HomeMy WebLinkAboutRES 16-063RESOLUTION NO. 16-063
BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF BEAUMONT:
THAT the City Manager be and he is hereby authorized to execute all documents
necessary to enter into an Affiliation Agreement between the City of Beaumont EMS
Division and Lee College for clinical experience and educational purposes under the
supervision of the EMS Division. The Affiliation Agreement is substantially in the form
attached hereto as Exhibit "A" and made a part hereof for all purposes.
PASSED BY THE CITY COUNCIL of the City of Beaumont this the 12th day of
April, 2016.
- Mayor Becky Ames -
VFE:
WORKFORCE
cum iOilX'OMFW�ANO C0�6]l1NlYLFV'dbDLtFNT
STUDENT FIELD EXPERIENCE
FIELD SITE AFFILIATION AGREEMENT
THIS AGREEMENT (the "Agreement") is made by and between THE LEE COLLEGE
DISTRICT, located at 200 Lee Drive, Baytown, TX, 77520, ("Lee") and BEAUMONT EMS
located at 3040 College St., Beaumont, TX 77702' ("Field Site" or
"Facility").
RECITALS
WHEREAS, Lee offers among other things, an educational program for the training of
Emergency Medical Technology (EMT) and seeks to partner with Field Site for educational field
experiences for the students enrolled in the program (the "Students");
WHEREAS, the proper training of the Students requires field experiences with practical
lab/clinical problems ("Field Experience Program");
WHEREAS, the Field Site is willing to make available its educational and professional
resources to such Students; and
WHEREAS, Lee and- the Field Site mutually desire to contribute to the education and
professional growth of the Students.
NOW, THEREFORE, in consideration of the mutual promises and covenants hereinafter set
forth, it is understood and agreed upon by the parties hereto, as follows:
TERM AND TERMINATION
This Agreement shall commence on April 1, 2016 and shall continue for a period of one
(1) year (the "Initial Term"). Upon expiration of the Initial Term of this Agreement, this Agreement
and the Term shall renew for successive one (1) -year periods (each a "Renewal Term").
Notwithstanding the foregoing, either party may terminate this Agreement for any reason or no
reason, upon thirty (30) calendar days' prior written notice to the other party. In the event of
termination before any participating Student(s) has completed the then -current term, such Student(s)
shall be permitted to complete the then -current term subject to the applicable terms of this Agreement,
which shall survive until the date of such completion.
II. LEE RESPONSIBILITIES
A. Clinical Program. Lee's responsibilities shall include, but not be limited to, the
followinv:
EXHIBIT "A"
WOR . 6�CE
CWWMEAWW" enoaieraanoiv..mr ti
commencement, and upon the renewal, ofthis Agreement. Lee shall notify Facility at least thirty (30)
days in advance of any proposed cancellation or change in such coverage. By entering into this
Agreement, and complying with the terms and requirements hereof, it is recognized that Lee is not
waiving the governmental immunity that Lee, its agents or employees have under law or any other
rights, privileges and immunities belonging to or ascertainable by Lee under either state or federal
law.
C. Health of Program Participants. Lee shall inform all Program Participants of the
necessity to maintain documentation of their health records, including updated immunization records
as required by the Texas Administrative Code Rule 97.64 and 97.65 and Field Site. This may include,
but are not limited to the following:
1. Tuberculin skin test within the past 6 months or a chest X-ray taken within the
past 24 months (if no suspicion of having active TB in that time period) and
2. Two doses of Measles, Mumps and Rubella (MMR) or proof of immunity by
positive antibody titers; and
3. Two doses of Varicella (chicken pox) or positive history of chicken pox or
proof of positive antibody titer; and
4. Three doses of Hepatitis B immunizations, or completion of a certification of
declination of vaccine or proof of positive antibody by quantitative titer: and
5. Tetanus, Diptheria and Pertussis immunization within the last ten years, as per
the Texas Administrative Code if patient contact is anticipated.
6. Flu vaccine as recommended by CDC.
D. Background Checks. Lee shall, in a timely manner at the Program Participant's expense,
conduct (or have conducted) a background check on each and every student assigned to the Program
and every member of the staff/faculty responsible for supervision and/or instruction. It Lee has
students or staff/faculty on-site at Facility prior to the execution of this Agreement, then Lee shall
immediately require a retrospective background check on such persons. The background check shall
include, at a minimum, the following:
1. Social Security number verification
2. Residency history
3. Statewide Criminal Search (minimum of 7 years)
4. National Patriot Act
5. Nationwide Sexual Offender Index
6. Nationwide Healthcare Fraud & Abuse Scan
Upon receipt of a written consent and release to disclosure executed by the Student, the Facility may
review the written results of the student's criminal background check. If Facility reasonably
determines, pursuant to its own eligibility standards, all applicable laws and not inconsistent with
College policies, that a Student shall not participate at its facility, Facility shall so notify that
individual and the College. Facility shall inform Students excluded from placement on the basis of a
background check of any review or appeal process available pursuant to the Fair Credit Reporting
1NOR ORCE
C. The Field Site shall provide observation and clinical experiences for the Students that
are planned, organized and administered by qualified staff in accordance with mutually agreed upon
educational objectives and guidelines.
D. Field Site shall provide Students with an orientation familiarizing Students with
operations, policies, procedures, of the site as well as all applicable State and Federal laws and
regulations that pertain to practice at the Field Site, including those pertaining to Standards for
Privacy of Individually Identifiable Health Information (the "Privacy Rule") issued under the
federal Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), which govern the
use and/or disclosure of individually identifiable health information.
E. Field Site shall assure that the Students practices within the guidelines of any
applicable professional ethics codes. Field Site shall provide resources to Students for exploring
and resolving any ethical conflicts that may arise during field training.
F. If a Preceptor is assigned, they shall complete, with the Instructor and Students, all
written evaluations of the Students' performance according to the timeline established by Lee.
However, Lee shall at all times remain solely responsible for the evaluation and grading of
Program Participants.
G. The Field Site reserves the right, consistent with applicable laws and policies, to
dismiss at any time any Students whose health condition, conduct or performance is a detriment to
the Students' ability to successfully complete the Field Experience Program at the Field Site or
jeopardizes the health, safety or well-being of any patients, clients or employees ofthe Field Site. The
Field Site Program Coordinator or assigned Preceptor shall promptly notify the Field Education
Coordinator of any problem or difficulty arising with Students and a discussion shall be held either
by telephone or in person to determine the appropriate course of action. The Field Site will, however,
have final responsibility and authority to dismiss any Students from the Field Experience Program,
provided that Lee College retains sole discretion in determining dismissal of students from the
College's own program(s).
H. Facility shall provide basic medical care and treatment to Program Participants and/or
Lee faculty members in the event of injury or illness while at the Facility until other arrangements, as
may be appropriate and subject to appropriate and legally required consent, for such person's medical
care can be made. Any Facility or medical expenses incurred for the provision of medical services
shall be the responsibility of the injured or ill Program Participant or Lee faculty member, provided
that informed consent has been provided by the subject individual. Lee College assumes no liability
for any such individual's cost of medical care.
I. The Field Site shall ensure adequate workspace for Students and shall permit the
use of diagnostic and therapeutic equipment, instructional resources, procedure manuals, and client
records as required by the Field Experience Program.
ftu6
1
WOR ,�QRCE
(1) The Field Site is a covered entity for purposes of HIPAA and any regulations
and official guidance promulgated thereunder, as amended by the Health Information Technology for
Economic and Clinical Health Act ("HITECH") (together referred to as the "HIPAA Privacy
Regulations");
(2) to the extent that Students are participating in the Field Experience Program:
(a) Students shall be considered part of the Field Site's workforce for
HIPAA compliance purposes in accordance with 45 CFR § 160.103, but shall not be construed to be
employees of the Field Site;
(b) . Students shall receive training by the Field Site on, and subject to
compliance with, all of Field Site's privacy policies adopted pursuant to HIPAA; and
(c) Students shall not disclose any Protected Health Information, as that
term is defined by 45 CFR § 164.105, to which Students have access through Program participation
that has not first been de -identified as provided in 45 CFR §I64.514(a);
(3) Lee will never access or request to access any Protected Health Information
held or collected by or on behalf of the Field Site that has not first been de -identified as provided in
45 CFR § 164.514(a); and
(4) No services are being provided to the Field Site by Lee pursuant to this
Agreement and, therefore, this Agreement does not create a "business associate" relationship as that
term is defined in 45 CFR §160.103.
C. The Field Site and Lee will promote a coordinated effort by evaluating the Program
annually, planning for its continuous improvement, making such changes as are deemed advisable
and discussing problems as they arise concerning this affiliation.
D. The parties agree that Students participating in the Field Experience Program are at
all times acting as independent contractors and that Students are not and will not be considered
employees of the Field Site or any of its subsidiaries or affiliates by virtue of a Students' participation
in the Field Experience Program and shall not as a result of Students' participation in the Field
Experience Program, be entitled to compensation, remuneration or benefits of any kind. .
E. The Field Site and Lee agree that Students will have equal access to their respective
programs and facilities and that the parties shall not discriminate against Students or other persons
based on race, color, sex, age, religion or creed, marital status, disability, national or ethnic origin,
socioeconomic status, veteran status, sexual orientation or other legally protected status.
F. The terms and conditions of this Agreement may be amended only by written
instrument executed by both parties.
Qt.
WOR ORCE
IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement, effective the date
first above written:
THE LEE COLLEGE DISTRICT: 4ONTEMS.
-F7- ' ' �1-
Signature Signature
�- ";�
a
�e L4e: � e -
Name Name
Title Title
Date Date