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HomeMy WebLinkAbout20173715RESOLUTION RE: APPROVE TASK ORDER CONTRACT AMENDMENT #1 FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS AND RESPONSE CONTINUATION CONTRACT 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 #1 for the Public Health Emergency Preparedness and Response Continuation Contract 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, 2017, and ending June 30, 2018, with further terms and conditions being as stated in said task order contract amendment, and WHEREAS, after review, the Board deems it advisable to approve said task order contract 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 the Public Health Emergency Preparedness and Response Continuation Contract 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 task order contract amendment. cc HLCST/TO/ MW) IQ/C.0/I7 2017-3715 HL0049 RE: TASK ORDER CONTRACT AMENDMENT #1 FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS AND RESPONSE CONTINUATION CONTRACT PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 30th day of October, A.D., 2017, nunc pro tunc July 1, 2017. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLOFjPDO ATTEST: datite,v .p:ok, Weld County Clerk to the Board County Attorney Date of signature: l t / 11 Steve Moreno, Pro-Tem Sean P. Conway arbara Kirkmeye 2017-3715 HL0049 Memorandum TO: Julie A. Cozad, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE: October 24, 2017 SUBJECT: Public Health Emergency Preparedness & Response Task Order Contract Amendment #1 Enclosed for the Board's approval is a task order contract amendment 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). The purpose of this amendment is to adjust the statement of work in the original task order contract. Specifically, this amendment would remove work activities where CDPHE was supplanting tasks covered with federal funding, reduce the number of deliverables overall and increase efficiencies within the project. There is no change to the funding dollar amount for this fiscal year or to the term of original task order contract. The original task order contract for the current fiscal year was approved and signed by the Board June 19, 2017. This amendment was approved for placement on the Board's agenda via pass -around dated October 17, 2017. I recommend approval of the task order contract amendment with CDPHE. 2017-3715 DEPARTMENT OR AGENCY NAME COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT OEPR-4500 DEPARTMENT OR AGENCY NUMBER FAAA TASK ORDER AMENDMENT ROUTING NUMBER 18-105322 To Original Task Order Routing Number 18-98472 TASK ORDER AMENDMENT #1 This Task Order Amendment is made this 5th day of October, 2017, by and between the State of Colorado, acting by and through the DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, whose address or principal place of business is 4300 Cherry Creek Drive South, Denver, Colorado 80246, hereinafter referred to as the "State"; and, Board of County Commissioners of Weld County (A Political Subdivision of the State of Colorado) For the use and benefit of the Weld County Department of Public Health and Environment, whose address or principal place of business is 1555 North 17th Avenue Greeley, Colorado 80631, hereinafter referred to as the "Contractor". FACTUAL RECITALS The parties entered into a Master Contract dated November 23, 2016, with contract routing number March 20, 2017. Pursuant to the terms and conditions of the Master Contract the parties entered into a Task Order Contract dated March 20, 2017, with encumbrance number CT FAAA 201700003395, and task order contract routing number 18 FHJA 98472, hereafter referred to as the "Original Task Order Contract", whereby the Contractor was to provide to the State the following: The Public Health Emergency Preparedness Program (PHEP) supports public health departments across the nation to upgrade their ability to effectively respond to a range of public health threats, including infectious diseases, natural disasters, and biological, chemical, nuclear, and radiological events. Changes were required to the Statement of Work to remove the Board of Health Rule and reorganize the Regional Staff Workplan for clarity. The State hereby exercises a "no cost" change within the current term of the Original Task Order Contract. NOW THEREFORE, in consideration of their mutual promises to each other, stated below, the parties hereto agree as follows: 1. Consideration for this Contract Amendment to the Original Task Order Contract consists of the payments and services that shall be made pursuant to this Contract Amendment, and promises and agreements herein set forth. 2. It is expressly agreed to by the parties that this Contract Amendment is supplemental to the Original Task Order Contract, contract routing number 18 FHJA 98472, referred to herein as the Original Task Order Contract, which is by this reference incorporated herein. All terms, conditions, and provisions thereof, unless specifically modified herein, are to apply to this Contract Amendment as though they were expressly rewritten, incorporated, and included herein. 3. It is expressly agreed to by the parties that the Original Task Order Contract is and shall be modified, altered, and changed in the following respects only: The following new provision is hereby added to the body of the Original Task Order Contract: Page 1 of 4 026/7- 37/56) 1. This Contract Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract. This Contract Amendment is for the current term of July 1, 2017 through and including June 30, 2018 The revised specifications to the original Statement of Work of the Original Task Order Contract are incorporated herein by this reference and identified as "Revised Exhibit B" A. The Contract and all prior amendments thereto, if any, are modified as follows: I. The following section is hereby modified: a. Exhibit B, Statement of Work, Section I, Project Description, Page 1 b. Exhibit B, Statement of Work, Section II, Definitions, Page 1-2 c. Exhibit B, Statement of Work, Regional Staff Workplan Section, Goal, Objective, Primary Activity, Sub -Activities, Expected Result of Activities, Measurements of Expected Results, Deliverables, pages 7-12 The Original Task Order Contract is modified accordingly. All other terms and conditions of the Original Task Order Contract are reaffirmed. 4. The Effective Date of this Contract Amendment is November 1, 2017, or upon approval of the State Controller, or an authorized delegate thereof, whichever is later. 5. Except for the General Provisions and Special Provisions of the Original Task Order Contract, in the event of any conflict, inconsistency, variance, or contradiction between the terms and provisions of this Contract Amendment and any of the terms and provisions of the Original Task Order Contract, the terms and provisions of this Contract Amendment shall in all respects supersede, govern, and control. The Special Provisions shall always control over other provisions of the Original Task Order Contract or any subsequent amendments thereto. The representations in the Special Provisions to the Original Task Order Contract concerning the absence of personal interest of state of Colorado employees are presently reaffirmed. 6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT FISCAL YEAR ARE CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED, BUDGETED, AND OTHERWISE MADE AVAILABLE. Page 2 of 4 SIGNATURE PAGE Contract Routing Number: 18 FHJA 105322 THE PARTIES HERETO HAVE EXECUTED THIS TASK ORDER AMENDMENT Each person signing this Task Order Amendment represents and warrants that he or she is duly authorized to execute this Task Order Amendment and to bind the party authorizing his or her signature. CONTRACTOR Board of County Commissioners of Weld County (A Political Subdivision of the State of Colorado) For the use and benefit of the Weld County Department of Colorado Department of Public Health and Public Health and Environment Environment Larry Wolk, MD, MSPH, Executive Director and Chief Medical Officer By: Julie A Cozad Print Name of Authorized Individual Chair P int Title of Autho ized Individua Signature of Authori OCT 3 dividual 2017 Date PROGRAM APPROVAL Colorado Department of Public Health and Environment Lyle Mo p -%Grants Branch Manager Signature of Authorized CD$-IE Program Approver By: By: STATE OF COLORADO John W. Hickenlooper, Governor Lisa McGovern Purchasing and Contracting Section Director, CDPHE Date LEGAL REVIEW Cynthia H. Coffman, Attorney General Signature — Senior Assistant Attorney General Date In accordance with §24-30-202 C.R.S., this Task Order Amendment is not valid until signed and dated below by the State Controller or an authorized delegate. By: Name of Agency Delegate -Denise Burrows Effective Date: STATE CONTROLLER bert Jaros, MCP 1, MBA, JD /1/001a - Page 3 of 4 020/7-.674c6) This page left intentionally blank. Page 4 of 4 REVISED EXHIBIT B STATEMENT OF WORK To Original Contract Routing Number 18 FHJA 98472 Task Order Amendment #1 Routing Number 18 FHJA 105322 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Project Description: This project serves to improve medical and public health care preparedness, response, and recovery capabilities at the federal, state and local level and due to recent public health threats of potentially catastrophic proportion underscore the importance of effective planning and response capabilities that can be applied to all hazards. As new threats, including novel infectious diseases, emerge, ASPR and CDC programs must ensure that both medical and public health systems are not only integral parts of emergency response activities but also part of emergency preparedness planning with all relevant partners. Increased cooperation among responders, including state and local public health officials, emergency medical services (EMS), healthcare coalitions (HCCs), and private health care organizations, ensure the nation is better prepared to respond to all hazards. Governmental public health departments and the mostly private sector health care delivery systems are now recognized as essential partners in emergency response, increasing their ability to identify and mitigate potential threats to the public's health. During the 2017-2022 project period, the aligned HPP-PHEP cooperative agreement provides technical assistance and resources to support state, local, and territorial public health departments, along with HCCs and health care organizations, to show measurable and sustainable progress toward achieving the preparedness and response capabilities that promote prepared and resilient communities. Although each program focuses on readiness for two discrete sectors, the public health enterprise for PHEP and the mostly private health care and medical systems for HPP, alignment offers opportunities for these sectors to coordinate and collaborate. This facilitates improved community preparedness and response nationwide, reduces awardee and sub-awardee burden, and increases federal efficiency. II. Definitions: 1. AAR: After Action Report 2. ASPR: Office of the Assistant Secretary for Preparedness and Response within the United States Department of Health and Human Services 3. CDC: Centers for Disease Control 4. CDPHE-OEPR: Colorado Department of Public Health and Environment, Office of Emergency Preparedness and Response 5. CNS: Colorado Notification System 6. Contractor: LPHA and/or The Contractor employed by LPHA, unless otherwise specified. 7. COOP: Continuity of Operations 8. CO -SHARE: Colorado State Health and Readiness Exchange 9. CO.TRAIN: Colorado Training Finder Real -Time Affiliate Integrated Network 10. DHSEM: Division of Homeland Security and Emergency Management 11. EPR: Emergency Preparedness and Response 12. HCC: Healthcare Coalition 13. HPP: Hospital Preparedness Program 14. HSEEP: Homeland Security Exercise and Evaluation Program 15. ICS: Incident Command System 16. IP: Improvement Plan 17. LPHA: Local Public Health Agency 18. MCM: Medical Countermeasure REVISED EXHIBIT B 19. MCM ORR Medical Countermeasure Operational Readiness Review 20. MYTEP: Multi -Year Training and Exercise Plan 21. NIMS: National Incident Management System 22. PHEP: Public Health Emergency Preparedness Grant 23. POD: Point of Dispensing 24. SNS: Strategic National Stockpile 25. TEPW: Training and Exercise Planning Workshop III. LPHA Work Plan: Goal #1: Increase capacity for preparedness, response and recovery in Weld County, CO. Objective #1: No later than the expiration date of the Contract, provide public health preparedness, response and recovery activities in Weld County through planning, training, exercises and real events. Primary Activity #1 PLANNING: Participate in Emergency Preparedness and Response planning and planning coordination. Sub -Activities #1 1. The Contractor shall participate in an agency After Action Planning Meeting for the 2017 Full Scale Exercise. 