HomeMy WebLinkAbout20053696.tiff RESOLUTION
RE: APPROVE APPLICATION FOR DECREASING DIABETES DISPARITIES IN WELD
COUNTY 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 forthe Decreasing Diabetes
Disparities in Weld County Grant 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 February 1,2006, and ending June 30,2007,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 Application forthe Decreasing Diabetes Disparities in Weld County Grant
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 28th day of December, A.D., 2005.
`1 IL,'2,',„ a. BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
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Date of signature: I IZ/o(o
2005-3696
HL0032
( : i+-LCa6-,-,.y0 Of -i3-0w
Memorandum
' TO: William H. Jerke, Chair
OBoard of County Commissioners
• From: Mark E. Wallace, MD, MPH ^nc COLORADO Executive Director /!,►Mort'1lJL
DATE: December 21,2005 C.'
SUBJECT: Decreasing Diabetes Disparities in Weld
County Grant
Enclosed for Board review and signature is the completed grant application for the Health
Disparities Grant from the Weld County Department of Public Health and Environment. The
total amount of the request for Weld County is $222,611.00. The funding period is February 1,
2006, to June 30, 2007.
Weld County Department of Public Health and Environment will use this funding for two
employees to increase the coordination and outreach of diabetes education and treatment to low-
income, uninsured, and underinsured residents of Weld County.
I recommend your approval.
Enclosure
2005-3696
Health Disparities Grant Program
Project Application
2006 - 2007
COVER SHEET
Project Title: Decreasing Diabetes Disparities in Weld County
Organization: _Weld County Department of Public Health and Environment _
Address: 1555 N. 17th Ave
City/Zip: Greeley, CO 80631
E-mail Address: gorrison@co.weld.co.us
Phone Number: 970-304-6420 ext 2380
FAX Number: 970-304-6452
Federal Tax Identification Number: 84-6000813
By signing and submitting this application,the applicant agrees to operate the program as
described in the Application for Funding in accordance with the grant terms and assurances.
Signature of Authorized Official: ` &v
ILY
Date: DEC 2 R 7.n r5 Title: Chair. Board of County Commissioners
Project Director or Contact Person: Financial Officer:
Name: Gaye Morrison Name: Judy Nero
Title: Supervisor,Health Communications Title: Business Manager
Address: 1555 N. 17th Ave, Greeley, CO 80631 Address:1555 N. 17th Ave,Greeley, CO 80631
Phone: 970-304-6420 ext 2380 Phone: 970-304-6410 ext 2122
•
E-Mail: gorrison@co.weld.co.us E-Mail:jnero@co.weld.co.us
Total Amount of Funds Requested for State Fiscal Year 2006* (Year 1): $65,473
Total Amount of Funds Requested for State Fiscal Year 2007* (Year 2): $157,138
*For this grant purpose,Fiscal Year 2006 includes February 1,2006 through June 30,2006.
*For this grant purpose,Fiscal Year 2007 includes July 1,2006 through June 30,2007.
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Health Disparities Grant Program funds
2006-2007
EXECUTIVE SUMMARY FORMAT
(Please use this format. You do not have to use this page.)
Project Title: Decreasing Diabetes Disparities in Weld County
Health disparity issue or need to be addressed: There is a lack of available and
affordable culturally appropriate diabetes self-management education and diabetes
prevention information for low-income and/or Hispanic residents of Weld County.
According to the 2004(United Way's) Compass Needs Assessment, over 50% of
respondents in all areas of Weld County said lack of affordable medical care was a
moderate or major problem in Weld County. Additionally, 69.2% of people with
incomes < $14,999 and 60% of those with incomes between $15,000-$34,999 reported
not having enough money to pay for medical needs (and was a moderate to major issue).
Target population: Weld County's population is comprised of 30.81% Hispanic/Latino
(EDAP, 2005). The rate of diabetes in Weld is 3.8% (BRFSS, 2004). The focus of this
grant will be low-income, uninsured, and under-insured, monolingual Spanish speakers
and older low-income residents who have diabetes or an increased risk of developing
diabetes.
Goal(s) and Objective(s):
Goal 1) To establish a central point of contact to enhance the integration of prevention
and education services related to the systematic care and treatment of patients with
diabetes for the medically underserved and Hispanic populations in the community. This
will be accomplished through outreach, educational classes, media enhancement,
worksites and school wellness programs and ongoing communication with health care
providers who care for the target population (through the North Colorado Health Care
Alliance).
1. To hire bi-lingual/bi-cultural staff to implement program goals
2. To create system to do chart reviews of people with diabetes in the Electronic
Medical Records (EMR)
3. Coordinate 3 trainings for health care professtionals
Goal 2) To promote diabetes prevention in Weld County by establishing and supporting
community education programs for people who have risk factors for developing diabetes.
These programs will also improve self-management of diabetes for the medically
underserved though regular education and support related to prevention of the devastating
complications associated with this disease.
1. Provide regular Dining with Diabetes classes in the community at least four in English and
four in Spanish each year, focusing on foods and traditions that are relevant to the target population
2. Provide at least four platicas (small discussion groups) a month using the Small Changes
Make a Big Difference in homes or other locations focusing on low-income women who are
responsible for young children.
3. Promote awareness of the importance of regular exercise by organizing and coordinating a
neighborhood walking program for people who have attended a platica or
a Dining with Diabetes class, with at least 20 regular participants.
4. Provide quarterly Diabetes Self-Management Classes in Spanish
5.Coordinate 5 a Day Food coupons for 500 WIC and Weld Food Bank participants to use to
purchase fruits and vegetables at the Greeley Farmers' Market during the months
of July, August, & September, 2006
6. To offer regular risk assessments and screenings in geographically convenient locations
for the target population to identify those people who have elevated blood glucose,
to help the target population understand their risk of developing diabetes, as well as
providing education about how diabetes can be delayed or prevented
How project will be accomplished: A project supervisor, preferably a bilingual
Certified Diabetes Educator, will be hired to expand the work of the Weld County
Diabetes Coalition. This includes hiring and training community outreach specialists
(promotoras) to coordinate presentations in homes (platicas) and other locations,
keeping updated on current prevention and treatment modalities to be able to serve as a
resource for health care providers, and implement a variety of programs through a
planned, systematic approach with cooperating agencies in the community. It will be
expected that this supervisor will develop and maintain a high quality relationship with
North Colorado Medical Center(local hospital), so that resources can be leveraged and
duplication can be minimized/eliminated. In addition to the programs for the people
diagnosed with diabetes, training for health care providers will be enhanced related to
the Electronic Medical System, so that all Health Alliance patients with diabetes can be
"flagged" for recommended screenings and tests, such a foot exams, eye exams, HgAlc
tests, etc. Recommended follow-up can then be accomplished in a more integrated
manner. Because the Weld County Department of Public Health and Environment,
Sunrise Community Health Center, and Monfort Children's Clinic are all linked by the
same Electronic Medical Record system, the project supervisor will be able to manage
the care of the patients diagnosed with diabetes by adding "real time prompts" to patient
records, create reports, and establish treatment protocols.
Describe the interventions or approach selected and the desired outcomes
The intent of the grant will be to leverage limited resources in this community related to
the prevention and treatment of diabetes through (1) the development of a systematic
and integrated approach to diabetes in Weld County; to 2) meet the target population
where they're at: helping them to understand the risk factors associated with the
development of diabetes, and providing them with information that will help current
diabetics prevent life-altering and costly complication by motivating them to change
their behavior related to activity and nutrition, and 3) fund a variety of collaborative
efforts in the community to increase awareness, support and education. The Project
Coordinator will be expected to work with members of the Weld County Diabetes
Coalition to offer regular evidence-based interventions to both mono-lingual and
bilingual diabetics, as well as other low-income Weld County residents who have been
determined to be at risk for diabetes. The long term outcome is centered on chronic
disease prevention, specifically diabetes, in the underserved targeted population. These
goals are ethically, economically, and culturally aligned to improve the quality of life for
the target population.
Why this approach was chosen:
This approach is the result of months of discussion by the Weld County Diabetes
Coalition about what the needs are in this community related to the prevention and
treatment of diabetes.
Total amount of funds requested: $222.611.00
What are plans for sustainability after the grant period ends?
It is hoped that once the infrastructure of the diabetes services is created, the partners will
be able to continue to provide the improved and enhanced medical care. Many of the
pieces are already being done, and with a more cohesive plan, the services will continue
even after the funding is no longer available.
Health Disparities Grant Program
2006-2007
WORK PLAN FORMAT
(Please use this format. You do not have to use this page.)
Project Title: Decreasing Diabetes Disparities in Weld County
GOAL 1: To expand the coordination of the diabetes referral and monitoring system between health care providers and community
resources for people at risk of developing diabetes and those who already have diabetes.
Objective Activity Responsible Party Duration Date Completed
1. To hire bi- la Develop job descriptions, advertise, interview, hire Gaye Morrison 6 weeks April 1,2006
lingual/bi-cultural lb Identify and train Outreach Specialist(s) from the Project Coordinator
staff to implement target populations
program goals
2. To create system 2a Learn EMR system Project Coordinator Starting March, June 30, 2007
to do chart reviews of 2b Create "real time prompts" for physicians to use 2006 and
people with diabetes 2c Create reports that identify clients that need continuing
in the Electronic appointments
Medical Records
(EMR)
3. Coordinate 3 3a Identify specific issues related to diabetes that Project Coordinator Starting June, June 30, 2007
trainings for health health care professionals want/need training, such as 2006
care professtionals adjusting insulin dosages, identifying and treating pre-
diabetes, doing monofilament foot exams, etc.
3b Work with NCMC to offer CME for trainings Project Coordinator Starting July, June 30, 2007
3c Identify specialist to do training and set up date, Project Coordinator 2006
time location, etc
3d Invite and encourage health care professionals to Project Coordinator Starting August, June 30, 2007
attend 2006
GOAL 2: To establish and support community education programs for people who have risk factors for developing diabetes or for the
medically underserved who have been diagnosed with diabetes.
Objective _ Activity Responsible Party Duration Date Completed
1. Provide regular Dining la Contract with Weld County CSU Extension Office to Project Coordinator Contract in June 30, 2007
with Diabetes classes in the provide 1 Dining with Diabetes class each quarter place by 5/2006
community at least four in (4/year) Outreach Specialist Two classes
English and four in lb Provide Dining with Diabetes in Spanish to parents at completed by
Spanish each year. four elementary schools in Greeley, working with the 6/1/2005; two
parent/school liaison more each
semester
2. Provide at least four 2a Identify potential hostesses for platicas at Dining Outreach Specialist To start March June 30, 2007
platicas (small discussion With Diabetes classes and community events. 2006 and then
groups) a month using the 2b Arrange for classes; provide hostess with $40 gift Outreach Specialist on-going
Small Changes Make a Big certificate
Difference in homes or 2c Invite participants to join walking groups and other Outreach Specialist
other locations physical activities
3. Organize and coordinate 3a. Establish location and time for walking program Outreach Specialist To start April June 30, 2007
a walking program for 3b Develop walking log 15, 2006
people who have attended 3c Provide pedometers to participants who have attended
a platica or a Dining with 5 walks
Diabetes class, with at least
20 regular participants.
4. Provide quarterly 4a. Contract with bi-lingual Diabetes Educator or Nurse Program May 2006 June 30, 2007
Diabetes Self-Management Practitioner to provide classes. Coordinator
Classes in Spanish 4b. Identify location for classes
4c. Develop brochures about classes and distribute to
clinics
5. Coordinate 5 a Day 5a. Set up meeting with Greeley Farmers' Market, WIC Program April 2006 April 2006
Food coupons for and Weld Food Bank Coordinator
500 WIC and Weld 5b. Create coupons—Each coupon would be worth $1; May 2006 June 2006
Food Bank each participant would get $5 per month/visit to Weld Program
participants to use Food Bank Coodinator June 2006 June 2006
to purchase fruits 5c. Send explanitory letter out to sellers at Farmers'
and vegetables at Market. Program
the Greeley 5d. Implement Farmers' Market Coupon program Coordinator and July, August, July 2006
Farmers' Market Farmers' Market September,
during the months 2006
of July, August, & Se. Evaluate program with surveys to sellers and WIC Program
September, 2006 participants Coordinator, WIC October 2006 November 2006
director, Farmers'
Market staff
6. To offer regular risk 6a Collaborate with 9 News Health Fair to do blood Project Coordinator April 2006 April 2007
assessments and glucose screenings at all the events in Weld County
screenings in 6b Purchase hemoglobin Alc analyzer for use with Project Coordinator June 2006 June 2006
geographically convenient mobile medical van and other locations
locations for the target 6c Help with Diabetes Sunday activities at local churches Project Coordinator Spring 2006 Spring 2007
population to identify those with the American Diabetes Association
people who have elevated
blood glucose, to help the
target population
understand their risk of
developing diabetes, as
well as providing education
about how diabetes can be
delayed or prevented
Can be prepared lengthwise on paper for more room. Can use no smaller than size 12 font. Use your own format on the Narrative and attach behind the Work Plan.
Health Disparities Grant Program funds
2006 - 2007
LINE ITEM BUDGET FORMAT
Applicant: Weld County Department of Public Health and Environment
Project Title: Decreasing Diabetes Disparities in Weld County
(Round to the nearest dollar)
Fiscal Year 2006(Yr. 1) Fiscal Year 2007(Yr.2) Total(Yr.1 and Yr.2)
Personnel Expenses: (including
salaries or wages and fringe $41,906 $106,970 $148,876
benefits)
Itemized Travel Expenses:
(including per diem,Out-of-State 2500 5000 7500
travel and In-State travel)
Registration for Physical Activity 600 600
and Nutrition National Conference
in Denver in May,2006
Itemized Contractual\
Subcontracts: Contract with CSU 4000 8000 12000
Extension for quarterly Dining with
Diabetes(DWD)classes
Contract with CDE/NP for diabetes 800 1600 2400
self-management classes in Spanish
4/yr
KGRE Spanish Language radio 6600 6600
Itemized Supplies:
Gift cards for platica hostesses 640 1920 2560
Pedometers 1000 1000
Notebooks for DWD classes 100 200 300
Provider Training Expenses -- 500 500
Printing 500 750 1250
Farmers' Market Coupons -- 7500 7500
Materials/food for DWD classes 1500 3000 4500
Office Supplies(toner,paper,etc) 400 800 1200
Indirect: (Not to exceed 15%of
Personnel,Travel, 5400 14298 19698
Contractual\Subcontracts and
Operating)
Subtotal: $59,346 $157,138 $216,484
Itemized Equipment Expenses:
(including purchase/lease of
vehicles) .
Computer: Standard PC+Adobe 3098 3098
Acrobat+MS Office Pro—monitor
Cholestech Hemoglobin Alc 1401 1401
Analyzer
Analayzer Test Cartridges(192) 1628 1628
Limited Facility Renovation
Expenses:
Total Project Cost $65,473 $157,138 $222,611
Signature of Authorized Representative and Date
DEC 2 3 ZB[
WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH AND ENVIRONMEN
Mark E. Wallace, MD, MPH-Director
*For this grant purpose,State Fiscal Year 2006 includes February 1,2006 through June 30,2006.
*For this grant purpose,State Fiscal Year 2007 includes July 1,2006 through June 30,2007.
ova.36'1`d
Health Disparities Grant Program
Weld County Department of Public Health and Environment
Budget Narrative
Personnel: This grant would fund two full-time employees, or one full-time project
coordinator and two half-time (job-share) outreach specialists, as well as two hours a
week for assistance with the financial management of the budget. The project
coordinator would have the responsibilities of managing the grant, arranging the contracts
with CSU Extension and the diabetes educator, implementing the chart review system in
the Electronic Medical Record System, organizing the health care provider trainings, and
coordinating the Farmer's Market Food Coupons program. The bi-lingual/bicultural
outreach specialist(s) would have the primary responsibilities for the health education in
the home (platicas), the Dining with Diabetes classes in Spanish in the schools,
coordinating the walking program, and referrals to the diabetes self-management classes.
Travel Expenses: The county rate for mileage in 2006 will be 44.5 cents a mile. This is
about 500 miles a month per person. The registration is to take advantage of an
opportunity to attend The Physical Activity and Nutrition National Conference which is
focusing on obesity and diabetes prevention being held in Denver in May, 2006.
Itemized Contractual and Sub-Contracts: The CSU Extension agent is experienced at
presenting the Dining With Diabetes (DWD) curriculum, but it is not included in her
"scope of work." The grant funding would "buy out" her time to do six series of four
classes, plus all the preparation time and materials, one each quarter. Funding is also
included to contract with a bilingual Certified Diabetes Educator (CDE) or Nurse
Practitioner (NP) to teach the diabetes self-management classes. The Health Department
currently uses grant funds for a half-hour Health Talk show on Saturdays at 1 p.m. on the
Spanish language radio station. This grant includes funding to continue that, as well as
pay bilingual diabetes educators to do several programs each year. Radio is a good way
to do health education in Spanish.
