Agenda - 06-02-2009 - 4n - Laserfiche WebLink

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09-10 AGREEMENT Between UNC School of Medicine And Orange County Health Department Page of 10 5 will be provided primarily by the "Medical Director» or "back-up Department physician". The Medical Director shall be board certified in Family Medicine or an equivalent certification. The Medical Director will report activities and services performed for OCHD as requested by OCHD Health Director. 6. The Chair of the Department shall, concurrent with the execution of this agreement, designate the name of the Medical Director, and the names of up to five Department physicians who will rotate as back-up Department physicians, to be "available" to provide the General Consultation and Clinical Services identified in this agreement. a. The Department and OCHD shall indicate their mutual agreement to the designation of the Medical Director and designated back-up Department physicians available to be scheduled in the absence of the Medical Director by signing the "Designation of Medical Director" attachment to this contract. Any changes in these designations will be mutually agreed to by the Chair of the Department and OCHD Health Director. In the event that the Medical Director or any designated back-up Department physician becomes unwilling or unable to perform the duties required by this agreement, the Department and OCHD shall attempt to mutually agree upon replacement(s). If such mutual agreement is not achieved, then this agreement shall terminate and any payment due as of the date of termination shall be paid as provided for in paragraph 18 of this agreement. b. Substitutions in the scheduling of the Medical Director or designated back-up Department physician will be the responsibility of the Department in consultation with OCHD Health Director. Vacation leave, continuing education, and other assignments requiring temporary back-up coverage will be mutually agreed upon by the Chair of the Department and OCHD Health Director. 7. The Medical Director or designated back-up Department physician shall provide a total of twenty-two (22) hours per week of the foregoing Clinical Services on-site at OCHD Outpatient Clinics or other sites as provided therefore. Days and times and the identity of the person or persons scheduled to be on-site to provide this coverage on behalf of the Department will be mutually agreed to by the Department and OCHD. Although the Department is not required to provide the attendance of a Medical Director or back-up Department physician on the premises of OCHD outpatient facilities or other sites provided therefore at other times, access should be made available during other days and times as stipulated in this agreement. Substitute coverage by a back-up Department physician is expected during vacations and other anticipated absences of the Medical Director or back-up Department physician originally scheduled to be available. The Medical Director or designated back-up Department physician shall be responsible for notifying OCHD of schedule changes. If attendance as scheduled of the Medical Director or designated back-up Department physician is impossible due to unremediable circumstances, phone coverage of a designated back-up Department physician must be provided and nurse practitioner charts will be signed by the appropriate designated Department physician or back up Department physician on call within five (5) working days. In addition to the foregoing described days and hours, at the request of OCHD Health Director, the Medical Director or designated back-up Department physician will provide on-site medical supervision at OCHD Outpatient Clinics or other sites as necessary during communicable disease incidents or other public health-related emergencies. 8. The Medical Director or designated back-up Department physician shall be available six (6) hours per week for the following: phone consultation during business hours and after-hours program coverage for clinical/patient issues, phone coverage for consultation and direction