HomeMy WebLinkAboutAgenda - 01-23-2007-5iORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: January 23, 2007
Action Agenda
Item No. E5 ~- i
SUBJECT: Agreement Renewal for Adopt a Child Care Dental Screening Project
Coordinator
DEPARTMENT: Health
PUBLIC HEARING: (Y/N) No
ATTACHMENT(S):
Agreement
Business Associate Agreement
INFORMATION CONTACT:
Rosemary Summers, 245-2411
PURPOSE: To renew the agreement for a Project Coordinator for the Adopt a Child Care
Dental Screening Project.
BACKGROUND: The Health Department has traditionally received funds from the Orange
County Partnership for Young Children (OCPYC) for a preschool dental screening program for
day care and family child care homes in the county. For the fiscal year 2006-2007, the Health
Department is receiving $33,850 from the OCPYC for this project. In 2003, the program was
combined with the national "Give Kids a Smile" effort that encouraged local dentists to provide a
day of "free care" to needy children. Since 2003, the program usually begins in February and
runs through June. In 2006, 1446 preschoolers were screened. Several private dentists and
the UNC School of Dentistry partner with the Health Department in delivering this important
program.
Ms. Ginger Mann is a dental hygienist that has worked with the Health Department and the
Dental School through a contract arrangement since 2000 to coordinate this project. The cost of
the agreement is $14,500. The agreement calls for the Coordinator to assist in setting up the
schedules for private providers and child care homes and centers, coordinate the staffing of the
screenings, coordinate all logistical support with the Health Department, provide any education
and calibration services for the screenings, coordinate the collection and analysis of the data
gathered during the screening events, and coordinate the follow up efforts on children with
identified dental needs. The entire cost of this agreement is paid by the grant from OCPYC.
The remaining grant funds pay for the supplies and other operating costs of the program.
The goal of the Preschool Dental Screening Project is to promote preventive dental health
education and identify needs and barriers concerning access to dental care for children age 0-5
in day care centers, family day care homes and other settings. This highly successful project
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won several awards in the early years of the project and has become a "best practice" that other
Counties have emulated.
FINANCIAL IMPACT: The agreement for $14,500 is paid in full by the grant award from the
Orange County Partnership for Young Children and was included in the approval of the Health
Department's 2006-2007 budget.
RECOMMENDATION(S): The Manager recommends that the Board approve the agreement
and authorize the Chair to sign.
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STATE OF NORTH CAROLINA
COUNTY OF ORANGE
AGREEMENT BETWEEN
ORANGE COUNTY HEALTH DEPARTMENT
AND
Ginger Mann
(Name of Provider)
This Agreement is made and entered into this 15tday of July, 2006
by and between the Orange County Health Department, hereinafter.
referred to as "OCHD" and the above named service provider,
hereinafter referred to as the "Provider".
W I T N E S S E T H:
WHEREAS, OCHD desires to contract with the Provider for
professional services; in its Dental Preschool Screening Program, and
WHEREAS, The Provider desires to provide those services;
NOW, THEREFORE, in consideration of the premises and of the
following Mutual promises, covenants and conditions, OCHD and the
Provider agree as follows:
1. The Provider will act as the "Give Kids A Smile/Adopt A Child
Care Campaign" (hereafter "Campaign") Coordinator, which includes
the following:
? Act as a point of contact for Orange County dentists
interested in participating in the Campaign.
? Agrees to meet regularly with OCPYC staff and Orange County
Health Department Dental Services Director regarding the
development of the Campaign effort.
? Coordinate site screenings between child care providers and
private dentists.
? Provide any training/consultation requested by private
dentists prior to Campaign dental screenings scheduled for
January 2007 through February 2007.
? Coordinate with Orange County Health Department Dental
Services Director regarding acquisition of dental screening
materials.
? Coordinate distribution of dental screening materials with
Orange County Health Department Dental Services Director.
? Coordinate and implement referral follow-up on children
identified for dental treatment with Orange County Health
Department Dental Services Director by June 30, 2007.
? Coordinate with OCPYC staff and Orange County Health
Department Dental Services Director a follow-up with
participating dentists to evaluate the Campaign.
? Submit a report of Campaign activities to Orange County
Health Department Dental Services Director for inclusion in
the year-end project evaluation report by June 30, 2007.
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>Invoice the OCHD for Campaign services on a regular basis.
2. The Provider will act as the "Smart Start Dental Screening,
Education and Referral Project" (hereafter "Project") coordinator
which includes the following:
? Coordinate site screenings between child care providers and
dental student teams.
