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HomeMy WebLinkAboutAgenda - 05-20-2008-4iORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM. ABSTRACT Meeting Date: May 20, 2008 Action Agenda Item No. ~' SUBJECT: Contract Renewal for Pharmacy Services for Health Department DEPARTMENT: Health PUBLIC HEARING: (Y/N) No ATTACHMENT(S): INFORMATION CONTACT: Contract Rosemary Summers, 245-2411 PURPOSE: To consider approving the contract renewal for pharmacy services for the Health Department. BACKGROUND: For the past seven years, the Health Department has contracted with an individual pharmacist to provide pharmacy services for the department. This will be the .sixth year of contracting with the same pharmacist. The contract for FY 2008-2009 includes a 3.5% increase over last year for a total of $12,036 per year. Pharmacy services last year enabled the Health Department to provide pharmaceutical services to over 5,000 patients seen in one of the department's clinical services. The pharmacist also consults with the Health Department regarding public health preparedness dispensing sites and is available on-site if needed during a communicable disease outbreak. FINANCIAL- IMPACT: The total cost of the contract is $12,036 for the fiscal year for approximately 350 hours of on-site pharmacy services, a 3.5% increase over last year. The $12,036 is included in the recommended Health Department budget. RECOMMENDATION(S): The Manager recommends that the Board approve the contract renewal and authorize the' Chair to sign, pending the approval of the 2008-2009 budget and County Attorney review. Pharmacy Contract July 1, 2008-June 30, 2009 CONTRACT FOR PHARMACY SERVICES FOR THE ORANGE COUNTY HEALTH DEPARTMENT This contract is between Robert E. Dupuis, herein referred to as "Contractor," and the Orange County Health Department, hereinafter referred to as the "Department." It shall be effective July 1, 2008 and shall terminate on June 30, 2009. It is understood that the Contractor will provide direct pharmacy services at the two pharmacy sites of the Health Department. It is further understood that there will be mutual cooperation between the Contractor and the Department in conducting the activities as described below: The Contractor agrees to: A. Administrative Duties Assist in the development of written policies and procedures for legal, safe and effective drug therapy, distribution, control and use. 2. Work with the Department pharmacy nurse in: a. Developing and maintaining a formulary b. Evaluating and improving procedures for drug procurement, storage, packaging and labeling 3. Work with the Department Assurance Nurse in the Medication Assistance Program (MAP) in: a. Verifying correct drug and dosage sent by drug companies b. Splitting drugs as requested by clinician c. Labeling drugs d. Notifying Assurance Nurse when drugs are ready for dispensing 4. Oversee all activities related to the operation of the pharmacies at the Hillsborough Whiffed Center and Chapel Hill Southern Human Services Center. Prepare and submit a quarterly report reviewing pharmacy activities and related issues. 6. Prepare and submit an annual report summarizing pharmacy activities and accomplishments for the current year and goals/plans for the next year. 7. Assist the Clinical Services nursing supervisor in budget preparation for pharmaceuticals and related supplies, when requested. 8. Assist the Clinical Services nursing supervisor in acquiring pharmaceuticals in acost-efficient manner. 9. Evaluate and improve therapeutics within the Health Department. 10. Provide pharmacy training for new public health nurses and nurse practitioners. 11. Evaluate pharmaceutical software for Health Department pharmacy functions as requested by the Division Director. Pharmacy Contract July 1, 2008 -June 30, 2009 12. To the extent the Contractor keeps records, the Contractor agrees to make all such records available to the Department for auditing, reporting or any other purpose deemed necessary by the Department. B. Drug Distribution 1. Prepack stock formulary pharmaceuticals adhering to pharmacy law requirements and ensuring maintenance of adequate prepacked supplies. 2. babel medications received through the Medication Assistance Program (MAP). 3. Review dispensing logs at all Health Department sites weekly. 4. Review dispensing logs within 24 hours when more than 30 prescriptions have been distributed. 5. Maintain the drug distribution system in compliance with all laws, regulations and standards. 6. Provide drug information on an on-call basis when needed by staff. 7. Assist with the development and/or the procurement of necessary drug information/patient education materials to include information in languages other than English when needed. 8. Be available to directly dispense medications not approved for public health nurse dispensing in times of communicable disease outbreaks. Review at least 3 clinical charts from each site monthly comparing them to the dispensing log for accuracy and completeness. Document findings in the "OCHD Pharmacy Quality Assurance Indicator, Chart Review" log. 10. Complete pharmacy incident report on all errors and forward to the Clinical Nursing supervisor for development of corrective actions. 11. Comply with such non-discrimination laws and/or employment practices as may be applicable in fulfilling this contract. II. The Department agrees to: A. Designate a nursing supervisor to provide guidance and assistance with related administrative or technical aspects of providing pharmacy services at Health Department sites as requested.. B. Participate in the ongoing evaluation of the role of the pharmacist and provide an annual evaluation of pharmacist's performance of contract. C. Pay the Contractor in return for the contracted deliverable services a total of $12, 036 per year payable in 12 equal installments of $1003 each upon invoice from the Contractor. D. Enable the pharmacist to perform all activities mandated by laws, regulations and standards. Pharmacy Contract July 1, 2008 -June 30, 2009 E. Obtain required pharmacy licenses for all sites. F. Allow the pharmacist to participate in other related activities in the Health Department as agreed to by both parties G. Comply with such non-discrimination laws and/or employment practices as may be applicable in fulfilling this contract. III. Confidentiality The Contractor agrees to sign the OCHD Personal Health Services Division Confidentiality Agreement and agrees to maintain confidentiality per this Agreement. The Contractor will comply with such cont'tdentiality.laws as may be applicable in the performance of this agreement and acknowledges that in receiving, storing, processing or otherwise dealing with any confidential information, Contractor will safeguard and not further disclose the information except as permitted. by the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, as amended. IV. Licensure The Contractor agrees to maintain current North Carolina Pharmacy Licensure and to present proof of Licensure annually. V. Insurance/Liability A. The Contractor agrees to obtain personal liability insurance and agrees that they are operating as an Independent Contractor and that no benefits, including Worker's Compensation coverage, is available to them from Orange County. Proof of insurance will be presented to the Department annually. B. The Contractor agrees to hold Orange County and the Department harmless from any and all accidental injury or personal loss during pharmacy services to the Department. VI. Termination Either party may terminate this agreement without cause with 60 days written notice. This agreement may be terminated with cause at any time by either party upon at least 30 days prior written notice to the other party upon default of one or more of its obligations hereunder, unless such default. is cured within 30 days of the notice of termination. Pharmacy Contract July 1, 2008 -June 30, 2009 IN WITNESS WHEREOF, the Contractor and the Department have executed this agreement in duplicate originals, one of which is retained by each of the parties. FOR AND ON BEHALF OF THE ORANGE COUNTY HEALTH DEPARTMENT: Rosemary L. Summers, Health Director Date Orange County Health Department FOR AND ON BEHALF OF THE COUNTY OF ORANGE: Barry Jacobs, Chair Date Orange County Board of Commissioners CONTRACTOR: Robert E. Dupuis, Pharm.D., BCPS Date ORANGE COUNTY FINANCE DIRECTOR "This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act." Gary Humphreys Date Orange County Financial Services Director Pharmacy Contract July 1, 2008 -June 30, 2009 ~.~ s~~ ~~z ~ra~ ~-i • CONTRACT FOR PHARMACY SERVICES FOR THE ORANGE COUNTY HEALTH DEPARTMENT This contract is between Robert E. Dupuis, herein referred to as "Contractor," and the Orange County Health Department, hereinafter referred to as the "Department." It shall be effective July 1, 2008 and shall terminate on June 30, 2009. It is understood that the Contractor will provide direct pharmacy services at the two pharmacy sites of the Health Department. It is further understood that there will be mutual cooperation between the Contractor and the Department in conducting the activities as described below: The Contractor agrees to: A. Administrative Duties 1. Assist in the development of written policies and procedures for legal, safe and effective drug therapy, distribution, control and use. 2. Work with the Department pharmacy nurse in: a. Developing and maintaining a formulary b. Evaluating and improving procedures for drug procurement, • storage, packaging. and labeling 3. Work with the Department Assurance Nurse in the Medication Assistance Program (MAP) in: . a. Verifying correct drug and dosage sent by drug companies b. Splitting drugs as requested by clinician c.. Labeling drugs d. Notifying Assurance Nurse when drugs are ready for dispensing 4. Oversee all activities related to the operation of the pharmacies at the Hillsborough Whitted Center and Chapel Hill Southern Human Services Center. 5. Prepare and submit a quarterly report reviewing pharmacy activities and related issues. 6. Prepare and submit an annual report summarizing pharmacy activities and accomplishments for the current year and goals/plans for the next year. 7. .Assist the Clinical Services nursing supervisor in budget preparation for pharmaceuticals and related supplies, when requested. • S:\Managers Working Files\Contracts\PHARMACY\F1109 Pharmacy\pharmacy contract 08-09.doc Pharmacy Contract July 1, 2008 -June 30, 2009 • 8. Assist the Clinical Services nursing supervisor in acquiring pharmaceuticals in acost-efficient manner. 