HomeMy WebLinkAboutRES 1990-014 RESOLUTION NO. 90-14
A RESOLUTION OF THE CITY COUNCIL OF THE CITY
OF GRAPEVINE, TEXAS AUTHORIZING THE CITY
MANAGER TO ENTER INTO AN AGREEMENT WITH THE
TEXAS COLLEGE OF OSTEOPATHIC MEDICINE TO
PROVIDE VOLUNTARY PHYSICAL ASSESSMENT FOR
EACH COMMISSIONED POLICE OFFICER AND
�,:,� PROVIDING AN EFFECTIVE DATE
WHEREAS, the City of Grapevine desires to establish a program
`�' of physical fitness conditioning to be made available to members of
its Police Department in order to improve the health of its police
employees and improve their overall job performance; and
WHEREAS, the Department of Public Health and Preventive
Medicine of the Texas College of Osteopathic Medicine has prepared
a program of inedical evaluations to determine and predict the
physical health and condition of individuals, which evaluations are
followed by the prescription and monitoring of individual fitness
programs for participants; and
WHEREAS, the Chief of Police has reviewed the contract and
proposal, attached as Exhibit "A" , and recommends that the City
Council approve said contract and proposal.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF GRAPEVINE, TEXAS:
Section 1 . That the City Council hereby approves the contract
*��� and proposal attached hereto as Exhibit "A" .
� Section 2 . That the City Manager is hereby authorized and
directed to execute the contract and proposal attached hereto as
Exhibit "A" .
Section 3 . That this resolution shall take effect from and
after the date of its passage.
PASSED AND APPROVED BY THE CITY COUNCIL OF THE CITY OF
GRAPEVINE, TEXAS on this the 15th day of May, 1990 .
APPROVED:
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Ted R. Ware
Mayor Pro Tem
ATTEST:
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Lin a Huff
City Secretary
APPROVED AS TO FORM:
John F. Boyle, Jr.
City Attorney
EXHIBIT "A" TO
RESOLUTION NO. 90-14
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A bid to the
CIT"Y OF GRAPEV'INE
P�LI�E DEPARTMENT
Submitted by
` � 'X'he Health and Human Fitnesa Divisio�
Department of Public �ealth/Preventive Medicine
'��° Texas College of Osteopatl�ic Med:cine
May 7, 1.990
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Sl'ATE QF TEXAS .
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COUNTY UF 7AhRANT
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tdHEREAS, the City of Gr�pevine desires to establish a program of physi��l fitness
conditioning to be made available to members of its Folice L�epartment in arder Eo
irnprave the health af its police employees and improve their overall job
performance; and
WHERFAS, the Department of Fublic Health and F'reventive Medicine of the Te:�::as
College of Osteopathic Medicine has prepared a program of inedic�l evaluations to
d�termine and predict the physical health and candition of individuals, which
evaluatian= are folloa�?d by the prescription and monitoring of individual fitness
programs fnr participants; and
WHEREAS, it is the mutual desire of the City of Grapevine and the L�epartment of
F��blic Health �nd Freventive Medicine of the Te::as College of Osteopathic Medicine
', th�t the Dep�t^tment of Fublic Health and F'reventive Medicine of the Teras College
' of Osteopathic Medicine provide such services to Grapevine police employees, �s
well as an overall prograrn evaluation;
NOt+J, THEREFORF, t':NQ4! ALL h1EN BY THESE FRESENTS: That for and in consideration of
the mutual covenants, pramises �nd agreements herein cont�ined, the City of
Gr^apevine (hereinafter referred to as °City" ), acting herein by �nd through its ��
, duly authorized L'ity Manager, �nd the Te::as Cvllege of Osteopathic Medicine on
� behalf af its DepartR�ent of F'ublic Hzalth and F'reventive Medicine thereinafter
!, referred tn as °Coliege" ), acting herein by and through its duly authorized Vice �+�►'
Fresident for Fis�al Affairs, Mit;e Ferguson, Jr. , do hereby covenant and agree as
+ol loa�s:
' 1. Services
College covenants and agrees to tully perform, or ca��se ta be performed,
with good faith and due diligence, all the physical fitness services
requ�sted by City as described in E:<:hibit "A": attached hereto, which
E;�:hibit is herPby incorporated herein by �^eferenca for a11 purposes. In the
event. of a canflict. between E:�:hibit "A" and this contract, the contract
shall control. �ollege shall comrnence to perform its services only after
E;;:hitiit "B" and E;::hibit "C" have been signed by each police employee
referred to it, which pA.hibits �re hereby incorporated by reference for ali
pGirpnse�a. College agrees to perform physical fitness assessments and
services for all members of the City`s Police Department referred to it and
to provide statistic�l analyses of Folice L�epartment titness levels. In
conjunction therewith, College will �lsa pravide education programs in
n�.�trition and weight reductian. College shall only perform fihose tests
requested by the F'olice Chief nf the City of Grapevine or his designee for
specified employPGs. Sho��2d the City of Grapevine request � drug testing
proyram, a f�u^thPr letter of agreement sh�ll be negotiated between the _ �,�
p�rties o�.�tlining the s�erifics of said program.
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��. Compensati�n
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Caile�e`'s compensatian will be paid by City in ac�ordance with E:<:hibit "A"
in consi�eration of physic�l fitness services provided by college to
specified police err�plovees. It i� agreed that billinq for such services
�"` rendered hereunder shall be made on a weeEily hasis and that City shall send
p�ym�nt within thirty (:30} days following re�eipt by the F'olice Training
Division of G�llege`�s written statement ot services, listing the names of
individuals to whom specified physical fitness assessments or services have
been rendered during the previous weeE::. College rnay req��est a chanqe in
fees, in ��riting, if t.he pass through is directly related to cost af goods
and services supplied by the man��i=act�trer an�� is �ccompanied by
documpntation from th� manufacturer to that effect. The City, through its
Chief of Foli�e, shall be the final a��thority in granting such p�^ice
in�rease, in writing.
'�. Term and Termin_atian of Aqreement
The primary term of this agreement is for a periad beginning on May 1, 1'�5�0,
and ending on September :?�i, 1'=�'?�7. City shall have the option to renew this
contract for +ive years thereafter, from Qctober 1, 1'r!'��, until September
:ticj, 1".-�'�S, for the same fees set forth in C:;hibit "A". As outlined in the
previous paragraph, fees for the tive year renewal of this �ontract may be
increased only for the actu�l direct increase in the �osts of goods and
services by thP rnanufa�turer of necessary equipment and goods for this
prograrr�. Unless City sends � noti�2 to C�llege to termin�te, the cont�^act
�°�^ will a�.�tam�tically renew on October 1st of ea�h succeeding contract year.
City reserves the riqht t❑ R�aE;e the fin�l decision of renewing the contr�ct L�
days prior to the end of the current contract period. The City shall not he
``� oblig�ted for any payment to the College for the failure to renew any
succeeding contract year, it being the intent ot the parties th�t this
contract is subj�ct to annual �ppropriations of the City for the payment of
the contract.. Uity reser�.�es the right to terminate this �greement at �ny
time, with �r without ca��se, hy written notice to College with the
ur�der-�standiny that, immediately upan the d�te of termination, College and
its subcontractors, agents and employees shall not commence any new fitness
a�sessrnents and shall onl•� finish s��ch �ssessments as are in progr^ess on the
date of termination. No further fitness assessments or related servi�es
shall be entered into unless �bsolutely necessary to wind up the work:
already in E)I'"Ot31^255 under thi8 �greement. In the event of termination prior
to campletion of the w�rk: in pr�ogress, City agrees t❑ reimburse college for
the value n� s�rvices �ctualiy perfarmed prior ta the date of said
ter�mination and for the val�ie of services necessary ta wind up the work in
progress. In no event shall any reimb�irsements e::::ceed the fee schedule for
s�.ich services as set forth in E:<:hibit "A" or the �mounts listed in the
previous p�r�g�aph. College may also terminate contract with 3�-rJay prior
written noti�e.
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4. DJ�tices
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Pdoti�e addressed to City pursuant to the provisions of this �ontract sh�ll
be con�lusively determined to h�ve been delivered at the time s�me is
deposited in the United States Mail, in a sealed envelope with sufficient u�;�i
postage �ttached, addressed to the Chief of F'olice, City of Gr�pevine, :�C�7
W. Dallas Road, Grapevine, Te::as 7/�t�51. Notice addressed to College
pursuant ta the provisions of this contract sh�ll be conclusively determined
t� have been delivered at the time same is deposited in the United St�tes
Mail, in a sealed envelope with sufficient postage �ttached, �ddres5ed to
Te�cas Coll�ge of Osteopathic Medicine, :?a��Q Camp E�owie Blvd, Fort Worth,
Te:�<as 7f�1�?7, Attention: Assistant to the Ch�irman, L�epartment of �ublic
HE�alth/F'reventive Medicine. Either p�rty m�y change the address to whi�h
notices are to t�e given by providing five days written notice to the other
party.
5. Independent Contractor
College shall perform ali work and services hereunder as �n independent
contr�ctor �nd not as an officer, agent, servant or employee of Gity.
College shall have e:<:clusive control, �nd the e:•;clusive right to control,
the details of its work and services performed hereunder, �nd all persons
performing same, and shall be solely responsible for the acts �nd omissions
of its officers, members, agents, serv�nts, employees and subcontractors.
