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HomeMy WebLinkAbout064108-A2 - General - Contract - Acclaim Health JPS Physician NetworkCSC No. 64108-A2 SECOND AMENDMENT TO CITY OF FORT WORTH CONTRACT 64108 BETWEEN THE CITY OF FORT WORTH AND ACCLAIM PHYSICIAN GROUP, INC. FOR PHYSICIAN ASSISTANT SERVICES This second amendment (the "Amendment") is made and entered into by and between the City of Fort Worth, a home -rule municipality of the State of Texas (hereinafter referred to as the "City"), acting by and through Dianna Giordano, its duly authorized Assistant City Manager, and Acclaim Physician Group, Inc., DBA Acclaim Health JPS Physician Health Network, a non-profit healthcare organization certified by the Texas Medical Board under the Texas Health and Safety Code and as an affiliate of the Tarrant County Hospital District ("Agency"). Each party shall be individually referred to herein as Party and collectively as Parties. RECITALS WHEREAS, the City entered into an Agreement with Agency to provide services more specifically described in the agreement, City Secretary Contract No. 64108, (the "Agreement"); WHEREAS, the Parties executed Amendment 1 to the Agreement through which the Parties agreed to amend Section 10 of the Agreement to address questions regarding liability; WHEREAS, the Parties desire to amend the Scope of Services to modify a transportation issue, NOW THEREFORE City and Agency do hereby agree to the following: I. AMENDMENT TO AGREEMENT NOW THEREFORE, for valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows: A. Section 13. NOTICES is hereby deleted and replaced with the following Section. 13 NOTICES. 13. NOTICES. Notices required pursuant to the provisions of this Agreement shall be conclusively determined to have been delivered when (1) hand -delivered to the other Party, its agents, employees, servants or representatives, (2) delivered by email with confirmation of receipt by the receiving party, or (3) received by the other Party by United States Mail, registered, return receipt requested, addressed as follows: OFFICIAL RECORD CITY SECRETARY Second Amendment to CSC 64108 CoFW and ACCLAIM PHYSICIAN GROUP, INC. FT. WORTH, TX To City: City of Fort Worth City Manager's Office Attn: Tara Perez, Homeless Strategies Manager 100 Fort Worth Trail Fort Worth, TX 76102 Phone: (817) 392- 2235 Email: Tara.Perez@fortworthtexas.gov To Agency: Acclaim Physician Group, Inc. c/o Acclaim Health JPS Health Network Physician Group Attn: VP, Acclaim Business Operations 200 W. Magnolia Avenue, Suite 201 Fort Worth TX 76104 Phone: (817) 702-2450 Email: acclaimcontracts@jpshealth.org With copy to City Attorney's Office at same With copy to Office of Legal Affairs, same address address, email MJohnson42@jpshealth.org. B. EXHIBIT "A".SCOPE OF SERVICES is hereby deleted and replaced with the attached'EXHIBIT "A" SCOPE OF SERVICES H. All termsand conditions:of the Agreement not amended herein remain unaffected and in full force and effect, are -binding on the Parties and are hereby ratified by the Parties. Capitalized terms not defined herein shall have the meanings assigned to them in the Agreement. [SIGNATURE PAGE FOLLOWS] Second Amendment to CSC 64108 CoFW and ACCLAIM,PHYSICIAN GROUP, INC. IN WITNESS WHEREOF, the parties hereto have executed this agreement, to be effective this day of , 20 FOR CITY OF FORT WORTH: Dianna Giordano (Sep 17, 2026 15:46:12 CDT) Dianna Giordano Assistant City Manager 09/17/2026 Date: APPROVAL RECOMMENDED Beth ny Warner (Sep 17, 2026 14:00:15 CDT) FOR AGENCY: Acclaim Physician Group, Inc. Xi'(v O OZGo Julian Orozco (Sep 17, 2026 13:23:17 CDT) Julian Orozco Vice President Date: 09/17/2026 Bethany Warner, Assistant to the City Manager, Special Projects 09/17/2026 Date: APPROVED AS TO FORM AND GALITY Gavin Midgley, Senior Assistant City Attorney Date: 09/17/2026 Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Tara Perez Manager, Homeless Strategies Second Amendment to CSC 64108 CoFW and ACCLAIM PHYSICIAN GROUP, INC. o�pona4Il nr�add ATTEST: ,o% ao=d A �an� nEX p?o d Jannette S. Goodall, City Secretary 09/18/2026 Date: 25-0658 M&C No.: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX SECOND AMENDMENT TO CITY OF FORT WORTH CONTRACT 64108 BETWEEN THE CITY OF FORT WORTH AND ACCLAIM PHYSICIAN GROUP, INC. FOR PHYSICIAN ASSISTANT SERVICES ATTACHMENT 1 TO SECOND AMENDMENT Second Amendment to CSC 