R92-104RESOLUTION NO. R92-/~
A RESOLUTION OF THE CITY COMMISSION OF
THE CITY OF BOYNTON BEACH, FLORIDA,
AUTHORIZING AND DIRECTING THE MAYOR AND
CITY CLERK TO EXECUTE AN AGREEMENT
BETWEEN THE CITY OF BOYNTON BEACH AND
BETHESDA MEMORIAL HOSPITAL (EMPLOY b~ED)
WHICH AGREEMENT IS ATTACHED HERETO AS
EXHIBIT "A"; AND PROVIDING AN EFFECTIVE
DATE.
WHEREAS, the City Commission of the City of Boynton Beach,
Florida upon the recommendation of staff, has determined it to
be in the best interest of the citizens and residents of the
City of Boynton Beach to execute an Agreement between the City
of Boynton Beach and Bethesda Memorial Hospital (EmployMed) for
an on-site Hepatitis B Vaccination program, which Agreement is
attached hereto as Exhibit A.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
THE CITY OF BOYNTON BEACH, FLORIDA THAT:
Section 1.. The Mayor and City Clerk are hereby directed
to execune the Agreement between the City of Boynton Beach and
Bethesda Memorial Hospital, attached hereto as Exhibit A.
Section 2. This
immediately upon passage.
Resolution shall take effect
1992.
PASSED AND ADOPTED this ~ day of July,
%TTEST:
CITY OF BOY~TON BEACH, FLORIDA
MaCoCr
Commissioner ~
o oner
Commiss~er
(Co~Dorate Seal)
BethesdaoAgr
6/23/92
~5~1~--~-'~. BErHESDA EMPLOY
MEMORIAL ~
~" - ',., HOSPITAL ~
~ A Service of
· Bethesda Memor~
HOSpJIO
PROPOSAL FOR
ON-SITE HEPATITIS B VACCINATIONS
FOR
THE CITY OF BOYNTON BEACH
P.O. Box 310
Boynton Beach, Florida 33425-0310
Presented by:
gxaployMed
Bethesda Memorial
Hospital
Bethesda Plus Health
Care Services, Inc.
June L092
2845 South Seocrest Blvd.
Boynton Beach, FL 33435
Tel. [407) 737-7733, Ext. 4323
INTRODUCTION
Hepatitis B is a disease which causes inflammation of the liver.
It is caused by a virus and will strike more than 200,000
individuals in the United States during the coming year. Short-
term consequences of hepatitis B include an average of seven
weeks lost from work, and the risk of permanent liver damage.
Long-term consequences include chronic active hepatitis and
cirrhosis of the liver. Every year approximately 5,000 Americans
die of hepatitis B or its complications. Because of the serious
nature of this disease, it is very important that employees who
are at risk of exposure be protected.
Operating under the supervision of a licensed physician,
Emp!oyMed's on-site Hepatitis B Vaccination Program will allow
you to provide the required hepatitis B vaccine series to your
employees, at your place of business- By decreasing the amount
of time an employee spends out of the office, traveling to and
from a treatment site for injections, you will save a full day of
productive work time for each vaccinated employee. We also
provide ease of admln~stratlo , since we handle all scheduling,
record keeping, notification to employees and employee education.
On-site hepatitis B vaccinations will be provided to high risk
employees (employees exposed to blood or other body fluids on
average, one or more times per month) of the City of Boynton
Beach. The following schedule will apply:
First Visit: Blood Screen by Phlebotomist (optional)*
Education by Registered Nurse
Second Visit: First Vaccine Injection by Registered Nurse
(ten to fourteen days after first visit)
Third visit: Second Vaccine Injection byRegistered Nurse
(one month after first vaccine)
Fourth visit: Third Vaccine Injection by Registered Nurse
(six months after second vaccine)
Fifth visit: Blood Screen by Phlebotomist
(six to eight weeks after final injection)
* Prescreenln9 is not a prerequisite of the hepatitis B vaccine.
This proposal is being submitted by EmployMed, Bethesda Memorial
Hospital, to provide on-site hepatitis B vaccinations to
employees of the City of Boynton Beach. Enclosed is a
description of services, mechanics of the pro~ram, a fee
schedule, billing information and an agreement.
MECHANICS OF THE PROGRAM
A hepatitis B vaccination schedule will be determined, and the
schedule of blood screens and vaccinations will take place at the
employer's Place of business. On-site testing will be conducted
with a minimum of five employees participating. Bethesda Plus
Health Care Services, a subsidiary of Bethesda Healthcare
Corporation, will provide a phlebotomist to draw blood for the
blood screens and a licensed, registered nurse to provide the
vaccines.
