HomeMy WebLinkAbout1990-02-26 90-086 ORDERDate February 26, 1990 Item No. 90_6
Item/Subject: Sexually Tranamittad Disease Clinic Grant Renewal
Responsible Department: Health and Welfare
Commentary:
This._is the annual renewal of the great intended to fund the Sexually
Transmitted Disease Clinic. The amount of this year's grant is S56r175.
The balance of the clinic's operating budget Comes from clinic fees and
donations from local municipalities. For your informations a copy of the
grant specifications is attached.
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Manager's Comments:
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Associated Information:Qy,tj
Budget Approval:ti f-
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Legal Approval:
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Introduced For (.6orf'w 1
®Passage
E:1 First Reading -- page 1 of 4
❑Referral
90-86
Introduced by Councilor Blanchette, February 26,
1990
-_ CITY OF BANGOR
QITIEJ Mrbgrt-Aethariaing.. the. City Aimnager. to Execute a. Grant.
_, ____,
with the _Mairn_Departme t.,of Human Services_- Sexually Transmitted Disease
...-Main
By the City Cnwnaa rltht city of 8avgw:
ORDERED,
TWT the City Manager, on behalf of the City of Bangor, Is hereby
authorised and directed to execute a Grant Agreement with the Maine
Department of rumen Services, a copy of which is on Ellein the office of
the City Clark, aM to take -all other necessary action, including
execution of documents and contracts, for the purposes of providing services
to patients seen at the Bangor SM Clinic.
90-86
OR RIR
In city council Fehauaxy 26,1990 Title,
Passed Aut izing the, City Manager to Enacute
a GtaR,.gieeoxmt to the Maine Dekv�lna�t
of aviiv,'se�vicesw -'se».;aiiy'r44 ," ttPa
Disease Clinic
ac� tlYr� .......yy}}........ ............ ....../ ..
Gi Clerk
�Inteoaaaea and filed y .�.
.......
Councilman
90-86 Page 4 of 19
Alw�!W
The grantee shall provide STD clinical and epidemiologic services to all
persons presorting to Danger STD Clinic, currently located at 103 Texas
Avenue, Bangor, Maine. 'These services will consist of:
1. Physical examination, laboratory testing, diagnosis, treatment,
prophylactic treatment for, and epidemilogic services for persons
presenting to Bangor STD Clinic as volunteers with, or contacts to,
known cases of infectious sexually transmitted disease (STD), regardless
of ability to pay. These services will be in compliance with CDC
documents a) QUALITY ASSIMANCE GUIUELII FOR SN CLINICS - 1986
(previously attached) and b) 1989 SID lnbsn fN1' GUID]D,1 (att. p 1)
as directed by the Maine Board of Medicine. Routine screening for
syphilis,gonorrhea, trichmoniasis, bacterial vaginosis, and chlamydia
.infection (women) will be provided. In addition, all persons receiving
services shall be advised of their personal risk of HN infection and
will be offered and provided confidential HIV counseling and testing
services during their visit. All services shall be provided to the
client at the service fee of $20.
2. For persons seeking HIV counseling and testing, counseling and
testing for Human Immunodeficiency Virus (HIV) in accordance with
current guidelines as found in the Maine Bureau of Health Document HN
COIMSELIMG E TESTING QQmfifliS FOR DMSION OF DISfv1SE C(X?ML
]MPLOyE6S OR CIXiIRAC[EES. (art. 42)
3: Clinic and epidemiologic activity will be documented by weekly
submission of both morbidity reports on diagnosed and treated STD
patients, other investigative paperwork as requested by the STD Control
Program, the quarterly 21.27 Report epidemiologic report, and the STD
Clinic Quarterly Activity Report (included in att. R 3). The HN
Lounseixn a rn �ctrTReport will be submitted to the Office
on[Al 5 in quarterly fashion. All clinic and epidemiologic activities
shall be in ccordance with STD CONTROL pgcG Pggsfgg 4 E pROCEgIR6S
Jan. 1990. (art. 83)
In consideration of the sum of $56,175 Eangor Department of 'Health and
Melfate shall provide the above services. This amount, in addition to
patient fees and other patient and client fees, shall provide the resources
90-86 Page 5 of 19
RIDER A (can't)
from which the SID Clinic will operate for the year. Material assistance to
the clinical operation shall be provided from the Maine STD Control Program,
as follows:
Medications to treat gonorrhea, syphilis and chlamydia patients/contacts
shall be provided to the clinic by the gine STT Control Program.
All HIS mileage costs which are incurred in epidemiologic field
investigations shall be paid directly to DIS by the Maine M Control
Program. The combined amount should rut exceed $150 per month.
Chlamydia test kits for all examined women and all male patients seen as
sexual contacts to chlamydia (probably beginning in second quarter(.
HIV Antibody Test kits for all STO clients confidentially served at Sr0
visit.
Phe following structural chain -of -command establishes a collaborative
relationship between the Bangor City Health and Welfare and the Maine STD
Control Program. As funding source, the Mine STD Control Program will be
responsible for 1). statiryg program overview 2) setting forth program goals
and objectives for epidemiologic F, clinical activities, and 3) collection of
data designed to measure these activities. Bangor Impertinent of Health and
Welfare - ill bear responsibility for the management and operation of the
clinic and will strive to meet program goals. Medical aspects of services
extended shall be be overseen by the physician serving as the Clinic Medical
Advisor in accordance with the chart review mandates of the Maine Board of
Medicine. Oversight and documentation of clinic income from patient fees and
other services shall be the responsibility the department. Achievement and
documentation of all epidemiologic and clinic service initiatives as found
in the CDC funding grant and in SID COWI&OL PROIRNM pRDT➢COIS B PRIX:DTIIXPS
- Jan. 1990 shall be the responsibility of DIS assigned to the clinic.
Generic DIS job descriptions, as included on the SID HIS Jab Bescription
(arts N ) apply to clinic DIS, in their capacity as members of the Maine SID
Control program.
patient Fees
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 M clinical services visit shall not exceed a
amount deemed to be reasonable and affordable by BaSID
Bangor staff and
Control Program M roger 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.
9P-86 Page 6 of 19
RIDER A (coni)
Patient Fees (con's)
The present patient fees 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. Test kits are available from the
Public Health laboratory for $8.50. All I11V anonymous and confidential
counseling, testing and contact notification services will be in compliance
with the Bureau of Health document HIV CODNSELIHO 8 TS5rlM ODIDB pgpg; FOR
DIVISIM OF DISEASE CONTROL AA'IATITS OR CQIIDACI'BDS and as clarified by
the Program tanager SSD. If the capped fee amount is raised to $20, Danger
Health and Welfare is free to request this amount from clients.
Contributions from HIV clients can also be accepted.
OTHER DESCRIPTORS
ADDRDDM A prototype Job Decription of Disease Intervention
Specialist II
ADDENDUM B Prototype Job Decription of Disease Intervention
Specialist I
ADDENDUM C Budget Sheet