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Item C51
4GENDA ITEM SUMMARY Meeting Date: 1/21/2015 Bulk Item: Yes X No Division:— Social Services Department: Social Services Staff Contact Persoo.° Sheryl_G_rAha_m.L_� AGENDA ITEM WORDING: Request Ratification of the'Tsldnd Home Care Agency, Inc. Contract between Island Home Care Agency, Inc. dba Island Private Care and Monroe County Board of County Commissioners (Monroe County Social Services) for the year beginning January 1, 2015 and ending December 31, 2015. ITEM BACKGROUND: Monroe County Social Services receives funding from the Alliance for Aging, Inc, Department of Children and Families, the Florida Agency for Health Care Administration and the Monroe County BOCC for the purposes of providing In -Home Services countywide. The County desires to contract for In -Home Services with Island Home Care Agency, Inc., to ensure that such services are provided. Island Home Care Agency, Inc., bid on these services as part of the 3/19/2014 BOCC approved In -Home Services RFP process and was the only successful bidder. ty ItAXTA111911N.MNA RIATA91WIT91-imm's tvx�' encouraging competitive solicitation 3/19/2014. CONTRACT/AGREEMENT CHANGES: WRIMP FM MINIMS TOTAL COST: $ 345,000 BUDGETED: Yes — No COST TO COUNTY: $ SOURCE OF FUNDS: Grant funds REVENUE PRODUCING: Yes No X AMOUNT PER: MONTH: YEAR: inn APPROVED BY: County Atty OM /Purchasing Risk Management DOCUMENTATION: Included x Not Required To Follow DISPOSITION: AGENDA ITEM Revised 8/06 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUMMARY Contract with: Island Home Care Contract: Effective Date: 111115 Expiration Date: 12/31/15 Contract Purpose/Description: Request Ratification of the Island Home Care Agency, Inc. Contract between Island Home Care Agency, Inc. dba Island Private Care and Monroe County Board of County Commissioners (Monroe County Social Services) for the year beginning January 1, 2015 and ending December 31, 2015. Contract Manager: Sheryl Graham 305-292- Social Services/Stop 1 4510 (Name) (Ext.) (Department/Stop #) For BOCC meeting on 1/21/15 Agenda Deadline: 1/6/15 CONTRACT COSTS Total Dollar Value of Contract: approx. $345,000 Budgeted_ Yes No ❑ County Match: $ Additional Match: Total Match $ Estimated Ongoing Costs: $ (Not included in dollar value above) Account Codes /yr Current Year Portion: $ 125-6153814;125-3153614;125-6153715; 125-6153015;125-61.53415 ADDITIONAL COSTS For: jani CONTRACT REVIEW Division Director Risk .Management O.M.B./Purchasing D to Irk �� J „"�� �. Changes Date Out Ye ❑ Needed - e viewe M r No ❑ ..e ...!✓'� Yes ElNo ✓ ✓ A Yes ❑ NoyC` �%"�'� C �,� r County Attorney)ILIYes ❑ N9V®j Comments: uuviis r orm xevisea Liz iiui 1viur #L THIS AGREEMENT, made and entered into this 15 1h day of December, 2014 by and between MONROE COUNTY, FLORIDA,/Monroe County Social Services a political subdivision of the State of Florida (hereinafter called the "Owner" or "County"), and Island Home Care Agency, Inc., dba Island Private Care, (hereinafter called the "Contractor"). WHEREAS, the County provides In -Home Services to the elderly and disabled residing throughout Monroe County; and WHEREAS, the County receives funding from the Alliance for Aging, Inc., the Florida Department of Children and Families, the Florida Agency for Health Care Administration, and the Monroe County Board of County Commissioners for the purposes of providing In -Home Services Countywide; and WHEREAS, the County has provided In -Home Services to assist the vulnerable elderly and/or disabled residents to remain in their homes and maintain independence for over 30 years; and WHEREAS, the County desires to contract for In -Home Services to ensure that such services are available throughout the County; and WHEREAS, Island Home Care Agency, Inc., dba Island Private Care is qualified and desires to provide In -Home Services; NOW THEREFORE, in consideration of the mutual covenants and provisions contained herein, the parties agree as follows: That the parties hereto, for the consideration hereinafter set forth, mutually agree as follow: 1. THE CONTRACT The contract between the Owner and the Contractor, of which this agreement is a part, consists of the contract documents, which are as follows: This agreement executed by the parties hereafter'together with the response to RFP and all require t and any amendments d insurance documentation. In the event of a discrepancy between the documents, precedence shall be determined by the order of the documents as just listed. 2. SCOPE OF THE WORK The Contractor shall provide In -Home Services for the County. The Contractor warrants that it is authorized by law to engage in the performance of the activities herein described, subject to the terms and conditions set forth in these contract documents. The provider shall professional judgment and shall assume professional responsibility all times exercise independent, prof s at for the services to be provided. Contractor shall provide services using the following standards, as a minimum requirement: A. The Contractor shall maintain adequate staffing levels to provide the services required under this contract. 1 B. The personnel shall not be employees of or have any contractual relationship with the County. C. All personnel engaged in performing services under this contract shall be fully qualified, and, if required, be authorized or permitted under State and local law to perform such services. 3. PAYMENTS TO THE CONTRACTOR A. The Contractor shall submit to the County an invoice with supporting documentation acceptable to the Clerk in accordance with the- billffig calendar (to be provided, as �hedin_ �1717�Msaisnursementot turiti B. Upon Monroe Countys receipt of said invoices Monroe County Clerk's office shall submit payment to the Contractor in accordance with Florida Prompt Payment Act. 4. TERM OF COXTTP A 0r The term of this contract is for one year, commencing on the I" day of January, 2015 and ending on day of December, 2015. The county shall have the option to renew this Agreement at its sole discretion for three (3) additional one year periods for the same service rates. S. �CONTRACTOR'S RESPONSIBILITIES A. The Contractor will perform only authorized In -Home Services in the homes of elderly and/or disabled residents in Areas 1, 2, 3 and 4 for the unit rate(s) specified herein. Only those In -Home Services that are specifically authorized by the County as documented b the Social Services Department will be reimbursable. In -Home Services will be provided by' the Contractor in accordance with DOEA definitions/specification, by agencies that hold necessary licenses, and by individual workers qualified to perform such services as detailed in the Florida Department of Elder Affairs (DOEA Handbook issued July 2014 and the CFOP 140-, Community Care for Disabled Adults Operating P8 rocedures, and in accordance with the Agency for Health Care Administration (AHCA) guidelines as required and any subsequent modifications thereto. B. The In -Home services the Contractor will provide under these terms and conditions are: X in -home respite care, X homemaker, X personal care, X chore, and X companionship, as defined by DOEA Handbook, DCF CFOP 140-8 and AHCA guidelines— a—s noted above and any subsequent revisions thereto. C, The Contractor will provide In -Home Services during the term of this contra ,ra for the unit rates as agreed upon and that follow: $19.50/unit for in -home respite care, $21.00/u] for homemaker, $21-50/unit for personal care, $21.50/unit for chore, and $14.50/unit f C companionship. A unit for each service is defined by DOEA Handbook issued July 20D 14, CF0P 140-8, and AHCA guidelines as noted above and any subsequent revisions thereto. T number of units of services performed for each client must be pre -authorized by the County i accordance with the Activity Plan. D. The Contractor will provide the In -Home service(s) detailed in "B" above for the unit rate agreed upon in "C" above in the following geographic areas X 1, _X 2, _X_ 3, and _X_ 4. Contractors are required to select at least one of the Cour_geogra�hic areas in order to ensure that In -Home Services are available. K E. The Contractor will in all cases provide In -Home Services within the timeframes agreed upon in the Activity Plan, required by Florida Department of Elder Affairs (DOER Handbook issued July 2014 and the CFOP 140-8, Community Care for Disabled Adults Operating Procedures, and AHCA guidelines as noted above and any subsequent revisions thereto. The Contractor agrees that Monroe County Social Services will designate representatives to visit the Contractor's facility(ics) periodically to conduct random open file evaluations and/or other contract monitoring activities during the Contractor's normal business hours. F. The Contractor has, and shall maintain throughout the term of this contract, appropriate licenses and approvals required to conduct its business, and that it will at all times conduct its business activities in a reputable manner. Proof of such licenses and approvals shall be submitted to the County annually and upon request. G. The Contractor must maintain approval status from the Alliance for Aging, Inc., as a Medicaid Waiver Provider of Choice, if applicable. 6. CONTRACTOR'S FINANCIAL RECORDS Contractor shall maintain all books, records, and documents directly pertinent to performance under this Agreement in accordance with generally accepted accounting principles consistently applied. Each party to this Agreement or their authorized representatives shall have reasonable and timely access to such records of each other party to this Agreement for public records purposes during the term of the Agreement and for six years following the termination of this Agreement. If an auditor employed by the County or Clerk determines that monies paid to Contractor pursuant to this Agreement were spent for purposes not authorized by this Agreement, the Contractor shall repay the monies together with interest calculated pursuant to Sec. 55.03, FS, running from the date the monies were paid to Contractor. 7. PUBLIC ACCESS Pursuant to Florida Statute § 119-070 1, Contractor and its subcontractors shall comply with all public records laws of the State of Florida, including but not limited to: (a) Keep and maintain public records that ordinarily and necessarily would be required by Monroe County in the performance of this Agreement. (b) Provide the public with access to public records on the same terms and conditions that Monroe County would provide the records and at a cost that does not exceed the cost provided in Florida Statutes, Chapter 119 or as otherwise provided by law. (c) Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law. (d) Meet all requirements for retaining public records and transfer, at no cost, to Monroe County all public records in possession of the contractor upon termination of this Agreement and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to Monroe County in a format that is compatible with the information technology systems of Monroe County. S. INDEMNIFICATION/HOLD HARMLESS Notwithstanding any minimum insurance requirements prescribed elsewhere in this agreement, Contractor shall defend, indemnify and hold the County and the County's elected and appointed offices, and employees harmless from and against (i) any claims, actions or causes of action, (ii) any litigation, administrative proceedings, appellate proceedings, or other proceedings relating to any type of injury (including death), loss, damage, fine, penalty or business interruption, and (iii) any costs or expenses that may be asserted against, initiated with respect to, or sustained by, any indemnified party by reason of, or in connection with, (A) any activity of Contractor or any of its employees, agents, sub -contractors or other invitees during the term of this Agreement, (B) the negligence or willful misconduct of Contractor or any of its employees, agents, sub -contractors or other invitees, or (C) Contractor's default in respect of any of the obligations that it undertakes under the terms of this Agreement, except to the extent the claims, actions, causes of action, litigation, proceedings, cost or expenses arise from the intentional or sole negligent acts or omissions of the County or any of its employees, agents, or invitees (other than Contractor). Insofar as the claims, actions causes of action, litigation, proceedings, cost or expenses relate to events or circumstances that occur during the term of this Agreement, this section will survive the expiration of the term of this Agreement or any earlier termination of this Agreement. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this agreement. Prior to execution of this agreement, the contractor shall furnish the Owner Certificates of Insurance indicating the minimum coverage limitations as indicated by an ' X" on the attached forms identified as INSCKLST 1-5, as further detailed on forms WC1, GL1, GIR 1, and VU, each attached hereto and incorporated as part of this contract document, and all other requirements found to be in the best interest of Monroe County as may be imposed by the Monroe County Risk Management Department. Non -Waiver of Immunity. Notwithstanding the provisions of Sec. 768.28, Florida Statutes, the participation of the County and the Contractor in this Agreement and the acquisition of any commercial liability insurance coverage, self-insurance coverage, or local government liability insurance pool coverage shall not be deemed a waiver of immunity to the extent of liability coverage, nor shall any contract entered into by the County be required to contain any provision for waiver. 9. INDEPENDENT CONTRACTOR At all times and for all purposes under this agreement the Contractor is an independent contractor and not an employee of the Board of County Commissioners of Monroe County. No statement contained in this agreement shall be construed so as to find the Contractor or any of his employees, contractors, servants, or agents to be employees of the Board of County Commissioners of Monroe County. 10. NONDISCRIMINATION County and Contractor agree that there will be no discrimination against any person, and it is expressly understood that upon a determination by a court of competent jurisdiction that discrimination has occurred, this Agreement automatically terminates without any further action on the part of any party, effective the date of the court order. Contractor agrees to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1) Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of race, color or 0 national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC ss. 1681- 1683, and 1685- 1686), which prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794) which prohibits discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975. as amended (42 USC ss. 6101- 6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ce-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; 8) Title Vill of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to nondiscrimination on the basis of disability; 10) Monroe County Code Ch. 13, Art. VI, prohibiting discrimination on the bases of race, color, sex, religion, disability, national origin, ancestry, sexual orientation, gender identity or expression, familial status or age; and 11 )Any other nondiscrimination provisions in any Federal or state statutes which may apply to the parties to, or the subject matter of, this Agreement. 11. ASSIGNMENT/SUBCONTRACT The Contractor shall not assign or subcontract its obligations under this agreement, except in writing and with the prior written approval of the Board of County Commissioners of Mon -roe County which approval shall be subject to such conditions and provisions as the Board may deem necessary. This paragraph shall be incorporated by reference into any assignment or subcontract and any assignee or subcontractor shall comply with all of the provisions of this agreement. Unless expressly provided for therein, such approval shall in no manner or event be deemed to impose any additional obligation upon the board. 12. COMPLIANCE WITH ITH LAW In providing all services/goods pursuant to this agreement, the Contractor shall abide by all statutes, ordinances, rules and regulations pertaining to, or regulating the provisions of, such services, including those now in effect and hereinafter adopted. Any violation of said statutes, ordinances, rules and regulations shall constitute a material breach of this agreement and shall entitle the Board to terminate this contract immediately upon delivery of written notice of termination to the contractor. The contractor shall possess proper licenses to perform work in accordance with these specifications throughout the term of this contract. Contractor shall use the Department of Homeland Security's E-verify system to verify the employment eligibility of all new employees hired during the contract term pursuant to this agreement. 13. SUPPORT TO THE DEAF OR HARD -OF -HE a. The contractor shall comply with section 504 of the Rehabilitation Act of 1973, 29 U.S.C. 794, as implemented by 45 C.F.R. Part 84 (hereinafter referred to as Section 504) and the American with Disabilities Act of 1990, 42 U.S.C. 12131, as implemented by 28 C.F.R. Part 35 (hereinafter referred to as ADA). b. The contractor shall if it employs 15 or more employees, designate a Single-Point-of- 5 Contact (one per firm) to ensure effective communication with deaf or hard -of hearing clients or companions and/or caregivers in accordance with Section 504 and the ADA. The name and contact information for the contractor's Single -Point -of -Contact shall be famished to Monroe County within 14 calendar days Of the effective date of this requirement. C. The Single -point -of -Contract shall ensure that employees are aware of the requirements, roles & responsibilities, and contact points associated compliance with Section 504 and the ADA. Further, employees of the contractor shall attest in writing that they are familiar with the requirement of Section 504 and the ADA. This attestation shall be maintained in the peoemployee's rsnnel file. The County and Contractor warrant that, in respect to itself, it has neither employed nor retained any company or person, other than a bona fide employee working solely for it, to solicit or secure this Agreement and that it has not paid or agreed to pay any person, company, corporation, individual, or firm, other than a bona fide employee working solely for it, any fee, commission, percentage, gor other consideration contingent upon or resulting from the award or making of this Agreement. For the breach or violation of the provision, the 0 Contractor agrees that the County shall have the right to terminate this Agreement without liability and, at its discretion, to Offset from monies owed, or otherwise recover, the full amount of such fee, commission, percentage, gift, or consideration. 15. NO PLEDGE OF CREDIT The Contractor shall not pledge the County's credit or make it a guarantor of payment or surety for any contract, debt, obligation, judgment, lien, or any form of indebtedness. The Contractor further warrants and represents that it has no obligation or indebtedness that would impair its ability to fulfill the terms of this contract. 