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HomeMy WebLinkAboutAgenda - 08-19-2008 - 4lORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: August 19, 2008 Action Agen~ Item No. SUBJECT: Contract Between Chapel Hill Carrboro City Schools, Orange County Schools, and Health Department for School Nurses DEPARTMENT: Health PUBLIC HEARING: (Y/N) No ATTACHMENT(S): INFORMATION CONTACT: Contracts Rosemary Summers, 245-2411 PURPOSE: To approve the contracts between Chapel Hill Carrboro City Schools (CHCCS), Orange County Schools (OCS) and the Health Department for School Nurse funding. BACKGROUND: During 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 table below depicts the implementation of the four-year plan as it was authorized on an annual basis: 2001-02 02-03 03-04 04-05 05-06 06-07 forward CHCCS 2 0 2+ 2 new 4 +1 new 5+ 1 new 6 OCS 1 0 1 +1 new 2 +1 new 3 3 New nurses were added in October of each of the years that they were authorized. Fiscal Year 2006-2007 fiscal was the first continuation year of the school nurse plan. FY 2008-09 maintains the school nurse continuation plan. When a new school is opened, the school system is responsible for including the salary of a school nurse in its complement of basic staff for the school. These funds are designated for direct services to children only and are not allowed for nurse administrative or supervisory duties. FINANCIAL IMPACT: The total cost of the contracts is $593,147 and was authorized in the approved budget for FY2008-2009. The Orange County Schools will receive a total of $188,696 for three nurses and the Chapel Hill Carrboro City Schools will receive a total of $404,451 for six nurses. It is anticipated that the full cost in fiscal year 2008-09 will be up to but not to exceed $593,147. RECOMMENDATION(S): The Manager recommends that the Board approve the contracts and authorize the Chair to sign. 2 Contract for School Nursing Services between the County of Orange and the Orange County Schools July 1, 2008 -June 30, 2009 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 $188,696 to the School for the purpose of supporting three 10-month registered nurses to provide school nursing services for the 2008-2009 school year. To the extent practicable, these funds should support the equivalent of 3 FTE nurses. 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 school nurse 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 $188,696 for the purpose of supporting three 10-month registered nurses to provide school nursing services for the 2008-2009 school year. The nurses will provide direct nursing services to students within an individual school. The School agrees that the funds will not be utilized to support a nurse with a supervisory role. To the extent practicable, these funds should 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 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, and the date of termination. 3 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, 2008 through June 30, 2009 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. Gary Humphreys, Orange County Finance Director Date: FOR AND ON BEHALF OF THE COUNTY OF ORANGE Barry Jacobs, Chair Orange County Commissioners Patrick Rhodes, Superintendent 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: 4 Contract for School Nursing Services between the County of Orange and the Chapel Hill Carrboro City Schools July 1, 2008 -June 30, 2009 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 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 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 $404,451 to the School for the purpose of supporting six 10-month registered nurses to provide school nursing services for the 2008-2009 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 school nurse 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 $404,451 for the purpose of supporting six 10-month registered nurses to provide school nursing services for 2008-2009 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. 5 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, 2008 through June 30, 2009 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. Gary Humphreys, Ruby Pittman, Orange County Finance Director Chapel Hill Carrboro City Schools Finance Officer Date: Date: FOR AND ON BEHALF OF THE COUNTY OF ORANGE Barry Jacobs, Chair Orange County Commissioners Date: