HomeMy WebLinkAbout1995 S Agreement between Orange County Health Department and UNC-Chapel Hill for its Department of Family Medicine STATE OF NORTH CAROLINA
COUNTY OF ORANGE AGREEMENT
THIS AGREEMENT, made and entered into this first day of July,
1995, 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
Carrboro 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/Personal
Health Services Director in matters of medical policy;
b. advise the Health Director/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/Personal Health Services Director.
d. advise and interpret the regulatory requirements related to
medical aspects of the OCHD'S functions;
AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 2 of 8
e. provide coordination to 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/Division Directors;
h. assist the Health Director/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/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;
o. discharge the above listed responsibilities through and with
knowledge aforehand of the Director;
p. 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) , tuberculosis (TB) , sexually transmitted
disease (STD) , general communicable disease control (GEN) and adult
health preventive services (AH/HP) , within State and Federal
guidelines and program rules. Clinical duties shall include:
a. Collaborative development and approval of clinic protocols;
b. Primary technical supervision of the nurse practitioners who
are employees of the OCHD;
AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 3 of 8
C. Co-signing charts of patients seen by the nurse practitioners
of the OCHD within five (5) working days;
d. Medical consultation visits to OCHD patients during scheduled
on-site clinic times;
e. Routine medical services as needed during scheduled on-site
clinic times when the nurse practitioner is not available or
clinic is extremely heavy;
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 or will serve as back-up to the Medical Director when this
person is unavailable.
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 the following clinics: FP/STD on Monday
(afternoon) , Tuesday (all day) , and Friday (morning) in
Hillsborough and Wednesday (all day) and Thursday (afternoon) in
Carrboro; PNC on Thursday; general clinic -adult health,
communicable disease and immunization on Monday in Hillsborough and
Tuesday in Carrboro; immunization on Wednesday (morning) in
Hillsborough, Thursday (all day) and Friday (morming) in Carrboro;
adult health and county employee health and other worksites
scheduled as needed; TB patients are scheduled during FP/STD
clinics in the afternoons; breast and cervical cancer screening
AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 4 of 8
clinics on Thursdays (morning) in Carrboro and Friday (afternoon)
in Hillsborough.
5. Clinics are operational during the normal business hours of 8:00
a.m. to 5:00 p.m. , Monday through Friday. Wednesday and Thursday
clinics are likely to extend until 5:30 p.m. , and Tuesday clinics
are likely to extend until 6:00 p.m. The Department is responsible
for medical activities conducted during the entirety of these hours.
6. It is required that on-site physician attendance shall occur as
follows:
Tuesday FP/STD Clinic - Hillsborough 12 :30 pm - 3:00 pm = 2 .5 hrs.
Wednesday FP/STD Clinic - Carrboro 1:45 pm - 5: 15 pm = 3.5 hrs.
Thursday PNC Clinic - Hillsborough 10:00 am - 12 :00 pm = 2 hrs.
Although Medical Director or back up physician attendance is not
required on premises at other times, it should be available whenever
needed. 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 will be available for phone consultation
during all business hours and emergency phone consultation shall
be available as needed during non-business hours. Phone coverage
will also be provided for consultation and direction for
communicable disease/epidemic control.
8. In addition to the eight (8) on site clinical hours per week, the
Department agrees to provide two (2) hours of administrative time
for an average of ten ( 10) hours per week. These two (2) hours
will be scheduled to the mutual convenience of both parties
to include some scheduled on-site administrative time, as well as
AGREEMENT Between the UNC School of Medicine
and Orange County Health Department
Page 5 of 8
phone coverage and provision of continuing education to staff. The
clinical and administrative services will be provided by the Medical
Director and the back-up physician 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.
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, in consultation as to amount with the OCHD
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 of the contract is
commenced.
11. The Department will relate to all patients and staff of the OCHD in
a professional manner.
12 . The Department will offer medical consultation in accord with the
accepted methods and procedures.
13. The OCHD agrees to pay the Department in return for the above services
TWENTY-EIGHT THOUSAND, EIGHTY DOLLARS ($28,080) . At the rate of
$54 .00 per hour for an average of 10 hours per week from July 1, 1995,
AGREEMENT Between the UNC School of Medicine
and Orange County Health Department
Page 6 of 8
through June 30, 1996, payments shall be made in equal monthly
installments of TWO THOUSAND, THREE HUNDRED FORTY DOLLARS ($2,340 .00) .
14. The University shall bill the OCHD on a monthly basis with the first
bill being dated July 1, 1995 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 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.
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
1st day of July, 1995, to the 30th day of June, 1996, 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.
AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 7 of 8
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 Environment, Health and Natural Resources in
the conduct of service.
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.
AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 8 of 8
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
r
Daniel B. Reimer, Director Wayne W. Jones, ice-Chancellor,
G� Business and Finance
DATE: l DATE:
ORANGE COUNTY FINANCE DIRECTOR:
"This instrument has been preaudited in the
manner required by the Local Government
Budget and Fiscal Control Act. "
Orange County Finance Director
DATE: S- 13�
CHAIRMAN, ORANGE COUNTY BOARD 7 rP61ONERS
DATE: ` ( S
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 fiscal year 195-196.
The following physicians are designated by the Department of Family
Medicine to fulfill the terms of the attached contract:
Marcia Angle, M.D. Medical Director
Margaret Helton, M.D. Back-up Physician
Adam Goldstein, M.D. Back-up Physician
Copies of current registration and licensure for these physicians are
attached.
Signed:
Cha' , Department of Family Medicine Date
Agreed:
Health Director, Orange County Health Department D to
UNC PHYSICIANS
325 Wing B, Medical School, CB#7150
Chapel Hill, NC 27599-7150
A Unit of the School of Medicine 919 966-4385
The University of North Carolina at Chapel Hill Fax 919 966-4125
Faculty Services
October 11, 1994
Mr. Daniel B. Reimer, M.P.H.
Health Director
Orange County Health Department
PO Box 8181
300 W. Tryon St.
Hillsborough, NC 27278
Dear Mr. Reimer:
All of the physician faculty of the School of Medicine University of North Carolina at
Chapel Hill are covered for professional malpractice liability by a program of self-
insurance established September 15, 1982, and administered by the Liability Insurance
Trust Fund Council as authorized by North Carolina General Statutes 116-219 through
116-223. The limit of liability for a covered individual under this agreement is $5,000,000
and the type of policy is occurrence.
The program covers employees, while providing patient care on behalf of the University,
at all times and in all places. The program will cover patient care activities by the
University faculty that are in fulfillment of contractual relationships with any department
of the School of Medicine or with UNC Hospitals. The program does not cover activity
of any physician acting on his or her own behalf or who is acting as a private contractor
separate and apart from the University or UNC Hospitals.
The self-insurance program was initiated September 15, 1982, and has no termination
date. Private coverage will be acquired for all covered employees if the program should
ever be terminated.
Sincerely,
Ruby B. Justice
Faculty Services Manager
4\
STATE 0. 7c
t.,NX 20.177,
A
>
Z -
QUAM
a Fj T MI E o TI AT-Ej, a f Aso : ��o
W ereas
H as appliEd tU US .0
+
0
I ta
'ot
3b&#Mst*, ,M'r -
IMP%wy W-W� ,
-1.-- OF THE STATE OF NORTH CAROLINA I
. . . . . . .. . . .
Fort admission to practice as a within tl e State aforesaid
,��i��i�eZ��,lG1lfG �G'.�Gl��/����/O�Z�J Jl`1�,1//1,/�1 �l��l l��Z.Z<'J,1l.Cllj>��t'�/Z���Z%Z/J E' f'`,�11�
W/zff�e ,
,
—Asuvi llz�
Member
D. [Sea]]
M
--------- MV, M.D. [Seal]
I.D. [Seal]
NIC ber
D. Seal]
I.D. [Seal]
Member
-M.D. [Seal]
Member
Member [Seal]
Ij VIR&'MM-SWULIMA110
ilo*.
�maw
4hge�
MW
RT
I-.
,,- TATC
S Or
0
QUAM
v
TH-
OJIMN
0 if'E" OJF' S!T AT of To)!
E
.--.0) .�K AIR
Wl?ersas
aS applied tO Lul
.�/, .� '�,� rear v �r♦�+v ���M ♦.v.���.v e r•y.r+
OF THE STATE OF NORTH CAROLINA
wit t�e State aforesaid
A.
Fop admission to practice as a ;� z �
111111im"1,-;e
hl. 46-
M.D.[Seal]
No
M.D.ISrall
M.D.[Sea,,
--M.D.(Seal]
-A(�- - [Seal]
ZO
0
T
Al
fs41 QUAM IVI
Has P iEi to US
ej __
OF THE STATE OF NORTH CAROLINA E�—
within t e State aforesaid
For admission to practice asa
14%A
Ile,
r !/ AEG
00/.
ar
M.D.(SCSI]
M.D.(Seal]
No
(Seal]
Member
—M.D.tse&4
M.D.(Seall
M.D.[Seal]
D. (Sea]]
W.b.
[SeajI
W.b.,
04
�N