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HomeMy WebLinkAboutAgenda - 06-21-1999 - 8pORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No. ACTION AGENDA ITEM ABSTRACT Meeting Date: June 21, 1999 SUBJECT: 1999 -2000 Contracts for Professional Services with the UNC Family Practice Center and the UNC School of Dentistry DEPARTMENT: Health ATTACHMENT(S): Contract with UNC Family Practice Center Two Contracts with UNC School of Dentistry PUBLIC HEARING: (Y/N) INFORMATION CONTACT: Health Director's Office TELEPHONE NUMBERS: - - ext. 2411 Hillsborough 732 -8181 Chapel Hill 968 -4501 Durham 688 -7331 Mebane 227 -2031 PURPOSE: To approve the annual contracts for professional services between the Orange County Health Department and various professional agencies for clinical service coverage. BACKGROUND: The attached contract stipulates the amount of $7,071 per.month ($84,852 annually) for physician services with the UNC Family Practice Center; this is a 5% increase which will cover the standard increase in salaries projected by the Family Practice Center. Physician coverage is provided for clinics, for co- signing nurse practitioner charts, plus the services of a Medical Director who is on -call for emergency consultations. There are two contracts with the UNC School of Dentistry. One is for $10,000 for the services of the Dental Director for FY99 -00, this is at no increase from the previous year. The second contract is the pediatric dentistry contract for the services of a pediatric dental resident one day a week at $50.00 per day up to a maximum of $2,400 for FY 99 -00. This is a standard per day charge for residents of the dental school. FINANCIAL IMPACT: These contract figures have been included as part of the 1999 -2000 budget request. The annual contract amounts are $84,852 for UNC Family Practice Center ; and $12,400 for the UNC School of Dentistry. RECOMMENDATON(S): The Manager recommends that the Board approve the contracts and authorize the Chair to sign the contracts, contingent upon the adoption of the 1999 -2000 budget. STATE OF NORTH CAROLINA 2 COUNTY OF ORANGE AGREEMENT THIS AGREEMENT, made and entered into this first day of July 1999, by and between The University of North Carolina at Chapel Hill, hereinafter referred to as "The University," for its Department of Family Medicine in the School of Medicine, hereinafter referred to as the "Department" and the Orange County Health Department, hereinafter referred to as the "OCHD." W I T N E S S E T H: WHEREAS, the Department desires to provide Medical Director services and to participate in the provision of medical care for the citizens of the community, and; WHEREAS, the OCHD is the operator of two outpatient facilities known as the Orange County Health Department, located in Chapel Hill and Hillsborough, North Carolina. NOW, THEREFORE, in consideration of the premises and the following mutual covenants and conditions and any sums to be paid, the OCHD and The University agree as follows: 1. The Department will render professional consultation as Medical Director. As Medical Director, the Department shall: a. act as the principal advisor to the Health Director and Personal Health Services Director in matters of medical policy; b. advise the Health Director and Personal Health Services Director on the medical implications of alternatives in clinical program functioning and management; C. represent the OCHD in interagency relationships which involve medical expertise at the request of the Health Director and /or Personal Health Services Director. d. advise and interpret the regulatory requirements related to medical and laboratory aspects of the OCHD'S functions; e. provide coordination for medical components of the clinical programs of the OCHD; f. advise and assist staff in epidemiological investigations; L: \patsy \contract \uncfamil \unc9900 AGREEMENT Between UNC School of Medicine 3 and Orange County Health Department Page 2 of 8 g. be responsive to community public health concerns directly and in consultation with the Health Director and Division Directors; h. assist the Health Director and Personal Health Services Director in establishment of medical procedures and quality /quantity control mechanisms; i. assist in data analysis towards identification of public health concerns; j. work with the Health Director and Division Directors on formulation of responses to public health concerns; k. assist with evaluation of programs; 1. maintain close contact and availability through on -site visits and phone consultation to discharge responsibilities at the OCHD; M. participate in Division Head management meetings and Division level meetings when appropriate; n. attend Board of Health meetings when appropriate; o. provide medical direction to the school health programs in both school systems in the County and medical consultation to both OCHD and school staff working in the school health programs; p. discharge the above listed responsibilities through and with knowledge aforehand of the Director; q. other miscellaneous duties as necessary. 2. The Department shall-provide, for the programs listed below, agreed upon medical direction and clinician services in family planning (FP), prenatal care (PNC), child health (CH), adolescent (ADOL), tuberculosis (TB), sexually transmitted disease (STD), general communicable disease control (GEN) and adult health preventive services (AH /HP /BCCCP), within State and Federal guidelines and program rules. Clinical duties shall include: a. Collaborative development and approval of all clinic protocols for the mutual benefit of the Department, OCHD and its patients. It is agreed by both parties that prenatal patients will be managed according to OCHD established protocols. These will be reviewed regularly and be consistent with protocols used at UNC Department of OB /GYN and Family Medicine outlying clinics. L: \patsy \contract \uncfamil \unc9900 AGREEMENT Between UNC School of Medicine and Orange County Health Department 4 Page 3 of 8 b. Primary technical supervision of the nurse practitioners who are employees of the OCHD; C. Co- signing charts of patients seen by new nurse practitioners of the OCHD within five (5) working days for at least the first six months of their practice, and face -to -face consultation on a weekly basis for the first month after approval and at least monthly for the succeeding five months; d. Routine medical services during scheduled on -site clinic times; e. Medical consultation visits to OCHD patients during scheduled on -site clinic times; f. Continuing education consultation for nurse practitioners and other staff to include regular informal consultation and periodic formal sessions as appropriate. g. Collaborative development by the primary supervising physician and nurse practitioners of a Quality Improvement Process as described in the N.C. Administrative Code governing nurse practitioner practice. 3. The Chair of the Department shall designate the name of the Medical Director and the names of any physicians who will provide clinical services. a. Any changes in these designations will be mutually agreed to by the Chair of the Department and the Director of OCHD. b. The Department and OCHD shall indicate their mutual agreement to the designation of the Medical Director and any other physicians involved as described above by signing the "Designation of Medical Director" attachment to this contract. 