HomeMy WebLinkAbout20241594.tiffRESOLUTION
RE: APPROVE TASK ORDER CONTRACT FOR SYPHILIS FIELD DELIVERY THERAPY
(FDT) 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 a Task Order Contract for the Syphilis
Field Delivery Therapy (FDT) Program between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the Department of
Public Health and Environment, and the Colorado Department of Public Health and Environment,
commencing upon full execution of signatures, and ending June 30, 2025, with further terms and
conditions being as stated in said contract, and
WHEREAS, after review, the Board deems it advisable to approve said contract, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Task Order Contract for the Syphilis Field Delivery Therapy
(FDT) Program between the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County, on behalf of the Department of Public Health and
Environment, and the Colorado Department of Public Health and Environment, be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said contract.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 17th day of June, A.D., 2024.
BOARD OF COUNTY COMMISSIONERS
WELD CO '. COLO • •
ATTEST: r.�a J jk.fo:4
Weld County Clerk to the Board
BY: v-'l.1Jailtk ick..
Deputy Clerk to the Board
Ross, Chair
s6aA
L. Bu . Pro-Tem
Mike Freeman
APP aVED FORM:" ' \. XCUSED
ott K. James
County At ney
Date of signature: IZ�
on Saine
(NAY)
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2024-1594
HL0057
Cor ad- ( 8312
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: Syphilis Field Delivered Therapy (FDT) Program Contract
DEPARTMENT: PUBLIC HEALTH AND ENVIRONMENT DATE: June 6, 2024
PERSON REQUESTING: Jason Chessher, Executive Director
Shaun May, Public Health Services Division Director
Brief description of the problem/issue:
In Colorado, the rates of syphilis diagnosis have increased by 121.8% overall from 2019 to 2023 and by
320.1% for females in the same time frame. Per CDPHE data, for all -stages syphilis diagnoses in Weld
County, cases have increased cases from 22 confirmed cases in 2018 to 91 confirmed cases in 2022.
CDPHE recently approached Weld County to become the second local health department to support treatment
and prevention of syphilis by participating in CDPHE's Field Delivered Therapy (FDT) program. FDT is the
delivery of medication or a prescription in the field (typically at home) to clients, their partner(s) or both, and is
an appropriate option for individuals who are at increased risk for sexually transmitted infections (STIs),
underinsured or uninsured, those lost to treatment follow-up, or unlikely to seek treatment in a timely fashion.
Under the FDT program, WCDPHE will partner with CDPHE to provide Northeastern Colorado regional
coverage for Weld, Larimer, Morgan, Washington, Philips, Logan, Yuma, and Sedgwick counties.
What options exist for the Board?
If the Board approves this contract, WCDPHE will implement an evidenced -based FDT for those infected with
syphilis to prevent further transmission in Weld and other counties in Northeastern Colorado.
If the Board chooses to decline this agreement, the WCDPHE will not participate in the FDT syphilis program.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): CDPHE has offered full funding for
the program in the amount of $125,202 to cover all expenses (staffing, supplies and operating expenses,
travel, and other costs) related to this program from July 1, 2024, to June 30, 2025. If the Board approves this
contract, WCDPHE will hire a Public Health Nurse after July 1, 2024 to administer the program. Any
employee(s) hired with grant funding acknowledge at the time of hire that grant funded positions expire if/when
grant funding expires. Program funding is expected to continue through 2026, at a minimum.
Recommendation: I recommend the Board approve the FDT program & contract for placement on a future
agenda for formal consideration.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck, Pro-Tem
Mike Freeman
Scott K. James
Kevin D. Ross , Chair
Lori Saine
to/1-1
2024-1594
DocuSign Envelope ID: 0CF5D17E-7D01-4B00-A7E8-23A35297D12A
TASK ORDER
State Agency
State of Colorado for the use & benefit of the
Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver CO 80246
Contractor
Board of County Commissioners of Weld County (a
political subdivision of the state of Colorado)
1150 "O" Street
Greeley CO 80631
for the use and benefit of the Weld County
Department of Public Health and Environment 1555
North 17th Avenue Greeley CO 80631
Main Task Order Contract Number
23 FAA 00051
Task Order Number
2025*0538 OC
Task Order Performance Beginning Date
The later of the Task Order Effective Date or July
1, 2024.
Task Order Maximum Amount
Initial Term
7/1/2024 - 6/30/2025 $125,202.62
Total for All State Fiscal Years $125,202.62
Task Order Expiration Date
June 30, 2025
Except as stated in §2.D., the total duration of this
Contract, including the exercise of any options to
extend, shall not exceed 5 years from its Performance
Beginning Date.
Pricing/Funding
Price Structure: Cost Reimbursement
Contractor Shall Invoice: Monthly
Funding Source:
State $125,202.62
Miscellaneous:
Authority to enter into this Contract exists in:
C.R.S. 25-1.5-101 - C.R.S. 25-1.5-113
Law Specified Vendor Statute (if any): Enter Program
specific
Procurement Method: Select
Solicitation Number (if any): # Enter Solicitation#
State Representative
Lacy Mulleavey, Health Professional IV, Office of STI/HIV/VH
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver CO 80246
lacy.mulleavey@state.co.us
Contractor Representative
Bill Fritz
Board of County Commissioner of Weld County
1150 "O" Street
Greeley CO 80631
bfritz@weld.gov
Exhibits and Order of Precedence
The following Exhibits and attachments are included with this Contract:
Exhibit A Additional Provisions
Exhibit B Statement of Work
Exhibit C Budget
Contract Purpose
This health project serves to reduce new cases of congenital syphilis by screening, identifying, and treating syphilis in
persons of reproductive age in Colorado.
In accordance with §4.B of the Main Task Order Contract referenced above, Contractor shall complete the following
Project:
1. PROJECT DESCRIPTION
Contractor shall complete the Project described in Exhibit B Statement of Work (SOW) that is attached hereto and
incorporated herein (the "SOW"). All terminology used in this Task Order and the Statement of Work shall be interpreted
in accordance with the Main Task Order Contract unless specifically defined differently in this Task Order. The Statement
Task Order Number: 2025*0538 Original Contract Page 1 of 3
Version 05.02.2022
DocuSign Envelope ID: 0CF5D17E-7D01-4B00-A7E8-23A35297D12A
of Work and Budget are incorporated herein, made a part hereof and attached hereto as Exhibit B - Statement of Work
and Exhibit C - Budget.
2. PAYMENT
The State shall pay Contractor the amounts shown in Exhibit C - Budget that is attached hereto and incorporated herein,
in accordance with the requirements of the Statement of Work and the Main Task Order Contract. The State shall not
make any payment for a State Fiscal Year that exceeds the Task Order Maximum Amount shown above for that State
Fiscal Year.
3. PERFORMANCE PERIOD
Contractor shall complete all Work on the Project described in this Task Order by the Task Order Expiration Date stated
above. Contractor shall not perform any Work described in the Statement of Work prior to the Task Order Performance
Beginning Date or after the Task Order Expiration Date stated above.
4. TASK ORDER EFFECTIVE DATE:
The Effective Date of this Task Order is upon approval of the State Controller or July 1, 2024, whichever is later.
Task Order Number: 2025*0538 Original Contract Page 2 of 3 Version 05.02.2022
DocuSign Envelope ID: 0CF5D17E-7D01-4B00-A7E8-23A35297D12A
THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT
Each person signing this Contract represents and warrants that he or she is duly authorized to
execute this Contract and to bind the Party authorizing his or her signature.
STATE OF COLORADO
CONTRACTOR
Jared S. Polls, Governor
Board of County Commissioners of Weld County
Colorado Department of Public Health and Environment
(a political subdivision of the state of Colorado) for the use
and benefit of the Weld County Department of Public
Jill Hunsaker Ryan, MPH, Executive Director
Health and Environment
c-DoeuSigned by:�Q`
ktAitA. V. leOSS
DozeSigned byy::'� (, ,
rauist,a, (!fell.
'k4°'"' -'"''F... By: Signature
2C1YJ.1C524D7_.
By: Signature
Kevin D. Ross
Chelsea Gilbertson
Name of Person Signing for Contractor
Name of Executive Director Delegate
Chair
Procurement & Contracts Section
Title of Person Signing for Contractor
Title of Executive Director Delegate
2024-06-17
Date:
024-06-18
Date:
In accordance with §24-30-202, C.R.S., this Option is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
rDocuSigned by:
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jouAdtt, carita
OCA�4D14�4C740A..
By: Signature
Jannette Scarpino
Name of State Controller Delegate
Chief Financial officer
Title of State Controller Delegate
2024-06-18
Effective Date:
--Signature Page End --
Task Order Number: 2025*0538 Original Contract Page 3 of 3
Version 05.02.2022
,2%24 -, `g`t
DocuSign Envelope ID: 0CF5D17E-7D01-4B00-A7E8-23A35297D12A
EXHIBIT A
ADDITIONAL PROVISIONS
Original Contract Routing
Number: 2025*0538
These provisions are to be read and interpreted in conjunction with the provisions of the Contract specified above.
1. To receive compensation under the Contract, the Contractor shall submit a signed Monthly CDPHE
Reimbursement Invoice Form. This form is accessible from the CDPHE internet website
https://www.colorado.gov/pacific/cdphe/standardized-invoice-form-and-links and is incorporated and made
part of this Contract by reference. CDPHE will provide technical assistance in accessing and completing the
form. The CDPHE Reimbursement Invoice Form and Expenditure Details page must be submitted no later
than forty-five (45) calendar days after the end of the billing period for which services were rendered.
Expenditures shall be in accordance with the Statement of Work and Budget.
Electronically sign the completed CDPHE Reimbursement Invoice Form and email the PDF invoice and Excel
Expenditure Details page to: cdphe sthv contractmonitoring@state.co.us.
Final billings under the Contract must be received by the State within a reasonable time after the expiration or
termination of the Contract; but in any event no later than forty-five (45) calendar days from the effective
expiration or termination date of the Contract.
Unless otherwise provided for in the Contract, "Local Match", if any, shall be included on all invoices as
required by funding source.
The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless
approved in writing by the appropriate federal agency.
2. Time Limit For Acceptance Of Deliverables.
a. Evaluation Period. The State shall have forty-five (45) calendar days from the date a deliverable is
delivered to the State by the Contractor to evaluate that deliverable, except for those deliverables that
have a different time negotiated by the State and the Contractor.
b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design
specifications for that particular deliverable, or is otherwise deficient, then the State shall notify the
Contractor of the failure or deficiencies, in writing, within forty-five (45) calendar days of: 1) the
date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or
deficiency at the time of delivery; or 2) the date the State becomes aware of the failure or deficiency.
The above time frame shall apply to all deliverables except for those deliverables that have a
different time negotiated by the State and the Contractor in writing pursuant to the State's fiscal
rules.
c. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed
deliverable, the Contractor shall have a reasonable period of time, not to exceed thirty (30) calendar
days, to correct the noted deficiencies.
3. Health Insurance Portability and Accountability Act (HIPAA) Business Associate Determination.
The State has determined that this Contract does not constitute a Business Associate relationship under
HIPAA.
4. The Contractor shall comply with the following rules and regulations when performing data collection and
entry, reporting, and the implementation of activities.
Agreement Number:2025*0538 Page 1 of 2
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EXHIBIT A
The guidelines and standards in Colorado Statutes are located on the following state of Colorado
website and are incorporated and made part of this Contract by reference:
https://leg.colorado.gov/agenc ies/o ffice-legi slative-legal-services/colorado-revised-statutes
i. Colorado Revised Statute § 25-4-404 concerning HIV infection.
ii. Colorado Revised Statute § 25-4-14 concerning HIV.
iii. Colorado Revised Statute §18-4-412 concerning the theft of medical records.
iv. Colorado Revised Statue § 25-1-520 concerning syringe access programs.
