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HomeMy WebLinkAbout20060494.tiff RESOLUTION RE: APPROVE GRANT APPLICATION FOR PLATICAS PROJECT FOR BREAST CANCER AND AUTHORIZE CHAIR TO SIGN - THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. 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 Grant Application for the Platicas Project for Breast Cancer between 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, and the Susan G. Komen Breast Cancer Foundation, Inc.,commencing April 1, 2006, and ending March 31, 2007, 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 GrantApplication for the Platicas Project for Breast Cancer between 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,and the Susan G. Komen Breast Cancer Foundation, Inc., 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 15th day of February, A.D., 2006. ♦ BOARD OF COUNTY COMMISSIONERS / 4 G ELD CO TY, COLORADO ATTEST: gel, I �;,� ' 452 J. eile, Chair Weld County Clerk to the B Fira XCUSD `�•� +���David E.E Long, Pro-Tem BY: , Cu 1 ��act 6 6 Duty CIe-k to the Board„ Willi H. Jerke APP AS TO FO Robert . Masd ounty Atto ey f�/ t 1• � Glenn Vaad Date of signature: 3i131 l ' 2006-0494 H L0033 ag: f{L (r10u,:(.5) O3- /41-0 ., Memorandum TO: M. J. Geile, Chair ' Board of County Commissioners From: Mark E. Wallace, MD, MPH, Director Department of Public Health & • Environment r 40,f2ecaS COLORADO DATE: February 15, 200:\ SUBJECT: Susan G. Koman Breast Cancer Foundation Grant Application Attached for Board review and approval is the application for the Susan G. Komen Breast Cancer Foundation Grant. The grant period would be for 12 months, April 1, 2006 to March 31, 2007. The grant is for $9,999.61. Weld County Department of Public Health and Environment will use this funding to provide one-on-one and small group education and information about breast cancer prevention and screenings. Presentations will be done at the Swift meat- packing plant. The funding will also provide screening mammograms or ultrasounds for 10 women under the age of 40 who have a 1st degree relative with breast cancer or signs and symptoms of breast cancer. I recommend your approval. Enclosure 2006-0494 . r- 6 DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17`h Avenue Greeley, 80631 WEBSITE: www.co.weld.co.us wilD 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 COLORADO FAX: (970) 304-6411 Granting Agency: Susan G. Komen Breast Cancer Foundation 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. 2382 Applicant's Fax: (970) 304-6416 Project Title: Platicas Project for Cancer Prevention Contact Person: Olivia Martinez Amount: $9,999.61 Date: February 15, 2006 Weld County Department of Public Weld Count Board of Commissioners Health and Environment Mark Wal n acel a ector M. J. G�eile,�C�hair//� �_02/15/2006 Ar Wel ounty Clerk tp the Board I� xk ?�� By: ,(Li UfrXt k tiZZ dt iifte`livi ' it Deput Cle to the Bo rd • a1CC -65/9y 2006 COVER PAGE FOR GRANT PROPOSAL Ni 4NUAt THE NORTH COLORADO AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER FOUNDATION REQUEST FOR FUNDING FOR BREAST HEALTH AND/OR BREAST CANCER PROJECT Olivia Martinez PROJECT DIRECTOR&TITLE Weld County Department of Public Health and INSTITUTE Environment 1555 N. 17th Ave ADDRESS Greeley, CO 80631 PHONE ( 970) 304-6420 ext 2382 FAX (970) 304-6452 omartinez@co.weld.co.us EMAIL Weld County Plkticas Project for Breast Cancer TITLE OF PROJECT $9999.61 TOTAL AMOUNT REQUESTED April 1,2006 to March 31, 2007 GRANT PERIOD SIGNATURE&TITLE OF APPROVING PERSONNEL(OTHER , "_ /// , THAN PROGRAM DIRECTOR) ✓^V^^A �'/c5 'h natt.4, DATE 9, I `j ' O LQ Mark Wallace, MD, MPH NAME&TITLE OF APPROVING Director, Weld County Department of Public INSTITUTIONAL PERSONNEL (TYPED) Health & Environment PLEASE CHECK TYPE OF APPLICATION: X EDUCATION X SCREENING OTREATMENT APPLICATIONS MUST BE POSTMARKED BY FEBRUARY 24, 2006 (Photocopies of this form are acceptable) Project Description 1.This project will continue to provide education about breast self-exam and mammography screenings to low-income Hispanic women in Weld County through one- on-one contacts at local agencies, presentations to established groups, and small gatherings, called platicas, held in homes. The platicas project has been effective and well received by Hispanic women in Weld County for the past three years. This method of health education has been expanded to include diabetes prevention and STD/HIV education platicas, in addition to the original breast health ones. The topics are not combined in one platica, but sometimes the same group will meet three times for three separate platicas because it is such a culturally comfortable way to receive health information. The platicas generally include women who are 40 years old or younger. The hostess invites friends and relatives to the informal educational gathering. Mona's Story, a video about a local breast cancer