2. The Contractor shall develop an agency After Action Report/Improvement Plan for the June 2017 Full Scale exercise utilizing the form provided by OEPR. 3. The Contractor shall maintain an internal contact list in CO -SHARE. 4. The Contractor shall complete a Hazard Vulnerability Assessment utilizing a link provided by CDPHE-OEPR. 5. The Contractor shall assess their local MCM planning and operational preparedness levels by completing the CDC BPI MCM-ORR self -assessment tool. 6. The Contractor shall assess their local MCM Responder Safety & Health Capability utilizing the ERHMS responder safety and health baseline assessment tool. 7. The Contractor shall identify or develop a local resource request process integrated with their local emergency management agency. 8. The Contractor shall work with Healthcare Coalition to develop a Preparedness Plan. 9. The Contractor shall perform an assessment, gap analysis, and corrective planning timeline for the Community Recovery Capability. Primary Activity #2 TRAINING: Participate in Emergency Preparedness Training and Training Activities Sub -Activities #2 I. The Contractor shall participate in Medical Surge Training. 2. The Contractor shall participate in a Regional Training and Exercise Planning Workshop. 3. The Contractor shall attend one Colorado Volunteer Mobilizer Administrator Training session (unless previously attended on January 26, 2017 or April 20, 2017). 4. The Contractor shall participate in a minimum of one training based on gaps identified in AAR/IP from the FSE from June 2017. REVISED EXHIBIT B Primary Activity #3 EXERCISING / DRILLS: Participate in Emergency Preparedness and Response exercises and drills. Sub -Activities #3 1. The Contractor shall participate in four (4) quarterly drills initiated by CDPHE in the Colorado Notification System. 2. The contractor shall participate in an HCC-based exercise focused on Medical Surge and the ESF#8 roles at the 2017 OEPR Fall Meeting. 3. The Contractor shall initiate a minimum of two (2) HAN drills to local/regional partners including OEPR. 4. The Contractor shall participate in a COOP drill that tests remote access to communication systems and continuity of operations functions. 5. The Contractor shall initiate at least one (1) local volunteer notification drill using the CVM or equivalent system. 6. The Contractor shall participate in two (2) tactical communications drills initiated by CDPHE focusing on CDPHE DOC to Local DOC and RSS to RTP/LTP communication via 800MHz radio and cell phone equipment. 7. The Contractor shall participate in two (2) SNS Inventory Management System resource request drills. Primary Activity #4 ADDITIONAL ACTIVITIES: Coordinate collaborative activities with local, regional and state emergency preparedness and response staff. Sub -Activities #4 1. The Contractor shall attend the 2017 OEPR Fall Meeting. 2. The Contractor shall act as a liaison between CDPHE and EPR Regional Staff to local community preparedness associates. 3. The Contractor shall attend, lead or participate in local and/or regional jurisdiction Healthcare Coalition meetings. 4. The Contractor or designated staff shall attend quarterly Colorado Healthcare Coalition Council meetings as requested by the council. 5. The Contractor shall use CDPHE-provided evaluation tools to collect CDPHE and federally specified data, including surveys, upon request. 6. The Contractor shall coordinate and participate in site visits as requested by CDPHE and EPR Regional Staff. 7. The Contractor shall participate in workshops, conferences, mandatory meetings, and communication drills as requested by CDPHE. 8. The Contractor shall participate in work groups as requested by CDPHE. REVISED EXHIBIT B Standards and Requirements 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 Contractor shall ensure that appropriate Regional Emergency Preparedness and Response Staff time and resources are allocated to support all identified activities for all local agencies within their region. 3. The Contractor shall seek planning, training, exercise and other emergency preparedness and response technical assistance from EPR Regional Staff and CDPHE- OEPR as needed. 4. Regular, ongoing participation in local/ regional Healthcare Coalitions is required for all local public health agencies. 5. After Action Reports and Improvement plans for exercises and real world events shall be submitted to the appropriate CO -Share folder as applicable. 6. The Contractor shall enter all trainings and exercises coordinated or conducted by Public Health Emergency Preparedness Staff into the EPR Training Report in CO - SHARE. 7. All hosted trainings and exercises should be posted to the appropriate CO -Share Training and Exercise calendars. 8. All hosted trainings should be posted to CO.TRAIN. 9. The Full Scale Exercise After Action Meeting shall be conducted on a local level. After Action Planning Meeting shall address strengths and weakness identified during the 2017 Full Scale Exercise and identify improvement items to address gaps. 10. The Full Scale Exercise After Action Report/Improvement Plan shall include an analysis of strengths and areas of improvement of exercise capabilities and objectives and an Improvement Plan for addressing identified areas of improvement. AAR/IP shall also include community mental health center strengths and weakness and improvement plan. A template for the Full Scale Exercise After Action Report and Improvement Plan will be provided by CDPHE-OEPR. 11. Contact information are required in the case of an emergency or event in which CDPHE or another agency requires immediate contact with the local agency. Information shall include at minimum a primary and secondary contact name, position, role at agency, email address, office phone, and mobile phone. 12. The Contractor shall utilize the Hazard Vulnerability Assessment tool utilizing a link to be provided by CDPHE-OEPR. Completion of a THIRA will not replace the HVA requirement, as THIRA is aimed at state and local emergency management agencies, not public health and medical. 13. CDPHE-OEPR shall provide the MCM-ORR self -assessment tool by July 1, 2017. Contractors will not be required to submit supporting documentation with this initial assessment. 14. CDPHE-OEPR shall provide the ERHMS Responder Safety and Health Baseline Assessment tool developed by National Institute of Safety and Health) and the National Response Team as part of the ERHMS System. 15. Resource request process shall identify how the local public health agency identifies insufficient resources, to whom the requests are submitted, and the process by which requests are approved. 16. The Preparedness Plan shall identify HCC members, resources and capabilities. 17. The Preparedness Plan shall incorporate associated members' priorities based upon perceived risk, emergencies occurring in the region, available funds, applicable laws and regulations, supporting personnel, HCC member facilities and time constraints. 18. CDC/ ASPR mandate 100% of HCCs have a draft Preparedness Plan by April 1, 2018, and a final plan by end of BPI. 19. The Preparedness plan must be approved by all HCC core members, incorporate all member input, and be distributed to all HCC members. The plan must: a. Incorporate the HCC's and members' priorities for planning and coordination REVISED EXHIBIT B based on regional needs and gaps. b. Leverage HCC members' existing facility preparedness plans as required by the CMC Emergency Preparedness Rule. c. Be developed by HCC leadership with input from HCC members and other stakeholders. d. Outline strategic and operational objectives for the HCC as a whole and each HCC member. e. Include short-term (within the year) and long-term (3-5 year) objectives. f. Include recurring objective to develop and review HCC response plan. g. Inform training, exercise, and resource and supply management activities. h. Include a checklist of each HCC members' proposed activities, methods s for members to report progress to the HCC, and processes to promote accountability and completion. 20. The Contractor shall utilize the Community Recovery Capability Assessment Tool provided by CDPHE-OEPR by October 1, 2017. Community Recovery Capability Assessment Tool will inform the gap analysis and corrective planning timeline of the PHEP Capability Two - Community Recovery. 21. Medical Surge Training will be administered on-line, in -person or via webinar. 22. The Regional Training and Exercise Planning Workshop, as well as subsequent report, shall address capability gaps identified in recent exercises (including 2017 Full Scale) and events, a training and exercise strategy for addressing those gaps, and a training and exercise calendar. 23. Training and Exercise Plan shall be for entire grant period, from 2018-2022, to be updated at least annually. 24. Colorado Volunteer Mobilizer Administrator training will be offered quarterly by CDPHE-OEPR. Certificates can be obtained from CO.TRAIN. 25. A minimum of one (1) regional staff and one (1) EPR Coordinator per agency must respond to the quarterly redundant communication drills conducted by OEPR. Participation is verified by the Colorado Notification System response reports. One Colorado Notification System drill will be a "No -Notice" drills. 26. The agency shall ensure that they have a notification system capable of initiating notification of response partners. This may be the Colorado Notification System, or another system. 27. Materials for the Medical Surge exercise will be provided by CDPHE- OEPR. 28. HAN drill Report shall include the number of contacts attempted and the number of verified successful messages. HAN drills must include OEPR by fax 303-619-7811, Attn: HAN Coordinator CDPHE EPR SIT@state.co.us. 29. The COOP drill shall test remote access to email and file sharing. Report shall include functions tested and results of drill. 30. The COOP drill shall be developed and coordinated by the designated Regional Staff. 31. Colorado Volunteer Mobilizer Drill Reports shall indicate date of drill, description of volunteer pool, and a summary of responding entities. 32. All tactical communications drills initiated by CDPHE will be documented by CDPHE. 33. SNS Inventory Management System resource request drills will be initiated by CDPHE and documented by the OEPR IMS Coordinator. 34. Contractor agency shall be represented by the Director and/or EPR Coordinator at the 2017 OEPR Fall Meeting. Attendance by EPR Regional Staff alone will not suffice. Attendance at the 2017 OEPR Fall Meeting will be verified with the meeting sign -in sheets. Expected Results of Activity(s) I. Colorado public health agencies will have increased capacity to respond to public health emergencies and related events to which a public health response is necessitated. REVISED EXHIBIT B Measurement of Expected Results 1. Measures of Public Health Emergency Operations Plans effectiveness and validity will be evaluated per the performance measures for PHEP and HPP capabilities — resources to reference include: a. PHEP Performance Measures Specifications and Implementation Guidance b. Hospital Preparedness Program Performance Measure Manual. c. Strategic National Stockpile- Medical Countermeasure Operational Readiness Review Guidance. 2. Exercises and real world events will be evaluated through After Action Reports and Improvement Plans to determine plan or system response readiness. Completion Date Deliverables 1. The Contractor shall upload the 2017 FSE After Action meeting sign -in sheet to the appropriate CO -SHARE folder and indicate the date on their Grant Reporting Spreadsheet. No later than July 31, 2017 2. The Contractor shall complete After Action Report/Improvement Plan form for the June 2017 Full -Scale exercise and indicate completion on their Grant Reporting Spreadsheet. No later than August 31, 2017 3. Contractor shall submit required internal contact information onto an electronic form provided by OEPR and indicate completion on their Grant Reporting Spreadsheet. No later than August 31, 2017 4. The Contractor shall indicate in their Grant Reporting Spreadsheet the name(s) of staff that participated in the quarterly redundant communication drills conducted by OEPR. No later than September 30, 2017, December 31, 2017, March 31, 2018, June 15, 2018 5. The Contractor shall indicate the name(s) of staff that participated and the date of Medical Surge Training attendance in their Grant Reporting spreadsheet. No later than September 30, 2017 6. The Contractor shall pre -register in CO.TRAIN for the 2017 OEPR Fall meeting, sign in at the registration table at the Fall Meeting, and indicate the names of agency attendees on their Grant Reporting Spreadsheet. No later than October 31, 2017 7. The Contractor shall sign the Medical Surge exercise attendance sheet during the 2017 Fall OEPR Meeting and indicate completion on their Grant Reporting Spreadsheet. No later than October 31, 2017 8. The Contractor shall indicate the date of completion of the Hazard Vulnerability Assessment on their Grant Reporting Spreadsheet. No later than December 31, 2017 9. The Contractor shall upload the completed CDC BP 1 MCM ORR self -assessment tool to the appropriate CO -SHARE folder and indicate completion on their Grant Reporting Spreadsheet. No later than December 31, 2017 10. Contractor shall upload the completed ERHMS Responder Safety and Health Baseline Assessment tool to CO -SHARE and indicate completion on their Grant Reporting Spreadsheet. No later than December 31, 2017 11. The contractor shall upload the HAN drill report to the appropriate CO -SHARE folder and indicate completion on their Grant Reporting Spreadsheet No later than December 31, 2017, June 15, 2018 12. The Contractor shall upload the Resource Request plan or a detailed description of the process to the appropriate CO- SHARE folder and indicate completion on their Grant Reporting Spreadsheet . No later than January 31, 2018 13. The Contractor shall upload the Preparedness Plan to the appropriate CO -SHARE folder and indicate completion on No later than March 31, 2018 REVISED EXHIBIT B their Grant Reporting Spreadsheet. 14. The Contractor shall upload a COOP drill report to the appropriate CO -SHARE Folder and indicate the date of completion on their Grant Reporting Spreadsheet. No later than March 31, 2018 15. The Contractor shall upload the sign -in sheet and agenda for their Regional Training and Exercise Planning Workshop to the appropriate CO -SHARE folder and indicate completion on their Grant Reporting Spreadsheet . No later than April 30, 2018 16. The Contractor shall download Colorado Volunteer Mobilizer Administrator training certificate from CO.TRAIN, upload to the appropriate CO -SHARE folder and indicate completion on their Grant Reporting Spreadsheet. No later than May 31, 2018 17. Contractor shall upload the Contractor initiated Colorado Volunteer Mobilizer drill report into the appropriate CO- SHARE folder, and indicate completion on their Grant Reporting Spreadsheet. No later than May 31, 2018 18. The Contractor shall upload Healthcare Coalition meeting minutes with attendance list to the appropriate CO -SHARE folder and indicate dates of meetings with a summary of participation in their Grant Reporting Spreadsheet. Within 30 days of meeting and no later than June 15, 2018. 19. The Contractor shall upload the completed Community Recovery assessment tool, gap analysis, and corrective timeline to the appropriate CO -SHARE folder and indicate completion on their Grant Reporting Spreadsheet . No later than June 15, 2018 20. The Contractor shall indicate the name and date of training based on the Full Scale Exercise AAR/IP on their Grant Reporting Spreadsheet. No later than June 15, 2018 21. The Contractor shall indicate in their Grant Reporting Spreadsheet the dates of participation in two (2) CDPHE DOC to LPHA DOC or RSS to RTP/LTP tactical communication drills. No later than June 15, 2018 22. The Contractor shall indicate in their Grant Reporting Spreadsheet the dates of participation in two (2) SNS Inventory Management drills. No later than June 15, 2018 IV. Regional Staff Project Description: This project serves to improve public health preparedness, response, and recovery capabilities at the federal, state and local level and due to recent public health threats of potentially catastrophic proportion, underscore the importance of effective planning and response capabilities that can be applied to all hazards. Regional staff are a pillar to this initiative and are crucial for response efforts within their regions and across the state. Regional staff are a workforce housed at public health agencies within the nine (9) all -hazards regions to assist OEPR in preparing local public health agencies within the region to respond to emergency incidents. Regional staff act as a liaison between OEPR and the local public health agencies within their regions, including the additional public health and medical response partners, providing technical assistance to all of the LPHA's and the regional HCC's while assisting with federal and state grant requirements. V. Regional Staff Workplan Goal #1: Increase capacity for preparedness, response and recovery in Weld County, CO. Objective #1: No later than the expiration date of the Contract, provide planning support for public health preparedness, REVISED EXHIBIT B response and recovery activities in Weld County. Primary Activity #1 The Contractor shall facilitate the development of a Regional AAR Summary and IP for the 2017 Full Scale Exercise. Primary Activity #2 The Contractor shall conduct a minimum of one (1) site visit to all regional LPHAs and as requested by CDPHE. Primary Activity #3 The Contractor shall develop a region work plan for the 2018-2019 grant year to include planning, training, exercise, and additional activities. Objective #2: No later than the expiration date of the Contract, provide training support for public health preparedness, response and recovery activities in Weld County. Primary Activity #1 The Contractor shall conduct a minimum of two (2) trainings from gaps identified in the 2017 Full Scale Exercise AAR/IP. Primary Activity #2 The Contractor shall attend the Medical Surge Training at the 2017 Annual Partners Meeting. Primary Activity #3 The Contractor shall participate in an annual regional TEPW. Primary Activity #4 The Contractor shall develop, or update, a regional MYTEP. Primary Activity #5 The Contractor shall conduct a jurisdictional MCM Dispensing and Distribution Plan/Closed POD overview to HCC members. Primary Activity #6 The Contractor shall track all trainings conducted and provide the information to CDPHE- OEPR. Objective #3: No later than the expiration date of the Contract, provide exercise and drill support for public health preparedness, response and recovery activities in Weld County. Primary Activity #1 The Contractor shall respond to the quarterly redundant communication drills conducted by CDPHE-OEPR. Primary Activity #2 The Contractor shall assist LPHAs, within their region, with the design and implementation of a COOP drill. Objective #4: No later than the expiration date of the Contract, provide additional support for public health preparedness, response and recovery activities in Weld County. Primary Activity #1 The Contractor shall pre -register in CO.TRAIN for the 2017 Annual Partners Meeting and sign in at the registration table. Primary Activity #2 The Contractor shall attend the 2017 Annual Partners Meeting. REVISED EXHIBIT B Primary Activity #3 The Contractor shall attend or lead regional HCC meetings. Primary Activity #4 The Contractor shall provide updates to HCC members regarding CDPHE-OEPR Strategic Planning, HPP-ASPR updates/ requirements, and important events. Standards and Requirements 1. The Contractors Regional AAR Summary and IP shall be based off their regions performance of the Full Scale Exercise, held by CDPHE-OEPR, in June of 2017. 2. The Contractor shall use the Regional AAR Summary and IP template when completing the Regional AAR Summary and IP. This document is incorporated and made part of this contract by reference and is available at the following website https://drive.google.com/file/d/0B4yINj JcKCfeMkV4bVI0Z VZiUnM/view?us p=sharing. 3. The Contractor shall use the Local Public Health Site Visit Form when conducting site visits. This document is incorporated and made part of this contract by reference and is available at the following website https://drive.google.com/open?id=0ByQXnux8gD8AdmZvVOpYUUIFYXM 4. Local public health site visits shall be conducted in -person. 5. Local public health site visits for agencies that host regional staff shall include a CDPHE-OEPR representative or delegate. 6. The region specific work plan shall include, at a minimum, 4 activities that engage LPHA's, HCC's, and address gaps identified through a documented assessment or evaluation. 7. The region specific work plan must be based on the capabilities or performance measures as selected by the State of Colorado and the CDC and include the activity, the tangible output of the activity, and the outcome of doing such activity. 8. The Contractor shall conduct regional trainings based on gaps identified in regional AAR/IP to LPHA staff and Healthcare Coalition Members. 9. Information on the 2017 Annual Partners Meeting is located on the Colorado Health and Environment's Colorado Training website www.train.org/colorado. 10. The TEPW and the MYTEP can be held in conjunction with DHSEM. 11. The Contractor shall comply with Section 2 of the Homeland Security Exercise and Evaluation Program (HSEEP) document when developing the regional TEPW. This document is incorporated and made part of this contract by reference and is available at the following website https://drive.google.com/open?id=0B8XjPYhTwFJaaTUlcDEzeHYtOUk 12. The Contractor shall use the Multi -Year Training and Exercise Plan template when developing the regional MYTEP. This document is incorporated and made part of this contract by reference and is available at the following website https://drive.qoocile.com/open?id=0B8XiPYhTwFJaQ1 FoeFV1 c1 ovV1 k 13. The Contractor shall use their local/regional SNS Plan materials to provide an overview of the MCM Distribution and Dispensing Plan. Contractor shall use existing jurisdictional materials on Closed POD planning and/or Closed POD planning and training materials on CoShare. These materials are available at the following website: https://drive. google. com/drive/u/0/folders/088XjpYhTwFJadHFneUdDMkh 1 dkE REVISED EXHIBIT B 14. The Contractor shall use the CDPHE-OEPR training spreadsheet when reporting trainings. This document is incorporated and made part of this contract by reference and is available at the following website: https://docs.google.com/spreadsheets/d/1 puWcrXLFCGghi6S2SpMTTJZiWh9 OxZsDGOAczuD7-sM/edit?usp=sharinq 15. Quarterly redundant communication drills are scheduled for 8/31/17, 11/30/17, 2/28/18, and one no -notice drill in May of 2018. 16. The Contractor shall use the COOP drill template when completing the regional LPHA COOP drill. This document is incorporated and made part of this contract by reference and is available at the following website https://drive.google.com/open?id=06 8741 H48AcXcOFcRFIIbEU5cWc 17. Information for the 2017 Annual Partners Meeting can be found on the Colorado Departments of Public Health and Environment's website https://www.colorado.gov/cdphe/oepr-partners-meeting. 18. CDPHE-OEPR will provide Strategic Planning, HPP-ASPR requirements, and important events to the Contractor as they become available from federal partners. 19. The Contractor, if requested, shall use the ICS training material when completing the regional HCC ICS Training. This document is incorporated and made part of this contract by reference and is available at the following website https://drive.google.com/drive/folders/0B4yINjJcKCfeb 18wRV9CejRvVkE 20. If Contractor is requested by the regional HCC to conduct an ICS training, the Contractor shall upload ICS attendance sheet within thirty (30) days of training into COSHARE and indicate completion in grant reporting spreadsheet. https://drive.google.com/drive/folders/OB8Xj PYhTwFJaRzVOSGRwWEoyd W8 21. The Contractor, if requested, shall use the NIMS training material when completing the regional Healthcare Coalition NIMS Training. This document is incorporated and made part of this contract by reference and is available at the following website https://drive.google.com/drive/folders/0B4yINj JcKCfeZ WNRUEJFQ VEtOTg 22. If Contractor is requested by the regional HCC to conduct a NIMS training, the Contractor shall upload NIMS attendance sheet within thirty (30) days of training into COSHARE and indicate completion in grant reporting spreadsheet. https://drive.google.com/drive/folders/0B8Xj PYhTwFJaRzVOSGRwWEoyd W8 23. The Contractor shall provide support to each public health agency within their jurisdiction to complete the LPHA PHEP work plan activities upon request of LPHA or CDPHE-OEPR. 24. 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. REVISED EXHIBIT B Expected Results of Activity(s) 1. Colorado public health agencies will have increased capacity to respond to public health emergencies and related events to which a public health response is necessitated. Measurement of Expected Results 1. Measures of Public Health Emergency Operations Plans effectiveness and validity will be evaluated per the performance measures for PHEP capabilities — resources to reference include: a. PHEP Performance Measures Specifications and Implementation Guidance b. Strategic National Stockpile- Medical Countermeasure Operational Readiness Review Guidance. 2. Exercises and real world events will be evaluated through After Action Reports and Improvement Plans to determine plan or system response readiness. Completion Date Deliverables 1. The Contractor shall submit the Regional AAR Summary and IP to CO -SHARE and indicate completion on their Grant Reporting Spreadsheet. No later than 9/30/17 2. The Contractor shall submit the Local Partner Site Visit Form in CO -SHARE for each site visit. Within 30 days of Site Visit and no later than 6/15/18 3. The Contractor shall submit the region -specific work plan to CO -SHARE and indicate completion on their Grant Reporting Spreadsheet. No later than 2/15/18 4. The Contractor shall submit training materials and attendance sheets from gaps identified in the 2017 Full Scale Exercise AAR/IP to CO -SHARE and indicate completion on their Grant Reporting Spreadsheet. First training by December 31, 2017 Second Training by May 31, 2018 5. The Contractor shall submit TEPW attendance sheet and indicate completion on their Grant Reporting Spreadsheet. No later than 3/31/18 6. The Contractor shall submit the completed Regional MYTEP to CO -SHARE folder and indicate completion on their Grant Reporting Spreadsheet. No later than 4/30/18 7. The Contractor shall indicate in their Grant Reporting Spreadsheet the date of the MCM Distribution Plan/Closed POD Overview to Healthcare Coalition members. No later than 5/31/18 8. The Contractor shall enter date of COOP drill assistance on their Grant Reporting Spreadsheet. No later than 5/31/18 9. The Contractor shall enter all completed trainings into the EPR Training Report on CO -SHARE. Within 30 days of course completion and no later than 6/15/18 10. The Contractor shall submit Healthcare Coalition meeting minutes of updates and briefings provided to HCC to their CO- Within 30 days of meeting or event REVISED EXHIBIT B SHARE folder. and no later than 6/15/18 VI. EN Workplan Goal #1: Develop, sustain, and improve upon public health surveillance and epidemiological investigation systems and processes at the local level 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 Attend and participate in scheduled epidemiology -related conference calls, meetings, and trainings. Sub -Activities #1 1. The regional epidemiologist shall attend twice -monthly epidemiologist conference calls coordinated by CDPHE. 2. The regional epidemiologist shall attend the fall 2017 healthcare coalition planning conference/OEPR fall meeting scheduled by CDPHE. 3. The regional epidemiologist shall attend the fall 2017 regional epidemiologist strategic planning session scheduled by CDPHE to plan epidemiologic activities for budget periods 2, 3, 4, and 5 of the project period. This planning session will the day before, during, or the day after the healthcare coalition planning conference/OEPR fall meeting. 4. The regional epidemiologist shall participate in the training and exercise planning workshop (TEPW) for preparedness partners within their region/jurisdiction. 5. The regional epidemiologist shall participate in site visits conducted by regional staff to each local public health agency in the region/jurisdiction during the contract year. Primary Activity #2 Assess and share public health surveillance data. Sub -Activities #2 1. The regional epidemiologist shall assess the reporting timeliness of select notifiable diseases/conditions by clinical laboratories and hospitals within the regional epidemiologist's jurisdiction/region. 2. The regional epidemiologist shall assess the completeness of select variables within select notifiable diseases/conditions records in the Colorado Electronic Disease Reporting System (CEDRS) for cases which occur within the regional epidemiologist's jurisdiction/region. 3. 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. 4. The regional epidemiologist shall share CDPHE provided surveillance data reports, or internally generated surveillance data reports, with public health associates and stakeholders within the regional epidemiologist's jurisdiction/region either quarterly or bi-annually. Primary Activity #3 Conduct/assist with timely and complete case, outbreak, and incident investigations and implement appropriate disease control measures. Sub -Activities #3 1. 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. 2. The regional epidemiologist shall monitor CEDRS to ensure local public health disease investigators within the jurisdiction/region are completing the "follow-up outcome" variable in CEDRS in the "contact attempts" section for diseases/conditions for which the local public health agency has primary investigatory responsibilities. CDPHE will monitor the completion of the "follow-up outcome" variable in CEDRS by running two reports throughout the grant year to assess completion and will share the reports with regional epidemiologists. Primary Activity #4 The regional epidemiologist shall contact the clinical laboratories within the regional epidemiologist's jurisdiction/region and administer a laboratory testing practices survey to assess testing capacity and the testing practices currently in place for selected organisms/diagnoses. REVISED EXHIBIT B Standards and Requirements 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 regional epidemiologist shall monitor documents and website content for updates and comply with all updates. 2. 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. 3. 