HomeMy WebLinkAbout20192339.tiffRESOLUTION
RE: APPROVE TASK ORDER CONTRACT AMENDMENT #2 FOR IMMUNIZATION CORE
SERVICES PROGRAM AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Task Order Contract Amendment #2 for
Immunization Core Services Program between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the Weld County
Department of Public Health and Environment, and the Colorado Department of Public Health
and Environment, commencing July 1, 2019, and ending June 30, 2020, 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 the Task Order Contract Amendment #2 for Immunization Core Services
Program between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Department of Public Health and
Environment, 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 amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 19th day of June, A.D., 2019.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLQRADO
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Weld County Clerk to the Board
BY: D41
Pty Clerk to the Board
APP 'O ' DAS
Date of signature: OCoI@7/!9
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rbara Kirkmeyer, chair
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Mike Freeman, Pro -Tern
EXCUSED
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James
unty Attorney
Steve Moreno
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2019-2339
HL0051
NA-Amp/4-
Memorandum
TO: Barbara Kirkmeyer, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE: June 11, 2019
SUBJECT: Immunization Core Services FY2019-2020
Contract Amendment #2 with CDPHE
For the Board's approval is Contract Amendment #2 to the Immunization Core Services contract
between the Colorado Department of Public Health and Environment (CDPHE) and the Weld
County Board of Commissioners for the benefit and use of the Weld County Department of Public
Health and Environment (WCDPHE).
With the approval of this Contract Amendment, Weld County will be reimbursed $176,530 for the
grant period, $83,774 of which is federal funds and $92,756 is State funds. The term of this contract
is from July 1, 2019, through June 30, 2020.
These funds will be used to increase immunization rates in Weld County residents and therefore,
reduce morbidity and mortality of infectious disease. We will follow CDC guidelines for best
immunization practices and provide follow-up of Weld county residents to reduce and eliminate
vaccine -preventable diseases. We will provide immunizations and educational materials in
collaboration with schools, daycares, and community agencies. In addition to provision of
immunizations, WCDPHE will provide technical support to community physician offices on the
complex immunization schedules, conduct reminder/recall activities, and maintain accurate and
timely reporting of immunizations to the Colorado Immunization Information System (CIIS).
Assistant Weld County Attorney, Karin McDougal, has reviewed the this amended contract and
determined that its terms are acceptable.
Furthermore, this amendment was approved for placement on the Board's agenda via pass -around
dated May 24, 2019.
I recommend the approval of this Immunization Core Services Contract Amendment with CDPHE.
2019-2339
CONTRACT AMENDMENT #2
SIGNATURE AND COVER PAGE(S)
State Agency :
Colorado Department Of Public Health and Environment
4300 Cherry Creek Drive South
Denver, CO 80246
Original Contract Number
19 FHHA 109514
Contractor:
Amendment Contract Number
Board of County Commissioners of Weld County
2020*115 Amendment #2
1150 "O" Street
Greeley, Colorado 80631
For the use and benefit of the
Weld County Department of Public Health and Environment
1555 North 17`h Avenue
Greeley, Colorado 80631
Contract Performance Beginning Date:
Current Contract Expiration Date :
The later of the Effective date or July 1, 2018
June 30, 2020
CONTRACT MAXIMUM AMOUNT TABLE
Document
Contract
Federal
State Funding
Other Funding
Term (dates)
Total
Number
Funding
Amount
Amount
Type
Amount
Original
Contract
19 FHHA
109514
$85,392.00
$48,644.00
$0.00
07/01/2018
06/30/2019
$134,036.00
GFCL #1
19 FHHA
113425
$0.00
$43,251.00
$0.00
09/17/2018-
06/30/2019
$43,251.00
Contract
Amendment #1
19 FHHA
127526
$17,442.00
$0.00
$0.00
03/01/2019-
06/30/2019
$17,442.00
Contract Option
Letter #1
19 FHHA
127526
$824.00
$0.00
$0.00
05/10/2019-
06/30/2019
$824.00
Contract
Amendment #2
2020*115
Amendment #2
$83,774.00
$92,756.00
$0.00
07/01/2019-
06/30/2020
$176,530.00
Current Contract Maximum
$372,083.00
Cumulative Amount
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizing his or her signature.
020/9-253q6)
Amendment Contract Number: 2020* 115 Amendment #2 Page 1 of 3
version 31.1.19
CONTRACTOR
Board of County Commissioners of Weld County for the use
and benefit of the Weld County Department of Public Health
and n ronment
Kirkme er, BOCC C air
STATE OF COLORADO
Jared S. Polls, Governor
Colorado Department Of Public Health and Environment
Jill Hunsaker Ryan, MPI-i
Executive Director
(/�
rqzBarbara
By: Print Name & Title
Date: JUN 1 9 2OO1
By: Lisa McGovern, Procurement and Contracts Section
Director, CDPHE
Date: 5 - i
PROGRAM APPROVAL
Colorado Department of Public Health and Environment
c----' ,- c ,tt A?_( l i-li
~ � { I'' DIVA Al` 14,\
In accordance with §24-30-202 C.R.S., this Amendment is
not valid until signed and dated below by the State Controller
or an authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
By: r ,,
Signature of Authorized CDPHE Program Approver
Date: 7r(- t?
��� �.
Da i'' is, Controller, CDPHE
Amendment Effective Date: �6����
t. 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 July 1, 2019, whichever is later and shall terminate on the termination
of the Contract or June 30, 2020, whichever is earlier.
4. PURPOSE
The Parties entered into the agreement to reduce and eliminate vaccine preventable disease in
Colorado by increasing and maintaining immunization coverage. Local public health agencies
will provide core immunization services, according to established best practices and standards, to
improve the health of individuals and communities.
Amendment Contract Number 2020* 115 Amendment #2
Page 2 of 3 version 31.1.19
0.2o/9 02339(o
The Parties now desire to renew for an additional term and change current Contract Maximum
Total for the following reason: to renew.
5. MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. The Contract Maximum Amount is deleted and replaced with the Current Contract
Maximum Amount shown on the Signature and Cover Page for this Amendment.
B. The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page is
hereby deleted and replaced with the Current Contract Expiration Date shown on the
Signature and Cover Page for this Amendment.
C. The Amendment and all prior amendments thereto, if any, are modified as follows:
i. The Parties now agree to modify Revised Exhibit B of the agreement. Revised Exhibit
B is deleted and replaced in its entirety with Exhibit G to renew.
ii. The Parties now agree to modify Revised Exhibit F of the agreement. Revised Exhibit
F is deleted and replaced in its entirety with Exhibit H to renew.
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
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.
Amendment Contract Number: 2020*1 115 Amendment #2
Page 3 of 3 version 31.1.19
EXHIBIT G
STATEMENT OF WORK
To Original Contract Routing Number: 19 FHHA 109514
Contract Amendment Routing Number: 2020*115 Amendment #2
These provisions are to be read and interpreted in conjunction with the provisions of the contract
specified above.
I. Entity Name: Weld County Department of Public Health and Environment
II. Project Description: This project serves to reduce and eliminate vaccine -preventable diseases in
Colorado by increasing and maintaining immunization coverage. Local public health agencies will
provide core immunization services, according to established best practices and standards, to improve
the health of individuals and communities.
III. Definitions:
1. ACIP:
2. CCC:
Advisory Committee on Immunization Practices
Child Care Centers as defined by Colorado State Board of Health Rule 6 CCR
1009-2
3. CCR: Code of Colorado Regulations
4. CDC: Centers for Disease Control and Prevention
5. CDPHE: Colorado Department of Public Health and Environment
6. CIB: Colorado Immunization Branch
7. CIIS: Colorado Immunization Information System
8. CIIS reminder/recall: Reminder/recall involves identifying patients who are coming due (reminder)
or overdue (recall) for immunizations and contacting them to schedule an
appointment.
9. Core immunization services: As defined by the Colorado State Board of Health: assure access to
immunizations using established standards, and, in collaboration with CDPHE, monitor
community immunization levels.
10. Deputization: The formal extension of authority to provide VFC vaccines to eligible underinsured
children from a participating FQHC or RHC to another VFC-enrolled provider;
typically a local public health agency. Previously called Delegation of Authority.
11. Evidence -based: Conscientious use of current scientific evidence and clinical expertise.
12. FQHC: Federally Qualified Health Center
13. Insured: A person who is covered by health insurance.
14. Jurisdiction: Power or right of a legal or political agency to exercise its authority over a
person, subject matter, or territory.
15. LPHA: Local Public Health Agency
16. MOU: Memorandum of Understanding
17. RHC: Rural Health Center
18. School: As defined by the Colorado State Board of Health: all child care facilities
licensed by the Colorado Department of Human Services including: child care centers,
school -age child care center, preschools, day camps, resident camps, day treatment
centers, family child care homes, foster care homes, and head start programs; public,
private, or parochial kindergarten, elementary or secondary schools through grade
twelve, or a college or university.
