CHNA-MC AND NOAH FOR SIG.PDF

Maricopa County — Formal (2020-09-16)

Extracted text (via ocr_local) 35363 characters

CONTRACT FOR SERVICES
MARICOPA COUNTY by and through the
DEPARTMENT OF PUBLIC HEALTH

1. Contract No: C-86-20- _-3-00 2. Contract Type: Service

3. Contract Amount: $ 27,000 4. Purpose: Completion of a Community Health Needs
(Maximum Reimbursable Amount) Assessment

5. Start Date: July 1, 2020 6. Expiration Date: June 30, 2023

This Contract is entered into by and between Neighborhood Outreach Access to Health (NOAH) referred to
hereinafter as “Federally Qualified Health Center (FQHC),” and Maricopa County, by and through the
Department of Public Health, referred to hereinafter as the “County.” The FQHC and the County are collectively
referred to as the “Parties” and individually as a “Party.” The Parties, for and in consideration of the covenants
and conditions set forth herein, shall provide and perform the services as set forth below. All rights and
obligations of the Parties shall be governed by the terms of this Contract, including its Exhibits, Attachments,
Appendices, and any Subcontracts or Amendments as set forth herein and in:

Section | - General Provisions Section Ill - Work Statement
Section Il - Special Provisions Section IV - Compensation

This Contract contains all the terms and conditions agreed to by the Parties. No other understanding,
oral or otherwise, regarding the subject matter of this Contract shall be deemed to exist or to bind the
Parties. Nothing in this Contract shall be construed as consent to any lawsuit or waiver of any defense
in any lawsuit brought against the State of Arizona, the County, or the Hospital/Community Health
Center/FQHC, in any State or Federal Court.

Legal notice under this Contract shall be given by personal delivery or by registered or certified mail, postage
prepaid and return receipt requested, to the addresses set forth below. If the legal notice is personally delivered,
it is deemed given and effective upon receipt by the Party to whom it is addressed. If the legal notice is mailed,
it is deemed given and effective three (3) days after it is mailed by registered or certified mail.

Notice to NOAH (FQHC):
Phone _ 602-786-0003 Address:7500 N. Dreamy Draw Dr., Suite #145, Phoenix, AZ 85020

Notice to Department: _MCDPH Grants/Contracts Unit Phone: (602) 372-0675
Address: 4041 N. Central Ave., Suite 1400, Phoenix, AZ 85012

IN WITNESS WHEREOF, the Parties enter into this Contract:
FOR AND ON BEHALF OF
Neighborhood Outreach Access to Health : MARICOPA COUNTY

Nz ee BY:
Clint Hickman, Chairman

Board of Supervisors

Chief Executive Officer : ATTEST
g j PZ - 7
le Clerk of the Board
‘Date
APPROVED AS TO FORM: APPROVED AS TO FORM:
Signature Attorney for Maricopa County

Date Date

SECTION | GENERAL PROVISIONS

EFFECT

To the extent the Work Statement is in conflict with the General or Special Provisions, the
Work Statement shall control.

DEFINITIONS
As used throughout this Contract, the following terms shall have the following meanings:

A. Contract means this document and all exhibits, attachments, appendices, and
amendments to this Contract.

County means Maricopa County, Arizona.
Department means the Maricopa County Department of Public Health (MCDPH).

Director means the Director of the Department.

mo 9 @

Funding Source means any Federal, State, or Private Agency funding source that
may impose conditions on the funding that will be passed on to the County.

F. Hospital means any individual hospital, hospital system, Federally Qualified
Healthcare Center (FQHC), or FQHC look-alike.

GENERAL REQUIREMENTS

A. The terms of this Contract shall be construed in accordance with Arizona law. Any
lawsuit arising out of this Contract shall be brought in the appropriate court in
Maricopa County, Arizona.

B. The County shall, without limitation, obtain and maintain all licenses, permits, and
authority necessary to do business, render services, and perform work under this
Contract, and shall comply with all laws regarding Unemployment Insurance,
Disability Insurance, and Workers’ Compensation.

Cc. The County is an independent Contractor in the performance of work and the
provision of services under this Contract and is not to be considered an officer,
employee, or agent of the Hospital/FQHC.

