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HomeMy WebLinkAbout20100209.tiff RESOLUTION RE: APPROVE CANCER, CARDIOVASCULAR DISEASE, AND PULMONARY DISEASE PREVENTION COMPETITIVE GRANT RENEWAL APPLICATION FOR THE HEART OF WELD PROGRAM 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 Cancer, Cardiovascular Disease, and Pulmonary Disease Prevention Competitive Grant Renewal Application for the Heart of Weld Program 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, 2010, and ending June 30, 2011, with further terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said application, 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 Cancer, Cardiovascular Disease, and Pulmonary Disease Prevention Competitive Grant Renewal Application for the Heart of Weld Program 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 restrictions on lobbying by anyone using funds pursuant to this grant shall apply to any lobbying, as defined in Section 24-6-301 (3.5) (a), C.R.S., shall apply to all local government bodies, as well as their members. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. 2010-0209 HL0037 0 (1 ° NL ( I C &'l61) 710, c//G CANCER, CARDIOVASCULAR DISEASE, AND PULMONARY DISEASE PREVENTION COMPETITIVE GRANT RENEWAL APPLICATION FOR THE HEART OF WELD PROGRAM PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 27th day of January, A.D., 2010. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: �, )u��IBC t)., Vv.� v 4 Doyglas Rademach r, Chair Weld County Clerk to the ar 7 aQr. arbara Kirkmeyer, Firo-Tem BY: Deputy Clerk to the Board ,`. Sean P. way 77 APPROVED-AB TO FORM: William F. Garcia ounty Attorney EXCUSED David E. Long Date of signature: 3/00 2010-0209 HL0037 Memorandum it TO: Douglas Rademacher, Chair Board of County Commissioners I CFROM: Mark E. Wallace, MD, MPH, Director Department of Public Health Oand Environment COLORADO DATE: January 25, 2010 SUBJECT: Cancer, Cardiovascular Disease, and Pulmonary Disease(CCPD) Grant Application The Health Communication, Education, and Planning (HCEP) Division of the Health Department would like approval to apply for continuation funding from the state health department's Cancer, Cardiovascular Disease, and Pulmonary Disease (CCPD) competitive grants program, for the Heart of Weld project. The focus of the Heart of Weld project is cardiovascular disease (CVD) screening and lifestyle intervention programming for low-income woman, age 40-64 years, who are under- or uninsured, with an emphasis on Latina women and women already enrolled in the Women's Wellness Connection program. Nationwide, CVD is the number one cause of death for woman. Weld County is no exception. Between 2004 and 2006, there were 3,775 deaths among all Weld County residents; 1,880 were female. Nearly 595, or one-third, died from CVD; and approximately half(432/882) of those who die each year of heart disease are women. Cardiovascular disease, as with many of the chronic diseases that plague our nation today, is highly preventable. A recent study analyzing the major modifiable behavioral risk factors associated with mortality found the two leading actual causes of death to be tobacco (18%) and poor diet and physical inactivity (leading to obesity) (15%). These three risk factors are also the three major contributors to the development of CVD. Our particular target population was chosen because it is this group (low income women, with no or inadequate insurance) that tends to not participate in preventive health care and is thus over represented in CVD morbidity and mortality rates. During the first year and a half of implementation of the Heart of Weld project approximately 367 women have been screened and 74 have participated in the lifestyle intervention portion of the project, which consists of a series of classes, educational mailings, and follow-up phone counseling. Although the results are preliminary, many of these women have made great improvements. As an example, almost two-thirds (63%) of the Heart of Weld participants seen 2010-0209 for their six-month follow-up visit (n=70) lowered their total cholesterol. Of those 70 participants, 42 participated in the more intensive intervention (attending classes, etc.) and the remaining 28 only participated in screening visits. Interestingly (but not unexpected), more women in the more intensive program lowered their total cholesterol compared to women in the minimal intervention group (69% vs. 54%). This has not been the only benefit of the program. Partnerships have been established with Sunrise Community Health Center, Salud Family Health Centers, and UrgentCare