2011-130sAlegal\our documents\ordinances\11\carehere clinic agreement.doc
ORDINANCE NO. 2011-130
AN ORDINANCE AUTHORIZING THE CITY MANAGER TO EXECUTE AN AGREEMENT
BETWEEN THE CITY OF DENTON AND CAREHERE, LLC; APPROVING THE
EXPENDITURE OF FUNDS; AND PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the City has solicited, received, evaluated proposal and selected CareHere, LLC
for the purpose of providing professional medical staff, oversight and management of the clinic
operations; NOW, THEREFORE,
THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS:
SECTION 1. The City Council hereby approves the Clinic Agreement, attached hereto,
between the City of Denton and CareHere, LLC.
SECTION 2. The City Manager, or his designee, is authorized to execute and make the
expenditures as outlined in the attached Agreement and to exercise all rights and duties of the City of
Denton under the Agreement.
SECTION 3. This Ordinance shall become effective immediately upon its passage and
approval.
PASSED AND APPROVED this the day of '2011.
MARK A. BURR , MAYOR
ATTEST:
JENNIFER WALTERS, CITY SECRETARY
BY:
APPROVED AS TO LEGAL FORM:
ANITA BURGESS, CITY ATTORNEY
BY: % L X -1
City of Denton and CareHere, LLC
Clinic Agreement
This Clinic Agreement is made and entered into this Aay of 20 A,
by and between the City of Denton ("City"), and CareHere, LLC, a Tennes e limited liability
corporation ("CareHere").
Recitals:
A. CareHere contracts with City to arrange for Medical Practitioners to be located at
the City's place of business to perform certain medical services for the employees of such City
and/or its retirees and/or their dependents.
B. The City desires to contract with CareHere for onsite Medical Practitioners in a
healthcare clinic and for the provision of management and non-medical services to assist the City
and Medical Practitioners in providing medical services to the City's employees, retirees, and/or
dependents.
C. CareHere desires to contract with the City for CareHere to arrange for Medical
Practitioners to provide certain onsite medical services on behalf of City for the employees or
retirees of the City and/or their dependents on the terms and subject to the conditions contained
herein.
NOW, THEREFORE, for good and valuable consideration, the receipt and the
sufficiency of which are hereby acknowledged, the City and CareHere hereby agree as follows:
ARTICLE I
PROVISION OF MEDICAL PRACTITIONERS
1.01 Provision of Medical Practitioners. CareHere shall arrange for appropriate
Medical Practitioner staff to operate the Clinic, as agreed upon between CareHere and the City.
For purposes of this document, a Medical Practitioner shall be defined as an individual licensed
or certified to treat illness and/or injury and acting within the scope of that license or
certification. Examples include, but are not limited to, a Physician, Nurse Practitioner, Physician
Assistant, Registered Nurse, Medical Assistant, etc. Medical Practitioner shall be located at the
offices provided by the City to provide the Medical Services (as defined herein) to the employees
and/or retirees of the City and/or the dependents thereof for a period of not less than forty (40)
hours per week unless week contains holidays where hours will be determine by mutual
agreement by Client and CareHere. CareHere is not committing to arrange for a particular
person as the Medical Practitioners and, at any time and from time to time, CareHere may
change the Medical Practitioners upon providing a ten (10) business day notice to the City in
writing. City shall have the opportunity to interview all final Medical Practitioner candidates
identified by CareHere. City shall also have the right to have CareHere remove a Medical
Practitioner upon written notice, which notice shall specify the time by which the Medical
Practitioner shall be removed.
As used herein, the term "Medical Services" means delivery of those services listed on
Exhibit A.
The City and CareHere may, at any time and from time to time, amend or supplement
Exhibit A by written agreement.
1.02 Standards of Physician Performance. CareHere shall contract with an
independent Physician such that the Physician is obligated to perform or deliver the following,
supported by two Medical Assistants under the Physician's direction, control, and supervision:
(a) The Physician shall determine his or her own means and methods of
providing Medical Services in connection with this Agreement.
