REPORT TO COUNCIL
SUBJECT
Title
Action on Amendment No. 3 to Agreement with The Permanente Medical Group, Inc. for Professional Medical Services for Public Safety Employees
Report
COUNCIL PILLAR
Deliver and Enhance High Quality Efficient Services and Infrastructure
BACKGROUND
Since 1999, The Permanente Medical Group, Inc. (Permanente Medical Group) has provided occupational medical services for public safety employees of the Santa Clara Fire Department. These services are required to maintain compliance with Occupational Safety and Health Administration (OSHA) Standard 190.156 - Fire Brigades, OSHA Standard 1910.134 - Respiratory Protection, and National Fire Protection Association (NFPA) 1582 - Standard on Comprehensive Occupational Medical Program for Fire Departments.
The Occupational Health and Safety Services Division of the Permanente Medical Group has extensive experience and knowledge in applying and meeting these standards. Under the agreement, they provide periodic physical examinations, medical evaluations, vaccinations, and respiratory evaluations. They also conduct as-needed physical clearances for firefighter candidates. The services provided can vary year to year based on the number and the extent of on-duty injuries, staffing, and clinical indications.
The agreement with Permanente Medical Group (Attachment 1) was approved by City Council on September 12, 2017. The term of the agreement was for three years through August 31, 2020, with a not-to-exceed maximum compensation of $334,000.
In 2019, Amendment No. 1 (Attachment 2) was executed to revise the fee schedule to reflect updates to purified protein derivative (PPD) testing and to add additional services, including physician time and QuantiFERON, a blood test for tuberculosis.
In 2020, Amendment No. 2 (Attachment 3) was approved by City Council to extend the term of the agreement for an additional five years through August 31, 2025, and to increase the maximum compensation to $600,000....
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