Quick Care (Greeley). This has opened the door for other collaborative efforts between the health department and these entities. With continued funding the HCEP team hopes to continue providing screening and lifestyle intervention programming, while working with the health department clinic, Salud Family Health Centers, and Sunrise Community Health to develop a plan for sustainability of the program into the regular services of these clinics. Currently,the Heart of Weld project is funded at$230,705 with 2.35 FTE. For the 2010/11 grant period we will be allowed to apply for up to $222,379. We will be able to maintain the 2.35 FTE (in order to reach our goal of 450 screenings) but will cut participant incentives, and media and marketing (as mandated by the state). If allowed to proceed, a full budget will be presented to the Board at a later date. I recommend that the HCEP division be allowed to proceed with an application for the 2010/11 grant year. re_Qiiiir" DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17th Avenue Gr eeley,y, 80631 WEBSITE:www.co.weld.co.us ADMINISTRATION: (970) 304-6410 FAX: (970) 304-6412 "ilk COMMUNITY HEALTH NURSING: (970) 304-6420 FAX: (970) 304-6416 HEALTH COMMUNICATION, EDUCATION,AND PLANNING (970)304-6470 FAX:(970)304-6452 ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 FAX: (970) 304-6411 COLORADO Granting Agency: Colorado Department of Public Health & Environment Cancer, Cardiovascular Disease and Pulmonary Disease (CCPD) Competitive Grants Program Applicant's Name: Weld County Department of Public Health and Environment Health Communication, Education, and Planning Division Applicant's Address: 1555 N. 17"' Avenue Greeley, CO 80631 Applicant's Phone: (970) 304-6470 Applicant's Fax: (970) 304-6452 Project Title: Heart of Weld Contact Person: Gabrielle Vergara, Project Coordinator, ext. 2375 Amount of Request: $219,953 Time Period of Request: July 1, 2010—June 30, 2011 Weld County Department of Board of County Commissioners Public Health and Environment Weld County, Colorado ' ' yti:\le Wv 0' . '��'a LI -- obs-ty \o cis, Mark E. Wallace, MD, MPH, Director Douglas) ademach r, Chair JAN 2 7 2010 A l' ST: /yK11 V 4 Weld County(ou Clerk tot `1.1 d t! BY: wit i. �a�,./1.;�` ,-, ) . ._ Deputy Clerk to thear1 ,,,' a ao 0- o.2oq CCPD 2010/11 Competitive Renewal Application Part II: Project Narrative, Work Plan, and Evaluation Plan Heart of Weld Project Weld County Department of Public Health & Environment CCPD 2010/11 Heart of Weld Project Part II: Narrative,Work Plan, Evaluation Plan 1. Project Narrative a) Why is your project important? This project was conceptualized by the Weld County Department of Public Health and Environment (WCDPHE) as a result of the concern, nationally and locally, regarding the growing burden of cardiovascular disease (CVD). During the last century, the pattern of chronic diseases leading to death, illness, and disability among Americans has changed dramatically. Chronic diseases such as heart disease, cancer, and diabetes are now among the most prevalent, costly, and, at the same time, preventable of all health conditions. Seven out of every 10 Americans who die each year, or more than 1.7 million people, die of a chronic disease;and over 90 million Americans live with a chronic illness. The cost of medical care for people with chronic illnesses exceeds 75 percent of the nation's total medical care costs. Whereas CVD, which includes coronary heart disease (CHD), stroke, and other cardiovascular diseases are a major health problem, it is often overlooked in women. However, according to the American Heart Association, nearly two out of five deaths (39%) among women, in America, are due to CVD. Coronary heart disease, alone, is the leading cause of death for American women. One out of four women dies of heart disease and more than half of the persons who die each year of heart disease are women. Looking at the leading causes of death among Weld County women, we found that women of all ages in Weld County are similar to women in Colorado and across the nation in terms of modality due to CVD. In Weld County, between 2004 and 2006, there were 3,775 deaths among all Weld County residents; 1,880 were female. During this time period, 595 Weld County women, or nearly one-third, died from CVD. Head disease alone accounted for 23 percent(432 out of 1880) of all deaths among Weld County women, and nearly half(432/882) of the persons who die each year of heart disease are women. Most diseases and injuries have multiple causes and conditions that can contribute to a single death. However, a recent study analyzing the major modifiable behavioral risk factors associated with modality found the two leading actual causes of death to be tobacco (18%) and poor diet and physical inactivity (leading to obesity) (15%)3. The authors estimated that roughly 400,000 deaths occur annually due to poor diet and physical inactivity (measured as deaths due to overweight) compared to 435,000 deaths attributable to tobacco. They also compared mortality trends between 1990 and 2000 and found that deaths due to poor diet and physical inactivity4 increased more rapidly than deaths from any other cause or condition. The need for CVD prevention in Weld County is bolstered by the fact that the demographic profile of the county is changing. These changes, mainly driven by population growth, are affecting the county's overall health status. Weld County's population has increased dramatically over the past decade with an estimated 2006 population of about 237,000. Similar to the nation as a whole, the age structure of Weld County's population has shifted with older age groups making up more of the population total. Lastly, over the past three decades, the Latino population has increased. Currently, about one-third of Weld County residents are Hispanic. Page 2 of 8 CCPD 2010/11 Heart of Weld Project Part II: Narrative,Work Plan, Evaluation Plan Keeping in mind what we know about the relationship between income and health, Weld County's economic profile also signals a need for this program. Weld County has a lower average income than the rest of Colorado and over one-fourth (27%) of Weld County households live on incomes that are below the 200% federal poverty level. According to the USDA Economic Research Service, in 2008, about one out of 8 people in Weld County were living in poverty. This rate is lower than the U.S. rate but slightly higher than Colorado's rate. Among Weld County families with a female head of household and no husband present, three out of ten live in poverty. These indicators, as well as anecdotal data gathered by WCDPHE during regular program and community assessments, point to a growing population of households struggling to carry on in day-to-day life, let alone participate in preventive health care. In terms of health care access and coverage, we know that people who lack insurance or have less than optimal access to health care are more likely to delay getting health care and are at risk for experiencing adverse health outcomes. Based on Weld County Behavioral Risk Factor Surveillance Survey data, it appears that more Weld County residents do not have health insurance compared to ten years ago. In Weld County, the percentage of adults with private or public health insurance decreased from 86 percent in 1998-1999 to 78 percent in 2005. This rate is much lower than Colorado's (84%) and the nation's (86%). The actual number of underinsured residents is not known but state and national estimates say that another 20 percent of people do not have adequate health insurance. For those without health insurance, or those with inadequate health insurance, preventive health services are out of reach. An in-depth analysis of the 32,500 women aged 40 to 64 years, living in Weld County, found that only 59 percent report they are employed and 83 percent report they have health insurance. As well, we found that 19 percent of women in this age group report that they have either not had their cholesterol levels checked or have not had it checked within the last five years. Among those who had their cholesterol checked, 35 percent report they had high cholesterol; and among those who had their blood pressure checked, 19 percent had high blood pressure. Over half the women (54%) have excess body weight(i.e., BMI of more than 25) and 20 percent are current smokers; and more than half reported inadequate levels of physical activity, with 25 percent reporting they have not engaged in any recent physical activity or exercise1. Clearly, there are many women at risk for CVD in Weld County. Based on the information we gathered during our research for this project, we determined that the population, in Weld County, that is currently in most need of a CVD awareness/prevention program are low-income women, age 40-64 years, who are either under-or uninsured, particularly Latino women. This will be the population the Heart of Weld project will target. This group tends to not participate in preventive health care and is thus over represented in CVD morbidity and mortality rates. Based on previous experience we expect to provide baseline screening for at least 400 women from our target population. This number may not seem extensive, but in addition to screening we will also provide a comprehensive lifestyle intervention program, which will include classes, educational mailings, phone counseling, and follow up screenings at 6 and 12 months. We feel that our program will be attractive to this population because there are very few options for these women to receive this type of preventive CVD screening, let alone intervention programming for those at risk. As well, both the screenings and intervention program will be provided where these women already received medical service, and will be provided in both English and Spanish. Page 3 of 8 CCPD 2010/11 Heart of Weld Project Part II: Narrative,Work Plan, Evaluation Plan By creating an awareness among our target population regarding the importance of screening, and through the promotion of a healthy lifestyle, we believe that the Heart of Weld project will have a positive impact on many of the strategies outlined in the State's plan for reducing the impact of cardiovascular disease, including increasing the number of adults who have their blood cholesterol checked; reducing the proportion of adults with high total cholesterol levels; increasing the proportion of adults with high blood pressure whose blood pressure is under control; reduce the proportion of adults with high blood pressure; reduce coronary heart disease and stroke deaths; reduce tobacco use; and increase smoking cessation attempts. Chronic disease, especially cardiovascular disease, is a national health problem. In Weld County, it appears that a significant number of women are at risk for developing cardiovascular disease. We know the need is there and that many Weld County women are not getting the preventive health screening and treatment for cardiovascular disease they need. WCDPHE and its partners have the knowledge and ability to help these women decrease their risk for cardiovascular disease. b) What do you plan to do? The goal of the Heart of Weld project is to decrease CVD related morbidity and mortality rates among the target population. In order to accomplish this, the Heart of Weld project will continue to provide free CVD risk factor screening to low-income women, age 40-64 years of age, who are either under- or uninsured, with a focus on Latino women and women already enrolled in the Women's Wellness Connection (WWC) program (breast and cervical cancer screening program). Those women identified to be at risk for developing heart disease will then be encouraged to enroll in the intervention program, which consists of five classes, follow-up screenings at 6 and 12 months (from baseline screening), educational mailings, and phone-counseling. All components of the program will be offered in settings already proven to be highly accessed by the target population. Each woman entering into the program starts with a baseline CVD risk factor screening at either the Weld County Department of Public Health & Environment (Greeley), Sunrise Community Health Center (Greeley), or Salud Family Health Clinic (Fort Lupton). Currently, we conduct at least one baseline screening event (held over several days) per quarter at each of the three separate clinics, Prior to a baseline screening, the clinic, where the screening is to be held, will provide a list of their patients who are eligible to participate, based on our target population criteria (low-income, 40-64 yrs. of age, under- or uninsured, or a WWC patient). Heart of Weld staff uses this list to make appointments for that particular screening event. We have found that a personal phone call is more effective than a mailing in getting women to schedule an appointment. In addition to providing us with a population base to work with, each of our partner clinics also provides us space within their facilities to hold our screening clinics. We use our own staff (two medical assistants and two health educators) to conduct the screenings. Each screening, whether it's a baseline, 6 month, or 12 month follow-up screening, is conducted in the same manner. At the beginning of each appointment, there is the usual paper work to be completed: consent form, confidentiality form, HIPPA waiver, and an affidavit confirming they are a legal U.S. citizen. We also ask them to fill out a brief lifestyle profile, which covers all the basic lifestyle issues such as diet, physical activity, tobacco use, stress level, etc. After the paperwork is Page 4 of 8 CCPD 2010/11 Heart of Weld Project Part II: Narrative,Work Plan, Evaluation Plan completed, each woman completes what we call the "medical" piece of the screening. This includes measuring their height, weight, and blood pressure, and conducting a simple blood test for total cholesterol, high density and low density lipoproteins, triglycerides, and glucose levels. For the blood test, we use a Cholestech machine that requires only a finger poke (for a blood sample) and provides results in approximately 8 minutes. While waiting for the results from the blood test, we take a brief "heart" health history. One of the medical assistants will then go over the results with the patient and, if there are any values of concem (i.e., high cholesterol, blood pressure, or glucose levels), the medical assistant will advise them accordingly. It can be as simple as encouraging them to eat more fruits and vegetables to assisting them with making a follow-up appointment with their primary health care provider to evaluate their blood pressure or cholesterol levels. One of the benefits of working within a clinic setting is that, if any woman has alert values, medical care is available on-site and we are able to address the situation right away. Using the national WiseWoman program as a guide, we have defined alert values to be: systolic blood pressure greater than 180; diastolic blood pressure greater than 110; total cholesterol greater than 400; and blood glucose greater than 250. After the medical evaluation is completed, each woman then meets with one of our health educators to answer a few more questions regarding their lifestyle behaviors (physical activity, dietary habits, tobacco use, and behavioral health). This provides us with a better understanding on how best to counsel them. We will then spend some time (approximately 15 minutes) with each woman to develop simple goals that they can work on to decrease their risk. As part of our partnership with each of the clinics, we also do a preliminary screening for behavioral health, colorectal cancer screening program, and the WWC program. If they appear to qualify for these additional programs, we will make a referral for them to enroll in these programs, if interested. Because WCDPHE and Sunrise have a shared electronics medical records system, we are able to input each woman's screening results into their personal medical record and flag their physician for any needed follow-up. This allows their primary care providers to have immediate access to their results. This also helps to ensure that those woman who do have an increased risk and may need medical evaluation, receive the necessary follow-up. We are not able to do the same with those women who are patients of Salud, but we do provide Salud with a paper summary for each woman, that can then be filed in their individual charts. As already mentioned, because all screenings are conducted in a clinic setting, which is usually the medical home for those women participating in the screening, we are able to facilitate medical follow-up for those women who it. We do sometimes have women who are not patients of either Sunrise or Salud. If that happens, and they need medical evaluation soon (within two-four weeks), we have also developed a voucher program (covers the cost of initial visit) with NextCare Urgent care. We have established the voucher program because it can sometimes be up to three months before an individual can get into either Sunrise or Salud for an appointment, due to the financial screening that needs to be done prior to the first visit. This way they can receive the care they need, while taking the necessary steps to establish a medical home either at Sunrise, Salud, or other clinic. At screening, any woman identified to be a risk for developing CVD (has high blood pressure or high cholesterol levels, is overweight or a tobacco user, has diabetes, or has already been diagnosed with heart disease) is encouraged to enroll in our lifestyle intervention program, which spans a 12 month period starting from the baseline screening. The main component of the intervention program is a series of five classes, focusing on healthy eating, physical activity, Page 5 of 8 CCPD 2010/11 Heart of Weld Project Part II: Narrative,Work Plan, Evaluation Plan maintaining weight, decreasing stress, and recognizing the signs and symptoms of a heart attack or stroke. We do not spend a lot of time on tobacco use or smoking cessation in the classes but will, instead, refer those women wishing to quit smoking to the Colorado QuitLine and will also encourage them to enroll in smoking cessation classes held locally. Because maintaining new healthy behaviors can be difficult, after the completion of the classes, participants will receive 4 educational mailings, 2 phone counseling sessions, and a 6 month follow-up screening. The educational mailings provide additional information on a variety of healthy behaviors (i.e., limiting fat intake, increasing physical activity, drinking more water, etc.). The phone counseling sessions, conducted by our health educators, provide an opportunity for us to see how the women are doing and to provide additional support and resources, when needed. The 6 month follow-up screening allows the participants to see what affect their behavior changes are having, and to re-evaluate goals, if necessary. The culmination of the lifestyle intervention program is the 12 month follow-up screening. All women are invited back for this screening, regardless of their participation in the lifestyle program. As with the 6 month follow-up screening, the 12 month follow-up screening provides the participant, and us, with some indication of effectiveness. If there are women at this 12 month screening who have not seen an improvement in their risk factor values and want to continue with the program, they are allowed to do so. The same holds true for those women who may not have participated in the lifestyle intervention program the first time. c) Who are your key partners? Our 2010/11 partners will include Sunrise Community Health Center in Greeley, Salud Family Health Clinics in Fort Lupton and Frederick, and NextCare Urgent Care in Greeley. We will continue to work with Sunrise and Salud to provide screening and intervention services for their qualified patients. They will continue to provide us with a space to conduct the screenings and will continue to be the source of our target population. Our partnership with Sunrise will continue to be a little more involved, in that it includes a shared Medical Assistant (MA). Funding from this grant will pay.50 FTE of a MA housed at Sunrise. This MA, however, will assist with screenings held at all locations, not just those held at Sunrise. This particular relationship dates back to our first year of funding from the CCPD program (2008-09), when Sunrise was the only clinic where we were holding screenings. The MA at Sunrise has been instrumental in getting the Heart of Weld project implemented and sustained at this clinic. If funded another year, we will look at a similar partnership with Salud. We will also continue to partner with the QuickCare Urgent Care clinic in Greeley as a referral source for our screening participants who have one or more alert values at screening, but have no medical home. Page 6 of 8 L C a a m c =QI C N CD O m o d ., m C .c m N c I m o c a E n °� m a' �° m CD m a > :�as r eq o p Ea) p_ ,0n a d E c a ` a = S a O O o _o =g p c m a cNa� m g cc — 2 ^ m c . 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L K O` = o x m V „_ '. ,'3c -80. 3i x a N D E U co o o o aJ m 3 x w , - a) N Q• f C U (T7 2 co 2 = m O Q N = ita Cc CC C CCPD 2010/11 Heart of Weld Project Part III: Budget Proposal CCPD 2010/11 Competitive Renewal Application Part III: Proposed Budget & Budget Justification Heart of Weld Project Weld County Department of Public Health & Environment Page 1 of 4 CCPD 2010/11 Heart of Weld Project Part Ill: Budget Proposal Budget Justification Personal Services Contributing Description FTE Position Individual& Role Cost (including fringe benefits) Gabrielle Vergara Gabrielle(Gabri)Vergara will manage the grant, provide general Project Coordinator project oversight and supervision of grant personnel, arrange contracts with clinics to provide CVD screening services,and act as spokesperson for program. Gabri will perform recruitment activities in the community and work with community partners to identify women who are eligible for CVD screening. She will also recruit community members and clinical service providers to .50 $40,302 participate on the project's advisory council and arrange quarterly meetings; and will train all personnel involved with the clinical screenings and lifestyle intervention, as needed. Gabri,with the data specialist, will track project related data,complete grant required reporting, and assist with project evaluation. Gabri will also be the lead instructor for the lifestyle classes held in Greeley. Ofelia Orozco Ofelia will assist at screenings, teach the Spanish lifestyle Health Educator intervention classes, and oversee Zumba classes and walking groups. Ofelia will also assist with the educational mailings, phone 75 $53,725 counseling sessions, and setting up screening appointments. She will be responsible for entry of screening results into each Weld County Health Department