AMENDMENTS

All Amendments to this Contract shall be in writing and signed by the Parties.

ADEQUACY OF RECORDS

If the County's books, records, and other documents relevant to this Contract are not
sufficient to support and document that allowable services were provided to eligible
persons, the County shall reimburse the Hospital/FQHC for the services not sufficiently
supported and documented.

SECTION |

GENERAL PROVISIONS

10.

RETENTION OF RECORDS

This provision applies to all financial and programmatic records, supporting
documents, statistical records, and other records of the County, which are
reasonably considered as relevant to this Contract.

The County shall retain all financial books, records, and other documents relevant
to this Contract for six (6) years after final payment or until after the resolution of
any audit questions, which could take more than five (5) years, whichever is longer.
The County, Federal, or State auditors, and any other persons duly authorized by
the County, shall have full access to, and the right to examine, copy, and make
use of any and all such materials.

ASSIGNMENT / SUBCONTRACTING

No rights, liability, obligations, or duties under this Contract may be assigned, delegated,
or subcontracted by the County or the Hospital without the prior written approval of the
other Party.

AUDIT DISALLOWANCES

The County shall, upon written demand therefore, reimburse the Hospital for any
payments made under this Contract that are disallowed by a Federal, State, or
Maricopa County audit in the amount of the disallowance, as well as all expenses,
court costs, and attorney fees the Hospital incurs in connection with any legal
action relating to such disallowance.

If, at any time, the Hospital determines that a cost for which payment has been
made is a disallowed cost, the Hospital shall notify the County in writing of the
disallowance and the required course of action, which may be, at the option of the
Hospital, either to adjust any future claim submitted by the County by the amount
of the disallowance or to require repayment of the disallowed amount by the
County.

DEFAULT

The FQHC or County may suspend, modify, or terminate this Contract immediately upon
written notice to the County in the event of a non-performance of stated objectives or other
material breach of contractual obligations.

TERMINATION

The County or the FQHC may terminate this Contract at any time with at least thirty
(30) days prior written notice to the other Party. Such notice shall be given by
personal delivery or by Registered or Certified Mail, postage prepaid and return
receipt requested.

This Contract may be terminated by mutual written agreement of the Parties
specifying the termination date therein.

If not terminated by one of the methods stated above, this Contract shall terminate

SECTION | GENERAL PROVISIONS

11.

12.

13.

14.

15.

16.

17.

on the expiration date of this Contract as stated on the Cover Page.

TERMINATION FOR BREACH

If either Party defaults under this Contract and the default continues for more than ten (10)
days after the effective date of the other Party’s written notice stating the specific nature
of the default, then the noticing Party may treat the default as a breach of this Contract.
Upon a breach, the aggrieved Party may exercise any remedy available under the law,
including the termination of this Contract.

SEVERABILITY

Any provision of this Contract that is determined by a court of competent jurisdiction to be
invalid, void, or illegal shall not affect, impair, or invalidate any other provision hereof, and
the remaining provisions shall remain in full force and effect.

STRICT COMPLIANCE

Acceptance by the Hospital of performance not in strict compliance with the terms of this
Contract shall not be construed as a waiver of the requirement of strict compliance for all
future performance obligations. All changes in performance obligations under this
Contract shall be in writing.

NON-LIABILITY

The FQHC and its officers and employees shall not be liable for any act or omission by
the County or any subcontractor, employee, officer, agent, or representative of the County
or subcontractors that occurs during the performance of this Contract, nor shall they be
liable for any purchases, debts, or agreements made by the County in anticipation of
funding hereunder.

COVENANT AGAINST CONTINGENT FEES

The County warrants that no person or selling agency has been employed or retained to
solicit or secure this Contract upon an agreement or understanding for a commission,
percentage, brokerage, or contingent fee. For breach or violation of this warranty, the
Hospital may terminate this Contract without liability.

SAFEGUARDING CLIENT INFORMATION

The use or disclosure by any Party of any information concerning an eligible person served
under this Contract is directly limited to the performance of this Contract.

RIGHTS IN DATA

The Parties shall have the use of data and reports resulting from this Contract without cost
or other restriction, except as may otherwise be provided herein or by law or applicable
regulation. Each Party shall supply to the other Party, upon request, any available
information known to the supplying Party that is relevant to this Contract and to the
performance hereunder.

SECTION | GENERAL PROVISIONS

18.

19.

20.

21.

22.

NON-DISCRIMINATION

The County, in connection with any service or other activity under this Contract, shall not
in any way discriminate against any person on the grounds of race, color, religion, sex,
national origin, age, or disability. The County shall include a clause to this effect in all
Subcontracts inuring to the benefit of the County or the Hospital.

EQUAL EMPLOYMENT OPPORTUNITY

The County shall not discriminate against any employee or applicant for employment
because of race, age, disability, color, religion, sex, or national origin. The County shall
take affirmative action to insure that applicants are employed and that employees are
treated during employment without regard to their race, age, disability, color, religion, sex,
or national origin. Such action shall include, but is not limited to, the following:
employment, upgrading, demotion or transfer, recruitment or recruitment advertising, lay-
off or termination, rates of pay or other forms of compensation, and selection for training,
including apprenticeship. The County shall, to the extent such provisions apply, comply
with Titles VI and VII of the Civil Rights Act of 1964, as amended (42 U.S.C. §§ 2000a, et
seq.); the Rehabilitation Act of 1973, as amended (29 U.S.C. §§ 701, ef seg.); the Age
Discrimination in Employment Act of 1967, as amended (29 U.S.C. §§ 621, et seq.); the
Immigration Reform and Control Act of 1986 (Pub. L. No. 99-603) (“IRCA”); and Arizona
Executive Order 2009-09, which mandates that all persons shall have equal access to
employment opportunities. The County shall also comply with all applicable provisions of
the Americans with Disabilities Act of 1990 (42 U.S.C. §§ 12101, et seq.).

RIGHT OF PARTIAL CANCELLATION

If more than one activity is funded by this Contract, the Hospital reserves the right to
terminate this Contract or any part thereof based on the County's failure to

perform any part of this Contract without impairing, invalidating, or canceling the remaining
Work Statement obligations.

RIGHT TO EXTEND CONTRACT

Subject to the availability of funds and acceptable County performance, based upon
mutual agreement by the FQHC and the County, the Contract may be extended for one
(1) additional three-year period, not to exceed a total extended term of six (6) years, except
that the cost will be subject to renegotiation. Any extension of this Contract shall be in
writing mutually acceptable to the County and the Hospital and signed by both Parties.

CERTIFICATION REGARDING DEBARMENT AND SUSPENSION

A. The undersigned (an authorized official signing for the County) certifies to the best
of his or her knowledge and belief; that the County, defined as the primary
participant in accordance with 45 CFR Part 76, and its principals:

1) are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any Federal
Department or agency;

2) have not, within the 3-year period preceding this Contract, been convicted

SECTION |

GENERAL PROVISIONS

23.

of or had a civil judgment rendered against them for the commission of
fraud or a criminal offense in connection with obtaining, attempting to
obtain, or performing a public (Federal, State, or local) transaction or
contract under a public transaction; or violated any Federal or State
antitrust statutes; or committed embezzlement, theft, forgery, bribery,
falsification or destruction of records, making false statements, or receiving
stolen property;

3) are not presently indicted or otherwise criminally or civilly charged by a
government entity (Federal, State, or local) with the commission of any of
the offenses enumerated in paragraph (2) of this certification; and

4) have not, within the 3-year period preceding this Contract, had one or more
public transactions (Federal, State, or local) terminated for cause or default.

If the County is not able to provide this certification, an explanation as to why shall
be attached to this Contract.

The County shail include, without modification, this clause in all lower tier covered
transactions (i.e. transactions with subcontractors) and in all solicitations for lower
tier covered transactions related to this Contract.

E-VERIFICATION OF EMPLOYEES

The County warrants that it is in compliance with A.R.S. § 41-4401 and further
acknowledges:

That the County 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;

That a breach of a warranty under subsection A above shall be deemed a material
breach of this Contract that entitles the Hospital to, among other things, terminate
this Contract without liability;

That the Hospital retains the right to inspect the papers of the County and any
subcontractor employee who works on this Contract to ensure that the County and
all subcontractors are complying with the warranty provided under subsection A
above, and that the County shall make all papers and employment records of said
employee(s) available during normal working hours in order to facilitate such an
inspection.

That nothing herein shall make the County or any subcontractor an agent or
employee of the Hospital.

SECTION |

GENERAL PROVISIONS

24.

25.

26.

MEDIATION/ARBITRATION

In the event that any dispute arises out of this Contract or involves a recipient of services
under the terms of this Contract, the Parties shall meet and confer in an effort to resolve
the dispute. In the event that such informal efforts to resolve the dispute are unsuccessful
in 90 days, the Parties shall resolve the dispute by arbitration pursuant to A.R.S. § 12-
3001, et seq.

CHANGES

The Director may, at any time, by written order, make changes within the scope
of this Contract in any one or more of the following areas:

1). Work Statement activities reflecting changes in the scope of services,
Funding Source, or County regulations, policies, or requirements.

2). Administrative requirements, such as changes in reporting periods,
frequency of reports, or report formats required by funding source, or
County regulations, policies, or requirements.

3). Contractor reimbursement schedules and program budgets

The Director shall not increase or decrease the maximum reimbursable amount
to be paid the Contractor without an official amendment to this Contract.
Additionally, the Director shall not direct substantive changes in services to be
rendered by the Contractor.

Any dispute or disagreement caused by such written order shall constitute a
"Dispute" within the meaning of the Disputes Clause of the Special Provisions of
this Contract and shall be administered accordingly.

SPECIAL REQUIREMENTS

The County shall use written subcontracts or consultant agreements that conform
to Federal and State laws and regulations, and to the requirements of this Contract
appropriate to the service or activity covered by the subcontract. These provisions
apply with equal force to the subcontract as if the subcontractor were the County
referenced herein. The County is responsible for performing under this Contract
whether or not Subcontractors are used. The County shall submit a copy of each
Subcontract to the Hospital within fifteen (15) days of its effective date.

The County shall include in any subcontracts a provision to the effect that the
subcontractor agrees that the Hospital shall have access to the subcontractor’s
facilities and the right to examine any books, documents, and records of the
subcontractor; involving transactions related to the subcontract and that such
books, documents, and records shall not be disposed of except as provided herein.

SECTION | GENERAL PROVISIONS

27.

28.

29.

INDEMNITY:
The parties agree that both are Self-Insured government entities.

Each party (as "Indemnitor"), to the fullest extent permitted by law, 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.

STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST

Notice is given that pursuant to A.R.S. § 38-511, the County may cancel this Contract
without penalty or further obligation within three years after execution of this Contract, if
any person significantly involved in initiating, negotiating, securing, drafting, or creating
this Contract on behalf of the County is at any time while this Contract or any extension
of this Contract is in effect, an employee or agent of any other Party to this Contract in
any capacity or consultant to any other Party of this Contract with respect to the subject
matter of this Contract. Additionally, pursuant to A.R.S. § 38-511, the County may
recoup any fee or commission paid or due to any person significantly involved in
initiating, negotiating, securing, drafting, or creating this Contract on behalf of the County
from any other Party to this Contract arising as the result of this Contract.

LAWS, RULES, AND REGULATIONS

The Hospital and the County understand and agree that this Contract is subject to all
applicable State and Federal laws, rules, and regulations.

A. Neither this Contract, nor any portion thereof, may be assigned to another person
by the Hospital without the written consent of the County’s designated
representative. Any attempt by the Hospital to assign any portion of this Contract
without the written consent of the County shall constitute a breach of this Contract.

B. No assignment shall alter the Hospital’s responsibility to the County to assure that
all of the provisions under this Contract are carried out by its assignee. All terms
and conditions in this Contract shall be included in the Hospital’s assignments.

C. Use of Hospital Name: Except as specifically permitted in this Contract, the County
shall not use the names or trademarks of the Hospital or of any of the Hospital’s
affiliated entities in any advertising, publicity, endorsement, or promotion unless
the Hospital has provided prior written consent for the particular use
contemplated. All requests for approval pursuant to this Section must be
submitted to the Hospital, at least 5 business days prior to the date on which a
response is needed. The terms of this section survive the termination, expiration,
non-renewal, or rescission of this Contract

SECTION II WORK STATEMENT

1. BACKGROUND

The Patient Protection and Affordable Care Act (ACA) has requirements that nonprofit hospitals
must satisfy to maintain their tax-exempt status under section 501(c) (3) of the Internal Revenue
Code. One such requirement added by the ACA, Section 501(r) of the Code, requires nonprofit
hospitals to conduct a Community Health Needs Assessment (CHNA) and adopt implementation
strategies to address the identified needs for the community at least once every three years. As
part of the CHNA, each hospital is required to collect input from the community from individuals
in the community, including public health experts as well as residents, representatives or leaders
of low-income, minority, and medically underserved populations. Maricopa County Department of
Public Health (MCDPH) and the Maricopa County Synapse coalition, a coalition of non-profit and
federally qualified health care partners, worked collaboratively and will assess the health needs
of residents in Maricopa County.

Goals
MCDPH is committed to ensuring a comprehensive representation of Maricopa County residents.
Our goals align with Healthy People 2020 and Public Health 3.0 which is guided by social
determinants of health and increasing capacity building and community collaboration.
e Attain high-quality, longer lives free of preventable disease, disability, injury, and
premature death’;
e Achieve health equity, eliminate disparities, and improve the health of all groups’;
e Create social and physical environments that promote good health for all*; and
e Promote quality of life, healthy development, and healthy behaviors across all life
stages’.

Data Collection and Assessments Methodology

MCDPH uses the Mobilizing for Action through Planning and Partnerships (MAPP), which is a
community-driven strategic planning process for improving community health. The MAPP
framework helps communities apply strategic thinking to prioritize public health issues and
identify resources to address them. It is intentionally an interactive process that can improve the
efficiency, effectiveness, and ultimately the performance for local public health and healthcare
systems (MAPP, NACCHO.org). For more information visit:
https://www.naccho.org/programs/public-health-infrastructure/performance-
improvement/community-health-assessment/mapp

MCDPH conducts the following assessments in alignment with MAPP: Community Health Needs
Assessment Survey, Community Focus Groups, Key Informant Interviews, and Local Public
Health Assessment. These assessments provide extensive qualitative and quantitative data
collection. They are then incorporated with extensive quantitative data sets such as:

e Analyze data sets (Per Primary Service Area/Maricopa County) and comparisons

o Hospital Discharge Data from ADHS

Birth/Death from Vital Records
CDC’s Behavioral Risk Factor Surveillance System
CDC’s Youth Behavioral Risk Surveillance System
Arizona Youth Survey
National Cancer Institute-Cancer Registry
Healthy People 2020 and other sources that address priority

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*Healthy People 2020: https:/Avww.cdc.gov/nchs/healthy people/hp2020.htm

SECTION II

WORK STATEMENT

SERVICE GOALS

County agrees to:

Produce a final Community Health Needs Assessment report for NOAH by
deadline determined by FQHC and MCDPH.

2. Administer the data gathering, cleaning, and analysis for community health
indicators in Maricopa County, including data collection from focus groups.

3. Administer and convene meetings of the Community Health Needs
Assessment partners at least quarterly.

4, Provide for ad hoc data analysis on community health indicators at the
request of the FQHC.

Hospital/FQHC agrees to:

1. Allow employees of the FQHC to participate as necessary on the Synapse
coalition and/or workgroups.

2. Facilitate the timely review and approval of the final Community Health

Needs Assessment report by the necessary Administrators and Boards
within the FQHC.

Department of Public Health,
Office of Community Empowerment

SECTION III COMPENSATION
1. COMPENSATION
A. Subject to the availability of funds, the FQHC shall pay the County for the
services described herein for a sum not to exceed the total amount listed on the
cover page of this Contract in yearly installments of $7,000 for year one, $10,000
for year two and $10,000 for year three, over the term of this Contract.
B. The FQHC shall pay the County an amount not to exceed (NTE) $27,000 for the
life of this Contract.
2. METHOD OF PAYMENT
A. Yearly invoice.
B. Yearly invoices shall be submitted to:
NOAH info: Wendy Armendariz, CEO, NOAH Administration, 7500 N. Dreamy
Draw Dr., Suite #145, Phoenix, AZ 85020
3. NOTICE
Any notice given under this Contract shall be sent to the attention of the
following:
Maricopa County FQHC: Neighborhood Outreach Access

to Health

| 4041 N. Central Ave

Address: 7500 N. Dreamy Draw Drive

Suite #600

Suite #145

Phoenix, AZ 85012

Phoenix, AZ 85020

Maricopa County
Department of Public Health
Grants and Contracts Unit

4041 N. Central Ave

Suite 1400

Phoenix, AZ 85012

Neighborhood Outreach Access to Health (NOAH)

Community Health Needs Assessment (CHNA) Contract Proposal

This CHNA proposal is developed to reflect a 3-year cycle and the work that takes place over the course of those
years to plan, implement and evaluated a comprehensive and community informed report for Federally
Qualified Health Centers (FQHCs) and Maricopa County.

Background

The Patient Protection and Affordable Care Act (ACA) has requirements that nonprofit hospitals must satisfy to
maintain their tax-exempt status under section 501(c) (3) of the Internal Revenue Code. One such requirement
added by the ACA, Section 501(r) of the Code, requires nonprofit hospitals to conduct a Community Health
Needs Assessment (CHNA) and adopt implementation strategies to address the identified needs for the
community at least once every three years. As part of the CHNA, each hospital is required to collect input from
the community from individuals in the community, including public health experts as well as residents,
representatives or leaders of low-income, minority, and medically underserved populations. Maricopa County
Department of Public Health (MCDPH) and the Maricopa County Synapse coalition, a coalition of non-profit and
federally qualified health care partners, worked collaboratively and will assess the health needs of residents in
Maricopa County.

e Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death*;

e Achieve health equity, eliminate disparities, and improve the health of all groups*;

e Create social and physical environments that promote good health for all*; and

e Promote quality of life, healthy development, and healthy behaviors across all life stages*.

Objective

To conduct a comprehensive Community Health Needs Assessment (CHNA) and produce a final report for NOAH
in collaboration with the Maricopa County Dept. of Public Health and other healthcare systems that will identify
community health needs, assets, and resources that address social determinants of health.

Summary

The Synapse coalition is made up of several healthcare systems: Banner Health, Dignity Health, Mayo Clinic,
Native Health, and Phoenix Children’s Hospital; in addition to the Maricopa County Dept. of Public Health and
Vitalyst Health Foundation. This collaboration leads to an increase of quality and quantity of community data to
better identify and understand Social Determinants of Health, community strengths, issues, and health
conditions throughout Maricopa County. Data collected will inform the CHNA Report developed by MCDPH for
NOAH. With a collective effort throughout the county and health systems we will work collaboratively to address
the community and ensure that the most vulnerable populations are heard.

Data Collection and Assessments Methodology
MCDPH uses the Mobilizing for Action through Planning and Partnerships (MAPP) which is a community-drive
strategic planning process for improving community health. The MAPP framework helps communities apply

*Healthy People 2020: https://www.cdc.gov/nchs/healthy people/hp2020.htm

strategic thinking to prioritize public health issues and identify resources to address them. It is intentionally an
interactive process that can improve the efficiency, effectiveness, and ultimately the performance for local
public health and healthcare systems (MAPP, NACCHO.org). For more information visit:
https://www.naccho.org/programs/public-health-infrastructure/performance-improvement/community-health-

assessment/mapp

MCDPH conducts the following assessments in alignment with MAPP: Community Health Needs Assessment
Survey, Community Focus Groups, Key Informant Interviews, and Local Public Health Assessment. These
assessments provide extensive qualitative and quantitative data collection. They are then incorporated with
extensive quantitative data sets such as:

e Analyze data sets (Per Primary Service Area/Maricopa County) and comparisons

o Hospital Discharge Data from ADHS

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Data for NOAH

Beginning in 2018 Maricopa County Department of Public Health in collaboration with Synapse partners
conducted the third cycle of CHNA in Maricopa County. It resulted in the largest data collection effort compared
to previous cycles. This increase in data provided the opportunity to conduct higher level analysis and provide
community data in smaller areas that may align with hospital priorities.

Description of Work & Deliverables:
Maricopa County Department of Public Health will complete the following tasks described in this section. Task
may vary based on internal FQHC timeline.

