HomeMy WebLinkAbout992041.tiff RESOLUTION
RE: APPROVE INVITATION TO BID FOR FAMILY PLANNING PROGRAM AND
AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Invitation to Bid for the Family
Planning Program from 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, to
the Colorado Department of Public Health and Environment, with further terms and conditions
being as stated in said contract, and
WHEREAS, after review, the Board deems it advisable to approve said invitation to bid,
a copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Invitation to Bid for the Family Planning Program from the
County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Weld County Department of Public Health and Environment, to
the Colorado Department of Public Health and Environment be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said contract.
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., 1999.
BOARD OF COUNTY COMMISSIONERS
nse % LD COUNTY 00
ATTEST: 4j12/
v �� 3allohai "rr
Weld County Clerk to t =, � ) itijiat J •
4 ,, ` �, �"f` i Barbara J. Kirkmeyer, o-Tem
BY:
Deputy Clerk to the Bo- a-
f / "" �"� eorge . axer
,-APPRp'V AS TO FORM: 11.1,(4.2
J. &le/
/County Attorneyi eiat
Glenn Vaad
992041
cc: fit- HL0025
INVITATION TO BID
DATE: July 1, 1999
RFP NO: RO-FPP0001
• DIRECT INQUIRIES TO: ROBERT M. O'NEILL
PHONE NO: (3031 692-2074
DATE REP DUE: Monday, 08/09/99 (Q3:00 PM MDT
Bids properly marked as to REP NO., DATE and HOUR of opening, subject to the conditions herein stipulated and
in accordance with the specifications set forth and/or attached hereto, will be accepted at the address listed below,
prior to the date and time listed for the bid opening. All bids shall be quoted F.O.B. destination, unless otherwise
specified, to the delivery location or jobsite listed herein.
SEALED COMPETITIVE PROPOSAL FOR:
ADMINISTERING A STATE FUNDED FAMILY PLANNING PROGRAM
RETURN PROPOSAL TO:
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
ASD-PURCH-A2
4300 CHERRY CREEK DRIVE SOUTH
DENVER, CO 80246-1530
Prices shall be quoted F.O.B destination and include delivery to the CDPHE.
SEE ATTACHED PAGES FOR TERMS AND CONDITIONS AND RFP REQUIREMENTS.
IMPORTANT: Bidders should read the entire bid document before submitting bid.
RFP'S MUST BE SIGNED IN INK
VENDOR
ADDRESS
TYPED OR PRINTED SIGNA'-URE . •
Handwritten Signature by Authorized Officer or Agent of Vendor
TERMS
Terms of less than 30 calendar days will not be considered.
TITLE
DATE PHONE N FAXN
The above bid is subject to Terms and Conditions on attached sheets.
RETURN THIS COPY
99ao41
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT:
A GRANT PROPOSAL
FOR
ADMINISTERING OF FAMILY STATE PLANNING FUNDS
FROM THE
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
RFP NO: RO-FPP0001
August, 1999
APPLICANT QUALIFICATIONS (4.2.1)
Introduction
The County of Weld encompasses 4,004 square miles in the northeastern corner
of Colorado. Wald is an agricultural county, centered around livestock production and
farming. About 50% of its population of 151,000 (1996, est.) lives in or near Greeley,
the county seat. Estimates of Weld's Hispanic population range from 23% (Chamber of
Commerce) to 45% (public school district). About 15-30% of Weld Hispanics, or 5,209 -
10,419 individuals, speak Spanish as their primary language. An unknown proportion
of this subpopulation is illiterate.
Major health care resources in Weld County include one hospital ( North
Colorado Medical Center), the Weld County Department of Public Health and
Environment, Sunrise Community Health Clinic (Greeley area), Salud Family Health
Clinic (Ft. Lupton), and nine private provider clinics.
Organizational Structure
Weld County Department of Public Health and Environment (WCDPHE) was
established in 1938. It is a local public health jurisdiction under authority of Colorado
State Statutes and is accountable to the Weld County Board of Commissioners.
WCDPHE's mission statement is:
to preserve, promote and protect a healthy life and safe environment
for the residents of Weld County.
The agency's governing board is the County Commissioners, whose elected
members represent the population of Weld. The members exercise executive and
administrative powers over county agencies, determine policies, and enact legislation.
The current members of the Weld County Board of Commissioners are:
4. Dale Hall
•b Barbara Kirkmeyer
• Glenn Vaad
George Baxter
•S Michael Geile
Commissioner Vaad is delegated specifically to oversee the Health Department's
functioning, and attends all executive staff meetings.
The Health Department is divided into three main service divisions,
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Environmental Health, Health Education and Nursing, and Administration. An
organizational chart is provided in Appendix A.
Under the umbrella of Weld County government, WCDPHE is non-profit and tax-
exempt (see Appendix B).
Financial Resources
Weld County's Public Health Fund is supported by taxes and other revenues
earmarked for public health matters. These include health care, health education,
health monitoring, and other related activities. This fund is an independent fiscal and
accounting entity with a self-balancing set of accounts recording cash and other
financial resources together with all related liabilities, residual equities and balances.
These are segregated for the purpose of providing specific program activities or
attaining certain objectives in accordance with special regulations, restrictions, or
limitations.
For FY 1998, the sources of revenue for WCDPHE programs were from fees for
services, licenses, and permits; contracts and grants; County funds; and miscellaneous
sources. Financial management of WCDPHE funds is the joint responsibility of the
division directors and the Administrative Services staff. Annually, the fees for services
are reviewed and adjusted to help meet the cost of providing these services.
No problems for long term funding prospects are anticipated for WCDPHE,
especially in light of a predicted increase in the county's population of 20% over the
next five years. The Health Department anticipates continued funding from grants,
contracts, county taxes and other revenues that will allow continued funding of services
at the current level.
As in the past, the largest part of the Family Planning Program costs not covered
by the Colorado Department of Public Health and Environment (CDPHE) Federal Title
X funds will be paid by County tax dollars. Also, the Department staff will continue to
encourage donations from our Title X clients, collect fees from clients when applicable,
and bill Medicaid for covered services for eligible clients.
Programmatic Resources
WCDPHE has demonstrated a strong commitment to family planning by
providing services since 1964. In 1974 the agency began its Title X clinics in
accordance with Federal and State guidelines. Periodic audits by the Women's Health
Division of CDPHE have demonstrated that WCDPHE has an established record of
providing quality service while meeting program requirements.
No other agency in Weld County receives Title X funds, so a plan for
coordinating administrative and clinical services with these similar agencies is not
necessary. However, WCDPHE is committed to working with the entire health-care
community to provide cost-efficient family planning services without duplication of
services for County residents, as evidenced by:
❖ WCDPHE regularly attends quarterly policy meetings with the Women's
Health Division of CDPHE.
❖ WCDPHE is a member of the Weld County Community Health Coalition,
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an organization devoted to ensuring collaboration among agencies and
discussing community health issues.
WCDPHE solicits advice from the county's Board of Health when
determining its services and programs.
Description of Staff
Appendices C and D provide job descriptions and resumes, respectively, for
Family Planning medical director, program coordinator, nurse practitioners and fiscal
manager.
Compliance with Federal, State, and Program Regulations
WCDPHE is currently a Title X provider and has been since 1974. The agency
has demonstrated compliance with applicable Federal and State requirements via
regular audits made by staff of the Women's Health Division of CDPHE. To further
ensure compliance with Federal and State requirements, WCDPHE performs regular
internal audits of Its family planning program.
Community (4.2.2)
Community Providers
Besides W'DCPHE, other providers of family planning in Weld County which
receive public funding are given below. None of these agencies receive Title X funding.
❖ Sunrise Community Health Center
1028 5th Avenue
Greeley, CO 80631
❖ Plan de Salud
115 2nd Street
Fort Lupton, CO 80621
❖ Planned Parenthood of the Rocky Mountains
3487 West 10' Street
Greeley, CO 80631
Outreach and Education
WCDPHE is active in outreach efforts. One of several programs to decrease the
number of adolescent pregnancies in Weld County was begun in October,1997. This
program, called F'eerVention, is a collaborative community effort by WCDPHE, the
public schools and Child Advocacy Resource and Education, Inc. (c.a.r.e.). A group of
trained peer educators provides one-on-one counseling and support to low-income
adolescents at risk of unintended pregnancy. This counseling is offered at a variety of
settings, including WCDPHE's family planning and sexually transmitted disease (STD)
clinics. Educational presentations are also given to groups of teens at schools and
other agencies serving youth. The curriculum includes topics about birth control, STD's,
sexual assault, community resources and communication.
Health Educators at WCDPHE began another teen pregnancy prevention
outreach effort in early 1998. This program is called "Building Bright Futures." The
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project provides teens the education and skills to choose abstinence over sexual
activity. Through a contract with Friends First, presentations are given to students,
parents, community groups and teachers, utilizing the WAIT training program. The
program will be evaluated using the Youth Risk Behavior Survey pre- and post-
intervention.
Another outreach effort, provided for the past two years, has been a weekly teen
outreach family planning service local, non-profit Monfort Children's Clinic. Adolescents
visiting the clinic are offered education and birth control methods with a delayed pelvic
exam option by bilingual public health nurses. Gift certificates are given to teens who
keep their subsequent FPP clinic appointments at WCDPHE.
Yet another outreach program to prevent subsequent pregnancies among
teenagers is in the planning stage this year. The Nursing Division will provide public
health nurse home visitation to first-time teen moms, using the model proposed by
David Olds. Referrals to this program will be made by a variety of agencies, including
Social Services.
Acquiring Community Support
To generate awareness and support for family planning services in Weld County,
WCDPHE collaborates with a variety of agencies and committees, including:
• The Weld County Board of Health
❖ The Weld County Community Health Coalition
¢• The Teen Advisory Committee
d• Public School District#6 Health Education Standards Committee
d• The Women, Infants and Children (WIC) federal food supplementation
program
d• First Steps, which offers free pregnancy testing and home
visitation by a nurse to high-risk clients
❖ North Colorado Medical Center's breast-feeding clinics, which are
partially staffed by WCDPHE nurses
• The public health prenatal clinic for uninsured women, whose
postpartum moms receive home visits by WCDPHE nurses
emphasizing family planning, well-baby care and immunizations
• The Medical Residency Program at North Colorado Family Medicine.
• Greeley Interfaith Association to emphasize abstinence programs and
immunization clinics
• The University of Northern Colorado's Department of Communinity Health
and Nutrition and the School of Nursing
Internally, family planning is promoted by offering education and birth control
methods to clients utilizing other WCDPHE services, including:
❖ Free pregnancy testing clinic
❖ Sexually transmitted disease clinic
• Well-child check-up and immunization clinics
❖ RN home visits to new mothers and babies for post-partum assessments
Page 4 of 12
and education
❖ Tuberculosis diagnosis and management clinic
• Telephone public health information service staffed by nurses
d• Case management program for children with special needs
• Nurse home visitation program for families whose children are at risk of
health problems or abuse.
❖ Rural communities public health nursing clinics
❖ Cornmunity presentations by WCDPHE health educators
Community Collaboration
WCDPHE collaborates with other agencies and groups regarding a number of
other public health issues, including migrant health, communicable disease,
environmental toxins, cancer prevention and screening, geriatrics, public safety,
nutrition, child abuse and suicide prevention. WCDPHE services as a clinical training
site for nurse and nurse practitioner students, community health interns, and medical
residents.
Community Letters of Support
Three letters of support for the Health Department's providing CDPHE/Title X
family planning services are given in Appendix E. The letters are from Weld's Board of
County Commissioners, Robert Francella for the non-profit Monfort's Children Clinic,
and Mark Wallace, M.D., as medical director of the Health Department.
Program Management (4.2.31
Program Services
Demographics of WCDPHE's Family Planning Patients
4. An estimated 1350 unduplicated patients will be seen during the proposed
nine-month grant funding period (equivalent to 1800 per year).
❖ 23%, or approximately 310 clients, are predicted to be adolescents (19
years old and younger, equivalent to approximately 400 per year).
❖ 40% of all patients, or 720 individuals, are expected to be Spanish-
speaking only (equivalent to 720 per year).
❖ A very small (<1%) portion of clients are likely to speak languages other
than English or Spanish
❖ Income code distribution is expected to be similar to1998's:
86% code 1 = 1161 clients/9 mos or 1548/yr
10% code 2 = 135 clients/9 mos or 180/yr
2.5% code 3 = 34 clients/9 mos or 45/yr
1.5% code 4 = 20 clients/9 mos or 27/yr
Page 5 of 12
Family Planning Clinic Hours
MONDAYS 1 pm to 7 pm
TUESDAYS (twice per month for MD consult)
1 pm to 5 pm
WEDNESDAYS 8 am to 12 pm; 1 pm to 5 pm
FRIDAYS 8amto12 pm; 1 pm to5pm
Client requests for urgent family planning services during non-clinic days and for
clients without appointments are triaged by nurses 40 hours a week and managed on a
case-by-case bass. Walk-in clients are accepted for pregnancy testing (with a method
initiation if desired) on Wednesday afternoons.
Clinic Location
The main family planning clinic is located in a newly-built public health building in
the county complex in north Greeley. Services were moved in May of 1999, per voter
mandate, from the clinic's previous location in central Greeley, adjacent to NCMC.
Advantages to being in this new location include having spacious new facilities
and plenty available parking spaces for clients. The new building is now close to
several factories where our clients work, to the non-profit Children's Clinic and to lower-
income housing where many of our clients live. The city bus has a stop in front of the
building. Other County buildings such as the Jail, Job Service, Human Resources,
Planning and Zoning, Youth Corrections, the Coroner's Office and Vehicle Registration
are in the same county complex area as our clinic.
The clinic's former location was next-door to one of Greeley's two high schools,
making it very accessible to those teens. The impact of the new location will not be
known for some time, however, because that high school will be closed for a year for
remodeling. A new high school is being built in north Greeley, and although not within
walking distance, students should have easy access by bus or car. The issue of
location and access will be evaluated over the next 18 months.
Clinic Setting and Design
Finished in 1999, the new WCDPHE clinic has:
❖ Seven examination rooms equipped for OB/GYN, STD and child
health exams
• Two additional examination rooms for immunizations
❖ A negative-pressure tuberculosis testing room
❖ Seven private interview rooms
• Laboratory in the clinic for microscopy, urine testing,
❖ Laboratory on second floor for cultures, STD testing
❖ Immunization preparation room
❖ Medication dispensing room
❖ Large reception and waiting area
❖ Spacious nurses' station
❖ Nursing and Health Education offices adjacent to clinic
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❖ Accessability per the Americans with Disabilities Act
Serving Culturally Diverse Populations
The vast majority of non-English-speaking Weld County residents speak
Spanish. WCDPHE has always actively solicited and preferentially hired bilingual
employees because we do not wish to limit the number of Spanish-speakers receiving
health services. A current estimate is that at least 40% of WCDPHE clients speak only
Spanish. Many of these clients have a very limited educational background and some
are illiterate. The percentage of Spanish-speaking staff in the Nursing Division for each
job classification is given below (with the actual number of FTEs given in parentheses).
• 100% of social workers (1.0)
❖ 33% of nurse practitioners (1.5)
❖ 32% of nurses (2.5 fluently, 2.0 learning)
❖ 85% of support staff(11.5)
In addition, several of our consultant physicians speak Spanish, as does our medical
director.
It is our pleasure to provide barrier-free services to the Spanish-speaking
population and so we employee a large bilingual staff for verbal interpretation and
written translation of a variety of health information topics. On the rare occasions we
have had clients who spoke neither English nor Spanish, staff at the University of
Northern Colorado (UNC) has helped us with interpreting. UNC also assists with
access to services for hearing-impaired patients.
Clinic Appointments and Service Delivery
WCDPHE offers the following options for clients seeking appointments for
reproductive health concerns:
NURSE PRACTITIONER (NP) CLINIC
All appointments are 20 minutes. Staffing is one NP, one RN, and a shared clinic aide.
Hours are: Monday 1:00-6:40 pm (18 total appointment slots)
Wednesday & Friday 8:30-11:10 am; 1:00-4:00 pm
Eighteen total appointment slots are available each clinic day for approximately 2700
slots per year. Two slots each clinic day are allotted for urgent care patients. This
clinic provides:
d• Annual physical exams and health history for women ages 12 and up.
❖ Birth control method initiation, including IUD, pills, depo provera, Norplant,
diaphragms and referrals for natural family planning.
❖ Postpartum care
❖ Education and evaluation of family planning patients regarding issues
such as abdominal pain, dysuria, vaginal bleeding, breast lump or
discharge, premenstrual syndrome, preconceptual counseling,
amenorrhea, infertility, menopause, cervical/breast cancer screening,
obesity, nutrition, disease risk factors, genetic counseling,
psychosocial assessment and counseling referrals, and a medical
history which impacts their contraceptive use.
❖ Examinations of pregnant women with urgent complaints who have not
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yet had their first appointment in the public prenatal clinic.
The wait for non-urgent appointments for this clinic ranges from three to six weeks.
Clients may begin pills or Depoprovera much sooner than this using the delayed pelvic
option by making an appointment in the supplies clinic (below). A high no-show rate,
despite reminder calls and postcards, is a significant factor in causing the waiting time
for appointments. This issue will be extensively studied over the next few months.
BIRTH CONTROL METHOD SUPPLIES (RN) CLINIC:
All appointments are 20 minutes. Staffing is one RN and a shared clinic aide.
Hours are: Monday 1:00-6:40 pm
Friday 8:30-11:10 am; 1:00-4:00 pm
Eighteen total appointment slots are available each clinic day for approximately 900
slots per year. Two appointment slots are available each clinic day for urgent requests.
Services of this clinic include:
4• Reproductive health education and referrals
❖ Supply pickup, including Depoprovera injections.
• Pregnancy testing
❖ Blood pressure checks
d• Emergency contraception
The wait for non-urgent appointments in this clinic is from one to four days.
PREGNANCY TESTING
Walk-in service, no appointment needed. Staffed by 1-2 RN's and a shared clinic aide.
Hours are: Wednesday 1:00-4:00 pm. Services include:
❖ Sensitive urine pregnancy test
d• Preconceptual counseling
❖ Referrals and counseling for pregnant patients
❖ Delayed pelvic option for birth control method initiation
• Barrier method supplies
• Emergency contraception
❖ Reproductive counseling and referrals
MD CONSULT CLINIC
Faculty and resident physicians from North Colorado Family Medicine provide a
consultation clinic four hours twice a month at WCDPHE. Referrals into this clinic are
made by FPP staff. This service provides reproductive health evaluation and
consultation for FPP patients who do not have access to another primary care provider
(PCP). The vast majority of our clients do not have a PCP, and WCDPHE seeks to
assist patients with accessing the community's health care system.
SEXUALLY TRANSMITTED DISEASE (STD) CLINIC
Male and female patients with concerns about sexually transmitted infections can
be seen in STD clinic Mondays and Fridays from 1:00-5:00 pm if no urgent
appointments are available in the FPP Nurse Practitioner Clinic.
Page 8 of 12
Data Collection System
The clinic uses a database software system called "Acclaim" for its clinic functions.
This system is a customization of FoxPro. There have been problems with extracting
data from Acclaim, as well as in designing appropriate billing forms. The County has
hired a consulting firm to either renovate the Acclaim system or implement a different
software system for our needs. WCDPHE also uses the CoTrack data collection
system in collaboration with CDPHE.
Clinical Services
The Weld County Department of Public Health and Environment's philosophy is
to maintain health and prevent disease, utilizing a public health model. Its Health
Promotion section is exclusively prevention-based, with areas of interest in HIV/AIDS,
STDs, birth control, teen pregnancy, abstinence, assets building, community health
needs assessment, diabetes, child injury prevention, tobacco use prevention, blood
borne pathogens, chronic and infectious disease, and health leadership. Our entire
agency's efforts and activities are directed toward this goal.
Needs Assessments
WCDPHE has considerable experience in performing needs assessments since
1991, and serves as an advisor to other health departments on this topic. Currently,
the Health Education section staff is implementing phase two of a community needs
assessment begun in 1996, called APEXPH: Assessment Protocol for Excellence in
Public Health. This tool was developed by the Centers for Disease Control and the
National Association of City and County Health Officials for use by local health
departments. Phase two, the community process, will be completed in the year 2000
and provide much-needed data for evaluation of our County's family planning needs
and services.
In addition, WCDPHE was awarded three years of Preventive Block Grant
monies to collaborate with Northeast Colorado Health Department. This project utilizes
the Colorado Health Information Dataset (COHID) to identify health-related indicators
for community needs assessment in three northeastern Colorado counties.
Patient Care Services Delivery Model
WCDPHE follows the service delivery model given in the CDPHE/Title X
Guidelines, an outline of which is given as Appendix F. All services specified by the
CDPHE/Title X protocols are provided by WCDPHE's FPP clinic. Registered nurses
with experience in public health and family planning provide education, counseling and
clinical care along with family nurse practitioners and/or women's health nurse
practitioners. More information about services provided is given in the previous section,
"Clinic Appointments and Service Delivery".
An in-house outlet pharmacy dispenses a wide variety of contraceptives, as well
as necessary antthiotics in accordance with CDPHE/Title X regulations and the State
Board of Pharmacy Regulations. WCDPHE's formulary is given in Appendix G.
Page 9 of 12
Confidentiality Policy
WCDPHE uses the confidentiality protocol given by CDPHE/Title X. Each new
employee signs this protocol upon being hired. To preserve her privacy, every client is
asked how she wants to be contacted by our clinic. Medical charts and computer
records are flagged with these instructions. Adolescents are encouraged and
counseled to talk io parents about their reproductive health, but are advised that their
visits with us are strictly confidential. Frequently, parents accompany teens to their
FPP appointments. The agency's confidentiality policy is presented as Appendix H.
Referrals
WCDPHE follows the referral system as outlined in CDPHE/Title X guidelines.
Family planning patients who need additional services are referred to one of the
following agencies:
d• WCDPHE's MD consult clinic
• North Colorado Family Medicine's (NCFM's) residency program and
colposcopy clinic
• Sunrise Community Health Center
❖ Plan de Salud Health Clinic
• Private providers
❖ WCDPHE's genetic counseling clinic
North Range Behavioral Health
❖ Natural Family Planning League
Tracking
Patients who are referred for consultation are given an accompanying referral
form, a copy of which is kept in a log book until the consulting clinician sends the
completed form back. Clients who fail to keep appointments in the MD consult clinic
are sent reminder letters. Other clients who do not follow-up with recommended
referral or lab tests are contacted on a case-by-case basis, depending on the nature of
the problem.
A pap smear log book and tracking system is maintained to ensure that all pap
smear results are received, and that all patients who need repeat paps are sent
reminder letters on a regular basis. Additionally, designated laboratory tests are logged
and tracked according to the Clinical Laboratory Improvement Amendments (CLIA) and
CDPHE/Title X guidelines.
The program coordinator receives and initiates follow up on test results for
sexually transmitted diseases. Nurse practitioners review all abnormal lab tests and
pap smears, with consultation available from the medical director, as necessary.
Quality Assurance (QA) Review
WCDPHE uses CDPHE's clinical QA review process for Title X/State-funded
family planning clinics. Bi-annual medical chart audits and site visits are performed by
CDPHE staff. Additionally, internal audits are performed on specialized topics chosen
Page 10 of 12
annually by CDPHE, with results forwarded to the State FPP Nursing Consultant.
Quality assessment and review of each patient's chart is also performed after every visit
by a WCDPHE family planning nurse. Appendix I lists the criteria for chart review.
Computerized Clinical Service Systems
WCDPHE:'s database system, Acclaim, allows computerized patient records to
be "flagged" for special purposes. Acclaim also allows for a computerized appointment
system. WCDPHE does not use other computerized clinic service systems at the
present time.
Financial Management
WCDPHE: was awarded a Title X family planning contract for $54,693 to serve
900 targeted unduplicated clients from July 1, 1999 to December 31, 1999. An
additional $975 was included to provide colposcopy to 13 clients. The current request
for proposal (RFP) offers a funding period from 10/1/99 to 6/30/00, a period of nine
months. Based on the above projection of serving 900 clients per six months,
WCDPHE proposes to serve in this nine month period:
1350 unduplicated clients in 9 months @ $76.99 per client= $103,936
A detailed budget is given in Appendix J.
Budget Discussion
WCDPHE's per patient costs may be higher than other Title X clinics because of
the large number of Spanish-speaking and poverty-level patients served.
At least 540 (40%) of family planning clients are expected to be Spanish-speaking
during the nine-month grant period. The cost per patient is higher for non-English
speaking patients for a variety of reasons:
❖ Time: The time necessary for clinic visits is increased by 50%-100% as
a result of interpreting services.
❖ Education: Many Spanish-speakers have had very limited education
about their bodies and health matters, and our nurses typically spend
509'-100% more teaching time with these patients.
❖ Literacy: New written patient information materials must be translated by
our staff into Spanish. Also, patients who cannot read or write
receive one-on-one assistance.
At least 1,161 (85%) of family planning clients are expected to be at or below the
Federal Poverty Level during 9 months. The cost per patient to deliver services is
higher because of increased needs for:
Access: This population typically has increased urgent needs for
cornmunity services for emergency food provision, housing,
medical care, and psychosocial issues. These clients often have
Page 11 of 12
difficulty accessing health care, and sometimes have been turned away
from other clinics because of non-compliance with appointments.
WCDPHE family planning clinic staff are sensitive to these issues, and
provide the time and interventions necessary to support and empower
these patients.
❖ Rescheduling: Transportation problems, child-care issues, lack of
employer support, family conflicts, and other multiple stressors in lower-
income populations result in missed clinic appointments.
Rescheduling these appointments consumes clinic resources.
• Education: Decreased literacy levels and lack of knowledge about
reproductive health means increased teaching time is necessary for this
population.
❖ Transiency: Often, this population lives in a state of crisis orientation due
to lack of stability in housing, employment, income, residence and
immigration issues. Our clinic strives to be flexible to assist
patients when these factors affect their reproductive health.
Financial System
WCDPHE's Acclaim software records program-specific charges, payments and
donations for clinical services. When fees are not paid at time of service, Acclaim
generates bills monthly for patients, Medicaid and other third-party payors. Patient
charges are automatically discounted to the applicable sliding fee. The system also
produces a report for aging accounts which are considered uncollectible after one year
and are written off.
The charges and receipts from Acclaim are interfaced into Weld County
Government's Banner Accounting System. This system records all expenditures by
program and is capable of producing a variety of reports to aide in the tracking of
contract and grant management. The system also provides accounts receivable,
accounts payable, inventory, and purchase requisition services. Expenditures follow
the annual budget and financial plan of the Health Department, and are tracked by
Weld County Government.
Sliding Fee Scale
WCDPHE uses a cost-based sliding fee scale consistent with Title X regulations,
a copy of which is provided in Appendix K. This scale is currently being updated with
input from CDPHE Women's Health Division staff.
Other Benefits or Considerations
The staff of WCDPHE is committed to providing comprehensive reproductive
services to low income women in Weld County. Thank you for your consideration in this
endeavor. This RFP is printed on Eureka Brand 30% post consumer recycled paper.
Page 12 of 12
WCDPHE RO-FPP 0001
APPENDIX A
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WCDPHE RO-FPP 0001
APPENDIX B
WCDPHE TAX-EXEMPT CERTIFICATE
DR 160(WV) State of Colorado
DEPARTMENT OF REVENUE
1375 SHERMAN STREET
DENVER.COLORADO B0261
THIS LICENSE IS NOT TRANSFERABLE CERTIFICATE OF EXEMPTION
FOR SALES AND USE TAX ONLY
WELD COUNTY
915 10TH ST
GREELEY CO 80632-1117
•
LIABILITY INFORMATION
ACCOUNT NUMBER - -- -
ISSUE DATE
98-03551 03 057 599; 9 010181 OCT i4 1988
915 10TH ST GREELEY CO ExetutHe Diredut
Department of Revenue
WCDPHE RO-FPP 0001
APPENDIX C
WCDPHE FAMILY PLANNING PROGRAM JOB DESCRIPTIONS
(6) Provides counseling and teaching about family planning methods to
include:
a. hormonal contraceptive method (oral or implant)
b . intrauterine device
c.. diaphragm, cervical cap
C . foam, jelly, condom, and other over-the-counter methods
e . coitus interruptus
f . natural family planning
g. sterilization - male and female
h. abstinence
(7) Provides counseling and instruction about related health needs to
include, but not be limited to:
a. infertility
b. human sexuality
C. nutrition
d. self-breast examination
e. sexually transmitted diseases, including AIDS
f. other minor gynecologic concerns
(8) Performs appropriate laboratory screening tests.
(9) Refers clients with suspected abnormal conditions to medical
resources.
(10) Refers clients to other professionals or community resources as
indicated.
(11) Conducts family planning education sessions for -professional,
community, and client groups.
(12) :taintains and reviews client records, including referral and
follow-up systems.
(13) Participates in the quality assurance component of family
planning, e.g. , chart audit of nursing/medical care standards.
(14) Participates in inservice education for agency staff.
(15) Allocates time regularly to update professional practice, e.g. ,
reading, conferences, professional meetings, etc.
(16) Adheres to the minimum medical guidelines for Title X funded
programs.
CDH FPP 10/91 Revised
WCDPHE RO-FPP 0001
APPENDIX C
WCDPHE FAMILY PLANNING PROGRAM JOB DESCRIPTIONS
Family Planning Nurse Practitioner.