64108 CoFW and ACCLAIM PHYSICIAN GROUP, INC. EXHIBIT "A" SCOPE OF SERVICES ADVANCED PRACTICE PRO VIDER/PHYSICIAN ASSISTANT SERVICES FOR HIGH IMPACT ACCLAIM will do the following: Agency shall provide staffing for an advanced practice provider or physician assistant for the Assertive Community Treatment Team of the High ImpACT program: A. In General • Eligible households are individuals in the City of Fort Worth who are on the High ImpACT Cohort in Partnership Home's Homeless Management Information System; B. Definitions A general Assertive Community Treatment Team ("ACT Team") is a well -documented community mental health program for treating those with severe mental disorders. A multidisciplinary team which delivers a full range of medical, psychosocial and rehabilitative services to clients in a community setting (as opposed to treatment in an institution). The team provides support in community that is modeled after the staffing patterns on inpatient psychiatric units. The "hospital without walls" consists of people from multiple disciplines who work together, meet daily and coordinate care for clients. Key features of an ACT Team: • Interdisciplinary staffing that includes expertise in psychiatry, nursing, social work, vocational functioning and substance use treatment • Team approach (shared caseloads and daily team meetings) • Low staff -client ratios (1:10) • Locus of contact in the community • Intensive and frequent contacts with clients • Assertive outreach • 24 hour availability • Time unlimited services High Impact Cohort — The list of individuals who have been referred to the High Impact Program. High Impact Program — City funded program to focus additional housing and mental health resources on individuals experiencing homelessness in seven target areas: Second Amendment to CSC 64108 CoFW and ACCLAIM PHYSICIAN GROUP, INC. • Camp Bowie West/Las Vegas Trail (CD 3) • Seminary/La Gran Plaza/Hemphill (CD 9, 11) • Downtown (CD 9) • Near Southside (CD 9) • Historic Southside/Near Eastside (CD 8) • Northside/Stockyards (CD 2) • Beach Street intersections — from E. Lancaster to N. Tarrant Parkway (CD 2, 4, 8, 11) The program will also include City-wide HOPE referrals. Referrals will be made based on being located in these target areas and either having been in the location over two years or are suspected of having severe mental illness. Referrals for the High Impact Cohort will be made by neighborhood patrol officers, the Homeless Outreach Program and Enforcement (HOPE) Team of the City's Police Department and street outreach teams. While the expectation of the High ImpACT team as a whole is to be responsive 24/7 as needed, there is not a responsibility or expectation for the advanced practice provider/physician assistant to be part of the on -call response. There is not an expectation the advanced practice provider or physician assistant or Agency purchase medical supplies needed by clients on the High ImpACT program. C. Agency Responsibilities: Agency will: o Provide an Advanced Practice Provider (APP) or physician assistant (PA) to provide medical services for the Assertive Community Treatment Team as part of the High ImpACT program; o The City acknowledges and agrees that in the event Agency needs to replace the APP or PA assigned to provide services hereunder that the Agency must identify, recruit, and hire an APP or PA and that Agency shall not be liable for any delay or failure to perform its obligations under this Agreement due to difficulties in hiring or staffing, provided that Agency has made reasonable and documented efforts to secure the necessary personnel. In the event Agency is unable to staff the ACT Team with a qualified provider, the City's sole remedy shall be to terminate the agreement pursuant to Section 4 of the Agreement. The APP or PA will: Attend and actively engage in daily High ImpACT morning meetings and weekly case review conferences. Deliver comprehensive, holistic primary care services, which include conducting physical examinations, formulating diagnoses, and managing both acute and chronic conditions. Second Amendment to CSC 64108 CoFW and ACCLAIM PHYSICIAN GROUP, INC. Responsibilities may also involve prescribing medications, monitoring pharmacological treatments, and performing initial health assessments during home visits. - Recognize that many clients have limited interaction with medical