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All inmates requesting care will receive a response on the next scheduled QHCP visit. <br />Physician or Mid-level provider (PA/NP) sick call will be conducted weekly on a regularly <br />scheduled basis. <br />Respond immediately to health care emergencies that occur in the KCCC when <br />requested by KCCC staff. A Physician/PA/NP will be on-call to the KCCC on a twenty- <br />four (24) hour, seven (7) day a week basis to aid in the determination of whether or not <br />an inmate requires evacuation to the nearest hospital facility. <br />Coordinate with a local hospital for routine outpatient/inpatient services to meet the <br />health care requirements of inmates at the KCCC that cannot be provided within the <br />facility, but will not be financially responsible for the cost of such care. Contractor will <br />work closely with the KCCC staff to keep off -premises inmate healthcare visits at as low <br />a level as possible. In every case possible Contractor will utilize telephone <br />consultations, in house evaluations and other available methods to identify and address <br />health issues before they become critical. In critical care situations, the Contractor, <br />when on-site, will triage the patient whenever possible before activating emergency <br />medical transport. In the event that an inmate must be hospitalized, Contractor will <br />follow the course of the admitted inmate, communicate with the attending physician and <br />nurses and repatriate the inmate to the KCCC as soon as practical. <br />Make referral arrangements with other medical specialists for treatment of those <br />inmates with medical problems that extend beyond the scope of services provided <br />onsite, including special laboratory tests, x-rays and other ancillary services. <br />Develop and implement a program for the care of chronic -care inmates. The chronic <br />care provided will entail the development of an individual treatment plan by the <br />responsible physician specifying instructions on diet, medication, and diagnostic testing. <br />Chronic care inmates will be provided a review by a physician minimally every three (3) <br />months and at greater frequency when medically indicated. <br />Review all medical records of inmates prior to their scheduled release from KCCC for <br />expiration of sentence and, if necessary, will refer to the appropriate community medical <br />facility at no cost to the County. A medical record review will also be conducted for <br />inmates who are released for reasons other than expiration of sentence. Records <br />reviewed in all instances described above will be stamped with the following <br />information: <br />Date; Referral Made; By and To Whom; Signature of Reviewer. <br />All records will be reviewed no later than 96 hours after date/time released. <br />Develop a procedure for obtaining and sending pertinent medical information to and <br />Professional Services Agreement (Form rev. 09/24/2018) <br />Page 16 of 20 <br />