HomeMy WebLinkAbout20241168.tiffRESOLUTION
RE: APPROVE APPLICATION FOR COMMUNITY INVESTMENT GRANT OPPORTUNITY
FOR DIABETES PREVENTION PROGRAM AND AUTHORIZE DEPARTMENT OF
PUBLIC HEALTH AND ENVIRONMENT TO SUBMIT ELECTRONICALLY -
NORTHEAST HEALTH PARTNERS, LLC
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 Application for the Community
Investment Grant Opportunity for the Diabetes Prevention Program from the County of Weld,
State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf
of the Department of Department of Public Health and Environment, to Northeast Health Partners,
LLC, with further terms and conditions being as stated in said application, and
WHEREAS, after review, the Board deems it advisable to approve said application, 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 Application for the Community Investment Grant Opportunity for
the Diabetes Prevention Program from 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, to Northeast Health Partners, LLC, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that Kelly Martinez, Department of Public
Health and Environment, be, and hereby is, authorized to electronically submit said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 13th day of May, A.D., 2024.
BOARD OF COUNTY COMMISSIONERS
ATTEST: G 4,l,/ ;ti
Weld County Clerk to the Board
BY: ( ipi' )&1&dC
Deputy Clerk to the Board
AP ED
County orney
Date of signature: 561
cc: HL(ac/sn/Br) AcT(GP/cn)
06/06/2.4
WELD COU
LORA
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Ross, Chair
Pro-Tem
Kevi
Perry L. B
Mike Freeman
on Saine
2024-1168
HL0057
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: Northeast Health Partners, LLC Grant Application for Diabetes Prevention Program
DEPARTMENT: Public Health and Environment DATE: April 30, 2024
PERSON REQUESTING: Jason Chessher, Executive Director
Bob McDonald, Health Education, Communication & Planning Division Director
Brief description of the problem/issue:
The Weld County Department of Public Health & Environment has an established Diabetes Prevention
Program (DDP) which aims to prevent individuals with pre -diabetes from progressing to type 2 diabetes
through coaching to improve healthy lifestyle habits. Staff has identified a grant from Northeast Health
Partners for up to $25,000 that can be utilized to pay for consumable supplies for the DPP program, thereby
offsetting County cost.
What options exist for the Board? The Board can approve or decline the grant funding application.
Consequences:
Approval of this grant proposal will allow the Health Department to seek funding to purchase
consumable supplies for the DPP program.
Impacts:
Declining the grant proposal may prevent the use of grant funding to offset County costs.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years):
No associated county cost. $25,000 to be requested for program implementation with no additional FTE
Recommendation: I recommend approval of this of this grant application.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck, Pro -Tern
Mike Freeman
Scott K. James
Kevin D. Ross , Chair
Lori Saine
mil'
Via &rai I
Via email
2024-1168
5A 3
Karla Ford
From:
Sent:
To:
Subject:
Su port,-tllanksI
S James
T
ottuesday, April 30, 2024 11:04 AM
Karla Ford; Kevin Ross
RE: Please Reply NHP Grant for Diabetes Prevention Program
Scott K. James
Weld County Commissioner, District 2
1150 O Street, P.O. Box 758, Greeley, Colorado 80632
970.336.7204 (Office)
970.381.7496 (Cell)
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or
entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you
have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any
disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by
anyone other than the named recipient is strictly prohibited.
From: Karla Ford <kford@weld.gov>
Sent: Tuesday, April 30, 2024 9:54 AM
To: Kevin Ross <kross@weld.gov>; Scott James <sjames@weld.gov>
Subject: Please Reply - NHP Grant for Diabetes Prevention Program
Importance: High
Please advise if you support recommendation and to have department place on the agenda.
Karla Ford
Office Manager, Board of Weld County Commissioners
1150 O Street, P.O. Box 758, Greeley, Colorado 80632
:: 970.336-7204 :: kford@weldgov,com :: www.weldgov.com :.
**Please note my working hours are Monday -Thursday 7:00a.m. 5:00p.m.**
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed
and may contain information that is privileged, confidential or otherwise protected from disclosure. if you have received this communication in error, please
Karla Ford
From:
Sent:
To:
Subject:
Approve
Kevin Ross
Kevin Ross
Tuesday, April 3O, 2024 5:50 PM
Karla Ford
Re: Please Reply - NHP Grant for Diabetes Prevention Program
From: Karla Ford <kford@weld.gov>
Sent: Tuesday, April 30, 2024 5:59:31 PM
To: Kevin Ross <kross@weld.gov>
Subject: Please Reply - NHP Grant for Diabetes Prevention Program
Please advise if you support recommendation and to have department place on the agenda.
Karla Ford X.
Office Manager, Board of Weld County Commissioners
1150 O Street, P.O. Box 758, Greeley, Colorado 80632
:: 970.336-7204 :: kford@weldgov.com :: www.weldgov.com
**Please note my working hours are Monday -Thursday 7:00a.m.-5:00p.m.**
Confidentiality Notice' This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed
and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please
immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of
this communication or any attachments by anyone other than the named recipient is strictly prohibited.
From: Jason Chessher cjhessher@weld.gov>
Sent: Tuesday, April 30, 2024 9:51 AM
To: Karla Ford <kford@weld.gov>
Cc: Robert McDonald <rmcdonald@weld.gov>; Jason Chessher <jchessher@weld.gov>
Subject: NHP Grant for Diabetes Prevention Program
Hi Karla,
This is a pass -around seeking authorization to apply for a small grant from Northeast Health Partners.
Jason Chessher
Executive Director
Weld County Department of Public Health & Environment
1555 N 17th Ave, Greeley, CO 8O631
970-400-2293
1
TX6AfT
PARTNERS, c
We thank you for your time spent taking this survey.
Your response has been recorded.
Below is a summary of your responses
Download PDF
Community Investment Grant Opportunity from Northeast Health
Partners
Who is Northeast Health Partners (or NHP)?
In Colorado, Medicaid is also called Health First Colorado. Every Health First
Colorado member belongs to a regional organization that manages their
physical and behavioral health care. Northeast Health Partners is the
Regional Accountable Entity (or RAE) for Region 2 which includes Medicaid
members attributed to primary care providers in Cheyenne, Kit Carson,
Lincoln, Logan, Morgan, Phillips, Sedgwick, Washington, Weld, and Yuma
counties.
Who should complete this application?
Examples of entities that should consider applying for funds include local
healthcare professionals/organizations, community -based organizations,
and public health departments who provide services and supports to
Medicaid members, and have developed innovative ways to improve care
delivery and/or community supports designed to enhance the health of
Medicaid members in Region 2. You can review the Community Investment
Grant Overview document for additional information regarding this
opportunity.
What questions are asked in the application?
If you would like to view the questions asked prior to submitting an
application, you can download the NHP Community Investment Grant
Questions pdf document to help you prepare your organization's
application in advance; however, an online application must be completed
by your organization. You will have the opportunity to download your
responses submitted through the online application on its last page.
Who should you contact with questions?
If you have any questions about this application, please reach out to NHP
via email to communityinvestmentgrant@nhpllc.org.
Contact Information
This information is vital to tracking applications. Please be sure to
complete the form below in its entirety.
Legal Name of Organization
DBA (if not applicable enter "N/A")
Mailing Address (Address, City, State, Zip)
Physical Address (Address, City, State, and Zip if
different from mailing address; if not applicable
enter "N/A")
Contact Name (person to be contacted regarding
Weld County Department of Public Health and
Environment
N/A
1555 N. 17th Ave. Greeley CO 80631
N/A
application) Kelly Martinez
Contact Position Public Health Communication Manager
Contact Phone 9704002380
Contact Email kmartinez@weld.gov
Oraanization Information
This information is vital to tracking applications. Please be sure to
complete the form below in its entirety.
Type of organization.
Local Public Health Agency
Legal status of organization.
