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Home My WebLink About951721.tiffepr4 Clerk to the Board RESOLUTION RE: APPROVE AMENDMENT #1 TO CANCER PREVENTION PROGRAM CONTRACT BETWEEN HEALTH DEPARTMENT AND COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 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 Amendment #1 to the Cancer Prevention Program Contract between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Health Department, and the Colorado Department of Public Health and Environment, commencing August 1, 1995, and ending July 15, 1996, with further terms and conditions being as stated in said amendment, and WHEREAS, after review, the Board deems it advisable to approve said amendment, 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 Amendment #1 to the Cancer Prevention Program Contract between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Health Department, and the Colorado Department of Public Health and Environment be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 16th day of August, A.D., 1995, nunc pro tunc August 1, 1995. BOARD OF COUNTY COMMISSIONERS WELCOUNTY, COLPRAfAO u &' k-ri1I 1 CA Deputy ClCl4k to the Board 1LornL S�% W. Webster e Ht., si�a7E Dale K. Hall, Chairman FXCIlSFf) f)ATF nF SIC;NINA Barbara J. Kirkmeyer, Pro-Tem FxC:I ISFfI George E. Baxter onstance L. Harbert /;k (AYF). 951721 HL0021 Department or Agency. Name Public Health and Environment Department or Agency Number 260000 — FLA Contract Routing Number 961375 Contract Amendment #1 THIS AMENDMENT, made this 1st day of Abet 1995, by and between the State of Colorado for the use and benefit of the Colorado D artment of Public Health and Environment 4300 Che Creek Drive South Denver Colorado 80222-1530 hereinafter referred to as the State and Weld Cou D ant of Health 1517- 16 Avenue Court Greet Colorado 80631 hereinafter referred to as the Contractor. FACTUAL RECITALS Authority exists in the few and Funds have been budgeted, appropriated and otherwise made available and a sufficient uncommitted balance thereof remains available for encumbering and subsequent payment of this contract under Encumbrance Number PPG950409, in Fund Number L. Appropriation Account M., and Organization 7340. Required approval, clearance and coordination has been accomplished from and with appropriate agencies: and The parties entered into a contract dated 1 August 1994, more fully described below. This contract is being amended to provide program standards for submission of data, follow-up required for women with abnormal results, and include funding for a Case Manager, that is predicated on meeting the new program standards and budget established with this amendment. NOW THEREFORE, it is hereby agreed that for and in consideration of their mutual promises to each other, hereinafter stated, the parties hereto agree as follows: Contract 1. Consideration for this Amendment to the Original Con ats which5PPG �stha6ll be made Routing Number 950409, dated 1 August 1994, consists of the payme pursuant to this agreement and the promises and agreements herein set forth. 2. It is expressly agreed by the parties that this contract is supplemental to the Original Contract Number PPG 950409, Routing Number 950409 dated 1 August 19-24—h referred to as the "Original Contract" which is by this reference, incorporated, made a part hereof as Exhibit K and this Amendments and asthough they ereovisions eexpressly reunless -wwrilfically modified tten, incorporatedIeand are to apply included herein. 3. It is agreed that the Original Contract is and shall be modified, altered, and changed in the following respects only: Page 1 of $ Pages 951721 a) By establishing in the Original Contract Paragraph 6, the following maximum amounts for women aged 40 and above for the next fiscal year beginning August 1, 1995 and ending July 15, 1996: "Eight -teen Thousand Four Hundred and Seventy One Dollars ($18,471.00) for breast and cervical cancer screening for women aged 40 and over for the next fiscal year beginning August 1, 1995 and ending July 15, 1996. A copy of the new budget is attached and by this reference incorporated herein as Exhibit L." b) By adding to the original contract PPG 950409, Paragraph 13 as follows: " la. Funding for a Case Manager is being provided in the annual budget (Exhibit L). This funding is to facilitate case enrollment, data completion, and data submission to the CPCP. This funding is based on $50 per case based on the number of budgeted screening cases and consistent adherence to the following standards of performance. Failure to accept funding for the Cice Manager does not exempt the Contractor from meeting these compliance standards. • Case enrollment forms must be submitted to the program for 90% or more of the cases within 45 days of the dates of service. • Case enrollment forms must be submitted with essential information properly completed in 90% or more of the cases. • Mammogram results must be submitted to the CPCP in 90% or more of the cases within 45 days of the service being provided. This information must be submitted on the CPCP designated form or approved dictated reports from the mammography center which include all required data elements. • Mammogram results must have the essential information reported properly and accurately in 90% or more of the cases submitted. • Cases involving screening breast or cervical abnormalities must have diagnostic follow-up information provided to the CPCP in 90% or more of the cases within 60 days from the date of detection of the abnormality. This includes women who are referred to outside health care providers for diagnostic procedures. • Breast and Cervical Diagnostic Follow-up Reports must be submitted