HONOR HEALTH DI AGREEMENT AMD 1.PDF

Maricopa County — Formal (2020-06-24)

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AGREEMENT NO: C-86-16-030-3-01 
AMENDMENT NO:  1 
 
 
AMENDMENT 
TO 
HOSPITAL TRAINING AFFILIATION AGREEMENT 
BETWEEN 
MARICOPA COUNTY, by and through its DEPARTMENT OF PUBLIC HEALTH 
AND 
HONORHEALTH 
 
 
I. 
The above named agreement effective as of September 1, 2015 (“Agreement”) is hereby amended as 
specified below. 
 
A. 
The term of the Agreement (Section III. B. of the Agreement (Term and Termination)) is to be 
extended from July 1, 2020 through June 30, 2025. 
 
B. 
Section II. E. of the Agreement (Health and Safety Requirements) is deleted in its entirety and 
replaced with the following: 
 
“E. Health and Safety Requirements.  Prior to placement at HOSPITAL, MCDPH shall 
(i) provide safety training to all interns and faculty instructors to include, among other 
topics, OSHA regulations and associated work place practices and (ii) inform each intern 
and faculty instructor that they are expected to comply with HOSPITAL’s health and 
immunization, safety and other requirements stated below.  At least three (3) weeks prior 
to the start of placement at HOSPITAL, MCDPH shall provide to HOSPITAL a written 
or electronic attestation verifying that intern and/or faculty instructor has successfully 
met the requirements stated below: 
 
(i) 
Immunizations 
 
(a) Two-step booster method is needed for interns and faculty instructors 
who have not had a tuberculin skin test within the last twelve (12) months of start 
of the placement at HOSPITAL, or annual TB screening completed on or before 
annual renewal date, or TB IGRA negative results may be substituted for annual 
tuberculin skin test, or negative chest x-ray within the last six (6) months for 
individuals with a history of a positive TB. 
 
(b) Two (2) Measles/Mumps/Rubella (MMR) vaccinations (given at least 
28 days apart and after one year of age) or MMR lab titer showing positive 
immunity. 
 
(c) Two (2) Varicella vaccinations or lab titer showing positive immunity. 
 
(d) Current seasonal influenza vaccine or exemption acceptable to 
HOSPITAL.  If vaccine is waived/declined, intern and/or faculty instructor must 
wear a mask in all patient-care areas while at HOSPITAL at all times. 
 
(e) Hepatitis B vaccine or lab titer showing positive immunity or signed 
waiver/declination.

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(ii) 
Drug Screen.  Must be completed upon entry into the intern’s academic 
program or within the last year of the start of the placement at HOSPITAL.  Each 
intern and faculty instructor must have passed a urine drug screen for substance 
abuse using a standard panel that includes the following substances: amphetamine, 
barbiturate, benzodiazepine, cannabinoids, cocaine or metabolites, methadone, 
opiates, oxycodone, phencyclidine, and propoxyphene.  Screening and cut-off 
levels must match those of HOSPITAL in effect at such time.  MCDPH must also 
instruct each intern and faculty instructor that he/she will need to rescreen upon 
returning from a leave of absence or for cause as determined by HOSPITAL. 
 
(iii) Level One Fingerprint Clearance Card.  Each intern and faculty instructor is 
required to obtain and maintain a valid Level One Arizona Department of Public 
Safety Fingerprint Clearance Card throughout his/her placement at HOSPITAL 
facilities with this requirement.  This fingerprint clearance card must encompass 
state and federal checks for criminal and sex offender offenses. OR Background 
Screen.  Must be completed upon entry into the intern’s academic program or 
within the last year of the start of the placement at HOSPITAL.  Each intern and 
faculty instructor must pass a background check going back seven (7) years 
including, but not limited to the following: Social Security Trace/Alias Trace, SSN 
Sight Validation, Maricopa County/Arizona Warrant Search, Out-of-State County 
Criminal Search, USA Criminal Search and USA Sex Offender, and Sanctions 
Scan Healthcare Sanctions Database/OIG Healthcare Sanctions Check. 
 
(iv) Basic Life Support (BLS) Certification.  Each intern and faculty instructor 
must maintain current Basic Life Support certification from American Heart 
Association throughout his/her placement at HOSPITAL.  Basic Life Support 
certification must include evidence of a hands-on skills component. 
 
(v) 
Health Insurance.  MCDPH shall inform each intern and faculty instructor 
that they are responsible for providing their own health insurance at no cost to 
HOSPITAL. 
 
If applicable, MCDPH must maintain copies of documentation evidencing all of the 
above requirements for each placed intern and faculty instructor in accordance with 
MCDPH’s record retention requirements and agrees to provide, or arrange for the interns 
and faculty instructors to provide, to HOSPITAL, copies of such documentation upon 
the request of HOSPITAL. 
 
Interns and faculty instructors who do not comply with the health and 
immunization, safety and other requirements of this section or any other 
prerequisites requested by HOSPITAL will not be eligible for placement at 
HOSPITAL.  HOSPITAL retains the right to remove any intern or faculty 
instructor who does not meet or maintain the standards set forth herein.  Any 
exception to these requirements must be approved in writing by HOSPITAL before 
intern’s or faculty instructor’s placement start date.  HOSPITAL reserves the right 
to terminate this Agreement in the event of falsification or misrepresentation of the 
requirements set forth in this section.” 
 
C. 
Section II. L. of the Agreement (Work Statement) is deleted in its entirety and replaced with the 
following:

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“L. Work Statement.  To complete Program graduation requirements, MCDPH will 
ensure that the interns meet the Core Competencies for the RDN as listed in the 
Accreditation Council for Education in Nutrition and Dietetics (ACEND) Standards for 
Internship Programs in Nutrition and Dietetics Leading to the RDN Credential adopted 
July 29, 2016, effective June 1, 2017, pages 10-12.  MCDPH will arrange for all interns 
to receive a copy of these competencies.” 
 
D. 
Section III. M. of the Agreement (Notices) is deleted in its entirety and replaced with the 
following: 
 
“M. Notices.  Any notice, demand or communication required under this Agreement will 
be deemed effectively given when made in writing (i) on the date tendered by personal 
delivery; (ii) on the third business day following deposit in the United States mail, with 
postage prepaid, certified or registered mail, return receipt requested; (iii) on the date 
tendered for delivery by nationally recognized overnight courier; or (iv) on the date sent 
by electronic mail provided sender does not receive any indication that such message is 
undeliverable or otherwise unable to reach recipient, in each case to the addresses shown 
below or such other address(es) as a Party may specify in writing to the other Party from 
time to time. 
 
If to MCDPH: 
 
Maricopa County Department of 
Public Health 
4041 N. Central Ave., Ste. 1400 
Phoenix, AZ 85012 
Attn: Strategic Planning & Operations Supervisor 
Email: joel.kodicek@maricopa.gov 
 
with a copy to: 
 
Maricopa County Department of 
Public Health 
4041 N. Central Ave., Ste. 1400 
Phoenix, AZ 85012 
Attn: Dietetic Internship Coordinator 
Email: courtney.baker@maricopa.gov 
Email: diana.kinsfather@maricopa.gov 
 
If to HOSPITAL: 
 
HonorHealth 
9003 E. Shea Blvd. 
Scottsdale, AZ 85260 
Attn: Director, Professional Development 
Email: StudentRotation@HonorHealth.com  
 
with a copy to: 
 
HonorHealth 
8125 N. Hayden Road 
Scottsdale, AZ 85258 
Attn: Legal Department 
Email: legalcontractsteam@honorhealth.com 
 
II. 
Except as specifically modified by this Amendment, all other terms and conditions of the original 
Agreement shall remain in full force and effect.  If there is conflict between this Amendment and the 
Agreement, the terms of this Amendment shall prevail. 
 
 
 
SIGNATURE PAGE FOLLOWS

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IN WITNESS WHEREOF, the parties agree to the changes indicated herein: 
 
 
FOR AND ON BEHALF OF 
MARICOPA COUNTY 
 
 
By  
 
 
 
 
 
 
Chairman, Board of Supervisors 
 
 
 
 
 
 
 
Date 
 
 
ATTEST: 
 
 
 
 
 
 
 
Clerk of the Board 
 
 
 
 
 
 
 
Date 
 
 
APPROVED AS TO FORM: 
 
 
 
 
 
 
 
Deputy County Attorney 
 
 
 
 
 
 
 
Date 
 
 
FOR AND ON BEHALF OF 
HONORHEALTH 
 
 
 
 
 
 
 
 
By 
 
 
 
 
 
 
 
Name 
 
 
 
 
 
 
 
Title 
 
 
 
 
 
 
 
Date