HomeMy WebLinkAbout2016-296 HR - UNC Dept. of Family Medicine to provide health screening and health coaching NR
STATE OF NORTH CAROLINA
COUNTY OF ORANGE
AGREEMENT BETWEEN
ORANGE COUNTY
AND
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
FOR ITS
DEPARTMENT OF FAMILY MEDICINE IN THE SCHOOL OF MEDICINE
THIS AGREEMENT made and entered into as of the 1 st day of May, 2016 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 "DEPARTMENT"; and Orange County, a local political
subdivision of the State of North Carolina, hereinafter referred to as the "COUNTY".
WITNESSETH:
WHEREAS,the COUNTY desires to purchase the services of the
UNIVERSITY medical staff to provide health screening and health coaching for Orange
County employees; and
WHEREAS,the UNIVERSITY desires to provide the services of medical staff
to provide health screening and health coaching to Orange County employees; 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 following mutual promises,
covenants, and conditions,the COUNTY and the UNIVERSITY agree as follows:
1. The UNIVERSITY shall make available the services in the attached Exhibit A,
"Health Screening and Health Coaching Services for Orange County".
2. Compensation
a. Compensation for Basic Services. Compensation for Basic Services shall
include all compensation due the Provider from the COUNTY for all services
under this Agreement. The total cost of the service shall not exceed Twenty-
Five Thousand Dollars and 00/100 ($25,000).
b. The UNIVERSITY shall invoice the COUNTY monthly based on the cost per
unit prices on Exhibit B. Payment for Basic Services shall become due and
payable within thirty(3 0) days of UNIVERSITY properly invoicing the
COUNTY. Any adjustments to the invoice shall be taken into account in the
next invoice or as soon thereafter as reasonably practicable. Payment shall be
subject to provisions of Section 3(d).
c. Disputes. In the event the amount stated on an invoice is disputed by the
COUNTY,the COUNTY may withhold payment of all or a portion of the
amount stated on an invoice until the parties resolve the dispute. Should the
UNIVERSITY fail to perform its duties under the terms of this Agreement, the
COUNTY may, without fault or penalty,withhold any payment associated with
the work to be performed until such time as said work is completed.
d. Additional Services. The COUNTY shall not be responsible for costs related to
any services in addition to the Basic Services performed by the UNIVERSITY
unless the COUNTY requests such additional services in writing and such
additional services are evidenced by a written amendment to this Agreement.
3. The term of this agreement shall be from May 1, 2016 through June 30, 2017.
4. The person(s)whose services are to be provided pursuant to this agreement is (are)
for all purposes an employee of the UNIVERSITY. The UNIVERSITY will
provide professional liability coverage for the providers of the patient care services
provided under this contract. The UNIVERSITY shall provide the COUNTY with
evidence of professional liability insurance in the amount of at least 1 million/3
million upon request.
5. Indemnity: The Parties agree to defend, indemnify, and hold each other harmless
from all losses, liabilities, claims, demands, suits, costs, damages or expenses
(including reasonable attorney's fees) arising from bodily injury, including death,to
any person or persons or damage to or destruction of any property caused in whole
or-in part by any negligent or intentional act or omission on the part of the other to
the extend provided by North Carolina law.
6. Termination. Either party may terminate this agreement or its renewals at any time
without penalty provided that written notice of such termination is furnished to the
other party at least sixty(60) days prior to the termination. In the event of such
termination any payments due shall be based on services rendered.
7. The COUNTY and the UNIVERSITY hereby agree that in their service,
educational and/or employment practices each will comply with such non-
discrimination laws as may be applicable to them in the performance of this
agreement.
8. 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.
9. The laws of North Carolina shall govern the validity and interpretation of the
provisions, terms and conditions of this agreement.
10. With regard to the teaching,research and/or other services to be performed pursuant
to this agreement by the UNIVERSITY or any of its schools or subdivisions it is
hereby covenanted that the COUNTY or its employees shall not make any use
whatsoever of the name of the UNIVERSITY contained therein in any campaign of
advertising or in any other manner whatsoever, without the express written
permission of the UNIVERSITY, which permission shall not be unreasonably
withheld, unless compelled to divulge said name by force of law. It is also agreed
that the COUNTY shall not attempt to circumvent the intent of this paragraph by
use of descriptive phrases by which one could identify said UNIVERSITY with
reasonable certainty.
