HomeMy WebLinkAbout20041570.tiff RESOLUTION
RE: APPROVE GRANT RENEWAL APPLICATION FOR COLORADO WOMEN'S CANCER
CONTROL INITIATIVE 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 Renewal Application for Colorado
Women's Cancer Control Initiative 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 July 1, 2004, and ending June 30, 2005, with further terms and conditions being as
stated in said grant, and
WHEREAS, after review, the Board deems it advisable to approve said grant, 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 Renewal Application for Colorado Women's Cancer Control
Initiative 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 grant.
The above and foregoing Resolution was, on motion duly made and seconded,adopted by
the following vote on the 7th day of June, A.D., 2004.
BOARD OF COUNTY COMMISSIONERS
W LD COUNTY, COLORADO
• Robert D. Masden, Chair
Clerk to the Board
1861 t Lam,-..t
w�
William lerke, Pro-Tem
ty Clerk to the Board / , l� �lM
M. eile
APP AS TO •
Davi . Long
ty ttorney EXCUSED
Glenn Vaad
Date of signature:
2004-1570
HL0031
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
4irg 1555 N 17TH AVE 441tGREELEY, CO 80631
WEBSITE: www.co.weld.co.us
' ADMINISTRATION (970) 304-6410
WCFAG (970) 304-6412
PUBLIC HEALTH EDUCATION AND NURSING (970) 304-6420
FAX (970) 304-6416
COLORADO ENVIRONMENTAL HEALTH SERVICES (970) 304-6415
FAX (970) 304-6411
Memorandum
TO: Robert D. Masden, Chair 3
Board of County Commissioners �82T
FROM: Mark Wallace, MD, MPH, Executive Director
DATE: June 3, 2004
SUBJECT: Colorado Women's Cancer Control Initiative Grant Renewal
Enclosed for Board review and approval is the work plan and budget for a proposal for
funding for the Colorado Women's Cancer Control Initiative. If funded, the time period
for this renewal between the Colorado Department of Public Health and Environment
and Weld County Department of Public Health and Environment will be July 1, 2004 —
June 30, 2005. The total amount of this request is $76,835.97 and includes funding for
a 1.00 FTE Health Education Specialist II.
Weld County Department of Public Health and Environment will use this funding to
improve system of clinical and essential support services for CWCCI enrolled women
throughout the Northeastern region of Colorado.
I recommend your approval.
Enclosure
2004-1570
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
6 1555 N 17TH AVE
GREELEY, CO 80631
WEBSITE: www.co.weld.co.us
ADMINISTRATION (970) 304-6410
FAX (970) 304-6412
PUBLIC HEALTH EDUCATION AND NURSING (970) 304-6420
FAX (970) 304-6416
COLORADO
ENVIRONMENTAL HEALTH SERVICES (970) 304-6415
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. 17`h Avenue
Greeley, CO 80631
Applicant's Phone: (970) 304-6420, ext. 2382
Applicant's Fax: (970) 304-6416
Project Title: Colorado Women's Cancer Control Initiative
Contact Person: Olivia Martinez, Health Promotion Programs
Amount of Request: $76,835.97
Time Period of Request: July 1, 2004—June 30, 2005
Weld County Department of Public Weld County Board of Commissioners
Health
and Environment
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Mark E. Wallace, MD, MPH, Direr '‘, Robert D. Masden, Chair JUN 0 7 7np4
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CWCCI Community Coordinator Workplan, June 30, 2004 — June 29, 2005
NEW Performance Indicators
Case Management Goal: 1. The number of established consortia who have consolidated MOUs in place between
Improve system of clinical and essential support services for CWCCI clinical service providers and subcontractors.
enrolled women 2. Number of consortia who have developed a MOU between other funding organizations
and CWCCI
Evaluation
Objectives Activities Planned To Achieve This Data Timeframe for Team Members
Objective Assessing Progress Responsible
Coordinate and expand the 1. Define medical service catchment Service Inventory Quarterly Community
scope of services for areas. MOUs June 30,2005 Coordinators #Of completed
CWCCI enrolled women List proposed consortium and MDE's Ongoing Nurse Consultant inventories
in each geographic breast associated potential members. NBCCEDP Data Quarterly Clinical Services Case
and cervical cancer (Consortium should he formed around See addendum I Management #Of attendance of
medical service catchment diagnostic service catchment areas) Coordinator consortia meetings.
area. i.e. providers and subcontractors. Nurse Consultant
2. Contact mammography centers to June18, 2004 #Of MOUs
identify service areas.
