Agenda Cover Memorandum for 02/ - City of West Palm Beach

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Applicable State Exclusion List on Atlas Education Verification (highest level) Professional License Verification Certification & Designations Check Professional Disciplinary Action Search Department of Motor Vehicle Driving history, based on responsibilities. Consumer Credit Report, based on responsibilities. City of West Palm Beach Level III (All senior level management to include Vice Presidents and above, facility CEO, COO, CFO, CNO) Social Security Number Verification Criminal Search (7 years or up to 5 criminal searches) Employment Verification to include reason for separation and eligibility for re-employment for each employer for 7 years Violent Sexual Offender and Predator Registry Search OIG List of Excluded Individuals/Entities GSA List of Parties Excluded from Federal Programs U.S. Treasury, Office of Foreign Assets Control (OFAC), List of Specially Designated Nationals (SDN) Applicable State Exclusion List on Atlas Education Verification (highest level) Professional License Verification Certification & Designations Check Professional Disciplinary Action Search Department of Motor Vehicle Driving history, based on responsibilities. Consumer Credit Report Newspaper Articles & Clippings Bankruptcy and Federal District Court Search 3. Hiring/Rehiring Ineligible Persons. Affiliated Employers may not employ or contract with, and staffing agencies may not refer to an Affiliated Employer any Subject identified as an Ineligible Person. Ineligible Person is defined as any individual or entity who is currently excluded, suspended, debarred or otherwise ineligible to participate in the Federal health care programs; or has been convicted of a criminal offense related to the provision of health care items or services and has not been reinstated in the Federal health care programs after a period of exclusion, suspension, debarment, or ineligibility, or any individual or entity currently excluded on a state exclusion list. 4. Analysis of Background Investigation. The Affiliated Employer’s Human Resources Department or third party owner of the background investigation report, as applicable, shall notify the responsible Manager if a discrepancy arises between disclosed credentials and the verified information or if the Subject is disqualified based upon the results of the background investigation. a. Derogatory information of the following nature as the result of a background investigation is the basis to no longer consider a Subject qualified: i. Inclusion on the list of Ineligible Persons. ii. Ineligible for re-employment. (Any exception to this element must be approved by the Affiliated Employer’s Human Resources Director.) All rights reserved. This document contains proprietary and confidential information which may not be reproduced or shared without the written consent of First Onsite. 11
iii. Termination from a previous job related to any of the following reasons: a.) Gross Misconduct; b.) Misconduct; c.) Policy violation; or d.) Unsatisfactory performance. City of West Palm Beach b. Derogatory information of the following nature as the result of a background investigation may be the basis to no longer consider a Subject qualified: i. Conviction of a felony or misdemeanor offense, based on responsibilities. ii. Providing a false statement on credentials. iii. A documented financial problem or issue, based on responsibilities. iv. A documented traffic violation, based on responsibilities. v. Failure to maintain license. vi. Restriction on license. vii. Job abandonment. viii. Refused assignment. ix. Quit without notice. x. Absenteeism. This list is not exclusive or exhaustive. Managers should use good judgment when evaluating information obtained through a background investigation report and, when in doubt, consult with the Corporate Employee Relations or Legal Department. Use of information obtained from a background investigation report must be taken in context with the responsibilities intended for the Subject. Derogatory information learned from a background investigation report should be considered with all other information known, and a case-by-case determination should be made. The Affiliated Employer’s Human Resources Director or responsible Manager may seek clarification from the Subject regarding the derogatory information. Information obtained from a background investigation report should remain confidential and not be shared with anyone except on a need to know basis. c. Before conveying an adverse action based on any information in a background investigation (otherwise known as an investigative consumer report), the Subject must first be provided with: i. A copy of the background investigation (otherwise known as an investigative consumer report). ii. A written description of the Subject’s rights as prescribed by the FTC. iii. The name, address and phone number of the consumer reporting agency that provided the report. iv. A notice of the Subject’s right to dispute the accuracy or completeness of the report with the consumer reporting agency. Three days after the above is provided, the Subject must be provided with the following required disclosure: i. A notice of the adverse action. ii. A statement that the consumer reporting agency did not make the decision to take the adverse action and thus cannot tell the Subject the specific reason for the adverse action. 5. Vendor. The Company recommends the background investigation reporting vendors listed on Atlas. Employer Attestation for Other Contract Workers Attestation. An Affiliated Employer must require individuals and entities with which it contracts for services that All rights reserved. This document contains proprietary and confidential information which may not be reproduced or shared without the written consent of First Onsite. 12
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Originating Department: Human Resou
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AGENDA COVER MEMORANDUM Page 3 C.M.
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February 7, 2011 RESOLUTION NO. 48-
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February 7, 2011 4 RESOLUTION NO. 4
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February 7, 2011 FUND 133 - WATERFR
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February 7, 2011 8 RESOLUTION NO. 4
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RESOLUTION NO. 41-11 A RESOLUTION O
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Matter No. 10067 ITN No. 08/09-131
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“Medical Professionals” shall m
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less the estimated cost of any Supp
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longer in good standing with his or
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isk; thus, the amount forfeited in
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SECTION 3. Covenants and Responsibi
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Exhibit K b. Start Up Costs; c. the
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SECTION 8. Indemnification. First O
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9.7 Certificates of Insurance. Firs
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States Mail if mailed, upon acknowl
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12.15 No Discrimination in Employme
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earthquake, volcanic action, flood,
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Exhibit A Scope of Clinical Service
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Medical Surveillance � Hearing -
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EXHIBIT B SCOPE OF MANAGEMENT SERVI
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EXHIBIT D INVENTORY (attached heret
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EXHIBIT F PHYSICIAN’S AGREEMENT (
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EXHIBIT H CREDENTIALING PROCESS (at
Page 51 and 52: EXHIBIT J MINIMUM SQUARE FOOTAGE RE
Page 53 and 54: EXHIBIT L REPORTING REQUIREMENTS (a
Page 55 and 56: Assessing Health Risks Personal Hea
Page 57 and 58: City of West Palm Beach January 18,
Page 59 and 60: � What the coach has learned abou
Page 61 and 62: Online Content & Tools City of West
Page 63 and 64: City of West Palm Beach January 18,
Page 65 and 66: COMPREHENSIVE SUPPLIES AND EQUIPMEN
Page 71 and 72: e sent to such patient and emergenc
Page 73 and 74: life, disability, and dental benefi
Page 75 and 76: compensation due to him or her for
Page 77 and 78: A. Custody of Medical Records. Phys
Page 79 and 80: 6.A.iii hereof, Employer agrees tha
Page 81 and 82: Attn: Brian Jones, Vice President 3
Page 83 and 84: ___________________________________
Page 85 and 86: to use up to ____________ (_____) r
Page 87 and 88: 2 Chapter 5 General Policy 5-1 Admi
Page 89 and 90: SECTION V- MISCELLANEOUS PROVISIONS
Page 91 and 92: Effective Date Chapter 5 January 1,
Page 93 and 94: City of West Palm Beach employment:
Page 95 and 96: City of West Palm Beach basis. (c)
Page 97 and 98: City of West Palm Beach 1. candidat
Page 99 and 100: employee’s first day of employmen
Page 101: City of West Palm Beach investigati
Page 105 and 106: City of West Palm Beach ESTIMATED P
Page 107: Report Name Description Frequency O
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Agenda Cover Memorandum for 02/ - City of West Palm Beach

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