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272527 WHITE - CITV CLERK � � �' yJ•^p� PINK� - FINANCE CITY OF SAINT PAUL � r�� CANARV - DEPARTMENT COUIICIl � / /`'�, HLUE� - MAYOR t � �J � File N 0. Council Resolution , Presented By ° Referred To Committee: Date Out of Committee By Date RESOLVED, That the Council of the City of Saint Paui hereby authorizes and directs the proper City officials to execute agreements with the County ot Ramsey and the following agencies, whereby the City and County wiii assist in funding the said agencies for the calendar ysar . (979, so as to assist in their functioning as neighborhood health centers in caring for the medical-health needs of the citizens of the City and County: I . Face to Face Health b Counseling Service, Inc., the sum of $42,425. 2. Family Tree, Inc., the sum of $43,653. 3. Helping Hand Health Center, Inc., the sum of 547,765. 4. North End Health Center, Inc., the sum of $19,282. 5. West Side Community Health Center, Inc., the sum of $34,999. and said agt-eements shall expi�e Decembe� 3i , 1979. COU[VCILMEN Requested by Department of: Yeas Nays Butl r COMMUNITY o a B"�r In Favot t Nozza Nunt Le 'ne �f�e __ Against BY R e er S Ives r Maddox � � 5 19� T desco �°N1a�`e` ' �Ydesco Form pprove by City t rne Adopted b � Codn il:� Date �, Certified PasseSi-kSy Council Secretary BY 1 �c...�;---.. �B � 6 �� App ov y Mayor for Sub ss n Council Ap r v by Mavor. Date t By BY a ,� R��.7 �'-[J�I ','':��l F� !� (,� � ' , _ . �rs��..r ., er� ! c..�, r OM Ol: I2/1975 Rev. : , 9/8/76 � � � EXPLANATION OF ADMINISTRATIVE ORDERS, RESOLUTIONS, AND ORDINa►vCES � Oate: December 28, 1978 . ' . ; Tp= �MAYOR GEORGE LATI.'KER : FRs THOMAS J. KELLEY ' gg; Contract among �the City of Saint Paul , County of .Ramsey and West Side . . Comnunity Health Center, Inc. � ACTION REQUESTED: Executive approval and signature E � } � �� : � �:' � � � � �t2Y0��; e;?�'l� F.�.TIO��AL' � FOZ THI� P.CTTG�v : ' The City of Saint Paul and Count of Ra�nse have � Y y provided partial funding � to West Side Corr�nunity Health Center, Inc. since 1976. This contribution has enabled West Side to continue functioning as a neighborhood health center in caring for health needs of the citizens of the City and County. t �. • Stl f� ATTACHMENTS : ' t Contract a � , AGREEMENT AN AGREEMENT, Dated this 26th day of December 1978 among the COUNTY � OF RAMSEY, Minnesota, hereinafter called "County"; the CITY OF SAINT PAUL, • Minnesota hereinafter called "City"; and West Side Community Health Center, I�c. located at 179 East Robie Street , Saint Paul, M�nnesota, hereinafter.� called "Grantee"; � WITI�ESSETH: In consid�ratian of the services of the Grantee functioning as a neighbor- hood health center in caring far the medical-health nesds of the citizens of � the City and County, the parties hereto mutually agree as follows: 1. The County and City will each give to the Grar�tee such sum of money � as is set across from the na� ofi each as reflected on the attached Exhibit A and in the manner set forth herein. � � � . . Y...... . . . ._ . . . � 2. The sum"of money granted. by the City and County is for the Grantee's use during 1979. No additional .or future funding or assurances �hereof will � � be provided or honor�l unless .set farth in an amendment to this Agreement or _, ;r a separate agreement approved as the fr�e act of the Cfty arid County. �. • 3. 7he sum of money granted b the Cit and Count lus " �-� Y Y Y f� pro3ec�ed �..:_.. �. patient-collected fees" as refiected o� Exh3bit � shall be "gross incame" � for the purposes of this Agreerr�nt. Any other revenues co�lected by �rantee, . exclusive of any other City or'County grants or pa�ient-collected fees in . excess of the "projected patient-col1ected fees" on Exhibit A, wi11 be . . , , � reported to the City and County along with an explanation of intended use. � 4. The County shall pay to the City itS contribution as reflected on: . Exhibit A in equal installments on January l, Aprit 1 , July l, and October 1 , ' 1979. . 5. The City shall pay to the Grantee its �and the County's contribution in instailments as follows: (a) 25% of the total contribution of both the City and County on or before January 1 , 1979; (b) 25� of the total contribution of both the City and County on or before April 1 , 1979; (c) 25� of the total contribution of both the City and County on or before Ju1y 1 , 1979; (d) 25% of �he total contribution of both the City and County on or before October 1 , 1979� 6. The City, acting as the transmittal agent of the contribution of both the City and County, as set forth in Paragraph 5, shall not be liable to pay to the Grantee tfie County's contribution if not received by it from the County pursuant to Paragraph 4. 7. The Graq�ee shall on April Z0, July 20, October 20, 1979, and ' January 20, 198Q submit to the City an itemized statement of all Grantee's expenditures, revenue and reports of services on a form or forms to be pro- vided by the City. The City shall make such reports availabae to the County upon receipt. Further, the Grantee shall preserve all documentation used by it in complying with the statements and reports required by this paragraph and shall be available to the City and County for its review and audit as desired. 8, The Grantee shall , with approval of the City, develop and enforce a fee schedule for patient charges. 9. The City shall act as the liaison to the Grantee for such day-ta-day administration as may be needed and shall be responsible for: (a) Reviewing and evaluating the program and fiscal activities of : the Grantee and disseminating reports thereof; - 2 - (b) Providing technical assistance to the Grantee in developing and implementing the fee schedule referenced in Paragraph 8; (c) Coordinating activities common to the Division of Public Health of the City and Grantee; � (d) Rendering to the Grantee such other assistance as within the City's resources; (e) Providing for utilization by Grantee by the City's purchasing faci�lities if appropr�ate and applicable. 10. The Grantee shall insure that: (a) Services provided to eligible individuals are furnished without regard to race, color, creed, sex, age, marital status or family size; ____.. __ ._ _ (b)----Services are provided with respect for individual privacy and dignity; and (c) Services are provided without coercion and shall not be denied on the basi�s of refusal to participate. 7n research projects or other activities of the Grantee, or on the basis of ability to pay. 11. The Grantee shall obtain and keep in force at its own expense during . the term of this Agreemen�, professional liability insurance in the amount of Three Hundred Thousand Dollars ($300,000). A certificate evidencing such - ,' insurance as being in force during 1979, and co-insuring the City_ and County, shall be furnished to the City Attorney for review and approva� on or before January l, 1979. 12. The Grantee's organization and activities shall conform to the format described in the attached Exhibit B. 13. The Grantee shall submit to the City and County a line item budget and a list of its services ta be provided� during the term of this Agreement on January 1 , 1979. - 3 - 14. The Grantee shall have available relevant background and qualification summaries of both regularly employed and volunteer staff to the City and County. 15. The Grantee agrees that deviations of ten percent (10%) or more, upwards or downwards, from its 1979 agency budget, and/or additions or deletions from its 1979 operational plan as approved by the City of Saint Paul and Ramsey County will be transmitted to the City of Saint Paul and Ramsey County in a timely fash3on and in a manner to be determined by the City's Clinic Caordinator. Such information shall be before �he fact and shall include pertinent data relative to the planned addit9an, deletion, or any other r�dification of programs and the subsequent pro3ected budgetary _ ..___. . .__impact for the_-�contract year and the two years subsequent. . 16. The Grantee declares Garv ande to be . the person resparisible for comptiance with.the terms of this Agreement, and its Dr. Luis De Cubas as the person responsible for its medical services. . , 17. Tfie City declares its Director of the Department of Community Services. , _ or such designee as noted in writing by him as the person responsible for � • compliance with this Agreement. _ � 18. The County declares its (County Board Chajrman) or such desTgnee as noted in writing by him as the person responsible for compliance with this Agreement. 19. The Grantee agrees that at all times under this Agreement, it, and its employees, agents, and volunteers are independent contractors as to the � City, and not employees of the City. . � . . . r4 - . � 20. The term of this Agreement shall be from January 1 , 1979 through December 31, 1979. IN WITNESS WHEREOF, the parties have set their hands as follows: � A . Approved as to Form County of Ramsey By sistant County.Attorney Board Chairm�n 6y Approved as to Form Executive Secretary - - - - Funds are Available sistant City Attorney Account Number(s) Amount By 6RI�NTEE: tdpct _t�t�� r��„��n;t� Npaitr► _. Budgeting and Account�ng Cent�er., �nc_ Insurance Approval ' By - Its Executive Director B� . . ---f- � R�sk Manager - CITY OF SAIPIT PAUL . By ayor By Funds are Available • � Director, Department of Account Number � Comnunity Services � ,. By . , . � �rector, Department of Finance and Management Services � _ � _ ' � Exhibit A WESTSIDE COMMUNITY HEALTH CENTER, INC. REVENUE SOURCES - 1979 City of Saint Paul - General Revenue - $34,999 City of Saint PauT - Cor�nunity Health Services - - 2,800 County of Ramsey . _ 37,799 Third Parti�s - Medical - 48,485 Third Parties - Dental - 16,978 CETA - 4,736 Donations - 250 Misce]laneaus - 25,336 .„ �_ TOTAL $171 ,383 , . •.. - . � � Exhibit B • '' � {�''�I l(�'lu�i S�r.;r J�iPfl`.� . ' • FOFt TFIE OPERF►T 1 C!�! OF IvE i G�ICi0RH0�7p FIEP�_.TH CENTEP,S � . STA�J�A4� ! - O�;GJ',P:I Z:1 i I a"�At STRU�TU�tE q. Gc��ern i ng body: the cenl-er operates under �he �i rec-i i or� o f ar-� i den�f i f i�b le . board of directors. - I . This board holds regutarly scheduled an� documanfied w►eetings. 2. Its meetings are open to the public and are announced publicly, � at least five days prior -to each regutarly scheduled mez-ting. . 3. This body has full legat aufihority and responsibiliiy for o��era41 . conduct of the center. 4. The center is incorporai-ed with the assistance of an attorney. B. Govern i ng body r:ia ke-up: . - - - 1 . The �oard -of directors is rrade up ot at least 514 consumers. 2. The board of directors is reflectivz racially, cultura( ly, econo�ically � and sexualty of -the center's neighborhood and/or service poputation. C. Coverning body responsibitities: the board of directors is -tF�e policy-making body. _- .. � a.- _ . . . . 1 . It adopts effective client care policies and by-laws governi�g -the . � opera t i on of the fac i I i-ty i n accor�ar,ce w i th f e_c,a( requ i remen-ts and in conjunction with medical s-taff. Such policies and by-!a�•1s are in writing and dafied, and the board of direcfiors er,sures they ar'e operationai and reviews them ai° leasfi a�nualty. . 2. it has a cl ►enfi review commii-tes responsibte for the devetopment of policies relative to the healfh care, safety and rights of c{ ients. 3. The governing body hires the chief adm►nisirative sfiaff person. � 4. It consic+ers and acts on� budgets, contracts, a,reerr�ents and other • . o�erat i ona l r�atters presen-ted to ►t by i ts staf r'. D. Channels of responsibility: channa(s of respcnsibility as aret ! as suFervisory relationships �tithin fihe center are docLm°�te� by alears of an organ i zat i ona I cha rt' or o-ther su i tab l e t . Assignmeh� of responsibility and delegatior of au-thority withlr. th� center's organizatian a,e specified in Jcb description of adminis�ra- t i ve, anc� profess i ona( personrie l . _. _ . _ _ . __._ . . __ ��►irir.:ur;� 5tandards ,. . .. . , _.., _. . , .�a��.T�r� . ,� , .`,; � ��,. • � • . . . � � . � '� . � � � � � . , ' _. F,;;:�i n i s�ratl ve racorc+s: admi n i strat i Je re�ord� �r.d rzFcrts are m�i nfia i r�ec: and used -to guide fihe operation and ref {ect the procress of the center. I . Admi n i s�rrat i ve recerds i nc I ure stat i s�i ca I c+�;-a or, nuMbers served. 2. An annua I repert i s comp i led �:h►c�: i nc i uues a-i- I eas� a sumr:►ary o` . financiaf operation and of services providede The report is made available to the public. =i:=.'i�,yRt� I I - PERSONt•!Et POLICIES . ?erso��nel pol icies and practices are esi-abl ished, revie:•�ed periodica�l IY and �� r�vised as necessary. r. �ersonnei poticies of fihe cen-ter are written ar� ma�'e available fio a�! [ � Center personnei . - ?. The center has in effect a viable personnel grievar,ce po( icy. . � C. Th� written personnet poiicy covers: . . � - � � � 1 . Hiring procedure, inctuding an affi'rmai-fve statemertt of fair � . . . employmPnt in hiring. . ' 2. Employee probation. -- . . . . - � 3. Evaluation of job perfornance. _ �. Sa Iary ad�ustr^enfis 5. Holiday, sick leave, annuaf Ieave and ofiher benef�-ts. �. . � " . � - . 6. Terminati�ns - votun;tary and invotuntary. � � � . � . . T:�� canter has a sufficient number of qualified personnet ta meef fihe r�eeds of �tienfis. C. Sfiaffing: staffing is adequate fio .provida the services esssntia( -�o imptenenfi . �he stai-ed goals and objecti-ves of the center: ! . A11 members of the staft are qualifiecf to p�rform the duties and responsibilifies assi�ned -to them, and meet sucF� Fe�eraf , Stafe � and locat professionat rec�uirer�ents as are arplicable. , � � . 2. ( f the services of health care students are ujTtized in providing � � • . care, such trainees work under tne di�ect on-si►e supervision of � appropriately qualified professicnat personn�le � 3. If paraprofessionals y:ork ai the center, tE�eir job descrip-tians � • • _ (and actual funcfiions) reflect fiheir trainir5 and s�il (se � �lir•ir:u^� Sta�dards . .t�ag�_..Three 1 � . � . . . •� � 4. Ytr i t'ten ';��de( i ne� ex i st, C I 7 i ii� 7:i8 mi n i�u�n r��:�ers of perso:ine� ' nec�ssary for del i��sring services during c2nte:- sessior�s. E. Continuing Education: atl cen�er personnei - pai� ��d votuntee� �- are giv�n � the oFportunifiy to par►icipate in o�-�oinc� educa��ionaf pragrams retated fiu . their activities, includir.g orien;alion, on-the-job trainir�;, regutar in-s�rvice tra i n i r►g prograr�s, and part ic i pa�i or, i n v;orkshops, i ns�`i tu-tes or cont i r�u i ng educatio� courses. STANDAP,� i I I - F!NA.NC I Al Nf�i1t�lAGE�/cNT � A. Annuat budget: a budge-t rela-ted to the centerTS objectives is prepared annually. B. Accounting system and records: an accounting systen in maintained that - : pro�uces intormation reflectina the fiscal ex�erience and -the curren� fi�anciaL position of the center. � t. The ceni-er mainfiains records adequa+e to meet i�s aperating needs - and its obFigations io clients, fihird-pa rty payors a�d other .i nt�rested parti es. _ , . �. . _. . . - 2, Reports afi i-he centerts current financiat posifiion and other pertirent financiaf informafiion are submi-t-ted to the governing body at teast quarterfy. � - 3. The center provides #or an indepeRdent certified audit or an - unaudited opinion of its finarcial operations to be earried auf ' annuatly. • _._ _ " C. tnsurance: . an �nsuranCe program -that provides for adequafie cor�prehsnsiv� . . . _ � liability insurance covering center personnel and for proteciion of fihe centerts _ physical and financial resources is in effect. _ - D. The clinic is in cor�ptiance rrith S�ate and Federa! (av;s regarding tinanciai � reporting. , . . I . Tax �efiurn i s prepared and subr�i-t-ted annua I !y a ' - . �. 2. State and Federal employ.ee withhoJding #axes are deposi-ted regu(ar�y wtthin legat Iimits. ` • 3. Sfiate and Eedera 1 returns for er:,p I�yee r�i thi�e I d 1-axes are f i 1 ed . quarterlyo � ' 4. The center meets requ i reme�ts for S�afie llner�p f oyr��ent t nsurance for � its employees. ' 5. The center meeys requirer�ents for l�:�orkr�enps Con�ersafiio� insura�ce for its employees. � . 6. The option to join fihe Fed��al Social Secu�i;y progra^� has been offered to the employees (per-rains to 501 (c) (33, oraanizati��s) . � ' .� , .. ' - �:�n:�r^ur� S�andords -• - ?<,oa Four � , S7�,^l+Ja2D t V - O�tGA+d(ZAT i��JRL PLA(dPd i��G � . � � A. Goals and Objecfiives: the boa;d of ;� �ectors h�s dtveloped a set of goals ane� objectives r�hich inctudes: 1 . 7he overa( 1 phitosophy or mission o� the clinic. �, 2. Its projected outcomes relative fio -the scope ot health services availabie - to its cfients. 3. The corr�munity (both geographic and culturai) to be served. . � 4. Ofiher projected ou-tcomes referred to or imptied by the mission sfiatenenfi such as cost of care, ctient a�vocacy, etc. B. Progran Pianning: the boa;d annuatly dEVelops po[ icies and ob,jectives based . on the philosophy and goals of the center. ' 1 . The chief administrative officer deve{ops an annual workpfan based on • the priorii-ies of the board. The workplan addresses: � - a. The number of ciienfis 1-o be se�ved. b. The scope of services to be delivered. . c. The effect o# the services on the cost of care. � . d. The r;�#ho�s of f i nanc i ng the .care -to be de t i vered. : � � ' e, The person powzr necessary to deiiver the seruices. ' fi. Tf�e space necessary for defivering fihe services. : � � • g. The retationship wi-th other providers of care. G. Progran Evaluationo fihe direcfior or chief administrative ofticer reporfis�.to the governing body annualiy regarding the effectiveness of tine prograr�. The. report � i nc 1 udes: . � . - I . NumSers of clients served. 2. The scope of services detivered at the center. 3. The average cos-t ot services per client visi-�. , 4. The adequacy of the phys•Icai space in which servlces rrare de! 't�vered. . 5. Th� numbers and corpetercies of the st�`f �:ha delivered the services. , 6. Current relationships with other provi�ers of care. �_ _ �ti n i mum Standa rds , C��g��' F i va ' . , . , . . •�• - . � . . . . a , 'STA�JCARD V - F1:YS I CAL cP�V!F�O��l�°rfr'T � The center s i-te con forr�s to bu i I d i r.g, hea I th and f i re rc:yu f a-t i ons of the ci-ty, county and/or v i I I age r:here i n i t i s 1 ocat�d and ce=:,p f i ar�ce i s adequG�f e(y docur.«nted� STA.P�OARC V I - POL I CY ARlD PRC�EDI;�E Pol icy and .procedu�e are d�ve{op�d for ir�plemen1irg -�he sfated goals ar.d o�ject�ves � of the cen-Fer. A. h'anuals: policy and procedure manuafs exist havinc been devetaped r:ith -the advics of protessionaf personnel , adminisfration and ctients and are reviewed at least annual {y and revised as necessary. The manuaf(s) incl4de guidefines yovern i ng the prav i s i on of em�rgar�cy a�d non-zr��ergency care �-ha-� �ray be g i ven • at the faci ( ifiy, and covec at least ihe follo��ing� I . Protocol fcr emergency proeedures �hat r��y be peE farrr,ed in fihe center. � � 2. Procedures to be fot towed in referring a cf ien-F fo ano�her facit i-ty � for care no-t avai table at tf�e center. � • 3. Protocot regarding contact with cor:�municable disease and procedures for infec�ion control at fihe cenfer. 4. Pro�ocol far contacting ctients when fatfo�r-up visits are necessary. � � 8. Convenience/Rccessibilii'y: the cenfier has 'in effecfi poCicies and procedures � . which assure. that center services are c�fered at tir�es/occasions and in a manner that i s reasonab 1 y conven i ent fer fihe ra jor►ty of -the cf i en-ts. f . The avaitebility of transporta-Fion and the workfschoot requiren2nts � of ctients are taken into accounte - � , ". ' 2. A schedute showing the days and hours when �he cEnter is apen is posted in .a conspicuous place in fihe center� an� made availabte . � � to posstble referral sources. � . 3. I f I ang�age or cu I fura( barri�rs ex+sfi betF•;�en cenfier �ersonne I . and a significant number_of clients, arrangements shouSd be made , for in�erpreters #a bz presen�, multi-languace s�gns to be posted, ' or for o�he� mechznisms to ensure adeguafie co�munica-tio�. 4. Procede:res are deve!oped -to accor!riodate c t i ents ti�t i th phys i ca l hand i caps. C. Appoi ntr.�er�t sysi-er�: i f #he cenfer sees c I ients by appo i n�ment, a t i�r��speci f i c � appoinfiment system is established, with adequate tir�2 alloti:ed for sfa�f to see . nevr cI ients �as v�el 1 as -thos� making return visits. 1 . Average v:a i t i ng t i r�a at fihe center shou I d no-� exceed ore F�our. 2. To the extent possible�.efforts are r�ade tc enable the c(ient • -to see the same prov i der on each returr, vi s i�� • '�;i�n i if:cr:�� S�t'andards • ,� -�Pag��. S i x � . � � 3. Fo� �:�n-•emergency care, cl :en-t sh�:s!d nave fic: �::�a i�� no longer •hh�n t»a ` , wveks tor appa i nt►�:ents. . ' D. Continuity o# cara: fihe cen�er ad�pts a��J irpteM�n-ts nechanisms t� ensure tne continuifiy and availabiiit}� of care. • . 1 . A rr�chznisn is estahiished for providir.g services to unsch�du�ed clients urgentty in need of care. � 2. The c 1 ient i s i rtform�d a� the t i r�e of i he i n i�i a l contaci' w ith i�he . ceni-er of -Fhe services avai ;a5le at -the center and is given �he � opportuni-ky to plan tor ways ih whicf� fihese services can be . , integrafied into his/hec tota! care. . 3. Oft-hour Medical coverage is provided by the center or an alfiernative mechanis^� is .developed to ensure coverage. � � 4. A recorded fietephone nassage is utilized leaving instructions for clients calting during times when the center is not open. �. . • 5. A procedure exisfis for referring clients �ta a-Fher facitifiies for care � ` no-F a�rai labte at the center and guicel ines covar at feast -the fot {a��ring: a. lnformtng the ctient of aI#ernative sources of care and s-Feps � that nust be taken fio arrangs for the care. ' � , be Transfsrr'i�g of informa�tian regarding the cEient- with -tha � � • cl ien-t's authorization to fihe receiving fac� f i-ty. _ �. - _ c. Transferring of Tnforma-Fion regarding 1-he cfient �rom -the receiving faci I i-ty to -the center for inctusian in -Fhe c! ieni-fs � : center records. : . _. E. Ciients' Rights/Responsib► lities: the center adopts and makes availa6te fio . . ciients writi-en� policies regarding -the rights/respons�bi ( ities of Glients. � � These policies ensure each �tient at teasfi 1'hat he/she `ts: = � � I. Fu1ty infarned of these rights and of alt rutes and reguiafiions concerning client conduct and responsibilities. : � . 2. tnformed of the identity(iesl of the peaple invotved in f�is/her � care. ff traineas participate in the care, fie/she shalt be so . in�ormed. � �. 3. Intorrred of the charges for services invo(ved in the care given and � � that the charges for aii services provided by fhe cen�er be availabte a-t �equest. • �. Informed of the reasons for and nature of atl ex�r�ina�ions, tesfiing and procedures that are done. � � t ' ��:inir^�1r� Star�J�rds . .�vaye �Sev�n . , , . 5. I n form�d of the natur� of h i s/her cor:d i�c c:� n�d of a I 1-erna�t�i ve - tre��tMZnts, if they exist, providing for his parttcipation in the " pl�nning for care. 6. 1 nformed of h i s/her �i�hfi to re f�s� tre�tr��nfi recomrcendec! a►'�d of � . the possibie conseque„ces of that refusal , � 7. tnformsd and assisted to understand z�d exercis�e his/her righfis . � and may, via an existing mechanisr�, voica grievances and recommend . changes in policies and service to cer,ter staff and ou-tside . representatives of his/her choice. 8. Assure confidenfiiat -trea;ment of his/her disctosures and records, and�may approve or refuse the release of any information to any individuaf not invotved in his/her care at fihe center except as � � � required by !aw or third-party payMent contract. � 9. Treated with consideration, respect, and full considerafiion of his/her dignity ahd individualiiy, inciuding privacy in treatment � and care. . STAr�OARD V 1 f - ��tED I CAL RECORDS � fndividuat ciient t-ec6rds. and reporting systems necessary to carry out program evatuafiion and to mae� atl appiicable Professio�al , administrafilve, planntng and ' legal requirements shatl be estabiished and maintained. . A. individuai ctienfi records. a madical recard is mai�htained for every client receiving msdical care provided by i-he s�rvice. . 1 . A sampie of inedical records is reviea,ed periodically by 'designated �. administrative and/or professionat statf to determine the quality . of the records. : � . 2. Medical records contain att of the folta��ing data: a. . Pecsonaf data includi,ng: . • - { . patient identitication _ . � 2. name(sl of person(s) �o be no-tified in case of emarger,cy 3. sErvice registration, or other identifying number - � 4. identification of other sout-ces of rsdicat care � � 5. sour�ce of referra I - b, date of visits . • • 7, designation of prirary Fhysiciar� or heaith worker responsibte for client's care. � .� h":i n i;�un Standards . �°. Pe�� cioht . • � : . b. Clinicat data inctuding: ! . ciien� history to include history of af ;,ar-c�ies � and previous ilinesses, hospi�3lizatior�s, and � surgEries and medication used. . 2. physical examination reporfi . • . .. 3. ciient's current problems , • 4. clinicat no�es written by appropriate center - � personne I . 5. consultation reparts; if appticable � 6. copy of relevant records of care �ene�ered by o-ther prov i ders _ . c. Diagnostic data inciuding: . . _ i. taboratory reports . � 2. radiology reports . 3. oiher reports; as applicab(e d. TreafimentA-�nd instructions, inc(uding: - t. _ c) ient nanageneni- ptans, inctuding totiow-up � � � action as indicated ' 2. notations af prescriptions written . � • 3. self-care instruc-tions . . 4. instructions regarding return visits . • � � " 5. signed consen-t forms and signed reteases � 6. ins-tructions for'care g►ven per �efephor,e � � � B. Confiden-tiallty: the confidentiality of ait �edical records is maintained subject to appficable la�ls and third-party contracts requiring disclosure. t . The center safeguards the in`orr�ation in the record against �loss, defacer�ent, '�amQeri ng or unau�hori zed use: . � . � 2. The center�s emptoyees receive instruction concerning �he preserva;ion of the confidentiatity of the cliEr,tts r^edicat recards. 3. YJritte� informal consen-t of the clier,t shali be required for the release of inedicat intormation. • • � !��i.nimum S�andards � �. Pagp 7J i ne .. ,` . ` C. F i ;1 i ng and ,r-�tr;_:va t syster^: t.ed i c�( recor�is .are i�dex�:d and f i i E:d i n a . � , manner rrhich facilitates the acquisition of statist�icai information and " � the retrievat of recards for ciient care and prograr.� evalu�tion purposes. STAt`iDAR� V t I I - LA50RATORY SEP.V I CES Laboratory services comrr,�nsurate with the center's ne2�s are provided by fihe center itseif, by an outside laboratory which is part of an accredited or certified � hospital , or by an out-side independent laboratory rrhich is approved to provide services. - It the center provides laboratory services directly, the follo��ing criteria are appiicable: . A. Personnet : if the center provides more �han basic laboratory services, the laboratory is under the direction of - or �egular consultation is avilable trorti - a pathotogist. � S. Requests and reports: signed reports of laboratory findings arg refiurnec+ . promptiy to the requesting individual and entered into the client�s rt�dica 4 record. � � � �C, Safety: proper safety� precautions are maintained agains�- hazards from � fire, exptosions, electricai equipment, volatile chemicats and tiammabte so{utions. 0. Quaiity controt : . . i . The Iaboratory ir.rplements en internal quafity control program covering , afi 1 east�'he ca I i brafi i on ot equ i pr.;ent and�va 1 i dat i on of tes-F resu f ts. '° 2.. La boratory personne t pa c-t i c i pate i n per i od i c rev i e�•�s and upda tes of . proceduras and equipment. STP.NDARD I X - PHARt�tACE�T t CA C SERV!CES �If pharmaceu.ticat services are offered di�ect(y by -the center, they are provided . � in accordance rlith acceoted pro`essionai principies and appropria-te Federat , ' State and toca{ laws and wi-th the follo�eing criteria: . A. Personnel : the disFensing of prescription medications shcufd be done _ oRiy by a licensed pharracist operafiing from a pharmacy or by the • . physician in cemaliance with hlinneso►a Statutes which altows supervised interns or nurses -Fo dispense drugs. - - B. Prescriptions: medicafiions are dispensed only upon the �•rritten order� of a . licensed practitioner/physician. AIt r�edications dispensed must be property , labeled with at least the na^�� of the client, the name of the prescribing practit+oner/physician, the na^�e of the drug, the directions for use and ' the date the drug is dispensed. •• , i � - , ••, �� . . . r � ' ' F•f i n i M��: Sfiandards . Pa3s Te^ � C. Patie-�t profi le: ir' the ce�ier fi I Is p�escr:;s1-�or�s tror.� nor,-center �rac�itior�ers/ �hysicans, a medication pro�ile is maintainsc in the pharmacy. , Q. Controlled substances: aIl recard-keepi�c� and security requirements of the Drug Enforcer.ient Administration must be complied with if conirolled substances � are to be utilize�. . � - � . STR�JO.�R7 X - BACh-UP SERV I CES . Provisions are riade for care not available at the center itself. A. :�iritl-en agreements for fihe procure;r.e�t of necessary cons�Itations, speciat . � snrvices not available at the centar, and in-patiert care are developed with cooperating �gencies and ins�itutions, periodicaliy revie�led, and � � apprvved by the center's governing body, and wrifiten policies and , procedures exist governing fihe provision of such care. - •. . . . . B. Ths agreener�ts specYfy the mechanism for transfer of necessary records � - and information. . . � T . , OM Ol: 12/1975 �� ._._. Rev. : . 9/8/76 � EXPLANATION OF ADMINISTRATIVE ORDERS, r�►�y � RESOLUTIONS, AND ORDIN�uvCES �e�• e�� Date: December 28, 1978 �p; ', MAYOR GEORGE LATL'KER pg; THOMAS J. KELLEY: . - RE: Contract among the City'of•�Saint Paul , County of Ramsey and Helping Hand � Nealth Center, Inc. -- ACTION REQUESTED: Executive approval and signature PURYUSE eyNn RF.TJ.O\AL'E FUFt THY� AC'1`IOIv : The City of Saint Paul and Caunty of Ramsey have provided p.artial funding . to HeJping Hand Health Center, Inc. since 1976. This contribution has enabled Helping Hand to continue functioning as a neighborhood health center in caring for health needs of the citizens of the City and County: ATTACHMENTS : � Contract . , , : ' ! �, AGREEMENT AN AGREEMENT, Dated this ��tn day of December 1978 among the COUNTY OF RAMSEY, Minnesota, hereinafter called °County"; the CITY OF SAINT PAUL, Minnesota her.ei:nafter called "City"; and Helninq Hand Helath Center, Inc. , located at 506 West Seventh Street , Saint Paul, Minnesota, hereinafter � called :"Grantee"; WITNESSETH: In consideration of the services of the 6rantee functioning as a neighbor- hood health center in caring for the medical-health needs of the citizens of the City and Coun�yr, the parties hereto mutually agree as follows: 1. The County and City will each give to the Grantee such sum af �ney � as is set across from the name of each as reflected on the attached Exhibit A and in the manner set forth her�in. � ., .- . , 2. The sum'of money granted by the Ci�y and County is for the Grantee's use during 1979. Na additional .or future funding or assurances thereof will � be provided or honored unless set forth in an amendment to. this Agreem�rrt or __ _ -� a separate agreement approved as the free act of the City and County. �. • 3. The sum of money granted by the Ci ty and .County pl us "pro�ected � � � - `� - patient-eo7iected fees° as refl ected on Exhibit A� shall be "gross �ncome" . � for the purposes of this Agre�ment. Any other revenues collected by Grantee, � exclusive of any other City or'County grants or patient-coliec�ed fees in . excess of the "pro3ec�ed patient-collected fees" on Exhibit A, will be reported to the City and County along with an explanation of intended use. � 4. The County shall pay to the City its contribution as reflected on. � Exhibit A tn equal installments on January 1, April 1, July 1, and Octaber 1, ' , 1979. , 5. The City shall pay to the Grantee its �and the County's contribution in installments as follows: (a) 25� of the total contribution of both the City and County on or before January 1, 1979; (b) 25X of the total contr�bution of both the City and County on or before April l , 1979; (c) 25� of the total contribution of both the City and County on or before July 1 , 1979; (d) 25� of the total contribution of both the City and County on or before October 1 , 1979. 