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HomeMy WebLinkAboutAgreements/Contracts - Sheriff & JailGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT:SiI@fIfFS Office REQUEST SUBMITTED BY: Phillip C. Coats CONTACT PERSON ATTENDING ROUNDTABLE:Phillip Coats CONFIDENTIAL INFORMATION: ❑YES *NO DATE:03/06/25 PHONE:eXt 2021 �1 � � a i%� �/ � . "'#: �/ . 3 ;■ � if,.'. � �'i � # f: �.��i ',i.�'fM7'�� �.M�t,_ l...y... 1: 4; �9 - � $ - �� � "i� i 3 � V 6i = _ *Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ❑ Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution El Recommendation ❑Professional Serv/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB E`3011, Medical contract renewal with Remedy Inmate Medical Services. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO * N/A ouires ieoai review. roure io ie©ai TQr review If necessary, was this document reviewed by legal? * YES ❑ NO ❑ N/A DATE OF ACTION: .:..ra'. DEFERRED OR CONTINUED TO: A MMMf NX i=. n=nl l=n D1: ! D2: D3: A 00-rA IAI WITHDRAWN: 4/23/24 Page 11 2025 — 2028 HEALTH SERVICES AGREEMENT Grant County Jail THIS AGREEMENT is entered into between the Remedy Inmate Medical Services and GRANT COUNTY, Washington (COUNTY), a political subdivision of the State of Washington. 1. PURPOSE The purpose of this Agreement is to provide reasonable and necessary basic medical care to the inmates of the Grant County Jail (JAIL) and/ or satellite Work Release Facility (FACILITY) in accord with the provisions of former chapter 289- 20 WAC, Custodial Care, Standard Health and Welfare, which are no longer codified, but which provisions, standards and guidelines have been adopted by County pursuant to RCW 70.48.071. 2. AUTHORITY This Agreement is authorized by Title 36 RCW. RELATIONSHIP OF THE PARTIES Remedy Inmate Medical Services, through its physician(s) or designee(s), shall be responsible for the practice of medicine within JAIL and FACILITY. All medical decisions shall be made by the responsible physician or designee, or through approved written procedures, written standing orders, or written direct orders issued and carried out, by designated Remedy Inmate Medical Services and/ or COUNTY personnel. The Grant County Sheriff (SHERIFF) shall be responsible for the operation of JAIL and FACILITY. Remedy Inmate Medical Services providers shall abide by COUNTY' s needs for security and safety, and will design such procedures and orders as are necessary for the proper operation of the medical program, and still comply with these needs. 4. RESPONSIBLE PHYSICIAN Remedy Inmate Medical Services shall provide licensed physicians to be responsible for the organization of SHERIFF' s medical services pursuant to this Agreement. Verification of current licensing and certification credentials shall be maintained at the JAIL and/ or at the Remedy Inmate Medical Services Office. 5. RESPONSIBILITIES OF Remedy Inmate Medical Services 1) Assist JAIL and FACILITY staff. Assist JAIL and FACILITY in meeting its duties to inmates as stated in Washington State Standards of Jail Health Care. These include all medical procedures conducted in JAIL and FACILITY, including without limitation, services related to: COUNTY HEALTH SERVICES AGREEMENT a) receiving screening procedures. b) health appraisal data collection procedures. c) referrals of seriously ill patients. d) provision of non -emergency medical services. e) referral to obtain emergency medical and dental services. f) chronic care. g) convalescent care. h) preventative maintenance. i) screening of mentally ill or developmentally delayed inmates. j) referral of mentally ill or developmentally delayed inmates. k) detoxification referral. I) the formulary for all medications. m) policy concerning medical administration. n) method of recording entries in medical records. o) the work of qualified medical personnel. p) dental care referral. q) deciding the emergency nature of illness or injury (during a standard work day). r) notification of next of kin. 2) The responsible physician shall review the medical services at JAIL and FACILITY at least monthly. 3) Staff Billing: a) Remedy Inmate Medical Services will provide COUNTY with monthly statements, itemized by cost category. Fees are fully loaded and shall include all direct, program support, administrative costs and supplies. All positions are standard workdays, Monday through Friday, non -holidays. Rates are addressed on " Attachment L" Staff 4) Members shall include, but are not limited to, the following: a) Physician Assistant/ Advanced Registered Nurse Practitioner: i) Shall meet the minimum licensing requirements. b) Minimum schedule will be twice weekly, as agreed to by the parties. Remaining schedule will be on an " as needed" basis, and sick call availability for urgent needs Monday through Friday, 8: 00 a.m. to 5: 00 p. m. c) Visits to the JAIL or FACILITY shall be billed at the hourly rate as set forth in Appendix 1. 