HomeMy WebLinkAboutService Agreement with St. Lukes for Wellness Program Biometrics (dissolution) 1st Amendment1st Amendment to the
St. Luke's Regional Medical Center, Ltd., Service Agreement
With the City of Meridian
This 1st Amendment ("Amendment") is entered into by and between St. Luke's Regional Medical
Center, Ltd., an Idaho non-profit corporation, duly qualified and licensed by the state of Idaho,
hereinafter referred to as "SLRMC," and the City of Meridian, hereinafter referred to as "Client".
WHEREAS, Client and SLRMC entered into a Service Agreement ("Service Agreement") effective October 1,
2013.
WHEREAS, Client and SLRMC now desire to modify certain terms of the Service Agreement;
NOW THEREFORE, in consideration of the foregoing and the conditions, mutual covenants, representations
and warranties contained herein, and for other good and valuable consideration, the receipt and sufficiency of
which is hereby acknowledged, the parties hereby amend the above referenced Service Agreement effective
April 1, 2014 as follows:
A. Strike the entire Attachment A of the Service Agreement and replace with the new Attachment A as
follows:
Attachment A
ProgramDescription
Health Screenings
St. Luke's will provide biometric measures such as blood pressure,
height, weight, and waist circumferences, as well as, laboratory
tests including a lipid and glucose panel.
$40/participant billed to
Blue Cross of Idaho
$40 for new hires
St. Luke's will provide an onsite immunization clinic to ensure
employees are protected against seasonal flu. St. Luke's will
Flu Shots
schedule annual clinics from October through December and
No charge
provide marketing materials to promote your event. This will
also include coordination of flu shots clinics at various City of
Meridian locations.
-Provision of timely and appropriate responsiveness to Client's
employee needs and offer appropriate treatment in an
Subject to State Worker's Compensation
occupational medicine clinic headed by a physician who
Injury Treatment
specializes in occupational medicine
Fee Schedule. Schedule subject
-24 hour access to services through locations linkages to ensure
increases determinedulule the State of
continuous communication and supportfor after hour a nd
Idaho
emergency treatment.
Amendment to St. Luke's Regional Medical Center, Ltd., Service Agreement With the City of Meridian —page 1 of 2
B. Except as expressly modified by this Amendment, all provisions of the October 1, 2013 Service
Agreement shall remain in full force and effect. No other understanding, whether oral or written,
whether made prior to or contemporaneously with this Amendment, shall be deemed to enlarge, limit
or otherwise affect the operation of the Octoberl, 2013 Service Agreement or this Amendment
thereto.
IN WITNESS WHEREOF, the parties shall cause this Amendment to be executed the date first above
written.
St. Luke's Regional Medical Center, Ltd.: City of Meridian:
LUZ
By: GCC (1. (Z_
Amendment to St. Luke's Regional Medical Center, Ltd., Service Agreement With the City of Meridian — page 2 of 2
-Provision of an occupational health case coordinator to serve as
point of contact for Client, employee and surety/administrator
-Case coordinator shall be responsible to provide monitoring of
Client employees' progress, arrange for treatments and
Case Coordination
procedures and communicate the necessary medical and return-
Included as part of injury treatment
to -work information to the Client employee, Client, and
designated insurer.
-Communication with Client via phone, fax, pager, e-mail and in
person to keep all updated as to treatment plans, return to work
strategies and "next step' information.
-Provision of activity status reports to the employee, Client and
designated surety/administrator.
Activity Status Report
-Report shall outline diagnosis, treatment, and activity restriction,
Included as part of injury treatment
as well as recommended follow-up care.
-Provision of referral forms that can be given to a Client's
employee prior to his/her appointment to expedite the case
Forms and Information
process handling.
Included as part of injury treatment
-Provision of education and written material on process for injury
treatment, including talking point on designated provider, maps,
etc.
Respirator Certifications including
• Respiratory Questionnaire Review
Other
Spirometry (as needed).
Services
-Medical Evaluation
Current Occupational Fee Schedule
Provided
-Hepatitis A
-Hepatitis R
-Tetanus/ Diphtheria Immunizations
B. Except as expressly modified by this Amendment, all provisions of the October 1, 2013 Service
Agreement shall remain in full force and effect. No other understanding, whether oral or written,
whether made prior to or contemporaneously with this Amendment, shall be deemed to enlarge, limit
or otherwise affect the operation of the Octoberl, 2013 Service Agreement or this Amendment
thereto.
IN WITNESS WHEREOF, the parties shall cause this Amendment to be executed the date first above
written.
St. Luke's Regional Medical Center, Ltd.: City of Meridian:
LUZ
By: GCC (1. (Z_
Amendment to St. Luke's Regional Medical Center, Ltd., Service Agreement With the City of Meridian — page 2 of 2