HomeMy WebLinkAbout20111698.tiff RESOLUTION
RE: APPROVE STATEMENT OF WORK FOR COLORADO IMMUNIZATION
INFORMATION SYSTEM (CIIS) GRANT AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Statement of Work for the Colorado
Immunization Information System (CIIS) Grant from the County of Weld, State of Colorado, by
and through the Board of County Commissioners of Weld County, on behalf of the Weld County
Department of Public Health and Environment, to the Colorado Department of Public Health and
Environment, commencing July 1, 2011, and ending June 30, 2012, with further terms and
conditions being as stated in said Statement of Work, and
WHEREAS, after review, the Board deems it advisable to approve said Statement of
Work, a copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Statement of Work for the Colorado Immunization Information
System (CIIS) Grant from the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County, on behalf of the Weld County Department of Public
Health and Environment, to the Colorado Department of Public Health and Environment be, and
hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said Statement of Work.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 18th day of July, A.D., 2011, nunc pro tunc July 1, 2011.
BOARD OF COUNTY COMMISSIONERS
ELD COUNTY, CO ORADO
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ATTEST:
Kirkmeye , Chair
Weld County Clerk to the Board 17.61 Q' -
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CO Kg . on ay, Pro-Tem
BYDeput lerk to the Board
William F. Garcia
APP AS TO F EXCUSED
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Date of signature: B8/10/DOrioleT ` 1 Qt. . \{L 2011-1698
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a6 2 Memorandum
TO: Barbara KCounty Co, Chair
Board of County Commissioners
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W E L DEC O U N T Y FROM: Mark E. Wallace, MD, MPH, Director
Department of Public Health and
Environment
DATE: June 20, 2011
SUBJECT: CIIS Grant Statement of Work
Enclosed for Board review and approval is Grant Statement of Work between the Colorado
Department of Health and Environment and the Board of County Commissioners of Weld
County on behalf of the Department of Public Health and Environment (WCDPHE). This
Statement of Work is for work done in the Colorado Immunization Section (CIS).
If approved, the funding for this contract will allow the Department to serve as the new CIIS
field coordinator to improve immunization rates through providing training, consulting and
technical assistance services. The coordinator would contact new and existing immunization
providers through personal contacts and using the CIIS Registry for inventory and
reminder/recall trainings.
The term of this statement of work is for one year, ending on June 30, 2012. Funding for this
statement of work period will not exceed $25,000. I recommend your approval of this grant
statement of work.
Enclosure
2011-1698
STATE OF COLORADO
John W. Hickenlooper, Governor
Christopher E. Urbina, MD, MPH ov c°[o4,
Executive Director and Chief Medical Officer ye ,s. yg,vd
Dedicated to protecting and improving the health and environment of the people of Colorado �' of
P 9 P P r � -(., r
4300 Cherry Creek Dr. S. Laboratory Services Division ;`�""y/876 J/
Denver, Colorado 80246-1530 8100 Lowry Blvd.
Phone (303)692-2000 Denver, Colorado 80230-6928 Colorado Department
Located in Glendale, Colorado (303)692-3090 of Public Health
http://www.cdphe.state.co,us and Environment
Colorado Immunization Section
2011-12 Colorado Immunization Information System (CIIS) Grant
Statement of Work
Agency Name: Weld County Department of Public Health and Environment
The contractor shall work with and fully support the Colorado Department of Public Health and
Environment (CDPHE), Colorado Immunization Section (as) and the Colorado Immunization
Information System Program (CIIS). When alternatives are being considered or decisions are being
made, the CIIS will have the right of final decisions.
Funding period 7/1/2011 - 6/30/2012
Starting the project Work is not to begin on the proposed project until the grantee receives a
contract or purchase order from the Colorado Immunization Section (CIS).
Progress reports Project activity and progress will be reported by the contractor as part of
each quarterly invoice (see invoice at the end of this document). Online
progress reports will be completed by the contractor two times/year:
January 15, 2012 for the July-Dec 2011 project period
July 15, 2012 for the Jan-June 2012 project period
Project monitoring Throughout the funding period, the CIP will conduct ongoing project
monitoring and provide technical assistance as needed. In the event that
project performance does not meet the agency's stated goals, a follow-up
work plan will be created and additional technical assistance will be
provided. In an extreme situation, and in consultation with the agency, the
CIP reserves the right to reduce or withhold quarterly payments due to
poor project performance.
Payments Contractor will invoice the CIP quarterly using the invoice provided.
Project continuation The possibility exists for this project to be continued in future years
depending upon program needs and funding availability.
1. Please provide the following information:
Agency name Weld County Department of Public Health and Environment
Agency mailing address 915 10th St.
Greeley, CO 80631
Phone number 970-304-6420
Fax number
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2. Who is the contact person for this project?
Name Name:
Phone number Phone number:
Email address Email address:
3. Project Plan: What are the goals and objectives of your project?
A. Goal: (intended consequences of the plan):
Improve immunization rates and reduce unnecessary re-vaccination through increased access
and accurate usage of CIIS to record administered and historical immunization data in Weld and
Larimer counties for a variety of healthcare providers: public health agencies, pediatricians,
family practice, OB/GYN, internal medicine, community/rural health centers, hospitals, schools
and childcare centers, community vaccinators, pharmacies, university health clinics and
correctional facilities.
B. Objective(s):
1. Serve as the CIIS Field Coordinator for all CIIS users by providing training, consulting and
technical assistance services (in person or by phone) in Weld and Larimer. Be proficient in
CIIS policies, implementation documents, and training materials and processes.
ONGOING
2. Become proficient with using the new CIIS Registry Application. Complete General User,
School User, Inventory and Reminder/Recall trainings. Work with the CIIS Training
Coordinator for training points and guidance on key functionality that all users should know
by August 2011.
3. Contact 100% of new and existing immunization providers not on CIIS through personal
contact by December 2011 . (Note: Implementation does not need to be complete by
December 2011,just contact initiated) Utilize latest implementation documents (Letter of
Agreement, Site Information form, etc) provided by CIIS. Focus on healthcare provider
types listed above with guidance on prioritization from CIIS Manager. At a minimum, the
following sites will be contacted:
Weld
Northern Colorado Medical Center Greeley Quick Care
Women's Clinic of Greeley Park Avenue Medical Group
Greeley Physicians for Women Smith, Eric DO
Home of the Healing Arts Family Medical Practice
North Metro Family Practice Keene Family Medicine
Leppla, Leslie MD
Larimer
Estes Park Medical Center First Care Family Physicians
Adamson Family Care Windsor Family Clinic
Family Health Care of the Rockies DeYoung Family Medicine
Integrative Center for Health St. Luke's Medical Clinic
Healing Gardens Health Center
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a. Determine if the above sites administer immunizations; if so, recruit on to CIIS.
b. Update SPIDR, if entity does not administer immunizations and other progress made
with the site.
c. Work with Interface Coordinator and Data Quality Analyst for sites sending data
electronically.
d. Note: This list is not a complete list of all providers that are not participating in CIIS in
Larimer and Weld. Rather, this is a pared down, prioritized list of sites CIIS is aware of.
The CIIS Coordinator may recruit other providers not on this list.
4. Follow-up on and complete implementation initiated by previous CIIS Field Coordinator for
Weld and Larimer for the following sites:
Banner/BTMG - Intergy Jinich, Daniel B. MD, PC
Banner Medical Group McDerrmott, Martin MD
Heritage Family Care Ultimate Health &Wellness
Poudre Valley Hospital Peak View
5. Identify non-clinical sites that would benefit from access to the CIIS School application such
as schools (public, private and charter), licensed childcare centers, WIC programs, Head
Start programs and social services and provide contact information to CIIS Program
Assistant for follow-up. ONGOING
6. Conduct training for 100% of new CIIS users and follow-up as needed. Utilize new training
webinar service and computer-based training materials provided by CIIS. For staff
requesting re-training, direct them to monthly General User training conducted via webinar
or to the computer-based training available 24/7. ONGOING
7. Train new public health staff (as needed) in Weld and Larimer counties on CIIS. ONGOING
8. Work with Data Quality Coordinator to maintain and/or improve child and provider
saturation rates of 90% for Weld and Larimer counties through data usage and data clean-
up activities.
a. Review "Delinquent Sites" report from CIIS Data Import Specialist and follow-up
with any sites that have not submitted data per their import schedule. ONGOING
b. Identify sites that have data quality issues and work with CIIS Data Quality
Coordinator and site to rectify issues. ONGOING
c. Run 'Vaccines Added but not Administered', 'Patients with Possible Duplicate
Vaccinations', 'Possible Patient Duplicates' reports for Weld County Department
of Public Health and Environment. MONTHLY
9. Work with Geographic Recall Coordinator to perform at least two geographic recalls for 19-
20 month olds in Weld County by June 2012.
10.Maintain and update provider information and CIIS implementation progress within SPIDR
for Weld and Larimer counties within three days of activity. ONGOING
11.Attend weekly CIIS meetings and relevant trainings (by phone or in person) to provide
current up-to-date information to providers in Weld and Larimer counties. ONGOING
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4. Budget:
In consideration of those services satisfactorily and timely performed by the Contractor, the total
sum of this purchase order shall not exceed Twenty-Five Thousand Dollars ($25,000.00).
Expenses Describe in detail Funding Local Total
Request In-kind Budget
(include title, hourly rate
and hours billed to grant)
Personnel — Registered Nurse-11.5 hours 21,684.19 21,684.19
per week @ 26.32 per hour
Salary/fringe
Travel 364.00 364.00
Implementation
Incentives
Equipment
Office supplies
Indirect CDPHE 2011 negotiated rate 2,951.81 .44 2,952.25
13.39%
Total 25,000.00 .44 25,000.44
LOCAL HEALTH PARTNER ACCEPTANCE OF the 2011-12 Colorado Immunization Information
System (CIIS) Grant statement of work requirements:
I Barbara Kirkmeyer , on behalf of the Board of Weld County Commissioners
hereby acknowledge that the requirements for the above-named Immunization Service Purchase
Order have been reviewed, and are accepted and agreed to. I further acknowledge that I have the
nec ssary authority o sign this acceptance on behalf of the entity mentioned above.
of ' Chair JUL 18 2011
Signature Title Date
4 5?t//-/(c 2 f
Invoice: 2011 -12 CIIS Grant
Agency name:
Today's Date:
Invoice #:
Billing period:
TO: Teri Lindsey (teri.lindsey@state.co.us)
Colorado Department of Public Health & Environment/Immunization Section
4300 Cherry Creek Drive South
DCEED-IMM-A3
Denver, CO 80246-1530
303-692-2732 303-691-6118 (fax)
EXPENSES DESCRIPTION AMOUNT
Personnel
(salary/fringe)
Travel
Implementatio
n
Incentives
Equipment
Office
Supplies
Indirect
TOTAL DUE
Name of agency staff authorized to complete this invoice:
PO/Contract #:
Activities/services completed for this billing period (expenditure justification):
Activity/Service/Deliverable Completed Comments
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