HomeMy WebLinkAbout07/30/2002 B A K E R S F I E L D
Harold Hanson, Chair
Irma Carson
Mark Salvaggio
Staff: Alan Christensen
SPECIAL MEETING NOTICE
PERSONNEL COMMITTEE
of the City Council- City of Bakersfield
Tuesday, July 30, 2002
12:00 noon
City Manager's Conference Room, Suite 201
S~cond Floor, City Hall, 1501 Truxtun Avenue, Bakersfield, CA
AGENDA
1. ROLL CALL
2. ADOPT JUNE 18, 2002 AGENDA SUMMARY REPORT
3. PUBLIC STATEMENTS
4. NEW BUSINESS
A. Staff update on City Physician RFP (Request for Proposals) - Flaherty
B. Staff report and review of Blue 'Cross Program for 2001 - Hayden
C. Staff report, discussion and Committee recommendation on Foundation for
Medical Care of Kern County- Hayden
D. Staff report, review and Committee recommendation on health insurance
plans projected 2003 rates - Hayden
5. ADJOURNMENT
DRAFT
B A K E R S F I E L D
Alan Tandy, City M~nager Irma ¢~mon
St~ff: Alan ChrJeteneen Mark S~lv~ggio
AGENDA SUMMARY REPORT
SPECIAL MEETING · PERSONNEL COMMITTEE
Tuesday, June 18, 2002, 12:00 noon
City Manager's Conference Room, Suite 201
Second Floor, City Hall, 1501 Truxtun Avenue, Bakersfield, CA
1. ROLL CALL
Called to Order at 12:00 noon
Present: Councilmembers Harold Hanson, Chair; Irma Carson; and
Mark Salvaggio
2, ADOPT AUGUST 27, 2001 AGENDA SUMMARY REPORT
Adopted as submitted.
3. PUBLIC STATEMENTS
4. NEW BUSINESS
A. Discussion and Committee recommendation regarding reclassification:
Secretary II (Mayol"s Office) to Administrative Assistant I
Human Resources Manager Carroll Hayden gave an overview of the information
included in the packet. In response to a question, she explained currently there
are three Administrative Assistant II positions (Police, Public Works and City
Attorney Departments), and one Administrative Assistant I position (City
Manager's Office).
Human Resources Supervisor Janet McCrea had performed a reclassification
audit of the Secretary II position. The result of the audit was the position is
performing the work of an Administrative Assistant I. The cost for the
reclassification is $5,069 per year.
Agenda Summary Report
Personnel Committee Meeting DRAFI
June 18, 2002
Page - 2-
Committee Member Salvaggio requested clarification on new developments
regarding the request in the proposed budget going to Council on June 26th to
upgrade the temporary position .in the Mayor's Office to a Secretary I.
City Manager Alan Tandy explained based upon a comment he received, there
was a request to look into the two 1988 referendums pertaining to the Mayor, his
salary, and office structure. The results were that the Mayor's Office under the
City Charter is only allowed one full-time position. It was noted, however, the
Charter allows for temporary help in the Mayor's Office. Staff was not aware'of
the Charter provision and will reflect the changes in the proposed budget.
City Attorney Bart Thiltgen did an .historical review-of what occurred in the .1988
election. In June 1988 there was a proposal put before the voters-to increase the
Mayor's salary to $42,000 a year, provide for a full-time _secretary and also an
aide to the Mayor, to be hired and serve at the pleasure of the Mayor. The
proposal failed and the Council put a revised Charter Amendment on the
November ballot. That revision changed Section 20 to provide for a Mayor's
salary of $24,000 and language for a full-time-position to pedorm secretarial and
administratrv~ activities for the Mayor. Ail references to an aide were deleted. In
looking at the history, the City Attorney opined the changes to the language in
the November proposal, which the voters passed and is in .the Charter, was the
citizens of Bakersfield authorized only one full-time position to perform secretarial
. and administrative services for the Mayor.
Committee Member Carson expressed as the City Charter allows for an
administrative position-in the Mayor's Office, she supports the Mayor's request.
Committee Chair Hanson explained at the last Council meeting he did not want
to make a decision until he had a copy and reviewed the job description for an
Administrative Assistant I. After review, as the person currently serving in the
Secretary II position writes speeches, letters, serves on committees, oversees
the temporary position and performs administrative duties for the Mayor, he feels
the position warrants reclassification to Administrative Assistant I.
Committee Member Salvaggio was in support of the Mayor's request and made a
motion to approve the reclassification of the Secretary II position in the Mayor's
Office to Administrative-Assistant I. The Committee unanimously approved the
motion.
5. ADJOURNMENT
The meeting was adjourned at 12:32 p.m.
