HomeMy WebLinkAbout2015-129 Agrmt - County Health & Human SRVCs - Supervising Physician
Interagency Agreement
This agreement is between Jackson County acting by and through its' Department of
Health and Human Services, hereinafter called "County", and the City of Ashland. In
support of the Supervising Physician program both parties agree to the following:
1. Effective Date and Duration. This agreement shall become effective on the
date in which the last party has signed the agreement. Unless earlier terminated
or extended this agreement shall expire on June 30, 2016.
2. Statement of Work. The statement of work is contained in Exhibit A hereto and
by this reference made a part thereof.
3. Consideration. City of Ashland will pay to Jackson County $2,136.26 pursuant
to this agreement. This charge is comprised of a run fee of $0.67 per run and
weighted fees based on the level of EMT. Emergency Medical Responders are
weighted at $1.00, Emergency Medical Technicians are weighted at $1.25,
Advanced Emergency Medical Technicians at $1.25, EMT Intermediates at $1.50
and Paramedics at $2.00. In consideration the County shall provide centralized
clerical support in the form of a 0.25 F.T.E. Office Assistant IV to the Supervising
Physician program in Jackson County and all necessary office supplies to carry
out activities as outlined in Exhibit A. County agrees to employ, supervise and
provide directions to ensure successful work of this staff person.
4. Access to Records. Duly authorized representatives of City of Ashland shall
have access to records concerning this centralized EMS clerical office and staff
for this Supervising Physician program.
5. Termination. This contract may be terminated by the mutual consent of the
parties, or by either party upon thirty (30) days notice unless a shorter period is
agreed to by both parties. Notice of termination shall be accomplished in writing,
and delivered by certified mail or in person.
6. Indemnification. To the extent permitted by Article 11, Section 7 and Article 11,
Section 10 of the Oregon Constitution and the Oregon Tort Claims Act, each
party hereto agrees to indemnify, within the limits of the Oregon Tort Claims act,
and save the other harmless from any claim, liability or damage resulting from
any error, omission, or act of negligence on the part of the indemnifying party, its
officers, employees or agents in the performance (or nonperformance) of its
responsibilities under this Agreement, provided the parties will not be required to
indemnify the other for any such liability arising out of the wrongful act of the
other's officers, employees or agents.
7. HIPAA Compliance. If the work performed under this Interagency Agreement is
covered by the Health Insurance Portability and Accountability Act or the federal
regulations implementing the Act (collectively referred to as HIPAA), City of
Ashland agrees to perform the work in compliance with HIPAA. Without limiting
the generality of the foregoing, if the work performed under this Interagency
Agreement is covered by HIPAA, City of Ashland shall comply with the following:
(i) Privacy and Security of Individually Identifiable Health Information: City
of Ashland, its' agents, employees and subcontractors shall protect
individually identifiable health information obtained or maintained about
participants of City of Ashland programs funded by this agreement from
unauthorized use or disclosure, consistent with the requirements of
HIPAA. This Interagency Agreement may be amended to include
additional terms and conditions related to the privacy and security of
individually identifiable health information.
8. Merger Clause. This Interagency Agreement and attached Exhibit constitute the
entire agreement between the parties. No waiver, consent, modification or
change of terms of this Interagency Agreement shall bind either party unless in
writing and signed by both parties. Such waiver, consent, modification or
change, if made, shall be effective only in the specific instance and for the
specific purpose given. There are no understandings, agreements, or
representations, oral or written, not specified herein regarding this contract. City
of Ashland, by signature of its authorized representative, hereby acknowledges
that he/she has read this Interagency Agreement, understands it, and agrees to
be bound by its terms and conditions.
r
Sign ture Date ,.Danny Jordan Date
County Administrator
Title y
r
APPROVE PTO FORM .7
As d i Attomey
Date -
Exhibit A
Jackson County
Supervising Physician Clerical Support
Jackson County agrees to supervise, provide direction, and ensure successful work for
a 0.25 F.T.E. Office Assistant IV. The goal is to provide centralized clerical support for
the Supervising Physician program in Jackson County and specific coordinated
emergency medical service functions.
Specific Activities
♦ To maintain a phone access line and message system.
♦ To maintain and update the Standing Orders for all EMS agencies as requested
by the Supervising Physician(s).
♦ To maintain a Web page and Internet e-mail access.
♦ To assure publication and distribution of an EMS newsletter.
♦ To maintain attendance at peer reviews.
♦ To maintain a listing of EMS educational activities.
♦ To maintain EMT and First Responder training records provided by the County or
the Supervising Physician program.
♦ To attend meetings, take and transcribe minutes of EMS/QA and other meetings
as assigned.
To provide general clerical support for the Supervising Physician(s).
♦ To assist the Supervising Physician(s) in preparing for Peer Reviews.
♦ To complete special projects as assigned.
♦ To maintain records of correspondence of the Supervising Physician(s).
Health & Human Services
Penny Bergman
Accountant I
S. Holly Street
t JACKSON COUNTY Medford, , 140 OR R 9750
97501
Phone: 541 774-7974
Fax: 541 774-7980
Health & Human Services bergmapl@jacksoncounty.org
TTY: (541) 774-8138
www.jacksoncounty.org
June 16, 2015
City of Ashland
20 East Main Street
Ashland, OR 97520
RE: Interagency Agreement
Dear Mayor Stromberg:
Enclosed please find the fully executed Interagency Agreement between Jackson County and the City
of Ashland in support of the supervising physician program. If you have any questions or problems
please do not hesitate to call.
Sincerely,
Penny Bergman
Accountant I
Enclosure(s): I