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6 <br />UNC SOM #18-1751.t032 <br />Although the Provider is not required to provide the attendance of a Medical <br />Director or back-up Department physician on the premises of OCHD <br />outpatient facilities or other sites provided therefor at other times, the Medical <br />Director shall be reasonably available during other days and times as stipulated <br />in this Agreement. <br /> <br />5) Back-Up Coverage. Substitute coverage by a back-up Department physician <br />is expected during vacations and other anticipated absences of the Medical <br />Director or back-up Department physician originally scheduled to be <br />available. The Medical Director or designated back-up Department physician <br />shall be responsible for notifying OCHD of schedule changes. If attendance <br />as scheduled of the Medical Director or designated back-up Department <br />physician is impossible due to unremediable circumstances, phone coverage <br />of a designated back-up Department physician must be provided. In addition <br />to the foregoing described days and hours, at the request of OCHD Health <br />Director and as agreed to by the Provider, the Medical Director or designated <br />back-up Department physician will provide on-site medical supervision at <br />OCHD Outpatient Clinics or other sites as necessary during communicable <br />disease incidents or other public health-related emergencies. <br />6) Substitutions in the scheduling of the Medical Director or designated back-up <br />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 Provider 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. In <br />the event of a bloodborne pathogen exposure, the Provider will be responsible for <br />providing follow-up according to its policies and procedures governing exposure <br />incidents. <br />v) The Provider will maintain current registration and licensure of the Medical <br />Director and designated back-up Department physicians and shall provide copies <br />to OCHD upon request. <br />vi) Monthly one-on-one clinical supervision by a Mental Health Clinical Supervisor to <br />OCHD Licensed Clinical Social <br />and mental health services to OCHD clients, in order to enhance and support best <br />clinical skills and recommendations for the development of an integrated <br />behavioral health program. The Mental Health Clinical Supervisor shall provide <br />professional support, guidance, and review of LCSW practice and services to <br />clients with issues related to mental health, substance abuse and behavioral health. <br />4. Duration of Services <br />Docusign Envelope ID: 579DB095-5AE0-496E-B369-DA1A2CF55A1A