HomeMy WebLinkAboutC84-007 Janet RutkoskiW
AGREEMENT
THIS AGREEMENT is entered into this 26th day
of May 198 4, between the BOARD OF COUNTY
COMMISSIONERS OF THE COUNTY OF EAGLE on behalf of the EAGLE
COUNTY NURSING SERVICE, hereinafter called the "Agency," and
JANET RUTKOSKI, Occupational Therapist, hereinafter called
the "Therapist."
1. Application. The parties acknowledge that the
policies of the Agency provide for a community rehabilitation
program. This agreement between the Therapist and the Agency
is entered to apply only to patients accepted for care by the
Agency within the geographical limits of Eagle County.
2. Services. The therapist agrees to provide
professional services to patients accepted by the Agency.
The services provided by the Therapist shall be within the
scope and limitations set forth in the attending physician's
plan of treatment for the patient which has been established
with the Agency, and may not be altered in type, scope, or
duration by the Therapist.
3. Qualifications. The Therapist must meet the
standards set forth in Conditions of Participation - Home
Health Agencies of the Social Security Administration, and is
currently registered to practice in the state of Colorado.
4. Duties. The duties of the Therapist will be as
follows: assists the physician in evaluating level of
_function, helps develop the plan of treatment, prepares
clinical and progress notes, advises and consults with the
family and other agency personnel, and participates in
inservice programs.
The Therapist must regularly participate with other
health personnel of the Agency in staff meetings, policy
formation, planning when and how a plan of treatment is to be
carried out, scheduling of visits, discussions for the
purposes of planning and evaluating patient care in
individual cases, and the like.
5. Procedure After Acceptance. As stated, the
physician's plan of treatment must be established with the
Agency. In the event the physician's plan of treatment is
given to the Therapist, the plan must be put into writing
before the treatment is begun. The plan must relate the
type, amount, frequency and duration of occupational therapy
services that are to be furnished to the patient and must
indicate the diagnosis and anticipated goals. This written
plan must be forwarded to the Agency by the therapist within
seven (7) days after it is initiated to be incorporated into
the agency's permanent record for the patient. The plan must
be reviewed by the attending physician in consultation with
the Therapist as necessary, but at least every sixty (60)
days if provided as a home health benefit; if provided as an
outpatient benefit, it must be reviewed every 30 days.
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The Therapist shall prepare meaningful progress notes and
observations for each visit made to the patient. The
original of all progress notes to date must be received by
the Agency no later than seven (7) days after the visit is
made. The Therapist shall complete a daily report form for
the Health Workers' Activity System and submit them to the
Agency at least weekly.
6. Fee. Charges to patients shall be determined and
set by the Agency. All billing for Agency patients will be
carried out by the Agency. The Therapist cannot bill the
patient or the Federal Health Insurance Program. Payment for
services rendered will be mailed to the Therapist the month
following receipt by the Agency of all reports and.forms as
required by this contract. Payment will be withheld if
reports and/or forms are not received as specified.
The Therapist will be paid $ 25.00 per visit.
7. Duration. This agreement shall be in effect for one
(1) year from May 26 , 198 4 ; and shall
automatically be renewed following an annual joint review.
Either party may terminate this agreement at any time by
giving thirty (30) days written notice of such intention to
the other party.
8. Liability Insurance. The Therapist shall have a
valid liability policy in force during the life of the
contract.
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9. Independent Contractor. The Therapist shall be an
independent contractor for all purposes under this agreement,
and shall not be considered an employee of the Agency for any
purpose whatsoever.
ATTEST:
BOARD OF COUNTY COMMISSIONERS
EAGLE COUNTY, COLORADO
Clerk to the -Board of W.-Keith Troxel, Chairman
!County Commissioners
I.D. NUMBER
2 68 1
ANET T r::lPIAS RUTKOSK I
IS HEREBY RECOGNIZED AS
OCCUPATIONAL I HER 4F I S T
REEy. 1 S T Ca=D % 0{ K i
BY
The American Occupational Therapy Association, Inc.
1383 PICCARD DR. • ROCKVILLE, MD. 20850 • (301) 948.9626
MEMBER EXPIRES DEC. 31,1984
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anet Rutkos i