Agenda Summary Report
Personnel Committee Meeting
June 18, 2002 DRAFT
Page - 3-
Staff attendance: City Manager Alan Tandy, City Attorney Bart Thiltgen, Assistant City
Manager Alan Christensen, Assistant City Manager John Stinson, Human Resources
Manager Carroll Hayden and Human Resources Supervisor Janet McCrea.
Others: Tami Brown, KUZZ; and James Burger, The Bakersfie/d Californian.
S:~C~PersonnelCom~o02jun 18summary. doc
REQUEST FOR PROPOSALS
TO PROVIDE MEDICAL SERVICES
FOR THE CITY OF BAKERSFIELD
Ms. Julie Acosta Telephone: 632-5902
MERCY OCCUPATIONAL HEALTH CENTER
400 Old River Road
Bakersfield, CA 93311
Melanie Traynor Telephone: 334-2005
Area Medical Director
KAISER PERMANENTE
5055 California Avenue, Suite 110
Bakersfield, CA 93309
Ms. Terry Pena Telephone:. 322-2273
SOUTHWEST URGENT CARE CENTER
6401 Truxtun Avenue
Bakersfield, CA 93309
W. B. Christiansen, M.D. Telephone: 324-8811
W. B. CHRISTIANSEN, INC.
1800 Westwind Drive, Suite 401
'Bakersfield, CA 93301
Michele Shain, Director Telephone: 321-3707
BUSINESS HEALTH NETWORK
2811 "H" Street
Bakersfield, CA 93301
Howard Miller, M.D. Telephone: 327-4527
BAKERSFIELD OCCUPATIONAL MEDICAL GROUP
4580 California Avenue
Bakersfield, CA 93309
Andrew Buell Telephone: 327-2225
THE INDUSTRIAL GROUP
2501 G Street
Bakersfield, CA 93304
Blane Hitchcock Telephone: 833-6562
NEW HOPE WELLNESS MEDICAL CENTER
6501 Schirra Court, Suite 200
Bakersfield, CA 93313
Michael Davies, M.D. Telephone: 632-1540
CENTRAL VALLEY OCCUPATIONAL MEDICAL GROUP
4100 Truxtun Avenue, Suite 200
Bakersfield, CA 93309
Ambika Softa, M.D. Telephone: 634-9900
Ambika Sofia, M.D. Telephone: 634-9900
INTERACTIVE HEALTH CARE MEDICAL GROUP
5397 Truxtun Avenue
Bakersfield, CA 93309
Tomas Rios, M.D. Telephone: 324-7676
SAN JOAQUIN WELLNESS & OCCUP MEDICAL GROUP
1927 21 ST Street
Bakersfield, CA 93301
Bradley Joseph, M.D. Telephone: 327-1425
2619 F Street
Bakersfield, CA 93301
Ms. ~t,,~Sr~rt Telephone: 632-5100
MER~ER
5~rive, Suite 300
Bake/~t~ld,~C~, 93309
Possible names of persons who will serve on Oral Interviews:
-Carroll Hayden x3260 Human Resources
Bill Rector x3827 Police Department
Ron Fraze x3941 Fire Department
Pat Flaherty x3096 Risk Management
Jeff McHale Aims
S:\Meg~Agreements\RFP\City Physician 2002~RFP-LISTING.DRS.wpd--.Iuly 30, 2002
OFFICE OF RISK MANAGEMENT
2002
REQUEST FOR PROPOSALS
TO PROVIDE MEDICAL SERVICES
DRAFT 7/26/02
JULY 31, 2002
2002
REQUEST FOR PROPOSALS TO PROVIDE MEDICAL SERVICES
TABLE OF CONTENTS
REQUEST FOR PROPOSAL ........................................................................................................ 1
1. GENERAL INFORMATION .................................................................................................... 2
1.1 Introduction .............. , ........................................................................................................ 2
2. SERVICES TO BE PROVIDED BY CITY PHYSICIAN ............................................................ 3
3. SERVICES TO BE PROVIDED BY CITY STAFF ....................... i.i..i .............. ;_. ....................... 4
4. SCHEDULE .............................................................................................. . ........ . ....................... 4
5. RFP INTERPRETATION AND ADDENDA .............................................................................. 4
5.1 Interpretation of RFP ......................................................................................................... 4
5.2 Address ...................................................................................... , ...................................... 4
5.3 Addenda ............................................................................................................................ 4
6. TERMS AND CONDITIONS ..................................................................................................... 5
6.1 Contract ......................................... . .................................................................................... 5
6.2 Compensation ................................................................................................................... 5
6.3 Other Physicians ............................................................................................................... 5
6.4 Local Preference ............................................................................................................... 5
6.5 Invoicing ............................................................................................................................ 5
7. GENERAL INSTRUCTIONS ..................................................................................................... 6
7.1 Proposal to Remain Firm ................................................................................................... 6
7.2 City of Bakersfield Statutes and Rules .............................................................................. 6
7.3 Signature of Provider ........................................................................................................ 6
7.4 Complete Written Proposal ............................................................................................... 6
8. PROPOSAL FORMAT AND CONTENTS: ............................................................................... 7
8.1 Cover Page ........................................ ............................................................................... 7
8.2 Name of Firm and Proposal Title ....................................................................................... 7
8.3 Organizational Information (Complete Appendix I) ........................................................... :7
8.3 (a) Contract Information .................................................................................................... 7
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TABLE OF CONTENTS' Continued
8. PROPOSAL FORMAT AND CONTENTS-- Continued
8.3 (b) MediCal Practice Information ...
8.3 (c) Other ........................................ iiiiiiiiiiiiiiiiiiiii'i .................................. . .......................... 77
8.4 Specification re Computer-Integrated Linkup ..... i.iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii17
8.5 Qualifications and Experience ......................................................................................... 7
8.6 Professional Team ........................................................................................................... 8
8.7 Insurance.. ........................................................................................................................ 8
8.8 Cost of Services (Complete Appendix II) ......................................................................... 8
8.9 Contract (Complete Appendix III) ............................. ............................................... 8
8.10 Exceptions General ............................................................. .,.~ ......................................... 8
8.11 Exceptions to Contract Terms ............................................. i....' ....................................... 8
9. SELECTION PROCESS . .................................................... 9
9.1 Solicitation Caveat .................
9.2 Proposal Submission .....................
9.3 Initial Screening ................................................................................................................ 9
9.4 Rejection of Proposals ................................................
9.5 Notification. · ..................................................... 9
10. SELECTION CRITERIA ....................................... : ................................................................ 10
10.1 Provider Qualifications .................................................................................................... 10
11. INFORMATION ONLY .......................................................................................................... 11
1'2. APPENDICES
Appendix I -- FINANCIAL CONDITIONAL CLAUSE .................................................................. 12
Appendix II- SERVICE INSTRUCTIONS (EXHIBIT A-J) .......................................................... 13
Appendix Ill--'INDEPENDENT CONTRACTOR'S CONTRACT ................................................. 25
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REQUEST FOR PROPOSAL (RFP)
CITY OF BAKERSFIELD
The City of Bakersfield is seeking qualified physicians to provide medical ~services as a
City Physician.
All inquiries concerning this RFP are to be directed to:
PATRICK FLAHERTY
Risk Manager
City of Bakersfield
1501 Truxtun Avenue
Bakersfield, CA 93301
(661 ) 326-3096
Proposals are to be marked: City Physician
RFP Issuance Date: August 2, 2002
Prol:tosal Due Date: September 6, 2002
Interview Finalists: September 12, 2002
'Award of Contract will be made at
the Council Meeting of: October 2 or 16, 2002
1. GENERAL INFORMATION
1.1 Introduction
The City of Bakersfield desires proposals from physicians who will perform
Pre-employment Physicals, Drug Screening, Fitness-for-Duty Physicals,
Commercial Driver's License Physicals, Hazardous Materials Physicals, Civil
Service Retirement Physicals and specialized medical services related to
Workers' Compensation and Liability Claims. The following physicals were
completed in a recent 12-month period.
200 Pre-employment/Drug Screening
148 Drug Screening (includes DOT testing)
96 Fitness for Duty
92 Driver's License
In addition, there is an average of approximately 205 new industrial injuries per
year. The following are the injuries evaluated by the City Physicians in the 2001
calendar year:
40 Back/Neck 6 Leg
22 Knee 4 Hernia
4 Eye 8 Psyche/Stress
8 Finger 1 Chest
16 Hand 6 Ankle
8 Exposures (Aids, Hepatitis, etc.) 2 Bites
8 Multiple Parts 1 Buttocks
17 Shoulder 6 Head
11 Wrist 0 Hypertension
4 Elbow 2 Face
10 Other Injury 0 Respiratory
5 Foot 3 Heart
13 Arm
The City of Bakersfield has approximately 11350 full-time, permanent employees.
Approximately 20% of the employees have pre-designated physicians.
The services of the City Physician will be retained for a three-year period
beginning on November 1, 2002. The Agreement between the City of
Bakersfield and the City Physician will be :reviewed on an annual basis.