4. This agreement covers any and all clinics conducted by OCHD in the program areas listed in #2 above. 5. Clinics are operational during the normal business hours of 8:00 a.m. to 5:00 p.m., Monday through Friday. Some clinics may run beyond 5:00 p.m. and the Department is responsible for completion of medical activities conducted during the entirety of these hours. 6. On -site physician attendance shall occur twice a week for three (3) hours each day in Family Planning /STD clinic and for three (3) days for four (4) hours each in Maternal /Child Health Clinic, each. Days and times of this L:\ patsy \contract \uncfamil \unc9900 0 P I AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 4 of 8 5 on -site coverage will be mutually agreed to by the Department and OCHD. Although Medical Director or back up physician attendance is not required on premises at other times, it should be available as stipulated above. On -site back -up coverage is expected during vacations and other anticipated absences. Physicians are responsible for notifying OCHD of schedule changes. If physician attendance is impossible due to unremediable circumstances, physician phone coverage will be provided and nurse practitioner charts of new nurse practitioners will be signed within five (5) working days. 7. The Medical Director or other designated physicians will be available for phone consultation during all business hours and emergency phone consultation shall be available as needed during non- business hours through a pager system. Phone coverage will also be provided for consultation and direction for communicable disease /epidemic control. The Department shall provide OCHD with the OCHD doctor schedule and a call schedule quarterly with updates as needed. On -site attendance on evenings or weekends may be required during a communicable disease incident. 8. The Department agrees to provide the equivalent of .52 FTE to carry out the duties described above. The clinical and administrative services will be provided by the Medical Director and the other designated physicians unless a Department substitute is prearranged. Service beyond the minimum shall be arranged by the Department and the OCHD to avoid unreasonable length of service. The Medical Director will report activities and services performed to OCHD as requested by the Health Director. 9. The Department will maintain current registration and licensure and shall provide copies to the OCHD as appendices to the Designation of Medical Director attachment to this contract. L: \patsy \contract \uncfamil \unc9900 G r AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 5 of 8 P 10. The University will be responsible for the negligence of its employees and agents to the extent of the North Carolina Tort Claims Act. Further, the University will provide adequate professional liability insurance for the University's students and personnel, who provide the services described in the agreement. The insurance limits will be stated in a Certificate of Insurance or other evidence of coverage submitted at the time the contract is commenced. 11. The Department will offer medical consultation in accord with the accepted methods and procedures. 12. The OCHD agrees to pay the Department in return for the above services equal monthly installments of SEVEN THOUSAND, SEVENTY -ONE ($7,071). 13. The University shall bill the OCHD on a monthly basis with the first bill being dated July 1, 1999 and the OCHD shall pay the University within thirty (30) days of receipt of the University's bill. Any adjustments to the billing shall be taken into account in the next succeeding bill or as soon thereafter as reasonably practicable. 14. The OCHD agrees to furnish all supplies, equipment and other staff needed by the Medical Director; to include the Medical Director in all appropriate conferences, meetings, correspondence and publications necessary to appropriate discharge of Medical Director's duties within budgetary constraints. 15. In the event that the Medical Director and back -up physician become unwilling or unable to perform the duties required by this Agreement, the University and OCHD shall attempt to mutually agree upon replacement. If such mutual agreement is not achieved, then this Agreement shall terminate and any payment due as of the date of termination shall be paid. L: \patsy \contract \uncfamil \unc9900 i AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 6 of 8 7 16. This Agreement shall run for a period of TWELVE (12) months, from the 1st day of July, 1999, to the 30th day of June, 2000, and shall be renewable annually thereafter upon written notice executed by both parties. 17. This Agreement or its renewals may be terminated at any time without penalty by either party provided that written notice of such termination is furnished to the other party at least ninety (90) days prior to termination. In the event of such termination any payment due shall be prorated to the date of termination. 18. The OCHD hereby agrees with The University that, in its educational and /or employment practices, the OCHD will comply with such non - discrimination law as may be applicable to it in the performance of this Agreement. The Department hereby agrees to abide by pertinent rules and regulations of the OCHD, Orange County, and the North Carolina Department of Environment, Health and Natural Resources in the conduct of service. 19. No provision of this Agreement shall be construed or interpreted as creating a pledge of the faith and credit of Orange County or OCHD within the meaning of any constitutional debt limitation. No provision of this Agreement shall be construed or interpreted as creating a delegation of governmental powers nor as a donation by or a lending of the credit of Orange County or OCHD within the meaning of the Constitution of the State of North Carolina. This Agreement shall and does not directly or indirectly or contingently obligate Orange County or OCHD to make any payments beyond those appropriated in the sole discretion of Orange County or OCHD for any fiscal year in which this Agreement shall be in effect. No deficiency judgment may be rendered against Orange County or OCHD in any action for breach of a contractual obligation under this Agreement and the taxing power of Orange County or L: \pat3y \contract \uncfamil \unc9900 AGREEMENT Between UNC School of Medicine t and Orange County Health Department 8 Page 7 of 8 OCHD is not and may not be pledged directly or indirectly or contingently to secure any moneys due under this Agreement. 20. This Agreement contains the entire understanding of the parties and shall not be altered, amended, or modified, except by an agreement in writing executed by the duly authorized officials of both parties. 