9. Evaluate and improve therapeutics within the Health Department. 10. Provide pharmacy training for new public health nurses and nurse practitioners. 11. Evaluate pharmaceutical software for Health Department pharmacy functions as requested by the Division Director. 12. To the extent the Contractor keeps records, the Contractor agrees to make all such records available to the Department for auditing, reporting or any other purpose deemed necessary by the Department. B. Drug Distribution 1. Prepack stock formulary pharmaceuticals adhering to pharmacy law requirements and ensuring maintenance of adequate prepacked supplies. ~~ 2. Label medications received through the Medication Assistance Program (MAP). 3. Review dispensing logs at all Health Department sites weekly. 4. Review dispensing logs within 24 hours when more than 30 prescriptions have been distributed. 5. Maintain the drug distribution system in compliance with all laws, regulations and standards. 6. Provide drug information on an on-call basis when needed by staff. 7. Assist with the development and/or the procurement of necessary drug information/patient education materials to include information in languages other than English when needed. 8. Be available to directly dispense medications not approved for public health nurse dispensing in times of communicable disease outbreaks. 9. Review at least 3 clinical charts from each site monthly comparing them to the dispensing log for accuracy and completeness. Document findings in the "OCHD Pharmacy Quality Assurance Indicator, Chart Review" log. S:\Managers Working Files\Contracts\PHARMACY\F1Q09 Pharmacy\pharmacy contract 08-09.doc Pharmacy Contract July 1, 2008 -June 30, 2009 • 10. Complete pharmacy incident report on all errors and forward to the Clinical Nursing supervisor for development of corrective actions. 11. Comply with such non-discrimination laws and/or employment practices as may be applicable in fulfilling this contract. The Department agrees to: A. Designate a nursing supervisor to provide guidance and assistance with related administrative or technical aspects of providing pharmacy services at Health Department sites as requested. B. Participate in the ongoing evaluation of the role of the pharmacist and provide an annual evaluation of pharmacist's performance of contract. C. ,Pay the Contractor in return for the contracted deliverable services a total of $12, 036 per year payable in 12 equal installments of $1003 each upon invoice from the Contractor. • D. Enable the pharmacist to perform all activities mandated by laws, regulations and standards. E. Obtain required pharmacy licenses for all sites. F. Allow the pharmacist to participate in other related activities in the Health Department as agreed to by both parties G. Comply with such non-discrimination laws and/or employment practices as may be applicable in fulfilling this contract. III. Confidentiality The Contractor agrees to sign the OCHD Personal Health Services Division Confidentiality Agreement and agrees to maintain confidentiality per this Agreement. The Contractor wilt comply with such confidentiality laws as may be applicable in the performance of this agreement and acknowledges that in receiving, storing, processing or otherwise dealing with 'any confidential information, Contractor will safeguard and not further disclose the information except as permitted by the Health Insurance Portability and Accountability Act of 1996, Public Law 104191, as amended. IV. Licensure The Contractor agrees to maintain current North Carolina Pharmacy Licer)sure and to present proof of licensure annually. • S:\Managers Working Files\Contracts\PHARMACY\FYi09 Pharmacy\pharmacy contract OS-09.doc Pharmacy Contract Jufy 1, 2008 -June 30, 2009 • V. Insurance/Liability A. The Contractor agrees to obtain personal liability insurance and agrees that they are operating as an Independent Contractor and that no benefits, including Worker's Compensation coverage, is available to them from Orange County. Proof of insurance will be presented to the Department annually. B. The Contractor agrees to hold Orange County and the Department harmless from any and all accidental injury or persona{ loss during pharmacy services to the Department. VI. Termination Either party may terminate this agreement without cause with 60 days written notice. This agreement may be terminated with cause at any time by either party upon at least 30 days prior written notice to the other party upon default of one or more of its obligations hereunder, unless such default is cured within 30 days of the notice of termination. L` • S:\Managers Working Fles\Contracts\PHARMACY\P`a09 Pharmacy\pharmacy contract OS-09.doc Pharmacy Contract July 1, 2008 -June 30, 2009 IN WITNESS WHEREOF, the Contractor and the Department have executed this agreement in duplicate originals, one of which is retained by each of the parties. FOR AND ON BEHALF OF THE ORANGE COUNTY HEALTH DEPARTMENT: Zd ~ Rosemary ummers, Health Director Da e Orange County Health Department FOR AND ON BEHALF OF THE UNTY OF ORANGE: O Date missioners Robert E. Dupuis, D., BCPS ORANGE COUNTY FINANCE DIRECTOR "This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act." Orange Director ~ ~- v ate to S:\Managers Working Files\Contracts\PHARMACY\F`609 Pharmacy\pharmacy contract 08-09.doc