The URL can be used to link to this page

R21-073 1 RESOLUTION NO. R21-073 2 3 A RESOLUTION OF THE CITY OF BOYNTON BEACH, FLORIDA, 4 APPROVING THE AMENDMENT TO AGREEMENT WITH 5 CAREATC, INC. TO ADMINISTER EMPLOYEE HEALTH 6 CENTERS THROUGH ITS SHARED-SITE NETWORK AT A PER 7 EMPLOYEE PER MONTH BASE RATE OF $72.50 AND 8 AUTHORIZE THE CITY MANAGER TO EXECUTE ALL RELATED 9 DOCUMENTS; AND PROVIDING AN EFFECTIVE DATE. 10 11 WHEREAS, the original Agreement for Services was awarded from RFP No. 037- 12 1610-16/JMA and was executed on February 15, 2017 for a forty-two (42) month period with 13 the option for two (2) subsequent one-year renewal periods; and 14 WHEREAS, as an enhancement to services and accessibility, CareATC is proposing 15 that the City offer its health center(clinic) services through CareATC's shared-site network in 16 Southeast Florida rather than at its existing location inside of the Utilities Water Plant building 17 on Woolbright Road; and 18 WHEREAS,converting to this shared-site network will provide additional benefits for 19 our clinic services by improved facilities, increased confidentiality and professionalism, and 20 improved access to services; and 21 WHEREAS,the City Commission of the City of Boynton Beach upon recommendation 22 of staff,deems it to be in the best interest of the citizens of the City of Boynton Beach to approve 23 the Amendment to Agreement with CareATC, Inc. to administer employee health centers 24 through its shared-site network at a per employee per month base rate of$72.50 and authorize 25 the City Manager to execute all related documents. 26 NOW,THEREFORE,BE IT RESOLVED BY THE CITY COMMISSION OF 27 THE CITY OF BOYNTON BEACH,FLORIDA,THAT: 28 Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as S:\CA\RESO\Agreements\Amendment to Agreement with CareATC-Reso.docx -1 - 29 being true and correct and are hereby made a specific part of this Resolution upon adoption. 30 Section 2. The City Commission of the City of Boynton Beach, Florida, hereby 31 approves the Amendment to Agreement with CareATC, Inc. to administer employee health 32 centers through its shared-site network at a per employee per month base rate of$72.50 and 33 authorize the City Manager to execute all related documents. A copy of the Amendment is 34 attached hereto as Exhibit"A". 35 Section 3. That this Resolution shall become effective immediately. 36 PASSED AND ADOPTED this 6th day of July, 2021. 37 CITY OF BOYNTON BEACH,FLORIDA 38 39 YES NO 40 41 Mayor—Steven B. Grant 42 43 Vice Mayor—Woodrow L. Hay V 44 45 Commissioner—Justin Katz 46 47 Commissioner—Christina L. Romelus .� 48 49 Commissioner—Ty Penserga 50 51 VOTE 52 ATTEST: 53 54 55 56 C stal Gibson, MMC 57 City Clerk 58 59 60 (Corporate Seal) • S:\CA\RESO\Agreements\Amendment tti Agreement with CareATC-Reso.docx 2 R21-073 AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF BOYNTON BEACH AND PROFESSIONAL HEALTH ADMINISTRATOR THIS AGREEMENT is entered into between the City of Boynton Beach, hereinafter referred to as "the City", and CareATC, Inc. of Tulsa, OK , hereinafter referred to as "Professional Health Administrator", in consideration of the mutual benefits,terms, and conditions hereinafter specified. 1. PROJECT DESIGNATION. The Professional is retained by the City to administer employee shared-site health centers for the City to provide employees and local retirees access to the highest levels of primary, urgent, prescription, and occupational health care. 3. PAYMENT. The Professional shall be paid by the City for completed work and for services rendered under this agreement as follows: a. Payment for the work provided by Professional shall be made promptly on all invoices submitted to the City properly and in accordance with "PRICE PROPOSAL" (Exhibit "A" - Attached). 19. PUBLIC RECORDS. Sealed documents received by the City in response to an invitation are exempt from public records disclosure until thirty(30) days after the opening of the Bid unless the City announces intent to award sooner, in accordance with Florida Statutes 119.07. The City is public agency subject to Chapter 119, Florida Statutes. The Contractor shall comply with Florida's Public Records Law. Specifically, the Contractor shall: A. Keep and maintain public records required by the CITY to perform the service; B. Upon request from the CITY's custodian of public records, provide the CITY with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in chapter 119, Fla. Stat. or as otherwise provided by law; C. Ensure that public records that are exempt or that are confidential and exempt from public record disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and, following completion of the contract, Contractor shall destroy all copies of such confidential and exempt records remaining in its possession once the Contractor transfers the records in its possession to the CITY; and D. Upon completion of the contract, Contractor shall transfer to the CITY, at no cost to the CITY, all public records in Contractor's possession All records stored electronically by Contractor must be provided to the CITY, upon request from the CITY's custodian of public records, in a format that is compatible with the information technology systems of the CITY. E. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS: (CRYSTAL GIBSON, CITY CLERK) 100 E OCEAN AVENUE BOYNTON BEACH, FLORIDA, 33435 561-742-6061 GIBSONC@BBFL.US 20. SCRUTINIZED COMPANIES 287.135 AND 215.473. Contractor certifies that Contractor is not participating in a boycott of Israel. Proposer further certifies that Proposer is not on the Scrutinized Companies that Boycott Israel list, not on the Scrutinized Companies with Activities in Sudan List, and not on the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or has Contractor been engaged in business operations in Syria. Subject to limited exceptions provided in state law, the City will not contract for the provision of goods or services with any scrutinized company referred to above. Submitting a false certification shall be deemed a material breach of contract. The City shall provide notice, in writing, to Contractor of the City's determination concerning the false certification. Contractor shall have five (5) days from receipt of notice to refute the false certification allegation. If such false certification is discovered during the active contract term, Contractor shall have ninety (90) days following receipt of the notice to respond in writing and demonstrate that the determination of false certification was made in error. If Contractor does not demonstrate that the City's determination of false certification was made in error then the City shall have the right to terminate the contract and seek civil remedies pursuant to Section 287.135, Florida Statutes, as amended from time to time. 2 DATED this 15 day of 3 u L-`1 , 20 Z . CITY OF BOYNTON BEACH CareATC, INC. /t City anager Name Attest/Authenticated: Title ra&41 A .411-i.g:›t---- (Corporate Seal) i Clerk Approved as to F.'^ Attest/Authenticated. Offic'.f t e rittomey Secretary JANESSAEADES ` r ''':r. Notary Public In and for ® l STATE OF OKLAHOMA G,. i / Commission #20008870 � � Expires:23 Jul 2024 sw s IP • 3 re ATC MARCH 15, 2021 PROPOSAL FOR SHARED-SITE HEALTH CENTERS Prepared for: City of Boynton Beach, Florida GREG BELLOMY CHIEF EXECUTIVE OFFICER GREGBELLOMY(7a CAREATC.COM 561.702.4339 W W W.CAREATC.COM OVERVIEW CareATC is a national integrated health solutions company that enables employers to reduce healthcare costs by improving the health of their workforce. Since 2000, CareATC's comprehensive healthcare solution has driven engagement, improved health outcomes, lowered healthcare costs, and provided a transparent vision of the total cost of care. CareATC is proposing that the City of Boynton Beach convert its dedicated on-site health cent('r tr) the rPr,II Tr- chareri cite network in nutheast Florida We would build out two new shared-site health centers in Boynton Beach that would be available not only to Boynton Beach employees but also to all CareATC clients in Southeast Florida, which would include NextEra Energy, Palm Beach County School District, Miami-Dade County School District, and potentially others. In addition to these two health centers, Boynton Beach beneficiaries will have access to the additional shared-site health centers that will be developed with the partners referenced above. The goal is to expand access through a combination of additional shared-site locations and the addition of Virtual Primary Care services. 1 I •\ • Health Center Hours:These shared-site health centers will be eechobee - - .� open 5 days a week, 8 am to 5 pm EST. Start\ Group 1 add Ridge 3 \ • Musculoskeletal Services:Employees will be proactively ke Okee obee • identified by CareATC physician or therapist through an MSK • Indiactown screening and standardized triage process virtually or in-clinic 6r2,0, ,;tar and categorized as Low, Medium,or High-Risk for MSK spend G7 and/or disability and triaged as indicated. See page 3 for more lip Grou 13p927 details. • t R ie'a earl oft G`�5p4 Group • Patient Advocacy Services(virtual):The patient advocate is ...4 11J B( Belle Glade a dedicated Licensed Clinical Social Worker who helps patients It t ortn navigate the healthcare system.They will work in tandem with the client to identify key vendors, resources, etc. to ensure members a' M.. l Bead are maximizing current utilization within the company benefit l offerings and community resources. See pages 3&4 for more details. :'aton • Occupational Health Services:Our occupational health s rvation Cor 1111 9 r specialists will work with you to bring cost savings through providing on-site, work-related healthcare services and promoting Gr t.tLae;erdale employee safety. See page 6 for more details. J1-Esitg • Virtual Primary Care:We are proposing this addition at no _ Beach additional cost to expand access for members who do not have « <- easy access or to cover times during which the health center is J J J* not available. Virtual Primary Care during business hours would J.. be through a CareATC provider that is affiliated with the Boynton J • 1 M•.` ' Beach health centers. See page 5 for more details. Kendale Lakes J Gr ;1 J • Atter-Hours Teiehealth Services:Available through CareATC at no additional cost. This service integrates with the CareATC J EMR. See page 5 for more details. *These additional shared-site locations will be built out over the next 2-3 years. Proprietary and Confidential • City of Boynton Beach Proposal for Shared-Site Health Centers 2 POPULATION HEALTH PROGRAM OVERVIEW MUSCULOSKELETAL • Employees will be proactively identified by CareATC physician or therapist through an MSK screening and standardized triage process virtually or in-clinic and categorized as Low, Medium, or High-Risk for MSK spend and/or disability and triaged as indicated. • Employees will be managed by primary care at regular return visits as part of the care continuum and management per MSK episode of care and will not be asked to submit copays for such follow up visits for increased compliance, access, and reduction of overall MSK spend. • Clinical outcomes will be regularly monitored and reported related to number of visits, cost avoidance of specialty care, ED visits, radiology referrals, and opioid use. MSK Services are supported by the following capabilities: • Monthly MSK in-services: Town Halls Provider Education 5 minute work injury prevention exercises • Virtual Therapy Services:60%of therapy services may be delivered remotely Expands geographic reach Increases access to therapist and care coordination Allows for greater visibility for home program compliance and tracking Home and worksite ergonomic evaluations Real-time tracking of progress and outcomes • In-clinic therapy services are reserved for those patients at highest risk of spend or disability, acute injury, or post-operative care requiring: manual therapy modalities to expedite healing a greater touchpoint in care • All MSK services improve engagement and allow for efficient and cost-effective staffing. Coaching participants are identified by CareATC's PHA risk stratification, provider encounter assessment resulting in a referral, and claims data analysis. Risks include: Diabetes, Cardiovascular Disease, Obesity, and Hypertension. Length of enrollment is dependent upon progress and goals. Typically, participant begin in the Active Phase, with visits every 2-3 weeks. Once participants begin meeting their goals and build confidence(after-3-4 months), they move to the Maintenance Phase with visits every 2-3 months for about 6-9 months. Once they have shown a reduction in risk and are on a regimented nutrition program on their own, they graduate out of the program. Proprietary and Confidential • City of Boynton Beach Proposal for Shared-Site Health Centers 3 The health coach is responsible for managing chronic conditions in collaboration with primary care services to facilitate improved health outcomes. CareATC's health coaches are managed by our CareATC Manager of Health Education, who conducts chart reviews on a regular basis and reviews education curriculum. Nutrition education curriculum consists of handouts, webinars, cooking demos, recipes, monthly general group education, or longer term targeted group education programs(i.e. Diabetes Management, Healthy Weight Program, etc.). Advocacy Another facet critical to engagement and population health outcomes and success is patient advocacy. The patient advocate is a dedicated Licensed Clinical Social Worker who helps patients navigate the challenging healthcare system.This person will work in tandem with the client to identify key vendors, resources, etc.to ensure members are maximizing current utilization within the company benefit offerings and community