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ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />ACTION AGENDA ITEM ABSTRACT <br />Meeting Date: August 17, 2010 <br />Action Agenda <br />Item No. ~- - m <br />SUBJECT: Agreement Renewal with UNC Family Medicine and Health Department for <br />Physician Services <br />DEPARTMENT: Health PUBLIC HEARING: (Y/N) No <br />ATTACHMENT(S): <br />Renewal Agreement <br />INFORMATION CONTACT: <br />Rosemary Summers, 245-2411 <br />PURPOSE: To renew an agreement between UNC Family Medicine and Health Department for <br />Physician Services. <br />BACKGROUND: This agreement covers all physician services for the Health Department, <br />including communicable disease consultation, medical oversight of clinics, direct clinical <br />services, mandated oversight of all nurse practitioners, and consultation on protocol <br />development and quality assurance. Back-up services are also included in the agreement for <br />vacation and sick coverage. The agreement amount of $145,416 for the fiscal year provides for <br />28 hours per week of services. This is the same amount as the last two years. <br />Chapel Hill Carrboro City Schools (CHCCS) has decided not to renew Addendum A to the <br />agreement which provided $1,000 for the medical supervision of the nurse practitioner <br />employed by the Chapel Hill Carrboro City Schools. CHCCS has found alternative coverage. <br />The number of hours in the contract dedicated to clinical versus administrative services has <br />changed from 25 clinical hours and 3 administrative hours in the previous agreement to 22 <br />clinical hours and 6 administrative hours based on further discussions with UNC Family <br />Medicine. Staff is anticipating a new primary physician being assigned this year as the current <br />physician assigned will be retiring in September. All other provisions remain the same. <br />Last year the Health Department had over 11,000 clinical visits and more than 2,500 home <br />visits. This agreement enables the Health Department to continue providing medical services to <br />the community. <br />FINANCIAL IMPACT: The total amount of the agreement for FY 2010-2011 is $145,416. This <br />represents 28 hours per week of a physician's time and includes back-up coverage. This was <br />included in the department's approved budget for FY 2010-2011. <br />RECOMMENDATION(S): The Manager recommends that the Board approve the agreement <br />renewal and authorize the Chair to sign. <br />