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HomeMy WebLinkAboutAgenda - 06-26-2007-4oORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: June 26, 2007 Action Agenda Item No. ~- - a SUBJECT: Agreement Renewal with Respite Care Providers and the Department on Aging DEPARTMENT: Aging PUBLIC HEARING: (Y/N) No ATTACHMENT(S): INFORMATION CONTACT: Jerry Passmore, 245-2009 Sample Agreements PURPOSE: To seek authorization to renew agreements with respite care providers with the Department on Aging. BACKGROUND: In the past, the Department on Aging has utilized a portion of its Eldercare operating budget to purchase in-home service from local providers. This service places a trained aide in the home of a frail older adult in order provide home management, personal care, or to relieve the caregiver who is usually a family member. The average allocation of service is six hours per week. The Department's Fiscal Year 2007-08 proposed budget includes more than $120,000 to be used for this purpose. Approximately $79,000 of this amount is provided by the Home and Community Care Block Grant that reimburses 90% of the cost of providing the service. The funds will be used to purchase more than 8,500 hours of in-home service for approximately 40 persons. In order to maintain the flexibility necessary for successful service delivery, the County has found it prudent to use several providers contingent upon their availability. Therefore, the Board is being requested to authorize the Manager to sign agreements with seven service provider agencies. They are: Adult Day Care A. ec~ ncies Central Orange Adult Day Health Care Charles House Companion Agencies A Helping Hand Home Helpers 2 Home Care Agencies Arcadia Health Services Home Health Solutions Homewatch Caregivers The County will continue to contract with qualified service providers pursuant to both State- mandated requirements and the criteria established by the County. FINANCIAL IMPACT: Funding for the purchase of this service of more than $120,000 is included in the proposed Department on Aging budget. The service cost will not exceed $14.40 per hour. RECOMMENDATION(S):. The Manager recommends that the Board approve the agreements and authorize the Manager to sign agreements for respite care providers (such authorization shall not exceed the amount budgeted for this function in the operating budget for the Department on Aging.) and further direct staff to work with the providers during the year to review and discuss any possible issues related to their employees receiving a living wage. 3 SAMPLE Orange County Department on Aging Vendor Agreement Adult Day Care Agencies This Vendor Agreement is entered into this 1st day of July 2007 between ,hereinafter known as the Vendor, and Orange County on behalf of the Department on Aging, hereinafter known as the Department. The period and duration of the Agreement shall be from July 1, 2007 to June 30, 2008. WITNESSETH: WHEREAS, the Deparhnent desires to engage the Vendor to render certain services, hereinafter described, now therefore the parties hereto mutually agree as follows: 1) DEPARTMENT AGREES AND MAINTAINS THE RIGHT: 1. To determine eligibility of prospective clients for institutional respite services through the Vendor in accordance with pre-determined guidelines. 2. To make all decisions regarding who is served and what services are offered and in what manner to each client is referred to services. 3. To provide to the Vendor for each client referred screening information and a service authorization, describing total amount, duration and frequency of service requested. 4. To conduct for each client taken into service at least an annual reassessment, and quarterly reviews, which includes questions about their satisfaction with services and whether they were given an opportunity to cost share. 5. To submit new service authorizations for any client case in which Orange County has approved a change in services. 6. To be flexible regarding how many clients are referred at one time. 7. To amend this agreement as needed at any time to ensure that Orange County is in compliance with the National Family Caregiver Support Program and to provide notice of such amendments as quickly as practical to the Vendor. 2) THE VENDOR HEREBY AGREES: To provide staff members who have been interviewed and screened by the vendor. 2. To follow the guidelines as outlined by the Area Agency on Aging for the National Family Caregiver Support Program. To have an adequate number of staff members available. 4. To maintain services once staffed over the service period stipulated by the Department. To provide consistent staff assignment over the service period stipulated by the Department. 6. To provide monthly bills with dates attended for each client. 4 7. To make every effort to promptly communicate by phone to the Department's Aging Transitions In Home Care Coordinator any interruptions in services or problems with clients' services. To maintain appropriate client and personnel files at the Vendor's licensed office, and to ensure that such records fully disclose the extent of the service provided to recipients are kept for three years from the first service date for each client and are available for inspection. 