Governmental Health Agency
Primary Care Medical Provider ID (POMP ID, if applicable).
N/A
Organization's website.
https://www.weld.gov/Government/Departments/Health-and-Environment
Name of Executive Director or CEO.
Jason Chessher
Number of full time staff.
Enter numeric values only.
82
Number of part-time staff (if applicable).
Enter numeric values only.
20
Number of volunteer staff (if applicable).
Enter numeric values only.
Number of board members (if applicable).
Enter numeric values only.
Select the counites served by your organization.
Select all that apply.
Cheyenne
OKit Carson
Lincoln
Logan
Morgan
Phillips
Sedgwick
Washington
O Weld
Yuma
Other (please type the other counties you serve in
Colorado)
I, Kelly Martinez, attest that Weld County Department of Public Health and
Environment completes background checks and exclusion checks on all
employees participating in operations related to the services provided to,
or on behalf of, the Colorado Department of Health Care Policy and
Financing. Individuals employed by Weld County Department of Public
Health and Environment who become designated as excluded or debarred
or listed as alleged terrorists are subjected to disciplinary action up to and
including employment termination.
O Attest
0 Do not attest
O Does not apply
QUnsure
Organization Information
Provide a brief overview and history of your organization.
Weld County established the second local health department in Colorado in 1938 and WCDPHE is the
longest continuously operating local health department in the state. The Weld County Health
Department achieved accreditation from the Public Health Accreditation Board in November 2016,
making it one of six local public health agencies to earn this recognition to date in Colorado. The
value of accreditation strengthens the Health Department to better serve Weld County residents
through continuous quality improvement, partnerships, implementation of best practices, and
accountability. The Weld County Health Department is organized into four service divisions:
Administration and Finance; Environmental Health Services; Health Education, Communication, and
Planning; and Public Health Services.
Organization's mission statement.
The mission of the Weld County Department of Public Health and Environment (WCDPHE) is to serve
Weld County residents by cultivating partnerships to promote public health and environmental
quality through the delivery of relevant, innovative, and cost-effective services. The Health
Department's strategic plan outlines four priority areas: communication; organizational culture;
recruitment, retention and recognition; and public health equity. WCDPHE strives to make equitable
access to public health services a priority and build community partnerships to increase their ability
to provide services to more groups.
Proposal Information
Provide an overview of the program for which NHPs' Community Investment
Grant dollars would support.
Response is limited to 6,000 characters.
Diabetes is a major public health problem in Weld County; 1 in 9 residents (11.4%) reported being
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11.3% have been told they are prediabetic (as a self -reported measure, this is likely an underestimate
of adults with prediabetes in the county). The burden of diabetes is not evenly distributed, however. A
higher percentage of Hispanic/Latino Weld County residents reported they had diabetes (15.9%)
compared to White, Non-Hispanic/Latino residents (9.7%). Residents with less education also report
diabetes at higher rates; over twice as many residents who have a high school degree/GED or less
education were told they have diabetes compared to residents with some college or higher (19.2%
and7.2%, respectively). In addition to reporting higher rates of diabetes, Weld's Hispanic/Latino
population is overrepresented among the county's Medicaid -eligible residents; 37.1% report
household incomes at or below 138% federal poverty level (FPL), compared to 18.8% of residents
countywide. The same educational and racial/ethnic discrepancies are not apparent in self -reported
rates of prediabetes, however, underscoring the importance of equitable interventions for the
county's prediabetic population aimed at reducing disparities in those who eventually develops
diabetes. (2022 Weld County Community Health Survey). Diabetes was the 8th leading cause of
death among all Weld County residents and the 5th leading cause of death among Hispanic/Latino
residents between 2020-2022. Diabetes was also the 9th leading contributor for years of potential life
lost before age 65 between 2020-2022, demonstrating the impact of diabetes on residents younger