Page 1 of 6
EXHIBIT G
19. Section 317 Vaccine: Vaccine funding used to support infrastructure critical to vaccine program
success including vaccine for: uninsured and underinsured adults, outbreak response
and preparedness support.
20. VFC: Vaccines for Children
21. VPD: Vaccine -preventable disease
IV. Work Plan:
Goal #1: Reduce vaccine -preventable diseases in Colorado by increasing or maintaining immunization coverage.
Objective #1: No later than the expiration of the contract, the Contractor shall provide core immunization services
intended to improve the health of individuals and communities.
Primary Activity #1
The Contractor shall implement immunization services within its jurisdiction.
Sub -Activities #1
1. The Contractor shall maintain inventory of all ACIP-recommended VFC vaccines
available through the VFC program for the population served.
2. The Contractor shall screen and vaccinate children eligible for VFC vaccine per
ACIP recommendations.
3. The Contractor shall maintain inventory of all ACIP-recommended Section 317
vaccines available through the Section 317 program for the population served.
4. The Contractor shall screen and vaccinate persons eligible for Section 317
vaccine per ACIP recommendations.
5. The Contractor shall maintain inventory of all ACIP-recommended private
vaccines for the insured population served.
6. The Contractor shall screen and vaccinate persons eligible for private vaccine per
ACIP recommendations.
7. The Contractor shall enter immunization data into CIIS within 14 days of vaccine
administration.
8. The Contractor shall review the county level Immunization Rates Report for the
following information:
a. children 19-35 months of age no later than 30 days after distribution by CIB
b. adolescents 13-17 years of age no later than 30 days after distribution by CIB
c. compare to the CDC National Immunization Surveys; Child and Teen and
CIIS-generated statewide rates provided by CIB in order to increase
awareness of county versus state and national immunization rates within the
30 days that the rates report is distributed by the CIB
9. The Contractor shall implement a minimum of one (1) evidence based strategy,
such as CIIS reminder/recall, to reduce or eliminate coverage disparities by race,
ethnicity and socio-economic status.
10. The Contractor shall promote informed vaccine decision making by educating a
minimum of one (1) of the following:
a. consumers
Page 2of6
EXHIBIT G
b. healthcare providers
c. staff who administer immunizations
d. policy makers
11. The Contractor shall promote vaccine availability services by educating a
minimum of one (1) of the following:
a. consumers
b. healthcare providers
c. staff who administer immunizations
d. policy makers
12. The Contractor shall promote seasonal influenza vaccine to improve preparedness
in the event of an influenza pandemic according to the following criteria:
a. The Contractor shall promote seasonal influenza vaccine with new
organizations.
b. The Contractor shall continue seasonal influenza vaccine coordination with
existing organizations.
c. The Contractor shall promote seasonal influenza vaccine with commercial
sector organizations.
13. The Contractor shall maintain a deputization MOU with an FQHC/RHC.
14. The Contractor shall deliver information to schools and CCCs about the Colorado
State Board of Health Rule 6 CCR 1009-2 annual reporting requirement.
a. The Contractor shall follow up with schools who fail to report data.
b. The Contractor shall follow up with CCCs who fail to report data.
15. The Contractor shall support a network of VFC providers.
a. The Contractor shall perform ongoing recruitment of new VFC providers.
b. The Contractor shall educate current VFC providers about the VFC program
requirements.
16. The Contractor shall perform duties as requested by the CIB related to identified
immunization needs, and VPD and Hepatitis B case surveillance.
a. The Contractor shall promote disease prevention activities among populations
experiencing homelessness and other at -risk populations to reduce Hepatitis
A and other VPD risk.
Primary Activity #2
The Contractor shall maintain staff immunization expertise.
Sub -Activities #2
1. The Contractor shall participate in the monthly CIB Immunization Update call.
2. If the monthly call is missed, the Contractor shall listen to the audio recording of
the call provided by the CIB within 30 days.
3. The Contractor shall attend a minimum of one (1) immunization -related training or
conference.
Page 3 of 6
EXHIBIT G
1. The Contractor shall use the final results of the CDC National Immunization
Surveys; Child and Teen and CIIS-generated statewide rates provided by CIB via
email communication in order to increase awareness of county versus state and
national immunization rates.
