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3 <br />Medical Examiners. To the maximum practicable extent, OCHD shall <br />include the medical director in the hiring process of APPs. As the hiring <br />authority for the Health Department, the health director shall consult the <br />medical director prior to any final hiring decisions. Should the medical <br />director’s schedule not permit participation and/or consultation, the health <br />director shall consult with the Chair of Family Medicine in the medical <br />director’s absence or unavailability. The health director and medical director <br />or Chair of Family Medicine shall mutually agree on the final hiring <br />decision of an APP. If such mutual agreement is not achieved, then this <br />agreement shall terminate and any payment due as of the date of termination <br />shall be paid as provided in this agreement. <br /> <br />4) Develop medical policies and protocols, in consultation with the Personal <br />Health Services Director, which conform to standards set by the North <br />Carolina Department of Health and Human Services (DHHS), and the U.S. <br />Department of Health and Human Services. <br /> <br />5) Sign protocols and standing orders that will allow professional working with <br />OCHD to utilize the optimum range of procedures/medical treatment legally <br />allowed by their Licensure Boards. <br /> <br />6) Provide 24/7 on-call consultation services for OCHD Communicable <br />Disease Programs. <br /> <br />7) Attend OCHD Leadership Team or Board of Health meetings as requested <br />by the Health Director. <br /> <br />8) Provide medical direction to the Communicable Disease Program via <br />meetings, TB Management and Outbreak Management. <br /> <br />9) Provide medical direction to school health programs in both school systems <br />in Orange County and medical consultation to both school and OCHD staff <br />working in or with school health programs. <br /> <br />10) Attend and complete required trainings to include but not limited to the NC <br />Department of Public Health (DPH) Annual Tuberculosis Symposium, Title <br />X Training, NC DPH Annual STD Update, etc. <br /> <br />11) Other miscellaneous duties as provided for in the agreement. <br /> <br />12) Discharge the above described responsibilities through and with prior <br />knowledge of OCHD Health Director. <br /> <br />ii. Clinical Services. The Medical Director Services provided by the Department <br />shall include Clinical Services in compliance with State and Federal guidelines, <br />program rules and all OCHD clinical practice guidelines and standards for all <br />Outpatient Clinics conducted by OCHD, including without limitation the <br />following OCHD Outpatient Clinics: Family Planning (FP), Prenatal Care (PNC), <br />Child Health (CH), Adolescent Health (ADOL), Tuberculosis (TB), Sexually <br />Transmitted Disease (STD), General Communicable Disease Control (GEN), <br />Adult Health Preventive Services (AH/HP), Primary Care (PC), and Refugee <br /> UNC SOM #18-1751.t027DocuSign Envelope ID: 35CF0D44-9F21-47B7-A1C3-309059023B95