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. 4. CDPHE will record and monitor attendance at the fall 2017 healthcare coalition planning conference scheduled by CDPHE. 5. CDPHE will record and monitor attendance at the fall 2017 regional epidemiologist strategic planning session scheduled by CDPHE. 6. Epidemiological training needs identified by the regional epidemiologist at the healthcare coalition training and exercise workshop must be reported to the CDPHE regional epidemiologist coordinator within 30 days after completion of the training and exercise plan. 7. Any epidemiological items or issues identified during the local public health agency site visits where CDPHE can assist with resolving must be reported to the CDPHE regional epidemiologist coordinator within 30 days after the site visit. 8. The Disease reporting timeliness assessments shall be conducted by reviewing semi-annual CDPHE-generated reports from data contained in CEDRS. 9. CEDRS data completeness assessments shall be conducted by reviewing semi-annual CDPHE generated reports from data contained in CEDRS. 10. Surveillance or epidemiologic topics that can be presented during health care coalition meetings 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, and sharing epidemiological tools that can be used in emergency preparedness and response. 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. With assistance from the CDPHE Communicable Disease Branch, the regional epidemiologists shall serve as an epidemiological resource within their assigned region for outbreak investigations, including but not limited to enteric, respiratory, health care associated, zoonotic, vector -borne, blood -borne, and vaccine -preventable disease outbreaks. 13.The regional epidemiologist shall comply with the requirements for reporting outbreaks to CDPHE. 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. 14.The regional epidemiologist shall write outbreak reports that contain the following elements: background, investigation start date, methods, results, discussion/conclusion, and recommendations. 15.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. 16.Primary disease case investigation responsibility (i.e., local or state public health agency) and suggested patient interview 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. 17.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%. 18.CDPHE will provide the survey to be used for the clinical laboratory survey by April 1, 2018. REVISED EXHIBIT B 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 overall statewide public health preparedness and response. 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. (PREP capability 13 performance measures can be found at this website: lAp://wwvv.cdc.gov/phpricapabilities/capability13.pdf) Completion Date Deliverables I . The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet to document the date(s) the regional epidemiologist participated in the training and exercise planning workshop (TEPW) for preparedness partners within the region/jurisdiction, and any epidemiological training needs identified during the workshop. No later than June 1, 2018 2. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet to document the date(s) the regional epidemiologist participated in the local public health agency site visits conducted by regional staff within the region/jurisdiction, and any epidemiological items or issues that were identified at the site visit. No later than June 1, 2018 3. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet to document any problems identified in the timeliness reports and how those problems were addressed. September 8, 2017 (for reports from Jan -June 2017) March 9, 2018 (for reports from July — Dec 2017) 4. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet to document any problems identified in the completeness reports and how those problems were addressed. September 8, 2017 (for reports from Jan -June 2017) March 9, 2018 (for reports from July — Dec 2017) 5. 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 1, 2018 6. 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. No later than December 8, 2017 (for data covering the first half of 2017 or 2nd and 3rd quarters of 2017) No later than June 1, 2018 (for data covering the second half of 2017 or 4th quarter of 2017 and 1st quarter of 2018) 7. The regional epidemiologist shall submit a completed National Outbreak Reporting System (NORS) form to the CDPHE Communicable Disease Epidemiology Section via email (to kerri.brown@state.co.us) or fax (303-782-0338) for outbreaks occurring within the Contractor's jurisdiction/region. No later than 2 months following the first illness onset of the outbreak REVISED EXHIBIT B 8. The regional epidemiologist shall submit infectious disease outbreak reports to the CDPHE Communicable Disease Branch via email (to kerri.brown@state.co.us) or fax (303-782-0338) for outbreaks that occur within the Contractor's jurisdiction/region. No later than June 1, 2018 9. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet with a brief description of the situation of need or urgency outside of the Contractor's jurisdiction/region for which the epidemiologic assistance was provided. No later than June 1, 2018 10. The regional epidemiologist shall update their agency's CO -SHARE Grant Reporting spreadsheet with a brief description of the 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 1, 2018 11. The regional epidemiologist shall return completed clinical laboratory surveys to the CDPHE Communicable Disease Branch. No later than April 30, 2018 VII. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the Office of Emergency Preparedness and Response. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reporting in agency Grant Reporting Spreadsheet, documents uploaded to CO -SHARE, participation in required activities, the timely submission of invoices and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. VIII. Resolution of Non -Compliance: The Contractor will be notified in writing within thirty (30) calendar days of discovery of a compliance issue. Within thirty (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 time line, the Contractor must email a request to the OEPR 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. Hello