Loading...
HomeMy WebLinkAbout20203366.tiffRESOLUTION RE: APPROVE CONTRACT AMENDMENT #3 FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS AND RESPONSE AND AUTHORIZE CHAIR TO SIGN AND SUBMIT ELECTRONICALLY 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 Contract Amendment #3 for Public Health Emergency Preparedness and Response 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, 2021, with further terms and conditions being as stated in said amendment, and WHEREAS, after review, the Board deems it advisable to approve said amendment, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that Contract Amendment #3 for Public Health Emergency Preparedness and Response 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 and submit said amendment electronically. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 16th day of November, A.D., 2020. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: dithiv W,;e4. EXCUSED Mike Freeman, Chair Weld County Clerk to the Board BY: Deputy Clerk to the Board APPED A Coun Attorney Date of signature: I UM t °l /9. Steve reno, Pro-Tem Scott James Kevin D. Ross e c c.1 -(1..(r0 12./2/20 2020-3366 HL0052 antr-act CD #'LI 94C0 Memorandum TO: Mike Freeman, Chair Board of County Commissioners FROM: Mark Lawley Deputy Director Department of Public Health & Environment DATE: November 9, 2020 SUBJECT: FY20-21 CDPHE Public Health Emergency Preparedness & Response Task Order Contract Amendment #3 For the Board's approval is Task Order Contract Amendment #3 between the Colorado Department of Public Health and Environment (CDPHE) and the Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE) for our Public Health Emergency Preparedness & Response program. Public health related emergency preparedness and response remains a crucial function for WCDPHE and residents of Weld County. This grant enables WCDPHE to plan and train for a variety of population -based disease outbreak emergencies, including pandemics, bioterrorism and emergent diseases. The preparation also supports mass -dispensing of vaccines and antibiotics and emphasizes coordination between emergency management and public health. This contract amendment is for Exhibit D, which pertains to the role and responsibilities of the regional epidemiologist, to correct a number of spelling errors, wording, and to clarify several grant deliverables, without changing overall content. Any due dates that were altered were to remove deliverable dates from occurring on weekends or to extend the due date of the original deliverable. The grant supports two full-time staff, including a regional epidemiologist and a public health emergency planner. The amended contract amount remains at $278,024 and the contract period has not changed from July 1, 2020, to June 30, 2021. Assistant County Attorney, Karin MacDougal, has reviewed the terms of this contract amendment and determined them to be acceptable. The Board approved placement of this contract amendment on the Board's agenda via pass -around circulated on October 30, 2020. I recommend approval of this FY20-21 CDPHE Public Health Emergency Preparedness & Response Task Order Contract Amendment #3. 2020-3366 E-HLOo5a DocuSign Envelope ID: 6D576F31-BB6C-47E2-AF18-8EC5ADAC0D0F CONTRACT AMENDMENT #3 SIGNATURE AND COVER PAGE(S) State Agency: Colorado Department Of Public Health and Environment 4300 Cherry Creek Drive South Denver, Colorado 80246 Original Contract Number: CT 2020*283 Contractor: Amendment Contract Number: Board of County Commissioners of Weld County CT 2020*283 Amendment 3 (a political subdivision of the state of Colorado) 1150 "O" Street Greeley, Colorado 80631 for the use and benefit of the Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley, Colorado 80631 Contract Performance Beginning Date: Current Contract Expiration Date: The later of the Effective date or July 1, 2019 June 30, 2021 CONTRACT MAXIMUM AMOUNT TABLE Document Contract Number Federal Funding State Funding Amount Other Funding Amount Term (dates) Total Type Amount Original CT $283,947.00 $0.00 $0.00 07/01/2019- $283,947.00 Contract 2020*283 06/30/2020 Amendment #1 CT $0.00 $0.00 $0.00 07/01/2019- $0.00 2020*283 06/30/2020 Amendment 1 Amendment #2 CT $278,024.00 $0.00 $0.00 07/01/2020- $278,024.00 2020*283 06/30/2021 Amendment 2 Amendment #3 CT $0.00 $0.00 $0.00 09/30/2020- $0.00 2020*283 06/30/2021 Amendment 3 Current Contract Maximum $561,971.00 Cumulative Amount Page 1 of 4 Amendment Contract Number: CT 2020*283 Amendment 3 Ver01.11.19 11/30/2020 This site uses coo Review and sign document(s) I DocuSign Learn More G� OK weta Lounty impartment or ruouc ueattn ana Environment Steve Moreo CLOSE Jill rlunsaxer Kyan, Mrri, t.xecutive uirector Oaeu$i i.dnr Do'u edby, M4PUA..a Pro ThIA (,feu' GS& ht4Co,K,nt, - E749t1O90t43D44At. . e igna,ureFc By: By: Signature Steve Moreno Name of Person Signing for Contractor 2020-11-16 Title of Person Signing for Contractor Date: Lisa McGovern Name of Executive Director Delegate Procurement & Contracts Section Directs Title of Executive Director Delegate 2020-11-17 Date: In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller o an authorized delegate. STATE CONTROLLER Robert .Taros, CPA, MBA, JD Docu$gsed by: r%a ..va�ar .14,444.4.• 36af8AFC05514C4.. Travis Yoder By: Signature eor rialntare Controller Delegate Title of State Contro#gajtegag0 Amendment Effective Date: -- Signature and Cover Pages End -- Page 2 or4 Amendment Contract Number: CT 2020.283 Amendment 3 Ver. 06.05 Amendment Template_Signature Page (1).docx .72.0.20-336 https://na3.docusign.net/Signing/?ti=a48b7c6b3af9480591112e66bd452d 1 b 1/1 DocuSign Envelope ID: 6D576F31-BB6C-47E2-AF18-8EC5ADAC0D0F 1. PARTIES This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the State. 2. TERMINOLOGY Except as specifically modified by this Amendment, all terms used in this Amendment that are defined in the Contract shall be construed and interpreted in accordance with the Contract. 3. AMENDMENT EFFECTIVE DATE AND TERM A. Amendment Effective Date This Amendment shall not be valid or enforceable until the Amendment Effective Date shown under the State Controller Signature. The State shall not be bound by any provision of this Amendment before that Amendment Effective Date, and shall have no obligation to pay Contractor for any Work performed or expense incurred under this Amendment either before or after of the Amendment term shown in §3.B of this Amendment. B. Amendment Term The Parties' respective performances under this Amendment and the changes to the Contract contained herein shall commence on the Amendment Effective Date shown under the State Controller Signature or September 30, 2020, whichever is later, and shall terminate on the termination of the Contract. 4. PURPOSE The Parties entered into the agreement to to upgrade the public helath departments ability to effectively respond to a range of public helath threats, including infectious diseases, natural disasters, and biological, chemical, nuclear, andn radiological events. The Parties now desire to change the Statement of Work for the following reason: Correct the Regional Epidemiologist SOW. 5. MODIFICATIONS The Contract and all prior amendments thereto, if any, are modified as follows: A. The Contract Maximum Amount table is deleted and replaced with the Current Contract Maximum Amount table shown on the Signature and Cover Page for this Amendment. B. The Parties now agree to modify Exhibit, D, Regional Epidemiologist Statement Of Work, of the agreement. Exhibit, D, Regional Epidemiologist Statement Of Work, is deleted and replaced in its entirety with Exhibit, D, Regional Epidemiologist Statement Of Work, attached to this Amendment for the following reason: to correct the Epidemiologist Statement Of Work. 6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments or other modifications to the Contract, if any, remain in full force and effect except as specifically modified in this Amendment. Except for the Special Provisions contained in the Contract, in the event of any conflict, inconsistency, variance, or contradiction between the Page 3 of 4 Amendment Contract Number: CT 2020283 Amendment 3 Ver 27.01.20 DocuSign Envelope ID: 6D576F31-BB6C-47E2-AF18-8EC5ADAC0D0F provisions of this Amendment and any of the provisions of the Contract or any prior modification to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control. The provisions of this Amendment shall only supersede, govern, and control over the Special Provisions contained in the Contract to the extent that this Amendment specifically modifies those Special Provisions. Page 4 of 4 Amendment Contract Number: CT 2020*283 Amendment 3 Ver 27.01.20 DocuSign Envelope ID: 6D576F31-BB6C-47E2-AF18-8EC5ADAC0D0F Exhibit D 2020-2021 Public Health Emergency Preparedness Grant Colorado Regional Epidemiologist SOW Guidance Purpose of this document: Local public health agencies that house/employ a regional epidemiologist funded by the CDC Public Health Emergency Preparedness (PHEP) grant (via CDPHE) have been contractually assigned an epidemiology work plan for the 2020-2021 grant year. The epidemiology work plan will help agencies and regions meet preparedness goals outlined in the PHEP grant, as well as contribute to high -quality public health surveillance and epidemiologic investigations. The activities outlined in the epidemiology work plan coincide with public health preparedness capability #13: Public Health Surveillance and Epidemiological Investigation (a complete list of the public health preparedness capabilities can be found at: https://www.cdc.gov/phpr/readiness/capabilities.htm). To assist regional epidemiologists in successfully completing the activities outlined in the epidemiology work plan, the CDPHE Communicable Disease Branch has developed this guidance document. The CDPHE Communicable Disease Branch is responsible for coordinating and monitoring regional epidemiologist contracts and activities. Structure of the epidemiology work plan: • Goal and Objective: The epidemiology work plan begins with the broad goal and the objective of the plan and associated activities and deliverables. The overall goal of the 2020-2021 epidemiology work plan is: Develop, sustain, and improve upon public health surveillance and epidemiological investigation systems and processes in Colorado. • Primary Activities and Sub -Activities: Most primary activities are assigned sub -activities, which outline the work that will be done in more detail. • Standards and Requirements: This section outlines the criteria that the activities will be measured against. It also indicates the required tools to be utilized in performing the activities. There are several standards in the work plan that do not have associated activities or deliverables: o The regional epidemiologists shall serve as an epidemiological resource within their assigned region, and outside their assigned region in real situations of need or urgency, for disease case, outbreak, and incident investigations, including but not limited to enteric, respiratory, health care associated, zoonotic, vector borne, bloodborne, vaccine -preventable diseases, and other incidents with public health implications. CDPHE will notify regional epidemiologists of real situations requiring regional epidemiologist assistance outside of the regional epidemiologist's jurisdiction/region via email or conference call. o 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 regional epidemiologist shall monitor documents and website content for updates and comply with all updates. • Expected Results of Activity: This section describes the outcomes that should occur as a result of the activities being completed. • Measurement of Expected Results: This section references how the outcomes of specific activities will be measured. • Deliverables: This section describes the actions that the regional epidemiologist must accomplish to demonstrate completion of activities. Completion of epidemiology work plan deliverables: Regional epidemiologists (n=14) housed at and employed by local public health agencies across the state will complete the epidemiology work plan. Only agencies that house and employ a regional epidemiologist will have a spreadsheet to track deliverable progress and completion in CO -SHARE (the state's public health emergency preparedness and response deliverable tracking system - available at https://sites.google.com/a/state.co.us/co-share/?pli=1). CDPHE monitors CO - SHARE for deliverable completeness throughout the year. If you have problems accessing CO -SHARE, email the CDPHE Office of Emergency Preparedness and Response (OEPR) Systems Integration Team at cdphe epr sit@state.co.us. Comments or questions: Comments or questions on the regional epidemiology work plan and this guidance document can be directed to the CDPHE Regional Epidemiologist Coordinator: Ginger Stringer - 303-692-2930 - ginger.stringer@state.co.us. Epidemiology Work Plan Table - Budget Period 2 - 2020-2021 Page 1 of 9 Contract Routing Number: CT 2020"283 Amendment 3 DocuSign Envelope ID: 6D576F31-BB6C-47E2-AF18-8EC5ADAC0D0F Exhibit D Goal #1: Improve disease detection, investigation, and response in Colorado. Objective #1: No later than the expiration date of the Contract, provide public health surveillance and epidemiological investigation activities for Colorado local public health agencies. Primary Activity #1 The Contractor shall participate in epidemiology -related conference calls, meetings, and trainings. Sub -Activities #1 1.The regional epidemiologist shall attend twice -monthly regional epidemiologist conference calls coordinated by CDPHE. 2.The regional epidemiologist shall attend at least one additional epidemiology conference or training for professional development. Primary Activity #2 The Contractor shall assess public health surveillance data. Sub -Activities #2 1.The regional epidemiologist shall address any disease reporting issues identified through assessment of the disease reporting metrics reports supplied by CDPHE for the clinical laboratories and hospitals within the regional epidemiologist's jurisdiction/region 2.The regional epidemiologist shall address any disease investigation issues identified through assessment of the disease investigation metrics reports supplied by CDPHE for the regional epidemiologist's jurisdiction/region. 3.The regional epidemiologist shall complete a surveillance data analysis project on a topic relevant to the regional epidemiologist's jurisdiction/region. Primary Activity #3 The Contractor shall share public health surveillance data and concepts with community organizations. Sub -Activities #3 1.The regional epidemiologist shall present on a surveillance or epidemiologic topic during at least one health care coalition meeting within the regional epidemiologist's jurisdiction/region. 2.The regional epidemiologist shall present on a surveillance or epidemiologic topic to a public health or community organization in the regional epidemiologist's jurisdiction/region. 3.The regional epidemiologist shall share surveillance data with public health associates and stakeholders within the regional epidemiologist's jurisdiction/region either quarterly or bi-annually. Primary Activity #4 The Contractor shall perform timely and complete disease case and outbreak investigations, and respond to incidents with public health implications in order to implement appropriate disease control and mitigation activities. Page 2of9 Contract Routing Number: CT 2020'283 Amendment 3 DocuSign Envelope ID: 6D576F31-BB6C-47E2-AF18-8EC5ADAC0D0F Sub -Activities #4 Exhibit D 1.The regional epidemiologist shall monitor the "follow-up outcome" variable in the "contact attempts" section of CEDRS for diseases/conditions for which the local public health agency has primary investigatory responsibilities and address any issues identified with local public health disease investigation staff. 2.The regional epidemiologist shall resolve issues related to timely submission of National Outbreak Reporting System (NORS) forms submitted to CDPHE more than two months of the first illness onset of the outbreak for waterborne and foodborne disease outbreaks and enteric disease outbreaks transmitted by contact with environmental sources, infected people or animals, or unknown modes of transmission in their jurisdiction/region. 3.The regional epidemiologist shall resolve issues related to timely submission of outbreak summary reports submitted to CDPHE more than 6 months of the first illness onset of outbreaks in their jurisdiction/region. 4.The regional epidemiologist shall use data to inform the disease investigation and epidemiological training needs in the local/regional training and exercise planning workshop (TEPW) and multiyear training and exercise plan (MYTEP) in their jurisdiction. 5.The regional epidemiologist shall participate in the planning for the 2021 Statewide Full Scale Exercise or response to a real world event. 6.The regional epidemiologist shall promote and support disease prevention and response activities, such as vaccination, among people at higher risk of hepatitis A infections, including people experiencing homelessness and people with substance use issues. 7.The regional epidemiologist shall participate in a real situation of need or urgency outside of the regional epidemiologist's jurisdiction/region as requested by CDPHE. Primary Activity #5 The Contractor shalt administer a laboratory testing practices survey developed by CDPHE for the clinical laboratories within the regional epidemiologist's jurisdiction/region to assess testing capacity and the testing practices currently in place for selected diagnoses. Primary Activity #6 The regional epidemiologist shall support and contribute to the development and maintenance of surveillance and epidemiologic components of preparedness and response plans in their jurisdiction/region. Sub -Activities #6 1.The regional epidemiologist shall support and contribute to the update and maintenance of the surveillance and epidemiological components of the Health Care Coalition preparedness and response plans within their jurisdiction/region. 2.The regional epidemiologist shall contribute to the annual update of the "Critical Workforce Tiers" worksheet for the region. Page 3 of 9 Contract Routing Number: CT 2020`283 Amendment 3 DocuSign Envelope ID: 6D576F31-BB6C-47E2-AF18-8EC5ADAC0D0F Standards and Requirements Exhibit D 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 website content for updates and comply with all updates. 2. The regional epidemiologists shall serve as an epidemiological resource within their assigned region, and outside their assigned region in real situations of need or urgency for disease case, outbreak, and incident investigations, including but not limited to enteric, respiratory, health care associated, zoonotic, vectorborne, bloodborne, and vaccine -preventable diseases, and other incidents with public health implications. CDPHE will notify regional epidemiologists of real situations requiring regional epidemiologist assistance outside of the regional epidemiologist's jurisdiction/region via email or conference call. 3. Additional details to assist the regional epidemiologist in completing this work plan table will be provided by the CDPHE Communicable Disease Branch in the form of a guidance document prior to the start date of this contract. 4. The twice -monthly epidemiologist conference calls will occur on the first and third Wednesdays of every month from 9:30 am to 10:30 am. The regional epidemiologist shall attend at least 80% of the twice -monthly epidemiologist conference calls. CDPHE will record and monitor attendance. 5. The regional epidemiologist shall participate in an epidemiologically focused conference or training to increase individual capacity in surveillance or other epidemiological skills. 6. The disease reporting metrics reports will be supplied by CDPHE in August 2020 and February 2021. The reports are generated from data within the Colorado Electronic Disease Reporting System (CEDRS). 7. The disease investigation metrics reports will be supplied by CDPHE in August 2020 and February 2021. The reports are generated from data within CEDRS. 8. The topic/focus area of the surveillance data analysis project is at the discretion of the regional epidemiologist. 9. The surveillance or epidemiologic topic presented during a health care coalition meeting can include but are not limited to: sharing surveillance data, discussing the agency's or region's epidemiological response plan, reviewing an outbreak investigation, reviewing the role of epidemiology in emergency preparedness and response, sharing epidemiological tools that can be used in emergency preparedness and response, or training for HCC partners to address identified gaps. 10. The surveillance or epidemiologic topic presented to a public health or community partners is at the discretion of the regional epidemiologist. 11. At a minimum, surveillance data reports must contain data on reportable conditions reported in the region/jurisdiction. Additional items may be added at the regional epidemiologist's discretion. 12. Primary disease case investigation responsibility (i.e., local or state public health agency) and suggested public health response timelines are outlined on the CDPHE Communicable Disease Manual website in the document found at the link titled "CDPHE guidance on diseases needing case investigation". This document and website are incorporated and made part of the scope of work by reference and is available on the following website: https://www.colorado.gov/pacific/cdphe/communicable-disease- manual. 13. The "follow-up outcome" variable in CEDRS shall be completed for all reportable conditions in which the local public health agencies have primary investigation duties. The target for completed case interviews is 90%. CDPHE will run reports throughout the grant year to evaluate completion of this field. 14. The regional epidemiologist shall comply with the requirements for reporting outbreaks to CDPHE using the CDC NORS forms. This information is located on the CDPHE-DCEED website. This information is incorporated and made part of the scope of work by reference and is available on the following website: https: / /www.colorado.gov/pacific/cdphe/outbreak-investigation-guidelines. Page 4 of 9 Contract Routing Number: CT 2020"283 Amendment 3 DocuSign Envelope ID: 6D576F31-BB6C-47E2-AF18-8EC5ADAC0D0F Exhibit D 15. The regional epidemiologist shall submit outbreak summary reports that contain the following elements: background, investigation start date, methods, results, discussion/conclusion, and recommendations. 16. Trainings to address gaps identified in the needs assessment may include training offered by the regional epidemiologist, CDPHE, or other partners/organizations. 17. Regional epidemiologist participation in the regional pandemic influenza tabletop exercise can include planning team participation, playing in the exercise, and/or evaluating the exercise. The regional epidemiologist can also achieve this activity by participating in real world pandemic response. 18. Regional epidemiologist prevention and response activities among populations at high risk of hepatitis A infection or other communicable disease may include but are not limited to planning or supporting vaccine clinics, providing educational materials or presentations to community partners, facilitating or participating in tabletop or other exercises, and/or participating in CDPHE hosted calls and webinars. 19. CDPHE will notify regional epidemiologists of real situations requiring regional epidemiologist assistance outside of the regional epidemiologist's jurisdiction/region via email or conference call. 20. CDPHE will provide the survey to be used for the clinical laboratory survey by March 10, 2020. 21. The CDPHE Communicable Disease Branch will provide guidance and templates that can be used when developing, updating, and maintaining the surveillance and epidemiological components of the Health Care Coalition and other preparedness and response plans. Regional epidemiologists serving in Health Care Coalition regions with multiple regional epidemiologists shall collaborate on the surveillance and epidemiological components of the Health Care Coalition response plan. 22. The regional epidemiologist shall serve as a subject matter expert on pandemic influenza planning groups convened by LPHAs in their jurisdiction/region to update "Critical Workforce Group Tiers" worksheet. Regional epidemiologists serving in regions with multiple epidemiologists shall collaborate to ensure participation in meetings. 23. The regional epidemiologist shall comply with the "Allocating and Targeting Pandemic Influenza Vaccine during an Influenza Pandemic" when completing the "Critical Workforce Group Tiers" worksheet. This document is incorporated and made part of this contract by reference and is available on the following website: https: / /www.cdc.gov/flu/pandemic-resource/pdf/2018-Influenza-Guidance.pdf Page 5 of 9 Contract Routing Number: CT 2020*283 Amendment 3 DocuSign Envelope ID: 6D576F31-BB6C-47E2-AF18-8EC5ADAC0D0F Exhibit D Expected Results of Activity(s) High quality public health surveillance and epidemiological investigation will occur within the Contractor's jurisdiction/region in line with functions described in capability 13 of the CDC PHEP cooperative agreement (Public Health Surveillance and Epidemiological Investigations), contributing to statewide public health preparedness and response capability. Measurement of Expected Results Data in CEDRS and data provided to CDPHE will be tabulated to assess compliance with CDC performance measures for PHEP Capability 13: Public Health Surveillance and Epidemiological Investigation. (PHEP capability 13 performance measures can be found at this website: https://www.cdc.gov/phpr/readiness/capabilities.htm) Completion Date (When is the deliverable due) Deliverables 1. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting Spreadsheet to document the epidemiology conference or training completed. No later than June 4, 2021 2. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting Spreadsheet to document any issues identified in the disease reporting metrics reports and how those issues were addressed. (for reports from Jan -June 2020) No later than September 30, 2020 3. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting Spreadsheet to document any issues identified in the disease reporting metrics reports and how those issues were addressed. (for reports from July - Dec 2020) No later than March 31, 2021 4. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting Spreadsheet to document any issues identified in the disease investigation metrics reports and how those issues were addressed. (for reports from Jan -June 2020) No later than September 30, 2020 5. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting Spreadsheet to document any issues identified in the disease investigation metrics reports and how those issues were addressed. (for reports from July - Dec 2020) No later than March 31, 2021 6. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting Spreadsheet No later than June 4, 2021 Page 6 of 9 Contract Routing Number: CT 2020"283 Amendment 3 DocuSign Envelope ID: 6D576F31-BB6C-47E2-AF18-8EC5ADAC0D0F Exhibit D with a summary of the surveillance data analysis project. 7. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting Spreadsheet to record the name of the health care coalition to which a surveillance or epidemiologic topic was presented, the date of the presentation, and a brief topic synopsis. No later than June 4, 2021 8. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting Spreadsheet to record the name of the public health or community partner to which a surveillance or epidemiologic topic was presented, the date of the presentation, and a brief topic synopsis. No later than June 4, 2021 9. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet to record the method, and the frequency (either quarterly or bi-annually), and date they provided the quarterly and year-to-date surveillance data reports from CDPHE, or internally generated surveillance data reports, with public health associates and stakeholders within the Contractor's jurisdiction/region. (for data covering the first half of 2020 or 2nd and 3rd quarters of 2020) No later than December 5, 2020 10. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet to record the method, and the frequency (either quarterly or bi-annually), and date they provided the quarterly and year-to-date surveillance data reports from CDPHE, or internally generated surveillance data reports, with public health associates and stakeholders within the Contractor's jurisdiction/region. (for data covering the second half of 2020 or 4th quarter of 2020 and 1st quarter of 2021) No later than June 4, 2021 11. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet recording the frequency of monitoring and any corrective action taken to address completions rates falling below 90%. (for reports from Jan -June 2020) September 30, 2020 Page 7 of 9 Contract Routing Number: CT 2020"283 Amendment 3 DocuSign Envelope ID: 6D576F31-BB6C-47E2-AF18-8EC5ADAC0D0F Exhibit D 12. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet recording the frequency of monitoring and any corrective action taken to address completions rates falling below 90%. (for reports from July - Dec 2020) March 31, 2021 13. The regional epidemiologist shall ensure that a completed National Outbreak Reporting System (NORS) form is submitted to the CDPHE Communicable Disease Branch via email (to dino.chavez@state.co.us) or fax (303-782-0338) for outbreaks occurring within the regional epidemiologist's jurisdiction/region. No later than 2 months following the first illness onset of the outbreak 14. The regional epidemiologist shall ensure that infectious disease outbreak reports are submitted to the CDPHE Communicable Disease Branch via email (to dino.chavez@state.co.us) or fax (303-782- 0338) for outbreaks that occur within the regional epidemiologist's jurisdiction/region. No later than 6 months following the first illness onset of the outbreak 15. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet with a brief summary of how data were used to inform the local/regional TEPW and MYTEP. No later than February 27, 2021 16. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet with a brief summary of their participation in the pandemic influenza functional exercise or response to a real world event. No later than October 30, 2020 17. The regional epidemiologist shall ensure that all Hepatitis A outreach and vaccination efforts are reported in the tracking forms provided by CDPHE no later than one months following each event. No later than one month following each event 18. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet with a brief summary of their role in Hepatitis A or other communicable disease outreach and vaccination prevention or response efforts. No later than June 4, 2021 19. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet with a brief description of any epidemiological situation of need or urgency outside of the Contractor's jurisdiction/region for which the epidemiologic assistance was provided. No later than June 4, 2021 Page 8 of 9 Contract Routing Number: CT 2020'283 Amendment 3 DocuSign Envelope ID: 6D576F31-BB6C-47E2-AF18-8EC5ADAC0D0F Exhibit D 20. The regional epidemiologist shall return completed clinical laboratory surveys to the CDPHE Communicable Disease Branch. No later than April 30, 2021 21. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet with a brief description of activities to support and contribute to the update and maintenance of the surveillance and epidemiological components of the Health Care Coalition preparedness and response plans within their agency/jurisdiction. No later than June 4, 2021 22. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet with the date(s) of pandemic planning group meetings attended. No later than June 4, 2021 Page 9 of 9 Contract Routing Number: CT 2020"283 Amendment 3 Hello