with essential information properly completed in 90% or more of the cases. • Women with screening abnormalities will be required to have either completed diagnostic follow-up or have documentation of lost to follow-up submitted to the CPCP on every case (100%). A copy of the documented follow-up efforts must be submitted to the CPCP with the appropriate diagnostic follow-up form. The minimum follow-up effort accepted will be one registered/certified letter, but could include telephone and regular mail contacts. • Planned diagnostic follow-up procedures must be completed and submitted to the CPCP in 90% of the cases within 45 days of the planned date. The completed procedure does not have to be the same as the one planned, but follow-up must be completed in the recommended timeframe to allow for continuity of care. Page 2 of 4 Pages 951721 • Women with cervical abnormalities of CIN II or more severe, or a breast malignancy must have completed or initiated treatment information submitted to the program in 90% of the cases within 45 days following the date of diagnosis. • Women with cervical abnormalities of CIN II or more severe, or a breast malignancy will be considered lost to follow-up in 10% or less of cases. A copy of the documented follow-up efforts must be submitted to the CPCP with the appropriate diagnostic follow-up/treatment form. The minimum follow-up effort accepted will be one registered letter, but could include telephone and regular mail contacts which will be documented and submitted to the CPCP on the appropriate form. • The CPCP computer generated breast and cervical follow-up forms must be accurately completed and submitted for 90% or more of the cases within 45 days of the date of form production. The funding for the Case Manager will be paid out in two month advances during the fiscal year. Continued advances will be predicated on two factors: number of cases submitted to the program; and continued compliance with the above standards. Adjustments will be made to the advance if the proper ratio of actual to budgeted cases during the prior year-to-date period is not maintained. Any of the above standards on which there has been non-compliance will require the Contractor to bring that standard into compliance within thirty days. More than two breaches of compliance regardless of remediation, or any one without the proper remediation within thirty days during the term of this amendment will result in cessation of funding for the Case Manager. A monthly report will be provided to the Contractor showing the ratio of actual races to budgeted cases and the compliance statistics to the above standards." 4. The effective date of this Amendment is August 1. 1995. 5. Except for the "Special Provisions," in the event of any conflict, inconsistency, variance or contradiction between the provisions of this Amendment or any of its attachments or exhibits, and any of the provisions of the Original Contract, the provisions of this Amendment shall in all respects supersede, govern, and control. The "Special Provisions" shall always be controlling over other provisions in the contract or amendments. The factual representations in the Special Provisions concerning the absence of bribery or corrupt influences and personal interest of State employees are presently reaffirmed. 6. 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. 7. THIS AMENDMENT 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. Page 3 of 4 Pages 951721 STATE OF COLORADO ROY ROMER, GOVERNO (08/16/95) j` IN WITNESS WHEREOF, the parties hereto have executed this Amendment on the day first above written. WELD COUNTY BOARD OF Contractor COMMISSIONERS Name) 13 Position (Title) CHAIRMAN Number levflitcastu to t t Board Approvals L. BY Executive Director for the DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT WELD C0U$1T T DEF;_'TENT B S. PICKLE, d+ j •_ ©VAR 1\77:.ccNt7 c'.LER COQ OILEBY: '( IRV) Page 4 of4 Pages COLORADO WOMEN'S CANCER CONTROL INITIATIVE EXHIBIT L ANNUAL EXPENDITURE REPORT 1995- 96 Women Aged 40 and Above AGENCY: Weld County Health FISCAL YEAR 1996 SERVICE PROVIDED REIMBURSEMENT RATE NUMBER OF PROCEDURES TOTAL AMOUNT SCREENING Clinical Breast Exam $ 29.94 75 • 2,245.50 Pelvic Exam 29.93 75 2,244.75 Pap Lab (byCytotech) 7.32 75 549.00 Mammogram 60.88 75 4,566.00 SUBTOTALS 9,605.25 DIAGNOSTIC Repeat Clinical Breast Exam 33.14 11 364.54 Surgical/Medical Consultation 83.16 4 332.64 Diagnostic/Repeat Mammogram 64.66 11 711 .26 Fine Needle Aspiration (FNA) 197.28 2 394.56 Repeat Pelvic Exam 33.14 11 364.54 Pap Lab (by Pathologist) 23.14 11 254.54 Colposcopy 84.04 1 84.04 Colposcopy with Biopsy 193.19 3 579.57 SUBTOTALS 3,085.69 Tracking and Follow-up @ 15%n 1,903.64 'Navel Allowance 126.4 2 Case Manager 3 , 750 .00 TOTAL ANNUAL COSTS 18,471.00 6/14/95 SOME RAN N.FRM 951721 mEmoRAnDum COLORADO Dale Hall, Chairman To Board of County Commissioners From Subject: Date August 14, 199, _.,., John Pickle, Director, Health Departme Amendment to Cancer Prevention Contract Enclosed for Board review and approval is Amendment #1 to the contract Weld County Health Department has with the Colorado Department of Public Health and Environment for the Cancer Prevention Program. The contract provides for services such as pap tests, mammograms, and breast exams for low income, uninsured women over age 40. This amendment provides funding in the amount of $18,471 for the period August 1, 1995 through July 15, 1996 which is an increase of $9,093 over last year's contracted amount. The increase in funding provides for staff to coordinate the program and allows for services to 25 more women than previously served. I recommend your approval of this amendment. Enclosure 951 721 Hello