DISEASE CONTL WITH ST VINCENT FOR ADULT IMMUNIZ (00).PDF

MEMORANDUM OF UNDERSTANDING
Between
MARICOPA COUNTY
By and through the
DEPARTMENT OF PUBLIC HEALTH
4041 N. Central Avenue, #1400, Phoenix, Arizona 85012
And
ST. VINCENT DE PAUL
Background
St. Vincent de Paul provides free health care to children and adults who do not have medical insurance
or financial resources to pay for their healthcare needs. Their medical clinic focuses on preventative care
teaching adults and children about proper nutrition, exercise and other habits to maintain healthy
lifestyles. Vaccines are an important part of prevention. Many adults who are seen at St. Vincent de Paul
suffer from chronic illness(s) would benefit from receiving immunizations to reduce further complications
from their current health conditions.
The Maricopa County through its Department of Public Health, Office of Community Wellness and
Health Promotion (CWHP), requests that St. Vincent de Paul join CWHP in partnership to ensure adults
receive recommended vaccines from a healthcare provider.
This MEMORANDUM OF UNDERSTANDING (MOU) is hereby made and entered into by and
between the Maricopa County by and through its Department of Public Health, hereinafter referred to as
County and the St. Vincent de Paul.
A. PURPOSE
The purpose of this MOU is to develop a framework of cooperation and partnership between County and
St. Vincent de Paul to provide vaccines to eligible adults 19 years of age and older who are uninsured or
underinsured.
B. STATEMENT OF MUTUAL BENEFIT AND INTERESTS
The mutual benefit for both parties is to ensure that eligible adults receive recommended vaccines to
prevent the spread of communicable disease and the worsening of chronic conditions.
C. MCDPH SHALL
• Supply available Vaccines for Adults and County Adult Immunization Consent to Immunize
forms.
• Provide training and education on adult immunizations and vaccine storage and handling
guidelines.
• Enter all client consent forms into the Arizona State Immunization Information System (ASIIS).
• Make unannounced visits to ensure compliance of proper vaccine management

D. ST. VINCENT DE PAUL SHALL
• Use the County provided Adult Consent to Immunize form. All fields must be completed.
• Screen and document all clients for eligibility to use Vaccines for Adults.
o Uninsured
o Underinsured
• Screen all patients for each vaccine using the guidelines set by the Advisory Committee on
Immunization Practices (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 particular
requirements contradict the laws in Arizona pertaining to religious or other exemptions.
• Administer Vaccines for Adults to the following adults 19 years of age and older:
o Uninsured
o Underinsured
• Distribute current Vaccine Information Statements (VIS).
• Report all clinically significant adverse events to the Vaccine Adverse Event Reporting
System and MCDPH Immunization Program.
• Not impose a charge for the cost of the vaccine.
• Report to MCDPH Immunization Program by the 5th of each month the following reports:
o Vaccine Inventory and Order Request
o Temperature Logs
o Immunization consent forms
E. IT IS MUTUALLY UNDERSTOOD AND AGREED BY AND BETWEEN THE PARTIES
THAT:
1. This instrument is neither a fiscal nor a funds obligation document. 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 other services must fully
comply with all applicable requirements for competition.
2. EFFECTIVE DATE
This agreement will begin as of 12:01 A.M. on May 1, 2017.
3. EXPIRATION DATE
This agreement will end as of 11:39 P.M. on April 30, 2020, but may be renewed for
additional three (3) year periods by mutual consent.
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4. 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
parities, prior to any changes being enacted.
5. TERMINATION
Any of the parties, in writing, may terminate the instrument in whole, or in part, at any
time before the date of expiration.
6. 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 either party.
The use or disclosure by either party of any information concerning an eligible individual
served under this agreement is directly limited to the fulfillment of this agreement.
7. 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.
8. PARTICIPATION IN SIMILAR ACTIVITIES
This agreement in no way restricts either party from participating in similar
activities with other public or private agencies, organizations, and individuals.
9. NON-LIABILITY
Neither party 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 the fulfillment of this agreement.
10. INDEMNITY
County agrees to indemnify, hold harmless, and defend St Vincent de Paul, 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 County or any subcontractors or anyone directly or indirectly
employed by either County or any subcontractors in the performance of this MOU.
County and its subcontractors shall reimburse St Vincent de Paul for its costs, including
attorney’s fees for defense of any litigation arising from such claim. County shall include
a clause to this effect in all subcontracts inuring to the benefit of St Vincent de Paul.
Similarly, St Vincent de Paul agrees to indemnify, hold harmless, and defend County, 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 St Vincent de Paul or any subcontractors or
anyone directly or indirectly employed by either St Vincent de Paul or any subcontractors
in the performance of this MOU. St Vincent de Paul and its subcontractors shall
reimburse County for its costs, including attorney’s fees for defense of any litigation
arising from such claim. St Vincent de Paul shall include a clause to this effect in all
subcontracts inuring to the benefit of County.
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11. 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 12 below.
12. PRINCIPAL CONTACTS
The principal contacts for this agreement are:
Maricopa County Department of Public Health
4041 N. Central Avenue, Suite 1400
Phoenix, AZ 85012
Grant/Contract Administrator Nurse Program Manager
Phone: 602-372-0674 602-506-6662
FAX: 602-506-6885 602-506-5506
St. Vincent de Paul
420 W. Watkins Rd.
Phoenix, AZ 85003
Zaira Morales Dr. Maurice Lee
602-261-6825 602-261-6867
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IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF FOR AND ON BEHALF OF
MARICOPA COUNTY St Vincent de Paul
By ___________________________ By ____________________________
Denny Barney
Chairman, Board of Supervisors
_______________________________ ________________________________
Date Date
ATTEST:
________________________________
Clerk of the Board
________________________________
Date
APPROVED AS TO FORM APPROVED AS TO FORM
________________________________ _____________________________
Attorney for Maricopa County
DATE: __________________________ DATE: _________________________
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