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AGREEMENT Between UNC School of Medicine <br /> and Orange County Health Department <br /> Page 3 of 8 <br /> b. Primary technical supervision of the nurse practitioners who are <br /> employees of the OCHD; <br /> C. Co-signing charts of patients seen by new nurse practitioners of the <br /> OCHD within five (5) working days for at least the first six months of <br /> their practice, and face-to-face consultation on a weekly basis for the <br /> first month after approval and at least monthly for the succeeding five <br /> months; <br /> d. Routine medical services during scheduled on-site clinic times; <br /> e. Medical consultation visits to OCHD patients during scheduled on-site <br /> clinic times; <br /> f. Continuing education consultation for nurse practitioners and other <br /> staff to include regular informal consultation and periodic formal <br /> sessions as appropriate. <br /> g. Collaborative development by the primary supervising physician and nurse <br /> practitioners of a Quality Improvement Process as described in the N.C. <br /> Administrative Code governing nurse practitioner practice. <br /> 3. The Chair of the Department shall designate the name of the Medical Director <br /> and the names of any physicians who will provide clinical services. <br /> a. Any changes in these designations will be mutually agreed to by the <br /> Chair of the Department and the Director of OCHD. <br /> b. The Department and OCHD shall indicate their mutual agreement to the <br /> designation of the Medical Director and any other physicians involved as <br /> described above by signing the "Designation of Medical Director" <br /> attachment to this contract. <br /> 4 . This agreement covers any and all clinics conducted by OCHD in the program <br /> areas listed in #2 above. <br /> 5. Clinics are operational during the normal business hours of 8 : 00 a.m. to 5 : 00 <br /> p.m. , Monday through Friday. Some clinics may run beyond 5:00 p.m. and the <br /> Department is responsible for completion of medical activities conducted <br /> during the entirety of these hours. <br /> 6. On-site physician attendance shall occur twice a week for three (3) hours <br /> each day in Family Planning/STD clinic and for three (3) days for four <br /> (4) hours each in Maternal/Child Health Clinic each. Days and times of this <br /> L:\patsy\contract\uncfamii\unc9900 <br />