PSA Amendment Family Healthcare (2)

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• All inmates requesting care will receive a response on the next scheduled QHCP visit. • Physician or Mid-level provider (PA/NP) sick call will be conducted weekly on a regularly scheduled basis. -Respond immediately to health care emergencies that occur in the KCCC when requested by KCCC staff. A Physician/PA/NP will be on-call to the KCCC on a twenty-four (24) hour, seven (7) day a week basis to aid in the determination of whether or not an inmate requires evacuation to the nearest hospital facility. -Coordinate with a local hospital for routine outpatient/inpatient services to meet the health care requirements of inmates at the KCCC that cannot be provided within the facility, but will not be financially responsible for the cost of such care. Contractor will work closely with the County staff to keep off-premises inmate healthcare visits at as low a level as possible. In every case possible Contractor will utilize telephone consultations, in house evaluations and other available methods to identify and address health issues before they become critical. In critical care situations, the Contractor, when on-site, will triage the patient whenever possible before activating emergency medical transport. In the event that an inmate must be hospitalized, Contractor will follow the course of the admitted inmate, communicate with the attending physician and nurses and repatriate the inmate to the County as soon as practical. -Make referral arrangements with other medical specialists for treatment of those inmates with medical problems that extend beyond the scope of services provided onsite, including special laboratory tests, x-rays and other ancillary services. -Develop and implement a program for the care of chronic-care inmates. The chronic care provided will entail the development of an individual treatment plan by the responsible physician specifying instructions on diet, medication, and diagnostic testing. Chronic care inmates will be provided a review by a physician minimally every three (3) months and at greater frequency when medically indicated. -Review all medical records of inmates prior to their scheduled release from the County for expiration of sentence and, if necessary, will refer to the appropriate community medical facility at no cost to the County. A medical record review will also be conducted for inmates who are released for reasons other than expiration of sentence. Records reviewed in all instances described above will be stamped with the following information: • Date • Referral Made and To Whom • Signature of Reviewer Professional Services Agreement Page 16