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6 <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 /> <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 /> <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 /> <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 /> <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 /> <br />vi. 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 /> <br /> <br />4. Duration of Services <br /> <br /> UNC SOM #18-1751.t027DocuSign Envelope ID: 35CF0D44-9F21-47B7-A1C3-309059023B95