Itemized Supplies: This category includes the gift cards used as incentives for the
hostesses in the health education in the home (platicas) to invite their family and friends
and provide healthy snacks. Also included are the pedometers for the walking program,
notebooks and materials for Dining with Diabetes (25 persons per class), coupons for
WIC and Weld Food Bank clients to use at the Greeley Farmers' Market, printing and
other expenses.
Itemized Equipment Expenses: This includes two computers, as well as a hemoglobin
Alc analyzer and test cartridges. This machine will be used primarily on the mobile
medical van with their migrant outreach program. It can also be used at various
educational events and at Diabetes Sundays with the American Diabetic Association.
Health Disparities Grant Program funds
2006-2007
EVALUATION PLAN FORMAT
(Please use this format. You do not have to use this page.)
Project Title: Decreasing Diabetes Disparities in Weld County
Measures or indicators to be used. Attendees will be counted at each of the
presentations, such as the plkticas, the Dining with Diabetes classes, the trainings for
Health Care Providers, walking programs, etc. Also the number of patient charts that are
flagged with real time prompts, and then the number of specific issues that the health care
providers address during office visits can be identified on reports from the Electronic
Medical Records (EMR).
Methods/strategies used to determine effectiveness and impact on health disparities.
Weld County is currently being oversampled on the Behavior Risk Factor Surveillance
Survey, so the number of people diagnosed with diabetes who report having received
diabetes education should increase. In the long term, there might also be reduced rates
of diabetes, and less amputation, less blindness, and less kidney dialysis as a result of
delayed complications from diabetes.
How will results be used, disseminated and communicated. Articles in the Greeley
Tribune, and the Spanish weekly newspaper, La Tribuna, can help both create interest in
attending a class, such as Dining with Diabetes, and help inform the community about the
success of the programs. Poster sessions and presentations at the Colorado Public Health
Association Annual Conference and the Rocky Mountain Association of Diabetes
Educators will also help to inform other communities about the programs.
iv ccC?, Nutrition Services
* Greeley — Evans
Weld County School District 6
CT Service Center
2508 4" Avenue, Greeley, CO 80631
Phone: 970-348-6600, Fax:970-348-6630
December 21, 2005
Genevieve Rowan
Program Coordinator, Office of Health Disparities
Colorado Department of Public Health and Environment
OHD-AFSD-B-105
4300 Cherry Creek Drive South, Building B-105
Denver, CO 80246-1530
Dear Ms. Rowan,
It is my pleasure to support the application of the Weld County Department of Public
Health and Environment (WCDPHE) for diabetes prevention and management. There is an
increasing incidence of diabetes across the US and around the world. This trend is
alarming to Weld County public health professionals, especially because 30%of Weld
County residents are Hispanic, with an increased risk of developing diabetes.
The Greeley Evans School District has partnered with WCDPHE for the past two years to
promote healthy eating and physical activity. With support from the Steps to a Healthier
Weld County grant and WCDPHE, we have been able to increase educational
opportunities about healthy lifestyles to our students, parents, and staff and establish six
Coordinated School Health teams in our district. We would like to expand on our current
efforts by offering"Dining with Diabetes"classes to our Spanish speaking parent
population, as well as other diabetes prevention materials/programs. This information is
particularly valuable for the uninsured and underinsured population that our district serves.
In the past, we have found that school sites are appropriate interventions sites because they
are easily accessible to our families, and they are a trusted institution.
The Greeley Evans School District has been an active partner in addressing other health
issues in the community. We know that the health of a community depends on agencies
working together to plan and implement programs. We look forward to the opportunity to
increase our health outreach through our on-going partnership with WCDPHE.
Sincerely,
Melissa Martin
School Nutrition Health Coordinator
Greeley Evans School District
6 DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
1555 N. 17th Avenue
Greeley, CO 80631
WEBSITE: www.co.weld.co.us
i(is t p ADMINISTRATION: (970) 304-6410
C
FAX: (970) 304-6412
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: 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. 2380
Applicant's Fax: (970) 304-6452
Project Title: Decreasing Diabetes Disparities in Weld County
Contact Person: Gaye Morrison
Amount Requested: $222, 611.00
Time Period of Request: February 1, 2006—June 30, 2007
Weld County Department of Public Weld County Board of Commissioners
Health and Environment
)lvl0A.A&5 / -"n`y i K L
Mark E. Wallace, MD, MPH, .re tor William H. Jerke, Chair
DEC 2 8 2005
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