5) Physician: Supervisory position. If Physician Assistants are available, physicians need not report to JAIL or FACILITY. Available for telephone phone support. Visits to the facilities shall be billed at the hourly rate. Telephone backup will be billed monthly at the contracted rate. Services Billing: REMEDY INMATE MEDICAL SERVICES will provide SHERIFF with a monthly statement for services provided to the inmates at REMEDY INMATE MEDICAL SERVICES. Maintain a confidential medical record for all inmates treated by REMEDY INMATE MEDICAL SERVICES. JAIL nursing staff shall augment these records with information from outside providers when necessary. Maintain a manual of health care policies and procedures and treatment guidelines for public health nurses. 6. MEDICAL LIAISON OFFICER SHERIFF will designate a registered nurse as a medical liaison officer, who has first aid training and CPR certification, and who works the day shift to coordinate for SHERIFF the health care activities through the performance of duties outlined in this Agreement. 7. RESPONSIBILITIES OFJAIL, AND/ OR FACILITY AND COUNTY In order to provide for a program of basic medical care, SHERIFF will provide the.following in accord with the approved written standard operating procedures, direct written orders from the responsible physician and/ or designee, or the provisions of former chapter 289- 20 WAC, as adopted by the County. a. Receiving and screening inquiry on all inmates upon admission to JAIL and FACILITY and notification to JAIL and FACILITY health care/ nursing staff if medical attention is needed. b. Daily collection of each inmate' s medical complaints (" kites") to be reviewed by JAIL and FACILITY staff, and triaged by an RN. c. Provision of emergency care in accordance with former chapter 289- 20 WAC, including, but not limited to, signed information releases and transfer agreements for dental and medical emergencies. Dental emergencies shall be referred to the Moses Lake Community Health Center. Provision of medical and dental care outside of JAIL and FACILITY when the responsible physician determines that the health of the inmate would be otherwise adversely affected. e. Maintenance of the medication management policy in accordance with approved written standard operating procedures and former chapter 289- 20 WAC as adopted by COUNTY, f. Provision of adequate security oversight to safeguard REMEDY INMATE MEDICAL SERVICES personnel while providing services in accordance with this Agreement. g. COUNTY agrees to pay REMEDY INMATE MEDICAL SERVICES on a monthly basis for actual services performed and for professional medical services. These costs will include all direct, program support, administrative costs, and supplies. i. Actual services for individual inmates shall be billed to COUNTY each month. COUNTY agrees to remit payment for these services within thirty (30) days of receipt of the billing. ii. Professional services provided by the physician, physician assistants, etc., will be billed monthly at the rates as addressed in Attachment 1. Monthly/ Agreement shall not be executed without approval of COUNTY. COUNTY agrees to remit payment for these services within thirty (30) days of receipt of the billing. COUNTY agrees to pay a rate of one and one half (11/ 2) times the hourly rate asset forth in Attachment 1 for weekend, emergency, and after hour visits of any REMEDY INMATE MEDICAL SERVICES staff member. h. Provide timely transportation of inmates within JAIL and FACILITY to promote the smooth operation of various practitioner clinics. 8.OUTSIDE COSTS REMEDY INMATE MEDICAL SERVICES has no responsibility for the provision of any such outside medical, dental, transportation, consumable supplies, pharmaceutical, and other services and supplies not associated with sick call or medical assessment performed in JAIL and FACILITY. NON-COMPLIANCE Page 4 In the event REMEDY INMATE MEDICAL SERVICES or COUNTY fails to perform in accordance with this Agreement,. SHERIFF or REMEDY INMATE MEDICAL SERVICES shall first notify the other party in writing with: a. A clear statement specifically outlining all failures to comply; and b. A reasonable time limit in which to remedy the stated non- compliance. If the failure to comply is not corrected within the time limit, SHERIFF or REMEDY INMATE MEDICAL SERVICES shall notify the Board of County Commissioners within three ( 3) business days. Continued noncompliance after such notification may result in immediate termination of this Agreement. 