Title
Request to HEALTHCORE CLINIC for the provision of Tuberculosis management support to provide public health services through the TB Control Program at the Sedgwick County Division of Health between Sedgwick County and HEALTHCORE CLINIC.
Body
Contract Approval Process Form - Please see Section V of Charter 68 for reference.
1. If the request is over a $10,000 spend, have these services been competitively bid (pursuant to Purchasing Charter Resolution 68)? Not relative.
a. If not, has this purchase received a waiver of competitive bidding from the Purchasing Director? Please provide proof. Not relative.
2. Purpose of the Contract (please be specific) To establish a chain of events and reimbursement standards for services provided to pre-identified clients of HealthCore who may be referred to Sedgwick County TB Control.
3. Justification for the Contract
a. Do we perform the services in house? Yes
b. Is there an option to perform the services in house? Yes
c. Do any other current County vendors provide the services (i.e., could we amend a current contract to add these services)? Not relative.
4. Scope of the Contract
a. What services specifically will the Contractor be providing? HealthCore will provide to Sedgwick County TB Control:
1- Current client demographics, historical medical documentation and current diagnostic notes reflecting care provided, diagnosis, chief complaint, signs, symptoms and medical history.
2- Contact TB Control to schedule appointments for evaluation, testing or related services at 316-660-7450.
3- Will coordinate transportation to and from TB Control, if required.
4- Payment of billing within 30 dates of receipt of invoice for payment.
5- Conduct testing as requested by Sedgwick County Medical Director per contact agreement.
6. Provide updated information as it is received relating to the care, management or demographics for the client accepted by Sedgwick County TB Control as per this contract.
b. In the alternative, if this is a revenue-generating contract for the County, what services specifically will the County be providing? See attachment, Prices per Client for Tuberculosis (TB) Assessment and International Client Contract with HealthCore. TB Control will provide diagnostic support for certain clients as identified within the contract and extended services based on initial outcomes, test results or comorbidities, as identified in the contract. Services may include diagnostic testing, counseling, medical support, extended medication management and communicable infection management, if required. This contract provides reimbursement for services that might otherwise commit the customer to higher costs of medical care. Revenue generated will be used to pay for costs associated with the services provided. Sedgwick County TB Control will provide or coordinated contracted specific including:
1- Quantiferon lab (if required)(counseling, collection, local processing, cost of laboratory processing, documentation, report of results to client and provider)
2- Chest X-Ray (if required)(counseling, scheduling, cost of x-ray, documentation, local evaluation, processing of x-ray evaluation, report of results to client and provider)
3- HIV Testing (if required)(counseling, collection, local processing, cost of laboratory processing, documentation, report of results to client and provider)
4- AFB Smear and sputum cultures x3 (if required) )(counseling, collection, local processing, cost of laboratory processing, documentation, report of results to client and provider)
5- Office visit x2 (initial visit and second visit as required)
6- TB Treatment (if required)(counseling, education, evaluation, scheduling and medication)
7- Additional laboratory testing as determined by Clinical Director (MD) will be done at TB Control or ordered through the assigned Primary Care Provider (PCP)
Items 1 thru 7 will be modified or adjusted based on client needs, pre-assessment and/or historical medical conditions, status or compliance. Not all clients receive nor need the same level of medical management or care.
5. What is the anticipated spend under this contract for all possible years of the contract (e.g., if this is a contract for 1 year with one 1-year option to renew, what is the total spend for both years of the contract)? Not Relative. Per client actual cost to the program is approximately $146.00 for B1 or B2 Classification, the expected number of clients this year could be up to 80. Cost Center 38043-274 is established for this process.
a. In the alternative, if this is a revenue-generating contract for the County, what is the anticipated annual revenue under this contract? Not Relative. Per client actual contract reimbursement is $150.00 for B1 or B2 classification.
b. Please note: if the anticipated spend of the contract is $50,000+, the contract will need to be placed on a BoCC agenda for commission approval. Do not use this template for items going on an agenda. Please contact the Manager's Office if you have any questions.
6. If this is a renewal/extension of an existing contract, what was the previous annual spend for these services with this vendor? Not relative.
a. If the services were performed by another vendor, what was the previous annual spend for those services? Not relative.
b. In the alternative, if this is a revenue-generating contract for the County, what was the previous annual revenue for performance of these services? Not relative.
7. Requested Term of the Contract:
a. Should the contract include any language for renewal? One-year with automatic renewal for up to 3 years, with option to modify charges based on changes for medical supplies or ancillary resources.
8. Are there any specific terms that the user department would like included in the contract? Included in this contract are guidelines for the sharing of medical information with Sedgwick County Division of Health TB Control Clinic.
We specifically are asking for knowing and available medical and social information relevant to proper medical decision making and which supports required demographics for enrollment as clients at Sedgwick County Division of Health.
9. What is the deadline for the user department receiving a draft of the contract? As soon as possible.
10. Will any private health information be exchanged between Sedgwick County and the vendor? If so, in what capacity? (If yes, a Business Associate Addendum (BAA) is required as an addendum to the agreement.) Yes. Medical, historical, PHI, plus demographic and identifying information will be exchanged.