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4 <br /> We have explored the options available to us (i.e. developing a position within our <br /> department or contracting with the health department) and think the most effective approach <br /> would be to seek the support of the health department. We understand this is a new approach <br /> to MCC outside the health department or tertiary care setting. This may seem somewhat <br /> analogous to the position at UNC OB filled by Donna Daniels. Our model of care however, is <br /> more like a private practice than a high risk clinic. Our patients have primary providers who <br /> also provide prenatal,delivery,and newborn care. We attract women from several counties and <br /> would hope to provide maternity care coordination irregardless of the county of origin. (i.e. <br /> Orange, Durham, Chatham, Alamance) We look forward to participating in the state's efforts <br /> to develop a community/private practice based maternity care coordination program. As a <br /> professional member of our prenatal team we would certainly hope to include a Maternity Care <br /> Coordinator in team meetings and as a resource in our residency training program. <br /> Ron Lingley, our departmental administrator, would be responsible for negotiating a <br /> contract, with approval by Ken Reeb, M.D. Department Chairman. In return for administrative <br /> support provided by the Department of Family Medicine in the form of office space,phone,and <br /> computer access, we would anticipate some form of reimbursement for those services from the <br /> 20%medicaid typically reimburses for "overhead.". We are also hopeful that state grant monies <br /> will be available to you for start up costs for this project.Both Trish Payne CNM,MPH and Dale <br /> Alexander, PhD (Director of the Behavioral Science) would be interested in participating with <br /> you in interviewing applicants as well as providing on site state supervisory support for the <br /> MCC working here. <br /> The Department of Family Medicine and the BABY LOVE Program are very enthusiastic <br /> about the innovative potential of this collaborative effort. It would be a challenging and <br /> rewarding experience for an MCC to work with our department.We are committed to providing <br /> a supportive collegial environment for MCC and would consider them as an integral part of our <br /> clinical and educational program.. <br /> Please let us know when we could meet to discuss this project in more detail. Please feel <br /> free to call us should you need further information before we meet. <br /> Sincerely, <br /> Margaret Helton, M.D. Trish Payne CNM,MPH <br /> cc: D. Alexander <br /> R. Lingley <br /> W. Newton <br /> K. Reeb, M.D. <br /> K. Ryan <br /> D. Williams <br />