HomeMy WebLinkAbout2013-266 Health - Piedmont Health Services for PHS and OCHD agree for certification of WIC clients at OCHD as/ 3 - .2G �
PHS/OCHD Memo of Agreement I-Ile 4 ! �!
FY 13-14
Memorandum of Agreement
Between
Piedmont Health Services, Inc. WIC Program
and
Orange County Health Department
For WIC Program Services
This Memorandum of Agreement made and entered into the 1" day of July 2013 by and between
the Orange County Health Department ("OCHD") and Piedmont Health Services WIC Program
("PHS").
WITNESSETH:
WHEREAS, both PHS and OCHD deem it to be of mutual interest to their atients/clients
and their respective organizations to enter into this agreement for certification of WIC clients at
OCHD; and
WHEREAS, both parties desire to reduce the terms of this agreement to writing;
NOW THEREFORE, and in consideration of the mutual promises to the other as
hereinafter set forth, the parties hereby mutually agree as follows:
A. PHS agrees to perform in a manner satisfactory to OCHD the following responsibilities:
1. Provide WIC services to Maternal and Child Health clinic clients at OCHD in
Hillsborough following the policies, procedures and flow of patients as
established by OCHD. Services will include height and weight assessment,
nutrition assessment and education, WIC certification, food vouchers issuance,
child immunization assessment, and appropriate patient referrals in accordance
with state WIC policies.
2. Provide the necessary supervision, training and policy guidance to carry out the
tasks identified above in consultation with the designated OCHD liaison.
3. Provide personnel for coverage during vacations and other approved leave except
PHS scheduled holidays and unavoidable emergencies. Inform the OCHD liaison
when WIC staff will be absent so that OCHD clinic staff can be notified.
4. Schedule meetings as needed with the OCHD liaison and WIC Director to discuss
problems, procedures, changes in policy and to establish and review objectives.
5. Reimburse OCHD, on a quarterly basis, ten dollars ($10) per client for each client
that is not an OCHD patient, for testing of hemoglobin on WIC clients.
6. Piedmont Health Services will provide their own interpreter services for clients
receiving WIC services, including laboratory services at the OCHD location in
accordance with Title VI and Title II requirements.
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PHS/OCHD Memo of Agreement
FY 13-14
B. OCHD agrees to perform in a manner satisfactory to PHS the following responsibilities:
1. Provide reasonable working space and equipment necessary for carrying out WIC
responsibilities in the Hillsborough office.
2. Provide access to Medical Records for the purpose of gathering medical
information and for project evaluation.
3. Through its liaison, OCHD shall be responsible for the following:
a. Meet, as needed, with the PHS WIC Director to discuss problems, procedures,
changes in policy and to establish and review objectives.
b. Inform WIC staff of OCHD holidays, closings, clinic changes, and staff
absences, which may affect the delivery of WIC services.
4. Perform hemoglobin testing for all WIC clients served at the Hillsborough OCHD
site and submit invoices on a quarterly basis to Piedmont Health Services, Inc. for
non-OCHD clients.
C. Term. This agreement is for the performance of services rendered during the period
beginning July 1, 2013 and ending June 30, 2014.
D. Termination. Either party may terminate this agreement by giving 90 days written notice
to the other party.
E. Non-Appropriation. It is understood and agreed between PHS and OCHD that
continuation or any renewal or extension thereof, is dependent upon and subject to the
allocation or appropriation of funds to PHS and/or to OCHD for the purposes set forth in
this agreement. It is also understood and agreed that either party shall involve the other
in significant scheduling or program changes, which may affect services.
F. Access to Records. OCHD agrees that the State of North Carolina, United States
Department of Agriculture, the Controller General of the United States, or any of their
duly authorized representatives, shall have access to any books, documents, papers and
records of OCHD which are directly pertinent to this specific agreement, for the purposes
of audit, making excerpts and transcriptions.
G. Compliance with Laws. All parties agree to abide by all laws and regulations governing
the confidentiality of patient information, including HIPAA privacy rules and further
agree to vigorously safeguard privileged information.
H. Non-discrimination. All activities under this agreement shall be conducted in accordance
with Title VI, Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973,
WIC Program Rules, regulations and policies, the Americans with Disabilities Act and all
other applicable State and Federal laws regarding employment. Standards for being
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PHS/OCHD Memo of Agreement
FY 13-14
served by the WIC Program are the same for all people no matter what race, color,
national origin, age, handicap or sex.
1. Renewal of Agreement. This agreement may be renewed upon the mutual agreement of
both parties. Any renewal shall be negotiated 30 days prior to the beginning date of the
new contract period.
J. Amendment. This agreement may be amended upon the mutual agreement of the parties.
All amendments shall be in writing and signed by both parties to the agreement.
k. Notices. Any notice required by this Agreement shall be in writing and delivered by
certified or registered mail, return receipt requested to the following:
Orange County PHS Name
Attention: Colleen Bridger Attention: Brian Toomey
P.O. Box 8181 299 Lloyd Street
Hillsborough, NC 27278 Carrboro Nc, 27510
IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have hereunder
set their hands and seal, all as of the day and year first above written.
WL,'�a44 I
Brian Toomey, Execu ve Director Date
Piedmont Health Se ces, Inc.
A 1
Colleen Bridger, MPH, Ph , Health Director Date
Orange County Health De artment
Appr ed a to form and legal sufficiency
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Annette M.Moore, Staff Attorney Date
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