HomeMy WebLinkAbout2006 S Health - UNC School of Dentistry & Health Department for Services of a Dentistp,~F lr/S~~o~
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 ls` day of July 2006, 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 Visiting Clinical Assistant
Professor to provide direct clinical services for clients of the Dental Health Service of the Orange County
Health Department for the fiscal year 2006-2007;
WHEREAS, The Health Department desires to reimburse The School of Dentistry for the salary
of one Visiting Clinical Assistant Professor;
WHEREAS, The School of Dentistry wishes to provide the services of one Visiting Clinical
Assistant Professor 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
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for '/4 the total contract amount: $~3~2-75 for a total of $ f62;~4i
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2. The School of Dentistry will provide the services of one Visiting Clinical Assistant Professor
to the Health Department for the purpose of rendering comprehensive clinical dental services for 32 hours
per week (.8 FTE) in the Dental Health Services Division of the Health Department.
Between The University of North Carolina
School of Dentistry for its
Department of Dental Ecology
And OCHD
Page 2 of 6
3. The School of Dentistry will provide the services of one Visiting Clinical Assistant Professor
to The Health Department for the purpose of providing attending dentist supervision for dental residents
and students who provide services through the UNC School of Dentistry under this agreement.
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4. School of Dentistry will bill The Health Department ~~at the close of each quarter
for the amount of this contract for the services of one Visiting Clinical Assistant Professor.
5. 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.
6. While the School of Dentistry Visiting Clinical Assistant Professor is working 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 occurence, $3 million aggregate.
7. Any requested time away from clinical duties must be submitted to the Health Department
Dental Division Director at least two months in advance or in the case of illness, the Division Director
must be notified immediately. The School of Dentistry is not responsible for providing alternate coverage
in the event of absences.
8. The Visiting Clinical Assistant Professor shall provide the following services to the Health
Department:
A. Provide dental care for adults and children within the scope of the OCHD Dental Health
Services Standards of Care:
1. Meets daily production standard of $2,500 to $3,000 per day.
2. Assures that all clinical staff is meeting production standards.
B. Use professional judgment to facilitate the accomplishment of the following:
1. Provide our patients with quality care.
2. Deliver that care in a timely and compassionate manner.
3. Perform a clinical exam (limited or comprehensive) in order to observe and
record pertinent information regarding the physical condition and dental needs of
the patient.
4. Based on the results of the examination, a diagnosis and proposed treatment plan
will be developed.
5. Presentation of treatment plan to the patient will relate to the patient's need and
desires.
6. Treatment plan alternatives, when appropriate, will be developed and presented
to each patient.
7. Amalgam and composite restorations.
8. Simple extractions and those extractions that become surgical.
9. Pulpotomies, stainless steel crowns, sealants, prophylaxis, periodontal scaling,
fluoride.
10. Performs emergency dental treatment for relief of pain and/or infection.
11. Triage dental emergency patients appointments daily.
Between The University of North Carolina
School of Dentistry for its
Department of Dental Ecology
And OCHD
Page 3 of 6
12. Assess the client's dental needs and makes referrals to appropriate specialist.
13. Prescribes appropriate medications to treat or prepare a patient for treatment.
14. Accurately documents treatment rendered in dental patient records to manage
risk, provide continuity of care and assure quality of care.
15. Reads and co-signs all entries in the dental patient record for every visit except
when the pediatric dentist is the attending in the clinic.
16. Review medical and dental histories of all dental patients.
17. Treat medically compromised patients consistent with their educational training
and experience,
18. Assure that necessary precautions are taken for each patient to reduce the risk of
medical and dental complications.
19. All treatment procedures performed should be of such a level of quality that
favorable, predictable results will routinely occur.
C. Supervise the clinical treatment services performed by all staff in the OCHD Dental Health
Service to a culturally diverse population.
1. Orders treatment services to be rendered and/or reviews and confirms treatment
plan.
2. Checks and verifies that dental treatment rendered by general practice residents,
dental students and dental hygiene students meets Standards of Care and are in
full compliance with the Dental Laws and Dental Rules of NC State Board of
Dental Examiners.
D. Responsible for the orientation, training and evaluation of General Practice Residents, dental
students, dental hygiene students and dental assisting students (delegate responsibilities to
appropriate OCHD staff).
1. Attends GPR Faculty/Attending Quarterly Meetings.
2. Participates in the GPR recruitment process.
3. Responsible for the resident's and student's behavior while at the OCHD (late
arrival, leaving early, production, patient care).
E. Serves as a preceptor for students from UNC School of Dentistry. Holds a Visiting Clinical
Assistant Professor appointment in the Department of Dental Ecology, UNC School of Dentistry.
1. Follows UNC School of Dentistry Pediatric Syllabus as Standards of Care for
pediatric patients.
2. Follows UNC School of Dentistry Standards of Care as a guideline for treating
patients at the Health Department.
3. As preceptor, adheres to the UNC School of Dentistry Clinical Competency/Self-
Assessment/Competency Program protocols for evaluation of dental students.
4. Must be calibrated by a dental hygiene faculty member from UNC to function as
a preceptor for dental hygiene students on rotation at the Health Department.
5. Fills out all evaluation forms for students and residents.
6. Is accessible and interacts with residents and students.
7. Answers questions and provides training for residents and students.
F. Meets Health Department Quality Assurance Protocols.
1. Follows general dentistry Standards of Care.
2. Participates in a carefully structured, active peer review of dental operators through
regularly scheduled, rotating chart audits conducted by the Health Department Risk
Management Coordinator. The audits will focus upon appropriateness of care,
comprehensiveness of care, and continuity of care.
3. Follows the Dental Laws and Dental Rules of NC State Board of Dental Examiners.
Between The University of North Carolina
School of Dentistry for its
Department of Dental Ecology
And OCHD
Page 4 of 6
G. Adheres to the following work schedule:
1. Works 32 hours per week.
2. Scheduled to work Tuesday through Friday from 8:00 am to 5:00 pm.
3. Arrives to work on time.
4. Compensatory time that has been accrued Tuesday through Thursday can be
taken at the discretion of the Dental Health Services Division Director.
10. This Agreement shall run for a period of one year, from the 15' day of July 2006 to the 30"'
day of June 2007, and shall be renewable thereafter. In the event that the Visiting Clinical Assistant
Professor is unable to begin on July 1, the payments will be prorated to accommodate the starting date.
11. 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 30 days
prior to termination. In the event of such termination any payment due shall be prorated to the
date of termination.
12. 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 years 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.
13. The Health Department and the School of Dentistry will comply with such non-
discrimination and confidentiality laws as may be applicable in the performance of this agreement and
acknowledge that in receiving, storing, processing or otherwise dealing with any confidential information,
they will safeguard and not further disclose the information except as permitted by the Health Insurance
Portability and Accountability Act of 1996, Public Law 104-.191, as amended.
Between The University of North Carolina
School of Dentistry for its
Department of Dental Ecology
And OCHD
Page 5 of 6
14. The School of Dentistry will be responsible for training its Visiting Clinical Assistant
Professor to follow the OSHA Blood-borne Pathogens Standard, assuring that its Visiting Clinical
Assistant Professor comply with the health requirements established by North Carolina state regulations
and the School of Dentistry.
15. The School of Dentistry will maintain proper records of its Visiting Clinical Assistant
Professor and instruct them about Hepatitis B vaccinations, about the Visiting Clinical Assistant
Professor's responsibility for post-exposure follow-up and any incurred costs, about the responsibility for
the provision of protective equipment, and the proper post-exposure record-keeping.
16. The Health Department must provide HIV, HBV and HCV testing for the source patient in
the event of a blood borne pathogen exposure. In the event the Visiting Clinical Assistant Professor is
exposed to blood or bodily fluids, the Health Department will be responsible for providing an initial
response, according to the Orange County Health Department Blood-borne Pathogens Standard. The
Visiting Clinical Assistant Professor will be required to return to the UNC School of Dentistry Employee
Health for post-incident testing and counseling if feasible. In the event the Visiting Clinical Assistant
Professor is unable to do so in a timely manner, the Health Department will provide access to testing and
counseling for the Visiting Clinical Assistant Professor. The Visiting Clinical Assistant Professor will be
responsible for the payment of services.
17. The Health Department will not be responsible for damages arising from personal injury to
the Visiting Clinical Assistant Professor of the School of Dentistry while the Visiting Clinical Assistant
Professor is present at the Health Department, unless personal injury was caused by the negligence of the -
Health Department, its employees, or agents. Nothing in this agreement is intended to serve as a waiver
of sovereign or governmental immunity by 6rttng~Ge ~`--~
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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
Between The University of North Carolina
School of Dentistry for its
Department of Dental Ecology
And OCHD
Page 6 of 6
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
CAROLINA
D PARTMENT
Rosemary L. S e ,MPH, DrPH Date
Health Directo
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FOR AND ON BEHALF OF THE
UNIVERSITY OF NORTH
AT CHAPEL HILL
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Dr. John Ilia s, DMD, MBA ate
Professor and ean, School of Dentistry
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J U L 2 5 2006
~/- ~~+~rFceirl• ~t~•~ R• ;~,eRy Date
Vice Chancellor for Finance and Administration
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This instrument has been preaudited in the
Manner required by the Local Government
Budget and Fiscal Control act.
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Kenneth Chavious Date
Dire r Orange County Finance /~
Barry Jacob ~ ~ Date
Orange Cou Board o missioners