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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 /> ii is expected during vacations and other anti <br /> physician cipated 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 /> 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 /> vie Monthly one - on - one clinical supervision by a Mental Health Clinical Supervisor <br /> to OCHD Licensed Clinical Social Workers ( " LCSW ") providing behavioral <br /> health and mental health services to OCHD clients , in order to enhance and <br /> support best clinical skills and recommendations for the development of an <br /> integrated behavioral health program . The Mental Health Clinical Supervisor shall <br /> provide professional support, guidance , and review of LCSW practice and <br /> services to clients with issues related to mental health , substance abuse and <br /> behavioral health . <br /> 4 . Duration of Services <br /> 6 <br />