2017-655 Health - MOU with Dept of Family Medicine FIT program

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1. Scope of Engagement. In furtherance of its public service mission, UNC agrees to provide, through the services of Physician, (i) instruction on the implementation of a FIT program at OCHD; (ii) periodic peer to peer guidance in a case conference setting to OCHD's Community Health Worker regarding facilitation and coordination of care for FIT program clients who are served by OCHD; and (iii) data analysis and feedback to OCHD on the performance and outcomes of its FIT Program in furtherance of continuous quality improvement of the program. OCHD acknowledges and agrees that Physician's services are limited and discrete in nature, do not involve the review or development of specific treatment plans for FIT program clients, and that as between the parties hereto, OCHD retains full authority and responsibility for the care and treatment of its patients, including FIT program clients. 2. Insurance. UNC agrees to provide professional liability self - insurance coverage for itself and Physician in amounts not less than $1,000,000 per occurrence and $3,000,000 annual aggregate. OCHD agrees to provide or assure professional liability coverage for itself and its health care professionals or other staff engaged in the performance of this MOU in amounts sufficient to cover its obligations hereunder. 3. No Compensation, No Referrals. The parties acknowledge and agree that there will be no compensation from OCHD to UNC for the services provided by Physician to OCHD pursuant to this MOU. The parties acknowledge and intend that this arrangement is in furtherance of their respective public service missions. The parties further acknowledge and agree that (1) clients of the FIT program who are patients of OC14D and the subject of the care coordination guidance contemplated in this MOU will remain patients of OCHD, as applicable; (2) neither party intends to induce or reward the referral of any item or service for which payment may be made in whole or in part under any governmental healthcare program; and (3) this arrangement is not entered into on the basis of any determination that takes into account the volume or value of referrals or business otherwise generated between the parties. 4. HIPAA. Since the provision of (i) advisory services for the implementation of the FIT Program; (ii) ongoing peer to peer care coordination guidance; and (iii) data analysis in support of OCI °ID's healthcare operations of assuring continuous quality improvement of its FIT Program necessarily require the use and disclosure of OCHD- maintained protected health information ( "PHI "), as defined under the Health Insurance Portability and Accountability Act of 1996 (as amended), to UNC, including information on FIT program participants' healthcare utilization, access and outcomes, the parties agree, concurrent with the execution of this MOU, to execute the Business Associate Agreement attached hereto as Attachment 1. OCHD further acknowledges and agrees that UNC may additionally report to TDE on the performance of OCHD's FIT Program; provided, however, that all such reports shall be fully de- identified within the meaning of HIPAA. The parties also acknowledge and agree that UNC shall not collect, use or disclose any PHI of OCHD's clients for a research purpose unless (i) such research is IRB- approved; and (ii) the individual whose information is to be collected, used and /or disclosed (including to potential third party research collaborators) has first given his or her individual HIPAA authorizations in a form approved by the IRB. 5. Term. This MOU shall run from October 1, 2017 to September 30. 2018, and may be renewed thereafter by written agreement of the parties. {00102384.DOCX}