Definition of Position:
The family planning nurse practitioner is a public health nurse,
specializing in the health needs of family planning clients. The
family planning practitioner provides primary health care in the area
of family planning, assuming the responsibility for the initiation and
maintenance of clients in the family planning regime. The family
planning nurse practitioner participates in an interdisciplinary
approach to health care, being cognizant of and responsive to the
experience of other disciplines and personnel involved with client
services. The family planning nurse practitioner may also provide
' leadership in all aspects of the family planning program. She/he
maintains the right to refuse to examine and/or manage a client, based
on professional judgment. The family planning nurse practitioner
collaborates with a physician and follows protocols signed by a
physician.
Level of Responsibility:
Directly responsible to the family planning program coordinator and/or
nursing director in the local agency.
The Colorado Department of Health Family Planning Nursing Consultant
provides consultation and technical guidance, and participates in the
evaluation process as appropriate.
Examples of Duties and Responsibilities:
(1) Practices sound principles of public health nursing.
(2) Participates in the decision-making processes concerning the
delivery of family planning services.
(3) Assesses the client's family planning needs by obtaining and/or
evaluating a medical and social history.
(4) Performs appropriate health assessment procedures , including but
not limited to evaluation of the heart, lungs, thyroid,
extremities, abdomen. breast, and pelvic area.
(5) Develops and/or utilizes written protocols for the performance of
activities related to initiation or modification of medical
therapeutic regimes.
WCDPHE RO-FPP 0001
APPENDIX C
WCDPHE FAMILY PLANNING PROGRAM JOB DESCRIPTIONS
Level of Responsibility:
(1) Within an organized health department, directly responsible to
the Health Officer or Nursing Director, and indirectly
responsible to the Family Planning Program Director, Colorado
Department of Health.
(2) Within local county nursing services, directly responsible to
both the Nursing Generalists and the Family Planning Program
Director, Colorado Department of Health. The Colorado
Department of Health Nursing Consultant provides consultation and
technical guidance.
Examples of Duties and Responsibilities :
(1) Supervises and schedules nursing personnel for clinics where
applicable.
(2) Initiates conferences with family planning and agency personnel
relative to client services.
(3) Orients agency personnel to family planning services and duties
within the program.
(4) Evaluates work performance of personnel assigned to the family
planning services. Meets frequently with staff and indicates
modification of activity as needed for their continued education
and supervision.
(5) Conducts inservice education for district community health
nurses, community health workers, RN's and LPN's , as well as
giving consultation and inservice to local agencies and groups
such as schools and welfare agencies.
(6) Coordinates the family planning services with the generalized
nursing program by establishing a communication system whereby a
district community health nurse is informed about her clients and
the needed follow-up.
(7) In general, is responsible for all aspects of the local program,
client care and education, and community development.
Minimal Qualifications:
Baccalaureate degree in nursing from a school accredited by the
National League of Nursing, with at least one year of appropriate
nursing experience with the expanded nursing function evidenced by
completion of an organized educational program in either adult health
or women's health care, or as a family planning nurse practititioner
with a certificate;
OR
WCDPHE RO-FPP 0001
APPENDIX C
WCDPHE FAMILY PLANNING PROGRAM JOB DESCRIPTIONS
Minimal Qualifications:
Baccalaureate degree in nursing from a school accredited by the
National League for Nursing, with at least one year of appropriate
nursing experience, with the expanded nursing function evidenced by
completion of an organized educational program in either adult health
or women's health care, or as a family planning nurse practitioner
with a certificate;
OR
Graduation from a National League for Nursing approved school of
nursing with at least two years of appropriate nursing experience and
with the expanded nursing role as evidenced by completion of an
organized educational program in adult health or women's health care ,
or as a family planning nurse practitioner with a certificate.
Desired Skills, Knowledge, Attitudes:
Knowledge of needs of clients in regard to sexuality, family planning
concepts, family, and interpersonal relationships .
Knowledge of public health nursing principles and practices .
Knowledge of women's needs, psychosocial health, etc.
Knowledge of clinic organization and its implementation.
Knowledge of family planning practices, philosophies, and concerns .
Special Requirements:
Current license to practice as a registered nurse within Colorado.
Family Planning Coordinator
Definition of Position:
Insures the provision of family planning services, counseling, and
education to clients served by the agency. This position may be
assigned full or part time status, depending upon the size of the
local program. Within an organized health department, it may be
assumed by the director of nursing, the clinic nursing director, or a
designee. In county nursing services it may be assigned to the
community health nurse or other staff assigned to the family planning
program.
WCDPHE RO-FPP 0001
APPENDIX C
WCDPHE FAMILY PLANNING PROGRAM JOB DESCRIPTIONS
Graduation from a state/NLN approved school of nursing, and three
years experience, at least one of which includes supervision. Family
planning nursing experience is desirable with the expanded nursing
role as evidenced by completion of an organized educational program in
adult health or women's health care, or as a family planning nurse
practitioner with a certificate;
OR
A college degree and/or work experience within the social sciences or
related field as deemed appropriate by the program personnel, Colorado
Department of Health.
Desired Skills, Knowledge, Attitudes:
Knowledge of needs of clients in regard to sexuality, family planning
concepts, family and interpersonal relationships.
Knowledge of community health nursing principles and practices.
Knowledge of women's needs, psychosocial health, etc.
Knowledge of clinic organization and its implementation.
Knowledge of family planning practices, philosophy and concerns.
Special Requirements:
Current license to practice as a registered nurse within Colorado, or
other college degree as described above.
Physician Service;.
A. Physician's Qualifications.
Physician shall meet or exceed all of the qualifications and requirements of
Colorado law and the Rules of the Colorado Department of Health.
During temporary periods during the year, such as a vacation, when the
Physician is not available, his duties, responsibilities, and obligations under.
this Agreement may be delegated to any faculty physician with the North
Colorado Family Medicine group participating in the Residency Program,
and whicl designee shall also meet or exceed the qualifications and
requirements of Colorado law and the Rules of the Colorado Department of
Health. Physician shall use reasonable efforts to notify the Weld County
Department of Health of any anticipated vacations or other times when
Physician may not be available.
WCDPHE RO-FPP 0001
APPENDIX C
WCDPHE FAMILY PLANNING PROGRAM JOB DESCRIPTIONS
B. Professional Services.
Physician agrees to provide the following professional services, including but
not limited to:
(I) Conduct random, periodic chart review, at such times as the public
health administrator requests such review.
(2) C onduct periodic review and approval of nursing policies,
procedures, and protocols.
(3) Provide general medical consultation to nursing staff at the request of
the public health administrator.
(4) Provide general medical consultation to the public health
administrator upon the public health administrator's request.
(5) Provide Medicaid billing as needed, pursuant to Medicaid
requirements.
(6) Provide any additional or other medical advisor services as requested
by the public health administrator.
BUSINESS MANAGER
DESCRIPTION OF WORK
General Statement of Duties: Performs a variety of highly complex
administrative, technical and supervisory work in the operations- of a
community services program involving the exercise of considerable independent
judgment concerning division operations.
Supervision Received: Works under general guidance and direction of a
department head or elected official.
Supervision Exercised: Exercises supervision over the administrative division
of the Department.
EXAMPLES OF DUTIES (any one position may not include all of the duties listed
nor do the listed examples include all duties which may be found in position
of this class. )
Prepares statistical reports for a variety of grant programs. Insures
that individual contracts are meetingstandards.
Provides for the tracking and coordination of workload measures, FTE's,
and hudver
WCDPHE RO-FPP 0001
APPENDIX C
WCDPHE FAMILY PLANNING PROGRAM JOB DESCRIPTIONS
Monitors program and financial reports; develops and submits necessary
budgetary information; develops budget proposals; administers program
budgets.
Handles unique or complex work related problems or coordination of
programs; advises staff on policy and procedure.
Acts as fiscal liaison to the federal, state, public, or private agencies
and other appropriate parties .
Plans, directs and/or attends appropriate meetings, conferences or
workshops.
Investigates and proposed new funding sources including coordinator of
medicaid funding. Responds to RFP's with assistance of other division
heads.
Performs related work as required.
MINIMUM QUALIFICATIONS
Required Knowledge, Skills and Abilities: Considerable knowledge of
budgeting. Ability to develop and.write grant proposals. Ability to perform
complex problem solving operations. Ability to supervise employees. Ability
to understand and interpret complex regulations and statutes. Ability to
communicate effectively orally and in writing. Ability to establish and
maintain effective working relationships with employees, other agencies and
the public. Knowledge of health program budgeting and funding sources.
Computer fluency.
Education: Bachelor's degree with major course work in public administration,
management, health financing or related area.
Experience: Five years of increasingly responsible job-related administrative
duties with at least two years in a supervisory capacity.
OR
Any equivalent combination of education and experience.
WCDPHE RO-FPP 0001
APPENDIX D
WCDPHE FAMILY PLANNING PROGRAM
STAFF RESUMES
MEDICAL DIRECTOR
WCDPHE RO-FPP 0001
APPENDIX D
WCDPHE FAMILY PLANNING PROGRAM
STAFF RESUMES
PROGRAM COORDINATOR
3315 26th Street
Vicky Krizant R.N., B.S.N. Greeley, CO 80631
(970) 330-4620
Work History: Registered Nurse 1/94 - Present
Weld County Department of Public Health& Environment; Greeley, CO
- Family Planning Program Coordinator 9/98 - Present in charge of
coordinating care and management of staff in relation to the medical and
psychological aspects of low-income women.
- Maternity Nurse 1/94 - 8/98 provided direct services to prenatal patients.
- Cross-trained to provide medical services spanning the lifetime, including
diagnosis and treatment of sexually transmitted disease, HIV counseling
and testing, postpartum home visitation.
Registered Nurse 1/92 - 1/94
North Colorado Medical Center; Greeley, CO
- Provided care to cancer patients in Oncology Unit
Trainer 3/85 - 10/90
Mc:Donalds; Greeley, CO
- Trained fellow employees in all areas.
- Production caller, cashier, food preparation
Shipping & Receiving Clerk/Cashier ,9/87 - 5/90
Country General; Greeley, CO
- Customer Service
- Priced merchandise, loaded/unloaded trucks
Education: Bachelor Science in Nursing
University of Northern Colorado; Greeley, CO
August 1991
Bachelor of Arts in Sociology
University of Colorado; Boulder, CO
May 1978
References: Available upon request
WCDPHE RO-FPP 0001
•
APPENDIX D
WCDPHE FAMILY PLANNING PROGRAM
STAFF RESUMES
BUSINESS MANAGER
JUDY M. NERO
16504 Weld County Road 72
Eaton, CO 80615
Phone: (970) 454-2686
EDUCATION: Regis University.
Bachelor of Science in Business Administration with
Management Emphasis, December 1995
Graduated Summa Cum Laude
Aims Community College
Associate of Arts Degree. December 1992
EXPERIENCE: Weld County Health Department
Business Office Manager
September 1993 - Present
Weld County Health Department
Office Technician IV (Administrative Secretary)
August 1985 - September 1993
Weld County Elections Department
Office Technician II
July 1983 - August 1985
H & R Block
Income Tax Preparer
January 1992 - April 1992 and
January 1993 - April 1993
ATTRIBUTES: Responsible for developing budget proposal for Health Department
for past six years.
Provided supervision and leadership to Administration Division during
reorganization of Health Department.
High expectations of self for accuracy and thoroughness.
Inspired the respect and trust of others through openness and integrity.
Helped develop harmonious working relationships with various divisions
in the Health Department.
REFERENCES: Available upon request
WCDPHE RO-FPP 0001
APPENDIX D
WCDPHE FAMILY PLANNING PROGRAM
STAFF RESUMES
NURSE PRACTITIONERS
DEBBIE DREW, RN-C, BSN 21259 WCR 45,LaSaile, CO 80645
Women's Health Care Nurse Practitioner Ph. (970) 284-5374
Summary of Qualifications
Twenty three years nursing experience; 8 yr. in hospital (psychiatric, medical, postcaartrlIat,
Gyn Post-Surgical,Labor/Delivery, Newborn Care,float) and 10 years in Community Health
(08, GYN outpatient, child health, supervisory, administration), 8 years as an 0B/GYN nurse
practitioner and preschool health nurse. Strengths Include effective communication skills,
creativity in problem solving and Academic Credential as OB/GYN Nurse Practitioner.
Education
NP 1985-86 Certificate Education Women's Health Care Nurse Practitioner, Colorado
University, Boulder, Colorado.
BSN 1971-76 Major: Nursing, Minor: Psychology
University of Northern Colorado License# 56825
Certifications: Nurse Practitioner 08/GYN
Newborn Resusitation
Fetal Monitoring
CPR,BLS
Experience
September 1995 to Pre-sent:
Labor/Delivery Nurse: Worked as staff nurse at Monfort Family Birth Center.
Responsibilities; included labor nursing and providing couplet care to morn and babe.
Trained In care of health newborn and postpartum care. Also worked on post surgical
gynecology.
0B/GYN Nurse Practitioner: Continued to work at Planned Parenthood as described
below and at the Weld County Health Department providing family planning-services,
diagnosis and treatment of sexually transmitted diseases and limited low risk
prenatal care.
WCDPHE RO-FPP 0001
APPENDIX D
WCDPHE FAMILY PLANNING PROGRAM
STAFF RESUMES
September 1990 to September 1995:
GYN Nurse Practitioner at Rocky Mountain Planned Parenthood.
Responsibilities include exams, pap smears, diagnosis and treatment of uncomplicated
acute illness related to reproductive health, sexually transmitted disease and birth
control management.
Clinic Nurse: Relief work as R.N. at University of Northern Colorado in Student Health
Center. Responsibilities included immunizations, health histories, assess and treat or
refer for acute illness ( eg. UTI, URI).
School Nurse: Practiced in-Preschool—Day Care setting. Responsibilities included
pediatric assessment and referral of minor acute illness, protocol development in
Gastrostomy Tube Feeding Training, member of interagency diagnostic team, health
education for staff and students, provide education and nursing support to teachers
of medical ly/developmentally disabled children.
July 1986 to Septembor.1989
Director of Community Health Services, Weld County Health Department.
Responsibilities: Budget development, contracts, program development, state
grant management, staff recruitment and hiring.
December 1982 to July 1986
Health Services Coordinator, Weld County Health Department
Responsibilities: Supervision and scheduling of R.N.staff as well as wor`king`in the field.
Women's Health Care Nurse Practitioner: Developed Nurse Practitioner protocols and
established a low risk 08 Clinic for indigent care in the Health Department setting.
June 1982 to December 1985
Public Health Nurse III, Weld County Health Department
Responsibilities: Supervisory duties for staff of 14 R.N.s and 3 clinic aides.
March 1980 to June 1982
Public Health Nurse I, Weld County Health Department
Responsibilities: health screening and counseling in Family Planning, Maternity,
Immunization clinics, Well Oldster and Child Health Clinics. Physical assessment sk ills
and teaching extensively. Member of Child Abuse Team.
WCDPHE RO-FPP 0001
APPENDIX D
WCDPHE FAMILY PLANNING PROGRAM
STAFF RESUMES
June 1976 to March 1980
Staff Nurse, Weld County General Hospital, Greeley, CO
Duties: Team nursing on a psychiatric unit. Worked in the float pool for one year.
Primary care nurse In post cardiac, isolation and more extensively In medical nursing
in,respiratory care and diabetes.
HONORS AND6WARDS
President, 1989, Colorado Community Health Nursing Director's Association
COMMUNITY ACTIVITIES
SIDS Support Group,Weld County, Co—Founder
Girl Scout Leader; 10 yr.award, active for 21 years.
REFERENCES
Available on Request.
RESUME
Linda H. Spangenberg, MSN, FNP
1319 Cranford Place
Greeley, CO 80631
(970) 356-5266
EDUCATION
B.A. Distributed Studies: Psychology, Biology & Chemistry
University of Colorado, Boulder, 1981
B.S.N. Nursing (Cum laude) •
University of Northern Colorado, Greeley, 1991
M.S.N. Family Nurse Practitioner
Regis University, Denver, July 1997
PROFESSIONAL EXPERIENCE
7/97 - present Family Nurse Practitioner
Weld County Health Department (WCHD), Greeley, Colorado.
Responsibilities: To provide clinical care in an independent setting to low-
income clients, including many Spanish-speakers and many teens.
Physician consult is available by phone and by site visit three hours per
week. While not yet fluent in Spanish, I require only occasional interpreter
assistance.
Prenatal Clinic - I see women with low- to moderate-risk
pregnancies. Significant complications are common.
Family Planning Clinic - I provide routine gynecologic exams and birth
control services for teens and adults.
Sexually Transmitted Disease Clinic - I provide exams, diagnosis an d
treatment of men and women following the model of the CDC STD
training site/clinic in Denver. I read my own wet preps.
Child Health Clinic - I give well-child exams, school physicals, and
immunizations for newborns through age eleven. I will also treat incidental
acute conditions found on exam.
General consultation - I serve as a consultation resource to WCHD's staff
of community health nurses and to the general public via telephone.
(I)
1993 - 7/97 Community Health Nurse II
Weld County Health Department, Greeley, Colorado.
Responsibilities:
Sexually Transmitted Disease Clinic - Histories, physical exams, diagnoses
and treatment.
Maternity Program - Charge nurse.
Child Health Program -Histories, physical exams and immunizations of
well children, newborn to age 12.
Home visits - Postpartum physical exams of mother and newborn,
breastfeeding support, education, community liaison.
Family Planning -. Histories, contraception education.
Communicable disease - Adult immunizations, TB medications,
PPD placement and evaluation, telephone information, travel
immunizations advice.
1992-1993 Home Health Nurse and Interim Nursing Director
Greeley Center for Independence, Greeley, Colorado
Responsibilities:
Staff supervision and training, Medicaid billing.
Care of patients with chronic disabilities: ventilator-dependent,
quadriplegia, head injuries, multiple sclerosis, muscular dystrophy
1991 Staff Nurse
Poudre Valley Hospital, Ft. Collins, Colorado
Responsibilities: Medical and cardiovascular acute care.
CLINICAL PRACTICUMS
Spring, 1996 Denver Metro Health Network, Aurora, Colorado
Summer, 1996 Weld County Health Department, Greeley, Colorado
Fall, 1996 Monfort Children's Clinic, Greeley, Colorado
Spring, 1997 Student Health Center, Colorado State University, Ft. Collins, CO
PROFESSIONAL ORGANIZATIONS
Sigma Theta Tau, Nursing Honor Society
American Nurses Association/Colorado Nurses Associat
Colorado Breastfeeding Task Force
Association of Nurse Practitioners in Reproductive Health
References and list of continuing education credits available upon request.
(2)
4/98
WCDPHE RO-FPP 0001
APPENDIX D
WCDPHE FAMILY PLANNING PROGRAM
STAFF RESUMES
WCDPHE RO-FPP 0001
APPENDIX E
LETTERS OF COMMUNITY SUPPORT
Letter 1: Weld County Board of Commissioners
Letter 2: Robert Francella
Business Manager
Monfort Children's Clinic
Letter 3: Mark Wallace, M.D.
Medical Director
Weld County Department of Public Health and Environment
and
Medical Residency Program
North Colorado Family Medicine
North Colorado Family Medicine
ratit \ OFFICE OF BOARD OF COMMISSIONERS
1 PHONE (970) 356-4000, EXT. 4200
�J FAX: (970) 352-0242
WI II
915 10TH STREET
O'
P.O. BOX 758 GREELEY, COLORADO 80632
1i
COLORADO
July 20, 1999
Colorado Department of Public Health and Environment
Attn: Robert O'Neill, Director of Purchasing
ASD-Purch-A2
4300 Cherry Creek Drive
Denver, CO 80248
Dear Mr. O'Neill:
The Weld County Board of County Commissioners fully supports our county's
application for the continuation of federal funding for provision of family planning
services to low income individuals. The Weld County Department of Public Health and
Environment is making application for this funding.