participant's electronic medical record. Adriana Chairez Adriana too will assist at screenings, and provide back-up for the Outreach Worker both the English and Spanish lifestyle intervention classes. Adriana will also assist Ofelia with setting up appointments, and 50 $24,898 will also be responsible for preparation of forms and files prior to each screening, and sending out results letters to participants after each screening. Veronica Castillo Veronica will be the Medical Assistant for Sunrise Community Medical Assistant Health Center. She will assist with identification and recruitment of participants from among Sunrise patients, and she will assist with screenings held at Sunrise and Weld County Health Department. 50 $22,200 After each screening at Sunrise, she will be responsible for entry of screening results into each participant's electronic medical record. Veronica will also provide back-up for both the English and Spanish lifestyle intervention classes. To Be Determined This person will be the Medical Assistant for Salud Family Health Medical Assistant Clinic in Fort Lupton. This person will assist with identification and recruitment of participants from among Salud patients,and will assist with screenings held at Salud. After each screening at 50 $22,200 Salud,this person will also be responsible for entry of screening results into each participant's electronic medical record. This person will also be the lead instructor for the lifestyle intervention classes held in South Weld County. Page 2 of 4 CCPD 2010/11 Heart of Weld Project Part Ill: Budget Proposal Cindy Kronauge Cindy Kronague, MPH,will gather,communicate, and manage Data Specialist all Heart of Weld data for reporting and evaluation purposes, .10 $10,109 and provide supervision and guidance to the sub-contracted database management team. Subtotal Personal Services: $173,433 Fringe Benefits For Weld County employees Fringe Benefits are budgeted at an average rate of 35%of salaries. The two Medical Assistants are actually employees of Sunrise Community Health Center and Salud Family Health Center, respectively. The provided fringe amount for these two positions is estimated on actual benefits paid per month. During the grant period,the actual fringe benefit cost per employee will be charged to the grant in keeping with Weld County's financial policies and procedures. Operating Expenses Item Description Item Cost Copying Each participant of the lifestyle intervention program is provided LSI Workbook with a New Leaf curriculum notebook that we print in-house using the County Print Shop. We anticipate making approximately 125 $1,500 copies at a cost of$12 per notebook(includes printing cost of and cost of three ring binder for each). Copying Miscellaneous copying for the project is budgeted at Miscellaneous approximately 800 copies per month at.10 cents/copy. Items to $960 be copied included results letters,forms for screenings, educational mailings,and participant correspondence. Office Supplies An annual budget for office supplies needed to implement the project is estimated at$500 for the year. Example supplies $500 include printer toner, paper, pens/pencils, file folders,etc. Actual expenses will be charged to the grant as incurred. Screening Includes 700 Cholestech test cartridges at$12/each for a total of Supplies $8,400. The remaining $5,600 is an annual budget estimate for other needed screening supplies including, cotton balls, latex $14,000 gloves, lancets, band-aids, alcohol swabs, and Cholestech printer labels. Actual expenses will be charged to the grant as incurred. Educational It is estimated that 150 individuals will participate in a lifestyle Materials intervention program during the year: $10 per individual is budgeted for education materials appropriate to the course $1,500 content. Examples of educational materials include portion control plates, pedometers,exercise bands, and healthy heart cookbooks. Room Rental An annual budget for room rental is estimated at$1,400 (40 hrs. @$35/hr.). This is for rental of the gym at the Rodarte Community Center in Greeley for Zumba exercise classes. $1,400 Zumba classes will be held once weekly,and it is anticipated that, in one year's time,there will be approximately 40 classes. Subtotal Operating: $19,860 Page 3 of 4 CCPD 2010/11 Heart of Weld Project Part Ill: Budget Proposal Travel Expenses Item Description Item Cost Mileage Based on travel from previous year, an annual budget for mileage has been set at$2,400(estimated 5000 miles at.48 cents/mile). Actual mileage will be charged to the grant as incurred. Mileage will be used by