PCH HOSPITAL 23_26 CONTRACT_10.18.23.PDF

Maricopa County — Formal (2023-11-15)

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1 
CONTRACT FOR SERVICES 
MARICOPA COUNTY  
by and through the 
DEPARTMENT OF PUBLIC HEALTH 
4041 N. Central Avenue, #1400, Phoenix, Arizona 85012 
AND 
PHOENIX CHILDREN’S HOSPITAL 
1919 E. Thomas Road, Phoenix, Arizona 85016 
1. 
Contract No:   
 
 
 
2.        Contract Type: Service            
 
 
     
3. 
Contract Amount: $ 46,800  
 
4.        Purpose: Community Health Needs Assessment   
5. 
Start Date:  July 1, 2023 
 
           6.        Expiration Date:  June 30, 2026 
 
   
_____________________________________________________________________________________________       
 
This Contract is entered into by and between Phoenix Children’s Hospital referred as “Phoenix Children’s Hospital” and 
Maricopa County, by and through its Department of Public Health referred to as the “County” or “Contractor.”  Phoenix Children’s 
Hospital and the County are collectively referred to as the “Parties” and individually as a “Party.” Contractor, for and in 
consideration of the covenants and conditions set forth, 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, its exhibits, attachments, and appendices, including any 
subcontracts or amendments as set forth and in: 
Section I 
- 
General Provisions 
 
Section III 
- 
Compensation 
Section II 
- 
Scope of Work  
 
 
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 a lawsuit brought against the County or Phoenix Children’s Hospital 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, return 
receipt requested, to the addresses set forth below and shall be effective upon receipt by the Party to whom addressed unless 
otherwise indicated in the notice. 
Notice to: Phoenix Children’s Hospital 
 
 
 
Phone 602-933-1000 
Address:  1919 E. Thomas Road, Phoenix, AZ, 85016_______________________________________________ 
 
Notice to: MCDPH Grants/Contract Unit  
 
 
Phone: (602) 372-0674  
Address:  4041 North Central Avenue, Suite #1400, Phoenix, Arizona 85012 
 
 
 
 
 
                                                  
 
IN WITNESS WHEREOF, the Parties enter into this Contract: 
 
 
 
 
       
PHOENIX CHILDREN’S HOSPITAL  
 
MARICOPA COUNTY DEPT OF PUBLIC HEALTH 
 
Signature 
 
 
 
Signature 
 
 
Name 
 
 
 
Name 
 
 
Title 
 
 
 
Title 
 
Chairman, Board of Supervisors 
 
Date 
 
 
 
Date 
 
 
ATTEST: 
Signature 
 
 
 
 
ATTEST: 
Signature 
 
 
 
 
 
 
DocuSign Envelope ID: 607E3A67-8C86-4FB4-8E31-31C0BD1794CD
Rich Lehmuth
10/20/2023 | 10:47 AM MST
SVP, Strategic Planning

2 
 
 
 
 
 
Clerk of the Board 
Date 
__________________________________ 
 
 
 
 
APPROVED AS TO FORM: 
 
 
 
Signature 
 
 
Signature 
 
Date 
 
Date 
Deputy Attorney for Maricopa County 
 
 
DocuSign Envelope ID: 607E3A67-8C86-4FB4-8E31-31C0BD1794CD

SECTION I                                                                               GENERAL PROVISIONS   
 
3 
 
1. 
EFFECT 
 
To the extent the Scope of Work conflicts with the General Provisions, the Scope of Work 
shall control. 
 
2. 
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. 
 
 
B. 
County means Maricopa County, Arizona. 
     
C. 
Department means the Maricopa County Department of Public Health (MCDPH). 
 
 
D. 
Director means the Director of the Department. 
 
 
E. 
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. 
Designated Record Set means a group of records maintained by or for a covered 
entity that comprises medical and billing records about individuals maintained by 
or for a covered health care provider; enrollment, payment, claim adjudication, and 
case or medical management record systems maintained by or for a health plan, 
and other records that are used in whole or in part, by or for the covered entity to 
make decisions about individuals. 
 
