Scope_of_Services.pdf

Scope of Services | Page 1

SCOPE OF SERVICES

The Contractor shall provide on-site digital x-ray and ultrasound services to the Orange County Corrections Health Services Division (CHS). The Contractor shall provide digital x-ray and ultrasound services on-site within the male and female detention facilities, provide interpretation for the x-rays and ultrasounds and provide the results to the Corrections Health Services Division.

Pre-scheduled services shall be performed up to five (5) days per week as determined by the Corrections Health Services Division.

Unscheduled service may also be required after hours (Monday through Friday, 6:00 PM – 5:59 AM), weekends and holidays, on an as needed basis. The Contractor must be capable of responding within two (2) hours of telephone, email or fax notification for unscheduled service.

A. PERFORMANCE

The successful Contractor shall:

1. Perform on-site digital x-rays and ultrasounds at the request of the physician/provider. Such orders shall be reflected in the medical record. The most common x-rays and ultrasounds performed are:

a. Chest x-ray

b. Possible fractures (in-house injury)

c. Abdominal X-Ray

d. Transabdominal Pelvic, OB 1st, 2nd, and 3rd Trimester

e. Scrotal Ultrasound

f. Abdominal Ultrasound

g. Renal Ultrasound

h. Thyroid Ultrasound

i. LT and RT Groin Ultrasound

j. Soft Tissue Ultrasound

k. Lower Extremity Venous Study (LEV) Ultrasound

2. Provide monthly recordings of cumulative radiation exposure.

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3. Provide annual calibration of equipment in accordance with Federal, State and local requirements.

4. Provide and be responsible for the maintenance of all portable equipment. Such maintenance shall be documented with quarterly reports provided to the County.

The contractor shall have their own portable equipment to perform the exams on-site.

5. Digital Images shall be available securely on a web-based platform for physician/provider to review.

B. STUDY PERFORMANCE

The technologist shall report to the designated locations to perform x-rays and ultrasounds up to (5) days per week as determined by the Corrections Health Services Division.

A list of individuals requiring x-rays and ultrasounds will be provided.

INTREPRETATION OF X-RAYS AND ULTRASOUNDS The technologist shall notify the Medical Records Clerk or designee that the x-ray or ultrasound has been completed so that this information may be noted in the medical record.

1. The Contractor shall use digital technology to send digitalized images to a board-certified radiologist for x-ray interpretation or a licensed medical practitioner. A log of all x-rays and ultrasounds completed and the results must be in an electronically attainable format to Corrections Health Services Medical Records Unit within twenty-four (24) hours.

a. Studies performed with abnormal findings shall be reported electronically and a phone call made no later than midnight the same day to the Nursing Supervisor or designated representative.

b. X-ray tech or sonographer shall be able to provide a digital image to a CHS provider for STAT orders that require a wet read. STAT x-ray and ultrasound findings shall be reported electronically and by telephone immediately upon interpretation (twenty-four hours a day/seven days a week).

c. The final result shall be electronically submitted via interface or downloadable format into the electronic medical record within twenty-four (24) hours of study completion.

• If CHS requests a re-read on a report due to questionable findings or a “typo” in the transcription the Contractor shall complete the request within 5 hours along with a QA report advising how the error will be prevented in the future

d. Preference will be given to Contractor who can provide an open Application Programming Interface (API) through a link in the EMR to a web-based

Scope of Services | Page 3 image viewer to see digital images in their Picture Archiving and Communication System (PACS).

e. Provide monthly-satisfied reports that include, but not limited to number of inmates seen, type of x-rays, results of the x-rays, type of ultrasounds, results of the ultrasounds, and billing.

C. BACKGROUND CHECKS:

A level two (2) background check shall be performed by the Contractor, at the contractor’s cost, on any temporary person assigned to work for Orange County at any time. The ordering division/department shall indicate which background check is appropriate for the position being filled.

1. Level One

The Level One background check shall include the following information from the past five years:

• Identification Verification

• Selective Service Status (registered/unregistered)

• Florida Department of Law Enforcement (FDLE) Automated

Criminal Record Clerk of Courts by County of Residence

• State Attorney's Office Employment Verification

• Department of Motor Vehicles (DMV) by State of Residence Military Service Verification

• Professional License and Certification Check

2. Level Two

The Level Two background check shall include all of the Level One checks with the addition of the following for the past ten years:

• Fingerprint Check

All background checks shall be accomplished and submitted to the authorized County representative within five (5) working days from request prior to any assignment.

Background checks shall be re-performed on any temporary employee who has not worked on a County assignment for more than ninety (90) days. It is the responsibility of the Contractor to track the assignments at the County for each of their employees to ensure compliance with this requirement.