The doctrin� of respondeat superior sh�ll not apply as between City and
College, its officers, agents, employees �nd subcont�^a�tors, and nothing
herein shall. be construed �s creating a partnership or a joint enterprise A"�
between Gity and College, its afficers, agents, employees, contractors and
s�ibcontractvrs. �.�
�. Liabilitv
College daes hereby assume all liability for cl�ims or suits for injuries,
including de�th and d�mages to persons or property for the negligent acts or
omissions of its officers, employees and �gents. All College Iicensed
physicians w�rk•ing within the programs encompassed in this agreeR�ent shall
carry a�edical rnalpr�ctice insurance co�er�ge. The City of Grapevine shall
anly be respansihle for the negligent acts of its officers, employees and
agents.
7. Applic�ahle Laws
Should any action, whether real or �sserted, at law or in equity, arise out
of the efecution, performance, attempted perform�nce or nonperformance of
tt�is agreement, venue for said �ction shall lie in Tarrant County, Te:<as.
This agreement .and any action in connection herewith is and shall be
governed, construed and enforced by the laws of the State of Ter;as.
'=. Plan-wa i ver
The failure of Gity or College to insist upon the performance of any term or ��
provision of this agreement or to e:<ercise any right herein conferred shall
noE be �onstrued as � w�iver� or relinquishment ta �ny e:.:tent of City's or
College's right to assert or rely upon any s�ich term or right on any future ��
or.casion.
�' ?. SPverahilitv
In c�se any ane or more of the p�ovisions contained in this agreert�ent shali,
� for any reason, be held to be inv�lid, illegality or unenforceability sh�ll
not affect any ather provision of this agreement, which �greement shail be
construed �s if su�h invalid, illegal or unenforce�ble provisian h�d never
b�en contained herein.
10. l�ssiqnm�nt
Flny una��thorized purported assignment or delegation of any of College''s
rights or dutie5 hereunder, without the prior written consent of City on an
assignment form, shall be void and constitute a bre�ch of this �greement.
This agreement sh�ll be binding upon the parties, their s�tccessor�s and
assigns.
11. EntiretY of Aqreement
This written agreement �nd all atta�hments incorporated herein by reference
constitute the entire agreement by the parties hereto concerning the worE; �nd
services to be perforrned here��nder, and �ny prior or contemporaneaus oral or
written agreeR�ents which purport to vary from the terms hereof sh�ll be void.
1'�. NonapproRriation nf Funds
"��"' In the everit no funds or ins�ifficient funds are apprapriated and b��dgeted or
are othPra�ise ��navailable by �ny means wh�tsoever in any fisc�l period for
,�, payments d�.�e under this contract, then Gity will immediately notify Coliege
of 5�1CI1 occurrence, and this contr�ct shall be terR�inated on the last day of
the fiscal period for which appropriations were received witha�it penalty or
e:<pense t❑ Gity af any k:ind whatsnever, e::«ept as to the portions of
p�iyments herein agreed upon for which funds shall h�ve been appropriated and
t►udgeted or .�r�e otherwise �vail�ble. Under �11 circ�imst�nces the City shall
be responsible for actual services requested by the City and rendered by the
College.
II`d WITPdESS ►tJHEFtEOF, the parties hereto h�ve e:�.ecuted this �greement in m�tltiples
on this, the 15th day of Ma� , 1`r"c7,
ATTE�"f: CITY OF GRAPEVINE
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City Secretary City Ma ger
Linda Huff Mark S. Watson
AFPROVED AS TO FORt1 ANti LEGALITY�
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City Attorney �
Uate: _ May 2 2 , 19 9 0
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APPROVED BY COUNCIL 05/15/90 .
ATTEST: TEXAS COLLEGE OF OSTEOPATHIC MEDICINE
(��' By. �- � ��' �
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Dean Mike Fergus�ti, r.
Vice Presiden� r Fiscal Affa' s ,��;.
STATE OF TEXAS
COUNTY OF TARRANT
BEFORE ME, the undersigned authoritX, a Notary Public in and for the State of Texas, on this
day personally appeared ��l S . I,L%�LL��C� , known to me to be the person whose
name is subscribed to the foregoing instrument, and acknowledged to me that the same was the
act of the City of Grapevine and that he executed the same as the act of said City of Grapevine
for the purposes and consideration therein eapressed and in the capacity therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this � ��� day of
��',� , A.D. 19�
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X iaa�r�ei't x
-� ' �., � f�� �.._ . 3�0:- �; ,:�Di C. BROWN X
Notary �'ublic in and for the State of Texas � � .,�,'nocarr a��c�.c- State of Texas X
�,/ � '"qfF���tE+°;� My�anrn;ss;on Expires 5/30/92��
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xxxxx�x::x:xxxxxxxxxxxxxxxxxxxxxxxx:'
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STATE OF TEXAS
COUNTY OF TARRANT
BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this
day personally appeared T�'�y��,£ �,gc,(,Q,e�/ and �/��'��,��'u s�,✓,��, , known to
me to be the persons whose names are subscrib d to the foregoing instrument, and acknowledged
to me that they executed the same for the purposes and consideration therein expressed, as the
act and deed of Texas College of Osteopathic Medicine and in the capacity therein stated as its
duly authorized officer or representative.
