MAR-281197 MARICOPACODPH_MAYOAZ_MASTER_2021.PDF

DocuSign Envelope ID: 32CAFEC6-B53D-48EB-B4A5-DD5933AA9839
RESIDENT ROTATION AGREEMENT
This RESIDENT ROTATION AGREEMENT (“Agreement”) is made and entered into
by and between Mayo Clinic Arizona through its Mayo Clinic School of Graduate Medical
Education (“Home Institution”), whose principal office is located at 13400 E. Shea Blvd.,
Scottsdale, AZ 85259 and Maricopa County, by and through its Department of Public
Health (“Host Institution”), whose principal office is located at 4041 N. Central Ave. Ste. 1400,
Phoenix, AZ 85012.
RECITALS
A. Home Institution conducts a residency training program (“Residency Program”)
for Resident Physicians in training (“Participants”) and employs Resident Physicians who
require broad and varied clinical learning experiences.
B. Host Institution is Maricopa County and one of its departments, the Department
of Public Health, which has responsibility for a wide range of public health services for the
residents of Maricopa County and therefore can provide a specialized health related educational
experience to Resident Physicians.
C. Home and Host Institution agree that it is in the mutual interest and benefit of
both parties that Resident Physicians obtain a part of their clinical educational experience
through a rotation at the Host Institution’s facilities (“Rotation”).
D. Home and Host Institution agree to collaborate to provide Resident Physicians
with a Rotation at the Host Institution, which meets the standards and requirements of the
Accreditation Council for Graduate Medical Education, including its Residency Review
Committee, (“ACGME”), or the American Osteopathic Association’s Executive Committee of
Council on Postdoctoral Training (“AOA Committee”), if applicable.
THEREFORE, HOME INSTITUTION AND HOST INSTITUTION AGREE AS
FOLLOWS:
1. GENERAL ROTATION PROVISIONS.
1.1 Scope of Resident Physician Services. Home and Host Institution agree that the
services rendered by Resident Physicians covered by this Agreement will be within the
established and written requirements of the degree, certification, or training being pursued and as
required of every candidate for that degree or certification, if applicable.
1.2 Oversight Responsibility for Patient Care. The Host Institution is responsible
for the supervision of Resident Physicians assigned to it under this Agreement. Host Institution
and its medical staff shall maintain full responsibility for the care of patients at the Host
Institution. Resident Physicians shall not have implied or apparent authority or independent
health care responsibilities for the Host Institution’s patients.
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1.3 Governing Policies and Procedures. Resident Physicians enrolled in the
Rotation covered by this Agreement will be governed in accordance with the Home Institution’s
Residency Program policies and procedures, and those policies and procedures established by the
Home Institution for its employees. Resident Physicians shall comply with the policies,
procedures, rules and regulations and bylaws of the Host Institution while at the Host Institution
during a Rotation. Each party shall notify the Resident Physicians that they are responsible for
following all of the policies, rules and regulations of the Home and Host Institution, as
applicable, while on Rotation pursuant to this Agreement.
1.4 Compliance with Laws and Accreditation Standards. The parties shall comply
with all applicable federal and state laws and regulations and licensure requirements, the
standards and regulations of the Joint Commission on Accreditation of Healthcare Organizations
(“JCAHO”), and the requirements of the ACGME or the AOA Committee, as applicable, in the
implementation of this Agreement and the operation of the Residency Program, and the Rotation.
1.5 Acceptance of Residents. By signing this Agreement, the Host Institution is not
obligated to accept Resident Physicians on a continuous basis, or more than one Resident
Physician at any time, or any Resident Physicians at all if staff resources are insufficient to
properly supervise Resident Physicians.
2. HOME INSTITUTION RESPONSIBILITIES
2.1 Program Director. The Home Institution shall designate a member of its
Medical Staff to serve as the Residency Program Director and to provide coordination and
oversight of Resident Physician’s educational activities and assignments while at the Host
Institution (“Program Director”). The Program Director or his/her designee shall act as liaison
with the Host Institution.
2.2 Preparation and Review of Resident Physicians’ Work Schedules. The Host
Institution shall prepare the Resident Physicians’ work schedules; however, the Home Institution
shall be the final arbitrator of issues related to Resident Physicians’ work schedules. The
Program Director shall review the Resident Physicians’ work schedules to provide that (a) the
work schedules reflect the Home Institution’s educational missions; (b) the educational goals of
the Residency Program and Rotation are not compromised by an excessive reliance on Resident
Physicians to fulfill the Host Institution’s service obligations; and (c) Rotation will be in
compliance with the requirement of the ACGME whereas the Resident Physician’s will have one
day per week free of clinical duties and duty hours of less than 80 hours per week .
2.3 Selection and Placement of Residents. The Home Institution shall select and
place Resident Physicians who are appropriately qualified or otherwise eligible to participate in
the Residency Program and the Rotation. The Home Institution shall:
(a) Employment. Employ Resident Physicians throughout the Residency
Program and Rotation. Resident Physicians shall be employees of the Home Institution and not
employees of the Host Institution, and unless expressly stated otherwise herein, shall not be
agents of the Host Institution. Home Institution shall provide appropriate financial support and
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benefits to Resident Physicians as required by the ACGME or AOA Committee and in
accordance with the Home Institution’s own policies and procedures so that Resident Physicians
are able to fulfill the responsibilities of the Residency Program and the Rotation. The Home
Institution shall comply with all applicable federal and state laws regarding the employment of
Resident Physicians, including anti-discrimination, wage and hour laws, and withholding laws.
Resident Physicians shall not be entitled to any defense or indemnity under Maricopa County’s
Declaration of Trust for Maricopa County, Arizona, Self-Insured Risk Trust Fund, stipends,
benefits, conditions, terms or rights of MCDPH employees including workers’ compensation,
medical or hospitalization insurance or benefits, pension, retirement or vacation pay, credit or
other benefits or rights of MCDPH employees.
(b) Assignment. Work with Host Institution to mutually agree on the
Resident Physicians and their assignments to the Host Institution sufficiently in advance to allow
for convenient planning of schedules. It is understood and agreed that the Host Institution shall
keep Program Director informed of any requests for changes in the planned rotation schedule.
(c) Evaluation. Act as final decision maker and arbitrator in decisions
concerning evaluations, receiving credit, Residency Program advancement, graduation, and
certification or discontinuance of Residency Program participation, including dismissal from the
Residency Program, which shall be at the sole discretion of the Home Institution.
(d) Record Keeping. Maintain records and reports concerning the education
of Resident Physicians, Resident Physicians’ time spent on Rotation under this Agreement and
such other records as required by law or mutually agreed upon between the Home and Host
Institution.
(e) Resident Physicians’ Background and Credentials. Designate for
participation in the Rotation only Resident Physicians who have completed the necessary
training and didactic work for such rotation, and are in good standing with their respective
institutions. Upon request, a Home Institution shall furnish the Host Institution with proof of the
Resident Physician’s academic credentials and licensure or registration from all applicable state
licensing boards.
(f) Resident Physicians’ Health Information. Verify the following health
information for each Resident Physician, maintain records of such verification for each Resident
Physician and provide such verification to the Host Institution upon request:
(1) Proof of immunity or immunization for measles, mumps and
rubella;
(2) Proof of current diphtheria/tetanus immunization;
(3) Documentation of an annual negative TB screen or x-ray;
(4) Documentation of a Hepatitis B antibody screen or signed
declamation statement; and
(5) Date of last complete physical exam.
(6) Such other records agreed upon by the Host and Home Institutions.
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(g) Workers’ Compensation Coverage. The Home Institution shall furnish the
Host Institution certification of Workers’ Compensation and Employer’s Liability Insurance of
$1,000,000 per accident, $1,000,000 per disease and $1,000,000 disease policy limit for eligible
Resident Physicians.
(h) Resident Physicians’ Requirements. Home Institution shall inform
Resident Physicians of the requirement to:
(1) Comply with the terms of this Agreement and with the Host
Institution’s applicable bylaws, rules and regulations, policies, procedures and guidelines, state
and federal laws and regulations, and the standards and regulations of JCAHO, the ACGME or
AOA Committee, the ethical standards of the American Medical Association, and other
applicable accrediting bodies or accreditation bodies;
(2) Participate in activities and assignments that are of educational
value and that are appropriate to the course and scope of the Home Institution’s Residency
Program, to the extent scheduled or otherwise requested by the Host Institution and approved by
the Home Institution;
(3) Cooperate with Host Institution in quality management and risk
management activities designed to further quality of care and to reduce risk of patient injury;
(4) Cooperate in the preparation and maintenance of a complete
medical record for each patient in whose care the Resident Physician participates, on forms
provided by the Host Institution. The medical record shall, at all times, remain the property of
the Host Institution;
(5) Participate in Host Institution’s compliance programs and
operations; and
(6) Complete a Rotating Resident Application. Upon request, the
Home Institution shall provide the Host Institution with a completed copy of the Rotating
Resident Application for each Resident Physician.
3. HOST INSTITUTION RESPONSIBILITIES
3.1 Program Coordinator. The Host Institution shall designate, after consultation
with the Home Institution, a member of its Medical Staff to coordinate the Resident Physicians’
schedules and educational activities at the Host Institution (“Program Coordinator”). The
Program Coordinator shall act as liaison with the Home Institution. The Program Coordinator at
the Host Institution will assume administrative responsibility for the Resident Physicians while
on rotation. In addition, the Program Coordinator shall execute an addendum to this Agreement
with the Home Residency Program Director, for each participating residency program governed
by this Agreement, to be described in an attached Addendum as mutually executed by the
parties. Any future addenda are incorporated herein by reference. A sample of the addendum is
attached hereto as Attachment A. The stipends, medical benefits, medical licensure or
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registration arrangements and other costs borne by the Home Institution for Residents will be
borne by the Home Institution pursuant to its applicable policies and procedures. The term for
all Resident rotations at the Host Institution shall be the same as this Agreement term unless
terminated by either party as provided herein.
3.2 Adequate Staff and Facilities.
(a) Professional and Support Staff. The Host Institution shall maintain
adequate professional and support staff at its facilities to meet the educational goals and
objectives of the Home Institution’s Residency Program.
(b) Facilities. Host Institution shall provide the clinical facilities and
equipment reasonably necessary for the Resident Physicians’ clinical educational experiences.
The Host Institution shall allow reasonable use of medical libraries, classrooms and conference
rooms, if available, as mutually agreed to by the Home and Host Institutions.
(c) Sleeping Quarters; Food Services; Parking. If applicable, Host Institution
shall provide on-call Resident Physicians with adequate and appropriate sleeping quarters. If
applicable, Host Institution shall provide Resident Physicians on duty with access to adequate
and appropriate food services. Host Institution shall provide Resident Physicians with parking
during on duty hours without charge.
3.3 Preparation and Review of Resident Physicians’ Work Schedules. Host
Institution is responsible for preparing and arranging the Resident Physicians’ work schedules,
subject to the provisions of Section 2.2. Host Institution will abide by the Home Institution’s
formal written policies on Resident Physicians’ duty hours for Residency Programs. Host
Institution also agrees to abide by the ACGME common duty hour standards, as applicable.
3.4 Supervisory Obligation. All patient care services provided by Resident
Physicians shall be under the direct and exclusive supervision and control of physicians having
medical staff membership and privileges at the Host Institution (“Medical Staff”). The Program
Coordinator shall be responsible for assigning the Host Institution Medical Staff to supervise the
Resident Physicians while at the Host Institution.
