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HomeMy WebLinkAboutIL152 Interlocal Agreement • n i INTERLOCAL AGREEMENT PROVIDING AMBULANCE SERVICE 4� THIS AGREEMENT is made to be effective as of th]i i day of-11 l4-L/‘2012 between the City of Anacortes, Washington ("the City"), a municipal corporation, and Skagit County Public Hospital District No. 2, ("the District"), d/b/a Island Hospital, a municipal corporation. RECITALS 1. The City has the power under RCW 35.23.456 and City of Anacortes Ordinance and Municipal Code 13.54 to authorize the operation ambulance services within the City, which may serve the City and surrounding areas. The City has been providing ALS/BLS emergency medical services to the City and surrounding areas for over 20 years. 2. The District has the authority under RCW 70.44.060 to provide ambulance service within its boundaries, and also subscribing to the provisions of AMC 13.54. The District owns ambulances and related equipment and has been providing Inter- facility ambulance service within its boundaries. 3. The City and the District have been acting jointly to furnish ambulance service to the area encompassed within the District, including that area within the corporate limits of the City and other areas where the City is contracted to provide service. 4. A cooperatively managed ambulance service is necessary to promote and protect the public health, safety and general welfare of the area encompassed within the District and the City, and will permit the most efficient and effective use of mutual resources. 5. The City and the District are authorized to enter into an agreement for joint or cooperative action to serve and benefit their constituents. 6. The City and the District have been parties to a similar inter-local agreement since March of 1987. NOW, THEREFORE, in consideration of the foregoing and the mutual promises contained herein, the mutual benefits to be derived, and the public interest to be served, it is agreed as follows: Section 1: Definitions 1.1 Definitions. 1.2.1. Non-Emergency Inter-Facility Transfer (IFT) ambulance service - Scheduled or unscheduled inter-facility transport of a patient from one facility to another for the purpose of rendering further medical treatment to the patient while delivering either ALS or BLS service. 1.2.2. Emergency ALS/BLS ambulance service - Response to an emergency 911 request for Pre-hospital service to provide immediate medical aid to a patient when time and level of supervision could be critical factors in well-being of patient. 1.2.3. Fire Department EMS Officer - An officer within the structure of the fire department that has primary responsibilities for the operational supervision of City ALS/BLS Emergency ambulance services. 1.2.4. Hospital EMS Officer - An officer hired by the district that has primary responsibility for the operational supervision of Hospital's Non- Emergency Interfacility (IFT) ambulance service. 1.2.5. ALS - Advanced Life Support - Paramedic level service initiating care and treatment involving intravenous fluids, cardiac drugs, advanced airway techniques, and cardiac monitoring within the scope of practice dictated by Skagit County Medical Program Director. 1.2.6. BLS- Basic Life Support - Personnel certified at least at the EMT level by the State of Washington to provide basic initial evaluation, care, and stabilization until the patient is transferred to a higher standard of care. 1.2.7. Pre-Hospital - Routine or emergency response and care provided to patients before being delivered to a hospital. Section 2: Coordination of Services 2.1 Full-time ambulance emergency ALS/BLS service shall be provided by the fire department within the area under agreement with EMS Commission, including the corporate City limits. 2.2 The ambulance/emergency service to be provided under this Agreement shall be coordinated by the Fire Chief for the City of Anacortes. 2.3 The Fire Department EMS Officer appointed by the Fire Chief shall be responsible for overseeing the coordination of the Emergency ALS/BLS ambulance service. 2.3 The Hospital EMS Officer shall be responsible for overseeing the coordination of the Non-Emergency Inter-Facility Transfer (IFT} ambulance service. 2.3 Each party is responsible for overseeing the financial and policy aspects for each service they are responsible to provide.. The operation and management of the ALS/BLS and IFT services shall be conducted in accordance with policy/procedure for ambulance service to be established by each agency after receiving the advice and assistance of the Local Training and Supervising Physician as appointed by the Skagit County Medical Program Director. 2.3 The Fire Department and Hospital EMS Officer shall be responsible for making reports and recommendations to their supervisor on the following matters: Each agency may consider the nature and extent of the ambulance service; financial implications of operating the service; funding options available for the service; and budget considerations for the service. Section 3: Responsibilities of the City 3.1 The City shall provide full-time Emergency ALS/BLS ambulance service as defined herein. 3.2 The City's dispatch service shall be responsible for providing dispatch services for the City's ambulance service only. 3.3 Except as provided in Section 5 of this Agreement, the City shall fund and pay the expense of providing Emergency ALS/BLS ambulance service required to be provided by the City under this Agreement from whatever sources the City Council of the City deems appropriate. 3.4 The City shall establish and maintain a budget for the ambulance service and shall establish in that budget the manner of financing for the ambulance service. 3.5 The City shall be responsible for the purchase, operating, and maintenance of the ambulances and associated equipment needed to provide the ambulance service required to be provided by the City under this Agreement. 3.6 The City agrees to provide mutual aid to the District and the District agrees to provide mutual aid to the City when necessary and when available. 3.7 City shall set all rates for ambulance service provided under this Agreement. The City shall notify the District in writing at least ten (10) days before the effective date of any proposed rate change. 3.8 Each month the City purchases services from the District, and the cost of those services will be deducted from the City's revenues collected by the District. This sum is to be calculated and paid in accordance with the terms of Section 5 of this Agreement and as further described in Appendix A. Section 4: Responsibilities of the District 4.1 The District shall pay a sum each month to the City for Emergency ALS/BLS ambulance service rendered. This sum is to be calculated and paid in accordance with the terms of Section 5 of this Agreement and as further described in Appendix A. These payments by the District shall constitute the District's sole obligation to pay the City for providing ambulance service under this Agreement. 4.2 The District shall provide dispatch service for transfers involving its ambulance service. 4.3 The District shall establish alternative services for the Non-Emergency IFT of patients from and to Island Hospital. 4.4 The District shall be responsible for billing individuals for ambulance service provided by the City under this Agreement. The documentation of ambulance service provided shall be submitted to the District by the City within twenty-four (24) hours of each instance of providing ambulance service under this Agreement. Documentation should include basic information required to bill patient as established by the Hospital Patient Accounts Department. 4.5 The District shall provide the necessary laundry service, first aid supplies, oxygen, and other similar operational supplies needed for the ambulance service. These supplies shall be provided at the District's cost for such supplies and the District shall bill individuals receiving such supplies based upon documentation of the use of such supplies submitted to the District by the City. This documentation shall be submitted to the District by the City within twenty-four (24)hours of the use of such supplies. 4.6 The District shall be responsible for the collection of all payments for ambulance services rendered and supplies provided and shall be entitled to retain all such payments, which are collected, subject to paragraph 5.1 herein. 4.7 The District shall provide personnel for routine transfers after having consulted with the Hospital EMS Officer. 4.8 The District shall be primarily responsible to provide Non-Emergency IFT services. 4.9 The District shall separate the revenue for Emergency ALS/BLS ambulance services provided by the City and the Hospital's Non-Emergency IFT services provided by the District. The District shall also determine the revenues and expenditures for each service. This will be the basis for distribution of revenue paid to the City at each payment cycle. Section 5: Payments Due to the City from the District 5.1 The basic method of payment by the District will be to pay to the City moneys remaining after having deducted the costs of services agreed to, from the acquired revenues from the Emergency ALS/BLS services only. For the purpose of this Agreement"services agreed to" shall be defined as contractual allowances, accounts payable, bad debts, salary for billers', supplies, materials management, laundry, and applicable overhead. 5.2 Amounts paid to the City and applicability of the existing formula thereto will be reassessed by the parties on an annual basis. 5.3 The Payment cycle shall be made in monthly installments. Section 6: Boundary Changes 6.1 The City and District shall consult with each other to determine if any boundary changes by either party would constitute a need to amend this agreement. If no significant changes are needed, then this agreement shall serve the interests of either party modifying their boundaries. Section 7: Review, Modification, Termination, Effective Date, and Duration 7.1 This Agreement is subject to review each year on or before the December 31 st anniversary. 7.2 No amendment or modification of this Agreement, including any additions or deletions, shall be effective unless approved and executed by the parties in the same form and manner as, and subject to the remaining provisions of, this Agreement. 7.3 This Agreement shall automatically renew for additional one-year terms unless either party provides the other with written notice of its intent to modify the Agreement, including the suggested changes. 7.4 Either party may terminate this Agreement without cause at any time on ninety (90) days written notice to the other party. Section 8: Organized Health Care Arrangement. 8.1 As of the adoption of this inter-local agreement, the city and district acknowledge the creation of an "Organized Health Care Arrangement", (OCHA) between the District and City, under the privacy regulations promulgated pursuant to the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), 42 U.S.C. §1320d r. The District's hospital shall include the city ambulance service in the District's "joint privacy notice" for all patients delivered to or transported from the District's hospital by the City ambulance service (See Appendix B). The City has promulgated this arrangement through passage of City of Anacortes Resolution#1655. Section 9: Disposition of Assets Upon Termination. 9.1 Should this Agreement be terminated or not renewed, ownership of all assets owned by the City shall remain with the City. All assets owned by the District shall remain with the District. Section 10: Notice 10.1 All notices and payments relating to this Agreement shall be made at the following addresses, unless the other party is otherwise previously notified in writing: Att. Finance Director City of Anacortes P.O. Box 547 Anacortes, WA 98221 Att. District Superintendent and CEO Skagit County Public Hospital District No. 2 Island Hospital 1211 -24th Street Anacortes, WA 98221 Section 11: Non-Assignability 11.1 This Agreement shall insure to the benefit of and be binding upon the successors and assigns of the parties, and is not intended to confer rights or benefits upon any third parties. This Agreement may not be assigned by either party without prior written consent of both the parties. Any attempt to assign or transfer any of the rights, duties or obligations of this Agreement without such consent is void. Section 12: Duty Created 12.1 Nothing herein contained shall create any duty on the part of the City or District to any particular person or individual but only to each other and the public at large Section 13: Severability 13.1 If any term or condition of this Agreement or application thereof to any person or circumstances is held invalid, such invalidity shall not effect other terms, conditions or applications of this Agreement which can be given effect without the valid term, condition or application. Section 14: Integration 14.1 This Agreement is a complete and exclusive settlement of the agreement between the parties and supersedes all proposals or prior agreements, or written and all other communications between the parties relating to the subject matter of this Agreement. EXECUTED at Anacortes, Washington to be effective as of the day and year first above written. SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT NO.2, d/b/a HOSPITAL Vincent C. Oliver Superintendent and Chief Executive Officer Date CITY OF ANACOR I'ES, WASHINGTON By: 4 . Le�C,n ---)11,44#1 H. Dean Maxwell, Mayor 3 / gjtz Date ATTEST: //-0 Steve Hoglund, City Clerk Treasurer Date APPENDIX A (EXAMPLE ONL F) Island Hospital Ambulance Reconciliation Ambulance Revenue _ Gross Ambulance Revenue Actual Billings Deductions from Revenue Less Actual Contractual Adjustments Net Ambulance Revenue Expenses Direct Expenses Direct expenses of the department Indirect Expenses Patient Accounts 4% of Gross billings Percentage of Total ambulance supply costs to Total Hospital Supply Materials Management Costs Times the total cost of the Materials Management Department Finance $62.50 per month($750 per year) Laundry and Linen $3.02 per transfer Total Expenses Net Income Less Prior Payments Amount Due City APPENDIX B JOINT NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED,AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Island Hospital respects your privacy. It is required to maintain the privacy of your health information and to provide you with a notice ("Notice") of its legal duties and privacy practices. We understand that your personal health information is very sensitive. Island Hospital will not use or disclose your health information except as described in this Notice, or as permitted or required by law. We will not disclose your information to others unless you tell us to do so, or unless the law authorizes or requires us to do so. This Notice applies to all of the medical records generated by Island Hospital and its personnel, volunteers, students and trainees. This Notice also applies to other health care providers that come to Island Hospital to care for patients, such as physicians, physician assistants, therapists, and other health care providers who are not employed by Island Hospital, such as ambulance services, including ambulance services provided by the City of Anacortes (which participates in an organized health care arrangement with Island Hospital), and emergency medical technicians who may have brought you to the Hospital, unless those other providers give you their own Notice that describes how they will protect your medical information. The Hospital and these other health care providers work together to provide you with care and they will share your health information with each other consistent with applicable law and as necessary to care for you, to obtain payment for that care, or for health care operations purposes, such as quality assessment and utilization review. The law protects the privacy of the health information we create and obtain in providing our care and services to you. For example, your protected health information includes your symptoms, test results, diagnoses, and treatment, health information from other providers, and billing and payment information relating to these services. Federal and state law allows us to use and disclose your protected health information for purposes of treatment, payment and health care operations. State law requires us to get your authorization to disclose this information for payment purposes. Examples of Use and Disclosures of Protected Health Information for Treatment,Payment,and Health Operations For treatment: • Information obtained by a nurse,physician, or other member of our health care team will be recorded in your medical record and used to help decide what care may be right for you. • We may also provide information to others providing you care. This will help them stay informed about your care. For payment: • We request payment from your health insurance plan with your consent. Health plans need information from us about your medical care. Information provided to health plans may include your diagnoses, procedures performed, or recommended care. For health care operations: • We use your medical records to assess quality and improve services. • We may use and disclose medical records to review the qualifications and performance of our health care providers and to train our staff. • We may contact you to remind you about appointments and give you information about treatment alternatives or other health-related benefits and services. • We may contact you to raise funds. • We may use and disclose your information to conduct or arrange for services, including: • medical quality review by your health plan; • accounting,legal, risk management, and insurance services; • audit functions, including fraud and abuse detection and compliance programs. Your Health Information Rights The health and billing records we create and store are the property of Island Hospital. The protected health information in it, however, generally belongs to you. You have a right to: • Receive, read, and ask questions about this Notice; • Ask us to restrict.certain uses and disclosures. You must deliver this request in writing to us. We are not required to grant the request except as to physicians who previously treated you. But we will comply with any request granted; • Request and receive from us a paper copy of the most current Notice of Privacy Practices for Protected Health Information ("Notice"); • Request that you be allowed to see and get a copy of your protected health information. You May make this request in writing. We have a form available for this type of request. • Have us review a denial of access to your health information—except in certain circumstances; • Ask us to change your health information. You may give us this request in writing. You may write a statement of disagreement if your request is denied. It will be stored in your medical record, and included with any release of your records. • When you request, we will give you a list of disclosures of your health information. The list will not include disclosures made for purposes of treatment, payment or health care operations, disclosures you authorized, disclosures to you, incidental disclosures, disclosures to family or other persons involved in your care, disclosures to correctional institutions, and law enforcement in some circumstances, disclosures of limited data set information or disclosures for national security. You may receive this information without charge once every 12 months. We will notify you of the cost involved if you request this information more than once in 12 months. • Ask that your health information be given to you by another means or at another location. Please sign, date, and give us your request in writing. • Cancel prior authorizations to use or disclose health information by giving us a written revocation. Your revocation does not affect information that has already been released. It also does not affect any action taken before we have it. Sometimes,you cannot cancel an authorization if its purpose was to obtain insurance. For help with these rights during normal business hours, please contact: Kathy McDermott,Privacy Officer Island Hospital 1211 24th Street Anacortes,WA 98221 (360)299-4202 Our Responsibilities We are required to: • Keep your protected health information private; • • Give you this Notice; • Follow the terms of this Notice. We have the right to change our practices regarding the protected health information we maintain. If we make changes, we will update this Notice and place the updated notice Notice on our website and post it in appropriate locations. You may receive the most recent copy of this Notice by calling and asking for it or by visiting our Admitting or Medical Records departments to pick one up. To Ask for Help or Complain If you have questions,want more information, or want to report a problem about the handling of your protected health information,you may contact: Kathy McDermott,Privacy Officer Island Hospital 1211 24th Street Anacortes,WA 98221 (360)299-4202 If you believe your privacy rights have been violated,you may discuss your concerns with any staff member. You may also deliver a written complaint to Kathy McDermott, Privacy Officer, at Island Hospital. You may also file a complaint with the U.S. Secretary of Health and Human Services. We respect your right to file a complaint with us or with the U.S. Secretary of Health and Human Services. if you complain, we will not retaliate against you. Other Disclosures and Uses of Protected Health Information Notification of Family and Others • Unless you object, we may release health information about you to a friend or family member who is involved in your medical care. We may also give information to someone who helps pay for your care. We may tell your family or friends your condition and that you are in a hospital. In addition, we may disclose health information about you to assist in disaster relief efforts. • Information may be provided to people who ask for you by name. We may use and disclose the following information in a hospital directory: • your name, • location, • general condition, and • religion (only to clergy). You have the right to object to this use or disclosure of your information. if you object, we will not use or disclose it. We may use and disclose your protected health information without your authorization as follows: • With Medical Researchers if the research has been approved and has policies to protect the privacy of your health information. We may also share information with medical researchers preparing to conduct a research project. • To Funeral Directors/Coroners consistent with applicable law to allow them to carry out their duties. • To Organ Procurement Organizations(tissue donation and transplant) or persons who obtain, store, or transplant organs. • To the Food and Drug Administration (FDA) relating to problems with food, supplements, and products. • To Comply With Workers' Compensation Laws if you make a workers' compensation claim. • For Public Health and Safety Purposes as Allowed or Required by Law: • to prevent or reduce a serious, immediate threat to the health or safety of a person • or the public. • to public health or legal authorities • to protect public health and safety • to prevent or control disease, injury, or disability • to report vital statistics such as births or deaths. • To Report Suspected Abuse or Neglect to public authorities. • To Correctional institutions if you are in jail or prison, as necessary for your health and the health and safety.of others. • For Law Enforcement Purposes such as when we receive a subpoena, court order, or other legal process, or you are the victim of a crime. • For Health and Safety Oversight Activities. For example,we may share health information with the Department of Health. • For Disaster Relief Purposes. For example, we may share health information with disaster relief agencies to assist in notification of your condition to family or others. • For Work Related Circumstances under the following conditions: • the employer must have requested the health care service that was provided to the patient. • the healthcare service provided must relate to the medical surveillance of the workplace or be an evaluation to determine whether the individual has a work-related illness or injury. • the employer must have a duty under the Occupational Safety and Health Administration (OSHA), or requirements of a similar State law,to keep records on or act on such information. • To the Military Authorities of U.S. and Foreign Military Personnel. For example,the law may require us to provide information necessary to a military mission. • in the Course of JudiciaUAdministrative Proceedings at your request, or as directed by a court order. Protected health information(PHI)may be released pursuant to a subpoena from an attorney or other party if there is assurance that: • the individual subject of the PHI has notice of the request • • the issuer of the subpoena has taken reasonable efforts to secure a qualified protective order which prohibits the parties from using or disclosing the PHI for any purpose other than the litigation or proceeding for which such information was requested AND requires the return to the hospital or destruction of the PHI (including copies made) at the end of the litigation or proceeding; and • the individual subject of the PHI has had opportunity to object to the disclosure of his/her PHI and has not done so, or all objections have been overruled.. • • For Specialized Government Functions. For example, we may share information for national security purposes. Other Uses and Disclosures of Protected Health Information • Uses and disclosures not in this Notice will be made only as allowed or required by law or with your written authorization. Web Site • We have a Web site that provides information about us. For your benefit,this Notice is on the Web site at this address: VRww.islandlhospital.org_ Effective Date: 1/1/2004 Revised: 1/13/2011