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consultant for the paramedics in the field for patient care issues and meets regularly with EMS <br />staff to provide consultation and review of medical issues. <br />Dr. Jane Brice serves as an emergency department staff physician at UNC. This agreement <br />offsets the cost to the UNC Department of Emergency Medicine in providing physician coverage <br />for her as she provides services to Emergency Services. This is a common practice among <br />medical directors who also staff emergency departments. <br />FINANCIAL IMPACT: The $47,000 cost of this agreement reflects a 4.4% increase over the <br />current year. Emergency Services Department has $46,400 budgeted for FY 2009-2010 <br />operating budget. The additional $600 will be transferred from an operating account to cover <br />the shortage. The agreement is based on the County paying a percentage of the Medical <br />Director's salary and benefit cost through UNC, and the increase is based on both an annual <br />salary increase and increased benefit costs for UNC, including an increase in the medical <br />liability premiums. <br />RECOMMENDATION(S): The Manager recommends the Board: <br />• Approve the agreement renewal; <br />• Authorize the Chair to sign the agreement renewal; and <br />• Direct staff to proceed with the necessary budget actions to fund this agreement. <br />