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HomeMy WebLinkAboutAgenda - 08-17-2004-5tORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: August 17, 2004 Action Agenda Item No. 5 --F SUBJECT: Contract Between CHCCS, OCS, and Health Department for School Nurses DEPARTMENT: Health PUBLIC HEARING: (YIN) No ATTACHMENT(S): INFORMATION CONTACT: Contracts Rosemary Summers, ext. 2411 TELEPHONE NUMBERS: Hillsborough 732-8181 Chapel Hill 968-4501 Durham 688-7331 Mebane 336-227-2031 PURPOSE: To approve the contracts between CHCCS, OCS and the Health Department for School Nurse Funding. BACKGROUND: During the budget deliberations in FY 2001-2002, the Board of Commissioners agreed to a four-year plan for achieving a goal of a full-time school nurse in every public school in both Chapel Hill Carrboro City Schools (CHCCS) and Orange County Schools (OCS). The funds appropriated for fiscal year 2001-2002 were to support one additional full-time nurse in Orange County Schools and two additional full-time nurses in Chapel Hill Carrboro City Schools and their associated operating expenses. These funds were authorized for a partial rather than a full year due to budgetary constraints. The budget approved for the 2002-2003 year held the number of nurses in each system funded under this agreement to the same level as FY 2001-2002. Funding for the entire 10-month school year was included for all three positions. For the 2003-2004 fiscal year, the Commissioners authorized Year 2 of the four year plan that allocated two additional nurses for the Chapel Hill Carrboro City School system and one additional nurse for the Orange County School system. The Commissioners delayed implementation of the Year 2 plan until October 1, 2003 due to budgetary concerns. For the 2004-2005 fiscal year, Commissioners have authorized Year 3 of the four year plan that allocates one additional nurse for each school district with delayed implementation of Year 3 until October 1, 2004. This is the final position for the OCS district under this plan. CHCCS district will receive one additional nurse position in the final year of the plan anticipated to be next year. For information purposes, it should be noted that the North Carolina General Assembly approved $4 million during the most recent legislative session for 80 additional school nurses 2 across the state. Along with some general criteria, the legislation states that the funding is for "areas in the greatest need for school nurses with the greatest inability to pay for these nurses". Both school systems in Orange County are not currently aware of any impacts this will have on their school nurse needs/plans. Staff at the State Department of Public Instruction also does not have any information on the impacts of this appropriation. FINANCIAL IMPACT: The total cost of the contracts is $430,449 and was authorized in the approved budget for FY2004-2005. The Orange County Schools will receive a total of $153,377 for three nurses and the Chapel Hill Carrboro City Schools will receive a total of $277,072 for five nurses. RECOMMENDATION(S): The Manager recommends that the Board approve the contracts, subject to final review by staff and the County Attorney, and authorize the Chair to sign. Contract for School Nursing Services between the County of Orange and the Chapel Hill Carrboro City Schools July 1, 2004 -June 30, 2005 This contract between the Orange County Health Department, hereinafter referred to as the "Department" and the Chapel Hill Carrboro City Schools, hereinafter referred to as the "School" is entered into for the purpose of providing school nursing services to the students of the Chapel Hill Carrboro City School system. Whereas both the Department and the School mutually agree that the purpose of providing school health nursing services is to promote the optimal health and well-being of all students in the Chapel Hill Carrboro City Schools, and Whereas both the Department and the School mutually agree to continue providing school nursing services as specified in the annually developed "Memorandum of Agreement between Orange County Health Department and Chapel Hill Carrboro City Schools;" NOW, THEREFORE, in consideration of the premises and the following mutual covenants and conditions and any sums to be paid, the Department and the School agree as follows: The Department agrees: L To provide funds not to exceed $277,072 to the School for the purpose of supporting five 10 month registered nurses to provide school nursing services for the 2004-2005 school year. One of the registered nurses may be delayed until October 1, 2004 due to reduced funding for the school year. 2. That the funds will be paid quarterly upon submission of an invoice that specifies personnel costs and that the Department shall pay the School within thirty (30) days of receipt of the School's invoice. Any adjustments to the invoice shall be taken into account in the next succeeding invoice or as soon thereafter as reasonably practicable. 3. That the funds may be used in their entirety for personnel costs including associated benefits and the local supplement. 4. To assign a nursing supervisor to coordinate the implementation of this contract and to initiate the annual development of the Memorandum of Agreement that specifies operating procedures. 5. To arrange for and provide at least three continuing education offerings for all nurses in the School during the school year at a mutually agreed upon time, whenever possible arranging for the sessions so as to minimize time away from the individual school assignments. The School agrees: 1. To utilize funds not to exceed $277,072 for the purpose of supporting five 10 month registered nurses to provide school nursing services for 2004-2005 school year. One of the registered nurses may be delayed until October 1, 2004 due to reduced funding for the school year. The nurses will provide direct nursing services to students within individual schools. The School agrees that the funds will not be utilized to support a nurse with a supervisory role. 2. To submit an invoice to the Department quarterly that specifies personnel costs for the period. 3. To provide adequate space, computer equipment and supplies for the designated positions through other funds at a level comparable to the support provided to all school nurses supported by the School. 4. To inform the Department of the employment of the nurses, and in the event of termination, whether voluntary or involuntary, of the date of termination. 5. To maintain documentation that each of the nurses employed under this contract is and remains current in his/her licensure as a Registered Nurse in good standing with the North Carolina Board of Nursing. 6. To provide nursing supervision within the School consistent with the annual Memorandum of Agreement. 7. To release all school nurses to attend at least three continuing education events during the school year at mutually agreed upon times. 8. To assume the full responsibility for negligence of its employees that provide nursing services under the terms of this contract for the contract positions and for all nurses employed directly by the School but functioning under the direction of the annual Memorandum of Agreement. 9. School shall provide or cause to be provided, insurance covering professional liability of nursing personnel of at least $1 million. Proof of insurance shall be submitted to the Department annually. This contract shall be in effect for the period July 1, 2004 through June 30, 2005 and is renewable annually thereafter. Either party may terminate this contract with or without cause upon 90 days written notice. FOR AND ON BEHALF OF ORANGE FOR AND ON BEHALF OF THE COUNTY HEALTH DEPARTMENT CHAPEL HILL CARRBORO CITY SCHOOLS Rosemary L. Summers, Health Director Neil Pedersen, Superintendent Date: This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act. Kenneth Chavious, Orange County Finance Director Date: FOR AND ON BEHALF OF THE COUNTY OF ORANGE Barry Jacobs, Chair Orange County Commissioners Date: This instrument has been pre-audited in the manner required by the School Budget and Fiscal Control Act. Kay Johnson, Chapel Hill Carrboro City Schools Finance Officer Date: Date: Contract for School Nursing Services between the County of Orange and the Orange County Schools July 1, 2004 -June 30, 2005 This agreement between the Orange County Health Department, hereinafter referred to as the "Department" and the Orange County Schools, hereinafter referred to as the "School" is entered into for the purpose of providing school nursing services to the students of the Orange County School system. Whereas both the Depaztment and the School mutually agree that the purpose of providing school health nursing services is to promote the optimal health and well-being of all students in Orange County Schools, and Whereas both the Department and the School mutually agree that the long-term purpose of these funds is to provide full-time nursing services to each school in the system; and Whereas both the Department and the School mutually agree to continue providing school nursing services as specified in the annually developed "Memorandum of Agreement between Orange County Health Department and Orange County Schools;" NOW, THEREFORE, in consideration of the premises and the following mutual covenants and conditions and any sums to be paid, the Department and the Schools agree as follows: The Department agrees: L To provide funds not to exceed $153,377 to the School for the purpose of supporting three 10 month registered nurses to provide school nursing services for the 2004-2005 school year. To the extent practicable, these funds should support the equivalent of 3 FTE nurses. One of the registered nurses may be delayed until October 1, 2004 due to reduced funding for the additional nurse. 2. That the funds will be paid quarterly upon submission of an invoice that specifies personnel costs and that the Department shall pay the School within thirty (30) days of receipt of the School's invoice. Any adjustments to the invoice shall be taken into account in the next succeeding invoice or as soon thereafter as reasonably practicable. 3. That the funds maybe used in their entirety for personnel costs including associated benefits and the local supplement. 4. To assign a nursing supervisor to coordinate the implementation of this contract and to initiate the annual development of the Memorandum of Agreement that specifies operating procedures. 5. To arrange for and provide at least three continuing education offerings for all nurses in the School during the school year at a mutually agreed upon time, whenever possible arranging for the sessions so as to minimize time away from the individual school assignments. The School agrees: L To utilize funds not to exceed $153,377 for the purpose of supporting three 10 month registered nurses to provide school nursing services for 2004-2005 school year. The nurse will provide direct nursing services to students within an individual school. One of the registered nurses may be delayed until October 1, 2004 due to reduced funding for the additional nurse. The School agrees that the funds will not be utilized to support a nurse with a supervisory role. To the extent practicable this is to support three full-time nurses for 10-month appointments. 2. To submit an invoice to the Department quarterly that specifies personnel costs for the period. 3. To provide adequate space, computer equipment and supplies for the designated position through other funds at a level comparable to the support provided to all school nurses supported by the School. 4. To inform the Department of the employment of the nurses, and in the event of termination, whether voluntary or involuntary, and the date of termination. 5. To maintain documentation that each of the nurses employed under this contract is and remains current in his/her licensure as a Registered Nurse in good standing with the North Carolina Board of Nursing. 6. To provide nursing supervision within the School consistent with the annual Memorandum of Agreement. 7. To release all school nurses to attend at least three continuing education events during the school year at mutually agreed upon times. 8. To assume the full responsibility for negligence of its employees that provide nursing services under the terms of this contract for the contract positions and for all nurses employed directly by the School but functioning under the direction of the annual Memorandum of Agreement. 9. School shall provide or cause to be provided, insurance covering professional liability of nursing personnel of at least $ I million. Proof of insurance shall be submitted to the Department annually. This contract shall be in effect for the period July 1, 2004 through June 30, 2005 and is renewable annually thereafter. Either party may terminate this contract with or without cause upon 90 days written notice. FOR AND ON BEHALF OF ORANGE FOR AND ON BEHALF OF THE COUNTY HEALTH DEPARTMENT ORANGE COUNTY SCHOOLS Rosemary L. Summers, Health Director Shirley Carraway, Superintendent Date: This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act. Kenneth Chavious, Orange County Finance Director Date: FOR AND ON BEHALF OF THE COUNTY OF ORANGE Barry Jacobs, Chair Orange County Commissioners Date: This instrument has been pre-audited in the manner required by the School Budget and Fiscal Control Act. Pat Harris, Orange County Schools Finance Officer Date: Date: