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CONT&CT
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CLINICAL AFFILIATION AGREEMENT
BETWEEN
CITY OF FORT WORTH AND
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
This Clinical Affiliation Agreement (the "Agreement"), is entered into this 1st day of
October, 2013, by and between the City of Fort Worth ("City") and Texas Health Harris Methodist
Hospital Fort Worth, a facility which has clinical facilities located at 1301 Pennsylvania Ave, Fort
Worth, TX ("Facility"). City and Facility agree to the following:
PURPOSE
Fort Worth Fire Department, a department of City ("Department") has an Emergency Medical
Technology Program ("Program") through which City provides its Department recruits (hereinafter
referred to as "Students" or individually as "Student") academic and clinical experience. City desires
for Facility to provide Students with clinical experience through Facility's clinical facilities, and
Facility is willing to provide such experience.
1.0 RESPONSIBILITIES OF CITY
City shall:
(a) plan the educational activities for the Students' clinical experience at Facility after consultation
with and approval by Facility;
(b) provide qualified teachers from Department to teach the pre -requisite core curriculum and
support courses in the Program;
(c) provide administrative functions for each Student in the Program;
(d) provide a faculty member at Facility to be available at times for consultation at all times
Students are at Facility to supervise Students participating in the Program;
(e) instruct Students to abide by Facility's patient care policies and guidelines. Information
regarding Facility's applicable policies and guidelines will be available at the time of student
orientation at Facility;
(f) if applicable, provide Facility with the appropriate forms to be used in evaluating the
performance of Students in the Program;
(g) require Students to comply with the regulatory and accreditation standards provided by the
Facility at the time of student orientation at Facility;
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(h) provide information to each Student regarding the Hepatitis B vaccine, its efficacy safety,
method of administration and benefits of being vaccinated and suggest that Students be
vaccinated for Hepatitis B;
(i) confirm Students have been tested for tuberculosis within one (1) year of commencement of the
Program and are tested at least annually while participating in the Program and provide
evidence of such testing and the results to Facihty prior to commencement of the Program or
upon request of Facility thereafter;
(1) confiuin Students have been instructed in Standard Precautions, as recommended and defined
by the Centers for Disease Control and Prevention (CDC), and completed a Basic Life Support
cardiopulmonary resuscitation course prior to the beginning of the Program and provide
evidence of such confirmation to Facility prior to commencement of the Program or upon
request of Facility thereafter;
(k) confirm that City is basically a self -funded entity and as such, generally, it does not maintain a
commercial liability insurance policy and damages for which City would ultimately be found
liable would be paid directly and primarily by City and not by a commercial insurance
company;
(1) provide to Facility at least two (2) weeks prior to commencement of the Program a letter
outlining the needs of Students, days and hours Students will be on patient units or service
areas, names of Students and supervising faculty members, length and dates of clinical
experience, and Texas nursing registration numbers of faculty, if applicable;
(m)consider promptly any complaints made by Facility against a Student and participate in joint
problem solving. Patient safety and welfare shall be the primary concern. Student issues will
be documented by the Facility and provided to the designated Faculty member and/or other
representative of City. Facility, in its sole discretion, may require peunanent withdrawal of any
Student from Facility at any time for cause;
(n) comply with Facility's substance abuse policies, and, at Facility's request, remove any Student
or faculty member from the Program if there is reasonable suspicion that the Student or faculty
member has violated Facility's substance abuse policies;
(o) verify that a background evaluation, including a criminal background history in all fifty (50)
states, has been perfonned on each Student, and verify that there are no negative findings for
each Student prior to commencing any assignment at Facility For purposes of this Agreement,
a criminal background history shall include any felony conviction within the last ten (10) years.
For purposes of this Agreement, a background evaluation shall include the last ten (10) years
and all counties (in Texas and outside of Texas) in which the Student has been a resident of or
employed in;
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(p) to the extent allowed by law, City shall hold Facility harmless for all claims, damages, losses,
and expenses, including attorney fees, arising out of any claim for negligence resulting from the
action or inaction of City, its employees or agents or any Student under this Agreement for
which a final judicial or other determination is made that the City, its employees or agents or
any student is responsible for such a claim;
(q) confirm students have documentation that MMR, Tdap, and varicella vaccinations have been
administered and existence of sufficient titers, and each student has a flu vaccine within one
year of commencement of working at Hospital;
(r) confirm that the name of any assigned students do not appear on either the Health and Human
Services (HHS) — Office of Inspector General (OIG) List of Excluded Individuals/Entities, or
the General Services Administration List of Excluded Parties or the Texas Medicaid OIG
Sanctions List. Facility reserves the right to re -screen students who have access or will be
granted Access to protected health information of Facility's patients or confidential information,
as determined to be required by Texas Health Resources or Facility based on the circumstances;
and
(s) ensure that each Student and faculty member at all times while at Facility wears a name tag,
badge, or other identifying label that clearly states the Student or faculty member's identity and
the name of the City.
2.0 RESPONSIBILITIES OF FACILITY
Facility shall:
(a) provide cooperation to promote success of the Program;
(b) provide equipment and supplies which are necessary for clinical instruction at Facility;
(c) provide meeting space for Students in the Program;
(d) provide suitable clinical experience situations as prescribed by the curriculum provided by
City;
(e) assist with clinical teaching and supervision of agreed upon number of Students in the
Program;
upon request by City, formally evaluate performance of Students in the Program using the
form provided by City;
(f)
(g) retain responsibility for patient care;
(h) reserve the right to determine the manner in which its equipment shall be operated;
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(i)
to the extent allowed by law, assume no professional or financial liability for injury to
Students or faculty except that which might occur as a member of the public, unless due to
Facility's negligence or gross misconduct; and
(j) provide access to acute emergency care at Student's expense in the event of an accident or
injury to a student on Facility's campus.
3.0 RESPONSIBILITIES OF CITY AND FACILITY
City and Facility shall:
(a) agree upon the number of Students to be placed in Facility for clinical rotations prior to the
beginning of each semester in which Students are assigned to and accepted by Facility;
(b) mutually agree, schedule and provide an orientation of faculty and Students to Facility and
assigned units;
(c) understand there will be no exchange of monies between City and Facility for this Program;
(d) revise or modify this Agreement in writing if both parties agree to the revisions or
modifications; and
(e) comply with all applicable federal, state, and local laws, rules, regulations, and ordinances.
4.0 TERM AND TERMINATION
This Agreement shall remain in effect for four (4) years beginning October 1st, 2013
(` Effective Date") and ending on September 30th, 2017, unless sooner terminated as provided herein.
This Agreement may be terminated by either party upon ninety (90) days written notice to the other
party by certified mail, return receipt requested. The termination shall not take effect until Students
who are enrolled at the time such notice is given have completed the courses in which they are
enrolled.
5.0 NOTICE
Any notice, request or other communication required to be delivered under this Agreement shall
be in writing and shall be deemed to have been given or made if delivered personally, by overnight
delivery service, by United States mail, to the parties at the following addresses, or at such other
addresses as shall be specified in writing by either of the parties to the other in accordance with the
terms and conditions of this subsection.
If to Facility: Texas Health Fort Worth
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1301 Pennsylvania
Fort Worth, Texas 76104
Attention: Lillie Biggins, FACHE
President
Copy to: Legal Department
Texas Health Resources
612 E Lamar Blvd., Suite 900
Arlington, Texas 76011
Attention* General Counsel
If to City:
6.0 STATUS OF STUDENTS
Fort Worth Fire Department
1000 Calvert Street
Fort Worth, Texas 76107
Attention: EMS Division
City and Facility understand and agree that while faculty and Students are participating in the Program,
faculty and students are not employees of Facility Accordingly, faculty and Students are not entitled
to any of the rights or benefits established for Facility's employees, such as salary, vacation, sick leave
with pay, paid holidays, insurance, and/or worker's compensation coverage. Further, nothing herein
shall be construed as creating a partnership or joint venture between City and Facility its officers,
agents, employees and subcontractors, and doctrine of respondeat superior has no application as
between the City and Facility.
7.0 MISCELLANEOUS
(a) Non-discrimination. City and Facility shall not unlawfully discriminate in their
respective performance of this Agreement against any person because of age, disability,
race, color, religion, sex, sexual orientation, national origin, or familial status.
(b) Entire Agreement This Agreement constitutes the entire agreement between the parties
and supersedes any and all prior and contemporaneous oral or written understandings.
This Agreement may not be altered, amended or modified except by a written document
executed by both parties.
(c) Governing Law and Venue. This Agreement shall be governed by, construed and
enforced in accordance with the substantive laws of the State of Texas (but not
including its conflict of laws rules if and to the extent such rules would apply the
substantive laws of another jurisdiction). Venue for litigation of any dispute arising
under this Agreement or any lawsuit to enforce or interpret this Agreement shall be in
an appropriate court located in the county in which Facility is located. The parties agree
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that the county in which Facility is located is the county in which performance of this
Agreement shall take place.
(d) Severability. Should any clause or provision of this Agreement be held or ruled
unenforceable or ineffective by a court of law, such a ruling will in no way affect the
validity or the enforceability of any other clause or provision contained herein.
(e) No Waiver. No waiver by City or Facility of any breach of any term, provision or
condition contained in this Agreement, or the failure to insist upon strict performance
thereof shall be deemed to be a waiver of such term, provision or condition as to any
subsequent breach thereof or a waiver of any other term, provision or condition
contained in this Agreement. The exercise of any right or remedy hereunder shall not be
deemed to preclude or affect the exercise of any other right or remedy provided herein.
(f) Confidentiality. City acknowledges that the intent of federal and state privacy laws and Texas
Health Resources' ("THR") and Facility policies, is to assure that Confidential Information, as
described in Exhibit A, will remain confidential and will be used only by those with appropriate
authority as necessary to fulfill the purpose of this Agreement. City acknowledges that students,
faculty and other City representatives may access Confidential Information during the performance of
their function under this Agreement. As such, City shall ensure that each student executes the Texas
Health Resources Student Confidentiality Agreement (Exhibit A), prior to arrival at the Facility; and
represents that its agents, employees and representatives (collectively hereinafter "Representatives")
will maintain such information as confidential and will not disclose such information to third parties or
other Representatives of City, who do not require the information in order to fulfill this Agreement,
except as permitted by law or order of the court. Should City, through its Representatives, for any
reason otherwise disclose the information, City will immediately notify Facility. City represents that it
will train all Representatives concerning this provision of the Agreement.
This Agreement is effective as of the Effective Date set forth above and is executed by and
between City and Facility through their duly authorized officers, thereby binding themselves, their
successors and assigns and representatives for the faithful and full performance of the terms and
provision of this Agreement.
CITY OF FORT WORTH,
a Texas municipal corporation
By:
Attest:
.4-ea-I}
Charles Daniels, Assistant City Manager
Approved as to Form and Legality:
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City Secreta
NO M&C t OUIRED
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TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
Asstant City Attorney
By:(
Lillit1/443iggins, FACHE
President
Approved As To Form Only:
Terri A. DeSio
Senior Attorney
OFFICIAL RECORD
CITY SECRETARY
IFS woRTH, TX
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Exhibit A
TEXAS HEALTH RESOURCES/TEXAS HEALTH FORT WORTH
STUDENT CONFIDENTIALITY AGREEMENT
I understand that while I am participating in an educational program at a Texas Health Resources
("THR") facility, I may have access to Confidential Information. Confidential Information is valuable and
sensitive and is protected by law and by THR Policy. The intent of federal and state privacy laws and THR
policies is to assure that Confidential Information will remain confidential and will be used only by those with
appropriate authority as necessary to accomplish THR s mission.
Confidential Information is information about patients, participants of THR benefit plans and programs
customers, physicians on the medical staff of a THR hospital, credentialing, peer review, quality review,
committee records, personnel records, payroll records, salary and compensation information, logon and
password information, employee health information or information related to operations about THR that is not
generally available to the public. I may learn of or have access to some or all of this Confidential Information
orally, through a computer system or through documents.
If I need access to THR's or Facility's computer system I will be assigned a unique logon ID and
password, as well as other access control devices such as cards or tokens. I agree that I will keep these logon
IDs, passwords, and other access control devices assigned for any purpose secure and confidential. I
acknowledge the unique logon ID and password are equivalent to a legal signature. I will be held accountable for
any access utilizing my unique logon ID Access cards and other facility security devices will be kept secure.
Access to Confidential Information is permitted only as authorized and as required for legitimate
purposes in the performance of my student role.
I understand that patient information will be available for educational purposes to authorized students
enrolled in educational programs affiliated with the THR facility for use within the department maintaining
those records. Removal of any part of the patient's medical record or information that identifies a patient is
prohibited.
Requests for access for formal research purposes require a waiver from the facility's Institutional
Review Board. In order to access and compile data for educational studies, I understand I must present a written
request and consent of my instructor.
Students are prohibited from removing information that identifies a patient from the THR facility.
I understand the above requirements and I agree to abide by these requirements. I understand that my
violation of this Agreement may result in my being terminated from my participation in the program at a THR
facility.
Printed Student's Name
Student's Signature Date
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