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f <br />1 <br />ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />Action Agenda <br />Item No. V-1)_ <br />ACTION AGENDA ITEM ABSTRACT <br />Meeting Date: September 4, 1990 <br />SUBJECT: CONTRACT RENEWAL; JAIL MEDICAL <br />DEPARTMENT: PURCHASING & CENTRAL SRVS. PUBLIC HEARING YES: NO: XX <br />------------------------------------------------------------------..___-- <br />ATTACHMENT(S): INFORMATION CONTACT: SHERIFF OR <br />PURCHASING DIRECTOR <br />Renewal Telephone Number - <br />Hillsborough - 732 -8181 <br />Chapel Hill - 967 -9251 <br />Mebane -227 -2031 <br />Durham - 688 -7331 <br />PURPOSE: To consider renewing a contract with the Orange Family <br />Medical Group for Jail Medical Services through June 30, 1991. <br />BACKGROUND: From 1985 to 1988 the Orange Family Medical Center has <br />provided medical services to the inmates of the Orange County Jail. We <br />are mandated by State law to provide the medical care. In 1988, <br />ownership of the Medical Group was changed and the name of the <br />facility changed to the Orange Family Medical Group. <br />Orange Family Medical Center received some subsidy from the University <br />of North Carolina - Chapel Hill, which perhaps allowed them to keep the <br />cost of service to the County artificially low. During the past two <br />years during which the Orange Family Medical Group has operated the <br />practice, the County's cost has risen from a total of $6,000 to a <br />total of $6,600 per year. At renewal time this year however, we were <br />presented with a cost increase of $5,400 per year (82$), bringing the <br />total contract amount to $12,000 per year ($1,000 per month). <br />The reasons cited by the Medical Group for this increase include: <br />1. Substantially more patients being seen at the jail. Example <br />comparison: 80 prisoners seen in May, 1990 as opposed to 48 in May, <br />1989. <br />2. The complexity of the medical care has increased dramatically. <br />The physician states that he now sees more chronic diseases, more drug <br />abuse patients, a greater number of female patients, and more <br />psychiatric problems, all of which need a greater level of care than <br />purely routine problems being addressed in the past. <br />3. The time commitment for caring for prisoners as well as follow <br />up for prescription renewals and administrative details has been <br />drastically increased. <br />