HomeMy WebLinkAbout2001 S Health - UNC Family MedicineSTATE OF NORTH CAROLINA
COUNTY OF ORANGE
AGREEMENT
THIS AGREEMENT, made and entered into this first day of July 2001, 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."
WITNESSETH:
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 three 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:
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;
AGREEMENT Between UNC School of Medicine
And Orange County Health Department
Page 2 of 9
d. advise and interpret the regulatory requirements related to medical aspects of
the OCHUS functions;
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;
I. 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. provide medical direction to the Jail Health Program administered by the
OCHD for the Orange County Jail;
q. discharge the above listed responsibilities through and with knowledge
aforehand of the Health Director;
r. 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
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AGREEMENT Between UNC School of Medicine
And Orange County Health Department
Page 3 of 9
health (CH), adolescent (ADOL), tuberculosis (TB), sexually transmitted disease
(STD), general communicable disease control (GEN), adult health preventive
services (AH /HP), and Jail Health (JH), within State and Federal guidelines and
program rules. Clinical duties shall include:
a. Collaborative development and approval of clinic protocols; for the mutual
benefit of the Department, OCHD and its prenatal patients, it is agreed by both
parties that prenatal patients will be managed according to OCHD established
protocols. These will be reviewed annually 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 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, including
documentation of clinical services per OCHD protocol;
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. The Medical
Director shall be board certified in Family Medicine or an equivalent certification.
a. Any changes in these designations will be mutually agreed to by the Chair of the
Department and the Health Director.
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.
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AGREEMENT Between UNC School of Medicine
And Orange County Health Department
Page 4 of 9
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. The Department is
responsible for medical activities conducted during the entirety of these hours.
6. On -site physician attendance shall occur for a total of 20 hours per week in the clinical
setting. Days and times of this 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 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. At the request of the Health Director, the physician will provide on -site medical
supervision during communicable disease incidents.
8. The Department agrees to provide the equivalent of .70 FTE to carry out the duties
described above. The clinical and administrative services will be provided primarily by
the Medical Director, with other designated physicians providing back -up coverage.
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AGREEMENT Between UNC School of Medicine
And Orange County Health Department
Page 5 of 9
Substitutions in designated physician back -up will be the responsibility of the
Department in consultation with the Health Director. Vacation and continuing
education leaves will be mutually agreed upon by the Chair of the Department and the
Health Director. 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 Department will ensure that physicians covered under this agreement are in
compliance with OSHA guidelines regarding bloodborne pathogens including
Hepatitis B and TB status as well as documentation of immunization against
measles, mumps, rubella and varicella. In the event of a bloodborne pathogen
exposure, the Department will be responsible for providing follow -up according to
its policies and procedures governing exposure incidents.
11. 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, its students and
personnel, who provide the services described in the agreement. The insurance
limits will be stated in a Certificate of Insurance submitted at the time the contract is
commenced.
12. The Department will offer medical consultation in accord with the accepted
methods and procedures.
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AGREEMENT Between UNC School of Medicine
And Orange County Health Department
Page 6 of 9
13. The OCHD agrees to pay the Department in return for the above services equal
monthly installments of NINE THOUSAND, SIX HUNDRED TWENTY -FIVE
DOLLARS ($9,625.00).
14. The University shall bill the OCHD on a monthly basis with the first bill being
dated July 1, 2001 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.
15. The OCHD agrees to furnish all supplies, equipment, office space and a computer
as needed by the Medical Director; to include the Medical Director in all
appropriate conferences, meetings, correspondence and publications necessary to
appropriately discharge the Medical Director's duties within budgetary constraints.
16. 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.
17. This Agreement shall run for a period of TWELVE (12) months, from the 1 st day of
July, 2001, to the 30th day of June, 2002, and shall be renewable annually
thereafter upon written notice executed by both parties.
18. 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.
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AGREEMENT Between UNC School of Medicine
And Orange County Health Department
Page 7 of 9
19. 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 Health and Human Services in the
conduct of service.
20. No provision of this Agreement shall be construed or interpreted as creating a
pledge of the faith and credit of the County of Orange 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 the County of Orange 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 the County of
Orange or OCHD to make any payments beyond those appropriated in the sole
discretion of the County of Orange or OCHD for any fiscal year in which this
Agreement shall be in effect. No deficiency judgment may be rendered against the
County of Orange or OCHD in any action for breach of a contractual obligation
under this Agreement and the taxing power of the County of Orange is not and may
not be pledged directly or indirectly or contingently to secure any moneys due
under this Agreement.
21. 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.
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AGREEMENT Between UNC School of Medicine
And Orange County Health Department
Page 8 of 9
2Z.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
FOR AND ON BEHALF OF
ORANGE COUNTY HEALTH DEPARTMENT THE UNIVERSITY OF NORTH CAROLINA
AT CHAPEL HILL
Rosemary L. aurnmers, MPH, DrPH Nancy Su nfield
Health Director Vice - Chancellor,
Finance4Administration
DATE: g/�& DATE: —+1,L61(_)(
C�fLA it
Warren P. Newton, M
Chair, Family Medicine
DATE: V/oi
FOR AND ON BEHALF OF THE COUNTY OF ORANGE
ORANGE COUNTY FINANCE DIRECTOR:
"This instrument has been pre- audited in the manner required by the Local Government
Budget and Fiscal Control Act."
Ken Chavious
-•
Finance Director Orange County Board of Commissioners
DATE: Z7 O DATE: kf he� 7 /Ol
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AGREEMENT Between UNC School of Medicine
And Orange County Health Department
Page 9 of 9
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, 2000
through June 30, 2001.
The following physicians are designated by the Department of Family Medicine to fulfill
the terms of the attached contract:
Neva Edens Bartholomew, MD Medical Director
Michael Fisher, MD Physician
Margaret Helton, MD Physician
Physician
Copies of current registration and licensure for these physicians are attached.
Signed:
Warren Newton, Chair T�
Department of Family Medicine Date
Agreed:
Rosemary Summers, Health Director
Orange County Health Department Date
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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:
Neva Bartholomew, MD
Michaei Fisher, 1vID
07/01/01— 06130102
Margaret Helton, MD
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 with a $25 million aggregate.
Occurrence Basis
Not applicable
Date.
Kathryn Cha ell
Director of Risk Management
University of North Carolina Hospitals and the School of Medicine of the University of North Carolina at Chapel Hill
NORTH CAROLINA MEDICAL BOARD
PHYSICIAN CERTIFICATE OF REGISTRATION
A 4f
REGISTRATION REQUIRED
REGISTRAT10N
08/15/2001
CERTIFICATE 19916 NO.
o
THIS IS TO CERTIFY THAT THE PHYSICIAN NAMED BELOW HAS REG-
ISTERFID WITH THE BOARD AND HAS PAID THE REGISTRATION z:;::=
OF$ 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: 38974
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