21. The laws of North Carolina shall govern the validity and interpretation of the provisions, terms, and conditions of the Agreement. IN WITNESS WHEREOF, the parties have hereunto signed this Agreement in their official capacities of the day and year listed below. FOR AND ON BEHALF OF ORANGE COUNTY HEALTH DEPARTMENT Rosemary L. Summers, MPH, DrPH Health Director DATE: FOR AND ON BEHALF OF ORANGE COUNTY FOR AND ON BEHALF OF THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL James R. Ramsey, Vice - Chancellor, Finance and Administration DATE: ORANGE COUNTY FINANCE DIRECTOR: "This instrument has been preaudited in the manner required by the Local Government Budget and Fiscal Control Act." Ken Chavious Finance Director DATE: Alice Gordon, Chair Orange County Board of Commissioners DATE: L: \patsy \contract \uncfami.l \unc9900 I AGREEMENT Between UNC School of Medicine 9 and Orange County Health Department Page 8 of 8 Designation of Medical Director Attachment to Contract between the Department of Family Medicine, University of North Carolina, School of Medicine and the Orange County Health Department for July 1, 1999 through June 30, 2000. The following physicians are designated by the Department of Family Medicine to fulfill the terms of the attached contract: Marcia Angle, MD Medical Director Michael Fisher, MD Physician Margaret Helton, MD Physician Julie Price, MD Physician Copies of current registration and licensure for these physicians are attached. Signed: Chair, Department of Family Medicine Date Agreed: Health Director, Orange County Health Department Date L:\ patsy \contract \uncfamil \unc9900 10 STATE OF NORTH CAROLINA - COUNTY OF ORANGE AGREEMENT BETWEEN THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF DENTISTRY FOR ITS DEPARTMENT OF PEDIATRIC DENTISTRY AND THE ORANGE COUNTY HEALTH DEPARTMENT DENTAL SERVICE THIS AGREEMENT, made and entered into this the 1st day of July, 1999, by and between the University of North Carolina at Chapel Hill, School of Dentistry, hereinafter referred to as the "School of Dentistry ", for its Department of Pediatric Dentistry and the Orange County Health Department hereinafter referred to as the "Health Department" for its Dental Service. WITNESSETH WHEREAS, the Health Department desires the services of one resident in the Dental Service for the academic year 1999 -2000; WHEREAS, the Health Department desires to reimburse the School of Dentistry for the services; NOW, THEREFORE, in consideration of the premises and of the following mutual promises, covenants, and conditions, the School of Dentistry and the Health Department agree as follows: 1. The Health Department will reimburse the School of Dentistry at the close of each quarter $50.00, for each day of resident services. 2. The School of Dentistry will provide the services of one resident to the Health Department for the purpose of rendering resident dental. services of 1 day /week. 3. The Health Department will not be responsible for damages arising from personal injury to residents of the School of Dentistry while they are present at the Health Department, unless personal injury was caused by the negligence of the Health Department, its employees, or agents. 11 Between the University of North Carolina at Chapel Hill School of Dentistry for its Department of Pediatric Dentistry and OCHD Page 2of3 4. In the event the resident is exposed to blood or body fluids, the Health Department will be responsible for providing the resident with an initial response, according to the Institution's Blood -Borne Pathogens Standard. The resident will be required to return to the University of North Carolina Resident Health Services for post- incident testing and counseling if feasible. In the event the resident is unable to do so in a timely manner, the Health Department will provide access to testing and counseling for the resident. The resident will be responsible for the payment of services, but will be able to request reimbursement from the University of North Carolina. 5. The School of Dentistry will be responsible for the negligence of its employees and agents to the extent of the North Carolina Tort Claims Act. 6. The School of Dentistry shall be responsible for training its residents to follow the OSHA Blood -borne Pathogens Standards, ensuring that its residents comply with health requirements established by North Carolina state regulations and the School of Dentistry. 7. To maintain proper health records of its residents rotating through the Health Department, and instructing its residents about Hepatitis B vaccinations, about the resident's responsibility for post- exposure follow -up and any incurred costs, about the residents responsibility for the provision of protective equipment, and proper post- exposure record - keeping. 8. The person whose services are to be provided pursuant to the Agreement is, for all purposes, an employee of the School of Dentistry. 9. While the School of Dentistry resident is at the Health Department, the professional liability insurance coverage will be provided by the School of Dentistry with coverage of at least $1 million, per incident, $3 million per year. 10. This Agreement shall run for a period of one year, from the 1 st day of July, 1999 to the 30th day of June, 2000, and shall be renewable thereafter. 11. The School of Dentistry will bill the Health Department at the close of each quarter at the rate of 550.00 /day for a maximum of 48 weeks /year (maximum reimbursement: $2,400 ). The payment will be made payable to the UNC Department of Pediatric Dentistry and mailed to: Ms. Jo Ann Blalock, Pediatric Dentistry, UNC School of Dentistry, 205 Brauer Hall, Manning Drive, Chapel Hill, NC 27599 -7450. 12. The Health Department and the School of Dentistry in its educational and /or employment practices the Health Department will comply with such non - discrimination laws as may be applicable to it in the performance of this Agreement. IZ Between the University of North Carolina at Chapel Hill School of Dentistry for its Department of Pediatric Dentistry and OCHD Page 3 of 3 13. This Agreement or its renewals may be terminated at any time without penalty by either party provided that written notice of such termination is furnished to the other party at least 90 days prior to termination. In the event of such termination any payment shall be prorated to the date of termination. 14. The Agreement contains the entire understanding of the parties and shall not be altered, amended or modified, except by an agreement in writing executed by the duly authorized officials of both parties. 15. The laws of North Carolina shall govern the validity and interpretation of the provisions, terms and conditions of this Agreement. IN WITNESS WHEREOF, the parties have hereunto signed this Agreement in their official capacities of the day and year listed below. FOR AND ON BEHALF OF THE ORANGE COUNTY HEALTH DEPARTMENT DENTAL SERVICE Rosemary mmers, Date 9t3rl9 Date: � This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control Act Kenneth Chavious Director, Orange County Finance Date: Chairman, Orange County Board of Commissioners Date: FOR AND ON BEHALF OF THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL Michael W. Roberts, Chair Department of Pediatric Dentistry Date: Joljh W. Stamm, Dean U C School of Dentistry Date: _.4 ` I,", Q 4 r Ja s R. Ramsey, V' Chancel) r/ Hance Administration Date: 4 13 STATE OF NORTH CAROLINA COUNTY OF ORANGE AGREEMENT BETWEEN THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF DENTISTRY FOR ITS DEPARTMENT OF DENTAL ECOLOGY AND ORANGE COUNTY HEALTH DEPARTMENT THIS AGREEMENT, made and entered into this the I' day of July, 1999, by and between The University of North Carolina at Chapel, School of Dentistry, for its Department of Dental Ecology; and The Orange County Health Department hereinafter referred to as "The Health Department" and The University of North Carolina Hospitals, hereinafter referred to as "The University of North Carolina Hospitals." WITNESSETH WHEREAS, The Health Department desires the services of one faculty to direct the Dental Service of the Orange County Health Department for the academic year 1999 -2000; WHEREAS, The Health Department desires to reimburse The School of Dentistry for the faculty's time commitment; WHEREAS, The School of Dentistry and The University of North Carolina Hospitals with to provide the services of one faculty to The Health Department; NOW, THEREFORE, in consideration of the premises and of the following mutual promises, covenants, and conditions, The School of Dentistry and The Health Department agree as follows: 1. The Health Department will reimburse The School of Dentistry at the close of each quarter for '/< of $10,000 and fringe benefits. 