16. NOTICE RROUIREMENT Any notice required or permitted under this agreement shall be in writing and hand delivered or mailed, postage prepaid, to the other party by certified mail, returned receipt requested, to the following: FOR COUNTY: Monroe County and County Attorney 1100 Simonton Street 2-257 1111 12'h Street Suite 408 Key West, FL. 33040 Key West, FL. 33040 FOR CONTRACTOR: Island Home Care, Inc. dba Island Private Care Kim Wilkerson 817 Simonton Street Key West, FL 33040 17. TAXES The County is exempt from payment of Florida State Sales and Use taxes. The Contractor shall not be exempted by virtue of the County's exemption from paying sales tax to its suppliers for materials used to fulfill its obligations under this contract, nor is the Contractor authorized to use the County's Tax Exemption Number in securing such materials. The Contractor shall be responsible for any and all taxes, or payments of withholding, related to services rendered under this agreement. 18. TERMINATION The County may terminate this contract for cause with seven (7) days notice to the contractor. Cause shall constitute a breach of the obligations of the Contractor to perform the services enumerated as the Contractor's obligations under this contract. Either of the parties hereto may terminate this contract without cause by giving the other party sixty (60) days written notice of its intention to do so. 19. GOVERNING LAW, VENUE, INTERPRETATION COSTS AND FEES A. This Agreement shall be governed by and construed in accordance with the laws of the State of Florida applicable to contracts made and to be performed entirely in the State. B. In the event that any cause of action or administrative proceeding is instituted for the enforcement or interpretation of this Agreement, the County and Contractor agree that 7 venue will lie in the appropriate court or before the appropriate administrative body in Monroe County, Florida. 0 21. AUTHORITY Each party represents and warrants to the other that the execution, delivery and performance of this Agreement have been duly authorized by all necessary County and corporate action, as required by law. 22. CLAIMS FOR FEDE� , - OR SIATE AL]p Contractor and County agree that each shall be, and is, empowered to apply for, seek, and obtain federal and state funds to further the purpose of this Agreement; provided that all applications requests, grant proposals, and funding solicitations shall be approved by ch party prior' to submissionea 23. PRIVILEGES AND IMMUNITIES All of the privileges and immunities from liability, exemptions from laws, ordinances, and rules and pensions and relief, disability, workers' compensation, and other benefits which apply to the activity of officers, agents, or employees of any public agents or employees of the County, when performing their respective functions under this Agreement within the territorial limits of the County shall apply to the same degree and extent to the performance of such functions and duties of such officers, agents, volunteers, or employees outside the territorial limits of the County. 24. LEGAL OBLIGATIONS AND RESPONSIBILITIES Non -Delegation of Constitutional or Statutory Duties: This Agreement is not intended to, nor shall it be construed as, relieving any participating entity from any obligation or responsibility imposed upon the entity by law except to the extent of actual and timely performance thereof by any participating entity, in which case the performance may be offered in satisfaction of the obligation or responsibility. Further, this Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the constitutional or statutory duties of the County, except to the extent permitted by the Florida constitution, state statute, and case law. 25. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely upon the terms, or any of them, of this Agreement to enforce or attempt to enforce any third -party claim or entitlement to or benefit of any service or program contemplated hereunder, and the County and the Contractor agree that neither the County nor the Contractor or any agent, officer, or employee of either shall have the authority to inform, counsel, or otherwise indicate that any particular individual or group of individuals, entity or entities, have entitlements or benefits under this Agreement separate and apart, inferior to, or superior to the community in general or for the purposes contemplated in this Agreement. 26. ATTESTATIONS Contractor agrees to execute such documents as the County may reasonably require, to includea Public Entity Crime Statement, an Ethics Statement, and a D un rug -Free Workplace Statement. 27. NO PERSONAL LIABILITY No covenant or agreement contained herein shall be deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe County in his or her individual capacity, and no 9 member, officer, agent or employee of Monroe County shall be liable personally on this Agreement or be subject to any personal liability or accountability by reason of the execution of this Agreement. 28. EXECUTION IN COUNTERPARTS This Agreement may be executed in any number of counterparts, each of which shall be regarded as an original, all of which taken together shall constitute one and the same instrument and any of the parties hereto may execute this Agreement by signing any such counterpart. 29. ' SECTION HEADINGS Section headings have been inserted in this Agreement as a matter of convenience of reference only, and it is agreed that such section headings are not a part of this Agreement and will not be used in the interpretation of any provision of this Agreement. 30. MUTUAL REVIEW This agreement has been carefully reviewed by the Contractor and the County. Therefore, this agreement is not to be construed against any party on the basis of authorship. IN WITNESS WHEREOF the parties hereto have executed this Agreement on the day and date first written above in four (4) counterparts, each of which shall, without proof or accounting for the other counterparts, be deemed an original contract. (SEAL) BOARD OF COUNTY COMMISSIONERS Attest: AMY HEAVILIN, CLERK OF MONROE COUNTY, FLORIDA 0 (SEAL) Attest: Deputy Clerk as M y P - OVED S PED. 0 MER""N"'WD, ASEASI-Ad"11- Zh 7 iL/ 0 Mayor Danny Kolhage Island Home Care Agency, Inc., dba Island Private Care By: Title: it RF ebbie Frederick Iffilkate: 12/15/2014 M.C.A. Instruction 4802.1 October 1, 2013 Page 5 To: Purchasing Department VIA: County Attorney's Office (for prior legal review/approval) After obtainJ139 lQgl approval, I have attached one (1) copy of the competitive solicitation approved] by legal and the Notice of Request for Competitive Solicitations, as it will publish, along with one (1) CD containing a copy of the approved competitive solicitation (in pdf format) and a copy of the notice, as it will publish, (in Word format) for; In Home Services (including In -Home Respite Care, Homemaking Services, Personal Care Services, C OMPa iOnShip SlAnd='. 20d ChQr0 (Name as appears on the cover page of the Competitive Solicitation) 0 •- la a • a • + � t 2. Require vendors submitg1 + o.rigipgIs and one • • of their ,(minimum• • or as specified below. 1�. Advertising expenses are to be charged against account: __ 001-615QI-530540 5. Notice to run 21 (+) 45 • one) or --3-Q—days prior to • • opening. s To • • •'supplementalsuppliers" please a provide company nameand fax •. er (attcch list if more than one • room needed). Enclosures; One (1) copy of approved competitive solicitation and one (1) CD 11 11 71 0 71 0 0 0 Ll BOARD OF DIRECTORS'RESOLUTION ON PRESIDENT'S AUTHORITY TO NEGOTIATE CONTRACT Pursuant to a duly made and seconded motion, a majority of the Board of Directors of �Gla)'VJ (hereinafter referred to as Corporation) adopted the followil resolution: 'i I Ills "Fir J P7, hereby fully authorized to enter into a contract with the MOnroe un Gempafty for ODun AOMLZ cZS . Such contract will be established on the best term sz�d conditions the MEMH�� The undersigned, M certifies that he or she is the duly appointed Secretary— L� d+� of 151011f� C04Z 461 M9, orporation and that the above is a true, accurate, and correct copy of a resolution duly adopted at a meeting of the directors thereo , convened and held in accordance with applicable law and the Bylaws of said Corporation on (Date) resolution is now in full force and effect. Dated: Secretary Electronic A. iPIIO00016734 -Vfides of Incorporaton FILED For Februn 16, 201, See. Of tatb tchang ISLAND HOME CARE AGE1 TCY, INC. The undersigned incorporator, t or the purpose of forming a Florida profit corporation, hereby adopi 3 the following Articles of Incorporation: Auticle I The name of the corporation is:..' ISLAND HOME CARE AGET fCY, INC. Al ticle 11 The principal place of business iddress: 1007 TRUMAN SUITE A KEY WEST, FL. US 33040 The mailing address of the corr oration is: 1200 4TH STREET #179 KEY WEST, FL. US 33040 Ai -fide III The purpose for which this coil',, oration is organized is: TO PROVIDE HOME HEAU'll SERVICES. Ai fide IV The number of shares the corpc:.-ation is authorized to issue is: 2000 Ai fide V The name and Florida street ad tress of the registered agent is: KIMBERLY R WILKERSON 1405 OLIVIA KEY WEST, FL. 33040 I certify that I am familiar with: and accept the responsibilities of registered agent. Registered Agent Signature: KIM' VILKERSON i FILED Of Ute The name and address of the in orporator is: KIM WILKERSON 1405 OLIVIA KEY WEST, FL 33040 Electronic Signature of Incorporator KIM WILKERSON I am the incorporator submitting the: Articles of Incaoration and affum that the facts stated herein are true. I am aware that false informati -)n submitted in a document to the Department of State constitutes a third degree felony as provided for �.. s.817.155, F.S. I understand the requirement to file an annual report between San as and May 1st in he calendar year following formation of this corporation and every year thereafter to .maintain. "active"status. 1 fide VII e initial officersand/or dire rtor(s) of the corporation is/are: Title: P KIMBERLY R W:LKERSON 1405 OLIVIA KEG WEST, FL. 33040 US de VIII e effective date for this corpc ration shall be: ® 02/14/ 01I a L-1 Certificate of Status I certify from the records of this office that ISLAND HOME CARE AGENCY, INC. is a corporation organized under the laws of the State of Florida, filed electronically on February 16, 2011, effective February 14, 2011. I further certify that said corporation has paid all fees due this office through December 31, 2011, and its status is active. 4 0 11 a , It I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Seventeenth day of February, 2011 *rrmarp of &tatr C� Z Ll M�/Z I certify the attached is a true and correct copy of the Articles of Incorporation of ISLAND HOME CARE AGENCY, INC., a Florida corporation, filed electronically on February 16, 2011 effective February 14, 2011, as shown by the records of this office. I finther certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the janit-g"j, L SERVICE AREAS a Island Home Care Agency, Inc. (dba Island Home Care, hereinafter, IHC) desires to provide in - home services to all four service areas, as defined by Monroe County, below: Area 1 — Key West and the Lower Keys Area 2 — Big Pine, the Torches, Summerland and Cudjoe Area 3 — Middle Keys Area 4 — Upper Keys I L] Ll 0 D Ll I Island Home Care Agency, Inc., was incorporated on February 16, 2011 and was issued home health agency license #299993854. The agency was deemed Accredited by the joint Commission on Accreditation of Healthcare Organizations (point Commission) on March 29, 2012 (#511337) and received Medicare Certification on April 2, 2012 (Provider #10-9772). IHC remains the only joint Commission Accredited home health agency dedicated to serving ONLY Monroe County. The agency's mission has always been to make a difference, one patient at a time, by restoring our patient's right to a quality of life where they can realistically manage their health without having to resort to institutionalized care. Services allowed under this licensure include Nursing, Occupational Therapy, Physical Therapy, Speech Therapy, Medical Social Work, Home Health Aides, Palliative Care, and Homemaking. All of these services are currently being provided by IHC regardless of the recipient's race, color, age, sex, or ethnic background/national origin. Furthermore, skilled services are provided regardless of a patient's insurance status or ability to although IHC is a for -profit company, we have provided over 1400 hours amounting to $185,850.00 worth of uncompensated care since opening. These are direct out-of-pocket costs and, unlike a non-profit organization, IHC isn't able to offset these expenses through fundraising, grants or other donations. IHC has grown steadily since its inception. A second office location is scheduled to open in Marathon in January, 2015 in order to more easily serve our patients, clients and staff in the Middle Keys, with a third location in the Upper Keys very likely within the next year. To that end, the IHC philosophy of approach to this project is simple. Each and every client will be treated as they should be — as if they are a member of our own family and as if they are the only client we have. Clients will no longer have to worry that they may not receive service because an aide is out sick. All of our clinicians work as a team; if for some reason an aide isn't available, a nurse or a therapist will provide the service. Customer service has always been our number one priority and each member of our team is proud of where they work. All of the County clients will get to know why our reputation speaks for itself if we are awarded the contract. F-77, L"111 L a NARRAnVE SELF-ANALYSI Streng.ths. The strengths of any organization begins with its' employees. Island Home Care has one of the most seasoned group of health professionals in Monroe County in its employ. Our owner, Kim Wilkerson has over 25 years of experience in home care. Her knowledge of the industry and patient care is unsurpassed in Monroe County. Furthermore, our senior management team has a combined total of over 50 years of experience in home care. Unlike many home care agencies, all of our employees are actual employees, not contractors. In fact, many of them are afforded full time status that include health insurance and paid time off. For many of the staff, this is the first job in which they have been offered such benefits. We treat our staff with respect, provide fair wages and benefits, encourage leadership and development, and value the care given to clients to foster employee satisfaction. This is a philosophy that our owner has employed for over 25 years and finds that it promotes job satisfaction, increasing the chance that clients will receive quality services from caregivers. This also leads to our company's extremely low staff turnover rate. This enables us to provide a stable work force and ultimately, clients receive reliable, consistent care. IHC also stands out in integrating community -based social services with our more traditional home health care, for example, our current collaboration with AIDS Help to provide assisted living services to clients in housing. This broader base allows us to access additional clientele and payor sources, adding to our stability. Weaknesses As with most companies operating in Monroe County, the economic environment poses a significant weakness to its workforce. As of September 2014, the unemployment rate for Monroe County was 4.2 percent. This is compared to 7.2 for the State of Florida and 7.4 for the entire US. A low unemployment rate leads to difficulty recruiting and retaining qualified staff. *Source: Florida Agency for Workforce Innovation, Labor Market Statistics, Local Area Unemployment Statistics Program (850- 245-7206) in cooperation with the U.S. Department of labor, Bureau of labor Statistics. Monroe County also continues to have an appalling shortage of affordable housing for individuals in the $20,800 to $50,000 salary range. There are limited apartments, few single family rental homes within affordable ranges, and limited other options. This lack of available housing has forced similar organizations to seek direct care employees from the Homestead/Florida City area. IHC has not resorted to this practice as of yet but this could certainly could be an option for the far northern region of the County. Also, studies predict patients will outnumber caregivers in the near future, we will need to position the agency as an attractive place to work with competitive and fair pay and benefits. While not a lot can be adjusted in regards to compensation, a healthy, happy work environment certainly limits the amount of staff turnover and makes IHC an employer of choice. The nature of home care is that employees work in isolation from one another. Though many caregivers have worked within the county program for years, many do not know each other. IHC will find ways to bring workers together on a regular basis, to develop good working relationships with each other as well as the organization as a whole. J e - E Me yrocess ana me '"1077577=_ EVf WOM J, 1771DUTSTIRU te reqY.Trements, Challenges in providing these services for Monroe County In -Home Services, as the director of *ur program successfully started and ran the program for the current contract holder for five jTears. In addition to this, listed below are several current references with whom we are (#,roviding similar services. • AH of Monroe County, Inc. (AHI) 1434 Kennedy Drive Scott Pridgen, Executive Director Key West, Florida (305) 296-6196 AHI and Island Home Care entered into a collaborative agreement earlier this year to work togetherin bringingassistedliving services to elderly/disabled clients ofAHI AHPs medical case managers along with IHCs RNs complete a comprehensive cam plan to ensure clients receive all services needed, including homemaking, personal care and respite. Mis innovative partnership is the first of its kind in Monroe County. • Independent Living Systems (ILS) 5201 Blue Lagoon Drive Ashley Bury, Monroe County Case Manager Miami, Florida (305) 849-4931 • Lower Keys Medical Center 5860 College Road Chris Nagy, BSN, RNC, CRRN Key West, Florida Supervisor, Resource Management (305) 294-4599 • ROOM- 111141010 111 • Mr. Ronald Foreman (client) 9 Falm Drive, Baypoint (305) 745-4609 • Ms. Bobbie K. Brown (daughter of client, Katherine Brown) 2433 Fogarty Street, Key West (305) 296-3894 0 Ll 0 ACCOUNnNG & BOOMEPING PROCEDURE Noma—[ IHC adheres to Generally Accepted Accounting Principles. A full-time Chief Financial officer prepares monthly financial statements that are independently reviewed. The organization works with a local CPA firm as well. Under the direction of the Governing Body, the Clinical Director and Administrator in collaboration with leaders and representatives of appropriate disciplines implement and monitor an annual operating budget and long-term capital expenditure plan. The operating budget includes anticipated incomes and expenses. The Governing Body approves the annual operating budget and long term capital expenditure plan. Annually, Island Home Care prepares a Cost Report to Medicare, which details utilization data cost and charges by cost center (in total and for Medicare), Medicare settlement data and financial statement data. :1 �7 4 lHC proposes the following rates for in -home services provided. Detailed descriptions • individual services are below. SERVICE TO BE PROVIDED PROPOSED UNIT RATE In -home respite care $19.50 per unit, inclusive of worker's travel Homemaker $2 1.00 per unit, inclusive of worker's travel Personal Care $21.50 per unit, inclusive of worker's travel Chore $21.50 j2er unit, inclusive of worker's travel Companionship $14.50 per unit, inclusive of worker's travel 11 0 I D FF15��� IHC currently uses Kinnser Home Health and Kinnser ADL software. Both of these programs are Internet -based and can be accessed by our clinicians from anywhere, providing the most up-to- date information on the patient or client's condition. Kinnser ADL takes service to our clients and their families one step further by including a family portal, where family members are able to login and check caregiver notes on their loved ones as well as giving them the ability to view schedules and send messages to staff. Kinnser ADL ensures accuracy with schedules by sending reminder emails and texts to caregivers and requiring that caregivers confirm their schedules. The Kinnser ADL family portal will be available to the families of County clients if we are awarded the contract and will allow for better customer service and transparency of care provided. The software system is designed to protect clients' Personal Health Information (PHI), as mandated by HIPPA. Protecting patient privacy is the individual legal responsibility of any user or administrator with access to PHI. The system uses a multi -layered approach to protecting client information, starting with secure data encryption. Kinnser Software's electronic signature system uses a dual password process to ensure authentic electronic signatures. Each Kinnser application user has a system password (Log -In Authentication Password) that must be updated every 60 days to ensure continued access to the system. When an electronic signature will be utilized to sign clinical documentation, the user will provide an additional signature password (Electronic Signature Passcode) to sign the document within the system. When an electronic signature is applied to a document, the time and date are stored for later retrieval. If at any time a document that has been electronically signed is reopened or otherwise edited, the electronic signature will be destroyed and must be reentered by the user upon resubmission of the clinical documentation. Log -In Authentication Passwords are created and assigned at the organization level. Electronic Signature Passcodes are created by individual users, and subsequently managed by Kinnser Software, Inc. If a user forgets her/his Electronic Signature Passcode, the user can reset the Electronic Signature Passcode her/himself or can request a reset to be performed by Kinnser Customer Support. Resetting the Electronic Signature Passcode can only be done by the user or Kinnser to ensure the security of the dual password process. The Kinnser application database is located in their Austin -based datacenter. This is important because it provides an additional level of support and security by having a full team of information system professionals monitoring and maintaining the network hardware and database that we use. If a server goes down, they have the capability to automatically switch over to another so that we have no downtime. Kinnser runs incremental backups on the Production database every four hours each day, as well as a full backup of the database nightly. Backups are restored on a separate database server to ensure data integrity of the database backups. Kinnser transfers a full backup of the application data to a secure, off -site backup location each week. In addition, a full backup will be transferred to the off -site location at any time the datacenter might be vulnerable to a natural disaster. Lj a Following the decision, all client information County -wide, including demographic information and services authorized, will be provided to IHC. Because of the upcoming holidays, it is crucial for IHC to receive all client information immediately to allow for uninterrupted service to each client. IHC will ensure that all regulatory client admission documentation is in place prior to the January 1 start date. All clients will begin receiving services as scheduled Thursday, January 1, 2015. We anticipate a seamless and smooth transition. IHC will want to consider the -current VNA and/or County workers as possible employees if the contract is awarded. This can all happen during the month of December, prior to the holidays, so those people are ready and able to continue to see clients on the targeted start date. IHC has VNA's former program director working with us, who successfully orchestrated the transition in 2008 when the contract was originally awarded to VNA. She is very familiar with exactly how the process works. In addition, Anne Brough, RN, will work with us during the transition in order to facilitate client admission to services. Anne was the RN Case Manager County clients throughout the Keys and will be happy to see them againoverseeing all of VNA's Life At Borne aides until July, 2013. She knows the vast majority of the . The team in place at Island Home Care has the most knowledge and experience providing these services in Monroe County. They are quite familiar with the scheduling, billing and reporting requirements, as well as working with the County's Case Managers. The following page shows a more detailed timeline for the transition ummm td� wimm 14� W� kWw k� �MXW k� k� i� LM 1AW UM li= JW �W JW BIDS OPENED CLIENT INFO PROVIDED TO HM/COMP CLIENT IHC BEGINS HIRING I ADMISSIONS BEGIN PROCESS 2-Dec 10 D2e 11-Dec: 12-Dec 15-Doe thru 31-Det 22-Dec thru 31-Dec I VC CLIENT AL)MISSTIONS BEGIN WINNING BIDDER NOTIFIED DATE MILESTONE 2-Dec f3irls opened 10-Dec Winning bidder notified 11-Dec IHC begins hiring process 12-Der. Client info provided to IHC thru 31-Dec PC client admisstions begin 22-Dec thru 31-Dec FW/COMP client admissions begin 1-Jan All clients admitted to IHC 2-Jan TP—NSITION COMPLETE i 1-Fan ALL CLIENTS ADMITTED TO IHC POSITION 25 -20 10 15 -15 15 -20 20 TRANSITION COMPLETE 2-Jan ?111rT- r7 77 1LTj7YrTST-YPVU1WXU I health aides, caregivers and companions if awarded the contract. We feel confident that we will have very little problem finding qualified aides and caregivers locally that are representative of the community in which they live. The hourly rate we pay our staff is very competitive and we provide a supportive and team -based environment which explains why we have the lowest employee turnover in the Keys. Mea are'. 1�� 04111 � I Administrator Ag` �dministrator Chief Financial Officer Financial Oversi Director, Private Duty Primary Contact Program Administrator Director, Clinical Services • Clinical Director Certified NIIIursing Assistants Certified Home Health Aides Personal Care providers Respite Homemakin:z C2mp#nionship �4010!01:11 ine i i ?! American Indian or Alaska Native —or Black African merican Hispanic or Latino — Native Hawaiian or 0 Paci 'ic Islander TOTAL MINOKFTY Males _-T- Femaies 4 35 Benefits All full-time staff are entitled to the following benefits: Paid Time Off (inclusive of vacation, sick and holiday pay); health, dental and life insurance. U-Ontinuing Education aYj!LV i�y Continuing education is Provided monthly to all staff, in accordance with Centers for Medicare/Medicaid Services (CMS) regulation G215 (iii) which states, "the home health aide must receive at least 12 hours of in-service training during each 12-month period." IHC provides this education at no cost to the staff. The training topics will be pertinent to staff performance. IHC will not employ any person in a position, the duties of which involve direct contact with a consumer, I.E., patient or family, unless IHC has conducted a Level 11 Background Screening through the ACHA Clearinghouse. Applicants that have Level 11 screenings performed within the past 5 years and without a gap of employment of 90 days or more, shall present the screening to IHC to satisfy this requirement. All applicable employees must sign the Affadavit of Compliance with Background Screening Requirements. The selection process includes personal interviews, obtaining written or verbal follow-up of employment references and job history and verification of education, experience, training, licensure or certification, as appropriate to job responsibilities. Orientation will include but will not be limited to: Skills Demonstrations and Check -off; Staff Responsibilities; Documentation Of Client Care; After Hours Procedures ;Policies and Procedures Environmental Safety and Equipment Management; OSHA In -Services (including Blood Borne Pathogens); Identifying Abuse and Neglect and Personnel Information.Orientation is to be completed prior to performance Of client care. This is a performance ta n by Administration on a monthly basis. measure that is reviewed An initial skills inventory and return demonstration or observation Of skill competency (when appropriate) is conducted to assess competency in skills and knowledge required (based on staff category) to effectively provide care to the population served. Deficiencies are identified and the employee is assisted to acquire the desired skills. Competency assessments are documented and are used as a tool for the employee to improve their competence. Appropriate action is instituted to assist the individual to gain the necessary competence. Annual on -site supervisory visits will be performed by an RN with the Home Health Aide to help in assessing continuing competency. 0 j 1 .l Please see the following pages. D 0 PLESPONSE TO: MONROE COUNTY BOARD OF COUNTY COMMISSIONER'S C/O PURCHASING DEPARTMENT GATO BUILDING, ROOM 2-213 KEY WEST, FLORIDA 33040 I acknowledge receipt ofAddenda I4o.(s) Ihave included: the �, oo�(�oo���ofIotnr�at Qualifications `'/' Lobbying_ t�o��oo-(�o\}uoino/����avi °`[}rugFrco Workplace Form Insurance Agent's (or Respondent's) 0tu1ezoozd In addition, Ihuve included ucurrent copy ofthe following professional and occupational Mailing Address: oo�w :&NL CW A60UA Telephone. 35*L0 (T itle) Karen A. Frank-Ndl NOTARY PUBLIC 39 M.C.A. Instruction 4802.1 October 1, 2013 I, o� t �'V �'V -t "S , according to law, on my oath, and under penalty of perjury, depose and say that: I . I am �" 11 Y V1 tom/ c'-Q of the firm of S� �C C" `�rYl I the bidder/responder malting the proposal for the project described in the Notice of Request for Competitive Solicitations for: I n bars. &, and I executed the said proposal with full authority to do so. 2. The prices in this proposal have been arrived at independently without collusion, consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder/responder or with any competitor, 3. Unless otherwise required by law, the prices Which have been quoted in this proposal have not been knowingly disclosed by the bidder/responder and will not knowingly be disclosed by the bidder/responder prior to the opening of the responses, directly or indirectly, to any other bidder/responder or to any competitor. 4. No attempt has been made or will be made by the bidder/responder to induce any other person, partnership or corporation to submit, or not to submit, a proposal for the purpose of restricting competition. 5. The statements contained in this affidavit are true and conect, and made with full knowledge that Monroe County relies upon the truth of the statements contained in this affidavit in awarding contracts for said project. 6WAA1 �Rlzvi4gi/L�Zg114 (Signature �ofBidder/Responder) (� (Date) �y Print Name/Title STATE OF: 0 C- k A eta COUNTY OF: n ro v PERSONALLY APPEARED BEFORE ME, the undersigned authority,_, (name of individual signing Affidavit), who, after first being sworn by me, affixed his/her signature in the space provided above on this 9® 'C6 day of bq 20 t q . My Commission Expires: Kaw A. A ., l NOTARY PUBLIC STATE OF FLORIDA &I. Comm# EE101459Expires 6/18/2015 40 NOTARY-M-BLIt M.C.A. Instruction 4802.1 October 1, 2013 ME-0 -J 10 , V"11M, ETHICS CLAUSE ftWA4k I OC, warrants that he/it has not employed, retained or otherwise had act on his/its behalf any former County officer or employee in violation of Section 2 of Ordinance No. 10- 1990 or any County officer or employee in violation of Section 3 of Ordinance No. 10-1990. For breach or violation of this provision, the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee. (Signature) Date:.--, STATE OF: COUNTY OF: PERSONALLY APPEARED BEFORE ME, the undersigned authority, I / 1.4,3 % t nc2iz (name of individual signing Affidavit), who, after first being sworn in by me, affixed his/her signature in the space provided above on this day of--D-o—v� �- ��20 Iq . NOTARY PUBMC M L.C.A. Instruction 4802.1 ctober 1, 2013 person or affiliate who has been placed on the convicted vendor list following a conviction for public entity ame may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a ;Ed on a contract with a public entity for the construction or repair of a public building or public work, may not :ibmit bids on leases of real property to public entity, may not be awarded or perform work as a contractor, zpplier, subcontractor, or CONTRACTOR under a contract with any public entity, and may not transact osiness with any public entity in excess of the threshold amount provided in Section 287.017, Florida Statutes, )r CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list." have read the above and state that neither I SMA nc, p (Proposer's name) or any Affiliate has been placed on the convicted vendor list within the last 3 6Yionths. 1�,&AROWA,t� (Signature) Date: l ltg- k TATE OF: El 0 s° c c OUNTY OF:mi�� ubscribed and sworn to (or affirmed) before me on the day of n o , 20 14 , by t f_ (name of affiant). He/She is personally known to me or has produced [y Commission Expires: te tf, a o i 5 type of identification) as identification. NOTARY PUBUC lc(�_ 2% M.C.A. Instruction 4802.1 October 1, 2013 The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: (Name of I Publishes a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Informs employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Gives each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1), 4. In the statement specified in subsection (1), notifies the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contenders to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Imposes a sanction on, or requires the satisfactory participation in, a drug abuse assistance or rehabilitation program if such is available in the employee's community, for any employee who is so convicted. 6. Makes a good faith effort to continue to maintain a drug -free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. Bidder's Signature C2- Date W I ICopies of current AHCA License, joint Commission Accreditationg and latest ON Rcensure/cerdfication/accreditation Report. Per Florida Administrative Code 59A-8.003 (Licensure Requirements), home health agencies that perform skilled care are required to be accredited by a nationally recognized accrediting body, such as joint Commission. Because of our accreditation status, no ACHA survey has been performed. However, we are including a copy of our latest joint Commission accreditation report. I I 34-389 AGENCY FOR HEALTH CARE ADMINISTRATION DIVISION OF HEALTH QUALITY ASSURANCE MEMO - A LICENSE#: 299993854 This is to confirm that ISLAND HOME CARE AGENCY INC has complied with rules and regulations adopted by the State of Florida, Agency for Health Care Administration, authorized in Chapter 400, Part 111, Florida Statutes, and chapter 59A-8 of the Florida Administrative Code and is authorized to operate the following: ISLAND HOME CARE AGENCY INC 817 SIMONTON KEY WEST, FL 33040 MONROE COUNTY in the following counties: EFFECTIVE DATE: 08/05/2013 EXPIRATION DATE: 05/26/2015 Deputy Secretary, of Health OuaKtv]Assurance a (fly+ri ! r' April 4, 2012 Re: # 511337 CCN: Initial Program: Home Health Agency Accreditation Expiration Date: June 30, 2015 Kim Wilkerson Contact Island Home Care Agency, Inc. 1007-A Truman Key West, Florida 33040 Dear Ms. Wilkerson: This letter confirms that your March 27, 2012 - March 29, 2012 unannounced initial survey was conducted for the purposes of assessing compliance with the Medicare conditions for home health agencies through The Joint Commission's deemed status survey process. Based upon the submission of your evidence of standards compliance on April 02, 2012, The Joint Commission is granting your organization an accreditation decision of Accredited with an effective date of April 02, 2012. The Joint Commission is also recommending your organization for Medicare certification effective April 02, 2012. Please note that the Centers for Medicare and Medicaid Services (CMS) Regional Office (RO) makes the final determination regarding your Medicare participation and the effective date of participation in accordance with the regulations at 42 CFR 489.13. Your organization is responsible for notifying the State Survey Agency that a recommendation for Medicare certification has been made. Please provide your State agency with a copy of your accreditation report, accreditation award letter, and this Medicare recommendation letter. This recommendation also applies to the following location(s): Island Horne Care Agency, Inc. 1007-A Truman, Key West, FL, 33040 This recommendation includes your home health services as providers of home health services We direct your attention to some important Joint Commission policies. First, your Medicare report is publicly accessible as required by the Joint Commission's agreement with the Centers for Medicare and Medicaid Services. Second, Joint Commission policy requires that you inform us of any changes in the name or ownership of your organization, or health care services you provide. Sincerely, Headquarters One Renaissance Boulevard Oakbrook Terrace, IL 60181 630 792 5000 Voice M A eu-,-i t4jPA, , Ann Scott Blouin, RN, Ph.D. Executive Vice President Accreditation and Certification Operations cc: CMS/Central Office/Survey & Certification Group/Division of Acute Care Services CMS/Regional Office 4 /Survey and Certification Staff Headquarters One Renaissance Boulevard Oakbrook Terrace, IL 60181 630 792 5000 Vvicc or PF The Joint Conimlssion Island Home Care Agency, Inc. 1007®A Truman Key West, FL 33040 Organization Identification Number: 511337 Evidence of Standards Compliance (60 Day) Submitted: 4/2/2012 Program(s) Home Care Accreditation Executive Summary Home Care Accreditation : As a result of the accreditation activity conducted on the above date(s), there were no Requirements for Improvement identified, If you have any questions, please do not hesitate to contact your Account Executive. Thank you for collaborating with The Joint Commission to improve the safety and quality of care provided to patients. Organization Identification Number: 511337 The Joint Commission A 0-yetuct t fl-fl L;k,7-1 Standard Level of Compliance �91 # Compliant 11 Organization Identification Number: 511337 Page 2 of 2 4 Program(s) Home Care Accreditation Island Home Care Agency, Inc. 1007-A Truman Key West, FL 33040 (f ;W �T 14 171 Survey Date(s) 03/27/2012-03/28/2012, 03/29/2012-03/29/2012 Executive Summary Home Care Accreditation : As a result of the accreditation activity conducted on the above date(s), Requirements for Improvement have been identified in your report. You will have follow-up in the area(s) indicated below: a Evidence of Standards Compliance (ESC) If you have any questions, please do not hesitate to contact your Account Executive. Thank you for collaborating with The Joint Commission to improve the safety and quality of care provided to patients. Organization Identification Number: 511337 Page 1 of 4 Evidence of INDIRECT Impact Standards Compliance is due within 60 days from the day this report is posted to your organization's extranet site: Program: Home Care Accreditation Program Standards: IC.02.01.01 EP1 Organization Identification Number: 511337 Page 2 of 4 Infection Prevention and Control Program: Home Care Accreditation Standard: |C.02.01.01 dap Standard Text: The orQan�ationimp|amo�athe /nfeoUonpr*vendcontrol ntno/ ~~�~--~��~ phynn�d� oo�NUeodhas Primary Priority Focus Area: Infection Control Element(s) of Performance: 1.The organization implements its infection prevention and control uobvdiea including �� aunU ��noo.tomhl/nnbe.roduue.ore|iminnbeUlehokof/n�ot|on ' /A\ Note: Surveillance activities address processes and/or outcomes, Scoring :C Score : Partial Compliance BP1 Observed /nIndividual Tracer otIsland Home Care Agenuy.|no�(10O7-ATr Truman, FL) site for the Home .==".ueem:puenwca, �� ' The organization did not implement its infection prevention and control activities tominimize reduce, oreliminate th risk of infection. /nm.was av�enoedinahome �od/ntracer #4w�bthe home heeKhaide vvhe~--thoaid~* washed ""'''ythe puvv''tubar soap. Agency poUoyrequires staff tnuse liquid soap that iuprovided --rhand gel. u ou Observed in Individual Tracer at Island Home Care Agency, Inc. (1 007-A Truman, Key West, FL) site for the Home Health deemed service. |nano�erexample, intracer #5.the physical therapist placed the equipment bag onthe pmUen1'abed vvith t b ni underneath the bag. Agency Policy states that the bag should beplaced onoflat au�ooeand obarrier h «uuo o *r vvhenthe cleanliness ofthe home /oqueot/onnb|e The administrator ogneedthotUhob h (da o«/dbau**d handflatsu�aoe. aAo ou kavebeenp|�nadone Organization Identification Number: 511337 Page 3 of 4 Organization Identification Number: 511337 Page 4 of 4 r Km. Version; 1 Dare• v»nma Welcome to the Joint Commission's Quality Report. We know how important reliable information is to you and your family when making health care decisions. This Quality Report will help you make the right decisions to meet your needs. Since 1951, Joint Commission has been the national leader in setting standards for health care organizations. When a health care organization seeks accreditation, it demonstrates commitment to giving safe, high quality health care and to continually working to improve that care. The Quality Report is only one way to determine whether a health care organization can meet your needs. Discuss this report with your doctor or with other professional acquaintances before making a care decision. In addition to the accreditation status of the organization, the Quality Report uses checks, pluses, and minuses in the key area of National Patient Safety Goals - safety guidelines that target the prevention of medical errors such as surgery on the wrong side of the body and safe medication use. Not all measures are relevant to or available for all types of health care organizations. The Joint Commission will add relevant measures of health care quality as more measures become available. Your comments are just as important to us. The content and format of the Quality Report will be updated from time to time based on changes in the health care industry and your suggestions. Please call Customer Service at 630-792-5800 or e-mail the Joint Commission at qualityreport@jointcommission.org with your comments and suggestions. 1&V(_1a Mark R. Chassin, MD, MPP, MPH President of the Joint Commission organization has met the National ,nt Safety Goal. organization has not met the onal Patient Safety Goal. Goal is not applicable for this Accreditation Programs Accreditation Decision Home Care Accredited Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS) Home Health Agency Home care 2012National Patlent Safety Goals V Copyright 2014, The Joint Commission Agenq, inc. Services: 817 Simonton Key West, I FL $3040 ® Home Health Aides e Occupational Therapy e Home Health, Non -Hospice ® Physical Therapy Services @ Skilled Nursing Services e Medical Social Services (0 Copyright 2014, The Joint Commission cI� f 0 t w organization has met the National .Tent Safety Goal. s organization has not met the nonal Patient Safety Goal. e Goal is not applicable for this -'nization. Safety Goals Organizations Should implemented Improve the accuracy of Use of Two Patient Identifiers patient identification. Reduce the risk of health care Meeting Hand Hygiene Guidelines -associated infections. Accurately and completely reconcile medications Comparing Current and Newly Ordered Medications across the continuum of care. Reduce the risk of patient harm resulting from falls. The organization identifies safety risks inherent in its patient population. Communicating Meditations to the Next Provider Providing a Reconciled Medication List to the Patient Settings in Which Medications are Minimally Used F-11 tim19 a call meauctlon program suenurying Klsks-Associated with Home Oxygen ® Copyright 2014. T e .fa int 4 CERTIFICATE OAT OF LIABILITY . . .- . . . . - . ,, a t r Z94- Me Terms ant, con_�Axlol Is OT Me certificate holder In lieu of such endorsement(s). PRODUCER �AME;' Tamlka Lynch TriGen Insurance Solutions, Inc. PHONE FAX 315 SE Mizner Blvd (877) 987-4436 AIC No:(954) 252-4426 Suite 213 ADDRESS: carts@trigengroypinc.com Boca Raton FL 33432 east eaFarri aeenanatr r°nvPaacP NAtC # INSURED Century Employer Organization, LLC L/C/F Island Rome Care Agency, Inc. 6901 Professional Parkway E., Suite 104 Sarasota FL 34240 rr�.rt r-trsrr�trmT-r-aarssa��rr ITTHUCTNITINIffFTETff -I THIS ®IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POOLICY EFF MPOLICY EXP LIMITS EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY E TO RENTE5 PREMISES Ea occurrence $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ PRO LOC POLICY ❑ JECT AUTOMOBILE E aBrldeernStNGLE LIMIT $ $ OTHER: LIABILITY ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ AALL UTL-- NED SCHEDULED HIRE[ JTOS NON -OWNED AUTOS PROPERTY DAMAGE (For acoldant $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAS CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETORIPARTNERIEXECUTIVE (� X STAT E ER $ A TWC3429769 8/1/2014 8/1/2015 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 OFFICER/MEMBER EXCLUDED? ��( (Mandatory in NH) N / A E.L. DISEASE -POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Coverage provided for all leased employees but not subcontractors of: Island Home Care Agency, Inc. Location coverage effective 8/1/14 island Hoare Care Agency Proof of Coverage 1200 4th St. Suite 179 Eey West FL 33040 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C ACORD 25 (2013104) The ACORD name and logo are registered marks of ACORD page i Of 1 OP ID.- JM M X DATE a (MM"" 4GENCY PHONE COMMERCIAL GENERAL LIABILITY SECTION 311912014 Ext): 561-395-1435 APPILICANT Island Horne Care Agency 561-395-47 161W be plastrid Insured) W= Raton, FL lonald DAddlo EFFECTIVE DATE EXPIRATION DATE DIRECT BILL PAYMENT PLAN AUDIT .L 03 03 AGENCY BILL FOR d COMPANY ;ODE: 8U8 -COIDi. USE ONLY X COMMERCIAL GENERAL LIABILITY CLAWS MADE OCCURRENCE OWNER'S & CONTRACTORS PROTECTIVE "UCmBLES PROPERTY DAMAGE $ Z500 X BODILVINJURY $ 2,600 $ . --a". — --- GENERAL ACGREGATI: S. 3o000,00 PRODUCTS I COMPLETED OPERATIONS AGGRE"TO $ 110,00,00 PREMII RE PERSONAL & ADVERTISING INjURy A00,00 0000 EACH OCCURRENCE 00000 1,000,00 DAMAGE TO RENTED PREMISES (each oa=fwnvoj 50,00 EPRWODU MEDICAL EXPENSE ft we PST"n $ 51000 OTHER EMPLOYEE BENEFITS 1 TOTAL VNER COVERAGES, RESTRICTIONS AND/OR ENDORSEMENTS (For himfton-owned auto cavamilas attach thO OPPI10016 OtAto Suainass Auto Geoffos% ACORO IM OC "02 CLASSIFICATION CLASS PREMIUM # CODE s"Is EXPOSURE TERR 01 I't 17 61 MNG AND PREMIUM BASIS I GROSS SALES - PER $1,0DWSALES LAIMS,MADE ffiWain all PLAIN ALL "YES' RESPONSES PROPOSED RETROACTIVE DATE: (P) PAYROLL - PER $1,000/PAY (C)TOTAL COST- PER $1,000IOOST (U) UNIT -PER UNIT (A) AREA - PER 1.000/SQ FT (M) ADMISSIONS - PER 1,0001ADM MOTHER CM MT UIAI r- Ira to UNINIt_KKVPTF_D CLAIMS MADE COVERAGE HAS ANY PRODUCT, WORK, ACCIDENT, OR LOCATION SEEN EXCLUDED, UNINSURED OR SELF -INSURED FROM ANY PREVIOUS COVERAGE? WAS TAIL COVERAGE PURCHASED UNDER ANY PREVIOUS POLICY? ,ORD 126 (2007/06) Page I of 4 0 ACOW CORPORATION 1993-f0_07,AIj rights reserved. The ACORD name and logo are registered marks of ACORD _..__..---a rc l—m UM NUT . _ _. .........o.naJAI 1eNt4 t7kHF SEE AT ti S OF LINE IA 088C1mOt4 OF OCCURRENCE OR CLAW U CAIO OLIkT ANT 48 Nul g- FIpELITY REWIRIS A FIVE YEAR LOSS HISTORy ATTACHMENTS 125 (2007110) Of DOES APPLICANT DRAW PLAN15. DESIC3NS, OR SPECIFICATIONS FOR OT—M S? DO ANY OPERATIONS INCLUDE BLASTING OR UTILIZE OR STORE EXPLOSIVE MATERIAL? DO ANY OPERATIONS INCLUDE EXCAVATION, I UNNizLINO, UNDERGROUND WORK OR EARTH DO YOUR SUBCONTRACT-0 CARRY CO _ SUBCONTRACTORS ALL D TO WORK —r-O r4h't-LIUAti T LEASE m ... f.% IT Pr UP WORK 9UBCTRACTW -OREIGN PRODUCTS SOLD, DISTRIBUTED, USED AS COMPONENTS? (►f 'YES", a tACh ACORD 815) �JESEARCFiRFdD DEVELOPMENTCONDUC OR NEW PRODUCTSPLANNED? 'U ES, WA NTIES, HOLD IiARMLESS At�REEMENTS? 'RODUGTs RELATED TO AIRC iSPACE INDU Y? d RODUCTs RECALLED, DISCONTINUE®, CHANGED? ROD UGT6 OFF OTHERS SOLD OR RE -PACKAGED UNDER APPLICANT LABEL? �ODUCTS UNDER LABEL OF OTHERS? ENDORS COVERAGE REQUIRED? )ES ANY NAfutED INSURED SELL TO OTHER N ED INSUREDS? 107 170 AbDMONAL IN81flREb LeaspAyi!q MOVaMEE LENHCLM RUPWYN As LEtSOOR I. ANYM@DICALFACI gCAF 2 ANYEX SURE To it all past a nnaaon op•nt♦at PROVIDED OR MEDICAL EMPLOYED OR DOIHAVE PAST, PRESENT OR DISCONTINUED OPERATIONS INVOLVED) STORING TREATING, DISCHARGING, APPLYING, DISPOSING, OR TRANSPORTING OF HAZARDOUS MATERIAL? (e.g. landfills, wastes, foal tank$, etc) ANY OPERATIONS SOLD, ACQUIRED. OR DISCONTINUED IN LAST FIVE (S) YEARS? MACHINERY OR EQUIPMENT LOANED OR RENTED TO OTHERS? ANY WATERCRAFT, DOCKS, FLOATS OWNEd, HIRED OR Ad ANY PARKING FACILITIES OWNEDIRENTED? IS A FEE CHARGED FOR PARKING? FACILITIES PROVIDED? S THERE A SWIMMING POOL ON THE PREMISES7 (PORTING OR SOCIAL EVENTS SPONSORED? VY STRUCTURAL ALTERATIONS CONTEMPLATED? !YDEMOAT10N EXPOSURE CONTEMPLATED? S APPLICANT BEEN ACTIVE IN OR IS CURRENTLY ACTIVE IN JOINT VENTURES? TWU LEASE EMPLOYEES TO OR FROM OTHER EMPLOYERS? "HERE,A LABOR INTERCHANGE WITH ANY OTHER BUSINESS OR SUBSIDIARIES? 120 (2007/0 Page 3 of 4 M ❑© E] IT ARE DAY CARE FACILITIES OPERATED OR CONTROLLED7 18. HAVE ANY CRIMES OCCURRED OR BEEN ATTEMPTED ON YOUR PREMISES WITHIN THE LAST THREE (3) YEARS? 