96-509c«�;i F� fi — S O
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Refeired To
Committee: Date
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1
WHEREAS, the City of Saini Paul is committed to addressing the concerns related to
accessibility of inedical services to low-income, uninsured, underinsured women; and
2
3 WHEREAS, the City of Saint Paul requires 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, Patricia J. Huberty, M.D., Allina Medical Group, has experience providing
� women's health services and is available to provide the funded services; and
s WHER�AS, 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 Patricia J.
11 Huberty, 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
1a directed to execute a contract with the afore mentioned entities.
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Requested by Department of:
creen sheex # 32497
� \RESOLUTION
CITY F S.�IlVT PAUL, M
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Adopted by Council: Date_� `q� (
Adopt�i Certified by Council Swre `
BY� \ \ Ow+.� .Z � � �J.�/���
Approved by Mayor: ate � G
By: /�'�KY ��.,,�ec-fh
Saint Paul Pub Healt
BY� J�LLC.G�� L%Y
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Approved by Mayor for Submission to Council
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DEPARTMENT/OfFICE/CAUNCIL DATE INRIA7ED O
Public Health 4/17/96 GREEN SH �- 32497
CANTACf PEASON 8 PHONE EPARiMENT OIRECTO i I 0. ) � CITY CAUNCIL �NRIAL/DAiE
Mary Sonnen 292-7735 ��N cmarroaNEV �cmc�aK
MUST BE ON COUNCIL AGENDA BV (DATE) N RO��� BUDGET OIRECTOfl � FIN. 8 MGT. SEflVICES DIR.
OflDEB MAVOR (OR AS515TAHn �
TQTAL # OF SIGNATURE PAGES 1 (CUP All LOCATIONS FOR SIGNATURE)
AGlION WE�UE5TED:
City signatures on a Resolution authorizing the proper City Officials to execute a contract
with Patricia J, Huberty, M.D., Allina Medical Group for specialized medical services for the
Saint Paul Public Health Women's Health Programs.
RECOMMENDA710N5: Apprwa (q) w Reject (R) PEFiSONAL SERVICE CONTRACTS MUST ANSWEN TME FOLLOWING �UESTIONS:
_ PLANNING CAMMISSION _ CIVIL SERVICE COMMISSIpN �� Has Nis personffirm ever worketl under a contract for this departmen[?
_CIBGOMMR7EE , YES �NO ���g'e�f�
_�� 2. Has this person/firm ever been a city employee?
— YES NO �� ����
_ DI5TRICTCOUR7 — 3. Does this personttirm possess a skill not normall
y possessed ur ce?
SUPPORTS WHICN COUNCIL O&IECTIVE? YES NO
Explain all yes answers on seperate sheet antl attaeh to gre��y p68gt� �����.�
'Y1RT E2
INITIATINfa PROBLEM, ISSUE, OPPE/FYfUN17V (Wlro, What,'Mien. Where, Why):
Saint Paul Public Health is the recipient of a 2Ainnesota 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 Fedezal regulations. The contracts will be
in effect until December 31, 1997, provided grant dollars remain available.
ADVANTAGESIFAPPROVED:
° The most significant barrier to tubal ligation is cost. These grant funds and associated
services increase accessibility to women who othexwise would not have sufficient resouxces.
' Partnershsps with the private medical communiCy will be enhanced.
' An experienced medical provider will be available to provide these services.
DISADVANTAGES IFAPPROVED'
NONE �� �� � �
,�1�� � � 15�6
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OISADVANTAGES IF NOTAPPROVED:
' Access to voluntary tubal ligation services will be decreased in the Saint Paul community
for low-income, uninsured, and underinsured women.
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' Grant funding will be returned to the State. �(���.�;� t?;;cwc-°�r?� k',�av,� ``��
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; t ,, . _, � - '.:�r�i�
tCtN:k� �.'t? ( , "'
(Approximately $13,000)
TOTAL AMOUNT OFTRANSAC710N $ 650 per pBtieRt COST/REVENUE BUDGETED (CIRCL'� ONE) YES NO
FUNDISdGSOUACE Stat2 Of M�ririesota ACTIVI7YNl1MBEH 33Z33 �
fiNANCIAL INFORMATION: (EXPLAIN)
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AGREEMENT
AN AGREEMENT, made and entered into this 1st day of January, 1996, by and
between ihe City of Saint Paul, a municipal corporation of the State of Minnesota,
hereinafiter referred to as the "City", acting through its Family Planning Program
{��I,�hw �,Lcd��c�.1 ��..r
4ocated in Saint Paul Public Heaith, and Patricia J. Huberty, M.D.,�surgeon and �;�; L
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licensed in the State of Minnesota, hereinafter referred to as "Dr. Huberty";
WITNESSED:
WHEREAS, the Family Planning Program has been awarded a grant by the
Minnesota Department of Heaith to provide laparoscopic tubai ligations to women
requesting such service; and
WHEREAS, the City is permitting to contract for the performance of said services
or any portion theraof; and
WHEREAS, Dr. Huberty 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.
