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96-508c«,�F�# �`-So8' Green sheex # 32496 RESOLUTION SAINT PAUL, D�IINNFSOTA '��-��--� '�'1 Referred To a� c��u�: D� 1 WHEREAS, the C+ty of Saint Paui is committed to addressing the concerns related to z accessibility of inedical services for low-income, uninsured, underinsured women; and 3 WHEREAS, the City of Saint Paul requi�es medical, surgical, and anesthesia expertise 4 to provide grant related services as defined in the Family Planning Special Projects 5 grant agreement; and 6 WHEREAS, Ragnvald Mjanger, M.D., Allina Medical Group, has experience providing � women's heafth services and is availabfe to provide the funded services; and s WHEREAS, there are historical relationships with this and other providers and agencies 9 to support the provision of services; and 10 WHEREAS, a contractual agreement between the City of Saint Paul and Ragnvald 11 Mjanger, M.D., Allina Medical Group, will provide for responsible provision of services 12 and utilization of resources; 13 THEREFORE BE IT RESOLVED, that the proper City Officials are hereby authorized and 14 directed to execute a contract with the afore mentioned entities. e�y Bostrom Guerin arns — eeaz Rettman Thune Yeas ✓ �C Navs II Absent Requested by Department of: � Adopted by Council: Date \$ _�,Qq l � Adop' n Certified by Conncil S i ` g � Y".t M�M�.�.�� Apptoved by Mayor: ate ,S Zl �ZC B `� lG ��°,�� � Saint Paul Public Health By: � � Form prov b vr' '� t g � � � � %�-q� Approved by Mayor r ibmission to Council B l. _ q,`-sos' ✓ Public Health oA 4/17/96 GREEN SHEET N° 32496 CONTACT PERSON 8 PHONE �N INRIAVDATE DEPARTMENT DIREGfO � �� CfTY CAUNCIL Mary Sonnen 292-7735 "�w" ATTORNEY �CT'CLEFK MU5T BE ON CAUNCIL AGENDA 8Y (DATE) p���� Q UDGET DIPECTOA � FIN. 6 MGT. SERY{CES DiR OflDER MAVOR (OR ASSISTAN'n � TOTAL # OF SIGNATURE PAGES 1 (CLIP ALL IOCATIONS FOR SIGNATURE) ACTION REQUESTED: City signatures on a Resolution authorizing the proper City Officials to execute a contract with Ragnvald Mjanger, M.D., Allina Medical Group for specialized medical services for the Saint Paul Public Health Women's Health Pxograms. REGOMMENDA710NS: Apwwe (A) w Reject (R) pEflSONAL SENVICE CONTRAC75 MUS7 ANSWER TME FOLLOWING �UESTIONS: _ PLANNING COMMISSION _ CIV1L SEFiVICE COMMISSION �• Ha5 thiS pef50Nfirtn eVe! wOfketl undef 2 COfIt2Ct fOf thi5 tlBp3��,�� �CIBCOMMITTEE _ YES �NO �� � _ STAFF 2. Has this perso�rm ever been a city employee? — ves No PR B ��9� _ o1S7fiICT GOUR7 _ 3. Does this person/firtn possess a skill not normall � �rT� y possessed y any c M ciry employee? SUPPORTS WHICH COUNCIL O&IECTIVE? YES NO aewv Explain ell yes answers on saperata sheet and attaeh to gre����� Q���,,� INRIATINC, PROBLEM, ISSUE, OPPORTUNI'fY (Wlio. Whet When. Wtiere. Wliy)' Saint Paul Public Health is the recipient of a Minnesota Family Planning Special Projects (FPSP) grant from the Minnesota Department of Health. The grant is to provide resources for voluntary laparoscopic tubal ligation for women who have no other financial resource. This service is provided in accordance with State and Federal regulations. The contracts will be in effect until December 31, 1997, provided grant dollars remain available. ADVANTAGES IF APPROVED: ' The most significant barries to tubal ligation is cost. These grant funds and associated services increase accessibility to women who otherwise would not have sufficient resources. ' Partnerships with the private medical community will be enhanced. ' An expezienced medical providex will be available to provide these services. DISADVANTAGES IFAPPROVED: NONE ����� ��� �r R 7 8 1996 �� ���� � �� � � ��� DISADVANTAGES IF NOT APPHOVED: ' Access to voluntary tubal ligation services will be decreased in the Saint Paul community for low-income, uninsured and underinsured women. ��i��� b r . � s�v�_ � �n�.�„ �t�m���.: �����a Grant funding will be returned to the State. ��..-�. :• �� '��^� _ n f t. . _ ., �• !:;S`d'�i'J r .. :. � E>' ,�.`.�.3 (Approximately $13,000) _ .__ �.�..��« TOTALAMOUNTOFTflANSACTION$6SO "[�2Y PBtierit COST/REVENUEBUDGE7ED(CIqCLEONE) YES NO fUNDIFiG SOURCE $t8ti2 of Mlnn2sot3 qCTIV1iV NUMBEFi 33233 FINANCIAL INFORMA710N: (EXPtA1N) ��_so8' r AGREEMEN7 AN AGREEMENT, made and entered into this 1st day of January, 1996, by and between the City of Saint Paul, a municipal corporation of the State of Minnesota, hereinafiter referred to as the "City", acting through its Family Pianning Program 4�I1-�c�—ru.[d �i a�o located in Saint Paul Public Health, and Ragnvafd Mjanger, M.D.,�surgeon and 7 2- i�-�� �% �^t ficensed in the State of M+nnesota, hereinafter referred to as "Dr. Mjanger"; WITNESSED: WHEREAS, the Family Planning Program has been awarded a grant by the Minnesota Department of Health to provide laparascopic tubal ligations to women requesting such service; and WHEREAS, the City is permitting to contract for the performance of said services or any portion thereof; and WHEREAS, Dr. Mjanger has the expertise to perform said service and it is deemed in the best interest of the City to contract for the professional services of a surgeon for the program; NOW, THEREFORE, IT IS MUTUALLY AGREED by and between the City and Dr. Mjanger as 4oAows: 1. That the City shall perform a presurgical examination of each patient. included shail be an examination of the thyroid, heart, lungs, breasts, abdomen, a bimanual pelvic and rectal confirmation. Laboratory tests shall include a hemogiobin, VDRL, rubeila titer, urinalysis for protein and sugar, pap smear, culture for gonorrhea, and chlamydia screen. q �-so� 2. That the City shall ensure that each patient received presurgical counseiing and signs the Department of Health and Human Services Approved Sterilization Consent Form of Women in accordance with governmental sterilization regulations. 3. That the City shall transmit a copy of the results of the presurgical examination and of the sterilization consent form to Dr. Mjangar. 4: That the City shaii provide a HCG specific pregnancy test for the patient within 24 to 36 hours prior to the surgical procedure. 7he resuits of the HCG pregnancy test shalf be transmitted to Dr. Mjanger. 5. That Dr. Mjanger shall perfiorm on each patient an eva{uative examination, according to his/her guidelines, to determine suitability for laparoscopic tubal ligation surgery. Any patient determined to be an unsuitable candidate shail be rejected. 6. That Dr. Mjanger shail ensure that surgery is not performed during the 30-day waiting period required by governmental sterilization regulations. 7. That Dr. Mjanger shall provide routine post-surg+cal services, according to his/her guidelines. The patient shall be referred back to the City for ongoing care. A copy of the surgical record shall be transmitted to the City. 8. That Dr. Mjanger shali be paid by the City for afl services rendered, an amount not to exceed Six Hundred Fifty Doliars (5650.00) per patient. 2 ��-So� Any expenses resufting from surgicai complications in excess of Six Hundred Fifty Dollars ($650.00) wiff not be paid by the City. 9. That the City will reimburse Dr. Mjanger on a monthiy basis upon his/her submission of a monthly invoice. Dr. Mjanger shail not submit a bili to the patient except in the case of complicated surgery resulting in expenses in excess of the Six Hundred Fifty Doilars (5650.00) guaranteed by the City. 10. That Dr. Mjanger shal{ not enter into subcontracts for any of the work compieted under this Agreement without written approval of the City. 11. That Dr. Mjanger will save harmless, indemnify and defend the City up to a limit of Two 4-lundred Thousand Dollars (5200,000) per individual ciaim and Six Hundred Thousand Doilars (S600,000) in aggregate from all claims of whatever kind and nature arising out of the performance of services as recited and reflected herein. 12. That in order to give this indemnifiication fuif force and effect, Dr. Mjanger will obtain at his own expense professional liability insurance in an amount at Ieast equal to the above referenced amount and furnish evidence of such insurance to the City befiore commencing the tasks set forth herein. 13. That at all times Dr. Mjanger agrees to be an independent contractor as to the City and not an employee of the City. 14. That nothing in this Agreement shall be construed as limiting the right � q,6-so8' of independent operation of either Dr. Mjanger or the City or the affiliation or contract with any other institution or agency while this Agreement is in efifect. 15. Thai the City declares the Public Heaith Nurse Supervisor of the Family Planning Program to be the person responsibie for compliance with the terms of this Agreement. 16. That this Agreement may be terminated by either party with or without cause upon thirty (30) days written notice. Charges which have accrued for services rendered shall survive any termination of this Agreement. 17. That any alterations, variations, modifications, or waivers of provisions of this Agreement shail be valid only when they have been reduced to writing, fuliy aligned, and attached to the original of this Agreement. 0 � G-So8' 18. 7hat terms of this Agreement shall be from January 1, 7996 through December 31, 1997. IN WITNESS WHEREOF, the parties have set their hands the date first written above. � �� �1 Ragnvaid Mjanger, M. . 30361 Medical License # DATE: C{TY OF SAINT PAUL Activity code: 33233 Director, Saint Paul Public Health DATE: Director, Finance and Management Services DATE: APPROVED AS TO FORM: Assistant ity Attorney • DATE: c�/� / �- �� �� �`-so�' Exhibit A to City of St. Paul Provider Agreement Provider's Name Rap_nvald Mjaneer. M.D. Provider's Name I represent and wanant that I have the power to bind each of the above practitioners to the terxns and conditions of the Agreement between the City of St. Paul and St. Paul Obstetrics and Gynecolo , Allina Me ical Group. ( 315 Universitv Park, Med Office Signa � e Clinic Address Bldg Jeff Chell. M.D. Print Name President. Allina Medical Grouo Title �i�� lq� Date 1690 University Avenue Clinic Address St. Paul. MI3 55104-3793 State, Zip Code 41-1781624 Tax i.d.