SN169010exbA.docx
DOCX document 20 KB Posted
- Attached to
- Ophthalmology Services #SN169010
- Solicitation number
- 0000001304
- Issued by
- California
About this file
This is a Scope of Work exhibit for contract SN169010 between Sonoma Developmental Center (SDC) and a contractor for ophthalmology services for clients with developmental disabilities. The services include examinations with dilation (with or without anesthesia), glaucoma checks, eyelid procedures, and foreign body/suture removal. The contractor will conduct one clinic every 4-6 weeks, up to twelve clinics per fiscal year, with each clinic serving approximately 10-14 clients. The contract begins July 1, 2016, or upon Department of General Services approval, whichever is later. The contractor must provide emergency consultations during business hours with a two-hour response time, while after-hours emergencies are directed to Santa Rosa Memorial Hospital's ED Department.
The contract specifies payment on a per-clinic basis, though specific pricing details are not provided. The contractor must maintain Organized Medical Staff membership and perform services in compliance with SDC's participation standards. Project Representatives are identified as Carol Castillo, M.D. and Marni Sager, PA at SDC. The contractor must provide written or verbal consultative advice and dictate client notes within 24 hours of consultation, with SDC providing 48 hours notice for clinic cancellations when possible.
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Text version
Exhibit A Contractor
SN169010
SCOPE OF WORK
1. General Scope
Contractor agrees to provide ophthalmology services to clients with developmental disabilities as requested by the Project Representative. These services will include, but not be limited to typical ophthalmology services such as:
a. Exam with dilation, with or without anesthesia
b. Glaucoma check
c. Eyelid procedures
d. Foreign body/suture removal
2. Project Representatives
The Project Representatives during the term of this Agreement will be:
Sonoma Developmental Center Carol Castillo, M.D. (707)938-6556 Marni Sager, PA (707)938-6816
Contractor Contractor Phone
3. Clinics
Contractor will conduct one clinic every 4-6 weeks. Contractor will conduct up to twelve (12) clinics per fiscal year at a time and date mutually agreed upon between Contractor and Project Representative. Each clinic can consist of approximately ten (10) to fourteen (14) clients. Contractor will be paid on a per-clinic basis.
4. Cancellations
Sonoma Developmental Center (SDC) will provide 48 hours notice to the Contractor for cancellation of a clinic whenever possible.
5. Specific Services
Contractor will review charts, examine clients and give written or verbal consultative advice to the medical staff, interdisciplinary team, and other referents as requested by the Project Representative. Contractor agrees to dictate a note of each client seen or consultation rendered within twenty-four (24) hours of consultation.
6. Emergency Consultations
Contractor agrees to provide emergency consultations as requested by the Project Representative. Contractor agrees to respond to emergency calls within two (2) hours. Emergency consultations will be provided during normal business hours. After hours and weekend emergencies should be routed to the ED Department at Santa Rosa Memorial Hospital.
7. Qualifications
Ophthalmologists providing services at Sonoma Developmental Center (SDC) under the terms of this agreement are required to:
a. Maintain Organized Medical Staff membership
b. Perform in a manner that permits SDC to comply with all applicable conditions of participation and standards for contracted services
8. Effective Date
The effective date of this contract is either July 1, 2016, or the approval date by the Department of General Services, whichever is later. No work shall commence until the start date.
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