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HomeMy WebLinkAboutResolutions - 1993.12.09 - 22367MISCELLANEOUS RESOLUTION #93275 December 9, 1993 BY: GENERAL GOVERNMENT COMMITTEE, DONALD W.JENSEN, CHAIRPERSON IN RE: DEPARTMENT OF INSTITUTIONAL AND HUMAN SERVICES/MEDICAL CARE FACILITY - CONTRACTING FOR MEDICAL SERVICES TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Chairperson, Ladies and Gentlemen: WHEREAS care facility and medicaid regulations require licensed physician services be provided to residents of the Medical Care Facility; and WHEREAS the Medical Care Facility currently has a full-time physician on staff; and WHEREAS the full-time physician has announced his intention to retire under the early-out program; and WHEREAS all other county medical care facilities in the state contract for the required medical services; and WHEREAS private physicians are willing to provide the required services to the Oakland County Medical Care Facility in exchange for permission to invoice directly for their services, at no cost to the County; and WHEREAS a physician, with extensive experience with this specific population, has been identified and is willing to provide the services as detailed in the attached document; and WHEREAS a proposed amendment to the 1994-1995 County Executive's Budget Recommendation has been introduced to the Personnel and Finance Committees' budget hearings to delete the full-time physician position and to contract these services to a private physician, saving the County approximately $67,000 annually. WHEREAS the physician with whom the County is anticipating contracting with has indicated that he will secure and provide to the County a policy of malpractice insurance providing a minimum policy limit of $1,000,000 per claim. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners approves the contracting of medical services for the Medical Care Facility with the specific requirement that the contracting physician or physicians provide a policy or policies of malpractice insurance with a minimum policy limit of $1,000,000 per claim, approved by the Oakland County Risk Manager, before the contracting physician or physicians provide any services on behalf of the County under the terms of this contract. Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing resolution. GENERAL GOVERNMENT COMMITTEE MCF 4-52100-163-30-00-3128 CBL CONTRACT COUNTY OF OAKLAND DEPARTMENT OF MANAGEMENT AND BUDGET Purchasing Division Req. #031030 PSC #2701 PROFESSIONAL SERVICES CONTRACT THIS AGREEMENT, made this 1st day of December, 1993, between the COUNTY OF OAKLAND, a Michigan Constitutional Corporation, hereinafter called "County", and DONALD S. DREYFUSS, M.D., 81 WHYSALL LANE, BLOOMFIELD HILLS, MI 48304, hereinafter called "Contractor". WITNESSETH: For and in consideration of the mutual covenants and agreements herein contained, it is agreed by and between the parties hereto that the County shall retain Contractor as an Independent Contractor, with the parties agreeing to the following terms and conditions: Scope of Work: 1. To provide physician services to the Oakland County Medical Care Facility residents. The Physician shall be designated as the "Medical Director" and is responsible for the overall coordination of the medical care provided in Oakland County Medical Care Facility, as stipulated in (483.75) F508, 1509, F510. As Medical Director, Dr. Dreyfuss shall: a. Ensure the adequacy and appropriateness of the medical care services provided to the patients and; b. Maintain surveillance of the health status of the employees and; .-.:. Perform all duties commensurate with an encompassed by the title of Medical Director. 2. The Contractor shall submit to the County the following documents: a. A notarized copy of the medical diploma from -n accredited (medical) school. b. A copy of the current Michigan license to practice either medicine or osteopathic meCcine and surgery. C. A copy of the current Michigan Corr:olled Substance License and current DEA registration. d. The name of an alternate physician avaiWale in case of an emergency. e. A letter written by the physician (named as the alternate) accepting such designation and the willingness to provide the necessary medical direction. In addition, will provide the following for all physicians named as alternate or associates: 1. A notarized copy of the medical diploma from an accredited medical school. 2. A copy of the current Michigan license to practice either medicine or osteopathic medicine and surgery. 3. A copy of the current Michigan Controlled Substance license and current DEA registration. 3. The medical care of each resident must be under the supervision of a physician. (483.40(a)(1) F386 and R325.20601(1)). 4. The physician shall examine the resident within forty- eight (48) hours of admission. The only exception will be in the case of a Friday admission in which instance the physician shall examine a resident within seventy-two (72) hours of admission. (R325.20602(1)). 5. The examination shall include a chest x-ray, unless a chest x-ray has been taken within ninety (90) days of admission and a report of the results (of the aforementioned x-ray) is available at the time of the resident's admission for inclusion in the resident's clinical record. (R325,20602(3)). 6. The physician shall prescribe a total program of care based on a medical examination of the resident's immediate and long range needs. The documentation required following such medical examination of the resident (after admission) shall include a clinical history and physical exmination, appropriate diagnosis, and written orders. The afore- -ntioned documentation shall be a permanent part of the resident's clinical record. (483.40(b)(1) F388 and R325.20606(2)). 