HomeMy WebLinkAbout1995 S Agreement between Orange County Health Department and UNC Chapel Hill School of Medicine for pediatric medical services 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 Pediatrics 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 OCHD is the operator of two clinics in Carrboro,North Carolina and in
Hillsborough, North Carolina and desires the Department to provide medical care for children
and adolescents at OCHD; and
WHEREAS, the Department desires to participate in the provision of medical care for
children and adolescents at OCHD; and
WHEREAS,performance of the activity described herein is consistent with the
University's goals of research, teaching, education and public service.
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. A pediatrician from the University will provide pediatric services in the OCHD's clinics
for an average of twelve (12) hours each week except for 10 weeks during the summer when the
time will average 7.5 hours/week due to the suspension of the adolescent clinic in Carrboro.
Since the clinic does not operate for 12-13 weeks, this would allow for 9 - 13.5 hours of paid
planning time over the summer. The total number of hours covered in the contract is 579 hours.
This time will cover preparation time for and attendance at case conferences and continuing
education meetings on the second Monday of each month as well as on-site attendance at the
following clinics.
Tuesday Adolescent Clinic Carrboro 12:30pm- 5:00 pm
Wednesday Child Health Clinic Hillsborough 9:30 am - 11:30 am
Wednesday Adolescent Clinic Hillsborough 12:30 pm- 5:00 pm
2. The pediatrician's functions will be to:
a. Provide medical direction to the child health program at the OCHD and 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 program.
b. Provide medical services for children.
C. Provide medical services for adolescents.
d. Serve as primary supervising physician for the nurse practitioners employed by
the OCHD who provide medical services in the child health clinic and as needed in the
adolescent clinic.
e. Co-sign charts of patients seen by the nurse practitioners within five (5) working
days.
L Provide consultation to OCHD staff on matters pertaining to the child health and
adolescent health programs including the collaborative developmetn and approval of program
protocols.
g. Provide phone consultation during regular OCHD hours to OCHD staff regarding
treatment and follow-up of children and adolescents seen in the clinic or at school. Emergency
phone consultation shall be available as needed during non-business hours.
h. Provide continuing education consultation for nurse practitioners and other staff
to include regular informal consultation and periodic formal sessions as appropriate.
3. The Chief of the Division of Community Pediatrics shall designate the name of the
primary pediatrician and the names of any physicians who will provide clinical services or will
serve as back-up to the primary pediatrician when this person is unavailable.
a. Any changes in these designations will be mutually agreed to by the Chief of the
Division of Community Pediatrics and the Director of OCHD.
b. The University and OCHD will indicate their mutual agreement to the designation
of the primary pediatrician and any other physicians involved as described above by signing the
"Designation of Primary Pediatrician"attachment to this contract.
C. The services of this contract will be provided by the Primary Pediatrician 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 Primary Pediatrician will report activities and services performed to OCHD as requested by
the Health Director.
4. The Department will relate to all patients and staff of the OCHD in a professional and
instructional manner.
5. The Department will offer medical consultation in accord with the accepted methods and
procedures.
6. The Department will maintain current registration and licensure and provide evidence of
such to the OCHD upon request.
7. 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 the contract is
commenced.
8. The OCHD will reimburse quarterly the University's Department of Pediatrics at an
annual rate of twenty-two thousand, one hundred forty-six dollars ($22,146) for partial salaries,
fringe benefits and related travel of pediatricians.
9. The University will bill the OCHD on a quarterly basis with the first bill being dated July
1, 1995 and the Orange County Health Department 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 practicable.
10. In the event that the assigned pediatricians 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.
11. This agreement shall run for a period of twelve (12) months,from the first day of July
1995 to the thirtieth day of June, 1996, and shall be renewable annually thereafter upon written
notice executed by both parties.
12. 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.
13. The OCHD and The University hereby agree that, in their educational and/or
employment practices, each will comply with such nondiscrimination lawas as may be
applicable to them 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 this service not
inconsistent with University policies or regulations.
14. 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.
15. 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
Daniel B. Reimer, Director Wayne WJones, Vi Chancellor
Business and Finance
DATE:_ �6 DATE: 3
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:, 3 F
CHAIRMAN, ORANGE COUNTY B ARD OF COMMISSIONERS
DATE:
Designation of Primary Physician
Attachment to Contract between the Department of Pediatrics,University of North Carolina
School of Medicine and the Orange County Health Department for fiscal year 1995-96.
The following practitioners are designated by the Department of Pediatrics to fulfill the terms of
the attached contract:
Frank A Lads Primary Practitioner
Betty B. Compton Back-up Practitioner
Copies of current registration and licensure for these physicians are attached.
IN WITNESS WHEREOF,the parties have hereunto signed this Agreement in their official
capacities of the day and year listed below.
Approved:
-/'O� b 9�
J A.Lohr,MD Date
'ef,Division of Community Pediatrics
FOR AND ON BEHALF OF THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL:
-3
Wayne ones,Vice- ancellor Date
Business and Finance
Agreed,FOR AND ON BEHALF OF THE ORANGE COUNTY HEALTH DEPARTMENT:
Daniel B.Reimer,Director Date