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HomeMy WebLinkAboutItem 14- Cascade Health Contract Renewal AGENDA ITEM SUMMARY Meeting Date: 7/1/2024 Meeting Type: Regular Meeting Staff Contact/Dept.: Jamie Iboa/HR Staff Phone No: 541-726-3724 Estimated Time: Consent Calendar S P R I N G F I E L D C I T Y C O U N C I L Council Goals: Provide Financially Responsible and Innovative Government Services ITEM TITLE: CASCADE HEALTH CONTRACT RENEWAL ACTION REQUESTED: Authorize the City Manager to extend the City’s contract with Cascade Health for the Wellness Center, Occupational Health Services, Behavioral Health Services, First Aid/CPR/AED training, and Blood Draw Services. ISSUE STATEMENT: Per the City’s purchasing guidelines, City Council approval is required for contracts in excess of $100,000. ATTACHMENTS: 1: Cascade Health Contract #3397 DISCUSSION/ FINANCIAL IMPACT: The City of Springfield has contracted with Cascade Health for many years to provide services multiple services, including the administration of the onsite Wellness Center, Occupational medicine services, the Employee Assistance Program (EAP), and First aid/CPR/AED training. Contract #3397 expires on June 30, 2024, but it allowed for three (3) additional one year terms. The annual contract cost is increasing from $471,330 to $753,250 due to: 1. Up to $20,000 for Police Department DUI blood draws/urinalysis to be paid by the Police Department. The Police Department previously held their own contract with Cascade but the desire is to consolidate all City services with Cascade. 2. Up to $227,800 to add physical therapy to the City’s onsite Wellness Clinic in partnership with the Springfield School District, which entails: $124,800 for hiring a physical therapist, $29,120 ($35.00 per hour) for a front office assistant, and a one-time fee of $5,000 for equipping the clinic. Additional cost increases include a 5% increase in contract fees for FY25 and an Employee Assistance program (EAP) increase of $1.00 per employee which was previously approved by the City Council when the contract was approved for FY24. Funding for the blood draws/urinalysis fees is coming from the Police Department and dollars associated with the physical therapy services will be funded through the City’s Medical Reserve Fund {00033860:1}   FIRST AMENDMENT TO CITY OF SPRINGFIELD CONTRACT FOR SERVICES BETWEEN THE CITY OF SPRINGFIELD AND WILLAMETTE COMMUNITY HEALTH dba CASCADE HEALTH Contract #3397 July 1, 2024 Parties: The City of Springfield “City” 225 Fifth Street Springfield, OR 97477 And Willamette Community Health dba Cascade Hea “Contractor”  The Parties hereby agree that the Contract for Services effective July 1, 2023, between the City of Springfield (City) and Willamette Community Health dba Cascade Health (Independent Contractor) is hereby amended for the first time as follows: A. The term as provided in section 4.1 is renewed for one year, through June 30, 2025. B. Section 1, Services to be Delivered, is amended to provide: 1. Services to be Delivered. Contractor shall perform the Services and deliver to the City the Deliverables specified in Attachments 1-5. The Statements of Work (Attachments 1- 4) includes the delivery schedule for the Deliverables and Services. Contractor will perform the Services in accordance with the terms and conditions of this Contract. 1.1. SOW1 – Wellness Center 1.2. SOW2 – Occupational Medicine 1.3. SOW3 – Employee Assistance Program (EAP) 1.4. SOW4 – First Aid Training 1.5. SOW 5 – Blood Draws C. Section 2, Payment by the City, is amended to provide: 2. Payment by City. The maximum, not-to-exceed compensation payable to Contractor under this Contract, which includes any allowable expenses, is $471,330 for the initial term, and $753,250 for the first renewal term from July 1, 2024 through June 30, 2025. City will not pay Contractor any amount in excess of the not-to-exceed compensation of this Contract and will not pay for Services performed before the Effective Date or after the expiration or termination of this Contract. If the maximum compensation is increased by amendment of this Contract, the amendment must be fully effective before Contractor performs Services subject to the amendment. City will pay Contractor for only for completed Deliverables and Services performed according to the schedule and rates in Attachments 1-5. Attachment 1 Page 1 of 10 {00033860:1}   D. Attachment 1 – Wellness Center Statement of Work, is amended and restated as attached hereto. E. Attachment 5 – Blood Draws Statement of Work, is added to the Contract for Services as attached hereto. Except as amended herein, all other terms and conditions of the Contract for Services between Parties dated July 1, 2023, will remain in full force and effect. CITY OF SPRINGFIELD CONTRACTOR Name:________________________ Name:________________________ Title: _________________________ Title: _________________________ Date: _________________________ Date: ________________________ Attachment 1 Page 2 of 10 ATTACHMENT 1 WELLNESS CENTER STATEMENT OF WORK 1. DESIRED OUTCOMES OR PURPOSE a. City wishes to furnish to its employees certain preventative, disease management, health consultation, physical therapy, and/or primary care