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Home My WebLink About1998 S Health - UNC Dept of Family Medicine `STATE OF NORTH CAROLINA COUNTY OF ORANGE AGREEMENT THIS AGREEMENT, made and entered into this first day of July 1998, 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; L:\patsy\contract\uncfamil\uncconl.doc AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 2 of 8 e. provide coordination for medical components of the clinical programs of the OCHD; f. advise and assist staff in epidemiological investigations; 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), L:\patsy\contract\uncfamil\uncconl.doc AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 3 of 8 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. b. Primary technical supervision of the nurse practitioners who are employees of the OCHD; c. Co-signing charts of patients seen by the nurse practitioners of the OCHD within five (5) working days; 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. 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. L:\patsy\contract\uncfamil\uncconl.doc AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 4 of 8 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 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. If physician attendance is impossible due to unremediable circumstances, physician phone coverage will be provided and nurse practitioner charts 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. L:\patsy\contract\uncfamil\uncconl.doc AGREEMENT Between the UNC School of Medicine and Orange County Health Department Page 5 of 8 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. 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 equate professional liability insurance for the University,5 its stud nts and personnel, who provide the services described in the agreement. The insurance limits will be stated in a Certificate of Insurancensubmitted a~~` time.A~ contract is commenced. ~,r~ l~4 ~~~~~ 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 SIX THOUSAND, SEVEN HUNDRED THIRTY FOUR DOLLARS ($6,734). L:\patsy\contract\uncfamil\uncconl.doc AGREEMENT Between the UNC School of Medicine and Orange County Health Department Page 6 of 8 13. The University shall bill the OCHD on a monthly basis with the first bill being dated July 1, 1998 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. 16. This Agreement shall run for a period of TWELVE (12) months, from the 1st day of July, 1998, to the 30th day of June, 1999, 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 L:\patsy\contract\uncfamil\uncconl.doc AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 7 of 8 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 OCHD is not and may not be pledged directly or indirectly or contingently to secure any moneys due under this Agreement. L:\patsy\contract\uncfamil\uncconl.doc AGREEMENT Between UNC School of Medicine and Orange County Health Department Page 8 of 8 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 osemary L Summers, Interim Health Direct r DATE: ~/ ~~ FOR-AND ON BEHALF OF THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL Wayne R. Jones, Vic hancellor, Business and Fina ce DATE : ~'~ /~ FOR AND ON BEHALF OF ORANGE COUNTY ORANGE COUNTY FINANCE DIRECTOR: "This instrument has been preaudited in the manner required by the Local Government Budget and Fiscal Control Act." nc~e County Finance Director DATE: CHAIR, OYZAN~E COUNTY°BOARD OF COMMISSIONERS DATE : ~~~ L:\patsy\contract\uncfamil\uncconl.doc 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, 1998 through June 30, 1999. The following physicians are designated by the Department of Family Medicine to fulfill the terms of the attached contract: Marsha Angle, MD Medical Director Michael Fisher, MD Margaret Helton, MD Julie Grubb, MD Physician Physician Physician Copies of current registration and licensure for these physicians are attached. Signed: ~~. Chair, artment of Family for Kenneth G. Reeb, MD Agreed: cine Interim Health Director, Orange County Health Department 5/1.4/98 Date ~--„ ate L:\patsy\contract\uncfamil\uncconl.doc Ti _i ii iii ii ~ i~ iii /I itii ei ii ~... .. ii. iii iiiii i. i..