Orange County NC Website
Browse       Search
4 <br />UNC SOM #18-1751.t031 <br /> <br />1) Collaboration with OCHD to ensure high quality standards of care for <br />Outpatient Clinics through routine review of program manuals. For the <br />mutual benefit of the Provider, OCHD, and its prenatal patients, prenatal <br />patients will be managed according to OCHD established protocols. These <br />protocols will be reviewed annually and will be developed in a manner that <br />attempts to be consistent with protocols used at UNC Department of OB/GYN <br />and Family Medicine outlying clinics. <br /> <br />2) Primary medical supervision of the Advanced Practice Practitioners (APPs) <br />who are employees of OCHD to include ongoing monitoring and evaluation <br />of the medical acts performed by the APPs. Meeting with APPs at least once <br />every six months to identify and document clinical problems, progress toward <br />improving outcomes and recommendations for changes in treatment plans. <br />Documentation of clinical issues discussed, and actions taken will be signed, <br />dated, retained by the APP and physician and be available for review. <br /> <br />3) During the first six months of practice, meet with new APPs monthly to <br />discuss practice-relevant clinical issues and quality improvement measures. <br />Documentation of clinical issues discussed, and actions taken will be signed, <br />dated, and retained by the APP and physician and be available for review. <br /> <br />4) Weekly case conference meetings with clinical staff at each site according to <br />an agreed upon schedule to discuss high-risk patient care, treatment changes, <br />and clinical operation issues. <br />5) <br />working in clinics. This includes orientation, supervision of practice and <br />assurance of compliance with OCHD program and documentation <br />requirements. Advance notice of medical resident and student placement will <br />be made to the Personal Health Director. Medical students are limited to those <br />involved in special projects with the Medical Director. All medical residents <br />and students must be in compliance with OCHD immunization requirements <br />and maintain documentation of such on file at UNC. <br /> <br />6) Provision of routine medical services during scheduled on-site times at <br />OCHD Outpatient Clinics, including documentation of clinical services, <br />follow-up on all labs, patient calls and medication refills for all clinical <br />services provided per established OCHD protocols. <br /> <br />7) Medical consultation to OCHD APPs as needed when the Medical Director is <br />not on-site at OCHD outpatient clinics. <br /> <br />8) Continuing education consultation for OCHD APPs and other OCHD staff to <br />include regular informal consultation and periodic formal sessions as <br />appropriate. <br /> <br />9) After- <br />HealthLink program provides initial triage of after-hours calls for all patients <br />with the exception of Prenatal Patients. The Medical Director will provide <br />consultation and supervision to OCHD clinicians (4 APPs) that provide after- <br />hours medical consultation (on a rotating basis) for OCHD clients referred by <br />Docusign Envelope ID: 2A8CB1FE-65D1-4990-B026-DD79D59E34FF