HomeMy WebLinkAboutHealth Svcs Contract FY2003ORDER NO.
DATE:
2002.1.035
JUN - 4 2002
STATE OF TEXAS
COUNTY OF DALLAS
COURT ORDER
BE IT REMEMBERED, at a regular meeting of Commissioners Court of Dallas County, Texas, held on the
made by
Mike Cantrell, Commissioner of District No. 2
4th day of June
John Wiley Price, Commissioner of District No.
,2002, on motion
, and seconded by
, the following Order was adopted:
WHEREAS, on May 28, 2002, the Commissioners Court was briefed on the FY'2003 Interlocal Health
Services Agreement; and
WHEREAS,
each year, since 1980, the Dallas County Health and Human services Department has
negotiated Interlocal agreements with most of the 25 cities within the County for services
related to communicable disease control; and
WHEREAS,
each participating city pays a pro-rata share (based on health services provided each city the
previous year) of the county's sexually transmitted diseases, tuberculosis, communicable
diseases, and laboratory budgets; and
WHEREAS,
the total cost of the FY'2003 Health Services Agreement is $2,209,913.00, of which
$1,995,807.00 is the County's contribution to public health Communicable Disease services
to Dallas County; and
WHEREAS, to further offset program costs, the Health and Human Services Department recommends the
proposed new fees (see Exhibit A).
IT IS THEREFORE ORDERED, ADJUDGED AND DECREED that the Dallas County Commissioners' Court
does hereby approve the following: (1) re-issuing of the Interlocal Health Services Agreements for the
following cities: Addison, Balch Springs, Carrollton, Cedar Hill, Cockrell Hill, Coppell, Farmers Branch, Glenn
Heights, Grand Prairie, Highland Park, Hutchins, Irving, Lancaster, Rowlett, Sachse, Seagoville, Sunnyvale,
University Park, and Wilmer: (2) authorize the fee schedule as attached; and (3) authorize the County Judge
tosign the Interlocal Health Services Agreement on behalf of Dallas County.
this the 4th day of June ,,,---'~. ~"~0~/
Lee F. J~~ -::"-~ '-'' : ~ t '
~ed by:
· lot :/:/:3 Kenn~th-A. M~yfi~l~, D~ict #4
///
,/~etty CU~reat~iste/Director
THE STATE OF TEXAS
COUNTY OF DALLAS
INTERLOCAL HEALTH SERVICES AGREEMENT
FOR FISCAL YEAR 2003
This Interlocal Health Services Agreement For Fiscal Year 2003 ("Agreement") is made by and
between Dallas County, Texas, on behalf of the Dallas County Health and Human Services
Department ("COUNTY") and the City_ of University Park, Texas ("CITY"), acting by and
through their duly authorized agents.
WITNESSETH:
WHEREAS, COUNTY has offered to provide certain health services to cities throughout Dallas
County on a contract for services basis; and
WHEREAS, CITY desires to participate with COUNTY in establishing coordinated health services
for all of Dallas County;
NOW THEREFORE, in consideration of the foregoing and the terms and conditions hereinafter
set forth, and for other valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the parties agree as follows:
PURPOSE
CITY and COUNTY agree that COUNTY will operate certain health services for the residents of
CITY in order to promote the effectiveness of local public health programs. The cooperative effort
will allow all cities in Dallas County to participate in providing public health services for their
residents under the terms of this Agreement.
II.
HEALTH SERVICES INCLUDED
(A)
COUNTY agrees to operate the Dallas County Health Services Program hereinafter referred
to as "the Program", which will include the following health services:
(1)
Tuberculosis Control Services- providing preventive, diagnostic treatment, and
epidemiologic services;
(2)
Sexually Transmitted Disease Control Services- consisting of education to motivate
people to use preventive measures and to seek early treatment, prophylaxis,
epidemiologic investigation, and counseling in accordance with COUNTY policy;
(c)
(D)
(E)
(3)
(4)
Communicable Disease Control Services- providing information concerning
immunization and communicable diseases and coordinating with the Texas
Department of Health in monitoring communicable diseases;
Laboratory Services- performing chemical, biological, and bacteriological analysis
and tests on which are based diagnosis of disease, effectiveness of treatment, the
quality of the environment, the safety of substance for human consumption, and the
control of communicable disease;
COUNTY agrees to provide to the contracting CITY, as mandated by state and federal law,
the following public health services: (a) immunizations; (b) child health care; (c) high
risk infant case management; and (d) home visits.