resources. Patient advocates are the most visible members of the clinical team, answering client questions, making a complex system more understandable, and providing a dedicated partner for the patient's healthcare journey. Role and responsibilities of the patient advocate: • Engagement • Patient Outreach • Benefit& Resource Navigation • Community Resources • Behavioral & Mental Health Support Patient advocates collaborate with physicians to systemically identify high-risk patients in need, serve as their patients'advocate and care navigator, proactively connect patients to high-quality and cost-effective resources, and bridge communication gaps between resources. Proprietary and Confidential • City of Boynton Beach Proposal for Shared-Site Health Centers 4 VIRTUAL CARE OPTIONS VIRTUAL PRIMARY CARE CareATC offers primary care services via virtual visits during normal business hours to supplement health center access. This solution is included in our pricing at no additional cost. Wait time for our virtual care solution is less than 30 minutes, unlike competitors, whose patients are waiting more than 4 hours. If they are unable to get an appointment during their preferred time at a physical health center, patients can make appointments with a Boynton Beach-affiliated CareATC physician via phone or video. During the visit, all information is captured in our EMR so the follow-up is consistent with no gaps in care. Care beyond acute needs can be offered, including a full range of primary care-chronic condition management, patient education, health prevention, disease prevention, etc. Virtual Primary Care visits will include referral services and medications through @home dispensing programs or ePrescribe. • Business-hours access to Boynton Beach CareATC providers , .' ' ill • Easy-to-use video platform • Conveniently located within tl CareATC mobile app and patient portal A • Medical record & patient port integration • Easy setup and on-boarding AFTER-HOURS TELEHEALTH a CareATC also offers primary care and acute care services v to provide care needed after-hours a tes with the CareATC EMR. 13-0-0- ..,—.–. 24/7/365 access V 36S to physicians .A• platform _. 7 ��IIII111y�� Nationwide i Easy set-up and network of Z f s onboarding board-certified • R W physicians 11 • No visit copays ►V,I record V� ilili ,'` Proprietary and Confidential • City of Boynton Beach Proposal for Shared-Site Health Centers 5 OCCUPATIONAL HEALTH CareATC offers occupational health management solutions for employers of any size. With CareATC Occupational Health services, efolle employers and employees benefit from reduced • lost workdays, increased productivity, and cost savings without compromising on quality care. , Why Occupational Medicine? _ ' .` Clinicians trained in occupational medicine • diagnose and treat work-related injuries. With 101M000110100. specialized knowledge of OSHA regulations for workforce health and safety, providers can make the best treatment plans and perform regulatory examinations compliant with the Department of Transportation (DOT). Comprehensive Occupational Health Services Our occupational health specialists will work in partnership with you to bring significant cost-savings through providing onsite, work-related healthcare services, promoting employee safety and objectively managing employees'return-to-work. Key service areas include (additional costs may apply depending scope of services selected): Health,Safety,and Well-Being(HSW)programs We're not just about addressing work-related accidents-we're here to help prevent them. Our team considers your unique industry and can proactively trains employees how to be safe at work. CareATC's customized approach makes it easy to keep your employees safe and healthy on the job. p Occupational Medical Services Confidently operate knowing that you have qualified clinicians to perform DOT physicals, drug screens, and other routine medical surveillance examinations. CareATC performs necessary medical surveillance testing and exams for employees, including new hire/pre-placement exams. Workers'Compensation Injury Triage Services CareATC will perform initial assessment of employee injuries and provide any first-aid care needed. Our providers will have a consultative discussion with the employee about the nature/cause of the injury/illness. Information specific to when, where and causation of injury will be captured and documented. Based on the patient assessment,the patient will be triaged for appropriate medical care. Proprietary and Confidential • City of Boynton Beach Proposal for Shared-Site Health