VALLEYWISE 90-24-003-1 MCDPH (VH SIGNED).PDF
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CONTRACT FOR SERVICES
MARICOPA COUNTY
by and through the
DEPARTMENT OF PUBLIC HEALTH
4041 N. Central Avenue, #1400, Phoenix, Arizona 85012
AND
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
DBA VALLEYWISE HEALTH
2601 E. Roosevelt St, Phoenix, Arizona 85008
1. Contract No: 2. Contract Type: Service
3. Contract Amount: $ 34,000 4. Purpose: Community Health Needs Assessment
5. Start Date: August 2, 2023 6. Expiration Date: August 1, 2026
This Contract for Services (“Contract”) is entered into by and between Maricopa County Special Health Care District dba
Valleywise Health referred to as “Valleywise Health” and Maricopa County, by and through its Department of Public
Health referred to as the “County.” Valleywise Health and the County are collectively referred to herein as the
“Parties” and individually as a “Party.” The contractor, 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, its exhibits, attachments, and appendices, including any subcontracts or
amendments as set forth herein and in:
Section | - General Provisions Section III - Compensation
Section II - Scope of Work SectionIV—- Business Associate Agreement
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 the Contractor 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 Contractor: _Valleywise Health Attn: Contracts Management Email: contracts@valleywisehealth.org
Address: 2619 East Pierce St. Phoenix, Arizona 85008
Notice to Department: MCDPH Grants/Contract Unit Phone: (602) 372-0674
Address: 4041 North Central Avenue, Suite #1400, Phoenix, Arizona 85012
IN WITNESS WHEREOF, the Parties enter this Contract:
VALLEYWISE HEATH MARICOPA COUNTY DEPT OF PUBLIC HEALTH
Signatufe _——— Signature
y AL
Na james Woodfin Thomas | Name
Title Chairmdn, Board of Directors Title Chairman, Board of Supervisors
Date ah Ww) baz % Date
ATTEST:
Signature
Melanie Talbot
Chief Governance Officer and Board Clerk
Date 9 lao! QO2RS,
APPROVED
Signature
ATTEST:
Signature
Signature
Date
Office of the Clerk of the Board
Attorney for Maricopa County
SECTION | GENERAL PROVISIONS
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.
Cc. 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. This includes Federally Qualified
Healthcare Centers (FQHC), or look-alike.
3. GENERAL REQUIREMENTS
A. The terms of this Contract shall be governed by 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 Valleywise Health.
4. AMENDMENTS
All amendments to this Contract shall be in writing and signed by the Parties.
SECTION | GENERAL PROVISIONS
5. ASSIGNMENT / SUBCONTRACTING
No rights, liability, obligations, or duties under this Contract may be assigned, delegated,
or subcontracted by the County or Valleywise Health 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.
6. 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
considered as relevant to this Contract.
B. The County shall retain all financial books, records, and other documents relevant
to this Contract for six years after final payment or until after the resolution of any
audit questions, which could take more than five 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
all such materials.
Cc. The County shall, upon written demand, reimburse Valleywise Health for any
payments made under this Contract that are disallowed by a federal, State, or
Maricopa County audit in the amount of the disallowance.
7. TERMINATION
A. The County or Valleywise Health may terminate this Contract at any time with at
least 30 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.
Cc. 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
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. If more
than one activity is funded by this Agreement the County may terminate any part
of the Work Statement obligations without impairing the remaining obligations,
E. This contract is subject to cancellation pursuant to A.R.S. § 38-511.
F. If Contractor terminates this Contract prior to the expiration date, Contractor will
SECTION | GENERAL PROVISIONS
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remain responsible for payment to County for all 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.
G. Upon termination or expiration, the property purchased in furtherance of this
Contract will remain the property of the purchasing Party, unless expressly
specified otherwise.
SEVERABILITY
If a court finds that any provision of this Contract is invalid, all the remaining provisions
shall remain in full force and effect.
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.
NON-LIABILITY
Neither Party, nor their officers and employees, shall be liable for any act or omission by
the other Party or any subcontractor, employee, officer, agent, or representative.
COVENANT AGAINST CONTINGENT FEES
Each Party warrants that it has not utilized any person or agency to solicit or secure this
Contract for a commission or contingent fee. Either Party may terminate this Contract
without liability for breach of this warranty.