10. EFFECTIVE DATE This Agreement shall become effective upon execution. 11. DURATION OF CONTRACT The term of this Agreement shall be from March 1, 2025 through March 1, 2028, inclusive, provided that this Agreement may be renewed, modified, or extended upon mutual written agreement of the parties hereto, or as provided herein. 12. AMENDMENT This Agreement may be amended only by mutual written consent of both parties. All amendments shall be signed by both parties, attached to this Agreement and incorporated by reference. 13. TERMINATION Any party may terminate this Agreement without cause by giving the other party at least sixty (60) days written prior notice. Any termination shall require the written notification of the Grant County Board of Commissioners on behalf of COUNTY. 14. NOTICES All notices under this Agreement shall be in writing and shall be effective when mailed by certified mail, postage prepaid and return receipt requested, to the party to be notified at the address set forth herein or at such other address as either party may from time to time designate in writing: COUNTY: Board of County Commissioners Attn: Administrative Services Coordinator PO Box 37 Ephrata, WA 98823- 0037 REMEDY INMATE MEDICAL SERVICES Attn: Morgan Fife 408 Viewmont DR SE Moses Lake, WA 98837 15. ENTIRE CONTRACT Page 15 The parties agree that this Agreement is the complete expression of the terms and any oral representation of understanding not incorporated herein are excluded. 16. COMPLIANCE WITH LAWS The parties in the performance of this Agreement agree to fully comply with all applicable laws and regulations, including but not limited to, former chapter 289- 20 WAC as adopted by COUNTY. 17. REMEDY INMATE MEDICAL SERVICES HOLD HARMLESS AND INDEMNIFICATION With respect to the obligation and activities carried out under this Agreement, REMEDY INMATE MEDICAL SERVICES agrees to indemnify, defend and hold COUNTY, its elected officials, officers, employees and agents harmless from and against any loss, expense, attorney' s fees, other costs, liability or claims arising wholly or partially out of any error or omission, negligence or intentional tort on the part of any employee, official, officer, or agent of REMEDY INMATE MEDICAL SERVICES, whether direct or indirect, in the performance of this Agreement, other than those actions on the part of the officials, employees or agents of COUNTY. In the event any suit or legal proceeding shall be brought against COUNTY or any of its officers or employees, at any time, on account of or by reason of any act, action, neglect, omission, or default of REMEDY INMATE MEDICAL SERVICES and/ or anyone acting for, on behalf of, or at the direction of REMEDY INMATE MEDICAL SERVICES, including without limitation, independent, sub -contracting attorneys, REMEDY INMATE MEDICAL SERVICES hereby covenants and agrees to assume the defense thereof and to defend the salve at REMEDY INMATE MEDICAL SERVICES' s own expense and to pay any and all cost, charges, attorney fees and other expenses and any and all judgments that may be incurred by or obtained against COUNTY or any of its officials, officers, employees, or agents in such suits or other proceedings. a. Insurance During the life of this Agreement, and for any liability originating from this Agreement,. COUNTY shall provide insurance coverage for the benefit of REMEDY INMATE MEDICAL SERVICES, including, without limitation, errors and omissions, and negligence, in the performance of this Agreement and REMEDY INMATE MEDICAL SERVICES will be named as an additional insured on said coverage unless REMEDY INMATE MEDICAL SERVICES waives this requirement as set forth in paragraph 16( d) below. Said insurance shall include tail insurance coverage for an extended reporting period of at least three ( 3) years beyond the termination of the principal insurance coverage provided by COUNTY. COUNTY shall pay all premiums and any deductibles necessary to maintain or give effect to such insurance policy and/or coverage, including any premiums and deductibles necessary to give effect to the tail/extended