9. To under no circumstances ask clients referred to you by the Department about their economic status. 10. To keep confidential any information about a client, which is shared by the Department or the client. Such information shall be shared only among other Department and Vendor staff who need to know in order to coordinate, manage, or deliver services to the client. 11. To consult with Department staff prior to making referrals for other services or making changes in any services provided to clients receiving service through this agreement. 12. To be available to meet with the Department staff at their request to discuss service provision. The Vendor agrees to indemnify and save harmless Orange County and the Department, their agents and employees from and against any and all loss, cost, damages, expense and liability caused by the failure of the Vendor to fully perform its obligations under this agreement and in accordance with its terms; or by an accident or other occurrence causing bodily injury, including death, sickness, products or services rendered under this agreement. The County will indemnify the Vendor to the extent permitted by law and to the extent of insurance policies owned by the County, for losses, costs, damages, expenses and liability caused by the negligent acts or omissions of the County in performance of obligations under this agreement. The Department will reimburse Full Day Attendance:_$43.00 at the rate below: Half Day Attendance:_$27.00 This agreement maybe extended for an additional period if mutually agreed to by both parties. The Department may immediately suspend this Agreement for violations by the Vendor of the rules or regulations agreed to herein. ORANGE COUNTY By: Authorized Signature By: Authorized Signature Title Title Date Date "This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act." SAMPLE Orange County Department on Aging Vendor Agreement Companionship Agencies This Vendor Agreement is entered into this 1st day of July 2007 between ,hereinafter known as the Vendor, and Orange County on behalf of the Department on Aging, hereinafter known as the Department. The period and duration of the Agreement shall be from July 1, 2007 to June 30, 2008. WITNESSETH: WHEREAS, the Deparhnent desires to engage the Vendor to render certain services, hereinafter described, now therefore the parties hereto mutually agree as follows: 1) DEPARTMENT AGREES AND MAINTAINS THE RIGHT: 1. To determine eligibility of prospective clients for in-home respite services through the Vendor in accordance with pre-determined guidelines. 2. To. make all decisions regarding who is served and what services are offered and in what manner to each client is referred to services. 3. To provide to the Vendor for each client referred screening information and a service authorization, describing total amount, duration and frequency of service requested. 4. To conduct for each client taken into service at least an annual reassessment, and quarterly reviews, which includes questions about their satisfaction with services and whether they were given an opportunity to cost share. 5. To submit new service authorizations for any client case in which Orange County has approved a change in services. 6. To be flexible regarding how many clients are referred at one time. 7. To amend this agreement as needed at any time to ensure that Orange County is in compliance with the National Family Caregiver Support Program and to provide notice of such amendments as quickly as practical to the Vendor. 2) THE VENDOR HEREBY AGREES: To provide staff members who have been interviewed and screened by the vendor. 2. To follow the guidelines as outlined by the Area Agency on Aging for the National Family Caregiver Support Program. To have an adequate number of staff members available to work throughout Orange County. 4. To staff each referred case within ten working days of the authorization date specified on the service authorization form provided for each client by the Department, if possible, based on staff availability. 6 To maintain services once staffed over the service period stipulated by the Department. 6. To provide consistent staff assignment over the service period stipulated by the Department. 7. To provide services in two-hour minimum periods of service time, as specified in the service authorization. 8. To provide weekly timesheets, signed by the client or responsible party, the aide, and the agency supervisor, which show the allocated weekly hours and the actual billable hours, time frame of service provided, and type of services provided. 9. To provide monthly billing reports for each client. If timesheets are not provided, if tasks are not recorded, if timesheets do not include required signatures, or if plans of care are not noted and explained, the corresponding bills will not be paid. 10. To provide upon request a written analysis of services provided since the beginning of the fiscal year, including total hours of service for each clients, dates of services provided to each client, and explanations for any discrepancies between services requested and provided. 