AGREEMENT
This AGREEMENT, made and executed in duplicate at Jefferson, Iowa, as of June 1, 2007, by
and between Greene County Medical Center, Public Health Department, hereinafter referred to
as “Public Health”; and the Greene County Sheriff’s Office, hereinafter referred to as “Sheriff’s
Office”.
WHEREAS, Public Health has qualified licensed personnel capable of providing nursing
services; and
WHEREAS, the Sheriff’s Office is interested in obtaining the services of qualified personnel of
Public Health for nursing service; and
WHEREAS, the parties desire to provide a statement of their agreement in connection with the
provision of services by Public Health to the Sheriff’s Office during the term of this agreement.
THEREFORE, in consideration of mutual covenants and agreements of this contract, it is
understood and agreed by and between the parties hereto as follows:
FIRST: The Public Health Department shall employ agents or employees, who are licensed by
the State of Iowa, to provide nursing services to the Sheriff’s Office.
SECOND: The Sheriff’s Office reserves the right to refuse the service of any individual agent or
employee of Public Health, while Public Health reserves the right to terminate any agent or
employee. The agents or employees of Public Health shall comply with the policies, rules, and
regulations of the Sheriff’s Office at all times.
THIRD: The Sheriff’s Office shall make available during the terms of this agreement adequate
space for the nursing staff to interview and/or examine inmates. In addition, the Sheriff’s Office
will provide jailers for inmate supervision during all contacts that the nursing staff has with the
inmates.
FOURTH: Public Health will supply equipment such as blood pressure cuffs, stethoscopes, and
thermometers. The Sheriff’s Office will supply a first aid kit, gloves, and other materials to meet
Bloodborne Pathogen standards.
FIFTH: Sheriff’s Office will call Public Health for nursing services as the need arises. Public
Health will inquire about the inmate’s complaints, make a decision regarding the urgency of the
problem, and work with the jailer to set a time to visit the inmate. Inmates will be seen as soon
as possible, and no longer then two (2) working days from the time of notification. Public Health
may decline to visit, if it is more appropriate for the inmate to seek medical or emergency
treatment. The nurse will be available for visits during office hours, Monday-Friday, 8:00 a.m. to
4:30 p.m. If consultation is needed during the evening hours or weekends, the nurse on call will
be available by phone at 386-2114.
SIXTH: Specific duties of Public Heath include but are not limited to: review of health records,
screening and interviewing inmates related to the health concern, assisting to give injections or
complete other nursing procedures ordered by a physician, and making appropriate referrals as
needed.
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SEVENTH: Sheriff’s Office shall pay Public Health the sum of $XX.XX per hour for each hour
that the employees or agents of Public Health visit the jail for the purpose of assessing inmate
health problems or concerns for services Monday through Friday 8:00 AM to 4:30 PM. A
minimum of $XX.XX will be charged for each visit but partial hours will be prorated after the first
hour.
Sheriff’s Office shall pay Public Health the sum of $XX.XX per hour for each hour of service
outside of the normal business hours of 8:00 AM to 4:30 PM, Monday through Friday. There will
be no charge for phone consultations.
Public Health will bill the Sheriff’s Office monthly; the Sheriff’s Office will pay Public Health in full
within sixty days of receipt of the statement.
EIGHTH: The Sheriff’s Office hereby acknowledges that Public Health is the sole and exclusive
provider of nursing service on the premises of the jail while this agreement is in force.
NINTH: HIPAA Compliance. GCMC as a business associate agrees to:
a. Use and disclose Personal Health Information (PHI) only as required by law.
b. Use appropriate safeguards to prevent use or disclosure of PHI.
c. Report to Sheriff’s Office any unauthorized use or disclosure of PHI within twentyfour (24) hours of discovery by GCMC, together with any remedial action taken or
proposed to be taken with respect to such improper use or disclosure. GCMC shall
cooperate with Sheriff’s Office in mitigating any harmful effects of such use or
disclosure.
d. Upon the termination of the Services Agreement, return to Sheriff’s Office all PHI in
its possession.
TENTH: This agreement shall remain in full force and effect from the 1st day of July, 2007,
provided, however, that either Public Health or the Sheriff’s Office shall have the right and
privilege of canceling and terminating this agreement on thirty (30) days written notice to the
other; and upon expiration of the said, notice, this agreement shall be and become of no further
force or effect whatsoever, and each of the parties hereto shall be relieved and discharge
therefrom.
IN WITNESS WHEREOF, Public Health has caused this agreement to be executed by its officer
thereunto duly authorized and the Sheriff’s Office has caused this agreement to be executed by
its office thereunto duly authorized as of the day and year first written above.
PUBLIC HEALTH DEPARTMENT
GREENE COUNTY MEDICAL CENTER
GREENE CO. SHERIFF'S OFFICE
BY_____________________________
Cynthia Kail, Director
BY_____________________________
Tom Heater, Sheriff
_______________________________
Date
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Date
U:/Public Health/Contracts/Sheriff’s Dept for Jail Services FY08