BOS042623MCDPH COMPUTER USE AGREEMENT - FINAL COPY FOR SIGNATURE.PDF

Maricopa County — Formal (2023-04-26)

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CONFIDENTIAL STATEMENT AND COMPUTER SYSTEMS ACCEPTABLE USAGE AGREEMENT 
Between 
MARICOPA COUNTY 
By and through the 
DEPARTMENT OF PUBLIC HEALTH 
4041 N. Central Avenue, #1400, Phoenix, Arizona 85012 
And 
HONORHEALTH 
8125 N. Hayden Road, Scottsdale, AZ 85258 
 
The Maricopa County Department of Public Health and HonorHealth enter into this Agreement (the 
“Agreement”) effective ________________ (“Effective Date”). HonorHealth and the Maricopa County 
Department of Public Health shall be referred to individually as a “Party,” or collectively as the “Parties.” 
This Agreement is hereby made and entered into by and between the Maricopa County Department of 
Public Health, hereinafter referred to as MCDPH and HonorHealth, hereinafter referred to as HH.  
 
A.  PURPOSE 
 
The Division of Epidemiology and Informatics of MCDPH routinely requests and receives medical 
records from hospitals and healthcare providers in the course of disease investigations 
mandated under the AZ Administrative Code Title 9, Chapter 6. MCDPH is also charged with 
reviewing all records related to suicide per Arizona Revised Statutes (A.R.S.) § 36-199.01 and 
opioid fatalities per A.R.S. Title 36, Chapter 1, Article 6 as part of its responsibility for leading the 
Suicide Mortality Review Board and a county requirement to continue to lead the Opioid Fatality 
Review Board.  
 
The purpose of this Agreement is a non-financial Confidential Statement and Computer Systems 
Acceptable Usage Agreement governing access by MCDPH to certain HH information, including 
confidential patient information available electronically, to carry out MCDPH’s duties pursuant 
to the authority cited herein. HH will allow MCDPH access and permit MCDPH’s physicians, 
healthcare providers and employees to access patient information to provide patient care, 
disease control services, review of suicide records and review of opioid fatality records.  
 
For the purposes of this Agreement “Confidential Information” shall be defined as proprietary 
information about HH and its affiliates from any source and in any form, including, paper record, 
verbal communication, audio recording, and electronic display, which contains information that 
HH treats as confidential through its policies, procedures or practices and which is not generally 
known to competitors or been voluntarily disclosed to the public; patient information, including 
information in medical records, billing records, payment or credit card, and conversations about 
patients; or business information of third parties having a relationship with HH, including 
information about third-party software and other licensed products or processes, operations,

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quality improvement, peer review, education, billing, reimbursement, administration, or 
research (such as utilization reports, survey results, and related presentations).  
 
B. MCDPH SHALL 
 
1. FOR JOB RELATED PURPOSES ONLY. MCDPH employees will only access, use and disclose 
Confidential Information for legitimate, job-related reasons and strictly on a need-to-know 
basis, and that MCDPH employees will limit access, use and disclosure to the minimum 
amount necessary to accomplish the intended purpose of such access, use and disclosure or 
as otherwise required by law. This may include clinical abstraction of charts. MCDPH 
employees will not access, use, or disclose patient information for personal family members, 
friends, roommates, neighbors, co-workers, VIPs, or others for whom MCDPH employees do 
not have a specific job duty related reason to access such records or have not been 
otherwise required by law to disclose such records to. MCDPH employees will also not 
access any personal patient information in the HH EMR. MCDPH employees understand that 
the MyChart function is to be used for any access to personal patient information.  
2. PROTECTED HEALTH INFORMATION PRIVACY/SECURITY. MCDPH employees will protect the 
privacy, confidentiality, and security of patient information, including information in 
electronic medical records (“EMR”), in accordance with legal requirements, state statutes 
and Maricopa County policies.  
3. TRAINING. MCDPH employees will provide evidence of completed HIPAA privacy and 
security training or will complete HH’s HIPAA privacy and security training.  
4. PROTECTION OF USERNAME AND PASSWORD. MCDPH employees will not disclose to 
another person their username and/or password and will not use another person’s 
username and/or password for accessing the EMR or other Confidential Information. 
MCDPH employees will not leave a secured computer program unattended while still signed 
on. MCDPH employees understand they are responsible for any access to patient 
information made to the HH EMR through the use of usernames and passwords.  
5. SOCIAL ENGINEERING. Email is a primary attack method of cybercriminals and they 
continuously use email to attack and steal login credentials. MCDPH employees agree to 
process email with extreme caution by never entering a username and password and 
clicking an email link.  
6. SECURED APPLICATIONS AND RESTRICTED AREAS. MCDPH employees will not access, or 
otherwise attempt to access, a secured computer program or restricted area without proper 
authorization or for purposes other than official HH business.  
7. NO UNAUTHORIZED COPY/ALTERATION/DESTRUCTION. MCDPH employees will not copy, 
alter, or destroy Confidential Information unless such action is part of their job or the 
services that they are responsible for providing to HH, in which case MCDPH employees will 
only copy, alter, or destroy Confidential Information in accordance with applicable legal 
requirements, state statutes and Maricopa County policies.  
8. NO SOCIAL MEDIA/BLOGGING. MCDPH employees will not post or discuss Confidential 
Information of any type on any social media sites, blogs, discussion groups or similar sites.  
9. AUDITING. MCDPH employees understand that access to and use of HH information systems 
is audited on an ongoing basis.  
10. OWNERSHIP OF INFORMATION. HH will retain ownership of all rights, title, and interest in 
and to the Confidential Information and no rights are transferred to MCDPH by virtue of 
MCDPH’s access to such information.

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11. Reporting of Issues. MCDPH employees will immediately report to their supervisor any 
known or suspected (a) use of their password by someone other than themselves, or (b) 
inappropriate access, use or disclosure of Confidential Information. If an HH 
sponsor/supervisor is not available, MCDPH employees will report the concern through the 
HH Ethics and Compliance Line service by phone at 844-732-6241 or via the Internet at 
www.honorhealth.ethicspoint.com.   
12. SAFEGUARDING HH PROPERTY. MCDPH employees will safeguard from loss, theft, or 
unauthorized use, disclosure and access all HH owned equipment/property that is placed in 
control of an MCDPH employee and on which Confidential Information is stored or through 
which Confidential Information may be accessed.  
13. USE OF PERSONAL EQUIPMENT/PROPERTY. MCDPH employees will not store or transmit 
Confidential Information via their personal equipment/property unless permitted by and in 
accordance with applicable HH Policies. If any patient information is stored or transmitted 
with equipment/property possessed by an MCDPH employee, said employee will ensure 
that all such Confidential Information is properly encrypted in accordance with HIPAA 
encryption standards. MCDPH employees will contact the HH Information Security Officer at 
623-683-4174 for more information, as necessary. MCDPH employees will not send 
Confidential Information to personal emails or messaging services (e.g., email, text ) either 
in the body of the message or as an attachment.  
14. NO USE OF MOBILE DEVICE/REMOVABLE MEDIA. MCDPH employees will not maintain 
Confidential Information on any mobile device (laptop, smartphone, tablet, etc.) that is not 
encrypted, will not electronically transmit Confidential Information in an unsecured manner 
or to an unencrypted mobile device and will not copy and store any Confidential 
Information on any removable media (e.g., flash drives, CDs, DVDs).  
15. NO RECORDINGS. MCDPH employees will not take photographs, make videos, record audio, 
or make other recordings of patients, staff, or visitors except in accordance with applicable 
legal requirements, state statutes and Maricopa County policies.  
16. RETURN OF INFORMATION/CONTINUING OBLIGATIONS. MCDPH employees will return all 
Confidential Information to HH and will not take any HH Confidential Information with them 
when work at HH ends. MCDPH employees understand that even after work ends, MCDPH 
employees will continue to be required to keep all Confidential Information to which they 
had access confidential.  
 
C.  HH SHALL  
1.  Provide MCDPH access to Confidential Information, including Confidential Information 
available electronically for legitimate, job-related reasons and strictly on a need-to-know basis 
to carry out MCDPH’s duties pursuant to the authority cited herein. 
2.  Permit MCDPH and its physicians, healthcare providers and employees to access patient 
information to provide patient care, disease control services, review of suicide records and 
review of opioid fatality records. 
 
D. MODIFICATION OR AMENDMENT 
Modifications within the scope of the instrument shall be made by mutual consent of the 
parties, by the issuance of a written modification or amendment, signed and dated by all 
parties, prior to any changes being enacted.

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E. TERMINATION 
Any of the parties, in writing, may terminate the instrument in whole or in part, at any time 
before the date of expiration.  
 
F. CLIENT CONFIDENTIALITY 
Both parties understand and concur that this Agreement is subject to all State and Federal laws 
protecting client confidentiality. Client/patient confidentiality will be maintained equally for all 
individuals presenting for services whether being provided by HH or MCDPH. The use or 
disclosure by either party of any information concerning an eligible individual served under this 
Agreement is limited to the fulfillment of this Agreement.  
 