3.5 Resident Physicians’ Evaluations. The Host Institution shall complete
performance evaluations at such intervals and in accordance with the policies and procedures of
the Home Institution.
3.6 Notification to Others. The Host Institution shall be responsible for reasonably
informing its patients, customers and others of its participation in the Residency Program
Rotation and the training role of Resident Physicians.
3.7 Resident Physicians’ Health and Safety. The Host Institution shall provide
each Resident Physician with the following:
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(a) Orientation. Orientation of the type and scope provided by the Host
Institution to its new employees, including, but not limited to, information about Host
Institution’s applicable policies and procedures, security measures, fire safety and disaster
protocol.
(b) Infection Control Procedures. Instruction in Host Institution’s policies and
procedures for infection control, including the handling and disposal of needles and other sharp
objects, and in Host Institution’s protocols for on-the-job injuries and incident reporting
including those resulting from needlestick injuries and other exposures to blood or body fluids.
(c) On-Site First Aid and Emergency Care; Follow-Up Care. Resident
Physicians shall be furnished on-site first aid and emergency medical care and treatment, if
medically necessary, while on duty at the Host Institution including but not limited to first aid or
emergency medical care related to blood borne pathogens, “sharps,” and any risk of infection in
the event of a needlestick injury or other exposure to blood or body fluids. The Host Institution
shall pay for the first aid and other emergency treatment available on-site. The Host Institution
shall provide the Home Institution with prompt notice of any first aid or other emergency
treatment rendered on-site to a Resident Physician. The Home Institution shall provide, at its
own expense, any follow-up care required subsequent to the initial first aid and emergency
treatment provided on-site by the Host Institution.
3.8 Facility Inspection. Host Institution shall permit inspection of its facilities,
including all other clinical locations used by Resident Physicians during Residency Rotations, by
the Home Institution, and by individuals charged with the responsibility for accreditation of
Home Institution and its Residency Program, the ACGME or the AOA Committee, as applicable.
4. INVESTIGATIONS; DISCIPLINARY ACTIONS
4.1 Termination or Suspension of Resident Rotation. Each party may terminate or
suspend a Resident Physician’s participation in the Rotation under this Agreement at any time if
the party determines that termination is in the best interests of the Host Institution or its patients
for reasons of health, performance, for other good cause related to patient care, or for reasons of
general incompatibility. The Home Institution’s policies and procedures shall govern any
disciplinary actions taken by the Home Institution with respect to the Resident Physicians. If
Host Institution initiates the termination or suspension, Home Institution shall promptly remove
Resident Physician from the Rotation upon written notice from Host Institution setting forth the
reasons for the removal of the Resident Physician. If Home Institution initiates the termination
or suspension, it shall provide Host Institution with immediate written notice of the action. The
withdrawal, dismissal or removal of a Resident Physician in accordance with the provisions of
this Agreement, shall not affect continuation of this Agreement or the continued training of other
Resident Physicians.
4.2 Investigations or Actions Involving Resident Physicians. Host Institution and
Home Institution shall inform one another:
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(a) Investigation. Promptly upon initiation of any investigation of or adverse
action against a Resident Physician by the Host Institution or Home Institution, any
governmental body or accrediting agency or by any other entity, unless such notice is expressly
prohibited by law or regulation.
(b) Report to National Practitioner Data Bank or Arizona Medical Board or
Board of Osteopathic Examiners. To the extent permitted by law, before making a report to the
National Practitioner Data Bank, the Arizona Medical Board or the Board of Osteopathic
Examiners in which a Resident Physician is named.
(c) Claims and Litigation. Promptly upon learning of a potential or actual
claim or litigation in which a Resident Physician is or may be named.
4.3 Cooperation in Disciplinary Actions or Investigations. Host Institution shall
cooperate and assist Home Institution in investigating facts which may serve as a basis for taking
any Residency Program disciplinary or academic action, and also cooperate in the
implementation of any such disciplinary or academic action.
5. TERM & TERMINATION
5.1 Term of Agreement. This Agreement shall be effective from July 1, 2021
through June 30, 2031.
5.2 Termination.
(a) Termination without Cause. Either party to this Agreement may terminate
this Agreement for any reason at any time by giving at least ninety (90) days advance written
notice to the other party.
(b) Termination with Cause. Either party to this Agreement may terminate
this Agreement in the event of a material breach by the other party, upon thirty (30) days
advance written notice given by the non-breaching party to the other party, provided that such
breach is not cured within the thirty day notice period.
(c) Effect of Termination. Upon termination of this Agreement for any
reason, the parties agree that Resident Physicians participating in an ongoing Rotation will be
allowed to complete the Residency Rotation and academic year if possible (through June 30),
even when the effective date of termination occurs before to the completion date of the Rotation
or completion of the academic year. In addition, the provisions of Sections 6 and 8 shall survive
the termination of this Agreement.
5.3 Effect of Laws. If any legislation, regulation or government policy, or ACGME,
AOA Committee or JCAHO requirements are passed or adopted or if these laws, regulations or
policies, or ACGME, AOA Committee or JCAHO requirements are interpreted in a manner that
would materially affect either party’s participation in or implementation of this Agreement as
written, the party raising such concern shall provide notice of such law, regulation, policy or
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provision to the other party, and the parties agree to negotiate in good faith within thirty days to
modify the terms of this Agreement to comply with the applicable law, regulation or policy. If the
parties cannot agree upon the necessary modification, either party may terminate this Agreement on
thirty days’ advance written notice.
6. INSURANCE AND INDEMNIFICATION
6.1 Professional Liability Insurance Coverage for Resident Physicians. The
Home Institution shall provide and maintain, for each Resident Physician participating in a
Rotation at the Host Institution, professional liability insurance (or comparable coverage under a
program of self-insurance) providing coverage on a “claims made” or “occurrence basis” (for
occurrences during the term of this Agreement) with limits no less than $1 million dollars per
occurrence and $3 million dollars aggregate. If the insurance coverage is “claims made” rather
than occurrence based, such coverage must include extended reporting endorsement (“tail
coverage”) for as long as the appropriate statute of limitations, as may be determined in a court
of law or by statute.
6.2 Host Institution and Home Institution General Liability Insurance. Host
Institution and Home Institution shall maintain comprehensive general liability insurance (or
comparable coverage under a program of self-insurance) providing coverage on a “claims made”
or “occurrence basis” (for occurrences during the term of this Agreement) with limits no less
than $1 million dollars per occurrence and $3 million dollars annual aggregate. If the insurance
coverage is “claims made” rather than occurrence based, such coverage must include extended
reporting endorsement (“tail coverage”) for as long as the appropriate statute of limitations, as
may be determined in a court of law or by statute.
6.3 Insurance Coverage Obligations for Host Institution’s Medical Staff. Host
Institution shall provide for or require its Medical Staff to maintain professional liability
insurance coverage, or comparable self-insurance, with limits no less than $1 million dollars per
occurrence and $3 million dollars annual aggregate, and indemnification provisions for any and
all of their activities under the terms of this Agreement.
6.4 Evidence of Coverage; Handling Claims; Cooperation. All commercial
insurance coverage required under this Section shall be provided by carriers or under terms of
self-insurance reasonably acceptable to the other party, and the party holding such coverage shall
provide that coverage shall not be modified or terminated except upon thirty days prior written
notice to the other party. The party holding such commercial insurance coverage shall provide
the other party, upon request, with a certificate of insurance evidencing the commercial
insurance coverage and naming the other party and the Resident Physicians, except for self
insurance coverage, as named insured for commercial general liability. Each party agrees to
make all reasonable efforts, consistent with advice of counsel and the requirements of applicable
commercial insurance policies and carriers, to coordinate the defense of all claims in which
another party is either a named defendant or has a possibility of being added as a named
defendant or non-party at fault.