3. Establish or strengthen existing June 18,2004 #Of new CWCCI
consortia at central points i.e. Health contractors or
District in Ft. Collins,Health Dept.in subcontractors.
Greeley,and NEDPHE.
4. Motivate CWCCI providers to Ongoing
regularly attend consortium meetings.
(providers will be required by
contract to attend at least 2
meeting/year)
5. Conduct meeting quarterly. Quarterly
6. Establish MOUs June 2005
7. Recruit new providers and Ongoing
subcontractors in the consortium.
M:\HPROMO\CWCCI\Community Coor Workplan 05 14 04.doc
Recruitment
Recruitment Goal Performance Indicators MODIFIED
To increase awareness among woman who have rarely or never been I. A minimum of 200 women will be reached will be those that are rarely or never screened
screened for breast or cervical cancer,address barriers that prohibit 2. A maximum of 2000 women will be reached through coordinator recruitment efforts. Since the target
screening,recruit women for these services and support completion of population is the rarely and never screened,activities should limit the number of other women
screening. Objective will be met by developing and implementing an encountered.
appropriate mix of broad-based awareness-raising,narrow cast education 3. A minimum of 50%of these program-eligible women reached will be referred to screening
4. A minimum of 50%of program-eligible women referred to screening will have a completed breast and/or
and one-on-one recruitment strategies through partnerships with agencies
cervical cancer screening exam
or organizations providing other services to the same target population.
Objectives Activities Planned To Achieve This Data Timeframe for Team Members Evaluation
Objective Assessing Responsible
Progress
Develop plans for public 1. Identify existing breast and cervical See Addendum 2 BBP Community Coordinators Review of meeting
education and recruitment, cancer groups in local communities, Ongoing Clinical Services Case minutes, including
with input from partners,to i.e.ACS,Komen„ and Greeley X-ray Management Coordinator participant attendance
program-eligible women Group. Nurse Consultant
2. Collaborate with service provider staff See Addendum 1 Recruitment Coordinator Results of evaluations
to plan and implement inreach Program Manager
activities,recruitment activities and Numbers of meetings
special screening events.
A minimum of three
3. Communicate with service providers,
See Addendum 1 & statewide meetings will
coalition members/volunteers and
Addendum 2 be held,with advisory
other partnering agencies to identify
opportunities for marketing recruitment committees,u local
businesses,provider
and one-on-one interactions with See Addendum 3 staff,community
eligible women. agencies,as a part of
4. Meet with non-profit and for-profit larger conferences
agencies and businesses to discuss
potential collaborative projects.
5. Solicit input from partners on the
development or revision of recruitment
materials and strategies.
M:\HPROMO\CWCCI\Community Coor Workplan 05 14 04.doc
Objectives Activities Planned To Achieve This Data Timeframe for Team Members Evaluation
Objective Assessing Responsible
Progress
Conduct marketing events in 1. With input from partners,identify Lists of special Ongoing Recruitment Coordinator Coordinator Contact
local communities,utilizing opportunities for non-traditional calendar events Community Coordinators Logs(#of local one-on-
one-on-one recruitment,to marketing recruitment. See Addendum 4 one recruitment activities
reach and refer 100 rarely 2. Distribute promotional materials at See Addendum 5 will be conducted)
and never screened women. community locations that serve women
who are rarely/never screened, such as Quarterly Hotline Call Summary
correctional facilities,mental health (#Received as a result
facilities, substance abuse agencies, of one-on-one
domestic violence agencies,homeless recruitment efforts)
shelters,mobile home parks,agencies
who serve non-English speaking Screening Referrals
women,migrant ands tribal groups. (#Referrals made as a
Priority populations are ethnic and result of one-on-one
racial minorities,women who partner recruitment efforts)
with women and women with
disabilities. Personal History Forms
3. Mail brochures,posters,and free See Addendum 3 (15%of responses to
"how did you hear?"will
screening certificates to human
services be from one-on-one
and other
marketing efforts)
agencies/organizations that
communicate with rarely and never
screened women. Quarterly
Utilize local print and 1. Identify potential media sources and NCI-CHP Data Ongoing Community Coordinators Coordinator Contact
broadcast media(paid and in channels for rarely/never screened Target Eligibility Logs(#of local one-on-
kind)to reach program women, i.e.Dept. Social Services Case Data one recruitment activities
eligible rarely and never Workers. will be conducted)
screened'women in priority 2. Establish and maintain collaborative See Addendum 6
populations. relationships with local media sources Hotline Call Summary
(#Received as a result
3. Review and revise existing media or
of one-on-one
develop new media to include
recruitment efforts)
electronic public service
announcements,camera-ready ads,
Screening Referrals
print public service messages, news
(#Referrals made as a
releases and feature stories.
result of one-on-one
M:\HPROMO\CWCCI\Community Coor Workplan 05 14 04.doc
Objectives Activities Planned To Achieve This Data Timeframe for Team Members Evaluation
Objective Assessing Responsible
Progress
4. Distribute CWCCI information to local See Addendum 6 Quarterly recruitment efforts)
newspapers,community publications,
church bulletins,television/radio Personal History Forms
stations,cable channels and electronic (15%of responses to
bulletin boards. "how did you hear?"will
be from one-on-one
marketing efforts)
Copies of print and/or
electronic media will be
reviewed when available.
Coordinate and maintain a 1. Identify other community referral Hotline call logs Ongoing Community Coordinators Coordinator Contact
system to allow easy access line(s)to contract with to take calls Community Recruitment Coordinator Logs(#of local one-on-
for women to obtain directed at some future time,i.e. 1211 Coordinator logs one recruitment activities screening information and thru United Way. will be conducted)
screening referrals. 2. Provide eligibility and screening
information to all callers. Hotline Call Summary
(#Received as a result
3. Educate callers about the importance of
of one-on-one
regular screening and the availability of
recruitment efforts)
free exams every year if women
qualify Screening Referrals
4. Assess each caller's need for assistance (#Referrals made as a
with making appointments,arranging result of one-on-one
transportation,etc. recruitment efforts)
5. Ensure all marketing/media materials
list the hotline number. Personal History Forms
(15%of responses to
"how did you hear?"will
be from one-on-one
marketing efforts)
Client Satisfaction
Survey
M:\HPROMO\CWCCI\Community Coor Workplan 05 14 04.doc
Objectives Activities Planned To Achieve This Data Timeframe for Team Members Evaluation
Objective Assessing Responsible
Progress
1. Contact new case managers and/or Service delivery Ongoing Community Coordinators Documentation of case
Meet with case managers clinic staff at service delivery agencies case manager list Clinical Services Case manager visits and in-
and other appropriate staff at to learn process for providing services. Management Coordinator service presentations
CWCCI service sites basis 2. Identify appropriate referral contacts Nurse Consultant
to collaborate recruitment of 3. Conduct in-services for new provider Review of provider
women into screening staff screening data
services
Provider evaluation of
CWCCI staff/
coordinators
Provide one-on-one follow- 1. Identify women referred for services Referral logs Ongoing Data Coordinator Screening Referral
up(counseling,education who have not completed screening Coordinator/ Yearly site visit Community Coordinators Follow-up(a minimum
and support)to women to exams. Recruitment Recruitment Coordinator of 50%referred women
overcoming barriers to 2. Contact women to determine what Summary Reports Clinical Services Case will complete their
screening barriers they faced. Encourage women Screening Data Management Coordinator screening exam within 6
to be screened and assist with removal Nurse Consultant months)
of barriers as needed.
3. Visit contract agencies to address
',. Screening Data
barriers and identify strategies to
reduce barriers.
Client Satisfaction
Survey
Feedback to contractors
M:U-PROMO\CWCCI\Community Coor Workplan 05 14 04.doc
Please draw or otherwise indicate, which counties would be served with this Community Coordinator contract and show the areas that
would be covered by individual consortia.
0 • Sedgwick
Moffat Lfimer Weld Logan
Jackson Phillips
Routt
• Morgan O
Grand Denver rd—Rio Blanco Yuma
Washington
r 1
Eagle ummi
Garfield
Elbert Kit Carson
Pitkin Lake
Mesa Park• .
Tel-
Delta ler r_ El Paso —. Cheyenne
Chaffee Lincoln
Gunnison
1 - L
Montrose Fremont Kiowa
r I Crowley
Ouray 1—.—_,., 1 Pueblo
Saguache _
San Miguel •Custer
Hinsdale
Bent Prowers
San I Otero �—
Dolores Juan Mineral
Huerfano
1 Rio Alamosa
GrandeCI
Montezuma La Plata •
Las Animas Baca
Archuleta Conajos Gostilla
•
•
( I
•
M:\IIPROMO\CWCCI\Community Coor Workplan 05 14 04.doc
CWCCI Budget Request And Matching Funds for Outreach Contractors
July 1, 2004 -June 30, 2005
List the budget request from CWCCI, CDPH&E and calculate all private and public
(local, state, and federal) matching funds that will support this project.
Weld County Department of Public Health &
Environment—Health Promotions
Name of Agency :
Budget Category Dollar Amount Requested Dollar Amount of
from CDPH&E Matching Funds
Personnel/fringe 56 869.17
Travel 2,390
Equipment 400
Supplies 777
0
Contractual
Operating 6,734
Total Direct 67,170.17
Indirect Cost 9,665.80
Total Request 76 835.97
Budget Detail: Complete the following budget request and justification template
(personnel and fringe, travel, equipment, supplies, operating, indirect charges).
Line Item Totals should match those above.
PERSONNEL
Name Title Base Salary Fringe Percent of Dollar
Time on Amount
Project Requested
Health Education
M:\HPROMO\CWCCI\Budget\Budget Justification FTE 04-05.doc
06/04/2004 FRI 13:14 FAX 1002
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Olivia Martinez Specialist II 43,092.50 13,776.67 PTE 56,869.17
-
•
•
y� p tau Total Personnel 56;869.171.
,' y� I I 14 r F 1��15� 7e5 r p h l�V �t i r,, i t i"1 ab,rV I n t l s• �y
�qlr 1�4e�:�,a,� r �����rl '9� r q' .�i(f dl �r�Y��i 4 rl xek8x � I�Fi' ®r "f'•��II
J' Ip <, } �,for 91ryt�. *. .t wbd
e1J ,.y} ,YI ,l� tr 1 ,,,e,y 4 .� y4 c a k{ ,+r� $l o, I H, yi.„ r ,^r Z.. fi 0.4%:".:1,411114
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7 C 5iSilw 6 b y t + ,Ixy ; • '1
s %f I t c6P q��[ Frtl �+f 1 14 W 147 S•
r I 4 J J Fi^V
.fi.t e 1 )1 w..m`1 ik.4ik4 .* y� Ohl ,, '7 d., i' II� n'A4r 1 I i '.I � � C.y r '4 b r r.
. 34 . frl.* .,�I is,.. i a,1 ..Sr .1•, "1..`;rif 11 c �" .:4.;,. '� � .¢ ".$''.
Mileage
•
Mileage Northeastern Region for outreach,marketing, 5000 .355 1,775
attend consortium meetings and State conference
•
Total Mileage 1,775
Lodging
3 Required Regional Consortium Meetings 3 night 90 270
Statewide Comprehensive Cancer Conference 2 night 90 180
Total Lodging 450
Per Diem
Meals overnight stay 6 15 90
Meals—Cancer Conference 5 15 75
MAHPROMO\CWCainedgetPBudget Justification PTE 04-05.doc
TRAVEL
Description Number of Units Unit Cost Dollar Amount
Requested
Total Per Diem $165
Total Travel $2,390
EQUIPMENT
Description Number of Units Cost per Unit Dollar Amount
Requested
Equipment(TV,VCR,flip chart,etc.)
Cell phone, monthly service charge 500 minutes/month 12 months 30 360
Cell Phone 1 40 40
$400
Total Equipment
SUPPLIES
Description Number of Units Unit Cost Dollar Amount
Requested
Office Supplies (paper,pens,notebooks,tablets,flip chart paper,markers,etc.)
Paper for reports, letters,minutes 3 reams 8 24
Copies for marketing 15000 copies .03 450
Markers 3 sets of 5 5 15
Flipchart pad 1 60 60
Case on wheels 1 150 150
Envelopes 2 boxes 30 60
M:\HPROMO\CWCCI\Budget\Budget Justification FTE 04-05.doc
SUPPLIES
Description Number of Units Unit Cost Dollar Amount
Requested
Floppy discs 2 boxes 9 18
Total Office Supplies 777
Total Supplies 777
OPERATING
Description Number of Units Unit Cost Dollar Amount
Requested
Marketing(promotional materials,booth space,etc.)
Women Monthly Planner 500 .89 445
Book Marks 500 .29 145
Forget Me Not Seeds 10 pks of 50ea 20 200
Buttermints 4 cases 72 288
Emery boards 3000 .12 360
Taxes, Shipping and Handling 223
Booth Spaces at Special Events 6 30 180
Total Marketing $1,841
Media Advertising(television,radio,newspaper,etc.)
Thrifty nicle, Radio ads 9 167 1503
Total Media $1,503
Postage
Mailings to service providers,cervical cancer groups, 2000 .37 740
volunteers and partnering agencies
Total Postage $740
M:\HPROMO\CWCCI\Budget\Budget Justification FTE 04-05.doc
OPERATING
Description Number of Units Unit Cost Dollar Amount
Requested
Honoraria,incentives, refreshments
Meals for community consortium attendees 240 10 2,400
Total Honoraria,incentives,refreshments $2,400
Staff Training
Statewide Comprehensive Cancer Conference—2 days 1 250 250
Total Staff Training $250
Total Operating $6,734
INDIRECT CHARGES
Description of Indirect Charges How is the indirect rate Dollar Amount requested
calculated?
Indirect Charges(legal fees,rent, utilities,cleaning supplies, audit cost, interest payments, liability insurance, general
postage, general office equipment,building maintenance,etc.)
14.39%of all direct costs 9,665.80
TOTAL INDIRECT $9,665.80
M:\HPROMO\CWCCI\Budget\Budget Justification FTE 04-05.doc
CWCCI Budget Justification for July 1, 2004—June 30, 2005
1. Personnel salary for one FTE to coordinate and oversee the Regional Coordinator
position.
2. Fringe benefits for one FTE for the Regional Coordinator position
3. Equipment to purchase a cell phone and pay monthly charges.
4. Supplies for promotion and education to reach rarely and never screened women.
5. Contractual none
6. Travel for mileage to cover northeastern region of Colorado, attend consortium
meetings and recruit never/rarely screened.
7. Other—operating expense to purchase marketing/promotional materials, for media
coverage, for mailings, refreshments and meals for consortium participants and
registration fee for statewide conference.
8. Indirect for legal fees, utilities, cleaning supplies, audit cost, interest payments,
liability insurance, general postage, general office equipment, building maintenance,
etc.
M:\HPROMO\CWCCI\Budget\CWCCI Budget Justification 04-05.doc
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