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ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />ACTION AGENDA ITEM ABSTRACT <br />Meeting Date: June 8, 2004 <br />Action Agenda <br />Item No. <br />SUBJECT: Contract Renewal with UNC Family Medicine and Health Department <br />DEPARTMENT: Health <br />ATTACHMENT(S): <br />Contract <br />PUBLIC HEARING: (Y/N) No <br />INFORMATION CONTACT: <br />Rosemary Summers, ext 2411 <br />TELEPHONE NUMBERS: <br />Hillsborough 732-8181 <br />Chapel Hill 968-4501 <br />Durham 688-7331 <br />Mebane 336-227-2031 <br />PURPOSE: To consider a contract renewal with UNC Family Medicine and Health Department <br />for Physician Services, <br />BACKGROUND: This contract covers all physician services far the Health Department, <br />including communicable disease consultation, clinic supervision and direct clinical services, <br />mandated oversight of all nurse practitioners, and consultation on protocol development and <br />quality assurance. The contract also includes oversight of two nurse practitioners at the Chapel <br />Hill-Carrboro City Schools (paid for by the CHCCS). Back-up services are also included in the <br />contract for vacation and sick coverage, The contract amount is $132,1 12 far the year, a 5% <br />increase over the current year. The increase primarily covers an increase in medical <br />malpractice that UNC Family Medicine has experienced, The Health Department's malpractice <br />coverage increased 8% for the coming year. The physicians will begin providing 24-hour call <br />consultation and supervision for the Health Department's nurse practitioners in January when <br />the Department begins providing primary care services, Last year, the Health Department had <br />over 11,000 clinical visits and more than 2,500 home visiting contacts. <br />FINANCIAL IMPACT: The contract for FY 2004-2005 is $132,112, a 5% increase over the <br />current year as noted above, and represents ,70 full time equivalent (FTE) of a physician's time <br />including medical back-up. Chapel Hill-Carrboro City Schools will be reimbursing the Health <br />Department $4,776 for oversight of the two nurse practitioners in the school system. These <br />amounts have been included in the Health Department's requested budget for FY 2004-2005, <br />RECOMMENDATION(S): The Manager recommends that the Board approve the contract <br />renewal and authorize the Chair to sign pending approval of the FY 2004-2005 budget and <br />county attorney review, <br />