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Department and OCHD Health Director. In the event that the Medical <br /> Director or any designated back-up Department physician becomes <br /> unwilling or unable to perform the duties required by this agreement, the <br /> Department and OCHD shall attempt to mutually agree upon <br /> replacement(s). 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 below in this agreement. <br /> 4) Coverage. The Medical Director or designated back-up Department <br /> physician shall provide a total of twenty-eight (28) hours per week of the <br /> foregoing Clinical Services on-site at OCHD Outpatient Clinics or other <br /> sites as provided therefore. Days and times and the identity of the person or <br /> persons scheduled to be on-site to provide this coverage on behalf of the <br /> Department will be mutually agreed to by the Department and OCHD. <br /> Although the Department is not required to provide the attendance of a <br /> Medical Director or back-up Department physician on the premises of <br /> OCHD outpatient facilities or other sites provided therefore at other times, <br /> access should be made available during other days and times as stipulated in <br /> this agreement. <br /> 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) 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 /> 6 <br /> Rev 6/17 <br />