C-86-11-054-3-05 MIHS FOR GC TESTING.PDF

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INTERGOVERNMENTAL LETTER OF AGREEMENT
BETWEEN
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
("District")
d.b.a.
MARICOPA INTGEGRATED HEALTH SYSTEM
("MIHS")
AND
MARICOPA COUNTY
("County")
Acting through its
DEPARTMENT OF PUBLIC HEALTH
("Department")
(Services: Gonococci and Chlamydia Testing)
This Letter of Agreement ("Agreement") serves to outline the services provided by the
Maricopa County, acting through its Department of Public Health, who will provide free
Gonococci and Chlamydia testing of MIHS patients; as well as Maricopa Integrated Health
System's duties related to the testing of its patients.
1. PREFACE
The District d.b.a. Maricopa Integrated Health Services ("MIHS") and Maricopa County
("County"), acting through its Department of Public Health ("Department") have enjoyed a
long-standing relationship with regard to services offered to MIHS patients. Both parties
believe that it would be in their best interests to have this Intergovernmental Letter of
Agreement reflect the duties and responsibilities of the respective parties with respect to the
Gonococci and Chlamydia testing of MIHS patients by County and its Department.
2. PARTIES
The parties to this Intergovernmental Agreement are Maricopa County Special Health Care
District ("District") d.b.a. Maricopa Integrated Health System ("MIHS") and Maricopa County
("County"), acting through its Department of Public Health ("Department").
3. PURPOSE
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The purpose of this Agreement is to establish guidelines for certain Gonococci and
Chlamydia testing to be conducted by County and its Department, where such testing is
conducted on the urine from free pregnancy tests done by MIHS patients in the District's
Comprehensive Health Center ("CHC") and Family Health Centers ("FHC") and sent to
Department for testing. All parties agree that such Gonococci and Chlamydia testing will be
performed by County and its Department free of charge to District, MIHS, and to MIHS
patients.
4. TERM AND TERMINATION
The Initial Term of this Agreement shall be from January 7, 2016 through January 6, 2017
with four (4) optional one-year renewal periods. Either party may terminate the Agreement
with 60 days prior written notice to the other party.
5. DISPUTES
Any dispute arising out of this Agreement shall be resolved through arbitration, after existing
administrative review, to the extent required by the MIHS Procurement Code (available at
http://www.mihs.org/uploads/sites/19/Openbid/DistrictProcurementCodeEff06252008.pdf) as
amended from time to tome.
6. SERVICES TO BE PROVIDED BY COUNTY
THROUGH DEPARTMENT
County, through its Department, will:
1. Test the urine from free pregnancy tests done on MIHS patients in four of the District's
Comprehensive Health Center ("CHC") and Family Health Centers ("FHC") for
Gonococci and Chlannydia.
2. Send hard copy of the test results of the Gonococci and Chlamydia testing to the
manager of the FHC of origin.
3. Provide test results by phone and treatment when necessary, if necessary, to MIHS
patients when indicated.
4. Contact and meet with the MIHS patients with positive Gonococci and/or Chlamydia
results and arrange for MIHS patient to receive treatment.
5. Offer the MIHS patient's partner(s) counsel, prescription and/or medication for
treatment.

7. SCOPE OF SERVICES TO BE PROVIDED BY DISTRICT
THROUGH MIHS
District, acting through MIHS, will:
1. Offer to all MIHS patients who receive a free pregnancy test the opportunity to opt out
of having their urine tested for free, for Gonococci and Chlamydia and inform then that
the testing will be done by Department.
2. Tell the MIHS patient that they can call the Department of Public Health-STD Program
for test and referral for treatment if necessary.
3. Label, process and send the urine with the MIHS patient contact information via MIHS
courier to the Department's facility located at 1645 E. Roosevelt.
4. Will receive and scan the hard copy laboratory results of MIHS patients into the MIHS
electronic medical record
8. LICENSURE/CERTIFICATION REQUIREMENTS
All Department and MIHS staff providing services under this Agreement shall be qualified to
provide services through appropriate training, education, experience and/or
certification/licensure (if applicable).
9. CONFIDENTIALITY OF RECORDS
All parties shall maintain procedures and controls in accordance with federal and state law,
and their respective policies for the purpose of assuring the confidentiality of client
information.
10. E-VERIFICATION OF EMPLOYEES
Both parties warrant that they are in compliance with A.R.S. § 41-4401 and further
acknowledges:
A. That both parties and its subcontractors, if any, warrant their compliance with
all federal immigration laws and regulations that relate to their employees and
their compliance with A.R.S. § 23-214, subsection A: 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. That a breach of a warranty under subsection A above shall be deemed a
material breach of this Agreement that entitles both parties to, among other
things, terminate this Agreement without liability;
C. That both parties retains the right to inspect the papers of any subcontractor
employee who works on this Agreement to ensure that both parties and all
subcontractors are complying with the warranty provided under subsection A
above, and that both parties shall make all papers and employment records of
said employee(s) available during normal working hours in order to facilitate
such an inspection.
D. That nothing herein shall make both parties or any subcontractor an agent or
employee of the MIHS or the County.
11. COMMUNICATION
Informal communication for operational issues may be directed to the appropriate individual
listed below:
FOR DISTRICT:
Patricia Stradleigh
Director of Operations — Primary Care Services
Maricopa Integrated Health System
2601 E. Roosevelt
Phoenix, Arizona 85008
Phone: (602) 743-3044
patricia.stradleigh@mihs.org
FOR MARICOPA COUNTY and its DEPARTMENT OF PUBLIC HEALTH:
Tom Mickey
STD Program Manager
Clinical Services
Maricopa County Department of Public Health
1645 E. Roosevelt
Phoenix, AZ 85006
602-506-6364
tommickevmail.maricopa.gov
12. FORMAL NOTICES
Formal notices to District and County and its Department of Public Health shall be delivered
to:
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Maricopa Integrated Health System Maricopa County Public Health
Contracts Administration Grants/Contracts Unit
2611 East Pierce, 2nd Floor 4041 N. Central Avenue, Suite 1400
Phoenix, AZ 85008 Phoenix, AZ 85012.
Phone: 602-372-0674 / fax: 602-506-6885
13. NON-FINANCIAL STATUS
Both parties understand and agree that this is a non-financial Agreement and that all of
the services Provided by County and its Department to MIHS and to MIHS patients under
this Agreement will be done at no charge to District, MIHS, or to any MIHS patient.
14. ENTIRE AGREEMENT
All amendments and modifications to this Agreement shall be in writing and signed by both
parties and are subject to the approval of the Board of Directors of DISTRICT and Board of
Supervisors.
IN WITNESS WHEREOF, the parties agree to enter into this Agreement:
FOR AND ON BEHALF OF MARICOPA COUNTY SPECIAL HEALTH
MARICOPA COUNTY CARE DISTRICT dba MARICOPA
INTEGRATED HEALTH SYSTEM (MIHS)
By
Chairman, Board of Supervisors /Chairman, Board of DireAlors
Date
ATTEST: ATTEST:
Clerk of the Board Clerk of the Board
t/ c)741 /CO
Date Date

APPROVED AS TO FORM: APPIRON/ED AS TO FORM:
Attorney for the Board of Supervisors
MARICOPA COUNTY,
BY AND
THROUGH ITS
DEPARTMENT
OF PUBLIC HEALTH
Authorized Representative Date
Director