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R16-104 RESOLUTION R16 -104 1 A RESOLUTION OF THE CITY OF BOYNTON BEACH, 5 FLORIDA, APPROVING AND AUTHORIZING THE CITY 4 MANAGER TO SIGN AN AGREEMENT BETWEEN THE CITY OF BOYNTON BEACH AND CAREATC, INC., FOR PROFESSIONAL HEALTH ADMINISTRATOR; AND PROVIDING AN EFFECTIVE DATE. 1 ' 1 WHEREAS, on May 5, 2016, the City opened five (5) proposals in response to RFP 1 No. 037 - 1610- 16 /JMA "RFP for Employee Health Center Administration "; and 1 . WHEREAS, oral presentations were heard from all proposers on June 29 and 30, 2016 1 and after all presentations were completed the review committee evaluated each proposal based 1 . on the criteria set forth in the RFP document; and 1. WHEREAS, based on the evaluations, the review committee recommends the City 1 enter into an Agreement for Employee Health Center Administration with CareATC, Inc., of 1 Tulsa, OK who was the highest ranked proposer; and 1 ' WHEREAS, the City Commission of the City of Boynton Beach upon recommendation 2 of staff, deems it to be in the best interest of the citizens and residents of the City of Boynton 2 Beach to approve and authorize the City Manager to sign an Agreement for Professional Health 2 • � Administrator with CareATC, Inc., of Tulsa, OK, for an initial period of forty-two (42) months 23 with the option to renew for two (2) additional one (1) year periods. 2I NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF 2 I THE CITY OF BOYNTON BEACH, FLORIDA, THAT: 2 . Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as i 2 being true and correct and are hereby made a specific part of this Resolution upon adoption 23 hereof. S: \CC \WP\Resolutions\2016\R16 -104 Professiona l_Health_Administrator Agreement_- _Reso.doc 2 1 Section 2. The City Commission of the City of Boynton Beach hereby authorizes 3 the City Manager to sign an Agreement for Professional Health Administrator with CareATC, 3 Inc., of Tulsa, OK, for an initial period of forty -two (42) months with the option to renew for 3 two (2) additional one (1) year periods, a copy of which Agreement is attached hereto and made 3 • a part hereof as Exhibit "A ". 3 Section 3. That this Resolution shall become effective immediately upon passage. 3 . PASSED AND ADOPTED this (ti aft.- day of ly 5 7 , 2016. ,/ 3. CITY OF BOYNTON BEACH, FLORIDA 37 3 ; YES NO 3' 4 � Mayor — Steven B. Grant / 4 4 Vice Mayor — Mack McCray 4 44 Commissioner — Justin Katz 45 4 Commissioner — Christina L. Romelus 47 4 Commissioner — Joe Casello 41 51 VOT 51 5 ATTEST: 4 0 L_,,t,, 4L 5/ Ju4ii A. Pyle, CMC i 5 I v im City Clerk 5 ' 6 4 is ' , ;` 61 , 6 (Corporate Seal) � C £` 6 1,i 0. .A S: \CC \WP\Resolutions\2016 -104 Professional_ Health_ AdministratorAgreement _- _Reso.doc R16-104 AGREEMENT BETWEEN THE CITY OF BOYNTON BEACH AND PROFESSIONAL HEALTH ADMINISTRATOR THIS AGREEMENT is entered into between the City of Boynton Beach, hereinafter referred to as "the City", and CareATC, Inc. of Tulsa, OK , hereinafter referred to as "Professional Health Administrator", in consideration of the mutual benefits, terms, and conditions hereinafter specified. 1. PROJECT DESIGNATION. The Professional Health Administrator is retained by the City to administer an onsite employee health center clinic for the City to provide employees and local retirees access to the highest levels of primary, urgent, prescription, and occupational health care. 2. SCOPE OF SERVICES. Professional Health Administrator agrees to perform the services as outlined in RFP No. 037-1610-16/JMA, and incorporated herein: Price Proposal. (pages 30 to 36 of the RFP), Exhibits A-C (see attached). "No modifications will be made to the original scope of work without the written approval of the City Manager or her designee. 3. TIME FOR PERFORMANCE. Work under this agreement shall commence upon written notice by the City to the Professional Health Administrator to proceed. Professional Health Administrator shall perform all services and 'provide all work product required pursuant to this agreement upon written notice to proceed. 4. TERM: This Agreement shall be for a period of Forty-Two (42) Months commencing with the opening of the clinic on or about February 1, 2017 as outlined in the notice to proceed. This Agreement may be renewed at the same terms, conditions, and prices, for two (2) subsequent one-year periods subject to Professional Health Administrator's acceptance, satisfactory performance, and determination that renewal will be in the best interest of the City. 5. PAYMENT. The Professional Health Administrator shall be paid by the City for completed work and for services rendered under this agreement as follows: a. Payment for the work provided by Professional Health Administrator shall be made promptly on all invoices submitted to the City properly and in accordance with "PRICE PROPOSAL" (Exhibit"A"—"C" -Attached). b. The Professional may submit invoices to the City once per month during the progress of the contract term. Such invoices will be reviewed by the City, and upon approval thereof, payment will be made to the Professional Health Administrator in the amount approved. c. Final payment of any balance due the Professional Health Administrator of the total price earned will be made promptly upon its ascertainment and verification by the City after the completion of the work under this Agreement and its acceptance by the City. d. Payment as provided in this section by the City shall be full compensation for work performed, services rendered and for all materials, supplies, equipment and incidentals necessary to complete the work. 1 e. The Professional Health Administrator's records and accounts pertaining to this agreement are to be kept available for inspection by representatives of the City and State for a period of three (3) years after the termination of the Agreement. Copies shall be made available upon request. 6. OWNERSHIP AND USE OF DOCUMENTS. All documents, and other materials produced by the Professional Health Administrator in connection with the services rendered under this Agreement shall be the property of the City. (Exhibits A—C Attached) 7. COMPLIANCE WITH LAWS. Professional Health Administrator shall, in performing the services contemplated by this Agreement, faithfully observe and comply with all federal, state and local laws, ordinances and regulations that are applicable to the services to be rendered under this agreement. 8. INDEMNIFICATION. Professional Health Administrator shall indemnify, defend and hold harmless the City, its offices, agents and employees, from and against any and all claims, losses or liability, or any portion thereof, including fees and costs, arising from injury or death to persons, including injuries, sickness, disease or death to Professional Health Administrator's own employees, or damage to property occasioned by a negligent act, omission or failure of the Professional Health Administrator. 9. INSURANCE. The Professional Health Administrator shall secure and maintain in force throughout the duration of this contract comprehensive general liability insurance with a minimum coverage of $1,000,000 per occurrence and $1,000,000 aggregate for personal injury; and $1,000,000 per occurrence/aggregate for property damage, and professional liability insurance in the amount of $1,000,000 per occurrence to 2 million aggregate with defense costs in addition to limits; workers' compensation insurance, and vehicular liability insurance. Said general liability policy shall name the City of Boynton Beach as an "additional named insured" and shall include a provision prohibiting cancellation of said policy except upon thirty (30) days prior written notice to the City. Certificates of coverage as required by this section shall be delivered to the City within fifteen (15) days of execution of this agreement. 10. INDEPENDENT CONTRACTOR. The Professional Health Administrator and the City agree that the Professional Health Administrator is an independent contractor with respect to the services provided pursuant to this agreement. Nothing in this agreement shall be considered to create the relationship of employer and employee between the parties hereto. Neither Professional nor any employee of Professional Health Administrator shall be entitled to any benefits accorded City employees by virtue of the services provided under this agreement. The City shall not be responsible for withholding or otherwise deducting federal income tax or social security or for contributing to the state industrial insurance program, otherwise assuming the duties of an employer with respect to Professional Health Administrator, or any employee of Professional Health Administrator. 11. COVENANT AGAINST CONTINGENT FEES. The Professional Health Administrator warrants that he has not employed or retained any company or person, other than a bona fide employee working solely for the Professional Health Administrator, to solicit or secure this contract, and that he has not paid or agreed to pay any company or person, other than a bona fide employee working solely for the Professional Health Administrator, any fee, commission, percentage, brokerage fee, gifts, or any other consideration contingent upon or resulting from the award or making of this contract. For breach or violation of this warranty, the City shall have the right to annul this contract 2 without liability or, in its discretion to deduct from the contract price or consideration, or otherwise recover, the full amount of such fee, commission, percentage, brokerage fee, gift, or contingent fee. 12. DISCRIMINATION PROHIBITED. The Professional Health Administrator, with regard to the work performed by it under this agreement, will not discriminate on the grounds of race, color, national origin, religion, creed, age, sex or the presence of any physical or sensory handicap in the selection and retention of employees or procurement of materials or supplies. - 13. ASSIGNMENT. The Professional Health Administrator shall not sublet or assign any of the services covered by this Agreement without the express written consent of the City. 14. NON-WAIVER. Waiver by the City of any provision of this Agreement or any time limitation provided for in this Agreement shall not constitute a waiver of any other provision. 15. TERMINATION. a. The City reserves the right to terminate this Agreement at any time by giving ninety (90) days written notice to the Professional Health Administrator. (Exhibits A — C attached) b. In the event of the death of a member, partner or officer of the Professional, or any of its supervisory personnel assigned to the project, the surviving members of the Professional hereby agree to complete the work under the terms of this Agreement, if requested to do so by the City. This section shall not be a bar to renegotiations of this Agreement between surviving members of the Professional and the City, if the City so chooses. 16. DISPUTES. Any disputes that arise between the parties with respect to the performance of this Agreement, which cannot be resolved through negotiations, shall be submitted to a court of competent jurisdiction in Palm Beach County, Florida. This Agreement shall be construed under Florida Law. 17. NOTICES. Notices to the City of Boynton Beach shall be sent to the following address: Lori LaVerriere, City Manager City of Boynton Beach P.O. Box 310 Boynton Beach, FL 33425-0310 Notices to Professional Health Administrator shall be sent to the following address: Paul Keeling, Chief Business Development Officer CareATC, Inc. 4500 S 129th E 48th Place Tulsa, OK 74134 pkeeling@careatc.com 3 18. INTEGRATED AGREEMENT. This agreement, together with attachments or addenda, represents the entire and integrated agreement between the City and the Professional Health Administrator and supersedes all prior negotiations, representations, or agreements written or oral. This agreement may be amended only by written instrument signed by both City and Professional Health Administrator. 19. PUBLIC RECORDS. Sealed documents received by the City in response to an invitation are exempt from public records disclosure until thirty (30) days after the opening of the Bid unless the City announces intent to award sooner, in accordance with Florida Statutes 119.07. The City is public agency subject to Chapter 119, Florida Statutes. The Contractor shall comply with Florida's Public Records Law. Specifically, the Contractor shall: A. Keep and maintain public records required by the CITY to perform the service; B. Upon request from the CITY's custodian of public records, provide the CITY with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in chapter 119, Fla. Stat. or as otherwise provided by law; C. Ensure that public records that are exempt or that are confidential and exempt from public record disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and, following completion of the contract, Contractor shall destroy all copies of such confidential and exempt records remaining in its possession once the Contractor transfers the records in its possession to the CITY; and D. Upon completion of the contract, Contractor shall transfer to the CITY, at no cost to the CITY, all public records in Contractor's possession All records stored electronically by Contractor must be,provided to the CITY, upon request from the CITY's custodian of public records, in a format that is compatible with the information technology systems of the CITY. E. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS: (JUDY PYLE, CITY CLERK) 100 E BOYNTON BEACH BLVD. BOYNTON BEACH, FLORIDA, 33435 561-742-6061 PYLEJ@BBFL.US 4 DATED this /5"44-day of �4ff aI't 0-y , 20 17 . CITY OF BOYNTON BEACH CareATC. INC. ICY?"7 4'01421-A104-fr."9-4-1-C PLIto. .,.4..e. City Manager Name Attest/Authenticated: C 0 �`r tr: b '".`''.1 "c11, ,„„.....,,.., , /, (Corporate Seal) C/Clerk / .W�• _' - Approve :s to ;ormf Attest/Authenticated:ii d_i , ill Offi a of the Ci A ttorney Secretary 5 ErtiEBIT "A" PROPOSAL TO THE CITY OF BOYNTON BEACK,FLORIDA CareATC does not bill on a fee for service model. All prices listed are for the supply and/or lab cost of the service that will be passed through at cost to the City. We suggest establishing a direct contract with a local provider for items listed as TBD. Negotiated rates will be passed through to the City. if requested, CareATC can provide x-ray services onsite. PRICE SCHEDULE FOR PHYSICALS . • ' Calt far • • - 'Poet-Offer Ph Err.trion4irefigItter and n n-polIoe) 1 • inrjet T, A Urine Dipstick 1 $0.46 B 10-Panel Drug Screen and Breath Alcohol Test(BAT) $ 10.10 C litmus Eye Examination included D I Tuberculin Skin Test(PPD)or chest x-rays(s)ifindlcated $6.66 PPD E HeightiV16 ight/Blood Pressure included p••• Mediosl examination performed bye qualified physician Included- . Cost for 2 ost ' r Physical fighters) Torn A Urine Dipstick 0.48 B 10-Panel Drug Screen and Breath Alcohol Test(BAT) $ 16.10 C Titrnus Eye Examination Included D Tuberculin Skill Teat(PPD)or chest x-rays(e)if indicated $ 6.68 PPD E Height/Weight/Blood Preece LI re included F Medical examination performed by a qualified physician Included Comprehensive medical history included H Comprehensive occupational history, includingsignificant inoluded exposures EKG-12 lead with a cardiologist referral as required, with ,Iel'CG included. Treadmill Stress Test as indicated bythe examining physician. (A treadmill stress test is required for a new employee who is age thirty-five or older.) Coronary Risk Profile Blood Test $3.00 K Full Blood Chemical Screen with HDL, LDL,Triglycerides and a $ 11.44 CBC with Duff Chest X-Ray(PA and lateral)with triterpretation)(B Reader Certified) TBD • Audiometric Testing included N -Spirometry(Pulmonary Function Test(PFT)) Included 0 Colon Cancer Screening $0.64 P Hepatitis A. Hepatitis B, Hepatitis C Screening $ 24.00 THIS PAGE TO BE SUBMITTED FOR PROPOSAL TO BE CONSIDERED COMPLETE AND ACCEPTABLE. RFP No.037-1610-16IJMA 63 Q HIV Screening $ BM R Lumbar Evaluation included S RPR Lab test - $ 3.40 T IORI of the sone without contrasTBD U 1 Gagittal images of the lumbar spine TBD ✓ Sagittal Images of the cervical spine TBD Cost for ' ' . 3 Post-Offer Physicals(Poll 'T. Officers). Initial TUTU A Urine Dipstick $ 0.48 B 10-Panel Drug Screen and Breath Alcohol Test(BAT) $ 16.10 C Titmus Eye Examination included D Tuberculin Skill Test(PPD) $ 6.68 E Tuberculin Chest X-ray TBD F Height/Weight/Bleed Pressure included C Medical examination performed by E.qualified physician Included H Comprehensive medical history included 1 Comprehensive occupational history, including significant Included J EKG-12 lead with a cardiologist referral as required,with EKG Treadmill Stress Test as indicated by the examining physician. included. (A treadmill stress test is required fer a new employee who Is age thirty-five orolder.) K Coronary Risk Profile Blood Test $ 3.00 L Full Blood Chem Screen with HDL, LDL,Triglycerides and a $ 11.40 CBC with Diff NI Chest X-Ray(B ReaderCertfiled) TBD N Audiometric Testing Included 0 Spircirietry (Pulmonary Function Test(PFT)) Included P Colon Caner Screening $ 0.84 Q Hepatitis A, Hepatitis B, Hepatitis C Screening $ 24.00 R HIV Screening $ 5.00 , Cost for Initial 4 Annual Ph -icaloa forFf Jightevo ; Term A Interval medical history ,. — Included B Interval occupational history, including significant exposures Included C Fecal Occult Blood Testing $0.84 D Tuberculin Skill Test(PPD) $6.68 THES PAGE TO BE SUBMITTED FOR PROPOSAL TO BE CONSIDERED COMPLETE AND ACCEPTABLE. RFP No.037-1510-16/JMA 64 E Tubs-rculin Chest X-ray TED F Height/Weight/Blood Pressure included G Coronary Risk Profile Blood Test $3.00 Full Blood Chem Screen with HDL, LDL,Triglycerides and a $ 11.40 CBC with Diff Comprehensive occupational history, including significant Ineluded exposures J Pap Smear $ 20.00 K Mammogram TD L Hepatitis A, Hepatitis B, Hepatitis C Screening 1 $ 24.00 M l-HV Screening $ 6.00 N Medical examination performed by a qualified physician included Annual Physicals for HAZMATI IN%Team, Bomb timiv,—Ere Cost for initial S - and Pace Term A Treadmill Stress Test TBD Heavy Metals screening to include arsenic,lead and mercury $ 129.00 C Pseudocholinesterase To be provided. D Timus Eye Examination Included E Chest X-ray TBD F Urine Examination for Albumin and Glucose $ 6.40 G Audiometric Testing included H Spirometry (Pulmonary Function Test(PFT)) Included I Lumbar Evaluation included J Prostate Specific Antigen Test(PSA) $ 16.75 K Digital Rectal Examination Included L Colon Cancer Screening $ 0.54 5 , Annual Physicals for Police =Ts Cost for inittai Term A interval rriedil history Included Interval occupational history, including significant exposures Included C Fecal Occult Blood Testing $ D Tuberculin Skill Test(PPD) $ 6.56 E Tuberculin Chest X-ray TBD F • Height/Weight/Blood Pressure included G Coronary Risk Profile Blood Test $ 3.00 THIS PAGE TO BE SUBMITTED FOR PROPOSAL TO BE CONSIDERED COMPLETE AND ACCEPTABLE. RFP No.O37-1610-16/JMA 65 H Full Blood Chei11 Screen with HDL, LDL, Tnglycericies and a 1 $ 11.40 CBC with Diff I Hepatitis A, Hepatitis B, Hepatitis C Screening $ 24.00 J HIV Screening $ 6.00 Medical examination performed by a qualified physician included Lt;. er-iIrrtograra TBD THIS PAGE TO BE SUBMITTED FOR PROPOSAL TO BE CONSIDERED COMPLETE AND ACCEPTABLE. RFP No.037-1610-180.4A 65 PRICE SCHEDULE FOR MEDICALSERVICES Cciat for item', - EN:Meat:don !KUM Term 1 10-Panel Drug Screen $ 16.10 2 Audiometric Testing Included 3 Breath Alcohol Test(BAT) Included 4 Chest X-ray TBD 5 Chest X-Ray (B Reader Certified) TBD 6 Colon Cancer Screening $ 0.84 7 Comprehensive medical history included Comprehensive occupational history, including significant 8 exposures Included 9 Coronary Risk Profile Blood Test $ 3.00 10 Digital Rectal Examination Included EKG-12 lead with a cardiologist referral as required, with 11 Treadmill Stress Test KG included 12 EKG-12 lead with a cardiologist referral as required, without Treadmill Stress Test KG included. 13 Fecal Occult Blood Testing $ 0.84 Full Blood Chem Screen with HDL, LDL, Triglycerides and a 14 CBC with Diff 11.40 15 Heavy Metals screening to include arsenic, feed and mercury $ 129,00 16 Height/Weight/Blood Pressure included 17 Hepatitis A, Hepatitis B, Hepatitis C Screening $24.00 13 HIV Screening, including notifications $ 6.00 19 Interval medical history included 20 interval occupational history, including significant Included exposures 21 Lumbar Evaluation included 22 Mammogram TBD 23 Medical examination performed by a qualified physician Included 24 Pap Smear $ 20.00 25 Prostate Specific Antigen Test (PSA1 $ 16.75 26 Pseudocholinesterase To be provided. 27 Spirometry (Pulmonary Function Test(PFT)) Included 28 Titmus Eye Examination Included 29 Treadmill Stress Test TBD 30 Tuberculin Chest Xray TI30 31 Tuberculin Skill Test(PPD) $ 6.68 32 Urine Dipstick $ 0.48 33 Urine Examination for Albumin and Glucose $ 6.40 THIS PAGE TO BE SUBMITTED FOR PROPOSAL TO BE CONSIDERED COMPLETE AND ACCEPTABLE. RFP No.037-161O-16/JMA 57 . - . . .• .. . , - Cast for . EraEal Term itepi . • .DeSpaptiOn • .• • _...' - , 34 Medical Fitness for Duty by utilizing Employee Job Description included Reasonable Accommodation Determinations under ADA included 36 Physician Consultation per Hour Iricftlded 37 Physician Assistant Consultation r.er Hour NA 33 Designated Infection Control Officer for the City's Blood Borne NIA Pathogens Exposure Control E-1[ogram. ANNUAL RETAINER RATE 3P. Designated infection Control Officer for the City's Blood Boma NA Patho!ens E P cure Control Pr*,ram Access Rate PER HOUR 40 RPR Lab Test $ 3.40 41 MRI of the spine without contractTEC _ 42 Sagittal images of the lumbar spine TBD 43 Sagitial images of the cervical spine TED 44 T1/T2 with radfolo.ist Interpretation TBD A Stendardizsc Physical Capacity or Dexterity Evaluation (not a 45 function( capacity) performed by a therapist. (Problem areas or TED cw,cems would be referred to a physician for further evaluation. 46 Choieta taro!Test $4.53 47 Blood Sugar Test $ 3.75 l 48 Lab Processing Fees N/A 49 Strep Test $ 6.20 50 Flu Test $ 50.00 51 Flu Shot $22.00 52 Standard X-Ray for fracture TBD TICS PAGE TO BE SUBMITTED FOR PROPOSAL TO BE CONSEDERED COMPLETE AND ACCEPTABLE. RFP No.037-1610-16/..IMA SS PRICE SCHEDULE FOR ME©JCALSERVICES Top Ten Health Center Supplies • Gosh 4 ' item Description 1 Collection Set, Bid Safety Luer Adpt 23gx3/4" (50/b Bd) $ 71 2 est Strip, Bid Glue Micrafiillfi/contour(50/box) $ 27.02 3 ontainter, Sharps Red Tgl(20/cs) $ 6.09 4 love, Exam Nitri Pf Text Sm (100/box 10box/cs) $ 10.24 5 andage,Adh Sheer Lf 1x3"(100/bx 12 bx/cs) $ 3.12 6 1 older,Tube One Use Non-stackable (250/bg) Bd $ 0.07 7 issue, Facial Kleenex(100/bx 36 bx/cs) $ 1.18 8 empress, Inst Cold Dix 6.75"x g"Lf(24/cs)Mgml6 $ 53.76 9 ,,love, Exam Nltrl Pf Text Med (100/box 10bx/cs) $ 10.20 10 Bandage, Cohesive N/s Colorpk 2"(36pk/cs) $ 3.00 • THIS PAGE TO BE SUBMITTED FOR PROPOSAL TO SE CONSIDERED COMPLETE AND ACCEPTABLE. RFP No.037-1610-161JMA 69 Price Proposal continued The undersigned agrees the right of the City to hold all Proposals and Proposal guarantees for a period not to exceed ninety (90) days after the RFP opening date. The undersigned accepts the invoicing and payment policies specified in the Agreement. CareATC, inc. _kottj COMPANY NAME SIGNATUR ( 916 )779-7441 Paul Keeling TELEPHONE NO. PRINTED NAME pkeeling@careatc.com Chief Business Development Officer E-MAIL ADDRESS TITLE May 4, 2016 DATE • THIS PAGE TO BE SUBMITTED FOR PROPOSAL TO BE CONSIDERED COMPLETE AND ACCEPTABLE. RFP No.037-1610-16/MA SCENARiO No. 2: Respondents are asked to propose the staffing mix and hours that they would recommend based on the City's expected utilization. Proposed Program Costs—SCENARIO No. 2 (Proposer's Recommended Staff Mix and Hours) Fy` t +rs + 4 / � tl „erizA � : d • Proposed Service Hours 30 hours tweak Administrative Pricing (Per EE per Month) $25.00* Number of Years fees guaranteed and fixed 42 months(requested length of agreement) Projected Weekly Administrative Costs $4,209.01 Projected Monthly Administrative Costs $18,225 Ar. LL's f x � �M� s Y • ."0,075.77 yr q;7`. ����rfid,,[ y ' ' � �” !` 'T �"'I s d • � �� P 5��� Recommended Medical Staff Hours Provide staffing, number of staff, and estimated • costs. —_. Staff title: Physician _._.._.. _—..._ Staff 1 (Physician) No.of hourafweek: 20 Cost per hour: $149.50 Total Weekly Cost: $2,990 Staff title:ARNP Staff 2 (ARNP) No. of hourshveek: 10 Cost per hour: $68.90 Total Weekly Cost: $689 Staff title: Medical Assistant Staff 3 (Medical Assistant) No. of hours/week: 60 Cost per hour: $24 Total W ek[lf Cost:$1,440 Staff title: We propose having two medical Staff 4 (i.e, Front Desk) assistants who will be cross trained In both medical assistant duties as well as front desk duties. e physician may have hospital privileges If Hospital Privileges; List Hospital(s) necessary,but It has been CareATC's experience to date that patients requiring hospitalization are typical! under the care of a specialist or hospitalist. Who will provide alternative staffing for vacation, CareATC.,, works with local locum tenens providers illness, etc.? and staffing agencies to provide coverage In the 4linlcs when needed.CareATC®will verity credentials nd ensure all liability insurance is in place.The cost .1 the locum tensns providers are Included In the benefits of the clinic providers. Total Projected Weekly Medical Staff Cost $5,119.00 Total Projected Monthly Medical Staff Cost $22,1652T Clty of Boynton Beach 24 RFP No,o37.1610-16/JMQ Pricing Proposal Option Scenario 2 Pricing Model:PEPM+Pass-Through This fee structure Is based on"Per Employee Per Month"(PEPM) pricing with all other costs passed through.The PEPM administrative fee is Inclusive of all central services,including: • Access to CareATC discounts on medications, • Marketing materials production lab work,equipment,and supplies • Patient services/call center • Chronic Disease Management program • PHA follow-up - Dedicated Client and Clinical Service Managers • Physician management - Evidence based clinical design and • Quality control Implementation management • Occupational care for those not on the heatth • IT/web tools plan • Liability insurance MONTHLY AC'2MINIST 'FIVE FEE(729 ee x$25.OOmo):.............................................................................