AMD RE AZ BIRTH DEFECTS MP - ADHS.PDF

Maricopa County — Formal (2017-10-25)

Extracted text (via pymupdf_layout) 12027 characters

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 N 18th Ave., Ste. No. 260
AMENDMENT Phoenix, AZ 85007
602.542.1040 - Main
602.542.1741 - Fax
CONTRACT NO.: ADHS17-147348 AMENDMENT NO.: 1 JESSICA PROCUREMENT CANEVARI OFFICER
ARIZONA BIRTH DEFECTS MONITORING PROGRAM
Effective upon signature, it is mutually agreed that the Contract referenced is amended as follows:
Pursuant to Terms and Conditions of the Agreement, Provision Six (6), Contract Changes, Item 6.1, Amendments,
Purchase Orders and Change Orders; the above referenced Contract is hereby amended as follows:
1.) This Contract is hereby extended through (5 Year Maximum) December 31, 2021 (final year).
2.) The Price Sheet from the original Agreement is hereby revised with this Amendment One (1). The total Contract
amount increased from $374,500.00 to $394,500.00 due to the following line item changes:
1. Personnel Services / ERE – Increased by $17,739.00 for a new line total of: $342,239.00.
2. Other (Indirect Costs) – Increased by $2,261.00 for a new line total of: $47,261.00.
3.) The Scope of Work is revised and adds the following language of this Amendment One (1):
CONTINUED ON NEXT PAGE
CONTRACTOR SIGNATURE
MARICOPA COUNTY BY AND THROUGH ITS,
MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
Contractor Name Contractor Authorized Signature
4041 N. CENTRAL AVE., STE. NO. 1400 Denny Barney
Address Printed Name
PHOENIX AZ 85012 Chairman, Maricopa County Board of Supervisors
City State Zip Title
CONTRACTOR ATTORNEY SIGNATURE This Intergovernmental Agreement Amendment shall be effective the
Pursuant to A.R.S. § 11-952, the undersigned Public Agency attorney date indicated. The Public Agency is hereby cautioned not to commence
has determined that this Intergovernmental Agreement is in proper any billable work or provide any material, service or construction under
form and is within the powers and authority granted under the laws of this IGA until the IGA has been executed by an authorized ADHS
the State of Arizona. signatory.
STATE OF ARIZONA
Signed this ______ day of _______________________ 20__________
Signature Date
Printed Name Procurement Officer
Attorney General Contract No. P0012014000078, which is an
Agreement between Public Agencies, has been reviewed pursuant to
A.R.S. § 11-952 by the undersigned Assistant Attorney General, who
has determined that it is in proper form and is within the powers and
authority granted under the laws of the State of Arizona.
ATTEST:
_____________________________________________
Clerk of the Board Date

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 150 N 18th Ave., Ste. No. 260
AMENDMENT Phoenix, AZ 85007
602.542.1040 - Main
602.542.1741 - Fax
CONTRACT No.: ADHS17-147348 AMENDMENT No.: 1 JESSICA PROCUREMENT CANEVARI OFFICER
Signature Date
Assistant Attorney General
Printed Name:
1. BACKGROUND
1.1. The Arizona Department of Health Services (ADHS) is the designated Agency which houses the surveillance
programs established under Arizona Revised Statute §36-133. The Office of Health Registries (OHR) contains
both the Arizona Cancer Registry (ACR) and the Arizona Birth Defects Monitoring Program (ABDMP). The
programs are responsible for the data collection of cancer and birth defects. In addition, the Office of Health
Registries provides technical assistance and support to the Bureau of Women’s and Children’s Health (BWCH) in
the Pregnancy Risk Assessment Monitoring System (PRAMS) and also receives support from the BWCH.
1.4 PRAMS
1.4.1 PRAMS is a surveillance project of the CDS and State Health Departments. Developed in 1987, PRAMS
collects State-specific, population-based data on maternal attitudes and experiences before, during and
shortly after pregnancy. PRAMS provides data that is not available from other sources. This data will be
used to identify groups of women and infants at high risk for health problems to monitor changes in health
status and to measure progress towards goals in improving the health of mothers and infants.
1.4.2 Each year in Arizona, there are hundreds of infants born with serious health problems. Many of these infants
die. To better understand this, PRAMS was launched in Arizona in April, 2017. The purpose of PRAMS is to
provide information to help find out why some infants are born healthy and others are not. Each month
PRAMS will ask 1 in 30 new mothers in Arizona to share their experiences before, during and after
pregnancy. This surveillance project will recruit over 2,400 new mothers each year in the State. The effort
requires intensive recruitment, data collection, data-entry and follow-up on all participating mothers. All of
these activities, including data analysis and reporting, occur inside ADHS as outlined in the PRAMS
implementation manuals set by the CDC.
1.4.3 Due to the increasing need for surveillance of new mothers in Arizona, ADHS was awarded a CDC grant to
establish and sustain PRAMS.
1.4.4 Due to the limited amount of program resources, PRAMS will require support from outside sources to achieve
the overall program requirements and deliverables. In order to successfully launch, implement and maintain
surveillance of new mothers in Arizona, Maricopa County Department of Public Health (MCDPH) shall work
with ADHS / PRAMS to assist in fulfillment of the grant deliverables regarding public health surveillance
activities of new mothers in Arizona.
1.4.5 The functions of PRAMS include, but are not limited to:
1.4.5.1 Identify groups of women and infants at high risk for health problems;
1.4.5.2 Monitor changes in maternal and infant health status;
1.4.5.3 Capture maternal and infant health data that is not currently available from other routine sources; and
1.4.5.4 Perform epidemiological studies and to provide biostatistics and epidemiologic information to the public
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 150 N 18th Ave., Ste. No. 260
AMENDMENT Phoenix, AZ 85007
602.542.1040 - Main
602.542.1741 - Fax
CONTRACT No.: ADHS17-147348 AMENDMENT No.: 1 JESSICA PROCUREMENT CANEVARI OFFICER
4.3.2 Assist with ongoing data collection for the US Zika Pregnancy Registry and communicate appropriately with
such staff.
4.3.2.1 Participate in ADHS Zika Pregnancy Workgroup as requested; and
4.3.2.2 Follow up with cases and/or reporting physicians as needed to obtain additional key data.
4.4 Conduct Statewide abstraction of birth defects including but not limited to:
4.4.1 Chart Review;
4.4.2 Data Collection; and
4.4.3 Data-Entry / Submission.
4.5 Collaborate with the ADHS and community stakeholders to:
4.5.1 Develop, implement, and maintain a rapid reporting system for microcephaly;
4.5.2 Participate in trainings and meetings to ensure accurate and appropriate reporting;
4.5.3 Manage and follow up on reports received;
4.5.4 Assist with birth defects prevention, education, and referral to services tasks as needed; and
4.5.5 Assist with outreach and partner coordination as requested by ADHS, and/or as appropriate for rapid
reporting and partner collaboration.
4.6 Perform a quality control review of abstracts (cancer registry case reports) and make corrections in the ACR
database, pursuant to the processes and standard cancer management procedures as set forth in the reference
materials provided by ADHS.
4.7 Identify cases of cancer from pathology laboratories submitted to the ACR by laboratories in Arizona and other
States.
4.8 Abstract demographic, diagnostic, staging, treatment and follow-up information from the physician/clinic case
reports, pathology laboratories and from medical records from various reporting sources.
4.9 Create and/or work with various reports generated from the processing of data.
4.10 Conduct Statewide identification and abstraction of cancer; including but not limited to:
4.10.1 Chart Review;
4.10.2 Abstraction;
4.10.3 Quality Control;
4.10.4 Data Editing; and
4.10.5 Data-Entry / Submission.
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 150 N 18th Ave., Ste. No. 260
AMENDMENT Phoenix, AZ 85007
602.542.1040 - Main
602.542.1741 - Fax
CONTRACT No.: ADHS17-147348 AMENDMENT No.: 1 JESSICA PROCUREMENT CANEVARI OFFICER
4.11 Coordinate the successful implementation of CDC PRAMS protocols regarding operations and implementation in
Arizona including, but not limited to:
4.11.1 Participant in PRAMS working group meetings with internal partners and the CDC;
4.11.2 Monitor progress of operational and implementation activities that facilitate successful achievement of CDC
benchmarks and objectives;
4.11.3 Identify and troubleshoot obstacles to the implementation of the CDC PRAMS operations and
implementation protocols;
4.11.4 Follow data collection protocols, data-entry and editing; and
4.11.5 Quality assurance of data collection.
5. REQUIREMENTS
5.1 The Contractor shall participate in training as required by ADHS;
5.2 ABDMP, ACR and PRAMS will provide program and task specific training to contractors; and
5.3 The contractor shall complete tasks onsite at ADHS and at Statewide facilities as assigned.
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 150 N 18th Ave., Ste. No. 260
AMENDMENT Phoenix, AZ 85007
602.542.1040 - Main
602.542.1741 - Fax
CONTRACT No.: ADHS17-147348 AMENDMENT No.: 1 JESSICA PROCUREMENT CANEVARI OFFICER
PRICE SHEET
COST REIMBURSEMENT LINE ITEMS BUDGET AMOUNT
1. Personnel Services / ERE $342,239.00
3. Professional & Outside Services $0.00
4. Travel Expenses $5,000.00
5. Other Operating Expenses $0.00
6. Capital Outlay Expenses $0.00
7. Other (Indirect Costs) $47,261.00
TOTAL CONTRACT AMOUNT: (not to exceed) $394,500.00
Budget Period 1, 2, and 3:
January 1, 2017 - December 31, 2017: Amount contingent upon approval on October 5,
2017 (prorated) by the Board.
January 1, 2018 – December 31, 2018: $20,000 for a total of $394,500.00.
January 1, 2019 – December 31, 2019: $20,000 for a total of $394,500.00.
ALL OTHER PROVISIONS OF THIS AGREEMENT SHALL REMAIN IN THEIR ENTIRETY
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