2. The School of Dentistry will provide the services of one faculty to The Health Department for the purpose of directing the dental program in the Health Department. 3. School of Dentistry will bill The Health Department $2,500 at the close of each quarter for the salary/fringe of one faculty 6 14 Between The University of North Carolina School of Dentistry for its Department of Dental Ecology And OCHD and UNC Hospitals Page 2 of 3 4. The person whose services are to be provided pursuant to the Agreement is, for all purposes an employee of The University of North Carolina School of Dentistry 5. While the School of Dentistry faculty is on rotation at the Orange County Health Department, professional liability insurance coverage will be provided by the School of Dentistry with coverage of at least $1 million, per incident, $3 million per year. 6. This Agreement shall run for a period of one year, from the I' day of July 1999 to the 30`h day of June 2000, and shall be renewable thereafter. 7. This Agreement or its renewals may be terminated at any time without penalty by either party provided that written notice of such termination is furnished to the other party at least 90 days prior to termination. In the event of such termination any payment due shall be prorated to the date of termination. 8. In compliance with 42 U.S.C. 1395x (v)(1)(1) and implementing regulations, The School of Dentistry and The Health Department agree, until the expiration of four year after the services are furnished under this contract, to allow the Secretary of the Department of Health and Human Services and the Comptroller General access to this contract and to the books, documents and records of The School of Dentistry and The Health Department necessary to verify the nature and extent of this contract. The School of Dentistry and The Health Department further agree that if any of the duties of this contract are carried out by a subcontractor of The School of Dentistry or The Health Department such subcontract shall contain a clause to the effect that, until the expiration of four years after the services are furnished under such subcontract, the Secretary of the Department of Health and Human services and the Comptroller General shall have access to such subcontract and to the books, documents and records of the subcontractor necessary to verify the nature and extent of the costs of such subcontract. Between The University of North Carolina School of Dentistry for its Department of Dental Ecology And OCHD and UNC Hospitals Page 3 of 3 9. The Health Department and The University of North Carolina hereby agree with The School of Dentistry that, in its educational and/or employment practices The Health Department will comply with such non - discrimination laws as may be applicable to it in the performance of this Agreement. 10. The Agreement contains the entire understanding of the parties and shall not be altered, amended or modified, except by an agreement in writing executed by the duly authorized official of both parties. , The laws of North Carolina shall govern the validity and interpretation of the provisions, terms and conditions of this Agreement/ IN WITNESS WHEREOF, the parties have hereunto signed this Agreement in, their official capacities on the day and year listed below. FOR AND ON BEHALF OF: THE ORANGE COUNTY HEALTH DEPARTMENT Rosemary L. Summers, MPH,PhD Date Health Director This instrument has been preaudited in the Manner required by the Local Government Budget and Fiscal Control act. Kenneth Chavious Date Director, Orange County Finance Alice M. Gordon, Chair . Date Orange County Board of Commissioners FOR AND ON BEHALF OF THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL Dr. John W. Stamm Date Dean, School of Dentistry James R. Ramsey Date Vice Chancellor for Finance and Administration STATE OF NORTH CAROLINA COUNTY OF ORANGE AGREEMENT THIS AGREEMENT, made and entered into this first day of July 1999, by and between The University of North Carolina at Chapel Hill, hereinafter referred to as "The University," for its Department of Family Medicine in the School of Medicine, hereinafter referred to as the "Department" and the Orange County Health Department, hereinafter referred to as the "OCHD." W I T N E S S E T H: WHEREAS, the Department desires to provide Medical Director services and to participate in the provision of medical care for the citizens of the community, and; WHEREAS, the OCHD is the operator of two outpatient facilities known as the Orange County Health Department, located in Chapel Hill and Hillsborough, North Carolina. NOW, THEREFORE, in consideration of the premises and the following mutual covenants and conditions and any sums to be paid, the OCHD and The University agree as follows: 1. The Department will render professional consultation as Medical Director. As Medical Director, the Department shall: a. act as the principal advisor to the Health Director and Personal Health Services Director in matters of medical policy; b. advise the Health Director and Personal Health Services Director on the medical implications of alternatives in clinical program functioning and management; C. represent the OCHD in interagency relationships which involve medical expertise at the request of the Health Director and /or Personal Health Services Director. d. advise and interpret the regulatory requirements related to medical and laboratory aspects of the OCHD'S functions; e. provide coordination for medical components of the clinical programs of the OCHD; f. advise and assist staff in epidemiological investigations; L:\ pat3y \contract \uncfamil \unc9900 AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 2 of 8 g. be responsive to community public health concerns directly and in consultation with the Health Director and Division Directors; h. assist the Health Director and Personal Health Services Director in establishment of medical procedures and quality /quantity control mechanisms; i. assist in data analysis towards identification of public health concerns; j. work with the Health Director and Division Directors on formulation of responses to public health concerns; k. assist with evaluation of programs; 1. maintain close contact and availability through on -site visits and phone consultation to discharge responsibilities at the OCHD; M. participate in Division Head management meetings and Division level meetings when appropriate; n. attend Board of Health meetings when appropriate; o. provide medical direction to the school health programs in both school systems in the County and medical consultation to both OCHD and school staff working in the school health programs; p. discharge the above listed responsibilities through and with knowledge aforehand of the Director; q. other miscellaneous duties as necessary. 