CRMC IMMUNIZPARTNER AGMT (00).PDF
Extracted text (via pymupdf_layout)
14819 characters
PARTNERSHIP AGREEMENT Between MARICOPA COUNTY By and through its DEPARTMENT OF PUBLIC HEALTH And DIGNITY COMMUNITY CARE dba CHANDLER REGIONAL MEDICAL CENTER This PARTNERSHIP AGREEMENT is hereby made and entered into by and between Maricopa County (County) through its Department of Public Health (MCDPH) and Dignity Community Care dba Chandler Regional Medical Center (CRMC). Recitals I CRMC is a trusted community partner that has a history of stepping up to support Maricopa County both in times of emergency and everyday health needs. II For over 20 years, CRMC has been providing immunizations at no charge to children in the East Valley in community outreach clinic settings such as schools, community centers and Women’s Infants and Children (WIC) locations. Within their 22 hour per month clinic schedule, they provided for 62,045 poor and underserved children of the East Valley with 188,767 vaccines. In addition, beginning in 2015 when CRMC became a Vaccine for Adult (VFA) provider, they provided 4,288 vaccines for 3,284 adult patient visits. This service has taken much of the burden off of Maricopa County Department of Public Health (MCDPH) which only manages one clinic in the East Valley. CRMC is recognized in the community as a valuable and trusted resource for immunizations. Families are assured that their children without health care resources can attend school and child care by receiving the required vaccines. III In addition, CRMC assisted in the priority immunization of specific target groups during the H1N1 Pandemic of 2009. This assistance was instrumental to the rapid immunization of higher risk community members and continues to be a key element of the MCDPH emergency mass immunization strategy. IV Due to new vaccine storage and handling rules by the Centers for Disease Control and Prevention (CDC) the Arizona Department of Health Services (ADHS), Arizona Immunization Program (AIPO) has had to implement new guidelines to the Vaccine for Children (VFC) program. V These new rules state: “Provider offices must have their vaccine delivered to the same location that they will be administered at. The use of mobile units is limited to those providers that are currently approved by the AIPO to operate mobile units to administer vaccines. Provider offices are prohibited from using mobile units to administer vaccine if the vaccine is not shipped to the location the mobile unit will be administering vaccine at.” VI MCDPH is a VFC provider that is approved to transport vaccines in mobile units to provide immunizations at locations where vaccines are not delivered. VII MCDPH wishes to enter into an agreement with CRMC to provide vaccines to children at community based locations throughout the Maricopa County. NOW THEREFORE, the Parties agree as follows: A. PURPOSE The purpose of this Agreement is to develop a framework of cooperation between Vaccines for Children/Vaccines for Adult Programs, MCDPH, and CRMC to provide immunizations to eligible children and adults and to have staff trained who could support MCDPH in responding to an outbreak requiring mass vaccination to the community. B. STATEMENT OF MUTUAL BENEFIT AND INTERESTS The mutual benefit for both parties is to assure eligible children and adults receive age appropriate immunizations to prevent the spread of vaccine preventable diseases. C. The Services to be performed by MCDPH: Complete the VFC and the VFA Arizona Provider Agreement for initial program enrollment and program reenrollment (yearly) for Outreach Immunization Clinics. Maintain a dedicated Arizona State Immunization Information System (ASIIS) PIN # for the services provided by CRMC under this contract. Give CRMC full access to the ASIIS dedicated PIN for the purposes of data entry, full inventory management and reconciliation. Identify a primary contact for vaccine delivery and storage and handling. Provide routine and emergency vaccine management oversight. When needed, schedule vaccine delivery to CRMC locations for use at community-based immunization events. Provide training/education and oversight of vaccine transport and storage at community based immunization clinics. D. The Services to be performed by CRMC: Identify a primary staff person for VFC vaccine ordering and reconciliation. Follow all policies, procedures, and requirements outlined in the Arizona Vaccines for Children Program Operations Guide. (Attachment A) Must meet the eligibility criteria required for the VFC program enrollment. Maintain all ordering, inventory, and reconciliation required for the dedicated PIN# Provide clinic forms and the storage of clinic documents in compliance with AIPO requirements. Screen and document VFC patients for the appropriate VFC categories: i. Native American or Alaskan Native ii. Enrolled in the Arizona Health Care Cost Containment System (AHCCCS) iii. Has no health insurance iv. Has health insurance that does not pay for vaccines v. Has health insurance that pays for vaccines Enter all vaccines administered into ASIIS. Comply with vaccine storage, handling and transporting of vaccines as outlined in the VFC Operations Guide. Report all Vaccine incidents to AIPO and MCDPH as soon as identified. 2 Replace vaccine dose for dose (restitution), following the ADHS Vaccine Restitution Plan when vaccine is wasted/lost while in the possession of CRMC. Vaccine will be replaced within 30 days after it has been identified as “not-viable”. Adhere to ADHS guidelines for ordering vaccine. Make all Advisory Committee on Immunization Practices (ACIP) vaccines available to clients. Screen all patients for each vaccine using the guidelines set by the ACIP. Administer all vaccines based on the ACIP guidelines. Comply with the appropriate immunization schedule, dosage and contraindications established by the ACIP unless (a) in the medical judgment and in accordance with accepted medical practice, the provider deems such compliance to be medically inappropriate, or (b) the requirements contradict the laws in Arizona pertaining to religious or other exemptions. Report all clinically significant adverse events to the Vaccine Adverse Event Reporting System. Attend an immunization update provided by MCDPH/ADHS Immunization Program yearly. Participate in a VFC compliance visit annually and allow for unannounced visits by MCDPHS/ADHS Immunization Program staff to review vaccine storage and handling procedures. Work with MCDPH to meet the needs of the community during back-to-school and influenza season. In the event of a Vaccine Preventable Disease Outbreak/Pandemic or threat thereof, administer vaccines to eligible children and adults acting as an agent of public health. E. IT IS MUTUALLY UNDERSTOOD AND AGREED BY AND BETWEEN THE PARTIES THAT: 1. NON-FUND OBLIGATING DOCUMENT This instrument is neither a fiscal nor a funds obligation document. If applicable, any endeavor or transfer of anything of value involving reimbursement or contribution of funds between the parties to this instrument will be handled in accordance with applicable laws, regulations, and procedures including those for Government procurement and printing. Such endeavors will be outlined in separate agreements that shall be made in writing by representatives of the parties and shall be independently authorized by appropriate statutory authority. This instrument does not provide such authority. Specifically, this instrument does not establish authority for noncompetitive award to the cooperator of any contract or other agreement. Any contract or agreement for MCDPH services must fully comply with all applicable requirements for competition. 2. EFFECTIVE DATE This agreement will begin as of May 1, 2019 and end on April 30, 2020. Thereafter, this Agreement will be automatically renewed for additional one (1) year terms without the necessity of notice of action by either party, however may be terminated as provided by options within this Agreement. Either party may terminate this Agreement upon 30 days prior written notice. 3. 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. 3 4. TERMINATION Either Party, in writing, may terminate the instrument in whole, or in part, with 30 days’ notice, at any time before the date of expiration. 5. CLIENT CONFIDENTIALITY Both parties understand and concur that this agreement is subject to all State and Federal laws, including the Health Insurance Portability and Accountability Act (HIPAA), protecting client confidentiality of health care information. Client/patient type confidentiality will be maintained equally for all individuals presenting for services whether being provided by MCDPH or CRMC. The use or disclosure by either party of any information concerning an individual served under this agreement is directly limited to the fulfillment of this agreement. 6. 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. 7. PARTICIPATION IN SIMILAR ACTIVITIES This agreement in no way restricts MCDPH or CRMC from participating in similar activities with other public or private agencies, organizations, and individuals. 8. NON-LIABILITY MCDPH and their respective officers and employees, shall not be liable for any act or omission by the other party or other party’s subcontractor, employee, officer, agent, or representative occurring in the fulfillment of this agreement. 9. INDEMNITY Each Party (as "indemnitor") agrees to indemnify, defend, and hold harmless the other Party (as "indemnitee") from and against any and all claims, losses, liability, costs, or expenses (including reasonable attorney's fees) (hereinafter collectively referred to as "claims") arising out of the negligent performance of this Agreement, but only to the extent that such claims which result in vicarious/derivative liability to the indemnitee are caused by the act, omission, negligence, misconduct, or other fault of the indemnitor, its officers, officials, agents, employees, or volunteers. 10. INSURANCE 10.1 CRMC and its agents shall obtain and keep in force the following insurance to be issued by insurance carriers with a minimum category rating in A.M. Best’s of B++ or better, or a program of self-insurance through CRMC as set forth below: a) Workers’ Compensation – Statutory Limit; b) General Liability - $1,000,000; c) Excess Liability - $3,000,000; d) Automobile Liability - $1,000,000 (if applicable); e) Professional Errors and Omissions Insurance - $1,000,000 each claim/ $3,000,000 Aggregate. Each professional or paraprofessional shall also carry Professional Malpractice Insurance. This is in addition to the coverage required above. 10.2 Excluding insurance coverage for 10.1a) and 10.1e), County, its officers, directors, agents and employees shall be named as Additional Insureds & Certificate Holders under 4 the policies of insurance set forth in Subsection 10.1, for any and all purposes arising out of or connected to the Services provided pursuant to this Agreement. 10.3 County shall be a Certificate Holder for Subsection 10.1a. 10.4 Before providing the Services, as identified in Section D above, CRMC shall furnish County with certificates of insurance evidencing coverage required by this Article. The certificates shall identify County as additional insured and shall be signed by a person authorized by that insurer to bind coverage on its behalf. 10.5 All obligations for occurrence coverage shall survive termination of this Agreement. Other insurance policies required hereby shall expressly provide that such policies shall not be canceled, terminated or materially altered without thirty (30) days prior written notice to County. 10.6 CRMC shall, and shall cause its agents to comply at all times with all applicable municipal, county, state, federal or other governmental laws, statutes, codes, regulations and other requirements, including, without limitation, environmental health safety and police requirements and regulations respecting the premises used. This compliance shall be at CRMC’s sole cost and expense. CRMC shall be solely responsible for any and all chemical or toxic waste or other “hazardous material” disbursement or release and will be solely responsible for the actual “clean-up” should any material be released. In addition, CRMC will be responsible for any cost and expense associated with said clean- up. As used herein, the term “hazardous materials” shall mean any materials identified as “hazardous materials” in any municipal, county, state, federal or other governmental laws, statutes, codes and regulations. This includes, but is not limited to, blood and bodily fluids. 10.7 County shall have in effect at all times during the term of this Partnership Agreement insurance or comparable self-insurance which is adequate to protect it, its officers and employees, which at a minimum shall include (i) professional liability insurance with a combined single limit of $1,000,000 for each claim and $3,000,000 aggregate; and (ii) commercial general liability insurance of $1,000,000 each occurrence, and $2,000,000 general aggregate 10.8 All insurance obligations of this Article shall survive termination of this Agreement. 11. COMMUNICATION Each party agrees to notify the other, in writing, of changes in policy which may affect this agreement. Notification to be made to the attention of the principal contacts identified in Sections C and D above. 12. This Agreement is subject to the provision in A.R.S. § 38-511. 5 13. PRINCIPAL CONTACTS The principal contacts for this agreement are: Maricopa County, by and through its Dignity Community Care dba Chandler Department of Public Health Regional Medical Center Name: Machrina Leach Name: Mark Slyter President and CEO Phone: 602- 506-6662 Phone: 480-728-8388 FAX: 602- 506-5506 Email: Mark.Slyter@dignityhealth.org E-Mail: machrina.leach@maricopa.gov Office of Acquisition and Grants Management Department of Public Health Grant/Contract Administrator Phone: 602-372-0674 FAX: 602-506-6885 E-Mail: katherinemason@mail.maricopa.gov 6 IN WITNESS WHEREOF, the parties agree to the terms indicated herein: FOR AND ON BEHALF OF FOR AND ON BEHALF OF MARICOPA COUNTY, by and through DIGNITY COMMUNITY CARE dba Department of Public Health CHANDLER REGIONAL MEDICAL CENTER By By Bill Gates Chairman of the Board Title ____________________________ Date ATTEST: Office of the Clerk of the Board Date APPROVED AS TO FORM: ________________________________ Attorney for Maricopa County DATE: 7