6. The City, acting as the transmittal agent of the contribution of both the City and County, as set forth in Paragraph 5, shall not be liable to pay to the Grantee the County's contribution if not received by it from the County pursuant to Paragraph 4. , 7. The Grantee shall on April 20, July 20, October 20, 1979, and January 20, 198Q submit to the City an itemized statement of all Grantee's expenditures, revenue and repor�s of services on a form or forms to be pro- "" vided by the City. The City shall make such reports available to the County � v upon receipt. Further, the Grantee shall preserve all documentation used by it in complying with the statements and reports required by this paragraph and shall be available to the City and County for its review and audit as desired. 8. The Grantee shall , with approval of the City, develop and enforee a fee schedule for patien� charges. 9. The City shall act as the liaison to the Grantee for such day-to-day administration as may be needed and shall be responsible for: � (a) Reviewing and evaluating the program and fiscal activities of � the Grantee and disseminating reports thereof; . - 2 - � (b} Providing technical assistance to the Grantee in developing and implementing the fee schedule referenced in Paragraph 8; (c) Coordinating activities common to the Division of Public Health of the City and Grantee; � (d) Rendering to the Grantee such other assistance as within the City's resources; (e) Providing for utilization by Grantee by the City's purchasing faci�lities if appropriate and applicable. 10. The Grantee shall insure that: (a) Services provided to eligible individuals are furnished without regard to race, color, creed, sex, age, marital status or family size; - - - (b) Services are provided with respect for individual privacy and dignity; and (c) Services are provided without coercion and shall not be denied on the basi°�� of refusal to participate- in research projects or other activities of the Grantee, or on the basis of ability to pay. 11. The Grantee shall obtain and keep in force at its own expense during the term of this Agreement, professional liability insurance in the amount of Three Hundred Thousand Dollars ($300,000). A certificate evidencing such insurance as being in force during 1979, and co-insuring the City and County, shall be furnished to the City Attorney for review and aRproval on or before January 1, 1979. 12. The Grantee's organization and activities shall conform to the format described in the attached Exhibit B. 13. The Grantee shall submit to the City and County a line item budget and a list of its services to be provided during the term of this Agreement on January 1 , 1979. - 3 - 14. The Grantee sha11 have available relevant background and qualification summaries of both regularly employed and volunteer staff to the City and County. . � 15. The Grantee agrees that deviations of ten percent (10�) or more, upwards or downwards, fram its 1979 agency budget, and/or additions or deletions fram its 1979 operationa� plan as approved by the City of Saint Paul and Ramsey County will be transmitted to the City of Saint Paul and Ramsey County in a timely fashian and in a manner to be determined by the � City's Clinic Coord�nator. Such information shall be before the fact and shall include pertinent data relative to the planned addition, deletion, or any other modification of programs and the subsequent projected budgetary _ : - _..i�mpact for the.=contract year and the two years subsequent. 16. Th� Grantee declares Ellsworth Johnson to be the person respQ�sible for compliance with the terms of this Agreement, and its Or. Timothy Rumsey as the person responsible for its medical services� : 17. The �ity declares �tts Director of the Department of Community Services ,,, , . � or such designee as noted in writing by him as the persvn responsible for . compliance with this Agreement. 18. The County declares its (County Board Chairman) or such designee as noted in writing by him as the person responsible far compliance w�th this Agreement. • 19. The Grantee agrees that at all times under this Agreement, it, and its employees, agents, and volunteers are indeperrdent contractors as to the City, and not employees of the City. � � - 4 - 20. The term of this Agreement shall be from January 1 , 1979 thr�gh� December 31 , 1979. � __ _ IN WITHESS WHfREOF, the parties have set their hands as follows: Approved as to Form � County Qf Ramsey B ` . sistant County Attorney � Board Chairman � By Approved as to Form xecutive Secretary ' _ _ _ __ Funds are Available sistan� City Attvrney Accoun� Number{s) - Amount By 6RANTE�: Helpinq�#iand Healt�,_Center, � � Budgeting and Accounti�g � Inc. Insurance Approval � � . By � Its Executive Director B� � � � ' �sk Manager � - � CITY OF SAIidT PAUI. � � . By Mayor gy Funds are Available ' D rector, Department of Account Number Comnunity Services - � ,. , . By : � . 7rector, Department of �nance an Management Services . � 5 _ , Exhibit A HELPING HAND HEALTH CENTER, INC. REVENUE SOURCES - 1979 City of Saint Paul - General Revenue - �47,765 City of Saint Paul - Community Health Services - 3,239 County of Ramsey - General Revenue - 50,355 Patient Fees - 92,54Q _ _____ _ _ _ --- N.W. Area Foundation (UHI} - 28,400 TOTAL $222,299 � -...�.as+'iR. . . • � -. . � l:;� ' OM Ol: 12/1975 _ � Rev. : . 9/8/76 , ; �� ..._. EXpLANATION OF ADMINISTRATIVE ORDERS. E, , ..t_,: RESOLUTIONS, AND ORDIV�NCES � ` Date: December 28, 1978 . _ Tp= • MAYOR GEORGE LATL'�IER FR: THOMAS J. KELLEY ' gg= Contract among the City'of•.Saint Paul , County of Ramsey and The Family Tree, � . Inc. ACTION REQUESTED: , ' Executive approval and signature PURPOSE ANi) F�I'.T30\��'.LL; 'r'O:Z '1';.IS AC'1`IOiV : , The City of Saint Paul and County of Ramsey have provided par�ial funding to the� Family Tree, Inc. since 1976. This contribution has enabled The Family Tree to continue functioning as a neighborhood health center in ' caring for" health needs of the citizens of the City and County. ATTACHMENTS: Contract • , AGREEMENT AN AGREEMENT, Dated this 26th day of December 1978 among the COUNTY OF RAMSEY, Minnesota, hereinafter called "County"; the CITY OF 5AINT PAUL, Minnesota hereinafter called "City"; and The Family Tree, Inc. s located at 1599 Seiby Avenue � , Saint Pau1,�Minnesota� hereinafter called "Grantee"; � � WITNESSETH: In consideration of the services of the Grantee functioning as a�neighbor- hood health center in caring for the medical-health needs of the citizens of the City and Caunty, the parties hereto mutually agree as fol]ows: -�-- - � 1.� -The County and City wi�l each give to the Gran�ee such sum of money � as is set across from the name of each as reflected on the attached Exhibit A and in the manner set forth herein. ,:�:. 2. The sum-of mone�r granted by the Ci�y and County is for the Grantee's use during 1979. No addittonal .or future funding or assurances thereof wi11 : be provided or honored unless .set forth in an amendment to this Apreement or � a separate agreement approved as the.free act of the Ci�y and County. : - 3. The sum of money granted. by the City and County plus "prajected , . patien�-collected fees" as reflected on Exhibit �I� shall be "gross income° for the purposes of this Agreement. Any other revenues co1lected by Grantee, , , � exclusive of any other City or County grants or patient-collected fees in . . excess of the "pro3ected patient-collected fees" on Exhibit A, will be � • reported to the City and County along with an explanation of intended use. � � 4. The County shall pay to the City its contribution as reflected on , 4 Exhibit A in equal installments on January 1, April 1, July I, and October 1 , , 1979. 5. The City shall pay to the Grantee its and the County's contribution in installments as follows: (a) 25� of the total contribution of both the City and County on or before January 1 , 1979; (b) 25� of the total contribution of both the City and County on or before Apri1 1 , 1979; (c) 25� of the total contribution of both the City and County on or before July 1 , ]979; (d) 25� of the total contribution of both the City and County on or before October 1 , 1979. 6. The City, acting as the transmittal agent of the contribution of both the City and County, as set forth in Paragraph 5, shall nat be liable to pay to the Grantee the County's contribution if not received by it from the County pursuant to Paragraph 4. 7, The Grar��ee shall on April 20, July 20, October 20, 1979, and ' January 20, 1980 submit to the City an itemiied statement of a11 Grantee's expenditures, revenue and reports of services on a form or forms to be pro- vided by the City. The City shall make such reports availab}e to the Cownty � upon receipt. Further, the Grantee sha11 preserve a11 documentation used by it in complying with the statements and reports required by this paragraph and shall be available to the City and County for its review and audi� as desired. 8. The Grantee shall , with approval of the City, develop and enforce a fee schedule for patient charges. 9. The City shall act as the liaison to the Grantee for such day-to-day administration as may be needed and shall be responsible for: (a) Reviewing and evaluating the program and fiscal activities of � the Grantee and disseminating reports thereof; - 2 - (b) Providing technical assistance to the Grantee in developing and implementing the fee schedule referenced in Paragraph 8; (cj Coordinating activities cor�non to the Division of Public Health of the City and Grantee; (d) Rendering to the Grantee such other assistance as within the City's resources; (e) Providing for utilization by Grantee by the City's purchasing faci�lities if appropriate and applicable. t0. The Grantee shall insure that: (a) Services provided to eligible individuals are furnished without regard to race, color, creed, sex, age, marital status or family size; - - - (b)- Services are provided with respect for individual privacy and dignity; and (c) Services are provided without coercion and shall not be denied on the basi�� of refusal to participate� in research projects or other activities of the Grantee, or on the basis of ability to pay. 11 . The Grantee shall obtain and keep in force at its own expense during the term of this Agreement, professional liability insurance in the amount of Three Hundred Thousand Dollars ($300,000). A certificate evidencing such insurance as being in force during 1979, and co-insuring the City and County, shall be furnished to the City Attorney for review and approval on or before January 1, 1979. 12. The Grantee's organization and activities shall conform to the format described in the attached Exhibit B. 13. The Grantee shall submit to the City and County a line item budget and a list of its services to be provided during the term of this Agreement on January 1, 1979. - 3 - 14. The Grantee shall have available relevant background and qualification sumnaries of both regularly emplayed and volunteer staff to th� City and County. 15. The Grantee agrees that deviations of ten percent (10�), or more, upwards or downwards, from its 1979 agency budge.t, and/or add�tions or deletions from its 1979 operational plan as appraved by the �ity of Saint Paul and Ramsey County�will be transmitted to the Gity of Saint Paul and Ramsey County in a timely fashion and in a manner to be determined by the City's Clinic Coordinator. Such information shall be 6efore the fact and shall ir�clude pertinent data relative to the plann�d addition, deletion, or � any other modification of programs and the subsequent projected budgetary � impact for the contract year and the two years subsequent. . , : � . . . .. ,. l6. The Grantee declares __ Emily Fuerste to be . the person responsible for compliance with :the terms of this Agr�ement, arrd its Dr.James Barker as the person responsible for its medical services. 17. .. The City declares its Director of the Department af Community Services or such designee as noted irr writing by him as the person '`r"esponsible for � r compliance with this Agreement. . i 18. The Caunty declares its (County Board Chairman) or such designee as noted in writing by him as the person responsible for compliance with this � Agree�nt. . . 19. The Grantee agrees that at alt times under this Agreement, it, and its employees, agents, and volunteers are independent contr�ctors as to the �� City, and not employees of the City. � ; • • � � . - 4 _ . � 20. The term of this Agreement shall be from January 1 , 1979 through . Oecember 31 , 1979. IN WITNESS WHEREOF, the parties have set their hands� as follows: ' Approved as to Form County of Ramsey B . . sistant County Attorney oa�rd Chairman �y � Approved as to Form Executive Secretary Funds are Available ._-� - - �� Account Number(s) sistant City ttarney . Amount . By GRANTEE: The Fa�rilv Tree, Inc. . Budgeting and Accounting ,..- Insurance Approval . . By � �, _ • Its Clinic Director By � R�sk Manager - r CITY OF SAINT PAUL . , ay Mayor By Funds are Rvailable � Director, Department of Account Number Commur�i ty Servi ces _ By � � �rector, epartment of �nance a�d Management Services . � - 5 - � Exhibit A FAMILY TREE, INC. REVENUE SOURCES - 1979 , City of Saint Paul - General Revenue - $43,653 City of Saint Paul - Comnunity Health Services - 2,480 County of Ramsey - General Revenue - 46,133 Patient Fees - 55,268 Third Parties - 1 ,200 Prenatal Patient Fees - 12,000 Education Program Fees - 250 Gifts, Miscellaneous - 800 - ---__ __. ____ ----- Total $161 ,784 �� , ,. . « � �%"�,�� a � . OM Ol: I2/1975 Rev. : . 9/8/76 '� ��'"� ADMINISTRATIVE ORDERS, - EXPLANATION OF � RESOLUTIONS, AND ORDIN�ICES Date: December 28, 1978 Tp= �•MAYOR GEORGE LATL'�IER FR: THOMAS J. KELLEY 4 RE: Contract among the City'of�.Saint Paul , County of Ramsey and Face to Face ` . Health and Counseling Service, Inc. ; � , ACTION REQUESTED: , . ' 1 Executive approval and signature PURPOSE AND F,�`.TI�O��ALE FOR THIS ACTTON: The e;ty of Saint Paul and County of Ramsey have provided partial funding � to Face"to Face Health and Counseling Service, Inc. since 1976. This contribution has enabled Face to Face to continue functioning as a neighbor- • hood health center in caring for health needs of the citizens of the City and County. ATTACHMENTS : Contract ' . A AGREEMENT AN AGREEMENT, Dated this 26th day of December 1978 among the COUNTY OF RAh1SEY, Minnesota, hereinafter called "County"; the CITY OF SAINT PAUL, _ Minnesota hereinafter called "City"; and Face ta Face Health and Counseling �rvice, Inc. located at 730 Mendota Street • , Saint Paul, Minr�esota, �ereinafter_� called "Grantee"; WITNESSETN: In consideration of the servic�s of�the Grantee furrctioning as a neighbor- hood health center in caring for the medical-health needs of the cit9zens of, the City and County, the parties hereto mutually agree as fotlowso 1. The County and City will each give to the Grante� such sum af money � as is set across from the name of each as reflected on the attached Exhibit A and in the manner set forth her�in. . ,_ , 2. The sum of money granted by the City and County is for the Grantee's use during 1979. No additional or future funding or assurances thereof will be provided or honor�d unless set forth in an amendment to �his Agreemerrt or __ � a separate agreement approved as the free act of the Gity and County. �. = 3. The sum of money granted by the City and County plus "pro�ect�.d � ' patient-collected fees" as reflected on Exhibit A� sha11 be "gross income° for the purposes of this Agreement. Any other rev�nues collected by Granteey exclusive of any other City or�County grants. or patient-collected fees in . excess of the "projected patient-collected fees" on Exhibit A, will be . � , reported to the City and County along with an explanation of int�nded use. � 4. The County shall pay to the City its contribution as ref1ected on � , . Exhibit A in equal installments on January l, Apri1 1 , July 1, and October 1 , 1979. . S Y � . 5. The City shall pay to the Grantee its and the County's contribution in installments as follows: (a) 25� af the total contribution of both the City and County on or before January 1 , 1979; (b) 25X of the total contribution of both the City and County on or before April 1 , Z979; (c) 25� of the total contribution of both the City and County on or before July 1 , 1979; (d) 25� of the total contribution of both the City and County on or before October 1 , 1979. 6. The City, acting as the transmittal agent of the contribution of both the City and County, as set forth in Paragraph 5, shall not be liable to pay to the Grantee the County's contribution if not received by it from the County pursuant to Paragraph 4. 7. The Graqtee shall on April 20, July 20, October 20, 1979, and ' January 20, 1980 submit to the City an itemized statement of all Grantee's expenditures, revenue and reports of services on a form or forms to be pro- vided by the City. The City shall make such reports availabae to the County J upon receipt. Further, the Grantee �hall preserve all documentation used by it in complying with the statements and reports required by this paragraph and shall be available to the City and County for its review and audit as desired. 8. The Grantee shall , with approval of the City, develop and enforce a fee schedtale for patient charges. ' 9. The City shall act as the liaison to the Grantee for such day-to-day administration as may be needed and shall be responsible for: (a) Reviewing and evaluating the program and fiscal activities of : the Grantee and disseminating reports thereof; - 2 - / • (b) Providing technical assistance to the Grantee in developing and implementing the fee schedule referenced in Paragraph 8; (c) Coordinating activities common to the Division of Public Health of the City and Grantee; � (d) Rendering to the Grantee such other assistance as within the City's resources; (e) Providing for utilization by Grantee by the Gity's purchasing faci�lities if appropriate and applicable. 10. The Grantee shall insure that: (a� Services provided to eligible individuals are furnished without regard to race, color, creed, sex, age, marital status or family size; (b) Services are provided witM respect for individual privacy and dignity; and (c) Services are provided without coercion and shall not be denied on the basi5� of refusal to participate� in research projects or other activities of the Grantee, or on the basis of ability to pay. 11. The Grantee shall obtain and keep in force at its own expense during the term of this Agreement, professional liability insurance in the amount of Three Hwndred Thousand Dollars ($300,000). A certificate evidencing such insurance as being in force during i979, and co-insuring the City and County, shall be furnished to the City Attorney for review and approval on or before January 1, 1979. . 12. The Grantee's organization and activities shall conform to the forma� described in the attached Exhibit B. 13. The Grantee shall submit to the City and County a line item budget and a list of its services to be provided during the term of this Agreement on January 1, 1979. - 3 - 14. The Grantee shall have available relevant background and qualification summaries of both regularly employed and volunteer staff to the City and County. 15. The Grantee agrees that deviations of ten percent (1Q�) or more, upwards or downwards, from its 1979 agency budget, and/or addit,ions or deletions from its 1979 operational pian as approved by the City of Saint Paul and Ramsey County will be transmitted to the City of Saint Paul and Ramsey Caunty in a timely fashion and in a manner to be determined by the City's Clinic Coordinator. Such information shall be before the fact and shall include pertinent data relative to the planned addition, deletion, or any other modification of programs and the subsequent projected budgetary _ .�__. _ .__impact for the_contract year and the two years subsequent. � , 16. 7he Grantee declares Nan Skelton to be the person respar.isible for compliance with the terms of this Agreement. � � and its Dr. �ohn Punderson as the person responsible for its medical services. 17. �The City declares its Director of the Department of Community Services e . or such designee as noted in writing by him as �the person responsible for . compliance with this Agreemer�t. 18. The County declares its (County Board Chairman) or such designee as noted in writing by him as the person responsible for compliance with this � Agreement. � � . 19. The Grantee agrees that a� a11 times under this Agreement, it, and its employees, agents, and volunteers are independent contractors as to the �� City, and not employees of the City. � - 4 - 20. The term of this Agreement shall be from January 1 , 1979 through � December 31 , 1979. IN WITNESS WHEREOF, the parties have set their hands as foliows: Approved as ta �Form County of Ramsey B�, s�stant County Attorney Board Chairman By Approved as to Form Executive� Secretary Funds are Available sistant City Attorney Account Number(s) Amount By GRANT�E: Face to•Face Health and � Budgeting and Accounting Counseling Service, Inc. Insurance Approval By Its Executive Director Sy � �y isk Manager � . - j �CITY OF` SAINT PA�1L . By ayor By Funds are Available � � Director, Department of Account Number Comnuni ty Servi ces - � By : , � O�rector, Department of F�nance and Management Services _ _ 5 _ . - � � Exhibit A . , FACE TO FACE HEALTH AND COUNSELING SERVICE, INC. REYENUE SOURCES - 1979 City of Saint Paul - General Revenue - $42,425 City of Saint Paul - Corranunity H�a1th Services - 4,500 County of Ramsey - General Revenue - - 46,925 County of Ramsey - Mental Health Funding (Abuse) - 68,000 Saint Paul School District Contract - 49,491 Patient Fees - 1�#,009 Workshops/Adolescent Abuse Tape Sale - 2,459 Counsel ing'�Fees -- - 2,000 Sauings Account Interest � 1 ,000 Other - 12,flOD TO"FAL� $242,809 - , � • � OM Ol: 12/1975 �'' Rev. : 9/8/76 ' �' ._. EXPLANATION OF ADMINISTRATIVE ORDERS, RESOLUTIONS, AND ORDI��vCES �'�+' � . . -- . r: � .�`� . . . � , . Dafia: December 28, 1978 < ; � - � � .� . . � . ,°i� , . �� - . Tp= MAYOR GEORGE LP,TIMEi� FR: ', THOMAS J. KELLEY � REs Contract a�ng the City' of. Saint Paul , County of Ramsey and North End • Health Center, Inc. � � . ACTION REQUESTy'D: : . Executive approval and signature . � ;Tr;��v�:r r.r?r., e:�.1�JO��a�,�: �o� z�F�T��_.^�_'��_ . The City of Saint Paul and County of Ramsey have provided partial funding to North End Health Center, Inc. since 1976. This contribution has enabled North End to continue functioning as a r�eighborhood health center in caring for health needs of the citizens of the City and County. r1TTACHMENTS : Contract � AGREEMENT AN AGREEMENT, Dated this 26th day of December 1978 among the COUNTY OF RAMSEY, Minnesota, hereinafter called "County"; the CITY OF SAINT PAUL, Minnesota hereinafter called "City"; and Npr�h End Health �enter. Inc. : located at 1144 North Marion Street , Saint Paul, Minnesota, hereinafter cal l ed �"Grantee"; WITNESSETH: In consideration of the services of the Grantee functioning as a neighbor- hood health center in caring for the medical-health needs af the citizens of the City and County, the parties hereto mutually agree as follows: �+ � � 1�. �The County and City will each give to the Grantee such sum of r�ney � as is set across from the name of each as reflected on the attached Exhibit A and in the manner set forth herein. �:.� 2. The sum of money granted by the Ci�y and County is for the Grantee's use during 1979. No additional or future funding or assurances thereof will : be provided or honored unless .set fdrth in an amendment to this A�reement or �. � a separate agreen�nt approved as the free act of the City and County. - _ � 3. The sum of money granted by the City and County plus "pro�ected ' ' patient-collected fees" as reflected on Exhibit A shall be "gross income" for the purposes of this Agre�ment. Any other revenues collected by Grantee, . exclusive of any other City or County grants or patient-collected fees in . � excess of the "projected patient-collected fees" on Exhibit A, witl be � reported to the City and County alang with an explanation of intended use. � 4. The County shall pay to the City its contribution as reflected on L Exhibit A in equal installments on January 1, April 1, July 1, and October 1 , ' 1979. ' 5. The City shall pay to the Grantee its and the County's contribution in installments as follows: (a) 25% of the total contribution of both the City and County on or before January 1, 1979; (b) 25% of the total contribution of both the City and Caunty on or before April 1 , 1979; (c) 25� of the total contribution of both the City and County on or before July 1 , 1979; (d) 25% of the total contribution of both the City and County on or before October l , 1979. 6. The City, acting as the transmittal agent of the contribution of both the City and County, as set forth in Paragraph 5, shall not be liable to pay to the Grantee the County's contribution if not received by it from the County pursuant to Paragraph 4. 7. The Grantee shall on April 20, July 20, October 20, 1979, and January 20, 1980 submit to the City an itemized statement of all Grantee's expenditures, revenue and reports of services on a form or� forms to be pro- � vided by the City. The City shall make such reports available to��the County upon receipta Further, the Grantee shall preserve a11 documentation used by it in complying with the statements and reports required by this 'paragraph and shall be available to the City and County for its review and audit as desired. 8. The Grantee shall , with approval of the City, develop and enfvrce a fee schedule for patien�t charges. 9. The City shall act as the liaison to the Grantee for such day-to-day administration as may be needed and sha11 be responsible for: (a) Reviewing and evaluating the program and fiscal activities of � the Grantee and disseminating reports thereof; - 2 - (b) Providing technical assistance to the Grantee in developing and implementing the fee schedule referenced in Paragraph 8; (c� Coordinating activities cor�non to the Division of Public Health of the City and Grantee; (d) Rendering to the Grantee such other assistance as within the City's resources; (e) Providing for utilization by Grantee by the City's purchasing faci�lities if appropriate and applicable. 10. The Grantee shall insure that: (a) Services provided to eligible individuals are furnished without regard to race, color, creed, sex, age, marital status or family size; � - - (b)- Services are prvvided with respect for individual privacy and dignity; and (c) Services are provided without caercion and shall not be denied on the basi's� of refusal to participate- in research projects or other activities af the Grantee, or on the basis of ability to, pay. 11. The Grantee shall obtain and keep in force at its own expense during � the term of this Agreement, professional liability insurance in the amount of Three Hundred Thousand Dollars ($300,000). A certificate evidencing such insurance as being in force during 1979, and co-insuring the CTty and County, shall be furnished to the City Attorney for review and approval on or before January 1, 1979. 12. The Grantee's organization and activities shall conform to the format described in the attached Exhibit B. 13. The Grantee shall submit to the City and County a line item budget and a list of its services to be provided during the term of this Agreement on January 1, 1979. - 3 - 14. Tfie Grantee shall have available relevant background and qualification • sumnaries af both regularly employed and volunteer staff to the City and County. � 15. The Grantee agrees that deviations of ten percent (10�) or more, upwards or downwards, from its 1979 agency budget, and/or additions or deletions from its 1979 operational plan as approved by the City of Saint Paul and Ramsey County will be transmitted to the City of Sa�nt Paul and Ramsey County in a timely fashion and in a manner to be determined by the City's:C�inic Coord3nator. Such information sha11 be befare the fact and shall include pertinent data rela�Cive to the planned addition, deletion, or . any other modification of programs and the subsequen� projected budgetary impact for the contract year and the two years subsequent. � ,. 16. The Grantee declares Barbara Lindsay to be the person respon�sibte for compliance with :the terms' of this Agreement, • St. Paul-Ramsey Hospital� and its Or. Familv DrartiSrc as the person responsible for its medical services. 17. .'The City declares its Director of the Department of Comnur�ity Services or such designee as noted in writing by him as the person �responsible for .� compliance with this Agreement. 18. . The County declares i�s (County Soard Ehairman) or such designee as noted in wri�ir�g by him as the person responsible for compliance with this Agreement. � . . 19. The Grantee agrees that at all times under this Agreement, it, and its employees, ayents, and volunteers are independent contractors as ta the � City, and nat emptoyees of the City. , , � ' . - 4 - � . 20. �The term of this Agreement shall be from January 1 , 1979 through December 31, 1979. IN WITNESS WHEREOF, the parties have set their hands as follows: Appraved as to Form County of Ramsey s�stant County ttorney �"Board Chairman By Approved as to Form Executive Secretary - - — - Funds are Available s stant C ty ' ttorney Account Number{s) � Amount gy GRANTEE: North Epti Wealth Center. In�. �� Budgeting and Accounting Insurance Approval : 8y �., .:,, � �- . � Its Executive Direc�or $y ` " - s Manager . � CITY OF $AINT PAUL , By Mayor � By . Funds are Available Director, Department of Account Number Comnunity Services � �. . By � - � � rector, Department of Finance� an Management Services . . . _ c _ . . . . ' � Exhibit A NORTN END HEALTN CENTER REVENUE SOURCES - 1979 City of Safnt Paul - General Revenue - $19,282 Gity of Saint Paul - Community Health Services - 9,OOQ County of Ramsey - General Revenue - 28,282 Patient Fees - 20,000 7hird Parties - 5,000 Grants and/or Contracts Other - Foundations - 39,783 .... TOTAL $121 ,347 � , �. � ,,� _ � i;'� � � � �� .� OM {�1s I2/.2975 y�� Rev. s 9 /7 � E �ANATION OF ADMINZSTRATIVE ORDFRS, :; ��',OT�ONS. AND ORDINAI3�_ � .��-�.�!��';` �, , :� � � . . � � Da�e: February 5, 1979 , �� , i , i . . � : Ta� r�,YOR �EO�� r�,szrs� , � � � T HOM�IS J. KELLEY� a . �� Five Joint Agreements between the City of St. Paul , Ramsey Cour�ty a�c# ,; 1 West Side Conpnunity Neatth Center, Inc. . . �"" �2� Helping Hand Health Center, Inc. 3) The Family Tree, Inc. �� 4) Face to Face Health and Coun�eling Service, Inc. 5) North End Health Center, Inc. ; ; _ i'i i : , 1��ON RE�II,EST�ED: . .....� � � • . �� Signa�ure on f4ttached Council Resolut�ton � : ;� � _ � �� . -� � i� � . , , , . ;, OSE AN� RATIONALE FQR THIS AC'TION: . , . � To provide the authorization necessary to enter into sepatrate agreements r' with the County and each Health Clini� said agreenMen�s de�ining tf�e �� } 1 terms un.der which the Health C1inics are eligible to receive the City , � Contributiorr budgeted for 19Z9 in the Heal�h Bureau's Clinical Programs, �j Activity No. 03215. i� . }� . ' ' . . . . . t,a �� { i iif��i . ' . �' ' Council Resolution ��' Copi�s of the Five Agreements � � �1 � � a � � �� , ��