HomeMy WebLinkAbout930777.tiff RESOLUTION
RE: APPROVE CONTRACT WITH OFFICE OF THE GOVERNOR OF COLORADO FOR NORTHERN
COLORADO AIDS PROJECT AND AUTHORIZE CHAIRMAN 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 Contract between the Weld
County Health Department and the Office of the Governor of Colorado for Northern
Colorado AIDS Project, commencing April 1, 1993, and ending March 31, 1994, with
further terms and conditions being as stated in said contract, and
WHEREAS, after review, the Board deems it advisable to approve said
contract, 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 Contract between the Weld County Health Department and
the Office of the Governor of Colorado for Northern Colorado AIDS Project be, and
hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is,
authorized to sign said contract.
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 9th day of August, A.D. , 1993, nunc pro tunc
April 1, 1993.
[1 BOARD OF COUNTY COMMISSIONERS
ATTEST: / /44,4°M.4 7 // WELD COUNTY, COLORADOpy
Weld County Clerk to the Board ��' f4.-i�.rccd
Constance L. Harbert,
/)�ChVar
BY: 4{40/74:,‘„/ P2k!" C/v ei ,I Q /Deputy the Boa- W. Pro-r (J_ l/
APPROVED AS TO FORM: �=.�2-f�iirr C
eorge E Baxter
. '7 e--6-aic hi
ounty ey Dale K. Hall
EXCUSED DATE OF SIGNING (AYE)
Barbara J. Kirkmeyer
930777
Farm 6-AC-02A(12 1/88)
DEPARTMENT OR AGENCY NUMBER
EAA/FAA
CONTRACT ROUTING NUMBER
94-0393
CONTRACT
THIS CONTRACT, made this 1st day of April 1993 by and between the State of Colorado for
the use and benefit of the Office of the Governor, 136 State Capitol, Denver, Colorado 80203
hereinafter referred to as the State, and Weld County Health Department, 1517 16th Court,
Greeley, Colorado 80631 hereinafter referred to as the Contractor.
WHEREAS, authority exists in the Law and Funds have been budgeted, appropriated
and otherwise made available and a sufficient unencumbered balance thereof remains available
for payment in Fund Number 100, APPR code 296 (Governor's Office) 383 (Health
Department), Contract Encumbrance Number EAA 93-36(Governor's Office)/FAA SOD940393
(Health Department); and
WHEREAS, the Office of the Governor has been notified that funds have been awarded
to the State of Colorado, Office of the Governor, through the U. S. Department of Health and
Human Services, under P.L. 101-381, known commonly as the Ryan White C.A.R.E. Act of
1990, Title II, C.F.R. #93.917, for the purpose of providing certain care services to persons
with Human Immunodeficiency Virus (HIV) related illness within the State of Colorado; and
WHEREAS, the Contractor has been selected pursuant to Request for Proposal BF-
02793, hereto and incorporated herein as Attachment A, to provide the services as herein set
forth; and
WHEREAS, effective July 1, 1993, State administration of the grant will be transferred
from the Office of the Governor to the Colorado Department of Health.
NOW THEREFORE, it is hereby agreed that for and in consideration of their mutual
promises to each other, hereinafter stated, the parties hereto agree as follows:
I. Upon execution of an Executive Order, the Colorado Department of Health shall
represent the State for all purposes of this contract and the Contractor shall be
responsible to the Colorado Department of Health regarding all terms of this contract and
any amendments made to this contract. From and after the effective date of such
transfer, all references in the contract to the "State" shall mean the Colorado Department
of Health .
II. The Contractor shall undertake and perform the following services, tasks and
responsibilities:
A. Maintain the existing HIV services consortium (Northern Colorado Care
Consortium) which includes, but is not limited to, the Weld County Department
Page 1 of 8 Pages 930777
Centennial Area Health Education Center, Bonnell Good Samaritan Center,
Normedco Home Health Care, Weld County AIDS. Coalition, University of
Northern Colorado, Island Grove Regional Treatment Center, Northeast Colorado
Health Department, Larimer County Health Department, Morgan County Social
Services and Weld County Social Security Administration, hereinafter referred to
as the "Consortium".
B. Within the provisions of the proposal and budget hereto and incorporated herein
as Attachment B, the Consortium will be responsible for the following tasks:
1. Provide comprehensive outpatient, essential health and support services for
individuals and families with HIV infection. Services may include, but
are not limited to:
a. essential health services: case management; medical, nursing and
dental care; diagnostics; monitoring; medical follow-up services;
mental health; development and rehabilitation services; home
health care; and hospice care.
b. essential support services: transportation; attendant care;
homemaker services; day or respite care; benefits advocacy;
advocacy services provided through public and nonprofit private
entities; nutrition; housing referral; child welfare and family
services (including foster care and adoption); and provision of
information and counseling on living with HIV.
2. Coordinate existing services for persons with HIV in the geographical area
which includes the counties of Weld, Larimer and Morgan. The
Consortium is recognized as a coordinating body that will integrate HIV
services within the specified area.
C. The Contractor shall work cooperatively with the State in the review and
evaluation of program progress and the independent peer review program which
is required by the Act and is designed to assess the quality and appropriateness
of health and support services provided through this grant.
D. The Contractor agrees that HIV-related health care and support services are
provided without regard to the ability of the individual to pay for such services
and without regard to the current or past health condition of the person with HIV
disease. The Consortium will also strive to ensure that services are provided in
a setting that is accessible to low-income individuals with HIV disease and that
outreach is provided to such individuals to inform them of the services available
through this grant.
E. The Contractor shall organize and conduct meetings of an HIV Consortium
advisory committee consisting of representatives of the members of the
Consortium and community representatives and ensure that decisions affecting the
Page 2 of 8 Pages 930,17
lJ,17
Consortium and community representatives and ensure that decisions affecting the
work of the Consortium are made by a collaborative process which provides an
equal voice for all members.
III. The Contractor shall provide to the State a copy of any subcontract within ten (10) days
of the execution of each Subcontract. All Subcontracts shall be subject to all of the terms
of this contract.
IV. The Contractor shall provide statistical and program achievement information on a
quarterly basis and separately on an annual basis to the State which is required, in turn,
to report this information to the Health Resources and Services Administration (HRSA)
of the U.S. Department of Health and Human Services (DHHS). Quarterly reports will
be submitted by the Contractor no later than fifteen (15) days following the final day of
the quarter. These reports will reflect quarterly expenditures listed by object
class/category and by HIV service; the total number of clients by gender and diagnosis,
including the state in which the client was diagnosed; progress in achievement of goals
and objectives; problems and concerns encountered in completing activities within each
category of service. Copies of reporting forms are attached hereto and incorporated
herein as Attachment C. The Service Category Definitions are attached hereto and
incorporated herein as Attachment D. In addition, a final project report will be
submitted by the Contractor no later than June 15, 1994. The State will provide guidance
to the Contractor regarding the format of the final report.
At this time, the Uniform Reporting System (URS) is under evaluation by HRSA and the
State of Colorado. The URS is a reporting system which records demographic
information, service delivery and program expenditures and all or any part may be
implemented by the State at any time during the period of performance of this contract.
By signing this contract, the Contractor agrees that when the URS is implemented the
Contractor and Subcontractors will comply with all requirements of the program.
V. The Contractor shall comply with all laws regarding discrimination on the basis of age,
sex, disability, race, color, religion or national origin, in the delivery of services as well
as in personnel management. The Contractor shall comply with all laws regarding the
provision of a drug-free work-place and to comply with the provisions of the Americans
with Disabilities Act.
VI. The Contractor will notify the State of all public meetings and regular meetings
conducted in connection with the performance of this contract. Notification by newsletter,
special mailings, telephone or facsimile communication shall be acceptable.
VII. The Contractor will in a timely manner make copies of and distribute to all
Subcontractors all official communications (including facsimile communications) from
the State which are marked for such distribution.
VIII. Execution of this contract does not obligate the State to continue funding after
termination of this contract.
Page 3 of 8 Pages 9‘41".17 ��
IX. All books and records of the Contractor pertaining to this contract shall be maintained
and kept in such a manner as to be available at any time during regular business hours
for inspection or audit by the State, State Auditor, or the Office of the Controller General
and to retain such records for a period of at least three (3) years following the expiration
of the contract.
X. The State will, in consideration of the obligations undertaken by the Contractor in this
contract, pay to the Contractor a sum not to exceed THIRTY NINE THOUSAND
DOLLARS ($39,000) in accordance with the budget outlined in Attachment B in the
following manner:
A. Payment of one-quarter of the total funds under terms of this contract shall be
made to the Contractor at the end of each quarterly period, upon receipt of the
quarterly progress report, a completed financial status report (see Attachment C)
and a written request for compensation. Facsimile requests for compensation will
not be honored.
B. Satisfactory compliance with all reporting requirements as set forth in this
contract shall be a condition of payment. No payments shall be made without the
submission of all required reports.
XI. This contract is subject to review and/or cancellation at any time upon the determination
by the grant administrator of failure to perform or noncompliance with the provisions of
this contract. Any major change in funding requirements or allocations within a
particular locality may also warrant review and revision.
XII. This contract is not assignable without prior written consent of the State.
XIII. For the purpose of this agreement, the individuals identified below are hereby designated
representatives of the respective parties. All notices required to be given by the parties
hereunder shall be given by certified or registered mail to the individuals at the addresses
set forth below. Either party may from time to time designate in writing new or
substitute representatives:
For the State: For the Contractor:
Jonathan Harper or Mary Kay Myers Karen Spink
Colorado Department of Health Weld County Health Department
4300 Cherry Creek Drive South 1517 16th Court
Denver, Colorado 80222-1530 Greeley, Colorado 80631
XIV. The period of performance under this contract is from April 1, 1993, through March 31,
1994.
Page 4 of 8 Pages 9c3 f r,r"
S' ,If? o, Colorado - hereinafter, under the General Provisions referred to as
"Health" .
GENERAL PROVISIONS -- page 1 of 2 pages
1. The contractor shall perform its duties hereunder as an independent contractor and
not as an employee. Neither the contractor nor any agent or employee of the contractor
shall be or shall be deemed to be an agent or employee of the state. Contractor shall
pay when due all required employment taxes and income tax withholding, shall provide and
keep in force workers' compensation (and show proof of such insurance) and unemployment
compensation insurance in the amounts required by law. Contractor will be solely
responsible for its acts and the acts of its agents, employees, servants and
subcontractors during the performance of this contract.
2. Contractor authorizes Health, or its agents , to perform audits and to make
inspections for the purpose of evaluating performance under this contract.
3. Either party shall have the right to terminate this agreement by giving the other
party thirty days notice by registered mail, return receipt requested. If notice is so
given, this agreement shall terminate on the expiration of the thirty days, and the
liability of the parties hereunder for the further performance of the terms of this
agreement shall thereupon cease, but the parties shall not be relieved of the duty to
perform their obligations up to the date of termination.
4. This agreement is intended as the complete integration of all understandings
between the parties. No prior or contemporaneous addition, deletion, or other amendment
hereto shall have any force or effect whatsoever, unless embodied herein in writing. No
subsequent novation, renewal, addition, deletion, or other amendment hereto shall have
any force or effect unless embodied in a written contract executed and approved pursuant
to the State Fiscal Rules.
5. If this contract involves the expenditure of federal funds, this contract is
contingent upon continued availability of federal funds for payment pursuant to the
terms of this agreement. Contractor also agrees to fulfill the requirements of:
a) Office of Management and Budget Circulars A-87, A-21 or A-122, and A-102 or
A-110, whichever is applicable;
b) the Hatch Act (5 USC 1501-1508) and Public Law 95-454 Section 4728. These
statutes state that federal funds cannot be used for partisan political purposes of any
kind by any person or organization involved in the administration of federally-assisted
programs;
c) the Davis-Bacon Act (40 Stat. 1494, Mar. 3, 1921, Chap. 411, 40 USC
276A-276A-5) . This act requires that all laborers and and mechanics employed by
contractors or sub-contractors to work on construction projects financed by federal
assistance must be paid wages not less than those established for the locality of the
project by the Secretary of Labor;
d) 42 USC 6101 et seq, 42 USC 2000d, 29 USC 794. These acts require that no
person shall, on the grounds of race, color, national origin, age, or handicap, be
excluded from participation in or be subjected to discrimination in any program or.
activity funded, in whole or in part, by federal funds ; and
Page 5 of 8 Pages
Rev. 06/01/92
930"r77
GENERAL PROVISIONS--Page 2 of pages
e) the Americans with Disabilities Act (Public Law 101-336; 42 USC 12101, 12102,
12111 - .12117, 12131 - 12134, 12141 - 12150, 12161 - 12165, 12181 - 12189, 12201 - 12213
and 47 USG 225 and 47 USC 611.
f) if the contractor is acquiring real property and displacing households or
businesses in the performance of this contract, the contractor is in compliance with the
Uniform Relocation Assistance and Real Property Acquisition Policies Act, as amended
(Public Law 91-646, as amended and Public Law 100-17, 101 Stat. 246 - 256) ;
g) when applicable, the contractor is in compliance with the provisions of the
"Uniform Administrative Requirements for Grants and Cooperative Agreements to State and
Local Governments (Common Rule) .
6. By signing and submitting this contract the contractor states that:
a) the contractor is in compliance with the requirements of the Drug-Free .
Workplace Act (Public Law 100-690 Title V, Subtitle D, 41 USC 701 et seq. ) ;
b) the contractor is not presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from covered transactions by any federal
department or agency.
7. To be considered for payment, billings for payment pursuant to this contract must
be received within 60 days after the period for which payment is being requested and
final billings on the contract must be received by Health within 60 days after the end
of the contract term.
8. If applicable, Local Match is to be submitted on the monthly payment statements, in
the column provided, as required by the funding source.
9. If Contractor receives $25,000.00 or more per year in federal funds in the
aggregate from Health, Contractor agrees to have an annual audit, by an independent
certified public accountant, which meets the requirements of Office of Management and
Budget Circular A-128 or A-133, whichever applies. If Contractor is required to submit
an annual indirect cost proposal to Health for review and approval, Contractor's auditor
will audit the proposal in accordance with the requirements of OMB Circular A-87, A-21
or A-122. Contractor agrees to furnish one copy of the audit reports to the Health
Department Accounting Office within 30 days of their issuance, but not later than nine
months after the end of Contractor's fiscal year. Contractor agrees to take appropriate
corrective action within six months of the report's issuance in instances of
noncompliance with federal laws and regulations. Contractor agrees to permit Health or
its agents to have access to its records and financial statements as necessary, and
further agrees to retain such records and financial statements for a period of three
years after the date of issuance of the audit report. This contract does (100%)
contain federal funds as of the date it is signed. This requirement is in addition to
any other audit requirements contained in other paragraphs within this contract.
10. Contractor agrees to not use federal funds to satisfy federal cost sharing and
matching requirements unless approved in writing by the appropriate federal agency.
Page 6 of 8 Pages
930tar '
Rev. 06/01/92
•
SPECIAL PROVISIONS
CONTROLLER'S APPROVAL
I.This contract shall not be deemed valid until it shall have been approved by the Controller of the State of Colorado or such assistant as he may designate.This
provision is applicable to any contract involving the payment of money by the State.
FUND AVAILABILITY
2. Financial obligations of the State of Colorado-payable after the current fiscal year are contingent upon funds for that purpose being appropriated,budgeted,
and otherwise made available.
BOND REQUIREMENT
3. If this contract involves the payment of more than fifty thousand dollars for the construction,erection,repair.maintenance,or improvement of any building,
road,bridge,viaduct,tunnel.excavation or other public work for this State,the contractor shall.before entering upon the performance of any such work included
in this contract,duly execute and deliver to the State official who will sign the contract,a good and sufficient bond or other acceptable surety to be approved by
said official in a penal sum not less than one-half of the total amount payable by the terms of this contract.Such bond shall be duly executed by a qualified corporate
surety conditioned upon the faithful performance of the contract and in addition,shall provide that if the contractor or his subcontractors fail to duly pay for any
labor,materials,team hire,sustenance,provisions,provendor or other supplies used or consumed by such contractor or his subcontractor in performance of the work
contracted to be done or fails to pay any person who supplies rental machinery,tools.or equipment in the prosecution of the work the surety will pay the same in
an amount not exceeding the sum specified in the bond,together with interest at the rate of eight per cent per annum.Unless such bond is executed,delivered and
filed,no claim in favor of the contractor arising under such contract shall be audited,allowed or paid.A certified or cashier's check or a bank money order payable
to the Treasurer of the State of Colorado may be accepted in lieu of a bond.This provision is in compliance with CRS 38-26-106.
INDEMNIFICATION
4. To the extent authorized by law, the contractor shall indemnify, save, and hold harmless the State. its employees and agents, against any and all claims,
damages.liability and court awards including costs, expenses-and attorney fees incurred as a result of any act or omission by the contractor. or its employees.
agents,subcontractors.or assignees pursuant to the terms of this contract.
DISCRIMINATION AND AFFIRMATIVE ACTION
5. The contractor agrees to comply with the letter and spirt of the Colorado Antidiscrimination Act of 1957. as amended. and other applicable law respecting
discrimination and unfair employment practices(CRS 24.34-402), and as required by Executive Order, Equal Opportunity and Affirmative Action.dated April 16,
1975.Pursuant thereto,the following provisions shall be contained in all State contracts or sub-contracts.
During the performance of this contract.the contractor agrees as follows: ,
(a) The contractor will not discriminate against any employee or applicant for employment because of race, creed, color- national origin. sex.
marital status, religion.ancestry,mental or physical handicap,or age.The contractor will take affirmative action to insure that applicants am employed and that
employees are treated during employment,without regard to the above mentioned characteristics.Such action shall include, but not be limited to the following:
employment upgrading,demotion,or transfer,recruitment or recruitment advertisings:layoffs or terminations:rates of pay or other forms of compensation: and
selection for training, including apprenticeship.The contractor agrees to post in conspicuous places,available to employees and applicants for employment.
notices to be provided by the contracting officer setting forth provisions of this non-discrimination clause.
(b)The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor,state that all qualified applicants will
receive consideration for employment without regard to race,creed,color,national origin,sex,marital status,religion,ancestry,mental or physical handicap,
or age.
(c) The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or
understanding,notice to be provided by the contacting officer,advising the labor union or workers'representative of the contractor's commitment under the
Executive Order,Equal Opportunity and Affirmative Action,dated April 16. 1975.and of the rules,regulations.and relevant Orders of the Governor.
(d)The contractor and labor unions will furnish all information and reports required by Executive Order.Equal Opportunity and Affirmative Action of April
16. 1975, and by the rules. regulations and Orders of the Governor.or pursuant thereto,and will permit access to his books, records, and accounts by the
contracting agency and the office of the Governor or his designee for purposes of investigation to ascertain compliance with such rules,regulations and orders.
(e)A labor organization will not exclude any individual otherwise qualified from full membership rights in such labor organization.or expel any such individual
from membership in such labor organization or discriminate against any of its members in the full enjoyment of work opportunity because of nee,creed,color,
sex.national origin,or ancestry.
(f) A labor organization,or the employees or members thereof will not aid.abet, incite,compel or coerce the doing of any act defined in this contract to be
discriminatory or obstruct or prevent any person from complying with the provisions of this contract or any order issued thereunder,or attempt,either directly
or indirectly,to commit any act defined in this contract to be discriminatory.
•
Form 6-AC-028
Revised 1/93
395-53-01-1022 Q/]
Page
7 of 8 pages 93(1"71
(g)In the event of the contractor's non-compliance with the non-discrimination clauses of this contract or with any of such rules,regulations-or orders.
this contract may be canceled. terminated or suspended in whole or in part and the contractor may be declared ineligible for further State contracts in
accordance with procedures,authorized in Executive Order.Equal Opportunity and Affirmative Action of April 16. 1975 and the rules-regulations, or
orders promulgated in accordance therewith-and such other sanctions as may be imposed and remedies as may be invoked as provided in Executive Order.
Equal Opportunity and Affirmative Action of April 16. 1975, or by rules,regulations,or orders promulgated in accordance therewith- or as otherwise
provided by law.
(h)The contractor win include the provisions of paragraphs(a)through(h)in every sub-contract and subcontractor purchase order unless exempted by
rules.regulations.or orders issued pursuant to Executive Order.Equal Opportunity and Affirmative Action of April 16.1975.so that such provisions will
be binding upon each subcontractor or vendor.The contractor will take such action with respect to any sub-contracting or purchase order as the contrasting
agency may direct,as a means of enforcing such provisions,including sanctions far non-compliance;provided,however,that in the event the contractor
becomes involved in.or is threatened with,litigation,with the subcontractor orvendor as a result of such direction by the contracting agency,the contractor
may request the State of Colorado to enter into such litigation to protect the interest of the State of Colorado.
COLORADO LABOR PREFERENCE .
6a.Provisions of CRS 8-17-101 d 102 for preference of Colorado labor are applicable to this contract if public works within the State are undertaken hereunder and
are financed in whole or in part by State funds.
b.When a construction contract for a public project is to be awarded to a bidder,a resident bidder shall be allowed a preference against a non-resident bidder from
a state or foreign country equal to the preference given or required by the sue or foreign country in which the noo-resident bidder is a resident.If it is determined by -
the officer responsible for awarding the bid that compliance with this subsection.06 may cause denial of federal hinds which would otherwise be available or would
otherwise be inconsistent with requirements of Federal law,this subsection shall be suspended.but only to the extent necessary to prevent denial of the moneys or to
eliminate the inconsistency with Federal requirements(CRS 8-19-101 and 102)
GENERAL
7.The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation-execution- and enforcement of this
concoct.Any provision of this contract whether or not incorporated herein by reference which provides for arbitration by any extra-judicial body or person or which is otherwise in conflict with said laws.rules,and regulations shall be considered null and void.Nothing contained in any provision incorporated herein by reference
which purports to negate this or any other special provision in whole or in part shall be valid or enforceable or available in any action at law whether by way of complaint,
defence,or otherwise.Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this contract to the extent that the
contract is capable of execution.
8.At all times during the performance of this contract,the Contractor shall smcty adhere to all applicable federal and state laws,rules,and regulations mai have
been or may hereafter be established.
9.The signatones aver that they are familiar with CRS 18-8-301.et.seq.-(Bribery and Corrupt Influences)and CRS 18.8401-et seq.,(Abuse of Public Office).
and that no violation of such provisions is present.
10.The signatories aver that to their knowledge,no state employee has any personal or beneficial interest whatsoever in the service or property described her
•
IN WITNESS WHEREOF.the parties hereto have executed this Contract on the day first above written.
Contractor.
•
(Full Legal Name) Weld County Health Department
STATE OF COLORADO
•W
E COUNTY
COUNTY BOARD OF CO ISSSIONEERS ROY ROMERe GOVERNOR
I7� it��l ( ®A1.cL.cl/ Byrit � f a r
CANCE L. HARBERT 08/11/93 -"- da
Position(Title) CHAIRMAN
• 8460008813 R
•
sac arnv Nom t 1.D vmumberDEPARTMENT
If Corporation:) D rN 'an/ of Office. of the Governor
Attest(Scan
WELD 3!j7c
t •<
Randolph . ., ILP.H..
APPROVALS Director --
•
ATTORNEY GENERAL CONTROl1ER 9 s'Fp : `)R.'.U.i 0d 01 Crr
By •
. ;iat and two copes el' I)'•4 .
By 'it -a been signed by au sip!;
c.::1:als regu;red by law to approve
Form a.AC.02C ( �.�y
17-
Rev,rea I Ar Page 3 which n the last of pages ` l
J95-3.3-0I.11130 -S¢)mppenons on rere,re"de-
•
PROGRAM APPROVAL: 9?!0'e'+a7"•7
ATTACHMENT•
reo H
• (ti
DEPARTMENT OF HEALTH
1517-16 AVENUE COURT
ig - GREELEY,COLORADO 80631
ADMINISTRATION (303)353-0586
II I C HEALTH PROTECTION(303)353-0635
COMMUNITY HEALTH (303)353-0639
•
COLORADO
Lance C. Clem, Director
Governor's AIDS Council
136 State Capitol Building
Denver, CO 80203
April 28, 1993
Dear Lance:
Enclosed is the revised budget for the Northern Colorado Care Consortium's
(NCCC) fiscal year 1993-1994. The budget reflects the approved funding
appropriation for the consortium.
If you have any questions please feel free to contact me at 353-0586,
extension 2219.
Sincerely, �r
�L97r1[L9<ja-LCQ/
Jed ie Kay Tacker
Bu ness Manager
Enclosure
r
9301'77
1
Name of Contractor
Weld County Health Department
for the Northern Colorado Care Consortium
Tax Identification Number
84-6000813
Program Category
HIV Care Consortium
Consortium Members Receiving Funds
Weld County Health Department - lead agency
Northern Colorado AIDS Project - contractual
Northern Colorado Care Consortium Members
Hospice Of Northern Colorado
Centennial Area Health Education Center
Bonell Good Samaritan Center
Normedco Home Health Care
Weld County AIDS Coalition
University of Northern Colorado
Island Grove Regional Treatment Center
Northeast Colorado Health Department
Larimer County Department of Health and Environment
Morgan County Social Services
Weld County Social Security Administration
HIV+ individuals, friends and families
Contact Person: Karen Spink
HIV Regional Resource Coordinator
Weld County Health Department
1517 16th Avenue Court
Greeley, Colorado, 80631
(303) 353-0639
93o'D
2
Northern Colorado Care Consortium Proposal
Narrative
Description of the locality to be served:
Geographic boundaries:
The geographic boundaries to be served by the Northern Colorado Care Consortium(NCCC)
encompasses Weld, Larimer and Morgan Counties. Weld County is primarily an agricultural area,
consisting of numerous rural communities covering 4,034 square miles. Approximately 45% of
Weld County residents live in communities with populations less that 2,500. Morgan county has a
population of 21,939 as a whole which is dispersed over rural and agricultural areas. Larimer
county contains large agricultural and mountainous regions. Larimer county has a more cosmo-
politan atmosphere with one identified gay bar. Even so, HIV/AIDS infected people are still not
willing to share the knowledge of their infection with the community. The conservative nature of
these counties is a great concern since the gay and lesbian population is underground. In addition
there is concern about confidentiality and having access to the latest care techniques. Because
these areas are primarily rural, access to services and resources is limited and often difficult to
obtain.
Characteristics of the population:
The incidence of AIDS and HIV infection has been greater among Hispanics and Blacks than any
other ethnic minority group. Weld and Morgan counties both have a considerable number of
Hispanics who are transient migrant workers. Of 71 AIDS cases diagnosed in Weld, Larimer and
Morgan Counties, eight have been persons of Hispanic origin. The total population of Weld
county is 131,821. The race breakdown is 68% Caucasian, 21% Hispanic origin and 11% other.
The total population of Morgan county is 21,939. The race breakdown for Morgan county is 70%
Caucasian, 18%Hispanic origin and 12% other. Larimer county has a total population of
186,136 of which 88% is Caucasian, 7%Hispanic and 5% other. All three counties have the
same percent of males and females, 51% females and 49% males. In 6 months of the 1992-1993
funding period, the Regional Resource Coordinator and the Case Manager provided services to
78% HIV+ males, 7% HIV+ females and 15%family members of an HIV infected individual. Of
the clients served by the Regional Resource Coordinator and the Case Manager, approximately
14%were children, either infected or affected by HIV. This represents only a small portion of the
population in the three counties that are in need of the services provided by the HIV Regional
Resource Coordinator and the Case Manager.
Existing services:
The existing HIV services in Larimer include the Northern Colorado AIDS Project (NCAP) and
Larimer County AIDS Coalition. NCAP provides case management services, a buddy program,
support services and financial assistance for individuals who are infected or affected by HIV in
Larimer county. Larimer County AIDS Coalition is an organization that provides education to
the communities in Larimer county. HIV services in Weld county consist of the HIV Regional
Resource Coordinator(RRC) and the Weld County AIDS Coalition. The RRC coordinates HIV
resources and provides case management services for Weld and Morgan county. The Weld
County AIDS Coalition provides educational support for Weld county.
930"'7 '
3
All three counties offer confidential HIV counseling and testing. Various agencies in the three
counties offer services to HIV infected individuals and families. These services include, but are
not limited to, hospice, home health care, respite care, drug and alcohol treatment, spiritual
support, financial assistance, transportation services and other services not directly related to HIV
infection needed by this population.
Service gaps:
In the past, an issue with many individuals diagnosed with HIV in northern Colorado is the lack of
sufficient services and health professionals available to HIV infected individuals and their families.
Consequently, many individuals diagnosed in northern Colorado have chosen to move to more
metropolitan areas. In the last 2 years the Case Manager at the Northern Colorado AIDS Project
(NCAP) and the Regional Resource Coordinator(RRC)have been working to provide better case
management and community liaison for infected individuals to help ensure a complete continuum
of care for the infected individual and their family. However, gaps still exist in northern Colorado.
Some of the unmet needs identified by HIV infected individuals and care givers include: lack of
access to psycho-social support services for the infected individual and the family, volunteer
buddies in Weld and Morgan counties, housing, and a wider choice of physicians, specialists and
dentists in northern Colorado that are willing to provide services to those who are infected with
HIV. Physicians and dentists in northern Colorado still have a fear of being labeled as the "AIDS
doctoc'dentist" and fear they may loose other clients if the community becomes aware that they
treat HIV infected individuals.
Description of the service plan:
The planning process:
The members of the Northern Colorado Care Consortium(NCCC), which consists of public
service providers, community based organizations providing HIV services, and individuals in-
fected with HIV, were surveyed to determine what services needed to be added to the current list
of services and to help determine goals for the next funding period. The clients of the Case
Manager and the Regional Resource Coordinator were also surveyed. The client survey asked
clients to identify current needs and what needs were not being met. From these surveys the
Consortium developed a plan for service for the April 1993-March 1994 funding period. A list of
goals and objectives to improve the quality, availability and organization of health care and sup-
port services for individuals and families with HIV were developed. One of the main goals of the
Consortium will be to develop a tool which the Regional Resource Coordinator and the Case
Manager will use to assess the needs of the clients during the initial visit with the client. This data
will be used to establish a baseline for evaluation to determine the success the Consortium has in
responding to the identified needs of the clients. The Regional Resource Coordinator will estab-
lish an outreach site to provide case management in the rural communities of Morgan county.
This will enable the Regional Resource Coordinator to link clients in rural areas to support ser-
vices and medical care in a more timely manner.
4
The Service Plan:
The purpose of the Northern Colorado Care Consortium(NCCC) is to improve the quality,
availability and organization of health care and support services for individuals and families with
HIV disease in Weld, Morgan and Larimer counties regardless of race, color, age, handicap,
religion or inability to pay for services.
The overall goals of the Consortium are:
* To provide case management services to HIV infected individuals and their families to
ensure that the needs of the individual are being met.
* To increase the knowledge of resources available to individuals infected or affected by
HIV in Larimer, Weld and Morgan counties.
* To address the specific needs of women, children and family members infected or
affected by my.
* To increase the number of service providers willing to provide services for HIV infected
individuals and their families.
• To coordinate a cohesive continuum of care for HIV infected individuals and their
families and to reduce the duplication of services.
The Weld County Health Department will serve as the lead agency, receiving funds on behalf of
the NCCC. Three positions will be funded through this grant. The HIV Regional Resource
Coordinator(RRC) and an office technician out of Weld County Health Department, and a Case
Manager from the Northern Colorado AIDS Project(NCAP). The RRC and the Case Manager
positions are similar in that both positions provide case management services, however the bound-
aries in which they serve are different. The RRC provides services for clients in Weld and Mor-
gan counties. The Case Manager from NCAP serves clients in Larimer county. Case manage-
ment is defined as client centered services that link the client with health care and support ser-
vices, assessing the individual needs of a client and coordinating resources and services to provide
a complete continuum of care. The Case Manager and the RRC coordinate all aspects of care and
works with the client and family members to develop and implement a plan for service. The Case
Manager and the RRC also monitor the client to ensure the efficacy of the plan.
Beyond case management services the HIV Regional Resource Coordinator(RRC) serves as the
contact person regarding the Ryan White grant. The RRC coordinates and disseminates resources
for Consortium members, clients and service providers in Weld, Larimer and Morgan counties.
At this time, the RRC also coordinates the Northern Colorado Care Consortium under the guid-
ance of the Executive Board. The RRC provides a link for Consortium members to assist in
keeping the lines of communication open between member agencies. The office technician at the
Weld County Health Department provides the support staff for the Consortium. The office
technician takes the minutes at Consortium and Board meetings and distributes Consortium
information. The RRC works closely with the office technician. The RRC attends meetings
regarding HIV resources, treatment, care and education all over Colorado. The RRC
then shares this information with the rest of the Consortium. Important information regarding
new resources or services available to HIV+clients and family members is obtained from these
meetings. Member agencies also share information and resources with the Consortium.
The Case Manager at NCAP, in addition to providing case management services, oversees the
"buddy" program to make sure that the client and the volunteer are working well together. The
case manager also collects local resources for clients in Larimer county. She shares this informa-
tion with the RRC to include in the resource guide for clients and Consortium members.
Reaching and serving newly diagnosed individuals:
There is a system currently established to notify newly diagnosed individuals of the services of the
Consortium. One way of notifying newly diagnosed individuals of the services is through the
State Disease Control Specialist for Northern Colorado. This person is responsible for interview-
ing individuals who have recently tested positive for HIV and other sexually transmitted diseases.
When this person contacts a new HIV+individual she informs that person of the services of the
Consortium and gives that person the phone number of the RRC for persons living in Weld or
Morgan counties, or the Case Manager for those individuals that reside in Larimer county. A
second way to notify individuals is through the county health department. In each county the
health department provides HIV counseling and testing. The health departments are aware of the
services and will inform an individual who receives a positive test result about the services avail-
able. Physicians are also a major source of access to newly HIV/AIDS diagnosed persons. The
RRC and the Case Manager will continue to keep in close contact with the providers in the three
counties to maintain this mechanism of referral. Other service providers and various agencies in
the counties are aware of the services the Consortium, the Regional Resource Coordinator and
the Case Manager provide. When a person they are serving is identified as being HIV+ they are
informed of the services available to them. The RRC and the Case Manager are constantly seek-
ing new avenues for promoting their services and the services of the Consortium. PSA's and news
releases are done periodically to help increase community awareness.
Service Integration:
Referrals between agencies are made on a case by case basis. The Regional Resource Coordina-
tor and the Case Manager have established contacts with many agencies in their respective com-
munities and act as a point of contact when a referral to that agency is needed. As new services
are identified, the Case Manager and the RRC will inform agencies and clients. Case management
services are provided by the Case Manager and the Regional Resource Coordinator. An initial
interview is done with an individual to establish him/her as a client. This interview helps to asses
the needs and personal support system of the individual. The Case Manager and the RRC work
with the client and his/her personal support system to develop an individualized and comprehen-
sive service plan. The Case Manager and the RRC help link the client with health care, psycho-
social services and coordinate access to other support services to help provide a complete con-
tinuum of care for that individual. The Case Manager and the RRC also develop a system with
the client for monitoring and periodic evaluation and follow-up to ensure that the client's needs
are being met.
6 nt�ry,��
9-_
Implementation Plan:
Based on the purpose and the overall goals of the Consortium, the following is a work plan that
the members of the Consortium, the HIV Regional Resource Coordinator and the Case Manager
will undertake during the 1993-1994 funding period:
First Quarter:
By May 19, 1993 the NCCC will establish a fund-raising committee.
By May 19, 1993 the NCCC will establish an evaluation committee.
By May 31, 1993 the NCCC Board of Directors will publicly announce the award of the 1993-
1994 Ryan White Care Act funds.
By May 31, 1993 the HIV Regional Resource Coordinator(RRC) will distribute 25 posters and
600 fliers throughout Morgan and Weld counties to promote HIV resource and case management
services.
By May 31, 1993 The RRC will complete the HIV Regional Resource Guide and will distribute to
clients and agencies as needed throughout the funding period.
By June 15, 1993 the RRC will contact one mental health provider in Weld and one in Morgan
county and invite to participate on the Consortium.
By June 30, 1993 the RRC will contact a physician, a dentist and a lawyer to invite to participate
on the Consortium.
By June 30, 1993 the RRC will identify three new service providers who are willing to provide
services to HIV infected individuals and families.
By June 30, 1993 the RRC will establish an outreach site in Morgan county.
By June 30, 1993 the RRC will distribute the first quarter newsletter to clients, service providers
and NCCC members.
By June 30, 1993 the RRC will establish a contact with 1 agency that provides services for
women and children.
By June 30, 1993 the office technician will translate the Consortium materials, i.e. newsletters and
flyers, to Spanish and distribute to physicians and service providers.
By June 30, 1993 the RRC will establish a contact with 1 agency that provides services to the low
income and minority populations.
By June 30, 1993 the RRC will establish contact with the local gay and lesbian association.
7
9.3n '.�
By June 30, 1993 the Case Manager will identify 1 physician and 1 lawyer in Latimer county
willing to provide services for HIV+ individuals.
By June 30, 1993 the Case Manager will establish a contact with an agency that provides services
to women and children.
By June 30, 1993 the Case Manager will establish a contact with an agency that provides services
to low income/minority populations.
Second Quarter:
By July 15, 1993 the Weld County Health Department will submit the first quarter report.
By July 15, 1993 the NCCC fund-raising committee identify 5 sources for additional funds and
submit a letter of inquiry.
By July 15, 1993 the Consortium evaluation committee will develop a tool to use in evaluation of
the services and the ability of the Case Manager and the RRC to meet the needs of the clients.
By August 15, 1993 the RRC will establish a contact with 1 agency that provides services for
women and children.
By September 15, 1993 the Consortium will send out a press release to local papers in each
county to increase community awareness of the HIV services available.
By September 15, 1993 the NCCC fund-raising committee will submit 2 proposals to potential
fenders.
By September 15, 1993 the RRC will establish contact with 1 agency that provides services for
low income/minority populations.
By September 30, 1993 the RRC will establish contact with 2 alternative health services that are
willing to work with HIV infected individuals.
By September 30, 1993 the NCCC evaluation committee will conduct an evaluation of the first
half of the funding period.
By September 30, 1993 the Case Manager will identify 1 dentist, 1 physician, 1 lawyer and 2
mental health providers willing to provide services for HIV+individuals.
By September 30, 1993 the Case Manager will identify 3 alternative health care providers willing
to provide services to HIV+ individuals.
By September 30, 1993 the Case Manager will develop a strategy with a volunteer coordinator to
increase buddy/volunteer involvement.
930,- n
8
Third Quarter:
By October 15, 1993 the Weld County Health Department will submit the second quarter report.
By December 31, 1993 the Case Manager will identify 1 physician and 1 lawyer willing to provide
services to HIV+individuals.
By December 31, 1993 the Case Manager will establish contact with I agency that provides
services for women and children.
By December 31, 1993 the Case Manager will establish contact with 1 agency that provides
services to low income/minority populations.
Fourth Quarter:
By January 15, 1994 the Weld County Health Department will submit the third quarter report.
By February 15, 1994 the RRC will have contacted 3 churches and invite to become a part of the
Consortium.
By March 31, 1994 the Consortium will participate in 4 health/corporate fairs to increase commu-
nity awareness of the Consortium services.
By March 31, 1994 the NCCC evaluation committee will conduct a final evaluation and report the
results to the Consortium.
By March 31, 1994 the RRC will increase client base by 15%.
By March 31, 1994 the Case Manager will increase client base by 20%.
By March 31, 1994 the Case Manager will identify 2 physicians in Larimer county willing to
provide services to HIV+ individuals.
By March 31, 1994 the Case Manager will identify 1 dentist in Larimer county willing to provide
services to HIV+individuals.
By March 31, 1994 the Case Manager identify 1 lawyer in Larimer county that provide services to
HIV infected individuals.
By March 31, 1994 the Case Manager will identify 2 mental health providers in Larimer county
that are willing to provide services for HIV infected individuals.
By March 31, 1994 the Case Manager will develop a strategy with a volunteer coordinator to
increase buddy/volunteer involvement.
By March 31, 1994 the Case Manager will have distributed monthly letters to clients in Larimer
county.
930"1",7
9
Description of Consortium Membership:
Consortium members and services:
As members of the Northern Colorado Care Consortium Normedco and Hospice of Northern
Colorado provide home health care and respite care for HIV/AIDS infected individuals. These
services are crucial to the NCCC because they help HIV infected individuals remain independent,
and provides cost effective alternatives to hospitalization. Hospice offers 24-hour on-call nursing
support, skilled registered nurses, certified home health aides, social work, trained volunteers,
dietary counselors, and other support services. If home health care is not an option, the Bonell
Good Samaritan Center has facilities available for respite care. The Bonell Good Samaritan
Center is the only nursing home in Weld county willing to work with HIV/AIDS patients at this
time.
Hospice of Northern Colorado, Northern Colorado AIDS Project and the Weld County AIDS
Coalition offer support groups for persons affected by HIV. Each of these organizations have
organized support for family members as well as persons infected with HIV.
Island Grove Regional Treatment Center, Inc. encompasses residential, outpatient and detox
services for substance abusers in northern Colorado, including IV drug users. Through education
and support, Island Grove will be able to refer clients to the Regional Resource Coordinator and
the Case Manager, and offer support services to the Northern Colorado Care Consortium.
Planned Parenthood of the Rocky Mountains, University of Northern Colorado's Health Center,
Northeast Colorado Health Department, Lairmer County Health Department and Weld County
Health Department all offer confidential and accurate information about birth control methods and
reproductive health care. In addition, these agencies offer HIV counseling and testing.
Other educational endeavors such as outreach or bilingual AIDS education falls under the direc-
tion of the Weld County AIDS Coalition, Latimer County AIDS Coalition, Weld County Health
Department, Northeast Colorado Health Department, University of Northern Colorado, Planned
Parenthood, Island Grove Regional Treatment Center, Centennial Area Health Education Center,
and the Hospice of Northern Colorado.
The Northern Colorado Care Consortium meets every other month. These meetings consist
primarily of resource sharing and networking to ensure that services are not being duplicated and
that the needs of the clients are being met. The NCCC has established an executive board that
meets the opposite months of the Consortium. The board serves as the decision making group of
the consortium. They provide guidance and ensure that the Consortium is running in accordance
with the grant. The Regional Resource Coordinator is in the process of developing a membership
directory that will be given to each participating member of the Consortium. This will allow each
member to be aware of the services of the Consortium and to help facilitate a referral system.
93r1.
10
Description of member agencies receiving HIV care consortium funds:
Two agencies will be receiving HIV care consortium funds. The Weld County Health Depart-
ment will be the lead agency receiving funds. The Weld County Health Department is a county
agency supported by county tax dollars, state and federal grants, and fees for services provided.
The mission of the Weld County Health Department is "to prevent disease and to promote the
health of county citizens". This is accomplished by monitoring the environment of the county and
the health of its residents; by development of policies and programs; and by assuring that the basic
health services are being provided. Currently, the Weld County Health Department provides HIV
testing and counseling. The Regional Resource Coordinator will receive funds to provide case
management in Weld and Morgan Counties. The Regional Resource Coordinator is also respon-
sible for informing NCCC members of new resources available to HIV+clients. This includes
collecting and disseminating any new information concerning programs, protocols, new service
provider referrals, or legal issues. This information is made available at the Consortium meetings
as well as through information packets to the NCCC members.
The Northern Colorado AIDS Project (NCAP) will receive consortium money on a contractual
basis for a case manager in Latimer county. NCAP is a community based, non-profit organization
committed to meeting the challenges posed by the AIDS epidemic. NCAP is primarily run by
volunteers and offers emotional and financial support, in-home needs assessments, and access to a
:ro;rams for people infected/affected by I-11V. The "buddy" program matches volun-
teers witn HIV clients who need help with day-to-day living assistance or those who occasionally
have special needs. NCAP offers financial assistance in the form of small one-time grants to those
clients who need help with living expenses. Client services also include networking with commu-
nity agencies, advocating for clients and offering referral services.
Form of agreement between agencies:
The lead agency, Weld County Health Department, and the contractual agency, Northern Colo-
rado AIDS Project have an agreement in the form of a contract. Please see the attached copy of
the 1992-1993 contract in the appendix. The contract will be the same with some revisions made
to reflect the objectives of this grant contract.
Reporting and Evaluation Plan:
Plan for data collection:
The HIV Regional Resource Coordinator and the Case Manager will collect data according to the
Uniform Reporting System (URS) The Case Manager and the RRC conduct an initial interview
to establish an individual as a client. During this visit, the information required by the URS is
obtained. This information is reported to the Governor's AIDS Council on a quarterly basis.
The RRC and the Case Manager will also collect information from clients to identify the number
of new clients, the number of client contacts, the place where the client was referred from, agen-
cies and service providers that referrals are made to and the needs of the clients.
Plan for evaluating the success in responding to the needs:
To evaluate the success in responding to the needs of the clients, the RRC and the Case Manager
will assess the needs of the client during the intake interview. The list of needs of the clients will
be documented. This will establish a baseline for an evaluation. As the needs of the clients are
met, this is also documented. The evaluation committee, which will consist of Consortium mem-
bers will look at the needs of the clients and see if client needs were met. The evaluation commit-
tee will compare this information to the services available in the counties. The evaluation commit-
tee will use this information to evaluate the success the Regional Resource Coordinator and the
Case Manager had in meeting the needs of the clients. This information will also help to deter-
mine the gaps in services that may exist in the three counties.
Plan for evaluating the cost-effectiveness of the program:
To determine if the money used for this program is being spent effectively the Consortium will
look at many different factors. The Case Manager and the Regional Resource Coordinator help
clients find cost-effective alternatives to hospitalization and expensive treatments. The Consor-
tium will look at the cost per client, and the cost of home-based care compared to hospitalization.
The Consortium will also research the cost of the case management services of other programs.
9?it)"''y'
12
GOVERNOR'S AIDS COUNCIL GRANT PROPOSAL
PERSONNEL
Regional Resource Coordinator 0.9 FIE $ 22,405
Office Technician III .10 FTE 1,739
Sub-Total Personnel 24,144
FRINGE BENEFITS @ 17% 4,104
TRAVEL 1,500
EQUIPMENT -0-
SUPPLIES -0
CONTRACTUAL 5,913
OTHER
Printing 1,000
Postage 1,000
INDIRECT CHARGES 1,339
TOTAL $ 39,000
Contractual:
Client Advocate (including fringe) $ 4,913
Sub-Total Personnel & Fringe 4,913
Travel 1,000
TOTAL CONTRACTUAL $ 5,913
930171
13
Colorado Ryan White C.A.R.E. Act Title II
Budget Request - April 1, 1993 to March 31, 1994
Table 1: Ryan White Title II Funds Requested
Estimated Carry-Over Budget Request Total Funds Requested
Object Class/Category Current Funding Period Project Funding Period for Project
Personnel Not Applicable this Year $ 24,144 $ 24,144
Fringe Benefits Not Applicable this Year 4, 104 4, 104
Travel Not Applicable this Year 1,500 1,500
r l Equipment Not Applicable this Year _0- -0-
Supplies Not Applicable this Year
Contractual I Not Applicable this Year 5,913 5,913
Other Not Applicable this Year 2,000 2,000
Indirect Charges Not Applicable this Year 1,339 1,339
Total Not Applicable this Year 39,000 39,000
Table II: Breakdown by Proposed HIV Service Category
Estimated Carry-Over Budget Request Total Funds Requested
Category of Service Current Funding Period Project Funding Period for Project
Primary Medical Care Not Applicable this Year
Dental Care Not Applicable this Year
Mental Health Not Applicable this Year
Rehabilitation Care Not Applicable this Year
Support Services Not Applicable this Year
Case Management Not Applicable this Year 33,087 33,087
Home Health Care Not Applicable this Year
Home-based Hospice Care 1 Not Applicable this Year
Drug Reimbursement Not Applicable this Year I
Insurance Continuation Not Applicable this Year
Contractual I
Not Applicable this Year I
5,011 4,411
Total Not Applicable this Year 39,000 39,000
93077'7
14
• 6 •T
4
DEPARTMENT OF HEALTH
1517- 16 AVENUE COURT
GREELEY,COLORADO 80631
O ADMINISTRATION(303)353-0586
HEALTH PROTECTION(303)353-0635
•
COMMUNITY HEALTH (303)353-0639
COLORADO
Lance C. Clem, Director
Governor's AIDS Council
136 State Capitol Building
Denver, CO 80203
April 27, 1993
Dear Lance,
Please find the revised implementation plan for the Northern Colorado Care
Consortium enclosed. These changes reflect the short falls in the 1993-1994
budget. The revised budget will be sent to you by the Weld County Health
Department's Business Manager, Jeannie Tacker.
If you have any questions, or need additional information, I can be reached at
353-0639, extension 225.5.
Sincerely,
Karen Spink
HIV Regional Resource Coordinator
930777
15
REVISED IMPLEMENTATION PLAN
Based on the purpose, the overall goals of the Consortium and the level of
funding received for the 1993-1994 grant period, the following is the revised
work plan.
First quarter:
By May 19, 1993 the NCCC will establish a fund-raising committee.
By May 19, 1993 the NCCC will establish an evaluation committee.
By May 31, 1993 the NCCC Board of Directors will publicly announce the award of
the 1993-1994 Ryan White CARE Act funds.
By May 31, 1993 the HIV Regional Resource Coordinator (RRC) will distribute 25
posters and 600 flyers throughout Morgan, Weld and Larimer counties to promote
resource and case management services.
By May 31 1993 the RRC will complete the resource guide and will distribute to
lients and agencies as needed throughout the funding period.
By June 15, 1993 the RRC will contact one mental health provider in Weld and one
in Morgan county and invite to participate on the Consortium.
By June 30, 1993 the RRC will contact 1 physician, 1 dentist and 1 lawyer
and invite to participate on the Consortium.
By June 30, 1993 the RRC will identify three new service providers who are
willing to provide services to HIV infected individuals and families.
By June 30, 1993 the RRC will establish an outreach site in Morgan county.
By June 30, 1993 the RRC will distribute the first quarter newsletter to clients,
service providers and NCCC members.
By June 30, 1993 the RRC will establish contact with one agency that provides
services for women and children.
By June 30, 1993 the RRC will establish contact with 1 agency that provides
services to low income and minority populations.
By June 30, 1993 the office technician will translate client materials, i.e.
newsletters and fact sheets, to Spanish and distribute to the Spanish speaking
clients.