 
G. 
Healthcare Partner means a person or health care facility licensed, certified, or 
otherwise authorized or permitted by law to administer health care in the ordinary 
course of business or practice of a profession. 
 
3. 
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.  
 
 
C. 
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 Phoenix Children’s Hospital. 
 
4. 
AMENDMENTS 
 
All amendments to this Contract shall be in writing and signed by the Parties. 
 
 
 
 
DocuSign Envelope ID: 607E3A67-8C86-4FB4-8E31-31C0BD1794CD

SECTION I                                                                               GENERAL PROVISIONS   
 
4 
 
5. 
RETENTION OF RECORDS, AUDITS, AND DISALLOWANCES 
 
 
A. 
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. 
 
B. 
The County shall retain all financial books, records, and other documents relevant 
to this Contract for five years after final payment or until after the resolution of any 
audit questions, which could take more than 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. 
 
 
C. 
The County shall reimburse Phoenix Children’s Healthcare for any payments made 
under this Contract that are disallowed by a federal, state, or Maricopa County 
audit in the amount of the disallowance. 
 
6. 
ASSIGNMENT / SUBCONTRACTING 
 
No rights, liability, obligations, or duties under this Contract may be assigned, delegated, 
or subcontracted by the County or Phoenix Children’s Hospital without the prior written 
approval of the other Party. Any attempt to assign any portion of this Contract without the 
written consent of the other Party shall constitute a breach of this Contract. Any 
assignment shall not alter the assigner’s responsibility to assure that all the provisions 
under this Contract are fulfilled by its assignee. All terms and conditions in this Contract 
shall be included in any assignment. 
 
7. 
TERMINATION 
 
A. 
The County or Phoenix Children’s Hospital may terminate this Contract at any time 
with at least thirty days prior written notice to the other Party. Such notice shall be 
given by electronic notice, personal delivery or by Registered or Certified Mail, 
postage prepaid and return receipt requested. 
 
 
B. 
This Contract may be terminated by mutual written agreement of the Parties 
specifying the termination date. 
 
 
C. 
If not terminated by one of the methods stated above, this Contract shall terminate 
on the expiration date of this Contract as stated on the Cover Page. 
 
D. 
If either Party defaults under this Contract and the default continues for more than        
ten 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. If more 
than one activity is funded by this Contract, the County may terminate any part of 
the Scope of Work obligations without impairing the remaining obligations. 
 
E.      This contract is subject to cancellation pursuant to A.R.S. § 38-511. 
 
F. 
If Phoenix Children’s Hospital terminates this Contract prior to the expiration date, 
Phoenix Children’s Hospital will remain responsible for payment to County for all 
DocuSign Envelope ID: 607E3A67-8C86-4FB4-8E31-31C0BD1794CD

SECTION I                                                                               GENERAL PROVISIONS   
 
5 
 
work and services performed through the date of termination and for 
reimbursement to County of all non-cancellable commitments incurred in the 
performance of the work or services. 
 
8           SEVERABILITY 
 
If a court finds that any provision of this Contract is invalid, all the remaining provisions 
shall remain in full force and effect. 
 
9.          STRICT COMPLIANCE 
 
The waiver of a breach may only be made by a writing signed by the waiving Party and 
will not constitute a waiver of any other or subsequent breach to affect in any way the 
effectiveness or enforceability of the provision in question. 
 
10. 
FORCE MAJEURE 
 
Neither Party shall be liable for failure of performance, nor incur any liability to the other 
Party on account of any loss or damage resulting from any delay or failure to perform all 
or any part of this Contract if such delay or failure is caused by events, occurrences, or 
causes beyond the reasonable control and without negligence of the Parties.  Such 
events, occurrences, or causes will include Acts of God/Nature (including fire, flood, 
earthquake, storm, hurricane or other natural disaster), war, invasion, act of foreign 
enemies, hostilities (whether war is declared or not), civil war, riots, rebellion, revolution, 
insurrection, military or usurped power or confiscation, terrorist activities, nationalization, 
government sanction, lockout, blockage, embargo, labor dispute, strike, pandemic, 
epidemic, interruption or failure of electricity or telecommunication service. 
 
