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HomeMy WebLinkAboutC08-034.. .~ AGREEMENT BETWEEN EAGLE COUNTY and VALLEY VIEW HOSPITAL ASSOCIATION This agreement ("Agreement"), entered into as of 5`" day of February, 2008, between the Eagle County, Colorado ("County") and Valley View Hospital Association, a private non-profit Colorado corporation ("Hospital"). Witnesseth: Whereas, Hospital is the owner and operator of an acute-care hospital at Glenwood Springs, Colorado and the Eagle Valley Medical Center clinic in Eagle, Colorado ("the Clinic"); and Whereas, Hospital employs in the Clinic two physicians, Drew Werner, M.D. and Angela Ammon, M.D., both of whom are licensed to practice medicine in the State of Colorado and are residents of Eagle County; and Whereas, County desires to appoint Dr. Werner as Eagle County Public Heath Officer and Dr. Ammon as Eagle County Deputy Public Health Officer for the calendar year 2008; and Now, therefore, in consideration of the foregoing premises and the following promises, the parties hereto agree as follows: I: SCOPE A. Appointment County hereby appoints Drew Werner, M.D. as Eagle County Public Health Officer to provide services required of Hospital hereunder, and Angela Ammon, M.D. as Eagle County Deputy Public Health Officer for the calendar year 2008 to provide services required of Hospital hereunder if Dr. Werner shall be unavailable. In the event that both Dr. Werner and Dr. Ammon are unavailable to provide Public Health Officer services as requested by County, County may either (a) elect approve of another physician employed or retained by Hospital to render such services or (b) elect to contract for the services of a physician not employed or retained by Hospital. In the former event, such physician must be specifically approved in writing by County prior to the rendering of such services. The term "Physician" as used herein shall mean any physician employed or otherwise retained by Hospital and approved by County to furnish services pursuant to this Agreement. County may retract its approval of a Physician at any time for cause by written notice of such retraction to Hospital. The services of a Physician hereunder may be requested and activated by the Board of County Commissioners, the County Board of Health, the County Administrator, the Director of Environmental Health, the Director of Health & Human Services ("HHS"), or the Eagle County Public Health Manager. B. Physician Responsibilities A Physician shall provide the following services upon request: (a) Medical consultation for public health nursing, including communicable disease issues and medical protocols for public health clinics and family planning clinics; (b) Communication with and dissemination of information regazding health care needs and issues to private health caze providers in coordination with Health & Human Services; (c) Consultation with Environmental Health, including evaluation of sanitary standazds and abatement of nuisances, and approving cease and desist orders; (d) Health consultation for public health emergency services, both prepazedness and response; (e) Consultation to the Boazd of County Commissioners, Emergency Management, Environmental Health, and HHS, including participation in Board of Health meetings; (f) Provision of written reports and recommendations regazding public health issues, upon reasonable request; and (g) Participation in training in the azeas of emergency management, public health services and regulations, and child abuse and neglect reporting. The parties anticipate that, absent extraordinary circumstances, the time required of a Physician in the provision of such services under this Agreement will not exceed a total Ninety Two (92) hours in any contract yeaz. C. Requirements In the provision of services hereunder, Hospital and Physician shall do the following: (a) Safeguazd protected health information of individuals and the confidentiality of situations for which Physician's consultation is requested, in accordance with the rules of HHS and the Health Information Privacy and Accountability Act. (b) Abide by the applicable provisions of County Media Policy; all media contacts to Physician in the role of Public Health Officer for the County aze to be reported to the Director of HHS, who will coordinate with the County Administrator, the County Attorney and the County Communications Director in providing appropriate responses to such media contacts. (c) Comply with appropriate standazds of customer service to the public and provide appropriate consultation in the development and implementation of Public Health protocols to promote the maintenance of high standards of customer service and professionalism. (d) Comply with the requirements of the Civil Rights Act of 1964 and Section 504, Rehabilitation Act of 1973 concerning discrimination on the basis of race, color sex, age, religion, national origin, or handicap. (e) Notify immediately HHS, at (970) 328-8840, of all reports of suspected child or adult abuse or neglect made to or observed by or otherwise coming to the attention of Physician. (f) Comply with all applicable laws, resolutions, and codes of County, the State of Colorado, or the federal government. II: TERM This Agreement shall commence on January 1, 2008 and terminate on December 31, 2008. III: COMPENSATION A. As the sole source of compensation to the Hospital hereunder, County shall pay Hospital the base rate of $800.00 per month plus $75.00 per hour for each hour of professional service provided by Physician hereunder, for up to a maximum of 92 hours annually. Hospital shall submit monthly billings to the County. Billings will be paid through the County's usual bill paying process. Billings must be submitted by the fifth working day of the subsequent month in order to be eligible for reimbursement, except that billings for services provided through June 30, 2008 must be submitted by July 3, 2008; and billings for services provided through December 31, 2008 must be submitted by January 10, 2009 in order to be eligible for reimbursement. For any month or months during which no Physician is providing services hereunder because County has elected option (b) under Section 1 hereof, no base rate billings shall be made by Hospital or paid by County. B. If, prior to payment of compensation or reimbursement for services but after submission to County of a request therefore by Hospital, County reasonably determines that payment as requested would be improper because the services were not performed as prescribed by the provisions of this Agreement, the County shall have no obligation to make such payment. If, at any time after or during the Term or after termination of this Agreement as hereinafter provided or expiration of this Agreement, County reasonably determines that any payment theretofore paid by County to Hospital was improper because the services for which payment was made were not performed as prescribed by the provisions of this Agreement, then upon written notice of such determination and request for reimbursement from County, Hospital shall forthwith return such payment to County. Upon termination of this Agreement as hereinafter provided or expiration of the Term, any unexpended funds advanced by County to Hospital shall forthwith be returned to County. C. Space, Equipment, Supplies, and Personnel County shall make available during the term of this Agreement such space and equipment as may be required for the proper operation and conduct of the Public Health functions of Eagle County Health & Human Services. County shall purchase all necessary expendable supplies for the proper operation of Public Health functions. All non-physician personnel required for the maintenance of Public Health functions shall be employed and assigned by County. IV. HOSPITAL DUTIES A. All funds received by Hospital under this Agreement shall be or have been expended solely for the purpose for which granted, and any funds not so expended, including funds lost or diverted for other purposes, shall be returned to County. B. Hospital shall maintain, for a minimum of 3 years, adequate fmancial and programmatic records for reporting to County on performance if its responsibilities hereunder. Hospital shall be subject to fmancial audit by federal, state or county auditors or their designees. Hospital authorizes County to perform audits or to make inspections during normal business hours, upon 48 hours notice to Hospital, for the purpose of evaluating performance under this Agreement. Hospital shall cooperate fully with authorized HHS representatives in the observation and evaluation of the program and records. Hospital shall have the right to dispute any claims of misuse of funds and seek an amicable resolution with County. C. In rendering services hereunder, Hospital, Dr. Drew Warner M.D. and Dr. Angela Ammon, M.D. shall comply with the highest standards of customer service to the public. Hospital shall provide appropriate supervision of its employees to ensure the maintenance of these high standards of customer service and professionalism, the performance of such obligation to be determined at the sole discretion of County. In the event that County fmds these standards of customer service are not being met by Hospital, County may terminate this Agreement, in whole or in part, upon ten (10) days notice to the Hospital. D. Hospital shall comply with all applicable federal, state and local rules, regulations and laws governing services of the kind provided by Hospital under this Agreement. Hospital shall be solely responsible for ensuring proper licensing and credentialing of those providing services under this Agreement. E. Hospital shall comply with the requirements of the Civil Rights Act of 1964 and Section 504, Rehabilitation Act of 1973, concerning discrimination on the basis of race, color, sex, age, religion, political beliefs, national origin, or handicap. F. Licensure and Staff Membership