GIVEN UNDER MY HAND AND SEAL OF OFFTCE this �� day of
, , , A.D. 19�.
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Notary P lic in and r the State of Texas �"*�
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rROPas�
"�' �RAPEVINE P��,IC� �EPAR7`MENT PIIYSICAL ASSESSMENT SERVIC�S
�. Iaivision of H�atth and Human Fitness
T]epartment af Public Health/Preventive Medicine
Texas Calle$e af Qsteopathic Medicir�e
The Divisian nf Health and I�uman Fitness (DHI-�F) c�ffers its service5 to the C'rrapevine
Police L7epartment to provide physical assessments for. all sworn offic�rs �nd other
personnel so designated by the Chief of Police. Assessments wi11 include:
1. ��tA - He�lth Risk Appraisal:
A Health Risk Appraisal (HRA) developed by the U. S. Center for Disease Control
(CDC) and �mazy University ii� Atlanta, Georgia, will be administered to al.i eli�ible
persan�cl at the worksite. The HRA includes 44 health�related questions and
m�asurements of height, weight, blood pressure, frame size, and serum. chnlesteral.
Fallowing test ac�ministration and a.nAlysis, andividua; and grQup reports vv�ill be
"� ' delivered within three (3) weeks af the canclusion of testiitg.
`"°�° The HRA provides an �assessrnent af. current health risk and offers suggestions for
reducing risk ta its lowest level. (See Appcndi�c for examples of the I-�R�1
Questionnaire az�d results presentations.)
2. Medic�� Historv:
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T1�e d�taii�a nistory, filled out by the individual, is the starting point for eacb. health
assessment. Gen�ra] inf�rznation (name, address, etc.), is followed by a review of the
present medical histary to determine any k��own ailments or to list �iny previous
disabilities. A listing of drugs and medic�tion� fo]]c�ws, inclt�ding known allergies, and
th�n a past histoty of illness c�r injury is compl�ted. A family history of health is next,
follawed by a listing af any other known heart dis�ase risks, occupational risks and
other general risk questions. Smoking and diet are next, and an exercise questionnair.e
campletes the list. Frdm tl�is information, a preliminary guid� to t}�e health
assessn��nt is made av�zilable ta th� physician and he is b�tter aUle to examine relevarit
Areas of concern.
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EXHIBIT "A"
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3. Laboratozy a1v is:
a. Urine 'I'esting: A uxine specimen is obtained a�d checked for possible metabalic,
nutr.itionAi, infectious or renal disorders. The exain wil� iz�clude a microscopic and �'�
chemical analysis to ev�luat� colar, turbidity, speci�c gravity, pT-�, �rotein, glucose,
ketnnes, bile, urobilinogen, bacteria, mucaus, epithelial cells, plus � WBC and RBC
caunt. ��
b. Blood Tests: T1�e blood shall be tested for possible zxaetab�l�c problems, bl�od
Iipids, coranary and artery disease, coronary risk, cellular blc�od count and far
ather toxemias, anemi�s and other possible or�an problems.
The DHHF sha11 per�orm a stanctard SMAC-2q analysia of the chemical elements
of the blond and a Compl�te BIood Count (CBC) anaiysjs of the formed eleTnents
of the blaod. In Addition, HDL-Cholesterol is measured and LDL is calGula.ted,
which fr�rm the elements o� a coronary risk profi}e. The automated nature of
these tests makes it cost effective to canduct all of them, rather than to be
selective, and choose individual tests whieh wovld be more costiy to perform.
c. Hemoccult An�Iysis: Three serial samples of stool are analyzed far evider�ce of
the presence of blood in the sto�1 as a screen for gastrointestinal problems (with
special emphasis an the early deiection of cancer).
4. Phvsical Examxn�tinn:
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This key element in the h�alth promotian pragram provides a complete medical �r
evaluation of health and fitness. Eaeh participant is invited to complete a thoraugh
history farm and then arrive at the clinic at 8:15 AM on a working day for the
evaluation. The evaluation, which takes 2 to Z 1/2 hours, begins with a complete
physical ex�mination by a licensed physician and consists of the tests described belaw.
