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ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />ACTION AGENDA ITEM ABSTRACT <br />Meeting Date: June 26, 2007 <br />Action Agenda <br />Item No. ~ - ~ <br />SUBJECT: Contract Renewal with UNC Family Medicine and Health Department <br />DEPARTMENT: Health <br />PUBLIC HEARING: (Y/N) No <br />ATTACHMENT(S): <br />Contract <br />Addenda A to Contract <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 />leave coverage. The contract amount is up to $150,529 for the year, an 11 % increase over the <br />previous year. The increase primarily covers an additional 2 hours per week of direct clinical <br />services and an increase in medical malpractice insurance that UNC Family Medicine has <br />experienced. The physicians began providing 24-hour call consultation and supervision for the <br />Health Department's nurse practitioners when the Department began providing primary care <br />services in 2005. Last year, the Health Department had over 11,000 clinical visits and more <br />than 2,500 home visiting contacts. In addition, there is a separate addenda to this contract for <br />$1,000 that includes medical supervision of the nurse practitioner employed by the Chapel Hill <br />Carrboro City Schools. CHCCS pays the entire cost of this supervision. <br />FINANCIAL IMPACT: The contract for FY 2007-2008 cost includes an 11 % increase for a total <br />of up to $150,529 per year. This represents .75 full time equivalent (30 hours) of a physician's <br />time including medical back-up. These amounts have been included in the Health Department's <br />requested budget for FY 2007-2008. <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 2007-2008 budget and <br />County Attorney review. <br />