2011-255 Health - UNC Family Medicine for Medical Director, Physician Services for Health Dept.

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ii. Clinical Services. The Medical Director Services provided by the Department shall include Clinical Services in compliance with State and Federal guidelines and program rules for all Outpatient Clinics conducted by OCHD, including without limitation the following OCHD Outpatient Clinics: Family Planning (FP), Prenatal Care (PNC), Child Health (CH), Adolescent Health (ADOL), Tuberculosis (TB), Sexually Transmitted Disease (STD), General Communicable Disease Control (GEN), Adult Health Preventive Services (AH/HP), Primary Care (PC), and Refugee Health (RH). The Clinical Services provided by the Department shall include the following: 1) Collaboration with OCHD to develop and approve protocols for Outpatient Clinics. For the mutual benefit of the Department, OCHD, and its prenatal patients, prenatal patients will be managed according to OCHD established protocols. These protocols will be reviewed annually and be consistent with protocols used at UNC Department of OB/GYN and Family Medicine outlying clinics. 2) Primary medical supervision of the nurse practitioners who are employees of OCHD to include ongoing monitoring and evaluation of the medical acts performed by the nurse practitioners. Meeting with nurse practitioners at least once every six months to identify and document clinical problems, progress toward improving outcomes and recommendations for changes in treatment plans. Documentation of clinical issues discussed and actions taken will be signed, dated, retained by the nurse practitioner and physician and be available for review. 3) During the first six months of practice, meet with new nurse practitioners monthly to discuss practice-relevant clinical issues and quality improvement measures. Documentation of clinical issues discussed and actions taken will be signed, dated, and retained by the nurse practitioner and physician and be available for review. 4) Weekly group meetings with clinical staff in each site according to an agreed upon schedule to discuss high-risk patient care, treatment changes, and clinical operation issues. 5) Overall responsibility for medical residents and medical students working in clinics. This includes orientation, supervision of practice and assurance of compliance with OCHD program and documentation requirements. Advance notice of medical resident and student placement will be made to the Personal Health Director. Medical students are limited to those involved in special projects with the Medical Director. All medical residents and students must be in compliance with OCHD immunization requirements and maintain documentation of such on file at LTNC. 6) Provision of routine medical services during scheduled on-site times at SAContract Review\Health\Medical Director's Contract\Family Medicine-Medical Director 2011-12.doc 4