than age 65. (Weld County YPLL Analysis. CDPHE Vital Statistics Program. Unpublished Data, special
data request). Lifestyle change interventions are key components to reduce the risk of developing
type 2 diabetes. The Center for Disease Control and Prevention's (CDC) Diabetes Prevention Program
(DPP) has demonstrated that people engaged in a structured lifestyle change program reduced their
chance of developing type 2 diabetes by 16 percentage points per year. Congress authorized the
CDC to establish the National Diabetes Prevention Program (National DPP) in 2010. The program is
group -based, facilitated by a trained lifestyle coach, and uses an evidence -based CDC -approved
curriculum. In 2023, WCDPHE staff became trained and certified and began to offer the CDC's DPP. We
have applied for CDC recognition in connection with the National Diabetes Prevention Recognition
Program (DPRP); a process which takes at least a year to achieve. Additionally, in 2021, WCDPHE
initiated a Community Health Worker (CHW) Program to serve as a bridge between underserved
communities and healthcare systems. Five part-time bilingual CHWs were hired who all had a unique
understanding of our community. All five CHWs have received on-the-job training and work without
professional titles. WCDPHE CHWs address a broad range of health issues including interventions that
focus on diabetes prevention. In 2023, two WCDPHE CHWs received their certification as Diabetes
Prevention Program (DPP) Lifestyle Coaches through the CDC. Corazon de Weld DPP will allow CHWs
to begin offering the evidence based DPP interventions as a strategy for meeting the needs of diverse
groups in our community and would be the only existing affordable DPP class specifically targeting
Medicaid recipients in Weld County. By building trust with people who have diabetes, WCDPHE CHWs
will identify barriers to care and help health care professionals better understand and respond to
patients' needs. Corazon de Weld interventions will be delivered in English and Spanish by CHWs to
community groups and individuals at increased risk for type 2 diabetes. Programs will include
education about diabetes prevention and lifestyle changes, informal counseling, coaching, and
extended support for people with a higher risk for diabetes. Content will be delivered through one-
on-one interactions, group sessions, or a combination of the two and may be offered in homes or
community -based settings (whichever best fit the needs of community members).
Characters remaining: 1730
Is this a new or an existing program?
ONew
O Existing
n Other
Proposal Information
Define the goals and objectives of the program.
Response is limited to 3,000 characters.
Goal: Improve diabetes outcomes, especially among low-income, racial, and ethnic minority
populations in Weld County. The Corazon de Weld DPP program will work to make it easier for
Medicaid recipients residing in Weld County with prediabetes to participate in a culturally relevant,
high -quality lifestyle change program to reduce their risk of type 2 diabetes and improve their
overall health. Objectives: By August 31, 2024, launch a media campaign with 80,000 billboard
impressions per week to raise awareness about prediabetes and the Corazon de Weld Diabetes
Prevention Program, that will direct community members to the Weld County Department of Public
Health and Environment's website to access resources, including a prediabetes risk test, information
about prediabetes, and sign-up for classes. By September 30, 2024, initiate the delivery of CDC -
recognized lifestyle change program by culturally competent CHWs to 100 Medicaid recipients
throughout Weld County. By June 30, 2025, increase Medicaid recipient referrals to and participation
in CDC -recognized Diabetes Prevention Program by 20 percent from baseline levels (baseline level to
be captured by August 2024). By June 30, 2025, coordinate, organize, deliver, five new Diabetes
Prevention Program classes (1 per quarter of grant cycle, in -person or online depending on the needs',
of program participants) with a minimum of 20 participants per class upon enrollment. By June 30,
2025, carry out one free health screening per quarter (4 total) with at least 50 community residents
screened per event (200 minimum) to increase access to vital healthcare services and raise
awareness about individuals' health status.
Characters remaining: 1311
Proposal Information
Describe the strategies, approaches, and/or interventions that will help you
meet the program's goals. Include information regarding evidence -based
practices, if applicable.
Response is limited to 10,000 characters.
The National Diabetes Prevention Program (DPP) provides the opportunity for people with
prediabetes or at risk for type 2 diabetes to participate in evidence -based, affordable, and high -
quality lifestyle change programs. National DPP programs help adults reduce their risk of type 2
diabetes and improve their overall health. Research shows that CDC -recognized lifestyle change
program participants who lost 5-7% of their body weight and added 150 minutes of exercise per week
cut their risk of developing type 2 diabetes by up to 58% (71% for people over 60 years old). (2002 DPP
Outcomes Study (DPPOS). Corazon de Weld will work to make it easier for low-income and Spanish
speaking community members with prediabetes to participate in affordable, high -quality lifestyle
change programs to reduce their risk of type 2 diabetes and improve their overall health. According
to the National Institutes of Health, CHWs share life experience with the people they serve and have
firsthand knowledge of the causes and impacts of health inequity. They provide a critical link
between marginalized communities and health care and public health services. Several studies have
demonstrated that CHWs can improve the management of chronic conditions, increase access to
preventive care, improve patients' experience of care, and reduce health care costs. By utilizing our
trained CHWs to deliver the CDC -recognized lifestyle change program, we can ensure racial and
ethnic congruence with the communities we target with the Corazon de Weld Program. Our CHWs
have an unparalleled understanding of cultural, linguistic, and social nuances within the
neighborhoods they work which has greatly enhanced community engagement among targeted
populations (Medicaid recipients and mono -lingual Spanish speaking community members).
Characters remaining: 8189
Proposal Information
Outline timelines for implementation, execution, and monitoring of the
program.
Response is limited to 6,000 characters.
Step 1: July 2024 - Engage stakeholders. Review and document program goals. Step 2: July - August
2024 - Raise awareness of pre -diabetes and enrollment eligibility in Corazon de Weld's DPP Lifestyle
Change Program. Launch Do I Have Pre -Diabetes campaign to educate community members,
clinicians, and businesses about National DPP program, eligibility criteria and enrollment avenues.
Use CDC National DPP marketing portfolio and other materials as appropriate to recruit, engage, and
enroll participants in underserved areas into the lifestyle change program. Step 3: July 2024 - On-
going - Increase screening, detection, and referral of adults with prediabetes or at high risk for type 2
diabetes to Corazon de Weld's National DPP. Coordinate quarterly community health screenings to
raise awareness and determine program eligibility in targeted neighborhoods. Provide technical
assistance to organizations in underserved areas on how to help health care systems and health
care providers implement policy and practice changes to identify people with prediabetes and refer
them to the Corazon de Weld's DPP Lifestyle Change Program. Step 3: July — August 2024 Develop a
referral system with stakeholders. Step 4: July - August 2024 - Promote Program and Conduct
Outreach - Generate Referrals. Step 5: August 2024 - Screen Potential Participants for Eligibility and
Readiness. Step 6 - August 2024 -Enrollment in National DPP (Corazon de Weld) Step 7: September
2024 - Initiate Program(s) Step 8: September 2024 - March 2025 - Increase retention rates for
participation in the lifestyle change program by providing participants quarterly incentives which is a
promising strategy to reduce weight, BMI and blood pressure according to the CDC (CME ACTIVITY —
Volume 19 — October 27, 2022). Develop and adapt tools, materials, best practices, and advanced
skills training for CHW coaches to help retain participants in underserved areas in the lifestyle
change program. Step 9: Ongoing - June 2025 -Track Program Results. Refine as needed. Plan after -
program support.
Characters remaining: 3928
Proposal Information
Describe the improved health outcomes for Medicaid members that are a
focus of the program.
Response is limited to 6,000 characters.