? Contacts directors of child care facilities to schedule
dental screening.
? Mail out to the directors project information and
confirmation of the Project.
? Conducts calibration to dental student teams.
? Evaluates and makes changes to all dental forms used in the
Project.
? Coordinate and implement referral follow-up on children
identified for dental treatment to include (mailing letters
to parents and telephone calls).
? Data entries all dental screening forms and information.
? Submit a report of Project activities to Orange County
Health Department Dental Services Director for inclusion in
the year-end project evaluation report by June 30, 2007.
? Assist Orange County Health Department Dental Health ,
Service Director in writing of Orange County Partnership
for Young Children grant proposal.
? Conducts the report out session of the dental student
teams.
3..The Provider will act as the Information Technology Consultant
for the Campaign and the Project providing the following:
? Selection of appropriate computer equipment and software to
accommodate the Campaign and Project data.
? Design the software program for the Campaign and Project.
? Analyze the data.
? Provide computer-programming support for the dental teams
during the Campaign and Projects.
? Produce the necessary reports from the data to create
reports and year-end evaluation reports.
? Develop a tracking system to track the children annually.
4. OCHD shall remunerate the Provider in the amount of $14,500.00
for the Smart Start Dental grant period from the 1st day of July
2006, to the 30 day of June 2007. The Provider will submit to
OCHD a bill for services rendered by the 1st day of February, 2007
for $7,000 and the 1st day of June 2007 for $7,500. OCHD will
thereafter submit a request for payment to the Orange County
Finance Department. OCHD shall prepare and remit by mail payment
to Provider based on the Finance Department's schedule.
5. The Provider hereby agrees to furnish services without regard to
race, color, creed, sex or national origin. The Provider hereby
agrees to abide by pertinent Rules and Regulations of OCHD,
Orange County, and the North Carolina Division of Health Services
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in the conduct of services. Act as a point of contact for Orange
County dentists interested in participating in this Campaign and
Project.
6. This Agreement covers childcare centers and homes in orange
County.
7. This Agreement shall run for a period of one year from
the 1st day of July 2006 to the 30th day of June 2007
.and shall be renewable upon written notice executed by both
parties. Exact days to work shall be prearranged by OCHD and
Provider.
8. In connection with Provider's activities as Coordinator of the
Campaign and Project, Provider agrees to abide by all applicable
federal, state and local.confidentiality and privacy laws,
policies and procedures. Provider will not divulge confidential
information to unauthorized persons. Provider understands that if
Provider wrongfully disclose such information, Provider may be
subject to disciplinary action. Provider further understands that
Provider may be liable and subject to litigation for money awards
for damages. Provider understands that if Provider should have
any questions regarding OCHD's confidentiality policies and
procedures, Provider will seek clarification from OHCD Health
Director. Provider agrees to abide by and hereby enters into the
OCHD's standard Health Insurance Portability and Accountability
Act of 1996 (HIPAA) Business Associate Agreement, which is
attached hereto and incorporated herein by reference.
9. This Agreement or its renewals may be terminated at any time
without Penalty by either party provided that notice of such
termination is furnished to the other party in time to properly
arrange for professional coverage.
10. 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.
11. The laws of North Carolina shall govern the validity and
interpretations of the provisions, terms and conditions of the
Agreement.
In WITNESS WHEREOF, the parties have hereunto signed this
Agreement in their official capacities on the day and year listed
below.
Signature Page: Agreement with Ginger Mann 2006-2007
FOR AND ON BEHALF OF ORANGE
COUNTY HEALTH DEPARTMENT
Rosemary L. Summers, Health Director
DATE:
FOR AND ON BEHALF OF ORANGE
COUNTY
Moses Carey, Chair
Orange County Commissioners
Date:
ORANGE COUNTY FINANCE DIRECTOR
"This instrument has been preaudited in
the manner required by the Local
Government Budget and fiscal Control
Act."
Ken Cnavlous, einance Director
DATE:
FOR AND ON BEHALF OF PROVIDER
Ginger Mann
DATE:
Address to which payment should be mailed
5437 Stewartbv Drive
6
Raleigh, NC 27613
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BUSINESS ASSOCIATE AGREEMENT
This Agreement is made effective the 1st of July, 2006, by and between Orange County,
hereinafter referred to as "Covered Entity", and Ginger Mann, hereinafter referred to as "Business
Associate," (individually, a "Party" and collectively, the "Parties").
