HomeMy WebLinkAbout20171654.tiffRESOLUTION
RE: APPROVE CONTRACT AMENDMENT #5 FOR NURSE HOME VISITOR 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 Contract Amendment #5 for the Nurse
Home Visitor Program 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 Human Services, Office of Early Childhood,
commencing on July 1, 2017, and ending June 30, 2018, 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 #5 for the Nurse Home Visitor Program 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 Human Services, Office of Early Childhood, 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 31st day of May, A.D., 2017.
BOARD OF COUNTY COMMISSIONERS
WELD COU TY, COLORAD
ATTEST: dard44)
Weld County Clerk to the Board
BY()
D uty Clerk to the Board
APPRS = AS T
ty • orney
Steve Moreno, Pro -Tern
tit -/e/A-kli'L---
ara Kirkmeyer
Date of signature: Co ( 13/ 17
cc:l-lt-CgT/TGf mw)
-7 /U2)O7
2017-1654
HL0049
dottatt /b # 1IS-]
Memorandum
TO: Julie A. Cozad, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE: May 17, 2017
SUBJECT: FY17-18 Nurse Home Visitor Program (NHVP)
Continuation Contract Amendment #5
For the Board's approval is the FY17-18 Nurse Home Visitor Program (NHVP) Continuation
Contract Amendment #5 between the Colorado Department of Human Services, Office of Early
Childhood ("CDHS"), and the Board of County Commissioners for the County of Weld, State of
Colorado, on behalf of the Weld County Department of Public Health and Environment
("WCDPHE").
At no cost to the client, specially -trained registered nurses provide home visits to vulnerable low-
income, first-time mothers residing in Weld County beginning in pregnancy and continuing until
the client's child reaches the age of two years. Clients are educated on positive maternal/child
health practices, infant/toddler developmental needs, effective parenting, and maternal
economic self-sufficiency. This evidence -based program has shown multi -generational positive
outcomes that benefit both families and the community as a whole.
With the approval of this continuation contract amendment, WCDPHE will be receiving funding
of $837,404 to cover activities performed beginning July 1, 2017, and ending June 30, 2018.
This contract amendment was approved for placement of the Board's agenda via pass -around
dated May 10, 2017. I recommend approval of this FY17-18 Nurse Home Visitor Program
continuation contract amendment.
2017-1654
5131
ElL0O(-I9
CONTRACT AMENDMENT #5
SIGNATURE AND COVER PAGE
State Agency
State of Colorado for the use & benefit of the
Department of Human Services
Office of Early Childhood
1575 Sherman Street, 1st Floor
Denver, CO 80203
Original Contract Number
15 IHIA 68641
Contractor
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley, CO 80631
Amendment Contract Number
18 IHIA 98826
Current Contract Maximum Amount
Initial Term
State Fiscal Year 2015 $745,418
Extension Terms
State Fiscal Year 2016 $727,077
State Fiscal Year 2017 $860,027
State Fiscal Year 2018 $837,404
Total for All State Fiscal Years $3,169,926
Contract Performance Beginning Date
July 1, 2014
Current Contract Expiration Date
June 30, 2018
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
Weld County Department of Public Health and Environment
By: Chair, Weld County Boa of ounty Commissioners
Julie A. Cozad
Date: MAY 3 1 2017
STATE OF COLORADO
John W. Hickenlooper, Governor
Department of Human Services
Reggie Bicha, Executive Director
Date: 6-G- 17
ne Snyder, Director,
Early Childhood
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:
Clint Woodruff /
alri Gimple
Amendment Effective Date:
D/
Amendment Contract Number: 18 IHIA 98826
Page 1 of 3
02417_ /1941(3)
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 on the Signature and Cover Page for this Amendment. 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 on the
Signature and Cover Page for this Amendment or July 1, 2017, whichever is later and shall
terminate on the termination of the Contract.
4. PURPOSE
The Parties entered into the Contract for/to provide trained visiting nurses to help educate
mothers on the importance of nutrition and avoiding alcohol and drugs, including nicotine, and to
assist and educate mothers in providing general care for their children. This amendment extends
the contract term for FY18, increases funds for services to be provided in FY18, and amends
Exhibit B.
5. MODIFICATIONS
The Contract and all prior amendments thereto, (Original Contract CMS 15 IHIA 68641; Option
Letter #1 CMS 15 IHIA 77080; Option Letter #2 CMS 16 IHIA 79371; Amendment #1 CMS 16
IHIA 79372; Amendment #2 CMS 16 IHIA 87817; Amendment #3 CMS 17 IHIA 88727;
Amendment #4 CMS 17 IHIA 99245), are modified as follows:
A. Extend Contract Expiration Date from June 30, 2017 to June 30, 2018
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.
B. Increase Contract Maximum Amount by $837,404 for services in FY18 and increase the
Total for All State Fiscal Years from $2,332,522 to $3,169,926.
The Contract Maximum Amount table on the Contract's Signature and Cover Page is
hereby deleted and replaced with the Current Contract Maximum Amount table shown on
the Signature and Cover Page for this Amendment.
Amendment Contract Number: 18 II IIA 98826 Page 2 of 3
C. Exhibit B — Budget
Exhibit B — Amendment #5, which is attached and incorporated into this Amendment, is
hereby added to the Original Contract.
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: 18 1111A 98826
Page 3 of 3
Exhibit B - Amendment #5
Colorado Department of Human Services
COLORADO
Office of Early Childhood
Office of Early Childhood
r`rktitn M\I 11e Hi',!Lt!
BUDGET WITH JUSTIFICATION FORM
Carrie Hanley, PhD, MPH
Community Health Services Manager
(970) 400-2316 I chantey@co.weld.co.us
Tanya Geiser
Director, Administrative Services
(970) 400-2122 I tgeiser@co.weld.co.us
In
N
H
Program Contact Name,
Title
Phone and Email
Fiscal Contact Name, Title
Phone and Email
Funded Caseload
Expenditure Categories
FY 2018
C. CDHS Funding
(NHVP)
'
V
M
Lei.
al
In
en
r-
Ln
N
O1
In
$102,853
O
O
M
O
CO
ill
—
in
M
M
O
.-I
v.,
$21,047
.-+
N
en
D1
CO
in
al
in
N
N
.r
in
O
.-1
00
M
N
v-
$17,463
Cr
a,
OC
N
---I
OC
ti
(n
J1
,
.- I
tn.
'i
ri
N
nr
to
13
v
•o E
v ._
2 W
m
r
in
in
in
in
in.
J1
in
In
in
in
in
'.n
VS
Lin C
4J L
a .... C
Q 7 O u.
in
in
in
in
in
in
in
in
in
in
in
in
In
Vl
VT
Personnel Services - Salaried Employees
2O1
Q
I-
$95,344
M
r�
t/1
N
In
$102,853
0
O
m
O
00
I.A.
.-i
Ln
M
M
O
.-I
in
n
n
O
N
NN
in
.-i
N
M
Cr;M
Cr;
in
$12,259
O
.--I
00
N
in
m
tD
'Cr
r\
r1
in
'Cr
al
00
ri
00
Up
.A. --I
1./1
s
.-1
'W
in
$642,511
' Percent of
Time on
Project
30.0
0
0
r -I
S
0
0
r-i
0
o
0
0
.-I
0
o
0
0
.-4
O
O
0
0
.-i
o
C
O
N
a
0
O
O
r�
o
o
O
^I
1
in
G,"
o
O
en
-
�>
-1
1. Total Personnel Services (including fringe benefits)j
Gross or
Annual Salary Fringe
Description of Fringe: Medicare at 1.45%; unemployment at 0.09%; workers' compensation at
0.08%; PERA at 13.7%; life/AD&D insurance at 0.33%; health insurance at 12.14%; accrual -
vacation at 4.61%; accrual -holiday at 4.23%; and accrual -sick at 2.3%. Total fringe benefits are Percent of
38.93% Fringe: 38.93%
r�
.-1
t\
LO
N
in
1 $25,9401
.-I
N
00
00
N
in
$22,501
O
ID
al
co-
N
to
$75,748 529,489
$64,292 $25,029
$88,235 $34,350
$38,084 $14,826
.-i
-1
M
i0
.--I
N
$64,326 525,042
$47,113
$45,260
N.
N
iD
07
iD
in
M
m
ID
t0
lD
in
N
rn
O
Q
r-
in
al
al
r�
r-
In
N
.-I
Cr)
M
Q
r-
N
Cr.
Cl
O0
.
n
in
Cl
.-I
O
•-I
IN
.-i
in
Cl
in
N
id
.-i
f'i
to
Description of Work
Delivers home visiting to mothers and families in Weld County
Delivers home visiting to mothers and families in Weld County.
Delivers home visiting to mothers and families in Weld County.
Delivers home visiting to mothers and families in Weld County.
Delivers home visiting to mothers and families in Weld County.
Provides oversight and assistance to home visitors to implement program within
fidelity requirements and assists with training the new supervisor.
Provides oversight and assistance to home visitors to implement program within
fidelity requirements.
Provides oversight to ensure fidelity and quality of program delivery and assists
the home visitors.
Provides assistance in data uploading and general support for the NHVP,
supervisor, and nurse home visitors.
Provides assistance in data uploading and general support for the NHVP.
supervisor, and nurse home visitors
Provides assistance to office technicians regarding fidelity and data uploading.
Assists with the set-up and technical assistance to the NVHP staff for electronic
medical records (EMR) issues.
Provides operation and oversight assistance through the utilization of her many
years of NHVP experience.
Position Title/Employee Name
Nurse Home Visitor 1 - Kathleen Hagihara
Nurse Home Visitor 2 - Dana Garvey
(Nurse Home Visitor 3 Gerri Holton
(Nurse Home Visitor 4 - Jennifer Hutchins -Hurst
Nurse Home Visitor 5 - Ariane Rowe -Denning
NHV Interim Supervisor - Amy Antuna
NHV Supervisor - TBD
Community Health Manager - Carrie Hanley
Office Technician 1 - Rosie Varela Martinez
Office Technician 2 - Sandra Monge
Office Technician Supervisor Isabelle Vazquez
Electronic Medical Records Coordinator - Cynthia Horn
Public Health Services Director - Debbie Drew
Exhibit B - Amendment #5
Supplies & Operating Expenses I FY 2018
B. Medicaid C. CDHS Funding
Estimate INHVP1
C
I.P.'
SS nnn
) O
V.
^
00
O
O
v1
O
O
V1
O
O
V1
O
O
O
O
fll
Q
r')
N
In
FY 2018 •
C. CDHS Funding
(NHVP)
0O
00
O
00
V
O
Q1
^.1
U'
in
ry
LD
o
O
O
M
O
O
x
m
in
^
in
FY 2018
B. Medicaid C. CDHS Funding
Estimate (NHVP)
to
to
C. CDHS Funding
(NHVP1
^
OC
.--�
.n
:D
.
Is
t,p
00
to
../".
to
tn
IP.
to
ill
tr.
p.
'
to
B. Medicaid
Estimate
to
u!
V.
to
to
'
in
to
1
in
O0
0
PV
LL
17
CI) al
a TI'13
E
2 ,
W
m
,s,
%
1
to
A. Other
Sources of
Funding
}
to
in-
V1
Ill
,
V.
V1
V.
cr.
1
to
t er
Sources of
Funding
t/1
V?
4./1.
VI.
V?
'
in
Ot er
Sources of
Funding
•
t!?
1
to
A. Other
Sources of
Funding
)
'../1.
.II.
t
to
Description of Item
orrice operating Expenses (i.e. supplies, pens, etc.) Costs cover office supplies and printing which are necessary to perform the critical functions in this program.
Client Support Materials Costs include books, educational toys for clients, and items that the team deems necessary for client support as funding becomes available.
Printing & Publications Covers costs for hard copies of documents which are expected to decrease as electronic charting is required by our visiting nurses.
Postai & Shipping Services Covers costs for shipping requirements.
Communications (i.e. long distance, cellular and network Costs include cell phone services with unlimited texting and WIFI for up to 7 laptop computers. This allows the home visiting nurses the ability to
service) communicate with each other and clients, to ensure the safety of nurse home visitors, and to enable charting in the field through the use of their
cell phone hot soot capabilities.
'Medical Supplies 'Covers costs for items purchased for client home visits.
outside services Covers costs associated with the calibration and servicing of scales used during home visits.
Electronic Medical Records (approx 51666.67 per month) Covers computer and data processing expenses related to EMR maintenance and upgrades, EMR licenses, and EMR operation and technical
support (outside technical support). EMR is a technology driven norm in the medical community and it enables us to progress from double
charting to single charting in an electronic format.
2. Total Supplies & Operating Expenses
Training and Technical Asistance
r0
..
t
F
CO
o
o5
to
O
Q1
N
to
NJ
co
N
O
M
tn
O
LD
M
to
$15,517
Equipment (Over $5,000 Per Item)
Description of Item
No costs in this category will be reimbursed by CDHS
4. Total Equipment!
C1.1
>
a)
i-
Item Description of Item
'State Nurse Supervisor Meetings (Covers the mileage for the supervisor to attend 3 State Nurse Supervisor meetings in Denver. I
LA
Ion
C_
C_
(0
C
m
U
(0
ICY
V
J
O
}
Y
C
i
E
E
CJ
U
to
5
4-
C
-
U
O
>
>
r0
�
O
"..
N
H
O
U
VI
t-
11
>
O
5. Total Travel
a
3. Total Training and Technical Assistance Expenses)
v
V
oo
00
O
00
to
$2,904,
Ui
N
Lo
V1
O
LU
in
O
O
LU
N
I
d
a
a
In
L
Q)
d
Per 1st Sup
Per NHV & Sup
Per Nurse
Per Nurse
Description of Work
Covers the fee charged by the Nurse -Family Partnership (NFP) National Service
Office (NSO) to maintain funding, improve nurse recruitment, provide ongoing
training, and expand assistance for public affairs, marketing, and communication.
Covers the cost for Invest in Kids (IIK) to provide routine consultation to the
supervisor and advocacy for Colorado NFP nurses.
Covers the required Dyadic Assessment of Naturalistic Caregiver -child Experiences
(DANCE) training for the supervisor (9 -months after hire date will be within FY
2018). These costs include the 5500 education and 5125 1st year licensing fees.
Covers the costs of the required DANCE recertification fees which will enable the
home visiting nurses to continue using the DANCE tool.
These funds will be used to cover training that is not provided by the NSO or IIK to
enhance the skills and expertise of nurses in needed areas.
CU
to
Z
CU
to
Z
Program Support, per supervisor
(Nurse Consultation, first supervisor
DANCE Education
DANCE Licensing
Professional Development
CU
E
M
Z
Z
Visit/Outreach Mileage
m
w
O
N
C1
a
Exhibit B - Amendment #5
00
el
O
N
>.
LL
C. CDHS Funding
(NHVP)
D
—
.n
O
el
VY
1-5---711709,184 I
C. CDHS Funding
(NHVP)
0
r
o0
N
"'
.t.
O
00
N
el
$ 837,404
B. Medicaid
Estimate
c.n-
I
in-
CO
ri
0
N
>
LL
B. Medicaid
Estimate
t/}
t er
Sources of
Funding
c
iA
t/?
t er
Sources of
Funding
U-.
V1
in-
Contractors/Consultants (payments to third parties or entities)
Description of Item
Covers the cost for monthly maternal/fetal mental health specialist consultation services to help nurses address potentially volatile and complex
situations with their clients ($120 per month for 12 months).
6. Total Contractors/Consultants
MODIFIED TOTAL DIRECT COSTS (MTDC)
Indirect Costs
[not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State Indirect Cost rate is attached]
Description of Item
The State negotiated indirect cost for WCDPHE is 18.08% of the total direct costs for 2017
Total Indirect
-J
a
I-
0
l—
a)
E
Z
Mental Health Consultation for Nurses
4.
-
State Negotiated Indirect cost rate: 18.08%
Hello