HomeMy WebLinkAboutbocc.con.amended.053.2018 A2017-11-13 btf
Contract Information
Contract Number
Project Name
Contractor
Budget Line Item 124.84.00000.82008
Procurement Method:
Type:
Contract Start Date
Contract End Date
Contract Type
Retainage
If this is a new contractor, please request they complete and submit to Finance a New Vendor Request Form.
Contact Information:
Department
County Representative Karen Koenemann County Representative
Phone (970) 429-6171
Provide a brief description of the contract:
Contract Value Summary:
$ 15,000.00
$ -
$ 15,000.00
$ 30,000.00
053.2018 A
Pitkin County
Procurement Cover Sheet
Please complete the Contract Cover Sheet when the contract/task order is complete and fully executed.
Return all Contract Cover Sheets and Contracts/Change Orders/Amendments/Task Orders to Procurement
No
Medical Officer
Kimberly S. Levin, MD, MPH
$ -
Additional Budget Line
Item(s)
(Please fully allocate New Contract Total)
$ -
$ -
$ -
$ -
Sole Source
Services/Maintenance
1/1/2018
12/31/2019
Contract Extension
NOTE: Clerks Office will keep original documents in compliance with Colorado State Archives retainage
Public Health
Extension of services and incorporation of detailed scope of services.
Original Contract Amount
Previous Change Order/Amendment Amount
This Change order/Amendment amount
New Contract Total
Contract #: 053.2018 Rev. 2018.06.13 btf
Budget Line Item #: 124.84.00000.82008
*Increases over $25,000 and/or 10% (single increase or accumulative) of original contract must
have County Manager signature. 1
CHANGE ORDER / CONTRACT AMENDMENT
Change Order Number: 053.2018 A
OWNER:
Pitkin County, Colorado
530 E. Main St., Suite #302
Aspen, CO 81611
CONTRACTOR:
Kimberly S. Levin, MD, MPH
1020 Waters Ave, #2
Aspen, CO 81611
The Provision of Medical Officer (the “Contract”) dated January 1, 2018 between the Board of
County Commissioners of Pitkin County, Colorado (the “County”) and Kimberly S. Levin, MD,
MPH (the “Contractor”), is hereby amended as follows:
Description of Change:
1. Extension of services through December 31, 2019. Per the terms of the original contract,
at the expiration of the initial term, the contract may be extended for four (4) additional
terms of one (1) year by the express written consent of both parties.
2. Incorporate Attachment A to provide more detailed scope of services effective January 1,
2019.
Reason for Change:
1. Extension of contract term. New expiration date now established as December 31, 2019.
2. Incorporate more detailed Scope of Services (“Attachment A”). All unaffected services of
original Contract scope are still in full effect.
Original Contract Amount $ 15,000.00
Previous Change Order/Amendment Amount $ 0.00
This Change Order/Amendment Amount $ 15,000.00
New Contract Total $ 30,000.00
Contract #: 053.2018 Rev. 2018.06.13 btf
Budget Line Item #: 124.84.00000.82008
*Increases over $25,000 and/or 10% (single increase or accumulative) of original contract must
have County Manager signature. 2
In all other respects, the Contract is in full force and effect and remains unchanged by this
Amendment.
KIMBERLY S. LEVIN, MD, MPH
________________________________________________
!#VENDOR SIGNATURE#! Date
PITKIN COUNTY, COLORADO
_________________________________________________
!#DEPARTMENT REPRESENTATIVE#! Date
Public Health Director
Jan-22-2019
Karen Koenemann
Jan-22-2019
County Medical Officer
Dr. Kim Levin
Attachment A - Scope of Services
Pitkin County Medical Officer
QUALIFICATIONS
●Statutory requirements for medical officer C.R.S. § 25-1-508 and 6 CCR 1014-6
o Currently licensed to practice medicine in Colorado without conditions, restrictions, or
letters of admonition from any Medical Board
o Graduate of approved medical school (MD or DO)
●Preferred Qualifications
o The Medical Officer should possess, along with medical expertise, interest, knowledge,
and expertise in public health, prevention, and working to improve the community’s
health.
o Particular knowledge may include being board certified in Preventive Medicine, holding
a master in public health or completion of public health coursework. If not board
certified in Public Health and Preventive Medicine; board certified in a primary care
specialty is preferred.
o Knowledgeable of public health related statutes, related Colorado Department of Public
Health and Environment policies and procedures, and related Board of Health rules.
●Insurance, liability and registrations
o Colorado Governmental Immunity, Article 10 of Title 24, C.R.S. for duties performed for
the agency
o Malpractice insurance for oversight of Community Health Services immunization
program and billing activities
SCOPE OF WORK
Pitkin County Public Health
●At a minimum, advise the public health director of the Local Public Health Agency and local
Board of Health on medical issues and medical decisions affecting public health, sign needed
protocols, and be available in a public health emergency.
●Connect medical practice to public health practice by providing consultation, technical
assistance and medical advice to public health director, local public health agency staff, and the
Board of Health in areas such as:
o evidence based health promotion, worksite wellness and chronic disease prevention
programs
o communicable diseases surveillance prevention and control, and human health hazard
control (i.e. public health emergencies; human health hazards; disease outbreaks;
epidemics; pandemics; and threats to the health of the public through atypical
manifestations of current, emerging, and re-emerging communicable diseases or human
health hazards)
o emerging public health issues and concerns in the local public health agency’s jurisdiction
(i.e. marijuana, Hep A, prescription drug overuse)
●Offer education and training, as needed, to public health director, local public health agency,
Board of Health, or community partners
●Serve as a liaison in building effective collaborative partnerships between the local public health
agency and local medical and health care providers to promote the health and safety of the
community
●Work with Pitkin County Public Health on Tobacco Policy and Reduction of Opioid Misuse
strategies
●Participate in the community health assessment process and provide medical and public health
expertise during the creation and implementation of local public health improvement plan;
participate in agency strategic planning, and quality improvement initiatives.
●Review the county Emergency Preparedness Plan annually and provide recommendations for
improvements
●Meet with staff to provide consultation, guidance, and training on disease surveillance,
investigation, prevention, and control strategies
●Provide consultative services, as needed, during large disease outbreaks
●In the event of an emergency, assist Public Health Agency staff in securing the cooperation of
key health partners in planning and implementing a mass prophylaxis clinic (liaison)
●Provide on-site physician services for community mass prophylaxis clinics (as outlined in the
Public Health Emergency Operations Plan)
●Adheres to the state statute regarding mandatory reporting of child abuse, child sexual assault,
and domestic violence
●Maintains confidentiality, adheres to local public health agency HIPAA policies
Community Health Services
●Offer medical oversight, consultation and recommendations, as needed
●Approve various medical protocols, including (but not limited to): anaphylaxis protocols,
immunizations, etc.
●Provide recommendations on orders/prescriptions for clients needing disease control services,
such as specimen collection, testing, and antibiotic prophylaxis, as needed
●Support billing practices for immunization services by becoming a credentialed provider with
private insurance companies, as needed.
●Provide DEA registration for the purchase of pharmaceuticals and vaccines