Hospital warrants that each Physician shall (a) at all times hold a currently valid and unlimited license to practice medicine in the State; and (b) apply for, be awarded and maintain in good standing membership on the Medical Staff of Hospital with appropriate and unrestricted privileges, or receive and maintain temporary privileges, all in accordance with Hospital's policies. IV. TERNIINATION County may terminate this Agreement at any time and for any reason or no reason upon written notice to Hospital specifying the date of termination, which date shall be not less than ten (10) days from the date of the notice. In the event Hospital files for bankruptcy or is declared bankrupt or dissolves, County may declare in writing that this Agreement is terminated, and all rights of Hospital and obligations of County, except for payment of accrued but unpaid fees and expenses, shall terminate immediately VI. INSURANCE Hospital shall maintain Physicians Professional Liability Insurance coverage for Physician of at least One Million Dollars ($1,000,000.00) per occurrence. Hospital shall provide a certificate evidencing such coverage upon request of County. VII. INDEPENDENT CONTRACTOR RELATIONSHIP The relationship of Hospital to County shall be that of an independent contractor. Nothing in this Agreement is intended or shall be construed to create anemployer/employee relationship, a joint venture relationship, a lease or landlord/tenant relationship. No agent, employee, or volunteer of Hospital shall be deemed to be an agent, employee, or volunteer of the County. VIII. PROHIBITION ON PUBLIC CONTRACT FOR SERVICES A. Hospital shall not knowingly employ or contract with an illegal alien to perform services under this agreement or enter into a contract with a Subcontractor to perform services under this agreement that fails to certify the Subcontractor shall not knowingly employ or contract with an illegal alien to perform services under this agreement. B. Hospital shall verify or attempt to verify through participation in the Basic Pilot Verification program, as administered by the United States Department of Homeland Security, that Hospital does not employ any illegal aliens to perform work under this agreement. If the Hospital is not accepted into the Basic Pilot Verification Program prior to entering this Agreement, the Hospital shall apply to participate in the program every three months until the Hospital is accepted or this Agreement has been completed, whichever is earlier. Information on applying for the Basic Pilot Verification Program can be found at: https://www.vis-dhs.com\employerregistration C. Hospital shall not use the Basic Pilot Verification Program procedures to undertake pre- employment screening of job applicants to perform services under this Agreement while this Agreement is being performed. D. If Hospital obtains actual knowledge that a Subcontractor performing work under this Agreement knowingly employs or contracts with an illegal alien, the Hospital shall be required to: 1. Notify the Subcontractor and the County within three days that the Hospital has actual knowledge that the Subcontractor is employing or contracting with an illegal alien to perform services under this Agreement; and 2. Terminate the Subcontract with the Subcontractor if within three days of receiving the notice require pursuant to paragraph D.1 of this Agreement the Subcontractor does not stop employing or contracting with the illegal alien; except that the Hospital shall not terminate the contract with the Subcontractor if during such three days the Subcontractor provides information to establish that the Subcontractor has not knowingly employed or contracted with an illegal alien to perform services under this Agreement; E. Comply with any reasonable request by the Department of Labor and Employment made in the course of an investigation that the department is undertaking pursuant to its authority established in C.R.S. 8-17.5-102(5). F. If Hospital violates the prohibitions contained in Section 9, the County may terminate this Agreement for a breach of the Agreement. If the Agreement is so terminated, the Hospital shall be liable to the County for actual and consequential damages. IX. TERM This Agreement shall commence on February 15, 2008 and continue in effect until December 31, 2008. Either party may terminate this Agreement at any time with or without cause upon ten (10) days' written notice. In the event of a termination taking effect in mid- month, the base rate payable under Section 6 hereof shall be pro-rated, and County shall pay for all hourly billings for Physician services rendered prior to the effective date of such termination. X. NOTICES P Notices required to be given under this Agreement shall be in writing and shall be deemed to have been duly given and received upon delivery or if mailed by certified mail, return receipt requested, postage prepaid, upon the date shown on the receipt, and in either case to the