HomeMy WebLinkAbout20022396.tiff RESOLUTION
RE: APPROVE TASK ORDER FOR MATERNAL AND CHILD HEALTH SERVICES 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 Task Order for Maternal and Child
Health Services 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 Colorado Department of Public Health and Environment,
commencing October 1, 2002, and ending September 30, 2003, with further terms and
conditions being as stated in said task order, and
WHEREAS, after review, the Board deems it advisable to approve said task order, 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 Task Order for Maternal and Child Health Services 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 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 task order.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 4th day of September, A.D., 2002.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: /�%/�% ;.�`� EXCUSED
-� Gle'n Vaad, Chair
Weld County Clerk *°tF th✓ - tat-
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cf s -,r .,
BY: :t- bdd '� n , d
Davi. /ong, Pro-Te
Deputy Clerk to the Bo- =`=r—
M. . Geile
APP AS t }'/
• liam H. Jerke
unty Attorney ,.Q 1\0,
Robert. Masden
Date of signature: 10
2002-2396
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STATE OF COLORADO
Bill Owens,Governor
r Jane E.Norton,Executive Director 4,pFCo��
Dedicated to protecting and improving the health and environment of the people of Colorado H%/ o
4300 Cherry Creek Dr.S. Laboratory and Radiation Services Division ;v\ I»'
Denver,Colorado 80246-1530 8100 Lowry Blvd. s ran IF
Phone(303)692-2000 Denver,Colorado 80230-6928
TDD Line(303)691-7700 (303)692-3090 Colorado Department
Located in Glendale,Colorado of Public Health
http✓/www.cdphe.state.co.us and Environment
August 20,2002 Task Order Renewal Letter
Task Order Renewal Letter Number 01 Contract Routing Number 03 FAA 00454
State Fiscal Year 2003-2004, Maternal and Child Health(MCH)Program
Pursuant to Part F.3.of the Master Contract with contract routing number 00 FAA 00008 and paragraph E_9.of the Task Order with
contract routing number 02 FAA 00544 and contract encumbrance number PO FAA MCH0200544.hereinafter referred to as the
"Original Task Order"(a copy of which is attached hereto and by this reference incorporated herein and made a part hereof)between the
State of Colorado,Department of Public Health and Environment and the Board of County Commissioners of Weld County, for the
renewal term from October 1,2002,through September 30,2003,the parties agree that the maximum amount payable by the State for the
eligible services referenced in Part C of the Original Task Order is increased by ONE HUNDRED FOURTEEN THOUSAND EIGHT
HUNDRED TWENTY THREE DOLLARS,($114,823.00)for a new total financial obligation of the State of TWO HUNDRED
TWENTY NINE THOUSAND SIX HUNDRED FORTY SIX DOLLARS,($229,646.00). The Scope of Work,which is attached
hereto as"Attachment 1",is incorporated herein by this reference and made a part hereof. The first sentence in Part C of the Original
Task Order is hereby modified accordingly. All other terms and conditions of the Original Task Order are reaffirmed. The proposed
effective date of this Task Order Renewal Letter is October 1,2002. However,in accordance with section 24-30-202,C.R.S.,as amended,
in no event shall this Task Order Renewal Letter be deemed valid until it shall have been approved by the State Controller or such assistant
as he may designate.
Please sign,date,and return all four(4)originals of this Task Order Renewal Letter by September 6.2002 to the attention of:Lee
Joseph,Colorado Department of Public Health and Environment,4300 Cherry Creek Drive South,Denver,Colorado 80246-1530,
Mail Code:PSD-MCH-A4. One original of this Task Order Renewal Letter will be returned to you when fully approved.
