HomeMy WebLinkAbout1999 S Health - 1999-2000 Contracts for Professional Services with UNC Family Practice Center STATE OF NORTH CAROLINA
COUNTY OF ORANGE AGREEMENT
THIS AGREEMENT, made and entered into this first day of July 1999, 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;
e. provide coordination for medical components of the clinical programs of
the OCHD;
f. advise and assist staff in epidemiological investigations;
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AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 2 of 8
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;
0. 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) , 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.
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AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 3 of 8
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;
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.
g. Collaborative development by the primary supervising physician and nurse
practitioners of a Quality Improvement Process as described in the N.C.
Administrative Code governing nurse practitioner practice.
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.
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
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AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 4 of 8
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. 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 of new nurse practitioners 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. The Department shall provide OCHD with
the OCHD doctor schedule and a call schedule quarterly with updates as needed.
On-site attendance on evenings or weekends may be required during a
communicable disease incident.
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.
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AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 5 of 8
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 adequate professional liability insurance for the
University' s students and personnel, who provide the services described in
the agreement. The insurance limits will be stated in a Certificate of
Insurance or other evidence of coverage submitted at the time the contract
is commenced.
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 4 Aa
equal
(55,7 IL
monthly installments of SEVEN THOUSAND, SEVENTY-ONE ($7, 071) . 7j)Taen
13. The University shall bill the OCHD on a monthly basis with the first bill
being dated July 1, 1999 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.
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AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 6 of 8
16. This Agreement shall run for a period of TWELVE (12) months, from the 1st
day of July, 1999, to the 30th day of June, 2000, 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 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
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AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 7 of 8
OCHD is not and may not be pledged directly or indirectly or contingently to
secure any moneys due under this Agreement.
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 FOR AND ON BEHALF OF THE UNIVERSITY
COUNTY HEALTH DEPARTMENT OFWORTI-I CABOLINA AT CHAPEL HILL
�4 &v�4
Wch M 0. Eybm, JAv�
Rosemary LL/ 8ubmers, MPH, DrPH Jame,= R Ra� Vice-Chancellor,
Health Director Finance and Administration
DATE: /_/ 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. "
Ke Ithavious
Finance Director
DATE: �T��
Alice Gordon, Chair
Orange County Board of Commissioners
Z
DATE:— j11_71111;7
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AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 8 of 8
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, 1999 through June 30, 2000.
The following physicians are designated by the Department of Family
Medicine to fulfill the terms of the attached contract:
Marcia Angle, MD Medical Director
Michael Fisher, MD Physician
Margaret Helton, MD Physician
Julie Price, MD Physician
Copies of current registration and licensure for these physicians are attached.
Signed:
&nrlm Q�z
Depattme t ily Medicine D to
Agreed:
Health Dire or, Orange County Health Department to
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5 NORTH CAROLINA MEDICAL BOARD 5
PHYSICIAN CERTIFICATE OF REGISTRATION 5 THIS IS YOUR REGISTRATION
S 5 CERTIFICATE FOR YOUR WALLET.
REGISTRATION REQUIRED REGISTRATION 5 PLEASE DETACH AND DISCARD
0 6/11/2000 CERTIFICATE NO. 5 THIS PORTION.
10957
5
THIS IS TO CERTIFY THAT THE PHYSICIAN NAMED BELOW HAS REG-
ISTERED WITH THE BOARD AND HAS PAID THE REGISTRATION FEE
SOF$ $100.00 FOR THE YEAR ABOVE AS REQUIRED 5 NORTH CAROLINA MEDICAL BOARD
BY THE GENERAL STATUTES OF NORTH CAROLINA,SECTION 90-15.1 REGISTRATION REQUIRED
AND RULES PROMULGATED PURSUANT THERETO. REGISTRATION 6/11/2000
5 CERTIFICATE
5 10957 THIS IS TO 5 5 �v►" NAMED BELOW IAS REGISTERED WITH THE
5 LICENSE NO. 00-26485 �� BOARD AND HAS PAID THE REGISTRATION FEE
x�m FOR THE YEAR ABOVE AS REQUIRED BY THE
rj 5 m GENERAL STATUTES OF NORTH CAROLINA
MARCIA ANN ANGLE NID +»A s SECTION 90-15A AND RULES PROMULGA D
5 PURSUANTTHERETO.
5 ORANGE COUNTY HEALTH DEPT S
5 300 WEST TRYON ST 5 MARCIA ANN ANGLE MD
EXECUTIVE DIRE R
LICENSE NO.: 00-26485 O
5 HILLSBOROUGH, NC 27278 5 P.O.BOX 20007
5 RALEIGH,N.C.27619
5 PLEASE DETACH
E 5 AND DISCARD THIS PORTION.
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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 INSt1RANCE 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: Marcia Angle, MD
DATES OF COVERAGE: 07/01/87 — 07/01/2000
NAME OF CARRIER UNC Liability Insurance Trust Fund
AMOUNT OF COVERAGE: $3 million of professional liability self-insurance
coverage for each individual.
Commercial excess insurance over and above the
self-ir►sured coverage.
POLICY TYPE: Occurrence Basis
POLICY NUMBER: Not applicable
Completed by:
J<-°1G1VAI-Iff Date: ('0' ?� y
Kathryn Chappell
Director of Risk Management
University of North Carolina Hospitals and the School of Medicine of the University of North Carolina at Chapel Hill
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: Julie Price, MD
DATES OF COVERAGE: 09/01/96 — 07/01/2000
NAME OF CARRIER UNC Liability Insurance Trust Fund
AMOUNT OF COVERAGE: $3 million of professional liability self-insurance
coverage for each individual.
Commercial excess insurance over and above the
self-insured coverage.
POLICY TYPE: Occurrence Basis
POLICY NUMBER: Not applicable
Completed by:
k-cy ., Date: G ' 9' `I
Kathryn Chappell '
Director of Risk Management
University of North Carolina Hospitals and the School of Medicine of the University of North Carolina at Chapel Hill
NORTH CAROLINA MEDICAL BOARD
lPHYSICIAN CERTIFICATE OF REGISTRATION C
;C
2.1 REGISTRATION �)
=_ m'REGISTRATION REQUIRED
a°e 9 27 99 CERTIFICATE NO. �I
7-1i '°�. 'oa•'` / / 11524 1
THIS IS TO CERTIFY THAT THE PHYSICIAN NAMED BELOW HAS REG-
ISTERED WITH THE BOARD AND HAS PAID THE REGISTRATION FEE LJ
0F$ $100.00 FOR THE YEAR ABOVE AS REQUIRED
-i BY THE GENERAL STATUTES OF NORTH CAROLINA, SECTION 90-15.1 zI
Ji AND RULES PROMULGATED PURSUANT THERETO.
LICENSE NO: 00-27280 �I
j -Z
jl JULIE PRICE GRUBB MD
�I CI
102 SOUTH FIELDS CIRCLE ay
�I CHAPEL HILL, NC 27516- `I
�I �I
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71
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EXECUTIVE DIRECTOR 71
The University of North Carolina Liability Insurance Trust Fund
Legal Depar went 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
i
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: Margaret Helton, MD
DATES OF COVERAGE: 07/01/90 — 07/01/2000
NAME OF CARRIER UNC Liability Insurance Trust Fund
AMOUNT OF COVERAGE: $3 million of professional liability self-insurance
coverage for each individual.
Commercial excess insurance over and above the
self-insured coverage.
POLICY TYPE: Occurrence Basis
POLICY NUMBER: Not applicable
Completed by:
L. Date`"
Kathryn Chappell
Director of Risk Management
University of North Carolina Hospitals and the School of Medicine of the University of North Carolina at Chapel Hill
- - -- ---- ------------
�� NORTH C 30LINA MEDICAL BOARD
PHYSICIAN CERTIFICATE OF REGISTRATION
REGISTRATION REQUIRED
I Y;• �1k .a= 8/15/99 REGISTRATION
_i :y.•'. ' . as CERTIFICATE NO.
19 916
�i
THIS IS TO CERTIFY THAT THE PHYSICIAN NAMED BELOW HAS REG-
ISTERED WITH T$�00Ota D AND HAS PAID THE REGISTRATION FEE
OF$ FOR THE YEAR ABOVE AS REQUIRED
BY THE GENERAL STATUTES OF NORTH CAROLINA, SECTION 90-15.1
AND RULES PROMULGATED PURSUANT THERETO.
LICENSE NO. 00-38974
MARGARET ROSE HELTON MD
UNC SCHOOL OF MEDICINE
CB #7595
CHAPEL HILL, NC 27599-7595
EXECUTIVE DIRECTOR
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
i
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: Michael Fisher, MD
DATES OF COVERAGE: 12/01/95 — 07/01/2000
NAME OF CARRIER UNC Liability Insurance Trust Fund
AMOUNT OF COVERAGE: $3 million of professional liability self-insurance
coverage for each individual.
Commercial excess insurance over and above the
self=insured coverage.
POLICY TYPE: Occurrence Basis
POLICY NUMBER: Not applicable
Completed by:
t;A� Date:
Kathryn Chap ell
Director of Risk Management
University of North Carolina Hospitals and the School of Medicine of the University of North Carolina at Chapel Hill
DocFinlei http://www.docboard.org/cgi-shl/vfpwebn.ex�
AIM
Association of State Medical Board Executive Directors
......................................................................................................................................
North Carolina Medical Board search results
ILicensee Name NMichael John Fisher
License Status ;ACTIVE
ILicense Number 95I-0129
............
;License Type .Medical!Doctor
;Address 'Family Practice Center Campus
lAddress )Box#7586 101!Manning Dr Unc
k...W.....,..::...:.:.:...:..:. .. r,.,,w.,,...,,, ......,,,,w,,............ �i
City State Zip ;Chapel Hill NC 27599-7586'
S
[Birthdate 110/15/47
.. .....,..,, ......... .........
;Original License Date ;9/16/95
Certificate Expiration Datell0/15/99'
;Education ;