7. The physician shall personally visit and examine all residents at least once every thirty (30) days. (More often if required by resident's medical coverage), 8. The physician shall review and revise as necessary the resident's total program of care (including medications and treatments) at each visit required by paragraph 6 above. (483.40(b)(1) F388). 9. The physician shall legibly write a progress note in the resident's clinical record at the time of each visit. Such entry, written by the physician, must include pertinent clinical observations. (483.40(b)(2) F389 and R325.20603(1))- The physician may dictate a progress note if the information is of such length and volume as to lend itself to dictation. However, the physician is still required to write a progress note in the resident's clinical record which briefly states pertinent information (contained in the dictated progress note) at the time the physician visits and examines the resident. This is necessary to ensure that information essential to resident care is available to other health care professionals in a timely fashion. 10. The physician shall personally visit and examine the residents at the intervals stipulated in the above paragraph in accordance with the schedule mutually agreed to by the Administrator, the Director of Nursing Services, and the physician. This schedule will allow other health care professionals to respond in a timely and appropriate manner to any medication and/or treatment order changes written by the physician. Physician to visit and examine each weekday. The physician may change/amend the list of residents scheduled to be seen on a particular day, however, scheduling of future visits to ensure compliance with documented visits at stipulated intervals (every thirty (30) days from the date of admission) shall be the sole responsibility of the physician. 11. The physician shall see any resident regardless of scheduled visit date, if in the opinion of the nursing supervisor, the resident's condition has changed and warrants physician intervention. 12. The physician shall countersign all telephone and verbal orders written in the resident's clinical record by the licensed nurse within Iforty-eight (48) hours. (R325.20605(2)). 13. The physician shall fully inform the resident of his or her medical condition unless medically contraindicated (as documented, by the physician, in the resident's clinical record). This duty cannot be delegated to another health care professional. (483.10(b)(3) F157 and Section 20201(e) of the Public Health Code). 14. The physician shall provide continuous medical supervision of substitute for the physician. (483.40(a)(2) F387). 15. Telephone orders will only be given by a licensed physician. 16. Use of a signature stamp shall be prohibited in the resident's clinical record. The physician may not sign blank or incomplete records. 17. Nursing requirements to record the resident's weight, temperature, pulse and respirations stipulated in the state rules, are in conflict with the regulations which specify the time interval between documented physician visits. Although convenient for the physici, this nursing documentation may not, of necessity (because of the difference in requirements), be available at the time the physician examines the resident. The absence of such information does not in any way relieve/delay the physician of his responsibility to visit and examine the resident at the prescribed intervals. 18. All orders for pharmacy items shall be filled and dispensed from the Oakland County MCF Pharmacy. 19. All orders for lab work shall be completed by the OCHD lab or outside lab contracted with by Oakland County. 20. The physician shall follow the MCF procedures when notified regarding the death of a resident including completion of the death certificate as appropr. 21. The physician shall nct engage or otherwise involve himself in the duties, responsibilities, tasks, functions delegated to the Administrator by the Governing Board. 22. If the physician is appointed as a member of a committee, the physician shall attend the s, .fied committees. a. The physician shal_ participate in our quality improvement program as requested by the Administrator or Quality Improvement Coordinator. 23. The physician shall pr_rform all pre-employment and periodic physical examinations of the Facility's employees as required. Such physical examinations are scheduled through the Nursing Office. 24. The physician will complete the certification and recertification, as required by either Medicare or Medicaid regulations, in a timely fashion. 25. The Contractor shall coordinate with the contract administrator of the Medical Care Facility. NON-DISCRIMINATION In connection with the performance of Work under this contract, the Contractor agrees not to discriminate against any employee or applicant for employment because of ,sex, race, religion, color, national origin, or handicap. The aforesaid provision shall include, but not be limited to the following: recruitment or recruitment advertising; employment, upgrading, demotion or transfer; layoff and selection for training, including apprenticeship, in accordance with rules and regulations promulgated by the Federal (Compliance Responsibility for Equal Employment Opportunity -- Chapter 60, 60-1, 4, No. 1-7) and State (Standards and Procedures for Executive Directive 1975-6, Section II-C, IV-C, and V-A&B) agencies and related Federal and State laws and regulations. PAYMENT The Physician will be