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The Kittitas County Sheriff's Office <br />Health Services Agreement For <br />The Year 2022 <br />This Agreement is between Kittitas County through Kittitas County Sheriff's Office (hereinafter "Sheriff's <br />Office") and Comprehensive Healthcare (hereinafter the "Provider") and shall be in effect from the date <br />signed by both parties until December 31, 2026. The Sheriff or the Provider may terminate this contract <br />provided that at least thirty (30) days written notice is given in advance of termination. Exceptions may <br />be made if the Sheriff deems removal is necessary. This contract shall be to provide Mental Health care <br />within the Kittitas County Jail 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 />The Provider will supply a qualified Practitioner who will provide Mental Health related medical <br />assessment and treatment to inmates of the Kittitas County Jail according to established <br />professional protocols and within their licensed capabilities, based on the assessment and <br />recommendations made by the Mental Health Professional and/or other professionals who have <br />evaluated the inmate. The Practitioner shall work up to three (3) hours every week, starting the <br />first week after the effective date of this contract. Provider and the Jail agree that variations <br />within and deviations from the currently intended schedule that do not change the number of <br />hours of service provided may be informally agreed upon due to the nature of Jail operations, <br />weather conditions, and other circumstances beyond the control of the parties. Provider may <br />delegate appropriate authority to the Practitioner to address such necessary deviations. The on - <br />duty supervisor shall be the designated point of contact for such communications. <br />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 />portion thereof in fifteen (15) minute increments as actually provided. <br />Page 1 <br />