HomeMy WebLinkAbout2024-394-E-Emergency Svc-Piedmont Health Services - Carrboro Community Health Center-MoA for EMS PORTMemorandum of Agreement
Between
Orange County Emergency Services
And
Piedmont Health Services
This Memorandum of Agreement (MOA) is entered into by and between Orange County, NC on
behalf of Orange County Emergency Services and Piedmont Health Services with the purpose of
establishing an EMS Bridge Medication Assisted Treatment Program.
Whereas N.C. Gen. Stat. § 143-514 provides that the North Carolina Medical Board shall
determine the scope of practice for credentialed emergency medical services personnel by
establishing the medical skills and medications that may be used by credentialed emergency
medical services personnel at each level of patient care; and
Whereas the North Carolina Medical Board has indicated in their list of “Approved
Medications for Credentialed EMS Personnel” that paramedics are allowed to administer the
prescription drug “buprenorphine” under specific requirements; and
Whereas Orange County Emergency Medical Service (“EMS”) System is required to
have a defined scope of practice for all EMS personnel functioning within the EMS System with
parameters set forth by the North Carolina Medical Board pursuant to N.C. Gen. Stat. § 143-514;
and
Whereas the Orange County EMS System is required to have medical oversight of the
system provided by a medical director; and
Whereas the medical director has defined the scope of practice for EMS personnel
functioning within the Orange County EMS System who meet certain requirements; and
Whereas the County desires to enter into this Memorandum of Agreement has acquired
buprenorphine.
Both Orange County Emergency Services and Piedmont Health Services understand this
program is being implemented in accordance with the Orange County EMS Medical Direction
and the North Carolina State Office of EMS.
Conditions
Piedmont Health Services
1. Piedmont Health Services will provide OCES all inclusion and exclusion criteria for
referrals into their MAT program, and update OCES to any future changes to criteria that
occur.
Docusign Envelope ID: DEF43F67-FA08-4F7E-81F4-FB6EF300A382
2. Within 72 hours of OCES referral, Piedmont Health Services will advise as to their
ability to provide services for the patient.
3. For all clients not meeting Piedmont Health Services specific exclusion criteria, Piedmont
Health Services will initiate intake procedures for treatment of patient within six days of
receiving OCES referral.
4. If Piedmont Health Services is unable to accommodate a referral, this information will be
conveyed to OCES as soon as reasonably possible in order to allow time for OCES to
connect the patient with another provider.
Orange County
1. Provide onsite buprenorphine to clients who have met all requirements of the applicable
Orange County Protocols and who have expressed desire to participate in the
buprenorphine treatment program.
2. Screen all potential clients per inclusion criteria established by Piedmont Health Services
3. Obtain applicable medical information release of client prior to referral.
4. Make contact to Piedmont Health Services regarding referral of client as soon as possible
to determine Piedmont Health Services ability to intake the client.
5. OCES will reserve the ability to cancel an accepted referral from Piedmont Health
Services, and will provide notice of such cancellation as soon as reasonably possible.
6. Provide bridge buprenorphine at daily intervals to client during gap period, not to exceed
seven days.
A. All functions and activities performed under this Agreement are hereby declared to be
governmental functions, and all immunities provided by law shall be fully applicable.
Nothing in the provisions of this Agreement is to be deemed to be an agreement for the
benefit of third party or persons and no third party or persons shall have any right of
action under this Agreement for any cause whatsoever.
B. This Agreement may be terminated at any time without penalty by OCES or Piedmont
Health Services provided that written notice of such termination is furnished to the
other party at least ninety (90) days prior to termination. This agreement shall be in
effect upon signature and, in the absence of a written notice of intent not to renew
furnished to the other party at least ninety (90) days prior to the expiration thereof, be
automatically renewed year to year under the same terms as set forth in this Agreement,
or any written amendment thereto. Both parties will review this Agreement at periods
not less than biannually.
C. OCES and Piedmont Health Services shall comply with all laws, ordinances, codes,
rules, regulations, and licensing requirements that are applicable to the performance of
this Agreement.
Docusign Envelope ID: DEF43F67-FA08-4F7E-81F4-FB6EF300A382
D. OCES and Piedmont Health Services hereby agree that each entity will comply with
such nondiscrimination laws as may be applicable to it in the performance of this
Agreement.
E. This Agreement contains the entire understanding of the parties and shall not be altered,
amended, or modified without the prior written consent of the duly authorized official
of each party.
F. The laws of the State of North Carolina shall govern the validity and interpretation of
the terms and conditions of this Agreement.
Terms and Signatures
1. This Agreement becomes effective when signed by the duly authorized official of each
party. The period of agreement shall automatically renew from year to year under the same
terms as set forth in this Agreement or any written amendment thereto for a period of five
(5) years. At that time, the agreement will expire and may be extended upon written
agreement of the parties.
2. This Agreement can be amended or modified as needed with prior written consent of the
duly authorized official of each party. This Agreement will be reviewed not less than every
two years by both parties.
3. Employees of both the County and Piedmont Health Services acknowledge that they shall
not be agents or employees of the other entity when responding to an incident pursuant to
this Memorandum of Understanding.
4. Piedmont Health Services and the County shall be responsible for payment of workers’
compensation benefits only to their own respective employees.
5. This Agreement is subject to the availability of funds to purchase the specified goods and
personnel to perform these services and may be terminated at any time if such funds
become unavailable.
6. The Parties shall at all times remain in compliance with all applicable local, state, and
federal laws, rules, and regulations including but not limited to all state and federal non -
discriminations laws, policies, rules, and regulations and the Orange County Non-
Discrimination Policy and Orange County Living Wage Policy (each policy is incorporated
herein by reference and may be viewed at
http://orangecountync.gov/departments/purchasing_division/contracts.php.) Any violation
of the Orange County Non-Discrimination Policy is a breach of this Agreement, and the
County may immediately terminate this Agreement without further obligation on the part
of the County. This paragraph is not intended to limit and does not limit the definition of
breach to discrimination.
7. This MOU and any exhibits and amendments attached hereto, and any documents
incorporated specifically by reference represent the entire agreement between the parties
and supersede all prior oral and written statements or agreements.
Docusign Envelope ID: DEF43F67-FA08-4F7E-81F4-FB6EF300A382
IN WITNESS WHEREOF, the Parties have executed this Agreement as of the day and year set
forth below.
ORANGE COUNTY EMS PIEDMONT HEALTH SERVICES
By: _________________________________
By:__________________________________
Name (printed): ______________________
Name (printed): Daniella Jaimes-Colina____
Title: _______________________________
Title: Chief Executive Officer ____________
Date: ____________________________
Date: ____________________________
Address: ___________________________ Address: _88 Vilcom Center Drive, Suite 110
___________________________________ _ Chapel Hill, NC 27514_________
Daniella Jaimes-Colina (Jul 9, 2024 13:39 EDT)
Daniella Jaimes-Colina
07/09/2024
Docusign Envelope ID: DEF43F67-FA08-4F7E-81F4-FB6EF300A382
Hillsborough, NC 27278
Kirby Saunders
7/10/2024
W. Kirby Saunders, Emergency Services Director
510 Meadowlands Drive
Revised 01/24
1
ORANGE COUNTY—INTERNAL USE ONLY
______________________________________________________________________________
Finance Information
Vendor Name: Piedmont Health Services - Carrboro Community Health Center Vendor Contact Person: Jill Baron
Phone: 919-933-8494 Address: 301 Lloyd St City Carrboro State: NC Zip: 27510 Department: N/A Amount:
N/A Purpose: MoA for EMS PORT Budget Code(s): N/A Vendor # N/A
Vendor Status with NCSOS: N/A Vendor is a BOCC consultant: Yes No
Contract Details
Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment )
Effective Date 07/09/2024 End Date N/A Notice Date (Notice Purpose )
Award
Approved by Board (Agenda Date: ); Made or Administered by
Signature Authority
- BOCC Express Delegation (Agenda Date: )
- Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000
- Budget Policy Section XV (Capital Improvement Project: )
Bidding
Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# )
Department Affirmation
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement.
This agreement is approved as to technical form and content. Services related to this agreement have already
begun or been completed. Description of the nature of the emergency condition that was addressed:
Department Director’s Signature ________________________________________ Date: ________
Information Technologies
This agreement has been reviewed and is approved as to information technology content and specifications:
Office of the Chief Information Officer___________________________________ Date: ________
Inapplicable because no hardware/software purchases or related services
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
Clerk to the Board
All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Received for record retention:
Office of the Clerk to the Board __________________________________________Date:_________
Docusign Envelope ID: DEF43F67-FA08-4F7E-81F4-FB6EF300A382
7/10/2024
7/11/2024
7/11/2024