services. b. The City desires to retain Cascade Health to furnish such preventative, wellness disease management, health consultation, physical therapy, and/or primary care services; 2. POINT OF CONTACT a. Independent Contractor: Travis Brooke; 541-228-3145; tbrooke@cascadehealth.org b. City: Jamie Iboa; 541-726-3724; jiboa@springfield-or.gov 3. DEFINITIONS a. "Care Provider" means a staff member or independent contractor of Cascade Health who provides care or consultation services directly to patients. b. "Collaborating Physician" means an appropriately licensed physician who has a collaborative relationship with a nurse practitioner or physician's assistant as required under the laws of the state in which such nurse practitioner or physician's assistant is providing services. c. "Covered Services" means the services agreed upon between the City and Cascade Health that are provided through the City Wellness Center. d. "Wellness Center" means the City medical facility located at 225 5th Street, Suite 518, Springfield, Oregon 97477. e. "Participant" means an individual eligible to participate in the covered services as determined by the eligibility criteria of the City of Springfield's health plan or as otherwise determined by the City. 4. FEE SCHEDULE a. Annual Administration Service Fee - Not to exceed $ $446,530 i. One-twelfth (1/12) of this fee ($37,210) will be paid at beginning of each month of service. A narrative of this fee will be included in the discrete invoice for this service. ii. This fee covers all “Wellness Center Staffing” identified in section 5, all “Covered Services” identified in sections 6 and 7 below, and any office or other equipment required to provide care to patients or maintain patient records. iii. The not to exceed total includes the cost for an additional Wellness Center staff member but will not be charged unless it becomes necessary to place an additional staff member at the Wellness Center b. Lab and Medical Supplies – Not to exceed $ $60,000 i. This fee covers all medical, lab and other “claim” costs related to the direct treatment of patients. Inclusive of yet not limited to tongue depressors, swabs, vaccinations, cholesterol tests, rapid strep tests, gauze and other labs and medical supplies necessary to provide patient care. ii. Lab and medical supplies will be invoiced monthly at pass through cost with no mark-up. The invoice for lab and medical supplies will include a description of the items, quantity and cost. iii. Reimbursable Lab and Medical Supplies will be billed in a discrete monthly invoice. iv. The fee also covers the one-time purchase of equipment necessary to set up a physical therapy treatment office. c. Optional services – Not to exceed $20,000 i. All optional services must be pre-approved in writing by the City. A written and executed amendment to the contract will be required prior to the services being rendered. ii. Optional services will be billed in a discrete invoice the month following as they occur. iii. Optional services will be billed at cost with no mark-up with the exception of professional services which will be billed at the rates below. Attachment 1 Page 3 of 10 Professional 7/1/2023 – 6/30/2024 7/1/2024 – 7/1/2025 7/1/2025 – 7/1/2026 7/1/2026 – 7/1/2027 Nurse Practitioner (NP) $110.25/hour $115.76/hour $121.55/hour $127.63/hour Registered Nurse (RN) $79.30/hour $83.35/hour $87.52/hour $91.90/hour Licensed Practical Nurse (LPN) $57.33/hour $60.20/hour $63.21/hour $66.37/hour Medical Office Assistant $48.51/hour $50.94/hour $53.49/hour $56.16/hour Physical Therapist $150/hour $157.50/hour $165.38/hour Front Office Admin $35/hour $36.75/hour $38.59/hour 5. WELLNESS CENTER STAFFING AND HOURS OF OPERATION a. Location i. The services provided under this Agreement will be provided at 225 5th Street, Suite 518; Springfield, Oregon 97477. b. Hours of operation i. Cascade Health will provide regular patient care hours of not less than 32 hours per week at a schedule to be mutually agreed upon between the City and Cascade Health. ii. Notwithstanding the hours of operation described above, the wellness center shall be closed during all holidays during which the City of Springfield offices are closed. c. Staffing i. Wellness Center Staffing will include at least one (1.0 FTE) mid-level practitioner (nurse practitioner or physician’s assistant) working no less than 32 hours per week on site and at least one (1.4 FTE) medical assistant working no less than 32 hours per week on site. Each mid-level practitioner will have access to a collaborating physician who provides medical supervision, consultation, chart review, and quality assurance activities as needed. ii. All work under this contract (SOW) shall be performed in a skillful and competent manner. The City Manager or designee, may require, in writing, that the Independent Contractor remove from the work any employee the City deems incompetent, careless, or otherwise objectionable. The replacement employee must have demonstrated similar qualifications and experience as required to successfully perform such duties. iii. All direct patient health care staff must carry requisite Oregon State licensing and be in good standing with Oregon State Board of Nursing. iv. Wellness center staff will follow the requirements in Oregon Administrative Rules Nurse Practitioner Scope of Practice for Family Nurse Practitioner (OAR 851-050-0005). v. Wellness Center staffing will include at least one licensed physical therapist working 8 – 32 hours per week on site. d. Substitute Staffing i. In the event of an unexpected clinician absence, the wellness center shall remain open for services to be continued, to the extent possible, by the other regular wellness center staff member(s). Up to five (5) days of such absences that result in no primary care services being provided shall be allowed per year. Cascade Health will arrange for fill-in staffing for scheduled absences. ii. Cascade Health Solutions will provide backup staff to cover absences by the contracted staff and will notify the City at 541-726-3705 whenever back up staff is utilized. iii. In the event that the absences exceed five (5) days annually Cascade Health shall credit the current Provider contracted amount per hour in the following month’s invoice. Attachment 1 Page 4 of 10 6. COVERED SERVICES a. Cascade Health will provide the City with the section below entitled “Description of Covered Services”. Services that do not clearly fall within the description below shall be outside the scope of this Agreement, and City and Cascade Health shall instruct Participants to seek outside assistance for such matters with an alternate healthcare provider. Cascade Health may provide some of the Cascade Health’s Services by engaging the services of third-party contractors, particularly for professional medical services. b. The programs and services provided under this Agreement are not designed or intended to be provided under any City employee benefit plan or program. Accordingly, neither Cascade Health, nor any of the third-party contractors it may engage, is a fiduciary, trustee, or sponsor with respect to these programs or services. In the event the programs and services become part of a City employee benefit plan or program, Cascade Health, and each of the third-party contractors it may engage, shall be considered to be acting only as a consultant to City with respect to such matters and shall not be considered in a fiduciary, trustee or sponsor relationship in such plan. 7. DESCRIPTION OF COVERED SERVICES a. Primary care i. Episodic Care 1. Assessment and treatment of medical conditions that are episodic in nature and short in duration. Examples include, but are not limited to, upper respiratory infections, rashes, infections, and first treatment of minor injuries. ii. Management of Chronic Conditions 1. Management of chronic conditions as needed. Examples include, but are not limited to, hypertension, hypothyroidism, allergic rhinitis, hypercholesterolemia and diabetes. 2. For those individuals with an existing primary care provider and/or specialist with whom they work, and in particular for those individuals who have multiple complicated medical conditions requiring specialty care and/or significant oversight, the Cascade Health clinician will work in collaboration with said provider(s). iii. Management of acute or complicated conditions 1. For those patients with no designated primary care, or lacking access to established primary care, there may be times that complicated and/or time-sensitive problems arise requiring testing (including tests requiring prior authorization with insurance), and/or referrals to specialists. The clinician will work with the patient to obtain and interpret emergent tests and to authorize and arrange referrals to appropriate specialists and/or to Internal Medicine for ongoing management. iv. Routine annual exams and screenings 1. Annual men’s health exams – Includes a complete physical exam and age-appropriate routine labs and vaccines. 2. Annual women’s health exams - Includes a complete physical exam, age-appropriate routine labs and vaccines, pelvic exam and pap smear, HPV testing, pregnancy tests and testing for STIs when requested or indicated. v. Travel Medicine 1. Consultation with clinician to receive guidance on recommended immunizations, medications, and travel precautions and/or medicine. b. Pediatric Care i. Episodic care of minor acute illnesses such as ear infections, upper respiratory infections, rashes, diarrhea, nausea and vomiting. ii. Well-child care for children ages four (4) and older to include school physicals, sports physicals, health coaching, chronic condition coaching, and administration of certain immunizations. iii. At Cascade Health’s discretion, pediatric patients may be required to establish care with a pediatrician before receiving services at the wellness center. c. Supplemental Primary Care Services i. Lab draws 1. Certain Clinical Laboratory Improvement Amendments of 1988 (CLIA)-waived lab tests will be done on site, including Rapid Strep, Urinalysis, pregnancy test, and blood glucose level. Other labs such as wound culture, urine culture, throat culture may be obtained Attachment 1 Page 5 of 10 in-house and sent to the lab for diagnostic and monitoring purposes at the recommendation of the onsite clinician. 2. Other lab tests will be ordered by the onsite clinician but taken and analyzed at and by the lab. ii. Immunizations 1. Immunizations, including Hepatitis A, Hepatitis B, tetanus, flu, and pneumonia will be available at the wellness center by regularly scheduled staff by appointment. 2. Tb tests will be administered and read by clinicians in office. 3. Some travel immunizations will be available by appointment. 4. Flu-shots given outside of regular office hours will be provided through the wellness center in accordance with a schedule and manner agreed upon by the City. Should a flu- shot drive require additional staffing, it will be provided at the contracted rate for such work. d. Health Maintenance and Disease Prevention i. Health Risk Assessment - Administered online or in paper version screens for: 1. General health and well-being. 2. Health history including symptoms, conditions, and family history to the extent allowed by GINA. 3. Tobacco use, alcohol use and mental health. ii. Comprehensive Heath Review (CHR) - For high-risk individuals and individuals with chronic disease a CHR utilizing: 1. Online access to complete the Health History and Risk Assessment (HHRA). 2. One on one consultation with the onsite clinician to review assessment results, health history and risk appraisal, set goals and recommend strategies to achieve goals. iii. Lifestyle Risk Reduction - For high-risk individuals agreeing to follow-up with the Cascade Health Care provider as their personal health coach: 1. Work one on one with individuals to change behaviors putting them at risk for certain conditions, addressing lifestyle habits such as physical activity, smoking, diet, stress, weight control, cholesterol and blood pressure. 2. Individualized change management plans . 3. Proactive support. iv. Chronic Condition Coaching 1. For individuals with chronic diseases. (Diabetes, COPD, asthma, CHF, CAD, HTN, depression, low back pain) 2. Work 1:1 with individuals to empower and educate them to improve their health and quality of life through self-management practices and adherence to a treatment plan that aligns with national clinical guidelines for their disease. 3. Coaching, symptom monitoring, and disease education. e. Physical Therapy Services 1. For patients who are experiencing pain or other physical limitations, or want to build upon their current physical condition, PT may be the best way to improve their ability to enjoy activities. 2. Some symptoms and conditions that respond well to PT include: a. Back and neck pain b. Sprains and strains c. Sports injuries d. Recovery from fractures e. Surgery preparation and recovery f. Arthritis g. Headaches and migraines h. Carpel tunnel syndrome i. Shoulder, arm, elbow, wrist and hand dysfunction j. Generalized weakness f. Health Technology i. Personal Health Record and medical content. Attachment 1 Page 6 of 10 ii. Online scheduling system and secure messaging. iii. Electronic Medical Record. This shall be maintained in Electronic Health Record (EHR) format and compliance with all state and federal regulations. The system used must be certified by the Certification Commission for Health Information Technology (CCHIT). All patients will be registered in the software. g. Account Management and Advisory Services i. One Point of Contact: An assigned Account Manager provides one point of contact for triaging issues to ensure any issues are identified and addressed quickly. ii. Clinical Coverage Plan: Cascade Health will establish and provide a coverage plan for clinical staff absences due to illness, vacation or continuing medical education (CME) time off. iii. Bi-Monthly Reviews: Account Manager will hold monthly meetings with the City to deliver and discuss the reports described below to ensure that the City has data on wellness center activity and progress toward goals. iv. Annual Review: Account Manager will provide face-to-face annual reviews of the wellness center business, incorporating the City-specific key performance metrics from the previous year, as well as a strategic plan for the next year. This is typically known as a Supplier Business Review Process. v. Ongoing Health Promotions: Account Manager will work together with the City to manage ongoing communications for the promotion of wellness center services and operations. vi. Strategic Planning: Account Manager will work to understand and support City’s unique business objectives and goals for the wellness center. The Account Manager will work collaboratively with the City’s broker/consultant, as well as other health related vendors (EAP, etc.) as needed to ensure that employee health resources are fully leveraged. h. Management Reporting and Analysis Cascade Health and the City of Springfield will work collaboratively to develop reporting and analysis that illustrate the wellness center’s progress toward its strategic goals. Springfield will make every attempt to develop a collaborative relationship between Cascade Health, the City and PacificSource so that reporting goals can be reached. i. Monthly client activity and trends report including visit volume (visits for acute care, risk reduction and chronic condition management, group work and telephonic consults), high risk patients engaged, high risk patients making progress, encounters by CPT code, diagnoses by ICD-10 code, prescriptions written, and overall savings from operations. ii. Annual reports including: 1. Population stratification report identifying percent of the population screened, size and nature of high-risk population and size and nature of population with chronic conditions identified through data mining and/or screening. 2. Utilization by union group. 3. Review of wellness center operations including wellness center volumes, population penetration rate and patient satisfaction. 4. Cascade Health with work with the City’s broker/consultant to report on combined wellness center and Health plan utilization of health services combining both the wellness center and regular health plan statistics. The intent is to show the relationship between and effect of wellness center activities on the cost and utilization of health coverage. 5. Examination of outcomes including overall improvement in population health status, patient satisfaction, savings from wellness center operations and return on investment analysis, and plan for continuous quality improvement. i. Participant Communications and Promotions i. Multimedia communication campaigns, including site posters, events, digital communication, and mailings to the home, customized with location-specific information. ii. Quarterly communication campaign with material to promote services. Outreach is customized to the City’s needs, based on review of client’s population health risk stratification report. iii. New hire orientation presentations, as needed. iv. Health promotion activities including educational sessions, group programs, wellness center promotional activities, health fair support, health and fitness challenges, and other programs designed to increase engagement. Attachment 1 Page 7 of 10 j. Custodial Services i. Cascade Health shall provide all wellness center custodial services to medical industry standards. All cleaning equipment and consumable supplies are the responsibility of Cascade Health. Cascade Health may engage subcontractors to assist Cascade Health in the cleaning of the Center. Cascade Health will replace custodial staff or subcontractors if at the City’s sole discretion custodial services be deemed inadequate or substandard. Cascade Health is responsible to ensure that any legal and all state and federal reporting or documentation (including MSDS and OSHA) obligations are performed. ii. Cascade Health or third-party contractors may use city garbage dumpsters for normal business waste. However, Cascade Health is responsible for all disposal of hazardous medical waste per state and/or federal regulations and guidelines. 8. OPTIONAL SERVICES a. Optional medical services i. Mass Biometric Screenings and/or 100% general population screening through wellness center. b. Optional communication services i. Focus groups: Onsite meetings with employees to understand their thoughts about the wellness center, document perceptions, and utilize feedback in communication planning. ii. Video Production: Short videos to promote the services, success stories, or address concerns. iii. Customized Promotional Material: Production of material that requires additional customization. iv. Mailings to homes: Additional postage cost for mailing of materials to participants’ homes, rather than distributing in the workplace. c. Custom Reporting i. Additional custom reporting beyond 20 hours per year will be billed as Additional Services at the rate of $75/hour. 9. NOT INCLUDED IN THE QUOTED FEES a. Non-CLIA waived tests, CLIA waived tests not included above, external lab processing for physicals, annual exams and screenings. b. Travel costs for wellness center staff and health screeners to visit participants at offsite locations. (Locations other than those regularly operated wellness center included at the top of this Scope of services). c. Additional Data Services, such as custom interfaces for uploads of prior provider data. 10. DATA PROVDED BY THE CITY a. City Participant Eligibility Data i. Cascade Health shall provide onsite health services for employees, spouses, dependents and retirees eligible for city medical benefits. ii. City will provide to on a decided-upon frequency, a Participant eligibility file, which is necessary to enable Cascade Health to provide the Services. The Participant eligibility file will contain the entire population of Participants and will adhere to Cascade Health’s file specifications. City shall promptly inform Cascade Health of additions or deletions to this list. b. Medical Plan Claims Data i. To assist in the identification and treatment of Participants with chronic conditions such as diabetes, asthma, heart disease, pulmonary disease and hypertension, City agrees to make reasonable effort to provide Cascade Health, through its carrier, broker, third party administrator, or third-party vendor for claims data mining, with access to medical claims data for the Participants enrolled in City’s health plan(s), minimally at twelve month intervals through the term of the contract. Cascade Health will provide City with the file format defining the specifications for the data. 11. USE OF THE PREMISES a. Permitted Use Attachment 1 Page 8 of 10 i. Cascade Health shall use and occupy the Premises continually during the term of this agreement. The Premises shall be used for the tasks and activities necessary to the operation of the Springfield Wellness Center and for no other purpose without consent of the City. b. Repairs and Maintenance i. City shall be responsible for all repair and maintenance of the roof, exterior walls (including painting), bearing walls, structural members, floor slabs, and foundation, interior walls, ceilings, doors, windows, and related hardware, light fixtures, plumbing fixtures, switches, and wiring and plumbing. c. City's Interference with Cascade Health i. In performing any repairs, replacements, alterations, or other work performed on or around the Premises, the City shall not cause unreasonable interference with use of the Premises by Cascade Health. Cascade Health shall have no right to any claim against the City for any inconvenience or disturbance resulting from the City's activities performed in conformance with the requirement of this provision. d. Inspection of Premises i. The City shall have the right to inspect the Premises at any reasonable time or times to determine the necessity of repair. Whether or not such inspection is made, the duty of landlord to make repairs shall not mature until a reasonable time after the City has received from Cascade Health written notice of the repairs that are required. e. Security of Premises i. Cascade Health shall maintain control of the physical wellness center space. Cascade Health will limit access of wellness center visitors and patients to the wellness center during hours when City Hall is closed to the public. Cascade Health will report any known breaches of security to the human resources staff during open city hall hours and the police non-emergency line during closed hours as soon as possible. Cascade Health will take reasonable precautions to prevent access of the City Hall Lobby by unauthorized persons. f. Surrender at Expiration i. Condition of Premises - Upon expiration of this agreement or earlier termination on account of default, Cascade Health shall deliver all keys to the City and surrender the Premises in the same condition as received, less ordinary wear and tear. Alterations constructed by Cascade Health with permission from the City shall not be removed or restored to the original condition unless the terms of permission for the alteration so require. g. Non- Patient Care Furniture and Office Accessories i. City will provide furniture and accessories for the waiting room, conference room, break room, office and miscellaneous chairs used in non-patient care. Attachment 1 Page 9 of 10 ATTACHMENT 5 BLOOD DRAW SERVICES STATEMENT OF WORK 1. DESIRED OUTCOMES OR PURPOSE Retain Cascade Health Solutions to perform blood draw services to individuals replated to performance of police services. Individuals will participate with blood draw services voluntarily, by order of a judge, or due to exigent circumstances determined by sworn law enforcement personnel. 2. POINT OF CONTACT a. Independent Contractor: Gabrielle Haxby; 541-228-3104; ghaxby@cascadehealth.org b. City: Jessica Crawford; 541-744-4176; jcrawford@springfield-or.gov 3. DESIRED OUTCOMES/OBJECTIVES Blood draw services related to a crime or blood exposure upon request, 24 hours a day, 7 days a week. 4. CITY OF SPRINGFIELD RESPONSIBILITIES a. Initiate request for blood draw services and provide necessary information (location, case numbers, patient, etc.) b. Accompany Cascade Health personnel while performing blood draws. c. Take physical custody of blood draw and related paperwork after the blood draw is complete. d. Pay invoices within 30 days of receipt. 5. CONTRACTOR RESPONSIBILITIES a. Respond to blood draw request within 45 minutes of the request for service to the Springfield Justice Center, Springfield, Police Department, or other location within the Eugene-Springfield city limits. b. Perform blood draw services in accordance with industry best practices. c. Perform urine collection services (in limited situations) in accordance with industry best practices. d. Provide current blood kits for blood draw services. e. Deliver labeled blood specimens and a Forensic Blood Collection Report to the reporting officer prior to departure. f. Ensure personnel possess necessary licensure and training to perform services in accordance with industry best practices. g. Adhere to Springfield Police and/or Springfield Municipal Jail personnel directions relating to personal and facility security while within the secure area of the Springfield Justice Center or Springfield Municipal Jail. h. Communicate any gaps in 24 hours/day service to City’s on-duty Patrol Sergeant acting as Watch Commander. Gaps in service should be communicated by Cascade Health 24 hours in advance or at earliest opportunity. i. Appear and attend all investigations and related proceedings where staff testimony or assistance is determined to be required or requested by the City. 6. FEE SCHEDULE Not to exceed $20,000 annually, as follows: a. Forensic blood draws and urine collection - $200. b. If on-scene time is more than one hour (waiting for a warrant, subject cooperation/de-escalation, etc.), an additional $75 per hour. Attachment 1 Page 10 of 10