responsible for billing third party payers for medical care services provided. The clerical tasks associated with the billing for physician services shall be the sole responsibility of the Physician. The Physician shall maintain all necessary records to comply with the various third party payers reimbursement regulations. Further, the Physician agrees to accept as "payment in full" for medical care services provided the fees established and paid by the third party payor (i.e., Medicare, Medicaid, BC/BS, or Hmo's/PPo's). No attempt will be made by the Physician or any agent, employee or contracted service of said Physician to obtain any additional compensation from the patient, the patient's guardian, the patient's family, the patient's designated representative, the patient's name responsible party or Oakland County. Further, the Physician agrees to accept a fee structure established by Michigan Blue Cross/Blue Shield when calculating the designated "private pay" patients' physician serv2,ces bill. Further, the Physician agrees to assume the responsibility for any uncollected or uncollectible fees. Further, the Physician shall use his own provider number. OFFICE SUPPORT The County will provide the Physician with office space, equipment and supplies necessary to perform the duties and responsibilities. All other documentation required as part of the medical care of the patient will be the responsibility of the Physician, e.g., progress notes, etc. ACCESS TO BOOKS AND RECORDS The books, records and documents of the Physician pertaining to this Agreement shall be made accessible, upon written notice, for inspection by the Comptroller General of the United State, the Secretary of Health and Human Services and their authorized representatives until the expiration of four (4) years after the services hereunder are furnished. The County has the right, as its option, to terminate this agreement, upon thirty days written notice, in the event the Contractor defaults in the performance of the agreement, or breaches any term of this agreement. The County's obligation in the event of termination is for payment for actual services rendered until the Contractor is notified of termination, or for services actually rendered during the period of notice after notice is served. In the event of termination, the County is not obligated for payment for the duration of the term of the agreement unless such term is less than 30 days at the time notice of termination is given. The Contractor has the right, as its option, to terminate this agreement by giving written notice to the County in the event the County defaults in the performance of the agreement, or breaches any term of this agreement. A default in performance and/or breach of this agreement shall include, but is not limited to the following: (1) failure to cure a default in payment within 30 days after Contractor provided written notification of default. IT IS MUTUALLY AGREED AND UNDERSTOOD: 1. The Contractor has represented to the County the following facts as an inducement to enter into this agreement and declares such statements to be true: - Contractor warrants that all services performed hereunder will be performed in a manner that complies with all statutes, regulations, ordinances, professional standards applicable to the services provided; - The Contractor pays, and will continue to pay, its own local, state and federal taxes, including without limitation, social security taxes, and unemployment compensation taxes, and will file its own annual and/or quarterly tax returns with the proper federal, state and local authorities; - The Contractor will provide and maintain its own worker's compensation insurance, general liability insurance, automobile insurance as required by the State of Michigan; - The Contractor shall take out and maintain during the life of the Contract such Public Liability and Property Damage Insurance (construed as including contractor's Contingent or Protective Insurance to protect the contractor from damage claims arising from operations under the contract) as shall protect him from claims for damages for personal injury including accidental death, as well as from claims for property damages which may arise from operations under the Contract whether such operations by himself or by any subcontractor or by anyone directly or indirectly employed by either of them. The amounts of such insurance shall be as follows: a. Liability insurance for Comprehensive General Liability is to include coverage for Personal Injury in the minimum amount of $300,000 Combined Single Limit per occurrence. Medical Malpractice Insurance in the minimum amount of $1,000,000 per claim and errors and omissions in the amount of S100,000/claim and $300,000 aggregate - The Contractor maintains and will continue to maintain all applicable business and professional licenses necessary to provide the services contracted for; - That Contractor maintains a business office at the address listed above; - That the Contractor will not seek employment as an employee of the County during the term of the contract; - That the Contractor has undertaken a significant investment in its business and in the good will of its enterprise; - That nothing in this agreement is intended to establish an employer-employee relationship with the County. 2. That the Contractor's relationship to the County is that of an Independent Contractor. This Contract shall not cause the County to be liable for, or Contractor to accrue, benefits such as, but not limited to, Worker's Compensation, retirement, pension, vacation pay, sick pay, merit increases, annual leave days, promotion, disability pay, insurance of any kind, or any other rights or liabilities arising out of a contract of hire or employer-employee relationship. 