reporting period coverage. The aforementioned insurance may be obtained from any insurance company authorized to do business in the State of Washington and shall have policy limits of One Million and No/ 100 Dollars($ 1, 000, 000.00) or more. Within thirty ( 30) days of signature of the last party signing this Agreement, COUNTY shall submit evidence to REMEDY INMATE MEDICAL SERVICES (e. g., copy of most recent declarations page) that such insurance is in full force and effect, and that such insurance will not be canceled during the time period REMEDY INMATE MEDICAL SERVICES has to fully execute all of the terms and conditions of this Agreement, unless such policy is replaced by another policy with equal or better coverage. REMEDY INMATE MEDICAL SERVICES' s coverage of liability creating events accruing during this Agreement shall extend after the Agreement is terminated by its terms or order of a court with jurisdiction. Said insurance company shall be required to give COUNTY written notice within seventy-two (72) hours if the policy is canceled or otherwise terminated for any reason, including without limitation, nonpayment of premium. b. Transport Under no circumstances shall REMEDY INMATE MEDICAL SERVICES transport a patient in his/ her personal vehicle, or drive a vehicle which is the property of COUNTY. Proof of Insurance Certificates or other evidence satisfactory to REMEDY INMATE MEDICAL SERVICES and to COUNTY confirming the existence, terms, and conditions of all insurance required in this AGREEMENT shall be kept on file by REMEDY INMATE MEDICAL SERVICES, and provided to the COUNTY Administrative Services Coordinator within ten (10) days of REMEDY INMATE MEDICAL SERVICES' s receipt of the notice of award of this AGREEMENT. The policy(ies) of insurance required to be maintained in accordance with this AGREEMENT shall not be canceled or given notice of non -renewal nor shall the terms or conditions thereof be altered or amended without forty- five (45) days prior written notice given to COUNTY. d. Additional Insured COUNTY shall be specifically named as an additional insured on all policies, and all policies shall be primary to any other valid and collectable insurance. At its option, COUNTY may waive this requirement where insurance carriers will not under any circumstances extend secondary insured coverage for physicians' professional liability, or architects' and engineers' insurance. COUNTY may also waive this requirement where insurance carriers will not under any circumstances extend secondary fidelity bonding coverage for private nonprofit organizations. 18.'000NTY HOLD HARMLESS AND INDEMNIFICATION With respect to the obligation and activities carried out under this Agreement, COUNTY agrees to indemnify, defend and hold REMEDY INMATE MEDICAL SERVICES, its officers and employees harmless from and against any loss, expense, attorney fees, other costs, liability or claims arising wholly or partially out of any error or omission, negligence or intentional tort on the part of any employee, official or officer of COUNTY, whether direct or indirect, in the performance of this Agreement, other than those actions on the part of the officials, employees or agents of REMEDY INMATE MEDICAL SERVICES. In the event any suit or legal proceeding shall be brought against REMEDY INMATE MEDICAL SERVICES or any of its officers or employees, at any time, on account of or by reason of any act, action, neglect, omission, or default of COUNTY and/or anyone acting for, on behalf of, or at the direction of COUNTY,. COUNTY hereby covenants and agrees to assume the defense thereof and to defend the same at COUNTY' s own expense and to pay any and all cost, charges, attorney fees and other expenses and any and all judgments that may be incurred by or obtained against EMC or any of its officers or employees, in such suits or other proceedings. 19. SECURITY COUNTY, by and through SHERIFF, reserves the right to refuse admittance of any REMEDY INMATE MEDICAL SERVICES personnel, employee, principal or agent, deemed a security threat. 20. WHEN RIGHTS AND REMEDIES ARE NOT WAIVED Page 7 In no event shall any payment by COUNTY or acceptance of payment by REMEDY INMATE MEDICAL SERVICES constitute or be construed to be a waiver by such party of any breach of contract, covenant, or default which may then exist on the part of the other. The making or acceptance of any such payment while any such breach or default shall exist shall in no way impair or prejudice any right or remedy available with respect to such breach or default. 