11.       COVENANT AGAINST CONTINGENT FEES 
 
Each party 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. Either Party may terminate this Contract without 
liability for breach of this warranty. 
 
12. 
SAFEGUARDING CLIENT INFORMATION 
 
The parties agree that no protected health information as defined by the Health Insurance 
Portability and Accountability Act (HIPAA) is intended to be disclosed under this 
Agreement.  In the event of an inadvertent disclosure, the County agrees to protect such 
information from further use or disclosure and promptly notify Phoenix Children’s Hospital 
of such disclosure. 
 
13. 
RIGHTS IN PROPERTY AND DATA 
 
Subject to applicable state and federal laws, rules, and regulations, all tangible materials 
purchased or acquired by either Party in performance of this Contract shall remain the 
property of the Party in possession when the Contract terminates.  
 
Subject to applicable state and federal laws, rules, and regulations, the County shall have 
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SECTION I                                                                               GENERAL PROVISIONS   
 
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full and complete ownership rights to and the right to reproduce, duplicate, adapt, 
distribute, display, disclose and otherwise use all written and electronic information, 
recordings, reports, findings, research information, abstracts, results, software, data, 
discoveries, inventions, procedures and processes of services developed by the County 
and any other intangible materials created, prepared or received by the County and its 
subcontractors in performance of this Contract. Phoenix Children’s Hospital shall have full, 
complete, perpetual, irrevocable and non-transferable rights to reproduce, duplicate, 
adapt, make derivative works, distribute, display, disclose, publish, and otherwise use all 
intangible material solely for non-profit purposes. Phoenix Children’s Hospital’s right to 
use the intangible materials includes the right to use the intangible materials in connection 
with its internal, non-profit research and educational activities, the right to present at 
academic or professional meetings or symposia and the right to publish in journals, theses, 
dissertations or otherwise while providing proper attribution to the County’s role in the 
material development. Within materials jointly developed between the parties, Phoenix 
Children’s Hospital will retain ownership of Phoenix Children’s Hospital data provided to 
the County as well as ownership of customizations made by Phoenix Children’s Hospital 
to the materials. 
 
14. 
NON-DISCRIMINATION 
 
The Parties, 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 Phoenix Children’s Hospital. 
 
15. 
EQUAL EMPLOYMENT OPPORTUNITY 
 
The Parties shall not discriminate against any employee or applicant for employment 
because of race, color, religion, sex, pregnancy, childbirth, or medical conditions related 
to pregnancy or childbirth, political affiliation or religious affiliation or ideas, culture, creed, 
social origin or condition, genetic information, sexual orientation, gender identity or 
expression, national origin, ancestry, age, disability, military service or veteran status, or 
marital status. The Parties shall take affirmative action to ensure that applicants are 
employed and that employees are treated during employment without regard to their race, 
color, religion, sex, pregnancy, childbirth or medical conditions related to pregnancy or 
childbirth, political affiliation or religious affiliation or ideas, culture, creed, social origin or 
condition, genetic information, sexual orientation, gender identity or expression, national 
origin, ancestry, age, disability, military service or veteran status, or marital status. 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 
Parties 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, et seq.); 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, as amended 
by Executive Order 2023-01, which mandates that all persons shall have equal access to 
employment opportunities.  The Parties shall also comply with all applicable provisions of 
the Americans with Disabilities Act of 1990 (42 U.S.C. § 12101, et seq.). 
 
DocuSign Envelope ID: 607E3A67-8C86-4FB4-8E31-31C0BD1794CD

SECTION I                                                                               GENERAL PROVISIONS   
 
7 
 
16. 
RIGHT TO EXTEND CONTRACT 
 
The Contract may be extended by mutual written and signed agreement of the Parties for 
additional terms up to three-years each. The scope of work and costs will be subject to 
renegotiation for each extension. 
 
17. 
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 2 CFR Part 180, and its principals and 
subcontractors, if any: 
 
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 
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. 
 
B.   
If the County is not able to provide this certification, an explanation as to why shall 
be attached to this Contract. 
 
