R2020-179 Resolution Authorizing the City Manager to Negotiate Terms and Execute an Agreement for Creation of a Healthcare Clinic to Service Participants in the City's Healthcare Benefit Plan with Paladina Health, LLC, DBA Activate Healthcare

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(p) Referrals to specialist physicians, as appropriate(e.g., for sleep apnea); and (q) Any other services as listed in Exhibit C, as may be revised from time to time. 3.2 Management Services. Paladina shall provide management services necessary and appropriate to operate the Paladins Clinic and to provide the Paladina Services. Client shall direct any inquiries, comments or concerns about Paladina Services only to Paladina. Paladina's management services shall include: (a) Assumption of responsibility for all Paladina Services. (b) Assumption of responsibility to establish, prepare, maintain and routinely review protocols in the areas of direct clinical responsibilities,in accordance with those standards of practice and guidelines published by national boards and/or other relevant healthcare agencies, which are appropriate in Paladina's sole discretion. (c) Assumption of responsibility for staffing and scheduling for the Paladina Clinic, Paladina Services, and Medical Team. (d) Assumption of responsibility for all Member communications, outreach, engagement, appointment scheduling and triage for the Paladina Clinic. (e) Promotion of cost containment and cost reductions in all areas of responsibility. (f) Meeting with the Medical Team on a monthly basis to review clinical and administrative issues. (g) Preparing monthly reports on utilization of Paladins Services, health coaching goals and outcomes,patient satisfaction scores,and relevant administrative issues. Other reports involving aggregated and population level health status, shall be provided periodically as agreed to by the parties. Custom reports may be available upon request of Client and agreement by Paladina at a cost of One Hundred Fifty dollars($150.00)per hour.No individually identifiable health information will be included in such reports unless specifically authorized in writing by the subject(s)of such information. (h) Supporting Client's efforts at creating an organizational culture for better employee health and wellbeing, including joint development with the Client of office hours that meet the needs of employee members, as well as Paladina. (i) Collaborating with Client to review and improve drug selection for clinical effectiveness and efficiency, including periodic meeting of the Clinic's advisory group, and the city's health care and wellness teams and committees. 0) Obtaining and providing the supplies necessary for the provision of Paladina Services. 4