21. LICENSING AND ACCREDITATION STANDARDS REMEDY INMATE MEDICAL SERVICES and its officers, officials, employees and agents shall comply with all applicable local, state and federal licensing requirements/ standards necessary in the performance of this Agreement. 22. CONTRACTOR NOT EMPLOYEE, OFFICER, OFFICIAL OR AGENT OF COUNTY REMEDY INMATE MEDICAL SERVICES and its employees or agents performing under this Agreement are not deemed to be employees, officers, or agents of COUNTY in any manner whatsoever. No REMEDY INMATE MEDICAL SERVICES employee COUNTY HEALTH SERVICES AGREEMENT or agents shall hold himself/herself out as, nor claim to be, an officer, employee, or agent of COUNTY by reason hereof and will not make any such applicable claim, demand, or application to or for any right of privilege. 23. SEVERABILITY OF PROVISIONS If any term, covenant, condition, or provision of this Agreement is held by a court of competent jurisdiction, arbitrator or other reviewing body with jurisdiction, to be void, invalid, or unenforceable, the remainder of the Agreement shall not be affected thereby and remain in full force and effect, if such remainder would then continue to conform to the terms and requirements of applicable law, and shall continue in full force and effect and shall in no way be affected, impaired or invalidated thereby. 24. DISPUTES -- ARBITRATION Disputes or claims arising under this Agreement between COUNTY and REMEDY INMATE MEDICAL SERVICES shall initially be resolved by consultation between REMEDY INMATE MEDICAL SERVICES and COUNTY and are to be resolved in reference to the laws of the State of Washington. If resolution of such dispute or claim is not obtained within fifteen (15) days of such consultation, the proposal may be submitted to a three (3) person panel for final, binding arbitration if so demanded by a party hereto, under the rules and procedures of the American Arbitration Association then in force. Such panel shall consist of three members, one (1) of which shall be selected by COUNTY, one 1) selected by REMEDY INMATE MEDICAL SERVICES, and the third selected jointly by the other two (2) members. Decision by the panel shall be reached by simple majority vote of its members. In no event shall the demand for arbitration be made after the date when the institution of legal or equitable proceedings based on such claim, dispute or other matter in question would be barred by the applicable statute of limitations. The award rendered by the arbitrators shall be final, and judgment may be entered upon it in accordance with applicable law in any court having jurisdiction thereof, 25. MODIFICATIONS Nothing contained in this Agreement shall be deemed to preclude any party from seeking modification of any term contained herein should an unforeseen and material change in circumstances arise. Any z 8 agreement, contract, understanding, or modification made between the parties subsequent to this Agreement must be executed with identical formality as this Agreement, otherwise the same shall not be enforceable. 26. ASSIGNABILITY REMEDY INMATE MEDICAL SERVICES may not assign its rights or obligations under this Agreement to an unaffiliated third party without the prior written consent of COUNTY, or as otherwise permitted herein. 27. NO WAIVER No failure of COUNTY or REMEDY INMATE MEDICAL SERVICES to insist on the strictest performance of any tern of this Agreement shall constitute a waiver of any such term or an abandonment of this Agreement. 28. HEADINGS NOT CONTROLLING. Headings used in this Agreement are for reference purposes only and shall not be considered a substantive part of this Agreement. 29. GOVERNING LAW This Agreement shall be governed by the laws of the State of Washington. Should this Agreement be subject to scrutiny by a court of law, arbitrator or other reviewing body with jurisdiction, it shall be interpreted as if drafted by both of the parties herein. Approved this day ! of March, 2025 •• w rn . Cr) _. m ; -- co A IWO � '1r11 1..1i10;\' /J�YeBarbara J. Vasquez Clerk of the Board Yea Nay BOARD OF COUNTY COMMISSIONERS Abstain Grant County, Washington f -Rob Jones, Ch r "n ❑ ❑ Cindy Cart , r, Vice -Chair fi /Ja ❑ ❑ Kevin R. Burg ss, Member Page 9 ------ - --- Attachment I G RANT CO U NTY JAI L AN D FACI LITY PROFESSIONAL MEDICAL SERVICES FEE PROPOSAL FOR 2025-2028 1. Telephone Support a. $1075.00 monthly. 2. Medical Coverage a. $400.00 hourly, with a minimum of one hour per visit billed.