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HomeMy WebLinkAbout07/15/2019 Item 015 MOHAVE COUNTY REQUEST FOR BOARD ACTION FORM
FORMAL ACTION
FROM: Denise Burley, Director, Department of Health CONSENT XO
CONTACT/EXT: Denise Burley Ext. 4313 , RESOLUTION
DATE: July 3, 2019 OTHER
BOS MEETING DATE: July 15, 2019 INFORMATION ONLY
SUMMARIZE THE ISSUE & DESIRED ACTION CLEARLY/ATTACH BACKUP MATERIAL:
Approval of Contract Amendment#3, for Contract#CTR042198, for Immunization Services, Fund#232-04-5155, between
Arizona Department of Health Services and Mohave County Department of Public Health, Nursing Division, for the
purpose of revising the Scope of Work, with no revised budget.
The Childhood Immunization Program provides immunizations to children 0 years through 18 years of age. All children,
regardless of insurance status, can receive vaccines without any out-of-pocket cost. The program offers all immunizations
recommended by the Centers of Disease Control (CDC). Immunization clinics are held at the MCDPH Nursing offices on
designated days in Kingman, Lake Havasu City, Bullhead City, and Colorado City.
RECOMMENDED MOTION:
Approval of Contract Amendment#3, for Contract#CTR042198, for Immunization Services, Fund #232-04-5155, between
Arizona Department of Health Services and Mohave County Department of Public Health, Nursing Division, for the
purpose of revising the Scope of Work, with no revised budget.
Review and Approved By: 3G LP
County Attorney 103-./ Human Resources.' Finance PI County Manager
Board Action Taken:
Approved as Requested No Action Takenn Disapproved n
Continued to El Approved with the following changes:
Acknowledged receipt and referred to:
Filing Information and Retrieval
Filed Bid Filed Agreement 2- q
BOS Resolution Filed Yearly Correspondence
Filed Petition Filed Dedication
Filed Land Sold Filed Land Acquired
Filed Franchise ID Resolution
Filed Improvement District Filed Other �(
Date Routed: —1//(pn/'9 1 "= IrU r19 2 VI a v �/1e
Additional Informatio 1 1
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ARIZONA DEPARTMENT OF
,y �`l HEALTH SERVICES
�� � INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Avenue, Suite 260
AMENDMENT Phoenix, Arizona 85007
k4.4.4ift...,$,
rw>d Contract No.: CTR042198 Amendment No.: 3 Procurement Officer:
Bariah Steiner
Immunization Services—Mohave_County
Pursuant to Uniform Terms and Conditions, Provision (6) Contract Changes, (6.1)Amendments, Purchase Orders,and
Change Orders, it is mutually agreed that the Intergovernmental Agreement referenced is amended as follows:
The Scope of Work is hereby revised and replaced as follows:
1. Section Four(4), Tasks, Item 4.1.2, is hereby revised to read:
4.1.2. Share the IAP and Immunization Quality Improvement for Providers (IQIP) Assessment Reports with the Medical
Director, Local Health Officer (LHO), and/or other staff for review and/or approval as dictated by county health
department protocol.
2. Section Four (4), Tasks, Item 4.5, Activity Five (5) AFIX Assessment Reports, is hereby revised and replaced in this
Amendment Three (3)
Continued onto the next page
ALL OTHER PROVISIONS OF THIS AGREEMENT REMAIN UNCHANGED.
Mohave County 1 0'
Contractor Name: Aut ••- -7000 HI g
--
P. .B X •• ius
O O
Address: Print Name
Kingman AZ 86402 Chairman
City State Zip Title
This Intergovernmental Agreement Amendment shall be
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined effective the date indicated. The Public Agency is hereby
that this Intergovernmental Agreement is in proper form and is within the powers and cautioned not to commence any billable work or provide any
authority g under the laws of Arizona material, service or construction under this IGA until the IGA
has been executed by an authorized ADHS signatory.
7/C6I/7 State of Arizona
Signature Date
Signed ti-‘ of ��4" 2019
f_A(0.r\. W((In Oep,A7 Coved?, ilie-oi
Signed this day
Print Name Title .
Procurement Officer "►rpm
Attorney General Contract No.: CTR042198 which is an Agreement RESERVED FOR USE BY THE SECRETARY OF STATE
between public agencies,has been reviewed pursuant to A.R.S. § 11-952 by
the undersigned Assistant Attorney,who has determined that it is in proper
form and is within the powers and authority granted under the laws of the
State of Arizona.
Signature Date
A,.6o-ft 36Corr(� #
r \ Assistant Attorney General
Print Nam (� Title
1
4.5. Activity Five (5) Immunization Quality Improvement
4.5.1. AIPO will provide quality improvement assistance to the Contractor, on an annual basis, as part of the
Immunization Quality Improvement for Providers (IQIP) program. This program replaces the current
Assessment, Feedback, Incentives and eXchange (AFIX) program, per CDC directives, on July 1,
2019. As part of the IQIP requirements, the Contractor shall receive the following assistance:
4.5.1.1. An annual in-person site visit from AIPO staff to include an ASIIS-based coverage rate
report for children ages 24-35 months and for adolescents aged 13 years, including a list
of patients not up-to-date. The visit will include a discussion of current immunization
practices and quality improvement goals;
4.5.1.2. Phone -based check-in calls at 2 months and 6 months post -site visit to include a
discussion of the quality improvement objectives and any technical assistance requested
by the Contractor; and
4.5.1.3. An email -based check-in at 12 months post -site visit, to include a follow-up coverage rate
assessment, a discussion of progress toward quality improvement goals, and any other
technical assistance requested by the Contractor.
4.5.2. Removed.
ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA)
150 N. 18`" Avenue, Suite 260
AMENDMENT
Phoenix, Arizona 85007
V.7
SCOPE OF WORK
Contract No.: CTR042198
Amendment No.: 3
Procurement Officer:
Bariah Steiner
4.5. Activity Five (5) Immunization Quality Improvement
4.5.1. AIPO will provide quality improvement assistance to the Contractor, on an annual basis, as part of the
Immunization Quality Improvement for Providers (IQIP) program. This program replaces the current
Assessment, Feedback, Incentives and eXchange (AFIX) program, per CDC directives, on July 1,
2019. As part of the IQIP requirements, the Contractor shall receive the following assistance:
4.5.1.1. An annual in-person site visit from AIPO staff to include an ASIIS-based coverage rate
report for children ages 24-35 months and for adolescents aged 13 years, including a list
of patients not up-to-date. The visit will include a discussion of current immunization
practices and quality improvement goals;
4.5.1.2. Phone -based check-in calls at 2 months and 6 months post -site visit to include a
discussion of the quality improvement objectives and any technical assistance requested
by the Contractor; and
4.5.1.3. An email -based check-in at 12 months post -site visit, to include a follow-up coverage rate
assessment, a discussion of progress toward quality improvement goals, and any other
technical assistance requested by the Contractor.
4.5.2. Removed.