The DHHF recommends that �ach swarn of£icer reeeive this examination at least
ance, with consideration being given to older employees and to thos� employees at any
age with known health prablems or obvious risk for heart disease. Once all o€ficers
are tested, then the DHHF recommends the f�llowing age-ndjusted testing schedule:
AGES TEST FREQUENCY
20-40 every 2 years
a1-bS every year
Employees at any agc who are tested because of identified si�nificant health problems
should be tested annt�ally until the problem is rectified. Then they shauld return to
the age-adjuated schedule. ,
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a. Physicz�l Examination:
A physical examin�tion surveys heart, lungs and abdomen, eyes, nose and throat,
�� skin, ly�nplaatics And genitalaa, A neurological ch�ck is 1IlaC�� and a
musculosk�letal cxaa.»ination performcci. A signed proble�n ligt �nd
recommendatfans for h�alth cAre treatment, wh�re indicated, enmpletes the
"'�" physical examinacion. The resting ECG, blo�d pressure and heart rate rn�asures
are then performed. Males will receive digital pzostate ex�ms, while fen�ales wi11
be given breast, rectal and Pap smear exams. Visual acuity exams will also be
given.
b. Musculaskeletal Evaluation:
A biomechanical exama�aation will define the deve3opm�nt of ar�y postur�l
asymmet�ries,muscle tightr�ess of muscle w�akness. Musculoskeletal imbalance �nay
be the hereta�Qre undia�nosed cause of chronic pain ar illness and may be
carreeted by adherence to simple exercise routines. This evaluation is unavailable
elsewhere at�d forms the b�sis for an individuaii�ed preacription for stretching and '
strength training e�ercises.
c. Graded Exercise Stress Test:
If there are no cantraindications ta stress testing, a �rad�d exercise treadmill stress
��� test is performed. '�'his test, perf�rmed continuously on a pragressively increasing
incline, places the cardiovascular system under a pragressively greater workload,
and measures the heart's ability to withstand this heavier workload. The modified
Balke Protocol will be used. If knee or az�kle injuries require it, a bicyci�
ergometer test or hand er�ometer test will be used. The blood pressure, heart
rate and electrocardiographic record during this test helps to determine the
presence of undiagnosed coronnry artery diseAse, to establish the level af �tness
of the in�iividual as compared to others in his age graup (according tn the
standards established by the Institute of Aerobics Resea�c�a) and to establish levels
of functional capacity. The determinatic�n of this £itness tevel provides a
subsequent strategy for an individualized aerobic exercis� �ro�ram. All stress tests
will be Gonducted fiy qualified medical specialists and a physician shaal be either
in the testi�ng roo�n Qr in the immediate area during all test�x�g, based on the
criteria described by the American College of Sports Medicine.
d. Audiometric SGre�ning: (Optional Cost $10.00/te�t)
An audiometric screen of emplayees sh�ll be cot�ducted in a soutid-pro�fed raom
whase hackground noise levels are certified to be lower than those required for
testing by OSHA, The tests are conducted on each ear at a freguexxcy range of
„�;�, —
250 ta 4000 Hertz and a Hearing Threshold Level range of 10 to 110 DecibeJs.
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e. Visual Acuity �esting: (Optional Cost $5.00/test)
A visual acuity exaznination will be performed, to include testing for near attd fAr
vision, both with and withaut lenses (if necessary). ,��,
f. Bady Composition:
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Contemporary views on daei and nutrition agree that it is not Undy weight, but
rather body composition, that is import�nt in assessing a healthful body
characteristic. In order to measure body fat and to ma�e qubsayuent.
recommendations for diet�ry and exercise change, skinfold caliper measures are
m�de at seven sites and cc�rrelation forn�ulas developed by Jackson �nd C'ollock
are usecl to det�rmine this impartant valu�.
g. Pu�monary Functinn Tests:
Tiie testing will include several basic measures of pulmonary function:
Vital Cap 't : '1"his is the gr�atest volume of air tk�at can be expelled voluntarily
after a maximal inspiration.
Forced Expirat�ry..�yplume• 1 and 3 5econds: The amount of air that can be
expelled failowing a maximal inspiration in one and three secnnds. (This v��utne
i� alsa expressed as � percentage af the vital capacaty.)
,���
Ma�mal Breathin��pacitv; The amount of air that can be exchanged per unit
time during maximal voluntary hyperventilation. ,�,,
Peak Flaw: The maxin�um expired f7aw rate durang forced expiration.
h. Dauble View Chest X-Ray:
Two-view chest X-rays will be administered aptianaUy at t}�� discretian of the
examining physician, and only when medically indicated. The Police ,Departnaent
will be billed manth�y �y '�'COM's T�epartment of Radiology.
Optional: C.ost $33.()t}/partici�ant
i. Medical Results:
Immediate advice on prablems requiring pran�pt attention is nffered to the afficer
during the test itself. Physician/pati�nt confidentiality requires th�t Rc�lease at
Informati�tt forms are signed allowing the DI-I�-IF to disclose inforination to the
Police Departznent. A sample copy of such a form is enclosed. A systematic
procedure has been established to categorize problems according to their severity
for the protectian of l�oth the emplayee and the Departnient. Samples of thcse .��,
forms are also enclosed. All particip�nts will receive t� eonsultation with a
physician, following the completion of tests, hefore le�ving the clinic.