WITNESSETH:
WHEREAS, Sections 261 through 264 of the federal Health Insurance Portability and
Accountability Act of 1996, Public Law 104-191, known as "the Administrative Simplification provisions,"
direct the Department of Health and Human Services to develop standards to protect the security,
confidentiality and integrity of health information; and
WHEREAS, pursuant to the Administrative Simplification provisions, the Secretary of Health and
Human Services has issued regulations modifying 45 CFR Parts 160 and 164 (the "HIPAA Security and
Privacy Rule"); and
WHEREAS, the Parties wish to enter into or have entered into an arrangement whereby
Business Associate will provide certain services to Covered Entity, and, pursuant to such arrangement,
Business Associate may be considered a "business associate" of Covered Entity as defined in the
HIPAA Security and Privacy Rule (the agreement evidencing such arrangement is entitled Agreement
for Services for the "Give Kids a Smile/Adopt a Child Care Campaign", dated July 1, 2006, and is
hereby referred to as the "Arrangement Agreement"); and
WHEREAS, Business Associate may have access to Protected Health Information (as defined
below) in fulfilling its responsibilities under such arrangement;
THEREFORE, in consideration of the Parties' continuing obligations under the Arrangement
Agreement, the Parties agree to the provisions of this Agreement in order to address the requirements
of the HIPAA Security and Privacy Rule and to protect the interests of both Parties.
DEFINITIONS
Except as otherwise defined herein, terms used in this Agreement shall have the same meaning as
those terms set forth in the HIPAA Security and Privacy Rule.
CONFIDENTIALITY REQUIREMENTS
(a) Business Associate shall:
(i) use or disclose any protected health information solely as permitted or
required by this Agreement, the Arrangement Agreement (if consistent with this
Agreement and the HIPAA Security and Privacy Rule), or as required by law.
(ii) ensure that its agents, including a subcontractor, to whom it provides
protected health information received from or created by Business Associate on behalf
of Covered Entity, agrees to the same restrictions and conditions that apply to Business
Associate with respect to such information. In addition, Business Associate agrees to
take reasonable steps to ensure that its employees' actions or omissions do not cause
Business Associate to breach the terms of this Agreement;
(iii) implement appropriate safeguards to prevent use or disclosure of
protected health information other than as permitted or required by this Agreement;
. (iv) permit the Secretary of Health and Human Services to audit Business
Associate's records and practices related to use and disclosure of protected health
information to ensure Covered Entity's compliance with the terms of the HIPAA Security
and Privacy Rule;
(v) report to Covered Entity any use or disclosure of protected health
information which is not in compliance with the terms of this Agreement of which it
becomes aware;
(vi) report to Covered Entity any Security Incident of which it becomes aware.
For purposes of this Agreement, "Security Incident" means the attempted or successful
unauthorized access, use disclosure, modification, or destruction of information or
interference with system operations in an information system; and
(vii) mitigate, to the extent practicable, any harmful effect that is known to
Business Associate of a use or disclosure of protected health information by Business
Associate in violation of the requirements of this Agreement.
(b) Notwithstanding the prohibitions set forth in this Agreement or the Arrangement
Agreement, Business Associate may use and disclose protected health information as follows:
(i) if necessary, for the proper management and administration of Business
Associate or to carry out the legal responsibilities of Business Associate, provided that
as to any such disclosure, the following requirements are met:
(A) the disclosure is required by law; or
(B) Business Associate obtains reasonable assurances from the
person to whom the information is disclosed that it will be held confidentially and
used or further disclosed only as required by law or for the purpose for which it
was disclosed to the person, and the person notifies Business Associate of any
instances of which it is aware in which the confidentiality of the information has
been breached;
(ii) for data aggregation services, if such services are to be provided by
Business Associate for the health care operations of Covered Entity pursuant to any
agreements between the Parties evidencing their business relationship.
111. AVAILABILITY OF PROTECTED HEALTH INFORMATION
Business Associate shall:
(a) at the request of Covered Entity, provide access to protected health information in a
designated record set to Covered Entity or, as directed by Covered Entity, to an individual, in a time
and manner sufficient to permit Covered Entity to comply with the requirements of 45 CFR. 164.524.
(b) at the request of Covered Entity or an individual, make any amendment(s) to protected
health information in a designated record set that are directed by or agreed to by Covered Entity, in a
time and manner sufficient to permit Covered Entity to comply with the requirements of 45 CFR
164.526.