G. LAWS, RULES, AND REGULATIONS 
Both parties understand and concur that this Agreement is subject to all State and Federal laws, 
rules and regulations that pertain hereto.  
 
H. PARTICIPATION IN SIMILAR ACTIVITIES 
This Agreement in no way restricts MCDPH or HH from participating in similar activities with 
other public or private agencies, organizations, or individuals.  
 
I. 
NON-LIABILITY 
Neither MCDPH, HH, nor their respective officers and employees shall be liable for any act or 
omission by the other party or other party’s subcontractor, employee, officer, agent, or 
representative occurring in fulfillment of this Agreement.  
 
J. INDEMNITY 
MCDPH agrees to indemnify, hold harmless, and defend HH, its officers and employees from and 
against any and all claims, damages, suits and proceedings regardless of the merits, from 
liability, punitive damages, costs or expense of every type, all or any part thereof arising out of 
or in connection with or by reason of any negligent act or omission of MCDPH or any 
subcontractors or anyone directly or indirectly employed by either MCDPH or any 
subcontractors in the performance of this Agreement.  MCDPH and its subcontractors shall 
reimburse HH for its costs, including attorney’s fees for defense of any litigation arising from 
such claim. MCDPH shall include a clause to this effect in all subcontracts inuring to the benefit 
of HH.  
 
Similarly, HH agrees to indemnify, hold harmless, and defend MCDPH, its officers and employees 
from and against any and all claims, damages, suits and proceedings regardless of the merits, 
from liability, punitive damages, costs or expense of every type, all or any part thereof arising 
out of or in connection with or by reason of any negligent act or omission of HH or any 
subcontractors or anyone directly or indirectly employee by HH or any subcontractors in the 
performance of this Agreement.  HH and its subcontractors shall reimburse MCDPH for its costs, 
including attorney’s fees for defense of any litigation arising from such claim. HH shall include a 
clause to this effect in all subcontracts inuring to the benefit of MCDPH and Maricopa County.  
 
K. COMMUNICATION  
Each party agrees to notify the other, in writing of changes in policy which may affect this 
Agreement. Notification is to be made to the attention of the principal contacts identified in 
Section L below.

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L. STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST 
Pursuant to A.R.S. § 38-511, the County may cancel this Agreement without penalty or further 
obligation, within three years after the execution of this Agreement, if any person significantly 
involved in initiating, negotiating, securing, drafting, or creating this Agreement on behalf of the 
County is, at any time while this Agreement or any extension of this Agreement is in effect, an 
employee or an agent of any other Party to this Agreement in any capacity or is a consultant to 
any other Party to this Agreement with respect to the subject matter of this Agreement.  In 
addition, the County may recoup any fee or commission paid or due to any person significantly 
involved in initiating, negotiating, securing, drafting, or creating this Agreement on behalf of the 
County from any other Party to this Agreement arising as the result of this Agreement.  
 
M. PRINCIPAL CONTACT 
The principal contacts of this Agreement are:   
 
Maricopa County Department of Public Health:  
Jessica White, DrPH, MS, MLS (ASCP)cm  
Phone:  602-329-0254 
FAX:  602-506-6885 
Email:  Jessica.White@Maricopa.gov 
 
HonorHealth:   
Erin Davis  
Phone: 480-587-5102  
Email: eridavis@honorhealth.com  
 
 
IN WITNESS WHEREOF, the parties agree to the terms contained herein:   
 
 
 
FOR AND ON HALF OF  
 
 
 
FOR AND ON BEHALF OF  
MARICOPA COUNTY 
 
 
 
 
HONORHEALTH 
 
By____________________________ 
 
 
By  John Neil, MD 
 
 
 
Chairman, Board of Supervisors  
 
 
EVP, Chief Physician Executive &  
 
 
 
 
 
 
 
Network Strategy Officer 
 
______________________________ 
 
 
 
 
 
 
 
 
Date 
 
 
 
 
 
 
Date 
 
 
ATTEST:   
 
______________________________ 
Clerk of the Board  
 
______________________________ 
Date

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APPROVED AS TO FORM 
 
 
 
APROVED AS TO FORM 
 
______________________________ 
 
 
_______________________________ 
Attorney for Maricopa County 
 
______________________________ 
 
 
_______________________________ 
Date 
 
 
 
 
 
 
Date