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Following thc completian of the testing, the results are conn,piled into indivadual
folders for presentation to th� employee. When a11 folders are complete (usually
three weeks after the Iast test day), a small group consultation is conducted. At
that time, the information in the folders is interpreted and ex�lained in a gen�ral
way so tl�at no privacy is vialated. Prescriptions �or diet, exercise and behavioral
cl�ange �re included in eaeh folder, hased on e�ch individual's test r�sults.
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Ten pez�r.�nt {10%} ar more of. the general population of police afficers may have
some illness ar prablem �hat requires further individual consultations with a
physician. T'k�ose sessions will be sched�xled foIlowing the analysis of the evaluatian
results. 7'he Divisian r�akes AvailAble to its participants professionHl medical
diagnc�sis, treatment and r�ferral by its own medical sta�f, at a government agency
dise�unt, in cases which r�eed foUaw-up as indicated by findin�s �n the Health and
�'itness Asse�sment. This discount arnaunts to � payment of no mor� than $50
by any offrcer, for fulfillment of his insurance deductible, and the full accept�nce
of insurance payment anly for further medical services. Additional medieal
servic�s, including X-ray and Iabocatary analysis, are available at standard
professional fees.
5. Exercase Program:
The Division shall pravide an individualized prescript.ion far exercise and/ox nutrition
for each officer tested, based on the results �f the physical assessment. Each program
� � wiil include elements of exercise for cardiavascular fitness, strengtll and flexibllity,
which are based on standards accepted by th� American Callege of Sports Medicine.
�,.�,,, 'I'hese prescriptions shall be presented in written farm and discussed specifically and
generally during each past-assessrt�ent consultation with professional staff.
Divisinn staff shall b� availak�le to advise and consult with individual offic�rs during
the pr�gress af th�ar �ragra�s, as well as with adrninistrative personnel, tc� assist in
impraving the department•wide exercise pra�ram.
6. Data Mana�ement:
While the �]]ivision agrees th�t all dflta generated from the City- and �mployee-funded
portions of the program shall be the saie property of the Grapevine Folice
D�partment, TCOM as a state-supported educational and research institutian has a
responsibility ta the public to analyze and publish inform�tion which may further the
public gnoc3. In all cases, the Division will demonstrate its intent to pratect the privacy
of the iiidividuul officers involved and will wssic�uously guarcl tt�e cociljd��iti�lity �nd tlie
privacy af the physician/patient relationship. Under no circumstances will individual
emplayee names or the name of the City itself Ue used in a�y published report or
�„ otherwise released, except as required by law. It is then hoped that the Pnlice —
D�partment will nat only �llow the� IJivision tn make known its gignific�.nt findings� hut
also to assist in the development of potenti�lly publishable manuscripts.
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Each of�icer will receive an individualized exercise prescription designed tc� imprdve
� occupational health and fitness. The Division will canduct data analyses on tt�ese
reports on an I$M pG�{T cQmputer utilizing the St�tistical Analysis System statistical
�natyses so�tware p�ckage. This will allow us to provide a pram,�,t and meaning�i,�] �"�'*�►
anaayais of th� fitnesa le�vel of the officers that have been tested. The Division will
pravide the City of Grapevine with a summary of the results of the assessznent
program within 60 days a�ter the last individual has been tested. '�"
7. Pre-Emplovment Physicals:
The bivisinn o£�ers the complete Health and Fitness A,ssessment as described in
2-5 above for Pre-Employmez�t Physicals. In addition� the Divisian offers its I7rug
Scr�en, ciescribed below, audic�metric exarninatian, a� described �bc�ve, and the dc�uble�
view chest X-ray, as described abave, as part of these exAminations. It should be
noted that a medical ev�luation a£ the heaith of th� low back is part �f the standard
p}�ysical examinatinn. Further low bflck an�lysis by X-�ay study is aiso available.
a. �r_�g Screen: (includes GC/MS confirmation)
C�st: $Z5.(}0/pt�rticipant
This urinary screen will qualitatively detect drugs or medic�tions which may be
illegai, habit forming, or mind Altering. A urinary screen allows for a �igher.
detection rate thAn blood because the concentrations are much hi�her. Each
pasitive test wiIl be confirmed by gas chromatograpl�y/mass spectroscopy anRlysis. ,��
'I'he foIlowing elasses of drugs wili be detected:
��r
1,) a�nphetamines and related substances (mescaline)
2) b�rbiturates
3) narcotics
4) cocaine
�) methadane
G) benzodiazepines (Valium)
7) propoxyphene (Darvon)
8) alkaloids (PCP)
9} valatiles (ethyl alcohol)
10) tricyelic antidepressants
11) opiates
12) antihistamines
13) cannaboloids (marihuana and THC)
b. Health and Fitness Assessment $1�,pp
c. Chest X-RaY 33.00 ,��
d. Audiametry �p,Qp
Pre-Employment Physical Total 228.(H?
