Res 079-2011 9/6/2011
RESOLUTION NO. _79-2011__
Resolution Authorizing The City Manager to Execute a Professional
Medical Services Agreement Between the City and North Central
Texas Medical Foundation For The Provision Of Medical Services To
The Wichita Falls-Wichita County Public Health District
WHEREAS, the Health District provides, a TB clinic, a sexually transmitted
disease clinic, and an immunization clinic;
WHEREAS, the Health District and the North Central Texas Medical Foundation
desire to enter into a contract for the provision of physicians to staff medical clinics;
and
WHEREAS, the Health District and the North Central Texas Medical Foundation
desire to enter into a contract for the provision of Medical Director and Health Authority.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF WICHITA FALLS, TEXAS, THAT:
Professional Medical Services Agreement between City and
The attached
North Central Texas Medical Foundation
for the provision of medical services to the
Wichita Falls-Wichita County Public Health District, is hereby approved, and the City
Manager is authorized to execute said Agreement on behalf of the City of Wichita Falls.
th
PASSED AND APPROVED this the 6 day of September, 2011.
______________________________
M A Y O R
ATTEST:
____________________
City Clerk
PROFESSIONAL MEDICAL SERVICES AGREEMENT BETWEEN
CITY AND NORTH CENTRAL TEXAS MEDICAL FOUNDATION
This Agreement is made and entered by and between the North Central Texas Medical Foundation,
hereinafter referred to as “Foundation,” and the City of Wichita Falls, Texas, a home rule municipal corporation,
hereinafter referred to as “City,” and on behalf of the Wichita Falls-Wichita County Public Health District,
hereinafter referred to as “District” to be effective upon approval of the Wichita Falls City Council and subsequent
execution by the Wichita Falls City Manager or his designee.
WITNESSETH:
WHEREAS
, the District recognizes the need to retain professional medical services to meet the needs of
Exhibit “A”
programs identified in and incorporated herein; and
WHEREAS
, the District needs the assurance of an established continuous source for the provision of
health care to meet the aforementioned needs of the District; and
WHEREAS
, the Foundation currently operates the Family Practice Residency Program (hereinafter
referred to as “Residency”) which can provide the medical care to meet the aforementioned health care needs; and
WHEREAS
, the Foundation is a non-profit corporation which is certified by the State Board of Medical
Examiners to engage in the practice of medicine; and
WHEREAS,
the faculty physicians of the Residency (herein “Faculty Physicians”) are competent
physicians legally qualified to practice medicine under the laws of the State of Texas; and
WHEREAS,
the resident physicians of the Residency (herein “Resident Physicians”) are legally qualified
to practice medicine under the laws of the State of Texas under the direct supervision of the Faculty Physicians of
the Residency; and
WHEREAS,
the Residency agrees to provide the required Faculty Physician supervision for all Resident
Physicians when performing the duties established in the Agreement; and
WHEREAS, .
Ahmed A. Mattar, M.D, Director of the Residency and also Faculty Physician, was
previously appointed as Medical Director and Glen A. Minter, M.D., Faculty Physician, was previously appointed
as Associate Medical Director; and
WHEREAS,
the Local Public Health Reorganization Act, Chapter 121 Health and Safety Code, and
Texas Board of Health Rule, 25 Tex. Admin. Code §85.12, require the appointment and service of a Health
Authority; and
WHEREAS,
the District recognizes the need to retain professional services to meet the requirements for
Exhibit “B”
Health Authority as described in and incorporated herein; and
WHEREAS,
Ahmed A. Mattar M.D., was previously appointed as Health Authority and Glen A. Minter,
M.D. was previously appointed as Associate Health Authority for the District and said Faculty Physicians meet the
requirements of Section 121.022 of the THSCand are willing to render professional
EXAS EALTH AND AFETY ODE
services for the District as provided herein.
NOW, THEREFORE,
City hereby engages the services of the Residency, and in consideration of the
mutual promises herein contained, the parties agree as follows:
I.