99. 1!; TI-IC.'RC a rnae,w� , 20. DOES THE .... — _•-- — -nrc 1 T rrvv ZtVURITY POLICY IN EFFECT? PROMOTIONAL LITERATURE MAKE ANY REPRESENTATIONS ABOUT THE SAFETY OR SECURITY OF THE PREMISES7 N WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR ANOTHER PERSON FILES AN APPLICATION FOR INSURANCE OR OF CLAIM CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING INFORMATION CONCERNING ANY UAL THERETO, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS THE PERSON TO CRIMINAL AND [NY: SUBSTANTIAL] CIVIL (Not applicable in CO, FL, HI, MA, NE, OH, OK, OR or VT, in DC, LA, ME, TN, VA and WA insurance benefks may also be denied). ANY PERSON WHO KNOWINGLY AND WITH INTENT TO INJURE, DEFRAUD, OR DECEIVE ANY INSURER FILES A STATEMENT OF CLAIM OR AN V CONTAINING ANY FALSE, INCOMPLETE, OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE THIRD DEGREE, (2007/05) Page 4 of 4 INSURANCE CHECKLIST FOR To assist in the development of your proposal, the insurance coverages marked with an "X" will be required in the event an award is made to your firm. Please review this form with your insurance agent and have him/her sign it in the place provided. It is also required that the bidder sign the form and submit it with each proposal. WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY X Workers' Compensation Statutory Limits WC1 x Employers Liability $100,0001$500,0001$100,000 WC2 Employers Liability $500,0004$500,0001$500,000 WC3 Employers Liability $1,000,000/$1,000,000/$ 1,000,000 WCUSLH US Longshoremen & Same as Employers' Harbor Workers Act Liability WCJA Federal Jones Act Same as Employers' Liability INSCKLST 34 M 211 A. -I AMMMI As a minimum, the required general liability coverages will include: • Premises Operations Products and Completed Operations • Blanket Contractual Personal injury ® Expanded Definition of Property Damage Required Limits: GLI X $100,000 per Person; $300,000 per Occurrence $50,000 Property Damage or $300,000 Combined Single Limit GL2 $250,000 per Person; $500,000 per Occurrence $50,000 Property Damage or $500,000 Combined Single Limit GL3 $500,000 per Person; $ 1,000,000 per Occurrence $100,000 Property Damage or $1,000,000 Combined Single Limit GL4 $5,000,000 Combined Single Limit Required Endorsement: GLXCU Underground, Explosion and Collapse (XCU) GLLIQ Liquor Liability GLS Security Services All endorsements are required to have the same limits as the basic policy. 35 VEHICLE LIABILITY As3minimum, coverage should extend toliability for: w Owned; Non -owned; and HiredVehiC/es Required Limits: YLl X $50J)00per Person: $l00,000per Occurrence $25,000Property Damage or $l0D,008Combined Single Limit vL2 0lOO.000per Person; $300,008per Occurrence $5O,000Property Damage or $3O0,008Combined Single Limit \/l.3 $500.00Oper Person; $]`000,O00per Occurrence $l0U,000Property Damage or $|,00O,000Combined Single Limit \7L4 —$5,000`00OCombined Single Lbuit MISCELLANEOUS COVER -AGES 8RI Builders' Limits equal tothe Risk completed project, MvC Motor Track Limits equal tothe maximum Cargo value ofany one P1101 Professional $ %50`0O0per Ooonrrence/$ 500000/�oo -"� 9B0 %! Liability $ SOO,0O0per Ooonzrooc�$l0O"000 ' `' ^�s�� �flO3 $],0O0'80OPer {)ouuonuce/$2,O00,000}\gg. P0]Ll Pollution $ 50O,800per Ooconeoue/$lO0000O� ' P0L2 Liability ~c~o $l,000,000per Oocozzcmo�$2''000''8O0 ^^ae' P(JU $j,0OO,000per Oocoonence/$lU`0O0,O00Agg. EDI Emn}mycc s 10,000 ED2 Dishonesty $100,000 GKl {}oruAe $ 300`000($ 25,000pez\/c6) --� (}8�� Keepers $ 50O`000(�l00.080p�� ` ' —' (�YC3 $l'0O0'000($250,008per \/eh) go MEDI Medical $ 250,000/$ 750,000 Agg. MED2 Professional $ 500,000/$ 1,000,000 Agg. MED3 $1,000,000/$ 3,000,000 Agg. MED4 $5,000,000/$10,000,000 Agg. IF Installation Maximum value of Equipment Floater Installed VLP1 Hazardous $ 300,000 (Requires MCS-90) VLP2 Cargo $ 500,000 (Requires MCS-90) VLP3 Transporter $1,000,000 (Requires MCS-90) BLL Bailee Liab. Maximum Value of Property HKL1 Hangarkeepers $ 300,000 HKL2 Liability $ 500,000 HKL3 $ 1,000,000 AIR1 Aircraft $ 1,000,000 AIR2 Liability $ 5,000,000 AIR3 $50,000,000 AE01 Architects Errors $ 250,000 per Occurrence/$ 500,000 Agg. AE02 & Omissions $ 500,000 per Occurrence/$1,000,000 Agg. AE03 $ 1,000,000 per Occurrence/$3,000,000 Agg. E01 Engineers Errors $ 250,000 per Occurrence/$ 500,000 Agg. E02 & Omissions $ 500,000 per Occurrence/$1,000,000 Agg. E03 $ 1,000,000 per Occurrence/$3,000,000 Agg. 37 INSURANCE AGENT'S STATEMENT 1 have reviewed the above requirements with the bidder named below. The following deductibles apply to the corresponding policy. POLICY b l A i DEDUCTIBLES d- amp �T Liability policies are OccurrenceZClaims Made V5 as4yi d A�n Insurance Agency Signature BIDDERS STATEMENT I understand the insurance that will be mandatory if awarded the contract and will comply in full with all the requirements. �I-m IIJi Ike -sow, 1s1md4Qy4 du N&,(Ai,,, Bidder Signature W. myl"41VIM9 Prior to opening Island Home Care in 20117 Kim Wilkerson was the owner and administrator of a large home health agency in Houston, Texas for 17 years. Her Agency had three Branches, covering three counties. The payer mix was predominately Medicare and private insurance. However, her Agency was one of the pilot agencies to implement the "Community Based Alternatives/Nursing Home Waiver" program in Texas in the early 1990's. Throughout her career, she has worked directly with the State of Texas in the development and implementation of its Medicaid Waiver programs, serving thousands of clients through the years. A leader in the home health industry, she has served on numerous state, regional and federal Task Forces and Boards in the pursuit of excellence in the industry. Kim sold her business and moved with her family to Key West in 2008. She has for many year� worked as a consultant She is a very active and well -respected member of the community. Private duty director, Kristen Wheeler, has worked in health care for 25 years. Prior to joining the Island Home Care team in early 2014, she worked for seven years with VNA/Hospice, of the Florida Keys. Her role there was, originally, to create and grow the Life At Home program. She was the key individual on VNA's staff to transition all of the MCIHS clients when the contract was awarded to VNA in 2008. The program ran smoothly with very little incident under her direction until she left the agency in July, 2013. Kristen and her husband have lived full~time in Key West for nearly I I years. Composite Score 3) Providers seemed Informed and up-to-date about your care/treatment (a) (Q16) Providers treated you as gently as possible (a) (Q19) Providers treated you with courtesy and respect (a) (Q24) Had no problems with care through agency (c) 0% 20°% Global Items and Com-cos 40% 80% 60% 100% 'ornmunications betvreen Providers and Patients Composite Score (Q2) Agency told you what ,are/services you would get (b) (015) Providers kept you nformed about arrival times (a) ;Q 17) Providers explained things so you could understand (a) 'E) Providers listened carefully (a) (022) Got needed help/advice when contacted agency (b) T., Got help/advice on the same cay you contacted agency (d) Composite Score (Q3) Agency talked with you about setting up home for safety (b) (Q4) Agency talked with you about all medicines you take (b) (05) Agency asked to see all medicines you take (b) (010) Providers talked with you about pain (b) (012) Providers talked with you about purpose for taking new/changing prescriptions (b) (Q13) Providers talked with you about when to take medicines (b) (Q14) Providers talked with you about side effects of medicines (b) 0% 20% 60% 100% ++ Total Surveys Returned to Date:39 " Percent who meet criteria responding Always (Q9, Q16, Q19) and No 40% 80%� (Q24) Percent who meet criteria responding Always (Q15, Q17, Q18) and Yes 20% 60% 100% (Q2, Q22) and Same day (Q23) O 2014 Decision Support Systems, LP. All Rights Reserved. I DSS Research HH-CAHPS 1800.989.5150 1 of 3 032013 Q4 2013 Q1 2014 Q2 2014 Total Q3 2013 Q4 2013 012014 Q2 2014 Total Q3 201 Q4 201 Q1 201 Q2 201 Tote Q$ 2013 042013 012014 022014 Total Q3 2013 Q4 2013 QI 2014 022014 Total (Q26) Recommend to family or friends Definitely/Probably Not Probably Yes IM Definitely Yes QU-/O 100% Composite . asures Care of Patients*. Does not Meet criteria = Meets Criteria OV-10 IU0% Communications between Providers and Patients" Does not Meet Criteria = Meets Criteria VV-/O 50% 100% Specific Care issues No on Yes qV-/O 80% 100% @ 2014 Decision Support Systems, LP, All Rights Reserved. I DSS Research HH-CAHPS 1800.989.5150 2 of 3 !Care LA Ratie�t Composite Score (Q9) Providers seemed Informed and up-to-date about your care/treatment (a) (016) Providers treated you as gently as possible (a) (019) Providers treated you with courtesy and respect (a) (024) Had no problems with care through agency (c) QQMm!jniOj1Qns between Providers and Patients 00% 00°io__�___` _.._._ Composite Score _0.1-°T'-1 (Q2) Agency told you wha care/sentices you would get (b; (015) Providers kept you informed about arrival times (a) (Q17) Providers explained things so you could understand (a) (Q18) Providers listened carefully (a) 2 fic Cary lessees Composite Score (03) Agency talked with you about setting up home for safety (b) (Q4) Agency talked with you about all medicines you take (b) (Q5) Agency asked to see all medicines you take (b) (Q10) Providers talked with you about pain (b) (Q12) Providers talked with you about purpose for taking new/changing prescriptions (b) (013) Providers talked with you about when to take medicines (b) (Q22) Got needed helpladvicejM when contacted agency (b) 1Uu.U° Q` 2014 I i ® Total (023) Got help/advice on the same day you contacted agency (d) ° 0% 40% 80% 20% 60% 100% © 2014 Decision Support Systems, LP. All Rights Reserved. DSS Research HH-CAHPS 800.989,5150 3of3