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our— <br />ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />1 <br />Action Agenda <br />�Cj <br />ACTION AGENDA ITEM ABSTRACT Item No. <br />Meeting Date: December 2 1991 <br />SUBJECT: CONTRACT BETWEEN THE ORANGE COUNTY HEALTH DEPARTMENT AND THE UNC -CH <br />SCHOOL OF MEDICINE, DEPARTMENT OF PEDIATRICS <br />DEPARTMENT: HEALTH PUBLIC HEARING: Yes X No <br />ATTACHMENT(S): <br />Four -page Agreement with the UNC -CH <br />School of Medicine, Department <br />of Pediatrics <br />INFORMATION CONTACT: <br />HEALTH DIRECTOR'S OFFICE X2411 <br />TELEPHONE NUMBER: <br />Hillsborough - 732 -8181 <br />Chapel Hill - 968 -4501 <br />Mebane - 227 -2031 <br />Durham - 688 -7331 <br />PURPOSE: To approve an extension of the contract between the Orange County <br />Health Department (OCHD) and the UNC -CH School of Medicine, Department of <br />Pediatrics (Department). The extension would allow the existing contract to <br />continue from January 1, 1992, through June 30, 1992. <br />BACKGROUND: In 1983, the OCHD established a contract with the Department to <br />provide medical coverage for the Child Health Clinics. Since that time annual <br />renewals have been executed which referred to the 1983 contract document as the <br />basic agreement, while stipulating any revisions. <br />In the fall of 1990, the Department withdrew from the OCHD Child Health clinic <br />but continued to provide service to the Adolescent clinic. The Child Health <br />medical coverage was provided by an interim.contract with the Orange Family <br />Medical Center approved by the Board in October, 1990. Subsequently, in May <br />1991, the Board approved an expansion of the OCHD contract with the Department of <br />Family Medicine at UNC -CH to include medical coverage for the Child Health <br />Clinic. <br />It is advantageous to continue the contract with the Department of Pediatrics for <br />the Adolescent Clinic because of the successful Adolescents -In -Need Program, <br />operating from the Department of Pediatrics, and serving Orange County high <br />school. <br />Effective January 1, 1992, the OCHD and the Department wish to change the <br />structure of the contract from the process of annual renewal of the 1983 contract <br />to an annual contract system, similar to the agreement between OCHD and the <br />Department of Family Medicine. <br />Funds for this contract have been included in the approved 1991 -92 budget. <br />RECOMMENDATION(S): The County Manager recommends approval of the attached <br />contract and that the Chair be authorized to sign. <br />