(c) document disclosures of protected health information and information related to such
disclosures in a manner sufficient to permit Covered Entity to respond to a request by an individual for
an accounting of disclosures of protected health information in accordance with 45 CFR 164.528 and
provide such documentation to Covered Entity or an individual as directed by Covered Entity.
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IV. TERMINATION
(a) Term: This Agreement terminates when the Arrangement Agreement terminates or as
provided in Paragraph IV.b. below (termination for cause).
(b) Termination for cause: Upon Covered Entity's knowledge of a material breach by
Business Associate, Covered Entity shall either:
(i) provide an opportunity for Business Associate to cure the breach or end
the violation or, if Business Associate does not cure the breach or end the violation
within the time specified by Covered Entity, terminate this Agreement and the
Arrangement Agreement; or
(ii) immediately terminate this Agreement and the Arrangement Agreement if
Business Associate has breached a material term of this Agreement and cure is not
possible.
(c) Return or destruction of protected health information: At termination of this Agreement,
the Arrangement Agreement (or any similar documentation of the business relationship of the Parties),
or upon request of Covered Entity, whichever occurs first, Business Associate shall:
(i) if feasible, return or destroy all protected health information received from
or created or received by Business Associate on behalf of Covered Entity that Business
Associate still maintains in any form. Business Associate shall only destroy protected
health information with the written approval of Covered Entity. After return or
destruction, Business Associate shall retain no copies of such information.
(ii) if return or destruction is not feasible, Business Associate will provide
Covered Entity with documentation explaining the reason that it is not feasible. If the
protected health information is not returned or destroyed, Business Associate will extend
the protections, of this Agreement to the information and limit further uses and
disclosures to those purposes that make the return or destruction of the information not
feasible.
(d) Survival: The obligations of Business Associate under this Agreement shall survive the
expiration, termination, or cancellation of this Agreement, the Arrangement Agreement and/or the
business relationship of the parties, and shall continue to bind Business Associate, its agents,
employees, contractors, successors, and assigns as set forth herein.
V. MISCELLANEOUS
(a) All protected health information that is created or received by Covered Entity and
disclosed or made available in any form, including paper record, oral communication, audio recording,
and electronic display by Covered Entity or its operating units to Business Associate or is created or
received by Business Associate on Covered Entity's behalf shall be subject to this Agreement.
(b) A reference in this Agreement to a section in the HIPAA Security and Privacy Rule
means the section as in effect or as amended.
(c) In the event of an inconsistency between the provisions of this Agreement (including
definitions) and mandatory provisions of the HIPAA Security and Privacy Rule, as amended, the HIPAA
Security and Privacy Rule shall control. Where provisions of this Agreement are different than those
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mandated in the HIPAA Security and Privacy Rule, but are nonetheless permitted by the HIPAA
Security and Privacy Rule, the provisions of this Agreement shall control.
(d) Except as expressly stated herein or the HIPAA Security and Privacy Rule, the parties to
this Agreement do not intend to create any rights in any third parties.
(e) This Agreement may be amended or modified only in a writing signed by the Parties. No
Party may assign its respective rights and obligations under this Agreement without the prior written
consent of the other Party. None of the provisions of this Agreement are intended to create, nor will
they be deemed to create any relationship between the Parties other than that of independent parties
contracting with each other solely for the purposes of effecting the provisions of this Agreement and
any other agreements between the Parties evidencing their business relationship.
(f) This Agreement will be governed by the laws of the State of North Carolina.
(g) No change, waiver or discharge of any liability or obligation hereunder on any one or
more occasions shall be deemed a waiver of performance of any continuing or other obligation, or shall
prohibit. enforcement of any obligation, on any other occasion.
(h) The parties agree that, in the event that any documentation of the arrangement pursuant
to which Business Associate provides services to Covered Entity contains provisions relating to the use
or disclosure of protected health information that are more restrictive than the provisions of this
Agreement, the provisions of the more restrictive documentation will control.
(i) In the event that any provision of this Agreement is held by a court of competent
jurisdiction to be invalid or unenforceable, the remainder of the provisions of this Agreement will remain
in full force and effect.
(j) The headings in this Agreement are for convenience of reference only and shall not
define or limit any of the terms or provisions hereof.
IN WITNESS WHEREOF, the Parties have executed this Agreement as of the day and year
written above.
COVERED ENTITY:
By:
Title:
BUSINESS ASSOCIATE:
By:
Title: