HomeMy WebLinkAbout20050385 RESOLUTION
RE: APPROVE GRANT APPLICATION FOR PLATICAS PROJECT FOR BREAST CANCER
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 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 Colorado Department of Public Health and Environment, commencing
April 1,2005,and ending March 31,2006,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 Grant Application forthe 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
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 2nd day of February, A.D., 2005.
E� BOARD OF COUNTY COMMISSIONERS
�� WELD COUNTY, COLORADO
1961 (;ifj#
1 �1.
����; �t William H. J e, Chair
S O •. n 7 lerk to the Board
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M. J. ile, Pro-Te ,
Deputy Cler to he Board
D id E. Long
APP V AS T
Robe D. Masd
unty Attorne ®
Glenn Vaad
Date of signature: *��/41—
2005-0385
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MEMORANDUM
(it TO: BOARD OF COUNTY COMMISSIONERS
IFROM: MARK WALLACE,MD, MPH, DIRECTOR
ill
0 . FO EDATIO GGRAANAN NT Z O N AST CANCER GILAN544, S
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COLORADO cc:
Attached for Board review and approval is the contract for the Susan G.
Komen Breast Cancer Foundation Grant. The contract period would be for 12
months, April 1, 2005 to March 31, 2006. The grant is for $9,999.00
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. The funding will also provide
screening mammograms for 17 women under the age of 40 who have at`
`
degree relative with breast cancer.
I recommend your approval.
Enclosure .-.
;..
2005-0385
Kiss taLii , DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
1555 N. 17th Avenue
Greeley, CO 80631
WEBSITE: www.co.weld.co.us
IADMINISTRATION: (970) 304-6410
FAX: (970) 304-6412
WI PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420
O 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) 304-6452
Project Title: Weld County Plciticas Project for Breast Cancer
Contact Person: Olivia Martinez, Health Promotions Program
Amount Requested: $9,999.00
Time Period of Request: April 1, 2005 to March 31, 2006
Weld County Department of Public Weld County Board of Commissioners
Health and Environment
-)N\et5 / a t ' V -O(j-,_-,/
Mark E. Wallace, MD, MPH i ctor William H. Jerke, Chair FEB 0 2 ZOOS
coIi Fib,.
861 C1
county Clerk to the o rd
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t D;_PU T Y CLERK TO 0 THE BOARD _
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2005 COVER PAGE FOR GRANT PROPOSAL
2
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 &
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 Platicas Project for Breast Cancer
TITLE OF PROJECT
$9999.00
TOTAL AMOUNT REQUESTED
GRANT PERIOD April 1, 2005 to March 31, 2006
SIGNATURE &TITLE OF
APPROVING PERSONNEL(OTHER l ,%J, y� /�Q
THAN PROGRAM DIRECTOR) !AVA-Al'5 '&t a4 r DATE 7 2 }� 'CJ
Mark Wallace, MD. MPH
NAME&TITLE OF APPROVING
Director, Weld County Department of Public
INSTITUTIONAL PERSONNEL(TYPED)
Health &Environment
PLEASE CHECK TYPE OF APPLICATION: ®EDUCATION 1I.SCREENING ❑TREATMENT ❑CRAFT
APPLICATIONS MUST BE POSTMARKED BY FEBRUARY 4, 2005
(Photocopies of this form are acceptable)
2005 ABSTRACT PAGE
Olivia Martinez
PROJECT DIRECTOR
Weld County Department of Public Health &
ORGANIZATION/INSTITUTION Environment
BCCCP PROVIDER? U YES No
Low-income Latino women
TARGET POPULATION
ABSTRACT
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 TO 17 WOMEN WHO ARE UNDER 40 YEARS OLD AND HAVE A 1ST DEGREE
RELATIVE WITH BREAST CANCER. A BILINGUAL, BICULTURAL OUTREACH SPECIALIST WILL PROVIDE
ONE-ON-ONE EDUCATION AND INFORMATION TO WOMEN IN THE 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.
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
DATE f'a b' a.6
Olivia Martinez Phone Number 970-304-6420 ext 2382
NAME(TYPED)
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 plkticas, held in homes. The plkticas project has been effective and
well received by Hispanic women in Weld County for the last two years. In fact, it is so
popular that more platicas are being requested.
During the 2005-2006 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) and community health fairs. Other agencies such as the
Monfort Children's Clinic and the Sunrise Dental Clinic also allow the outreach specialist
to do one-on-one counseling in their waiting room areas. During the last year
presentations were done to groups such as the Jesus Rodarte Cultural Center, faith-based
and Aims Community College ESL (English as a Second Language) classes, Head Start
parent groups, and Strengthening Latino Family classes. Plans include adding one-on-
one outreach to employees at the Swift meat-packing plants in Greeley and other large
employers in Weld County. Although the primary outreach is to Hispanic women,
education and information are provided to all women in the waiting areas at these sites, at
the group presentations, and at health fairs.
During the 2005-2006 grant year,part of the funds from the Susan G. Komen Grant will
be used to provide vouchers for a free screening mammogram for 17 women who do not
meet the age requirements for the CWCCI program, but have 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 (CWCCI).
The platicas generally include women who are 40 years 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 very 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 plkticas. The outreach specialist will also accompany clients to
appointments for screening, if needed, to interpret.
2. Data from the Colorado Central Cancer Registry show there were 17 reported new
cases of breast cancer in Hispanic women in Weld County in 2003, compared with seven
cases in 2002. There were three Hispanic women in Weld County who died from breast
cancer in 2003, compared with no deaths in 2002.
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 mortality rate for breast cancer for Colorado females
decreased 6% from 1995-1999 to 2000; the rate was down 5% among non-Hispanic
white and did not change among Hispanics, according to the Centers for Disease Control
and Prevention. 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. Breast self-examination, male
physician check-ups and fear of pain with mammography are examples. This project
addresses these barriers and takes breast cancer education to the Hispanic woman in a
culturally acceptable format, one-on-one and in their homes with family and friends, and
in established group meetings they already attend. Twenty-nine 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 it is a challenge in Weld
County to build on the progress that's been made in breast cancer education and
screening.
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 first nine-months of the 2003-2004 grant period, 933 contacts
(76.9% of the objective of 1215 women for nine months) were made at the DSS,
WCDPHE, and the other locations listed previously. Some of the women have received
the one-on-one education, so the outreach specialist will try to expand the number of
locations where women can be contacted.
Groups presentations to established organizations such as Head Start parent groups, will
be expanded to at least one presentation bimonthly, with an average of 10 attendees at
each presentation. That will reach an additional 60 women.
The platicas discussion groups will be held monthly with a minimum of six women
attending each one. In addition to the 12 platicas funded by the Komen grant, six more
platicas will be funded from the General Health Education budget, making a total of 18
platicas during the grant year. (18 X 6 = 108)
Through this program, nearly 1500 low-income Hispanic women will be contacted
personally about breast cancer screening during the 2005-2006 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 contacted one-on-one about breast self-exam
and mammograms in the waiting areas of the Social Services building, the Health
Department, other cooperating agencies, and community health fairs. Of the 35, at least
three will sign up for mammograms and PAP tests 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: 18 discussion groups, or platicas, will be held in homes of Hispanic
women during the grant year. Women who attend the platicas 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: Six (6)presentations to groups about breast health and breast self exams
will be done during the 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: 17 vouchers for free screening mammograms will be distributed to women
under the age of 40 with a 1st degree relative with 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 Summitview Medical Commons.
Measure of accomplishment: A record will be kept of the women provided with referrals
for clinical breast exams and vouchers for screening mammograms.
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 two 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. 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 screening mammograms to younger low-income Hispanic
women with a ls`degree relative with 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 two 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, Monfort Children's Clinic and
Sunrise Dental Clinic. Community groups will be contacted to schedule presentations,
with an average of one every other month. Hostesses for platicas will be recruited so that
three platicas are held every two months. Once notification of the continuation of
funding has been received, the mechanisms for referral of women under 40 for clinical
breast exams and mammograms will be put into place.
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 and
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, etc
have invited the project director and outreach specialist to do presentations. Letters of
collaboration from these agencies and groups have been sent in with previous
applications.
8. If or when Susan G. Komen grant funds are no longer available for the platicas
project, other funding sources will be identified. During the next funding year, one-third
of the platicas will be funded with General Health Education funds. 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 resources.
9. No other group in Weld County is doing platicas related to breast health. There have
been some promotoras trained in southern Weld County through the Plan du Salud
Community Health Centers that primarily do classes in their facilities. It is a goal of the
Steps to a Healthier US to bring a promotora program to other areas of Weld County to
address diabetes prevention and management. At some point, all these programs may be
able to collaborate because of a similar target audience of low-income Hispanic women. •
Certainly the Weld County Department of Public Health and Environment is open to
working with other community agencies. However, at the present time, the platicas
project is a unique forum for breast health education in Weld County for low-income
Hispanic women.
10. Success of the program is most easily measured by numbers of women who are
contacted one-on-one, or number of presentations given to community groups, or number
ofpldticas held. However, real success will be an increased number of women who are
doing breast self-exams and are 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
can then be introduced to women and their families who have already made important
choices and changes for better health.
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 has been featured in
LatiNoticias, a Spanish language publication in northern Colorado. The project director
has also been a co-host on a local Spanish language radio station Health Talk Show to
discuss the program and provide information and education. 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 members and friends.
2005 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 Bachelor of 2000 Public Health
Colorado Science
Greeley Colorado
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:
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 leaming 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
2005 BUDGET FORM
GRANT APPLICATION REQUIRED BUDGET FORM
DETAILED BUDGET FOR FROM THROUGH
ENTIRE BUDGET PERIOD 4/1/2005 3/31/2006
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 7 HOURS 100% $15/HR $5,460.00 NONE $5,460.
OROZCO SPECIALIST PER WEEK
SUBTOTALS $5,460.00 0 $5,460.
SUPPLIES(ITEMIZE BY CATEGORY)
$50 PER HOSTESS FOR THE PLATICAS IN THE HOMES $ 600.
12 PLATICAS DURING GRANT PERIOD
EQUIPMENT (NOT TO EXCEED 30%OF DIRECT COST)
N/A
TRAVEL
489 MILES @38.5 CENTS PER MILE $ 188.28.
PATIENT CARE COSTS INPATIENT
OUTPATIENT 2,841.72
17 SCREENING MAMMOGRAMS @$167.16 EACH
OTHER EXPENSES(ITEMIZE BY CATEGORY)
SMALL GIFTS FOR PLATICAS ATTENDEES SUPPPLIED BY CWCCI 00
$9,090.
SUBTOTAL-DIRECT COSTS
INDIRECT COST ALLOCATION(NOT TO EXCEED 10%) $ 909.
TOTAL FUNDING REQUEST $9,999.
PLEASE ATTACH BUDGET JUSTIFICATION
Budget Justification:
Personnel: Ofelia Orozco, the bilingual and bicultural Outreach Specialist, is contacted
with the Weld County Department of Public Health and Environment for $15/hr to
implement the platicas. Because of additional platicas and more community
presentations, her hours will be increased to seven per week(from six).
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 $50 WalMart gift certificate to provide refreshments
and as an incentive to invite friends and family members to the platica in her home.
Twelve platicas are included in the Susan G. Komen grant funding and General Health
Education will fund an additional six platicas.
Travel: Mileage reimbursement from the Weld County Government has increased to
38.5 cents per mile. Since the grant includes more outreach to areas outside "greater
Greeley" the dollar amount budgeted for travel has been increased to include these miles.
Patient Care Costs—Outpatient: Vouchers for mammograms will be provided to
women under 40 years of age who have a 1st degree relative with 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)
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 project:
1. CWCCI pays for the platicas Project Director to maintain the data, schedule
appointments, provide transportation and interpretation 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.
4. General Health Education, part of the Weld County Department of Public Health and
Environment, will provide funding for six additional platicas.
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