3. The Contractor shall indemnify and hold the County harmless from any and all actions, liabilities, claims, loss and damage (including costs of litigation and actual attorney fees) alleged to have been caused by, or to have arisen, directly or indirectly, from the acts, performances, negligence, malpractice, errors or omissions of the Contractor or the Contractor's assistants, employees or agents, including without limitation, all claims relating to injury or death of any person or damages to any property. 4. Pursuant to the provision of Public Act 317 or 1968, as amended (MCL 15.321, et seq.), no contracts shall be entered into between the County Including All agencies and departments thereof, and any employee or officer of the County. To avoid any real or perceived conflict or interest, the Contractor shall identify any relative or relative of the Contractor's employees and subcontractor who are presently employed by the County. Nothing contained in this provision limits or is intended to limit in any way the Contractor's right to offer and provide its services to the general public or other business entities, municipalities or governmental agencies, during or after the term of this agreement, or from working for more than one rim, entity or agency during the term of this agreement. The Contractor may provide services to others during the periods when the Contractor is not engaged in performing services for the County. This agreement is a non- exclusive agreement, and the County may engage other independent contractors to perform the same work which the Contractor performs. 5. This contract does not authorize any in-kind services unless previously agreed by the County and specifically listed herein. 6. The Contractor shall allow the County's Auditing division to perform financial and compliance audits as appropriate with the authority to access all pertiflr1 records and interview any of the Contractor's employees througher, the term of the Contract and for a period of three years after final payment to ensure a complete post-evaluation of services. 7. The Contractor is responsible for providing equipment and supplies not otherwise provided by the County. 8. The Contractor shall have the right and duty to exercise control and supervision over the immediate job site and work area where the Contractor's services are rendered to the extent necessary to accomplish the job specifications/services set forth in this Agreement. 9. In the event the Contractor is unable to perform the job specifications/tasks as required under this Agreement at the time (or for any period of time) in which performance is due, the Contractor remains solely responsible for continued performance which includes, but is not limited to, the retention of an assistant to substitute for and complete the Contractor's services. The Contractor must notify the contract administrator in the event Contractor is unable to perform such services when due. Any and all assistants employed by the Contractor are employed at the Contractor's own expense (including taxes and insurance) and the Contractor remains solely responsible for and fully liable for the conduct and supervision of any assistant it employs. Contractor warrants that any services performed by Contractor's assistants shall fully comply with the terms of this agreement and shall be of the same quality of service as Contractor has customarily provided to the County. All assistants employed by the Contractor shall be deemed employees of the Contractor and not employees, agents or sub-contractors of the County. 10. The Contractor shall be responsible and liable for all costs and expenses incident to the performance of services for the County including, but not limited to professional dues, association fees, license fees, fines and penalties. The County shall not be liable for any expenses incurrea by the Contractor in performing services for the County. 11. While the Contractor retains the right to perform services at any time, any services which require access to County facilities may only be Performed during the County's regular business hours. 12. This Contract shall become effective on the day and date first above written, and shall terminate on the 30th day of November, 1994. The Contractor is not guaranteed any right or preference to a continuation of this Contract. The County of Oakland, however, reserves an option to extend the expiration of this agreement, contingent upon consent of the Contractor, up to two additional years. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the respective dates hereunder indicated. COUNTY OF OAKLAND, a Michigan Constitutional Corporation WITNESS Oakland County Purchasing WITNESS (Date) Contract Administrator (Date) Individual Contractor (Federal Tax I.D./S.S. (Date) lmg Rev. 10/93 Rcoolution #93275 December 9, 1993 Moved by Jensen supported by Aaron the resolution be adopted. AYES: Douglas, Garfield, Gosling, Huntoon, Jensen, Johnson, Kaczmar, Kingzett, Law, McCulloch, Miltner, Moffitt, Oaks, Obrecht, Palmer, Pernick, Powers, Price, Schmid, Taub, Aaron, Crake, Dingeldey. (23) NAYS: McPherson. (1) A sufficient majority having voted therefor, the resolution was adopted. STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lynn D. Allen, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on December 9th., 1993 with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at Pontiac, Michigan this 9th. day of December, 1993 Lynm D. Allen, County Clerk