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6.5 Responsibility. Each party is solely responsible for any of its own claims, causes
of action, liabilities or the like that may arise out of this Agreement. Furthermore, neither party
shall compensate the other party for any of the foregoing. The terms of this section shall survive
expiration or termination of this Agreement.
6.6 Independent Contractor. It is understood between the parties that all Resident
Physicians are independent contractors with respect to the Host Institution. Nothing in this
Agreement shall be construed as creating an employment or joint venture relationship between
the Resident Physicians and the Host Institution. In addition, the autonomy of the Home
Institution and the Host Institution as separate and independent institutions shall be observed at
all times, and this Agreement shall not be deemed to create a relationship of agency, employment
or partnership.
6.7 Handling Claims/Cooperation. Each party agrees to make all reasonable
efforts, consistent with advice of counsel and the requirements of applicable insurance policy and
carriers, to coordinate the defense of all claims in which another party is either a named
defendant or has a possibility of being added as a named defendant or non-party at fault.
6.8 Indemnification. Each party shall defend, indemnify and hold harmless the other
party, their employees and officials from and against all claims, damages, losses and expenses
relating to, arising out of, or alleged to have resulted from the acts, errors, mistakes, or omissions
relating to this Agreement caused by any act, error, mistake or omission of the party or any
person for whose acts, errors, mistakes or omissions a party is liable.
7. STIPENDS AND REIMBURSEMENT
7.1 Stipends. The Home Institution shall provide a stipend and medical benefits to
its Resident Physicians in accordance with its own policies and procedures. Because services
rendered by Resident Physicians are educational in nature, Host Institution shall not provide a
stipend or any compensation, monetary or otherwise, to the Resident Physicians for services
provided under this Agreement except as expressly provided in this Agreement and shall have no
responsibility to make any such payments to Resident Physicians.
8. PATIENT INFORMATION
8.1 Patient Information. Patient information, including but not limited to medical
records and charts created at the Host Institution pursuant to the Rotation, shall be the property
of the Host Institution and shall be maintained by the Host Institution according to its Arizona
State Library, Archives and Public Records (ASLAPR) approved retention schedule, or as
required by law. Home Institution and its agents and employees, including without limitation
Resident Physicians, will keep patient information confidential as required by applicable federal
and state law and Host Institution’s policies and procedures.
8.2 Access to Medical Records. To the extent allowed by law, the Home Institution
and/or its agents, shall have reasonable access during and after the term of this Agreement to the
medical records and charts of the Host Institution relating to any claim, investigation, licensure
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or accreditation or Resident Physician disciplinary action related to the implementation of this
Agreement; provided, however, that nothing shall require either the Host Institution to disclose
any peer review documents or other records or communications that are privileged or
confidential under any federal or state statute law or the work product doctrine. Host Institution
shall provide copies of such records to Home Institution at Home Institution’s cost.
9. MISCELLANEOUS TERMS
9.1 Entire Agreement; Amendments. This Agreement represents the entire
agreement between the parties and supersedes all other agreements with respect to the subject
matter of this Agreement. This Agreement may be amended only in writing signed by the
parties.
9.2 No Assignment. Neither party may assign or transfer this Agreement, in whole
or in part, without the advance written consent of the other party. Any purported assignment,
delegation or transfer in contravention of this provision shall be null and void.
9.3 Discrimination - Prohibition. The Home and Host Institution agree not to
unlawfully discriminate in the selection or acceptance of any Resident Physician under this
Agreement because of race, religion, color, national origin, ancestry, physical disability, mental
disability, medical condition or disability, marital status, gender, gender orientation, age,
veteran’s status, or citizenship. To the extent applicable to this Agreement, both parties agree to
comply with all state and federal employment laws, rules, regulations and executive orders,
including Executive Order 2009-09.
9.4 No Third Party Beneficiaries. This Agreement is entered into by and between
the parties for their benefit. This Agreement is not intended to create and does not create any
right or interest in any Resident Physician, patient or other third party.
9.5 Governing Law. This Agreement is made and entered into in the State of
Arizona and shall be construed in accordance with the laws of the State of Arizona, and is
subject to the provisions of A.R.S. § 38-511. Exclusive venue and jurisdiction for any actions or
proceedings related to or stemming from this Agreement will be in the state or federal courts
sitting in Phoenix, Arizona.
9.6 Compliance Requirements for A.R.S. § 41-4401, Government Procurement;
E-Verify Requirement:
(a) Home Institution warrants compliance with all federal immigration laws
and regulations relating to employees and warrants its compliance with A.R.S. § 23-214,
Subsection A (that subsection reads: “After December 31, 2007, every employer, after hiring an
employee, shall verify the employment eligibility of the employee through the E-Verify program
and shall keep a record of the verification for the duration of the employee’s employment or at
least three years, whichever is longer”).
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(b) A breach of warranty regarding compliance with immigration laws and
regulations shall be deemed a material breach of this Agreement and Home Institution may be
subject to penalties up to and including termination of the contract.
(c) Failure to comply with a State audit process to randomly verify the
employment records of contractors and subcontractors shall be deemed a material breach of this
Agreement and Home Institution may be subject to penalties up to and including termination of
the Agreement.
(d) The State of Arizona retains the legal right to inspect the papers of any
employee who works on this Agreement to ensure that the contractor or subcontractor is
complying with the warranty under Paragraph (a).
(e) For questions about E-Verify Home Institution should visit the following
web site: http://www.uscis.gov/portal/site/uscis.
9.7 Enforceability and Waiver. The invalidity or unenforceability of any term or
provision of this Agreement shall in no way affect the validity or enforceability of any other term
or provision. The waiver by a party of a breach of any provision of this Agreement shall not
operate as, or be construed as, a waiver of any subsequent breach thereof.
9.8 Notices. Any written notice required or permitted to be given by a party to the
other shall have been deemed to have been sufficiently given if personally delivered or deposited
in the United States Mail in a properly stamped envelope, certified or registered mail, return
receipt requested, addressed to:
Home Institution: Host Institution:
Senior Associate Dean Maricopa County Dept. of Public Health
Mayo Clinic Arizona 4041 North Central Ave., Suite 1400
13400 East Shea Boulevard Phoenix, AZ 85012
Scottsdale, AZ 85259
Attn: Strategic Planning & Operations
With Copy to: Supervisor
Education Business Services
Mayo Clinic
200 First Street SW
Rochester, MN 55905
9.9 Informal Dispute Resolution. The parties agree that any dispute arising under
this Agreement shall be submitted to mediation through a mediator of the parties’ mutual
agreement before the parties initiate formal legal action.
9.10 Non-Exclusive Agreement. Each party may enter into similar agreements with
other training institutions, provided that such agreements do not materially interfere with the
ability of each party to carry out its obligations under this Agreement.
9.11 Use of Name. Neither party will use the name or trademarks of the other party in
any news release, publicity, advertising, endorsement, or commercial communication without the
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prior written approval of the other party. All requests for approval for the use of Mayo’s name
pursuant to this Section must be submitted to the Mayo Clinic Public Affairs Business Relations
Group, at the following E-mail address: BusinessRelations@mayo.edu at least 5 business days
prior to the date on which a response is needed; however, the existence and scope of the
programs available via this Agreement may be made known to Residents as a means of
assistance in completing their training requirements.
9.12 Authority. The persons signing this Agreement warrant that they have full
authority to do so and that their signatures shall bind the parties for which they sign.