Centers 6 CONTRACT PROPOSAL PROPOSED PRICING BASE PEPM RATE $72.50 PEPM • The total PEPM rate provided above is inclusive of staffing. • The cost of labs, any dispensed medications, and drug screenings are variables that will be passed through to Boynton Beach at cost without mark-up. • Virtual Care services(Virtual Primary Care during normal business hours and Telehealth services for after hours)would be at no additional charge. • Current engagement rate is 31%of total eligible members. The targeted engagement rate would be 50% +through increased access and expanded services. • At 50%engagement and the proposed pricing, that would represent a 25% reduction in cost per engaged member for healthcare services. Higher utilization would be even more beneficial. Occupational Health costs reductions would be additive. • A cost increase may be addressed annually based on the Consumer Price Index for medical care. • CareATC will add new shared-site health center locations in Southeast Florida with no minimum commitment from Boynton Beach. Proprietary and Confidential • City of Boynton Beach Proposal for Shared-Site Health Centers 7 APPENDIX CAREATC HEALTH CENTER DESIGN Our Facilities team follows evidence-based clinical design principles to provide optimal patient experience, which is tied to an improvement in their perception of care and higher clinical outcomes. We know from evidence-based design research that color, light, access to nature, and control over one's environment improves clinical outcomes and promotes a sense of wellbeing. CareATC is the nation's first provider of on-site health centers to be awarded the Evidence-Based Design Certification. CareATC will follow your direction regarding facility construction and buildout. If buildout of any type is needed, our Facilities team is experienced and capable of managing the health center building from design to ongoing maintenance. This includes location identification, space and CAD drawings based on evidence-based clinical design practices, and buildout management. This team maintains the health center and performs any necessary repairs. Below are examples of how we consider evidence-based clinical design in the different facets of our health center planning and design. Supply storage is decentralized so Providers'offices and staffs' that staff can be more efficient workstations are located to provide and spend more time with patient 4 privacy and reduce distractions and reduce stress 44/1/ 41111111,4 Corner sinks are positioned in the line-of- r sight and are spot lit to send a subliminal *** Exam room message to wash walls are hands. the deck to help manage soundbuiltto and provide privacy for patients Lobby is particularly All exam rooms are setup as designed to `same-handed'rooms to reduce create a warm,inviting errors&stress. Carpet is installed atmosphere I throughout all non- that plumbed areas to encourages s help reduce fatigue less stress for staff. Proprietary and Confidential • City of Boynton Beach Proposal for Shared-Site Health Centers 8 We have also provided photos below of some of the spaces within our health centers. Each health center is customized to the specific needs of the client, with some basic design and branding remaining consistent across our health centers nationwide. Waiting Rooms & Reception Desks F ,..,... ii f , k 1 ,, ,-,,-, ,,,,._,--: ,, _ '_ a ..9, CareATC r f _ ii,_, , h tY 1 . ,..7... T' t . o ` _-- __ fru r 6A NMI WM r i I \ • .y • Allik k Care Tc r i 11 .,� *-: � rte' - �` _ ®.: •�•s ri "�"a -ams.. sd. w,- e it4v,. -_.... • areY111 W_ ' illei _•..*/„. _ ; �►� Y Cared 7. ,(liciiiiiiit' ' ---..- ,!'"'1';'... 41;Z;;:4,•,w. - ' t 'er. s xsirt- r fr .,.-.'••t n n, u Ju��"�-A -._.mss ' c El - o4 N e '� 'iLi�'S'7E n r r •"VittNI-i'"�.t��a"�!, , F,'a�g'Z r U.s s 9a.4 s .s d 1 ,41 t 4 k k _.,, _106. _, - ,.. ,,..:,..,. . .. 1 ,i ..„...:,.. ,[...., '4-i-_-'74 7.1.." re; f04'.-1.\-• c l ,x 'c. :- '.."'',./ ;`,.':.°••• ••-i't .�Y ..�^ Proprietary and Confidential • City of Boynton Beach Proposal for Shared-Site Health Centers 10 Exam & Procedure Rooms i •m, x — "I '' 11 _ ..:_k‘. c:-'4...4...,::-., ,! riii - ...-- - ',10.--:-. ,_,, .. dpr, , .....,:,.,.,,,„ , .„. ...,.. -,... .,,.1 ...,„...' , .7',. I / \ '7 ,,, ..,- ' anumwm.5 AL AVW Proprietary and Confidential • City of Boynton Beach Proposal for Shared-Site Health Centers 11 Other Spaces .44 ,4,, ,.., ,'_, Ili ._ . .. . z ,4 ! } 1 4t ' ,;;1,1. . y ---'."fir J t _ l l If l t �I - t§- ,'..,,71-,,„-.4.,.i, 'I 4 _ V — <, - _- Proprietary and Confidential • City of Boynton Beach Proposal for Shared-Site Health Centers 12