HomeMy WebLinkAboutFD Clinical & Observational ProgramsAGREEMENT FOR CLINICAL AND OBSERVATIONAL PROGRAMS
Between
CITY OF SAN RAFAEL,
KAISER FOUNDATION HOSPITALS
and
THE PERMANENTE MEDICAL GROUP, INC.
THIS AGREEMENT ("Agreement'), is made and entered into as of June 30, 2003, by and between THE
CITY OF SAN RAFAEL, a municipal corporation chartered and existing under the Constitution and laws of
the State of California ("City"), and KAISER FOUNDATION HOSPITALS, a California nonprofit public
benefit corporation ("KFH"), and THE PERMANENTE MEDICAL GROUP, INC., a California professional
corporation of physicians ("TPMG"). KFH and TPMG are hereinafter collectively referred to as "Kaiser
Permanente."
RECITALS
WHEREAS, City employs paramedics ("Paramedics") responsible for providing emergency medical
services as City Fire Department Paramedics; and
WHEREAS, such paramedics are required to perform certain medical services annually in order to
maintain certification to practice in California, including the performance of endotracheal intubation; and
WHEREAS, Kaiser Permanente operates clinical facilities which are suitable for the training and
supervision of Paramedics in the performance of such medical services ("Clinical Facilities"); and
WHEREAS, City and Kaiser Permanente agree that it is to the benefit of the community to have
Paramedics perform supervised endotracheal intubations at Kaiser Permanente Clinical Facilities in San
Rafael, California ("Clinical Program").
NOW THEREFORE, the parties hereto enter into this Agreement as a full statement of their respective
responsibilities during its term, and in consideration of the representations made above and the mutual
covenants set forth below, the parties agree as follows:
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1. Responsibilities of City
City agrees to:
(a) Designate the Medical Director of the San Rafael Fire Department as the Clinical
Program Liaison, and said liaison shall 1) provide coordination and oversight of
Paramedics' activities while the Paramedics participate in Clinical Program at Kaiser
Permanente Clinical Facilities; 2) act as liaison with the Director of Perioperative Services
at Kaiser Foundation Hospital San Rafael ("Kaiser Permanente Director of Perioperative
Services") and the Department Chief for Anesthesia; and 3) cooperate with the Kaiser
Permanente Director of Perioperative Services in coordinating and reviewing schedules of
Paramedics participating in the Clinical Program at Kaiser Permanente Clinical Facilities.
(b) Provide Kaiser Permanente with 1) a list, including names and telephone numbers, of
Paramedics designated by City to participate in the Clinical Program; 2) copies of
Paramedics' current certification demonstrating that they are appropriately qualified to
participate in the Clinical Program; and 3) the dates Paramedics are available to
participate in the Clinical Program.
(c) Comply with all applicable federal and state laws regarding the employment of
Paramedics, including anti -discrimination and wage and hour laws.
(d) Require Paramedics to:
(i) Comply with all verbal and written direction provided by Kaiser Permanente in the
course of participating in the Clinical Program;
(ii) Participate in orientation programs as required by Kaiser Permanente, including
training for compliance with the Health Insurance Portability and Accountability
Act of 1996 ("HIPAA") as provided by Kaiser Permanente; and
(iii) Cooperate with Kaiser Permanente, consistent with the terms of this Agreement,
in risk management activities associated with any cases relating to Clinical
Program activities.
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2. Responsibilities of Kaiser Permanente
Kaiser Permanente agrees to:
(a) Designate the Kaiser Permanente Director of Perioperative Services, to; 1) coordinate
supervision of Paramedics' schedules and activities while participating in Clinical Program
at Kaiser Permanente's Clinical Facilities and 2) act as liaison with City's Clinical Program
Liaison and the Department Chief for Anesthesia.
(b) Arrange schedules for Paramedics in conjunction with City's Clinical Program Liaison and
in accordance with the educational goals and objectives of City.
(c) Maintain the license(s) of its Clinical Facilities, as applicable, and comply with all
applicable Bylaws, Rules and Regulations, policies, procedures and guidelines, state and
federal laws and regulations, and the standards of the Joint Commission on Accreditation
of Healthcare Organizations ("JCAHO"), and other applicable accreditation bodies;
(d) Determine, in its sole discretion, whether Paramedics may participate in the Clinical
Program, the dates and times of said participation, and timely notify City of same.
3. Payment and Billing
Neither the City nor Kaiser Permanente shall bill nor compensate the other for services performed
by either under the terms of this Agreement. City shall not bill Kaiser Foundation Health Plan, Inc.
members, or any other private or public third party payer for services rendered by Paramedics
while participating in the Clinical Program at Kaiser Permanente Clinical Facilities.
4. Status of Paramedics
(a) During the period a Paramedic participates in the Clinical Program at a Kaiser
Permanente Training Facility, the Paramedic shall be under the direction and control of
Kaiser Permanente's Director of Perioperative Services and the Department Chief of
Anesthesia or their designee.