all project staff to travel to screening clinic sites and by the Project Coordinator and Health Educator to travel to $2,400 Sunrise and Salud for lifestyle intervention classes. It is also anticipated that the principle investigator(PI)and project coordinator will travel to Denver at least twice for CCPD required trainings or meetings. Lodging It is estimated that the PI and project coordinator will attend CCPD required trainings or meetings outside of Greeley that may $300 require an overnight stay(2 nights @ $150/night). Meals Per Diem Per Diems are budgeted to cover meal expenses for PI and program coordinator for CCPD required trainings. (2 travelers X 2 $240 trainings X Denver Per Diem rate of$60/day) Subtotal Travel: $2,940 Contractual Item Description Item Cost Subcontract Heart of Weld program staff, currently, spends quite a bit of time Data Entry Tech entering data into our program database, intervention program tracking spreadsheet, and patient electronic medical records. If awarded funding for the 2010/11 grant year, it is assumed that we will be required to also enter participant information into the eCaste $2,400 system. In order to make the best use of our regular program staff, we will contract with a data entry technician to enter program data into all appropriate databases. An annual budget for data entry is estimated at$2,400(120 hours @$20/hr.). Subcontract Last year we contracted with University of Colorado Health Database Mngt. Sciences Center Department of Family Medicine to create a database for our screenings. As part of that contract,there is a $5,000 yearly management fee of$5000. This includes any upgrades, alterations,and technical assistance. Subtotal Contractual: $7,400 Other—Patient Care Costs Item Description Item Cost Treatment An annual budget for medical vouchers has been estimated at $150(10 vouchers @$150/voucher). A medical voucher is provided to any participant who presents with alert values at $1,500 screening,who has no medical home; ensuring immediate medical follow-up until a medical home can be established. The voucher covers the cost of initial visit at NextCare Urient Care. Subtotal O•eratin': $1,500 Page 4 of 4 APPLICATION BUDGET FORM Cancer, Cardiovascular Disease and Pulmonary Disease Competitive Grants Program APPLICANT: July 1,2010-June 30,2011 Weld County Department of Public Health& Environment PROJECT TITLE: SOURCE OF FUNDS Heart of Weld Requested Other Source* Other Source* iCDPHE Source$, ,Source2 r. PERSONAL SERVICES FTE Monthly Monthly #of If applicable, If applicable, funding source funding source Name Position %Effort Salary Benefits Months name here name here Gabrielle Vergara Project Coordinator 0.50 $4,955.71 $1,761.26 12.0 $ 40,302 $ - $ - Ofelia Orozco Health Educator 0.75 $4,404.15 $1,565.24 12.0 $ 53,725 $ - $ - Adriana Chairez Outreach Worker 0.50 $3,061.56 $1,088.08 12.0 $ 24,898 $ - $ - Veronica Castillo Medical Assistant 0.50 $3,200.00 $500.00 12.0 $ 22,200 $ - $ - To Be Determined Medical Assistant 0.50 $3,200.00 $500.00 12.0 $ 22,200 Cindy Kronauge Data Specialist 0.10 $6,215.09 $2,208.84 12.0 $ 10,109 $ - $ - Subtotal Personal Services 2.85 $ 173,433 $ - $ - OPERATING EXPENSES Unit Quantity Rate Copying(LSI Wonebook) Notebook 125.00 $ 12.00 $ 1,500 $ - $ - Copying(miscellaneous) Annual 9600.00 $ 0.10 $ 960 $ - $ - Office Supplies Annual 1.00 $ 500.00 $ 500 $ - $ - Screening Supplies Annual 1.00 $ 14,000.00 $ 14,000 $ - $ - Educational Materials Participant 150.00 $ 10.00 $ 1,500 $ - $ - Room Rental Hour 40.00 $ 35.00 $ 1,400 Subtotal Operating Expenses $ 19,860 $ - $ - TRAVEL Unit Quantity Rate Mileage Mile 5000.00 $ 0.48 $ 2,400 $ - $ - Lodging Day 2.00 $ 150.00 $ 300 $ - $ - Meals/Per Diem Staff/Day 4.00 $ 60.00 $ 240 $ - $ - Other Travel $ - $ - $ - Subtotal Travel Costs $ 2,940 $ $ • CONTRACTUAL Unit Quantity Rate Subcontract(Data Entry Technician) Hour 120.00 $ 20.00 $ 2,400 $ - $ - Subcontract(Database Management) Annual 1.00 $ 5,000.00 $ 5,000 $ - $ - Subtotal Contractual Costs $ 7,400 $ $ - OTHER COSTS Unit Quantity Rate Patient Care Costs $ - $ - $ - $ - Screening $ - $ - $ - $ - Treatment Voucher 10.00 $ 150.00 $ 1,500 $ - $ - Subtotal Other Costs $ 1,500 $ $ CDPHE Source I : I Source 2 TOTAL DIRECT COST: $ 205,132.89 $ - $ - INDIRECT COSTS: 2% Of Contractual $7,400.00 $ 148 INDIRECT COSTS: 7% Of All Other $197,732.89 $ 14,672 Total Indirect Cost(Calculated on Amount Requested from CDPHE Only) $ 14,820 TOTAL AMOUNT REQUESTED FROM CDPHE $ 219,953 t J ` 'Other: Please indicate additional funding sources if applicable. 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