Agenda Item
City Council
Item #: 3.6. 6/13/2023 File #: 23-0356
TO: Honorable Mayor and Members of the City Council
THRU: Tom Kisela, City Manager
FROM: Sean deMetropolis, Fire Chief
1. SUBJECT
Agreement with Sunrise Multi-Specialist Medical Center for occupational medical evaluations for Fiscal Year 2022-2023 and Fiscal Year 2023-2024.
2. SUMMARY
The Fire Department is requesting City Council approval for the fifteen-month Provider Services Agreement between the City of Orange and Sunrise Multi-Specialist Medical Center for Fiscal Year 2022-2023 and Fiscal Year 2023-2024 for occupational medical evaluations of its members.
3. RECOMMENDED ACTION
Approve the fifteen-month agreement with Sunrise Multi-Specialist Medical Center in an amount not to exceed $60,000 for occupational medical evaluations; and authorize the Mayor and the City Clerk to execute on behalf of the City.
4. FISCAL IMPACT
The total expenditure for this agreement is $60,000 and will be funded through General Fund (100).
5. STRATEGIC PLAN GOALS
Goal 1: Provide for a safe community
b. Provide and maintain infrastructure necessary to ensure the safety of the public.
6. DISCUSSION AND BACKGROUND
According to the National Fire Protection Association 1582 standard (NFPA 1582) regarding comprehensive occupational medical program for fire departments, the Fire Department must establish and maintain a confidential occupational medical evaluation program for members.
Occupational medical evaluations are conducted as a baseline for surveillance and annually thereafter. An occupational medical evaluation is performed following a member’s occupational exposure, illness, injury, or protracted absence from the job. The scope of the evaluation is determined by the Fire Department physician after reviewing the type and severity of the condition.
The components of the medical evaluations conform to all applicable U.S. OSHA standards, including 29 CFR 1910.120, “Hazardous waste operations and emergency response,” 29 CFR 1010.134, “Respiratory protection,” 29 CFR 1910.95, “Occupational noise exposure,” and 29 CFR 1910.1030, “Blood borne pathogens.”
According to the Memoranda of Understanding (MOU) between the City and Orange City Fire City of Orange Printed on 6/5/2023Page 1 of 3
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Item #: 3.6. 6/13/2023 File #: 23-0356
According to the Memoranda of Understanding (MOU) between the City and Orange City Fire Fighters, Inc. Local 2384, Section 14.3, Subsection D.1, “The City shall provide optional physical exams that meet or exceed NFPA recommendations, for all Department safety employees. The results of all exams, except that which is required by law, shall be confidential between the examining physician and the employee.” Orange City Fire’smembers receive a baseline medical evaluation after hiring but prior to performing fire fighter emergency functions, and at least annually thereafter.
Annual evaluations are compared to baseline and subsequent evaluations to identify clinically relevant changes. The purpose of the annual occupational medical include the following:
1. Identifying conditions that interfere with a member’s physical or mental ability to safely perform essential job tasks without undue risk of harm to self or others.
2. Monitoring the effects of exposure to specific biological, physical, or chemical agents on individual members.
3. Detecting changes in a member’s health that can be related to harmful working conditions.
4. Detecting patterns of disease or injury occurrence in the workforce that could indicate underlying work-related problems.
5. Providing members with information about their current health, promoting wellness, and referring them for appropriate further evaluation and treatment.
6. Providing members with information and education about occupational hazards.
7. Providing a cost-effective investment in work-related disease prevention, early detection, and health promotion for members.
8. Complying with federal, state, local, and/or other jurisdictional requirements.
Since July 2019, The City’sHuman Resources Department has contracted with Sunrise to provide pre-employment physical services. In March of 2020, the Orange City Fire Department began contracting with Sunrise for annual occupational medical evaluations. Sunrise is also one of two clinics approved by Risk Management for work related injuries or illness.
The current Provider Services Agreement for Sunrise expired on June 30, 2022. The Fire Department is looking to renew a two-year agreement to pay for services received in Fiscal Year 2023 and future services in Fiscal Year 2024. Sunrise has agreed to continue current pricing through June 30, 2023, and has added a slight increase (approximately $20) in pricing for the blood serum draws beginning July 1, 2024. The City has been able to reduce costs for pre-employment and annual occupational medical evaluations by utilizing Sunrise and has been pleased with the services provided.
7. ATTACHMENTS
· Professional Services Agreement
City of Orange Printed on 6/5/2023Page 2 of 3
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Item #: 3.6. 6/13/2023 File #: 23-0356
City of Orange Printed on 6/5/2023Page 3 of 3
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