(b) The Physician shall comply with all applicable laws and regulations with
respect to the licensing and the regulation of physicians, and shall ensure that the Medical
Assistants do the same with respect to any licensing and regulation applicable to them.
(c) The Medical Practitioners shall provide the Medical Services in a manner
consistent with all applicable laws and regulations and in a professional manner
consistent with Medical Services provided in the community.
(d) The Physician shall maintain, during the term of this Agreement,
appropriate credentials including:
(1) A duly issued and active license to practice medicine and prescribe
medication in the State of Texas,
(2) A good standing with his or her profession and state professional
association,
(3) The absence of any license restriction, revocation, or suspension,
(4) The absence of any involuntary restriction placed on his or her
federal DEA registration, and
(5) The absence of any conviction of a felony.
(e) In the event that the Physician (1) has his or her license to practice
medicine or prescribe medication restricted, revoked or suspended, (2) has an involuntary
restriction placed on his or her federal DEA registration, (3) is convicted of a felony, or
(4) is no longer in good standing with his or her professional or state licensing authority,
CareHere shall promptly remove that Physician and replace such Physician with another
Physician that meets the requirements of Section 1.02 (d). CareHere shall require any
Physician to remove and promptly replace any Medical Practitioner who has his or her
professional license or certification restricted, revoked or suspended, is convicted of a
felony, or is no longer in good standing with his or her professional or state licensing
authority.
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(f) CareHere shall require the Physician to ensure that any Medical
Practitioner complies with the requirements of this Section 1.02 with respect to
performance, licensing, certification, and good standing, as applicable. CareHere shall
require the Physician to notify CareHere immediately in the event the Physician learns of
the possibility that any of the events specified in Section 1.02 may occur with respect to
the Physician or any Medical Practitioner and CareHere shall immediately notify the City
of such notification, so the City can determine whether or not to exercise its right to
remove the Physician pursuant to Section 1.01.
1.03 Scheduling of Services. CareHere shall contract with the Physician for the
Physician to provide the Medical Services at the Denton Regional Professional Office Building,
3737 S I-35, Suite 310B, Denton, Texas (the "Clinic"). Providing the Client and CareHere has
contracted with at least one full-time medical physician at least one week prior, then the Clinic
shall open on a date agreed upon by the parties but not later than December 1, 2011, and
CareHere shall begin delivering Medical Services on that date.
1.04 Place of Services. The City shall provide the Physician examination room(s) at
the Clinic, which examination rooms shall be reasonably satisfactory, in the judgment of the
Physician, for the provision of the Medical Services. CareHere shall supply the City with
cabinetry, counter space, lockable medication storage, internet connectivity, and telephone and
fax connectivity. The City agrees to coordinate, manage, fund and oversee any renovation
required to provide the Clinic. The City agrees that the Clinic will be prepared, cleaned, and
ready for CareHere to occupy at least two (2) weeks in advance of the targeted clinic opening
date.
1.05 Equipment and Supplies. Per Article II of this Agreement, the City shall
reimburse CareHere for the equipment and supplies listed in, but not limited to those specified
in, Exhibit B. The Physician shall notify, at any time and from time to time, CareHere of the
quantity of such equipment and such supplies which the Physician reasonably requires in
connection with the provision of the Medical Services and the date by which such equipment and
such supplies are required, and CareHere shall provide such equipment and such supplies by
such date and be reimbursed by City.
1.06 Professional Liability Insurance. CareHere shall ensure that the Physician
maintains, throughout the term of this Agreement, professional liability insurance covering the
acts and omissions of the Physician, in the minimum annual coverage amount of $1,000,000 with
an insurance company reasonably satisfactory to CareHere. CareHere will require the Physician
to notify CareHere immediately in the event he or she does not have the required coverage and
will promptly remove and replace such Physician with another qualified Physician. CareHere
shall provide City proof of such professional liability insurance maintained by the Physician.