v. Colorado Revised Statute § 25-1-122 named reporting of certain diseases
b. The guidelines and standards from the State Board of Health are located on the following State of
Colorado website and are incorporated and made part of this Contract by reference:
https://www.sos.state.co.us/CCR
i. Colorado State Board of Health Rules and Regulations for Epidemic and Communicable
Disease Control (6 CCR 1009-1)
c. The CDPHE Communicable Reportable Conditions Guidelines are located on the following State
of Colorado website and are incorporated and made part of this Contract for reference:
https://www.colorado.gov/pacific/cdphe/report-a-disease
d. The CDPHE STI and HIV funded partner guidance and policies are identified below. These
documents are incorporated and made part of this Contract for reference and are available on the
following website: https://www.colorado.gov/pacific/cdphe/sti-hiv-funded-partner-policies
i. Standards for HIV Prevention Services
ii. Standards for HCV Prevention Services
iii. Standards of Care for Prevention Services for People Who Use Drugs
iv. CDPHE Section Policy on Condom Distribution Involving Minors
v. Reporting Requirements for HIV and Viral Hepatitis Prevention Contractors
vi. Guidelines for Legal and Operational Protection of Confidential HIV and Communicable
Disease Public Health Reports and Records
vii. Requirements of Collaboration with the CDPHE STI/HIV Client Based Prevention Program
viii. CDPHE Linkage to Care Brochure
ix. Use of Incentives Guidelines
5. The Contractor shall comply with STI/HIV Subrecipient fiscal guide when using contracted funds. This
document is incorporated and made part of this Contract by reference at
https://drive.google.com/file/d/1 zC4z-GrXn6ucbjep 12xNDFWd-nHmGw 1 A/view
6. The State, at its discretion, shall have the option to increase or decrease the statewide quantity of goods and/or
services based upon the rates established in this contract and modify the maximum amount payable accordingly. In
order to exercise this option, the State shall provide written notice to Contractor in a form substantially equivalent to
Exhibit D. Deilvery of Goods and/or performance of Services shall continue at the same rates and terms as
described in this contract.
Agreement Number: 2025*0538 Page 2 of 2
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EXHIBIT B
STATEMENT OF WORK
To Original Contract Number 2025*0538
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
I. Entity Name: Weld County Department of Public Health ("WCDPHE")
IL Project Description: This health project serves to prevent new cases of syphilis by screening, identifying
and treating. WCDPHE will provide field -delivered therapy ("FDT") to any individual who is unable or
unlikely to access treatment in a clinical setting. The project seeks to increase early identification of
syphilis, access to treatment and referrals, linkage to prenatal care services, which will reduce the risk and
burden of syphilis transmission. This project is being funded to address the increasing rates of syphilis in
Colorado.
III. Definitions:
1. Advertise - To advertise means a read, written, visual, oral, watched, or heard bid for, or call to
attention. Advertisements can be considered communications or marketing based on the intent and
content of the message.
2. Active Referrals- Active referrals are providing assistance to a client(s) with accessing the service
they are referred to, including but not limited to: assisting clients in making an appointment,
completing a Release of Information, providing resources for client to access services, providing
appointment reminders, following up with the agency providing the service to confirm client's
attendance
3. CDC — Centers for Disease Control and Prevention
4. CDPHE — Colorado Department of Public Health and Environment
5. CLIA — Clinical Laboratory Improvement Amendments
6. DIS - Disease Intervention Specialist
7. Client - An individual receiving contracted services by the Contractor.
8. FDT Eligibility Criteria- Any individual with a positive syphilis screen or anyone who is a sex
partner to someone who has tested positive for syphilis.
9. FDA — Food and Drug Administration
10. FDT - Field -Delivered Therapy
11. HCV — Hepatitis C Virus
12. HIV — Human Immunodeficiency Virus
13. Indicated Intervention - STI screening, treatment and referrals
14. LPHA - Local Public Health Departments in Colorado
15. Prenatal care - Medical care, specific to individuals who are pregnant, that is received during
pregnancy; including check-ups and prenatal testing
16. Pregnancy Testing - A test that checks the client or patient's pee or blood for a hormone called
human chorionic gonadotropin (hCG).
17. PrEP — Pre -Exposure Prophylaxis
18. Priority Population: Anyone with a positive syphilis screen, or anyone who is a sex partner to
someone who has tested positive for syphilis
19. Quality Improvement Plan - A set of focused activities designed to monitor, analyze and
improve the quality of processes in order to improve the outcomes of a program.
20. Rapid Syphilis Testing - point of care tests that can be performed outside a laboratory setting,
using a small amount of whole blood collected by a finger prick.
21. Reactive rapid syphilis result - One of three possible results from a rapid syphilis test. A reactive
result using a rapid syphilis test is also interpreted as `positive'.
