HomeMy WebLinkAbout20161517.tiff RESOLUTION
RE: APPROVE CONTRACT AMENDMENT #3 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 #3 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, 2016, and ending June 30, 2017, with further terms and conditions being
as stated in said amendment, and
WHEREAS, after review, the Board deems it advisable to approve said amendment, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that Contract Amendment#3 for 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 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 2nd day of May, A.D., 2016.
BOARD OF COUNTY COMMISSIONERS
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��J WELD COUNTY, COLORADO
ATTEST: •-1 o' 2-1
Mike Freeman, Chair
Weld County Clerk to the Board
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Sean P. Conway, Pro-Tem
BY:
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HL0048
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Memorandum
_ 186i
TO: Esther, Clerk to the Board
cO U N T Y FROM: Skye Turchado
Department of Public Health & Environment
DATE: April 19, 2016
SUBJECT: Routing Request— BOCC Agenda
The following documents have been approved for placement on the Board's meeting agenda
for the Board's final approval and the Chair's signature. We would like to have these items
placed on the Board's agenda for Monday, May 2, 2016.
NEW BUSINESS:
3 Original(s): Nurse Home Visitor Program Contract Amendment#3 FY16-17
Original(s): RECEIVED
Original(s): APR 2 0 2016
Original(s): WELD COUNTY
COMMISSIONERS
CONSENT AGENDA:
Original(s): Keywords listed in Tyler that would be helpful
to the Health Dept.:
Original(s): "NHVP FY16-17"
Original(s):
Original(s):
Once signed by the Chair, please return the original, signed documents to my attention.
If you have any questions, or if you require anything further in this regard, please let me know. I
can be reached at Extension 2102 or via email.
As always, thank you for all of your help with processing our paperwork with the Board.
2016-1517
� . � 861 , �� Memorandum
ranci)
TO : Mike Freeman, Chair
tAlts_t _ U N T Y Board of County Commissioners
FROM : Mark E . Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE : April 19, 2016
SUBJECT: Nurse Home Visitor Program FY16- 17
Continuation Contract Amendment #3
Enclosed for the Board ' s review and approval is the FY16- 17 Nurse Home Visitor Program ( NHVP )
Continuation Contract Amendment #3 between the Colorado Department of Human Services
Office of Early Childhood , Division of Community and Family Support (CDHS ), and the Weld
County Board of County Commissioners on behalf of the Weld County Department of Public
Health and Environment' s ( WCDPHE ) Nurse Home Visitor Program .
At no cost to the client, specially trained registered nurses provide bi - monthly home visits to 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 and encouraged to develop
positive maternal/child health practices, an understanding of infant/toddler developmental
needs, effective parenting, and maternal economic self-sufficiency.
With the approval of this continuation contract, WCDPHE will be receiving funding of $ 829, 566
to cover activities performed beginning July 1, 2016, and ending June 30, 2017 . This is an increase
of $47, 152 from the previous year .
This contract amendment was approved for placement on the agenda by the Board via pass-
around dated April 6, 2016 .
I recommend approval of this Nurse Home Visitor Program FY16- 17 Continuation Contract
Amendment #3 .
�_ - *•-- _
CONTRACT AMENDMENT
Amendment #3 Original Contract CMS (CLIN) # Amendment CMS #
15 IHIA 68641 17 IHIA 88727
1 ) PARTIES
This Amendment to the above-referenced Original Contract (hereinafter called the Contract) is entered into by
and between Weld County Department of Public Health and Environment (hereinafter called "Contractor"),
and the STATE OF COLORADO (hereinafter called the "State") acting by and through the Colorado
Department of Human Services, Office of Early Childhood, Division of Community and Family Support,
(hereinafter called the "OEC").
2) EFFECTIVE DATE AND ENFORCEABILITY
This Amendment shall not be effective or enforceable until it is approved and signed by the Colorado State
Controller or designee (hereinafter called the "Effective Date"). The State shall not be liable to pay or reimburse
Contractor for any performance hereunder including, but not limited to, costs or expenses incurred, or be bound
by any provision hereof prior to the Effective Date.
3) FACTUAL RECITALS
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 will extend the contract term to June 30, 2017 and
increase funds by $829,566 for services to be provided in FY 17.
4) CONSIDERATION-COLORADO SPECIAL PROVISIONS
The Parties acknowledge that the mutual promises and covenants contained herein and other good and valuable
consideration are sufficient and adequate to support this Amendment. The Parties agree to replacing the
Colorado Special Provisions with the most recent version ( if such have been updated since the Contract and any
modification thereto were effective) as part consideration for this Amendment. If applicable, such Special
Provisions are attached hereto and incorporated by reference herein as Exhibit N/A.
5) LIMITS OF EFFECT
This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments
thereto, if any, remain in full force and effect except as specifically modified herein.
6) MODIFICATIONS.
The Contract and all prior amendments (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) thereto, if any, are modified as follows:
a. Original Contract, Page 1
The "Contract Price Not to Exceed' of $ 1 ,472,495 is increased by $829,566 to a new "Contract Price Not
to Exceed' of $2,302,061 .
The "Maximum Amount Available Per Fiscal Year" is hereby changed to read as follows:
FY 15: $745,418; FY 16 : $727,077; FY 17: $829,566.
The " Term" is hereby changed to read as follows: The contract shall end on June 30, 2017.
b. Exhibit B - Amendment #3 - Budget is hereby added and incorporated into Exhibit B.
7) START DATE
This Amendment shall take effect on the later of its Effective Date or July 1 , 2016 .
8) ORDER OF PRECEDENCE
Except for the Special Provisions, in the event of any conflict, inconsistency, variance, or contradiction between
the provisions of this Amendment and any of the provisions of the Contract, the provisions of this Amendment
shall in all respects supersede, govern, and control . The most recent version of the Special Provisions
incorporated into the Contract or any amendment shall always control other provisions in the Contract or any
amendments.
9) AVAILABLE FUNDS
Financial obligations of the state payable after the current fiscal year are contingent upon funds for that purpose
being appropriated, budgeted, or otherwise made available.
Page 1 of 2
CMS Routing# t7 IHIA 88727
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
* Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's
behalf and acknowledge that the State is relying on their representations to that effect.
CONTRACTOR STATE OF COLORADO
Weld County Department of Public Health and John W. Hickenlooper,Governor
Environment Colorado Department of Human Services
Reggie 13icha. Executive Director
Mike Freeman
Chair. Weld County Board ofCounh Commissioners a cc'
*signature By: Mary Anne nyder, Director. Office of Early Childhood
MAY 0 2 20116 ccii9�/ -
Date: Date:
ALL CONTRACTS REQUIRE APPROVAL BY THE STATE CONTROLLER
CRS §24-30-202 requires the State Controller to approve all State contracts. This Amendment is not valid
until signed and dated below by the State Controller or delegate. Contractor is not authorized to begin
performance until such time. If Contractor begins performing prior thereto, the State of Colorado is not
obligated to pay Contractor for such performance or for any goods and/or services provided hereunder.