following addresses: County Jill Hunsaker, MPH, Public Health Department Eagle County Health & Human Services P.O. Box 660 Eagle, CO 81631 (970) 328-8819 Hospital Jae Jeon Eagle Valley Medical Center 377 Sylvan Lake Road Eagle, CO 81631 jjeonC vvh.or~ or such other address as the parties shall inform each other of in writing in the manner set forth above. XI. AMENDMENTS; ASSIGNMENT; TERMINOLOGY This Agreement may be amended at any time by mutual agreement of the parties, but any such amendment shall not be operative or valid unless reduced to writing and signed by the parties. This Agreement may not be assigned by Hospital without the prior written consent of County. All personal pronouns used in this Agreement, whether used in the masculine, feminine or neuter gender, shall include all other genders; the singular shall include the plural; and the plural shall include the singular. XII. ENTIRE AGREEMENT, BINDING ON THE PARTIES This Agreement constitutes the entire agreement between the parties related to the subject matter hereof and supersedes all previous communications, negotiations, or agreements on the same, whether verbal or written, except as expressly set forth herein. This Agreement shall be binding upon and inure to the benefit of Hospital and County and their respective successors, legal representatives and permitted assigns. XIII.5EVERABII.ITY The invalidity or unenforceability of any provision of this Agreement shall not affect the other provisions hereof, and this Agreement shall be construed as if such invalid or unenforceable provision was omitted, unless the stricken provision goes to the essence of the Agreement and enforcement of the remaining provisions would be manifestly inequitable. XIV. GOVERNING LAW/VENUE/ATTORNEY FEES This Agreement shall be governed by the laws of the State of Colorado. Jurisdiction and venue for any suit, right, or cause of action arising out of this Agreement shall be exclusive in Eagle County, Colorado. In the event of litigation arising out of this Agreement, the prevailing party shall be entitled to recover all reasonable costs reasonably and necessarily incurred in connection with such litigation, including attorney fees and out of pocket expenses. XV. COUNTY APPROPRIATIONS Notwithstanding anything to the contrary contained in this Agreement, County shall have no obligations under this Agreement, nor shall any payments be made to Hospital in respect of any period after December 31st of each calendar year during the term of this Agreement, without the appropriation therefor by County in accordance with the budget adopted by the Board of County Commissioners in compliance with the provisions of Article 25, Title 30 of the Colorado Revised Statutes, the Local Government Budget Law (C.R.S. §29-1-101, et. seq.), and the TABOR Amendment (Colorado Constitution, Article X, Sec. 20). XVI. INDEMNIFICATION Within the limits of its available insurance coverage, Hospital shall indemnify and hold harmless County, its Board of Commissioners and the individual members thereof, its agencies, departments, officers, agents, employees, servants, and successors from any and all demands, losses, liabilities, claims, or judgments, costs and expenses, including but not limited to reasonable attorney fees, arising out of any act or omission of Hospital, its employees or agents in the performance of its obligations under this Agreement. XVII. NO THIItD PARTY BENEFICIARIES This Agreement does not, and shall not be deemed or construed to, confer upon or grant to any third party or parties any right to claim damages or to bring any suit, action, or other proceeding against either Hospital or County because of any breach hereof or because of any of the terms, covenants, agreements, or conditions herein. XVIII. COUNTERPARTS This Agreement will be executed in triplicate. Two counterparts shall be delivered to the County and one to the Hospital, and each shall constitute an original. In witness whereof, the parties hereto have executed this Agreement as of the date set forth above. ATTEST: Clerk to the Board of County Commissioners COUNTY OF EAGLE, STATE OF COLORADO By and through its Board of County Commissioners By: Peter F. Runyon, Chairman VALLEY VIEW HOSPITAL ASSOCIATION By: Title: STATE OF ) SS. COUNTY OF ) The foregoing instrument was acknowledged before me by of , 2007. My commission expires: this day Notary Public In witness whereof, the parties hereto have executed this Agreement as of the date set forth above. Clerk to the Board of County COUNTY OF EAGLE, STATE OF COLORADO By and through its Board of County Commissioners B ~2%ZG'- Y• . , ~~~;~ ~~y n,~~ Chairman Ih4 ; ~ K~c,T ~- STATE OF VALLEY VIEW HOSPITAL ASSOCIATION By: ~ LCD Title:_~j, i 2~ C l~ K i CGc., ~ Of~i ~n.rr SS. COUNTY OF i ) The foregoing instrument was acknowledged before me by I (,Q~i /4 ~ this day of , 20(3 My co fission ex es: ~c~ ~. No ry Public KATHI R. 4LSON ~ NOTARY pLTBLIC ~ STATE OF COLORADO My Commission 031271Z~ ATTEST: