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RESOLUTION
SAIlV'i' PAi� MINNFF;50TA
�, :, :
Refeaed To
Committee: Date
WHEREAS, the City of Saint Paul is committed to addressing the probiem of STDs and
AIDS; and
WHEREAS, the City of Saint Paul requires medical staff to provide clinical services to
patients in its Public Health STD(HIV/AIDS Clinic; and
WHEREAS, Ramsey Clinic has resources available to provide the necessary services;
and
WHEREAS, a contractual agreement between the City of Saint Paul and Ramsey Clinic
will provide for responsible provision of services and utilization of resources, and will
strengthen agency relationships;
THEREFORE BE IT RESOLVED, that the proper City Officials are hereby authorized and
directed to execute a contract with Ramsey Clinic.
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Bostrom
Guerin
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Megazd
Rettman
Thune
Adopted by
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Requested by Department of:
Saint Paul Public Health
BY� /f,PiLf/�'�6rFr�
Fo pprov
By. - 2'�-`�L
Appro� � or r ubmission to Council
By:
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creen shcec # 32467
�G-�'�P' f
PublicTHea1 huNa� DATE 'Z I �ZL� D y6 GREEN SHEET N° 32467
CANTACT PERSpN & PHONE i TI VDAT INITIAIJDA7E
� DEPARTMEPfr DIRECTO "j GRV CAUNC�L
Diane Holmgren 292-7712 ASSH'+N CffYATfOflNEY �CffYCLERK
MUST BE ON COUNCII AGENDA BY (DAT� NUYBER i0N ❑ BUDGET DIRECTOR � FIN. 8 MGT. SERYICES Dlfl.
NOUTING
OADER MAYOR (OR ASSI5TAPfT) O
TOTAI # OF SIGNA'TUHE PAGES 1 (CIfP ALL LOCATIONS FOR SIGNATURE7
ACTION REQUESTED:
Authorization for City signatuxes on a Resolution authorizing the proper City Officials to
e�cecute a contract with Ramsey Clinic for physician services to support the STD and AIDS
Programs at Saint Paul Public Health, for the services of Keith Henry, M.D, '
HECOMMENOA710NS: Apqava (A) a Neject (R) pERSONAL SERVICE CONTFiACTS MUST ANSWER TNE FOLLOWING �UESTIONS:
_ PLANNING COMMISSION _ CNIL SERVICE CAMMISSION �� Has this perso�rm ever worked under a contract for this departmeM? �
_ CIB CoMMRTEE YES NO
— �� F - 2. Has Mis personRirm ever been a ciry employee?
YE5 NO
_ oIS7qICT COUR7 _ 3. Does this personrtirm possess a skill not normally possessetl by any curtent ciry empl0yee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES �10
Explain all yes answen an seperate sheet and attach to green Sheet
INRiATING PROBLEM, ISSUE. OPPoRTUN�TY (Who, Whet, When, Where. Why).
The Saint Paul•Public Health deals with a high volvme of clients being seen for STD and AIDS
evaluation and consultation. This �ield is highly sensitive and subject to change based on
scientific information. Contracting for the services of a physician who is well informed and
visible in the field will ensure that staff and clients at Saint Paul Public Health receive
the most recent and accurate information and care. The contract will be for the period of
January 1, 1996 through December 31, 1997, at $67.00 per hour ($26,000 annually).
ADVANTAGESIFAPPROVED:
' Staff and clients will have direct access to recent information on these sensitive
communicable diseases.
° Administration will receive support for program planning, organizing and quality
assurance activities.
DISADVANTA6ES IFAPPRWED' —�- --' —
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NONE `;�;i'� Ba��:��
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DISADVANTAOES IF NOT APPROVE�.
Saint Paul Public Health will not have access to physician expertise on which to base program
planning and client services.
($26,000 annually)
TOiALAMOUNTOFTRANSACTION $ $6�.00 DET 17oui COST/HEVENUEBUDGE7ED(CIRCLEONE) YES NO
FUNDING SOURCE Sp2Cial ReVeriue Furids AC7IVITVNUMBER 39249—�"�9G.�
FINANCIAL INFORMATION: (EXPLAIN)
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AGREEMENT
AN AGREEMENT made and entered into this first day of January, 1996 by and
between the City of Saint Paul, a municipai corporation of the State of Minnesota,
hereinafter referred to as the "City", acting through its Division of Public Heaith,
and Ramsey Clinic, acting through its Department of Internal Medicine, Section of
Infectious Diseases.
WITNESSETH:
WHEREAS, the City requires medicai staff to provide service to its patients in its
communicable disease programs; and
WHEREAS, the City is permitted to contract for the performance of said service or
any portion thereof; and
WHEREAS, it is deemed in the best interest of the City to contract for said service;
NOW, THEREFORE, IT IS MUTUALLY AGREED by and between the City and the
Ramsey Clinic as follows:
1. That the Ramsey Clinic shall provide the City with the physician services of
Keith Henry, M.D.
2. That the Ramsey Clinic shall be paid 567.00 per hour for Dr. Henry's duties.
3. That Dr. Henry's typical duties wiil include but are not limited to:
a) Direct AIDS related activities.
b) Supervises sexually transmitted disease clinic operations.
c) Assists the medical director of the Division of Public
Health in planning, organizing, and conducting communicabie disease
°lc.-���
control programs.
d) Participates in Quality Assurance activities.
e) Conducts in-service training for staff.
f) Works with the laboratory in evaluating accuracy/appropriateness in
screening and diagnostic tests used in diagnosis of AIDS and STD.
g) Develops guidelines for range of clinic problems to be seen by AIDS and
STD nursing staff.
h) Develops referral guidelines for those with problems not within
guidelines of item (g).
i) Performs medical evaluation of patients in the AIDS and STD programs.
j) Assists in the development and implementation of communicable disease
controi activities.
k� Works with Administration in liaison with other programs.
I) Works with Administration in the development of budgets for AIDS and
STD programs.
m) Works with Administrators in interfacing with the City, County and State
agencies.
n) Provides consultation and education to individuals
and groups in the community.
0) Writes and signs medical protocols, standing orders and related policies
and procedures for the STD and AIDS programs.
p) To recommend to administration DPH participation in
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clinical research fior AIDS and STD.
q) To advise and assist in the providing of care for AIDS patients.
r) Provides emergency medicai support for Division of Public Health
medical programs when on duty.
s) Provides a maximum of 48 hours per month of service.
t) Be available by beeper anytime for consultation.
4. That the City shall reimburse the Ramsey Clinic on a monthly basis upon
receipt of an invoice, but in no case shall the totaf amount of reimbursement
to the Ramsey Clinic under the terms of this Agreement exceed 526,000
annually.
5. That the City shall submit to the Ramsey Clinic a schedule for Dr. Henry's
time in advance.
6. That the City declares the Division of Public Health, Medical Director, in_
consultation with appropriate staff, as the person responsibie for compliance
with the terms of this Agreement.
7. That the Ramsey Clinic will defend, save and hold harmless the City from any
and ali claims, demands, actions or ca�ses of action arising out of any act of
commission or omission on the part of its agents, servants or emp{oyees in
the performance of this Agreement excepting those claims, demands, actions
or causes of actions solely attributable to the negligence of the City.
8. That the City of St. Paul will defend, save and hold harmless the Ramsey
Clinic from any and a�l claims, demands, actions or causes of action arising
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out of any act of commission or omission on the part of its agents, servants
or employees in the perFormance of this Agreement excepting those claims,
demands, actions or causes of actions solely attributable to the negligence of
the Ramsey Clinic. However, the foregoing pledge of indemnification shall
not exceed the limits set forth in Minnesota Statute 466.
9. That at all times the Ramsey Clinic agrees that Dr. Henry is an independent
Contractor as to the City and not an employee of the City.
10. That nothing in this Agreement shall be construed as limiting the right of
independent operation of either the Ramsey Clinic or the City for the affiliation
of contract with any other institution or agency while this Agreement is in
effect.
11. That any Agreement may be terminated by either party with or without cause
upon thirty days' written notice. Charges which have accrued for services
rendered shall survive any termination of this Agreement.
12. That any alteration, variations, modifications, or waivers of provisions of this
Agreement shall be valid only when they have been reduced to writing, fully
signed, and attached to the originai of this Agreement.
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13. That the terms of this Agreement shall be from 7anuary i, 1996 through December
31, 1997.
IN WITNESS T'HEREOF, the parties have set their hands the date first written above.
RAMSEY CLINIC
Kei Henry, M.D.
Date:
Kent Crossle , M.D.
Chief, Department of Medicine
Date:
CTTY OF SAINT PAUL
Activity Code: 33242
33243
Mayor
Date:
Director, Finance and Management
Services
Aate:
�� � �_
Te rowson, M.D.
President/CEO, Ramsey Clinic
Date:
� �.i,� ["f2Q-C-f--�
Director, Saint Paui Public Health
Aate: �� a��Co
APPROVED AS TO FORM:
t C��' (,�v 4-� - C.�>rw�.. �f3�.
OC
Carlton E. Aimnons
Associate Counsel
Ramsey Clinic
Date: � — �� —� �
Assistant City Attorney
Date: