HomeMy WebLinkAbout20231181.tiffMik
Derr L. Buck /Pro -Ter
Sco t K. James
evin D. Ross
Lori Sairie
RESOLUTION
RE: APPROVE STATEMENT OF WORK FOR UNITING FOR UKRAINE TUBERCULOSIS
PREVENTION AND CONTROL PROGRAM PURCHASE ORDER GRANT FUNDS, 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 Statement of Work for Uniting for
Ukraine Tuberculosis Prevention and Control Program Purchase Order Grant Funds 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, 2023, with further terms and conditions being as stated in said statement of
work, and
WHEREAS, after review, the Board deems it advisable to approve said statement of work,
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 Statement of Work for Uniting for Ukraine Tuberculosis
Prevention and Control Program Purchase Order Grant Funds 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 statement of work.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 26th day of April, A.D., 2023.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: „�`,,l,A;(1
Weld County Clerk to the Board
BY:
o the Boar
APP
Count orney
Date of signature: 05/O2/23
Cc: HL(r&), ACT(cP/co)
0S/03/23
2023-1181
HL0056
Obii vacs-(b*ta Mp
Memorandum
TO: Mike Freeman, Chair
Board of County Commissioners
FROM: Jason Chessher, Executive Director
Department of Public Health &
Environment
DATE: April 17, 2023
SUBJECT: Uniting for Ukraine - Tuberculosis
Program FY22-23 Statement of Work
for Additional Funding via Purchase
Order with CDPHE
For the Board's approval is a Statement of Work for fiscal year 2022-2023 that will be
submitted to the Colorado Department of Public Health and Environment (CDPHE) to
provide temporary additional funding in our Tuberculosis Treatment & Control program at
the Weld County Department of Public Health and Environment (WCDPHE).
This project serves to provide supplemental funds to support the implementation of a
Ukrainian -specific Tuberculosis (TB) preventive health service program to decrease
widespread incidence of TB disease among this population arriving under the Uniting for
Ukraine (U4U) program. This increase in federal funding will assist the Health
Department to support TB health service activities to screen, test, and treat latent TB
infection (LTBI) and prevent onward transmission of the TB bacterial infection among
Ukrainian emigrants by offering appropriate treatment to all at elevated risk for TB
infection and onward progression to TB disease as well as those presumptive for or with
confirmed TB disease.
TB remains the primary infectious disease killer in the world and Ukraine has an elevated
level of TB in general and drug -resistant TB in particular. To date, the WCDPHE has
tested 2 individuals (family members) under the U4U program for TB. However, this
funding can also be used for non -Ukrainian TB patients in Weld.
Activities will be conducted by current staff; no additional FTE is being requested.
WCDPHE will receive $12,000 in additional grant funding from CDPHE through a
Purchase Order, with funds available for use until June 30, 2023.
Assistant Weld County Attorney, Karin McDougal, has reviewed this Statement of Work
and determined that its terms are acceptable.
The Board approved placement of this Statement of Work on the Board's agenda via pass -
around dated April 12, 2023.
I recommend approval of this statement of work that will provide additional funding from
CDPHE for the Uniting for Ukraine initiative.
2023-1181
d -1-/2(p
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
TITLE: Uniting for Ukraine - Tuberculosis Program FY22-23 Statement of Work for Additional Funding via
Purchase Order with CDPHE
DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: April 12, 2023
PERSON REQUESTING: Jason Chessher, Executive Director
Brief description of the problem/issue:
For the Board's review and approval for signature by the Chair is a Statement of Work for fiscal year 2022-
2023 that will be submitted to the Colorado Department of Public Health and Environment (CDPHE) to
provide temporary additional funding in our Tuberculosis Treatment & Control program at the Weld
County Department of Public Health and Environment (WCDPHE).