2. The Contractor shall comply with the requirements for entering/submitting
immunization data into CIIS as agreed to in the CIIS Letter of Agreement found
within the online CIIS Resource Center located on the following website,
https://www.ciisresources.com. The content of this website is incorporated and
made part of this task order by reference.
3. The Contractor shall comply with the ACIP recommendations for vaccine
administration located on the following website,
http://www.cdc.gov/vaccines/acip/index.html. The content of this website is
incorporated and made part of this task order by reference.
4. The Contractor shall promote compliance with school immunization rules within
the Colorado State Board of Health Rule 6 CCR 1009-2 located on the following
website,
https://www. sos.state.co. us/CCR/GenerateRulePd£do?ruleVersionld=7698&fileN
ame=6%20CCR%201009-2. This document establishes immunization standards
and is incorporated and made part of this task order by reference.
Standards and
Requirements
5. The Contractor shall create a login to access the school and childcare
immunization data for their jurisdiction located on the following website,
https://www.colorado.gov/pacific/cdphe/school-and-child-care-immunization-
data-reporting. The content of this website is incorporated and made part of this
task order by reference.
6. The Contractor shall maintain a signed VFC recertification agreement.
7. The Contractor shall comply with the requirements for utilizing VFC vaccine
agreed to in the VFC recertification agreement packet provided by CIB.
8. The Contractor shall comply with the eligibility requirements for utilizing Section
317 vaccine as provided by CIB via email communication.
9. The Contractor shall use a minimum of one (1) evidence based strategy to
eliminate coverage disparities by race, ethnicity and socio-economic status located
on the following website, www.thecommunityguide.org. The content of this
website is incorporated and made part of this task order by reference.
10. The Contractor shall use deputization MOU guidance as provided by CIB via
email communication.
11. Contractors that serve as a FQHC or a RHC do not require a deputization MOU.
12. CDPHE will provide programmatic technical assistance upon request.
Page 4 of 6
EXHIBIT G
13. The Contractor shall complete an electronic quarterly progress report using the
FY20 Immunization Core Services Quarterly Progress Report, via the following
website, https://fs9.formsite.com/ColoradolMMprogram/FY20Core-Progress-
Report/index.html. The content of this website is incorporated
and made part of
progress report
and agreements
. The
this task order by reference.
a. The Contractor shall complete the final electronic quarterly
as a non -reimbursable deliverable.
14. The Contractor shall provide signed VFC recertification packet
via the following website:
https://fs9.formsite.com/ColoradoIMMprogram/6dttiug6dt/index.html
content of this website is incorporated and made part of this task order by
reference.
15. 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.
Expected Results of
Activity(s)
1. Immunizations are offered within the Contractor's jurisdiction.
2. Immunizations are marketed within the Contractor's jurisdiction.
3. Immunizations are administered within the Contractor's jurisdiction.
Measurement of
Expected Results
1. Data contained in Immunization Rates Report
2. Data contained in quarterly progress reports
Completion Date
Deliverables
1. The Contractor shall electronically submit signed VFC
recertification packet and agreements.
No later than 30
business days
following the
receipt of the
recertification
packet
2. The Contractor shall submit an electronic quarterly progress
report using the FY20 Immunization Core Services Quarterly
Progress Report.
No later than 30
calendar days
following the last
calendar day of
September,
December, and
March
3. The Contractor shall submit the final electronic quarterly
progress report using the FY20 Immunization Core Services
Quarterly Progress Report.
No later than
07/15/2020
4. The Contractor shall submit immunization data to CIIS.
No later than 14
days following
vaccine
administration
Page 5 of 6
EXHIBIT G
V. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the contract period by the CDPHE Contract Monitor. Methods used will include a review of
documentation determined by CDPHE to be reflective of performance to include progress reports and
other fiscal and programmatic documentation as applicable. The Contractor's performance will be
evaluated at set intervals and communicated to the contractor.
VI. Resolution of Non -Compliance:
The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue.
Within 30 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to
determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must
be completed. The action(s) and timeline for completion will be documented in writing and agreed to
by both parties. If extenuating circumstances arise that requires an extension to the timeline, 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 timelines are met
and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon
compliance resolution plan, the State may exercise its rights under the provisions of this contract.
Page 6 of 6
EXHIBIT H
BUDGET
To Original Contract Routing Number: 19 FHHA 109514
Contract Amendment Routing Number: 2020*115 Amendment #2
Immunization Core Service Activities -Weld
Federal (FY20)
Federal funds
$83,774
State (FY20)
MSA funds
$92,756
TOTAL AMOUNT
$176,530
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