(b) Paramedics shall participate in the Clinical Program at Kaiser Permanente's Clinical
Facilities for educational purposes only. Paramedics, and any other agents or employees
of City, shall not be considered to be agents, servants, or employees of Kaiser
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Permanente for any purpose, including, but not limited to, compensation for services,
employee benefits, employee welfare and pension benefits, or workers' compensation
insurance or coverage, participation in Kaiser Permanente Occupation Injury Benefit Plan,
life insurance, or health plan coverage. City, as employer, is solely responsible for any
and all applicable federal, state and local employer requirements.
Similarly, Kaiser Permanente employees, servants and agents shall not be considered to
be agents, servants, or employees of City for any purpose, including, but not limited to,
compensation for services, employee benefits, employee welfare and pension benefits, or
workers' compensation insurance or coverage, participation in any employee retirement
plan, life insurance, health plan coverage or any other employee benefit plan. Kaiser
Permanente, as employer, is solely responsible for any and all applicable federal, state
and local employer requirements.
5. Confidentiality of Information
City shall notify Paramedics that they are responsible for maintaining the confidentiality of Kaiser
Permanente's patient and performance improvement information. No Paramedic or other City
employee or agent shall have access to, or shall have the right to review, any medical record or
patient or performance improvement information, including quality assurance, utilization
management, risk management, peer review, or credentialing information or data, except as
required by law. Except where necessary and in the regular course of the Clinical Program and
performance of duties thereunder, the discussion, transmission or narration in any form of patient
or performance improvement information, medical or otherwise, is prohibited, except as required
by law.
6. Insurance Coverage
(a) Kaiser Permanente shall procure and maintain in full force and effect, at its sole expense,
a program of self insurance to cover Kaiser Permanente, its officers, agents,
subcontractors and employees against all professional liability and comprehensive
general liability at levels not less than One Million Dollars ($1,000,000) per occurrence
and Three Million Dollars ($3,000,000) annual aggregate.
(b) City shall procure and maintain in full force and effect, at its sole expense, a program of
self-insurance to cover City, its officers, agents and employees participating in Clinical
Program at Kaiser Permanente Clinical Facilities, against all professional liability and
general liability at levels not less than One Million Dollars ($1,000,000) per occurrence
and Three Million Dollars ($3,000,000) annual aggregate. Kaiser Permanente
acknowledges, understands and agrees that City does not have liability insurance policies
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but is self-insured as permitted under Government Code section 990 and participates with
other public entities in an excess liability "pool", the California Joint Powers Risk
Management Authority (CJPRMA), for excess liability coverage under a Memorandum of
Coverage. Kaiser Permanente further acknowledges, understands and agrees that such
self-insurance satisfies its insurance requirements under this Agreement.
(c) City shall agree to maintain in full force and effect workers' compensation insurance and
professional liability insurance covering the Paramedics pursuant to this Agreement and
any unemployment or disability insurance or coverage required by law. City also agrees
Paramedics shall be working within the scope of their employment for City while
participating, pursuant to this Agreement, in the Clinical Program at Kaiser Permanente
facilities. Similarly, Kaiser Permanente agrees to maintain in full force and effect its usual
program of self—insurance, including workers' compensation insurance and professional
liability insurance covering Kaiser Permanente employees working in the Clinical Program
pursuant to this Agreement and any unemployment or disability insurance or coverage
required by law. Kaiser Permanente shall also require any and all subcontractors working
in Clinical Program to procure and maintain in full force and effect workers' compensation
insurance and professional liability insurance to cover said subcontractors while working
in the Clinical Program pursuant to this Agreement.
(d) Each party agrees to produce within a reasonable time and upon request of the other
party, certificates of insurance evidencing such coverage.
7. Term and Termination of Agreement
(a) Unless earlier terminated as set forth below, this Agreement shall remain in full force and
effect for a term of one year, commencing June 30, 2003 and ending June 30, 2004 (the
"Expiration Date"). Unless terminated by written notice delivered by either party at least
thirty (30) days prior to the Expiration Date, this Agreement shall automatically renew for
an additional one-year term on June 30 of each year thereafter.
(b) Either party may terminate this Agreement for any reason or for no reason upon thirty (30)
days' written notice to the other party at the address herein set forth.
(c) All notices, demands or other writing to be given, made or sent under this Agreement, or
which may be so given or made or sent by either party hereto to the other, shall be
deemed to have been fully given or made or sent when made in writing and deposited in
the United States mail, postage prepaid, and addressed to the other party at the address
set forth below.
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B. Indemnification
(a) Kaiser Permanente agrees to defend, indemnify, and hold harmless City and its officers,
employees and agents, from any and all acts, claims, liabilities, costs, expenses, and
losses by whomever asserted arising out of the acts or omissions of Kaiser Permanente,
its officers, agents, subcontractors and employees, in the performance of services under
this Agreement, except those arising by reason of the sole negligence of City and its
officers, agents, subcontractors and employees.
(b) City agrees to defend, indemnify, and hold harmless Kaiser Permanente and its officers,
employees and agents, from any and all acts, claims, liabilities, costs, expenses, and
losses by whomever asserted arising out of the acts or omissions of City, its officers,
agents, subcontractors and employees including Paramedics, in the performance of
services under this Agreement, except those arising by reason of the sole negligence of
Kaiser Permanente and its officers, agents, subcontractors and employees.
