Specifications include, but are not limited to: 1. Health screenings/physical examinations of a job applicant/employee. Contractor will advise the City of the following: A. The applicant/employee’s physical limitations, if any, and the specific job tasks that cannot be performed and/or environmental conditions, if any, that are related to any risk to health and safety. B. Changes that may be made to permit the job tasks to be performed and/or eliminate/reduce the risk. Contractor will not make determinations of whether job tasks are essential to the position in question. Any changes that are recommended are advisory only, based on the physician’s general understanding of the job and environment in question, and are not intended to supplement the right of the City to determine what modifications are available and reasonable. a) To the extent that other conditions are identified, Contractor will also: • Notify the applicant/employee of any medical condition, identified during the limited medical evaluation requested by the City, that the Contractor believes requires further attention, and recommend that the applicant/employee seek care from his or her personal provider. • Upon authorization of the applicant/employee, Contractor will inform his or her medical provider by transmitting copies of the medical records created during the visit. • For candidates subject to National Fire Protections Association (NFPA), and Chapter 411 Municipal Fire and Police Retirement System of Iowa (MFPRSI), Contractor will facilitate additional screenings as required by law. b) Contractor will maintain a medical record for each individual that will contain records of employer requested services, in addition to past, present, and future services requested by the applicant/employee. c) Contractor shall maintain necessary equipment and trained personnel required to ensure prompt scheduling of medical examinations. d) Contractor shall maintain capacity to perform up to 140 pre-employment medical exams per year, 110 of pre-employment drug screens and 60 of workers compensation claims per year. e) Any examination or medical conclusion will be based on the information furnished by the City and the physician’s general understanding of the requirements of jobs of similar nature. Contractor conducts such examinations with City’s assurances that the examination and Contractor’s medical inquiries are job-related and consistent with the business needs of the City, and otherwise comply with all applicable legal obligations. f) Contractor will inform the applicant/employee directly of all abnormal findings and recommendations for follow-up that are of a non-occupational nature. Notation of recommended follow-up will be documented in the clinical record. With the exception of fitness-for-duty evaluations and examinations, any recommendations for follow-up that are related to work performance will be reported to the City and to the employee within 3 business days of the evaluation. Any recommendations for follow-up that are work-related and forwarded to the City shall not include confidential medical information unless specifically allowed by law and upon a request by the City.
