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.