(c) Kaiser Permanente, for purposes of this indemnity, is the Kaiser Permanente Medical
Care Program, which includes Kaiser Foundation Hospitals, Kaiser Foundation Health
Plan, Inc. and its subsidiaries, and The Permanente Medical Group, Inc. and other
affiliated Permanente Medical Groups, and their respective officers, directors, employees,
partners, consultants, and agents.
9. Independent Contractors
It is expressly understood and agreed that this Agreement is not intended and shall not be
construed to create the relationship of agent, servant, employee, partnership, joint venture or
associate among City, Kaiser Permanente and Paramedics, but is rather an agreement between
independent contractors, those being City and Kaiser Permanente.
10. Compliance With All Laws.
Kaiser Permanente shall observe and comply with all applicable federal, state and local laws,
ordinances, codes and regulations, in the performance of its duties and obligations under this
Agreement. Kaiser Permanente shall release, defend, indemnify and hold harmless City, its officers,
agents and employees from any and all damages, liabilities, penalties, fines and all other
consequences from any noncompliance or violation of any laws, ordinances, codes or regulations.
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11. Dispute Resolution
The parties agree to meet and confer in good faith to resolve any problems or disputes that may
arise under this Agreement. In the event resolution of the dispute cannot be accomplished by the
parties, the matter shall be submitted for arbitration in Marin County, State of California, in
accordance with the Code of Civil Procedure Section 120 et seq. or successor statutory provisions
governing arbitration. Each party shall bear its own expenses of arbitration, and shall bear the
compensation and costs of the arbitrator in proportion to the arbitrator's determination of each
party's relative liability.
12. No Third Party Beneficiaries
This Agreement is entered into by and between the parties hereto and for their benefit. Unless
explicitly provided in this Agreement, there is no intent by either party to create or establish third
party beneficiary status or rights in any patient or other third party, and no such third party shall
have any right to enforce any right or enjoy any benefit created or established under this
Agreement.
13. Assignment
This Agreement may not be assigned by either party without the prior written consent of the other
party.
14. Nonassumption of Liabilities
Unless expressly provided herein, the parties do not assume or become liable for any of the
existing or future obligations, liabilities, or debt of the other.
15. Agreement Execution
Each multiple original of this document shall be deemed an original, but all multiple copies
together shall constitute one and the same instrument.
16. Severability
If a court finds that any provision of this Agreement is invalid or unenforceable, but that by limiting
such provision it would become valid and enforceable, then such provision shall be deemed to be
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written, construed, and enforced as so limited. If such provision cannot be so limited, it shall be
considered stricken from the Agreement in its entirety. All remaining provisions shall continue to
be valid and enforceable for all purposes.
17. Waiver
The failure of either party to enforce any provision of this Agreement shall not be construed as a
waiver or limitation of that party's right to subsequently enforce and compel strict compliance with
each and every provision of this Agreement.
18. Governing Law
This Agreement will be interpreted in accordance with the laws of the State of California.
19. Notices
All notices required in this Agreement will be provided in writing by either party and forwarded by
deposit into the United States mail, postage pre -paid, addressed as follows:
Kaiser Permanente
San Rafael Medical Center
99 Montecillo Road
San Rafael, Ca 94903
Attn:
Sandie McCreary, RN
Director of Risk Management
20. Entire Agreement; Amendments
City of San Rafael
San Rafael Fire Department
1400 Fifth Avenue
San Rafael, CA 94915
Attn:
Robert Marcucci
Fire Chief
This instrument contains the entire agreement of the parties. Any prior agreements, promises,
negotiations, or representations relating to the subject matter herein are of no force and effect.
The Amendment may not be changed orally, but may be amended at any time by a written
Amendment executed by both parties.
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IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by their
respective duly authorized representatives as of the date first above written.
CITY OF SAN RAFAEL
By:
Rod Gould
City Manager, City of San Rafael
Date
Robert Marcucci
Fire Chief, City of San Rafael
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Routing Slip
From: City Clerk
To: Chief Marcucci
Date: 5/19/03
❑
City Attorney
❑
Action
❑
City Clerk
❑
Circulate
❑
City Manager
❑
File
❑
Community Development:
❑
Initial and Return
❑ Building Division
❑
Per Conversation
❑ Code Enforcement
❑
See Me
❑ Planning Division
❑
Deadline
❑
Falkirk
❑
Information
®
Fire
❑
Signature
❑
Library
❑
❑
Management Services
❑ Financial Serv.
❑
Remarks:
❑ Human Res.
❑ ISD Attached is a copy of "Agreement
❑ Police
❑ Print Shop/ Mail for Clinical and Observational
❑ Public Works Pro4rams" w/Kaiser (full v signed)
❑ Corp Yard
❑ City Hall for ,your files.
❑ Community Services
❑
Child Care Div.
❑
Facilities
❑
Programs
❑
Youth Services
❑ Redevelopment
❑ Other: