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Home My WebLink About20080238.tiff RESOLUTION RE: APPROVE APPLICATION FOR STATE TOBACCO EDUCATION AND PREVENTION PARTNERSHIP COMMUNITY PROGRAMS 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 an application for a State Tobacco Education and Prevention Partnership 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, 2008, and ending June 30, 2009, 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 application for a State Tobacco Education and Prevention Partnership 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 application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 21st day of January, A.D., 2008. BOARD OF COUNTY COMMISSIONERS i< E 11.,a WELD COUNTY, COLORADO ATTEST: LL, / ' •'•- �{ /Li ,�Gz (NAY) t �l William H. Jerke, Chair Weld County Clerk to the Baal . s .. F7 I �� (AYE) • Robert . Mas P 6 Tm BY: �. � � tiw.. ' De. ty Cle to the Boa d (AYE) Wil • F. Garci APPROVE STO F M: .� Cj, (AYE) David E. Long my Attorney AYE) Douglas ademache Date of signature: II-30/62 2008-0238 HL0035 (@0 , tit Ce-,,,) 3/ 08 Memorandum rti; TO: William H. Jerke, Chair Board of County Commissioners 1 FROM: Mark E. Wallace, MD, MPH, Director O Department of Public Health and Environment COLORADO DATE: January 17, 2008 SUBJECT: State Tobacco Education & Prevention Partnership (STEPP) grant application Enclosed for Board review and approval is the request for funding application for the Colorado Department of Public Health and Environment's State Tobacco Education &Prevention Program (STEPP) grant. The application is for a one year period, July 1, 2008 through June 30, 2009. The total amount requested is $235,484.24. The funding, if received, will allow for the continuation of tobacco education and prevention activities through the Weld County Tobacco Education Program. The goal of the grant is to integrate a comprehensive, evidence-based tobacco program for all Weld County citizens that encourages tobacco-free lifestyles, provides tobacco cessation resources and reaches people who are disparately affected by tobacco. The objectives of this grant is to increase the number of cessation attempts, reduce exposure to second-hand smoke, decrease youth and young adult initiation of tobacco use. Three full-time staff members currently work in the Weld County Tobacco Education Program and no additional staff positions are being requested. I recommend your approval. Enclosure 2008-0238 Kit DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 WEBSITE: www.co.weld.co.uti ADMINISTRATION: (970) 304-6410 1 C FAX: (970) 304-6412 PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420 FAX: (970) 304-6416 ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 COLORADO FAX: (970) 304-6411 Granting Agency: Colorado Department of Public Health and Environment Applicant's Name: Weld County Department of Public Health and Environment Applicant's Address: 1555 N. 17th Avenue Greeley, CO 80631 Applicant's Phone: (970) 304-6420, ext. 2385 Applicant's Fax: (970) 304-6452 Project Title: Weld County Tobacco Education Program Contact Person: Bryce Kyburz, Tobacco Education Program Coordinator Date: July 1, 2008 —June 30, 2009 Amount: $235,484.24 Weld County Department of Public Weld County Board of Commissioners Hea,(th and��iro� R, ?0 -S,,Mark E. Wallace, MD, MPH, Director' Robert D. Masden, Chair P.Y.°JA/ GGII //��/�/��/% IEL Weld County Clerk to the Board 11861 I Iti f :t ' - ,.... hcpbfy C/e: ork- 023g STEPP E P P STATE TOBACCO EDUCATION Sc PREVENTION PARTNERSHIP Local Health Agency Program Non-competitive Continuation Application Part I Agency and Funding Information 1-2 Target Population(s) and County Information 3-4 Certification of Non-Acceptance of Tobacco 5 Industry Funds and Resources Project Abstract 6 State Tobacco Education and Prevention Partnership,Local Health Agency Program Non-competitive Continuation Application Part I Agency Information Please provide your specific agency information and the appropriate contact staff for this project. The agency information must match the agency's information on file with the IRS and the Colorado Secretary of State, as applicable. Agency: Name: Weld County Department of Public Health & Environment Phone: (970) 304-6420 Fax: (970)304-6452 Website: http://www.co.weld.co.us/departments/health/publichealth.html Address: 1555 N. 17th Ave. City, State, Zip Greeley, CO 80631 Federal Employer Identification Number(FEIN): 84 6000 813 Executive Director: Name: Mark E. Wallace Title: Executive Director Phone: (970)304-6410 Fax: (970)304-6412 Email: mwallace@co.weld.co.us Address (if different from agency): City, State, Zip Project Manager or Coordinator: Name: Bryce A. Kyburz Title: Coordinator, Tobacco Education Program Phone: (970)304-6420 ext. 2385 Fax: (970)304-6452 Email: bkyburz@co.weld.co.us Address (if different from agency): City, State, Zip Fiscal or Contracts Manager: Name: Judy M. Nero Title: Business Manager Phone: (970)304-6410 Fax: (970)304-6412 Email: jnero@co.weld.co.us Address (if different from agency): City, State, Zip 1 State Tobacco Education and Prevention Partnership,Local Health Agency Program Non-competitive Continuation Application Part I Type of Agency Please identify the applicant's agency type (check only one): A. Government B. Not-for-Profit ❑ C. Native American Tribe ❑ D. Other(please describe) ❑ Requested Funding Amount Please enter the amount of funding requested. Requested funding amount for the period July 1, 2008—June 30, 2009: $235,484.24 Other Colorado Department of Public Health and Environment Funding Please indicate whether you are currently receiving funding from any of the following CDPHE grant programs (check all that apply): ['Cancer, Cardiovascular Disease and Pulmonary Disease Amount: Competitive Grants Program (CCPD) ®Health Disparities Grants Program (HDGP) Amount: $147,570.88 ❑Colorado Physical Activity and Nutrition Program (COPAN) Amount: ®Women's Wellness Connection (WWC) Amount: $123,000.00 ❑LiveWell Colorado Amount: ❑Tony Grampsas Youth Services (TGYS) Amount: ®Other(please specify): STEPS Amount: $491,155.00 ❑Other(please specify): Amount: Do you intend to apply for funding from any of the CDPHE grant programs listed above for fiscal year 2008-2009. If so,which programs? CCPD,WWC, LiveWell Colorado 2 State Tobacco Education and Prevention Partnership,Local Health Agency Program Non-competitive Continuation Application Part I Target Population(s) and County Information Please estimate the percentage of population your work plan will serve. Race/Ethnicity (2006 Demographic Profile, Upstate Colorado): 2% Asian/Pacific Islander 1% Black/African American 68% Caucasian/Anglo/White 28% Hispanic/Latino 1%Native American/Alaska Native 100% (Total must equal 100 percent) Services Delivered to Age Group (defined by Weld County Tobacco Program): 5% Prenatal 5% Infants/Preschool (birth to less than 6 years old) 10% Children/Elementary School (equal to or greater than age 6 to less than 10 years old) 10% Pre-Adolescent/Middle School (equal to or greater than age 10 to less than 15 years old) 20% Adolescent/High School (equal to or greater than age 15 or less than 18 years old) 30% Young Adult (equal to or greater than age 18 to less than 25 years old) 10% Adult (equal to or greater than age 25 to less than 55 years old) 5% Older Adult (equal to or greater than age 55 to less than 65 years) 5% Senior(equal to or greater than age 65 years old) 100% (Total must equal 100 percent) Special Populations (Populations defined by STEPP,percentage are defined by Weld County Tobacco Program): 7% Gay, lesbian, bisexual and/or transgender 20% Patients with mental and/or physical illness 7% Persons in treatment for substance abuse 60% Low socio-economic status 30% Spit tobacco users 7% Persons living with disabilities % Other(please describe) (Total may not equal 100 percent) 3 State Tobacco Education and Prevention Partnership,Local Health Agency Program Non-competitive Continuation Application Part I Please indicate which of the following county(ies) your project will serve. Adams County n Denver County n Lake County n Phillips County D Alamosa County Fl Dolores County n Larimer County n Pitkin County ❑ Arapahoe County n Douglas County