HomeMy WebLinkAbout20092660.tiffRESOLUTION
RE: APPROVE SCOPE OF WORK FOR WOMEN'S WELLNESS CONNECTION
INFRASTRUCTURE BUILDING GRANTS 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 Scope of Work for the Women's
Wellness Connection Infrastructure Building Grants 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 upon full execution, with further terms and conditions being
as stated in said Scope of Work, and
WHEREAS, after review, the Board deems it advisable to approve said Scope 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 Scope of Work for the Women's Wellness Connection Infrastructure
Building Grants 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 Chair be, and hereby is, authorized to
sign said Scope of Work.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 12th day of October, A.D., 2009.
BOARD OF O- TY COMMISSIONERS
ELD 1' OLORADO
ATTEST:
Weld County Clerk to the B
Deputy ClerIk to the Board
APPROVED AS TO FORM:
Date of signature I I I3�D�1
David E. Long
an Kirkmeyer
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2009-2660
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Memorandum
TO: William F. Garcia, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH, Director
Department of Public Health and
Environment —IV WA., 400—gea,
DATE: September 21, 2009
SUBJECT: Infrastructure Building Grants Program
Women's Wellness Connection (WWC)
FY 2009-2010
Enclosed for Board review and approval is the Scope of Work as part of the Weld
County Department of Public Health and Environment's application for funding from the
Women's Wellness Connection Infrastructure Building Grants Program of Colorado
Department of Public Health and Environment. Issuance of a purchase order will allow
WCDPHE to continue the services of a .5 FTE WWC Community Outreach Specialist
who provides case management, outreach, and enrollment services for Weld County
women aged 40 years and older who qualify for breast and cervical cancer screenings
under the program guidelines.
The department is applying for funding in the amount of $24,995.28 for the time
period beginning on the date the purchase order is issued and continuing through
June 28, 2010. I recommend your approval of this application.
Enclosure
2009-2660
COLORADO
DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
1555 N. 17th Avenue
Greeley, CO 80631
WEBSITE: «v v, .co.‘4eld.co.us
ADMINISTRATION: (970) 304-6410
FAX: (970) 304-6412
PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420
FAX: (970) 304-6416
ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415
FAX: (970) 304-6412
INFRASTRUCTURE BUILDING GRANTS PROGRAM
Women's Wellness Connection
Fiscal Year 2009 - 2010
Background: The WOMEN'S WELLNESS CONNECTION (WWC) program provides low-income,
uninsured, and underserved women demonstrating lawful presence in Colorado access to timely, high -quality
screening and diagnostic services to detect breast and/or cervical cancer at the earliest stages. It is a state -run
program of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which is
administered through the Centers for Disease Control (CDC). Services are available across Colorado.
The objective of this Infrastructure Building Grants Program is to provide funding to newly contracted WWC
providers so that infrastructure can be established which support services to women in a manner that meets will
all state and federal requirements under NBCCEDP.
Direct Beneficiaries: Direct beneficiaries of the grant will be organization that will serve women residing in
the contractor's region who are unable to pay for breast or cervical screening services, the organization at which
WWC services will be performed, and the community in which the agency resides.
Project Goals:
1. To provide support to new contractor's in the WWC program as it establishes WWC program services its first
active year.
Funding and Timeline
1. Funding is a one-time opportunity and capped at 525,000.
a. It is expected that the grant will provide funding towards establishment of a sustainable
screening program after the grant has ended.
b. A budget and budget narrative not to exceed $25,000 (templates attached) must be submitted
prior to grant approval.
2. Work shall begin from date of fully executed purchase order through June 28, 2010.
Project Specifies
L Funding can be used for any or all of the following categories:
a. Personnel necessary for the operation of the WWC program.
i. WWC will pay for salary and benefits only.
ii. Funding will not pay for: professional educational training. [Colposcopy training for
medical providers is available under a separate WWC grant.]
b. Equipment necessary to adequately' perform breast and cervical cancer screening.
i. This may include equipment necessary to perform breast and cervical cancer screening,
such as speculums, colposcopes or mammographic equipment. Request may also cover
lap top computers.
ii. Funding will not pay for: portable phones or personal handheld devices, patient
educational materials, gifts, incentives or training models. [Educational materials are
available free of charge at �� �� « ..... �<�,,, .0», .]
c. Marketing of the WWC program in the contractor's community.
i. This may include advertisements in local newsprint, flyers, event hosting or health fair
sponsorship, electronic communications or any other form of media, advertising and
public relations. [WWC has a marketing CD containing media material free of charge at
wvvw.wwcitems.com and can supply at no cost additional print and radio ads upon
request. Technical assistance will be provided at no cost by the program's media
contractor upon request.]
d. Other as approved by the WOMEN'S WELLNESS CONNECTION program.
