HomeMy WebLinkAbout20002867 RESOLUTION
RE: APPROVE INVITATION TO BID FOR FAMILY PLANNING PROGRAM 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 Invitation to Bid for the Family
Planning Program 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, with
further terms and conditions being as stated in said invitation to bid, and
WHEREAS, after review, the Board deems it advisable to approve said invitation to bid,
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 Invitation to Bid for the Family Planning Program 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 invitation to bid.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 15th day of November, A.D., 2000.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COL RADO
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ATTEST: �� ��lameth & 1 meyer, Chair
Weld County Clerk to the,: : •
. J. G ile, Pro-Tem7.-
Deputy Clerk to the = �� e . Baxter ` i�`t�`�
APPR VED AS TO FORM:
Dale K. all • /
County Attorne �//
Glenn Vat]
L 2000-2867
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V II MEMORANDUM
C7OLO�RA ,O.
TO: Barbara J. Kirkmeyer, Chair, Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH, Director, Department of Public
Health and Environment
SUBJECT: Proposal for Family Planning Program
DATE: November 13, 2000
Enclosed for Board review and approval is a grant application to the Colorado Department of
Public Health and Environment (CDPHE) for funding to enable Weld County to provide
additional family planning clinical services and outreach education. If funded, the Health
Department will target adolescents, males, substance users, and those newly released from
correctional facilities. The funding would provide for three additional clinics per month as well
as education and outreach to target populations.
For these services, Weld County Department of Public Health and Environment is requesting
funding from CDPHE in the amount of$39,437 for the time period February 1, 2001 through
December 31, 2001.
I recommend approval of this grant application.
Enc.
2000-2867
INVITATION TO BID
DATE:October 30, 2000
RFP NO: RO-FPP0105
DIRECT INQUIRIES TO: ROBERT M. O'NEILL
PHONE NO: (303)692-2074
DATE RFP DUE: Monday 11/20/00 X3:00 PM MST
Eids properly marked as to RFP NO., DATE and HOUR of opening, subject to the conditions herein stipulat:.1
accordance with the specifications set forth and/or attached hereto,will be accepted at the address listed below, pilot' alr
date and time!isted for the bid opening. All bids shall be quoted F.O.B.destination, unless otherwise specified.to the d: iiven:
location orjobsite listed herein.
SEALED COMPETITIVE PROPOSAL FOR:
EXPAND FAMILY PLANNING SERVICES
RETURN PROPOSAL TO:
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
ASD-PURCH-A2
U RCH-A2
4300 CHERRY CREEK DRIVE SOUTH
DENVER,CO 80246-1530
Prices snail be quoted F.O.B.destination and include delivery to the CDP E.
SEE ATTACHED PAGES FOR TERMS AND CONDITIONS AND RFP REQUIREMENTS.
IMPORTANT: Bidders should read the entire bid document before submitting bid.
RFP'S MUST BE SIGNED IN INK
VENDOR Weld County Board of Commissioners, on behalf of they Weld County
Department of Public Health and Environment
ADDRESS 915 10th Street, Greeley, Colorado 80631
Barbara J. Kirkmeyer (11/15/2000)
TYP OR PRINTED SIGNATURE I
`_ • C tt.CGS_ 1, /1.L c .: L.
!andwritten Sicnature by Authorized Officer of/Agent of Vendor
TERMS NA
Terms of less than 30 calendar days will not be considered.
TITLE Chair (970)
DATE 11/15/00 PHONE# 356-4000 FAX# (970) 352-0242
The above bid is subject to Terms and Conditions on attached sheets.
RETURN THIS COPY
1. Name of contact person,title,phone number and e-mail address.
Contact Person: Linda Henry, RN,BSN,MA Phone number: (970) 304-6420, ext. 2304
E-mail address: Ihenry@co.weld.co.us
2. Complete agency name, address,phone and fax number.
Agency name: Weld County Department of Public Health and Environment
Address: 1555 North 17th Avenue, Greeley, Colorado 80631
Phone number: (970) 304-6410 Fax number: (970) 304-6416
3. Description of Need to serve additional new family planning clients.
Weld County is one of the fastest growing counties in the state. The total population was
estimated to be 162,253 in 1998. The most recent population estimate of the greater Greeley area
(Evans, Garden City, and LaSalle)is 87,243. The ethnic distribution in Weld County is 73.3%
White,24.8% Hispanic, and 1.9%African-American and other groups. Many immigrants from
Mexico and Central America have made Weld County their home. These immigrants are
working at low paying jobs without health insurance benefits and do not qualify for Medicaid due
to their undocumented status.
An estimate of the number of reproductively capable women in Weld County(13 to 45 years
of age) is 43,386 representing a 20% increase in this population over the last decade. The median
income of female-headed households in Weld County was only $13,609 compared to $17,505
statewide. The poverty rate for all ages in Colorado is 10.4% compared to 13.3%in Weld
County. Statistics from 1998 indicate that 18.9% of Weld County children live in poverty. The
fertility rate of 16.5 per 1,000 females aged 10-17 (1994-1998 annual average) for our county
compares to Colorado's rate at 12.2 per 1,000. The fertility rate in 1998 for youth ages 10-14 was
1.4 per 1,000 in Weld County compared to 0.8 per 1,000 in Colorado.
Past Co-track data indicates that 98% of the clients served at the Weld County Department of
Public Health and Environment are at or below 150% of federal poverty income guidelines. This
indicates that we have traditionally served very low-income individuals. Most of these women do
not have or qualify for Medicaid. Another growing population in Weld County is the working
poor who are no longer eligible for TANF benefits. This group often lacks Medicaid coverage
and most jobs they obtain are low paying without affordable health insurance options.
Teen pregnancy is a significant problem in Weld County. In 1997,births to teens in Weld
County represented 16% of all births compared to 11.8% statewide. The Weld County teen birth
rate in 1997 was 58.2 per 1,000 compared to 47.4 per 1,000 statewide. The number of
adolescents we see in our clinic is approximately 115 a year. We also provide STD diagnosis and
treatment to 173 males a year. Many of these males could have a more comprehensive
reproductive health encounter in a family planning clinic. The same prevention of STDs/HIV can
also help prevent unintended pregnancy with males and their partners.
Our clinic has served 1,500 unduplicated clients from January 1, 2000 through October 31,
2000. The total number of visits has been 3,302. The average appointment wait time for new
clients is 2.5 to 3 weeks. We could expand our capacity to serve new clients with additional
funds. This could be accomplished with the addition of weekday appointments and a monthly
Saturday clinic. The purchase of additional birth control supplies would also help meet the needs
of teens, at risk males, the uninsured,and low-income people.
The need for family planning services in Weld County is tremendous. Until recently, the
Weld County Department of Health and Environment was the only Title X facility. Sunrise
Community Health Center has just been awarded a Title X grant to start January, 2001. Sunrise
is planning on directing their family planning activities to the migrant population,homeless, and
indigent women. In the past, we have served many migrants and will continue to be available to
this population if Sunrise surpasses its capacity. Rocky Mountain Planned Parenthood(RMPP)
of Greeley has also been an important resource of family planning services in the greater Greeley
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area. Approximately 250 to 300 family planning visits are provided monthly at RMPP with
students from the University of Northern Colorado representing the majority of clients. While the
capacity in Weld County for family planning services will expand in 2001 with the approval of
Sunrise as a Title X provider, the growing young and impoverished population, and the statistics
reflecting reproductive health in Weld County,highlights the need to further expand services.
4. Project Description including goal and objectives:
Goals for family planning program expansion:
Goal#1: To increase accessibility to family planning services for Weld County substance users,
youth at risk, and those newly released from correctional facilities.
Objective:
Gain 220 additional new clients between February 1, 2001 and December 31, 2001 by increasing the
number of monthly clinics.
Three additional clinics will be held each month. Priority appointments would be established for
targeted new clients and males. One of these clinics will be held on a Saturday from 9:00 a.m. to 12:30
p.m. The remaining two clinics will be scheduled on two Tuesday afternoons from 1:10 until 4:10 p.m.
New patient and repeat appointments would be designated in all three clinics. Some of the return visits
for the newly recruited clients could also be integrated into existing family planning clinics.
Goal#2: Target populations (i.e.substance users,youth at risk,and those newly released from
correctional facilities) will receive prevention education about the effects of unintended pregnancy
and access to available services.
Objective:
By December 31, 2001, 25%of the NEW clients will be from one of the three target populations(by
increasing education and prevention outreach at Island Grove Regional Treatment Center, Weld County
Jail, Platte Valley Youth Corrections, and the Villa Treatment Center.
A Health Educator will make presentations to various agencies that serve the three targeted
populations. This will be done through presentations on HIV/STD and family planning prevention
education. Island Grove Regional Treatment Center(IGRTC)provides comprehensive drug and alcohol
treatment to over 5,000 clients annually. Women make up about 20% of the clients served by IGRTC. In
1999, the youth program at Island Grove served 424 clients of whom 114 were females and 310 were
males. Our HIV/STD education prevention outreach efforts are currently set up with the County Jail and
Platte Valley Youth Corrections. The Villa Living Center at Greeley has many dual diagnosis residents in
addition to those with drug and alcohol problems. Residents of the Villa include males and females
ranging in age from young adults to seniors. The Villa's program includes a focus on education as part of
the treatment provided. Related health issues are presented to help male and female residents reduce their
risk behaviors. Platte Valley Youth Corrections is a minimum-security facility that provides in-house
education and health services to a coed population of court-ordered detained and committed teens. The
Weld County Jail is a correctional facility for men and women who are over 18 years of age.
With the additional funds, we will be able to expand our capacity to accept new family planning
clients by increasing the number of appointments, setting up an additional clinic outside traditional work
hours,providing appointments for males, and marketing services to the targeted populations through
outreach efforts. Male family planning services could be offered to positive STD contacts, to those
primarily concerned about STDs, and fo those referred from the outreach activities.
5. Activities and Timelines
If funded, a once-a-month Saturday clinic with hours of 9:00 a.m.to 12:30 p.m. would be initiated by
February 1, 2000.There would be capacity to see six new clients and four repeat exams. Appointments
would be designated for new clients. Teens and others from target populations would be given priority
for appointments. Clinic staff would include a nurse practitioner,community health nurse,clinic
assistant,and receptionist. The nurse practitioner would provide initial exams; the nurse would assist the
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practitioner with return clients in dispensing/administering contraception; the clinic assistant would be
available to interpret/chaperon; and the receptionist would check in clients, make return appointments,
and receive payments/donations.
The Tuesday clinics would be held twice monthly. There would be 7 appointments available for initial
exams and 4 repeat appointments. New client appointments would be designated similar to the Saturday
clinics. These Tuesday clinics would allow for the addition of 14 new clients per month. A nurse
practitioner, community health nurse, and clinic assistant would provide the core team. Their functions
would essentially be the same as the Saturday staff. Since another clinic would be running concurrently a
receptionist and cashier would already be available. From these additional clinics, a total of 20 new
clients per month could be served with an annual yield of 220 new clients between February 1, 2001 and
December 31, 2001.
One of our health educators would do expanded outreach education to Island Grove Regional
Treatment Center, Weld County Jail, the Villa Living Center, and Platte Valley Youth Correction. Her
hours would be expanded starting February 1, 2001. An additional 6 hours per week would provide the
needed time to conduct the grant activities.
By January 1, 2001 the health educator will have completed an assessment of reproductive health
services at the facilities identified. A meeting between the health educator and management of these
agencies would be scheduled by January 15,200,1 to present the assessment findings, provide general
information, and develop plans for implementation of new services. Full implementation of the
outreach/education activities would start February 1, 2001. Since the groundwork for this outreach is
currently in place, new educational services directed at prevention of unintended pregnancies could be
added easily. During presentations, discussions could include the consequences of unintended pregnancy
and provide information/referral to the expanded family planning clinics. Funding requested in this bid
would provide an additional six hours per week to plan and provide group presentations to the Island
Grove Youth Program, Platte Valley Youth Corrections, the Villa Living Center and the Weld County
Jail.
6. Data Collection
Our agency will implement IRIS January 1, 2001 to replace the Co-track reporting system. We would
use IRIS to generate reports to track New clients. A tickler feature would be installed to further define
those clients admitted under the new services initiated through grant funding. In addition, an anonymous
questionnaire would be utilized to collect information on source of information about services. This
would be feasible since the new clinics would be designated for the targeted clients.
We agree to comply with the six month reporting requirements on the admission of new clients to our
services.
7. Line item budget with budget justification.
Weld County Department of Public Health and Environment (WCDPHE) is requesting funding from
the Colorado Department of Public Health and Environment (CDPHE) to expand family planning
services in the amount of$39,437 for the time period February 1, 2001 through December 31,2001. This
funding includes$15,701 in personnel costs which would support the hiring of 0.07 FTE Nurse
Practitioner,0.07 FTE Community Health Nurse II, 0.07 FIE Clinic Assistant, 0.031-TB Receptionist,
and 0.15 FTE Health Education Specialist. In-kind funding of$1,298 for 0.03 FTE Community Health
Nurse Supervisor would be donated by WCDPHE.
Operating expenses for this time period include$14,250 for the purchase of contraceptive supplies,
$3,096 for Pap Smears and Chlamydia/GC testing, $1,134 for consumable clinic supplies (including
pregnancy tests),$500 for pamphlets and other marketing materials, and$250 for printing educational
information for clients.
Indirect costs in the amount of$4,674 are calculated at the rate of 12.9% of total direct costs. $4,506
of this amount is requested from CDPHE, and$167 is proposed as in-kind donation from WCDPHE.
This results in a total budget for the program of$40,902.
APPLICANT: WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
I I
PROJECT: PROPOSAL TO EXPAND FAMILY PLANNING SERVICES
( -
BUDGET FOR THE PERIOD: 02/01/01 -06/30/01
Number Total Source of Funds
Months Amount Applicant Requested
FTE Budget Required and Other from COPHE
PERSONAL SERVICES
Nurse Practitioner 0.07 11 3,519 • 3,519
Community•Health Nurse II 0.07 11 2,581 2,581
• Clinic Asst./Interpreter(Off.Tech II) 0.07 11 1,330 1,330
Receptionist(Off Tech II) 0.03 11 520 52O
Health Education Specialist 0.15 11 • 4,611 4,611
t ,
Supervising Personnel:
Nurse Supervisor 0.03 11 1,038 1,038
Sub-Total Salaries 13,599 1,038 12,561
Fringe Benefits: Rate=25% 3,400 260 3,140
TOTAL PERSONAL SERVICES 16,999 1,298 15,701
OPERATING EXPENSES
Contraceptive Supplies 14,250 14,250
Laboratory Testing 3,096 3,096 _
Clinic Supplies I 1,134 1,134
Marketing Supplies 500 500
Printing 250 250
TOTAL.OPERATING EXPENSES 19,230 0 19,230
SUB TOTAL PERSONAL SVCS& OPERATING EXP. 36,229 1,298 34,931
Indirect: Rate= 12.9%of Direct 4,674 167 4,506
TOTAL PROJECT 40,902 1,465 39,437
•
Mark E.Wallace, MD, MPH, Director
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