-~ •. ~ NORTH CAROLINA MEDICAL BOARD PHYSICIAN CER7IFICATE OF REGISTRATION 1997 G2521 THIS IS TO CERTIFY THAT THE PHYSICIAN NAMED BELOW HAS REGISTERED WITH THE BOARD AND HAS PAID 7HE REGISTRATION FEE OF $ ~OU.OO F O R THE YEAR ABOVE AS REQUIRED BY THE GENERAL STATUTES OF NORTH CAROLINA, SECTION 90-15. t AND RULES PROMULGATED PURSUANTTHERETO. ' ~r ~° ms -~-t*';,~ ~ doe °~.. _....... ,oaa, Issuc llnic: Ja~wnry 13, 1997,; ~~ REGISTRATION CERTIFICATE NO. ~, ;I ~; ; I:LU1S']I2A'I1UN I:L7UU11LCIJ IN JANUARY 1998 Micl>!ad dvlu>t I~ishcr MD 123 high I lickory Hoad ' ~~ CI>!apel Hill, NC 2751G 'j ~:. J ~7 , EXEGUIIVEUIRf_CIOfI ~,~,,-/ ~-~~~ /~, i~~, v<tt t.i ~«. « < '«< <'i eia i~'i <:: i. <. .. ~. i'ii. ;,iii i~. . .,.... ...i iii .II . r i , ~ ~ i~ -_.___ .. _. _ .._. __ ~ ~I NORTH CAROLINA MEDICAL BOARD ;~'+I li Jssue llat.e: F<*lirl~:-.~5~ fi, 1.~9'7~~1~~ PHYSICIAN ,~, i~ CERTIFICATE ,='O~~N"°'MFQi~'~-: REGISTRATION CERTIFICATE NO. 'f QQ;~ '~v' C;I OF REGISTRATION _ ~ ~i w_ ~! 1997 'rb°ti ~~..... 'oaa~~ 1 152-i 'i ~I ~. THIS IS TO CERTIFY THAT THE PHYSICIAN NAMED BELOW HAS REGISTERED WITH THE j;.; ~ BOARD AND HAS PAID THE REGISTRATION FEE OF $ lOt.).UU FOR l~,l THE YEAR ABOVE AS REQUIRED BY THE GENERAL STATUTES OF NORTH CAROLINA, ;; SECTION 90-15.1 AND RULES PROMULGATED PURSUANTTHERETO. ~ ~~ !~ ~I ~~ ~' RLGIS'TR ATION RL~QUII'.LD IN JAIVIIARI' 1495 ' , ~' ; ~.:' Ia, Julie Price Gn;lbb MD '~i lU8 Anglese Court ~';~ Chapel JIill, rTC 27S1G ''~. i, , ~T ~~ ~o i!`'i ;11 EXECUTIVE DIRECTOR ~' '~ THIS IS YOUR REGISTRATION CERTIFICATE FOR YOUR WALLET. PLEASE DETACH AND DISCARD THIS PORTION. NORTH CAROLINA MEDICAL BOARD RLGIS"1'RP:110IJ F.E~~UIRED 1/9fS REGISTRATION CERTIFICATE 1 1524 .••'~Np~M'• THIS IS TO CERTIFY THAT THEPIiYSICAN =~PQ~~."'~......FQ~~,. NAMED BELOW HAS REGISTERED WITH ~yA! ~ THE BOARD AND HASPAIDTHEREGISTRATION ~_` +J 1 0= FEE FOR THE YEAR ABOVE AS REQUIRED =;0,~;~..,_- _,;~•L;; BY THE GENERAL STATUTES OF NORTH ,~~~.~, CAROLINA,SECTION90-?5.1ANDRULES PROMULGATED PURSUANTTHERETO. hilif~ Y~icc Grubb MD L,icMise Nc~. O(I-7.726(! ~~~ EXECUTIVE DIRECTOR P.O. BOX 20007 RALEIGH, N.C. 27619 PLEASE DETACH AND DISCARD THIS PORTION. ?, ~ .NORTH CAROLINA MEDICAL BOARD ~~ ~ a7 ' "~ Issue Date: February 8, 199 PHYSICIAN I w 7';] ~r v +~ ~~ y CERTIFICATE ' ~~~••=NF~~'O•. ;'Q~:• ~~p'=, REGISTRATION CERTIFICATE NO V v~ I w . OF REGISTRATION ,~,?• ~ ~ r _ ~ .YI ~.~ .~ ~~ :m. _: ~ i 1997 '6°ti~$ ...... 'oaa''~ 199 i ~ ,,,,,,,,, 6 ,,., `,.~ ~~ THIS IS TO CERTIFY THATTHE PHYSICIAN NAMED BELOW HAS REGISTERED WITH THE ; ~~ BOARD AND HAS PAID THE REGISTRATION FEEOF$ lU(},OO FOR ,j ~a j ' THE YEAR ABOVE AS REQUIRED BY THE GENERAL STATUTES OF NORTH CAROLINA ;,I : , SECTION 90-15.1 AND RULES PROMULGATED PURSUANTTHERETO. "°~ 4V "\ ,.~ •~~ °~ ~~ REGI5TR.9TION REQUIRED IN JAl`IU.°1.RY 199fi "V \V "~ .~~ .. . .~ ;A~i Margaret Rose Helton 11~ID ..i 3i ~ ~ '"' Unc School Of Medicine ~~~ A`1 Campus Box 7595 I ~, ~A~ Chapcl Hill, NC 27599-7595 4VI " .~, •7 ~~ ,~A i EXECUTIVE DIRECTOR ~~5, -, ` _ f 7.4-~1~~ ~ '~~3 as ~-a~ _ I y . •, . _ _. .'.. } ., ry - l ~~s < .d y,. 1 f S.~l~, N, +Y~{+F~~t ~~ Of, ~~IT ., ~•d y j .-14v~ f - - fin. .. ~ ~,. [F/t -Y'i `pry ~.Sl ~d`{v t~'. ? ~ ~1~` I ~;~, ~ ~~s Y,~' !(. .. b G r l .F LV -, ~§ t I [ _ t ~e 3` r~ ."'~',~4~i~ ~ i ~~~H~~"~?c b ,~i k a [~ 9, e `~''t~ ~ ,_s~ '~ £ t``~ L 'i~ ,,P4.. d~ t -y~~ ~ t q , -~ }~ _ 4 ~P~ sue- s F v h Y,~ t ~ i. ~ .._ ~t •C'~ ~ ~ } .~ f - ~ k ;~5 ° ,K ,~, ~. ;~ ~ _, lip 5 ~ .~: 1 .! ~ ~ ~ `~,,~,} ~---~~-{{,~,~~~ ". -fir .. _ ~~}. tr F.v_ ~iV1i11'M ~~ , Y~RV~Y.I~aEuvAac"°a'riU.4_'t.~fws''a~,...w,_F13'':~.~~1E1."'~kr-~ a !,-~•t~e.5+N..~'._ ~ __ _ _.,_.. . ,uti.'4 _ ., ~~'•