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8. Nutritioz�al Ed}zcation Prn�ram:
�:.�
The Nutritional F�c3ucation Prc�gram off.ered to the Grapevine Police T�epartm�nt
consasts af the followin� camponents: �
�„ a. �.ach empIoy�e cornpletes a coanp�rehensive nutritian histary az�d �no cost-
receives �n individualized assessment of dietary habits. Areas of
concern will be noted aand suggestions for improvemcnt will �e in�
cluded during the Consvltatian.
b. Any employee in z�eed of general dietary change will a�sa re� -no cc�st-
ceive self-mana�ed learning material that offers guidance far
making incremental chan�es in everyday foad selectians. The
�ducational focus wil] be upon reduction af dietary fat, salt,
sug�r, cholesterol and alc��hal and upon an increase in dietary �
fiber and complex carbohydrates.
9. �b Call�cti�n;
Labort�tory s�rnples wiIl be collected weekly by elinic p�rsoxtnel at a site pravided by
the City of Grapevine, or each �fficer m�y come to the clinic at any time duriz�g
normal business hours for s�mple collection. The Divisian is willing ta change these
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arrangements at the discretion of the Police Department.
10. Wei�ht Contra�:
The Division offers the Spectrum Weight Management Program, using Medifast Fooa
Supplement, far Palice Department personnel. Medifast is a comprehensive, physician-
supervised weight ldss program utilizing a chemically defined nutritional suPport
formula supplement. Entry into this prngram is optional and the methad of payment
sha1l be arr�nged at the discretion of the City thxaugh its agents or assignees.
11. P' r�Cine:
The Division offers close convenient parking facilities for all participants with no
parking fee.
12. Sched�}IinE:
The Division will im�lement its scheduling system as directed by the Police
Department.
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13. Fee 5cheduls:
a. k�ealtli Risk Appraisal $ �S.�d
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b. I-�ealth and Fitness Assessment (Complete) 160.00
c. Optional Diagnostic Pr�cedures ''�'�
1) 2-View Chest �C-Ray 33.00
2} Audiametria Screen 10.00
3) Vxsual Acuity Testing g.p�
4) Drug Screen Z5.�
5) Fre-Employment Physical * ��g,pp
6) �Iexible Proctosigmoidoscdpy Sp,pp
7) Structural Low $ack �-�2ays (2-view) 30.00
S) M�mmt�graphy (with educational program) 9S,pp
9) �amily Health C,�ire Fees Same as above
d. Medifast Program
1) Initiatian Fee
(if Health Assessment alre�dy performed) Waived
2) Initiation Fee
(if. Health Assessment nc�t perfarmed) (75.0(1}
3) Weekly Charges {includes food supplement) 4p,p�
,..�
*Includes Health and Fitness Assessment, Uru� Screen, Audiometric Analysis,
and 2-view chest }�-ray. ,�,�
14. Optional Services:
a. "Palice Sur�eon":
The Division has assi�ned its Direct�r, Dr. Stanley Weiss, to become "Police
Surgeon" at n� c�st to the bepartment if it is sa desired. As Palice Surgeon, Dr.
Weiss will be available to advise and consult on all medicaJ assues facin� the Pnlice
Department. He also wil] be on call for any medical matter during th� norn�al
IVlonday-Friday warkday.
b. HEALTHCHOICE Frogram:
Tt�e Division laas arranged for all police officers who particip�te in tl�e k-Iealth
Assessment Program to become members of the Osteopathic Health Graur, Inc.,
"HEALTI-�I-CHOTC�"�rogram,which offers a 10%a reduction for physician charges
at the 124 affiliated rnedical offices.
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c. Consulting and Health EduGation Services:
The Division off.ers consx�lting services and health educ�tion services at na cost for
� the duratian of the contract term. Divisian faculty, for example, will provide
lectur�s ta the rookie training classes as requested. Division staff will conduct
simple assessment procedures on the raoki� class (e.g., body compnsition) at na
"`� cost, and will continue ta advise the Palice Dep�rtment on the development af
fitness standards for all personnel,
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. CATEGORX CLASSIFICATIONS
CATEGORY I: '""'�
Qfficer is founc� to be health a�d �hysically fit. ,��
CATEGORY II:
Officer is found to he 1�ealthv, but poss�ssey c�xtain areas in ov�rall physicaa i"itness
v�+hich cauld benefit from �n improved personal program af exercise �r�d/ar diet.
PROCE�.7i.IR�: TCOM persannel will discuss di�t and exercise �rograms with
the officer.
CATEGORY ItI:
Officer is found to have medical c�nc;erns which �re not 1i�e threatenin�;, l�ut reqt�ire
medical treatment, c�iet, exercise, or sc�me other. procedure.
-' PR�CEI�URE: TCOM personnel will discuss the areas of concern with the
Ufficer �nd ma�Ce recommendations, (e.�;., medicai fallowup, �'""
�tc.)
��
; ca��GoxY �v:
Officer is f�und to have medical co�icer��s which are potentially life threateninb.
PROCEDURE 1: TCOM personnel will discuss the areas of concern with the
officer and make recc�mmendations, (e.�., medical followup,
etc:.)
PROCEDUR� 2: The �ffice of the Chiei'of Police wiIl be natified of the medic�l
ki�dings and will be informed if the c�fficer will rec�uire �ny tyPe
of limited duty.
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GRAF'EVINE FOLICE UEF'ARTMENT
"�� HEA�TH AND FITNESS EVALUATION F'ROGRAIM
CONSENT FOFiM
�
I understand that, as an employee of the �olice L�epartment of the City of
Grapevine, my health and physical fitness are of m�jor impartance in my ability to
perform my duties satisfactorily and safely. I also �inderstand th�t from time to
time, pursuant to Police Department policy, rny levels of health �nd fitness will
be tested and evalu�ted on � professional basis by a health care �rgani�ation
under contract with the F'olice Llepartment. I am aware that this program is
designed to determine the presence ar absence of significant health problems or
dise�zse and to measure my physic�i fitness for worN�.
I agree to p�rticipate in this progr�m and willingly give my consent for
ev�luation nf my present level of health and fitness. I f�.irther give permission
for those health/fitness tests which I have opted to take, which can include one
or ali of the following: graded e:�;ertise test on the treadmill, blood tests,
fitness tests of strength, endurance, fler��:ibility, body composition and nther
screening tests. I will accept all responsibility for the results of these tests
and reports, and will taE;e responsibility for any actian nee�ed for health
problems identified. I further understand that statistical analyses of overall
particip�nts`' fitness leve2s without individ��al identifiable information will be
provided to the City's F'olice Uepartment.
�, ,w I underst�nd that every effort will be made to conduct the tests in s��ch a way as
to minimize discomfort and risF;. Hawever, I understand that, just as with �ny
other diagnosti� test, there are possible potential risk:s associ�ted with the
� tests or e:>,ercise. Thes? include weaF;ness, temporary light-he�dedness, passible
fainting, chest discomfort, leg cramps and palpitations. I may r�auest that tests
be discontinued at any time should I hecorr�e distressed in a�;y w�y. I ��nderstar�d
the ris4:s involved in the testing.
I understand that, by filling out the inform�tion sheet attached hereto and
signinq my naR�e below, I have given my c�nsent as des�ribed above on this, the
d�y :rf , 1�=�.�i_�.
Witness Narr�e of F'articipant (F'rinted)
� Witness Signature of F'articipant
�„ --
Ei(HIFlIT "E�"
MEL�I CAL AUl'H0�I ZAT I ON ANL� RELEASE
��
I� , hereby authori�e the I?epartment of
F'�.iblic Health/F'reventive Medicine, Health Assessment L�ivision, of the Te�as ��
College of Osteopathic Medicine, its physicians and employees to release �11
e::waminations performed by the Health Assessmpnt L�ivision of the Te�;as College of
Osteopathic Medicine ONLY IN CASES WHERE THERE IS A FINDING THAT MIGHT FiE LIFE
THREATEPJ I NG QFi AFFECTS MY AB I L I TY TD SAFETY FEFiFOFiM MY FFiESEI�IT L�UT I ES. THAT
I NFO�MAT I ON I S TO PE FiELEASED OPdLY TQ MY I MMELII ATE SU�ER I OR AND THE G�iAF'�V I NE
t�HIEF DF POLICE, AND TO A F'HYSICIAN THAT I DESIGNATE.
I understand that said physic�l �nd fitness �ssessment is to be given in order to
determine rny present condition �s it relates to my present employment �nd to
receive recommend�tions from the Health Assessment Division of the Uepartment of
Fublic HealthlFreventive Medicine on improving my fitness and he�lth tbased on
the results of the e:v:amination and assessrr�ent) , if necess�ry.
I further understand that the Gity of Grapevine, Te:�:�s, is paying for the
physical e:>::�mination and fitness assessment.
This release w�s prepared in compliance with the Medical Fractice Act - Article
44':1�b, Sect ion 5.�?�, R.C.S.T.
��
Signature
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N�me
Street Address
City, State, Zip
Witness
Witness
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