Provide cardiology services on-site at the applicable DOC Facility as detailed in 1 through 18 on an as needed for up to 24 hours per month. The Provider shall submit an accounting of hours worked to the facility’s Health Authority. The Provider shall prepare an invoice and bill the Department for the hours worked, up to the required total. Services provided in less than full hour increments shall be invoiced and paid in one-tenth of an hour increments. Lunch breaks shall be unpaid, and time taken must be deducted from the total hours worked. If hours worked reach 24 and additional hours of service are required, the specific number of additional hours must be approved in writing by the facility’s Health Authority before services are provided or the Provider will not be paid for said hours. If service hours exceed the negotiated number of hours, any additional hours of service shall be approved in advance by the facility’s Health Authority and shall be paid at the negotiated rate. Provide general cardiology services as approved by the facility physician to include performing initial examinations, echocardiograms, carotid ultrasounds, abdominal ultrasounds, arterial and venous doppler studies of extremities, stress test, reading of EKG’s, reviewing diagnostics, treatment, updated plans of care, discharges, communicating with the medical provider, phone consultations with physicians and NP’s as needed, and other related duties. Record a summary of the problems and/or symptoms, the diagnosis or diagnostic hypotheses, treatments, medications, and/or any other appropriate information in each patient's medical chart at the conclusion of every consultation. Adhere to the Formulary established by the Department and/or clinically justify variances. Consult with the Department’s Office of Health Services regarding care of inmates on an as required basis. Immediately notify the Department if license or hospital privileges are denied, suspended, or revoked; if any malpractice claims are filed; if any professional disciplinary action is taken; or if he/she has any physical, mental or emotional problems which might impact performance of assigned duties. Make referrals to specialists when necessary. Use on-site office space provided by the facility during scheduled visits. Use Utilize the services of Health Services personnel employed by the facility. 10. Provide additional visits to the facility in the event of emergency illness or injury. Provide emergency medical services in doctor's office or hospital. 12. Provide a monthly schedule, in advance, to the facility’s Health Authority. Provide a subcontractor/alternate cardiologist for coverage during the Provider’s absence. The subcontractor/alternate must be approved in advance by the Department’s Health Services Director (see Attachment 1). The subcontractor/alternate must abide by the same Scope of Services as the Provider. The Department will pay the contract Provider who will be responsible for paying the subcontractor/alternate. The use of midlevel health care practitioners (i.e., Nurse Practitioner or Physician Assistant, etc.) must be approved in advance by the Department’s Health Services Director. Provide a copy of the Contract to any subcontractor/alternate. 15. Provide 24-hour telephone or beeper coverage. 16. Provide inpatient care, if possible. 17. Provide physician services at another DOC facility on a temporary basis as needed and as mutually agreed upon. Any services provided at another DOC facility must be approved in advance by the Department’s Health Services Director and outlined in a written Contract Modification. In the event the provider cancels the contract, the provider shall notify both the Contract Administrator (the Health Authority) and the Contract Officer, in writing via email and via telephone call.
