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Section 2.1 is hereby further amended in part with new language and inserted as a fourth and fifth <br /> paragraph as follows: <br /> It is understood the professional provider may be filled by a Physician, or Mid-Level Practitioner. <br /> Either will be duly licensed to practice medicine in the State of North Carolina, and will be available to our <br /> nursing staff for resource, consultation and direction twenty-four (24) hours per day, seven (7) days per <br /> week. <br /> The scheduling of staff shifts may be flexible and adjusted by SHP in order to maintain stability of <br /> the program and consistency with staff. Any adjustments or changes to fixed schedules would be made <br /> after discussions with the Jail Administrator and other involved County officials. Professional Provider visit <br /> times and dates will be coordinated with Jail Management, and may include the use of telehealth services. <br /> Some of the Professional Provider time may be used for phone consults with medical staff and for other <br /> administrative duties. <br /> Section 3.1 is hereby replaced in its entirety by the following: <br /> 3. 1 Medical Records. County acknowledges that SHP's responsibility for all inmate medical <br /> records shall commence on the effective date of this Agreement, and that the responsibility for all inmate <br /> medical records prior to the effective date of this Agreement shall rest solely with the County. Nothing in <br /> this Agreement shall be interpreted to impose responsibility on SHP for inmate medical records prior to <br /> the effective date of this Agreement. County does further acknowledge, however, that SHP will assist <br /> County with the fulfillment of requests for production of medical records for those medical services <br /> provided prior to the effective date of this Agreement, and by doing so does not assume any responsibility <br /> for such records. It is mutually understood by both parties that, during the term of this Agreement, SHP <br /> shall serve as the Records Custodian in all medical record matters, in accordance with all applicable laws. <br /> Commencing on the effective date of this Agreement, SHP shall cause and require to be <br /> maintained a complete and accurate medical record for each inmate who has received health care <br /> services. Each medical record will be maintained in accordance with applicable laws and County's policies <br /> and procedures. The medical records shall be kept separate from the inmate's confinement record. A <br /> complete legible copy of the applicable medical cecord shall be available, at all times, to County as <br /> custodian of the person of the patient. Medical records shall be kept confidential. Subject to applicable <br /> law regarding confidentiality of such records, SHP shall comply with North Carolina law and County's <br /> policy with regard to access by inmates and Jail staff to medical records. No information contained in the <br /> medical records shall be released by SHP except as provided by County's policy, by a court order, or <br /> otherwise in accordance with the applicable law. SHP shall, at its own cost, provide all medical records, <br /> forms, jackets, and other materials necessary to maintain the medical records. At the termination of this <br /> Agreement, all medical records shall be delivered to and remain with County. However, County shall <br /> provide SHP with reasonable ongoing access to all medical records even after the termination of this <br /> Agreement for the purposes of defending litigation. <br /> Section 4.1 is hereby replaced in its entirety by the following: <br /> 4. 1 General. SHP and County understand that adequate security services are essential and <br /> necessary for the safety of the agents, employees and subcontractors of SHP as well as for the security of <br /> inmates and County's staff, consistent with the correctional setting. County will take all reasonable steps <br /> to provide sufficient security to enable SHP to safely and adequately provide the health care services <br /> described in this Agreement. It is expressly understood by County and SHP that the provision of security <br /> and safety for the SHP personnel is a continuing precondition of SHP's obligation to provide its services in <br /> a routine, timely, and proper fashion, to the extent that if, in SHP's sole discretion, the safety and security <br /> of SHP personnel are compromised, SHP may exercise its right to immediately terminate services, in <br /> 2 <br />