Board of County Commissioners of Weld County STATE OF COLORADO
Bill Owens,Governor
(a political subdivision of the state of Colorado)
By: \ c.Y �\ • By: If�
Name: _Da d E. Lon• I For the Execu v Director
Title: Chair ' .— - " DEPARTME F PUBLIC HEALTH
FEIN: 84-6000813 AND ENVIRO ENT
Date: 09 04 2002
FOR THE STATE CONTROLLER: PROGRAM APPROVAL:
Arthur L.Barnhart,State Controller
By: �j. < — . By:
Date: q/3 0/6 WELD COUNTY DEPARTMENT OF -
P LIC HH,EA,L� i
TnHAN ENV MENT
BY: -"
H:DOCUMENT\FY2003\MCH\WeIdDRAFTMCH03-Task Order Renewal Later dec Mark E. Wallace, MD, MPH-Director
aoo;t-,2 R b
ATTACHMENT 1
Weld County Health Department
MCH Plan
October 1, 2002 -September 30, 2003
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
PERINATAL PLAN FOR FEDERAL FISCAL YEAR 2003
INTRODUCTION
Significant changes in community problem solving have emerged due to frustration with
the same problems coming up again. The "Kids Count"report shows the same low
percentage of women receiving prenatal care in the first trimester of pregnancy and high
fertility rate for 15 to 17 year olds. Weld County acknowledges that this is a community
problem and not just a Health Department problem. Agencies and clinics are revaluating
what they have been doing and are talking about changing the status quo. What it comes
down to is when do you stop doing the same things over and over and expecting different
results?Many agencies and community members have been working hard on these issues
and are tired of not seeing improvement in the indicators. However,this frustration and a
hard look at the system in this County stimulated the community to take new actions.
Agencies that typically have not worked together are starting to join forces to solve these
problems. The status report shows how these community entities formed and what they
are working on. It is encouraging to see barriers begin to break down and collaboration
happen. The Promises for Children and WECAN teen pregnancy prevention project show
a new unity in the community.
The priority needs have not changed from the previous plan. As indicated in the report
and introduction, the community and WCDPHE are committed to seeing these issues
through. The objectives and activities for the 2002 plan have not yet reached the time
lines indicated. In addition, these issues cannot be turned around quickly. The Strategic
Plan for WCDPHE is in alignment with these priority issues as well. Our Strategic Plan
was developed by all staff and is supported by our Board of County Commissioners. The
capacity of the Sunrise Community Health Center to serve uninsured low-income women
is still presenting pressure on the medical system and calls for fortification of the prenatal
care services to that population. In summary, there is support to continue these efforts
from staff, community agencies, and families to continue working on the priorities
identified.
Priority Need: Increase the number of women in Weld County who receive
prenatal care in their first trimester of pregnancy. (We see our role in assisting the
county to reach this goal as well.) The reason that 78% of the MCH funds are going to
prenatal care is that we contract that amount to Cottonwood Pointe Clinic. This delivery
of prenatal care is for 100 to 200 women per year. As you can guess this does not cover
all the expenses for that care, but this is the most cost effective approach that has been
found so far. Sunrise Community Health Center serves around 800 pregnant women per
year and struggles with a small facility to meet that need. There are no other providers in
the Greeley region that will serve low income, undocumented women. The
undocumented women are not able to qualify for the public health funded coverage for all
their prenatal needs. There are over 2100 babies delivered at North Colorado Medical
Center every year. About half of the deliveries are to Sunrise and Cottonwood Pointe
women combined. Our support of prenatal care services helps provide access to prenatal
care for undocumented women. Without this support there would be even more women
unable to obtain inadequate prenatal care.
Program objective: WCDPHE will Implement two strategies from best practices to
increase early entry into prenatal care to 70%by December 31, 2003.
Activities:
1. One best practice is the maintenance of Presumptive Eligibility(PE) Sites to
assist women with enrollment into Medicaid. We will provide onsite PE
during department business hours and direct prenatal referral services to 450
women by September 30, 2003.
2. Contract at least $89,562.00 of the MCH funds to Cottonwood Pointe for
Prenatal Care to serve 200 women by September 31, 2003.
Program objective: Obtain the results from the Prams over sample in Weld County by
October 1, 2002.
Activities:
1. One new strategy or system change will be identified to decrease prenatal care
barriers by September 31, 2003.
2. A report with the over sample results and recommendations will be presented to
each member of the NCA by September 31, 2003.
Types of Activities: Enabling and Infrastructure Building
Monitoring:
1. Number of women who receive PE/referral services
2. Number of women who receive prenatal care at Cottonwood Pointe
3. Data results from the Prams over sample will be reported to the NCA.
Evaluation:
1. Women who receive PE/referral services will be at least 450.
2. Women who receive prenatal care will be at least 200.
3. One strategy or system change will be implemented by the NCA
Priority Need: The teen fertility rate of 15-17 year olds in Weld County will be reduced
to 41.9 births per 1,000 females by December 31, 2005.
Program objective: By September 30, 2003, implement the Abstinence Education
Clinical Intervention in at least one nursing clinic for adolescent clients at the WCDPHE.
Activities:
1. Plan and coordinate pilot project in one nursing clinic by
December 31, 2002.
2. Train two nurses in the Abstinence Education Clinical Intervention by
March 31,2003. These nurses will provide the Medical Model for Sexual
Cessation with teenagers that visit the Health Department for
STD/contraceptive care.
2. One clinic nurse will be trained by December 31, 2002 in the male sexual
responsibility curriculum called "Wise Guys". Clinic staff will receive
information/training from this nurse to include this perspective to teenage
male clients who seek services for STDs.
3. Two parent education programs will be conducted regarding"Walking to
Your Child/Adolescent About Sex"by September 30, 2003.
Monitoring:
1. There will be 100 clients participating in the Abstinence education medical
Intervention at WCDPHE clinics. This will be tracked through a log kept
by the participating staff.
2. There will be 75 adolescent males who utilize STD clinic services
receiving education on male sexual responsibility. This will be tracked
through a log kept by participating staff.
3. The will be 100 parent education programs on adolescent sexuality
communication. This will be monitored through registration lists.
Evaluation:
1. Collect quantitative and qualitative feedback from adolescent clients on
Short-term and intermediate outcome achievement(Measurement tools to
be developed).
2. Compare the teen fertility rate for 15 to 17 year olds in Weld County from
1999 to December 31, 2005. This will be obtained from CDPHE MCH
Data Sets.
3. Chlamydia rates for 15 to 17 year olds in Weld County will be compared
from 1999 to December 31, 2005.
Child Health Local Plan FFY 2003
The Department of transportation reports 59 million children under the age of 15
in the year 2000. Twenty-one percent of this population was in the 0— 14 age group.
During 2000, 8,145 passenger vehicle occupants under 15 years old were involved in
fatal crashes. 56% of the children who were fatally injured were unrestrained and were of
the following age groups: 27 %were ages 0—4, 36% were ages 5 —9,and 44 %were
ages 10— 14. Research on the effectiveness of child safety seats has found them to
reduce fatal injury by 71 % for infants less than 1 year old, and by 54 % for toddlers 1 —
4 years old in passenger cars.'
In 2000 there were 529 passenger vehicle occupant fatalities among children
under 5 years of age. An estimated 251 of these fatalities, or 47%, were totally
unrestrained. From 1975 to 2000, an estimated 4,816 lives were saved by the use of
child restraints (child safety seats or adult belts). In 2000, an estimated 316 children were
saved as a result of child restraint use. Unfortunately Weld County Drive Smart Coalition
reports 90%of child safety seats are installed incorrectly Failure to read the child safety
seat instructions, in addition to vehicle owner manual instructions regarding safety belts,
could result in serious injury or death. This is a result of a failure of the child safety seat
to be securely and/or properly restrained2
In 1998- 2000 State of Colorado MCH data measured the rate of deaths per
100,000 children ages 0—14 caused by motor vehicle crashes. Weld County measured
7.5 compared to Colorado's measure of 4.4.3
Locally, in Greeley, there are 2 fife stations who have car seat safety technicians
on staff available to the public to inspect child safety seats. Citizens can make an
appointment at the fire stations, but the appointment may be cancelled due to the fire
station's work load. Drive Smart of Weld County Coalition reports 2000 births in Weld
County last year, with only 280 car seats checked by the coalition due to limited
resources. Weld County and the state of Colorado are limited in the quantity of certified
car seat safety technicians and inspectors. Currently in our division of Public Health
Education and Nursing we have two certified technicians and eight inspectors. The
division also coordinates the monthly Drive Smart of Weld County Coalition meetings.
Car seat safety is included in the overall WCDPHE strategic plan under injury
prevention for the citizens of Weld County. In order to reduce pediatric death and
injuries related to car crashes, we will work to educate parents about proper car seat
usage, safety and installation. Addressing this need will be one of our FFY 2003 MCH
child health objectives.
' ' National Center for Statistics,Traffic Safety Facts 2000—Children,DOT HS 809 324,
www.NHTSA.dot.uov
2 National Center for Statistics,Traffic Safety Facts 2000—Children,DOT HS 809 324,
www.NHTSA.dot.gov
3 Extracted from MCH data set,Maternal and Child Health County Profiles, CDPHE_
As resources become more limited we continue to develop creatively solutions
to reach parents in Weld County. The child health team is represented on the planning
committee and participates in the annual Children's Festival of Weld County. The
popular"Fishing for Health Booth"attracted 700 children this year . Weld County is
fortunate to have many coalitions and partnerships serving children in the community.
Medical providers report high volume of appointments being utilized for acute illnesses
limiting well child examinations. The loss of educational opportunities at a child's
physical exam due to time constraints is truly a misfortune for parents. Anticipatory
guidance, injury prevention, and developmental guidelines all are important pieces
quickly fading from the regular childhood check-up. Medicaid recognizes the importance
of parental education by increasing the reimbursement when anticipatory guidance and.
safety precautions are included (EPSDT Physical Screening form). As public health
nurses we are concerned about the loss of educational opportunities for parents since we
no longer offer well child clinics.
WCDPHE families accessing immunization services are a prime target audience
to provide educational opportunities. Immunization clinic appointments and walk-in
services are offered four times a week , serving up to 400 clients a month..
We plan on developing written materials for parents with messages of injury
prevention, developmental stages, and age appropriate guidance . A child health nurse
will utililize the materials to provide one on one education to parents in the immunization
clinic. Our initial target group will be parents with children ages 0— 5 years old. This
particular age group has been selected in order to tie our two objectives ,injury
prevention and car seat education, together for our MCH FFY 2003 child health plan.
Plan—Objectives,Activities, Monitoring, and Evaluating Child Health program
Need: Improve parents' knowledge of proper car seat usage and installation for the
reduction of pediatric deaths and injuries related to car crashes in Weld County.
Objective: By September 30th, 2003 WCDPHE child health nurses trained in car seat
safety will participate in six Weld County car seat safety check points. Build
infrastructure with Weld County ambulance to expand check point access.
Activities:
1. Continuing education for car seat safety technicians to meet required certification by
September 30, 2003.
2. Car seat safety inspectors will receive one training update by safety technician by
May 315f, 2003.
3. One WCDPHE car seat safety tecnician will conduct the Weld County Drive Smart
monthly coalition meetings.
4. Schedule of car seat safety inspection check points and car seat safety information
will be available to clients accessing services at WCDPHE.
5. Meet with Weld County paramedics to plan check point to be located at their facility
by September 30, 2003.
Type of Activity: Population
Monitoring:
1. Number of car seat safety check points and seats checked.
2. Number of staff attending car seat training.
3. Minutes from Drive Smart coalition.
4. Number of car seat safety schedules distributed by WCDPHE.
5. One check point was held at Weld County ambulance facility.
Evaluation:
Weld County families will receive instruction on proper usage and installation of their
child's car seat at Weld County car seat safety check points.
Memorandum
TO: Glenn Vaad, Chair
Board of County Commissioners
I FROM: Mark E. Wallace, MD, MPH, Director
C Department of Public Health and
COLORADO Environment , ^G ��W " 1
DATE: August 26, 2002 , W V
SUBJECT: Task Order Renewal Letter for the Maternal
and Child Health Services Program
Enclosed for Board review and approval is the Maternal and Child Health Task Order Renewal
Letter#1 between the Colorado Department of Public Health and Environment (CDPHE) and
Weld County Department of Public Health and Environment (WCDPHE).
This renewal letter will provide continuation funding for the Prenatal and Child Health programs
at WCDPHE. The funding will be used to provide prenatal and postpartum care, including
education and counseling,to increase early entry into prenatal care, and to assist women with
enrollment in Medicaid by maintaining the Health Department's status as a Presumptive
Eligibility Site. Funding for the Child Health Program will be used to provide continuing
education for car seat safety, car seat safety inspection check points. written materials for parents
with messages of injury prevention, developmental stages, and age appropriate guidance, and one
on one education to parents in immunization clinics regarding these concerns for children.
For these services, WCDPHE will receive a total reimbursement of$114,823 for the time period
October 1, 2002 through September 30, 2003.
I recommend your approval of this renewal letter.
Enclosure
2002-2396
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