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 may use all data and reports resulting from this Contract without cost or other
restriction, except as otherwise restricted by this Contract or by law. Each Party shall
supply to the other Party, upon request, any available information known to the supplying
Party that is relevant to this Contract.
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 Valleywise Health.
SECTION | GENERAL PROVISIONS
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EQUAL EMPLOYMENT OPPORTUNITY
The County 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 County 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
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, et seq.); the Age Discrimination in Employment Act
of 1967, as amended (29 U.S.C. §§ 621, ef 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 2003-01, 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, ef seq.).
RIGHT TO EXTEND CONTRACT
Subject to the availability of funds and acceptable County performance, based upon
mutual written and signed agreement by Valleywise Health and the County, the Contract
may be extended for one additional month, not to exceed a total extended term of eight
months, except that the cost will be subject to renegotiation.
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 three-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;
SECTION | GENERAL PROVISIONS
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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.
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 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.
B. That a breach of a warranty under subsection A above shall be deemed a material
breach of this Contract that entitles Valleywise Health to, among other things,
terminate this Contract without liability.
Cc. That Valleywise Health retains the right to inspect the papers of the County and
any subcontractor employee who works under this Contract 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 Valleywise Health.
WRITTEN CERTIFICATION PURSUANT TO A.R.S. § 35-393.01
If Vallywies Health engages in for-profit activity and has 10 or more employees, and if
this Contract has a value of $100,000 or more, Valleywise Health 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.
SECTION | GENERAL PROVISIONS
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UNIFORM ADMINISTRATIVE REQUIREMENTS
By entering this Contract, the County agrees to comply with all applicable provisions of
Title 2, Subtitle A, Chapter Il,PART 200—UNIFORM ADMINISTRATIVE
REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL
AWARDS contained in Title 2 C.F.R. § 200 et seq.
WRITTEN CERTIFICATION PURSUANT TO A.R.S. § 35-394.
Valleywise Health 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 Valleywise Health becomes aware during the term of this
Contract that the Contractor is not in compliance with this paragraph, Valleywise
Health shall notify the County within five business days after becoming aware of
the noncompliance. If the Valleywise Health fails to provide a written certification
to the County that the Valleywise Health 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.
DISPUTE RESOLUTION
If 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 to resolve the dispute. If 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. §§ 12-1518 and 12-3001, et seq.
CHANGES
A. The Director may, at any time, by written order and with prior written consent of
Valleywise Health, 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
B. The Director shall not increase or decrease the maximum reimbursable amount
SECTION | GENERAL PROVISIONS
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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.
Cc. Any dispute or disagreement caused by such written order shall constitute a
"Dispute" within the meaning of the Disputes clause of this Contract and shall be
administered accordingly.
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 Subcontractors
are used. The County shall submit a copy of each Subcontract to Valleywise
Health within 15 days of its effective date.
B. The County shall include in any subcontracts a provision to the effect that the
subcontractor agrees that Valleywise Health 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.
INDEMNITY AND INSURANCE
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 Contract, 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.
LAWS, RULES, AND REGULATIONS
Valleywise Health and the County understand and agree that this Contract is subject to all
applicable State and federal laws, rules, and regulations.
ADVERTISEMENTS
Use of Valleywise Health Name: Except as specifically permitted in this Contract, the
County shall not use the names or trademarks of Valleywise Health or of any of Valleywise
Health affiliated entities in any advertising, publicity, endorsement, or promotion unless
Valleywise Health has provided prior written consent for the particular use
contemplated. All requests for approval pursuant to this Section must be submitted to
SECTION | GENERAL PROVISIONS
Valleywise Health, at least five 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 SCOPE OF WORK
1. BACKGROUND
Per the compliance requirements of the Health Resources & Services Administration (HRSA), all
Federally Qualified Healthcare Centers (FQHC) must conduct an annual review of the boundaries
of its service areas, including the identification of the medically underserved population(s) within
that service area. In addition, a community needs assessment will identify the unmet need for
health services in the service area and/or proposed service area of the center based on the
population served. 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. *
© Create social and physical environments that promote attaining the full potential for health
and well-being for all. *
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 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 efficiency,
effectiveness, and performance for local public health and healthcare systems (MAPP,
NACCHO.org). For more information visit: httos://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 (“PSA”) and conducts comparisons. These
assessments and analysis are then incorporated with extensive quantitative data sets such as:
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 2030
oo0o0000
SECTION II
SCOPE OF WORK
o Other sources that address priority
3. SERVICE GOALS
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.
Service/ . Valleywise Health agrees
Deliverable County agrees to: to.
Synapse 1. Administer and convene meetings of the 1. Assign and allow at
Membership | Community Health Needs Assessment minimum two and at
Partners Synapse Coalition either virtually or | maximum five employees of
in-person at minimum eight times per year, Valleywise Health to actively
and to convene joint meetings of the Synapse | participate on the Synapse
and Health Improvement Partnership of coalition as a representative
Maricopa County (HIPMC) at minimum two of Valleywise Health to make
times per year. and/or influence decisions on
the development and
2. Provide Synapse members with calendar implementation of the CHNA
invites, meeting reminders and minutes, and | process. For decisions
access to a shared folder of meeting requiring consensus,
materials, recordings, and action items. Valleywise Heaith will have
one vote.
3. Provide Synapse members with at
minimum two county points of contact and 2. Provide representation at
provide partner with any changes to assigned | Synapse meetings to ensure
staff and/or contact information within 4 influence on the development
weeks of changes. 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- 1. Meet with Valleywise Health individually 1a. Meet with county within
Specific within the first 6 months of the contract cycle | first 6 months of contract
CHNA and to develop a workplan timeline for all cycle to develop a workplan
Prioritization | deliverables that aligns with Valleywise timeline for all deliverables
Strategy Health needs and county capacity. that aligns with Valleywise
Health 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
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SECTION II
SCOPE OF WORK
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.
Valleywise Health, and any
necessary approval
processes.
2. Develop a plan for health
issue prioritization,
stakeholder/committee
engagement, and report
format development tailored
to Valleywise Health’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 Valleywise Health may
result in delays to workplan
timelines. County is not
responsible for making up
time lost due to delayed
communication by Valleywise
Health but will collaborate
with the partner to modify the
timeline accordingly.
4. Review meeting agendas,
meeting minutes, updated
timeline and provide
additions, corrections, or
feedback
5. Verify Valleywise Health
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
1. Provide timely feedback
and direction on CHNA tools
in line with deadlines
established by county team,
either via participation in
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SECTION II
SCOPE OF WORK
best of their ability to align most updated Synapse meetings or via
CHNA data collection and analysis to include | written response within three
in partner’s deliverables. weeks of request.
Coordinated | 1. Facilitate data collection of CHNA surveys, | 1a. Promote the CHNA
CHNA Data _ | focus groups, and key informant interviews survey, focus groups, and
Collection based on strategic sampling goals and a key informant interviews
targeted regional approach. within Valleywise Health
according to the
2. Cover the costs of survey development organization’s policies. This
and translation, outreach and promotional may include sharing the
materials, communications, internal staff and | survey to staff, clients, and
contracted community outreach partners, and | community networks via
data entry using Synapse Fee Fund budget emails, social media,
and other county budget sources. 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 1. Provide Synapse partners with CHNA 1. Provide at minimum 2
Reporting survey analysis with measures analyzed by weeks’ notice for additional
county, by region, and for demographic data | qualitative quote requests.
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 twenty non-published
additional qualitative quotes from qualitative
dataset to support data presentations or
reports.
PSA Data 1. Provide the following health indicator data | 1. Within the first 6 months of
Analysis (detailed below), according to Valleywise contract cycle, meet with
Health’s selection for the following PSAs: county to develop a workplan
timeline for CHNA analysis,
i. Valleywise Health Combined PSA prioritization, and reporting
that that aligns with
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SECTION II
SCOPE OF WORK
ii. | Valleywise Community Health Center
Avondale
ili. Valleywise Community Health Center
Chandler
iv. Valleywise Community Health Center
West Maryvale
v. Valleywise Community Health Center
McDowell
vi. Valleywise Community Health Center
North Phoenix
vii. Valleywise Community Health Center
South Central Phoenix
viii. Valleywise Comprehensive Health
Center Phoenix
ix. Valleywise Community Health Center
South Phoenix/Laveen
x. Valleywise Comprehensive Health
Center Peoria
xi. Valleywise Community Health Center
Mesa
xii. Valleywise Community Health Center
Guadalupe
xiii. Valleywise Health Medical Center
xiv. Valleywise Community Health Center
Maryvale
2. Provide a draft of analysis within 60 days
of Valleywise Health indicator selection
3. Provide a final analysis within 30 days of
Valleywise Health feedback
Data: Common health indicator report basic
age-adjusted rates for listed PSAs by the
following subgroups: overall population,
gender, race/ethnicity, and age. The
geography will also include overall Maricopa
county-level rates for each indicator, as well
as a summary of county resident
demographics. 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.
