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HomeMy WebLinkAboutAgenda - 08-19-2008 - 4mORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: August 19, 2008 Action Age a Item No. SUBJECT: Agreement Renewal Between Health Department, the UNC School of Dentistry and UNC Hospitals for Dental Resident DEPARTMENT: Health PUBLIC HEARING: (Y/N) No ATTACHMENT(S): INFORMATION CONTACT: Agreement Rosemary Summers, 245-2411 PURPOSE: To consider renewing the agreement between the Health Department and the UNC School of Dentistry and UNC Hospitals for dental resident services. BACKGROUND: The Orange County Health Department (OCHD) annually contracts with the UNC School of Dentistry and UNC Hospitals for the services of one full-time equivalent dental resident for four and one-half days a week. The residents provide services at both the Hillsborough and the Carrboro dental clinics. The total cost of the agreement for July 1, 2008 through June 30, 2009 is $51,589. This was included in the 2008-2009 departmental budget that was approved in June 2008. The resident annually provides services to approximately 1,650 patients per year. FINANCIAL IMPACT: The total cost of the agreement is $51,589 for the fiscal year 2008-2009. This covers the cost of the salary and fringe benefits for the resident. There are sufficient funds approved in the 2009 fiscal year budget for the department to cover this cost. RECOMMENDATION(S): The Manager recommends that the Board approve the agreement subject to final review by staff and the County Attorney. STATE OF NORTH CAROLINA COUNTY OF ORANGE AGREEMENT BETWEEN THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF DENTISTRY FOR ITS DEPARTMENT OF DENTAL ECOLOGY AND ORANGE COUNTY HEALTH DEPARTMENT AMBULATORY CARE DENTAL SERVICE THIS AGREEMENT, made and entered into this the 1st day of July, 2008, by and between The University of North Carolina at Chapel Hill, School of Dentistry, hereinafter referred to as "The School of Dentistry", for its Department of Dental Ecology; and The Orange County Health Department hereinafter referred to as "The Health Department" for its Ambulatory Care Dental Service. WITNESSETH WHEREAS, The Health Department desires the services of one resident at the postgraduate year one level in the Ambulatory Care Dental Service for the academic year 2008-2009; WHEREAS, The Health Department desires to reimburse The School of Dentistry for the salary plus fringe of one resident at the postgraduate year one level; WHEREAS, The School of Dentistry and wishes to provide the services of one resident to The Health Department; NOW, THEREFORE, in consideration of the premises and of the following mutual promises, covenants, and conditions, The School of Dentistry, and The Health Department agree as follows: 1. The Health Department will reimburse the School of Dentistry at the close of each quarter for 1/4 the total salary and fringe $12,897.25. Total annual amount is $51,589. 2. The School of Dentistry will provide the services of one postgraduate year one resident to The Health Department for the purpose of rendering comprehensive dental services of 4 1/2 days/wk. 3. The School of Dentistry will bill The Health Department at the close of each quarter for the salary/fringe of one postgraduate year one resident. 4. The Orange County Health Department will provide ten vacation days for one FTE resident at the health department for the fiscal year 2008-2009. The vacation days will be cumulative for the fiscal year. Once the total of the ten days vacation are utilized, no additional vacation leave will be approved by the health department. The vacation request must be submitted to the health department at least two months in advance. The Dental Health Director will be responsible for approving all vacation leave and will submit a quarterly report to the Director of the General Practice Residency Program. 5. The Orange County Health Department will provide four (4) days of professional leave for career planning for one FTE resident at the health department for the fiscal year 2008-2009. The professional leave days will be cumulative for the fiscal year. Once the total of four days professional leave are utilized, no additional professional leave will be approved by the health department. The professional leave request must be submitted to the health department as soon as possible. The Dental Health Director will be responsible for approving all professional leave and will submit a quarterly report to the Director of the General Practice Residency Program. UNC School of Dentistry Orange County Health Department July 1, 2008-June 30, 2009 Postgraduate Year One Level r 6. The health department must provide HIV, HBV and HCV testing for the source patient in the event of a blood borne pathogen exposure. In the event the resident is exposed to blood or bodily fluids, the health department will be responsible for providing an initial response, according to the Orange County Health Department Blood-Borne Pathogens Standard. The resident will be required to return to University of North Carolina Student Health Services for post-incident testing and counseling if feasible. In the event the resident is unable to do so in a timely manner, the health department will provide access to testing and counseling for the resident. The resident will be responsible for the payment of services. 7. The person whose services are to be provided pursuant to the Agreement is, for all purposes, an employee of The University of North Carolina School of Dentistry. 8. While the University of North Carolina School of Dentistry resident is on rotation at the Orange County Health Department, their professional liability insurance coverage will be provided by the School of Dentistry with coverage of at least $1 million, per occurrence, $3 million aggregate. 9. This Agreement shall run for a period of one year, from the 1st day of July, 2008 to the 30th day of June, 2009, and shall be renewable thereafter. 10. The School of Dentistry will be responsible for training its residents to follow the OSHA Blood-borne. Pathogens Standard, assuring that its residents comply with the health requirements established by North Carolina state regulations and the School of Dentistry. 11. The School of Dentistry will maintain proper records of its residents rotating through the Health Department, and instruct its residents about Hepatitis B vaccinations, about the resident's responsibility for post-exposure follow-up and any incurred costs, about the resident's responsibility for the provision of protective equipment, and proper post -exposure record-keeping. 12. In addition, the resident must meet all current immunization requirements for health care settings, including proof of a positive Varicella titer or vaccination and proof of a positive MMR titer or required vaccinations. 13. This Agreement or its renewals may be terminated at any time without penalty by either party provided that written notice of such termination is furnished to the other party at least 90 days prior to termination. In the event of such termination any payment due shall be prorated to the date of termination. 14. Incompliance with 42 U.S.C.1395x(vX1)(I)and'mple~rientirg regulations, The School of Dentistry and the Health Department agree, until the expiration of four years after the services are furnished under this contract, to allow the Secretary of the Department of Health and Human Services and the Comptroller General access to this contract and to the books, documents and records of The School of Dentistry and The Health Department necessary to verify the nature and extent of this contract. The School of Dentistry and The Health Department further agree that if any of the duties of this contract are carried out by a subcontractor of The School of Dentistry or The Health Department such subcontract shall contain a clause to the effect that, until the expiration of four years after the services are furnished under such subcontract, the Secretary of the Department of Health and Human Services and the Comptroller General shall have access to such subcontract and to the books, documents and records of the subcontractor necessary to verify the nature and extent of the costs of such subcontract. 15. "The Health Department and the School of Dentistry will comply with such non-discrimination and confidentiality laws as may be applicable in the performance of this agreement and acknowledge that in receiving, storing, processing or otherwise dealing with any confidential information, they will safeguard and not further disclose the information except as permitted by the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, as amended." 16. "The Health Department will not be responsible for damages arising from personal injury to the resident of the School of Dentistry while the resident is present at the Health Department, unless personal injury was caused by the negligence of the Health Department, its employees, or agents. Nothing in this agreement is intended to serve as a waiver of sovereign or governmental immunity by Orange County." 17. The Agreement contains the entire understanding of the parties and shall not be altered, amended or UNC School of Dentistry Orange County Health Department July 1, 2008-June 30, 2009 Postgraduate Year One Level modified, except by an agreement in writing executed by the duly authorized officials of both parties. 18. The laws of North Carolina shall govern the validity and interpretation of the provisions, terms and conditions of this Agreement. IN WITNESS WHEREOF, the parties have hereunto signed this Agreement in their official capacities of the day and year listed below FOR AND ON BEHALF OF THE ORANGE COUNTY HEALTH DEPARTMENT Rosemary Summers, MPH, DrPH Health Director Date: This instrument has been preaudited in the manner required by the Local Government Budget and Fiscal Control Act. Gary Humphreys Director, Financial Services Date: FOR AND ON BEHALF OF ORANGE COUNTY Barry Jacobs Chair, Orange County Board of Commissioners Date: FOR AND ON BEHALF OF THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL Dr. John Williams Dean, School of Dentistry Date: Richard Mann Vice Chancellor for Finance and Administration Date: