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HomeMy WebLinkAbout20010275.tiff RESOLUTION RE: APPROVE AGREEMENT TO ADMINISTER GRANT FUNDS AND AUTHORIZE CHAIR TO SIGN - UNITED WAY OF WELD COUNTY 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 Agreement to Administer Grant Funds 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 United Way of Weld County, commencing September 15, 2000, and ending September 15, 2001, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, 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 Agreement to Administer Grant Funds 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 United Way of Weld County be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 29th day of January, A.D., 2001, nunc pro tunc September 15, 2000. BOARD OF COUNTY COMMISSIONERS WELD CO TY, COLORADO ♦.:�, ATTEST: Ate# IE IL, b� ® az-6, 0; . J. eile, Chair I/�// Weld County Clerk to the �� :, 1 �•"t. 1 � 4. �' GG/ rPo'- ' I nn Vaad, r—o em BY: Deputy Clerk to the Boar. 41-1/ t '$ m H Jerke APP3 :;: M ED AS E.kraLl Robert D. Masden pc : AIL 2001-0275 HL0028 Memorandum P! 2 5 11 0: l ' C TO: M.J. Geile, Chair Board of County Commissidners FROM: Mark E. Wallace, MD, MPH, Director, COLORADO Department of Public Health and Environment Atk DATE: January 25, 2001 SUBJECT: Agreement with United Way of Weld County Enclosed for Board review and approval is an agreement between United Way of Weld County and the Board of Weld County Commissioners on behalf of the Weld County Department of Public Health and Environment (WCDPHE). United Way has been awarded a grant to provide outreach to Weld County residents to inform and assist them in application for the Child Health Plan Plus (CHP+) program. Through this grant United Way is collaborating with Monfort Children's Clinic, Salud Clinic, Sunrise Community Health Center, North Range Behavioral Health, and Weld County Departments of Social Services and Public Health and Environment. In the provisions of this agreement, WCDPHE agrees to administer the program by providing a full-time staff person to serve as a Child Health Plan Plus Advocate. This person will provide CHP+ information through community presentations to agencies working with families, increase CHP+ enrollment through the application and referral process, and develop a system to provide CHP+ enrollment to support WCDPHE clients accessing our services. For these services, WCDPHE will receive an amount not to exceed $32,500 for the time period September 15, 2000 through September 15, 2001. I recommend your approval of this agreement. Enclosure 2001-0275 AGREEMENT TO ADMINISTER GRANT FUNDS This Agreement is entered into by and between United Way of Weld County ("United Way") and the Board of Weld County Commissioners, on behalf of the Weld County Department of Public Health and Environment ("the Health Department"). BACKGROUND INFORMATION A. United Way has been awarded a grant to provide outreach to Weld County residents to inform and assist them in application for the Child Health Plan Plus program ("the Grant"). B. Health Department has agreed to collaborate with United Way in providing the services pursuant to the Grant. C. The parties wish to set forth their agreement in writing. NOW THEREFORE, in consideration of the mutual promises contained herein, the parties agree as follows: AGREEMENT 1. Recitals. The above set forth recitals are hereby incorporated into this Agreement. 2. Acceptance of Funds. United Way agrees to provide funds from the Grant in the amount of$ 32,500.00 to Health Department, and Health Department agrees to accept said funds to provide outreach to residents of Weld County and to assist them in application for the Child Health Plan Plus ("CHP+"). 3. Term. The term of this Agreement is from September 15, 2000 through September 15, 2001. 4. Administration of Grant. The Health Department agrees to administer the Grant in compliance with the proposal submitted by United Way (which is attached hereto and incorporated herein as "Exhibit A"). Health Department shall provide a full-time staff person to serve as Child Health Plan Plus Advocate. The duties for the position shall include the duties delineated in the job description attached hereto and incorporated herein as "Exhibit B." The Child Health Plan Plus Advocate shall be employed by Health Department, and, shall therefore be a Weld County employee, subject to the responsibilities and benefits of the Weld County Employee Personnel Policy Handbook. Health Department shall abide by the "General Conditions for Child Health Plan Plus Marketing and Outreach 1 Assistance Awards," as more particularly set forth in "Exhibit C," attached hereto and incorporated herein. 5. Support From United Way. United Way agrees to do the following: a. Support the Health Department, and the Collaborative Partners, Sunrise Health Center, Monfort Children's Clinic, and Salud Health Center. b. Provide a .25 FTE Administrative Assistant to support the Collaborations work and manage the program database. c. Abide by the "General Conditions for Child Health Plan Plus Marketing and Outreach Assistance Awards." as set forth in Exhibit C. d. Work with the CHP+ Advocate to generate all necessary reports and documentation. 6. Use of Funds. The funds provided to Health Department by United Way pursuant to this Agreement (sometimes referred to as "Grant funds"), are restricted to the purpose specified in Exhibit A and are to be spent in accordance with the proposed budget as set forth in Exhibit A. Any part of the Grant funds not so used within the term of this Agreement must be returned to United Way within 30 days after the completion of the project or upon the expiration of the term of this Agreement. 7. Grant Accounting and Records. a. Health Department agrees to maintain adequate accounting records and to obtain documentation for all Grant expenditures. b. Health Department agrees to maintain records and accounts consistent with generally accepted accounting principles, and to provide for such fiscal control as is necessary to assure proper disbursing of, and accounting for, project Grant funds. c. Health Department will make a good faith effort to provide information concerning accounts and documentation relating to the Grant project expenditures which will be adequate to permit an accurate and expeditious audit, should an audit be requested by the Grant funding source. Any audit requested may be conducted during regular business hours and upon 24 hours notice. 8. Changes in activities or expenses. Any significant change in project activities or expenses must receive prior written approval from United Way. These changes include, but are not limited to, changes in the project's scope, purpose or activities, changes in expenses of more than 20 percent of an approved budget 2 category, and changes in the duration of the grant period. 9. Payment of Grant Funds. United Way shall pay the Grant funds as follows: The payments shall be made quarterly with the first quarterly payment due and payable to the Health Department upon receipt by United Way of a signed duplicate original of this Agreement. The second payment is due and payable on January 30, 2001; the third payment is due and payable on April 30, 2001; and the final payment is due and payable on July 30, 2001. 10. Termination. In the event that the Health Department fails to meet the terms of this contract,United Way may terminate this Agreement upon thirty (30) business days written notice to the Health Department. Health Department may terminate this Agreement for any reason upon thirty (30) business days written notice to United Way. In the event that this Agreement is terminated prior to the end of the Agreement term, Health Department shall, within 30 days of the effective date of the termination, repay to United Way all unexpended Grant funds. Health Department shall provide to United Way a full and complete accounting of all receipts and disbursements of funds and expenditures incurred under this Agreement through the effective date of termination of this Agreement. 11. No Waiver of Governmental Immunities. Notwithstanding the provisions stated herein, nothing in this Agreement is intended as a waiver by Health Department of governmental immunity rights pursuant to state or federal law. 12. Budgeting, Nothing in this Agreement shall be construed to require Weld County to expend funds not previously budgeted. 13. Independent Parties. The parties to this Agreement intend that the relationship between them contemplated by this Agreement is that of independent entities working in mutual cooperation. No employee, agent, or servant of one party shall be or shall be deemed to be an employee, agent, or servant of another party to this Agreement. 14. Agreement not Assignable. This Agreement shall not be assignable to any third party. 15. Notices. Any notice provided for in this Agreement shall be in writing and shall be served by personal delivery or by certified mail, return receipt requested, postage prepaid, at the addresses set forth in this Agreement, until such time as written notice of a change is received from the party wishing to make a change of 3 address. Any notice so mailed and any notice served by personal delivery shall be deemed delivered and effective upon receipt or upon attempted delivery. United Way: Judy Kron United Way of Weld County P.O. Box 1944 Greeley, Colorado 80632 Health Department: Mark E. Wallace, M.D., M.P.H. Weld County Department of Public Health and Environment 1555 N. 17th Avenue Greeley, Colorado 80631 16. Entire Agreement-- Modification. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. No modification, amendment, novation, renewal, or other alteration of or to this Agreement shall be deemed valid or of any force or effect whatsoever, unless mutually agreed upon in writing by the undersigned parties. No breach of any term, provision, or clause of this Agreement shall be deemed waived or excused, unless such waiver or consent shall be in writing and signed by the party claimed to have waived or consented. Any consent by any party hereto, or waiver of, a breach by any other party, whether express or implied, shall not constitute a consent to, waiver of, or excuse for any other different or subsequent breach. 17. Provisions Severable. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable, this Agreement shall be construed and enforced without such a provision, to the extent this Agreement is then capable of execution within the original intent of the parties. 18. No Third Party Enforcement. It is expressly understood and agreed that enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity, other than the undersigned parties, receiving services or benefits under this Agreement, shall be deemed an incidental beneficiary only. 4 IN WITNESS WHEREOF, the parties have hereunto set their hands and seals this 29th day of January , $lf l. 2001. COUNTY OF WELD, STATE OF COLORADO BY AND THROUGH THE BOARD OF ATTEST: tLa COUNTY COMMISSIONERS OF WELD COUNTY � � ON BEHALF OF THE WILD COUNTY CLERK TO THE BOA W 161 . 1/49 "'. DEPARTMENT OF PUBLIC HEALTH AND ENVI NMENT �_ ,. I,, . fir. Deputy Clerk to the Boar% te,�� BY: M. J. Geile, Chair (01/29/2001) APPROVED: castcAL Mark E. Wallace, M.D., M.P.H. UNIT WAY t By: Mik op, r i —J2* By: Jea nine Truswell, Executive Director 5 Exhibit A WELD COUNTY CHP+ COLLABORATION GRANT APPLICATION Desc— r�on United Way of Weld County is submitting this Child Health Plan Plus grant and if funded,will facilitate this project on behalf of all S.E.D. sites/Child Health Plan Plus providers in Weld County. We propose providing outreach to all of Weld County through a coordinated approach using two strategies—we will use the existing network of service providers as outreach workers to educate and enroll families. We will also concentrate on enrollment through the Weld County Health Department, which through immunization clinics, well-baby checks, family planning services to women with children, and E.P.S.D.T. comes in contact with 2,000 potentially eligible clients, but does not currently have adequate staffing to handle enhanced enrollment efforts. We will follow up on Medicaid denied applicants to inform and assist them in getting their applications processed for the CHP+program. We are creating an Outreach/ Tracking form (attached)that will not only allow us to do more extensive follow-up with eligible families but will be our evaluation tool. Need Weld County children could greatly benefit from this program. While other Front Range communities are improving in the Colorado Children's Campaign Kid's Count indicators, Weld County is actually loosing ground. According to the 1999 Kids Count Report Card, Weld County's indicators have worsened since 1991, including rates for low birth weight, infant mortality and teen births. The 1990 census also shows Weld County's poverty level for children at 18.9%compared to a state rate of 15%. Weld County compared less favorably to neighboring Front Range counties child poverty rates (Lorimer— 10.4% and Adams 14.1%). According to 1990 census, the median family income in Weld County was $30,800 compared to a state family median income of$35,930. Poverty remains high and wages have remained low. While CHP+ lists Weld County with 1,782 unenrolled eligible children, the number is much higher. Weld County's growth since 1990 has resulted in its' population doubling over the last decade. Currently Northern Colorado is growing at one of the fastest rates in the state. We estimate the number of uninsured CHP i eligible children to between 6,000 to 7,000 compared to the 1990 census figures. We know, according to a study done by the Colorado Coalition for Medically Uninsured, that Weld County ranks the highest in the state for the number of uninsured children (20%). Because our project includes all of the current S.E.D. sites several barriers have already been identified. They include inability to follow-up with eligible clients who did not have all their documentation,resubmission to CHP after denial of Medicaid and general concerns that the system is too cumbersome. We are writing into our unique outreach/tracking form a survey process that will identify additional barriers by asking questions at initial contact and after enrollment.This information will be used to refine our process and to support further projects. Several of our partners are also applying for mini-grants to enhance their own outreach efforts_ If funded, they will use our outreach/tracking system and those additional efforts will be integrated into this collaborative. By using Weld County's existing network of agencies to educate clients about CHP+and to support the application process, minimal new or additional staffing will be required. We propose one full-time position to serve as a CHP+ Advocate/Ombudsman for all sites. The ombudsman will be located at the Health Department to provide coordinated support and follow- up to their existing application process. An additional .25 FTE clerical position will be located at UWWC WC to manage the.outreach tracking database. United Way of Weld County will provide grant oversight and facilitation of the collaboration as an in-kind contribution to the project. Impact • Weld County is fortunate to have an extensive network of service providers; many doing case-management, outreach and/or home visits to many families with children. Many of those agencies are only minimally aware of CHP+, few provide clients information about the program and only the enrollment technicians at the clinics fully understand the process. Many eligible clients have been frustrated by the complicated application and lengthy process and have given up. Our approach,we hope,will provide more accurate information to eligible clients up front and support throughout the process. Our program will provide a wider network of agencies educating our community about CHP+ and a key group of agencies actually assisting individuals with filling out the applications and obtaining support documentation. This hopefully will result in more individuals at S.E.D. sites being certified on their first visit. The ombudsman using our outreach/tracking form will be able to support each individual who has completed an application. We will use our outreach/tracking form to create a database that will allow us to follow-up with individuals, track our results and to also provide CHP+ valuable information on the CHP+programs internal barriers and perhaps provide insight into ways of improving access. As an incentive to support the additional staff time required of the ten entities actually helping their clients fill-out applications, we will pay a$5.00 stipend for each application completed. Priority This project is a joint project of the North Colorado Medical Center Foundation's Monfort Children's Clinic, Salud Clinic, Sunrise Community Health Center, Weld County Department of Health and Environment,Weld County Department of Social Services, North Range Behavioral Health and United Way of Weld County.This network serves all of Weld County.This collaborative effort will increase enrollment and will enhance cooperation and collaboration among the participating agencies. Goals/Objectives/Activities/Timeline WELD COUNTY CHP+ COLLABORATION Goal No. 1: To impact and increase enrollments by training community agencies to provide information, application assistance and referrals to CHP±. OBJECTIVES ACTIVITIES TIMING MEASUREMENT 1. To generate 3,000 potential At regularly scheduled meetings,CHP+ • &2" r Track the training clients through education about program training on the application Quarters of CHP+ presentations and process,S.E.D. sites and distribution of the grant the number of CHP+fliers for clients will be made to period clients that the following Agencies(numbers of agencies inform members/contacts): about CHP+. • United Way of Weld County Agencies(36) • The Child Abuse Coalition(30) • The Weld County Child Care Provider Community(252) • W.A.E-Y.C., the Weld Association for the Education of Young Children(47) • The Weld County Immunization Coalition(I4) • The 12 rural school districts. We will piggyback on the Train the Trainers Weld County Child Abuse Protocol session. We will train an individual tiom every school district,who will then go back and • train their staff. In smaller districts,these are either a school administrator who oversees the nursing staff or a school nurse. ' School District 6,which incorporates all of the Greeley, Evans communities. We will train their individual school nurses/aides. • Weld County Health Coalition(44) 2. To generate 1,200 applications 25%of the ombudsman's time will be • These • Collect data to the CHP+program. spent training ten agencies in all facets training's through the of the CRP+program and the will begin collection of the application process,to he able to assist in Sept.and agency checklist • their clients in enrolling in the program: continue forms to track the through the number of • Weld County Early Family 1'quarter applications filed Intervention Collaboration-5 of the grant with CHP+. agencies that provide home based period. parent support and education. • Five other agencies will be identified who will he willing to be trained and assist their clients in enrolling. 3. To enroll 600 more children in • 50%of the full-time bi-lingual • Before I ■ Track the number the CHP+program by providing CHP+Advocate/Ombudsman's October of contacts, enrollment support to the Weld time will he devoted to supporting l5`r'and applications and County Public Health the health department in enrolling throughout enrollments Department and supporting their potential clients. These the grant generated by this • enrollment at the three clinics. clients will access health care period. position. services at a variety of sites throughout the county. • 25%of the ombudsman's time will be devoted to supporting the other clinics. Goat No.2: To increase cooperation and collaboration within Weld County in supporting the CI-iP 1- Program and enrollment. OBJECTIVES ACTIVITIES TIMING MEASUREMENT 1. To develop a process and paper ■ Development of Agency check list • l x Quarter • Collect and track work for supporting the that will include survey questions the number of increased enrollment. and the release of information. checklist forms, • Develop Agency CHP+Information agency inform- Packets ation and appli- • Development of Agency Packets cation packets and • Develop client fliers (including client fliers that • S.E.D.site locations and are distributed. information on enrollment process) 2. ro set up a database system to • Develop a database system to track • 2"° • Review database track the applications and the necessary reporting information, Quarter system with the enrollments. monitor applications process, collaborative supporting of and following up after agencies and enrollment. utilize it to prepare reports for the group and for grant reporting purposes. 3. Hire staff to do training,tracking • Hire a full-time bi-linglual CHP+ • Before • Recruit and hire and act as an advocate/ Advocate/Ombudsman to oversee October staff as outlined. omnibudsman and hire part-time training,development of tracking 15th clerical support. system,located at Weld County Public Health Department to support enrollment processing and act as an advocate/ombudsman for all S.E.D.sites. • Hire a.25 f.t.e.data entry clerk to process paperwork and enter data. Qualification of Organzation United Way of Weld County for the last 12 years has facilitated the Weld County Child Abuse Coalition. Those efforts resulted in the creation of an advocacy center and a C.A.S.A. program. Both originally operated by United Way have now been spun off as A Kids Place. We are in our fourth year as facilitator and fiscal agent for the Weld County Early Family Intervention Collaboration funded through Y.C.P,I. We currently have partnerships with School District 6 and Aims Community College for program delivery. United Way of Weld County also funds and monitors 47 programs, which provide 76 services in Weld County. Collaboration We will be building on the successful collaborative efforts of both the Child Abuse Coalition and the Weld County Early Intervention Collaboration by using them as outreach networks. This collaboration is also working on a joint application to implement an intensive nurse home-visiting program. The partners in this project will meet regularly to review progress and refine our program to meet goals & objectives. ,Evaluation The agencies check list forms and our database will provide the information required for both tracking and reporting purposes. • By training the agencies to help support families in filling out their application and gathering the necessary documents, these process will be faster and easier for them at the s.e.d. sites and decrease the need for additional appointments to complete this process. • With the ombudsman's will follow up with eligible clients and the s.e.d. sites to monitor and track the success rate of applicants to the originating referral sources. • The ombudsman will communicate with the applicants,the s.e.d. sites, the Department of Social Services, and the CHP+office,resolving many enrollment problems. • Community relationships will be strengthened through the efforts and communications of the ombudsman with the county's agencies and through our collaborative grantee meetings. • The clerical staff position will dispense CHP+program informational materials to the information tier groups and will track enrollments. • 3,000 families will receive CHP+information through our efforts; this would reflect a duplicated count as families could receive information from more than one source. • The correlation of the number of information fliers distributed, the number of applications supported by trained agencies, the number of applicants who get to the s.e.d. sites and the actual number of approved applications will be tracked and compared for both the evaluation and reporting processes. • The primary care providers will conduct a survey of enrollees to reveal problems they may have experienced as enrollees. WELD COUNTY CHP+ COLLABORATION GRANT APPLICATION BUDGET • Personnel(includes benefits) $35,500 Ombudsman $30,000 .25 F.T.E. Administrative Assistant 5,500 Supplies and Operation 5,000 Supplies $ 1,000 Copies 900 Printing 900 Postage 1,200 Travel 1,000 Incentive Stipends _ 6.000 TOTAL $46,500 BUDGET.JUSTIFICATION The ombudsman's salary is based on Weld County salary classification for a comparable position. The supply and operation cost covers both United Way and the Weld County Public Health Department's costs. Printing costs would include the cost of printing the CHP+check list forms on NCR paper in triplicate and the Weld County Application Process and S.E.D. site information sheets. Postage would include mailings to agencies, S.E.D. sites and applicants. Travel costs would cover staff mileage to the Salud Clinic in Ft. Lupton. The incentive stipend would reimburse the ten agencies who begin assisting clients in filling out their applications. We would reimburse the agency$5.00 for each application generated at their site and submitted to a S.E.D. site. Office space and equipment will be in-kind donations of United Way of Weld County and the Weld County Public Health Department. Exhibit B WELD COUNTY, COLORADO OFFICE TECHNICIAN III CHILD HEALTH PLAN PLUS ADVOCATE DESCRIPTION OF WORK General Statement of Duties: To impact and increase Child Health Plan Plus (CHP+) enrollments by providing community training,public application assistance, and program advocacy to CHP+ providers and Weld County families. Supervision Received: Works under the Weld County Department of Public Health and Environment(WCDPHE) administrative policies,United Way of Weld County(UWWC), CHP+ Collaboration Grant guidelines,and CHP+general enrollment procedures. Supervision Exercised: Serves as a leader in the community regarding CHP+services. EXAMPLES OF DUTIES: (Any one position may not include all of the duties listed nor do the listed examples include all duties which may be found in grant position.) Provide CHP+information through community presentations to agencies working with families as outlined in the Weld County CHP+Collaboration grant. Increase CHP+ enrollment through application and referral process. Develop a system to provide CHP+enrollment to support WCDPHE clients accessing services. Provide CHP+enrollment through internet. Develop a tracking system to support CHP+ enrollment processing, collaborating with UWWC for data collection. Attend regularly scheduled meetings of community agencies, outlined in the Weld County CHP+Collaboration grant,to provide CHP+program training and distribution of CHP+ fliers. MINIMUM QUALIFICATIONS Required Knowledge,Skills, and Abilities: Ability to exercise initiative and considerable amount of independent judgement;has excellent verbal and written communication skills; Bi-lingual in Spanish and English; computer knowledge of software systems to enhance development of program enrollment process,tracking system, and group training presentations; establish and maintain effective working relationships with community agencies and families identified for CHP+services. Knowledge of community resources essential. Utilization of office equipment,practices, and procedures.Personal insured vehicle and current Colorado driver's license. Education: High School Graduate or G.E.D. Exhibit C GENERAL CONDITIONS FOR CHILD HEALTH PLAN PLUS MARKETING AND OUTREACH ASSISTANCE AWARDS In addition to any special conditions cited in the award letter and its attachments, the following *eneral conditions apply to all Child Health Plan Plus Marketing and Outreach Assistance Awards: Child Health Plan Plus Awards and income earned thereon may be used for charitable. scientific, literary or education purposes. Award funds and income earned thereon may be expended only for the purpose(s) indicated on the applicant's formal request and as outlined in the award letter. No substantial variance may be made without prior written approval from Child Health Plan Plus. Any award funds, or income earned thereon, not expended or committed for the purposes of the award must be returned to Child Health Plan Plus. Awardee shall comply with Child Health Plan Plus requests for information and reports. If an award is to provide funds for a special project and if the special project being funded includes any attempts to influence legislation, none of the award funds may be used for any attempt to influence legislation. With an award from Child Health Plan Plus in the amount of$46,500, the United Way of Weld County will meet the project goals stated in your proposal. The duration of the grant shall be September 15, 2000 through September 15, 2001. Additional tracking, reporting, evaluation and payment requirements will be established by the United Way of Weld County Project Supervisor and the Child Health Advocates Community Enrollment Projects Manager at a later date. Hello