C.   
The County shall 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. 
 
18. 
E-VERIFICATION OF EMPLOYEES 
  
The County warrants that it is following A.R.S. § 41-4401 and further acknowledges: 
 
A. 
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. 
 
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SECTION I                                                                               GENERAL PROVISIONS   
 
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B. 
That a breach of a warranty under subsection A above shall be deemed a material 
breach of this Contract that entitles Phoenix Children’s Hospital to, among other 
things, terminate this Contract without liability. 
 
C. 
The papers of any employee who works on this Contract may be inspected by the 
appropriate authorities to ensure compliance 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. 
 
D. 
That nothing herein shall make the County or any subcontractor an agent or 
employee of Phoenix Children’s Hospital.  
 
19. 
WRITTEN CERTIFICATION PURSUANT TO A.R.S. § 35-393.01  
 
 
If Phoenix Children’s Hospital engages in for-profit activity and has 10 or more 
employees, and if this Contract has a value of $100,000 or more, Phoenix Children’s 
Hospital certifies it is not currently engaged in and agrees for the duration of this 
Contract to not engage in, a boycott of goods or services from Israel. This certification 
does not apply to a boycott prohibited by 50 U.S.C. § 4842 or a regulation issued 
pursuant to 50 U.S.C. § 4842. 
 
20. 
UNIFORM ADMINISTRATIVE REQUIREMENTS 
 
By entering this Contract, the County agrees to comply with all applicable provisions of 
Title 
2, 
Subtitle 
A, 
Chapter 
II, PART 
200—UNIFORM 
ADMINISTRATIVE 
REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL 
AWARDS contained in Title 2 C.F.R. § 200 et seq. 
 
21. 
WRITTEN CERTIFICATION PURSUANT TO A.R.S. § 35-394.   
 
Phoenix Children’s Hospital warrants and certifies that it does not currently, and agrees 
for the duration of the Contract, that it will not use: 
 
1. The forced labor of ethnic Uyghurs in the People’s Republic of China. 
 
2. Any goods or services produced by the forced labor of ethnic Uyghurs in the 
People’s Republic of China. 
 
3. Any contractors, subcontractors or suppliers that use the forced labor or any 
goods or services produced by the forced labor of ethnic Uyghurs in the 
People’s Republic of China. If Phoenix Children’s Hospital becomes aware 
during the term of this Contract that the Contractor is not in compliance with 
this paragraph, Phoenix Children’s Hospital shall notify the County within five 
business days after becoming aware of the noncompliance. If the Phoenix 
Children’s Hospital fails to provide a written certification to the County that 
Phoenix Children’s Hospital has remedied the noncompliance within 180 
days after notifying the County of its noncompliance, the Contract terminates, 
except that if the Contract termination date occurs before the end of the 180-
day period, the Contract terminates on the Contract termination date. 
 
 
DocuSign Envelope ID: 607E3A67-8C86-4FB4-8E31-31C0BD1794CD

SECTION I                                                                               GENERAL PROVISIONS   
 
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22. 
DISPUTE RESOLUTION 
 
The Parties shall meet and confer to resolve any dispute that arises out of this Contract.  
If such informal efforts to resolve the dispute are unsuccessful after 90 days, the Parties 
shall resolve the dispute by arbitration pursuant to A.R.S. § 12-1518 and §12-3001, et seq. 
 
23. 
CHANGES 
 
A. 
The Director may, at any time, by written order and with prior written consent of 
Phoenix Children’s Hospital, make changes within the scope of this Contract in 
any one or more of the following areas: 
 
1) Scope of Work 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. 
  
B. 
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. 
 
C. 
Any dispute or disagreement caused by such written order shall constitute a 
"Dispute" within the meaning of the clause of this Contract and shall be 
administered accordingly. 
 
24. 
SPECIAL REQUIREMENTS 
 
A. 
The County shall use written subcontracts, consultant agreements and/or 
Business Associate 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 Phoenix 
Children’s Hospital within fifteen days of its effective date. 
 
B. 
The County shall include in any subcontracts a provision to the effect that the 
subcontractor agrees that Phoenix Children’s 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. 
 
