R3c Disruptive Event Management Addendum
This R3c Disruptive Event Management Addendum is an addendum to that certain Master Services Agreement by and between Ginger.io of California Medical P.C., a California Professional Corporation (“Ginger Med”), and the customer identified in the Pricing and Services Schedule or other ordering document (“Customer”). Capitalized terms used but not defined in this R3c Disruptive Event Management Addendum (“Addendum”) have the meanings assigned them in the Master Services Agreement. The terms and conditions of this Addendum are hereby incorporated by reference into the Master Services Agreement.
The purpose of this Addendum is to describe the R3c Services provided by Ginger Med’s subcontractor R3 Continuum, Inc. (“R3c”) and certain commercial terms that apply to the R3c Services. Ginger Med is liable for the actions and inactions of R3c under the Master Services Agreement.
Pricing
Refer to Ginger Pricing and Services Exhibit (Order Form) for R3c Disruptive Event Management Services. For additional R3c Partner Services, refer to applicable Supplemental Order Form.
Warranty
Ginger Med warrants to Customer that the R3c Services will be provided to Customer in a professional and workmanlike manner in accordance with acceptable industry practices and the Section below entitled “Scope of Services”. Customer’s sole and exclusive remedy for breach of this warranty will be for Ginger Med to cause R3c to re-perform the non-conforming R3c Services for no additional fee.
Additional Commercial Terms
In the event of a conflict between the following commercial terms and the terms of the Master Services Agreement the following commercial terms govern.
Billing
● If Customer’s Referral Source requests services from R3c, then Customer will pay Ginger for the full requested time, even if the Customer terminates the session earlier than scheduled. Services that exceed original time will be billed accordingly.
● Customer shall remit full payment of the Fees invoiced by Ginger Med within fifteen (15) calendar days of the date invoiced.
Exceptions to Standard Hourly Rate:
● When Customer’s Referral Source requests R3c Services to a remote location, i.e., further than 50 miles from a town with a population of at least 40,000 people, the applicable onsite hourly rate is charged door-to-door and shall include the R3c Consultant(s) travel time.
● When Customer’s Referral Source requests a specific R3c Consultant(s) or requires the R3c Consultant(s) to be bi-lingual or have some other uniquely qualifying characteristic, the applicable hourly rate is charged door-to-door and shall include the R3c Consultant(s) travel time.
● An additional $50/hour will be applied to the standard onsite hourly rate, and per onsite hour, when Customer’s Referral Source requests R3c Services in response to Customer(s) located in a large-scale disaster area affecting the transportation infrastructure of that area and/or the availability of local R3c Consultants thereby requiring assistance from R3c Consultants located outside the affected area.
● If Customer’s Referral Source requests R3c Services requiring additional allocation of resources due to exorbitant travel costs or requiring an R3c Consultant to utilize unique and unconventional modalities of transportation (e.g. aeronautical and nautical vessels), then travel will be billed at-cost and as a passthrough pending pre-approval from Ginger Med.
● Onsite Interpreters: If Customer’s Referral Source requests an R3c Consultant(s) to be bi-lingual, and a local bi-lingual R3c Consultant is not available, an interpreter may be utilized, pending pre-approval of Ginger Med. If interpreting services are utilized, then the additional charge will be billed within a separate shift, reflecting the local interpreter’s hourly interpreting rates.
● Shift Minimums: If on-site R3c Services are requested, a minimum of two (2) hours will be billed. If telephonic R3c Services are requested, a minimum of one (1) hour will be billed.
Regions
R3c Services are limited to the 50 states of the United States.
Cancellation Policy
If Customer’s Referral Source cancels or reschedules regular R3c Services within twenty-four (24) hours of the originally scheduled R3c Services, Customer will pay half of the scheduled R3c Services time for each shift cancelled within the 24-hour period.
Scope of R3c Services
Description of Disruptive Event Management
Disruptive Event Management (“DEM”) includes a range of supportive interventions designed to enhance a person’s natural resilience, facilitating individual and workgroup return-to-work/return-to-functioning. Caring for the emotional needs of employees following a disruptive event is a proven, and effective method of lessening the potential negative effects to efficiency, productivity and is a powerful demonstration of corporate care and responsibility.
