The URL can be used to link to this page

Browse Search

Home My WebLink About920806.tiff .,0 - RESOLUTION RE: APPROVE CONTRACT FOR HIV SERVICES WITH THE OFFICE OF THE GOVERNOR 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 for HIV Services between the Office of the Governor and the Weld County Health Department, commencing April 1, 1992, and ending March 31, 1993, with the 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 for HIV Services between the Office of the Governor and the Weld County Health Department 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 24th day of August, A.D. , 1992, nunc pro tunc April 1, 1992. �414,041&-fl. i; 1 BOARD OF COUNTY COMMISSIONERS ATTEST: 4,} WELD CO NTY, COLORADO Weld County Clerk to the Board ¢ / Geor e Ken dy, Chairman , BY: ,e 00L CT OA Deputy erk to the Board onstance L. Harbert, Pro-Tem APPROVED AS FORM: e! / " '//j C. W. Kirb County Attorney Gord . ac W. H. Webster 920806 cc ; /11. S7b]TI • Pas 6-ACOSA(R 1/U) DEPARTMENT vR AGENCY NUMBER • FAA CONTRACT ROUTING NUMBER 92-RW-08 CONTRACT THIS CONTRACT,Made this 27thiay of May l9$( 11 ,by and between the State of Colorado for the use and benefit of the Department of•' Office of the Governor hereinafter referred to as the State, and n Weld County Health Department hereinafter referred to as the contractor, WHEREAS,authority exists in the Law and Funds have been budgeted,appropriated and otherwise made available and a sufficient unencumbered balance thereof remains available for Bayn ent in FundNumber 100 , G/L Account Number 268 , Contract Encumbrance Number r�AA 92-lband WHEREAS• required approval, clearance and coordination has been accomplished from and with appropriate agencies; and WHEREAS, " The Office of the Governor has been notified that funds have been awarded to the State of Colorado, Office of the Governor, through the U.S. Department of Health and Human Services, under P.L. 101-381, known commonly as the Ryan White C.A.R.E. Act of 1990, Title II, C.F.R. # 93.917 and # 93.928, for the purpose of providing certain care services to persons with Human Immunodeficiency Virus (HIV) related illness within the State of Colorado. �� for and in consideration of their mutual promises tagac ,W ei41'd €tfbit$fedd, Ili parties hereto agree as follows: 1. The Contractor shall undertake and perform the following services, tasks and responsibilities: A. Maintain the existing HIV services consortium which includes, but is not limited to, the Weld County Health Department, Northern Colorado AIDS Project, United Methodist Church, Hospice of Northern Colorado, Normedco Home Health Care, Bonnell Good amaritan Center, HIV positive activists, Weld County AIDS Support Group, Northern Colorado AIDS Family Support Group, University of Northern Colorado,Weld County AIDS Coalition,Larimer County AIDS Coalition, Weld County Red Cross, Island Grove Regional Treatment Center, Morgan County Social Services, Northeast Colorado Health Department, Greeley Planned Parenthood and Centennial Area Health Education Center. Page 1 of pages 920806 395.5341-1014 •iSec instructions on e'cne of lau peso ft e��O�IIDD�� The HIV service consortium defined here represents an association of one or more public, one or more non-profit private, health care and support service providers and community based organizations. This consortium will support and/or facilitate the organization of systems of care for individuals and families with HIV disease;identify gaps in service needs and develop a comprehensive continuum of services to meet those needs; promote coordination and integration of community resources; ensure continuity of services through effective case management; and coordinate opportunities for cost effective alternatives to hospitalization. B. Through an organized working arrangement the consortium shall provide for an array of services which may include,but are not limited to, the following: o case management o medical, nursing and dental care o diagnostics o monitoring o medical follow-up services o mental health services o developmental and rehabilitation services o home health services o in-home hospice care o transportation services o attendant care o homemaker services o day or respite care o benefits advocacy o advocacy services provided through public and non-profit private entities o nutrition services o housing referral services o child welfare and family services including foster care and adoption services o information and counseling on living with HIV. C. Through an organized working arrangement, the Regional Resource Coordinator and the Client Advocate will: continue to coordinate and offer case management services and client advocacy to assure early intervention, assist care givers in providing a high quality continuum of care, increase efficient use dof patient care resources and assist HIV/AIDS families in meeting special needs; identify health care provider contacts; increase the number of legal, mental health and foster care providers; identify churches and spiritual groups offering support for HIV affected persons;and enhance community support for HIV infected individuals. D. Provide the services outlined in paragraphs 1. A., 1. B. and 1. C. above in the area including, but not limited to the counties of Weld, Page 2 of 7 9 Morgan and Larimer. E. Organize and conduct meetings of an HIV consortium advisory committee consisting of representatives of the agency members of the 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. F. Establish a program for evaluating the progress of the work of the consortium and for monitoring quality assurance of services delivered. G. Pursue fundraising and development efforts to supplement the funds provided by this Contract. 2. The Contractor shall provide the services outlined in paragraph one of the Contract in accordance with the budget set forth in Exhibit A. 3. The Contractor shall provide to the State for its prior written approval, a copy of any proposed subcontract between the Contractor and any potential provider of services to fulfill any requirements of this contract. 4. The Contractor will submit to the State a quarterly financial status report and a progress report covering 1 April 1992 through 30 June 1992, and for succeeding quarters. These reports shall be due no later than fifteen (15) days following the final day of the report period. Financial reports shall be completed using the form attached herewith and known as Exhibit B. Progress reports shall be brief and in narrative form, covering significant developments including progress toward attaining identified goals; problems, if any, encountered in attaining identified goals; results of consortium meetings; fundraising events and other examples of milestone activity. A final financial and activity report for the full project period will be due on 15 June 1993. 5. The Contractor will comply with all requirements of the data collection system known as the Uniform Reporting System ("URS") as promulgated by the Health Resources and Services Administration of U.S. Department of Health and Human Services for Ryan White C.A.R.E. Act of 1990, Title II grantees. The implementation of the URS has not been established as of the date of this Contract but is expected at a future date during the contract period. The State, at its option, may implement all or part of the URS by so notifying the Contractor at any time during the Contract period. 6. The Contractor will notify the State of all public meetings and regular Page 3 of 7 920806 meetings conducted in connection with the performance of this Contract. Notification by newsletter, special mailings, telephone or facsimile communication shall be acceptable. 7. The Contractor in a timely manner will make copies of and distribute to all subcontractors official communications from the State marked 'To All Ryan White Title II Contractors." 8. Execution of this Contract does not obligate the State to continue funding after the termination of this Contract. 9. 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 3 years following the expiration of this Contract. 10. 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 THREE THOUSAND, ONE HUNDRED SEVENTY TWO DOLLARS AND FORTY ONE CENTS out of G/L Account Number 268, as set forth in Exhibit A. A. Payment of one-quarter of the total funds under terms of this Contract shall be made to the Contractor upon receipt by the State of a signed statement at the end of each quarterly period. B. Satisfactory compliance with all reporting requirements as set forth in this contract shall be a condition of payment. 11. This Contract is contingent upon the written approval of the U.S. Department of Health and Human Services of a plan to provide the services specified in Exhibit A and the receipt of funds under the Act by the State. 12. The performance of the services required hereunder shall be under the direct supervision of Lance C. Clem, an employee of the Office of the Governor who is hereby designated as the administrator in charge of this Contract. 13. This Contract is not assignable without prior written consent of the State. 14. The term of this Contract is from 1 April 1992 to 31 March 1993. the Denver Department of Health and Hospitals, the Colorado AIDS Project, the Boulder County AIDS Project, People of Color Coalition Against AIDS (POCCAA), the CARE / B-A-PAL United Case Management Program, the Colorado Latino AIDS Community Page 4 of 7 9 Network, Empowerment, the Visiting Nurse Association, the Hospice of Metro Denver, and the Hospice of Peace. Page 5 of 7 320906 • Form 6-AC-028 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 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 works for this State,the contractor shall,before entering the performance of any such work included in this contract,duly execute and deliver to and file with the official whose signature appears below for the State,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 for the due and 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,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,when so required,is executed,delivered and filed,no claim in favor of the contractor arising under this 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 38-26-106 CRS,as amended. 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. ^TSCR!MINATION AND AFFIRMATIVE ACTION 5. The contractor agrees to comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957,as amended,and other applicable law respecting discrimination and unfair employment practices(24-34-402.CRS 1982 Replacement Vol.),and as required by Executive Order,Equal Opportunity and Affirma- tive 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: (1) 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 are 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 advertising;lay-offs 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 pro- vided by the contracting officer setting forth provisions of this non-discrimination clause. (2) 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. (3) The contractor will send to each labor union or representative of workers with which he has collective bargaining agreement or othercontractorunderstand- ing,notice to be provided by the contracting 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. (4) 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. (5) 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 race,creed,color, sex, national origin,or ancestry. (6) 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 dis- criminatory 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. 395-53-01-1022 Revised I/88 page-FL of 7 pages N-io-noe..as 92M0S Form 6-AC-02C (7) In the event of the contractor's non-compliance with the non-discrimination clauses of this contractor or with any of such rules,regulations,or orders,this contract may be cancelled,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,end 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. (8) The contractorwiL include the provisions of paragraph(1)through(8)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 contracting agency may direct,as a means of enforcing such provisions,including sanctions for non-compliance;provided,however,that in the event the contractor becomes involved in,or is threatened with,litigation with the subcontractor or vendor 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 8-17-101&102,CRS for preference of Colorado labor are applicable to this contract if public works within the State are undertaken hereun- der and are financed in whole or in part by State funds. b. When 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 state or foreign country in which the non-resident bidder is a resident If it is deter- mined by the officer responsible for awarding the bid that compliance with this subsection.06 may cause denial of federal funds which would otherwise be avail- able 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(section 8-19-101 and 102,CRS). GENERAL 7. The laws of the State of Colorado and roles and regulations issued pursuant thereto shall be applied in the interpretation,execution and enforcement of this contract.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,defense 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 stricdy adhere to all applicable federal and state laws,rules and regulations that or may hereafter be established. 9. The signatories beretoaver that they are familiar with 18-8-301,et.seq.,(Bribery and Corrupt Influences)and 18-8-401,et.seq.,(Abuse of Public ORce), CRS 1978 Replacement Vol., and that no violation of such provisions is present 10. The signatories aver that to threir knowledge, no state employee has a personal or beneficial interest whatsoever in the service or property described herein: • IN WITNESS WHEREOF,the parties hereto have executed this Contract on the day first above written. Contractor. - (Fun Legal ante) WELD COUNTY BOARD OF COMMIS980NERS STATE OF COLORADO RG �Gv • ROY R ER, GOVjFRN KENNEDY g' �'GEO E KEN �y By Position(Tide) CHAIRMAN E UTTVE DIRECTOR _ 84-6000813 (. Scoot gnaw a Federal LD.N DEPAR or JJ �� OF Q T TG4t f ARIMENT'►'. (If Corporation:) Attest(Seal) t.-"' WELD COUNTY HEALTH DEPARTMENT BY: �� G )1g �� By 46 . S. 1 Randolph Gordan, M.D. , M.P.B. Yiccvan clan �0 BOARD Director APPROVALS ATTORNEY GENERAL CONTROLLER By By ]7s-0J-01- Fags 7 tNeh is the lay d 7 caps 1030(Rs'ised IAaI 'See wyrvyiea s aware sde. f><-16r103le 3201106 STYON : L.# Merle: 5 SOC.. PO EAA S'':°000000 16 !_ ..;:C1 s': 4:.0004 STATLAC H— PUR:HASE ORDER INPUT FORM PO DATE : 05 27 92 ACCTG PRO : BUDGET FY : 92 ACTION : E PO T'/PE : COMMENT.: VENDOR : 6u E•000C 1 3 B NAME : WELD COUNT,' HEALTH DEPARTMENT IYG IND : SELLER FUND : _•ELLER AGENCY : CALCULATED DOC TOTAL : 1.9 . 745 . 16 DOC TOTAL : 39 . 745 . 1 & �N REF RO SUE• APR N' 3Y / NLi4EER ,' LN FND AGY ORG ORG CGE F'GM FJNC OBJ OBJ GEL JOB/PROJ X PFT. FEE ' D UNITS DESCRIPTION AMOUNT I/D P/F 01 — 01 100 EAA 2015 258 2010 1920 RYAN WHITE C .A. R .C. ACT 39 . 745 . 16 02- 03— A--*CY,a 1 —APPFCJED DOCUMENT 9208% EXHIBIT A FEB 211992 STATE OF COLORADO Governor's AIDS Council 136 State Capitol Building Denver, CO 80203 RYAN WHITE C.A.R.E. ACT OF 1990 TITLE II FUNDS FOR 1992 CARE SERVICES FOR PERSONS WITH HIV DISEASE PROGRAM CATEGORY: HIV CARE CONSORTIUM Applicant's Name Weld County Health Department for Northern Colorado Care Consortium Address 1517 16th Avenue Court Greeley, CO 80631 Contact Person Elizabeth Breckenridge-Haines Regional Resource Coordinator Phone (303) 353-0639 Tax Identification Number 84-6000813 Amount Requested $ 39,745.16 Date February 21, 1992 WELD COUNTY BOARD OF COMMISSIONERS WELD COUNTY HEALTH DEPARTMENT zx 11-V George Kenn y /q 9D- Randolph . Gordon, M.D. , M.P.H. Chairman Director ATTEST: We Co un y 1 ri/to�Q/�yJ��'e Board '✓I/G7/Lr �l By: 4 4441 Deputy Clerk to the Boar 920906 - NAME OF CONTRACTOR: WELD COUNTY HEALTH DEPARTMENT TAX IDENTIFICATION NUMBER 84-6000813 PROGRAM CATEGORY: HIV CARE CONSORTIUM Northern Colorado Care Consortium Members: Weld County Health Department Northern Colorado AIDS Project United Methodist Church Hospice of Northern Colorado Normedco Home Health Care Bonell Good Samaritan Center HIV positive activists Weld County AIDS Support Group Northern Colorado AIDS Family Support Group University of Northern Colorado Weld County AIDS Coalition Larimer County AIDS Coalition Weld County Red Cross Island Grove Regional Treatment Center Morgan County Social Services Northeast Colorado Health Department Greeley Planned Parenthood Centennial Area Health Education Center 920806 I. Identification of perceived need with supporting information for proposed activities which specifies the proposed area of the state to be served. The HIV epidemic is dynamic in that it affects many interrelated groups. It does not discriminate against age, gender, cultural, racial or economic groups. Effective plans for the care and education of those affected by HIV/AIDS must take into account the demographics of the areas to be served. W e 1 d County is primarily an agricultural area, made up of numerous rural communities covering 4,034 square miles. Approximately 45% of Weld County residents live in communities of populations less than 2,500 and 77% of the land in Weld County is used for farming. In 1989, 14% of the population lived in areas without a health care provider and many of these areas are 50 miles or greater from the Denver metropolitan area. Morgan County has similar demographics, and Larimer County contains agricultural and mountainous regions. (1) Women are perceived as a low risk group, yet nationwide, women and infants consist of the fastest growing segment of the population affected by HIV. The mothers of most infants with AIDS are intravenous drug abusers or have been infected through sexual contact. Women of childbearing age have the potential of becoming infected themselves and of infecting any children they might bear. HIV infected women are often undiagnosed until they become ill or bear an infected ill child. Many of these infants are placed in foster care at an early age, and these foster parents and their health care providers must be kept current in all aspects of treatment. Additionally, children with hemophilia and their families need education about AIDS and support if they should become infected. If these infected children reach adolescence and adulthood, their sexual partners will need education and support also. Although an equal number of men and women are tested at the contractor's HIV counseling and testing center, the Weld County AIDS Coalition and the Regional Resource Coordinator (RRC) believe that most women at risk are not being educated or tested. In Larimer, Weld, and Morgan Counties, less than four percent of the persons with AIDS are female which is less than the statewide figure of six percent. Of the fifty-seven cases in Weld, Larimer, and Morgan Counties, three have been women, and two have been children. (2) The RRC and the Northern Colorado Care Consortium (NCCC) need greater access to childbearing women, women at risk and children. 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. There are difficulties reaching this population due to long working hours and high mobility. Of fifty-seven AIDS cases in Weld, Larimer, and Morgan Counties, six have been persons of Hispanic descent, and one of the eight newly diagnosed men in Weld County is Hispanic. (2) (3) According to Larimer County Hospice, who cares for AIDS victims in their final stages of disease, clients seek treatment in the Denver metropolitan area because the clients feel local physicians are not kept up to date on the latest information and treatments. While Larimer County has a more cosmopolitan atmosphere, having at least two identified gay bars, HIV/AIDS infected people are still not willing to share the knowledge of their infection with the community. Due to the conservative nature of Weld and Morgan Counties, this problem is of greater 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 rural, access to services and resources is limited and difficult to obtain. Coordinated outreach among area agencies is necessary to provide information to homosexuals, women, teenagers, Hispanics, and their care providers. Integrating AIDS prevention into the existing services provided by schools, health care institutions and community organizations, and providing these agencies with resources is imperative. The Contractor is a county agency supported by county tax dollars, state and federal grants, and fees for service provided. The mission of the Contractor 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 1 920896 residents; by development of policies and programs; and by assuring that basic health services are being provided. Presently, the Contractor provides free HIV testing and counseling. In 1991, 511 people were tested of which 8 were positive. All eight were male, seven were white, non-Hispanic, and one was Hispanic. Eighty-seven percent of the cases were between the ages of 20 and 34, and seven of the eight were homosexual. (3) In Weld County between 1982 and January 1992, 23 AIDS cases have been reported with 14 of those resulting in death. From 1982 through January 1992, Morgan County had 7 cases reported with 6 deaths occurring, and Larimer County had 27 cases reported with 17 deaths resulting. (2) These statistics do not reflect the large transient population and persons who are HIV infected who move into the 3 counties without being reported. Nor do they reflect the number of HIV infected persons who are generally estimated at 30 persons infected for each case of AIDS. (2) While most physicians and dentists do not want to be labeled as the "AIDS doctor", physicians in Weld County have expressed a willingness to work with HIV infected persons. Weld County has one physician who specializes in treating infectious diseases. She currently has a case load of 70 HIV/AIDS infected persons, and acts as a consultant to HIV/AIDS primary care providers at North - Colorado Medical Center and McKee Medical Center. North Colorado Family Medicine Residency Program provides care to 7 cases, and one Weld County dentist works with 3 HIV positive patients. (4) Larimer County has 3 hospitals among which health care providers coordinate care. They have had one pediatric HIV/AIDS case which was sent to Children's Hospital in Denver for treatment. Physicians, dentists, and psycho-therapists have shown a willingness to work with HIV positive persons as well as family members. Larimer and Morgan Counties have also taken an active stance against HIV/AIDS. Both the Larimer County Health Department and Northeast Colorado Health Department provide free testing and counseling. Larimer County has an AIDS education coalition which works closely with the Northern Colorado AIDS Project to provide the community with accurate information. The Weld County AIDS Coalition was established in 1987 as a response to the need for accurate information to the community about the HIV/AIDS epidemic. "The mission of the Weld County AIDS Coalition is to educate the community to help stop the spread of AIDS infection in Weld County and to diminish the fears and myths associated with AIDS."(5) To date, 7000 Weld County residents have requested information or had presentations on HIV/AIDS. In addition, a speakers bureau of HIV positive persons or trained HIV/AIDS instructors has been developed which can be accessed through the Contractor. (6) A June 1991 Governors's AIDS Council community meeting identified the need for communication and information sharing between care providers regarding the latest in educational opportunities, treatments and social services resources in rural areas. In October 1991, the Contractor received $29,000 title II funds to establish the position of Regional Resource Coordinator and the position of Client Advocate in the Northern Colorado AIDS Project. The Contractor has also been identified as lead agency for the Northern Colorado Care Consortium. The RRC and the Northern Colorado AIDS Project (NCAP) are the two founding members of the NCCC. The position of Regional Resource Coordinator is designed to meet the growing needs and demands of HIV infected persons, families, and health care providers. Individuals with HIV, and particularly those who are ill, have a unique set of health care needs. Fulfilling these needs is difficult due to the lack of resources or the inaccessibility of services. A diagnosis of HIV infection is often so overwhelming that individuals may feel helpless when trying to access the diverse services they need. Although the Regional Resource Coordinator was not in place until December 1991, the RRC has assisted 9 HIV/AIDS infected persons, 6 family members, 5 physicians, and 1 dentist in Weld County in finding resources to fit their specific needs. Of the 9 HIV infected persons, one is a child, one is female, and 2 were diagnosed in Denver. (7) When possible, the RRC has individual sessions with the HIV positive persons or family members. These sessions are used to inform persons affected by HIV of the resources available to them 2 9e including: social services, nutrition, housing, support groups, detox programs, and drug assistance programs. In addition, the RRC gives family members and friends basic information on HIV/AIDS, and materials on caring for someone who is HIV positive. This information takes the form of individualized resource packets and bulletins. The RRC has created two bulletins focusing on the resources available in northern Colorado. One bulletin emphasizes issues related to HIV positive persons, family members, and friends. The second bulletin focuses on health care issues, drug protocols, and programs for health care providers. A database of physicians, dentists, psychotherapists, lawyers, and social service organizations in Weld, Larimer, and Morgan counties has been compiled by the Regional Resource Coordinator. This database is instrumental in contacting care providers in northern Colorado. The HIV/AIDS support group facilitators in Larimer and Weld Counties are kept abreast of the latest bulletins and information dealing with their own clientele. Health care providers are sent information through direct mailings or through the contact person in each county. The RRC has also contacted 27 care organizations in Weld, Larimer, and Morgan Counties that work with persons affected by HIV/AIDS or have the capacity to work with those affected by HIV/AIDS. (7) As a result, the RRC is able to _ maintain up-to-date information concerning social services, drug assistance programs, housing grants, discrimination, nutrition, detox programs, etc. The RRC has not only received assistance in northern Colorado, but State-wide organizations and Denver based organizations have been more than willing to offer their service in northern Colorado. Two people infected with HIV in Weld County have offered their assistance to the Regional Resource Coordinator. One has agreed to be a consultant for the Contractor while the other is a volunteer for the Northern Colorado Care Consortium. Both of these people offer valuable insight into being a Person Living With AIDS (PLWA) . Both people help the RRC work with different segments in the community. The consultant aides the contractor in accessing social services, HUD, and pharmaceutical companies. The NCCC volunteer has been HIV positive for over 10 years and understands the long-term problems faced by care organizations and PLWAs. In addition, the volunteer helps the RRC to access the underground homosexual community. The position of Regional Resource Coordinator has been met with much enthusiasm. In December 1991, the Greeley Tribune wrote an article focusing on the resources made available by the RRC and the steps the Contractor has taken to work with people affected by HIV/AIDS (see attachments) . The RRC along with Centennial Area Health Education Center and the North Colorado Medical Center Foundation is presenting a conference on Perinatal and Pediatric AIDS to physicians and nurses in northern Colorado. Conferences such as this benefit the physicians in northern Colorado that work with infants, children, and women. NCAP is a volunteer based organization which offers emotional and financial support, in-home needs assessments, and access to a variety of programs for people living with HIV. NCAP provides a monthly support group where People Living With AIDS, their families, and their friends can express their concerns about living with HIV. The "buddy" program matches volunteers with 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 a small one-time grant to those clients who need help with living expenses. NCAP also deals with many people who are affected by AIDS. Many of the calls NCAP receives are from family members or friends who live within the three counties, even though the PLWA may live outside the service area. These family members and friends also need the support and referrals offered by NCAP. Through the interaction of the Client Advocate, Regional Resource Coordinator and NCCC, clients will have easier access to a variety of programs and resources aimed at meeting the needs of people living with HIV. In addition to direct client support, NCAP maintains a library of educational materials and coordinates a speakers's bureau. Since October 1991, NCAP speakers have addressed colleges, businesses and government agencies on the topic of AIDS. Additionally, NCAP organizes volunteer workshops and special seminars about various subjects relating to HIV. NCAP publishes a quarterly 3 newsletter, NewsCAP, that stresses NCAP resources and activities along with general articles related to HIV infection. In order to provide information to the general public and services to clients, NCAP has worked with many governmental and non-profit organizations such as Colorado State University, Larimer County Health Department, the Contractor, Larimer County Detention Center, Poudre Valley Hospital in Fort Collins, McKee Medical Center in Loveland, Larimer County Hospice, and the Larimer and Weld County AIDS Education Coalitions. Since its inception in the Fall of 1986, NCAP has worked with over 35 clients who have since died. This figure does not include the clients who have moved away from the service area or who are no longer seeking services. In 1991, NCAP assisted 5 HIV and 6 AIDS infected persons in Weld County, 6 HIV and 17 AIDS infected persons in Larimer County, and 2 AIDS infected persons in Morgan County. (8) The purpose of this funding request is to continue Title II funding to the Contractor for the position of RRC and Client Advocate. The RRC and the Client Advocate will continue to function together in a capacity to assure early intervention services, to assist care givers in providing a high quality continuum of care, to increase efficient use of patient care resources, to assist - HIV/AIDS families in meeting the special needs they may face. The RRC has already taken steps to establish the NCCC. The NCCC addresses both health and support services in northern Colorado. This program is designed to compliment the current health care systems already available in each county and to encourage participation in resource sharing and patient advocacy. The long range benefits of this education and care coordination program is risk reduction, decreased transmission of HIV, and improved quality of life for HIV infected persons and their families. Although the NCCC is supported by the community, without the continued support by the Ryan White C.A.R.E. Act, the consortium will be in jeopardy. Due to the conservative nature of northern Colorado, the project population denies the existence of HIV/AIDS and high risk behavior. The NCCC has the ability to break down the barriers and facilitate support in the community. The RRC and the NCCC play a fundamental role in northern Colorado, and without their services and collaborative efforts, HIV/AIDS affected persons would not be able to access the multitude of health and support services offered in this area. II. Indicate the goals of this project and the measurable objectives for achieving those goals. The first goal of the Northern Colorado Care Consortium is to increase the opportunities of HIV/AIDS infected persons, family members, friends, and health care providers to gain access to participation in or resources concerning federal, non-profit, and private assistance programs for HIV affected persons. The second goal of the NCCC is to provide a network of care, including coordination of education with the Weld County AIDS Coalition and the Larimer County AIDS Education Coalition, support and resources to care providers, organizations, and persons affected by HIV/AIDS. The NCCC objectives are: 1. To increase the number of HIV infected persons receiving information in Larimer, Weld, and Morgan Counties. 2. To increase the number of physicians and dentists being served by the NCCC through bulletins and newsletters. 3. To expand distribution of the NCCC newsletter to include care organizations, lawyers, mental health workers, and agencies working with low income families. 4. The RRC will continue to organize and participate in NCCC meetings. 4 920906 5. To identify health care provider contacts in Northeast Colorado. 6. To organize a conference on HIV issues such as Women and AIDS. 7. To expand the number of organizations participating in the NCCC from 18 to 26. 8. To increase the number of legal, mental health, and foster care providers willing to assist persons affected by HIV/AIDS. 9. To promote the provision of spiritual support to HIV affected persons in Weld, Larimer, and Morgan Counties through Churches and spiritual groups. 10. To enhance community support of HIV/AIDS affected persons. 11. To increase the knowledge of resources available for HIV/AIDS affected persons in northern Colorado. 12. To cooperate with the Weld and Larimer County AIDS Education Coalition in - providing information to the community. 13. To develop a standardized tool for program evaluation. 14. To address the specific needs of HIV affected families. III. Discuss the approach the bidder will take in organizing and implementing he project, particularly with regard to how persons who are newly diagnosed with HIV disease will be able to access the services described. Detail the working relationship between all agencies and organizations providing services to persons with HIV disease and the county health agency and the state health agency. The Northern Colorado Care Consortium consists of public, private nonprofit, health care and support service providers, and community-based organizations in Weld, Larimer, and Morgan Counties. The Contractor has been identified as the lead agency in the NCCC. Other members of the Consortium include: Regional Resource Coordinator, Northern Colorado AIDS Project, United Methodist Church, Hospice of Northern Colorado, Normedco, Bonell Good Samaritan Center, HIV positive activists, Weld County AIDS Support Group, Northern Colorado AIDS Family Support Group, University of Northern Colorado, Weld County AIDS Coalition, Larimer County AIDS Coalition, Weld County Red Cross, Island Grove Regional Treatment Center, Morgan County Social Services, Northeast Colorado Health Department, Planned Parenthood of the Rocky Mountains, and Centennial Area Health Education Center (CAHEC) . These care organizations are working together to provide essential health and support services to persons affected by HIV/AIDS. As a member of the NCCC, the Regional Resource Coordinator is responsible for informing NCCC members of new health care resources available to HIV infected persons. This includes collecting and disseminating any new information concerning programs, protocols, or legal issues to the members of the NCCC. This information is made available at the monthly meetings as well as through information packets to NCCC members. The RRC also links HIV positive persons with organizations who need persons affected by HIV/AIDS to speak to their organization or clientele. For example, the RRC is working with the University of Northern Colorado with their AIDS Education Week in April. The RRC is responsible for coordinating a panel of HIV infected persons, AIDS education instructors, therapists, and family members who are willing to share their experiences with the community. Health care providers, especially physicians, are the major source of access to newly HIV/AIDS diagnosed persons. The RRC will continue to work closely with these providers to maintain a mechanism of referral. The RRC will 5 920906 continue to provide one-on-one support and resource sharing with HIV/AIDS persons and their families. The RRC keeps in close contact with the Colorado Health Department, Colorado Social Services' Medicaid specialist, Community Programs for Clinical Research on AIDS, People With AIDS Coalition, AIDS Clinical Trials, and the Assistance for AIDS Specific Drug Program as well as a multitude of other community based organizations. As part of the NCCC, NCAP will continue to provide direct client support through in-home needs assessments, referrals, and other programs. With the funds received through the Ryan White C.A.R.E. Act, NCAP has been able to provide more services to HIV infected people. With additional funding, the client advocacy program can expand in Weld and Morgan Counties to better serve clients and network with agencies within that service area. Without funding, NCAP would have to rely solely on volunteers who would have neither the time nor the financial means to travel within northern Colorado. The United Methodist Church is willing to support the NCCC in the following ways: "providing spiritual support to some clients, families and health care providers, assisting where possible in educating service providers and the general public regarding the need clients have for spiritual support and counseling, working with the consortium and other pastors to provide spiritual - counseling for all who request it and providing meeting space for client and family support groups."(9) Planned Parenthood of the Rocky Mountains and other NCCC care organizations have expressed a "willingness to support the Northern Colorado Care Consortium in its endeavors to help meet the community needs surrounding HIV education and care."(10) The Contractor, Northeast Colorado Health Department, Larimer County Health Department, University of Northern Colorado, and Planned Parenthood can offer accurate, confidential information and referrals on all aspects of sexuality including but not limited to birth control methods, and reproductive health care. These private and public organizations have the ability to provide HIV pre and post counseling and testing. Other educational endeavors such as outreach or bilingual AIDS education fall under the direction of the Weld County AIDS Coalition, Larimer County AIDS Coalition, the Contractor, Northeast Colorado Health Department, the University of Northern Colorado, Island Grove Regional Treatment Center, CABEC, Planned Parenthood, and Hospice of Northern Colorado. The collaborative effort of NCCC members will further increase the number of people being educated in northern Colorado and help change high risk behavior. Normedco and Hospice of Northern Colorado provide home health care or respite care for HIV/AIDS infected persons. These services are crucial to the NCCC because they help HIV infected persons 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. Hospice of Northern Colorado, Northern Colorado AIDS Project, Weld County AIDS Support Group, and Northern Colorado AIDS Family Support Group offer support groups for persons affected by HIV. Each of these care organizations has 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 RRC and offer support services to the NCCC. The NCCC meetings are held every month and deal primarily with resource sharing. Members are encouraged to share ideas and concerns with the consortium. Since there has been only one formal meeting, the decision-making process of the NCCC has yet to be defined. 6 920806 IV, Indicate the work plan for this project outlining tasks to be accomplished and the time frame for each task to be conducted. The Northern Colorado Care Consortium is designed to meet the growing needs of HIV/AIDS infected persons, family members, friends, health care providers, and care organizations by providing support and health services in northern Colorado. All components of the NCCC aim toward this goal. The elements of the project will be provided to individuals without regard to their ability to pay for services or their health condition. The following plan outlines the support the Regional Resource Coordinator and each consortium member will give to the NCCC. Furthermore, the RRC will be creating a flier which will contain the activities and goals of the NCCC. These fliers will placed at every consortium member's office to give to HIV/AIDS affected persons or health care providers. The RRC will work with consortia members to conduct monthly resource sharing and problem solving meetings. These meetings will be held on the first Tuesday of the month. These meetings will include speakers from Colorado Department of Social Service, the HIV Interfaith Network, and HIV infected persons. The RRC will continue to distribute a bi-monthly bulletin to care providers and clients. This bulletin will contain current information on topics such as drug trials, medication cost assistance programs, new treatments, and availability of support services. Work plan: (Contd next page) 920896 7 In response to the 1992-93 budget cuts, the Contractor has reviewed the 1992-93 proposal narrative, goals and measurable objectives, and work plan. The following information will reflect the changes in the goals and objectives of the proposal due to the funding shortage. The Title II funding will continue to fund both the Regional Resource Coordinator (RRC) and Client Advocate positions. The RRC and the Client Advocate will continue to function together in a capacity to assure early intervention services, to assist care givers in providing a high quality continuum of care, to increase efficient use of patient care resources, and to assist HIV/AIDS families in meeting the special needs they may face. The goals of the Northern Colorado Care Consortium have changed little. The NCCC will continue to increase the opportunities of HIV/AIDS infected persons, family members, friends, and health care providers to gain access to participation in or resources concerning federal, non-profit, and private assistance programs for HIV affected persons. Secondly, the NCCC will provide _ a network of care, support services, and resources to care providers, organizations, and persons affected by HIV/AIDS. Due to the funding cuts, the NCCC newsletter/resource guide will be limited to two a year. Printing and postage cuts as well as travel will be limited. Other cuts in objectives include the PLWA consultant, the conference on Women and AIDS, and the NCCC and RRC expansion into northeast Colorado. The project area for the RRC will be limited to Morgan, Weld, and Larimer Counties. The RRC will spend less time organizing the NCCC meetings and will depend more heavily on NCCC members to offer in-kind support. The RRC has included several new program objectives which includes a program on nutrition and HIV/AIDS. A nutritionist has volunteered to present a program on nutrition and HIV/AIDS in Weld County. In addition, a nurse with the Community Programs for Clinical Research on AIDS (CPCRA) and the RRC are working together to establish Greeley as a site for clinical trials. The 1992-93 NCCC objectives are: 1. To increase the number of HIV infected persons receiving information from the Regional Resource Coordinator in Larimer, Weld, and Morgan Counties. The RRC projects that 40 HIV/AIDS infected persons will be recieving information. The breakdown includes 32 men, S women, and 3 children. 2. To expand NCAP's client base to 40 HIV/AIDS infected persons. The distribution includes 32 men. 5 women, and 3 children. 3. To increase the number of physicians and dentists receiving letters, protocol updates , and HIV updates. 4. To expand distribution of the NCCC newsletter to include care organizations, lawyers, mental health workers, and agencies working with low income families. 5. The RRC will continue to participate in NCCC meetings. 6. To expand the number of organizations participating in the NCCC from 18 to 26. 920896 • 8 7. To increase the number of legal, mental health, and foster care providers willing to assist persons affected by HIV/AIDS. 8. To promote the provision of spiritual support. to HIV affected persons in Weld, Larimer, and Morgan Counties through Churches and spiritual groups. 9. To enhance community support of HIV/AIDS affected persons. 10. To increase the knowledge of resources available for HIV/AIDS affected persons in northern Colorado. 11. To cooperate with the Weld and Larimer County AIDS Education Coalition in providing care and support services to the community. 12. To develop a standardized tool for program evaluation. 13. To address the specific needs of HIV affected families. 14. To develop Greeley as a site for the Community Program for Clinical Research on AIDS. 15. To devolop a program on nutrition and HIV/AIDS. NCCC Work plan: By May 31, 1992, announce the award of the Ryan White C.A.R.E. Act funds to the community to continue the NCCC. By May 31, 1992, develop a program on nutrition and HIV/AIDS for persons with HIV/AIDS, family members, and care providers. By June 15, 1992, contact churches and spiritual groups in Weld County to encourage them to work with people affected by HIV/AIDS. By June 15, 1992, provide NCCC members with a tentative schedule of monthly meetings. By June 30, 1992, contact foster care coordinators at the three county social service departments. By July 15, 1992, submit first quarterly report to the Governor's AIDS Council. By July 31, 1992, expand participation of care organizations by 4. By July 31, 1992, further develop a strategy for reaching newly diagnosed HIV/AIDS infected persons in Weld, Larimer, and Morgan Counties. By August 15, 1992, develop project evaluation tool. 906 By August 30, 1992, translate client bulletins into Spanish and send bulletins to physicians, lawyers, dentists, mental, health providers, persons with HIV/AIDS, and family members. By September 30, 1992, identify health care provider contacts in Northeast Colorado. Bu September 30, 1992, establish Greeley as a site for administering CPCRA protocols. By October 1, 1992, identify local resources for potential future funding. By October 1, 1992, expand current database to include lawyers, mental health professionals, and foster care providers. By October 15, 1992, submit second quarterly report to the Governor's AIDS Council. By November 15, 1992, survey HIV/AIDS clients and physicians to see if needs are being met. By November 31, 1992, expand participation of care organizations by 4. By January 15, 1993, submit third quarterly report to the Governor's AIDS Council. By February 1, 1993, develop and mail second bulletin. By February 1, 1993, expand contact of churches and spiritual groups to include Morgan and Larimer Counties. By March 1, 1993, identify contacts at each of the hospitals in Weld, Larimer, and Morgan counties. By March 31, 1993, NCAP will provide HIV educational programs/materials in Weld. Larimer, and Morgan Counties for HIV positive persons, care providers, and family members. By March 31, 1993, the RRC will be working with 40 persons living with HIV/AIDS. Of the 40 persons contacted, the expected distribution is 32 adult males, 5 adult females, and 3 children. By March 31, 1993, NCAP will have expanded client contact to include 40 HIV/AIDS infected persons. NCAP projects that 32 men,, 5 women, and 3 children will be contacted. By May 15, 1993. submit final report to the Governor's AIDS Council. The goals, objectives and workplan encourage the NCCC, RRC, and NCAP to work together to better serve the HIV/AIDS affected population. NCAP is responsible for submitting its own budget and will describe how its services will be limited. NCAP's budget and narrative will be faxed separately. 920806 10 V. Describe how the project to be undertaken will continue to be funded and developed after 31 March 1993. Due to the ever increasing awareness of HIV/AIDS, the Regional Resource Coordinator, along with the support of the Contractor and the Northern Colorado Care Consortium members, is initiating community projects to assure the success of this program. Solicitations for donations from private citizens and businesses will be initiated. In the future, we hope that consortia members will set aside a percentage of their budgets to offset consortia costs. Presently, consortia expenses consist of salary, printing, photocopying, and postage costs. Cooperative fund raisers with the Northern Colorado AIDS Project and other consortia members will be investigated. Due to the positive support from the consortium members, it is hopeful that the programs and objectives of the NCCC will continue after the March 1993 funding period ends. The Pediatrics AIDS Conference as well as future conferences held in northern Colorado will have registrations fees, and any surplus will be seed money for future conferences. Finally, the RRC is examining alternate funding sources such as grants from the Lundy Foundation and the North Colorado Medical Center Foundation. Other sources of funding will lessen the NCCC's dependence upon the Ryan White C.A.R.E. Act. NCAP has applied for a grant with the Chicago Resource Center to fund a part-time coordinator. NCAP has also approached businesses in northern Colorado for donations. These donations include monetary support and equipment. VI. Describe the capability of the bidder to implement this project; demonstrate its ability to do the job and describe the qualifications of staff carrying out the services. Provide verification of corporate status. The Contractor is currently administering grants from the following agencies: March of Dimes, Colorado Trust, CompreCARE and Colorado Action for Healthy People. The Contractor has fulfilled contracts with the Colorado Department of Health for many years for the following programs: Family Planning, Maternity, HIV, Tuberculosis. The Contractor is administered by a Medical Director and Business Manager. It is also part of Weld County finance administration. The Contractor has a very good working relationship with the other health departments and with community agencies. It is also centrally located between the three counties. The Contractor staff have coordinated the Weld County AIDS Coalition since its inception and the department has been a state authorized counseling and testing site (CTS) since 1985. The Contractor is a member of ACE and on the CAHEC AIDS Advisory Committee. This contract, if funded, will be administered by the Director of Community Health Nursing. The Division Director was previously a member of the Board of Directors for ACE and NCAP as well as a member of the Colorado Department of Education (CDE) School Nurse AIDS Advisory Committee. Staff have expertise in tuberculosis, family planning, and sexually transmitted disease programs. Staff are currently providing HIV testing and counseling for the University of Northern Colorado as well as the CTS. All counseling and testing nurses have been trained in HIV related issues by the Colorado Department of Health and receive yearly educational updates. The Contractor will comply with all laws regarding non-discrimination on the basis of age, sex, handicap, race, color, religion or national origin, in the area of personnel practices as well as in the area of participation in programs using these grant funds. The Contractor will also comply with all laws regarding the provision of a drug-free work-place. The Contractor is a 501(c)(3) tax exempt, non-profit agency. 11 920806 VII. Provide a detailed budget for proposed expenditures of funds through the proposal and separate detailed budgets by agency. WELD COUNTY HEALTH DEPARTMENT Governor's AIDS Council Budget for the period April 1, 1992 - March 31, 1993 CARRY-OVER - CURRENT TOTAL AMOUNT REQUESTED BUDGET I. PERSONNEL Regional Resource Coordinator $ 6,480.78 $ 21,431.40 *$ 28,116.42 Office Technician -0- 3,360.00 $ 3,360.00 Sub-Total $ 6,480.78 $ 24,791.40 $ 31,476.42 II. OPERATIONS Travel $ 996.40 $ 1,753.60 $ 2,750.00 Meeting Expense 204.24 -0- • -0- Printing -0- 1,500.00 1,500.00 Postage -0- 1,700.00 1,700.00 Sub-Total $ 1,200.64 $ 4,953.60 $ 5,950.00 TOTAL $ 7,681.42 $ 29,745.00 $ 37,426.42 * The remaining $ 204.24 in meeting expense is included in the Personnel line item for the Regional Resource Coordinator 9208% 12 BUDGET JUSTIFICATION The unexpended balance of monies from the Governor's AIDS Council Budget for the period October 1, 1991 - 03/31/92 will be rolled over into the same categories in the new budget for the period April 1. 1992 through March 31. 1993, with the exception of the category, Meeting Expense. This category is not included in the new budget and will be used to cover the approved line item changes and expenditures for the consultant and books as outlined in the expenditure report (Exhibit 1) . We are requesting that the balance of this line item be used in the personnel line item. 920806 , 11 NORTHERN COLORADO AIDS PROJECT BUDGET April 1, 1992 - March 31, 1993 Total Amount Requested by NCAP - $10,000 In-Kind Grant Funds 1. Personnel 0 $ 7, 000 Client Advocate (12 hours per week starting July 1, 1992) 2. Operating Expenses Telephone $ 720 600 (1) Postage 300 300 (2) - Travel 0 2 , 100 (3) 3 . Incidental Costs Rent 720 Insurance (office) 90 Total Budget $1, 830 $10, 000 Travel used to date*: April - 120 miles X . 25 = $30. 00 (two trips to Greeley) May - 220 miles X . 25 = $55.00 (one trip to Greeley, one trip to Denver) Total Reimbursement Requested to Date: $85. 00 (1) Telephone expense includes long distance and toll free line accessible in Weld and Morgan Counties. (2) Postage expense includes questionnaires, contact letters, information flyers and Client Advocate evaluations sent to clients in the tri-county area. (3) Travel expense includes travel to Greeley for monthly Consortium meetings ( 120 miles) , one day per week in Weld County (240 miles total to Greeley) , and one day per month in Morgan County (180 miles total to Fort Morgan) and travel around Larimer County, which includes Estes Park, Loveland, Berthoud, and Fort Collins. More mileage would .be incurred traveling to rural areas in Morgan and Weld Counties. The travel budget also includes one trip to Denver every two months (130 miles total) for training and/or networking purposes. *Because grant funding was questionable and NCAP had no rollover funds, travel was curtailed during April and May. 9208t9 Id CLIENT ADVOCATE Northern Colorado Care Consortium Position Description The Client Advocate will work directly with HIV-infected persons in Northern Colorado to determine physical, psycho-social, emotional and financial needs. The Client Advocate will offer support, referrals and advocacy services as necessary in order tol meet those needs. Duties and Responsibilities: 1. Perform in-home assessments to determine clients' needs. 2 . Match clients with volunteer buddies as needed. 3 . Provide access to services, including but not limited to transportation, housing, and financial services. 3 . Work with Regional Resource Coordinator regarding appropriate resources to best meet client needs. 4 . Attend monthly Care Consortium meeting, NCAP Board of Directors meeting and support group meeting. General Information: Often clients need someone to advocate for them with health care agencies and physicians, the social security administration, and social service agencies. One intent of the client advocacy program is to be available for the client who needs an advocate during visits to the above-mentioned and other agencies. The Client Advocate will be available on a 24-hour basis and can be reached via a pager. Additionally, the Client Advocate will be able to travel to client ' s homes to meet with them on a personal basis, if desired. Overlap with the Regional Resource Coordinator may occur based on geographical location, i. e. , Lar. imer County residents may find it easier to contact the Client Advocate for referral services than to contact the Regional Resource Coordinator, and vice versa for Weld County residents. The Client Advocate provides access to a network of volunteers who serve as "buddies, " people who assist the client on a regular basis with household chores, transportation, pet care, etc. Also, the Client Advocate can access volunteers for one-time or occasional duties such as transportation to Denver, or infrequent errands . Financial assistance in the form of one-time grants from Northern Colorado AIDS Project are also available through the Client Advocate. 920806 VIII. Provide any evidence of community support for the services to be provided and support for the bidder or subcontractors. See attached Letters of Support. References 1. Weld County Planning Commission, Weld County Demographics. (June 1991) 2. Colorado Department of Health, AIDS Status in Colorado. (January 1992) 3. Weld County Health Department, AIDS Statistics. (January 1992) 4. North Colorado Family Residency Program, Physician's Report. (February 1992. 5. Weld County AIDS Coalition, Mission Statement. (1987) 6. Weld County AIDS Coalition, AIDS Education in Weld County. (January 1992) 7. Regional Resource Coordinator, AIDS Outreach: Weld, Larimer, and Morgan Counties. (February 1992) 8. Northern Colorado AIDS Project, Client Advocate Outreach. (January 1992) 9. United Methodist Church, Letter of Support. (February 4, 1992) 10. Planned Parenthood of the Rocky Mountains, Letter of Support. (February 5, 1992) 920896 16 1802 16th Street, Suite 41 JUDITH ANDERSON, M.D. Board Certified: Greeley, Colorado 80631 Infectious Diseases and Internal Medicine Internal Medicine Telephone(303)351-6044 Infectious Diseases February 14, 1992 Governor's Council on AIDS: I am writing in support of the Regional HIV Resource Care Coordinator for Weld, Larimer, and Morgan counties. Thanks to the Ryan White Act, we now have a coordinator and resource person for HIV disease. This was sorely needed for reasons which I have stated previously. As you know, care is dispersed throughout the medical communities in northern Colorado with no real ties or liaison between the patient or physician, and all of the services, resources and information available for HIV infected patients and their families. This has led to many problems in the care and well being of patients. Certainly in the short time that Elizabeth Haines has been here, she has made a huge difference. Unfortunately, she arrived in December with all of the holiday activities in full swing, and when physicians, nurses, and patients were busy with other things . In the last six weeks, people are just beginning to get an idea of what she can do and indeed is doing. Patients and families are beginning to self-refer. Physicians and nurses are beginning to use her as a resource in greater numbers. Word is getting out into the communities about the availability of someone who can help with all aspects of HIV disease. As you know, most of the emphasis on education, care, and resources available to AIDS patients has been concentrated in the Denver area, and little attention had previously been paid to northern Colorado, which has a substantial number of HIV positive patients. It is quite difficult for the individual physician to know all of tha ins and outs of the Social Services systems, the disability laws, the housing and insurance options available to these patients, new and current protocols such as the ACTG and CPCRA activities, funding for medications, support groups and educational opportunities when there is no cne available resource person for this. Most of the social workers in the tri-county area know little about these things and our patients suffer as a consequence of this. I think that it is vital that this position be maintained in northern Colorado. The loss of this person would be disastrous to 920806 Page 2 February 13 , 1992 the physicians, nurses, social workers, and particularly to the care of HIV positive patients in this area. Thank you for your help in this matter. Sincerely, 1 wiA Gw..u�a Judith Anderson, M.D. JA/WPgg 9208% PRINCE AND ASSOCIATES P.O. BOX 5313 4634 W. 2nd Street Greeley, Co. 80631 303-352-3116 CONCERNING: The Northern Colorado Care Consortium and the Position of Regional Resource Coordinator 2-18-1992 Dear Sirs, As a paid consultant to Weld County Health Department Officials it is my educated opinion that our rural and vastly spread population can best be reached and served by first implementing a central contact location, and then by consistently encourageing our HIV infected population to seek out needed assistance by contacting our central figure. In this case our Regional Resource Coordinator, and this RRC can then access the proper care provider within the Consortium, and better deal with what ever problem might occur, and at the same time be able to insure confidentiality. I see the paid position of Regional Resource Coordinator, and the implimentation and solidification of the Northern Colorado Care Consortium as the most prudent and affective use of funds set aside by the Ryan White Act. It is imperitive that the position of RRC and the MCCC become a staple ingredient to better care £or our HIV/A .I.D.S. population, where in which a single phone call is all a sick individual should have to make. Another benefit to establishing a single, central contact person would include the viability of coordinating individuals who by virtue of compassion, volunteer time or resources to ease the difficulties experienced by HIV./AIDS victims. Many times concerned individuals will ask "what can I do to help?". Mow by being certain that one phone call to one authority, (RRC) will link up a willing party with an established facility, we can better use our own local resources. Sincerely, Stephen £. Prince 92thg% FEB 05 '92 10:09 AT& AX 5300 PAGE 2 IV 1'4 Hospice s,\ ,of northern colorado, inc. 7403 TRN7H AVENUE CREnEY,COLORADO 80631 (303)352.848'7 PAX(303)1524,685 15 NORTH TWELFTH AVENUE BRIGHTON,COL ORADO80601 (303)659-1684 • February 6, 1992 • • Elizabeth Breckenridge-Haines HIV Regional Resource Coordinator Department of Health 1517 16th• Avenue Court Greeley, Colorado 80631 Dear Elizabeth, Hospice of Northern Colorado is in full support of the work you are doing as the Resource Coordinator and of focus of the Northern Colorado Care Consortium. As you know, Hospice exists to provide support and care for persons in the last phases of an incurable disease so they may live as fully and comfortably as possible. Through appropriate care sensitive to their needs, patients and families may be free to attain a degree of mental and • spiritual preparation for death. • The services we offer include, 24-hour on-call nursing support, skilled registered nurses, certified home health • aides, social work/support services, trained volunteers, physical therapists, speech therapists, occupational therapists, massage therapist, dietary counselors, and other ancillary services. Hospice assists the patient's family to adjust to change that may occur after the death of a loved one. Contact is maintained with the family for first year of bereavement while support systems are developed. Grief education, support groups and networking opportunities are offered to Hospice families and members of the community. Care is provided to anyone desiring Hospice services regardless of ability to pay. If you have other questions about Hospice or how we can be of assistance in your efforts, please feel free to contact me. Sincerely, Jane Hell, irecto of NursRN ing P eri. are Coordinator -SERVING WELD AND ADAMS COUNTIES- . . 9208% - Feb. 6 '92 12:57 B04.—LL GOOD SAM CTR FAX 333-356—',,e0 P. 2 `�R15Tt C 3 z �v° Bond Good Samaritan Center 'Vtrss° February 6, 1992 Elizabeth Breckinridge-Haines, MPA HIV Regional Resource Coordinator Department of Health 1517 16th Avenue Court Greeley, CO 80631 Dear Elizabeth: Bonell Good Samritan Center is a non-profit Christian organization dedicated to meeting the needs of the older person and others in need. We were the first long term care facility in Greeley to accept PWA's into our care . We are pleased that, the Northern Colorado Care Consortium was formed and there is an HIV Regional Resource Coor- dinator so that we may access and obtain information to better meet the needs of persons with HIV and PWA's. There has been a long standing need in the community. Bonell Good Samaritan Center is honored to be an active member in the Northern Colorado Care Consortium. Thank you for your time. Sincerely, �rcaan K. 4Iaa Susan K. Sabas, AGSW Director of Resident Services In 708 Wanly-Second Street•Greeley,Colorado 80631 Phone:303/352-6082 Fax:303/356.7970 920806 Feb. 6 '92 12:57 BONEL.� u'OOD SAM CTR FAX 303-356-7_ .d P. 1 Foam"Wad Fax transmittal Memo WW2:'""°'m A "°"''°ttia G -7W 6W/inc m iirZc_(o.v4Gt Lvi es r:mm 5,46a • c° �ePa14 al="144 CO 1-1eul4 64 cgawriarse Location C—1,r e I•e y. . ioa.cn+ros. .. . ..... .. . ....... .... flight DosAtor 0Arum Clookinpemin . - Olopoollist • February 6, 1992 Elizabeth Breckinridge-Haines, MPA HIV Regional Resource Coordinator Department of Health 1517 16 Avenue Court . Greeley, CO 80631 Dear Elizabeth: As a Certified AIDS Educator I strongly feel there has been a definite need for an HIV Regional Resource Coordinator for northern Colorado. The people I serve in the community need a person who has access to all .current information that will help the HIV infected individual/ PWA' s: I facilitate two separate support groups in the com- munity. The Weld County AIDS Support. Group which is de- • signed to provide support to individuals who are HIV posi- tive and PWA' s. The Northern Colorado Family AIDS Support Group is designed to provide support to family members, . friends, and loved ones whose lives have been affected by the HIV virus/AIDS: • I am proud to be a member of the NCCC and feel it is a definite asset to the community. . Sincerely, ,tcaa►n K -417 Susan K. Sabas, ACSW 920806 /vt February 4, 1992 To: Governor's AIDS Council From: Normedco Home Care RE: Northern Colorado Care Consortium As representatives from Normedco Home Care, an agency that provides home health care services ranging from home IV therapy and nursing support to counseling and personal care services for clients with HIV, we would like to offer our support to the Northern Colorado Care Consortium. We feel there is a definite need for a care consortium for resource sharing, and providing a vehicle of support to agencies like ours that service HIV positive persons and their families. Because of the nature of the illness and its stigma in society, it is often difficult for HIV affected people to find out about available resources and new information. It is essential and beneficial to have a central resource such as the care consortium for our agency to stay abreast of the current services and treatment available to our HIV clients. We also feel that there are a number of unmet needs for HIV infected clients in our community. Specifically, we see clients who need assistance for meal preparation, housekeeping, and child care. It is difficult to find resources available for these services, especially when financially the client cannot afford to purchase them. • Our role in the care consortium, will be to disseminate the information about available resources to the clients we serve who are affected either directly or indirectly by the HIV epidemic. Sincerely, / (.etc 164- n,3 �/. Judi D. DeVore R.N. Clinical Staff Supervisor /czr &-i t- 2r "-A-) Marlene Nofziger"R.N.. Home Care R.N. Judy Schoen M.A., L.P.C. Medical Social Worker 9208O6 • rCENTENNIAL AREA HEALTH EDUCATION CENTER 918 Thirteenth Street, Suite 2 Greeley, Colorado 80631-4655 Phone (303) 351-0755 CENTENNIAL All C C Serving the northeast counties: Kit Carson•Larimer•Lincoln•Logan•Morgan •Phillips•Sedgwick•Washington•Weld•Yuma Robert F. Guthmann,Jr.,Executive Director February 11, 1992 Elizabeth Breckinridge-Haines HIV Regional Resource Coordinator Weld County Health Department 1516 Hospital Road Greeley, Colorado Dear Elizabeth, It is with pleasure that I write a letter of support for continued funding of the Northern Colorado Care Consortium (NCCC) through the Ryan White Care Act. As the HIV/AIDS Education Coordinator for the Centennial Area Health Education Center, I feel it is crucial to fund HIV/AIDS projects in northeastern Colorado. There is a persistent need to provide comprehensive care to the HIV positive individuals and their families in Larimer, Morgan and Weld Counties. The goal. of Centennial AHEC with regard to HIV/AIDS is to educate health professionals in northeastern Colorado. We currently have a group of thirty five health professionals trained through the Colorado AIDS Education and Training Center to educate other health professionals. Thus far, the Northern Colorado Care Consortium has been a helpful resource to myself and our trainers. Not only has the consortium functioned as a forum for community discussion and action, it has provided numerous written resources. As you are well aware, Centennial AHEC is co-hosting a seminar with the Consortium on Perinatal and Pediatric AIDS in April. This is the type of role Centennial AHEC can play in the Northern Colorado Care Consortium. I wish you well in your endeavor. If there is anything I may do to assist, please feel free to contact me. Sincerely, 9n- ,C Jann M. Deveraux HIV/AIDS Education Coordinator • CAHEC is an affiliate of SEARCH. University of Colorado Health Sciences CenteB2U8sit ro f4 MI 0 \sict fp ALGER MEMORIAL United Methodist Church IL. 4. • corner of 3rd. & Maple, Eaton, Colorado 80615 (1 � w it �y �T' res: 454-2315 pastor's study: 454-3938 February 4 , 1992 TO WHOM IT MAY CONCERN: A LETTER IN SUPPORT OF FUNDING FOR THE NORTH COLORADO CARE CONSORTIUM I am an ordained elder in the Rocky Mountain Conference of the United Methodist Church and have a special interest in the spiritual needs of persons with AIDS , HIV positive people, their families and/or significant others . Family members are frequently devasted when they discover that their son is not only terminally ill , but is also a homosexual . Both they and the patient may feel that the patient has sinned; they are overwhelmed with guilt and fear. • Heterosexual persons with AIDS and those who test HIV positive also need assistance in dealing with their feelings of sin, or of being an innocent victim, or fear of dying. All persons in an AIDS-related situation must cope with real or potential rejection by family, friends , and society. Psychologists, psychiatrists and social workers can provide much in the way of counseling, but pastors are best equipped to deal with the spiritual problems which many people will have. Therefore, I will support the consortium in these ways : 1 ) Personally provide spiritual support to some clients , families and health care providers . 2 ) Assist where possible in educating service providers and the general public regarding the need clients have for spiritual support and counseling. 3 ) work with the consortium and other pastors to provide spiritual counseling for all who request it. 4) Provide meeting space for client and family support groups . I request and encourage your financial support for this consortium which will provide much in the way of referrals , resources , support and information to service agencies , clients and families who are involved with AIDS. Respectfully, Suzanne Listemann 920806 UNIVERSITY OF NORTHERN COLORADO DIVISION OF STUDENT AFFAIRS STUDENT HEALTH SERVICES GREELEY,COLORADO 80639 (303) 351-2412 Fohriiary 5 , 1Q49 Governor' s AID Council r /n Elizabeth Rrerkinririge-Haines Northern Colorado Cara Consortium Tn Whnm Tt May Concern: Then University of Northern Colorado Student Health Center fully supports the need fnr the Northern Colorado Cara Consortium. This resource organization will ha valuable as we begin to address the needs of HTV-positive individuals and those living with AIDS whn are also UNC student.. , Individuals dealing with this dicoase and whn are also trying to attain a college -education will undniihtadly need to across the resources within our community . • UNC currently offers HTV/AT_DS education to all students staff and faculty which primarily originates from the Health Education/ Wellness program in the Student Health Center , limited medical care is available at the Student Health Center fnr those whn are HTV positive or living with AT_DS. The AIDS Support group is hold monthly nn the campus and HTV testing in conjunction with the Weld Co. Health Department is offered mnnthly- HTV infection and AIDS will likely he the most serious health issue facing the college-age population in the months and years to crime - As infections increase, diverse resources will he nooriad - Tt is nur hope that the Northern Colorado region will have resources available . Sincerely , ,c Ylc fb-A-C9,2 A ajL F4- Cindy VonTersch , P N Health Educator UNC Student Health Center ItQUALITY • DIVERSITY • PERSONAL TOUCH COmrinEO In AfFIRMATIDE.,CIFON+NO EQUAL OYMNtLNi:V 9209 r-1/4 PAR€Ni Tr: 00D, 7.z12,7; W i (lt h 'Street Fear Eli?a0e h, . r ;acentric:: '. _`Ie PocKy M'.I ' ai _ i3 _.:iel vv _' d :1.r-S r_Ci _ ,y.n.. our- .4 . . I . . -_ .