22. REDCap — Research Electronic Data Capture: a secure web application for data collection
23. ROI - Release of Information
24. Screen -Assessment of clients to identify the possible presence of and/or risk for additional social,
behavioral, and financial risks including, but not limited to, substance use, intimate partner
violence, medication assistance, and linkage to care
25. Service area - Larimer, Morgan, Weld, Washington, Philips, Logan, Yuma, Sedgwick
26. STI- Sexually Transmitted Infection
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EXHIBIT B
27. Support Services - Support services may consist of STI/HIV case management, linkage to care
services, housing assistance, food services, mental health treatment, substance use treatment,
transportation assistance, intimate partner violence services, crisis services, and medication
assistance.
28. VH — Viral Hepatitis
IV. Work Plan:
Goal #1: Provide high -quality HIV, STI, and VH prevention services to increase the priority population's access to
testing, education, and treatment, and reduce the acquisition of HIV/STINH throughout Colorado in order to disrupt
health inequities.
Objective #1: No later than the expiration date of the contract, reduce the spread of syphilis through syphilis
prevention intervention services for the priority population in the service area.
Primary Activity #1
The Contractor shall complete the indicated intervention services.
1. The Contractor shall evaluate clients to determine FDT eligibility.
2. The Contractor shall offer confirmatory testing for clients with a reactive rapid syphilis
result.
Sub -Activities #1
3. The Contractor shall offer pregnancy testing to females of reproductive age who test
positive for syphilis.
4. The Contractor shall create education materials for distribution.
5. The Contractor shall offer field -delivered therapy to eligible individuals
6. The Contractor shall complete Monthly Narrative Reports.
7. The Contractor shall complete client -level data REDCap forms.
Primary Activity #2
The Contractor shall evaluate clients for additional support services.
1. The Contractor shall screen patients for eligible support services.
2. The Contractor shall refer patients to eligible support services.
Sub -Activities #2
3. The Contractor shall review the results for each patient screened through the indicated
intervention.
4. The Contractor shall notify the patient of positive syphilis results.
5. The Contractor shall facilitate visits for syphilis treatment.
6. The Contractor shall document referral information through REDCap
7. The Contractor shall complete Monthly Narrative Reports.
Primary Activity #3
The Contractor shall complete a Quality Improvement Plan
1. The Contractor shall create a Quality Improvement Plan
2. The Contractor shall implement the approved Quality Improvement Plan
Sub -Activities #3
3. The Contractor shall record the results of Quality Improvement Plan
Primary Activity #4
The Contractor shall attend scheduled CDPHE Contract Monitoring Calls
1. The content of electronic documents located on CDPHE and non-CDPHE websites and
information contained on CDPHE and non-CDPHE websites may be updated
periodically during the contract term. The Contractor shall monitor documents and
Standards and
Requirements
website content for updates and comply with the most recent revisions.
2. The Contractor shall comply with the following rules and regulations when performing
data collection and entry, reporting, and the implementation of activities.
a. The CDPHE Communicable Reportable Conditions Guidelines are located on
the following state of Colorado website. This information is incorporated and
made part of this Contract for reference:
htlps://www.colorado.gov/pacific/cdphe/report-a-disease
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EXHIBIT B
b. The CDPHE STI and HIV funded partner guidance and policies are identified
below. These documents are incorporated and made part of this Contract for
reference and are available on the following website:
https://www. colorado. gov/pacific/cdphe/sti-hiv-funded-partner-policies
3. The Contractor shall maintain one (1) of the following for syphilis testing throughout
the life of the project:
a. Valid, non -expired CLIA waiver certificate
b. Valid, non -expired CLIA certificate
4. The Contractor shall use FDA approved testing technology when administering rapid
syphilis testing and adhere to manufacturers' instructions as to use and storage.
5. CDPHE will provide a schedule for virtual monitoring calls with the Contractor, at a
minimum, quarterly, within 45 days of contract execution.
6. CDPHE will provide a response to requests for technical assistance to the Contractor
upon request within five (5) business days. Technical assistance can be requested via
email at: cdphe_sthv_contractmonitoring@state.co.us.
7. The Contractor shall collect a minimum of 90% of required data elements for Syphilis
testing and other funded intervention services and activities.
8. CDPHE or its designated evaluation agency will act as the Contractor's data
administrator for REDCap.
9. The Contractor shall provide access to REDCap, as designated by CDPHE, for a
minimum of one (I) staff person for the purposes of entering Syphilis testing, and
other funded services and activities.
a. This information is incorporated and made part of this Contract by reference.
Access to REDCap can be attained by completion of the REDCap User
Account/Change Request Form:
https://cdphe. redcap. state. co.us/surveys/?s=KFE7RFLH 7X
10. The Contractor shall complete the following REDCap instruments for all client -level
indicated interventions:
a. Client Intake
b. Field -Delivered Therapy
11. The Contractor shall enter all data related to contracted services into REDCap no later
than ten (10) calendar days of each session or client encounter.
12. The Contractor shall use the required data elements described in the sample document
NHM&E Data Variables and Values. This document is incorporated and made part of
this Contract by reference and is available on the following website:
https://www.colorado. gov/pacific/cdphe/sti-hiv-funded-partner-policies.
13. The Contractor shall use the REDCap Monthly Narrative Report form for the monthly
progress reports, or other report form as designated by CDPHE.
14. CDPHE will provide the Contractor access to the REDCap Monthly Narrative Report
form via email within 30 days of contract execution. The monthly narrative report will
document the following information about each respective contracted service:
a. Description of how work was implemented for the contracted service
b. Description of barriers or challenges related to providing the contracted
service.
c. Description of technical assistance provided to LPHAs
d. Technical assistance needs
e. Program changes
15. The Contractor shall comply with CDC Guidelines when developing HIV/STINH
prevention -related marketing and education materials for distribution. The CDC
Guidelines for HIV/STINH prevention materials are incorporated and made part of
this Contract by reference and is available on the following website:
https://www.cdc.gov/hivnexus/hcp/guidelines/?CDC AAref Val=https://www.cdc.go
v/hiv/clinicians/guidelines/index.html.
16. The Contractor shall complete active referrals for clients needing syphilis treatment:
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EXHIBIT B
a. The Contractor shall work with the Weld County Health Department to refer
patients to the Weld County Health Department for clinical treatment.
b. The Contractor shall work with the Weld County Health Department Nurse
to refer clients to field -delivered therapy (FDT) for those with a positive
syphilis test and have barriers to treatment, as well as patients who are
unable to access treatment in a clinical setting.
17. Quality Improvement Plan: The Quality Improvement Plan shall include the following
related to the implementation and delivery of funded intervention services and
activities:
a. Evaluate the number of referrals
b. Evaluate the number of individuals adequately treated
c. Evaluate the efficacy of processes to ensure individuals from the priority
populations with a positive syphilis screen are referred appropriately for
follow up services
d. The Contractor shall submit the written draft Quality Improvement Plan to
CDPHE Contract Monitor.
e. CDPHE will provide feedback and make a request for any revisions to the
Contractor within 15 business days of receipt.
1 The Contractor shall complete the request for any suggested changes or
revisions within 30 business days.
g. The Contractor shall submit the final written Quality Improvement Plan.
18. The Contractor shall monitor and assess:
a. Evaluate the number of referrals
b. Evaluate the efficacy of processes to ensure individuals from the priority
populations are adequately treated
19. The Contractor shall submit distributable materials by email to CDPHE for
approval prior to implementation
a. The types of materials shall be submitted:
i. Education materials for contracted services
ii. Education curriculum for contracted services
b. CDPHE will respond to material submissions within ten (10) business days
and provide proposed revisions or approval.
c. The Contractor shall edit materials as recommended by CDPHE within ten
(10) business days of receipt of recommendations.
d. CDPHE will provide final approval for materials within five (5) business
days.
20. The Contractor shall comply with CDPHE's Use of Incentive Guideline when
distributing incentives for contracted services. This form is incorporated and made part
of this Contract by reference and is available at the following website:
https://drive.google.com/file/d/1HvLVxV4P LoLDx6Mx16cWO2UShMPsdKO/view.
21. The Contractor shall submit deliverables to the CDPHE Contract Monitor via email at
state.co.us.
cdphe sthv contractmonitoringstate.co.us.
Expected Results of
Activity(s)
1. Individuals at risk for acquiring syphilis will increase participation with syphilis
prevention activities.
2. Individuals who have acquired syphilis will increase participation with syphilis
treatment.