Deliverables: Under this arrangement, the contractor shall perform the following activities within the
established timeframes.
Within first 2 weeks of approval date of purchase order:
1. Establish and identify the WWC Coordinator, WWC eCaST Coordinator and Fiscal Payment
Coordinator.
2. Develop a Work Plan that outlines how the contractor will ensure WWC services will become
active within the first fiscal year.
3. For appropriate staff persons, apply for data access to the program's web -based program.
4. Host one conference call with WWC staff to review and approve work plan. Discussion will also
cover review of the service delivery scope of work, support materials available and tools used in
the program.
Within 4 weeks of approval date of purchase order:
5. Host one conference call with WWC staff. Call must include discussion of subcontractors,
management of abnormal results, enrollment process, and medical providers participating in
program.
Within 3 months of approval date of purchase order:
6. Attend state -sponsored trainings or demonstrate training of:
i. Basic WWC Program Overview
ii. eCaST Basics: data entry, reporting, reimbursement
iii. WWC Contracts and Subcontracts
iv. Medicaid process
v. Quality Management (core indicators, clinical tracking and follow-up)
vi. Cultural Competency
vii. Medical policies and guidelines
viii. Clinical web casts
Within 7 months of approval date of purchase order:
7. Host at least 2 conference calls with WWC staff to review work plan, status of core performance
indicators, fiscal reports and screening numbers to date.
8. Begin active screening services to women under the service delivery contract.
By June 28, 2010:
9. Provide a completed and final work plan to the program.
10. Have contractor participate in an evaluation of the support and technical assistance provided to
them under this grant.
Reimbursement
Project expenses will be reimbursed on a monthly basis for approved expenses incurred in the prior month.
Reimbursement requests must be submitted monthly and are due on the 51h of each month. Requests should be
signed and sent directly to Grants Accounting Unit, at 4300 Cherry Creek Drive South, A5-WWC, Denver, CO
80246 or (fax) 303-691-7900.
The state will not reimburse any costs incurred by the applicant prior to the issuance of a legally executed
contract, task order, purchase order or other authorizing legal document. The state will not reimburse any
expenses incurred by the applicant that were not included in the budget and budget narrative sections of the
application.
Signed:/,
Printed Name & Title: William F. Garcia, Chair, Board of Weld County Commissioners
Dated: October 12, 2009
a2Ci i' - J//a 1,D
WOMEN'S WELLNESS CONNECTION
Infrastructure Building Grant
FY10: September 1, 2009 • June 30, 2010
Categories
Personal Services Costs
Fringe Benefits
PhonelFax/Internet
Operating Costs
Computer Equipment
Other Expenses (itemize/attach detail)
Travel
Salary (provide name and title; attach detail if more than one
person is being requested)
570.00
In State (provide detail; mileage at $.50 per mile)
Other Costs
Media (prior approval by Program needed)
OutreachlEducational Materials (prior approval by Prgram
needed)
Equipment (prior approval by Program needed)
Misc (itemize/attach detail)
SUBTOTALS
i n"
TOTAL DIRECT OPERATING COSTS
NDIRECT COSTS
ndirect costs capped at 10%
Signature
Adriana Chairez Comm. Svcs. Spec $16,344.24
5,808.74
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
FY2010 Women's Wellness connection WWC
Budget Narrative
Personal Services: Total $22,152.98
Adriana Chairez; Community Services Specialist:
Annual salary at 11 months (.5 FTE)= $16,3434.24 to recruit and screen clients for the WWC program. She will
also input data into the e -cast system and assist Case Manager with follow up on clients with abnormal findings.
Fringe benefits for A. Chairez for 11 months $5,808.74
Remaining one month salary will be covered by fee for service revenues.
Operating Expenses: N/A
Operating expenses will be supplied in -kind by WCDPHE.
Outreach materials provided by WWC.
Travel: $570.00
In state mileage Weld County rate $0.53 per mile. Travel to outreach events such as health fairs. Outreach activities
in the Southwest Weld region. Weld covers a large geographic area.
Indirect Costs: $ $2272.30
Indirect costs cap of 10%.
TOTAL AMOUNT REQUESTED $24,995.28
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