HomeMy WebLinkAbout2006 S Health - Addendum to Contract Renewal with UNC Family Medicine & Health Department provide Medical Director Services6
•
June 19, 2006
Addendum A to
S -~4'~G
SF
Agreement between UNC and OCHD
For Medical Director Services
Whereas, the Chapel HilUCarrboro City Schools (CHCCS) employs one (1)
School Nurse who is a licensed and qualified Nurse Practitioner (Head Start Program),
and;
Whereas, the Chapel HilUCarrboro City Schools (CHCCS) seeks to have the School
Nurse provide limited nurse practitioner services to students at her site, and;
Whereas, the School Nurse Practitioner requires medical supervision, and;
Whereas, the Orange County Health Department (OCHD) maintains a Memorandum of
Agreement with the Chapel Hi1UCarrboro City Schools to provide medical direction to
school nurses by the OCHD Medical Director, and;
w uN~VfiR.,fetY of ,~la~tT/! C/f'rL~R+N~! /~1 Cb~~- ~~u- ~''~ "V~•rriLS/'zr •J
Whereas, the Department of Family Medicine of the UNC School of Medicine
(Department) provides medical supervision to OCHD Nurse Practitioners through its
Medical Director contract and is agreeable to expanding the contract to provide medical
supervision to the CHCCS School Nurse Practitioner.
Therefore, the above parties agree to the following:
1. OCHD Medical Director (or other mutually agreed upon UNC Family Practice
physician) will provide medical supervision to the CHCCS School Nurse
Practitioner from August 15, 2006 to June 15, 2007 (10 months).
" ~r ¢tc~ ~,r t,t,.
2
CHCCS will maintain medical malpractice insurance equal to or exceeding a $1
million per incident and a $3 million upper limit coverage for its School Nurse
Practitioner and will furnish proof of insurance to the OCHD and the Departure
3. CHCCS will submit all nurse practitioner protocols to OCHD for review by the
Medical Director or designee prior to implementation of the protocols.
~~'~
z~lf~.•~o,~ rs
~~1~~
~,QOI~~~.`'
~„~ v/f tf/~C `i C¢riS
sf~ Tff~
~atFi.+~
nt. 3e Zw ~~ ~1
T~~ ur~~ ~w/"1
/h~ n p c!f p.
4. CHCCS will assure the School Nurse Practitioner has an approved Board of
Pharmacy registration and Registration and Approval to Practice by the NC Board
of Nursing and the NC Medical Board. CHCCS will provide OCHD with a copy
of the Nurse Practitioner's current license.
5. CHCCS will assure the School Nurse Practitioner has a Collaborative Practice i¢Y
Agreement completed with the OCHD Supervising Physician. ~~Ja' ~~,(~
uNrvr~,,,s~-~ti.r ~-.ss.ar+sw ~ p/1
RETURN THIS COPY TO THE CLERK'S _
OFFICE FOR THE PERMANENT AGENDA FILE
June 19, 2006
6. CHCCS will assure that the School Nurse Practitioner abides by all laws and
regulations governing the confidentiality ofpatient information, including HIPAA ~~~
privacy rules.
f~-
7. OCHD will amend its agreement with CHCCS to include the medical supervision
of its School Nurse Practitioner by the OCHD Medical Director or designee with ~,I~N
its corresponding period of coverage and costs - u~,vr~.j,~y •~ ~~~„~
8. CHCCS will pay OCHD for medical supervision of its School Nurse Practitioner i/i.~
the amount of $2892/year (1 hour/wk x 6 months; 1 hour/mo x. 4 months) in one 5~
lump payment by September 30, 2006. /~~~
~ ff1~t ,~r~Ei~.s~'iY
9. OCHD will pay 1;k~e~t for the above services in one lump payment of $2892 ~~
by December 30, 2006.
10. This agreement is in effect from July 1, 2006 through June 30, 2007.
Signatures:
'Rosemary Su t~i Hers, MPH, DrPH
Orange County ealth Director
~~~~
Neil Pedersen, PhD
CHCCS Superintendent
r
,.
wton, MD
Chair, Family Medicine
Willi op , MD,
Date
Date
_ ~/ ~/~~
Date
Date
Dean, of Medicine
Vice Chance or for Medical Affairs
Orange County Finance Director:
"This instrument has been pre-audited in the manner required by the Local Government
Budget and Fiscal Control Act."
~~ ~ ~~ d~
Ken Chavious ~ Date
Finance Director
June 19, 2006
,Chair
Orange County Board of Co iss ners
1 ~
Date