� v.'i L le .. ii.i- . .. .avw �.0 7 �..��_� _��. .... i•.J endeavors to re i o - `y `:Ie orn - itv needs succour-Lima .K V educat;;n arid care. .n --”^-r`,-- ---, n•-••! .--nn--- _ - "..r . ,r-:ra .e confidential infer Mar yr and referr2lc. .n a. aspect-:- nf r.. ua.iily lrr Minn r4` not ;irri `.y r0 birth c on_rnl methods arc reproductive neairn :are We are available to orovide ,-;,i 1j(AIDS) pre and post fn .ns Iing and to -t'.nn Yearly e'arr_ cap '5rr'ear. :eszino for and tre.azinenr. of STD's, 0;l00O and urine scree-Aw aria scre5.n:P(2 fcr cancer of ., e testicles, colon aril. air eases are also available a: n...-.. ?^_ ..,1 ,f:, rail M - =-:00 P.M. 711171 - r9:00 ?M - -.O@Or WED - 9:00 Ai-1, - c:00cr . i H(_. . - R-00 A !,.,i - 2: ,---;.m 4e :d': ar .. .. ,..iii' . _:::e .-.L.:,;-_-::::- 3 i::5 r.. Tri _. Jr,,. ...._ i . . .t -C ..I'.Gliel -'t: 1.-✓`VL LC, CLL. .1t.L" y 921©896 ISLAND GROVE REGIONAL TREATMENT CENTER, INC. Est. 1974 February 5, 1992 To Whom It May Concern: 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 those 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, arlitsine_ Ms. Jet Tegro Sexually Transmitted Disease Respresentative/Residential Counselor bau Ms. B.J. Dean, M.A. Executive Director JT/rew cc: File 920806 The First Choice in Affordable Alcohol/Drug Services AND 421 North 15th Ave. • P.C Box 51CC • Gree!ev. CO 80631 • 303/356O664 NIGHTINGALES, INC. 1437 E.Mulberry Fort Collins, Co. 80524 To Whom It May Concern, Northern Colorado Aids Project has worked in conjunction with Nightingales, Inc. , a bar catering to the Fort Collins Area gay and lesbian community, over the past two years to educate high risk groups to the risks and prevention of the AIDS epidemic. NCAP has sponsored several formal and informal presentations regarding Safe Sex Practices to multiple groups of Nightingales' patrons. NCAP has also made available various brochures and educational materials targeted toward preventing high risk activities. These materials have been made available to any interested patrons. In the past, free condoms have also been supplied by NCAP. Nightingales is greatly appreciative of NCAP's ongoing educational efforts and support in the goal of AIDS prevention. ce ly, Richard Swan President Nightingales, Inc. 9209936 FROM:PL®LIc HEALTH TO: 4981012 SEP 27. 1991 1e:381 1 #734 P.02 Lorimer County AIDS Education Coalition 1525 Blue spruce Drive Port Collins, Colorado 80524 September 26,1991 Chicago Resource Center Chicag, Ill. Dear Sirs: on behalf of the Latimer county AIDS Education Coalition, I wish to express support for the grant request of the Northern Colorado AIDS Project (NCAP) , It has been my pleasure to work with this outstanding volunteer organisation for the past six years. NCAP is a very important resource in this community. Using only volunteers, NCAP provides a support group for people with AIDS, their families and friends. They provide information and prevention programs, refer clients to approriate resources, and advocate for people with AIDS, their families and friends. NCAP provides unique services to clients in emergency situations including financial assistance for medicines, housing, trans- portation and medical care. NCAP has been an important member of our local coalition from the beginning and does an excellent job of networking with other agencies and resources in the community. As the number of people with AIDS has increased in the community, it has become increasingly difficult for NCAP to meet the needs of clients with only volunteer staff. A part-time paid staff person would greatly enhance the services provided by NCAP, and would insure that they can continue this very important work. Sincerely,, Ann Watson, Chairman Larimer County AIDS Education Coalition 92O8% • February 19, 1992 To Whom It May Concern: I attended an AIDS Information Session sponsored by our office Wellness Program on December 17, 1991. The presenter, Dorothy Turek, representing the Northern Colorado AIDS Project, was most informative about AIDS and gave us some enlightening statistics about AIDS in northern Colorado. I had never realized the extent of HIV infection in my own community. Ms. Turek was able to speak about this possibly embarrassing topic without causing me any discomfort, and in fact, I felt comfortable in asking her questions which came to me during the presentation about my personal situation. I would not normally ask questions of a personal nature during an office presentation. I would highly recommend Ms. Turek for future presentations with community groups of any age and believe that the Northern Colorado AIDS Project is serving an important education function in our community. BONNIE L. GILBERT • • • • 9208% .. C -/ 7 - 7I . . Ci a", NC4J 6 0. „ Ar--) gr,e, .etas • t0 DQA� n...�P,P� „e .,,, fit f,,,,,, Atka., R 1'• • • • • . 920ars February 17, 1992 To Whom It Hay Concern: I attended the U.S. Forest Service Wellness Program presentation on December 17, 1991 which was given by Dorothy Turek of the Northern Colorado AIDS Project. Dorothy's presentation was very informative and professional. She was able to discuss AIDS in a way that was well understood yet straightforward. She was able to put us at a comfort level that is difficult to achieve in an office, environment speaking about such a personal matter. Not only was I left better informed, but I felt compelled to share the information with my 13 year old daughter. • The Northern Colorado AIDS Project is an asset to our community for education. We as citizens have an obligation to further their cause. udy Perry • • • • 920806 EXHIBIT B Colorado Ryan White C.A.RE. Act Title I1 Quarterly Progress and Financial Status Report Tide II Funded Agency (Name, Complete Address and ZIP Code) Funding/Grant Period Period(s) Covered by this Report From: ( MM / DD / YY ) To: ( MM / DD / YY) From: ( MM / DD / YY) To: (MM / DD / YY ) Table I: Expendable Ryan White Title II Funds Unexpended Amounts Budget Amounts Total Expendable Object Class/Category Previous Funding Period Current Funding Period This Funding Period Personnel Fringe Benefits Travel Equipment Supplies Contractual Other Indirect Charges Total Table II: Ryan White Title II Expenses by Quarter Object Class/Category 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Personnel Fringe Benefits Travel Equipment Supplies Contractual Other Indirect Charges Total Signature of Person Completing this Report Date Report Submitted 920806 Table III: Expenses for HIV Services by Quarter Category of Services 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 Table W: Number of Clients Served by Gender Gender Category 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Males Females Total Table V: Number of Clients Served by Diagnosis Diagnosis Category 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter CDC Defined AIDS HIV Positive (Non-AIDS) HIV Negative/Unknown Total Table VI: State in which AIDS was Diagnosed State 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Colorado Other Total 9208% Instructions The Quarterly Progress and 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 cummulative information on an agency's project and financial progress. Suggestion: Complete all information required except the "Period(s) Covered by this Report", "Signature of Person Completing this Report"and "Date Report Submitted". Make a xerox copy of the report, complete the "Period(s) Covered by this Report", "Signature of Person Completing this Report" and "Date Report Submitted"on the copy only and send it in with your progress report. By retaining the original,you will be able to report the same information from quarter to quarter without having to complete a whole form each time. Title II Funded Agency - The full name of the agency completing this report including the complete address and ZIP code. Funding/Grant Period - The beginning and ending dates of the Ryan White C.A.R.E. Act fiscal year reported in this form. Period(s) Covered by this Report - The beginning and ending dates of the Ryan White C.A.R.E. Act quarters reported in this form. Table I: Expendable Ryan White Title II Funds - Unexpended amounts from the previous funding/grant period which have been authorized to be "carried over" into the next funding/grant period are listed by the object class/category in this table. The authorized budget amounts for the current funding/grant period are also listed by the object class/category in this table. Add these totals across to calculate the total expendable funds authorized by the object class/category. Table II: Ryan White Title II Expenses by Object/Class Category - List the quarterly expenses by the budgeted object class/category. Table III: Ryan White Title II Expenses for HIV Services - List the quarterly expenses by the category of services provided. The totals for each quarter from Table II and Table III should agree. Table IV: Number of Clients Served by Gender- List quarterly the number of clients served by the clients gender category. Table V: Number of Clients Served by Diagnosis - List quarterly the number of clients served by the clients diagnosis category. The HIV Negative category may include friends or family members served. The totals for each quarter from Table II and Table III should agree. Table VI: State in which AIDS was Diagnosed - List quarterly the state in which the client lived when diagnosed AIDS. The totals for each quarter from Table VI should agree with the quarterly CDC Defined AIDS category in Table V. 920806 mEmoRAnDum George Kennedy, Chairman To Board of County Commissioners Date August 18, 1992 p, COLORADO From Jeannie K. Tacker, Business Manager, Weld County Health Dept. A�Nj Subject: Contract with Governors Office Enclosed for Board approval is a contract between the Office of the Governor and the Weld County Health Department. The Health Department was awarded continuation grant funding to maintain the existing HIV services consortium in Weld and Larimer Counties. The Health Department will receive $33,172.41, $23,172.41 to be used for Weld County activities, and $10,000 will be subcontracted to the Northern Colorado AIDS project (NCAP) . The term of the contract shall be from April 1, 1992, through March 31, 1993. If you have any questions, please feel free to contact me. 920806 / 4Lcu1co Hello