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NOVEMBER 22, 2005
05-354
RESOLUTION
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PURPOSE:
APPROVE AGREEMENT I MEDICAL DIRECTOR
INITIATED BY:
FIRE DEPARTMENT
BE IT RESOLVED by the Common Council of the City of Oshkosh that the attached
Medical Director Agreement between the City of Oshkosh and BayCare Clinic, L.L.P. is
hereby approved and the proper City officials are hereby authorized to execute and deliver
the agreement in substantially the same form as attached hereto, any changes in the
execution copy being deemed approved by their respective signatures, and said City
officials are authorized and directed to take those steps necessary to implement the terms
and conditions of the Agreement.
MEDICAL DIRECTOR AGREEMENT
THIS MEDICAL DIRECTOR AGREEMENT is made and entered into this 1 8t day of
January 2005 (the "Effective Date"), by and between the City of Oshkosh ("Oshkosh"), and
BayCare Clinic, LLP., a Wisconsin limited liability partnership ("BCC") hereafter collectively
referred to as the "Parties."
RECITALS
WHEREAS, Oshkosh desires to retain BCC to provide medical director services for the
City of Oshkosh Fire Department (the "Department");
WHEREAS, BCC is experienced in the provision of administrative and medical
direction services in connection with the provision of emergency medical services;
WHEREAS, BCC desires to perform the medical director services contemplated herein
and those duties required of medical directors under applicable laws, statutes, rules and
contracts; and
WHEREAS, BCC and Oshkosh desire to provide a full statement of their respective
covenants, agreements and responsibilities in connection with BCC's services as Medical
Director for the Department during the term of this Agreement.
NOW, THEREFORE, in consideration ofthe mutual covenants and agreements set
forth in this Agreement and other good and valuable consideration, the receipt and sufficiency of
which is hereby acknowledged, the Parties agree as follows:
1. Duties and Responsibilities. Oshkosh hereby engages the services ofBCC to
provide medical director services to Oshkosh, as provided for in this Agreement, and BCC
hereby represents and warrants to Oshkosh that it is not a party to any other agreement or
arrangement that would preclude it from entering into, and providing services under, this
Agreement. At all times while this Agreement is in effect, BCC shall designate at least one of
the BCC Partners, who specializes in emergency medicine, to serve as a "Medical Director" for
the Department. The Medical Director initially designated for the Department shall be that
physician set forth on Exhibit A. Notwithstanding the foregoing provisions of this section,
nothing contained herein shall preclude BCC from assigning, on a temporary basis, an otherwise
qualified physician to serve as a Medical Director to the Department during any temporary leave
or absence (e.g. vacation, continuing medical education, illness) on the part of the designated
Medical Director.
BCC shall cause the Medical Director to agree to perform services as Medical Director of
the Department. In such capacity, the Medical Director shall have those duties and
responsibilities that are reasonably assigned from time to time by BCC, and those duties and
responsibilities required of persons serving in such capacities under all applicable federal, state
and local laws, rules and contracts. The dutíes and responsibilities of the Medical Director shall
specifically include:
(i)
services at the Department;
General monitoring of the provision of emergency medical
(ii) Cooperating with Oshkosh to assure that the Department complies
with all state and federal regulations concerning the medical standards and procedures applicable
to the provision of emergency medical services;
(iii) Assisting in the establishment, maintenance, review and
implementation of quality assurance and utilization review programs with respect to the
operation of the Department;
(iv) Providing recommendations as to improvements, including
recommendations relating to equipment maintenance, repair and replacement;
(v) Providing recommendations regarding staffing schedules and
personnel policies for the Department; and
(vi)
Providing training opportunities for Department staff.
BCC shall cause the Medical Director to cooperate with and assist the Department with
identifying and documenting the Medical Director's efforts in connection with the Medical
Director's duties,. including the devotion of time to the Medical Director's efforts.
2. Term. This Agreement shall have a term of one (1) year commencing January 1,
2005 (the "Term"). Unless either party provides the other party with ninety (90) days notice
prior to the end of the then current Term, the Agreement shall automatically renew for successive
one (1) year periods.
3.
Termination. This Agreement may be terminated:
(i)
immediately by either BCC or Oshkosh for cause (as defined below);
(ii) by BCC in the event it no longer employs physicians specializing in
emergency medicine;
(iii)
upon the mutual agreement of BCC and Oshkosh; or
(iv)
by either party with one-hundred and twenty (120) days notice to the other
party.
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In the event that this Agreement is terminated pursuant to Subsection (i), (iii) or (iv) of
this Section 4 during the initial Term, the Parties shall not renegotiate this Agreement or enter
into any other financial arrangement until the expiration of the initial Term. With respect to the
termination of this Agreement for cause, the term "cause" shall mean: (i) a material breach by of
this Agreement by Oshkosh, the Department, BCC, or the Medical Director which shall not have
been cured by the breaching party within ten (10) days of receipt of notice from the non-
breaching party of the breach; (ii) conviction of a crime by BCC, the Medical Director or the
Department; (iii) exclusion or suspension ofBCC, the Medical Director or the Department from
the Medicare or Medicaid Programs; or (iv) the inability ofthe Parties to satisfactorily
renegotiate any terms of this Agreement required to be amended by a change in the applicable
laws or regulations pursuant to the requirements of Section 16 hereof.
4. Status of Parties. The Parties acknowledge that they are independent parties,
acting as independent contractors. BCC shall not be responsible for, nor be held liable for, any
of the acts or omissions of the Department or Oshkosh in performing their duties hereunder.
Nothing in this Agreement shall be deemed to constitute either party as the agent of the other,
nor shall either party have the right to bind the other party or make any promises or
representations on behalf of the other.
5. Headin2:s: Exhibits: Recitals. The section headings ofthis Agreement are for
reference purposes only and are to be given no effect in the construction or interpretation of this
Agreement. All Exhibits attached to this Agreement shall be deemed part of this Agreement and
incorporated herein, where applicable, as if fully set forth therein. The recitals set forth above
are incorporated herein by this reference as reflecting the intent of the Parties.
6. Notices. All notices and other communications under this Agreement shall be in
writing and shall be deemed given when delivered personally or when deposited in the U.S. mail,
postage prepaid, sent registered or certified mail, return receipt requested, to the parties at the
following addresses (or to such other address as a party may have specified by notice duly given
to the other party in accordance with this provision):
If to BCC:
BayCare Clinic, LLP.
164 N. Broadway
Green Bay, WI 54303
Attention: Paul Summerside, M.D.
With a copy to:
McGuire Woods LLP
c/o Scott Becker
77 W. Wacker Drive, Suite 4100
Chicago, IL 60601
If to Oshkosh:
City of Oshkosh Fire Department
c/o James Austed
101 Court Street
Oshkosh, WI 54901
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7. Waiver. Any party may waive compliance by another party with anyofthe
provisions of this Agreement. No waiver of any provision shall be construed as a waiver of any
other provision. Any waiver must be in writing.
8. Bindin2: Effect: Assi2:nment. This Agreement shall be binding upon and inure to
the benefit of the parties and their respective successors and permitted assigns.
9. Entire A2:reement. This Agreement contains, and is intended as, a complete
statement of all ofthe terms of the agreement between the parties with respect to the matters
provided for herein, supersedes any previous agreements and understandings (whether written or
oral) between the parties with respect to those matters and cannot be amended or changed except
by a written instrument duly executed by or on behalf of all of the parties hereto.
10. No Referrals. No payment hereunder is intended to serve as payment for the
referral of patients to or from the Department or the generation of business for the Department.
The Department shall not in any manner be influenced or required to refer any patients to BCC
for treatment or to otherwise generate business for BCC.
11. Severability. If any part or provision of this Agreement shall be declared invalid
or unenforceable by a court of competent jurisdiction, said provision or part shall be ineffective
to the extent of such invalidity or unenforceability only, without in any way affecting the
remaining parts or provisions ofthis Agreement or such other agreement, document or writing.
12. Governin2: Law. This Agreement shall be governed by and construed in
accordance with the laws ofthe State of Wisconsin applicable to agreements made and to be
performed in Wisconsin without giving effect to conflicts of law principles.
13. Counterparts. This Agreement may be signed in any number of counterparts
and all such counterparts shall be read together and construed as but one and the same document.
14. Le2:al Impact~ Limited Rene2:otiation. This Agreement shall be construed to be
in accordance with any and all federal and state statutes, including Medicare, Medicaid and all
federal and state rules, regulations, principles and interpretations. In the event there is a change
in Medicare, Medicaid or other federal or state statutes, rules, regulations, principles or
interpretations that renders any of the material terms of this Agreement unlawful or
unenforceable, including any publishing of any proposed regulations under either Stark II or the
Fraud and Abuse Statute which would lead one to believe that this Agreement does not comport
with either statute, either party shall have the immediate right to initiate the renegotiation of the
affected term or terms ofthis Agreement, upon notice to the other party, to remedy such
condition. Should the parties be unable to renegotiate the term or terms so affected so as to bring
it/them into compliance with the statute, rule, regulation, principle or interpretation that rendered
it/them unlawful or unenforceable within thirty (30) days of the date on which notice of a desired
renegotiation is given, then either party shall be entitled, after the expiration of said initial thirty-
day period, to terminate this Agreement upon sixty (60) days' written notice to the other party.
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IN WITNESS WHEREOF, BCC and Oshkosh have executed this Agreement on the
day and year first above written.
BAYCARE CLINIC, L.L.P.
By:
Its:
CITY OF OSHKOSH
By:
Its:
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Michelle Peters, M.D.
\\HEA\lO6221.2
EXHIBIT A
DESIGNATED MEDICAL DIRECTOR
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