professionals and may be hesitant to seek care, the APP/PA will tailor treatment plans and scheduling to align with each individual's comfort level and specific needs. A flexible, client -centered approach will be central to their practice. - Visit all High ImpACT clients willing to receive medical services; - Beyond the Acclaim Family Medicine/Community Medicine Core Procedure list, the APP/PA will offer nutritional counseling and facilitate smoking cessation programs - As needed, organize groups and/or coordinate peer support groups for clients facing similar health challenges, fostering a sense of community and shared progress. - Report monthly to High ImpACT program manager the names of clients visited and the number of times visited D. City Responsibilities - The City is responsible for ensuring that needed medical supplies are purchased for the advanced practice provider or physician assistant through a provision in the City's contract with My Health, My Resources of Tarrant County that requires MHMR to purchase needed medical supplies for the High ImpACT team. Evaluation: Evaluation meetings will be held with Homeless Strategies staff to continually evaluate program and Agency shall comply as necessary and in good faith. Financial reporting: Reimbursement Requests and any necessary supporting documentation and reports will be submitted by the 15th of every month in format of Exhibit "C". Second Amendment to CSC 64108 CoFW and ACCLAIM PHYSICIAN GROUP, INC. City of Fort Worth, Texas Mayor and Council Communication DATE: 08/12/25 M&C FILE NUMBER: M&C 25-0658 LOG NAME: 02CONTINUATIONHIGHIMPACTPROGRAM SUBJECT (CD 2, CD 3, CD 4, CD 8, CD 9 and CD 11) Authorize Execution of Agreements with Listed Service Agencies for High ImpACT Program Services in an Amount Up to $2,178,303.00 and Authorize Three Annual Renewal Options in a Combined Amount Up to $6,534,909.00 RECOMMENDATION: It is recommended that the City Council: 1. Authorize the City Manager or his designee to execute agreements with agencies listed below in a combined amount up to $2,178,303.00 for a term commencing October 1, 2025 and terminating September 30, 2026 for High ImpACT Program services; 2. Authorize the City Manager or his designee to renew the agreements for Fiscal Years 2027, 2028 and 2029 with the agencies listed below in a combined amount of up to $6,534,909.00 for High ImpACT Program services dependent on funds being appropriated for Homeless Strategies; 3. Authorize the City Manager or his designee to amend the agreements if necessary to achieve program goals provided that the amendment is within the scope of the program and in compliance with City policies and applicable laws and regulations; and 4. Find that such contract renewals and any amendments thereto serve a public purpose of reducing homelessness and that adequate controls are in place. DISCUSSION: On March 19, 2024, the City Council approved Mayor & Council Communication (M&C) 24-0200 to fund the first five months of a 17 -month High ImpACT Pilot Program in the amount of $1,096,847.00. On December 10, 2024, the City Council approved M&C 24-1032 to allocate $2,178,304.00 to fund the remaining 12 months of the 17 -month pilot. While many areas of Fort Worth have seen an uptick in unsheltered homelessness and the issues associated with it, there are seven areas that have been hit especially hard. The High ImpACT Program aims to direct mental health and housing resources to reduce issues related to unsheltered homelessness in those seven areas: • Camp Bowie West/Las Vegas Trail (CD 3) • Seminary/La Gran Plaza/Hemphill (CD 9 and 11) • Downtown (CD 9) • Near Southside (CD 9) • Historic Southside/Near Eastside (CD 8) • Northside/Stockyards (CD 2) • Beach Street Intersections — from East Lancaster to North Tarrant Parkway (CD 2, 4, 8 and 11) • City-wide HOPE referrals are also considered This unique program houses the "hardest to house" clients who frequently interact with law enforcement and are highly visible to businesses and neighborhoods. The High ImpACT Program has two components and associated goals for the first 17 months of the pilot: 1. Housing Assistance: Housing assistance for at least 40 eligible High ImpACT clients. Leverage existing housing vouchers with a goal of providing housing assistance for up to 40 more people. 