This project serves to provide supplemental funds to support the implementation of a Ukrainian -specific
Tuberculosis (TB) preventive health service program to decrease widespread incidence of TB disease
among this population arriving under the Uniting for Ukraine (U4U) program. This increase in federal
funding will assist the Health Department to support TB health service activities to screen, test, and treat
latent TB infection (LTBI) and prevent onward transmission of the TB bacterial infection among Ukranian
emigrants by offering appropriate treatment to all at elevated risk for TB infection and onward progression
to TB disease as well as those presumptive for or with confirmed TB disease.
TB remains the primary infectious disease killer in the world and Ukraine has an elevated level of TB in
general and drug -resistant TB in particular. To date, the WCDPHE has tested 2 individuals (family
members) under the U4U program for TB. However, this funding can also be used for non -Ukrainian TB
patients in Weld.
Activities will be conducted by current staff; no additional FTE is being requested.
WCDPHE will receive $12,000 in additional grant funding from CDPHE through a Purchase Order, with funds
available for use until June 30, 2023.
What options exist for the Board? (include consequences, impacts, costs, etc. of options):
With the approval of the Board, this will allow the WCDPHE to accept additional funding to offset the costs
of our TB program in Weld.
If the Board declines approving and signing this statement of work, this will result in Weld County not
receiving additional funding from CDPHE to cover the potentially increased WCDPHE burden and
expense related to individuals arriving under the U4U program that have an elevated burden of TB
infection and TB disease.
Recommendation: I recommend approval of this statement of work that will provide additional funding
from CDPHE for the Uniting for Ukraine initiative.
Approve Schedule
Recommendation Work Session Other/Comments:
Perry L. Buck, Pro -Tern
Mike Freeman, Chair
Scott K. James
Kevin Ross
Lori Saine
Weld County
Department of Public Health and Environment
www.weldhealth.gov
STATEMENT OF WORK
I. Entity Name: Weld County Department of Public Health and Environment
II. Project Description: This project serves to provide supplemental funds to support the
implementation of Ukrainian -specific Tuberculosis (TB) preventive health service program to decrease
widespread incidence of TB disease via pass -through funds to the Local Public Health Agencies (LPHAs)
experiencing an elevated burden of TB infection and TB disease (73 cases per 100,000 compared to 2.4
per 100,000 in the United States) among this population arriving under the Uniting for Ukraine (U4U)
program. TB remains the primary infectious disease killer in the world and Ukraine has an elevated level
of TB in general and drug -resistant TB in particular. The Colorado Department of Public Health and
Environment (CDPHE) is funded by the Centers for Disease Control and Prevention (CDC) to address the
potentially life -threatening TB illness, which is spread through the air from one person to another,
impacts the lungs and any other part of the body, and can cause serious sickness and even death in
humans.
The Division of Disease Control and Public Health Response (DCPHR) supports TB health service
activities to screen, test, and treat TB infection (LTBI) and prevent onward transmission of the TB
bacterial infection among U4U arrivals by offering appropriate treatment to all at elevated risk for TB
infection and onward progression to TB disease as well as those presumptive for or with confirmed TB
disease.
III. Definitions:
1. Active surveillance: Active disease surveillance is the process of actively searching for
information through clinical testing and data management. For the purposes of this
contract, active surveillance means the monitoring of testing class B1 and B2 Refugee
patients, and entering relevant data to the TBdb system.
2. AFB smear: Acid -Fast Bacilli; a rapid test used to detect infectious mycobacteria
3. Asylee: Individuals who, on their own, travel to the United States and subsequently apply
for and receive a grant of asylum.
4. CDPHE: Colorado Department of Public Health and Environment
5. Chest X-ray: a type of high-energy radiation that can go through the body and onto film,
making pictures of areas inside the chest, which can be used to diagnose disease.
6. DOT: Directly Observed Therapy is a process where a trained health care worker or other
designated individual (excluding a family member) provides the prescribed TB drugs and
watches the patient swallow every dose.
