Specifications include, but are not limited to: Deliver and maintain high quality, cost effective healthcare. Implement policies, procedures and protocols with clear objectives for the Rusk County Jail that meet the standards and requirements of Wisconsin Department of Corrections Administrative Code (Chapter 350), standards of the National Commission on Correction Health Care (NCCHC) and the American Correctional Association (ACA). Comply with all requirements of HIPAA to the extent that HIPAA applies to the Jail. It is mutually understood an independent vendor relationship will be established under the terms and conditions of the agreement; that employees of the selected provider are not, nor shall be, deemed employees of the Rusk County Jail and that employees of the Rusk County Jail are not, nor shall be, deemed employees of the selected provider. Operate the inmate medical healthcare services program using Wisconsin licensed, certified and professionally trained personnel to perform all aspects of conventional health in a correctional setting, including physicians, registered nurses and licensed practical nurses as necessary. Provide a licensed physician, or physician assistant, to consult with Rusk County Jail staff 24 hours/day, 7 days/week, 365 days/year, when healthcare staff is not present at the facility. A physician, or physician assistant, shall respond to requests within 15 minutes. Maintain a quality assurance program and provide information on the same. Quarterly meetings shall be scheduled with vendor staff and jail administration to review issues, statistical information, suggested changes and provide feedback about the medical services being provided by the vendor.