2. The Department shall provide, for the programs listed below, agreed upon medical direction and clinician services in family planning (FP), prenatal care (PNC), child health (CH), adolescent (ADOL), tuberculosis (TB), sexually transmitted disease (STD), general communicable disease control (GEN) and adult health preventive services (AH /HP /BCCCP), within State and Federal guidelines and program rules. Clinical duties shall include: a. Collaborative development and approval of all clinic protocols for the mutual benefit of the Department, OCHD and its patients. It is agreed by both parties that prenatal patients will be managed according to OCHD established protocols. These will be reviewed regularly and be consistent with protocols used at UNC Department of OB /GYN and Family Medicine outlying clinics. L:\ patsy \contract \uncfamil \unc9900 AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 3 of 8 b. Primary technical supervision of the nurse practitioners who are employees of the OCHD; C. Co- signing charts of patients seen by new nurse practitioners of the OCHD within five (5) working days for at least the first six months of their practice, and face -to -face consultation on a weekly basis for the first month after approval and at least monthly for the succeeding five months; d. Routine medical services during scheduled on -site clinic times; e. Medical consultation visits to OCHD patients during scheduled on -site clinic times; f. Continuing education consultation for nurse practitioners and other staff to include regular informal consultation and periodic formal sessions as appropriate. g. Collaborative development by the primary supervising physician and nurse practitioners of a Quality Improvement Process as described in the N.C. Administrative Code governing nurse practitioner practice. 3. The Chair of the Department shall designate the name of the Medical Director and the names of any physicians who will provide clinical services. a. Any changes in these designations will be mutually agreed to by the Chair of the Department and the Director of OCHD. b. The Department and OCHD shall indicate their mutual agreement to the designation of the Medical Director and any other physicians involved as described above by signing the "Designation of Medical Director" attachment to this contract. 4. This agreement covers any and all clinics conducted by OCHD in the program areas listed in #2 above. 5. Clinics are operational during the normal business hours of 8:00 a.m. to 5:00 p.m., Monday through Friday. Some clinics may run beyond 5:00 p.m. and the Department is responsible for completion of medical activities conducted during the entirety of these hours. 6. On -site physician attendance shall occur twice a week for three (3) hours each day in Family Planning /STD clinic and for three (3) days for four (4) hours each in Maternal /Child Health Clinic each. Days and times of this L:\ patsy \contract \uncfamil \unc9900 AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 4 of 8 on -site coverage will be mutually agreed to by the Department and OCHD. Although Medical Director or back up physician attendance is not required on premises at other times, it should be available as stipulated above. On -site back -up coverage is expected during vacations and other anticipated absences. Physicians are responsible for notifying OCHD of schedule changes. If physician attendance is impossible due to unremediable circumstances, physician phone coverage will be provided and nurse practitioner charts of new nurse practitioners will be signed within five (5) working days. 7. The Medical Director or other designated physicians will be available for phone consultation during all business hours and emergency phone consultation shall be available as needed during non - business hours through a pager system. Phone coverage will also be provided for consultation and direction for communicable disease /epidemic control. The Department shall provide OCHD with the OCHD doctor schedule and a call schedule quarterly with updates as needed. On -site attendance on evenings or weekends may be required during a communicable disease incident. 8. The Department agrees to provide the equivalent of .52 FTE to carry out the duties described above. The clinical and administrative services will be provided by the Medical Director and the other designated physicians unless a Department substitute is prearranged. Service beyond the minimum shall be arranged by the Department and the OCHD to avoid unreasonable length of service. The Medical Director will report activities and services performed to OCHD as requested by the Health Director. 9. The Department will maintain current registration and licensure and shall provide copies to the OCHD as appendices to the Designation of Medical Director attachment to this contract. L:\ Patsy \contract \uncfamil \unc9900 AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 5 of 8 10. The University will be responsible for the negligence of its employees and agents to the extent of the North Carolina Tort Claims Act. Further, the University will provide adequate professional liability insurance for the University's students and personnel, who provide the services described in the agreement. The insurance limits will be stated in a Certificate of Insurance or other evidence of coverage submitted at the time the contract is commenced. 11. The Department will offer medical consultation in accord with the accepted methods and procedures. 12. The OCHD agrees to pay the Department in return for the above services monthly installments of SEVEN THOUSAND, SEVENTY -ONE ($7,071). l A� 13. The University shall bill the OCHD on a monthly basis with the first bill being dated July 1, 1999 and the OCHD shall pay the University within thirty (30) days of receipt of the University's bill. Any adjustments to the billing shall be taken into account in the next succeeding bill or as soon thereafter as reasonably practicable. 14. The OCHD agrees to furnish all supplies, equipment and other staff needed by the Medical Director; to include the Medical Director in all appropriate conferences, meetings, correspondence and publications necessary to appropriate discharge of Medical Director's duties within budgetary constraints. 15. In the event that the Medical Director and back -up physician become unwilling or unable to perform the duties required by this Agreement, the University and OCHD shall attempt to mutually agree upon replacement. If such mutual agreement is not achieved, then this Agreement shall terminate and any payment due as of the date of termination shall be paid. L:\ patsy \contract \uncfamil \unc9900 AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 6 of 8 16. This Agreement shall run for a period of TWELVE (12) months, from the 1st day of July, 1999, to the 30th day of June, 2000, and shall be renewable annually thereafter upon written notice executed by both parties. 