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HomeMy WebLinkAboutAgenda - 08-19-2003-8kORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: August 19, 2003 Action Agenda Item No. ~~ SUBJECT: Contracts Between CHCCS and OCS and Health Department for School Nurses DEPARTMENT: Health PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Contracts INFORMATION CONTACT: 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 and 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 two additional full-time nurses in Chapel Hill-Carrboro City Schools and one additional full-time nurse in Orange County 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. However, funding for the entire 10-month school year was included for all three positions. For the 2003-2004 fiscal year, the Commissioners have authorized Year 2 of the four-year plan that details two additional nurses for the Chapel Hill-Carrboro City School system and one additional nurse for the Orange County School system. The implementation of the Year 2 plan is scheduled for October 1, 2003. With approval of the attached contracts, a total of four nurses for the CHCCS system and two nurses for the OCS system will have been allocated under Years 1 and 2 of the plan. When implemented, and pending BOCC approval, Year 3 of the plan will provide one additional nurse to each system, and Year 4 will provide one additional nurse to the CHCCS system. Implementation of the entire plan through Year 4 will result in a total of six nurses being supported in the CHCCS system and three nurses in the OCS system. It should be noted that the school location assignments of these nurses within each system varies due to individual school and overall system needs and are modified by school officials when necessary. FINANCIAL IMPACT: The total cost for both of the attached contracts is $292,206. This amount covers all the costs for this year for school nurses authorized in Year 1 and Year 2 of the school nurse plan. The necessary funding was included in the approved budget for FY 2003-2004. RECOMMENDATION(S): The Manager recommends that the Board approve the contracts 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, 2003 -June 30, 2004 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 optima] 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: 1. To provide funds not to exceed $198,131 to the School for the purpose of supporting four 10 month registered nurses to provide school nursing services for the 2003-2004 school year. Two of the registered nurses maybe delayed until October 1, 2003 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 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. T`he School agrees: 1. To utilize funds not to exceed $198,131 for the purpose of supporting four 10 month registered nurses to provide school nursing services for 2003-2004 school year. Two of the registered nurses maybe delayed until October 1, 2003 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/are and remain current in his/her licensure as a Registered Nurse in good standing with the North Carolina Board of Nursing. 4 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, 2003 through June 30, 2004 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 COUNTY HEALTH DEPARTMENT FOR AND ON BEHALF OF THE CHAPEL HILL CARRBORO CITY SCHOOLS Rosemary L. Summers, Health Director Date: This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act. Neil Pedersen, Superintendent Date: This instrument has been pre-audited in the manner required by the School Budget and Fiscal Control Act. Kenneth Chavious, Kim McVey, Orange County Finance Director Chapel Hill Carrboro City Schools Finance Officer Date: Date: FOR AND ON BEHALF OF THE COUNTY OF ORANGE Margaret Brown, Chair Orange County Commissioners Date: 5 Contract for School Nursing Services between the County of Orange and the Orange County Schools July 1, 2003 -June 30, 2004 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 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 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: 1. To provide funds not to exceed $94,075 to the School for the purpose of supporting two 10 month registered nurses to provide school nursing services for the 2003-2004 school year. To the extent practicable, these funds should support the equivalent of 2 FTE nurses. One of the registered nurses may be delayed until October 1, 2003 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 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 $94,075 for the purpose of supporting two 10 month registered nurses to provide school nursing services for 2003-2004 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, 2003 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 two 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 nurse, and in the event of termination, whether voluntary or involuntary, of the date of termination. 6 5. To maintain documentation that the nurse 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, 2003 through June 30, 2004 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 COUNTY HEALTH DEPARTMENT FOR AND ON BEHALF OF THE ORANGE COUNTY SCHOOLS Rosemary L. Summers, Health Director 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 Margaret Brown, Chair Orange County Commissioners Shirley Carraway, Superintendent Date: This instrument has been pre-audited in the manner required by the School Budget and Fiscal Control Act. Sandra Tinsley, Orange County Schools Finance Officer Date: Date: