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AGREEMENT Between UNC School of Medicine <br />And Orange County Health Department <br />Page 4 of 9 <br />f. Medical consultation visits to OCHD patients during on-site scheduled times at <br />Outpatient Clinics; medical consultation to OCHD nurse practitioners by <br />telephone when the Medical Director is not on-site at OCHD outpatient clinics. <br />g. Continuing education consultation for OCHD nurse practitioners and other <br />OCHD staff to include regular informal consultation and periodic formal <br />sessions as appropriate; <br />h. After-hours medical consultation for primary care patients of OCHD: UNC <br />Health Care's healthLink program provides initial triage of after-hours calls as <br />per the agreement attached hereto and incorporated as exhibit A ("after-hours <br />program"). The Department will provide Medical Director consultation and <br />supervision to OCHD clinicians (3 FNPs) that provide after-hours medical <br />consultation (on a rotating basis) for OCHD clients referred by HealthLink. The <br />Medical Director shall also provide after-hours medical consultation for <br />HealthLink referred OCHD clients (on a rotating basis) such that each of the 4 <br />clinicians shall provide such after-hours medical consultation 1 week/month. <br />i. discharge the above described responsibilities through and with knowledge <br />aforehand of OCHD Health Director. <br />4. OCHD Outpatient Clinics are operational during the normal business hours of 8:00 <br />a.m. to 5:00 p.m., Monday through Friday. However, one day per site of the <br />Outpatient Clinics (Tuesday -Hillsborough; Thursday -Chapel Hill) operates on a <br />flexible evening schedule (i.e. 10:30 AM - 7:30 PM) to provide greater access to <br />care. Outpatient Clinics may run beyond their scheduled time. In addition to the <br />above-described activities during the after-hours program, the Department is <br />responsible for medical activities conducted in the Outpatient Clinics in accordance <br />with this agreement during the entirety of the hours specified in this. paragraph. <br />5. The Department shall provide, at a minimum, the equivalent of .70 Full Time <br />Equivalent (FTE) personnel to carry out the Medical Director Services described in <br />this agreement, including the General Consultation and Clinical Services identified <br />above. Said services will be provided primarily by the "Medical Director", or <br />C:\DOCUME-1\Hoovfm\LOCALS-1\Temp\OCHD -UNC FM -Medical Director 2005-06 .doc <br />