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Title: |
Agreement for the Provision of Correctional Health Services |
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Date: |
2002 |
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Preview shows 33KB of 235KB total |
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$92 |
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#376351 |
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NEW YORK CITY HEALTH AND HOSPITALS
CORPORATION
PRISON HEALTH SERVICES, INC.
AGREEMENT
FOR THE PROVISION OF
CORRECTIONAL HEALTH SERVICES
{PAGE}
Table of Contents
{TABLE}
{CAPTION}
Page
----
{S} {C}
1. DEFINITIONS...............................................................................2
1.1 Assignment Schedule.................................................................2
1.2 Borough Houses......................................................................2
1.3 Chief Executive.....................................................................2
1.4 City................................................................................2
1.5 Coler-Goldwater Memorial Hospital...................................................2
1.6 Commissioner........................................................................2
1.7 Contract Services...................................................................2
1.8 Contract Services Providers.........................................................2
1.9 Correctional Health Services ("CHS")................................................2
1.10 Corporation By-Laws.................................................................2
1.11 Dispute Resolution Procedure........................................................3
1.12 DMHMRAS.............................................................................3
1.13 DOC.................................................................................3
1.14 DOH.................................................................................3
1.15 EMS.................................................................................3
1.16 Emergency Services..................................................................3
1.17 Expedited Dispute Resolution........................................................3
1.18 Facility............................................................................3
1.19 Fee Statement.......................................................................3
1.20 Fiscal Year.........................................................................3
1.21 Health Professionals................................................................3
1.22 High-Impact Incarceration Program ("HIIP")..........................................3
1.23 HIPAA...............................................................................4
1.24 Hospital............................................................................4
1.25 Infant..............................................................................4
1.26 Infirmary...........................................................................4
1.27 Inmate..............................................................................4
1.28 Institutions........................................................................4
1.29 Master Patient Index................................................................4
1.30 Medical Director....................................................................4
1.31 Medical Record......................................................................4
1.32 Medically Necessary Services........................................................4
1.33 Mental Health Centers...............................................................5
1.34 Mental Health Professional..........................................................5
1.35 Mental Health Specialist............................................................5
1.36 Non-Physician Providers.............................................................5
1.37 Participating Hospitals.............................................................5
1.38 Patient Care Services...............................................................5
1.39 Performance Indicators..............................................................5
1.40 Physician Providers.................................................................5
1.41 Regulations.........................................................................5
1.42 Request for Proposals ("RFP").......................................................6
1.43 Research............................................................................6
1.44 Response............................................................................6
1.45 Self-Taught Empowerment and Pride Program ("STEP")..................................6
1.46 Semi-Monthly Payments...............................................................6
1.47 State...............................................................................6
1.48 Subcontractor.......................................................................7
1.49 Time Records........................................................................7
1.50 Tour................................................................................7
{/TABLE}
i
{PAGE}
{TABLE}
{S} {C}
1.51 Utilization Review Committee......................................................7
2. ROLE OF THE CORPORATION...................................................................7
2.1 The Corporation..................................................................7
2.2 Chief Executive..................................................................7
2.3 Medical Director.................................................................8
3. BASIC OBLIGATIONS OF THE CONTRACTOR.......................................................8
3.1 Scope, Quality and Organization of Services......................................8
3.2 Staffing and Supervision........................................................13
3.3 Program Directors...............................................................17
3.4 Provider Qualifications.........................................................19
3.5 Physician Provider Qualifications...............................................20
3.6 Non-Physician Provider Qualifications...........................................21