COUNTY also agrees to work with CITY in order to decentralize clinics and to plan and
provide for desired services by CITY; however, any other services that CITY requires, in
addition to the above mentioned services, may result in additional fees to CITY.
COUNTY agrees to charge a sliding fee based on ability to pay to all residents of every city
in Dallas County. The fees charged by COUNTY under Article II (A) (1), (2), (3), and (4)
above, will be used to offset the contracting CITY'S Program costs in the upcoming fiscal
year. A schedule of fees to be charged by COUNTY is set out in"Exhibit A" attached hereto
and incorporated herein for all purposes.
COUNTY agrees that the level of service provided in the Program for CITY will not be
diminished below the level of service provided to CITY for the same services in the prior
fiscal year except as indicated in Article II (E). For purposes of Article II (E), level of service
is measured by the number of patient visits and number of specimens examined. COUNTY
will submit to CITY a monthly statement under Article V (B), and a statement of the number
of patient visits and number of specimens examined during the preceding month.
The possibility exists of reductions in state and federal funding to the Program that could
result in curtailment of services if not subsidized at the local level. If such a reduction in
state or federal funding occurs, COUNTY will notify CITY in writing of the amount of
reduction and the extent to which services will be curtailed as a result. This notice will also
include an amount which CITY may elect to pay to maintain the original level of services.
CITY will notify COUNTY in writing no later than 15 days of the date of the notice of
funding reduction as to CITY'S decision to pay the requested amount or to accept the
curtailment of service. If CITY elects to pay the requested amount, payment is due no later
than 45 days after the date of the notice of funding reduction.
2
(A)
(B)
(c)
(D)
III.
BUDGET
COUNTY agrees to operate the services listed in Article II at the level of services and for
the amount stated on Exhibit D, attached hereto and incorporated herein for all purposes, to
be paid by CITY for the fiscal year October 1, 2002, through September 30, 2003.
COUNTY agrees to submit to CITY by July of each year a proposed budget describing the
proposed level of services for the next fiscal year.
CITY agrees to pay COUNTY, as set forth in "Exhibit D", the sum of $ 4 8 ;0 0 for
fiscal year 2001-2002 which is the agreed upon CITY'S share of the total cost less federal
and state funding. If CITY desires, it may request a negotiation for in-kind services, equal
in value to the total amount, in lieu of paying actual dollars.
This Agreement is contingent upon CITY'S appropriation of funds for the services set forth
herein. In the event CITY fails to appropriate such funds, neither CITY nor COUNTY shall
incur any obligations under this Agreement.
IV.
ADMINISTRATION OF THE PROGRAM
The Program will be operated and supervised by COUNTY.
(A)
(B)
FINANCING OF SERVICES
The health services provided under this Agreement will be financed as follows:
(1)
CITY and COUNTY will make available to the Program all federal and state funds,
personnel, and equipment previously used by CITY or COUNTY to provide the
health services included under this Agreement and will use best efforts to cause these
funds to continue to increase.
(2)
CITY shall pay to COUNTY, or provide in-kind services, its share of budgeted costs
that are in excess of the federal and state funding for providing the health services
under this Agreement. Budgeted costs are those reflected in Article III (C) set forth
above for the appropriate fiscal year.
COUNTY shall bill CITY each month an amount equal to one-twelfth (1/12th) of its share
of annual budgeted costs that exceed federal and state funding for the expenses of the
preceding month. CITY shall remit payments to COUNTY in accordance with the Prompt
Payment Act, Chapter 2251 of the Government Code.
(c)
CITY and COUNTY agree that no more than ten percent (10%) of the CITY'S cost of
participating in the Program will be used for administration of the Program.
(D)
All payments for the performance of services under this Agreement shall be paid from
current revenues available to the CITY.
VI.
TERM
The duration of this Agreement shall be for a one (1) year term beginning on October 1, 2002, and
ending September 30, 2003, unless otherwise earlier terminated in accordance with Article VII set
forth below, with an option to renew this Agreement for additional one (1) year terms based on fiscal
year funding and appropriations in accordance with Article III (B), (C), and (D). Any renewals of
this Agreement shall be made in writing and agreed upon by a duly authorized representative of each
party.
VII.
TERMINATION
(A)
CITY or COUNTY may terminate this Agreement for any reason by giving the other party
written notice of its intent to terminate at least 45 days before the effective date of
termination.
(B)
If CITY or COUNTY defaults in any of the obligations under this Agreement, CITY or
COUNTY may give notice of the default to the other party, describing the nature of the
default and specifying a reasonable time to make a correction. If the default is not corrected
within the time specified in the notice, this Agreement shall terminate.
(c)
If this Agreement is terminated for any reason, each party will pay for, as a sole remedy for
such termination, all obligations incurred up to the effective date of the termination.
VIII.
CITY RETAINED HEALTH SERVICES
Nothing in this Agreement shall be construed to restrict the authority of CITY over its health
programs or environmental health programs or to limit the operations or services of those programs.
IX.
ACCESS TO PROGRAM
CITY and COUNTY agree to provide to the other upon request, copies of the books and records
relating to the Program. CITY and COUNTY further agree to give CITY and COUNTY health
officials access to all Program activities.
4
AGENCY
COUNTY and CITY agree and acknowledge that each entity is not an agent of the other entity and
that each entity is responsible for its own acts, forbearance, negligence and deeds, and for those of
its agents or employees in conjunction with the performance of work covered under this Agreement.
COUNTY and CITY agree that any liability or damages as stated above occurring during the
performance of this Agreement caused by the joint or comparative negligence of their employees
or officers shall be determined in accordance with comparative responsibility laws of the State of
Texas.
XIo
OTHER CITIES
CITY and COUNTY agree that other cities may join the Program by entering into an agreement
with COUNTY that contains the same basic terms and conditions as this Agreement.
XII.
CONFIDENTIALITY
CITY and COUNTY agree that the confidentiality of all reports, information, client records and
data prepared, collected or assembled by COUNTY and CITY pursuant to this Agreement shall be
maintained in accordance with applicable federal and state laws, rules and regulations. Any
disclosure of confidential patient information by either party shall also be in accordance with all
applicable federal and state laws, rules and regulations. CITY and COUNTY shall further insure
that their employees understand and are familiar with confidentiality requirements regarding
HIV/AIDS-related medical information.
XIII.
SEVERABILITY
If any provision of this Agreement shall be held invalid, void or unenforceable, the remaining
provisions, hereof shall not be affected or impaired, and such remaining provisions shall remain in
full force and effect.
XIV.
APPLICABLE LAWS
This Agreement is made subject to the governmental immunity of CITY and the sovereign
immunity of COUNTY and all applicable laws of the State of Texas. Exclusive venue for any legal
action arising between the parties as a result of this Agreement shall lie in Dallas County, Texas.
XV.
ASSIGNMENT
Neither party shall assign or transfer, in whole or in part, any rights or obligations under or interest
in this Agreement without the prior written consent of the other party.
XVI.
NOTICE
Any notice or certification provided for in this Agreement to be given by either party to the other
shall be required to be in writing and shall be deemed given when personally delivered or within
three (3) business days after being deposited in the United States Mail, postage prepaid, certified,
return receipt requested or registered addressed as follows:
To COUNTY:
Lee F. Jackson
County Judge
Administration Building
411 Elm Street
Dallas, Texas 75202
To CITY:
City Manager
City of University Park
XVII.
ENTIRE AGREEMENT
This Agreement represents the entire agreement among the parties with respect to the subject matter
covered herein.
XVIII.
COUNTERPARTS
This Agreement may be executed in any number of counterparts, each of which shall be considered
one and the same instrument.