2. Housing First Assertive Community Treatment Team (Housing First ACT Team): Services for at least 80 severely mentally ill unsheltered and housed clients by a mobile, high-level team, including psychiatric and medical professionals. More than 70% of clients for the program were referred by Neighborhood Police Officers in the target areas based on considerations of both the length of time someone has been unsheltered in that target area or if he or she is an unsheltered individual who may have severe mental illness. As stated in M&C 24-0200, the 17 -month pilot program's performance measures will be that at least 70% of those offered housing enter housing within six months and after one year of entering housing, at least 70% are still housed (can be different unit, but must be housed). After one year of the pilot, the program is showing success in meeting performance objectives. Goals by Sept. 30, 2025 Progress as of April 30, 2025 ACT Team services provided to 80 ACT Team services clients provided to 79 clients House 40 clients with High ImpACT Housed 41 clients with assistance High ImpACT assistance At least 70% of those offered 89% housing accept within 6 months housing acceptance rate At least 70% still housed after one 92% still housed after year one year Based on the success so far, it is recommended that the City Council continue funding the program in order to provide medical, psychiatric and case management services as well as housing assistance. These intensive services combined with housing assistance have enabled many unsheltered individuals with severe mental illness in target areas to obtain and retain housing. The City contracted with My Health, My Resources of Tarrant County (MHMR) to provide High ImpACT services. MHMR contracted with Partnership Home (formerly Tarrant County Homeless Coalition) and Acclaim Health to provide master lease/landlord engagement services and physician assistant services. For Fiscal Year 2026, the proposal is.for the City contract directly with all three agencies as follows. Agency Services Annual Contracted Amount My Health, My Resources of Provision of psychiatric $1,269,005.00 Tarrant County services, therapy, housing case management, client costs etc Acclaim Health Provision of physician $201,094.00 assistant services Partnership Home Master leasing and landlord $708,204.00 engagement services TOTAL $2,178,303.00 Funding will be budgeted within. the General Fund for the City Managers office for Fiscal Year 2026. This project was approved for a waiver per the Chapter 252 exemption, for Professional Services by the Legal Department. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that upon approval of the above recommendations and adoption of the Fiscal Year 2026 Budget by the City Council, funds will be available in the Fiscal Year 2026 operating budget, as appropriated, in the General Fund. Prior to an expenditure being incurred, the City Manager's Office has.the responsibility to validate the availability of funds. Submitted for City Manager's Office by. Dianna Giordano 7783 Originating Business Unit Head: Bethany Warner 6121 Additional Information Contact: Tara Perez 2235 FORT WORTH® City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Acclaim Health JPS Physician Network Subject of the Agreement: This is the second agreement to the contract for physician assistance services for the High ImpACT program. It modifies the scope of service to clarify a transportation issue. M&C Approved by the council? * Yes R No 0 If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes 8 No ❑ 64108 If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes 0 No 8 If unsure, see back page for permanent contract listing. Is this entire contract Confidential? *Yes ❑ No 8 1f only specific information is Confidential, please list what information is Confidehtial and the page it is located. Effective Date: Expiration Date: If different from the approval date. If applicable. Is a 1295 Form required? * Yes ❑ No A *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. *Did you include a Text field onthe contract to add the City Secretary Contract (CSC) number? Yes B No 0 Contracts need to be routed for CSO processing in the following order: 1. Katherine Cenicola (Approver) 2. Jannette S. Goodil (Signer) 3. Allison Tidwell (Form Filler) *Indicates the information is required and if the information is not provided, the contract will be returned to the department.