MARICOPA COUNTY MAYO CLINIC through its MAYO
By and through its SCHOOL OF GRADUATE MEDICAL
DEPARTMENT OF PUBLIC HEALTH EDUCATION
(“Host Institution”) (“Home Institution”)
By:
5/12/2021
__________________________________
By: __________________________________ Name: Helene R. Labonte, DO Date
Name: on behalf of Susan Wilansky, MD
Title: Chairman, Maricopa County Board of Title: Senior Associate Dean
Supervisors
Attest: By:
__________________________________ 5/12/2021
______________________________________ Name: David L. Dahlen Date
Clerk of the Board Date Title: Administrator, Education
By: __________________________________
Title: Director, Dept. of Public Health Date
______________________________________
Approved as to Form Date
Deputy County Attorney
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Attachment A
Sample Addendum to the
Resident Rotation Agreement
MARICOPA COUNTY, by and through its DEPARTMENT OF PUBLIC HEALTH
and
Mayo Clinic Arizona through its Mayo Clinic School of Graduate Medical Education
The following is added to the above-referenced Resident Rotation Agreement between
MARICOPA COUNTY, by and through its DEPARTMENT OF PUBLIC HEALTH, (“Host Institution”),
and Mayo Clinic Arizona through its Mayo Clinic School of Graduate Medical Education (“Home
Institution”) which first became effective on ________________:
1. Program Rotation
[Program] rotation for Home Institution Resident Physicians to rotate to Host Institution
2. Rotation Description and Length
The rotational assignment for Home Institution Resident Physicians would be such that
[#]would rotate for [#] [weeks/months] to Host Institution for clinical experiences
through Host Institution’s Department of .
3. Rotation Purpose
The purpose of this exchange is to provide the Residents with exposure to any and all
Department of services. Educational goals and objectives are attached and
incorporated herein, as Attachment A-1.
4. Teaching Faculty
, Site Director for this rotation at Host Institution, shall be responsible for the
instruction, supervision, and evaluation of the Residents assigned to the Host Institution,
including all patient care services provided by the Residents. The Mayo Clinic Program
Director, , has ultimate responsibility to oversee and monitor the quality of
education and supervision provided.
5. Notices
Whenever written notice is required or permitted to be given by a party to the other, such
notice shall have been deemed to have been sufficiently given if personally delivered or
deposited in the United States Mail in a properly stamped envelope, certified or registered
mail, return receipt requested, addressed as provided for below:
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DocuSign Envelope ID: 32CAFEC6-B53D-48EB-B4A5-DD5933AA9839
For Home Institution For Host Institution:
_________________
Program Director Maricopa County Dept. of
Mayo Clinic Arizona Public Health
13400 E. Shea Blvd. 4041 North Central Ave.,
Scottsdale, AZ 85259 Suite 1400
Phoenix, AZ 85012
With copy to:
Education Business Services Attn: Strategic Planning &
Mayo Clinic Operations Supervisor
200 First Street SW
Rochester, MN 55905
8. Effective Date
The effective date of this Addendum is as of the last date signed below. The Addendum
shall remain in effect for five years unless terminated earlier pursuant to the terms and conditions
set forth in the above-referenced Resident Rotation Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Addendum to the
Clinical Education Agreement as of the respective dates written below:
MAYO CLINIC ARIZONA MARICOPA COUNTY, by and through
its DEPARTMENT OF PUBLIC
By: HEALTH
Name: By:
Title: Name:
Date: Title: Site Preceptor
Date:
MAYO CLINIC SCHOOL OF
GRADUATE MEDICAL EDUCATION
By:
Name:
Title: Program Director
Date:
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DocuSign Envelope ID: 32CAFEC6-B53D-48EB-B4A5-DD5933AA9839
By:
Name:
Title: Senior Associate Dean
Date:
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DocuSign Envelope ID: 32CAFEC6-B53D-48EB-B4A5-DD5933AA9839
SAMPLE ATTACHMENT A-1
Goals and Objectives of Rotation
[Insert competency-based Goals and Objectives specific to each rotation experience. Core competencies include, but are not limited to, Patient Care &
Procedure Skills, Practice-Based Learning and Improvement, Systems-Based Practice, Medical Knowledge, Interpersonal and Communication Skills,
and Professionalism.]
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