 
 
 
 
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SECTION I                                                                               GENERAL PROVISIONS   
 
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25. 
INDEMNITY AND INSURANCE:  
 
The parties agree that both are Self-Insured 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 Contract, but only to the extent that such claims are caused by the act, omission, 
negligence, misconduct, or other fault of the Indemnitor, its officers, officials, agents, 
employees, or volunteers.  
 
26. 
LAWS, RULES, AND REGULATIONS 
 
Phoenix Children’s Hospital and the County understand and agree that this Contract is 
subject to all applicable State and federal laws, rules, and regulations. 
 
27. 
ADVERTISEMENTS 
 
Except as specifically permitted in this Contract, the County shall not use the names or 
trademarks of Phoenix Children’s Hospital or of any of Phoenix Children’s Hospital 
affiliated entities in any advertising, publicity, endorsement, or promotion unless Phoenix 
Children’s Hospital has provided prior written consent for the particular use 
contemplated.  All requests for approval pursuant to this Section must be submitted to 
Phoenix Children’s 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.
DocuSign Envelope ID: 607E3A67-8C86-4FB4-8E31-31C0BD1794CD

SECTION II 
                                                   SCOPE OF WORK 
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, will work collaboratively to implement a comprehensive 
assessment of health needs of residents in Maricopa County. 
 
2. 
GOALS 
 
MCDPH is committed to ensuring a comprehensive representation of Maricopa County residents. 
Our goals align with Healthy People 2030 and Public Health 3.0 which is guided by addressing 
social determinants of health, and increasing capacity building and community collaboration.  
o Attain high-quality, longer lives free of preventable disease, disability, injury, and 
premature death*. 
o Eliminate health disparities, achieve health equity, and attain health literacy to improve the 
health and well-being of all *.  
o Create social and physical environments that promote attaining the full potential for health 
and well-being for all*; and 
o Promote quality of life, healthy development, and healthy behaviors across all life stages*. 
o Engage leadership, key constituents, and the public across multiple sectors to act and 
design policies that improve the health and well-being of all*. 
*Healthy People 2030 Overarching Goals 
 
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. MAPP is an interactive process that can improve the efficiency, 
effectiveness, and 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  
 
The County conducts the following assessments in alignment with MAPP 2.0: Community Partner 
Assessment, Community Status Assessment, and the Community Context Assessment. These 
assessments are completed through conducting key informant interviews, focus groups, and 
surveys to provide extensive qualitative and quantitative data collection. The County also 
analyzes data sets (Per Primary Service Area) and conducts comparisons.  These assessments 
and analysis are then incorporated with extensive quantitative data sets such as:  
 
o Hospital Discharge Data from ADHS 
o Birth/Death from Vital Records 
o CDC’s Behavioral Risk Factor Surveillance System 
o CDC’s Youth Behavioral Risk Surveillance System 
o Arizona Youth Survey 
o National Cancer Institute-Cancer Registry 
o Healthy People 2023 and other sources that address priority
DocuSign Envelope ID: 607E3A67-8C86-4FB4-8E31-31C0BD1794CD

SECTION II 
                                                   SCOPE OF WORK 
3. 
SERVICE GOALS  
 
Service/ 
Deliverable
County agrees to: 
Phoenix Children’s Hospital agrees to: 
Synapse 
Membership 
1. Administer and convene meetings 
of the Community Health Needs 
Assessment Partners Synapse 
Coalition either virtually or in-
person at minimum 8 times per 
year, and to convene joint 
meetings of the Synapse and 
Health Improvement Partnership of 
Maricopa County (HIPMC) at 
minimum 2 times per year. 
 
2. Provide Synapse members with 
calendar invites, meeting 
reminders and minutes, and 
access to a shared folder of 
meeting materials, recordings, 
and action items. 
 
3. Provide Synapse members with at 
minimum two county points of 
contact and provide partner with 
any changes to assigned staff 
and/or contact information within 4 
weeks of changes. 
1. Assign and allow at minimum 2 and at 
maximum 5 employee of Phoenix Children’s 
Hospital to actively participate on the 
Synapse coalition as a representative of 
Phoenix Children’s Hospital to make and/or 
influence decisions on the development and 
implementation of the CHNA process. For 
decisions requiring consensus, Phoenix 
Children’s Hospital will have one vote. 
 
2. Provide representation at Synapse meetings to 
ensure influence on the development of CHNA 
and Synapse work. 
 
3. Review and update assigned staff contact 
information annually and provide county with 
any changes to assigned staff and/or contact 
information within 4 weeks of changes. 
Partner- Specific 
CHNA and 
Prioritization 
Strategy 
1. Meet with Phoenix Children’s 
Hospital individually within the first 
6 months of the contract cycle to 
develop a workplan timeline for all 
deliverables that aligns with 
Phoenix Children’s Hospital needs 
and county capacity. 
 
2. Develop a plan for health issue 
prioritization, 
stakeholder/committee 
engagement, and report format 
development tailored to the 
healthcare partner. 
 
3. Maintain reliable communication 
via virtual meetings, emails, and 
phone calls as needed based on 
the phase of the workplan. County 
will provide reminders about 
meetings and workplan timelines. 
 
4. Develop meeting agendas and 
provide meeting minutes and 
timeline updates following all 
virtual meetings. 
 
5. Set up a process for shared 
documentation according to 
partner's technology 
permissions, such as 
Dropbox, SharePoint, Trello, 
etc. 
1a.  Meet with county within first 6 months of 
contract cycle to develop a workplan timeline 
for all deliverables that aligns with Phoenix 
Children’s Hospital needs and county capacity.  
 
1b.  At the beginning of workplan timeline 
development, provide county with 
organization- specific timelines and 
requirements including external CHNA 
submission deadlines, internal 
board/committee timelines, deliverable 
requirements specific to Phoenix Children’s 
Hospital, and any necessary approval 
processes. 
 
2. 
Develop a plan for health issue prioritization, 
stakeholder/committee engagement, and report 
format development tailored to Phoenix 
Children’s Hospital’s needs. 
 
3. 
Maintain reliable communication via virtual 
meetings, emails, and phone calls as needed 
based on the phase of the workplan. Lack of 
prompt communication from Phoenix Children’s 
Hospital may result in delays to workplan 
timelines. County is not responsible for making 
up time lost due to delayed communication by 
Phoenix Children’s Hospital but will collaborate 
with the partner to modify the timeline 
accordingly. 
 
 
4. 
Review meeting agendas, meeting minutes, 
updated timeline and provide additions, 
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SCOPE OF WORK 
 
13 
 
corrections, or feedback. 
5. 
Verify Phoenix Children’s Hospital 
requirements for shared documentation and 
work with county to set up sharing platform 
such as Dropbox, SharePoint, Trello, etc. 
Ad-hoc Epi time 
1. Provide prioritized epidemiology and 
data analysis assistance for non-
CHNA related requests, up to 15 
hours of epi staff time per year. 
Requests beyond 15 hours will be 
reviewed to determine if an additional 
fee will be charged. 
1. 
Provide requests through public data request 
portal at https://phdra.maricopa.gov/ at minimum 
two weeks in advance of requested deadline. 
Coordinated 
CHNA 
Development 
1. Once per cycle, coordinate 
development of CHNA tools and 
measures including the community 
health survey, focus groups, and key 
informant interviews with the 
guidance of the Synapse coalition. 
County will work to the best of their 
ability to align most updated CHNA 
data collection and analysis to 
include in partner’s deliverables. 
1. 
Provide timely feedback and direction on CHNA 
tools in line with deadlines established by county 
team, either via participation in Synapse 
meetings or via written response within three 
weeks of request. 
Coordinated 
CHNA Data 
Collection 
1. Facilitate data collection of CHNA 
surveys, focus groups, and key 
informant interviews based on 
strategic sampling goals and a 
targeted regional approach. 
 
2. Cover the costs of survey 
development and translation, 
outreach and promotional 
materials, communications, 
internal staff and contracted 
community outreach partners, and 
data entry using Synapse Fee 
Fund budget and other county 
budget sources. 
 
1a.  Promote the CHNA survey, focus groups, and 
key informant interviews within Phoenix 
Children’s Hospital according to the 
organization’s policies. This may include 
sharing the survey to staff, clients, and 
community networks via emails, social media, 
physical materials, and tabling or attending 
events. 
 
1b.  Help identify non-traditional opportunities to 
promote the CHNA survey in the community 
through marketing strategies and public events. 
 
2. 
One month prior to the launch of the CHNA 
survey, provide county with a brief written 
description of their intended CHNA survey 
promotional strategy and identify opportunities 
where county can support.
CHNA Data 
Reporting 
1. Provide Synapse partners with 
CHNA survey analysis with 
measures analyzed by county, by 
region, and for demographic data 
including race/ethnicity, gender, 
and age. 
 
2. Provide reports of qualitative 
focus group and key informant 
interview data, either produced in-
house or via contracted partner. 
 
3. Provide up to 20 non-published 
additional qualitative quotes from 
qualitative dataset to support data 
presentations or reports. 
 
 
 
1. 
Provide at minimum 2 weeks’ notice for additional 
qualitative quote requests. 
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SECTION II                                                                                
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14 
 
PSA Data 
Analysis 
1. Provide the following health 
indicator data (detailed below), 
according to Phoenix Children’s 
Hospital’s selection for the 
following PSA(s): 
Maricopa County 
 
2. Provide a draft of analysis within 
60 days of Phoenix Children’s 
Hospital indicator selection. 
 
3. Provide a final analysis within 30 
days of Phoenix Children’s 
Hospital feedback. 
 
Data: Common health indicator report 
basic age-adjusted rates for one PSA 
(individual or combined) by the 
following subgroups: overall 
population, gender, race/ethnicity, and 
age. 
The geography will also include 
overall Maricopa county-level rates for 
each indicator. Rates include inpatient 
hospitalizations, emergency 
department visits, and deaths. 
 
Format: Excel workbook including 
tabs with the following information: 
overall rates per indicator, individual 
tabs for each health indicator with 
rates by subgroup and PSA (if FQHC), 
screenshots from mapping tools, and 
demographics of the PSA, etc. Due to 
the size of the workbook, the data will 
be sent via agreed-upon sharing 
format. 
 
Source: The most recently available 
data from Arizona Department of 
Health Services Hospital Discharge 
Data and Vital Statistics, Behavioral 
Risk Factor Surveillance System, 
Youth Risk Behavioral Survey, 
PolicyMap, Census.gov, and other 
sources as available. Note: each data 
source has a different lag period of 
when it becomes available, which 
may limit the recency of data 
provided. 
Census-released population data is 
needed to calculate rates, which 
may delay analysis of any recent 
data received. 
 
1. Within the first 6 months of contract cycle, 
meet with county to develop a workplan 
timeline for CHNA analysis, prioritization, and 
reporting that that aligns with Phoenix 
Children’s Hospital needs and county capacity. 
 
2. 90 days before draft analysis is due, provide 
zip codes for Primary Service Areas (PSA) of 
analysis. Zip codes may be modified up until 
indicator request is submitted (60 days before 
draft analysis is due). 
 
3. 60 days before draft indicator analysis is due, 
provide county staff with list of indicator 
request from the “Common health indicator 
list.” 
 
4. Within 30 days of draft indicator analysis 
submission, provide feedback and request 
for any additional analyses. 
 
5. Provide at minimum 2 weeks’ notice for any 
additional requests or data modifications. 
 
Facilitated 
Prioritization 
1. Co-design a facilitation 
strategy for Phoenix 
Children’s Hospital 
prioritization sessions and 
presentations to gather 
feedback and receive 
approval from necessary 
committees. 
1. 
Co-design a facilitation strategy for Phoenix 
Children’s Hospital prioritization sessions 
and presentations to gather feedback and 
receive approval from necessary 
committees. 
2. 
Provide direction and feedback to county 
regarding presentation content and 
materials. 
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SECTION II                                                                                
SCOPE OF WORK 
 
15 
 
2. Develop a slide deck including up 
to 35 slides of data analysis as 
well as additional slides 
containing background 
information, polling questions, 
etc. Iterations of slide decks 
throughout the prioritization 
process may involve updating or 
modifying the content or layout of 
the data analysis slides. 
 