- Prior to the first visit, all employees who volunteer for
this program will receive a question and answer booklet for
their review.
At the time of the first visit, the employee will identify
himself and be asked to sign an authorization form (see
attached sample) for the release of his medical records to
the City of Boynton Beach. A phlebotomist will draw the
blood for the initial screen, while a nurse distributes
educational materials and answers employee questions. The
City of Boynton Beach must provide an interpreter for all
non-English speaking employees.
Lab results for the initial screen will be reported to each
employee in the form of a letter, stating the results and
what they indicate, whether or not they need to return for
the vaccination series or (in the case of carriers) the need
to follow up with their personal physician. Employees who
do not have a personal physician will be referred to an
EmployMed physician.
During the second visit, all employees, who received a
notice to return for the vaccination series, will be asked
to sign a consent and release form. A vaccine will be
scheduled every ten minutes and administered by a registered
nurse. The same scheduling arrangement will be made for the
second and third vaccines.
The final visit will include a blood screen, to determine
immunity status, with notification of results and
explanations (of conversion to immune status) being
forwarded to the employee and the City of Boynton Beach.
- A booster vaccine will be available to any employee who has
followed the vaccination schedule listed above, but does not
convert to an immune status. This fourth vaccine will be
administered approximately two months after the antibody
titer reveals that immunity has not been achieved.
A post vaccination blood screen will be drawn approximately two
months after this fourth booster vaccine is given to determine
in~nune status.
Any employee who misses an appointment will be notified by mail
to make other arrangements to reschedule.
All records will be kept on file at Bethesda Plus Health Care
Services. The City of Boynton Beach will also receive all
results for employee files. Any employee receiving the vaccine
series, who leaves the company, will be notified in writing of
his or her opportunity to continue the series. This employee and
the City of Boynton Beach will receive the final blood screen
results.
A~ess and Contact Personnel
EmployMed Occupational Health Care Services
Bethesda Memorial Hospital
2815 S. Seacrest Blvd.
Boynton Beach, FL 33435
Scheduling vaccinations:
Kelly Koile
Manager, EmployMed Services
(407) 737-7733, ext. 4421
Bethesda Plus Health Care Services
2017 Corporate Drive
Boynton Beach, F1 33426
Program operations:
Pam Dannelevitz, R.N.
Director of Professional
Services
(407) 732-5000
FEE SCHEDULE
Complete Vaccination Series per employee:
$190.00
Initial Blood Screen per employee:
$ 20.00
BILLING
Invoices will be submitted to the City of Boynton Beach after
completion of the first vaccine, listing all employees requiring
the initial blood screen only and those requiring the complete
vaccination series. Payment from the City of Boynton Beach will
be made to Bethesda Plus Health Care Services within thirty (30)
days of the invoice date.
No refunds will be made for those employees who no longer work
for the City of Boynton Beach and have completed only part of the
vaccine series. These employees will have an opportunity to
complete the vaccine series and a final notice of conversion to
immunity status will be forwarded to both the employee and the
City of Boynton Beach for their records. If an employee refuses
to continue the series, the City of Boynton Beach will be
notified of such refusal.
AGREEMENT
Through Empl0yMed, Bethesda Plus Health Care Services, Inc. will
provide the City of Boynton Beach with an on-site Hepatitis B
Vaccination Program. A minimum of five (5) employees is required
for participation in this program.
Bethesda Plus Health Care Services, Inc. will submit an
invoice(s) to the City of Boynton Beach, listing all
employees who participate in the program.
Payment from the City of Boynton Beach will be made within
thirty (30) days from the invoice date.
Either party may cancel this agreement for due cause by
giving written notification sixty (60) days in advance.
However, once the first vaccine has been given, the City of
Boynton Beach will be responsible for full payment of all
employees scheduled for the complete series.
Upon approval.of this agreement, EmployMed will implement this
progra~ immediately. This proposal is valid for ninety (90) days
from the time it is presented to the City of Boynuon Beach.
A~REED BY~
THE CItY OF BOI~TTON BEACH
Afline Weine
Titl~e / Mayor ./~ / Date
BETHESDA MEMORIAL HOSPITAL
bert B. Hill, Presld~nt
Date
SAMPLE
RELEASE OF MEDICAL RECORDS
AUTHORIZATION FORM
I hereby authorize Bethesda Plus Health Care Services to obtain
baseline hepatitis B antibodies and antigens and to report the
results of these blood tests to the City of Boynton Beach. I
hereby release and discharge Bethesda Plus Health Care Services,
Inc., it's agents and employees, from any liability resulting
from the reporting of the baseline results to the City of Boynton
Beach.
SIGNED THIS__DAY OF
SIGNATURE OF EMPLOYEE