11. To make every effort to promptly communicate by phone to the Department's Eldercare In Home Care Coordinator any staff changes, interruptions in services, or problems with clients' services. 12. To maintain appropriate client and personnel files at the Vendor's licensed office, and to ensure that such records that fully disclose the extent of the service provided to recipients are kept for three years from the first service date for each client and are available for inspection. 13. To make every effort to help clients understand the relationship between the Vendor and the Department in providing in-home services to them. 14. To inform clients at least the afternoon before services are expected if there is to be any change in the time or duration of their services. 15. To under no circumstances ask clients referred to you by the Department about their economic status, or in any way attempt to recruit new clients from the Department's client pool. 16. To keep confidential any information about a client, which is shared by the Department or the client. Such information shall be shared only among other Department and Vendor staff who need to know in order to coordinate, manage, or deliver services to the client. 17. To provide to each client or responsible party a copy of their plan of care, a copy of their rights, and any other documentation as necessary to ensure they are informed about what duties they should expect the volunteer/staff assigned to them to perform. 18. To consult with Department staff prior to making referrals for other services or making changes in any services provided to clients receiving service through this agreement. 19. To be available to meet with the Department staff at their request to discuss service provision. The Vendor agrees to indemnify and save harmless Orange County and the Department, their agents and employees from and against any and all loss, cost, damages, expense and liability caused by the failure of the Vendor to fully perform its obligations under this agreement and in accordance with its terms; or by an accident or other occurrence causing bodily injury, including death, sickness, products or services rendered under this agreement. The County will indemnify the Vendor to the extent permitted by law and to the extent of insurance policies owned by the County, for losses, costs, damages, expenses and liability caused by the negligent acts or omissions of the County in performance of obligations under this agreement. The Department will reimburse at the rate below: All services performed ......................................... Not to exceed $14.40 an hour This agreement may be extended for an additional period if mutually agreed to by both parties. The Department may immediately suspend this Agreement for violations by the Vendor of the rules or regulations agreed to herein. ORANGE COUNTY By: By: Authorized Signature Authorized Signature Title Title Date Date "This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act." Ken Chavious Date Finance Director SAMPLE Orange County Department on Aging Vendor Agreement Home Care Agencies This Vendor Agreement is entered into this 1st day of July 2007 between hereinafter known as the Vendor, and Orange County on behalf of the Department on Aging, hereinafter known as the Department. The period and duration of the Agreement shall be from July 1, 2007 to June 30, 2008. WITNESSETH: WHEREAS, the Department desires to engage the Vendor to render certain technical and professional services, hereinafter described, now therefore the parties hereto mutually agree as follows: 1) DEPARTMENT AGREES AND MAINTAINS THE RIGHT: To determine eligibility of prospective clients for in-home aide services in accordance with federal and state guidelines. 2. To make all decisions regarding who is served and what services are offered and in what manner to each client referred. To provide to the Vendor for each client referred screening information and a service authorization describing total amount, duration and frequency of aide service requested, and directions to the client's home, whenever possible. 4. To conduct for each client taken into service at least an annual reassessment, and quarterly reviews, which includes questions about their satisfaction with services and whether they were given an opportunity to cost share. 5. To submit new service authorizations for any client case in which Orange County has approved a change in services. 6. To monitor the Vendor if warranted at least yearly to ensure compliance with N.C. Division of Aging In-home Aide service standards and with this agreement. 7. To be flexible regarding how many clients are referred at one time. 8. To amend this agreement as needed at any time to ensure that Orange County is in compliance with the N.C. Division of Aging In-Home Aide service standards, and to provide notice of such amendments as quickly as practicable to the Vendor. 2) THE VENDOR HEREBY AGREES: To provide Nursing Assistants (NAl or NA2), certified by the N.C. Division of Facility Services, to level 2 and Level 3 clients referred by the Department. With the approval of the Aging Transitions Supervisor, clients with Level 1 only (Home Management) care needs may be staffed by employees who are not certified nursing assistants. 2. To meet the NC Division of Aging Policies and Procedures for In-Home Aide services, as outlined in Attachment A. 3. To have an adequate number of aides hired and available to work in Orange County on the date this agreement is signed, as recruited and hired. 4. To staff each referred case within ten working days of the authorization date specified on the service authorization form provided for each client by the Department, if possible, based on aide availability. 5. To staff Adult Protective Services cases within five working days of authorization. 6. To maintain services once staffed over the service period stipulated by the Department. 7. To provide consistent aide assignment over the service period stipulated by the Department. To provide services in two-hour minimum periods of service time, as specified in the service authorization. 9. To provide weekly timesheets, signed by the client or responsible party, the aide, and the aide supervisor, which show the allocated weekly hours and the actual billable hours, time frame of service provided, and type of services provided. 10. To provide weekly billing reports for each client, explaining variances in schedules and variances in the plan of care. If timesheets are not provided, if tasks are not recorded, if timesheets do not include required signatures, or if variances in schedules and/or plans of care are not noted and explained, the corresponding bills will not be paid. 11. To provide upon request a written analysis of services provided since the beginning of the fiscal year, including total hours of service for each client, dates of services provided to each client, and explanations for any discrepancies between services requested and provided. 12. To make every effort to promptly communicate by phone to the Department's Eldercare Supervisor any aide changes, interruptions in aide services, or problems with clients' services. 13. To maintain appropriate client and personnel files at the Vendor's licensed office, and to ensure that such records that fully disclose the extent of the service provided to recipients are kept for three years from the first service date for each client and are available for inspection. 14. To make every effort to help clients understand the relationship between the Vendor and the Department in providing in-home aide services to them. 15. To inform clients at least the afternoon before services are expected if there is to be any change in the time or duration of their services. 16. To under no circumstances ask clients referred to you by the Department about their economic status, or in any way attempt to recruit new clients from the Department's client pool. 17. To keep confidential any information about a client, which is shared by the Department or the client. Such information shall be shared only among other Department and Vendor staff who need to know in order to coordinate, manage, or deliver services to the client. 18. To conduct a thorough assessment and create a plan of care of each client referred ,using the assessment and plan of care tools provided by or approved by the Department, and to provide to the Department copies of those once completed. 19. To provide to each client or responsible party a copy of their plan of care, a copy of their rights, and any other documentation as necessary to ensure they are informed about what duties they should expect the aide assigned to them to perform. 20. To consult with Department staff prior to making referrals for other services or making changes in any services provided to clients receiving service through this agreement. 21. To submit a bill weekly for services rendered, payable within 30 days of receipt. 22. To be available to meet with the Department staff at their request to discuss service provision. 10 The Vendor agrees to indemnify and save harmless Orange County and the Department, their agents and employees from and against any and all loss, cost, damages, expense and liability caused by the failure of the Vendor to fully perform its obligations under this agreement and in accordance with its terms; or by an accident or other occurrence causing bodily injury, including death, sickness, products or services rendered under this agreement. The County will indemnify the Vendor to the extent permitted by law and to the extent of insurance policies owned by the County, for losses, costs, damages, expenses and liability caused by the negligent acts or omissions of the County in performance of obligations under this agreement. The Department will reimburse at the rates below: Level I Home Management $ 14.40 an hour Level II Personal Care/Home Management $ 14.40 an hour Level III Personal Care $ 14.40 an hour Level IV Home Management $ 14.40 an hour This agreement may be extended for an additional period if mutually agreed to by both parties. The Department may immediately suspend this Agreement for violations by the Vendor of the rules or regulations agreed to herein. ORANGE COUNTY Bv: Authorized Signature Bv: Authorized Signature -- Title Title Date Date "This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act." Ken Chavious Date Finance Director