According to the CDC, participants who lose 5-7% of their body weight and add 150 minutes of
exercise per week will cut their risk of developing type 2 diabetes by up to 58% (71% for people over
60 years old). A decade later, participants were one-third less likely to develop type 2 diabetes than
individuals who did not join a program. Participation has been found to lower the risk of having a
heart attack or stroke, improve overall health, help participants feel more energetic, and in many
cases, reverse a prediabetes diagnosis. According to the CDC, participants who lose 5-7% of their
body weight and add 150 minutes of exercise per week will cut their risk of developing type 2
diabetes by up to 58% (71% for people over 60 years old). A decade later, participants were one-third
less likely to develop type 2 diabetes than individuals who did not join a program. Participation has
been found to lower the risk of having a heart attack or stroke, improve overall health, help
participants feel more energetic, and in many cases, reverse a prediabetes diagnosis. Program
Outcomes: • Increased number of organizations offering the lifestyle change program to priority
populations in the community by a minimum of four (4) new establishments between July 1, 2024,
and June 30, 2025. • Increase in the number of priority participants enrolled in the lifestyle change
program who meet CDC -recognition standards related to intensity and duration of participation by
measuring program data at the end of the Corazon de Weld program compared to data collected
from prior community DPP classes. • Increase in the number of priority participants that have the
lifestyle change program offered as an employee wellness benefit by a minimum of four (4)
organizations. • An increase of 20% or more of priority participants enrolled in the CDC's Diabetes
Prevention Program who achieve the minimum 5% weight loss goal by measuring program biometric
data at the end of the program compared to baseline data at the end of the program compared to
intake data. • Increased awareness about prediabetes, prediabetes resources and education within
the community by measuring media campaign and website metrics and the number of Corazon de
Weld referrals and participants in class via attendance logs and intake forms. • Increased equitable
and culturally relevant access to health services by performing a minimum of four (4) free health
screenings that will measure at least 100 priority participant's cholesterol, blood sugar, and blood
pressure.
Characters remaining: 3441
Proposal Information
Describe how the improved health outcomes for Medicaid members will be
measured, monitored, and maintained.
Response is limited to 6,000 characters.
Corazon de Weld will follow the CDC's DPP requirements for measuring and monitoring health
outcomes for our program. WCDPHE has already shown that we can meet CDC standards and
effectively deliver a proven diabetes prevention lifestyle change program. To maintain our current
CDC DPP recognition, Corazon de Weld's lifestyle change program will submit evaluation data every
6 months. These data include elements such as participant demographics, socioeconomic status,
weights, and physical activity minutes. CDC will provide WCDPHE with a report after every data
submission that outlines progress toward program goals. Further enrollment, outreach and screening
objectives will be monitored by DPP interest/sign-up forms, attendance sheets, intake forms, and
health screening documentation, as the infrastructure for monitoring these objectives are well
established and maintained with current DPP programming. Additionally, program objectives for the
media campaign will be monitored via vendor -supplied reach analytics, internal website analytics,
and prediabetes risk test form submissions. Key milestones: • The number of Medicaid recipients who
start the program, who complete four sessions, who complete at least nine sessions, and who
achieve at least a five percent weight loss. • AtC changes— how do post -program A1C levels
compare to pre-program AtC levels. • How many participants are no longer in the prediabetes range.
Additionally, each objective will be monitored closely with specific evaluation metrics. Please see
above section for evaluation metrics. Maintenance of health improvements made by Corazon de
Weld DPP participants will be strengthened by continued CHW support after the program ends. CHWs
will remain involved with Corazon de Weld participants by conducting post -program monthly check -
in calls or visits, encouraging graduates to enroll in additional WCDPHE programs to support healthy
behaviors such as Cooking Matters classes, free Zumba and Yoga classes taught in Spanish, CHW
lead walking groups, and no -cost individual nutritional counseling. Additionally, the CHWs will work to
build strong social connections among Corazon de Weld participants during the program which will
inevitably increase collective bonds and support among participants that will carry -on after the
program is over.
Characters remaining: 3662
Proposal Information
Total award amount requested (for example 15,000, without $).
25,000
Total projected budget of the program (for example 15,000, without $).
Attach a detailed breakdown of the budget below.
25,000 - see attached detailed budget
Upload detailed budget here.
Budget_DPP grant 4.24.24.xlsx
13.5 KE
application/vnd.openxmlformats-
officedocumentspreadsheetml.sheet
Proposal Information
Describe any potential challenges or barriers to implementing the
program.
Response is limited to 6,000 characters.
