 Ultrasound, pregnant uterus, trans vaginal $153.64 No additional fee included in 76801, 76805, 76815, and 76816. Exhibit B: WCDPHE's Radiology Service Voucher (one (1) page) shall be attached separately hereto and incorporated by reference.] DavidBixbyEditedandApproved I.18.16 Weld -0314 03 59276 (1 12917).docx By: P O'Donnell Page 7 of 7 Confidential Hello