The City of University Park has executed this Agreement pursuant to duly
authorized City Council,l~l~~ t. ilNU~v.s NO. 221;3dated 3ui,¥ 2 ,
2002. The County of Dallas has executed this Agreement pursuant to Commissioners Court Order
No. 2002 1035 , onthis 4~H dayof 3UNIg ,2002.
Dallas County Judge
RECOMMENDED:
By'. Betty~t~ ~lb th-Lis~er
/BDTrector
By: Mayor
Attest:
B~. ~'y~t~
APPROVED AS TO FORM:
By: {~anet R. ~ergus n~
~x~)eputy Chief, Civil Section
"District Attorney's Office
APPROVED AS TO FORM:
By: City Attorney
FY'2003 FEE SCHEDULE
EXHIBIT A
SEXUALLY TRANSMITrED
CRIMINAL TESTING
Treatment
Blood Drawing
Cryosurgery (F)
Cryosurgery (M)
Chemical Lesion Reduction
Medical Records Copies
$15 - $45 (Sliding Scale)
$5
$60
$50
$45
$1 each
Blood Draws
Buccal Swabs
TUBERCULOSIS
Clinic Treatment
Chest X-Rays
Sliding Fee Scale -Minimum $40
$40
Skin Test
Chest X-Ray Copies
LABORATORY
Wet Prep
Gram Stain
GC Culture
RPR
GEN Probe GC Screen
GEN Probe CT Screen
S almonella/Shigella
TB Culture & Concentration
TB Identification
TB Susceptibility
TB Acid Fast Stain
$6 ' each
$6 each
$14 each
$11 each
$23 each
$23 each
$16 each
$25 each
$15 each
$31 each
$ 8 each
Pregnancy Test
Urinalysis
Dark Field
Chancroid Culture
Herpes
HIV Test
Group A Strep
LCx Urine Screen
Neisseria Gonorrhoeae
Chlamydia Trachomatis
L, ead Screen
NURSING SERVICE
Hepatitis A Havrix
Hepatitis B. Vaccine
HDCV (bM) Rabies
HDCV (ID) Rabies
Japanese Encephalitis
Menegococcal Vaccine
Typhoid (Polysaccharide)
EPSDT
Tattoo Removal
Tattoo Removal Laser
$25/Injection
$130/series
$390/series (Proposed)
$270/series
$255/series
$75/Injection
$45/Inj ection(Proposed)
$40/Screen
$50/First
$25/Additional
$150/First(Proposed)
$100/Additional (Prop)
Rabies Administrate Fee/
Serves State Vaccine $25
Foreign Travel Office Visit Fee $25
Varivax
Yellow Fever Vaccine
Lyme Disease Vaccine
Immunization/VFC Program
DPT,DT,Hib,
Pneumococcal
Influenza Vaccine
TD
IPV
Diabetic Testing
Records:
Foreign Travel Yellow Card
Immunization Record
ENWIRONMENTAL HEALTH
Septic Tank Inspection
Food Establishment Inspection
Mosquito Spraying for Non-
contracting cities
*$210/Inspection
$15 O/yr./establishment
$105 per hour
Day Care Center Inspections
Half-Way Houses & Brdg Homes
$38
$38
$12
$5
$10 each
$ 5 each
$16 each
$10 each
$38 each
$13 each
$14 each
$47 each
$47 each
$10 each
$60/Injection
$70/Injection
$180/Series
$5/Per child
$15/lnjection (Prop~)sed)
$12/Injection (Proposed)
$35/lnjection (Proposed)
$12/Injection
$25/Injection
$5/Test
$3 each
$5 each/(Proposed)
$1/per authorized child
$50/per year
$10 of the charge is for State fee
Revised 04/08/02
TOWNS
EXHIBIT B
REPORT PERIOD: January, 2001 thru December, 2001
TB STD LAB COMMUNICABLE
JANUARY 15, 2002
DISEASE
Addison 85 37 301 172
Balch Springs 491 103 327 227
Carrollton 843 174 1695 955
Cedar Hill 110 95 312 208
Cockrell Hill 658 8 0 34
Coppell 139 23 57 196
*Dallas 40893 13526 67139 21671
*Desoto 201 192 398 412
*Duncanville 279 144 546 402
Farmers Branch 384 52 400 296
*Garland 3962 516 6038 1975
Glenn Heights 0 32 39 41
Grand Prairie 1455 347 2291 962
Highland Park 0 0 0 288
Hutchins 102 33 136 13
Irving 2506 798 4979 1975
Lancaster 327 209 593 543
*Mesquite 760 320 2258 1410
*Richardson 1279 136 847 1047
Rowlett 251 33 142 393
Sachse 244 1 3 63
Seagoville 289 30 190 102
Sunnyvale 1 0 0 10
University Park 0 0 0 173
Wilmer 8 29 2378 97
*Unincorporated 186 769 3176 7062
Total 55453 17607 94245 40727
DALLAS COUNTY HEALTH & HUMAN SERVICES
FY '03
EXHIBIT C
Municipality
Public
STD TB Health
Clinic Clinic Lab
Communicable
Disease
Control
FY '03'
Contract Total
Same as FY '02
Addison 2,230 1,214 3,154
Balch Springs 6,209 7,012 3,426
Carrollton 10,489 12,039 17,760
Cedar Hill 5,727 1,571 3,269
Cockrell Hill 482 9,397 0
Coppell 1,386 1,985 597
*Dallas 815,373 583,995 703,477
* Desoto 11,574 2,870 4,170
*Duncanville 8,681 3,984 5,721
Farmers Branch 3,135 5,484 4,191
*Garland 31,105 56,582 63,266
Glenn Heights 1,929 600 409
Grand Prairie 20,918 20,779 24,005
Highland Park 0 0 0
Hutchins 1,989 1,457 1,425
Irving 48,105 35,788 52,170
Lancaster 12,599 4,670 6,213
*Mesquite 19,290 10,854 23,659
*Richardson 8,198 18,265 8,875
Rowlett 1,989 .3,585 1,488
Sachse 60 3,485 31
Seagoville 1,808 4,127 1,991
Sunnyvale 0 14 0
University Park 0 0 0
Wilmer 1,748 114 24,916
*Uninco .rporated 46,359 2~656 33,278
$1,061,3'83 $792,527 $987,491
1,918
2,531
10,650
2,320
379
2,186
241,658
4,594
4,483
3,301
22,025
457
10,728
3,212
145
22,025
6,055
15,724
11,676
4,383
703
1,137
112
1,929
1,082
78,751
$454,174
5,751
9,377
23,823
2,498
2,301
3,131
1,754,252
17,620
11,273
14,853
80,156
574
38,854
132
3,149
81, ,906
12,106
31,608
23,756
4,925
362
7,620
99
48
2,597
77,142
$2,209,913
r~un-','l ~i~i~dj TO: 9~149875399
P:5/5
MUNICIPALITIES
FY'03 CONTRACT COSTS
EXHIBIT D
CONTRACT COST
ADDISON
BALCH SPRINGS
CARROLLTON
CEDAR HILL
COCKRELL HILL
COPPELL
* DALLAS
* DESOTO
* DUNCANVILLE
FARMERS BRANCH
* GARLAND
GLENN HEIGHTS
GRAND PRAIRIE
HIGHLAND PARK
HUTCHINS
IRVING
LANCASTER
· MESQUITE
* RICHARDSON
ROWLETT
SACHSE
SEAGOVILLE
SUNNYVALE
UNIVERSITY PARK
WILMER
* UNINCORPORATED
TOTAL
$5,751
$9,377
$23,823
$2,498
$2,301
$3,131
$1,754,252
$17,620
$11,273
$14,853
$80,156
$574
$38,854
$132
$3,149
$81,906
$12,106
$31,608
$23,756
$4,925
$362
$7,620
$99
$48
$2,597
$77,142
$2,209,913
"N O N -'CO N3];L~ C'TI N O C]TIr~
Jnnuary 25, ~