Specifications include, but are not limited to: overseeing services, which will include administrative and management functions. The Medical Director must at minimum: • Ensure staff and facility compliance with Federal and state laws, regulations, and codes; • Coordinate medical care to guarantee quality; • Serve as a liaison with medical and non-medical facilities and personnel; • Provide medical services to residents/patients; • Provide administrative services required under state laws governing Long Term Care facilities; • Supervise all clinical activities of Advanced Practice Registered Nurses (APRN); A. Compliance: In addition to Federal and state laws and regulations, the Contractor shall comply with the following: 1. DHS policies and Health Insurance Portability and Accountability Act (HIPAA) laws and regulations related to protecting the rights and privacy of each client. Prior to award, the Contractor must sign and complete the Business Associate Agreement (refer to Attachment F).; 2. Quality standards of the Commission on Accreditation of Rehabilitation Facilities (CARF); 3. Arkansas Medical Practices Act and Regulations; 4. Maintain status of Good Standing with the Arkansas State Medical Board; B. Medical Management/Leadership: 1. The Contractor shall oversee and monitor the delivery of high quality and safe services.; 2. The Contractor must establish and maintain high standards of clinical care.; 3. The Contractor shall review medical charts for accuracy and compliance.; C. Patient Care Quality and Safety: 1. The Contractor must ensure that services are available to help residents attain and maintain their highest practicable level of functioning consistent with regulatory requirements.; 2. The Contractor shall investigate patient care complaints regarding services rendered by APRNs and other HDC staff.; 3. The Contractor shall help the facility identify, evaluate, and address healthcare issues related to the quality of care.; 4. Patients must receive services by the same physician throughout the duration of the contract unless otherwise approved by DHS/DDS.; D. Medical Services: 1. The Contractor shall order laboratory analyses, which may include without limitation complete blood count, chemistry profile, antiepileptic drug levels, urinalysis, thyroid profiles, and other tests as deemed medically necessary, on an annual basis or more often as medically necessary. The Physician shall evaluate all laboratory analyses and prescribe the necessary medical intervention based upon the individual’s condition.; 2. The Contractor shall refer clients to outside medical and ancillary services as necessary to provide appropriate medical care. ; 3. The Contractor shall maintain communication with in-patient/out-patient medical providers regarding client’s treatment, progress, and hospital discharge plan.; 4. The Contractor shall conduct admission physicals within twenty-four (24) hours of client admission.; 5. The Contractor shall provide such other medical services, as necessary.; E. Participation: 1. The Contractor shall participate (directly or indirectly) in determining each client’s Individual Program Plan (IPP) within an inter-disciplinary setting. Physician shall provide assessments of each individual's physical and mental handicaps, required treatment and preventative measures, in order to help ensure that the IPP reflects the client's potential capabilities.; 2. The Contractor shall attend and participate in monthly peer review meetings. DHS and the facility reserve the right to request the physician to present as needed.