By June 30, 1993 the Case Manager at NCAP will identify 1 physician in Larimer
county that will provide services for HIV+ individuals.
By June 30, 1993 the Case Manager at NCAP will establish contact with 1 agency
that provides services to women and children.
930779
16
First quarter, continued:
By June 30, 1993 the Case Manager at NCAP will establish contact with 1 agency
that provides services for low income/minority populations.
By June 30, 1993 the Case Manager at NCAP will develop a strategy with the
volunteer coordinator to increase buddy/volunteer involvement.
Second quarter:
By July 15, 1993 the NCCC fund-raising committee will identify 5 sources for
additional funds and submit a letter of inquiry.
By July 15, 1993 the Consortium evaluation committee will develop a tool to use
in evaluating the services and the performance of the Case Manager and the RRC.
By July 15, 1993 the RRC will submit the first quarter report.
By August 15, 1993 the RRC will establish contact with 1 agency that provides
services for women and children.
3y September 15, 1993 the Consortium will send out a press release to local
papers in each county to increase community awareness of the HIV services.
By September 15, 1993 the RRC will submit 2 proposals to potential funding
sources.
By September 15, 1993 the RRC will establish contact with 1 agency that provides
services for low income/minority populations.
By September 30, 1993 the RRC will establish contact with 2 alternative health
services that are willing to work with HIV+ individuals.
By September 30, 1993 the NCCC evaluation committee will conduct an evaluation
of the first half of the funding period.
By September 30 the Case Manger at NCAP will identify 1 dentist and 1 lawyer
willing to provide services for HIV+ individuals.
Third quarter:
By October 15, 1993 the RRC will submit the second quarter report.
By December 31, 1993 the Case Manager at NCAP will establish contact with 1
agency that provides services for women and children.
By December 31, 1993 the Case Manager at NCAP will establish contact with 1
agency that provides services for low income/minority populations.
17 .7307
•
Fourth quarter:
By January 15, 1994 the RRC will submit the third quarter report.
By February 15, 1994 the RRC will contact 3 churches and invite to participate
on the Consortium.
By March 31, 1994 the Consortium will participate in 4 health/corporate fairs to
increase community awareness.
By March 31, 1995 the Consortium evaluation committee will conduct a final
evaluation and report the results to membership, the board and the Governor's
AIDS Council.
By March 31 the RRC will increase the client base for Weld and Morgan counties
by 15%.
By March 31, 1994 the Case Manager at NCAP will identify 1 mental health provider
in L=rimer county that is willing to provide services for HIV infected
indiviuuals.
By March 31 the Case Manager at NCAP will have distributed monthly letters to
clients in Larimer county.
By March 31 1993 the Case Manager will identify 1 alternative health care
provider to provide services for HIV+ individuals.
930'77?
18
•
ISLAND GROVE
REGIONAL TREATMENT CENTER, INC.
Est. 1974
February 8, 1993
Governor's AIDS Council
State of Colorado
Denver, CO 80222
Dear Members of the Council:
Island Grove Regional Treatment Center, Inc. , encompasses
Residential, Outpatient, and Detox services for substance
abusers in northern Colorado, including IV drug-users.
We are supportive of the Northern Colorado Care Consortium
and would like to see it funded through the Ryan White Care Act.
Resources in northern Colorado for people who are HIV positive,
and for people who have AIDS and their families are limited. We
feel the Consortium will maximize these resources through
networking and education.
In support of this group, we will send a representative to
the monthly meetings and help with this effort in any way that we
can.
Sincerely,
akite dtqc
Ms. Jet Tegro
Communicable Disease
Representative/Residential
Counselor
Ms. B.J. Dean, M.A.
• Executive Director
The First Choice in Affordable Alcohol/Drug Services
42"North 15th Ave.•PO.8ox 5100•Greeley.CO 80631 ADAD
DetonResidential/Adrninistration.303/356,5664
E;uroarient Ser..ices•303/35'-^_678 930777
19
le'-''*'
DEPARTMENT OF HEALTH & HUMAN SERVICES
3
a Social Security Administration
���. Refer to:
800 8th Ave., Suite 330
P. O. Box 1097
Greeley CO 80632
Phone: (303) 353-1715
February 1, 1993
The Governor's AIDS Council
Dear Council,
I am a supervisor with the Social Security Administration in
Greeley Colorado. I am also member of the Northern Colorado
Care Consortium (NCCC) . The Consortium meets monthly or bi-
monthly to address the needs of persons infected with HIV or
AIDS.
Social Security or Supplemental Security Income, as well as
Medicare or Medicaid are vital programs that assist HIV/AIDS
individuals. The Consortium provides a network for our agency
as well as many other service organizations to work together
for the benefit of the individual. We support the Consortium,
Regional Coordinator and Client advocates in Northern Colorado.
Sincerely,
/
try 64
udith A. Foote
-
Operation Supervisor
/
930777
20
; UNIVERSITY OF NORTHERN COLORADO
COLLEGE OF HEALTH AND HUMAN SCIENCES
DEPARTMENT OF COMMUNITY HEALTH AND NUTRITION
GREELEY,COLORADO 80639
(303) 351-2755 OR(303)351-2757
FAX(303)351-1489
1
February 3 , 1993
To the Governor's AIDS Council;
This is a letter of support asking you to continue funding for the
Northern Colorado Care Consortium and its two positions, the
Regional Resource Coordinator and the Client Advocate. The
Consortium provides a valuable service for persons with HIV disease
who would otherwise be unable to meet their basic life needs.
As a nutritionist interested in the association of HIV disease with
nutritional health, I have worked with the Consortium to help
educate health care providers and persons with HIV disease about
associated nutritional/food safety issues. The Consortium has
provided an access route between me and those needing the
information. Without the Consortium and the Regional Coordinator
I doubt I would be able to maintain this contact.
While information is important, it is not enough to sustain a
person with HIV. As I have worked with persons who have HIV, I
have been amazed at the complexities and difficulties they have to
deal with on a daily basis. I can tell a client about what they
need to eat, but if they have no resources or do not know how to
get resources, it will make little difference. Often they do not
even have the energy to deal with the complexities/difficulties to
get resources. I have been impressed by the assistance the Client
Advocate has given to clients in this regard and strongly recommend
that you continue funding for this position.
In my opinion the Northern Colorado Care Consortium and its two
position are valuable and necessary resources in the community.
I urge you to continue funding them.
Sincerely,
mot
Bruce Rengers, PhD; RD
Assistant Professor liji QUALITY • DIVERSITY • PERSONAL TOUCH
V
21 93077,
UNIVERSITY OF NORTHERN COLORADO
DIVISION OF STUDENT AFFAIRS
STUDENT HEALTH SERVICES -
GREELEY,COLORADO 80639
(303)351-2412 r
February 8 , 1993 j
Governor' s AIDS Council
State of Colorado
Dear Colleagues :
This letter is in support for funding of the Northern
Colorado Care Consortium, the Regional Resource Coordinator and
Client Advocate. The services provided by this program are vital
to individuals and health care providers in the Northern
o
area. By providing a continuum of services and support for these
individuals , we can become more effective in addressing the many
issues that result from HIV infection. Because of our rural
location, programs such as these are often more necessary and
valuable .
Over 10 , 000 people attend the University of Northern Colorado
and we currently have PLWA' s on campus . The CDC estimates that 1
in 500 college-aged individuals are infected with HIV and because
HIV infection is occurring at younger ages, we will continue to
see students dealing with HIV/AIDS while in the college setting .
Utilising services such as those provided by the Consortium will
become more frequent.
The UNC Student Health Center currently offers limited
medical care for those students with HIV or AIDS. We also offer
HIV testing in conjunction with the Weld County Health Department
four or five times each semester. UNC also provides facilities
for two HIV/AIDS support groups as well as individual
psychological counseling through the UNC Counseling Center. In
addition, HIV/AIDS prevention and awareness education is provided
to all students , faculty, and staff .
The University of Northern Colorado fully supports the
efforts of the Northern Colorado Care Consortium and hope that you
will consider financial support for this much needed organization.
Sincerely,
r
ap_c s 1 U \2,-, _i c_ ._' .
rindy Vpmmnrcch , RN
Health Educator
university of Northern Colorado
litQUALITY DIVERSITY •
PERSONAL TOUCH 93077
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27 930777
. :
Neighbor to Neighbor, Inc.
424 Pine Street, #203 • Fort Collins,Colorado 80524 • I Phone 484-7498
a non-profit corporation
February 8 , 1993
Northern Colorado AIDS Project
P.O. Box 182
Fort Collins , CO 80522
Governor' s AIDS Council ,
We , at Neighbor to Neighbor, Inc . of Fort Collins , are pleased to
write this letter of support for your efforts with The Northern
Colorado Care Consortium/Northern Colorado AIDS Project .
As you know, people with AIDS and HIV positive individuals often
require a variety of services. We have found in our experience
with people with AIDS that due to the sudden loss of income they
are often faced with the threat of becoming homeless . Our goal is
to provide housing counseling support and services to both HIV
positive individuals and people living with AIDS.
I have heard repeatedly from clients with AIDS about the importance
of the high quality support and advocacy they receive from Northern
Colorado AIDS Project . It has been a pleasure to work with NCAP
and we consider them a valuable resource .
We hope that NCAP will be able to expand its services during this
time when it is very much needed. Please feel free to call me as
we are willing to assist in any way we can.
Siin�ncerely( , -
Rachel Goodnough.:
Housing Counselor
C ( l
\ I
63 d
way
28 930777
BOARD OF HEALTH
Kent N.Campbell,JD,Fort Collins
. President
Pamela Howard,Loveland
A CommitmentTo Progress Vice President
Kenneth W.Curtis,Jr.,MD, MPH,Fort Collins
Eldon Savage,PhD,MPH, Fort Collins
AIL _ Glenn W.Wellman,OD,MPH,Estes Park
LARIMER COUNTY HEALTH DEPARTMENT 1525 Blue Spruce Drive, Fort Collins,Colorado 80524
Adrienne LeBailly,MD,MPH, Director General Health 498-6700 Environmental Health 498-6775
February 5, 1993
To Whom It May Concern:
As the Supervisor/Project Director of Reproductive Health Services
in Larimer County, I strongly support the efforts and services
provided by NCAP to people living with AIDS. The recruitment,
training, and maintenance of volunteer health care providers not
only help individuals and their families care for those with the
t._sease but also increases the likelihood that the care givers will
be successful and not burn out.
Larimer County Health Department provides HIV/AIDS confidential
testing in three locations . Our staff is trained in pre and post
test counseling. We support NCAP and applaud the work of their
coordinator and feel that she must be more fairly compensated for
the time and professional support she provides for our community
members who are living with AIDS. The well-intentioned volunteers
need professional leadership and support from a paid client
advocate that can coordinate and direct their energies into
satisfying and acceptable outcomes.
My staff and I support NCAP and encourage you to not only continue
the Ryan White funds but to increase their dollar amount. This is
a community that cares. But caring is not enough -- they need
dollars to carry out their objectives.
Sincerely,
1O-«GJ •
Anita Basham, Supervisor
Reproductive Health Services
AB: jb
9 30
BOARD CFT)CUNTY COMMISSIONERS
Ccurtyn 'N Hn:nrkiss M J. 'Arkelhc.rr, Dar/ie'N risen
.,r;;:ca I :cc Distr.c:III
29
BCP February 10, 1993
BOULDER COUNTY !
AIDS PROJECT
2118 FOURTEENTH STREET Northern Colorado AIDS Project
BOULDER.COLORADO 80302
003)444-6121 P.O. Box 182
FAX:(303)444-0260 Fort Collins, CO 80522
BOARD OF DIRECTORS I am writing this letter in support of the Northern Colorado AIDS
FAY I.ALLEN Project's request for continuation of funding from the Ryan White
GWEN BARRIE CARE Act.
WILLIAM A.CART ION
PETER FINCH I am aware of the increase in services NCAP has been able to offer its
LAURA T.ER(BRET existing caseload specifically due to the hiring of their current
BARBARA I.GIE EOR caseworker, Sheryl Silver. It is imperative that the work of
JAMES 2(,RAY
THOMAS E.GROFF community-based organization case management continue so that the
JEFFREY A.IIILDEBRANDT needs of people living with HIV-infection and AIDS arc identified and
PJIYLLIS KINZER met. NCAP has shown this year that given appropriate funding
Rio IARD LENIEER resources they arc able and excel at providing services to their clients.
ROBER f I.MILLER It is unrealistic to expect NCAP to be able to continue at their current
BEAIRIZ M.PESTANA level of staffing to provide such an important service, especially given
RICHARD PELT ERSEN
KELLY M.RODE RS the expected increase in cases in their area. Primary case management
GEORGE P.ROYCROFT j relies on paid staff who care offer direct client services and training
IHERFY S<Orr and supervision of volunteers to further those services.
-,ARD A.SI-UNION I
KAREN L.WILDING Infected and affected populations are more likely to seek care from a
community-based organization that is staffed with volunteers and
HONORARY BOARD personnel who know first hand about the broad spectrum needs that
n)DnII ALBINO people with HIV infection face. The Northern Colorado AIDS Project
ELISE!LOOMING is such an organization. I have been pleased to work with Ms. Silver
THOMAS CECI4 as a colleague and support person for this challenging position. I
RUIN CORREIA highly support the efforts of this organization and their upcoming
FRANK DAY rant proposal.
LESLIE DURGIN g
NEIL 11SI IMAM
LE5 FOWLER Sincerely,PHILIP A.GORDON � 1
JOSIE HEATH //3-4)
MAXINE HITCHCOCK
PAUL I oon Robin Bohannan
SANDY HUMF
LINDA JOURGINSEN Clinical Director
PHYLLIS KAIZ
DAVID LUCE RB:rb
)1M MsKEOWN
IANA MENDEZ
CHARLES R.MIDDLE ION
DENIS NOCK
JANE I ROPE R IS
DORI)IIIY RUPERT
IEEE REY SAVMAN
ANITA SANCI IEZ
DAVID SMALLS
CHAR?FS STEINBERG
TIMOISIY WIRTH
The single red ribbon
has come to symbolize and
promote AIDS awareness. 9 nO c
30
Weld County
AIDS Coalition
February 12, 1993
Dear Karen,
The Northern Colorado Care Consortium is providing such an important
service to people and families affected by HIV. There is such a need in this
part of Colorado to coordinate care and resources for those living with HIV
infection. The Consortium is the care link needed. The Weld County AIDS
Coalition is proud to support the efforts of the Consortium.
Sincerely,
901. r+wa
Jill Burch, R.N. , Coordinator
Weld County AIDS Coalition
jb/vh
WELD COUNTY HEALTH DEPARTMENT
353-0639 Sal'- y
31 930771
Strategy for continuation of the proposed services:
The services proposed in this grant are greatly needed in northern Colorado. In the event that
funding from the Ryan White Care Act is discontinued on March 31, 1994, much will be done to
ensure the continuation of services for individuals infected and affected by HIV/AIDS. The
Consortium will establish a fund-raising committe during the first quarter and submit proposals to
potential funding sources by the second quarter. The Consortium will work throughout the
funding period to determine other avenues of supporting the RRC and Case Manager postitions.
The member agencies will also work together to provide the services for HIV infected and af-
fected individuals.
930777
32
PURCHASE OF SERVICES AGREEMENT
THIS AGREEMENT, made and entered into this day of
1992, by and 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 Health
Department, hereinafter referred to as " Weld County," and Northern Colorado AIDS
Project (NCAP) , hereinafter referred to as "Contractor."
WITNESSETH
WHEREAS, the Health Department and Contractor wish to establish a consortium
for care services for persons with HIV disease in Weld and Larimer counties; and
WHEREAS, the Health Department has been awarded Ryan White C.A.R.E. Title
II funds from the Governor's AIDS Council for use in this effort; and
NOW, ihhREFORE, in consideration of the premises and mutual covenants
contained herein, the par-ties hereto covenant and agree as follows:
1. HEALTH DEPARTMENT RESPONSIBILITIES:
_ - The Health Department will hire a regional resource coordinator to
coordinate and assure early intervention services, assist caregivers'in the
provision of comprehensive quality care, and to increase efficient use of patient
care resources throughout Weld, Larimer, and Morgan counties.
b. The Health Department will coordinate with the Contractor's client
advocate in the performance of their duties.
c. The Health Department will accumulate the required reporting
information and report the consortium data to the Governor's AIDS Council. A
copy of the required report will also be sent to the Contractor.
d. The Health Department will reimburse the Contractor within 14 days of
each monthly invoice. The invoice shall clearly indicate the number of hours
worked by the client advocate and the monthly travel, telephone, and postage
charges. The Health Department will reimburse the Contractor only after
acceptance of the required reporting information and the acceptable monthly
invoice. The Health Department will reimburse the Contractor up to the maximum
line item budget as outlined in Attachment 1. The maximum amount of the total
Agreement reimbursment shall not exceed $10,000.
e. The Health Department will perform a financial audit of the funds
received by the Contractor under this contract in the final quarter of the
Agreement.
2. CONTRACTOR RESPONSIBILITIES:
a. The Contractor shall hire one client advocate for the program who will
perform active community outreach with clients, perform in-home assessments, and
coordinate with local health care providers to obtain referrals of newly HIV
diagnosed persons.
33
b. The Contractor will coordinate with the Health Department's regional
resource coordinator in the performance of their duties.
c. The Contractor will provide the Health Department with the required
data collection documentation in a timely manner. This documentation must be
accepted by the Health Department prior to payment of monthly invoices.
d. The Contractor will submit a monthly billing to the Health Department
for reimbursement. The billing shall provide documentation regarding each line
item for which reimbursement is requested.
e. The Contractor will submit a monthly report documenting the amount of
in-kind for that monthly reporting period.
3. The period of this Agreement will be from April 1, 1992 through March 31,
1993.
4. The Contractor agrees that it is an independent contractor, and neither it
nor officers or employees become employees of Weld County, and therefore, are not
entitled to any employee benefits as Weld County employees, as the result of the
execution of this Agreement.
5. Weld County, the Board of County Commissioners of Weld County, its officers
and employees, shall not be held liable for injuries or damages caused by any
negligent acts or omissions of Contractor, or its employees, volunteers, or
agents while performing it duties as described in this Agreement. The Contractor
shall indemnify, defend and hold harmless Weld County, the Board of County
Commissioners of Weld County, its officers and employees for any loss occasioned
as a result of the activities of Contractor, its employees, volunteers, and
agents in furtherance of this Agreement.
6. Weld County and the Contractor agree that this is a personal service
contract and such contract is not assignable without the advance written consent
of either Weld County or the Contractor.
7. It is agreed that no person shall, on the grounds of race, color, sex,
religion, age, national origin, or individual handicap, by excluded from
participation in, be denied the benefits of, or be subject to discrimination
under any provision of this Agreement.
8. No portion of this Agreement shall be deemed to constitute a waiver of any
immunities the parties or their officers or employees may possess, nor shall any
portion of this Agreement be deemed to have created a duty of care with respect
to any persons not a party to this Agreement.
9. No portion of this Agreement shall be deemed to created an obligation on
the part of the County of Weld, State of Colorado, to expend funds not other wise
appropriated in each succeeding year.
10. If any section, subsection, paragraph, sentence, clause or phrase of this
Agreement is for any reason held or decided to be unconstitutional , such
decision shall not affect the validity of the remaining portions. The parties
hereto declare that they would have entered into this Agreement and each and
every section, subsection, paragraph, sentence clause, and phrase thereof
34
irrespective of the fact that any one or more sections, subsections, paragraphs,
sentences, clauses Or phrases might be declared to be unconstitutional or
invalid.
11. This Agreement is expressly made subject to all laws and regulations of the
United States and the State of Colorado. Contractual provision required by such
laws and regulations, but not having been set out herein, are hereby incorporated
by this reference as though expressly set out in herein, are hereby incorporated
by this reference as though expressly set out in full. All parties to this
Agreement are hereby put on notice, and charged with the responsibility of
compliance with such contract provisions as required by: law.
12. All modifications to this Agreement shall be in writing and signed by both
parties.
13. This Agreement shall be binding upon the parties hereto, their successors,
heirs, legal representatives, and assign. The Contractor and Weld County may not
assign any their rights or obligations hereunder without the prior written
consent of the other party.
14. This Agreement may be terminated upon thirty (3) days written notice, by
either party.
TN WI_3I3S WHEREOF, the parties hereto have duly executed this Agreement as of
e day, month, and year first above written.
BOARD OF COUNTY COMMISSIONERS NORTHERN COLORADO HEALTH NETWORK
WELD COUNTY, COLORADO
George Kennedy, Chairman
ATTEST: Weld. County Clerk to the Board
By:
Deputy Clerk to the Board
Approved as to form:
WELD COUNTY HEALTH DEPARTMENT
Randolph L. Gordon, M.D. , K.P.H.
Director
9?O77?
35
ATTACHMENT C
ColuLado Ryan White C.A.R.E. Act Title ..
Financial Status Report
1. Title II Funded Agency (Full Name, Complete Address and ZIP Code)
2. Current Ryan White Fiscal Year 3. Period Covered by this Report
From: (MM/DD/YY) To: (MM/DD/YY) From: (MM/DD/YY) To: (MM/DD/YY)
04/01/93 03/31/94
Table I: Title II Funds Available by Object Class/Category
Carry-Over Budget Total Funds Available
Object Class/Category Previous Funding Period Current Funding Period Current Year
Personnel N/A FY '93
Fringe Benefits N/A FY '93
Travel N/A FY '93
Equipment N/A FY '93
Supplies N/A FY '93
Contractual N/A FY '93
Other N/A FY '93
Indirect Charges N/A FY '93
Total N/A FY '93
Table II: Title II Quarterly Expenses by Object Class/Category
Object Class/Category 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
i
Other
Indirect Charges
Total
4. Signature of Person Completing this Report 5. Date Report Submitted
9 30777
Rcviscd�(6/91)
Table III: Title II Funds Available by HIV Service Category
Carry-Over Budget Total Funds Available
Category of Service Previous Funding Period Current Funding Period Current Year
Primary Medical Care N/A FY '93
Dental Care N/A FY '93
Mental Health N/A FY '93
Rehabilitation Care N/A FY '93
Support Services N/A FY '93
Case Management N/A FY '93
Home Health Care N/A FY '93
Home-based Hospice Care N/A FY '93
Drug Reimbursement N/A FY'93
Insurance Continuation N/A FY '93
Contractual N/A FY '93
Total N/A FY '93
Table IV: Title II Quarterly Expenses by HIV Service Category
Category of Service 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
Primary Medical Care
Dental Care
Mental Health
Rehabilitation Care
Support Services
Case Management
Home Health Care
Home-based Hospice Care
Drug Reimbursement
Insurance Continuation
Contractual
Total
93077"."
•
instructions
The Quarterly Financial Status Report was designed to collect data on a quarterly basis
with a minimal amount of effort. The information can be completed and reported on a
quarterly basis and still provide cumulative information on an agency's financial status.
Suggestion: Complete all information required ercept the "Period Covered by this Report",
"Signature of Person Completing this Report" and "Date Report Submitted" (boxes 3, 4 and
5). Make a xerox copy of the report, and then go back and complete those boxes on the xerox
copy only and send the xerox copy in with your narrative progress report. By retaining the
original, you will be able to report aggregate financial information for each quarter without
having to complete a whole form each time.
Box 1: Title II Funded Agency - The full legal name of the agency including the address and
ZIP code.
Box 2: Current Ryan White Fiscal Year - The beginning and ending dates of the fiscal year
which begins April 1 of each year and ends on March 31 of the following year.
Box 3: Period Covered by this Report - The beginning and ending dates of the quarters
reported on this form: 1st Quarter - April 1 to June 30, 2nd Quarter - July 1 to September
30, 3rd Quarter - October 1 to December 31, and 4th Quarter - January 1 to March 31.
Table I: Title II Funds Available by Object Class/Category - Funds which were not spent
from the previous fiscal year and which have been authorized to be "carried-over" into the
next fiscal year are listed by the object class/category in the first column of this table. The
authorized budget for the current fiscal year is listed in the second column. Add these totals
across to calculate the total funds available for the current year.
Table II: Title II Quarterly Expenses by Object Class/Category - List the total expenses by
the object class/category which were incurred during the quarter(s) (identified in Box 3
above) which is being reported.
Table III: Title II Funds Available by HIV Service Category - The funds available in each
of the object class/categories on Table I can be broken down into direct and indirect costs
for each service (see Service Category Definitions). Funds which were not spent from the
previous fiscal year and which have been authorized to be "carried-over" into the next fiscal
year are listed in the first column. The authorized budget for the current fiscal year is listed
in the second column. Add these totals across to calculate the total funds available for the
current year. The totals should agree with those listed on Table III.
Table IV: Title II Quarterly Expenses by HIV Service Category - The expenses in each of
the object class/categories on Table II can be broken down into direct and indirect costs
for each service provided (see Service Category Definitions). List the total expenses by each
category of service provided which were incurred during the quarter (identified in Box 3
above). These totals should agree with the total expenses listed on Table II.
-3-
ATTACHMENT 1)
Service Category Definitions
Primary Medical Care: Diagnostic, therapeutic and supportive services rendered by medical
physicians and osteopaths, nurse practitioners, physicians' assistants and nurses directed at
maintaining health or preventing/treating disease.
Dental Care: Diagnostic and therapeutic services rendered by dentists, dental hygienists, and
similar professional practitioners.
Mental Health Therapy/Counseling:Psychological and psychiatric treatment and counseling services,
including individual and group counseling, provided by a mental health professional licensed or
authorized within the State, including psychiatrists, psychologists, clinical nurse specialists, social
workers, and counselors.
Rehabilitation Care: Services provided by a licensed or authorized professional in accordance with
an individualized plan of care which is intended to improve or maintain a client's quality of life
and optimal capacity for self-care. This definition includes physical therapy, speech pathology, and
low-vision training services.
Support Services:
a. Adoption/Foster Care Assistance: Assistance in placing children whose age is less than 20 and
whose parents are unable to care for them because of HIV-related illness or death, in
temporary (foster care) or permanent (adoption) homes.
b. Buddy/Companion Services: Activities provided by volunteers/peers to assist the client in
performing household or personal tasks, and providing mental and social support to combat the
negative effects of loneliness and isolation.
c. Client Advocacy: Assistance provided to individuals with respect to wills, funeral arrangements,
matters related to protection of civil rights, and other relevant needs experienced by clients.
d. Counseling: Counseling services other than mental health therapy/counseling provided to
clients, family and/or friends by non-licensed mental health counselors. May include care-giver
support, bereavement counseling, drop-in counseling, nutrition counseling or other support
group activities.
e. Day and respite care: Residential or home-based non-medical assistance designed to relieve
the primary care-giver responsible for providing day-to-day care of client or client's child.
f. Direct Financial Assistance: Provision of short-term payments for food, housing, rent, utilities,
medications or other resources.
g. Education/Risk Reduction: Counseling or preparation/distribution of materials which educate
clients about methods to reduce the spread of HIV, and information about available medical
and psycho-social support services.
h. Food bank/Home Delivered Meals: Provision of actual food or meals, not finances to purchase
food or meals.
i. Housing; Housing related services: Includes: assistance in locating and obtaining suitable,on-
9"10'7 ,
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going or transitional shelter (inciuuim, costs associated with finding a resides and/or
subsidized rent); and, residential housing services, which are the provision of housin; istance
in a group home setting.
j. Sign Language and Interpretation Services: Assistance provided to clients and/or carp-givers
who are language impaired (sign language) or do not speak English as their primary language
(interpretation services).
k. Transportation: Conveyance services provided to a client in order to access health care or
psycho-social support services. May be provided routinely or on an emergency basis.
I. Other: Support services not listed above
Case Management Client centered service that links clients with health care and psychosocial
services in a manner that ensures timely, coordinated access to medically appropriate levels of care
and support services, and continuity of care. Key activities include: assessment of the client's needs
and personal support systems; development of a comprehensive, individualized service plan;
coordination of the services required to implement the plan; client monitoring to assess the efficacy
of the plan; and periodic re-evaluation and adaption of the plan as necessary over the life of the
client.
Home Health Care: Therapeutic, nursing, supportive and/or compensatory health services provided
by a licensed/certified home health agency in a home/.residential setting in accordance with a
written, individualized plan of care established by a case management team that includes
appropriate health care professionals. Component services are defined separately (para-
professional, professional and specialized care).
a. Para-Professional Care: homemaker, home health aide, and personal/attendant care.
b. Professional Care: routine and skilled nursing, rehabilitation and mental health.
c. Specialized Care: intravenous and aerosolized medication treatments, diagnostic testing,
parenteral feedings and other high tech services.
d. Durable Medical Equipment: prosthetics, devices and equipment used by clients in a
home/residential setting, e.g., wheelchairs, inhalation therapy equipment or hospital beds.
Home-based Hospice Care: Nursing care, counseling, physician services, and palliative thera:eutics
provided by a hospice program to patients in the terminal stages of illness in their home setting..
Drug Reimbursement: State and/or Federal funded program designed to provide low income
individuals medications at no cost or reduced costs.
Insurance Continuation: State and/or Federal funded program designed to provide short-term
reimbursement for health insurance continuation such as COBRA.
Contractual Services the consortium has been contracted to provide which are not provided by the
lead/fiscal agency who sub-contracts with other providers in the consortium. This category is to
be used solely by the lead/fiscal agency, in order that the flow of funds may be tracked through
sub-contracts.
tritt6r mEmoRAnDum
Vi`lie To Constance L. Harbert, Chairman
Board of County Commissioners Date August 2, 1993
COLORADO From Jeannie K. Tacker, Business Manager, Weld County Health Dept. J
Sub►eet: Governor's AIDS Council Contract
pr,.i___a fr ^Ppr ...." 3./.. a crr-t t betwcan thc '::1d ^ttz t__ 1t
Department and the Office of the Governor for the Northern Colorado Care
Consortium project.
The Health Department was awarded Ryan White C.A.R.E. funds for the purpose of
providing H.I.V. services to persons with H.I.V. in Weld, Larimer and Morgan
counties. The Health Department will receive $39,000.00, $5,913.00 of which will
be sub-contracted to the Northern Colorado AIDS Project.
The term of the contract shall be from April 1, 1993 through March 31, 1994.
I would recommend your approval of this contract.
If you have any questions, please feel free to contact me.
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