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LETTER OF UNDERSTANDING WITH HOSPITAL DISTRICT AND HEALTH <br />DEPARTMENT <br />The Board reviewed memo from County Attorney Charles Vitunac <br />dated July 14, 1993: <br />TO: Board of County Commissioners <br />1� <br />FROM: Charles P. Vitunac, Coun y Attorney <br />DATE: July 14, 1993 <br />RE: Letter of Understanding with Hospital <br />District and Health Department <br />The Indian River County Hospital District has recommended executing a <br />Letter of Understanding so that Indian River County, the Hospital, and <br />the Health Department understand their prospective rights and <br />obligations relating to certain public health programs offered in the <br />County. Commissioner Eggert reviewed the first draft and suggested <br />certain changes which are reflected in this revised attachment. <br />Execution of the agreement does not obligate Indian River County to fund <br />these programs, but merely acknowledges that the programs are operated <br />as stated in the letter. <br />If the County Commissioners approve the letter, the proper action would <br />be to authorize the Chairman to execute three original copies and route <br />them to the Health Department for Dr. Berman's signature. <br />Commissioner Eggert clarified for the record that we do not <br />have a contractual agreement with the hospital in this regard but <br />we are required by the State to have a primary care program. She <br />emphasized that although the Letter of Understanding does not speak <br />to the issue of the State requirement, the County has the <br />obligation to provide primary health care. <br />County Attorney Charles Vitunac explained that this Letter of <br />Understanding serves to inform the new hospital members what <br />medical services are provided by the other health care providers <br />throughout the county. <br />ON MOTION by Commissioner Eggert, SECONDED by <br />Commissioner Tippin, the Board unanimously approved <br />the Letter of Understanding with Indian River County <br />Hospital District and the County Health Department, <br />as recommended by staff. <br />LETTER OF UNDERSTANDING <br />IS ON FILE IN THE OFFICE OF CLERK TO THE BOARD <br />61 <br />L- L 7 1993 BOOK 90 PAGE 07 <br />