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HomeMy WebLinkAboutR-1992-D6201 Bloodborne Pathogen Testing• RESOLUTION NO. D 6 2 o 1 A RESOLUTION Authorizing and directing the City Manager and the City Clerk of the City Of Yakima to execute a contractual agreement with Saint Elizabeth Medical Center Occupational Health for a medical service agreement regarding occupational exposure to bloodborne pathogens. WHEREAS, by reason of the Federal Occupational Safety And Health Act of 1970, the State of Washington has enacted Washington Administrative Code 296- 62-08001, effective August 27, 1992, by which the City as an employer must provide certain services to all employees having potential occupational exposure to diseases that are caused by bloodborne pathogens, and WHEREAS, the City of Yakima has chosen a provider of such services after a review of several such providers proposals, and WHEREAS, Saint Elizabeth Medical Center Occupational Health has proposed a contractual agreement that is most advantageous to the City and which also co‘ ers all required services, the execution of which contract the City Council deems to be in the best interest of the City, now, therefore, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF YAKIMA: The City Manager and City Clerk of the City of Yakima are hereby authorized and directed to execute a contractual agreement with Saint Elizabeth Medical Center Occupational Health for the purpose described above, a copy of uhich agreement is attached hereto and made a part hereof. ADOPTED BY THE CITY COUNCIL thi° sc"day of -C-05'81Z , 1992. ATTEST Mayor City Clerk res/St E's Health Contract MEDICAL SERVICES AGREEMENT for OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS between ST. ELIZABETH MEDICAL CENTER OCCUPATIONAL HEALTH YAKIMA, WASHINGTON and City of Yakima SERVICE DESCRIPTION: In compliance with the standards of the Occupational Safety and Health Administration (OSHA) Occupational Exposure to Bloodborne Pathogens Final Rule; United States Public Health Services (USPHS) recommendations; and the requirements of Washington Industrial Safety and Health Act (WISHA), WAC 296-62-08001, St. Elizabeth Occupational Health agrees to provide hepatitis B vaccine/vaccination and post -exposure medical evaluation and follow-up services for the above named employer as follows: I. EMPLOYEE PRE -EXPOSURE VACCINATION/TESTING A. Hepatitis B Vaccination Series (3) B . Hepatitis B Antibody Test C. Healthcare Professional's Written Opinion+ II. EMPLOYEE CONFIDENTIAL MEDICAL EVALUATION AND FOLLOW-UP A. Evaluation of exposure incident B. Collection/testing of employee blood for HBV/HIV C. Pre Sr Post test counseling by certified HIV counselor D. Result reporting to employee E. Physician directed post -exposure medical follow-up as indicated F. Health care professional's written opinion G. Confidential medical records storage H. Evaluation of reported illness III. SOURCE INDIVIDUAL TESTING FOR HBV/HIV A. Collection/testing of source blood for HBV/HIV B . Pre & Post test counseling by certified HIV counselor C. Result reporting to source individual and employee D. Referral to infectious disease physician if necessary E. Confidential medical records storage REMUNERATION: 1. Employer agrees to pay St. Elizabeth Medical Center Occupational Health for pre- exposure hepatitis B vaccine/vaccinations and/or HBV antibody blood testing of employee in accordance with the attached fee schedule. 2. St. Elizabeth Medical Center Occupational Health agrees to submit a claim to employer's health care plan administrator for the services outlined in section II of this agreement (Employee Confidential Medical Evaluation and Follow-up) in accordance with the attached fee schedule. 3. Employer agrees to pay St. Elizabeth Medical Center Occupational Health for the services outlined in section III of this agreement (Source Individual Testing for HBV/HIV) in accordance with attached fee schedule. 4. Employer agrees to be financially responsible for all services provided above for which payment is denied by the health care plan administrator. 5. Payment will be due within thirty (30) days of receipt of invoice. Invoices are to be sent to the attention of the Personnel Officer, Human Resource Division, City of Yakima, 129 N. 2nd Street, Yakima, Washington 98901. 6. Fee schedules are subject to annual revision. Notice of such revision shall be sent 30 days in advance of the effective date to the Personnel Officer, Human Resource Division, City of Yakima, 129 N. 2nd Street, Yakima, Washington 98901. DISCLAIMER OF LIABILITY: Employer shall indemnify and hold St. Elizabeth Medical Center Occupational Health (SEMCOH), their agent and employees harmless from and against and and all losses, damages or expenses of whatever form or nature, including legal fees and other costs of defending any action, which SEMCOH may sustain in any action brought by the employer, employee, or source individual, except in cases of negligence by SEMCOH. TERM: This Agreement shall become effective on //I ��` ��and will continue in force until terminated by either party upon thirty days written notice, sent to the below signators. St. Elizabeth Medical Center BY: The City of Yakima BY: 'N.-�� Sr. Margarita costa, Admn. Richardais, City Manager ATTEST: Karen Roberts, City Clerk caY CONTRACT No. D --bac 1 ST. ELIZABETH OCCUPATIONAL HEALTH 110 S. 9th AVENUE YAKIMA, WASHINGTON 98908 BLOODBORNE PATHOGEN EXPOSURE FEE SCHEDULE 8-15-92 SERVICE OCCUPATIONAL EMERGENCY HEALTH DEPARTMENT HEPATITIS B. VACCINE $50.00 $113.10 ea. Hepatitis B Immune Globulin HBIG $35.00 $ 59.97 (HBIG is given per weight of person 180 pounds requires 5 ml dose) Hepatits B Surface Antibody (HBsAB) $30.00 Hepatitis B. Surface Antigen HBsAB) $22.00 Hepatits B Profile $46.00 HIV Antibody (HTLV-III) $25.00 HIV Confirmatory (Western Blot) $47.00 HIV/HBV Pre/POST Test Counseling $35.00 ea (Wa. State Certified HIV Couselor) Completion of Report of Accident Form $15.00 Tetanus $ 8.00 Minimal Office Visit (follow-up) $15.00 Initial Brief Office Visit/MD $30.00 Initial Limited Office Visit/MD $42.00 Completion of Reopening Application $15.00 (With Initial Intermed. Office Visit) $42.00 Completion of Disability Card $ 3.00 Worksite training classes $40.00 per hour Regular Scheduled training sessions at St. Elizabeths Medical Center $ 5.00 per person E.R. 24 HOURS OCCUPATIONAL HEALTH 8:30 A,M. - 5:00 P.M. CLINIC (EDX) 10:00 A.M. - 10:00 P.M.