We feel, as a board of county commissioners, that early and comprehensive family
planning services offered to our citizens considerably enhances their health, safety,
and welfare. Our County Department of Public Health and Environment has
established exemplary programs of health services for our citizens who, for financial
limitation reasons would otherwise go without vital health care.
We sincerely encourage your positive consideration of this grant request on behalf of
Weld County citizens.
Very truly yours,
BOARD OF COUNTY COM ISSIONERS
V ! _
15ale K. all, Chair
arbara J. ' kme er, Pro m �Geo e E. Baxter
. . Geile enn Va
MONF OR T
+ elt♦
4p. 0 �^,
0 dd' '
Chi Idre 1'1'S
CLINIC
C A N I N G F O N S I D S
August 6, 1999
Colorado Department of Public Health and Environment
Attention - Robert O'Neill, Director of Purchasing
ASD-PURCH-A2
4300 Cherry Creek Drive
Denver, Colorado 80222
Dear Mr. O'Neill,
The Monfort Children's Clinic enthusiastically supports the Weld County Department of Public Health
and Environment's application for funding to continue its family planning program.
The Monfort Children's Clinic was created in 1995 and provides complete pediatric and adolescent
healthcare services for low-income families. Approximately 20% of our clients are adolescents and we
have many young moms who frequently have several children and utilize the services offered.
Since 1997, the Health Department has deployed staff members to the Monfort Children's Clinic on a
regular basis to provide medical and social supports and referrals to appropriate community agencies.
During their clinics here, they promote male and female reproductive health including testing, blood
pressure screening, contraception dispensing and education, STD testing and treatment and are
partners with us in providing immunizations.
This fine organization has proven its ability and commitment to providing these services to low-income
individuals. In fact, we are in the process of expanding our partnership with the Health Department to
offer a greater level of these services, and I am excited about the Health Department's increased
presence in our facility.
Finally, it is important to note that the Weld County Health Department is culturally sensitive in its staffing
and programming, works cooperatively to offer a wide range of quality services with many community
agencies.
Please do not hesitate to call if you would like any further information.
Best Regards,
Wiat4(efil/
Bob Francella
Executive Director
100 North 11th Avenue • Greeley, CO 80631-2011 • (970)352-8898 • FAX (970) 351-7075 • E-P3All mccllnic@pawneenet.com
North Colorado Family Medicine
A service of North Colorado Medical Center
Residency Training Program
1600 23rd Ave.
Greeley,CO 80631
(970)356-2424
August 9, 1999
Robert O'Neill
Director of Purchasing
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246-1530
Dear Mr. O'Neill:
This letter serves as my strongest support for the family planning services provided by
the Weld County Department of Public Health and Environment. Without this agency's
active role in providing crucial services to residents of our county, the family planning
needs of many, many people in our county would be unmet.
As a family physician actively seeing men and women desiring contraception I know
first-hand how critical a role our local health department plays in providing a safety-net
for the residents of Weld County. As much as I am impressed with the commitment local
physicians and practitioners make to meeting the needs of the under-served in our
community,the reality remains that the local health department plays a key role in
providing basic preventive health services to hundreds and hundreds of clients each year.
I urge the Colorado Department of Public Health and Environment to renew grant support
for the family planning services provided by the Weld County Department of Public
Health and Environment. Without this ongoing financial support services to needy men
and women would be eliminated resulting in devastating outcomes such as increased
numbers of undesired pregnancies. Our county and its residents cannot afford to see such
integral and valuable services eliminated for a lack of funding.
Sincerely, k sk, ^
Mark E. Wallace, MD, MPH
Assistant Administrator for Graduate and Continuing Medical Education, NCMC
Program Director,North Colorado Family Medicine
A member of Western Rains Health Network
WCDPHE RO-FPP 0001
APPENDIX F
OUTLINE OF WCDPHE'S FAMILY PLANNING CLINIC/TITLE X
PATIENT CARE SERVICES DELIVERY MODEL
Health Care Services Outline
I. Initial Visit
A. Education (group or individual)
B. Financial information
C. Complete medical history
D. Weight and height
E. Pap smear
F. Hematocrit
C. Chlamydia screening for women 21 years and under
H. Blood pressure
I. Interview from medical history
J. Complete physical examination
K. Post-exam interview
L. Supplies as needed
M. Return appointment made
II . Annual Visit
A. Update data base , including medical history and financial
information, as needed
B. Weight
C. Pap smear
D. Hematocrit, if IUD present
E. Indicated laboratory tests
F. Chlamydia screening for women 21 years and under
G. Blood pressure
H. Interview
I. Physical examination
J. Post.-exam interview/education
K. Supplies as needed
L. Return appointment made
III. Revisit
A. Update data base
B. Weight, if applicable
C. Blood pressure
D. Interview
E. Indicated laboratory tests
F. Indicated physical. exam
G. Post interview/education
H. Supplies
I. Return appointment, as indicated
IV. Problem
A. Update data base
WCDPHE RO-FPP 0001
APPENDIX F
OUTLINE OF WCDPHE'S FAMILY PLANNING CLINIC/TITLE X
PATIENT CARE SERVICES DELIVERY MODEL
B. Weight
C. Blood pressure
D. Interview
E. Indicated laboratory tests
F. Indicated physical exam
G. Post interview/education
H. Supplies
I. Return appointment or referral, as indicated
V. Supply Visits
A. Record verified for date of last examination
B. Order verified for oral contraceptive pills, number of cycles
already dispensed, and number of cycles left on prescription
C. Update on any problems or concerns
VI. Visits by method contraceptives
A. Oral contraceptives
1. New to method
3 cycles, then return for 3-month pill evaluation
10 cycles (maximum) if pill evaluation normal
2. Annual
Up to 13 cycles (maximum)
3. Revisits
High risk every 6 months (see Special Risk Factors Consent
OCP.003)
Individual discretion for more frequent visits may be made for
saecial circumstances, i.e. , teens, changing eligibility
status, slightly elevated B/P, heavy smoking, etc.
B. IUD
1. New insertion
6-12 week post-insertion exam
2. Annual
3. Revisits, as needed
C. Diaphragm
1. Return within 2-4 weeks for evaluation and fit check
2. Annual or bi-annual visit
3. Revisits, as needed
D. Cervical cap
1. 3 months after initial fitting, for repeat Pap smear
2. Annual visit
3 . Revisits, as needed
WCDPHE RO-FPP 0001
APPENDIX F
OUTLINE OF WCDPHE'S FAMILY PLANNING CLINIC/TITLE X
PATIENT CARE SERVICES DELIVERY MODEL
E. Foam and condoms
1. Annual or bi-annual visit
2. Revisits, as needed
F. Natural family planning
1. Annual or bi-annual visit
2. Revisits, as needed
G. Sterilization
1. Annual or -bi-annual visit
2. Revisits, as needed
H. Norplant
1. 2 weeks after insertion
2. 3 months after insertion
3. Annual visit
4. Revisits, as needed
I. DMPA (Depo Provera)
1. Every twelve weeks for re-injection
2. Annual visit
3. Revisits, as needed
WCDPHE RO-FPP 0001
APPENDIX G
WCDPHE'S OUTLET PHARMACY FORMULARY
Drug Formulary
Ihr
Weld County Public Health Department 3-26-99
Oral :
amoxicillin 250 mg capsule (pa)
clindamycin 150 mg capsule (po)
doxycycline 100 mg tablet/capsule (po)
erythromycin 250 mg & 500 mg tablet/capsule (pa)
ferrous fluconate 300 mg tablet (po)
metronidazole 500 mg tablet (po)
trimethoprini/pulfamethoxg ole US tablet (po)
cefixime 400 mg tablet (pq)
vitapiins-prpplttal with (blip acid tablet (pa)
azithromycin 1 cm powder packet Tor reconstitution (pa)
acyclovir 400 m3 tablet (po)
oflnxacin 4q0 mg tablet (po)
nitrofurantoln macro crystals tablet/capsule (Macrobid) (po)
Iluconazole 150 mg tablet
Oral Birth Control tablets :
Damien 1/35-28 (po)
(senora-28 (pa)
Loestrin FR 1/51 (po)
La Ovral-28 (pa)
Nordetle-28 (po)
Ortho-Cept 28 (pa)
firth() Novum 1/35-28 (pa)
Ortho-Novum 7/7/7-28 (pa)
Oveon-28 (po)
Micronor-28 (progestin only) (pa)
Ovrettc-28 (progestin only) po
Triphasil-28 (po)
'Fri-Cyclen-28 (po)
Otho-C:yc len-28(po).
Alesse (levonorgestrel 0.Img/estradiol 0.02mg) (po) *
'[apical agents:
clotrimazole 1% vaginal cream(intravaginul)
nystatin cream (topical)
lice shampoo 0.3% Pyrethins (topical shampoo) APPROVED
25% Podophyllin in tincture of Benzoin (topical)
trichloroacetic acid in 50�%o alurhol 60/90 (topical) STATE BOARD OF FfARMACY9
WCDPHE RO-FPP 0001
APPENDIX G
VVCDPHE'S OUTLET PHARMACY FORMULARY
WCPH Dept Formulary list continued:
Igjeetables:
diphenhydramine (Benadryl) 50 mg/lml ampullvial
epinephrine 1:1,000 ampul (parenteral)
medroxyprogcsterone acetate 150 mg suspension (IM)
penicillin 13 benzathine suspension 1.2 million units(IM) (regliigerated)
ceflrlaxone 250 mg powder vial (TM)
lidocaine 1% solution (local injectable anesthetic)
Immunization vaccines (all vaccines arc properly stored under refrigeration/freezer):
Cholera 0.5 ml(subcutaneous injection —SQ)
Diptheria, tetanus and Pertussis vaccine (DP'I') 0.5 ml (IM)
Ilemophaelis linfluenza B (HID) vaccine conjugate 0.5 ml (1M)
InfIttema vaccine 0.5 ml (IM)
Immune Globillin(1G) dose varies by patient weight (TM)
Injectable polio vaccine(IPV) 0.5 ml (IM)
Measles, Mumps, Ruehella vaccine(MMR) powder to reconstitue (1M)
Live trivalent oral polio vaccine(' dose per vial (po-liquid)
I'neumoccal vaccine,polyvalent 0,5 ml (TM)
'l uberculen purified proteins derivative-Mantoux(PPD) 0.1 ml (iniradermal)
Tetanus, Diptltcria vuuane(TD) 0.5 ml (IM)
Typhoid vaccine(q tablets) (po)
Japanese Encephalitis phaliitis vaccine 1 ml powder for rceonstitution(subcutancuus)
Meningococcal Polysacharide vaccine, groupA,C,Y & W 135 eomhined,0.5 ml (SQ)
Rabies vaccine I ml (lb)
Typhoid Vi polysaccharide vaccinc('I'yphoid) 0.5 ml (SQ)
Yellow Fever 0.5 ml powder to reconstitute (SQ)
Varicella(varivax) 0,5 nil (SQ
Diptheria, tetanus, Accellular Pertussis vaccine(DTaP) 0.5 ml (IM)
[WI' combined with Ilemophaclis Influenza B(Tetramune) 0.5 ml ((M)
Hepatitis A vaeeine(adult) (1-lavrix) I rnI (IM.)
Itepant's A vaccine, inactivated (age 2) 0.5 ml (I M)
Hepatitis 13 vaccine 1 ml adults, 0.5 ml Adolescents or infants (TM)
liemophaclis 13 conjugate vaccine 0.5 nil (IM)
Ilaemophilus h Conjugate (Meningocoecal Protein Conjugate) and I lepatitis 13 Vaccine
(IM)
Rain Virus Vaccine, (yo )+' �y p y uj�
APPROVEDc S
STATE BOARD OF r
WCDPHE RO-FPP 0001
APPENDIX H
WCDPHE'S CONFIDENTIALITY POLICY
SUBJECT: Confidentiality
PURPOSE: To document that each staff member has been oriented to and agrees to abide by
the strictest rules of confidentiality. To that end, all CI-IN staff will read the
following policy.
POLICY STATEMENT:
Custody of Records
The director at the Weld County Department of Public Health & Environment is considered to
be the designated legal custodian of all patient records. Questionable disclosures to persons
other than the patient and/or his or her legal guardian must be approved by the Director prior to
release. Furthermore, the public health agency is responsible for the provision of a safe place for
storage of patient records to prevent disclosure to unauthorized persons. Patient records will be
kept in a locked room when not in use and must not be left where other than authorized persons
have access to them.
Disclosure of Confidential Information- Conditions and Limitations
1. The law states that the custodian of records (defined as any authorized person having
personal cusl:ody and control of the public records in question, e.g., the public health
nurse) shall deny the right of inspection of the patient records except to the "person in
interest." The person in interest means and includes the person who is the subject of
record or any representative designated by said person. A parent or duly appointed legal
representative will be the person in interest if the subject of the record is under legal
disability.
The law further states that either the custodian or person of interest may request a
professionally qualified person to be present to interpret records. If it is the opinion of
the custodian of a public record that disclosure of the contents of said record could
produce substantial injury to the public interest, he may apply to the district court of the
district in which the record is locate for an order permitting him to restrict such
disclosure.
The foregoing provision applies to the inspection of records, as contrasted with the
release or contrasted with the release of transmittal records. The law, however, provides
that in all cases in which a person has the right to inspect a public record, he may request
that he be furnished copies of such record. The custodian can charge a reasonable fee for
this duplication. The custodian may make such rules and regulations with reference to
the inspection and duplication of records as shall be reasonable necessary for the
protection of such records and the prevention of necessary interference with the regular
discharge of the duties of the custodian or his office.
WCDPHE RO-FPP 0001
APPENDIX H
WCDPHE'S CONFIDENTIALITY POLICY
2. Release of Information will only occur with the original signature of"person in interest"
on a Release of Information form. Copies of an R.O.I. therefore, will not be accepted.
3. The exceptions to disclosure of confidential material is when abuse or neglect is
suspected. Then information will be turned over to proper legal authorities. No
informatio:a will be released to a court, and no staff member may attend a hearing unless
he/she receives a subpoena. This subpoena must be submitted to the County Lawyer for
review.
Other considerations in maintaining Confidentiality
4. All person employed in the public health agency should be oriented to the importance of
safeguarding the confidential nature of the record and any other patient information by
interview or any other means is essential. Office and clinic facilities should he such that
patient information is not inadvertently revealed to persons in the waiting room or any
place in his home or on the street while neighbors, relatives, or other persons are present.
Only those staff of the public health agency with a"need to know" should have access to
the client's record. "Need to know" is defined as that information necessary to carry out
the plan of care for the client and such related activities as billing procedures for
reimbursement.
Upon employment all staff of the public health agency shall be oriented to the policy of
confidentiality with documentation in the staff personnel file of such orientation.
5. Each staff member will be required to sign a statement that he/she has read and agrees to
abide by the confidentiality policy as stated. A copy will be kept in each individual's
employee file.
6. Any failure to comply with this confidentiality policy by any employee of the Weld
County Department of Public Health & Environment will be grounds for disciplinary
action; up to and including termination of employment.
7. I have read and I understand all of the above provisions of this Confidentiality Policy.
WCDPHE Employee Signature Date
WCDPHE Witness Signature Date
Formulated: (Date: 01/1994)
Reviewed: (Date: Month/Year)
Rrviceri• (r)nte 05/19991
WCDPHE RO-FPP 0001
APPENDIX I
WCDPHE'S FAMILY PLANNING PROGRAM
QUALITY ASSURANCE CRITERIA
FOR CHART REVIEW
CRITERIA FOR CHART REVIEW
A. Vital Signs
1. Blood pressure
2. Weight
3. ' Height
4. Last menstrual period
B. Lab Results - done as indicated and entered in chart
1. Hematocrit/hemoglobin
2. Urine screening for protein and sugar
3. Pap smear
4. Gonorrhea culture
5. Pregnancy test
6. Special chemistries
7. Wet smears
8. Chlamydia screen
C. Appropriate Physical Exam
1. Standards for routine visits met
2. Appropriate exam for problems
D. Health Issues Addressed
Evidence that medical history was complete and reviewed
Clinical Diagnosis/Impression/Assessment Recorded
Problem areas from history, physical examination, and interviewer's notes
identified and recorded, if applicable
F. Treatment Plan Outlined (Excluding any BC method)
1. Medication orders correctly written and dispensed
2. Other measures outlined - psycho-social follow-up
3. Referrals documented
G. Procedures described
(IUD Insertion, Diaphragm Fitting, Cap Fitting, etc. )
H. Follow-up Specified (Return to clinic, etc. )
I. Clinical Judgement
(Based on patient: statements, laboratory, physical exam, etc. )
1 . Accuracy of clinical impression
2. Appropriateness of prescription and person writing it
3. Appropriate consultation obtained and noted, as applicable
4. Appropriate referral made if applicable
J. Method Noted
1. OCP prescription correctly written and dispensed
2. Diaphragm type and size written
3. Cap type and size correctly written and dispensed
L Tim tuna and avniraf-inn dahn written
WCDPHE RO-FPP 0001
APPENDIX I
WCDPHE'S FAMILY PLANNING PROGRAM
QUALITY ASSURANCE CRITERIA
FOR CHART REVIEW
5. Continuation of a method noted
6. Reason for any method change or reason method deferred
t. Signature and Title ,
1. Provider signature and title
2. Co-signature and title as indicated
3. Legible
L. Subsequent Follow-Up
- Medical referral response/report in chart
M. Consent Forms
Appropriate consent forms (complete and in ink)
related to patient visit in chart
N. Income Information
Complete
0. Education
1. All methods discussed, at the initial exam and as indicated
2. Nutrition education, specific to history, physical findings, and birth control
method
3. SEE
4. AIDS education (See AIDS Policy regarding content)
5. Reproductive A&P, at initial exam and as indicated
6. Appropriate other education given as indicated by history
and physical exam to include but not be limited to:
a. Rubella
b. DES
c. Vaginal infection/STD treatment
d. UTI
WCDPHE RO-FPP 0001
APPENDIX J
DETAILED BUDGET PROPOSAL
FOR
WCDPHE'S FAMILY PLANNING PROGRAM
10/1/99 - 6/30/00
I APPLICANT I REQUESTED
FTE TOTAL I & OTHER I FROM CDPHE
PERSONAL SERVICES I I
Coordinator(MGR) I I
Nurse Practitioner 1.20 $ 52,724 I $ I $ 52,724
Nurse 3.05 88,667 58,242 I- :30,425
Aide (LPN)
Clerk (Secty) 2.40 38,890 I 38,890
Social Worker I I
Physician I I
Lab. Technician
Director(Supervisor) .79 28,407 28,407
Educator I I
Direct P.S. 7.44 $208,688 I $125,539 I $ 83,149
I i
FRINGE 52;172 I 31,385 I 20,787
Subtotal P.S. I I
$260,860 I $156,924 I $103,936
CONTRACTUAL SERVICES I I
Nurse Practitioner I I
I I
Physician 3,300 I 3,300
Pharmacist 263 I 263
Nurse I I
Aide
Subtotal C.S. 3,563 3,563
I I
OPERATING EXPENSES
Lab Services & Supp. 42,469 I 42,469
Educational Supp
Drugs & Cont. 57,956 57,956
Other Supp & Exp. 5,248 I 5,248 I
Staff Training 975 I 975 I
Outreach I I
Malpractice Ins. I I
Telephone I I
I I
Subtotal O.E. 106,648 I 106,648
TRAVEL 724 724
EQUIPMENT 386 386
INDIRECT 27,704 27,704
I I
TOTAL PROGRAM COSTS $399,885 $295,949 i $103,936
WCDPHE RO-FPP 0001
APPENDIX J
DETAILED BUDGET PROPOSAL
FOR
WCDPHE'S FAMILY PLANNING PROGRAM
10/1/99 - 6/30/00
REVENUE SOURCES:
CDPHE - Women's Health $103,936
Medicaid 5,192
Patient Donations 7,080
Patient Fees 30,292
In-Kind (Weld County Government) 253,385
TOTAL $399,885
WCDPHE RO-FPP 0001
APPENDIX K
WCDPHE'S FAMILY PLANNING PROGRAM
SLIDING FEE SCALE
1999
Developed From CDPHE/Title X Guidelines
Family Annual Income Monthly Income Weekly Income INCOME
Size CODE
< 8,240 < 687 < 158 1
1 8,240 - 12,360 687-1,030 158 -238 2
12,361-16,480 1,031-1,373 239-317 3
> 16,480 1,374-2,060 > 317 4
< 11,060 < 922 < 213 1
2 11,060 - 16,590 922 - 1,383 213-319 2
16,591 -22,120 1,384 - 1,843 320-425 3
> 22,120 1,844 -2,765 >425 4
< 13,880 < 1,157 < 267 1
3 13,1380-20,820 1,157- 1,735 267 -400 2
20,1321 -27,760 1,736 -2,313 401 - 534 3
> 27,760 2,314-3,470 > 534 4
< 16,700 < 1,392 < 321 1
4 16,700-25,050 1,392 -2,088 321 -482 2
25,051 - 33,400 2,089 -2,783 483 -642 3
> 33,400 2,784-4,175 >642 4
< 19,520 < 1,627 < 375 1
5 19,520 -29,280 1,627 -2,440 375- 563 2
29,281 -39,040 2,441 -3,253 564 -751 3
> 39,040 3,254-4,880 > 751 , 4
< 22,340 < 1,862 <430 1
6 22,340 -33,510 1,862 -2,793 430 -644 2
33,511 -44,680 2,794 - 3,723 645 -859 3
>44,680 3,724 -5,585 > 859 4
< 25,160 < 2,097 <484 1
7 25,160 -37,740 2,097- 3,145 484 - 726 2
37,741 -50,320 3,146-4,193 727 -968 '3
> 50,320 4,194-6,290 > 968 4
<27,980 <2,332 < 538 1
8 27,1390 -41,970 2,332 - 3,498 538 -807 2
41,971 - 55,960 3,499 -4,663 808- 1,076 3
>55,960 4,663-6,995 > 1,076 4
eNorth Colorado Family Medicine
A service of North Colorado Medical Center
Residency Training Program
1600 23rd Ave.
Greeley,CO 80631
(970)356-2424
August 9, 1999
Robert O'Neill
Director of Purchasing
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246-1530
Dear Mr. O'Neill:
This letter serves as my strongest support for the family planning services provided by
the Weld County Department of Public Health and Environment. Without this agency's
active role in providing crucial services to residents of our county, the family planning
needs of many, many people in our county would be unmet.
As a family physician actively seeing men and women desiring contraception I know
first-hand how critical a role our local health department plays in providing a safety-net
for the residents of Weld County. As much as I am impressed with the commitment local
physicians and practitioners make to meeting the needs of the under-served in our
community, the reality remains that the local health department plays a key role in
providing basic preventive health services to hundreds and hundreds of clients each year.
I urge the Colorado Department of Public Health and Environment to renew grant support
for the family planning services provided by the Weld County Department of Public
Health and Environment. Without this ongoing financial support services to needy men
and women would be eliminated resulting in devastating outcomes such as increased
numbers of undesired pregnancies. Our county and its residents cannot afford to see such
integral and valuable services eliminated for a lack of funding.
Sincerely, k
Mark E. Wallace, MD, MPH
Assistant Administrator for Graduate and Continuing Medical Education, NCMC
Program Director,North Colorado Family Medicine
A member of Western Plains Health Network
"v/ North Colorado family Medicine
A service of North Colorado Medical Center
Residency Training Program
1600 23rd Ave.
Greeley,CO 80631
(970)356-2424
August 9, 1999
Robert O'Neill
Director of Purchasing
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246-1 53 0
Dear Mr. O'Neill:
This letter serves as my strongest support for the family planning services provided by
the Weld County Department of Public Health and Environment. Without this agency's
active role in providing crucial services to residents of our county, the family planning
needs of many, many people in our county would be unmet.
As a family physician actively seeing men and women desiring contraception I know
first-hand how critical a role our local health department plays in providing a safety-net
for the residents of Weld County. As much as I am impressed with the commitment local
physicians and practitioners make to meeting the needs of the under-served in our
community, the reality remains that the local health department plays a key role in
providing basic preventive health services to hundreds and hundreds of clients each year.
I urge the Colorado Department of Public Health and Environment to renew grant support
for the family planning services provided by the Weld County Department of Public
Health and Environment. Without this ongoing financial support services to needy men
and women would be eliminated resulting in devastating outcomes such as increased
numbers of undesired pregnancies. Our county and its residents cannot afford to see such
integral and valuable services eliminated for a lack of funding.
Sincerely,
Mark E. Wallace, MD, MPH
Assistant Administrator for Graduate and Continuing Medical Education,NCMC
Program Director,North Colorado Family Medicine
A member of Western Plains I Iealih Network
0 North Colorado Family Medicine
A service of North Colorado Medical Center
Residency Training Program
1600 23rd Ave.
Greeley,CO 80631
(970)356-2424
August 9, 1999
Robert O'Neill
Director of Purchasing
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246-1530
Dear Mr. O'Neill:
This letter serves as my strongest support for the family planning services provided by
the Weld County Department of Public Health and Environment. Without this agency's
active role in providing crucial services to residents of our county,the family planning
needs of many, many people in our county would be unmet.
As a family physician actively seeing men and women desiring contraception I know
first-hand how critical a role our local health department plays in providing a safety-net
for the residents of Weld County. As much as I am impressed with the commitment local
physicians and practitioners make to meeting the needs of the under-served in our
community, the reality remains that the local health department plays a key role in
providing basic preventive health services to hundreds and hundreds of clients each year.
I urge the Colorado Department of Public Health and Environment to renew grant support
for the family planning services provided by the Weld County Department of Public
Health and Environment. Without this ongoing financial support services to needy men
and women would be eliminated resulting in devastating outcomes such as increased
numbers of undesired pregnancies. Our county and its residents cannot afford to see such
integral and valuable services eliminated for a lack of funding.
Sincerely, l ""o ket
Mark E. Wallace, MD, MPH
Assistant Administrator for Graduate and Continuing Medical Education, NCMC
Program Director, North Colorado Family Medicine
A member of Western Plains I lealih Network
"'--'/ North Colorado Family Medicine
A service of North Colorado Medical Center
Residency Training Program
1600 23rd Ave.
Greeley,CO 80631
(970)356-2424
August 9, 1999
Robert O'Neill
Director of Purchasing
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246-1530
Dear Mr. O'Neill:
This letter serves as my strongest support for the family planning services provided by
the Weld County Department of Public Health and Environment. Without this agency's
active role in providing crucial services to residents of our county, the family planning
needs of many, many people in our county would be unmet.
As a family physician actively seeing men and Women desiring contraception I know
first-hand how critical a role our local health department plays in providing a safety-net
for the residents of Weld County. As much as I am impressed with the commitment local
physicians and practitioners make to meeting the needs of the under-served in our
community, the reality remains that the local health department plays a key role in
providing basic preventive health services to hundreds and hundreds of clients each year.
I urge the Colorado Department of Public Health and Environment to renew grant support
for the family planning services provided by the Weld County Department of Public
Health and Environment. Without this ongoing financial support services to needy men
and women would be eliminated resulting in devastating outcomes such as increased
numbers of undesired pregnancies. Our county and its residents cannot afford to see such
integral and valuable services eliminated for a lack of funding.
Sincerely,
ig autt 1416
Mark E. Wallace, MD, MPH
Assistant Administrator for Graduate and Continuing Medical Education,NCMC
Program Director,North Colorado Family Medicine
A member of Western Plains Health Network
9-0
North Colorado Family Medicine
A service of North Colorado Medical Center
Residency Training Program
1600 23rd Ave.
Greeley,CO 80631
(970)356-2424
August 9, 1999
Robert O'Neill.
Director of Purchasing
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246-1530
Dear Mr. O'Neill:
This letter serves as my strongest support for the family planning services provided by
the Weld County Department of Public Health and Environment. Without this agency's
active role in providing crucial services to residents of our county, the family planning
needs of many. many people in our county would be unmet.
As a family physician actively seeing men and women desiring contraception I know
first-hand how critical a role our local health department plays in providing a safety-net
for the residents of Weld County. As much as I am impressed with the commitment local
physicians and practitioners make to meeting the needs of the under-served in our
community, the reality remains that the local health department plays a key role in
providing basic preventive health services to hundreds and hundreds of clients each year.
I urge the Colorado Department of Public Health and Environment to renew grant support
for the family planning services provided by the Weld County Department of Public
Health and Environment. Without this ongoing financial support services to needy men
and women would be eliminated resulting in devastating outcomes such as increased
numbers of undesired pregnancies. Our county and its residents cannot afford to see such
integral and valuable services eliminated for a lack of funding.
Sincerely,
f - o - At
Mark E. Wallace, MD, MPH
Assistant Administrator for Graduate and Continuing Medical Education, NCMC
Program Director,North Colorado Family Medicine
A member of Western Plains Health Network
4111 mEmORAnDum
wilk
To Dale Hall, Chair Date Augus 13, 1999
COLORADO Board of County Commissioners
From John Pickle, Director, Department of Public Health and Environment
Subject: State funds for Family Planning Program 17 ,
Enclosed for Board review and approval is a proposal for non-Federal funding of the Family
Planning Program for the Weld County Department of Public Health and Environment from the
State of Colorado.
This is the first time that Family Planning agencies were required to submit a bid for funding from
the State. Weld County seeks to continue provision of Family Planning Services to the increasing
number of Weld County residents who seek this vital service. The funding period for this request
runs from October 1, 1999 to June 30, 2000. The resulting contract may be renewed for one
additional year at the sole discretion of the State.
I recommend your approval of this bid.
Enclosures
Crg2c 1
Hello