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2. SERVICES PROVIDED BY CITY PHYSICIAN
I ) Treatment of industrial injuries;
2) Coordination of medical care of the seriously injured worker;
3) Referrals to recognized experts in fields of medical specialty,
4) Pre-employment physical examinations, the City physician will help ·
develop a more thorough pre-employment process for the City;
5) Functional capacity evaluation/ass~essment (includi.ng Americans with
Disabilities Act assessments);
6) Department of Motor Vehicle physicals;
7) Fitness-for-Duty evalUations and Civil Service retirements;
8) Drug Screening (includes 'DOT regulated tests);
9) Hepatitis inoculations including firefighters, police bfficers, miscellaneous
employees andlife guards (on,site and ii~-office);
10) Audiometry testing for compliance with CAL OSHA requirements;
11) Hazardous materials physicals for Fire Department Hazardous Materials
Team;
12) TB skin tests (on-site and in-office);
1.3) Medical/legal witness for the City Attorney's Office and Risk Management
Office;
14) . Medical consultation for three (3) Civil Service Boards regarding medical
appeals;
15) On-site presentations and discussions with staff and employees regarding
a variety of medical related employee wellness issues (i.e., weight con..trol,
cholesterol level, blood pressure, exercise), and other Risk Management
related issues as requested;
16) - Annual influenza inoculations;
17) Act as a liaison with Risk Management in assessing an injured employee's
capability of returning to modified and full duty work, when appropriate;
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18) CPR and First Aid training;
19) Other medically related services as requested by the City.
3. SERVICES TO BE PROVIDED BY CITY STAFF
City staff will review and evaluate the proposals submitted and will present a
report with a recommendation to the City Council. Final selection will be made
by the City Council.
4. SCHEDULE
The City wishes to have a City Physician no later than N°~,ember 1,2002.
5. RFP INTERPRETATION AND ADDENDA
5.1 Interpretation of RFP
All providers shall make careful examination of the requirements,
specifications and conditions expressed in the RFP and fully inform themselves
as to the quality and character of services required.
Discrepancies, omissions or requests for interpretation should be
submitted in writing to:
PATRICK'FLAHERTY
Risk Manager
City of Bakersfield
1501 Truxtun Avenue
Bakersfield, CA 93301
(661) 326-3096
5.2 Address
It shall be the sole responsibility of proposer to ensure City has proposer's
proper address.. City is not responsible for any misdirection, late delivery, or
non-delivery of mail to .proposer.
5.3 Addenda
Any change in the RFP will be made only by written addenda, duly issued
to each firm to whom the RFP was issued. The City shall not be responsible for
any other explanations or interpretations.
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Addenda issued by the City interpreting or changing any of the items in this RFP,
iocluding.all modifications thereof, shall be incorporated in the proposal. The
p?ovider shall sign and date the Addenda Cover Sheets and submit them with the
proposal.
6. TERMSAND CONDITIONS
6'.1 Contract
i A sample contract detailing the terms and conditions under which the work
is to be performed is attached (Appendix III). Although minor changes may be
qegotiated, the sample contract is substantially as it will be in its final form.
-Requested changes to the terms and cer~ditions of the contract must be included
in tl'ie contract section of the proposal.
6.2 Compensation
It is the City's preference to contract for the services to be performed
Under this Agreement on a fixed fee schedule. For Workers' Compensation, the
City will pay the relative value schedule instead of the normal and-Customary
fees which ~.re currently being paid. Refer to the "Official Medical Fee Schedule
for. Services Rendered Under California Workers' Compensation Laws (R.¥.S.)."
Bills will also be sent to a bill review provider to ensure bills are paid to the
appropriate workers' compensation fee schedule. The City will pay the amounts
recommended by the bill review .provider. Payment will be made within forty-five
(.~5) days of the presentation of an itemized invoice.
6.3 Other Physicians
City physician shall supply to City a complete listing of, and payment
Schedule for all physicians, physical therapy facilities, laboratories, and other
medical services which City physician uses as subcontractors for medical
Services provided to City. The cost of these subcontractors will be the sole
responsibility of the City Physician. The City will contract only with the City
Physician who will be solely responsible for providing the .services agreed to in
the contract.
6.4 Local Preference
Whenever possible, the City requests the use of local health care
providers and service facilities.
6.5 Invoicing
Clerical staff will work closely .with Human Resources and Risk
Management staff in ensuring, to .the extent possible, the following:
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1) Invoices and statements are issued at approximately the same time
and in a consistent time frame;
2) On follow-up appointments, the original appointment date will be
referenced on the new invoice;
3) The City employee authorizing any appointment will be noted on
the invoice.
4) On industrial appointments, the claim number shall be referenced
on all statements and invoices.
7. GENERAL INSTRUCTIONS
The submission of a proposal shall be conclusive evidence that the provider has
investigated and satisfied himself as to the conditions to be encountered, the
character, quality and scope of work to be performed and the requirements of the
City.
7.1 Proposal to Remain Firm
All proposals shall remain firm for a period of at least one hundred twenty
(,120) days from proposal opening date.
7.2 City of Bakersfield Statutes and Rules
The terms and conditions of the RFP, and the resulting contract or
activities based upon the RFP, shall be construed in accordance with the City of
Bakersfield's statutes and Rules. Where State of California Statutes and
Regulations are reference, they shall apply to this. RFP and to the resulting
contract. ~
7.3 Signature of Provider
The proposal and any clarification thereto shall be signed by an officer of
the provider company or designated agent empowered to bind the firm in a
contract. The signatures of all persons signing the proposal shall be longhand.
7.4 Complete Written Proposal
Only written proposals will be accepted. No oral, telegraph or telephone
proposals will be considered. The completed proposal shall be without
interlineation, alteration or erasers. Unnecessary lengthy documents are
discouraged.
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8. PROPOSAL FORMAT AND CONTENTS
For ease in review and to facilitate evaluation, the proposals submitted for this
project should be organized and presented in the following requested order:
8.1 Cover Page
8.2 Name of Firm and Proposal Title
8.3 Organizational Information
Provide specific information concerning your firm' in' this section. If two or
more firms are involved, information concerning the working relationship between
the firms, i.e., primary physician/other physician must be provided. (Complete
Appendix I)
(a) Contract Information
Provide a list of any contracts you may have with the City of
Bakersfield.
(b) Medical Practice Information
Describe your current medical practice and the approximate
'percentage of time dedicated to various medical services.
(c) Other
Provide a list of any ownership interests you may have with any
medical facility, including, but not limited to, laboratories, radiology,
physical therapy, and equipment.
8.4 Specification re Computer-Integrated Linkup
Provide specifications regarding computer-integrated communication
linkup for purposes of billing and accessing patient status. Provide security
measures for same. Describe how the program works.
8.5 Qualifications and Experience
Provide specific information in this section concerning your firm's and/or other
physicians', capabilities and experience as it relates to the services provided.
Provide a list of other organizations which your firm works with, and provides
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medical services that are of similar nature to the City of Bakersfield. Include
names and telephone numbers of references for theseservices provided.
8.6 Professional Team
Include the name and location of the officer where the work is to be
performed. Provide a list of personnel who are part of your staff and the length of
time employed. Attach curriculum vitae for medical doctors (including any board
certifications), and all significant, members of the professional staff which reflect
their experience in this type of work. Indicate hospital(s) affiliation for each
physician. -Finally, provide an organizational chart for the professional staff which
identifies their titles.
8.7 Insurance
Provider's staff shall maintain a single .limit Commercial General Liability
Insurance Policy in an amount of not less than $1,000,000 per occurrence with
combined liability for personal injury and property damage. Each physician
named in the proposal must carry medical malpractice insurance at no less than
$1,000,000. Attach proof of endorsements and certificates of insurance to this
proposal. Pay specific attention to the insurance section in the attached sample
contract.
8.8 Cost of Services
An itemized fee schedule should be included based upon scope of work to
be performed. Include any recommended changes or suggestions to the Pre-
employment Physical requirements. (Appendix II)
8.9 Contract (Complete Appendix III)
Proposal shall contain a completed sample contract and four (4) writing
samples of medical reports that would'be submitted to the City on a Pre-
employment Physical, a Commercial Driver's License Physical, a Workers'
Compensation examination, a Return-to-Work Physical, and a Fitness for Duty
Physical.
8.10 Exceptions General
If you cannot comply with any conditions of the scope of work to be
performed, explain what conditions cannot be complied with and the reason.
8.11 Exceptions to Contract Terms
If you cannot comply with any c°nditions of the contract, explain what the
conditions cannot be comlJlied with, and the reason.
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9. SELECTION PROCESS
9.1 Solicitation Caveat
The issuance of this solicitation does not constitute an award commitment
on the part of the City neither shall the City pay for costs incurred in the
preparation of, nor submission of proposals.
9.2 Proposal Submission
Submit nine (9) copies of your proposal to:
Patrick Flaherty, Risk Manage~; .
City of Bakersfield
1501 Truxtun Avenue
Bakersfield, CA 93301
ALL PROPOSALS MUST BE RECEIVED BY FRIDAY, SEPTEMBER 6,
2002, 5:00 P.M. AT THE ABOVE OFFICE ADDRESS. PROPOSALS
SUBMITTED AFTER THE ABOVE DEADLINE WILL NOT BE ACCEPTED.
9.3 Initial Screening
All proposals received by the specified deadline will be reviewed by the
City staff for content, fee charges, related experience and professional
qualifications of physicians and other professional staff (including length of the
employment with facility). City staff will then make a recommendation, to the City
Council. Included in the review may be an inspection of the facility. Interviews of
those selected firms may be conducted as part of the final selection process.
Final selection will be made by the Council.
The City reserves the right to select the Proposal(s) which in its sole
judgment best meets the needs of the City.
9.4 Rejection of Proposals
The City reserves the right to reject any and all proposals received and to
waive any informality, technical defect or clerical error in any proposal as the
interest of the-City may require. Applicants submitting proposals which do not
substantially meet the requirements will be considered noncompliant. City
reserves the right to award all, or a portion of, or none of the work set forth in this
Request for Proposal. City does not, by publishing this Request for Proposal, or
by awarding a contract to any proposer, guarantee any quantity of work. City
reserves the right to terminate this Request for Proposal for any reason or no
reason at all.
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9.5 Notification
After evaluation of proposals and approval by the City of Bakersfield, all
providers will be notified by letter of the new provider(s), within twenty (20) days
of the final selection.
The contents of the proposal and any clarification thereto submitted by the
successful provider shall become part of the contractual obligation and
incorporated by reference into the ensuring contract.
All proposals become the property of the City of Bakersfield and will not be
returned to the. provider.
10. SELECTION CRITERIA
The City of Bakersfield reserves the right to award this contract not
necessarily to the firm with the lowest cost, but to the firm which will provide the
· best overall match to the RFP requirements. The successful bidder will be
determined based on the criteria outlined below.
An evaluation team comprised of representatives of the City of Bakersfield
and other team members as deemed necessary will review all proposals meeting
the criteria of this RFP. Proposals will be scored using a weighting factor for
each 'criteria listed below. The weighting factors and total scores will remain
confidential.
Failure to provide requested information or unwillingness to-accept terms,
conditions and other requirements of this RFP may result in rejection of the
proposal.
10.1 Provider Qualifications
': This criterion will measure the ability of the prosPective physician to
successfully complete the contract as required. Consideration will be given, but
not limited to, the following, with points or rating factors applied to each. The
sum of the 'individual factors will be the total given to this grouping.
(INFORMATION ONLY)
1. Ability to write comprehensive, logical and concise reports.
2. Ability to be on-call 24 hours, 7 days a week.
3. Prior experience in toxic and pesticide exposures, disability evaluation, industrial
and occupational Injuries and drug testing (include documentation).
4. Review of listed references.
5. Professional training or other exp. erience that qualifies physician tO te~_tify in
areas of claims liability and Americans with Disabilities Act..
6.' Professional training of other members of professional staff
7. Experience in testifying in court. This shoutd include, but not be limited to, the
number of times physician has testified in court and in wlia, t areas of expertise
physician has been certified by the Superior Court. In ad~lition, experience
testifying at Workers' Compensation Appeals Board Hearing. Administrative
Hearings and at depositions. (Submit any relevant docun~ntation.) ~
8. Adequacy of facilities and equipment.
9. Ability to conduct physical examinations within a reasOnable-time and provide
medical reports within seven (7) days of the examination, and provide Workers'
Compensation reports within two (2) days of examination.
10.- Availability for telephone and/or in person conferences by City management staff.
11. Cost of services including sufficiency of detail.
12. Ability to commence services upon contract approval.
13. PROFESSIONAL MERIT: The soundness of the program and professionalism of
the content will be evaluated by this criteria. This is to include such things as
knowledge of content the types of medical issues and the varied services the City
Physician will perform. In addition, reasonableness of staffing plans, soundness of
approach and quality of the total program offered will be considered. ~
14. Ability to relate to City employees and foster a teamwork mentality when
addressing workers' compensation injuries.
APPENDIX I
FINANCIAL CONDITION CLAUSE
provider represents that at the time of execution of this
proposal said provider is solvent; can pay debts in the ordinary course of business and
as they become due that the aggregate of provider's property is at a fair valuation
sufficient to pay all 'debts will be able to continue paying debts for the coming year as
they become due. Provider has not filed, it not now in the process of filing, and is not
contemplating filing bankruptcy as of the date of this proposal.
Signature and Title
APPENDIX II
INSTRUCTIONS
FOR EACH SERVICE OR EXAMINATION SPECIFIED IN EXHIBIT A-J, INDICATE
THE COMPONENT FEE CHARGED FOR THAT SERVICE OR EXAMINATION-. ALSO
INDICATE THE TITLE OF THE INDIVIDUAL ADMINISTERING. THE TEST.
iNCLUDE ADDITIONAL T~ESTS OR SERVICES AS APPROPRIATE WITH THE FEE
SCHEDULE FOR EACH TEST.