STATE CONTROLLER
Robert Jaros, CPA, MBA,JD
B\: _
Clintiruff/V, ri Gimple
Date: _joAelyin
O2o/&- /.3' 76
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Exhibit B - Amendment #3
NHVP FY2016-17 Budget
FOR THE PERIOD: July 1, 2016 - June 30, 2017
Budget Period: July 1, 2016 — June 30, 2017 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
FUNDED CASELOAD: 150
COUNTIES SERVED: WELD
July 1, 2016 to June 30, 2017
A. Other B. Medicaid C. CDHS
Sources of Estimate Funding
Funding (NHVP)
PERSONNEL COSTS (Detail Expenses) Base Salary Fringe % Effort Total
(Annual) Benefits (CDHS NHVP
ONLY)
Nurse Home Visitor 1- LD $56,610 $22,038 100.00% $78,648 $78,648
4
Nurse Home Visitor 2- DG $65,005 $25,306 100.00% $90,311 $90,311
N urse Home Visitor 3 - KH $66,715 $25,972 100.00% $92,687
$92,687
Nurse Home Visitor 4 - GH $70,726 $27,534 100.00% $98,260
$98,260
Nurse Home Visitor 5 ARD $70,726 $27,534 100.00%
$98,260 $98,260
N urse Home Visitor 6 - TBD $54,083 $21,055 100.00% $75,138 $75, 138
Office Technician 1 - ST $41,223 $16,048 95.00% $54,407
$54,407
Office Technician 2 - MM $36,080 $14,046 5.00% $2,506
$2,506
N HV Supervisor - AA $64,607 $25, 152 52. 13% $89,759 $42,966 $46,793
Office Technican Supervisor - IV $62,760 $24,432.00 2.50% $2, 180 $2,180
Community Health Manager TBD $84,098 $32,739.00 2.50% $2,921 $2,921
Public Health Services Director - DD $113,419 $44,154.00 1.00% $1,576 $1,576
Electronic Medical Records Coordinator $118,075 $45,967.00 1.00% $ 1,640 $1,640
1. TOTAL PERSONNEL COSTS $0 $42,966 $645,327
OPERATING (Detail Expenses)
Office Operating Expenses (i.e. supplies, pens, etc.) $1,200
Client Support Materials $750
Printing & Publications $1,000
Postal & Shipping Services $675
Communications (i.e. long distance, cellular and network service) $6,000
4 Medical Supplies $200
Required model materials (i.e. Keys to Care Giving, Beginning Rhythms, etc.) $500
Electronic Medical Records (approx $1,667per month)pp $20,000
2. TOTAL OPERATING $0 $0 $30,325
Training and Technical Assistance Fee # Total Cost
Nurse Initial Education Tuition Per NHV $4,400 1 $4,400
$4,400
1 Nurse Education Materials (New Supervisor/RN ONLY) Per NHV & Sup $559 1 $559 $559
y DANCE Education Per NHV & Sup $625 2 $1,250 $1,250
DANCE Licensing Per NHV & Sup $60 5 $300 $300
Program Support Fee Per Sup $7,620 1 $7,620 $7,620
Nurse Consultation Fee Per First Sup $2,742 1 $2,742
$2,742
Professional Development Per Nurse & Sup $50_ 7 $350 $350
3. TOTAL TRAINING and TECHNICAL ASSISTANCE $0 $0 $17,221
Equipment (Over $5,000 Per Item)
No Costs in this Category will be reimbursed by CDHS.
4. TOTAL EQUIPMENT $0 $0 $0
TRAVEL (Detail Expenses)
Visit Outreach Mileage $18,796
5. TOTAL TRAVEL $0 $0 $18,796
Contractual (Include Contractual Services)
Mental Health Consultation for Nurses- once monthly at $100 $1,200
6. TOTAL CONTRACTUAL $0 $0 $1,200
TOTAL DIRECT PROGRAM COSTS (Add budget categories 1-6) $0 $42,966 $712,869
ADMINSTRATIVE COSTS (Detail Administrative Costs) Indirect (if applicable)
Indirect Rate at 16.37%
$7,034 $ 116,697
TOTAL ADMINISTRATIVE COSTS $0 $7,034 $116,697
TOTAL PROGRAM COSTS (Direct Program + Administrative Costs) $0 $50,000 $829,566
Page 1 of 2
Exhibit B - Amendment #3
Weld County Department of Public Health and Environment
NHVP FY2016- 17 Budget
Budget Period: July 1 , 2016 — June 30, 2017
PERSONNEL: $ 645,327
Names are not fully spelled out to protect the privacy of our team since these documents are public record. Increases due to projected COLA of
3% for 2017. Also salary increases for 2016-2017. Continued structure of having two Office Technicians working up to 1 .0 FTE at varying times
spent by each to ensure that all program needs are continually and adequately met in the event of unexpected absence/vacancies and/or planned
time off. In addition, we have 0.01 FTE for our Electronic Medical Records Coordinator who assists with the set-up and technical assistance to
the NVHP staff for EMR-related issues. Fringe include medicare, unemployment, workers comp, PERA, life insurance, ADD, health insurance,
dental coverage, and PTO. Nurse Home Visitors deliver home visiting to mothers and families in Weld County. NHV Supervisor provides
oversight and assistance to home visitors to implement program within fidelity requirements. Office Technician Supervisor provides assistance to
office technicians regarding fidelity and data uploading. Community Health Manager provides oversight to assure fidelity and quality of program
delivery and assists the home visitors. Public Health Services Director has worked with the Home Visiting program in prior years and provides
operation and oversight assistance.
OPERATING EXPENSES: $30,325
Office Operating Expenses costs cover office supplies, postage, and printing are necessary to performing the critical functions in this program.
Printing and Publications covers costs for hard copies of documents are expected to decrease as electronic charting is required by our visiting
nurses.
Postal and Shipping Services covers costs of shipping requirements.
Client support materials includes books, educational toys for clients, and items the team deems necessary for client support as funding becomes
available.
Communications costs includes cell phones that include unlimited texting and WIFI for up to 7 laptop computers. This allows for the NFP nurses
to communicate with each other, clients, and chart while in the clients' home through use of the cell phone as a 'hot spot.'
Medical Supplies covers items purchased for NFP client visits.
Required model materials $500 one time purchase for PIPE materials.
Electronic Medical Records covers computer and data processing expenses related to maintainance & upgrades to the Electronic Medical
Record database, EMR licenses, operation and tech support (outside tech support) in order to keep up with a technology driven norm in the
medical community and go from double charting to single charting in an electronic format.
TRAINING AND TECHNICAL ASSISTANCE: $ 17,221
Nurse Initial Education Tuition is used to cover costs for the new supervisor to complete required training.
Nurse Education Materials cover the costs for NFP Guidelines and Faciliators
DANCE Education covers required training costs for Dyadic Assesmnet of Naturalist Caregiving Experiences tool, DANCE.
DANCE Licensing will cover the cost of recertification for nurse home visitors to continue using the Dyadic Assessment of Naturalistic
Caregiving Experiences tool, DANCE .
Program Support fee covers the fee charged by the Nurse-Family Partnership National Service Office to maintain funding, improve nurse
recruitment, provide ongoing training, and expanded assistance for pubic affairs, marketing, and communication.
Professional Development funds are used to cover training that is not provided by the NSO or IIK to deepen the skills and expertise of nurses in
areas where there is need and/or interest.
Nurse Consultation fee covers the cost for Invest in Kids to provide routine consultation to the supervisor of our program and advocacy for
Colorado NFP nurses.
EQUIPMENT: $ 0
No Costs in this Category will be reimbursed by CDHS.
TRAVEL: $ 18,796
Visitor Outreach Mileage- costs cover mileage and costs associated with travel for service delivery, meetings, conferences and trainings.
CONTRACTUAL $ 1 ,200
Mental Health Consultation for Nurses- The NFP team has utilized these services in order to consult with a maternal/fetal mental health specialist
for issues with clients due to the sometimes volitale situations they find themselves and their clients in. We are budgeting $ 1 ,200 for 12 monthly
visits at $ 100 per month.
ADMINISTRATIVE COSTS or INDIRECT: $ 116,697
Indirect costs at a rate of 16.37% for 2016.
I GRAND TOTAL COSTS TO BE BILLED TO CDHS: $829,566
Page 2 of 2
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