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Home My WebLink AboutS Health - Adopt a Child Care Dental Screening Project CoordinatorSTATE OF NORTH CAROLINA COUNTY OF ORANGE S! • AGREEMENT BETWEEN ORANGE COUNTY HEALTH DEPARTMENT AND Ginger Mann (Name of Provider) This Agreement is made effective as of the lstday of July, 2006 by and between the Orange County Health Department, hereinafter referred to.as "OCHD" and the above named service provider, hereinafter referred to as the "Provider". W I T N E S S E T H: WHEREAS, OCHD desires to contract with the Provider for professional services; in its Dental Preschool Screening Program, and WHEREAS, The Provider desires to provide those services; NOW, THEREFORE, in consideration of the premises and of the following mutual promises, covenants and conditions, OCHD and the Provider agree as follows: • 1. The Provider will act as the "Give Kids A Smile/Adopt A Child Care Campaign" (hereafter "Campaign") Coordinator, which includes the following: - Act as a point of contact for Orange County dentists interested in participating in the Campaign. - Agrees to meet regularly with OCPYC staff and Orange County Health Department Dental Services Director regarding the development of the Campaign effort. - Coordinate site screenings between child care providers and private dentists. - Provide any training/consultation requested by private dentists prior to Campaign dental screenings scheduled for January 2007 through February 2007. - Coordinate with Orange County Health Department Dental Services Director regarding acquisition of dental screening materials. - Coordinate distribution of dental screening materials with Orange County Health Department Dental Services Director. - Coordinate and implement referral follow-up on children identified for dental treatment with Orange County Health Department Dental Services Director by June 30, 2007. - Coordinate with OCPYC staff and Orange County Health Department Dental Services Director a follow-up with participating dentists to evaluate the Campaign. • -Submit a report of Campaign activities to Orange County Health Department Dental Services Director for inclusion in the year-end project evaluation report by June 30, 2007. Page 1 of 4 -Invoice the OCHD for Campaign services on a regular basis. • 2. The Provider will act as the "Smart Start Dental Screening, Education and Referral Project" (hereafter "Project") coordinator which includes the following: - Coordinate site screenings between child care providers and dental student teams. - Contacts directors of child care facilities to schedule dental screening. - Mail out to the directors project information and confirmation of the Project. - Conducts calibration to dental student teams. - Evaluates and makes changes to all dental forms used in the Project. - Coordinate and implement referral follow-up on children identified for dental treatment to include (mailing letters to parents and telephone calls). - Data entries all dental screening forms and information. - Submit a report of Project activities to Orange County Health Department Dental Services Director for inclusion in the year-end project evaluation report by June 30, 2007. - Assist Orange County Health Department Dental Health Service Director in writing of Orange County Partnership for Young Children grant proposal., • - Conducts the report out session of the dental student teams. 3. The Provider will act as the Information Technology Consultant for the Campaign and the Project providing the following: - Selection of appropriate computer equipment and software to accommodate the Campaign and Project data. - Design the software program for the Campaign and Project. - Analyze the data. - Provide computer-programming support for the dental teams during the Campaign and Projects. - Produce the necessary reports from the data to create reports and year-end evaluation reports. - Develop a tracking system to track the children annually. 4. OCHD shall remunerate the Provider in the amount of $14,500.00 for the Smart Start Dental grant period from the 1St day of July 2006, to the 30 day of June 2007. The Provider will submit to OCHD a bill for services rendered by the 1St day of February 2007 for $7,000 and the 1St day of June 2007 for $7,500. OCHD will thereafter submit a request for payment to the Orange County Finance Department. OCHD shall prepare and remit by mail payment to Provider based on the Finance Department's schedule. • 5. The Provider hereby agrees to furnish services without regard to race, color, creed, sex or national origin. The Provider hereby agrees to abide by pertinent Rules and Regulations of OCHD, Orange County, and the North Carolina Division of Health Services Page 2 of 4 • • • in the conduct of services. Act as a point of contact for Orange County dentists interested in participating in this Campaign and Project. 6. This Agreement covers childcare centers and homes in Orange County. 7. This Agreement shall run the 1st day of and shall parties. Provider. for a period of one year from July 2006 to the 30th day of June 2007 pe renewaple upon written notice executed by both Exact days to work shall be prearranged by OCHD and 8. In connection with Provider's activities as Coordinator of the . Campaign and Project, Provider agrees to abide by all applicable federal, state and local confidentiality and privacy laws, policies and procedures. Provider will not divulge confidential information to unauthorized persons. Provider understands that if Provider wrongfully discloses such information, Provider may be subject to disciplinary action. Provider further understands that Provider may be liable and subject to litigation for money awards for damages. Provider understands that if Provider should have any questions regarding OCHD's confidentiality policies and procedures, Provider will seek clarification from OHCD Health Director. Provider agrees to abide by and hereby enters .into the OCHD's standard Health Insurance Portability and Accountability Act of 1996 (HIPAA) Business Associate Agreement, which is attached hereto and incorporated herein by reference. 9. Independent Contractor. The Provider shall perform all work and services described herein as an independent contractor and not as an officer, agent, servant or employee of Orange County or the OCHD. Provider shall have exclusive control of and the exclusive right to control the details of the services and work performed herewith and all persons performing the same and working herein shall be construed as creating a partnership or joint venture between Orange County or the OCHD and Provider. Provider shall not be considered an officer, agent, servant or employee of Orange County or OCHD, nor shall Provider be entitled to any benefits available or granted to employees of Orange County or OCHD. 10. This Agreement or its renewals may be terminated at any time without Penalty by either party provided that notice of such termination is furnished to the other party in time to properly arrange for professional coverage. 11. 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. 12. The laws of North Carolina shall govern the validity and interpretations of the provisions, terms and conditions of the Agreement. Page 3 of 4 . In WITNESS WHEREOF, the parties have hereunto signed this Agreement in their official capacities on the day and year listed below. Signature Page: Agreement with Ginger Mann FOR AND ON BEHALF OF ORANGE C4A~JNTY HEALTH DEPARTMENT Rosemary L. (,$u4ilmer`s, .Health Director DATE: FOR AND ON BEHALF OF Md~es Carey, Chair Orange County Commissio r i Date: ~r V1 ORANGE COUNTY FINANCE DIRECTOR "This instrument has been preaudited in the manner required by the Local Government .Budget and fiscal Control Act." ~~~~ nen ~navious, r~inance uirector DATE : ~ ~~`'~~ ~OR AND ON BEHALF OF PROVIDER 2006-2007 ~~~~ ~ als)o~ Page 4 of 4