17. This Agreement or its renewals may be terminated at any time without penalty by either party provided that written notice of such termination is furnished to the other party at least ninety (90) days prior to termination. In the event of such termination any payment due shall be prorated to the date of termination. 18. The OCHD hereby agrees with The University that, in its educational and /or employment practices, the OCHD will comply with such non - discrimination law as may be applicable to it in the performance of this Agreement. The Department hereby agrees to abide by pertinent rules and regulations of the OCHD, Orange County, and the North Carolina Department of Environment, Health and Natural Resources in the conduct of service. 19. No provision of this Agreement shall be construed or interpreted as creating a pledge of the faith and credit of Orange County or OCHD within the meaning of any constitutional debt limitation. No provision of this Agreement shall be construed or interpreted as creating a delegation of governmental powers nor as a donation by or a lending of the credit of Orange County or OCHD within the meaning of the Constitution of the State of North Carolina. This Agreement shall and does not directly or indirectly or contingently obligate Orange County or OCHD to make any payments beyond those appropriated in the sole discretion of Orange County or OCHD for any fiscal year in which this Agreement shall be in effect. No deficiency judgment may be rendered against Orange County or OCHD in any action for breach of a contractual obligation under this Agreement and the taxing power of Orange County or L:\ patsy \contract \uncfamil \unc9900 AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 7 of 8 OCHD is not and may not be pledged directly or indirectly or contingently to secure any moneys due under this Agreement. 20. This Agreement contains the entire understanding of the parties and shall not be altered, amended, or modified, except by an agreement in writing executed by the duly authorized officials of both parties. 21. The laws of North Carolina shall govern the validity and interpretation of the provisions, terms, and conditions of the Agreement. IN WITNESS WHEREOF, the parties have hereunto signed this Agreement in their official capacities of the day and year listed below. FOR AND ON BEHALF OF ORANGE FOR AND ON BEHALF OF THE UNIVERSITY COUNTY HEALTH DEPARTMENT Rosemary L u ers, MPH, DrPH Health Director DATE: Ley ORANGE COUNTY FINANCE DIRECTOR: "This instrument has been preaudited in the manner required by the Local Government Budget and Fiscal Control Act." FF ORTCA � AT CHAPEL HILL V. NS .�V�Plumc� T -�o� D n „zan,� -. Vice- Chancellor, Finance and Administration DATE: FOR AND ON BEHALF OF ORANGE COUNTY Kefi C`,havious Finance Director DATE: Alice Gordon, Chair Orange County Board of Commissioners DATE: � 1-711, L: \patsy \contract \uncfamil \unc9900 AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 8 of 8 Designation of Medical Director Attachment to Contract between the Department of Family Medicine, University of North Carolina, School of Medicine and the Orange County Health Department for July 1, 1999 through June 30, 2000. The following physicians are designated by the Department of Family Medicine to fulfill the terms of the attached contract: Marcia Anale, MD Michael Fisher, MD Maraaret Helton, MD Julie Price, MD Medical Director Physician Physician Physician Copies of current registration and licensure for these physicians are attached. Signed: 1 WJ-A [ i Agreed: F Medicine Health Dire�,tor, Orange County Health Department L:\ patsy \contract \uncfamil \unc9900 d6�?z D to 09te NORTH CAROLINA MEDICAL BOARD PHYSICIAN CERTIFICATE OF REGISTRATION v �r REGISTRATION REQUIRED _ a REGISTRATION da 6/11/2000 CERTIFICATE NO. 10957 THIS IS TO CERTIFY THAT THE PHYSICIAN NAMED BELOW HAS REG- ISTERED WITH THE BOARD AND HAS PAID THE REGISTRATION FEE OF $ $100.00 FOR THE YEAR ABOVE AS REQUIRED BY THE GENERAL STATUTES OF NORTH CAROLINA, SECTION 90 -15.1 AND RULES PROMULGATED PURSUANT THERETO. LICENSE NO. 00 -26485 MARCIA ANN ANGLE MD ORANGE COUNTY HEALTH DEPT 300 WEST TRYON ST HILLSBOROUGH, NC 27278 EXECUTIVE DIRECTOR THIS IS YOUR REGISTRATION CERTIFICATE FOR YOUR WALLET. PLEASE DETACH AND DISCARD THIS PORTION. NORTH CAROLINA MEDICAL BOARD REGISTRATION REQUIRED REGISTRATION 6/11/2000 CERTIFICATE 10957 THIS IS TO CERTIFY THAT THE PHYSICIAN p NAMED BELOW HAS REGISTERED WITH THE .°° BOARD AND HAS PAID THE REGISTRATION FEE Y ®m FOR THE YEAR ABOVE AS REQUIRED BY THE 6 GENERAL STATUTES OF NORTH CAROLINA *� SECTION 90 -15.1 AND RULES PROMULGAT D PURSUANT THERE�tA MARCIA ANN ANGLE MD LICENSE NO.: 00 -26485 IGH. N.C. 27619 PLEASE DETACH AND DISCARD THIS PORTION. The University of North Carolina Liability Legal Department 6001 East Wing UNIVERSITY OF NORTH CAROLINA HOSPITALS 101 Manning Drive Chapel Hill, NC 27514 Insurance Trust Fund CONFIRMATION OF INSURANCE COVERAGE FOR PROFESSIONAL LIABILITY Telephone: (919) 966.3041 Facsimile: (919) 966 -6285 This Confirmation of Insurance Coverage is being issued specifically to verify professional liability coverage for the referenced insureds while practicing within the scope of their employment responsibilities during the dates of coverage noted. This information should be treated confidentially. INSURED: DATES OF COVERAGE NAME OF CARRIER AMOUNT OF COVERAGE POLICY TYPE: POLICY NUMBER: Completed by: ) <'t Y�" 64"11 Kathryn Chappell Director of Risk Management Marcia Angle, MD 07/01/87 — 07/01/2000 UNC Liability Insurance Trust Fund $3 million of professional liability self - insurance coverage for each individual. Commercial excess insurance over and above the self-insured coverage. Occurrence Basis Not applicable Date: L - 9 • 7 G% University of North Carolina Hospitals and the School of Medicine of the University of North Carolina at Chapel Hill The University of North Carolina Liability Insurance Trust Fund Legal Department Telephone: (919) 966 -3041 6001 East Wing Facsimile: (919) 966 -6285 UNIVERSITY OF NORTH CAROLINA HOSPITALS 101 Manning Drive Chapel Hill, NC 27514 CONFIRMATION OF INSURANCE COVERAGE FOR PROFESSIONAL LIABILITY This Confirmation of Insurance Coverage is being issued specifically to verify professional liability coverage for the referenced insureds while practicing within the scope of their employment responsibilities during the dates of coverage noted. This information should be treated confidentially. INSURED: DATES OF COVERAGE: NAME OF CARRIER AMOUNT OF COVERAGE POLICY TYPE: POLICY NUMBER: Completed by: eu�4� Kathryn Chappell Director of Risk Management Julie Price, MD 09/01/96 — 07/01/2000 UNC Liability Insurance Trust Fund $3 million of professional liability self - insurance coverage for each individual. Commercial excess insurance over and above the self-insured coverage. Occurrence Basis Not applicable Date: G • 9' -77 University of North Carolina Hospitals and the School of Medicine of the University of North Carolina at Chapel Hill NORTH CAROLINA MEDICAL BOARD PHYSICIAN CERTIFICATE OF REGISTRATION '�O��NA'MF4i'••, __rb °: ro°•s; o m € REGISTRATION a REGISTRATION REQUIRED o 9/27/99 CERTIFICATE NO . . 11524 THIS IS TO CERTIFY THAT THE PHYSICIAN NAMED BELOW HAS REG- ISTERED WITH THE BOARD AND HAS PAID THE REGISTRATION FEE OF $ $100.00 FOR THE YEAR ABOVE AS REQUIRED BY THE GENERAL STATUTES OF NORTH CAROLINA, SECTION 90 -15.1 AND RULES PROMULGATED PURSUANT THERETO. LICENSE NO: 00 -27280 JULIE PRICE GRUBB MD 102 SOUTH FIELDS CIRCLE CHAPEL HILL, NC 27516- EXECUTIVE DIRECTOR The University of North Carolina Liability Insurance Trust Fund Legal Department Telephone: (919) 966 -3041 6001 East Wing Facsimile: (919) 966 -6285 UNIVERSITY OF NORTH CAROLINA HOSPITALS 101 Manning Drive Chapel Hill, NC 27514 CONFIRMATION OF INSURANCE COVERAGE FOR PROFESSIONAL LIABILITY This Confirmation of Insurance Coverage is being issued specifically to verify professional liability coverage for the referenced insureds while practicing within the scope of their employment responsibilities during the dates of coverage noted. This information should be treated confidentially. INSURED: DATES OF COVERAGE NAME OF CARRIER AMOUNT OF COVERAGE: POLICY TYPE: POLICY NUMBER: Completed by: u Kathryn Chappell Director of Risk Management Margaret Helton, MD 07/01/90 — 07/01/2000 UNC Liability Insurance Trust Fund $3 million of professional liability self - insurance coverage for each individual. Commercial excess insurance over and above the self-Insured coverage. Occurrence Basis Not applicable Date'" � ci University of North Carolina Hospitals and the School of Medicine of the University of North Carolina at Chapel Hill NORTH C IOLINA MEDICAL BOARD J ,o\,�Np 'MF PHYSICIAN CERTIFICATE OF REGISTRATION $4: -I O REGISTRATION REQUIRED ;jl Q••• .;9? REGISTRATION b, 8/15/99 CERTIFICATE NO. „; 916 ='. THIS IS TO CERTIFY THAT THE PHYSICIAN NAMED BELOW HAS REG- ISTERED WITH THI BOARD AND HAS PAID THE REGISTRATION FEE OF $ FOR THE YEAR ABOVE AS REQUIRED BY THE GENERAL STATUTES OF NORTH CAROLINA, SECTION 90 -15.1 AND RULES PROMULGATED PURSUANT THERETO. �i LICENSE NO. 00 -38974 MARGARET ROSE HELTON MD UNC SCHOOL OF MEDICINE CB #7595 CHAPEL HILL, NC 27599 -7595 EXECUTIVE DIRECTOR The University of North Carolina Liability Insurance Trust Fund Legal Department Telephone: (919) 966 -3041 6001 East Wing Facsimile: (919) 966 -6285 UNIVERSITY OF NORTH CAROLINA HOSPITALS 101 Manning Drive Chapel Hill, NC 27514 CONFIRMATIION OF INSURANCE COVERAGE FOR PROFESSIONAL LIABILITY This Confirmation of Insurance Coverage is being issued specifically to verify professional liability coverage for the referenced insureds while practicing within the scope of their employment responsibilities during the dates of coverage noted. This information should be treated confidentially. INSURED: DATES OF COVERAGE NAME OF CARRIER AMOUNT OF COVERAGE: POLICY TYPE: POLICY NUMBER: Completed by: Kathryn Chap ell Director of Risk Management Michael Fisher, MD 12/01/95 — 07/01/2000 UNC Liability Insurance Trust Fund $3 million of professional liability self - insurance coverage for each individual. Commercial excess insurance over and above the Self-insured coverage. Occurrence Basis Not applicable Date: G' 8 '71 University of North Carolina Hospitals and the School of Medicine of the University of North Carolina at Chapel Hill DocFin ,del http:// www. doeboard .org/egi- shl /vfpwebn.ex� AIM Association of State Medical Board Executive Directors North Carolina Medical Board search results Above data extracted on: 05/07/1999 Return to the N2rjh ' r lin• M , ' , l Board lJoYnC Pagg. Direct comments about these results to North Carolina Medical Board This Board's data has been searched 348453 times since 12/11/1997 Please read the AIM Disclaimer ©Copyright 1997,1998,1999 Nicholas Ha= 1 of 1 6/15/99 4:16 PN STATE OF NORTH CAROLINA - COUNTY OF ORANGE AGREEMENT BETWEEN THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF DENTISTRY FOR ITS DEPARTMENT OF PEDIATRIC DENTISTRY AND THE ORANGE COUNTY HEALTH DEPARTMENT DENTAL SERVICE THIS AGREEMENT, made and entered into this the 1st day of July, 1999, by and between the University of North Carolina at Chapel Hill, School of Dentistry, hereinafter referred to as the "School of Dentistry ", for its Department of Pediatric Dentistry and the Orange County Health Department hereinafter referred to as the "Health Department" for its Dental Service. WITNESSETH WHEREAS, the Health Department desires the services of one resident in the Dental Service for the academic year 1999 -2000; WHEREAS, the Health Department desires to reimburse the School of Dentistry for the services; NOW, THEREFORE, in consideration of the premises and of the following mutual promises, covenants, and conditions, the School of Dentistry and the Health Department agree as follows: 1. The Health Department will reimburse the School of Dentistry at the close of each quarter $50.00, for each day of resident services. 2. The School of Dentistry will provide the services of one resident to the Health Department for the purpose of rendering resident dental. services of 1 day /week. 3. The Health Department will not be responsible for damages arising from personal injury to residents of the School of Dentistry while they are present at the Health Department, unless personal injury was caused by the negligence of the Health Department, its employees, or agents. Between the University of North Carolina at Chapel Hill School of Dentistry for its Department of Pediatric Dentistry and OCHD Page 2of3 4. In the event the resident is exposed to blood or body fluids, the Health Department will be responsible for providing the resident with an initial response, according to the Institution's Blood -Borne Pathogens Standard. The resident will be required to return to the University of North Carolina Resident Health Services for post- incident testing and counseling if feasible. In the event the resident is unable to do so in a timely manner, the Health Department will provide access to testing and counseling for the resident. The resident will be responsible for the payment of services, but will be able to request reimbursement from the University of North Carolina. 5. The School of Dentistry will be responsible for the negligence of its employees and agents to the extent of the North Carolina Tort Claims Act. 6. The School of Dentistry shall be responsible for training its residents to follow the OSHA Blood -borne Pathogens Standards, ensuring that its residents comply with health requirements established by North Carolina state regulations and the School of Dentistry. 7. To maintain proper health records of its residents rotating through the Health Department, and instructing its residents about Hepatitis B vaccinations, about the resident's responsibility for post- exposure follow -up and any incurred costs, about the residents responsibility for the provision of protective equipment, and proper post- exposure record - keeping. 8. The person whose services are to be provided pursuant to the Agreement is, for all purposes, an employee of the School of Dentistry. 9. While the School of Dentistry resident is at the Health Department, the professional liability insurance coverage will be provided by the School of Dentistry with coverage of at least $1 million, per incident, $3 million per year. 10. This Agreement shall run for a period of one year, from the 1 st day of July, 1999 to the 30th day of June, 2000, and shall be renewable thereafter. 11. The School of Dentistry will bill the Health Department at the close of each quarter at the rate of 550.00 /day for a maximum of 48 weeks /year (maximum reimbursement: $2,400). The payment will be made payable to the UNC Department of Pediatric Dentistry and mailed to: Ms. Jo Ann Blalock, Pediatric Dentistry, UNC School of Dentistry, 205 Brauer Hall, Manning Drive, Chapel Hill, NC 27599 -7450. 12. The Health Department and the School of Dentistry in its educational and /or employment practices the Health Department will comply with such non - discrimination laws as may be applicable to it in the performance of this Agreement. Between the University of North Carolina at Chapel Hill School of Dentistry for its Department of Pediatric Dentistry and OCHD Page 3of3 13. This Agreement or its renewals may be terminated at any time without penalty by either party provided that written notice of such termination is furnished to the other party at least 90 days prior to termination. In the event of such termination any payment shall be prorated to the date of termination. 14. The Agreement contains the entire altered, amended or modified, except by an authorized officials of both parties. understanding of the parties and shall not be agreement in writing executed by the duly 15. The laws of North Carolina shall govern the validity and interpretation of the provisions, terms and conditions of this Agreement. IN WITNESS WHEREOF, the parties have hereunto signed this Agreement in their official capacities of the day and year listed below. FOR AND ON BEHALF OF THE ORANGE COUNTY HEALTH DEPARTMENT DENTAL SERVICE Rosemary Yimmers, Health Dire tor Date:�e /3 q f This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control Act Kennet6 Chavious Director, Orange County Finance Date: life' h(1_ Chairman, Orange County Board of Commissioners Date: 2/- g 9 FOR AND ON BEHALF OF THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL Michael W. Roberts, Chair Department of Pediatric Dentistry Date: �Zi gl Z JoIjh W. Stamm, Dean U C School of Dentistry Date:_ • Q 4 Ja Ramsey, Vnc��r/ innance Administration Date: STATE OF NORTH CAROLINA COUNTY OF ORANGE AGREEMENT BETWEEN THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF DENTISTRY FOR ITS DEPARTMENT OF DENTAL ECOLOGY ORANGE COUNTY HEALTH DEPARTMENT THIS AGREEMENT, made and entered into this the 1S` day of July, 1999, by and between The University of North Carolina at Chapel, School of Dentistry, for its Department of Dental Ecology; and The Orange County Health Department hereinafter referred to as "The Health Department ". WITNESSETH WHEREAS, The Health Department desires the services of one faculty to direct the Dental Service of the Orange County Health Department for the academic year 1999 -2000; WHEREAS, The Health Department desires to reimburse The School of Dentistry for the faculty's time commitment; WHEREAS, The School of Dentistry and The University of North Carolina Hospitals with to provide the services of one faculty to The Health Department; NOW, THEREFORE, in consideration of the premises and of the following mutual promises, covenants, and conditions, The School of Dentistry and The Health Department agree as follows: The Health Department will reimburse The School of Dentistry at the close of each quarter for' /4 of $10,000 and fringe benefits. 2. The School of Dentistry will provide the services of one faculty to The Health Department for the purpose of directing the dental program in the Health Department. 3. School of Dentistry will bill The Health Department $2,500 at the close of each quarter for the salary. 4. The person whose services are to be provided pursuant to the Agreement is, for all purposes an employee of The University of North Carolina School of Dentistry Between The University of North Carolina School of Dentistry for its Department of Dental Ecology And OCHD and UNC Hospitals Page 2 of 3 5. While the School of Dentistry faculty is on rotation at the Orange County Health Department, professional liability insurance coverage will be provided by the School of Dentistry with coverage of at least $1 million, per incident, $3 million per year. 6. This Agreement shall run for a period of one year, from the 1 s` day of July 1999 to the 30`x' day of June 2000, and shall be renewable thereafter. 7. This Agreement or its renewals may be terminated at any time without penalty by either party provided that written notice of such termination is furnished to the other party at least 90 days prior to termination. In the event of such termination any payment due shall be prorated to the date of termination. 8. In compliance with 42 U.S.C. 1395x (v)(1)(1) and implementing regulations, The School of Dentistry and The Health Department agree, until the expiration of four year after the services are furnished under this contract, to allow the Secretary of the Department of Health and Human Services and the Comptroller General access to this contract and to the books, documents and records of The School of Dentistry and The Health Department necessary to verify the nature and extent of this contract. The School of Dentistry and The Health Department further agree that if any of the duties of this contract are carried out by a subcontractor of The School of Dentistry or The Health Department such subcontract shall contain a clause to the effect that, until the expiration of four years after the services are furnished under such subcontract, the Secretary of the Department of Health and Human services and the Comptroller General shall have access to such subcontract and to the books, documents and records of the subcontractor necessary to verify the nature and extent of the costs of such subcontract. ,i 9. The Health Department and The University of North Carolina hereby agree with The School of Dentistry that, in its educational and/or employment practices The Health Department will comply with such non - discrimination laws as may be applicable to it in the performance of this Agreement. 10. The Agreement contains the entire understanding of the parties and shall not be altered, amended or modified, except by an agreement in writing executed by the duly authorized official of both parties. Between The University of North Carolina School of Dentistry for its Department of Dental Ecology And OCHD and UNC Hospitals Page 3 of 3 The laws of North Carolina shall govern the validity and interpretation of the provisions, terms and conditions of this Agreement/ IN WITNESS WHEREOF, the parties have hereunto signed this Agreement in their official capacities on the day and year listed below. FOR AND ON BEHALF OF: THE ORANGE COUNTY HEALTH DEPARTMENT Rosemary L. ummers Dfille Health Director This instrument has been preaudited in the Manner required by the Local Government Budget and Fiscal Control act. keilreth Chavious Date Director, Orange County Finance Alice M. Gordon Date Orange County Board of Commissioners FOR AND ON BEHALF OF THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL — Q , -a q' Dr. Jolf W. Stamm Date DeanjSchool of Dentistry l 4�2 �g Jam s R. Ramsey Date Vi Chancellor for Finance and dministration