3. Prepare interactive virtual and/or 
physical materials to generate 
participant feedback and polling. 
 
4. Provide up to 10 cumulative 
hours of presentation time to 
boards/committees in a virtual or 
in-person format. Presentation 
times beyond 10 hours may be 
provided for an additional fee. 
 
3a.  Convene, register, and host presentations 
whether in-person or virtual. 
3b.  Schedule presentations requiring county 
staff participation at least 4 weeks in 
advance to ensure staff availability. 
3c.  Provide any refreshments or materials used 
during in-person meetings (e.g., poster 
boards, printed materials, etc.). 
CHNA Report 
1. Produce a final IRS-compliant 
Community Health Needs 
Assessment report
1 following 
template and deadline determined 
by Phoenix Children’s Hospital 
and county for the following 
PSA(s): 
Maricopa County 
 
2. Include information from 
CHNA Data Reporting, PSA 
Data Analysis, and 
Facilitated Prioritization. 
 
3. Provide at least one draft with up 
to four drafts of the report to 
Phoenix Children’s Hospital for 
review and approval prior to final 
draft. 
 
4. Collaborate with 
marketing/communications team to 
develop final report design as 
requested by Phoenix Children’s 
Hospital and provided in Word and 
PDF. 
 
 
1According to IRS posted 
requirements 
https://www.irs.gov/charities-non- 
profits/community-health-needs-
assessment- for-charitable-hospital-
organizations-section- 501r3 
1. 
Within the first 6 months of the contract cycle, 
provide county with CHNA submission 
deadlines including internal board/committee 
approval and final IRS deadline. 
 
2. 
At the beginning of the report development 
process, involve and define roles of relevant 
Phoenix Children’s Hospital staff such as 
program managers, compliance officers, 
marketing staff, etc. 
 
3. 
Provide County with CHNA report template or 
description of report component 
format/content requirements/images as 
specified by Phoenix Children’s Hospital 
system office. 
 
4. 
Complete designated sections of CHNA report 
specific to Phoenix Children’s Hospital 
background. 
 
5. 
Provide feedback within two weeks of draft 
submissions or according to an agreed-
upon timeline. 
 
6. 
If desired, produce final report formats beyond 
Word or PDF (e.g., dashboard, webpage 
integration, etc.) 
 
Include Maricopa County Public Health logo in 
final published report and acknowledge support of 
MCDPH CHNA Team. 
 
 
 
 
 
 
DocuSign Envelope ID: 607E3A67-8C86-4FB4-8E31-31C0BD1794CD

SECTION III 
                                                   COMPENSATION 
1. 
COMPENSATION 
 
Subject to the availability of funds, Phoenix Children’s Hospital shall pay the County for 
the services described herein for a sum not to exceed the Contract Amount listed on the 
cover page of this Contract in equal yearly installments of $15,600 over the three-year 
term of this Contract. Phoenix Children’s Hospital can add additional services during the 
contract cycle. Any additional service that is added, the partner will retroactively pay for 
that service for the duration of the contract. Please refer to the price sheet for additional 
services.  
 
 
2. 
METHOD OF PAYMENT 
 
 
A. 
Invoice with Net 45 terms. 
 
B.       Invoices shall be submitted to: 
 
ap@phoenixchildrens.com 
 
 
3. 
NOTICE 
 
Any notice given under this Contract shall be sent to the attention of the following: 
 
 
Maricopa County 
Department of Public Health,  
Office of Community Empowerment 
Phoenix Children’s Hospital 
 
4041 N. Central Avenue 
1919 E. Thomas Road 
Suite #600 
Phoenix, AZ 85016 
Phoenix, AZ 85012 
 
 
Maricopa County  
Department of Public Health 
Grants and Contracts Unit
 
4041 N. Central Ave #1400 
 
Phoenix, AZ 85012
 
 
 
 
 
 
 
 
 
 
 
DocuSign Envelope ID: 607E3A67-8C86-4FB4-8E31-31C0BD1794CD