HomeMy WebLinkAbout20191087.tiffRESOLUTION
RE: APPROVE TASK ORDER CONTRACT AMENDMENT #1 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 a Task Order Contract Amendment #1
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 March 1, 2019, and ending June 30, 2019, 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 #1 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 13th day of March, A.D., 2019, nunc pro tunc March 1, 2019.
BOARD OF COUNTY COMMISSIONERS
ATTEST: dam.,
Weld County Clerk to the Board
BY: s: ,
Deputy CI k to the Board
APP
ount " torney
Date of signature: ' l°r PI
WELD COUNTY, COLORADO
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arbara Kirkmeyer, Clair
Mike Freeman, P -Tem
K. James
Steve Moreno
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2019-1087
HL0051
CARkfaa-10-4aLI9E
Memorandum
TO: Barbara Kirkmeyer, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE: March 6, 2019
SUBJECT: CDPHE FY18-19 Immunization Core
Services Contract Amendment #1
For the Board's approval is an amendment to the 2018-2019 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 an additional
amount of $17,442 in federal funds, with a revised total contract amount not to exceed $194,729
for FY 18- 1 9. The term of this contract does not change from July 1, 2018, through June 30, 2019.
Funds include $102,834 in Federal funding and $ 91,895 in State funding.
These additional funds will be used to further 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 reporting of immunizations to the Colorado Immunization Information System (CIIS).
Assistant Weld County Attorney, Bob Choate, 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 February 21, 2019.
I recommend the approval of this Immunization Core Services Contract Amendment with CDPHE.
2019-1087
cc.: (-IL Or►P6-6.-ise
03/13/19
CONTRACT AMENDMENT #1
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
Amendment Contract Number
19 FHHA 127526
Contractor
Board of County Commissioners of Weld County
(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
CORE Encumbrance Number
2019-333
Contract Performance Beginning Date :
The later of the Effective date or July 1, 2018
Current Contract Expiration Date :
June 30, 2019
CONTRACT MAXIMUM AMOUNT TABLE
Document
Type
Contract
Number
Federal
Funding
Amount
State Funding
Amount
Other Funding
Amount
Term (dates)
Total
Original
Contract
19 FHHA
109514
$85,392.00
$48,644.00
$0.00
7/1/2018-
6/30/2019
$134,036.00
GFCL#1
19 FHHA
113425
$0.00
$43,251.00
$0.00
9/17/2018-
6/30/2019
$43,251.00
Contract
Amendment 41
19 FHHA
127526
$17,442.00
$0.00
$0.00
3/1/2019-
6/30/2019
$17,442.00
Current Contract Maximum
Cumulative Amount
$194,729.00
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizing his or her signature.
CONTRACTOR
Board of County Commissioners of Weld County for the use
and benefit of the Weld County Department of Public Health
a E virnment
Barbara Kirkme er, Chair 3,j? n 7019
By: Print Name & Title
Date: 3/13/2019
STATE OF COLORADO
John W. Hickenlooper, Governor
Colorado Department Of Public Health and Environment
Executive Director
y: Lisa McGovern, Director Procurement and Contracts
Date:
Amendment Contract Number 19 FHHA 127526
Page 1 of 3
version 27.1 1.18
0019— 1O$ 1 C9)
dPR GRAM APPROVAL
-� By: Print Name & Title ('�,l.cj
Date:
--.3(rD-1119
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.
By:
STATE CO . R
Robert ros, C ' , MB , JD
David Norris, Controlle
Amendment Effective Date: !
i. 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 March 1, 2019, whichever is later and shall terminate on the
termination of the Contract or June 30, 2019, whichever is earlier.
4. PURPOSE
The Parties entered into the agreement 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.
The Parties now desire to increase funding and change Statement of Work for the following
reason: to support Immunizations core services activities
Amendment Contract Number: 19 FHHA 127526
Page 2 of 3 version 27.1 1.18 18
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 Amendment and all prior amendments thereto, if any, are modified as follows:
i. The Parties now agree to modify Exhibit B of the agreement. Exhibit B is deleted and
replaced in its entirety with Revised Exhibit B to modify Deliverables #2.
ii. The Parties now agree to modify Exhibit C of the agreement. Revised Exhibit C is
deleted and replaced in its entirety with Exhibit F to support immunizations core
services activities.
iii. The Parties now agree to add Revised Exhibit B: Deliverables #2, in Section IV, Page
5.
iv. The Parties now agree to delete Exhibit B: Deliverables #2, in Section IV, Page 5.
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: 19 Hi HA 127526
Page 3 of 3 version 27.1 1.18
Revised Exhibit B
STATEMENT OF WORK
To Original Contract Routing Number: 19 FHHA 109514
To Contract Amendment #1 Routing Number: 19 FHHA 127526
These provisions are to be read and interpreted in conjunction with the provisions of the contract
specified above.
L 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:
3. CCR:
4. CDC:
5. CDPHE:
6. CIIS:
Advisory Committee on Immunization Practices
Child Care Centers as defined by Colorado State Board of Health Rule 6 CCR
1009-2
Code of Colorado Regulations
Center for Disease Control and Prevention
Colorado Department of Public Health and Environment
Colorado Immunization Information System
7. CIIS reminder/recall: Reminder/recall involves identifying patients who are due (reminder) or
overdue (recall) for immunizations and contacting them to schedule an
appointment.
8. CIB: Colorado Immunization Branch
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. Jurisidiction: Power or right of a legal or political agency to exercise its authority over a
person, subject matter, or territory.
14. LPHA: Local Public Health Agency
15. MOU: Memorandum of Understanding
16. RHC: Rural Health Center
17. 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
Page 1 of 5
Contract SOW_Exhibit B December 2015.doc
Revised Exhibit B
twelve, or a college or university.
18. 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.
19. VFC: Vaccines for Children
20. 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.
2. The Contractor shall vaccinate children eligible for VFC vaccine per ACIP
recommendations.
3. The Contractor shall vaccinate persons eligible for Section 317 vaccine per ACIP
recommendations.
4. The Contractor shall enter immunization data into CIIS within 30 days of vaccine
administration.
5. 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
6. 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.
7. The Contractor shall promote informed vaccine decision making by educating a
minimum of one (1) of the following:
a. consumers
b. healthcare providers
c. staff who administer immunizations
d. policy makers
8. The Contractor shall promote seasonal influenza vaccine, with new and existing
partners, including those in the commercial sector, to improve preparedness in the
event of an influenza pandemic.
Page 2of5
Contract_ SOW_ Exhibit B December 20I5.doc
v V
9. The Contractor shall maintain a deputization MOU with an FQHC/RHC.
10. The Contractor shall deliver information to schools and CCCs about the Colorado
State Board of Health Rule 6 CCR 1009-2 annual reporting deadline.
a. The Contractor shall respond to questions from schools to assist in
preparation for reporting compliance.
b. The Contractor shall respond to questions from CCCs to assist
in preparation for reporting compliance.
c. The Contractor shall follow up with schools who fail to report data.
d. The Contractor shall follow up with CCCs who fail to report data.
11. The Contractor shall perform duties as requested by the CIB related to identified
immunization needs, and VPD and Hepatitis B case surveillance.
Primary Activity #2
The Contractor shall maintain staff immunization expertise.
Sub -Activities #2
1. The Contractor shall call in to 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.
Standards and
Requirements
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,
http://www.sos.state.co.us/CCR/GenerateRulePdf.do?ruleVersionld=6316. This
document establishes immunization standards and is incorporated and made part
of this task order by reference.
5. The Contractor shall maintain a signed VFC provider Enrollment Agreement.
Page 3 of 5
Contract SOW Exhibit B_December 2015.doc
6. The Contractor shall comply with the requirements for utilizing
agreed to in the VFC Provider Enrollment Agreement packet provided
7. The Contractor shall comply with the eligibility requirements for
317 vaccine as provided by CIB via email communication.
8. The Contractor shall use a minimum of one (1) evidence based
eliminate coverage disparities by race, ethnicity and socio-economic
on the following website, www.thecommunityguide.org. The content
VFC vaccine
by CIB.
utilizing Section
strategy to
status located
of this
by CIB via
MOU.
report using the
via the following
website is incorporated and made part of this task order by reference.
9. The Contractor shall use deputization MOU guidance as provided
email communication.
10. Contractors that serve as a FQHC or a RHC do not require a deputization
11. CDPHE will provide programmatic technical assistance upon request.
12. The Contractor shall complete an electronic quarterly progress
2018/19 Immunization C'ore Services Quarterly Progress Report,
website, https://fs9.formsite.com/ColoradoIMMprogram/2018CoreProgress-
Report/index.html. The content of this website is incorporated
and made part of
websites may be
monitor
updates.
this task order by reference.
13. The content of electronic documents located on CDPHE and non-CDPHE
websites and information contained on CDPHE and non-CDPHE
updated periodically during the contract term. The contractor shall
documents and website content for updates and comply with all
Expected Results of
Activity(s)
1. Immunizations are provided 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 submit, electronically, a signed VFC
Provider Enrollment Agreement.
No later than 30
business days
following the
receipt of the
enrollment packet,
and by 06/30/2019
2. The Contractor shall submit an electronic quarterly progress
report using the 2018/19 Immunization Core Services
Quarterly Progress Report
No later than 30
calendar days
following the last
calendar day of
Page 4of5
Contract_ SOW_ Exhibit B December 20 I 5.doc
September,
December, March,
and by 6/30/2019
7/15/2019
3. The Contractor shall submit immunization data into CIIS.
No later than 30
days following
vaccine
administration,
and within the
contract term
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 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 provisions of this contract.
Page 5 of 5
Contract SOW Exhibit B_ December_2015.doc
EXHIBIT F
BUDGET
To Original Contract Routing Number: 19 FHHA 109514
To Contract Amendment #1 Routing Number: 19 FHHA 127526
Original Budget
Immunization Core Service Activities -Weld
Federal (FY19)
Federal 317 funds
$85,392
State (FY19)
MSA funds
$91,895
TOTAL AMOUNT:
$177,287
Additional Funds
Immunization Core Service Activities -Weld
Federal (FY19)
Federal 317 funds
$17,442
TOTAL AMOUNT:
$17,442
Total Revised Budget
Immunization Core Service Activities -Weld
Federal (FY19)
Federal 317 funds
$102,834
State (FY19)
MSA funds
$91,895
TOTAL AMOUNT:
$194,729
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