12.D.2.
Approval of Agreement with Everside Health LLC for Indian River County
Everside Health Center (Employee Clinic)
Recommended Action:
Staff respectfully requests the Board approve the agreement with Everside and
authorize the Chairman to execute the agreement after review by the County
Attorney for legal sufficiency; authorize staff to proceed with implementation of
the Indian River County Everside Health Center by selecting the health center
location; authorize staff and Everside to proceed with leasing and build out of the
selected facility; and authorize staff and Everside to proceed with necessary
actions in accordance with the agreement to recruit clinic staff and incur startup
costs necessary to begin operating the health center.
Human resources Director Suzanne Boyll recapped the timeline of the Employee
Clinic initiative which began in 2021, and was tentatively projected to open by
October 2023. Following the Board's direction at the November 1, 2022 BCC
meeting, staff negotiated an agreement with Everside Health, LLC to implement
the Indian River County Everside Health Center. Chairman Earman expressed his
support for the Clinic, with Commissioner Flescher making a motion for approval
with discussion.
Under discussion, Commissioner Moss restated her previously expressed
concerns with low employee utilization and the County's initial investment. She
described the medical clinic as a high-risk, high-cost experiment.
Ms. Boyll advised that most of the savings would be realized through better
employee health over time, and described the ways increased employee health
engagement would lead to lower health care costs for the County. She confirmed
clinic staff would consist of a nurse practitioner and two assistants, with access to
support from medical doctors.
Discussion ensued regarding the County's possible exposure to liability, with
County Attorney Dylan Reingold and Ms. Boyll providing information on the risks
that would be assumed by Everside Health such as worker's compensation,
malpractice insurance, and HIPAA protections.
Shannon Mason, Everside Health, provided additional details on her company's
insurance obligations and risk aversion, as well as patient convenience services
such as on-site blood draws, medication distribution, and co-management of
chronic health conditions.
Commissioners Earman, Adams, Flescher, and Loar expressed support for the
clinic, noting its value for recruitment, retirees on fixed incomes, preventative care,