SW
COPE OF ORK
The scope of work and responsibilities and requirements are included but are not limited to those set out
Exhibits “A” and “B”
in attached hereto and made a part hereof for all purposes, which are intended as
guidelines and may be amended by mutual agreement.
II.
T
ERM
The term of this Agreement shall be a two-year period beginning on October 1, 2011 and ending on
September 30, 2013. This Agreement may be terminated by City as provided herein.
III.
MD
EDICAL IRECTOR
3.01
Medical Director.
Ahmed A.Mattar, M.D., will serve as Medical Director and Glen A. Minter,
M.D as Associate Medical Director for the District providing medical direction and quality control of medical
Exhibit “A”.
services for the District Director and staff including but not limited to those services set forth in The
Medical Director is responsible to the District Director and will work in cooperation with the District Director.
3.02
Health Authority.
Ahmed A. Mattar M.D.,has been appointed as Health Authority and Glen A.
Minter, M.D., as Associate Health Authority and will serve the District by carrying out the duties as included but
Exhibit “B”.
not limited to those set out in Health Authority is responsible to the District Director and will work
in cooperation with the District Director and will provide assistance in ensuring adherence to state and local laws
relating to public health. Health Authority will perform all duties of a Health Authority as provided by law and has
taken and subscribed to the official Health Authority oath and filed a copy of the oath and appointment with the
Texas Board of Health as required by Chapter 121 of the Health and Safety Code and according to Article I of this
agreement.
IV.
C/OD
OMPENSATIONWNERSHIP OF OCUMENTS
4.01 Compensation.
In consideration for the services to be rendered under this Agreement, including
all expenses, the Foundation shall be paid a fee of $9,183.33 per month. Foundation may invoice City on a monthly
basis. Such invoices shall be itemized to show services performed, expenses, and corresponding charges.
Foundation shall keep accurate records of its services and expenses incurred in the performance of this
Agreement and shall make the same available to City and/or District for inspection and copying upon five days
notice thereof. These records shall be kept by Foundation for four years following the expiration of this
Agreement. The Foundation shall furnish to the District an itemized report of annual expenditures no later than
the 30th day following the expiration of each fiscal year for which services are provided under this Agreement.
4.02 Fiscal Funding.
Foundation and City recognize that the continuation of any Agreement after the
close of any given fiscal year of the City of Wichita Falls, which fiscal year ends on September 30th of each year,
shall be subject to Wichita Falls City Council approval. In the event the Wichita Falls City Council does not
approve the appropriation of funds for this Agreement, the Agreement shall terminate at the end of the fiscal year
for which funds were appropriated, and the parties shall have no further obligations hereunder.
4.03 Maximum Compensation upon Termination by City or Professional.
In the event of
termination by City, with or without cause, and subject to the terms of §3.02 herein, the Foundation shall be
compensated only for actual expenses and fees incurred by Foundation in providing those services acceptable to
District, which are within the scope of work under this Agreement to date of notice of termination. Expenses do
not include overhead such as utilities, rent, insurance, etc., and shall not exceed the total amount due under this
Agreement.
4.04 Ownership of Documents.
All client or patient records created as a result of the District’s
services shall be the property of the District. Notwithstanding any provision herein to the contrary, if requested by
the Residency, the District may, in its sole discretion, share certain patient information with the Residency.
However, the District shall first obtain a release of medical information from the client, patient, or someone
authorized to act on his or her behalf, permitting the transfer of information to the Residency.
4.05 Examination of Books and Records.
The Foundation agrees that the District, the Texas
Department of Health and the federal government shall have the right to examine the books, records and accounts
of the Foundation at a time mutually convenient to both parties to the extent that they relate to transactions
affecting the Foundation’s compensation as set forth in this agreement. Any questions or deficiencies identified by
the District in the Foundation’s records will be conveyed in writing to the Foundation. The Foundation will
resolve the questions or deficiencies in writing to the District within 30 days of receipt of a question or deficiencies.
A determination by the District of either an inadequate or inappropriate resolution of the questions or deficiencies
may result in the withholding of funds, suspension or cancellation of this Agreement. Any such withholding of
funds or suspension will remain in effect until the findings are properly remedied as determined by the District.
The right to examine the Foundation’s books as they relate to this Agreement shall survive termination of this
Agreement.
V.
SA/AA
UCCESSORS AND SSIGNSGENTS OR SSISTANTS
5.01 Successors and Assigns.
City and Foundation each bind themselves, their successors, executors,
administrators and assigns to the other party to this Agreement. Neither City nor Foundation will assign, sublet,
subcontract or transfer any interest in this Agreement without the written consent of the other party. No
assignment, delegation of duties or subcontract under this Agreement will be effective without the written consent
of City. Subject to the provision regarding assignment, this Agreement shall be binding on the administrators,
legal representatives, successors, and assigns of the respective parties.
5.02 Use of Agents, Servants, Employees or Independent Contractors.
Subject to the foregoing, to
the extent reasonably necessary for the Foundation to perform its duties hereunder, Foundation may engage, at the
sole expense of the Foundation, the services of any agents, servants, employees or independent contractors which it
may deem proper, and it may further employ, engage, or retain the services of such other persons or corporations to
aid or assist it in the proper performance of its duties. Foundation shall be compensated only for actual expenses
and fees for supplies and materials incurred by Foundation in providing services to the City that are within the
scope of work under this Agreement. The cost of the services of such agents, servants, employees or independent
contractors shall be borne by Foundation at its sole cost and expense. Foundation further agrees that the subletting
of any portion or feature of the work or materials required in the performance of this Agreement shall not relieve
Foundation from its full obligations to City as provided by this Agreement, regardless of whether such subletting is
agreed to by City.
All out-of-pocket expenses are to be borne by the Foundation, with exception for materials set forth in
Exhibit “A”
attached.
It is expressly understood and agreed that any agent, servant, employee, or independent contractor
retained or employed by Foundation is the agent, servant, or other employee of independent contractor of
Foundation and that Foundation shall be solely responsible for the acts and omissions of such person or entity to
the exclusion of the City. It is expressly agreed that City has no right of control over any agent, servant, employee
or independent contractor.
VI.
F
ACILITIES
Facilities.
Foundation shall be responsible for providing all necessary facilities, personnel, equipment,
materials or other items necessary to perform the services required of it hereunder; provided, however, City shall
cooperate with Foundation by providing space it has available for meetings, medical evaluation and treatment, and
administrative space as mutually agreed.
VII.
ICI
NSURANCE AND ERTIFICATES OF NSURANCE
Foundation shall obtain, at its own expense, Professional Errors and Omissions insurance, which will pay
for injuries arising out of errors or omissions in the rendering, or failure to render, professional services under the
Agreement, for the term of the Agreement and up to two years after the Agreement is terminated, with limits of
$200,000/$600,000 per occurrence/aggregate for non-residents and limits of $100,000/$300,000 for residents.
Foundation shall not start work under this Agreement until Foundation has obtained at its own expense all of the
insurance required hereunder, and such insurance has been approved by the City Manager. Any subcontractor of
the Foundation shall be required to carry the same insurance as the Foundation. To establish procurement of
Professional Errors and Omissions insurance, Foundation shall not work under this Agreement until (1) it has
furnished to the City a Certificate of Insurance for each physician providing medical services pursuant to the
provisions of this Agreement, and (2) the insurance has been approved by the City Manager of the City of Wichita
Falls. It is the express duty of the Foundation to notify the City Manager of any change in the Professional Errors
and Omissions insurance coverage affecting any physician providing medical services pursuant to the provisions of
this Agreement. Such notice shall be in writing and furnished to the City Manager, City of Wichita Falls, Texas,
P.O. Box 1431, Wichita Falls, Texas 76307, within five business days of the Foundation's receipt of notice of
change.
VIII.
I
NDEMNIFICATION
Foundation does hereby covenant and agree to waive all claims, release, indemnify, defend and hold
harmless the City and the District and all of their officials, officers, agents, employees, volunteers and invitees in
both their public and private capacities, from any and all liability, claims, suits, demands or causes of action,
including all expenses of litigation and/or settlement which may arise by reason of injury to or death or debt of any
person, or for loss of, damage to or loss of use of any property arising, directly or indirectly, out of Foundation’s
services in accordance with the Agreement; and such indemnity will apply whether the claims, suits, losses,
damages, causes of action or liability, arise in whole or in part from the negligence of Foundation or any of its
officers, officials, agents, employees or invitees, whether such negligence is contractual, comparative negligence,
concurrent negligence, gross negligence or any other form of negligence.
The City and the District shall be responsible for the negligence of their respective employees in the
performance of their duties under the provisions of this Agreement.
IX.
IC
NDEPENDENT ONTRACTOR
Foundation covenants and agrees that he or she is an independent contractor and not an officer, agent,
servant or employee of City; that Foundation shall have exclusive control of and exclusive right to control the
details of the work performed hereunder and all persons performing same, and shall be responsible for the acts and
omissions of its officers, agents, employees, contractors, subcontractors and consultants; that the doctrine of
respondeat superior shall not apply as between City and Foundation, its officers, agents, employees, contractors,
subcontractors and consultants, and nothing herein shall be construed as creating a partnership or joint enterprise
between City and Foundation.
X.
T
ERMINATION
10.01 Option.
City may, at its option, without cause, and without prejudice to any other remedy it may
be entitled to at law, in equity, or otherwise under this Agreement, terminate further work under this Agreement,
in whole or in part, by giving at least 30 days prior written notice thereof to Foundation with the understanding
that all services being provided by Foundation shall cease upon the date such notice is received.
10.02 Cause.
City reserves the right to terminate this Agreement immediately upon breach of any term
or provision of this Agreement by Foundation; or if at any time during the term of this Agreement, Foundation
shall fail to commence the work in accordance with the provisions of the Agreement or fail to diligently provide
services in an efficient, timely and careful manner and in strict accordance with the provisions of this Agreement,
or fail to use an adequate number or quality of personnel or equipment to complete the work or fail to perform any
of its obligations under this Agreement, then City shall have the right, if Foundation shall not cure any such
default after 30 days written notice thereof, to terminate this Agreement and complete the work in any manner it
deems desirable, including engaging the services of other parties therefore. Any such act by City shall not be
deemed a waiver of any other right or remedy of City.
10.03 Costs.
If after exercising any remedy provided herein, the cost to City of the performance of the
balance of the work is in excess of that part of the Agreement sum that has not therefore been paid to professional
hereunder, Foundation shall be liable for and shall reimburse City for such excess.
XI.
EO
QUAL PPORTUNITIES
Foundation shall not discriminate against any employee or applicant for employment because of race, age,
color, religion, sex, disability, ancestry, national origin or place of birth. Foundation shall take action to ensure that
applicants are employed and treated without regard to their race, age, color, religion, sex, disability, ancestry,
national origin or place of birth. This action shall include but not be limited to the following: employment,
upgrading, demotion or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other
forms of compensation; and selection of training, including apprenticeship.
XII.
AL
PPLICABLE AW
Foundation shall at all times observe and comply with all federal, state and local laws, ordinances and
regulations, which in any manner affect Foundation or the work, and shall indemnify and save harmless City
against any claim arising from the violation of any such laws, ordinances and regulations whether by Foundation
or its employees. If Foundation observes that the work is at variance therewith, Foundation shall promptly notify
City in writing. If Foundation performs any work knowing it to be contrary to such laws, ordinances, rules and
regulations, and without such notice to City, Foundation shall bear all costs arising therefrom.
XIII.
S
EVERABILITY
The provisions of this Agreement are severable. If any paragraph, section, subdivision, sentence, clause,
or phrase of this Agreement is for any reason held to be contrary to the law or contrary to any rule or regulation
having the force and effect of the law, such decision shall not affect the remaining portions of the Agreement.
XIV.
N-W
ONAIVER
It is expressly understood and agreed that, in the execution of this Agreement, City does not waive nor
shall City be deemed hereto to have waived any immunity or defense that would otherwise be available to it. It is
further agreed that one or more instances of forbearance by City in the exercise of its rights herein shall in no way
constitute a waiver thereof.
XV.
D-FW
RUGREE ORKPLACE
The Foundation, its agents, servants, and employees shall be subject to the drug-free workplace
Exhibit “C.”
requirements as set forth in
XVI.
S-FE
MOKEREE NVIRONMENT
The Foundation shall at all times prohibit the use of tobacco products, whether smoking or smokeless,
within any and all space occupied or used by the Foundation pursuant to this Agreement.
XVII.
PH
ARAGRAPH EADINGS
The descriptive headings of the several Articles, Sections and Paragraphs contained in this Agreement are
inserted for convenience only, and shall not control or affect the meaning or construction of any of the provisions
hereof.
XVIII.
EA
NTIRE GREEMENT
This Agreement supersedes any and all other agreements, either oral or in writing, between the parties
hereto with respect to the subject matter hereof, and no other agreement, statement, or promise relating to the
subject matter of this Agreement, which is not contained herein, shall be valid or binding. The parties agree that
this Agreement and its attachments constitute the entire understanding of the parties.
XIX.
BO
REACH OF BLIGATION
This Agreement is entire as to all of the services to be rendered under it. Breach of any obligation to be
performed shall constitute a breach of the entire Agreement and shall give the non-breaching party the right to
terminate this Agreement.
XX.
GL/V
OVERNING AWENUE
The validity of this Agreement and of any of its terms or provisions, as well as the rights and duties of the
parties hereunder, shall be governed by the laws of the State of Texas. The parties agree that it is performable in
Wichita County, Texas, and that exclusive venue shall be in Wichita County, Texas.
IN WITNESS WHEREOF,
the parties have executed this Agreement on the dates indicated below.
Foundation
Date: ___________________ By: _________________________________
Eid B. Mustafa, M.D. Chair
North Central Texas Medical Foundation
Date: ___________________ By:
Ahmed A. Mattar, M.D.
Date: ___________________ By: _________________________________
Glen A. Minter, M.D.
City of Wichita Falls, Texas
Date: ___________________ By: _________________________________
Darron J. Leiker, City Manager
P. O. Box 1431
Wichita Falls, Texas 76307
Approved as to Form:
______________________
Miles Risley, City Attorney
Exhibit “A”
MD
EDICAL IRECTOR
Tuberculosis Clinic
Contractor Responsibilities
Conduct weekly TB clinic (average time required in clinic per week four (4) hours)
Admit patients to service
Physical examination of patients
Review chest x-rays
Review lab reports
Issue medical orders for treatment, diagnostic testing and referral if necessary
Chart review on enrolled patients
Review and approve District protocols and policies annually
Phone consultation between clinics concerning urgent lab reports and medication reactions
Participate in annual Quality Assurance review
Health District Responsibilities:
Supply adequate staff, equipment and supplies to maintain clinical and surveillance activities
Administer and read TB skin test according to established protocols
Perform contact investigation and follow up for each identified case
Prepare charts for clinics to ensure all labs and needed x-rays are ready for physician review
Prepare clients for physician including initial interview, obtain vital signs, height weight and vision
screen
Perform all lab draws
Monitor all DOT clients for signs and symptoms of medication reaction or toxicity
Client education concerning disease process and medication
Provide translators for non-English speaking clients
Provide TB medications and vitamins through state program
Conduct annual Quality Assurance review
Sexually Transmitted Disease Clinic
Contractor Responsibilities
Medical management of patients referred by PHN
Review lab results (Includes both in-office and phone consultations)
Chart review (Physician must review all client records)
Perform cryotherapy for treatment of condyloma
Phone consult on all syphilis cases, any deviation from normal protocol and any child under the age of 14
Review and approve District protocols and policies annually
Participate in annual Quality Assurance review
Health District Responsibilities
Supply adequate staff, equipment and supplies to manage STD clinic
Perform exams according to approved protocols for all patients and consult with physician when
medically appropriate
Perform all lab draws
Educate client concerning high-risk behaviors, disease process, treatment and medications
Provide translators for non-English speaking clients
Ensure appropriate space for physician to review charts
Conduct annual Quality Assurance review
Immunization Clinic
Contractor Responsibilities
Phone consults for unusual circumstances and variance reports
Review and approve District protocols and policies annually
Participate in annual Quality Assurance review
Health District Responsibilities
Provide education to all clients receiving immunization
Consult with physician regarding any protocol variance or untoward incident related to vaccine
administration
Insure proper consent is received for immunizations
Insure Immunizations are given according to policy and procedure
Conduct annual Quality Assurance review
Laboratory
Contractor Responsibilities
For purposes of CLIA certification, the Medical Director also serves as “Medical Director” of the
Laboratory. The District contracts with a pathologist who serves as “Laboratory Consultant.” The
Laboratory Consultant is responsible for Laboratory QA activities.
Pharmacy
Contractor Responsibilities
Serves as member of Therapeutics Committee
Annual formulary review
Approved as to Form:
______________________
Miles Risley, City Attorney
Exhibit “A”
MD
EDICAL IRECTOR
Tuberculosis Clinic
Contractor Responsibilities
Conduct weekly TB clinic (average time required in clinic per week four (4) hours)
Admit patients to service
Physical examination of patients
Review chest x-rays
Review lab reports
Issue medical orders for treatment, diagnostic testing and referral if necessary
Chart review on enrolled patients
Review and approve District protocols and policies annually
Phone consultation between clinics concerning urgent lab reports and medication reactions
Participate in annual Quality Assurance review
Health District Responsibilities:
Supply adequate staff, equipment and supplies to maintain clinical and surveillance activities
Administer and read TB skin test according to established protocols
Perform contact investigation and follow up for each identified case
Prepare charts for clinics to ensure all labs and needed x-rays are ready for physician review
Prepare clients for physician including initial interview, obtain vital signs, height weight and vision
screen
Perform all lab draws
Monitor all DOT clients for signs and symptoms of medication reaction or toxicity
Client education concerning disease process and medication
Provide translators for non-English speaking clients
Provide TB medications and vitamins through state program
Conduct annual Quality Assurance review
Sexually Transmitted Disease Clinic
Contractor Responsibilities
Medical management of patients referred by PHN
Review lab results (Includes both in-office and phone consultations)
Chart review (Physician must review all client records)
Perform cryotherapy for treatment of condyloma
Phone consult on all syphilis cases, any deviation from normal protocol and any child under the age of 14
Review and approve District protocols and policies annually
Participate in annual Quality Assurance review
Health District Responsibilities
Supply adequate staff, equipment and supplies to manage STD clinic
Perform exams according to approved protocols for all patients and consult with physician when
medically appropriate
Perform all lab draws
Educate client concerning high-risk behaviors, disease process, treatment and medications
Provide translators for non-English speaking clients
Ensure appropriate space for physician to review charts
Conduct annual Quality Assurance review
Immunization Clinic
Contractor Responsibilities
Phone consults for unusual circumstances and variance reports
Review and approve District protocols and policies annually
Participate in annual Quality Assurance review
Health District Responsibilities
Provide education to all clients receiving immunization
Consult with physician regarding any protocol variance or untoward incident related to vaccine
administration
Insure proper consent is received for immunizations
Insure Immunizations are given according to policy and procedure
Conduct annual Quality Assurance review
Child Health Clinic
Contractor Responsibilities
Conduct pediatric clinic (average time required in clinic per week four (4) hours)
Complete pediatric assessment
Nutritional evaluation
Developmental/behavioral status assessment
Chart review
Review Lab results
Issue prescription/s and provide referrals as needed
Review and approve District protocols and policies annually
Phone consultation between clinics concerning urgent patient care matters
Participate in annual Quality Assurance review
Health District Responsibilities
Supply adequate staff, equipment and supplies for clinic operation
Prepare charts for patient visits
Assist physician as stand-by for exams
Provide translators for non-English speaking clients
Perform appropriate activities as detailed in District Policy and Procedures for Child Health Services
Provide patient and parent with age appropriate education
Schedule referral appointments and provide follow up
Conduct annual Quality Assurance review
Laboratory
Contractor Responsibilities
For purposes of CLIA certification, the Medical Director also serves as “Medical Director” of the
Laboratory. The District contracts with a pathologist who serves as “Laboratory Consultant.” The
Laboratory Consultant is responsible for Laboratory QA activities.
Pharmacy
Contractor Responsibilities
Serves as member of Therapeutics Committee
Annual formulary review
Exhibit “B”
HA
EALTH UTHORITY
The Foundation shall comply with the provisions of V.T.C.A., Health and Safety Code §121.024 and as it
may be amended from time to time, which at the time of the execution of this Agreement provides:
§121.024 Duties
(a) A health authority is a state officer when performing duties prescribed by state law.
(b) A health authority shall perform each duty that is:
(1)necessary to implement and enforce a law to protect the public health; or
(2) prescribed by the board.
(c) The duties of a health authority include:
(1) establishing, maintaining, and enforcing quarantine in the health authority’s
jurisdiction;
(2) aiding the board in relation to local quarantine, inspection, disease prevention and
suppression, birth and death statistics, and general sanitation in the health authority’s
jurisdiction;
(3) reporting the presence of contagious, infectious, and dangerous epidemic diseases in the
health authority’s jurisdiction to the board in the manner and at the times prescribed by
the board;
(4) reporting to the board on any subject on which it is proper for the board to direct that a
report be made; and
(5) aiding the board in the enforcement of the following in the health authority’s
jurisdiction:
(A) proper rules, requirements, and ordinances;
(B) sanitation laws;
(C) quarantine rules; and
(D) vital statistics collections.
In addition to the foregoing, Ahmed A. Mattar, M.D., the Health Authority, or, Glen A. Minter,
M.D., shall be available twenty-four hours a day, seven days a week, to any emergency personnel
who may be exposed to a contagious disease while performing his or her duty, to make a
determination as to whether mandatory testing for a contagious disease should be initiated.
Exhibit “C”
D-FWAC
RUGREE ORKPLACE CT ERTIFICATION
1. The Foundation certifies that it will provide a drug-free workplace by:
(a) Publishing a statement notifying employees that unlawfully manufacturing,
distributing, dispensing, possessing or using a controlled substance in the
Foundation’s workplace is prohibited and specifying the actions that will be
taken against employees for violation of such prohibition.
(b) Establishing a drug-free awareness program to inform employees about:
(1) The dangers of drug abuse in the workplace;
(2) The Foundation’s policy of maintaining a drug-free workplace;
(3) Any drug counseling, rehabilitation, and employee assistance programs that are
available; and
(4) The penalties that may be imposed upon employees for drug abuse violations occurring
in the workplace.
(c) Making it a requirement that each employee to be engaged in the
performance of the Agreement be given a copy of the statement required by
paragraph (a).
(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of
employment under the Agreement the employee will:
(1) Abide by the terms of the statement; and
(2) Notify the employer of any criminal drug statute conviction for a violation occurring in
the workplace no later than 5days after such a conviction.
(e) Notifying the District within 10days after receiving notice under
subparagraph (d)(2), from an employee or otherwise receiving actual notice of
such conviction.
(f) Taking one of the following actions, within 30 days of receiving notice under subparagraph
(d)(2), with respect to any employee so convicted:
(1) Taking appropriate personnel action against such an employee, up to and including
termination; or
(2) Requiring such an employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a federal, state or local health, law
enforcement, or other appropriate agency.
(g) Making a good faith effort to continue to maintain a drug-free workplace
through implementation of paragraphs (a), (b), (c), (d), (e), and (f).
2. The Contractor’s headquarters is located at the following address. The addresses of all other workplaces
maintained by the Contractor are provided on an accompanying list.
Name of Contractor: Ahmed A. Mattar, M.D.
Glen A. Minter, M.D.
North Central Texas Medical Foundation
Street of Address: 1301 Third Street
City: Wichita Falls
County: Wichita
State: Texas
Zip Code: 76301
Signed by: ______________________________ ____________________
Ahmed A. Mattar, M.D. Date
Signed by: ______________________________ ____________________
Glen A. Minter, M.D. Date