Family support plays an important role in diabetes prevention. Additionally, cultural beliefs and
values may limit effective diabetes prevention. Hispanic culture is characterized by strong values
attached to family and cultural beliefs. Family networks are the dominant sources of help and advice
for all generations and the individual's needs are usually placed lower than the needs of the family.
For example, Latino women with diabetes encountered challenges when altering familiar dietary
habits and behaviors while still trying to keep their husbands and children happy. (Diabetes Educ.
2013 Jul -Aug; 39(4): 494-503). Other cultural barriers for Hispanics with pre -diabetes include social
pressures to eat traditional foods high in fat and calories. Furthermore, in Weld there is a lack of
diabetes resources/support from both the healthcare system/providers and community agencies for
mono -lingual underserved Hispanic community members. Besides a lack of resources/support, most
low-income community members lack financial resources to properly manage their disease.
Healthier foods, access to safe places to exercise and on -going medical monitoring is often difficult
to obtain for the target population. Barriers perceived by both patients and family members require
culturally specific understandings and clinical assessment and attentiveness by health providers, the
Hispanic community, and the society at large. Culturally appropriate education and interventions
should include patients and family members and provide education and support within the family
context. WCDPHE CHWs will provide needed emotional support, encouragement and motivation for
exercise and healthy diet to Corazon de Weld participants. Furthermore, they will provide education
to the families that provide support to their family member who has diabetes. WCDPHE CHWs will
also work with health care partners serving Medicaid recipients to encourage culturally competent
communication skills that build trust and enhance patient disclosure of symptoms and psychosocial
concerns. They will encourage family/support member involvement in regular office visits and
provides family/support members with opportunities to become more knowledgeable about the
disease process, treatments, and lifestyle changes that are healthy for all family members.
Characters remaining: 3665
Proposal Information
Please identify any subcontractors involved with the program (if any).
N
Supplemental Documents
IRS Determination Letter for Non-Protits Only.
Weld County IRS TIN Ietter.pdf
.3 .KB
appliccttic
Organization's Operating Budget.
2024 Operating Budget.pdf
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application/Of;
Non -Discrimination Policy.
Sec._3_2_10.___Equal_Employment_Opportunity__EEO__.docx
.7
pplicatior /vnd.openxmlformats-
officedacument.wordprocessingml.document
Other, please include any additional documentation to support the
proposal.
If you would like to provide additional documentation beyond what is
requescea [lure, please errla/l 1W-lt' ac
communityinvestmentgrant@nhpllc.org.
Drop files or click here to upload
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Diabetes Prevention Program
NHP Grant
Item I
Rate f Quantity Amount Budgeted
Supplies & Operating Expenses
Total Budgeted
$25,000
Printing
Program brochures, flyers for recruitment, class
modules, supporting educational material
$2,000
Operating Expenses
Binders for program participants
$4.50
60
$270
Gift cards for guest speakers & instructors
$40.00
20
$800
Scale for participants (online classes)
$20.00
30
$600
Training
Required Advanced Lifestyle Coach Trainings
$90.00
7
$630
Community Health Screening Supplies
Screening supplies from McKesson (test cartridges,
pipettes, plungers, lancets, alcohol swaps, bandaids,
cotton balls, latex gloves etc).
$500.00
4
$2,000
New Cholestech machine for cholesterol/blood sugar
screening
$4,320.00
1
$4,320
Media Campaign
Large Billboard
$5,500.00
1
$5,500
Raise Awareness about pre -diabetes, program
recruitment, billboards, bus boards
$4,500
Incentives
Prediabetes Cookbook
$16.00
60
$960
Resistance bands
$10.00
60
$600
Giftcards
$30.00
60
$1,800
Food scale
$7.00
60
$420
Measuring cups
$10.00
60
$600
(Total
$25,000
02/28/2023 6:46:24 PM -0500 IRS PAGE 2 OF 2
f Department of the Treasury
Internal Revenue Service
Ogden, UT 84201
COUNTY OF WELD BOARD OF COUNTY COMMISSIONERS
% OFFICE OF THE CONTROLLER
1150 0 ST
GREELEY CO 80631-0000 000
Taxpayer Identification Number: 84-6000813
Form(s):
Dear Taxpayer:
In reply refer to: 0440429483
Feb 28, 2023 LTR 147C
84-6000813
Thank you for your telephone inquiry of February 28th, 2023.
