MOBILE%20HEALTH%20CLINIC%20AGREEMENT.2024-2025.pdf

Parent document: REVISED - Regular Meeting - Meeting #02-07-15-2024.pdf

Text

WomenCare Inc. DBA FamilyCare Health Centers
Agreement

This agreement made and entered into, the day of 2024, by and
between the Boone County Board of Education (“Board”), and WomenCare Inc. DBA
FamilyCare Health Centers (“Provider”).

WHEREAS, the Board of Education desires to improve the health of its students in Boone
County by developing a comprehensive school health services program which includes the
provision of preventative and primary health care; enhancing those school nursing services as
defined by West Virginia Code 18-2-5 and the West Virginia Board of Education Policy 2422.7:
School Nurses and Specialized Health Procedures together with Basic and Specialized Health

Care Procedures Manual for West Virginia Public Schools (Title 126, Series 25A): behavioral
health services/counseling; and enhancing the established health education curriculum; and

WHEREAS, FamilyCare Health Centers desires to meet the needs of the Boone County
Board of Education by providing such services as would improve the health and wellness of the
students of the Boone County School System;

WITNESSETH: That in consideration of the mutual agreements herein contained, the
parties hereto do covenant and agree as follows:

1. The Provider shall make available a mobile health clinic to meet these needs/services.
The specific schools of service are identified in Attachment A. Signs will be posted in
each school to identify dates/times of services and contact information for school-based
health team.

2. The Provider will assure provision of services in each respective school for any instances
when the mobile clinic is structurally impracticable to meet the accessibility needs of
any individuals seeking care.

3. The Provider will assure school-based health staff properly follow policy/procedure for
identification of patients in school-based health as noted in Attachment B.

4. The Provider will furnish the mobile clinic with necessary equipment and supplies at the
health center's cost.

5. The term of this agreement shall be for a period of one year. The agreement shall be
automatically renewable for one year, each year on June 1*, unless cancelled by the
Board or Provider.

6. This agreement may be cancelled by either party by ninety days’ written notice to the
other party. Should the Board cancel this agreement for cause, the Provider may


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request and shall be given ninety days to rectify said cause. Said request shall be made
in writing by the Provider within five working days from the Provider's receipt of the
written notice of cancellation from the Board.

School nursing services, those services defined as schocl nursing services by West
Virginia Code 18-2-5, 18-5-22 and State Board of Education Policy 2422.7, 126 CSR 25A,
may be provided at the Health Center to students at the designated schools without the
written permission of students’ parents or legal guardians.

No medical services, those acute and chronic care medical services not determined to
be nursing services by the Provider, shall be provided to a student by the Provider
without the written or verbal permission of his or her parent or legal guardian.
However, in a life or health-threatening emergency, employees of the Provider may
provide life support services without written or verbal parent or guardian consent.

The Board shall approve and confirm from time to time a written schedule of the types
of medical, health education, and behavioral health services that may be provided by
the Provider, However, the Board may not compel the Provider to provide services
which in the professional opinion of the Provider's staff are outside of or exceed their
scope of practice. The FamilyCare Board of Directors maintains appropriate authority to
oversee the operations of the center.

The Board shall establish an advisory committee of parents, students, community
members, health care providers, and educators to advise the Board on the nature and
scope of FamilyCare Health Centers services. One member of the Board shall serve on
the advisory committee and serve as the liaison to the Board.

Students receiving acute/chronic care medical service shall be charged the usual and
customary fee for said services by the Provider; however, no student shail be denied
services due to the inability to pay. A sliding fee schedule shall be implemented by the
Provider based on the ability of a student or his or her family to pay. There shall be no
charge for students referred to their private physician when such student has been seen
by the Provider staff, where no treatment has been provided. There shall be no charge
for those services which would normally fall within the scope of school nursing practice.
These services will be rendered generally by the school nurse and not by the Provider.
However, the Provider shall have sole discretion in determining whether or not services
provided by FamilyCare Health Centers constitute billable medical services. It is
expressly understood by and between all parties that the Board shall, in no event, be
liable for any charges for services rendered to students, by the Provider, regardless of
whether or not payment is made by student or student’s parents.

The Provider shall maintain malpractice insurance covering activities of the Provider
staff at the Center.


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WomenCare Inc. D

FamilyCare Health Centers medical staff shall consist of health professionals, including,
but not limited to a Nurse Practitioner/Physician Assistant, Psychologist/Therapist and
other necessary staff employed by the Provider.

Medical services shall be provided by licensed health professionals including fully
licensed physicians, non-physician health care providers, and nurses.

The Medical Director operating the Health Center shall have responsibility for
supervising and evaluating the professionals employed by the Health Center.

All FamilyCare Health Centers medical records shall be confidential and maintained in
accordance with accepted professional standards. Proper written authorization by the
guardian will be required for the release of such records by the Provider before such
records are disclosed to any third parties including the Board and school nurses.

The school nurse shall be the liaison between FamilyCare Health Centers staff and the
school administration for management of day to day operations of the Center. The
school nurse and the Center staff will develop protocols, procedures, and policies to
define their respective roles and responsibilities with regard to the services provided to
students. Such policies will be approved by the FamiyCare Board of Directors.
FamilyCare Health Center’s malpractice coverage does not extend to the school nurse or
any other individual that is not employed by FamilyCare Health Centers.

Boone County Board of Education

CEO


Attachment A: List of Schools

Brookview Elementary
Ramage Elementary
Madison Elementary
Madison Middle School

Scott High School



Attachment B: Identification of Patient


Attachment B

FamilyCare HealthCenters

Ss

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Procedure for
Patient Identification
School-Based Health

Daily appointment schedule will be provided to the school office each
morning.

The following information must be verified with the School-Based Health
Consent/Enrollment form and the Student Information Sheet on file with
the school as students present to the clinic for treatment

Name

Date of Birth

Age

Grade/Teacher

Student’s parent or guardian name(s)

Each student must also verbalize identifying information {at least 3 from list
above)

Student access of services and return to school will be coordinated with
each respective school to assure the most safe and user-friendly approach
at each school