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ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />ACTION AGENDA ITEM ABSTRACT <br />Meeting Date: May 20, 2008 <br />Action Agenda <br />Item No. ~ - h <br />SUBJECT: Contract Renewal with UNC Family Medicine and Health Department for <br />Physician Services <br />DEPARTMENT: Health <br />PUBLIC HEARING: (Y/N) No <br />ATTACHMENT(S): <br />Contract <br />Addenda A <br />Business Associate Agreement <br />INFORMATION CONTACT: <br />Rosemary Summers, 245-2411 <br />PURPOSE: To renew a contract with UNC Family Medicine and Health Department for <br />Physician Services. <br />BACKGROUND: This contract covers all physician services for the Health Department, <br />including communicable disease consultation, clinic supervision and direct clinical services, <br />mandated oversight of all nurse practitioners, and consultation on protocol development and <br />quality assurance. Back-up services are also included in the contract for vacation and sick <br />coverage. The contract amount is $145,416 for the year, a 3.5 percent increase over the <br />previous year. The increase primarily covers increases in medical malpractice insurance. The <br />physicians began providing 24-hour call consultation and supervision for the Health <br />Department's nurse practitioners when the department began providing primary care services in <br />2005. Last year, the Health Department had over 11,000 clinical visits and more than 2,500 <br />home visiting contacts. In addition, there is a separate addenda to this contract for $1,000 that <br />includes medical supervision of the nurse practitioner employed by the Chapel Hill-Carrboro City <br />Schools (CHCCS). CHCCS pays the entire cost of this supervision. This is the second year of <br />this addenda and it remains the same as the previous year. <br />FINANCIAL IMPACT: The contract for FY 2008-2009 includes a 3.5% increase for a total of <br />$145,416 per year. This represents 28 hours of a physician's time including medical back-up. <br />These amounts have been included in the Health Department's requested budget for FY 2008- <br />2009. <br />RECOMMENDATION(S): The Manager recommends that the Board approve the contract <br />renewal and authorize the Chair to sign pending approval of the FY 2008-2009 budget and <br />County Attorney review. <br />