7. HIV: Human Immunodeficiency Virus - Human immunodeficiency virus is a virus that
attacks the body's immune system. If HIV is not treated, it can lead to AIDS (acquired
immunodeficiency syndrome). Learning the basics about HIV can keep you healthy and
prevent HIV transmission. TB is the primary killer of people with AIDS globally.
8. IGRA: Interferon gamma (y) release assay is a whole blood TB test.
9. LEP: Limited English proficiency (Over -the -Phone Interpretation (OPI) - lets you
communicate with Limited -English Proficient (LEP) individuals using a phone
interpreter. People use phone interpreters when they don't have an onsite interpreter, and
to make phone calls to people who speak limited English.
10. LTBI: Latent Tuberculosis Infection commonly referred to m TB infection
11. OPI: Over -the -phone interpretation
12. Refugee: Any person who is outside his or her country of nationality or habitual
residence and is unable or unwilling to return to or seek protection of that country due to
a well-founded fear of persecution based on race, religion, nationality, membership in a
particular social group, or political opinion
13. Pulmonary disease: A type of disease that affects the lungs and other parts of the
respiratory system. Pulmonary sites of TB disease is the primary public health concerns
as TB is spread through the inhalation of airborne bacilli.
14. RVCT: Report of Verified Case of Tuberculosis; a CDC surveillance report
15. Screening: the act of performing a test on a patient or patient's sputum, blood, urine, etc.,
to look for evidence of a disease. For the purposes of this contract, screening involves the
testing and identification of at -risk persons including class B1 and B2 Refugees with
LTBI, HIV, pulmonary disease, and those without health insurance.
16. Service area: The jurisdiction (typically one or more counties) for with the LPHA is
responsible.
17. Spirometry: A test that can help show how well lungs are working.
18. Tuberculosis (TB): An infectious bacterial disease characterized by the growth of
nodules (tubercles) in the tissues, especially the lungs.
19. TB -18: CDPHE Tuberculosis Surveillance and Case Management Report
20. TBdb system: CDPHE Tuberculosis Data Base
21. Ukrainian nationals: Any person born in the country of Ukraine
IV. Work Plan:
Goal #1: Support public health disease control and intervention through the provision of public health monitoring. Prevent
and control tuberculosis infection and active TB disease among U4U program arrivals throughout the Contractor's
jurisdiction.
Objective #1: No later than the expiration date of the contract, improve tuberculosis prevention and control through the
provision of TB health services and active surveillance.
Primary Activity #1
The Contractor shall locate all patients with suspected or confirmed TB.
Sub -Activities #1
1. The Contractor shall provide TB health screening for the following patient groups:
a. Uniting for Ukraine (U4U) program arrivals
b. All other Ukrainian nationals
2. The Contactor shall provide the following medical screening services to each
patient:
a. Medical evaluation
b. Tuberculin skin test or IGRA (IGRA is preferred)
c. Chest X-ray
d. Three spontaneous sputum specimens for AFB smear to determine the
biological culture of cells on consecutive days
3. The Contractor shall administer TB disease testing to all Ukrainian patients to
identify individuals with LTBI.
a. The Contractor shall administer the following LTBI evaluation methods to all
Ukrainian nationals:
i. Chest x-rays
ii. Chest x-ray interpretations
Page 2 of 6
Ver. 01.11.19
4. The Contractor shall monitor patients for adverse reactions from TB drugs.
5. The Contractor shall monitor patients for other clinical concerns.
6. The Contractor shall offer limited English proficiency services to patients who do
not speak English.
a. The Contractor shall provide translation services in the patient's preferred
language.
i. The Contractor shall offer in -person, certified translation services.
ii. The Contractor shall offer Over -the -Phone Interpretation (OPI) services.
Primary Activity #2
The Contractor shall ensure that all contacts to newly identified Ukrainian nationals
with infectious TB are identified, investigated, and receive appropriate evaluation.