Valleywise Health 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.
13
SECTION II
SCOPE OF WORK
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.
Community Health Needs Assessment
report’ following template and deadline
determined by Valleywise Health and county
for the following PSA:
Valleywise Health Combined PSA
1b. Include 2—3-page executive summaries
embedded in the report for each of the
following PSAs:
Facilitated 1. Co-design a facilitation strategy for 1. Co-design a facilitation
Prioritization | Valleywise Health prioritization sessions and | strategy for Valleywise
presentations to gather feedback and receive | Health prioritization sessions
approval from necessary committees. and presentations to gather
feedback and receive
2. Develop a slide deck including up to thirty- | approval from necessary
five slides of data analysis as well as committees.
additional slides containing background
information, polling questions, etc. Iterations | 2. Provide direction and
of slide decks throughout the prioritization feedback to county regarding
process may involve updating or modifying presentation content and
the content or layout of the data analysis materials.
slides.
3a. Convene, register, and
3. Prepare interactive virtual and/or physical | host presentations whether
materials to generate participant feedback in-person or virtual.
and polling. 3b. Schedule presentations
requiring county staff
4. Provide up to fifteen cumulative hours of participation at least 4 weeks
presentation time to boards/committees in a in advance to ensure staff
virtual or in-person format. Presentation time | availability.
beyond 15 hours may be provided for an 3c. Provide any refreshments
additional fee. or materials used during in-
person meetings (e.g., poster
boards, printed materials,
etc.).
CHNA Report | 1a. Produce one final HRSA-compliant 1. Within the first 6 months of
the contract cycle, provide
county with CHNA
submission deadlines
including internal
board/committee approval
and final HRSA deadline.
2. At the beginning of the
report/executive summary
development process,
involve and define roles of
14
SECTION II
SCOPE OF WORK
i. Valleywise Community Health Center
Avondale
ii. Valleywise Community Health Center
Chandler
fii. Valleywise Community Health Center
West Maryvale
Valleywise Community Health Center
McDowell
v. Valleywise Community Health Center
North Phoenix
Valleywise Community Health Center
South Central Phoenix
Valleywise Comprehensive Health
Center Phoenix
Valleywise Community Health Center
South Phoenix/Laveen
Valleywise Comprehensive Health
Center Peoria
x. Valleywise Community Health Center
Mesa
Valleywise Community Health Center
Guadalupe
Valleywise Health Medical Center
Valleywise Community Health Center
Maryvale
iv.
vi.
vii.
viii.
ix.
Xi.
xii.
xiii.
2. Include relevant, high-level disparities and
key findings 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 Valleywise Health for
review and approval prior to final draft.
4. Collaborate with
marketing/communications team to develop
final report/executive summary design as
requested by Valleywise Health and provided
in Word and PDF.
‘According to HRSA posted requirements
https:/bphe.hrsa.gov/compliance/compliance-
manual/chapter3
relevant Valleywise Health
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,
branding guidelines as
specified by Valleywise
Health system office.
4. Complete designated
sections of CHNA report
specific to Valleywise Health
background.
5. Provide feedback within
two weeks of report draft
submissions or according to
agreed-upon timeline.
6. If desired, produce final
report formats beyond Word
or PDF (e.g., dashboard,
webpage integration, etc.)
7. Include Maricopa County
Public Health logo in final
published report and
acknowledge support of
MCDPH CHNA Team.
Supplemental
Report with
2023 CHNA
Data
1. Within first year of contract cycle, provide a
supplemental report with 2023 CHNA data for
the following PSA:
Valleywise Health Combined PSA
1. Within the first 6 months of
the contract cycle, provide
county with supplemental
CHNA report component
format, content requirements,
images, and branding
guidelines as specified by
Valleywise Health system
15
SECTION II
SCOPE OF WORK
2. The report will include the following
information:
. One page summary of CHNA
demographics and methods.
. One page summary of top health and
social needs by race/ethnicity, age, and
priority populations.
For up to four health priorities, provide
CHNA-related survey, qualitative, and
focus group data not to exceed one page
per priority.
. For up to three additional measures of
choice, provide analyses by race/ethnicity,
age, priority pop, not to exceed one page
per measure.
. One page conclusion.
office.
2. Provide feedback within
two weeks of report draft
submissions or according to
agreed-upon timeline.
3. If desired, produce final
report formats beyond Word
or PDF (e.g., dashboard,
webpage integration, etc.)
4. Include Maricopa County
Public Health logo in final
published report and
acknowledge support of
MCDPH CHNA Team.
16
SECTION III COMPENSATION
1.
COMPENSATION
A. Subject to the availability of funds, Valleywise Health 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 yearly installments of $10,000 in year one and $12,000
in both years two and three.
B. Valleywise Health shall pay the County an amount not to exceed (NTE) $34,000 for
the life of this Contract. Partners 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.
METHOD OF PAYMENT
A. Invoice with Net 45 terms.
B. Invoices shall be submitted to:
Valleywise Health info:
ap@valleywisehealth.or
NOTICE
Any notice given under this Contract shall be sent to the attention of the
following:
4041 N. Central Avenue 2619 E. Pierce St.
Suite #600 Phoenix, AZ 85008
Phoenix, AZ 85012 Attn: Contracts Management
4041 N. Central Ave #1400
Phoenix, AZ 85012
17
SECTION IV BUSINESS ASSOCIATE AGREEMENT
BUSINESS ASSOCIATE AGREEMENT
This Business Associate Agreement (“BAA”) sets out the responsibilities and obligations
of Maricopa County Department of Public Health ("Associate") as a Business Associate (as
defined at 45 C.F.R.§ 160.103) of Maricopa County Special Health Care District dba Valleywise
Health (“Valleywise Health”) pursuant to the agreement between Associate and Valleywise Health
dated _July 20, 2023 , as well as all future agreements entered into by the Parties
(collectively, the “Agreement”). Associate and Valleywise Health (individually a "Party" and
collectively the "Parties") agree to the terms and conditions of this BAA in order to comply with
the use and disclosure of Protected Health Information (“PHI”) (as defined at 45 C.F.R.§ 160.103)
provisions of the Standards for Privacy of Individually Identifiable Health Information, at 45 C.F.R.
Parts 160 and 164, Subparts A and E, as amended from time to time (the “Privacy Rule”); the
Security Standards for the Protection of Electronic PHI, 45 C.F.R. Parts 160 and 164, Subparts A
and C (the "Security Rule"); and the standards for Notification in the Case of Breach of Unsecured
PHI, 45 C.F.R. Part 164, Subpart D (the "Breach Notification Rule") (collectively, the “HIPAA
Rules”). Unless otherwise provided herein, all capitalized terms in this BAA will have the same
meaning as provided under the HIPAA Rules and HITECH (as defined below). Associate and
Valleywise Health will comply with the terms of this BAA for the duration of the Agreement and
for such other continuing periods as provided in this BAA. This BAA shall supersede all prior
business associate agreements entered between the Parties.
1. USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION.
a. Performance of Services. Associate will use and disclose PHI only for those purposes
necessary to perform its duties, obligations, and functions under the Agreement, or as
otherwise expressly permitted or required by this BAA or as Required by Law. Associate
will not use or further disclose any PHI in violation of this BAA or in a manner that, if done
Valleywise Health, would violate the Privacy Rule.
b. Limited Data Sets. Associate will limit any uses, disclosures, or requests of PHI to a
Limited Data Set, as defined in 45 C.F.R. § 164.514(e)(2), or if needed by Associate to
the minimum necessary PHI required to accomplish the intended purpose of the use,
disclosure, or request, as defined by the Privacy Rule, pursuant to the Health Information
Technology for Economic and Clinical Health Act (“HITECH”), and any regulations or
guidance promulgated thereunder by the Secretary. For any disclosures of PHI pursuant
to this BAA, the Party disclosing the PHI shall determine what constitutes the minimum
necessary to accomplish the intended purpose of the disclosure.
c. Data Aggregation. Associate may use PHI to perform data aggregation services as
permitted by 45 C.F.R. § 164.504(e)(2)(i)(B).
d. Associate’s Management and Administration. Associate may use or disclose PHI for
the necessary management and administration of Associate, or to fulfill the legal
responsibilities of Associate, provided that if Associate makes a disclosure of PHI:
i. The disclosure is Required by Law; or
ii. Associate first secures written assurances from the receiving party that the
receiving party will: (i) hold the PHI confidentially; (ii) use or disclose the
PHI only as required by law or for the purposes for which it was disclosed
18