3.7 Assignment of Contract Services Providers.......................................21
3.8 Quality Assurance and Risk Management...........................................22
3.9 Policies and Procedures.........................................................24
3.10 Information Systems.............................................................24
3.11 HIPAA Compliance Procedures.....................................................26
4. RESPONSIBILITIES OF CONTRACT SERVICE PROVIDERS...........................................26
4.1 Organization....................................................................26
4.2 Responsibilities of Contract Services Providers.................................27
5. MEDICAL RECORDS..........................................................................28
5.1 Maintenance of Medical Records..................................................28
5.2 Confidentiality of Medical Records and Access...................................30
6. EQUIPMENT................................................................................30
6.1 Maintenance, Preventive Maintenance and Sanitation..............................30
6.2 Ownership and Purchase of Equipment.............................................30
6.3 Substandard Items...............................................................31
7. [ INTENTIONALLY LEFT BLANK ].............................................................31
8. WAREHOUSE; PROVISION OF SUPPLIES.........................................................31
9. SUPPLIES AND MEDICATION..................................................................31
9.1 Forms...........................................................................31
9.2 Review of Existing Inventory....................................................31
9.3 Inventory.......................................................................32
9.4 Purchases.......................................................................32
9.5 Documentation of Receipt of Medication..........................................32
9.6 Documentation of Disposition of Medication......................................33
9.7 Medication Distribution Plans...................................................33
9.8 Supplying Borough Houses........................................................33
9.9 Failure to Comply...............................................................33
10. HOSPITAL SERVICES........................................................................33
10.1 Transfer or Referral of Inmates.................................................33
10.2 Transfer to Coler-Goldwater Memorial Hospital...................................34
10.3 Outpatient Specialty Services...................................................34
11. MODIFICATION OF SERVICES.................................................................34
11.1 Addition of Services............................................................34
11.2 Termination or Decrease of Services.............................................36
11.3 Reconfiguration of Services and Special Circumstances...........................36
12. PERFORMANCE INDICATORS & MONITORING......................................................37
12.1 Definition and Purpose..........................................................37
12.2 Failure to Comply...............................................................37
12.3 Corporation Performance Monitoring..............................................37
12.4 Performance Monitoring Staff....................................................37
12.5 Performance Indicator Reporting.................................................38
12.6 Performance Monitoring Oversight Meetings.......................................38
{/TABLE}
ii
{PAGE}
{TABLE}
{S} {C}
13. COMPLIANCE WITH REGULATIONS AND STANDARDS................................................39
13.1 Required Compliance.............................................................39
13.2 Failure to Comply...............................................................39
13.3 Obligation to Cure..............................................................39
13.4 Consequence of Failure to Cure..................................................39
14. COMPENSATION FOR CONTRACT SERVICES.......................................................40
15. BILLING - THE FEE STATEMENT..............................................................40
15.1 Projected Expenses..............................................................40
15.2 Fee Statement...................................................................40
15.3 Erroneous or Incomplete Fee Statements..........................................40
16. DISPUTE RESOLUTION PROCEDURE.............................................................40
17. RETENTION OF PAYMENT.....................................................................42
18. EXPEDITED DISPUTE RESOLUTION PROCEDURE...................................................42
19. PERSONNEL, TIME-KEEPING, EQUAL EMPLOYMENT................................................43
19.1 General Responsibility..........................................................43
19.2 Corporation Employees...........................................................44
19.3 Time-keeping, Records and Notices...............................................45
19.4 Closing of an Institution and Severance Obligations.............................45
19.5 Prohibition Against Fees........................................................46
19.6 Non-Discrimination: Equal Employment............................................46
20. [ INTENTIONALLY LEFT BLANK. ]............................................................48
21. BOOKS AND RECORDS........................................................................48
22. ANNUAL AUDITS............................................................................48
22.1 Scope of the Audit..............................................................48
22.2 Due Date of the Audit...........................................................49
22.3 Contractor's Failure to Submit Annual Audit Report..............................49
22.4 Corporation's Final Audit.......................................................49
23. INSPECTION OF BOOKS AND RECORDS..........................................................50
24. REPORTING REQUIREMENTS AND RESPONSIBILITIES..............................................50
25. INDEMNIFICATION..........................................................................50
25.1 Scope of Defense and Indemnification............................................50
25.2 Limitations on Defense and Indemnification......................................51
25.3 Conditions to Defense and Indemnification.......................................51
25.4 Procedure in Connection with Defense and Indemnification........................51
26. CONTRACTOR COOPERATION...................................................................52
27. LIQUIDATED DAMAGES.......................................................................52
27.1 Additional Failures to Perform..................................................52
27.2 Overlap or Conflict.............................................................52
27.3 Payment of Liquidated Damages...................................................52
27.4 Waiver..........................................................................52
28. TERM AND TERMINATION.....................................................................53
28.1 Term of Agreement...............................................................53
28.2 Notice of Termination...........................................................53
28.3 Process of Transition...........................................................53
28.4 Consequences of Termination.....................................................53
28.5 Good Faith of Parties...........................................................54
28.6 Material Breach.................................................................54
29. [ INTENTIONALLY LEFT BLANK ].............................................................55
30. REPRESENTATIONS AND WARRANTIES...........................................................55
30.1 Representations and Warranties of the Contractor................................55
30.2 Fair Practices..................................................................56
30.3 Termination for Breach of Representations and Warranties........................57
30.4 Representation and Warranty of the Corporation..................................57
31. COVENANTS OF THE CONTRACTOR AND THE CORPORATION..........................................57
{/TABLE}
iii
{PAGE}
{TABLE}
{S} {C}
31.1 Contract Services Providers.....................................................57
31.2 Workers' Compensation, Disability Benefits, Minimum Wage and....................57
31.3 Employment Status...............................................................58
31.4 Rights and Remedies.............................................................58
31.5 Compliance with Law.............................................................58
31.6 Federal Employment Practice.....................................................58
31.7 Non-Discrimination Against the Handicapped......................................58
31.8 Investigations..................................................................58
31.9 Assignment......................................................................61
31.10 Subcontracting..................................................................61
31.11 Publicity and Publication.......................................................62
31.12 Participation in an International Boycott.......................................63
31.13 Northern Ireland Certification..................................................63
31.14 Inventions, Patents and Copyrights..............................................65
31.15 Infringements...................................................................65
31.16 Antitrust.......................................................................65
31.17 Confidentiality.................................................................65
31.18 Insurance.......................................................................66
31.19 Liquidation of Liabilities......................................................69
32. MISCELLANEOUS............................................................................69
32.1 Proprietary Rights to Software Development......................................69
32.2 Data............................................................................69
32.3 Grants and Gifts................................................................70
32.4 Choice of Law, Consent to Jurisdiction and Venue................................70
32.5 General Release.................................................................71
32.6 Claims and Actions Thereon......................................................71
32.7 No Claim Against Officers, Accounts or Employees................................71
32.8 Waiver..........................................................................71
32.9 Notices.........................................................................72
32.10 All Legal Provisions Deemed Included............................................72
32.11 Severability....................................................................72
32.12 Political Activity..............................................................72
32.13 Modification....................................................................73
32.14 Paragraph Headings..............................................................73
32.15 Merger..........................................................................73
32.16 No Removal of Records From Premises.............................................73
32.17 Inspection of Site..............................................................73
32.18 Clean Air Act...................................................................74
32.19 Survival........................................................................74
32.20 Exclusion of Third Party Rights.................................................74
32.21 Recoupment of Disallowances, Questioned Costs and Over-Payments.................74
32.22 Limitation of Liability.........................................................74
{/TABLE}
iv
{PAGE}
ATTACHMENTS
A. Providers and Salaries
B. Compensation Provisions
C. Performance Indicators
D. Response/BAFO
E. Specific Staffing at Facilities
F. CHS Performance Improvement Plan
G. Required Reports
H. Indemnification Provisions of the Operating Agreement between the New
York City Health and Hospitals Corporation and the City of New York
and Corporation Counsel's Office Letters dated November 13, 2000 and
December 15,2000.
I. Process for Transition
J. Addresses for Notices
K. List of Current CHS Grants
{PAGE}
CORRECTIONAL HEALTH SERVICES AGREEMENT
AGREEMENT dated as of January 1,2001 between THE NEW YORK CITY HEALTH
AND HOSPITALS CORPORATION, a public benefit corporation created under the laws
of the State of New York (hereinafter referred to as the "Corporation"), having
its principal place of business at 125 Worth Street, New York, New York 10013,
and PRISON HEALTH SERVICES, INC. (hereinafter "Contractor") having its
principal place of business at 105 Westpark Drive, Suite 300, Brentwood,
Tennessee 37027, for the provision of health services to inmates who reside in
the New York City jails.
WITNESSETH:
WHEREAS, the Commissioner of Correction of the City of New York is by
law the head of the Department of Correction, and is charged with all lawful
authority for the care and custody of felons, misdemeanants and violators of
law, persons held for any cause in criminal proceedings, and infants of female
inmates who are held in correctional institutions under his or her charge; and
WHEREAS, many inmates, both male and female, are held in custody in
the correctional institutions identified herein maintained and operated by the
Department of Correction; and
WHEREAS, the Department of Health of the City of New York is mandated
by New York City Charter ss.556K with the provision or promotion of health
services to inmates; and
WHEREAS, meeting the health needs of inmates not only involves the
broad spectrum of medical practice, but also involves the special public health
problems related to a confined population including, but not limited to, the
greater potential for growth and spread of contagious disease among inmates and
their contacts; and
WHEREAS, a contract was entered into between the New York City
Department of Health, the New York City Department of Mental Health, Mental
Retardation and Alcoholism Services, the New York City Department of
Correction, the City of New York and the Corporation for it to administer and
operate Correctional Health Services; and
WHEREAS, the Contractor is highly qualified to perform its obligations
hereunder, so as to ensure the provision of health services to inmates, and to
their infants housed at Rikers Island, and it is ready and willing to perform
these services; and
{PAGE}
WHEREAS, the Contractor was awarded this contract pursuant to a
Request for Proposals, and
NOW THEREFORE, in consideration of the mutual covenants hereinafter
set forth, the parties hereto do hereby agree as follows:
1. DEFINITIONS
1.1 ASSIGNMENT SCHEDULE Time keeping records, including the
"on-call" schedules, reflecting the daily Contract Services activities of all
Physician Providers and Non-Physician Providers prepared and submitted by the
Contractor in accordance with the terms and conditions of Section 3.7 of this
Agreement.
1.2 BOROUGH HOUSES The Queens Detention Complex (also referred to
as the "Queens House of Detention"), the Bronx Detention Complex (also referred
to as the "Bronx House of Detention"), the Brooklyn Detention Complex (also
referred to as the "Brooklyn House of Detention") and the Brooklyn Correctional
Facility.
1.3 CHIEF EXECUTIVE Employee of the Corporation appointed by the
President of the Corporation who is the Executive Director of CHS and
responsible for its administration and operation.
1.4 CITY The City of New York.
1.5 COLER-GOLDWATER MEMORIAL HOSPITAL Hospital located on
Roosevelt Island which provides long-term care, and which is operated by the
Corporation.
1.6 COMMISSIONER The Commissioner of Health of the Department of
Health of the City of New York.
1.7 CONTRACT SERVICES Patient care services, supervisory
services, administrative services, technical and other services described in
Section 3 of this Agreement.
1.8 CONTRACT SERVICES PROVIDERS All Contractor personnel
providing Contract Services.
1.9 CORRECTIONAL HEALTH SERVICES ("CHS") The New York City Health
and Hospitals Corporation's Office of Correctional Health Services administered
and managed by the Corporation pursuant to a contract with DOH, DOC, DMHMRAS
and the City.
1.10 CORPORATION BY-LAWS By-laws of the Corporation as duly
adopted by its Governing Body, as the same may be amended and supplemented from
time to time in accordance with applicable law.
2
{PAGE}
1.11 DISPUTE RESOLUTION PROCEDURE Process set forth in Section 16
of this Agreement pursuant to which disputes between the Corporation and the
Contractor with respect to matters arising under this Agreement, except as
otherwise provided, are to be resolved.
1.12 DMHMRAS The New York City Department of Mental Health, Mental
Retardation and Alcoholism Services.
1.13 DOC The New York City Department of Correction.
1.14 DOH The New York City Department of Health.
1.15 EMS The Emergency Medical Services Bureau of the New York
City Fire Department.
1.16 EMERGENCY SERVICES Those medically necessary services,
including psychiatric stabilization and medical detoxification from drugs or
alcohol, provided in connection with an "emergency," which is defined as the
sudden or unexpected onset of a condition requiring medical or surgical care
which the individual secures after the onset of such conditions (or as soon
thereafter as care can be made available) and in the absence of which the
individual could reasonably be expected to suffer serious physical, mental or
emotional impairment or death, or pose a danger to others.
1.17 EXPEDITED DISPUTE RESOLUTION The process set forth in Section
18 of this Agreement pursuant to which certain disputes are to be resolved.
1.18 FACILITY Each of the jail-based health care sites within each
Institution.
1.19 FEE STATEMENT A statement prepared by the Contractor and
delivered to the Corporation on a quarterly basis describing the Contract
Services rendered by the Contractor during a preceding quarterly period and
setting forth the amount of Compensation Due for such Contract Services,
calculated in accordance with the provisions of this Agreement.
1.20 FISCAL YEAR Twelve (12) month period commencing July 1 and
ending June 30.
1.21 HEALTH PROFESSIONALS Doctors of medicine, doctors of
osteopathy, dentists, nurses, podiatrists, optometrists, physician assistants,
clinical psychologists, social workers, pharmacists, nurse practitioners and
other professionals engaged in the delivery of health care services who are
licensed, certified, or who practice under other authority consistent with the
laws of the State of New York.
1.22 HIGH-IMPACT INCARCERATION PROGRAM ("HIIP") DOC's residential
treatment program for male technical parole violators and City-sentenced adult
male
3
{PAGE}
Inmates convicted of non-violent crimes, which offers a highly disciplined
regimen based on a military model, with an emphasis on behavior modification
and community responsibility.
1.23 HIPAA Health Insurance Portability and Accountability Act of
1996.
1.24 HOSPITAL An acute care facility that is licensed in
accordance with Article 28 of the New York Public Health Law.
1.25 INFANT A child housed on Rikers Island whose mother is an
Inmate.
1.26 INFIRMARY A facility accommodating Inmates for a period of 24
hours or more, expressly equipped for subacute inpatient bed care for a
physical illness or diagnosis that requires limited observation and/or
management, but does not require admission to a Hospital. Infirmaries must have
a physician on site 24 hours a day seven days a week.
1.27 INMATE Person held in the custody of DOC who receives care
and services under the terms and conditions of this Agreement.
1.28 INSTITUTIONS (1) Each of the New York City correctional
commands situated at Rikers Island, (2) the Vernon C. Bain Center and (3) The
Manhattan Detention Complex.
1.29 MASTER PATIENT INDEX The manual or computerized system of
records which identifies all patients who have ever been admitted or treated at
an Institution, and which serves as the key to locating patient records.
1.30 MEDICAL DIRECTOR The physician employed by the Corporation to
supervise the provision and quality of clinical services throughout the
Correctional Health Services system.
1.31 MEDICAL RECORD Document (paper and/or electronic) compiled by
physicians and other Health Care Professionals which includes, without
limitation, an individual's medical history, present illnesses, findings on
examination, details of treatment and notes on progress, and any other
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