Sub -Activities #2
1. The Contractor shall provide, or arrange for the following for individuals with
newly identified suspected or confirmed TB, as well as Ukrainian nationals with
LTBI:
a. Chest x-rays
b. Chest x-ray interpretations
2. The Contractor shall provide, or arrange for, the treatment of Ukrainian
nationals, including DOT, and ensure the completion of therapy for all such TB
patients.
3. The Contractor shall inform all individuals whom refuse HIV testing of the risks
associated with HIV/TB co -infection.
4. A minimum of once a month, the Contractor shall evaluate Ukrainian nationals
face-to-face who are on LTBI treatment.
5. Throughout LTBI treatment, the Contractor shall monitor Ukrainian nationals for
adverse reactions or other clinical concerns.
Primary Activity #3
The Contractor shall participate in an electronic TB surveillance process (TBdb or
other designated TB database)
Sub -Activities #3
1. The Contractor shall enter data for each patient tested, treated, and cared for into
the TBdb
a. The Contractor shall report each data element specified in the "Report of
Verified Case of Tuberculosis (RVCT) for all Ukrainian nationals who test
positive for LTBI.
b. The Contractor shall mark each specimen sent to the state lab with a (U) after
the patient's name to identify them as Ukrainian Nationals.
c. The Contractor shall enter laboratory results for each Ukrainian national patient
tested for LTBI.
d. The Contractor shall enter laboratory results for each Ukrainian national patient
tested for HIV.
e. The Contractor shall enter laboratory results for each Ukrainian national patient
tested for pulmonary TB disease.
f. The Contractor shall enter into TBdb other clinical concerns identified during
testing.
2. The Contractor shall complete a preliminary Tuberculosis Contact Investigation
Record (TB -18) for all presumptive or confirmed TB disease and LTBI patients.
a. The Contractor shall complete a Class B tuberculosis Follow Up worksheet for:
i. Ukrainian nationals
Page 3 of 6
Ver. 01.11.19
Standards and
Requirements
1. The content of electronic documents located on CDPHE and
websites and information contained on CDPHE and non-CDPHE
be updated periodically during the purchase order term. The
monitor documents and website content for updates and comply
2. CDPHE will provide access to the CDPHE TBdb system to the
a. CDPHE will register the Contractor.
i. CDPHE will provide user log -into the Contractor.
3. CDPHE will provide written notification to the Contractor a minimum
calendar days of the arrival of:
a. Ukrainian nationals
4. The Contractor shall initiate treatment with Ukrainian national
accordance with CDC guidance found at the following links, incorporated
part of this Contract by reference:
https://www.cdc.gov/tb/topic/treatment/ltbi.htm and
non-CDPHE
websites may
Contractor shall
with all updates.
Contractor.
of 30
patients in
and made
https://www.cdc.gov/tb/topic/treatment/tbdisease.htm
Expected Results �f the Activity
1. Sustained TB disease testing for all at -risk Ukrainian nationals identified in
Colorado.
2. Sustained identification of at -risk Ukrainian nationals with LTBI.
1. Data contained in the CDPHE TBdb.
Measurement of Expected
2. Data contained in the Tuberculosis Surveillance and Case Management Report.
Results
3. Data contained in the Semi-annual Progress Reports.
4. Data on lab specimens identified with a (U) sent to the lab will be used to track
di. _ ostics
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Com . letion Date
Deliverables
No later than ten
1. The Contractor shall provide a TB health services point of
(10) days after the
contact to the CDPHE Contract Monitor via email.
start date of the
contract
2. The Contractor shall submit the Semi-annual Progress
No later than one
Reports to the CDPHE Contract Monitor via email.
month after the
July -Dec and Jan -
June reporting
periods, and the
end date of the
contract
V. Budget:
Description
Funding Source
Amount
Tuberculosis U4U program
Federal
$12,000.00
PO Total
$12,000.00
1. Additional Provisions:
Page 4 of 6
Ver. 01.11.19
To receive compensation under the Purchase Order, the Contractor shall submit a signed Monthly
CDPHE Reimbursement Invoice Form. This form is accessible from the CDPHE internet website
http://www.colorado.gov/pacific/cdphe/standardized-invoice-form-and-links and is incorporated and
made part of this Purchase Order 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 this Statement of Work and Budget. The
Contractor shall submit the invoice using the following method.
Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document. Email
the scanned invoice with the Excel workbook containing the Expenditure Details page to: the CDPHE
Contract monitor, cdphe dcphr.payablesna,state.co.us.
Final billings under the Purchase Order must be received by the State within a reasonable time after the
expiration or termination of the Purchase Order; but in any event no later than forty-five (45) calendar
days from the effective expiration or termination date of the Purchase Order.
Unless otherwise provided for in the Purchase Order, "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.
VI. Monitoring:
CDPHE's monitoring of the purchase order for compliance with performance requirements will
be conducted throughout the purchase order period by the CDPHE Contract Monitor. Methods
used will include a review of documentation determined by CDPHE to be reflective of
performance to include monthly reports and 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.
VII. 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 time line for completion will be
documented in writing and agreed to by both parties. If extenuating circumstances arise that
requires an extension to the time line, the Contractor must email a request to the CDPHE
Contract Monitor and receive approval for a new due date. The State will oversee the
completion/implementation of the action(s) to ensure time lines 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 Terms and Conditions of this
Purchase Order.
Page 5 of 6
Ver. 01.11.19
VIII.
Attestation:
The Vendor agrees to perform services in accordance with the terms and conditions of the
Purchase Order to include Statement of Work and Budget.
Mike Freeman, Chair
Board of Weld County Commissioners
Contractor Name (Print) and Title
Contractor Signature
APR 2 6 2023
Date
Page 6 of 6
Ver. 01.11.19
Contract Form
New Contract Rogues
Entity Information
Entity Name*
COLORADO DEPT OF PUBLIC
HEALTH /ENVIRONMENT
Entity ID
'00001926
❑ New Entity?
Contract Name* Contract ID
CDPHE TUBERCULOSIS STATEMENT OF WORK FOR UNITING 6866
FOR UKRAINE PURCHASE ORDER
Contract Status
CTB REVIEW
Contract Lead*
AGOMEZ
Contract Lead Email
agomez@weldgov.com
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Description*
UNITING FOR UKRAINE - TUBERCULOSIS PROGRAM FY22-23 STATEMENT OF WORK FOR ADDITIONAL FUNDING VIA
PURCHASE ORDER WITH CDPHE
Contract Description 2
Contract Type* Department
STATEMENT OF WORK HEALTH
Amount* Department Email
$12,000.00 CM-Healthc'weldgov.com
Renewable* Department Head Email
NO CM-Health-
DeptHead@weldgov.com
Automatic Renewal
NO County Attorney
GENERAL COUNTY
Grant ATTORNEY EMAIL
YES
County Attorney Email
IGA CM -
NO COUNTYATTORNEYOWELDG
OV.COM
Grant Deadline Date
If this is a renewal enter previous Contract ID
If this is part of a MSA enter NSA Contract ID
Requested BDCC Agenda
Date*
04/26/2023
Due Date
04/22/2023
Will a work session with BQCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
NO
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
04126;2023
Review Date*
05/15,2023
Renewal Date
Termination Notice Period Committed Delivery Date
Contact Information
Contact Info
Contact Name
Purchasing
Expiration Date*
06/30/2023
Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing Approver Purchasing Approved Date
Approv
Department Head
TANYA GEISER
DH Approved Date
04/21/2023
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
04/26/2023
Originator
AGOMEZ
Finance Approver
CHERYL PATTELLI
Legal Counsel
BRUCE BARKER
Finance Approved Date Legal Counsel Approved Date
04/24/2023 04/24/2023
Tyler Ref
AG 042623
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