EXHIBIT A
PHYSICAL EXAMINATION 'FEE SCHEDULE
TITLE OF PERSON
FEE ADMINISTERING TEST
COMPLETE HISTORY & PHYSICAL EXAMINATION
EKG
AUDIOGRAM (HEARING TEST)
PULMONARY FUNCTION TEST
SERUM LEAD LEVEL
CHOLINESTERASE.LEVEL "
CBC WITH DIFFERENTIAL
BLOOD-LIPID PROFILE
RPR (VDRL)
CHEMZ~N PANEL
CHEM+CBC+RPR
CHEM.-CBC WITH DIFFERENTIAL
BLOOD GLUCOSE
URINALYSIS
TB SKIN TEST
X-RAYS: Chest - PA (single view)
PA & .Lateral
Back - Lumbosacral Spine (2 views)
(3 views)
(4 views)
COMPLETE LUMBOSACRAL SPINE (5 views)
URINE DRUG SCREEN
DEPARTMENT OF TRANSPORTATION (Driver)
PHYSICAL EXAMINATION
CARDIAC STRESS TEST
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EXHIBIT A- Continued
PHYSICAL EXAMINATION FEE SCHEDULF
TITLE OF PERSON
FEE ADMINISTERING TEST
MEDICAL CONSULTATION FOR THREE (3)
CIVIL SERVICE BOARDS REGARDING
MEDICAL APPEALS
FITNESS FOR DUTY PHYSICALS AND CIVIL
SERVICE RETIREMENT PHYSICALS
FUNCTIONAL_CAPACITY EVALUATION ""
(AS PART OF DISABILITY RETIREMENT)
HEPATITIS INOCULATIONS
POST IMMUNIZATION FOR HEPATITIS B
HAZARDOUS MATERIALS PHYSICALS FOR FIRE
DEPARTMENT HAZARDOUS MATERIALS TEAM
MEDICAL/LEGAL WITNESS FOR THE CITY
ATTORNEY AND RISK MANAGEMENT OFFICES
FUNCTIONAL CAPACITY EVALUATIONS FOR
PRE-PLACEMENT PHYSICALS
Please include additional tests or services as appropriate with the fee sChedule for
..each test.
EXHIBIT B
CiTY OF BAKERSFIELD PRE-EMPLOYMENT
PHYSICAL EXAMINATION REQUIREMENT-~
GROUP A- HEAVY LABOR
FEE
CBC WITH DIFFERENTIAL
CHEMZYME PANEL
URINALYSIS
TB SKIN TEST
TWO (2) X-RAY VIEWS OF THE LUMBOSACRAL SPINE
PULMONARY FUNCTION TEST
AUDIOGRAM
EKG (IF 40 YEARS OF AGE OR OVER, OR
AT PHYSICIAN'S DISCRETION)
URINE DRUG SCREEN
SUBTOTAL
Please include additional tests as appropriate with the fee schedule for each test.
GRAND TOTAL
(COMPONENTS OF THE ABOVE PHYSICAL EXAMINATION MAY BE CHANGED AT THE CITY'S DISCRETION.)
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EXHIBIT C
.CITY OF BAKERSFIELD PRE-EMPLOYMENT
PHYSICAL EXAMINATION REQUIREMENT-~
GROUP B- MODERATE LABOR
FEE
CBC WITH DIFFERENTIAL
CHEMZYME PANEL
URINALYSIS
TB SKIN TEST
TWO (2) X-RAY VIEWS OF THE LUMBOSACRAL SPINE
PULMONARY FUNCTION TEST (IF REQUIRED BY LAW)
AUDIOGRAM (IF APPROPRIATE FOR JOB CLASSIFICATION)
EKG (IF 40-~YEARS OF AGE OR OV-ER, OR
AT PHYSICIAN'S DISCRETION)
URINE DRUG SCREEN
SUBTOTAL
· Please include additional tests as appropriate with the fee schedule for each test
GRAND TOTAL
(COMPONENTS OF THE ABOVE PHYSICAL EXAMINATION MA Y BE CHANGED AT THE CITY'S DISCRETION.)
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EXHIBIT D
CITY OF BAKERSFIELD PRE-EMPLOYMENT
PHYSICAL EXAMINATION REQUIREMENTS
GROUP C -- LIGHT LABOR
FEE
CBC WITH DIFFERENTIAL
CHEMZYME PANEL
URINALYSIS
TB SKIN TEST
URINE DRUG SCREEN
SUBTOTAL
Please include additional tests as appropriate with the fee schedule for each test.
FEE
GRAND TOTAL
(COMPONENTS OF THE ABOVE PHYSICAL EXAMINATION MAY BE CHANGED AT THE CITY'S DISCRETION.)
EXHIBIT E
CITY OF BAKERSFIELD PRE-EMPLOYMENT
PHYSICAL EXAMINATION REQUIREMENT~
GROUP D m SEASONAL WORKERS
FEE
TWO (2) X-RAY VIEWS OF THE LUMBOSACRAL SPINE
URINE DRUG SCREEN
SUBTOTAL .' ·
Please include additional tests as appropriate with the fee schedule for each test,
FEE
GRAND TOTAL
(COMPONENTS OF THE ABOVE PHYSICAL EXAMINATION MA Y BE CHANGED AT THE CITY'S DISCRETION.)
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EXHIBIT F
.CITY OF BAKERSFIELD PRE-EMPLOYMENT
PHYSICAL EXAMINATION REQUIREMENTR
GROUP E -- DEPARTMENT HEADS
FEE
CBC WITH DIFFERENTIAL
CHEMZYME PANEL
URINALYSIS
TWO (2) X-RAY VIEWS OF THE CHEST
URINE DRUG SCREEN
CARDIAC STRESS TEST (AT THE DISCRETION OF THE PHYSICIAN)
SUBTOTAL
Please include additional tests as appropriate with the fee schedule for each test
FEE
GRAND TOTAL
(COMPONENTS OF THE ABOVE PHYSICAL EXAMINATION MA Y BE CHANGED AT THE CITY'S DISCRETION.,)
EXHIBIT G
_,CITY OF BAKERSFIELD PRE-EMPLOYMENT
PHYSICAL EXAMINATION REQUIREMENTS
GROUP F- PUBLIC SAFETY OFFICERS (FIRE AND POLICE)
FEE
CBC WITH DIFFERENTIAL
CHEMZYME PANEL
BLOOD LIPID PROPILE
URI'NALYSIS
PULMONARY FUNCTION TEST
AUDIOGRAM
TWO (2) X-RAY VIEWS OF THE CHEST (PA AND LATERAL)
FIVE (5) X-RAY VIEWS OF THE LUMBOSACRAL SPINE
EKG
CARDIAC STRESS TEST (AT DISCRETION OF PHYSICIAN)
URINE DRUG SCREEN
SUBTOTAL
Please include additional tests as appropriate with the fee schedule for each test
GRAND TOTAL
(COMPONENTS OF THE ABOVE PHYSICAL EXAMINATION MA Y BE CHANGED A T THE CITY'S DISCRETION.)
EXHIBIT H
CiTY OF BAKERSFIELD
GROUP G -- ADDITIONAL RISK MANAGEMENT SERVICES
The City of Bakersfield has extensive on-going programs in the area of safety and wellness.
From time to time, Risk Management may request the services of the City Physician and
his/her staff for assistance in various programs. Please liSt areas in which you may be able
to assist the City, including fees for those services.
TITLE OF PERSON
PERFORMING THE
SERVICE FEE SERV!CE
EXHIBIT I
FEE SCHEDULE FOR BASELINE PHYSICAL EXAMINATION
GROUP H m HAZARDOUS MATERIALS TEAM
TITLE OF PERSON
FEE ADMINISTERING TEST
COMPLETE HISTORY & PHYSICAL EXAM
(INCLUDES VISION SCREENING & U/A)
STRESS EKG (INCLUDING INTERPRETATION)
AUDI_OGRAM (HEAR NG TEST)
PULMONARY FUNCTION TEST
LAB: All serum lab work'in~cludes drawing fee.
U/A (DIPSTICK & MICROSCOPIC)
CHOLINESTERASE LEVEL
CB_C WITH DIFFERF_.NTIAL
CHEMZYME PANEL (24)
SPERM COUNT
OCCULT BLOOD/STOOL
X-RAYS: CHEST (3 VIEWS)
BACK (3 VIEWS)
(5 VIEWS, IF INDICATED)
PHYSICAL PERFORMANCE TEST
SUBTOTAL
Please include additional tests as appropriate with the fee schedule for each test.
GRAND TOTAL
(COMPONENTS OF THE ABOVE PHYSICAL EXAMINATION MAY BE CHANGED AT THE CITY'S DISCRETION.)
EXHIBIT J
CiTY OF BAKERSFIELD
GROUP I -- TREATMENT OF INDUSTRIAL INJURIES
1. Services provided by City Physician
* COmpensation:
2. Services provided by recognized experts in fields of medical specialty
* Compensation:
3. Other services which may be provided
* Compensation:
· City compensation .may be tied to "Official Medical Fee Schedule for. Services
rendered Under the CalifOrnia Workers' Compensation Laws (R.V.S.)."
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