•$18.228.00 f Operating Costs • 1 Physician($149.50/hour x 20 hours/week x 4.33 weeks/month) $12,946,70 • 1 Part-Time Nurse Practitioner ($68.90/hour x 10 hours/week x 4.33 weeks/month) $2,983.37 • 2 Part-Time Medical Assistant($24/hour x 30 hours/week x 2 MA's x 433 weeks/month) $6,235.20 • Estimated monthly cost of supplies,medications,and labs.............................................................•..............$9112.50 • Monthly[?SA Processing Fee $75.00 • Technology Costs $1,975.00 Hardv✓am/Software, EMR and Analytics, IT Support, Phone/Internet,Patient Portal and Mobile App Total Estimated Montttiyr Cos`t...................w......................................................................,........,...................... �aI,552.�'fi Total timeted Artnuai Cost..............•.................,............•.....•...................................................................,,..$6'EBs��33.24k • Total Estimated PEPM $70.72 Oi-Time start-Up Cost...........................................•...•.•..............•.........•..........,..............................................$4 • 2.47 • Medical furniture and equipment................... ........... ........,...........,.............-.......,..............$19,77430 • Medical supplies $4,081.87 • Prescriptionmedications..............................................................,-......................,.........,.,,..................,,.....,. ,$7,732.79 • • Office supplies and furniture $3,003.11 • Provider EMR licensing ................................................$5,500.00 • Staff EMR training $4,250.00 • HSA Processing Implementation Fee .....................$300.00 CareATC Response to RFP for Employee Health CerterAdministnsuon 26 Personal Health Assessment Pricing PHAPricing............••..•..........6........•....•....9.,..•.•..............•..•.....•.».....1.0......,,.•...•..,..•.•.•.,....,....•,...•..•.••$4B.00 per participant PHA Frequently Asked Questions What is a Personal Health Assessment(PIS.)? Personal Health Assessments provide a snapshot of your employees'health through laboratory screenings, medical history,and physical factors.These include cholesterol,glucose levels,tobacco use,EMI,blood pressure, etc. Why does my company need PFIAs? The Personal Health Assessment is a preventative tool that enables your employees to Identify potential health risks before they turn into large company claims.The goal is to identify and treat the small percentage of individuals in your plan that spends the majority of your claims dollars.improving the health of your employees starts with measurement.You cannot know what health conditions your company needs to address until you know the health of your employees. What happens during a PHA? First,participants complete a brief medical history form.We then measure their height,weight,and blood pressure. Lastly,we take a single blood sample from their arm.This total PHA process takes about five minutes to complete. How do participants receive results? Participants receive a customized,confidential summary of their PHA results.CareATCe mails this report directly to the participant.it is also available to participants to view on-line.Only the participants themselves have access to this confidential information. What information will I receive about my employees? CareATC°provides employers with a comprehensive aggregate report of their employees'health.This report includes aggregate information on demographics,risk factors,and health conditions.It does not include participants'confidential or personal information. What Is included In the standard PHA? The Personal Health Assessment Identifies over 30 lab values and lifestyle factors in the following categories: • Vittals(Height,Weight,Waist Measurement,BMI,Blood Pressure,Tobacco Use,Seatbelt Use) • Heart(Total Cholesterol,HDL Cholesterol,LDL Cholesterol,VLDL,Triglycerides) Liver(Albumin Serum,Total Protein,Globulin,Alk Phosphatase,AST(SGOT),ALT(SGPT),Bilirubin Total,NG Ratio) • Endocrine(Glucose, HgbA1C,TSH,PSA(Males 45 or older)) • Kidneys(Sodium,Potassium,Chloride,BUN,Creatinine,BUN/Creatinine Ratio,Calcium,Carbon Dioxide) • Complete Blood Count(White Blood Count,Red Blood Count,Hemoglobin,Platelets,MCV,MCH,MCHC, Lymphs,Monocytes,Eos,Basos,Neutrophils) CoreATC Response to RFP for Employee Health Center Administration 27 Opt.rtl l Seroaces 24/7/355 ........................................................................>.....,.......,...>........... ..$3.50 P5PE HealthPessport Weetneze Pored................................................o....................................................,........,.......$2.00 • One-Time Start-Up Cost $5000.00 • Annual Hosting $1000.00 CareATC Response to RIP for Employee Health Center Administratlon 28 EXHIBIT"B" To the extent there are conflicts between this Exhibit B and the body of the Agreement above,this Exhibit shall supersede the provisions of the Agreement Add to Section 2.Scope of Services a. Professional Health Administrator shall perform the services designated below. The Covered Services will be provided at the location(s) provided by the City which meet the Minimum Criteria for Facilities listed in Exhibit C below. The Clinic may be staffed with any or all of the following: physicians, physician assistants, nurse practitioners,nurses,registered nurses,licensed practical nurses,medical assistants or other medical support staff (collectively, "Health Professionals"). Professional Health Administrator may furnish temporary Health Professional to perform Covered Services when the permanent Health Professional is unavailable. b.The Clinic will be available to those Clinic Eligible Participants that are designated as eligible to have access to the Clinic by Plan Administrator and/or City and who are communicated to Professional Health Administrator as being eligible by Plan Administrator and/or City. Covered Services: El Health assessments for Clinic Eligible Participants. Such assessments will be comprised of(a)blood draws and data collection for each participant conducted by qualified and licensed personnel either at an agreed upon location or at the Clinic; (b)standard laboratory work; (c) individual report for each participant accessible via the Professional Health Administrator mobile app and the secure Internet City Portal;(d)aggregate reports of findings to Plan Administrator. El Aggregate Participant population analysis to improve chronic disease and medication management ("Data Analytics"). CI Primary care to include,but not limited to: 1. Minor acute illness evaluation and available treatment for minor illnesses such as coughs,earaches,fevers, headaches,and infections. 