Your Employer Identification Number (FIN) is 84-6000813. Please keep this letter in your
permanent records. Enter your name and your FIN on all business federal tax forms and on
related correspondence.
If you have any questions regarding this letter, please call our Customer Service Department at
1-800-829-0115 between the hours of 7:00 AM and 10:00 PM. If you prefer, you may write to us
at the address shown at the top of the first page of this letter. When you write, please include
a telephone number where you may be reached and the best time to call.
Sincerely,
Ms. Johnson
1004656369
Customer Service Representative
BUDGET UNIT REQUEST SUMMARY
AGENCY/DEPARTMENT NAME: DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
BUDGET UNIT TITLE AND NUMBER: Summary - - All Departments - - Fund 2500
DEPARTMENT DESCRIPTION: See individual units.
RESOURCES
ACTUAL
LAST FY
BUDGETED
CURRENT FY
REQUESTED
NEXT FY
FINAL
NEXT FY
Personnel Services
$ 9,907,611
$ 11,589,581
$ 11,594,070
$ 11,594,070
Supplies
657,949
1,128,088
683,580
683,580
Purchased Services
1,499,585
2,688,167
1,644,003
1,644,003
Fixed Charges
1,230,097
1,636,219
1,475,107
1,475,107
Contra Expense
-1,307,276
-1,678,240
-1,549,113
-1,549,113
Capital
43,506
30,500
29,500
29,500
Gross County Cost
$ 12,031,472
$ 15,394,315
$ 13,877,147
$ 13,877,147
Revenue/Fund Bal.
9,172,911
9,359,023
7,841,855
7,841,855
Net County Cost
$ 2,858,561
$ 6,035,292
$ 6,035,292
$ 6,035,292
Budgeted Positions
d 98.769
I 115.225 I
98.900
I 98.900
SUMMARY OF CHANGES: See individual units.
FINANCE/ADMINISTRATION RECOMMENDATION: See individual units.
BOARD ACTION: See individual units.
PERFORMANCE MEASURES
ACTUAL ESTIMATED PROJECTED
Work Outputs
See individual budget units
Efficiency Measures
FTE's per 10,000/capita
Per capita cost (county support)
2.862 3.258 2.735
$ 8.28 $17.06 $16.69
327
Sec. 3-2-10. Equal Employment Opportunity (EEO).
A. The County strives to attain complete compliance with all provisions of equal employment opportunity laws.
Recruiting, selection and advancement of employees will be on the basis of their relative ability, knowledge,
skills and other relevant factors.
B. It is the intent of the County to:
1. Recruit, hire, train and promote persons in all job titles without regard to race, religion, color, sex, age,
national origin, disability, veteran status or any other status or condition protected by applicable state
law, except where a bona fide occupational qualification applies.
2. Administer all personnel actions such as compensation, benefits, transfers, layoffs, return from layoff,
County -sponsored training, education and tuition assistance without regard to race, religion, color, sex,
age, national origin, disability, veteran status or any other status or condition protected by applicable
state law, except where a bona fide occupational qualification applies.
3. An employee should contact the Director of Human Resources if the employee has a suggestion,
problem or complaint with regard to EEO.
4. Any applicant who applies for a job with the County and feels there may have been illegal
discrimination on the basis of race, color, religion, sex, national origin, belief, age or disability during
the application/job selection process may appeal this alleged discrimination in writing to the Director
of Human Resources. The Director of Human Resources will then investigate the alleged discrimination.
(Weld County Code Ordinance 2003-4; Weld County Code Ordinance 2007-4; Weld County Code Ordinance 2014-
12)
Created: 2024-03-18 14:01:46 [EST]
(Supp. No. 86)
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