Huberty as follows:
1. That the City shali perform a presurgical examination ofi each patient.
Inciuded shaif be an examination of the thyroid, heart, 4ungs, breasts,
abdomen, a bimanual pelvic and rectal confirmation. Laboratory tests
shali include a hemoglobin, VDRL, rubella titer, urinalysis for protein
and sugar, pap smear, culture for gonorrhea, and chlamydia screen.
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2. That the City shall ensure that each patient received presurgical
counseling 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 fiorm to Dr. Huberty.
4: That the City shafi provide a HCG specific pregnancy test for the
patient within 24 to 36 hours prior to the surgical procedure. The
results of the HCG pregnancy test shail be transmitted to Dr. Huberty.
5. That Dr. Huberty shall perform on each patient an evaluative
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. Huberty shail ensure that surgery is not performed during the
30-day waiting period required by governmental sterilization
regulations.
7. That Dr. Huberty shail provide routine post-surgica! services,
according to his/her guidelines. The patient shail be referred back to
the City for ongoing care. A copy of the surgical record shall be
transmitted to the City.
8. That Dr. Huberty shall be paid by the City for ali services rendered, an
amount not to exceed Six Hundred Fifty Dollars (5650.00) per patient.
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Any expenses resulting from surgical complications in excess of Six
Hundred Fifty Dollars (5650.00) wiil not be paid by the City.
9. That the City will reimburse Dr. Huberty on a monthly basis upon
hisiher submission of a monthly invoice. Dr. Huberty shall not submit
a biil to the patient except in the case of complicated surgery resulting
in expenses in excess of the Six Hundred Fifty Dollars (5650.00)
guaranteed by the City.
10. That Dr. Huberty shalt not enter into subcontracts for any of the work
compieted under this Agreement without written approval pf the City.
11. 1"hat Dr. tiuberty wiI{ save harmless, indemnify and defend the City up
to a limit of Two Hundred Thousand Dollars (5200,000.00) per
individuai claim and Six Hundred Thousand Dollars {5600,000.00) in
aggregate from ail ciaims of whatever kind and nature arising out of
the performance of services as recited and reflected herein.
12. That in order to give this indemnification fuil force and effect, Dr.
Huberty wiff obtain at his own expense professional liability insurance
in an amount at least equal to the above referenced amount and
furnish evidence of such insurance to the City before commencing the
tasks set forth herein.
13. That at ali times Dr. Huberty agrees to be an independent contractor
as to the City and not an employee of the City.
14. That nothing in this Agreement shafl be construed as limiting the right
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of independent operation of either Dr. Huberty or the City or the
affiliation or contract with any other institution or agency while this
Agreement is in effect.
15. That the City declares the Public Health Nurse Supervisor of the
Family Pianning Program to be the person responsible for compiiance
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 shali be valid onfy when they hava been
reduced to writing, fully aligned, and attached to the original of this
Agreement.
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That terms of this Agreement shall be from January 1, 1996 through
December 31, 1997.
IN WITNESS WHEREOF, the parties have set their hands the date first written
above.
C�- �-�.�)
Patricia J. Huberty, M.D.
36180
Medical License #
DATE:
CITY OF SAINT PAUL
Activity code: 33233
Director, Saint Paul Public Heaith
DATE:
Director, Finance and Management
Services
DATE:
APPROVED AS TO FORM:
Assistant City Attorney ,
DATE:
5
�G-S�9
Exhibit A
to
City of St. Paul Provider Agreement
Provider's Name
Patricia J. Hubertv. M.D.
Provider's Name
I represent and warrant that I have the power to bind each of the above practitioners to the terms
and conditions of the Agreement between the City of St. Paul and St. Paul Obstetrics and
Gynecology, Allina�iv�'eylical Group.
315 Universiri� Park. Med Office
Clinic Address Bldg
�
Jeff Cheli. M.D.
Print Name
President. Allina Medical Groun
Title
Date
�//�/9�
1690 Universitv Avenue
Clinic Address
St. Paul. MN 55104-3793
State, Zip Code
41-1781624
T� i.d.