If a force majeure event that impacts a Customer worksite would place an R3c Consultant in harm’s way, then R3c is excused from using that R3c Consultant to provide R3c Services (additional circumstances may include worksite closures based on orders from local, state, or federal entities/agencies and other forces beyond R3c’s control).
The R3c Services do not include medical advice, medical diagnosis, or medical treatment services. The R3c Service does not require the collection, use, or disclosure of PHI or PII.
Roles and Responsibilities
Referral Source (RS) is R3c’s primary Customer contact who ultimately refers a request to R3c for R3c Services. The RS provides full details about the event that occurred, the date and time of the R3c Service request, and all other case-specific instructions to be followed by the R3c Consultant. The RS is generally the primary contact with the Customer and will play a key role in coordinating the onsite, or telephonic, R3c Services response with the R3c Response Coordinator(s) and R3c Consultant(s).
The R3c Response Coordinator (RC) is a member of the R3c staff and serves as the primary point of contact for the RS and R3c Consultant throughout the case coordination process. The RC’s responsibilities include: obtaining incident details and case-specific instructions from the RS, sourcing for and dispatching fully vetted R3c Consultants to provide onsite or telephonic R3c Services; maintaining active communication with all parties through the course of R3c Services.
The R3c Consultant is a member of the R3c staff and provides customized onsite or telephonic R3c Services response including management level consultations, large educational group briefings, small interactive group briefings, and individual support. The R3c Consultant also distributes follow-up information to employees, as applicable, and provides a service report to RCs following the completion of services.
R3C Disruptive Event Management Process
● Disruptive event occurs
● RS Calls R3c
o RS calls the 24/7 Response Center by dialing the 24/7 intake line to engage R3c in the provision of R3c Services, and speaks with the first available RC
● Case Intake
o RC will ask for the following information from the RS at the time of case intake:
o RS contact information
o Incident date and full details about the event that occurred
o Date and time of service request
o Appropriate dress code for the responding R3c Consultant
o Site location and signage, along with any parking or security instructions
o Name(s) and number(s) of the primary point(s) of contact
● Case Entered
o RC enters case-specific information and instructions into R3c’s eCase management system
o A six-digit case number is generated and provided to RS
● Referral Notification
o Upon case generation, R3c eCase management system will generate and send an automated referral notification email to the desired routing address as provided to R3c by Ginger Med
o The automated email shall include the six-digit case number as well as other pertinent, case-specific, information including the name of the Customer being served
● Case Triaged
o R3c’s Response Center sources the region for a fully vetted local R3c Consultant
o Identified R3c Consultant is then dispatched, and provided with case-specific information as well as any/all contact information for the primary point(s) of contact
● R3c Consultant Makes Outreach
o Identified R3c Consultant makes an outreach call to the identified point(s) of contact prior to arrival onsite
o The R3c Consultant will introduce themselves, reconfirm case-specific information as well as any other logistical parameters to ensure that service delivery is solvent and becoming of the client’s expectations.
● R3c Consultant Arrives Onsite
o When R3c Consultant(s) arrive at Customer’s facility or connects with Customer’s team either through video-enabled or telephonic modalities, the services provided could include:
o Management Consultations - The R3c Consultant will meet with the main point of contact at the location to establish a schedule for the day and engage in discussion to determine specific worksite needs.
o Educational Group Briefings - Often delivered to larger groups and/or to those less directly impacted by the event, the R3c Consultant collaborates with the organization's leadership to acknowledge the incident, and share practical stress management information with employees, which promotes regaining hope and confidence in the future.
o Interactive Group Briefings - R3c Consultant meets with small group(s) of the more intensively impacted, facilitates sharing reactions to the event, and provides resiliency/recovery strategies. Interactive group briefings assist the employees to understand that their reactions to the event are not unexpected, and that there are things they can do to reduce the intensity and speed up their recovery.
o One-on-One Support - The R3c Consultant is available to meet with employees privately to provide support in a safe, structured, caring environment. This helps the employee develop strategies for return to work and stay and work.
● R3c Consultant Promotes Continuity of Care
o As a standard protocol, the R3c Consultant will provide a general overview of the additional support resources available to the Customer through Ginger Med and the Customer’s existing benefit structure.
o The R3c Consultant will encourage any/all participants to follow-up and engage with the additional support resources available through Ginger Med as well as refer individuals back to Ginger Med for continuation of care, if/whenever appropriate.
o This may include assisting with the distribution of pre-approved Ginger Med supporting materials and content as well as aiding and facilitating connections to these additional resources for those who express interest in proactively navigating these additional support resources with the R3c Consultant while onsite.
● R3c Consultant Prepares Report
o Upon completion of provision of R3c Services, the R3c Consultant will prepare and submit a standard service report and summary of their engagement for processing by R3c and Ginger Med.
R3c Additional Partner Services
The following additional Partner Services (“Partner Services”) are optional services offered by R3c to Customer. Refer to the applicable Supplemental Order Form for the specific scope of Partner Services and pricing of such Partner Services agreed upon by Ginger and Customer.
· Workplace Behavioral Health Trainings: R3c utilizes best practices for adult learning to promote awareness, skill-building, and professional development. Courses are designed to foster resilience at all levels of an organization.
· Pre-Employment Psychological Screening (PEPS) Services: PEPS is a specialized evaluation to assess whether job candidates meet the psychological, emotional, and cognitive requirements for a specific position type, ranging from entry level to high-level security to directors and executives. To comply with employment laws, the evaluation must be performed after the candidate is post-offer and pre-hire. These may be regulatory, statutory, or employer requirements for suitability for the job. For most employers, the requirements are designed to ensure that the candidate can safely perform the job duties, and they have the capacity to manage the psychological demands of the occupation.
· Fitness for Duty Evaluation (FFD) and Fitness for Duty Evaluation with Violence Screen (FFD-VS): A FFD evaluation is a specialized medical-legal examination of an employee. The purpose of an FFD is to determine whether the employee can perform essential job functions safely. A FFD-VS is a specialized type of FFD which assesses an employee’s capacity to perform essential job functions safely and screens for violence risk issues. R3c is committed to providing an objective, timely and thorough assessment that aids in the employer’s ability to make appropriate employment decisions.
· Threat of Violence Consultation: R3c Threat of Violence Consultation Services are a process of ongoing consultation with a Lead Threat Consultant (LTC) with specialized training and expertise in forensic behavioral health assessment and consultation or physical protection services regarding potential workplace threat/violence. The LTC provides recommendations to Customer aimed at identifying, assessing, and mitigating the threat and protecting the intended target(s). The LTC consults with the R3c Threat Management Team during the process, which includes Forensic and Clinical Psychologists, Physical Security and Protection Experts, Crisis and Risk Management Experts, Legal Expertise to support the assessment and management of the case will be a multidisciplinary team approach. The LTC will be available as needed telephonically for emerging/imminent issues.
· Protective Services: Protective services are designed to mitigate organizational risk while helping maintain a safe and secure workplace. This service work towards protecting Customer’s people, assets and operations. R3c will co-create tailored solutions the ensure the safety and security of the Customer’s workplace.
· Workplace Violence Policy Review and Program Development: This service provides Customers with end-to-end consultation to help organizations devise a comprehensive workplace violence prevention and mitigation strategy.
· Telephonic Support Services: R3c’s telephonic support services provide outreach and on-demand telemental health support for Customer’s employees following a disruptive event in the workplace. With one call to R3c’s Clinical Consult Center, our master’s level clinicians will help with outreach support for those employees needing immediate care and establish an on-demand support line for the rest of Customer’s employees to access 24/7.
· Wellness Outreach Services: Wellness Outreach provides proactive, effective, and confidential support to Customer’s employees. R3c’s wellness outreaches are delivered by a licensed behavioral health clinician and aid in helping to reduce employee stress, improve behavioral health and enhance overall wellbeing.
· Strategic Crises Leadership Services: On demand advisory services and development of strategic crisis management preparations for senior management/leadership to protect the organization’s core assets (e.g., employees, key relationships, reputation, finances, shareholder value, brand, operations, and physical/intellectual property) prior to, during, and/or following a crisis incident.