survivor, and a video about breast self-examination are shown at the platicas and have been well received. The outreach specialist and the project director have both completed the training course to perform and teach the instructional breast self-exam as breast health promotoras. This information can easily be incorporated into the platicas. The outreach specialist will also accompany clients to appointments for screening, if needed, to interpret. During the 2006-2007 grant period, one-on-one contact will continue at the Weld County Department of Social Services (DSS), the Weld County Department of Public Health and Environment (WCDPHE), Monfort Children's Clinic, the Sunrise Dental Clinic and community health fairs. Presentations will continue for Aims Community College ESL (English as a Second Language) classes, Head Start parent groups, and Strengthening Latino Family classes. This part of the project can also be expanded to other health service agencies such as North Colorado Family Medicine, Quick Care, the Weld County South West Services building, and the Salud Family Health Centers in Fort Lupton and Frederick. Initial contact has also been made with workers at the Swift meat-packing plant. One-on- one contacts have been done with many employees, and there is now interest in classes or platicas, which would be scheduled right after work. Women will be provided a healthy snack to enjoy while they participate in health education at the worksite. Again during the 2006-2007 grant year, part of the funds from the Susan G. Komen Grant will be used to provide vouchers for a free screening mammogram for 10 women who do not meet the age requirements for the CWCCI program, but have signs and symptoms of breast cancer or a first-degree relative with breast cancer. Women who meet the criteria (50 years of age and older or 40-49 years of age with signs and symptoms of breast cancer or a first-degree relative with breast cancer) are offered an appointment for a free mammogram funded by the Colorado Women's Cancer Control Initiative. 2. Data from the Colorado Central Cancer Registry show there were 13 reported new cases of breast cancer in Hispanic women in Weld County in 2004, compared with 20 cases in 2003. There were three Hispanic women in Weld County who died from breast cancer in both 2003 and 2004. According to the Susan G. Komen Breast Cancer Foundation National Hispanic/Latino Advisory Council, breast cancer is less common among Hispanic/Latino women than Caucasian women, approximately 70 per 100,000. However, it is the leading cause of death for Hispanic women. The five-year survival rates remain lower for Hispanic/Latino women than those in other ethnic groups. The reason may be attributable to the fact that Latinos are more likely to be diagnosed at a later stage when tumors are larger and harder to treat. Education about breast cancer screening is a particular challenge in this population because there are few bilingual education programs and many women do not have health insurance or screening is not covered by their insurance. There are also cultural barriers that prevent Hispanic women from getting screened. Doing breast self-examinations, physical exams by male physicians, and fear of pain with mammography are examples of barriers. This project addresses these barriers and takes breast cancer education to the Hispanic woman in a culturally acceptable format, one-on- one in their homes with family and friends, and in established group meetings that they already attend. Thirty percent of Weld County's population is Hispanic and the female Hispanic population in Weld County was 23,143 in 2000. This population is growing each year and this project will build on the progress that's been made in breast cancer education and screening in Weld County. 3. The people to be served with this grant are primarily low-income Hispanic women in Weld County. A minimum of 35 women will have one-on-one contact with the program outreach specialist each week, or 1260 women during the grant year. One-on-one contacts will be done three weeks each month. (3 weeks x 12 months x 35 women= 1260 women). During the 2005-2006 grant year, the project outreach specialist has been able to meet or exceed this goal by doing one-on-one outreach in more locations. Group presentations to Head Start parent groups, ESL classes, and Strengthening Latino Family classes will continue to be done, averaging at least one presentation each month, with an average of 10 attendees at each presentation. That will reach an additional 120 women. The platicas discussion groups about breast health will be held monthly with a minimum of six women attending each one. (12 platicas x 6 women= 72 women) Through these programs nearly 1400 low-income Hispanic women will be contacted personally about breast cancer screening during the 2006-2007 grant year. This will help to increase knowledge of breast cancer screenings and may lead to earlier detection and higher survival rates among Latino women in Weld County. 4. Objective 1: 35 women a week will be contact one-on-one about breast self exam and mammograms in the waiting areas of the Social Services buildings, the Health Department, Monfort Children's Clinic, Sunrise Dental Clinic, and community health fairs. Of the 35, at least three will sign up for mammograms and PAP test offered by CWCCI and at least one will sign up to host a platica. Measure of accomplishment: The outreach specialist will spend four hours per week, three weeks each month, contacting women at cooperating agencies and events. Records will be kept on the number of women contacted, referred to CWCCI for screenings, and scheduled to host platicas. Objective 2: Twelve discussion groups, or platicas, will be held in homes of Hispanic women during the grant year. Women who attend the platicas will receive educational materials, such as the shower card, bookmarks, and brochures related to breast health. Measure of accomplishment: Records of the groups, attendance sheets and evaluations will be kept. Objective 3: Twelve presentations to groups about breast health and breast self-exams will be done during the grant year. Educational materials will be distributed and volunteers to host platicas will be solicited. Measure of accomplishment: A list of presentations and number of attendees will be kept. Objective 4: Ten (10) vouchers for free screening mammograms or ultrasounds will be distributed to women under the age of 40 with a ls` degree relative with breast cancer or signs and symptoms of breast cancer. These women will be identified in the one-on-one contacts, the group presentations and the platicas. The women will be referred to Planned Parenthood for a clinical breast exam and then given a voucher for a mammogram at the Summit View Medical Commons if the health care provider determines there is a reason for further study. Measure of accomplishment: A record will be kept of the women provided with referrals for clinical breast exams and vouchers for screening mammograms. Objective 5: Six (6) classes about breast health will be conducted for employees at the Swift meat packing plant right after work. Measure of accomplishment: A list of presentations and numbers of attendees will be kept. 5. This project is an expansion of the Colorado Women's Cancer Control Initiative (CWCCI) program currently housed at the Weld County Department of Public Health and Environment, and a continuation and expansion of the platicas project funded by a Susan G. Komen grant during the past three years. Because the CWCCI position is now full-time, a bilingual, bicultural outreach specialist has been contracted to continue the platicas project. She is an experienced educator and has been able to successfully continue the program. The platicas programs have been well received in the Greeley-Evans area. This grant year,platicas have also been done in Ault, Gilcrest, and Galeton. During the upcoming year, it is planned to expand the platicas to other areas of Weld County that have a significant Hispanic population, such as Fort Lupton and Wattenberg. The ability to offer free clinical breast exams and screening mammograms to younger low-income Hispanic women with a lst degree relative with breast cancer or signs and symptoms of breast cancer will provide this important screening to more women at risk of developing breast cancer. The CWCCI Project Director identified the need for mammograms for this group as a result of hotline calls, screenings, and community outreach. 6. Because this program has been in place for nearly three years, many important relationships with other agencies and community groups have been established. The Susan G. Komen grant will enable the platicas project to continue uninterrupted. The outreach specialist will continue to divide her time to include three weeks each month of one-on-one contacts in waiting areas at DSS, WCDPHE, MCC and the Sunrise Dental Clinic. The addition of the after-work classes at Swift meat-packing plant will be an opportunity to provide health education to a hard-to-reach population: low-income working Hispanic women. Community groups will be contacted to schedule presentations, with an average of one every month. Hostesses for platicas will be recruited so that a platica is held every month. 7. Many community agencies will continue to be collaborators with the Weld County Department of Public Health and Environment to ensure the success of the platicas project. The Department of Social Services (DSS), Monfort Children's Clinic (MCC), Sunrise Dental Clinic are very willing to have the outreach specialist talk discreetly with their clients in the waiting areas. Many community groups, such as the Head Start Parent Groups, elementary school parent groups, Strengthening Latino Families classes, Aims Community College and faith-based ESL (English as a Second Language) classes have invited the project director and outreach specialist to do presentations. With a Susan G. Komen grant to provide clinical breast exams at no cost to the patients referred through this project, there is a good collaboration between two grant recipients. 8. If, or when, Susan G. Komen grant funds are no longer available for the platicas project, other funding sources will be identified. The project director is funded with CWCCI funds and is instrumental in the success of the platicas project because of her knowledge of the community and the resources. 9. No other group in Weld County is doing platicas related to breast health. As an extension of this project, a group of Hispanic women were trained to be promotoras for breast health, and have started to host their own platicas. This expands the outreach of information and education to a wider circle of women. There are other programs that provide education about breast cancer to English-speaking groups, such as the Woman-to-Woman presentations that members of the Weld Women's Health Consortium do for various groups in the community. The platicas project fills an educational need for women who use Spanish as their primary language. 10. Success of the program is most easily measured by numbers of women who are contacted one-on-one, or the number of presentations given to community groups, or number of platicas held. However, the real success will be an increased number of women who are doing breast self-exams and getting regular mammograms, leading to earlier detection and treatment of breast cancer and fewer women in Weld County dying from breast cancer. Success of the program is also measured by increased outreach to low-income Hispanic women in Weld County about breast health, leading to increased awareness and interest in healthier lifestyles. Other programs which complement the platicas project, such as diabetes prevention and STD/HIV awareness, can then be introduced to the women and their families who have already made important choices and changes for better health. Comments from the women who have attended a platica are very positive: • "This platica is very important for our family; it is the only way we can be informed of how to have better health and how we can protect ourselves." • "I liked the information about how and when to do breast self-exams and where to go for assistance if we notice a problem." • "I liked everything about the platica, especially the explanation on the proper way to do the breast self exam." 11. The results of this project are incorporated into statewide cancer control programs such as CWCCI. If one-on-one and small group education continues to be successful, more funds can be directed to those formats. The platicas project outreach coordinator has been the co-host on a local Spanish language radio station Health talk Show to discuss the program and provide information and education. The project coordinator has written articles about platicas and breast health for La Tribuna, the free weekly Spanish language newspaper in the region. The "ripple effect" of health education also plays a role in this project. Women who are educated about good health pass that information on to their family and friends. 2006 ABSTRACT PAGE Olivia Martinez PROJECT DIRECTOR Weld County Department of Public Health and ORGANIZATION/INSTITUTION Environment In the space below, please provide a short abstract, not to exceed 200 words, written in lay terms for release to the general public should this application be chosen for funding. THE WELD COUNTY PLATICAS PROJECT FOR BREAST HEALTH WILL INCLUDE THREE METHODS OF EDUCATING LOW-INCOME HISPANIC WOMEN ABOUT BREAST HEALTH, AS WELL AS PROVIDE FREE SCREENING MAMMOGRAMS OR ULTRASOUNDS TO 10 WOMEN WHO ARE UNDER 40 YEARS OLD AND HAVE A 1ST DEGREE RELATIVE WITH BREAST CANCER OR SIGNS AND SYMPTMS OR BREAST CANCER. A BILINGUAL, BICULTURAL OUTREACH SPECIALIST WILL PROVIDE ONE-ON- ONE EDUCATION AND INFORMATION TO WOMEN IN WAITING AREAS OF HEALTH AND SOCIAL SERVICE AGENCIES, GIVE PRESENTATIONS TO COMMUNITY GROUPS, AND TEACH BREAST SELF- EXAM AND LEAD DISCUSSIONS ABOUT BREAST HEALTH WITH SMALL GROUPS OF WOMEN, THE PLATICAS . THIS SUCCESSFUL PROGRAM WILL BE EXPANDED TO INCLUDE WOMEN WHO LIVE IN THE SMALLER COMMUNITIES OF WELD COUNTY,AS WELL AS WOMEN WHO WORK AT THE SWIFT MEAT-PACKING PLANT. BCCCP PROVIDER? ❑ YES X No Low Income Latino women TARGET POPULATION ABSTRACT Permission to publish: Permission is hereby granted to the Susan G. Komen Breast Cancer Foundation, Inc. to publish the above abstract should this application be selected for funding. SIGNATURE February 15, 2006 DATE Olivia Martinez NAME (TYPED) 970-304-420 ext 2384 PHONE NUMBER 2006 BIOSKETCH FORM Martinez, Olivia PROJECT DIRECTOR(Last Name,First,Middle) BIOGRAPHICAL INFORMATION Information should be submitted for the project director and other personnel included in budget request. Please use a separate form for each person. NAME OLIVIA MARTINEZ TITLE HEALTH EDUCATION SPECIALIST EDUCATION (Begin with baccalaureate or initial professional education, such as nursing, include postdoctoral training) INSTITUTION DEGREE YEAR FIELD OF (Indicate Location) CONFERRED STUDY University of Northern Colorado Bachelor of 2000 Public Health Greeley, CO Science PROFESSIONAL EXPERIENCE: Please list, in chronological order, concluding with present position, previous employment, experience and honors. List, in chronological order, the titles, authors and complete references to all publications during the past three years and to representative earlier publications pertinent to this application. DO NOT EXCEED Two PAGES See second page. PROFESSIONAL EXPERIENCE: Nursing Student Practicum, North Colorado Medical Center, Greeley CO(Sept. 1996-May 1999). Provide patient care in a hospital setting under instructor's supervision. Provide patient care at Monfort Children's Clinic with supervision. Community Health Practicum, Nutrition Educator, CSU Cooperative Extension, Greeley, CO (July-Oct. 1999). Assist with provision of nutrition education for needy eligible community members. Health Intern, Weld County Department of Public Health, Health Promotion, Greeley, CO (Jan.-May 2000). Translate to Spanish Prenatal Plus educational materials. Attend coalition and staff meetings. Assist with development of work plan for Abstinence Education Program. Write article for the Greeley Tribune. Develop pamphlets, brochures, flyers, and posters on health programs. Clerical Assistant, University of Northern CO, Human Relations/Ombudsmen, Greeley CO (June 1996-May 1999). Clerical and receptionist duties: answer telephone, file, archive, copy, collate, and distribute Position Authorization Forms to appropriate personnel, sort mail and type letters and memos. • Health Education Specialist, Weld County Dept. of Public Health, Health Promotions, Greeley CO (May 08, 2000-Sept. 23, 2002). Assist with planning, administration and implementation of outreach activities to educate teens on abstinence. Implement nutrition classes at the Jesus Rodarte Cultural Center. Implement General Health Education duties as assigned. Community Outreach Coordinator, Colorado Women's Cancer Control Initiative,Weld County Dept. of Public Health, Health Promotions, Greeley CO (March 19, 2001-Present). Plan and implement outreach activities to recruit eligible women for cancer screenings. Consortium building to facilitate health care services for women. Evaluate program progress and report to State Health Department. Administration of program budget. Media collaboration to promote program. Assist in other health promotion projects as needed. Weld County Platicas Project Director,Weld County Dept. of Public Health, Health Promotions, Greeley CO (April 01, 2003-Present). Coordinate the Platicas Project. Contact possible eligible women for CWCCI, screen women for program eligibility, and refer to health care provider for breast cancer screenings. Evaluate program progress and report to Susan G. Komen Foundation. Program budget administration. BIOGRAPHICAL INFORMATION Information should be submitted for the project director and other personnel included in budget request. Please use a separate form for each person. NAME OFELIA OROZCO TITLE PLATICAS PROJECT OUTREACH SPECIALIST EDUCATION (Begin with baccalaureate or initial professional education, such as nursing, include postdoctoral training) INSTITUTION DEGREE YEAR FIELD OF (Indicate Location) CONFERRED STUDY ATT, Community College 2001 GED Aims Community College 2004 Early Child Development PROFESSIONAL EXPERIENCE: Please list, in chronological order, concluding with present position, previous employment, experience and honors. List, in chronological order, the titles, authors and complete references to all publications during the past three years and to representative earlier publications pertinent to this application. Do NOT EXCEED Two PAGES Professional Experience: Customer Service Representative,Wal-Mart Las Cruces, New Mexico (August 2000 to May 2001). Provide customer service to customers with questions regarding products. Stock merchandise products on shelves. Perform inventory on all shelves in assigned area for the day. Translate for Spanish speaking customers. Assist with the location of items on shelves and in back stock. Take orders for certain items. Assist with clean up when necessary. Cafeteria Aide, Las Cruces Public School, New Mexico (August 2000 to May 2001). Prepare nutritious meals following the food pyramid for breakfast and lunch. Follow instructions on receipt cards. Serve children appropriate portion size of every food group. Supervise the children ages 1 to 5 year. Create and monitor activities throughout the day. Family Advisor, Bright Beginnings,Ameri-Corps Member, Greeley CO (November 2,2001 to July 19,2003). Advise Monolingual, non English speaking parents of current family matters such as car seat and house safety, how to spend time teaching and reading to their children. Provide information to parents about house safety such as locks for cabinet doors, keeping medicine&other chemicals out of reach of children and bath equipment safety. Refer families to Partner agencies that can provide assistance for their specific needs. Provide postpartum depression information to new mothers. Deliver information on how to stimulate the baby's brain with music and play. Encourage mothers to become more active in their child's life. Distribute instruction books on learning activities& learning toys to help the parents teach their children. Platicas Project Outreach Specialist,Weld County Department of Public Health, Greeley, CO(July 12,2004 to Present). Provide presentations on breast health to small groups in the community. Contact women one-on-one to provide information on breast health screenings and community resources. Inform public on breast cancer issues through radio interviews. Cerificates CPR Certified (for adult, infant and older children) Certificate of Appreciation in recognition of contributions to Colorado Bright Beginnings Certificate of Completion for Physical Fitness Testing&TEKS Connections Certificate of Attendance for 7-hours in training for Colorado Parents As Teachers & Nurturing Ourselves and Others& Program Quality/Assessment Larimer Center for Mental Health &Centennial BOCES--Satisfactory Completion of the Strengthening Latino Families Training Denver Children's Advocacy Center--Certificate for the completion of The Impact of Adverse Experiences on the Developing Child &Implications for Practice and Policy Training AIMS Community College Attendance Certificate for Early Childhood Summer Seminar Juntas Contra el Cancer del Seno Promotora Training Certificate a training course to perform/teach the Instructional Breast Self Exam as a Breast Health Promotora 2006 BUDGET FORM GRANT APPLICATION REQUIRED BUDGET FORM DETAILED BUDGET FOR FROM THROUGH ENTIRE BUDGET PERIOD 4/1/2006 3/31/2007 PERSONNEL TYPE APPT. % BASE DOLLAR AMOUNT REQUESTED (MUST BE SPECIFIC TO PROJECT) (MONTHS) EFFORT SALARY ON PROJECT NAME ROLE SALARY FRINGE TOTALS ON REQUESTED BENEFIT PROJECT OFELIA OUTREACH 8 HOURS 100% $15/HR $6,240.00 NONE $6,240.00 OROZCO SPECIALIST PER WEEK SUBTOTALS $6,240.00 0 $6,240.00 SUPPLIES(ITEMIZE BY CATEGORY) $40 PER HOSTESS FOR THE PLATICAS IN THE HOMES $ 480.00 12 PLATICAS DURING GRANT PERIOD SNACKS FOR CLASSES HELP FOR EMPLOYEES AT SWIFT MEAT PACKING PLANT 200.00 EQUIPMENT(NOT TO EXCEED 30% OF DIRECT COST) N/A TRAVEL 1174 MILES @ 42.5 CENTS PER MILE $498.95 PATIENT CARE COSTS INPATIENT OUTPATIENT 10 SCREENING MAMMOGRAMS OR ULTRASOUNDS @$167.16 EACH $1671.60 OTHER EXPENSES(ITEMIZE BY CATEGORY) SMALL GIFTS FOR PLATICAS ATTENDEES SUPPPLIED BY CWCCI 00 SUBTOTAL-DIRECT COSTS $9,090.55 INDIRECT COST ALLOCATION(NOT TO EXCEED 10%) $ 909.06 TOTAL FUNDING REQUEST $9,999.61 PLEASE ATTACH BUDGET JUSTIFICATION Budget Justification: Personnel: Ofelia Orozco, the bilingual and bicultural Outreach Specialist, is contracted with the Weld County Department of Public Health and Environment for $15/hr to implement the platicas. Because of more community presentations and the outreach to the employees at Swift meat-packing plant, her hours will be increased to eight per week (from seven). The CWCCI Project Director, Olivia Martinez, will supervise the grant and provide written reports for the Susan G. Komen grant on an in-kind funding basis. Supplies: Each hostess is given a $40 WalMart gift certificate to provide refreshments and as an incentive to invite friends and family members to the platica in her home. Twelve plkticas are included in the Susan G. Komen grant funding. Funding has also been included to provide healthy refreshments for the Swift employees who attend the presentations at the end of their shifts. Travel: Mileage reimbursement from the Weld County Government has increased to 42.5 cents per mile. Since the grant includes more outreach to areas outside "greater Greeley" and the limit for the 2005 grant was reached before the end of the grant, the mileage amount has been doubled for this grant application. Patient Care Costs—Outpatient: Vouchers for mammograms or ultrasounds will be provided to women under 40 years of age who have a ls` degree relative with breast cancer or signs and symptoms of breast cancer. These women are not eligible for the mammograms provided by CWCCI. The women will be identified through the one-on-one contacts and the platicas. The women will be referred to Planned Parenthood for a clinical breast exam. Planned Parenthood has received a Susan G. Komen grant to provide clinical breast exams for low-income women, so this will fit well with their project. The Summitview Medical Commons (Banner Health) has agreed to provide the mammograms for $167.16 each(2004 CPT approved codes with Medicare rates CWCCI approved services— 8/04) The number of vouchers has been decreased from the 2005 grant because not all of the vouchers were used during the previous grant period. Indirect Costs: County policy requires indirect costs to be allocated for each grant to cover utilities, business office, purchasing support, computer support and housekeeping. List of other sources of current funding for the proiect: 1. CWCCI pays for the platicas Project Director to maintain the data, schedule appointments for qualifying women. It also pays for additional educational materials such as brochures on the CWCCI program. 2. WCDPHE provides the office space, meeting space, a computer and printer and audio-visual equipment. 3. WCDPHE also provides the support of the health promotion supervisor and an office technician to meet the project goals. POLITICAL SUBDIVISION EXEMPTION CERTIFICATE (For use by States, Territories, or Political Subdivision thereof, or the District of Columbia) The undersigned hereby certifies that she is Controller of Weld County Government and that she is authorized to execute this certificate and that articles/services purchased from are for the exclusive use of Weld County Government. It is understood that the exemption from tax in the case of sales or articles under this exemption certificate to the State, Territory, or Political Subdivision or District of Columbia is limited to the sale of the article purchased for their exclusive use, and it is agreed that if articles purchased tax-free under exemption certificates are used otherwise or are sold to employees or others, such fact must be reported to the manufacturer of the articles covered by this certificate. It is also understood that the fraudulent use of this certificate to secure exemption will subject the undersigned and all parties making use of this certificate to all applicable criminal penalties under the Internal Revenue Code. COLORADO SALES TAX CERTIFICATION OF EXEMPTION NUMBER- 98-03551 FEDERAL TAX EXEMPTION NUMBER- 84-6000813 - STATE TAX IDENTIFICATION NUMBER - 14-02101 BY "419PC/,r_11aQ 9. ALL' kJ Responses to comments about Platicas Project for Cancer Prevention grant Weld County Department of Public Health and Environment Clarification of project description and abstract—a restatement of paragraph five in the Project Description Again during the 2006-2007 grant year, part of the funds from the Susan G. Komen Grant will be used to provide vouchers for a free screening mammogram or ultrasound for 10 women ages 39 and younger who have signs and symptoms of breast cancer or a first- degree relative with breast cancer, but do not meet the age requirements for CWCCI program. Women who meet the criteria(50 years of age and older or 40-49 years of age with signs and symptoms of breast cancer or a first-degree relative with breast cancer) are offered an appointment for a free mammogram funded by the Colorado Women's Cancer Control Initiative (CWCCI). Clarification of the seamless design of service and who is providing the voucher: The outreach specialist for the Platicas Project identifies women who meet the criteria (39 years or younger with signs and symptoms of breast cancer or a first-degree relative with breast cancer) at platicas, presentations or other educational activities. She has them complete a registration form. This information is provided to the Project Coordinator who sets up an appointment for the woman at Planned Parenthood for a clinical breast exam. (Planned Parenthood has a Susan G. Komen grant to provide clinical breast exams.) If the health care professional at Planned Parenthood determines that a mammogram or ultrasound is needed, a voucher is given to the woman, and referral is made to NCMC Radiology at Summitview. Funds from this grant will be used to pay for the procedures at Summitview. This procedure was established for CWCCI clients and works well. Clarification of the personnel time commitment for the project: A flexible schedule for the Outreach Specialist includes one-on-one contacts, one platica a month, one presentation a month, and office time to set up the outreach and make follow-up contacts. If it were a 40-hour work week, it would be 12 hours of office time, 22 hours of one-on-one outreach, three hours for a platica, three hours for a presentation. Typically, the outreach specialist works a five week rotation: Week one: 8 hours one-on-one outreach Week two: 5 hours one-on-one outreach and 3 hours for a platica Week three: 4 hours in the office and 4 hours one-on-one outreach Week four: 5 hours one-on-one outreach and 3 hours for a presentation Week five: 8 hours in the office. This is the allocation of time that has been used previously for this position and seems to work well. Hello