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

AGENDA COVER MEMORANDUM Page 2
C.M. #________ Date:__________
The Clinic will offer pre-employment physicals, primary care to eligible employees and their
dependents, prescription dispensing, disease management, injections, exams and screening, as
well as, occupational health services including, but not limited to, evaluation and treatment of
work related injuries and illnesses and occupational health exams. In an effort to attract
employees to the Clinic, employees who use the Clinic will not incur out of pocket expenses.
The Agreement provides for a term of three (3) years with an option to renew for two (2)
consecutive one (1) year terms. The Clinic will operate for a minimum of 40 hours per week
with the initial hours of operation being Monday and Friday 7am - 4pm; Tuesday and Thursday
10am - 7pm; Wednesday 7am - 12 noon and Saturdays 8am to 1pm. These hours will be
evaluated and modified as necessary to meet the needs of the City. The Clinic will be staffed by
a Physician, Nurse Practitioner or Physician’s Assistant, Nurse and a Medical Technician.
The annual management fee to First Onsite will be the lesser of $131,040 or 20% of the salary
wages and benefits for the personnel. Furthermore, the Agreement provides for Performance
Guarantees, whereby a portion of the management fee is at risk of forfeiture for
under-performance of specified benchmarks. A Review Board; consisting of outside healthcare
professionals and staff, will be established to provide oversight of the clinic. The Agreement
authorizes the Mayor to execute amendments to the Agreement for operational changes such as
hours of operation.
The proposed location for the Clinic is 464 Fern Street, a vacant historic building which is
owned by the City and centrally located to City operations. The windows are badly deteriorated
and will be replaced with hurricane resistant windows. Interior buildout will include electrical,
plumbing and structural repairs to facilitate three (3) examination rooms, an imaging/x-ray room,
a small lab, medical storage area, patient waiting area and administrative offices.
The Fern street location provides for adequate patron parking consisting of four (4) on-site
parking in the alley and two dedicated on-street parking spaces. The building is also equipped
with an existing handicap ramp. To maintain the historic integrity of the structure, there will be
no changes to the building exterior and the interior buildout will not jeopardize the historic
character.
The budget needed for Fiscal Year 2011 is:
$200,000 Building Renovations
90,000 Equipment (x-ray machine)
85,000 Start-up Expenses (includes hearing and eye testing equipment for firefighter
physicals)
225,000 July - September contract with H2U Wellness for staff, supplies, and drugs
$600,000 Total
In an effort to control cost, the required landscaping of the property and parking lot repairs and
striping will be done in-house by our Parks Maintenance and Public Works employees. The
health clinic is expected to be operational in July 2011.
Fiscal Note