HomeMy WebLinkAbout1994 S Health - Agreement between Orange County Health Department and UNC-CH School of Medicine, Department of Family Medicine to provide faculty members who serve as part-time medical director and clinician STATE OF NORTH CAROLINA
COUNTY OF ORANGE AGREEMENT
THIS AGREEMENT, made and entered into this first day of July,
1994 , 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.
AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 2 of 8
d. advise and interpret the regulatory requirements related to
medical aspects of the OCHD'S functions;
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. 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) 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.
AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 3 of 8
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;
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; CH half-days on Monday and Wednesday;
general clinic -adult health and communicable disease on Monday in
Hillsborough and Tuesday in Carrboro; adult health promotion once
a month at each location; county employee health promotion
scheduled as needed; TB patients_ are scheduled during FP/STD
clinics in the afternoons.
AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 4 of 8
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:
Monday CH Clinic - Hillsborough 10:00 am - 2:00 pm = 2 hrs.
Tuesday FP/STD Clinic - Hillsborough 2:00 pm - 5 : 00 pm = 3 hrs.
Wednesday FP/STD Clinic - Carrboro 2 :00 pm - 5:00 pm = 3 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 ten ( 10) on site clinical hours per week, the
Department agrees to provide ten ( 10) hours of administrative time
for an average of twenty (20) hours per week. These ten ( 10)
hours will be scheduled to the mutual convenience of both parties to
include some scheduled on-site administrative time, as well as phone
AGREEMENT Between the UNC School of Medicine
and Orange County Health Department
Page 5 of 8
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 rquested 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 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 FIFTY THOUSAND, NINE HUNDRED AND SIXTY DOLLARS ($50,960) .
At the rate of $49 .00 per hour for an average of 20 hours per week
from July 1, 1994, through June 30, 1995, payments shall be made in
AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 6 of 8
equal monthly installments of FOUR THOUSAND TWO HUNDRED FORTY-SIX
DOLLARS AND SIXTY-SIX CENTS ($4,246 .66) .
14 . The University shall bill the OCHD on a monthly basis with the
first bill being dated July 1, 1994 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, 1994, to the 30th day of June, 1995 , 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
AGREEMENT Between UNC School of Medicine
and Orange County Health Department
Page 7 of 8
( 90) days prior to termination. In the event of such termination
any payment due shall be prorated to the date of termination.
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
Daniel B. Reimer, Director Wayne FV. Jones, ce-Chancellor,
Business and Finance
DATE: DATE:
ORANGE COUNTY FINANCE DIRECTOR:
"This instrument has been preaudited in the
manner required by the Local Government
Budget and Fiscal Control Act. "
0 ange County Finance Director
DATE:
Zj" K v Z'
CHAILAMAN, ORANGE COUNTY BO r F COMMISSIONERS
DATE: 6 v`o
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 194-195.
The following physicians are designated by the Department of
Family Medicine to fulfill the terms of the attached contract:
Marsha,Angle, MD Medical Director
Margaret Helton, MD Back-up Physician
Adam Goidstein, MD Back-up Physician
Copies of current registration and licensure for these physicians
are attached.
Signed:
11/7/94
Chair, bdpartment of Fhm,,VIY Medicine Date
Agreed:
` 2219s-
Health Director, Orange County Health Department Date
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. ustice
Faculty Services Manager
11.09.9 17:06 %$9196443007 HEALTH DEPT
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0nange County 534eaffi Tl epmtntent
Daniel B. Reimer, MPH, Director
ENVIRONMENTAL HEALTH DIVISION t°°nt/ of PERSONAL HEALTH DIVISION
P.O. Box 8181 • 306C Revere Road � DENTAL HEALTH DIVISION
ANIMAL CONTROL DIVISION bO * ? P 0 Box 8181 • 300 W T-yon Street
P 0. Box 8181 • 304 Revere Road a Hillsborough, NC 27278
Hillsborough, NC 27278 tt S
as
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HILLSBOROUGH CHAPEL HILL 'Ye o° MEBANE DURHAM
919-7328181 919-967-9251 t°t 0` 919-2272032 919-688-7333
February 23, 1995
Pam L. Hoover, Budget Administrator
Department of Family Medicine
Manning Drive, CB7595
Chapel Hill NC 27599-7595
Dear Ms. Hoover:
Enclosed is a signed original of the contract between the Health
Department and the Department of Family Medicine for 1994-95 . I
have signed the page titled, Designation of Medical Director, to
indicate acceptance of the named Medical Director and Back-up
Physicians. Thank you for enclosing their registration
certificates and the statement on professional liability coverage.
We look forward to another fruitful year working together.
Sincerely,
Daniel B. Reimer, MPH
Health Director
cc: Eileen Kugler
SOUTHERN ORANGE OFFICE Carr Mill Mall • Sate 225 • 100 N Greensooro Strut • Carrum NC 27510 , 919968 2022
THE UNIVERSITY OF NORTH CAROLINA
AT
CHAPEL HILL
The School of Medicine The University of North Carolina at Chapel Hill
DYpartment of Family Medicine Department of Family Medicine
919-966-3711(phone) Manning Drive,Campus Box 7595
919-966-6125(fax) Chapel Hill, NC 27599-7595
February 17, 1995
Mr. Daniel B. Reimer, MPH
Health Director
Orange County Health Department
300 W. Tryon Street
Hillsborough, NC 27278
Dear Mr. Reimer:
Enclosed are three signed originals of the contract between the Health Department and the Department
of Family Medicine for 1994-95. This contract has been fully routed through the University system.
Please sign the page titled Designation of Medical Director to indicate your acceptance of named the
medical director and the back-up physicians, at which time the contract will be fully executed. Please
return one original for my tiles.
Thank you for your help and patience in getting this contract executed.
SinceraLu-
Budget Administrator