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TO: James E. Chandler, County Administrator `TEMU: Jack Price, Personnel Director FROM: Beth Jordan, Risk Manager DATE: f 26 July 1991 SUBJECT: Request for Board Consideration; Medical Services RFP We request that the following information be considered by the, Board of County Commissioners at their regularly scheduled August', 13, 1991, meeting. Background Each year, approximately 175 County employees are injured on-the- job and workers' compensation is called upon to provide for their medical care, lost wages, etc. As a customary practice, the County has utilized the services of Doctors' Clinic as the primary medical services provider although no formal arrangement has ever been negotiated with the provider. Although fees are paid according to the State -adopted fee schedule, it is critical to the cost- effectiveness of the self-insurance program that we have the ability to manage claims effectively. As a result, on April 18, 1991, Indian River County Request for Proposals #91-85 was issued to obtain contractual services for the provision of workers' compensation medical care. Mailed directly to thirteen (13) local medical care providers and advertised in the local newspaper in keeping with Purchasing guidelines, we received two (2) responses by the May 29, 1991, deadline. Responses were received from Philip Corrao, M.D., and Doctors' Clinic. Analysis 'With the.Risk Management staff, a committee composed of Jim Judge, Emergency Services, Richard Watkins, Clerk's Office, Alma Fred, Sheriff's Office, and Rex Hailey, Sr., Public Works, met to review the written submissions and made site visits to the two potential providers where we discussed the County's needs and their business's ability to meet those needs. Evaluation criteria.. included: the provider's staff qualifications and availability to provide services to the County based upon the unique employee group; accessibility of the facility, including location, hours and scheduling; return to work follow-up and reports; comprehensiveness of available services; and costs. After careful consideration, the staff committee unanimously recommends that the County negotiate a contract with Doctors' Clinic to provide these services. Recommendation Staff recommends, in keeping with the contract award practice established by the Purchasing Division, that staff be authorized to negotiate a contract with Doctors' Clinic for the provision of workers' compensation medical services. Following negotiation, the contract will be presented for Board approval. 9 i BOOK FA GE, L_ AUG 13 1,90 1