HomeMy WebLinkAbout1991-02-11 91-89 ORDER91-89
M fined to Councilor Baldacci, Pebmary 11. 1991
r9 _; CITY OF BANGOR
(TITLE.)V009r,-..4enorialn5_R4e.City_.Menoasc on ffiesedff. a. D ont. Agrnmmt _...
th the Koine. Depa... .. oP. tumao Sereicee,,,-. Seually 1 Mnmitted Diaesne Clinic
By t" Cav Cooma of W City of Bonoor:
ORDERED,
TEAT the City Kmager, on behalf of the City of Bangor, is hereby
nuthercumi and directed to execute a Grant Agreement with the Maine
Department of flame, Services, a copy of which is on Pile 1n the of ace
of the City Clark, and to take all other necessary action, including
execution of documents and contracts, Por the purposes of providing
eervlees to petlene seen at the Bangor STD Clinic.
,oun
agi
Date F t c Hcllr 1991 Item No. 91-89
Item/Subject: SaxnaUy lfanamitted Disease Clinic Grant Rassmrll
Responsible Department Health and Welfare
Commentary:
This ie the avwal reneaa}_of the grant inteMed to feed the Sexaa]ly
Trenmitted Disease Clinin. The Indent of this year's grant is $629472•
The balance of the &lime's operattvg budget wnea Ilvn dlivid fees and
donations from Ld emsddipalitias. For your ivtormatiovs a mpy of
the grant speeificatlova la attached.
uuaem l�
Manager's Comments
a UiR�.
Associoted lnrorn,atinn:o„d,,'AU,- .. uiSa..K2I-
Budget Approval: Mid—
Legal
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Approval: _
Cay Soli<imr
Introduced For e01s`FsV
® Passag
❑ First Reading Par1 ofZ
❑ Referral
MM
--RIDER A --
(Hanger SDD/HIV Clinical g Epidemiologic Services]
The grantee shall provide STD clinical and epidemiologic services to all
persons presenting to The Hedger STD Clinic, located at 103 Texas Avenue,
Banger, Maine. These services will consist of:
1. Provision of an administrative and clinical base for the two Disease
Intervention Specialists (DIS) representing the Maine STD Control
Program in the northern section, including Counties Penobscot,
Aroostook, piscataquis, Hancock, Somerset, Waldo and Washinton. The
epidemiologic services provided by the DIS will be bath self -initiated
and assigned by the STD/HIV program Office in Augusta and will be in
accordance with the DIS JOB DESCRIPTION (ATTACWMIN/ W1).
2. Physical examination, laboratory testing, diagnosis, treatment,
prophylactic treatment for, and epidemilogic services for persons
presenting to The Clinic as volunteers with, or contacts to, known cases
of infectious sexually transmitted disease ($PD), regardless of ability
to pay. These services will be in compliance with COC documents a)
alit Assurance Guidelines for SID Clinics- 1966 (previously attached]
a 1 1 reatwar eLmesprevrouTttached], as directed
(waxen and selected males) will be provided. In addition, all persons
receiving services shall be advised of their personal risk of MV
infection and will be encouraged to accept confidential HN counseling
and testing services as part of their STD visit. All services shall be
provided to the client at the service fee of $20, or a capped fee which
is acceptable to STD Control.
3. Anonymous and Confidential HN Counseling and testing services for
persons volunteering these services; services provided will be in
accordance with current guidelines as found in the Bureau of Health
Decumbent HIV Counseling g Testing Cuidelines For Division Of Disease
Control 1vipiayees or Contractees.
4. Clinic and epidemiologic activity will be documented by weekly
submission of both morb'dit re ports on diagnosed and treated STD
patients and other into
rninvestt etive a erwork (ds
requested by the St ntro rogram or ce on and the
21.2]eppoort showing epidemiologic activity. In 1990, quarterly
ss mru�f link quarterly activity reporx showing the number of
patient visits, and flSG coTectrons will be required. The
HN Counseling and Testing Activity Report will be submitted to the
0�€rce on AI05 In quarterly !as roTi . ljuarterly narratives will also be
submitted upon request. Epidemiologic area of Coverage include counties
Penobscot, Arcostook,Pascataquis, Somerset, Waldo, Hancock and
Washington.
In consideration of the sum of $6_1_472, Danger City Health E ''Welfare shall
provide the above services. This amount, in addition to patient fees and
ocher clinic fees, shall provide the resources from which the SID Clinic
will operate for the year. Clinic supply expenses shall be the primary
91-89
--Rider A (cont) --
[Danger STD/HIV Clinical 0 Epidemiologic Services]
responsibility of Bangor City Health 0 Welfare and shall be drawn from
Patient fees. Assistance to the clinical operation, shall be provided from
the Wine SID Control Program, as follows:
Medications to treat gonorrhea, syphilis and chlamydia patients/contacts
shall be Provided to the clinic by the Wine STD Control Program.
Chlamydia test kits for all examined women and all eligible male
patients seen in clinic [to be included as part of the routine clinic
service at no extra charge to the patient].
HIV Antibody Test kits for all SID clients confidentially served at SM
visit [to be included as part of the routine clinic service at no extra'
charge to the patient].
The following structural chain -of -command establishes a collaborative
relationship between the Bangor Health 0 Welfare and the Wine M Control
Program. As funding source, the Whine M Control Progran will be
responsible for 1) stating program overview 2) setting forth program goals
and objectives and supportive activities, and 3) collection of data designed
to measure those declared activities. Bangor Health 0 Welfare will bear
responsibility for the management and operation of the clinic including
day-to-day management through supervisory authority over the disease
intervention specialists and part time staff, on matters relating to
extension of all services emanating from the clinic. Medical aspects of
services extended, the effective parameters of which are described in
stipulation R1 above, are further to be overseen by the physician serving as
the Medical Advisor in accordance with the chart review mandates of the
Wine Board of Medicine, [att. 03]. Achievement and documentation of
epidemiologic indices relating to M Program goals and objectives will he
the responsibility of DIS assigned to the clinic. Oversight and
documentation of clinic income from patient fees and other services shall be
the combined responsibility of the DIS and the administrator for Bangor
health 6 Welfare. Generic DIS job descriptions, as included on the STD DIS
Sob Descriptions apply to clinic DIS, as members of the Wine M Control
program.
Patient Pees
Patient fees shall be requested of persons seeking services, and every
attempt should be made by clinic staff to maximize fee intake. The amount
of the patient fee for STD clinical services visit shall not exceed an
amount deemed to be reasonable and affordable by the City of Bangor, M
Control Program staff and M Control Program Manager. The present fee for
clinical services is $20. It is understood by all parties concerned that no
Person lacking the ability to pay shall be refused services deemed
reasonable to that client's presenting complaint, It is also understood
that, in order to allow the clinic to adequately support itself, that
patients fee intake must be maximized in order to provide funds for purchase
of clinical and printing supplies, on-site lab services, rent and other
administrative costs of the clinic operation.. It is expected that Bangor
Health'E Welfare will be obliged to monitor the balance sheet of the clinic
PN£ I5 OF 16
F'3Q�1]
--Rider A (wnt)--
(Bangor M/HIV Clinical S Epidemiologic Services]
operation and to make known to the Maine SPD Control Program the fiscal
status it may face; the Maine SLD Control Program shall support the clinic
operation to the best of its ability.
The present patient fee for anonymous HIV counseling and testing is $15, for
which amount the clinic will provide pre-test and post-test counseling and a
serologic test for HIV antibody which shall be purchased fans the Public
Health laboratory.. MI HN counseling and testing services will be in
compliance with the Wrew of Health document HIV Counseling 5 Testing
Guidelines For Division OE Disease Control Em des or Contractees. IE
mcreasmg costs are n ngor tty a t e are may request an
increase in the capped Eee of $15 and request this amount from clients.
Contributions from HN clients can also be accepted.
Supplemental Support
If additional federal supplemental funds targeted to intervention or
surveillance activities become available Acing the year, these funds shall
be conveyed to the Contractor by grant amendment.
1453v
PALE 16 OF 16
91-89
--gXDM B --
[Bangor SID Clinical/Intervention Services]
Funds in the amount of $62 472 are provided for the position during calendar
year 1991, the period o tnls grant. Mesa funds are calculated to provide
support in the amount of W,MO for annual salary ®-fringe for the DIS
position currently occupied by patty Miles and support in the amount of
$27,066 for annual salary § fringe for the DIS position currently occupied
by Kati¢ Level$
. Grant paymlents shall be two in camber: I1 116 shall be
due en March 1, 1991 and $3Ii336 en Angus[ 1, 1991. ala
nn a amount of
$2 000 are included in Ears grant amount and shall provide reimbursement for
ai owl and northern regional travel incurred by DIS, including required
attendants at nearby staff meetings. Mileage costs incurred by special
assignments such as out -of -jurisdiction blitzes or training shall be paid by
the SID Control Program, as required.
165Sv
91-89
ATTACHMgf 01
STD/HIV DISEASE INPERVENIION SPECIA=
ZO& Performs investigative inquiry in order to verify treatment and interview
status on all lab reports indicating syphilis, gonorrhea and chlamydia
trachomatis infection. Performs or assures similiar investigative inquiry
of all known contacts to infectious cases of above-named infections.
Pully documents performed investigations on reverse of Epidemiologic
Report Form (29.36). Observes program guidelines as found in = CON ROL
PROEM PROEOCOLS & PROCEDURES. Strives to meet commitments made in STO
Control Program grant objectives relating to investigative activities.
PRIMARY RESPONSIBILITY
20% Assures interview services for persons with sexually transmitted disease
(STD), either Personally or through attending care providers. Promotes
the services of Bangor BTD Clinic for the examination and treatment of
Persons named as contacts. Observes program guidelines as found in STD
CONIROL PRYSR M PRDTOCOES & PROCEDURES. Strives to meet epidemiologic
indices of the M Control Program as Itemized in the STD Control Program
Grant objectives. PRIMARY RESPONSIBILITY
1258 Provides HIV counseling and testing services as a state -certified
counselor and phlebotomist for at least two hours per day at the SID
Clinic on behalf of Banger City Health Department and the Maine AIRS
prevention Program. Provides records of counseling and testing activities
to the Office on AIDS. Provides self -initiated counseling and testing
(Field Services) for at -risk persons encountered when performing field
investigations and, after conferring with STD Program Manager, those
encountered in field screening initiatives. All HTV services will be in
accordance with ID.V CGN6ELING & TESTING GUIDELINES.
10% Provides confidential contact notification services as requested by
individuals with confirmed HIV Infection. Such requests will originate as
1) a request from a counseled patient, 2) a request from the Office on
AIM on behalf of a person counseled elsewhere, 3) an interstate request.
Provides field counseling and testing services to contacts to HIV infected
persons and completes disposition for those activities, in accordance with
DMV COUNSELING & RESPIMG GITIDE.tl@S. PRIMARY RESPONSIBILITY
58 Performs all other duties as assigned by the Program office (eg. program
blitzs, surveys, out of jurisdiction assignments, etc.)
108 Naintains records of all SPD/HIV intervention activities in accordance
with SPD CCONYI'ROL PROGRAM PROIDCOIS & INWC6GWS and BIV COUICEU.ING &
TESTING GUIDELINES. PRIMARY RESPONSIBILITY
10% As requested by area officials or by the Program office, performs
educational sessions on the subject of Sexually Transmitted Diseases or,
as requested by The Office on AIDS or after conferring with that Office on
local requests, performs educational sessions on the subject of AIDS.
PRIMARY RESONSIBILITIES ASS PRECEDENCE OVER NON -PRIMARY ACTIVITIES.
1147v/12/1365v/3
IN CITY COUNCIL
February ll. 1991
Passed
CIT L@RN
91-89
Authorizing the City manager to Execute a
Grant Agreement with the Naine Department
of Human Services - Sexually Transmitted
Disease Clinic