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EXHIBIT B
Measurement of
Expected Results
1. Number of clients served as tracked in REDCap.
2. Achieve at least 90% treatment completion rate among individuals referred through
indicated intervention.
3. Number of clients with known pregnancy status documented in REDCap
4. Documented progress of indicated interventions delivered included in the monthly
progress reports.
Completion Date
Deliverables
1. The Contractor shall submit
a monthly progress report to
the Contract Monitor via
email
No later than 30 calendar days following the last day
of each month, with the final report due by the contract
end date.
2. The Contractor shall submit
the draft written Quality
Improvement Plan.
No later than five (5) months after the contract start
date.
3. The Contractor shall submit
the final written Quality
Improvement Plan to the
Contract Monitor via email.
No later than six (6) months after the contract start
date.
4. The Contractor shall submit
the results of the Quality
Improvement Plan to
Contract Monitor via email.
No later than 30 days prior to the contract end date.
V.
Monitoring:
CDPHE's monitoring of this Contract for compliance with performance requirements will be conducted
throughout the contract period by the CDPHE Contract Monitor. Methods used will include a review of
documentation determined by CDPHE to be reflective of performance to include progress reports, REDCap
reports or reports from other databases as designated by CDPHE, site visits, invoices and other fiscal and
programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals
and communicated to the Contractor. A Final Contractor Performance Evaluation will be conducted at the
end of the life of the contract.
VI. Resolution of Non -Compliance:
The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue.
Within 30 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to
determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be
completed. The action(s) and timeline for completion will be documented in writing and agreed to by both
parties. If extenuating circumstances arise that require an extension to the timeline, the Contractor shall
email a request to the CE Contract Monitor and receive approval for a new due date. The State will oversee
the completion/implementation of the action(s) to ensure timelines are met and the issue(s) is resolved. If
the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State
may exercise its rights under the provisions of this Contract.
Pagc 5 of 5
t ngmal Conner Numh,;Ver.05.31.2022
DocuSign Envelope ID: 0CF5D17E-7D01-4B00-A7E8-23A35297D12A
Exhibit C Budget
Colorado Department of Public Health and Environment
BUDGET JUSTIFICATION FORM
Contract Routing # 2025*0538
Colorado Deparunent
of Public Health
and Environment
Contractor Name
Weld County Department of Public Health
Budget Period
07/01/2024 - 06/30/2025
Project Name
Syphilis FDT
Program
Title,
Phone
Contact
and
Name,
Email
Annette O'Dell, NP
Program Manager
970-400-2324
aodell@weld.gov
Fiscal
Title,
Phone
Contact
and
Name,
Email
Sonya Oster
Business Operations Manager
970-400-2332
soster@weld.gov
Contract
Number
(CT or PO)
2025*0538
Expenditure
Categories
Match or In-
Kind (If
Applicable)
Total
from
Requested
Amount
CDPHE
Personal
Services
Gross or
Annual
Salary
Fringe
35 �°
rercent
Actual
(FTE)
Contract/
Purrhace
or
Time
on
Order
Position Title/Employee
Name
Description of
(for hourly employees, please
hourly rate and number of
description)
Work
include the
hours in your
RN II
Contacting patients, scheduling
location for FDT. Assessing
appointment. Reaching
schedule testing and FDT
dates, times and
patients at first
out to patients' partners to
where indicated.
$82,424
$28,848
20.00%
$22,254.48
RN I
Contacting
location for
appointment.
schedule testing
patients, scheduling dates, times and
FDT. Assessing patients at first
Reaching out to patients' partners to
and FDT where indicated.
$77,778
$27,222
°
20.00%
$21,000.06
Medical Assistant
Assist nurses with supplies and medications for FDT.
Ordering medications for FDT.
$58,903
$20,616
20.00%
$15,903.81
Program Coordinator
Nurse Practitioner
Develop and implement processes and procedures.
Oversee nurses and conduct first 2-5 contacts with
the nurses. Complete monthly narratives and
meetings with CDPHE staff
$153,499
$53,725
15.00%
$31,083.55
Total
(including
Personal
fringe
Services
benefits)
$0.00
$90,241.90
Supplies
& Operating
Expenses
Item
Description
of Item
Rate
Quantity
Match or In
kind (if
applicable)
Total Amount
Requested from
CDPHE
Printing/Postage
Printing and mailing of protocols,
letters
program materials,
handouts,
100.00
1
$100.00
Phone/Fax/Internet
Cell Phone w/hotspot - 1 phone w/hotspot $100/month
1200.00
1
$1,200.00
Supplies
Supp ies necessary to be productive
and accessories
in all
places for FDT,
Laptop
2000.00
1
$2,000.00
STI Lab Testing
STI lab testing for: Syphilis RPR and TPPA confirmation
12.00
40
$480.00
CT/GC Lab Testing
CT/GC urine lab test and analysis
23.00
40
$920.00
Original Contract Number: 2025*0538
Page 1 of 2
DocuSign Envelope ID: 0CF5D17E-7D01-4B00-A7E8-23A35297D12A
Exhibit C Budget
HIV Lab Testing
HIV lab testing combo and diff
6.00
5
$30.00
Syphilis treatment
Bicillin
.22 per dose
0.22
120
$26.40
Chlamydia treatment
Doxi 3.92 per treatment
3.92
20
$78.40
Gonorrhea Treatment
Rocephin .64 per dose
0.64
10
$6.40
Pregnancy Tests
For the field
3.00
24
$72.00
Marketing
Marketing and advertisement of program
100.00
1
$100.00
Total
& Operating
Supplies
Expenses
$0.00
$5,013.20
Travel
Item
Description of Item
Rate
Quantity
kind
(if
Requested from
Mileage
0.62
4000
$2,480.00
Total
Travel
$0.00
$2,480.00
Other
Costs
Item
Description of Item
Rate
Quantity
kind
(if
Requested from
Training
STI State Training 3 -day class
250
2
$500.00
Total
Other
Costs
$0.00
$500.00
Contractual
(payments
to
third
parties
or entities)
Item
Subcontractor Entity Name and/or Description of Item
Rate
Quantity
kind (if
Requested from
Total
Contractual
$0.00
$0.00
SUB -TOTAL
BEFORE INDIRECT
$98,235.10
Indirect
Item
Description of Item
Indirect cost rate
$26,967.52
Total
Indirect
$0.00
$26,967.52
TOTAL
MATCH
OR IN
KIND
$0.00
TOTAL
$125,202.62
Expenditure
Categories
Personal Services Including Fringe Benefits
$90,241.90
Supplies and Operating Expenses
$5,013.20
Travel
$2,480.00
Other Costs
$500.00
Contractual Payments
$0.00
Subtotal
Before
Indirect
$98,235.10
Indirect
$26,967.52
Total
Contract
$125,202.62
Original Contract Number: 2025`0538 Page 2 of 2
Contract Form
Entity Information
Entity Name* Entity ID*
COLORADO DEPARTMENT OF @00000766
HEALTH
Q New Entity?
Contract Name* Contract ID
SYPHILIS FIELD DELIVERED THERAPY (FDT) PROGRAM 8372
CONTRACT
Contract Status
CTB REVIEW
Contract Lead*
BFRITZ
Contract Lead Email
bfritz@weId.gov; Health-
Contracts@weld.gov
Contract Description*
SYPHILIS FIELD DELIVERED THERAPY (FDT) PROGRAM CONTRACT
Contract Description 2
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Type* Department Requested BOCC Agenda Due Date
GRANT HEALTH Date* 06/13/2024
06/17/2024
Amount* Department Email
$125,203.00 CM-Health@weldgov.com Willa work session with BOCC be required?*
NO
Renewable*
NO
Automatic Renewal
Grant
IGA
Department Head Email
CM-Health-
DeptHead@weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
DGOV.COM
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Does Contract require Purchasing Dept. to be
included?
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts
are not in OnBase
Contract Dates
Effective Date
Termination Notice Period
Contact Information
Review Date*
04/01/2025
Committed Delivery Date
Renewal Date
Expiration Date*
06/30/2025
Contact Info
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head Finance Approver Legal Counsel
JASON CHESSHER CHERYLPATTELLI BRUCE BARKER
DH Approved Date Finance Approved Date Legal Counsel Approved Date
06/11/2024 06/12/2024 06/12/2024
Final Approval
BOCC Approved Tyler Ref #
AG 061724
BOCC Signed Date Originator
BFRITZ
BOCC Agenda Date
06/17/2024
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