1.07 Responsibilities of Parties. CareHere is an independent contractor of the City.
The Physician shall be solely responsible for his or her actions and /or omissions and the actions
and/or the omissions of any agent or any employee used by him or her (including without
limitation any Medical Assistants) in connection with providing the Medical Services
contemplated by this Agreement. Neither the City nor CareHere shall have any control or
involvement in the independent exercise of medical judgment by the Medical Practitioners, and
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neither the City nor CareHere shall incur any liability for the actions or the omissions of the
Physician and/or any agent or any employee used by the Medical Practitioners in connection
with this Agreement. CAREHERE SHALL INDEMNIFY, DEFEND AND SAVE AND
HOLD HARMLESS THE CITY AND ITS OFFICERS, AGENTS, AND EMPLOYEES
FROM AND AGAINST ANY AND ALL LIABILITY, CLAIMS, DEMANDS, DAMAGES,
LOSSES AND EXPENSE, INCLUDING BUT NOT LIMITED TO COURT COSTS AND
REASONABLE ATTORNEY FEES INCURRED BY THE CITY FOR INJURY, DEATH
AND PHYSICAL DAMAGES TO REAL OR TANGIBLE PERSONAL PROPERTY TO
THE EXTENT RESULTING FROM THE NEGLIGENT ACTS OR OMISSIONS OF
CAREHERE OR ITS OFFICERS, PARTNERS, AGENTS, OR EMPLOYEES IN THE
EXECUTION, OPERATION OR PERFORMANCE OF THIS AGREEMENT; EXCEPT
THAT THE INDEMNITY PROVIDED FOR IN THIS SECTION WILL NOT APPLY TO
ANY LIABILITY RESULTING FROM THE SOLE NEGLIGENCE OF THE CITY, ITS
OFFICERS, AGENTS, EMPLOYEES OR SEPARATE CONTRACTORS, OR IN THE
EVENT OF JOINT AND CONCURRENT NEGLIGENCE OF BOTH CAREHERE AND
CITY, RESPONSIBILITY, IF ANY, SHALL BE APPORTIONED COMPARATIVELY
IN ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS.
AS A CONDITION TO THE FOREGOING INDEMNITY OBLIGATION, CITY SHALL
PROVIDE CAREHERE WITH PROMPT NOTICE OF ANY CLAIM FOR WHICH
INDEMNIFICATION SHALL BE SOUGHT HEREUNDER AND SHALL COOPERATE
IN ALL REASONABLE RESPECTS WITH CAREHERE IN CONNECTION WITH ANY
SUCH CLAIM. HOWEVER, SUCH INDEMNIFICATION BY CAREHERE SHALL
NOT BE CONSTRUED TO MEAN CAREHERE IS PROVIDING MALPRACTICE
INSURANCE. SAID INDEMNITY OBLIGATION SHALL BE SUPPORTED BY
APPROPRIATE LIABILITY INSURANCE WITH MINIMUM LIMITS AS REQUIRED
BY THE CITY.
1.08 Other Licensed Medical Practitioners. The City agrees and acknowledges that
Physician may from time to time have other Medical Practitioners, as defined in the next
sentence, assist the Physician and/or replace the Physician during his or her regularly scheduled
time at the City's place of business in the event of an emergency (provided, however, that
CareHere will require the Physician to ensure that the services provided by replacement
individuals do not exceed the scope of their professional training and licensure). "Medical
Practitioners" shall mean a duly licensed nurse, nurse practitioner, medical doctor and licensed
physician's assistant. Section 1.07 shall apply in the same manner to the Medical Practitioners
as such section applies to the Physician. CareHere shall also ensure, or require the Physician to
ensure, that all Medical Practictioners who provide services hereunder have insurance coverage
consistent with the requirements of Section 1.06. From time to time the Physician, upon consent
of an employee or retiree of the City and/or spouse or dependent of the employee or retiree, may
have medical doctors that are interns or residents associated with one of the medical schools in
the State of Texas observe and assist the Physician for educational and teaching purposes under
the Physician's direct supervision. The same level of professional standards as set forth in
Section 1.02 shall apply to Medical Practitioners, other than medical doctor interns and residents,
working under the direct supervision of the Physician.
