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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. ea�Tc v Bostrom Csuerin Harns egaz Ret[man Thune Adopted by Council: � � Yeas Navs Absent _� — �C � �C _ _�C _ by Council By' � Approved by Mayor: � � Requested by Department of: Saint Paul , Pu / blic Health BY� / vli/1/�Ci l?`T 0 �9 q�, Form ppro b i o Y By: � �–����� A � b App�ed by May r r Submission to Council � l/IR / BS': U �� C � — – Gnen Sheet # 32498 a�-s �o '� 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��"� � $ ���� ���� �������� DISADVANTACaES IF NOTAPPROVE�: ' Access to voluntary tubal ligation services will be decreased in hhe Saint Paul community for low-income, uninsured and underinsured women. �"; ��.�. myo--.�- r� ��r ' Grant funding will be returned to the State. �'��� " `���"'# � n � 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. 2 �(.-s�o 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 °[(,-S lo 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. 4 a ��-s �o 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.