2. Chronic illness evaluation, which includes evaluating, diagnosing, treating and managing typical chronic illnesses that are handled at the Clinic, such as blood sugar, blood pressure, cholesterol, BMI and tobacco cessation. 3. Minor medical procedures that are within the Health Professionals' scope and abilities and that can be performed at the Clinic,with available equipment,and during operating hours. El Provisions of pharmaceuticals to treat common illnesses,including, but not limited to: 1. Infections 2. Hypertension 3. Hyperlipidemia• 4. Diabetes 5. Infectious Disease(including antibiotics) 6. Gastro esophageal/reflux disease 7. Asthma 8. Chronic lung disease Z Necessary standard laboratory work to provide the Covered Services listed above, including, but not limited to,blood draws. Change Section 5.Payment The Professional Health Administrator may submit invoices to the City twice per month during the progress of the contract term. Administrative and other fixed fees will be billed at the beginning of the month based upon the number of Clinic Eligible Participants. Pass through costs will be billed in arrears during the month following the month in which the services were provided. Client will pay all fees described in this Exhibit within two weeks(2)weeks after the date of CATC's invoice. If Client disagrees with any CATC invoice,Client shall pay all undisputed invoiced amounts and notify CATC of the disputed amount and the reasons for which it is disputed.CATC will segregate such disputed amounts from Page 1 undisputed amounts until the matter is resolved. Client has 15 days from the date of the invoice to dispute the charges listed on the invoice. After the expiration of 15 days from the date of the invoice,Client will be deemed to have approved such invoice. Any fees that are not paid when due,will bear interest at twelve percent,(12%) per annum or,if lower,the highest interest rate permitted by applicable law. Add to Section 6.Ownership and Use of Documents. All documents, and other materials produced by the Professional in connection with the services rendered under this Agreement shall be the property of the City with the exception of the below: a. Professional Health Administrator and City agree that all PHI and medical information and records applicable to this Agreement will be subject to HIPAA and other privacy rules. City will not be entitled to have access to any PHI or medical records or information maintained by Health Professionals, except as otherwise provided for in this Agreement. All patient records, PHI data,documents or other information of any type maintained in connection with this Agreement relating to patients covered under this Agreement,or services provided to such patients,will be the sole and exclusive property of Professional Health Administrator. b. Medical records shall be maintained with respect to all of the Clinic Eligible Participants who are patients in a professional manner. Health Professionals will maintain such medical records consistent with the accepted practice of the community in which the Health Professionals provide Covered Services,and consistent with HIPAA privacy standards. c. Notwithstanding the above terms,City will have access to records pertaining to work-related injuries reimbursable by City,to the limited extent permitted by Worker's Compensation laws. d.All obligations to maintain confidentiality of health information will survive termination of this Agreement indefinitely. Change Section 15.Termination a.After the first twelve months of this Agreement,the City reserves the right to terminate this Agreement at any time by giving ninety(90)days written notice to the Professional Health Administrator. Add Warranties Section a. Professional Health Administrator is not responsible for eligibility determinations. Professional Health Administrator shall solely rely on the eligibility information provided by Plan Administrator and/or City in allowing access to the Clinic. Professional Health Administrator will not accept any appeals or claims for benefit or eligibility determinations. Professional Health Administrator will not be liable for any errors or omissions in eligibility information provided to it by Plan Administrator and/or City. b. Professional Health Administrator is not a law or consulting firm and does not purport to give City any sort of legal, tax, ERISA or fiduciary advice or guidance with respect to: City and/or the Plan Administrator's responsibilities under this Agreement; amending any health, medical, or benefits plan offered by City; formation of a wellness program or separate medical plan;obligations of City and/or the Plan Administrator under local,state and federal law. Add HIPAA Section Either Party will immediately notify the other Party of any suspected or confirmed loss, copying or disclosure of Protected Health Information("PHI")as that term is defined by 45 C.F.R.§160.103 and to include electronic PHI that has been furnished(or intended to be furnished)to or by Professional Health Administrator. The Parties will provide timely cooperation to each other in (a) providing any required notices to patients, Clinic Eligible Participants, or others relating to a suspected or actual loss or disclosure of PHI,consumer credit information,or other information for a possible loss or disclosure triggers a legal obligation to provide notices,and in (b)attempting to mitigate such a loss or the effects of such a loss. Page 2 Add Professional Health Administrator Responsibilities a. Professional Health Administrator shall obtain [or has obtained]all licenses and permits necessary to provide the Covered Services under this Agreement. b. Professional Health Administrator will provide City and/or Plan Administrator with the reports described below. Any reports containing participant information will be de-identified before being provided. i. Reports given from the electronic medical records system for established reporting periods including but are not limited to,chronic disease management,Clinic utilization,and aggregate health trends. ii.Medication usage report. iii. Patient satisfaction reports. c. Professional Health Administrator will provide Clinic Eligible Participants who participate in the Personal Health Assessment ("PHA") program with an individual PHA report and access to electronic individual reports via the Professional Health Administrator mobile app and secure Internet City Portal. These individual PHA reports will not be available to City and/or Plan Administrator unless the participant signs a patient consent authorizing Professional Health Administrator to provide access to them. Add City Responsibilities a. City will provide the Clinic a space in accordance with the standard technical and facility specifications listed in Exhibit C. Professional Health Administrator reserves the right to make changes to those specifications. Professional Health Administrator will communicate any changes to the standards prior to the effective date of change. b. City and/or Plan Administrator shall create a list of eligibility requirements for use of the Clinic and shall provide Professional Health Administrator with a list of Clinic Eligible Participants and their social security numbers on a monthly basis. Clinic Eligible Participants submitted without their social security number will not be added until it has been provided. c. City and/or Plan Administrator shall determine how the Clinic and the provision of Covered Services are to be integrated with the Plan. Plan Administrator and/or City is responsible for amending the terms of the Plan, as necessary;amending their employee handbook or any other statement of corporate policies,as necessary;and/or establishing a separate medical plan. In doing so,City and/or Plan Administrator are responsible for following all ERISA and other applicable laws. Add Non-Solicitation Section to Agreement During the term of this Agreement and for one year thereafter,City will not directly or indirectly hire or retain,as a full-time or part-time employee,or on an independent contractor or consultant basis,any Health Professional that performs Covered Services at the Clinic, or otherwise directly or indirectly solicit or encourage any such Health Professional to discontinue performing services for Professional Health Administrator(whether as an employee or independent contractor or consultant). The foregoing obligations will not apply, however, if Professional Health Administrator consents otherwise in writing. Page 3 Add to Exhibit A Price Proposal 1. Initial Provider Training Initial Provider Training— CATC has established a two week onboarding program that all providers are required to complete prior to working in a CATC clinic. The first week of training is performed in the CATC corporate office and a heavy emphasis on learning the EMR system, meeting with account/clinic management personnel and other members of the executive team, visiting local CATC clinics and other matters relative to working in a CATC clinic. During the second week of training,a member of the CATC training team will travel to the Clinic to shadow the provider and reinforce the training materials covered. Client will reimburse CATC on a pass through basis for the labor cost of the provider inclusive of all benefits provided by CATC while they participate in the two week onboarding training course. Client will also pay CATC$4,250 for the cost of training which includes all travel costs of provider and trainer, related training costs and the cost of the training team member to shadow the provider the second week of the training course. 2. Clinic Monthly Fees Monthly Administration Fee:$25.00 per Eligible Employee per month("PEPM"). This fee is calculated on a monthly basis by multiplying the PEPM amount by the number of Eligible Employees as provided by City. This number is based on the eligibility provided by City to Professional Health Administrator on a monthly basis. The number of Eligible Employees is due the 20th of each month for the upcoming month. A. Health Professionals: City will pay Professional Health Administrator for the cost of the Health Professionals on a pass through basis inclusive of all benefits provided by Professional Health Administrator to the Health Professionals. The rates below are estimated rates as of the date of this Agreement and include benefits provided by Professional Health Administrator to the Health Professionals. Any amounts greater than the estimated rates, must be approved by City in advance. The Health Professionals' compensation will be reviewed and is subject to be changed on an annual basis,subject to City's approval. • Physician$149.50 per hour • Nurse Practitioner$68.90 per hour • Medical Assistant$24.00 per hour each • Temporary staff for when clinic staff is out for PTO: • Physician$160.00 per hour • Nurse Practitioner$80.00 per hour • Medical Assistant$22.00 • Plus travel and expenses passed through as approved by City • All overtime will be paid at one and a half times the hourly rate. • If staffing is hired and execution date is not met by City, City will be responsible for payroll effective the hire date of staffing. Benefits above will include the following:Social Security taxes, Medicare taxes, Federal and State Unemployment taxes, Workers Compensation, health insurance, 401(K) match, long term disability, paid time off for vacation, sick, continuing medical education, holidays and required locums coverage during paid time off. Page 4 Should a Health Professional leave on Short Term disability,City will reimburse Professional Health Administrator separately as incurred at a rate of 60%of the employee's salary but not to exceed $1,000 per week. B. Equipment and Supplies: City will pay Professional Health Administrator for equipment and supplies on a pass-through basis. Such a system means that Professional Health Administrator will purchase the equipment and supplies, using reasonable efforts to secure bulk discounts in pricing. Professional Health Administrator will invoice City for Professional Health Administrator's actual cost to purchase the equipment and supplies. C. Pharmaceutical Drugs, Laboratory Testing, Licenses & Permits: City will pay Professional Health Administrator on a monthly pass-through basis for the medications purchased and laboratory testing performed. D. Disposal of medical waste:City will pay Professional Health Administrator on a monthly pass-through basis for the cost of disposing of medical waste. E. HSA Fee: City will pay Professional Health Administrator a monthly HSA Fee equal to $75. This fee covers the cost of managing the HSA process. In addition, City will pay Professional Health Administrator a credit card processing fee equal to 5%of the total credit card transactions processed each month. The credit card processing fee will be deducted from the amount collected from the HSA payments each month which will be credited to the amount due from the City on the monthly invoices. F. Technology Fees: City will pay Professional Health Administrator a monthly Technology Fee equal to $1,975. This fee covers the electronic medical record, data analytics,access to the patient portal and the mobile app. G. Personal Health Assessments: For each participating Eligible Plan Participant over the age of eighteen (18) (once per year), City will pay Professional Health Administrator$45.00 for each Personal Health Assessments performed. Travel Costs for annual PHA event: Should City elect to have a mass-screening event outside Tulsa or Oklahoma City, City will pay Professional Health Administrator for all travel costs on a pass-through basis. Travel costs are inclusive of: (a) PHA team members'daily salary(wages in effect at time of contract signing: $144.00 per day) (b) Car rental, airfare, baggage fees, hotel (single occupancy), per diem at current IRS rates per PHA team member, gas, parking, tolls and mileage if use company vehicle (IRS Business Mileage Rate). 3. Optional Service Fees a. TELEMEDICINE: If City elects to purchase telemedicine,City will pay Professional Health Administrator $3.50 PEPM. This fee is calculated on a monthly basis by multiplying the PEPM amount by the number of eligible employees as provided by the City. The telemedicine fee shall cover 24/7/365 access to CareATC's nationwide network of board-certified physicians and licensed therapists to provide acute care support for Eligible Plan Participants. If City decides to terminate this service, they must provide thirty (30) days' prior written notice of termination. Page 5 b. CareATC Passport: Monthly Fee - If City elects to purchase CareATC Passport, City will pay Professional Health Administrator$2.00 PEPM. This fee is calculated on a monthly basis by multiplying the PEPM amount by the number of eligible employees as provided by the City. CareATC Passport licenses must be purchased for a minimum of one (1) year and will automatically renew for additional one (1) year periods unless City provides thirty(30)days prior written notice of termination. Implementation Fee—If City elects to purchase CareATC Passport,City agrees to pay the following one- time implementation setup fees in addition to the monthly CareATC Passport fee: • Initial setup fee $5,000 • Annual hosting fee $1,000 Page 6 EXHIBIT"C" MINIMUM CRITERIA FOR FACILITIES CLINIC MINIMUM PHYSICAL SPECIFICATIONS Following are the minimum recommended physical specifications for a Clinic operated by Professional Health Administrator 1. Exclusive use for the Clinic. 2. Location on the ground floor or accessible by an elevator. 3. Non-smoking. 4. Weapon free except in the case the patient is required to carry a weapon as part of their job in which case weapons will be stored in a locked storage in the exam room during the full time patient is being treated. 5. OSHA and Medical Facilities Standards: Comply with federal regulations and state standards. 6. ADA compliant. 7. Soundproofed walls,floors,ceilings. 8. Solid doors. 9. Privacy windows(or no windows). 10. Floor coverings: non-porous flooring that can be disinfected and cleaned on a daily basis for all exam, lab, and working portions of the Clinic.VCT tiling is recommended. 11. Walls:Full height,opaque,with semi-gloss paint or similar covering that may be readily wiped down without removing color. 12. Ventilation:The ventilation system will be separate from any smoking or industrial ventilation. 13. Access:Such that the Clinic may be locked securely and separately from the main facility. 14. Signage: City will allow Professional Health Administrator to affix Professional Health Administrator's standard sign by the entry. 15. The following size and design minimum criteria: a. Overall Size:Approximately 1,200 square feet. b. Examination/Treatment Rooms: Each room will have two (2) electrical outlets, hot and cold running water, Internet and phone cabling, and a secure locked storage cabinet reasonably approved by Professional Health Administrator. c. Health Professional Office:one(1),minimum seventy-five(75)square feet. d. Reception: eighty(80)square feet. e. Storage:forty(40)square feet of general storage and supply storage,with shelves. f. Rest Rooms:one(1)unisex,internal in the Clinic space. g. Marked and Reserved Parking for Health Professionals and Patients: two (2) spots that satisfy ADA criteria and that are located within the appropriate distance of the front door. h. Laboratory: Will have two (2) electrical outlets, hot and cold running water, and secure locked cabinetry,reasonably approved by Professional Health Administrator. CLINIC MINIMUM TECHNICAL SPECIFICATIONS Following are the minimum recommended data and voice service specifications for a clinic operated by Professional Health Administrator. In order to comply with HIPAA guidelines as well as ensure operability with necessary applications, computers, phones and network equipment will be provided and provisioned by Professional Health Administrator. All Clinic network devices must be behind an on-site firewall provided by Professional Health Administrator. Page 7 Internet Requirements 1. 15mbps downstream or better,5mbps upstream or better. A single publicly accessible static IP must be available to Professional Health Administrator's firewall.This connection should not be filtered or behind a NAT. Professional Health Administrator can facilitate locating and coordinating the provisioning of these services if necessary. Networking and Devices 1. Enterprise class SPI firewall with IPsec VPN support will be placed on site. 2. Clinic must be built out with CAT6 or better network drops in areas where networked devices are necessary. 3. Wireless access point with WPA2 encryption and Radius authentication against Professional Health Administrator servers will be placed on site. A separate guest network will be necessary. Professional Health Administrator can provision the guest network on Professional Health Administrator equipment if needed. Telecommunication Requirements Professional Health Administrator uses an IP based phone system that will utilize the Internet connection provided to the Clinic. Fax services are handled via a virtual fax solution. Notes Please contact Dustin Fry, Professional Health Administrator Systems Administrator with any questions. dfry@careatc.com,918-779-7450 Page 8