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5) Back-Up Coverage. Substitute coverage by a back-up Department <br /> physician is expected during vacations and other anticipated absences of the <br /> Medical Director or back-up Department physician originally scheduled to <br /> be available. The Medical Director or designated back-up Department <br /> physician shall be responsible for notifying OCHD of schedule changes. If <br /> attendance as scheduled of the Medical Director or designated back-up <br /> Department physician is impossible due to unremediable circumstances, <br /> phone coverage of a designated back-up Department physician must be <br /> provided. In addition to the foregoing described days and hours, at the <br /> request of OCHD Health Director, the Medical Director or designated back- <br /> up Department physician will provide on-site medical supervision at OCHD <br /> Outpatient Clinics or other sites as necessary during communicable disease <br /> incidents or other public health-related emergencies. <br /> 6) The Medical Director or designated back-up Department physician shall be <br /> available six (6) hours per week for the following: phone consultation <br /> during business hours and after-hours program coverage for clinical/patient <br /> issues, phone coverage for consultation and direction for communicable <br /> disease/epidemic control, emergency phone consultation as needed during <br /> non-business hours through a pager system, and direct administrative and/or <br /> consultative services as outlined in General Consultation Services provided <br /> above. <br /> 7) Substitutions in the scheduling of the Medical Director or designated back- <br /> up Department physician will be the responsibility of the Department in <br /> consultation with OCHD Health Director. Vacation leave, continuing <br /> education, and other assignments requiring temporary back-up coverage will <br /> be mutually agreed upon by the Chair of the Department and OCHD Health <br /> Director. <br /> iv. The Department will assure that the Medical Director and designated back-up <br /> Department physicians are in, and maintain, compliance with OSHA guidelines <br /> regarding bloodborne pathogens including Hepatitis B and TB status as well as <br /> documentation of immunization against measles, mumps, rubella and varicella. <br /> In the event of a bloodborne pathogen exposure, the Department will be <br /> responsible for providing follow-up according to its policies and procedures <br /> governing exposure incidents. <br /> V. The Department will maintain current registration and licensure of the Medical <br /> Director and designated back-up Department physicians and shall provide copies <br /> to OCHD as appendices to the Designation of Medical Director attachment to this <br /> contract. <br /> 4. Duration of Services <br /> a. Term. The term of this Agreement shall be from July 1, 2013 to June 30, 2014, and <br /> shall be renewable annually thereafter upon written notification executed by both <br /> parties. <br /> b. Scheduling of Services. <br /> 6 <br />