With regard to the program or services provided by the COUNTY and/or the
services of the individual providing those services for OCHD pursuant to this
agreement it is hereby covenanted and agreed that the UNIVERSITY or its
employees shall not use the name of the COUNTY in any campaign of advertising
or in any other manner whatsoever, without the express written permission of the
x N COUNTY, which permission shall not be unreasonably withheld,unless compelled
to divulge said name by force of law. It is also agreed that the UNIVERSITY shall
not attempt to.iciroi,mvept the intent of this paragraph by the use of descriptive
phrases bytwhich one could identify said COUNTY with reasonable certainty.
11. Non-Appropriation.�ation. Provider acknowledges that the COUNTY is a governmental
entity, and the validity of this Agreement is based upon the availability of public
funding under the authority of its statutory mandate.
In the event that public funds are unavailable and not appropriated for the
performance of the COUNTY's obligations under this Agreement, then this
Agreement shall automatically expire without penalty to the COUNTY immediately
upon written notice to the UNIVERSITY of the unavailability and non-
appropriation of public funds. It is expressly agreed that the COUNTY shall not
activate this non-appropriation provision for its convenience or to circumvent the
requirements of this Agreement, but only as an emergency fiscal measure during a
substantial fiscal crisis.
In the event of a change in Orange County's statutory authority, mandate and/or
mandated functions, by state and/or federal legislative or regulatory action, which
adversely affects Orange County's authority to continue its obligations under this
Agreement, then this Agreement shall automatically terminate without penalty to
Orange County upon written notice to UNIVERSITY of such limitation or change
in Orange County's legal authority.
12. Notices. Any notice required by this Agreement shall be in writing and delivered by
certified or registered mail,return receipt requested to the following:
Orange County: University:
Diane Shepherd, SPHR UNC Dept. of Family Medicine
Benefits Manager Cristen Page, MD, Chair
Orange County 590 Manning Drive
200 South Cameron Street Chapel Hill,NC 27514
Hillsborough,NC 27278
13. Signature: This Agreement together with any amendments or modifications may be
executed electronically. All electronic signatures affixed hereto evidence the intent
of the Parties to comply with Article 1 IA and Article 40 of North Carolina General
Statute Chapter 66.
IN WITNESS WHEREOF,the Parties,by and through their authorized agents,
have hereunder set their hands and seal, all as of the day and year first above written.
ORANGE COUNTY: PROVIDER: ) AcOng folr
B By: G�%1 fit/
y:
Bonnie Hammersley., Cour#Manager pear,Schuo of Medicine
Vice Chancellor for Medical Affairs
Printed Name and Title
Matthew A. Mauro, MD
CEO, UNC Faculty Physicians
G6 �
EXHIBIT A
Health Screening and Health Coaching Services for Orange County
Wellnessna,Work Background
Wellness @Work is a comprehensive worksite wellness program developed by the UNC
Department of Family Medicine. We partner with organizations and their employees to
create a culture of wellness, improve health behaviors, prevent and improve care for
chronic disease, and reduce overall health care costs. Our staff includes physicians, nurse
practitioners, registered nurses, tobacco treatment specialists, and health educators and
coaches, all with expertise in population health management strategies, health behavior
change, preventative medicine and chronic disease care. The program employs rigorous
risk stratification of employees based on assessment of health behaviors and chronic
illness. We create individualized wellness programs in collaboration with employers to
meet the specific needs of their employees.
The objective of the program is to provide data-driven interventions that: 1) identify and
reduce high risk health behaviors, 2) prevent chronic disease and improve quality of care
for chronic disease, 3) reduce unnecessary health care utilization and cost, 4) create a
culture of wellness within an employee population, 5) reduce absenteeism and increase
employee productivity, 6) provide routine data to employer to assess program
effectiveness.
Health Screening
The staffing model for daily health screening sessions will include two registered nurses,
one phlebotomist, and one to two administrative assistants to manage employee check-in
and logistics. We will work with the County to determine time and location for multiple
screening sessions. Individual employee screenings will last a maximum of 20 minutes.
We will provide staffing, equipment and supplies to perform non-fasting standard health
screenings for the following factors: Total cholesterol, HDL, LDL, triglycerides, glucose,
blood pressure, BMI (Body Mass Index) height, and weight. Cholesterol and glucose
levels will be measured by finger stick blood draw method, and individualized feedback
will be provided to employees on site. UNC Family Medicine, Wellness @Work is CLIA
certified.
Health Coaching
Following the health screening process, we will identify employees who are at moderate
or high risk health levels and invite them to participate in individualized one-on-one
health coaching sessions lasting up to 30 minutes each.
Our health coaching staff—comprised of registered nurses, health educators, tobacco
treatment specialists, and other health care professionals—can provide coaching and
resources around a broad range of health topics including: weight management, tobacco
cessation, stress management, healthy eating, and chronic disease management. Our
health coaches are trained in stages of change and motivational interviewing and
coaching techniques that empower and motivate individuals to improve health behaviors
and reduce their risk factors.
The health coaching process works by 1) helping individuals recognize the impact of
lifestyle choices on their health, 2) helping individuals understand the benefits of change,
3) identifying the barriers to change, 4) building skills and providing tools and resources,
5) helping individuals realize the need to take self-responsibility for their decision-
making and behaviors, 6) helping a person build the self-efficacy and self-care skills they
need to effectively self-manage their improvement goals, and 7) insuring follow through
and change with effective accountability methods, 8) and supporting positive change.
Coaching Protocol
• Review individual health screening data, health risk factors, recent health
behaviors and recent medical activity.
• Assess health risk perceptions and readiness for change using the Health Belief
and Stages of Change models.
• Identify barriers to change, and work through resistance and obstacles.
• Facilitate self-directed learning, skill-building, and goal setting.
• Develop and monitor short and long range health goals (SMART goals).
• Co-create an action or wellness plan to facilitate achievement of goals.
• Schedule follow up sessions as needed.
• Review any areas of concern with the Medical Director
• Document progress, provide support, and deal with challenges
• Evaluate for new focus/goals
• Track participation
Scheduling
Scheduling will be offered through telephone, secure online portal, or a combination of
both, depending on the needs of employees. We will provide a contact telephone number
for employee assistance on scheduling, and send reminder phone calls and/or emails prior
to screenings/coaching appointments.
Privacy Guidelines
• The UNC Wellness@ Work Program ensures employee confidentiality by
maintaining a privacy wall between employees and organizational leadership.
• All UNC Family Medicine and Wellness @Work personnel have had training and
education concerning patient privacy and requirements under the HIPAA Privacy
Regulations.
• All health information obtained during health screening and coaching sessions
will be stored within our secure UNC systems according to federal privacy
regulations.
• Participation in the health screening and health coaching program is strictly
confidential.
• Health screening areas will be arranged in such a way that ensures patient privacy.
• Health coaching will be provided in a private, enclosed space (conference room,
office, etc)to be provided by the employer.
• No personal or identifiable health information will be shared directly with the
employer, or anyone outside the UNC Family Medicine Wellness @Work clinical
staff.
• All information shared with the employer will be de-identified and reported in
aggregate.
• A process for outreach to at-risk employees that ensures confidentiality will be
developed in collaboration with employer.
Responsibilities of County
• Secure appropriate space for health screening/coaching
• Provide a designated point of contact to assist with planning and logistics
• Provide incentives to encourage employee participation
• Assist with the distribution of marketing and promotional materials to employees
• Work with our staff to determine preferred risk levels and number of coaching
sessions
Exhibit B
Health Screening and Health Coaching Services for Orange County, NC
Cost Per Unit
Price per Estimated Annual
Unit Total (@ 150 units)
Health screenings(lipids, BP, BMI) $ 32.00 $ 4,800
A1C (glucose)testing $ 18.00 $ 2,700
Health Coaching Sessions $ 25.00 $ 1,950
Travel (mileage for health coaching) $ 5.60 $ 437
Other: Setup/Breakdown (per Health Screening Session) $130.00 $ 780
Total $10,667
The University of North Carolina Liability Insurance Trust
Legal Department Telephone:(984)974-3041
UNIVERSITY OF NORTH CAROLINA HOSPITALS Facsimile:(984)974-6285
101 Manning Drive,2nd Floor,Wing E
Chapel Hill,NC 27514
CONFIRMATION OF INSURANCE COVERAGE FOR PROFESSIONAL LIABILITY
This Confirmation of Insurance Coverage is being issued specifically to verify
professional liability coverage for the referenced insureds while practicing within the
scope of their employment responsibilities during the dates of coverage noted. This
information should be treated confidentially.
INSURED: Dawn Cherie Culmer, ANP
DATES OF COVERAGE: 11/16/04—06/30/16
NAME OF CARRIER: UNC Liability Insurance Trust Fund
AMOUNT OF COVERAGE: 11/16/04—06/30/16
Covered individuals are subject to a limit of$3 million
for all damages against a covered individual arising
out of a single claim. The total limit of liability for all
loss arising out of a single claim is $7 million
regardless of the number of insureds involved.
CURRENT POLICY TYPE: Occurrence basis
POLICY NUMBER: Not applicable
CLAIMS HISTORY: None
Completed by:
` 5/13/2016
Date:
Jill irneisen, BSN, JD
Associate V.P. of Risk Management,
Accreditation & Regulatory Affairs
University of North Carolina Hospitals and the School of Medicine of the University of North Carolina at Chapel Hill