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The Kittitas County Sheriff's Office <br />Health Services Agreement For <br />The Year 2015 -2016 <br />This Agreement is between Kittitas County through Kittitas County Sheriff's Office (hereinafter "Sheriff's <br />Office") and Central Washington Comprehensive Mental Health (hereinafter the "Provider") and shall be <br />in effect from the date signed by both parties until December 31, 2016. The Sheriff or the Provider may <br />terminate this contract provided that at least thirty (30) days written notice is given in advance of <br />termination. Exceptions may be made if the Sheriff deems removal is necessary. This contract shall be <br />to provide Mental Health care within KCCC as outlined below: <br />Definitions: <br />A. Practitioner: presumptively a Psychiatric Advanced Registered Nurse Practitioner (P-ARNP) - a <br />person who holds a current, valid license to practice as such in Washington State as defined in <br />RCW 71.05.020 and who has prescriptive authority. The Provider may substitute another <br />licensed medical professional whose license status includes prescriptive authority sufficient to <br />implement and maintain existing prescriptions appropriate to the mental health condition of <br />inmate patients. <br />Contract Provisions: <br />1. The Provider will supply a qualified Practitioner who will provide Mental Health related medical <br />assessment and treatment to inmates of the Kittitas County Corrections Center (KCCC) according <br />to established professional protocols and within their licensed capabilities, based on the <br />assessment and recommendations made by the Mental Health Professional and/or other <br />professionals who have evaluated the inmate. The Practitioner shall work three (3) hours on <br />alternating Thursday afternoons, starting with the first Thursday after the effective date of this <br />contract. The three hour period shall not start earlier than noon or end later than 1700 (5:00 <br />PM) on those days. Provider and KCCC agree that variations within and deviations from the <br />currently intended schedule that do not change the number of hours of service provided may be <br />informally agreed upon due to the nature of KCCC operations, weather conditions, and other <br />circumstances beyond the control of the parties. Provider may delegate appropriate authority to <br />the Practitioner to address such necessary deviations. The KCCC on-duty supervisor shall be the <br />designated point of contact for such communications. <br />2. Qualified Substitute: Provider may, with advance notice to the Sheriff's Office, if the designated <br />Practitioner is not available for any reason, provide a substitute for the Practitioner of equal or <br />greater qualifications. The period of notice shall be as much as reasonably possible, consistent <br />with the circumstances that require the substitution. It is the intent of the parties that a specific <br />substitute be designated and utilized to the greatest extent possible so that continuity of care is <br />maintained and the background investigation referred to in Provision Eleven (11) may be <br />conducted in a timely manner. <br />3. After passage of the scheduled time previously agreed upon pursuant to Provision 1 (one), any <br />additional time required for patient care shall be charged at an hourly rate described below or <br />Page 1