Year 1 (July 1, 2020-June 30, 2021)

e Coordinate monthly Synapse partner meetings

Ongoing data analysis

Individualized data requests

Online dashboard support

e Community Health Assessment 4.0 planning

Review 3.0 data and gaps

Review questions

Identify special populations

Hospital planning (promotion, identify internal groups/approvals for survey distribution)

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Year 2 (July 1, 2021-June 30, 2022)

¢ Coordinate monthly Synapse partner meetings
¢ Schedule meeting with partner
e CHA 4.0 data collection begins

o CHA survey

*Healthy People 2020: https://www.cdc.gov/nchs/healthy people/hp2020.htm

= Review questions & modify
= Determine special populations & regions
= Outreach plan
o Focus groups & key informant interviews

= Determine special populations
= Determine locations

e Ongoing data analysis-as requested

@ MCDPH online dashboard support

Year 3 (July 1, 2022-June 30, 2023)

e Create report template and outline or request template from FQHC
Create infographic
Submit report draft (up to 3 drafts)
Submit final draft
Coordinate monthly Synapse partner meetings
Attend partner internal/community meetings
Ongoing data analysis-as requested
CHA 4.0 data collection continues

o CHAsurvey

oO Focus groups & key informant interviews
e Publications (as requested)
e MCDPH Online dashboard support

Budget Justification

Collaborative partners cover 40% of the total cost of the CHNA project which spans over a 3-year cycle to
complete all assessment, evaluation and reporting for all CHNA (Synapse) Coalition members. The estimated
cost to be covered by the collaborative partnership is $300,000 per year and Maricopa County covers an
estimated 60% at $450,000 for a total CHNA project cost of $750,000 per year. Funding from CHNA (Synapse)
Coalition helps to fund a full time Epidemiologist and Community Health Impact Analysist, in addition to cost
associated with CHNA planning, community outreach and implementation, focus group deliverables, and

supplies and materials for community outreach, focus groups, and data collection.

Costs Service/Deliverable

# Facilities/reports

Data Collection & preliminary analysis
Qualitative
e Community Health Assessment (Focus Group & Key Informant)
Quantitative
e Community Health Assessment (Survey)
e Analyze data sets (Per Primary Service Area/Maricopa County) and
comparisons
© Hospital Discharge Data from ADHS
Birth/Death rates from Vital Records
CDC’s Behavioral Risk Factor Surveillance System
CDC’s Youth Risk Surveillance System
Arizona Youth Survey

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TBD

*Healthy People 2020: https://www.cdc.gov/nchs/healthy people/hp2020.htm

o National Cancer Institute-Cancer Registry
o Any other additional sources reliant on the health priority
e Analyze data indicators provided by Hospitals

Data and CHNA Reports

e All PSA data for CHNA
e PSA reports per facility or
e — Regional reports per facility
o 5 Regions: Northwest, Southwest, Central, Northeast,
Southeast

Communications & Strategy

e® Executive Summary — max 3 pages This is an additional cost, if
e PowerPoint Presentations interested please contact
o Leadership MCDPH

o Community
e Infographics and posters
e Presenting at meetings: leadership, community
e Facilitation & prioritization workshops

Total amount to be paid annually by NOAH (contract cycle runs from July
1-June 30 of each year)

CHNA timeline

e Year 1: 7/1/20—6/30/21 = $7,000

° Year 2: 7/1/21-6/30/22 = $10,000

° Year 3: 7/1/22-6/30/23 = $10,000

Definitions:

Community Health Needs Assessment-systematic process involving the community to identify key community
health concerns.

Data Report-A combination of epidemiological primary and secondary quantitative data formatted in tables and
graphs.

Community Health Needs Assessment Report-A written document/report representing a specific facility or
primary service area community health assessment process and results allowing for valuable insight into the
community.

Focus Group- group-based conversations of 10-20 participants led by a trained facilitator

Key Informant interviews- 15-20 one-on-one conversations between trained facilitators and community
stakeholders

Community Health Assessment (Survey) - written surveys distributed widely to the Maricopa County community
on paper and/or online

*Healthy People 2020: https://www.cdc.gov/nchs/healthy people/hp2020.htm