n Las Animas County n Prowers County ❑ Archuleta County n Eagle County n Hinsdale County n Pueblo County ❑ Baca County n El Paso County n Huerfano County n Rio Blanco County ❑ Bent County n Elbert County n Lincoln County n Rio Grande County ❑ Boulder County n Fremont County n Logan County n Routt County ❑ Broomfield County n Garfield County n Mesa County n Saguache County ❑ Chaffee County n Gilpin County n Mineral County n San Juan County ❑ Cheyenne County n Hinsdale County F.] Moffat County n San Miguel County ❑ Clear Creek County n Huerfano County n Montezuma County n Sedgwick County ❑ Conejos County n Jackson County n Montrose County n Summit County ❑ Costilla County n Jefferson County n Morgan County n Teller County ❑ Crowley County n Kiowa County n Otero County n Washington County n Custer County n Kit Carson County n Ouray County n Weld County Delta County n La Plata County n Park County n Yuma County ❑ Moffat yak,°nLarimer Weld I Logan Zs Routt Morgan Rio Blanco Grand M.me Yuma °K ' a Adams W shmtioa Garfield Eagle ,. ', _ r'A,nnahoa _ Elbert Carson Firkin Park l°°""' Carson Delta Gunnison & PPIdsO Lincoln Cheyenne Montrose Fremont <„n Kiowa Pueblo l ``San Miguel� Saguache rumen P Otero Bent R°w'* Dolores y Np o Hoedano 1'°°"�` 1 Giande tie N(La nne°s Las Animas Baca Plata Ann°leu 4 State Tobacco Education and Prevention Partnership,Local Health Agency Program Non-competitive Continuation Application Part I Certification of Non-Acceptance of Tobacco Industry Funds and Resources Please read the following statement, complete and sign the certification. Companies, agencies, or individuals affiliated with or receiving funds and/or resources from any tobacco company or subsidiary are not eligible for this proposal. This certification must be completed by all grantees, contractors, and subcontractors. By signing this statement, the applicant states that no direct or indirect affiliation, contractual relationships, and receipt of funds or resources exist within tobacco companies or owners, affiliates, subsidiaries, holding companies or companies involved in any way in the production, distribution, promotion, sales, or use of tobacco products. CERTIFICATION I, the official named below, hereby swear that I am duly legally authorized to bind the contractor or grant recipient to the certification described above. I am fully aware that this certification, executed on the date below, is made under penalty of perjury under the laws of the State of Colorado. Chairman of the Board: Jan 21 , 2008 Signature Date Robert D. Masden Chair Pro-Tem Printed Name Title Board of Weld County Commis ioners Organization .I 7°dead f+1TL�7: T T. "0r 'q pkWU'{'Y L..ic . 1 r 5 acv '_0;134' State Tobacco Education and Prevention Partnership,Local Health Agency Program Non-competitive Continuation Application Part I Project Abstract Please provide a one page summary description of your proposal including: Agency Name: Weld County Department of Public health & Environment Project Title: Weld County Tobacco Program Proposed STEPP Strategy(ies): I(Systems Integrations), II (Community Coalitions and Local Policy), III (Health Disparities), IV (Media) Evaluation Strategy: Document and monitor Work Plan progress and outcome measures from the Data Collection and Measurement Table indicators. Integrate state/STEPP evaluation strategies at the local level. Collect evaluative data from target populations and program partners. Grant Period: July 1, 2008 —June 30, 2009 Requested funding amount for the period July 1, 2008 to June 30, 2009: $235,484.24 Funds Received from STEPP since July 1, 2005: $714,954.46 (FY 2005, 2006, & 2007) Request Summary: The funding request is to continue and improve tobacco prevention and cessation efforts in Weld County. The program scope includes work in four strategic initiatives. The Work Plan reflects STEPP's strategic plan and the needs of the people in Weld County. Due to Weld County's substantial size, remote municipalities, rapidly growing urban areas, and rate of smokeless tobacco use, an emphasis is placed on working with special tobacco populations. Upon the request of local municipalities and law enforcement, we will continue to assist them with compliance issues and educate them on updates related to the Colorado Clean Indoor Air Act (CCIAA). We will assist Weld County school districts to comply with the Tobacco Free School Law (TFSL) and help institutions of higher education to develop smoke-free campuses when requested. We will distribute media and literature regarding STEPP's media campaigns and cessation programs, provide educational assistance for worksites, healthcare facilities, multi- family housing authorities, and childcare providers and other organizations at their request. 6 Evaluation Strategy The Weld County Tobacco Education Program has an established history of implementing a comprehensive, evidence-based tobacco program. The goals of the Weld County Tobacco Education Program reflect the goals outlined in the STEPP Strategic Plan and the Disparities Strategic Plan. We are submitting an application to address four of the five STEPP strategies. The detailed Work Plan reaches out to all populations within Weld County with emphasis on special tobacco populations that are relevant for our region. Through the quarterly reports, we will track the number of personal contacts with worksites, schools and institutions of higher education, municipalities, local organizations, health professionals and facilities, and law enforcement. We will support our efforts by illustrating the number of new or updated tobacco-related workplaces or living areas. In conjunction with the Department of Revenue - Tobacco Enforcement, we will monitor the compliance rate of local businesses selling tobacco products to minors. We will see an increase in number of Weld County residents who have utilized the Quitline, Fixnixer or Quit Doing It programs and see a decrease in tobacco use. Our evaluation strategy is founded upon a professional and competent staff. Each staff member will be assigned specific areas of focus based on individual's level of interest and expertise. Each staff member will report to the Tobacco Education Supervisor on progress being made on strategic initiatives. Furthermore, the members of the Tobacco-Free Weld County Coalition will provide valuable feedback and guidance to our efforts and provide input into the development of future initiatives that impact the residents of Weld County. State Tobacco Education and Prevention Partnership Grants Program Weld County Tobacco Program Grant Period: July 1, 2008 through June 30,2009 PERSONAL SERVICES: Program Coordinator Provide program administration/evaluation. Maintain and establish partnerships through systems approach to support comprehensive tobacco control initiatives. Responsible for supervision&community networking 1 FTE $71,437.12 Health Educator Responsible for program objectives and outcomes in community systems including work with schools, coalition recruitment and work with community based organizations. Link disparity initiative objectives and information into community system approach and to overall program. Coordination of special events. Program planning. Resource contact for university. 1 FTE $ 68,471.45 Health Educator Responsible for program objectives and outcomes especially with community systems including work with schools, youth organizations, daycares, healthcare providers, overall health care system, networks and community based organizations. Coordination of special events. Program planning. Coalition recruitment. 1 FTE $67,202.67 Total $207,111.24 OPERATING COSTS: Postage/Shipping Specific targeted mailings to partners = $100 Office Supplies General office materials$42 per month = $500 Meeting Expenses 15 coalition and other meetings—20 people/ $150 per mtg = $2,250 Staff Development Conference and other registrations = $500 Other Program Costs Local media buys including radio, newspaper, internet = $1,000 Total $4,350.00 TRAVEL: In-state Mileage for staff contacting and meeting with community members and system partners to effect tobacco control initiatives. Relationship development. Providing education and information. Covering a 4,000 square mile county and trips to Denver 3 staff x 395 miles per month x $0.485 (Standard Weld County rate) $6,900.00 Out-of-state Up to two staff at national conference, Room(2 people @ $100 @ 3 nights),board(2 people @$100/day @ 3 days for food and transfers) and airfare(2 people @ $300) $1,800.00 Total $8,700.00 INDIRECT COSTS: 6.96% of the total direct costs $15,323.00 Total $235,484.24 APPLICATION BUDGET FORM State Tobacco Education&Prevention Grants Program For the period: July 1,2008-June 30,2009 APPLICANT: Weld County Department of Public Health and Environment PROJECT TITLE: Tobacco ProgramKgraeattai a7 Other Source(1) Other Source(2) Enter name here if Enter name here if Requested CDPHE applicable applicable PERSONAL SERVICES FTE Total Monthly Total Monthly #of Employee Name Position on project Salary Benefits Months on project Bryce Kyburz Coordinator 1.00 $4,240.61 $1,507.11 5.5 $31,612.47 $0.00 $0.00 Bryce Kyburz Coordinator 1.00 $4,520.34 $1,606.53 6.5 $39,824.65 $0.00 $000 Cassie Kauffman Health Educator 1.00 4,054.91 $1,441.12 4.5 $24,732.12 $0.00 $0.00 Cassie Kauffman Health Educator 1.00 4,176.05 $1,484.17 1.0 $5,660,22 $0.00 $0.00 Cassie Kauffman Health Educator 1.00 4,322.21 $1,536.11 6.5 $38,079.11 $0.00 $0.00 Kelly Imus Health Educator 1.00 4,054.91 $1,441.12 5.5 $30,228.15 $0.00 $0'00 Kelly Imus Health Educator 1.00 4,196.83_ $1,491.55 6.5 $36,974.52 $0.00 $0.00 0.00 $0.00 $0.00 0.0 $0.00 $0.00 $0.00 Subtotals: 7.00 $207,111.24 $0.00 $0.00 Total Personal Services 3207,111.24 $0.00 $0.00 ,. ..y a a >f r= iL i 3.:x t t::.: T 5`q' :Zi '7 .`- 3_ , aL. *ear`;.., ie:: 'in,re`?va r l)0 a .?F°...tw> ,,:Sv .�o.5 �c.,u, ,as4�. .�. :: -�[a»:. �`>��n fE:,+zs�N. �. ..: '1.- w - DIRECT OPERATING COSTS $0.00 $0.00 $0.00 Printing/Copying $10000 $0.00 $0.00 Postage/Shipping Targeted Mailings to Partners Incentives and educational materials $500.00 $0.00 $0.00 Office plies $225000 $0.00 $0.00 Meeting E Expenses Coalition and other meetings 15 @$150 each Telephone,Fax,Internet Access $0.00 $0.00 $0.00 Rent and Utilities $0.00 $0.00 $0.00 80.00 $0.00 $000 Equipment Staff Development Registrations $500.00 $0.00 $0.00 Other Program Cost Local Media buys $1,000.00 $000 $0.00 84 350.00 80.00 80.00 Total Operating Costs 1� gg �X a�^:c��.:. �! - *$' ;,, ^. '2j m.k4 .�ca�lJe.-!vx„ m'S'u?.. v'.S^-'4 r4s+"x�' a .. ...a��M1-�.� .. _fit ..... .• :. TRAVEL In State 3 staff @ 395 miles/month at.485/mile $6,900.00 $0.00 $0 00 Out of State up tot staff @ national conference $180000 # $000 $0.00 8870000 $0.00 $0.00 Total Travel Costs �c y qur w1. sa"n E"`+:�u a. Vjii;Elliirailldo t '-n eu J ttu"a. ."4mq! "u?"Jv Ara".�i�i 4 "�v.:;m"P;.. SLk .i u0 r'�1. 9s.I 'd_xs. t''Yrlal. 4 ',rya„ :xG: 1,.. o CONTRACTUAL Subcontractors $0.00 $0.00 $0.00 Mini-grants x0.00 $0.00 $0.00 $0.00 80 00 80 00 Total Contractual Costs r _ A _5 a "+ xO"'�,u l ' f � �s„pst„!r•,�*..,:�� .. �x.`lt'=mouse$�„� gm;..s.,'�S v.�4�'d."�''�a«a � .�5S� �*`R.�.1,'h.' ;'0`� ,,..agu �I:a« irl��..a i,�-� �i..r�u�-'LRrr-wu,.a �' ''`q a" ,rte � x r�u_ �.: SUBTOTALS $220,161.24 $0.00 $0.00 'it-d. ^;a`ah, igi.,„u„iiii.. i. as'•= ' llkizxSaSi. a„ggs'i*F oi; eS' .?c ...Y flit4s;d V. '"C:X4,1 q L. iitin INDIRECT COSTS: 7% Direct Costs,less contractual,enter CDPHE approved rate or 10%) $15,323.00 INDIRECT COSTS: 0% Salary and Fringe,enter CDPHE approved rate or 10%) 80.00 INDIRECT COSTS: 0% Salary only,enter CDPHE approved rate or 10%) $0.00 INDIRECT COSTS 2% Contractual only 50.00 Total Indirect Cost(Calculated on Amount Requested from CDPHE Only) 81532300 A n n,,}�.,",v� a.++ r ',fl .y"r a L, '.:?F.c 'a-v 'A.' na :rscv+vm,ifi t' 'f #,r .....«,ww. u., 'tx,} �'` let .. ...z, ''a F' .fir... ;�v.. �....��3.•w'....c...n„�-M.-. ,.,�...u. Pm:Y A'`�ni'.cae �.s.,"04,3. �,.i._ �.. :'.'�..m...a.. ..a_� � �x$ua� Ys�, U"= .,ma a-._. dr TOTAL AMOUNT REQUESTED FROM CDPHE $235,484.24 'Other Please indicate additional revenue if applicable on the summary sheet co 0 O n 0 ONo T u. a� 0 p U z 0 u .L a = O W L j ^^„ 6 R O O t 0 0" u O .5 O uU C O U N •'O a a 3 s0. t CO _ o O 'O CO O C T' Le. c... C C, . ° .0 7.* p G. 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