96-510�,F�# °l!.- S �O
Q��������
RESOLUTION
SAINT PAUL, NIINNFSOTA
., >.
Refened To
comminee: Daze
1 WHEREAS, the City of Saint Paul is committed to addressing the concerns related to
Z accessibility of inedical services to low-income, uninsured, underinsured women; and
3 WHEREAS, the Gity of Saint Paul requires medical, surgical, and anesthesia expertise
4 to provide grant related services as defined in the Family Planning Special Projects
s grant agreement; and
6 WHEREAS, Michael W. Spence, M.D., Allina Medical Group, has experience providing
7 women's health services and is available to provide the funded services; and
8 WHEREAS, there are historicat 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 Pauf and Michae{ W.
11 Spence, M.D., Allina Medical Group, will provide for responsible provision of services
1z 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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Bostrom
Csuerin
Harns
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Ret[man
Thune
Adopted by Council:
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Yeas Navs Absent
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by Council
By' �
Approved by Mayor:
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Requested by Department of:
Saint Paul , Pu / blic Health
BY� / vli/1/�Ci l?`T
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�9 q�, Form ppro b i o Y
By: � �–�����
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App�ed by May r r Submission to Council
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BS': U �� C � — –
Gnen Sheet # 32498
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Public 0 4/17/96 GREEN SHEET �° 32498
COMACf PEfl50N & PNONE DEPARTMEM DIRECTO I T A E �.� Cf7Y CAUNCIL INRIAUDATE
Mary Sonnen 292-7735 AuwN cmnrroaNer �cmc�aK
UST BE ON COUNCIL AGENDA BY (UAT� N � B � � BUDGET DIRECTOR O FIN. & MGT. SERVICES �IR.
AOUnNG
OROER p�pVOR (OR ASSISTAPIT) O
TOSAL # OF SIGNATURE PAGES 1 (CL1P ALL LOCATIONS FOR SIGNATURE)
ACfION flE�UESTED: �
City signatuzes on a Resolution authorizing the proper City Officials to execute a contract
with Michael W. Spence, M.D., Allina rSedical Group, fos specialized medical services for the
Saint Paul Public Health Women's Health Programs.
iiECOMMENDATIONS: apprave (A) or Beject (Fi) PERSONAL SERY{CE CONTRACTS MUST ANSWER THE FOLLO�g�p� gt� N5:
1. Has this rson/firm ever worked urMer a contract tor this de rtrnen�?� � L �
_ PLANNINGCOMMISSION _ CIVILSERVICECOMMISSION ce �
_ CIB COMMITTEE YES �NO
_ ssnfF ` 2. Has this perso�rm ever been a ciry employee? APFt 1 g 199fi
� VES NO
_ DISTRIC7 CAUFiT _ 3. Does this parson/firm possess a skill not normally possessed 41L �py �i�nj„cj�,ergpJpyee?
SUPPORTSWHICHCOUNCILOBJECTIVE? VES NO '�-7�4pVlt t3d� °E��
Ezplain ell yes answers on separete shaet and attech to green aheet
INITIATING PROBLEM, ISSUE, OPPORNNITV (Who. What, Whan. Where, Why):
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 IFAPPROVED: �
' The most significant barrier 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 experienced medical provider will be available to provide these services.
DISADVANTAGES IFAPPpOVED:
NONE ��� ���
I��"� � $ ����
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DISADVANTACaES IF NOTAPPROVE�:
' Access to voluntary tubal ligation services will be decreased in hhe Saint Paul community
for low-income, uninsured and underinsured women.
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' Grant funding will be returned to the State. �'��� " `���"'#
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U°.�i�r''i �.__•,�.�RS.. a„':;�Y�i9 �c: "? ^�n..
Ev � u � .,.:.€?
na,fs;' `' �`'��
:p;e 4e � �' ,e
(approximately $13,000)
TOTALAMOUNTOFTNANSACTION $ 6SO P2I patl2Rt COST/REVENUEBUD6ETED(CIRCLEONE) VES NO
FUNDIHG SOURCE Stat2 Of MiririeSOtB pCTIVITV NUMBER 33233
FINANCIAL INFORMATION. (EXPLAIN)
a�- S to
AGREEMENT
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,
hereinafter referred to as the "City", acting through its Family Planning Program
��A.�j,t 6�d` �( �j'
located in Saint Paul Public Heaith, and Michael W. Spence, M.D., surgeon and ��--�-
A 2-`6-�d
licensed in the State of Minnesota, hereinafter referred to as "Dr. Spence";
WITNESSED:
WHEREAS, the Family Pianning Program has been awarded a grant by the
Minnesota Department of Health to provide laparoscopic tubal ligations to women
requesting such service; and
WHEREAS, the City is permitting to contract fior the perfiormance of said services
or any portion thereof; and
WHEREAS, Dr. Spence has the expertise to perform said service and it is deemed
in the best interest of the City to contract fior the professional services of a
surgeon for the program;
NOW, THEREFORE, IT IS MUTUALLY AGREED by and between the City and Dr.
Spence as follows:
1. That the City shall perform a presurgicai examination of each patient.
Included shall be an examination of the thyroid, heart, lungs, breasts,
abdomen, a bimanuai pelvic and rectaf confirmation. Laboratory tests
shali include a hemoglobin, VDRL, rubella titer, urinalysis for protein
and sugar, pap smear, culture for gonorrhea, and chlamydia screen.
dl �-510
2. That the City shaif 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 shaif transmit a copy of the resuits of the presurgicat
examination and of the sterilization consent form to Dr. Spence.
4. That the City shall provide a HCG specific pregnancy test for the
patient within 24 to 36 hours prior to the surgicai procedure. The
results of the HCG pregnancy test shall be transmitted to Dr. Spence.
5. That Dr. Spence 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 shall be rejected.
6. That Dr. Spence shall ensure that surgery is not performed during the
30-day waiting period required by governmental sterilization
regulations.
7. That Dr. Spence shali provide routine post-surgicai services, according
to his/her guidelines. The patient shall be referred back to the City for
ongoing care. A copy of the surgical record shail be transmitted to
the City.
8. That Dr. Spence shall be paid by the City for ail services rendered, an
amount not to exceed Six Hundred Fifty Dollars (5650.00) per patient.
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Any expenses resulting from surgical compiications in excess of Six
Hundred Fifty Doliars (5650.00} wiii not be paid by the City.
9. That the City wiii reimburse Dr. Spence on a monthiy basis upon
hisiher submission ofi a monthly invoice. Dr. Spence shall not submit
a bili 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. Spence shali not enter into subcontracts for any of the work
completed under this Agreement without written approval of the City.
11. That Dr. Spence will save harmless, indemnify and defend the City up
to a fimit of Two Hundred Thousand Dollars (5200,000.00) per
individual claim and Six Hundred Thousand Dollars (5600,000.00) in
aggregate from ail claims of whatever kind and nature arising out of
the performance of services as recited and refiiected herein.
72. That in order to give this indemnification full force and effect, Dr.
Spence will 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 all times Dr. Spence agrees to be an independent contractor
as to the City and not an employee of the City.
14. That nothing in this Agreement shali be construed as limiting the right
3
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of independent operation of either Dr. Spence or the City or the
affiliation or contract with any other institution or agency while this
Agreement is in effect.
15. That the City deciares the Public Health Nurse Supervisor of the
Family Planning 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 shatf be valid only when they have been
reduced to writing, fully aligned, and attached to the original of this
Agreement.
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18. That the 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.
��� 0.��.6�a��
Michaet W. Spence, .D.
0231882
Medical License #
DATE:
CITY OF SAINT PAUL
Activity code: 33233
Director, Saint Paui Pubiic Health
DATE:
Director, Finance and Management
Services
DATE:
APPROVED AS TO FORM:
,/
Assistant City Attorney
DATE: y— /� "�/G
5
al,�-5
Exhibit A
to
City of St. Paul Provider Agreement
Provider's Name
Michael W. S�ence. M.A.
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. Pau1 and St. Paul Obstetrics and
Gynecology, Alli � Medical Group.
f �� 315 Universitv Pazk. Med Office
Sig�ature ClinicAddress Bidg
Jeff Che1L M.D. 1690 Universitv Avenue
Print Name Clinic Address
President. Allina Medical Groun
Title
a-llG / 9k
—�—
Date
St. Paul. MN 55104-3793
State, Zip Code
41-1781624
Tax i.d.