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1.09 Billing. CareHere shall contract with the Physician that the Physician shall not
bill or otherwise solicit payment from employees or retirees of the City and/or their dependents,
or City, or from the City Benefit Plan for the Medical Services provided by the Physician.
1.10 Medical Records. CareHere shall contract with the Physician for the Physician to
maintain medical records in electronic medical records format with respect to all of the patients,
all of which medical records shall be maintained in a professional manner consistent with the
accepted practice of the community in which the Physician provides the Medical Services in
connection with this Agreement. CareHere shall also require the Physician to comply with the
Federal and State confidentiality laws relating to health care operations and medical records
including, but not limited to, the Health Insurance Portability and Accountability Act (HIPAA).
All patient records maintained by the Physician in connection with this Agreement shall be the
sole property of the Physician and CareHere.
The City understands and agrees that all of the medical records and other protected health
information maintained by the Physician will be held by the Physician in strictest confidence,
and that the City will not be entitled to have access to the medical records maintained by the
Physician, in the absence of an appropriate written authorization from the patient or pursuant to
law or court order or in connection with a signed confidentiality agreement as executed between
the City and CareHere for purposes of auditing.
1.11 Reports. CareHere shall provide to the City within 30 days following each three
(3)-month period of operations, and more frequently as deemed appropriate by CareHere and
City, a written report with respect to the provision by the Physician of the Medical Services
during the immediately preceding three (3)-month period. The written report shall be in form
reasonably satisfactory to the City and CareHere and it is contemplated that the written report
will report (a) the number of employees/retirees and dependents treated by the Physician during
such immediately preceding quarter, (b) the number of employees for whom work-related
treatments were provided, and (c) the number of employees for whom primary care services
were provided.
1.12 Noncompliance by the Physician. In the event that the City becomes aware of
any failure by the Physician to comply with the obligations of the Physician which are
contemplated by this Agreement, the City shall immediately provide written notice to CareHere
of such failure, which written notice shall describe the failure in reasonable detail, and CareHere
shall use its best efforts to address such failure. In the alternative, CareHere may arrange for the
substitution of another person as the Physician. As provided in Section 1.01, City shall have the
right to require the immediate removal of the Physician by CareHere.
1.13 General Liability. Without limiting any of the other obligations or liabilities of
CareHere, CareHere shall provide and maintain during the performance of the Services under
this Agreement, and until the termination of the Agreement, the minimum insurance coverage as
indicated hereinafter.
1. During the performance of the services under this Agreement, CareHere shall
maintain the following insurance with an insurance company licensed to do business in
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the State of Texas by the Texas Department of Insurance or any successor agency that
has a rating with Best Rate Carriers of at least an A- or above:
2. Comprehensive General Liability Insurance with bodily injury and property
damage limits of not less than $2,000,000 for each occurrence and not less than
$2,000,000 in the aggregate.
3. If automobiles are used by CareHere staff, then Automobile Liability Insurance
with combined single limit bodily injury and property damage of not less than $1,000,000
for each accident.
4. CareHere shall purchase and maintain Workers' Compensation Insurance which,
in addition to meeting the minimum statutory requirements for issuance of such
insurance, the Employer's Liability limits of a least $100,000 for each accident, $100,000
per each employee, and a $500,000 policy limit for occupational disease. The City need
not be named as an "Additional Insured" but the insurer shall agree to waive all rights of
subrogation against the City, its officials, agents, employees and volunteers for any work
performed for the city by the Named Insured.
5. Professional Liability Insurance with limits of not less than $1,000,000 annual
aggregate.
6. CareHere shall furnish insurance certificates or insurance policies at the City's
request to evidence such coverages. Except for Workers' Compensation, and
professional liability policies, the above insurance policies shall name the City as an
Additional Insured on all policies. Such insurance shall not be canceled or the coverage
reduced without thirty (30) days prior written notice (ten (10) days if for premium
nonpayment) to City. In such event, CareHere shall, prior to the effective date of the
change or cancellation, serve substitute policies furnishing the same coverage.
1.14 Provision of Medical Services. Medical Services to be provided by the
independent on-site Physician include, but are not limited to, the items listed in Exhibit A.
ARTICLE II
COMPENSATION
2.01 Initial Set-Up Fee. The City is responsible for the expense of setting up the clinic.
Upon execution of this Agreement, the City shall pay to CareHere $20,000 to cover CareHere's
purchase of the equipment and the supplies listed on Exhibit B, and any other clinic set-up
expenses. If these expenses total less than $20,000, the City will receive a credit; if the expense
exceeds $20,000, CareHere will bill the City for the difference, which the City will pay in 30
days. CareHere shall charge the City the actual cost of all equipment and supplies
purchased for the Clinic without any markup, processing fee, handling fee, or any other
upcharge. All equipment and supplies purchased in this manner shall become the property
of the City.
Page 6
2.02 Monthly Fee. Monthly invoicing by CareHere will commence upon the opening
date agreed upon per Section 1.03 of this Agreement. No later than the 10th day of each calendar
month immediately following the receipt of the CareHere invoice, the City shall pay to CareHere
the amount of $21.50 per employee per month for arranging for the Physician and the other
services provided under this Agreement during the immediately preceding calendar month. This
rate is guaranteed for a period of one year from the date of the Clinic opening. The parties shall
agree upon the rates for subsequent years, as limited by law regarding change orders.
2.03 Additional Fees. In advance of the first day of each month, CareHere shall submit
an amount equal to the sum of the estimate of that month's medical expenditures and an
adjustment from prior months' actual expenditures for all expenses required to operate and
maintain the City clinic in order to provide the Medical Services under this Agreement. These
expenses may include, but are not limited to, Medical Practitioner fees, reimbursement to
Physician for medical malpractice insurance, other required insurance, Medical Practitioner
training expenses, approved medical staff travel expenses, medical supplies, office supplies,
equipment and other items that may be required by CareHere or the Physician to provide the
Medical Services under this Agreement incurred by CareHere to purchase items necessary to
provide the Medical Services under this Agreement. The City shall be responsible to pay
CareHere such amount invoiced no later than the 15th day of the calendar month immediately
following the receipt of the CareHere invoice. Past due amounts are subject to a finance charge
of 1.5% per month. CareHere shall charge the City the actual cost of all equipment and
supplies purchased for the Clinic without any markup, processing fee, handling fee, or any
other upcharge. All equipment and supplies purchased in this manner shall become the
property of the City.
ARTICLE III
TERM AND TERMINATION
3.01 Term. This Agreement shall be for a term of three years from the opening date of
the City clinic to commence delivery of care to patients, subject to earlier termination in
accordance with this Agreement. This Agreement may be extended for two additional one-year
terms upon the option of the City.
3.02 Effect of Expiration or Termination. The City may terminate the Agreement with
CareHere by providing a 60 day notice in writing to CareHere and CareHere may terminate the
Agreement by providing a 60 day notice in writing to the City. The expiration or the termination
of this Agreement shall not affect the obligation of the City to pay compensation to CareHere or
pay for any outstanding invoice for the period prior to such expiration or termination and shall
not affect the obligation of CareHere to provide monthly reports for the period prior to the
effective date of such expiration or such termination.
ARTICLE IV
MISCELLANEOUS
4.01 Notice. All notices and other communications permitted or required pursuant to
this Agreement shall be in writing, addressed to the party at the address set forth at the end of
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this Agreement or to such other address as the party may designate from time to time in
accordance with this Section 4.01. All notices and other communications shall be: (a) mailed by
certified or registered mail, return receipt requested, postage pre-paid; (b) personally delivered;
or (c) sent by telecopy with a receipt confirmation. Notices mailed pursuant to this Section 4.01
shall be deemed given as of three days after the date of mailing and notices personally delivered
or sent by telecopy shall be deemed given at time of receipt.
4.02 Transferability. Except as provided in Section 4.07, City or CareHere may assign
or otherwise transfer this Agreement to a third party with written consent from the other party,
which consent may not be unreasonably withheld.
4.03 Entire Agreement; Amendment. This Agreement, Request For Sealed Proposal
#4634 and all Responses thereto, constitute the entire Agreement between the City and CareHere
with respect to the subject matter hereof. This Agreement shall not be amended or waived, in
whole or in part, except in writing signed by both the City and CareHere.
4.04 Goveminiz Law. This Agreement shall be governed by, and interpreted in
accordance with, the internal laws of the State of Texas and venue shall be in Denton County,
Texas.
4.05 Confidentiality. The City and CareHere shall comply with federal and state
confidentiality laws relating to health care operations and CareHere shall require that all Medical
Practitioners additionally comply with such laws. Nothing herein shall restrict the release of
information: (a) provided to government authorities as required by applicable law or applicable
regulation or consented to by the patient; (b) furnished to healthcare providers involved in a
particular patient's case; (c) which is or becomes public knowledge through no fault of either
party; (d) which is otherwise required to be disclosed by applicable law or applicable regulation
or pursuant to a court order; or (e) which is deemed necessary for purposes of an audit and
subject to a confidentiality agreement executed between the City and CareHere.
4.06 Access to Books and Records and Audits. Both CareHere and the City agree to
provide access to their books and records, as they relate to this Agreement, to the other party.
The City shall have the right to audit and make copies of the books, records and computations
pertaining to this Agreement. CareHere shall retain such books, records, documents and other
evidence pertaining to this Agreement during the contract period and five (5) years thereafter,
except if an audit is in progress or audit findings are yet unresolved, in which case records shall
be kept until all audit tasks are completed and resolved. These books, records, documents and
other evidence shall be available within ten (10) business days of written request. Further,
CareHere shall also require all subcontractors, material suppliers, and other payees to retain all
books, records, documents and other evidence pertaining to this Agreement, and to allow the
City similar access to those documents. All books and records will be made available within a
50 mile radius of the City. The cost of the audit will be borne by the City unless the audit reveals
an overpayment of 1% or greater. If an overpayment of 1% or greater occurs, the reasonable
costs of the audit, including any travel costs, must be borne by CareHere and which must be paid
within five (5) business days of receipt of an invoice.
Page 8
Failure to comply with the provisions of this Section shall be a material breach of this Agreement
and shall constitute, in the City's sole discretion, grounds for termination thereof. Each of the
terms "books" "records" "documents" and "other evidence" as used above shall be construed
to include drafts and electronic files, even if such drafts or electronic files are subsequently used
to generate or prepare a final printed document.
4.07 Successors. This Agreement is binding upon the parties, their successors and
assigns.
4.08 Counterparts. This Agreement may be executed in several counterparts, all of
which taken together shall constitute one single agreement between the parties hereto.
IN WITNESS WHEREOF, the City and CareHere have executed and delivered this
Agreement as of the date first above written.
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CareHere, LLC
Date of Signature:
Signature:
Print Name:
Title:
Address:
Ben Baker
Chief Operating Officer
215 Jamestown Park Drive
Suite 204
Brentwood, TN 37027
CITY OF DENTON
Date of Signature:
()f~~/ Igo//
Signature:
Print Name:
George . Campbell
Title:
City Manager
Address:
215 E. McKinney
Denton, TX 76201
Page 10
EXHIBIT A
"SCOPE OF SERVICES"
Medical Services to be provided by the independent on-site Medical Practitioners include those
services typically delivered in a primary care physician's office, but are not limited to the
following:
• Chronic illness evaluation, treatment and management
o Diabetes
o High Cholesterol
o High blood pressure
o Etc.
• Acute Conditions
o Sore throats/ears/headache
o Cough, Sinus, Allergies
o Strains/sprains/musculoskeletal problems
o Acute urinary complaints
• Lab testing
• Medication dispensements
• Occupational Conditions (if applicable)
o OJI/Work-related injuries
o Minor surgical procedures, such as sutures for laceration treatment
• Employment Related Activities (if applicable)
o Pre-employment and routine physicals
o Pre-employment drug testing
• Personal hygiene related problems
• Ordinary and routine care of the nature of a visit to the doctor's office
• Develop relationships with area medical providers and facilities to ensure efficient
specialty and procedure referrals
Long Term Prevention Programs Included
• Labinsight Health Risk Assessment with comprehensive blood draw analysis (once per
year)
• Aggregate data analysis from your employee population that allows us to develop the
right programs for your Pharmaceutical Program Management
• tailored to your specific population
• Medical Practitioners "Reach Out" Program to assist the people with the highest health
risks
• Population Health Management programs targeted for the greatest impact (obesity,
diabetes, high blood pressure, etc.)
• Disease/Case Management - we proactively assign a "coach" to help those employees
with the greatest need
• Self Care Education Tools and Manual online and in print form
Page 11
• Comprehensive Health Education Training
• Physician Health Seminars
• Population Promotions
• Disease Management
• Case Management
• CareHere RN Health Coaches
• Predictive Modeling
Page 12
Program Enablers and Infrastructure Included
• 1-500 Customer Support Line (24/7)
• 240 Online Scheduling System
• Online Medical Management & Tracking System
• Clinic Best Practices Sharing
• Clinic Inventory Management (supplies, medications, etc.)
• Medical Practitioner Recruiting
• Medical Practitioner Management
• Analysis, Trends, Reporting (to include but not limited to financial, clinic utilization,
population health status, wellness, disease management, employee/patient
satisfaction, HRA participation, appointment by unique patient, top diagnosis) &
Survey Results
• HIPAA Compliant Electronic Medical Record (EMR)System
• Staff training to include, but not limited to:
o Orientation, philosophy, goals, reporting structure
o EMR organization, updating and reporting
o Initial and on-going ordering of supplies, medications and equipment
o Expectations and performance measures
• Provide for back-up Medical Practitioners to accommodate for illnesses, vacations or
mandatory training
• Bilingual professionals to staff the 24/7 nurse and customer support lines
• Clinic rollout communication plan
• Regular data exchange with the City's health plan third-party administrator
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EXHIBIT B
SAMPLE EXAM ROOM SET UP
MEDICAL SUPPLIES AND EQUIPMENT
Below is a list that illustrates items that may be required by the Medical Practitioners to deliver
Medical Services in accordance with the Agreement. A detailed list customized to the client and
clinic will replace this sample Exhibit for the "official" Agreement.
Exam table/stool
Disinfectant
Small refrigerator
Waste cans
Lockable cabinet
Waste can liners
Gooseneck li ht
Gloves
Dia Set 3.5V Halogen/disposable covers
Suture supplies
Sundry jars
Glucose test supplies
Pillow/pillow covers (cloth and
disposable)
Urinalysis supplies
Table paper
Stre testing supplies
Thermometer/disposable covers
Mono testing supplies
4 X 4's
Disposable owns
Tongue depressors
Dispos le drapes
Cotton balls
Thermometer (freezer)
Alcohol
3" Elastic bandage
Alcohol dispenser
Cold pack
Blood pressure cuffs
Emesis basins
Stethoscope
Medications/Injectables (by physician
order)
Surgical tape
Lab supplies Tubes, requisitions,
tourniquets)
Biohazard bas and Removal Service
Wall Posters, Charts
Biohazard stickers
Small desk and chair (if not provided by
city)
"Allergic To" stickers
Needles
Sharps containers
Syringes
Computer, Fast Internet Connection, "4 in
1" Printer/Fax/Copier/Scanner
Trash removal, Clean-up, and General
Maintenance
Fire Extinguisher
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