HomeMy WebLinkAboutbocc.con.120.20192017-11-13 btf
Contract Information
Contract Number
Project Name
Contractor
Budget Line Item 113.85.00000.84029
Procurement Method:
Type:
Contract Start Date
Contract End Date
Contract Type
Retainage
If this is a new contractor, please request they complete and submit to Finance a New Vendor Request Form.
Contact Information:
Department
County Representative Nan Sundeen County Representative
Phone (970) 920-5209
Provide a brief description of the contract:
Contract Value Summary:
$ 25,000.00
$ -
$ -
$ 25,000.00
120.2019
Pitkin County
Procurement Cover Sheet
Please complete the Contract Cover Sheet when the contract/task order is complete and fully executed.
Return all Contract Cover Sheets and Contracts/Change Orders/Amendments/Task Orders to Procurement
No
Roaring Fork School Health Centers Grant Award
Roaring Fork School Health Centers
$ -
Additional Budget Line
Item(s)
(Please fully allocate New Contract Total)
$ -
$ -
$ -
$ -
None
Grant Award / Non-Profit
1/1/2019
12/31/2021
New Contract
NOTE: Clerks Office will keep original documents in compliance with Colorado State Archives retainage
Human Services
Grant award
Original Contract Amount
Previous Change Order/Amendment Amount
This Change order/Amendment amount
New Contract Total
1
PITKIN COUNTY
HEALTH AND HUMAN SERVICES
PARTNERSHIP GRANT AWARD
ROARING FORK SCHOOL HEALTH CENTERS, 2019-2021
Contract Number 120.2019 Ledger Number 113.85.00000.84029
This Grant is made as of the date last below signed between Pitkin County, herein referred to as
“County”, and Roaring Fork School Health Centers, hereafter referred to as “Agency”. Whereas,
Roaring Fork School Health Centers, a private non-profit agency, strives to provide School based
Integrated Health and Wellness services and education to students of the Roaring Fork School
District RE-1 thereby creating an educational environment that supports student health and
academic achievement by providing primary acute care, management of chronic illnesses,
prevention health exams, pregnancy prevention and STD screening and treatment, nutritional
education, mental health screening, bilingual therapy, oral health services, Medicaid/CHP+
Outreach services, medical referrals and coordination, and whereas Pitkin County wishes to
award a grant for the provision of these services.
1. Term and Renewal of Agreement: Absent any termination for cause under paragraph 5 of
the Agreement, the term of this Agreement shall continue for a period of three years,
from January 1, 2019, to December 31, 2021, subject to budget appropriation,
compliance with contract obligations, and Board of County Commissioners’ approval
each year.
2. Agency Obligations: Agency shall:
a) Re-submit work plan and service delivery goals (with your Mid-Year Report,
due by August 1st) to ensure no interruptions in their grant funding schedule.
Contractor understands that the goal of this re-submission is to strengthen the
measurable attributes of each respective service delivery goal. Contractor
acknowledges that failure to furnish the County with acceptably measurable goals
may result in temporary or permanent suspension of funding. Further, the County will
offer training in April (and June) of 2019 to help in aligning goals with measurable
outcomes. It is the Contractor's responsibility to confirm, prior to the August 1, 2019
deadline, that their revised measurable goals are acceptable to the County.
b) Strictly adhere to all applicable federal, state and local laws or regulations that
have been or may hereafter be established.
c) Compliance with House Bill 06-1023. Perform the following verifications to
comply with House Bill 06-1023: Grantees who provide a benefit to persons over
the age of 18 years of age and which require an individual application from the
person who will receive a benefit, are required to verify the applicant’s legal
presence in the United States. The verification of lawful presence requires all
applicants 18 years of age or older to:
ii. Produce a valid Colorado driver’s license or a Colorado identification
card; or a United States military card or military dependent’s identification
2
card; or a United States Coast Guard Merchant Mariner card; or a Native
American Tribal document; and
iii. Execute an affidavit stating that applicant is a United States citizen or
legal permanent resident; or that applicant is otherwise lawfully
present in the United States pursuant to Federal law.
d) Be lawfully prohibited, pursuant to Article 76.5 of Title 24, C.R.S., from
providing a Federal public benefit or a state or local public benefit in violation of
paragraph (b) of this section.
i. Statutory Exceptions: Excepted from this requirement are the following
types of benefits:
A. Services for children under age 18;
B. Obtaining health care items and services necessary for treatment of an
emergency medical condition of the person involved and not related to
an organ transplant;
C. Short-term, in-kind, non-cash emergency disaster relief;
D. Public health assistance for immunizations, with respect to
immunizable diseases and for testing and treatment of symptoms of
communicable disease, whether or not such symptoms are caused by
immunizable diseases;
E. Programs, services or assistance such as soup kitchens, crisis
counseling and intervention;
F. Prenatal care.
e) Public Grants for Services. CRS §8-17.5-101.
[Not applicable to agreements relating to the offer, issuance, or sale of
securities, investment advisory services or fund management services,
sponsored projects, intergovernmental agreements, or information technology
services or products and services] Grantee certifies, warrants, and agrees that it
does not knowingly employ or contract with an illegal alien who will perform
work under this Grant and will confirm the employment eligibility of all
employees who are newly hired for employment in the United States to perform
work under this Grant, through participation in the E-Verify Program or the
Department program established pursuant to CRS §8-17.5-102(5)(c), Grantee
shall not knowingly employ or contract with an illegal alien to perform work
under this Grant or enter into a grant with a Subgrantee that fails to certify to
Grantee that the Subgrantee shall not knowingly employ or contract with an
illegal alien to perform work under this Grant. Grantee:
i. shall not use E-Verify Program or Department program procedures to
undertake pre-employment screening of job applicants while this Grant is
being performed
ii. shall notify the Subgrantee and the granting State agency within three days
if Grantee has actual knowledge that a Subgrantee is employing or
contracting with an illegal alien for work under this Grant
iii. shall terminate the subgrant if a Subgrantee does not stop employing or
contracting with the illegal alien within three days of receiving the notice,
and
3
iv. shall comply with reasonable requests made in the course of an
investigation, undertaken pursuant to CRS §8-17.5-102(5), by the Colorado
Department of Labor and Employment. If Grantee participates in the
Department program, Grantee shall deliver to the granting State agency,
Institution of Higher Education or political subdivision, a written, notarized
affirmation, affirming that Grantee has examined the legal work status of
such employee, and shall comply with all of the other requirements of the
Department program. If Grantee fails to comply with any requirement of
this provision or CRS §8-17.5-101 et seq., the granting State agency,
institution of higher education or political subdivision may terminate this
Grant for breach and, if so terminated, Grantee shall be liable for damages.
f) The Agency shall comply with any reasonable request by the Department of
Labor and Employment made in the course of an investigation that the
Department of Labor and Employment is undertaking pursuant to the authority
established in Subsection (5) of C.R.S. § 8-17.5-102.
g) Hold and maintain for the term hereof the necessary licenses(s) as specified under
State law, which permits the performance of the service(s) to be provided herein.
h) Shall maintain an affordable sliding-fee scale schedule for its services in order to
accommodate low-income individuals.
i) Subcontracts utilized by the Agency shall be subject to the requirements of the
Grant as listed here, and the Agency is responsible for the performance of any
subcontractor.
j) Abide by all applicable provisions of the Title VI and VII of the Federal Civil
Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, and Title XX
of the Social Security Act of 1975 as revised.
k) Maintain written requirements for safeguarding client information and comply
with the same.
l) Maintain service program records, fiscal records, documentation and other
records relevant to this Grant for the duration of the grant plus six years. The
above shall be subject at all reasonable times to inspections, review or audit by
Federal, State or County personnel, and other persons authorized in writing by the
County.
m) Provide the services at the location as shown as the address of the Agency or
whatever is appropriate for that service within Pitkin County.
n) Provide the service(s) described herein at a cost not greater than charged to other
persons.
o) Provide semi-annual Performance Measure reports and Financial Reports. These
reports will include the number of unduplicated clients who live and/or work in
Pitkin County served by the Agency’s program(s). This report schedule will
repeat annually and is subject to change.
i. The first report, the mid-year report, is due August 1, 2019, for the first six
months of the grant year.
ii. The second report is due February 3, 2020, for the entire period of the
grant year.
4
iii. The reports will include Agency’s annual goals and actual results year-to-
date, as well as an explanation of any variances observed and the steps that
are to be taken to address those variances. Each of the goals shall be
measured and reported against the defined outcome measurement.
p) Agency shall manage the supplied grant funds responsibly and measurably to
ensure that the mission, goals, and objectives hereto are met to the satisfaction of
the granting agency.
The goals are as follows:
Service Delivery Goals (SG1):
To reduce the impact of chronic disease.
Objectives:
Objective 1.1 By June 30, 2019, 90% of SBHC users will have a BMI% and
weight category diagnosis noted in their medical record. 90% will represent 504
SBHC users.
Objective 1.2 By June 30, 2019, 90% of SBHC users with a BMI% ≥ 85% will
have a documented counseling for nutrition.
Objective 1.3 By June 30, 2019, 90% of SBHC users with a BMI% ≥ 85% will
have a documented counseling for physical activity.
NOTE: The following outcome measures are obtained through the data collected
within our electronic Health Records (e-HR), utilizing specific data points under
specific diagnostic codes.
Outcome Measures:
NOTE: The following outcome measures are obtained through the data collected
within our electronic Health Records (e-HR), utilizing specific data points under
specific diagnostic codes.
For Objective 1.1:
# users with one or more of these codes in the past 12 months: Z68.51 – Z68.54 &
R63.6 or E66.3, E66.9
For Objective 1.2:
# users with code in the past 12 months: Z68.53 or Z68.54 and Z71.3
For Objective 1.3:
# users with code in the past 12 months: Z68.53 or Z68.54 and Z71.82
Service Delivery Goals (SG2):
To increase access to primary physical care
Objectives:
Objective 2.1 Annually, through June 30, 2019, maintain 100% of the well-
care/well-child visits that follow EPSDT (Early, Periodic, Screen, Diagnosis and
Treatment) guidelines.
Objective 2.2 By June 30, 2019, 50% of SBHC users will have at least one
comprehensive Well Child visit (WCC) by RFSHC during the school year.
Outcome measures:
5
NOTE: The following outcome measures are obtained through the data collected
within our electronic Health Records (e-HR), utilizing specific data points under
specific diagnostic codes.
For Objective 2.1:
# users with CPT codes 99381-99385 or 99391-99395 in the past 12 months,
# users (ages 0-21) with CPT codes 99381-99385 or 99391-99395 in the past 12
months and all critical elements documented
For Objective 2.2:
# users with Z00.00, Z00.129 or Z00.121 in past 12 months
Service Delivery Goals (SG3):
Increase access to reproductive health services.
Objectives:
Objective 3.1 Annually, through June 30, 2019 assure that all sexually active
SBHC users have access to age-appropriate reproductive health resources
Objective 3.2 On an annual basis, all sexually active SBHC users will be annually
screened for Sexually Transmitted Infections (STIs).
Outcome Measures:
For Objective 3.1: The following contraceptive methods and information will be
offered to all sexually active students: Condoms, Birth Control pills, Long Acting
Reversible Contraceptives (LARC), Depo-Provera, Abstinence education, etc.
For Objective 3.2:
# sexually active users with Z11.8, Z11.3, Z11.7 in past 12 months
# sexually active users in 2018-19
Provide STI/HIV education and prevention counseling
Service Delivery Goal (SG4):
To increase access to mental health services.
Objectives:
Objective 4.1 By June 30, 2019, 75% of SBHC users at Middle and High school
levels will be screened for risky behaviors utilizing the Just Health/e-SHQ
screening tool.
Objective 4.2 By June 30, 2019, 90% of SBHC users screening positive for
depression in the Just Health/e-SHQ screening tool, will be administered the
PHQ-13 screening tool.
Objective 4.3 By June 30, 2019, 100% of SBHC users screening positive for
depression will be offered a referral to further counseling services.
Outcome Measures:
For Objective 4.1:
# users ≥ 11 years old with a CPT code G8431 or G8510 in past 12 months
# users ≥ 11 years old in 2018-19
For Objective 4.2:
# users ≥ 11 years old with CPT code 96127 and G8431 in past 12 months
For Objective 4.3:
6
# users ≥ 11 years old with CPT code 96127 and G8431 in past 12 months who
had BH visit in past 12 months
Conduct monthly case conferences between primary care, behavioral health and
other staff, to ensure integration of service delivery
Failure to provide reporting or to reasonably meet goals and objectives may result in
forfeiture of grant funds.
3. Pitkin County’s Obligations: Pitkin County shall:
a) County agrees to grant $25,000 to Roaring Fork School Health Centers, as
approved in the County’s 2019 budget, which was approved by the Board of
County Commissioners on December 11, 2018.
b) The total amount of this contract shall not exceed $25,000 cash maximum in
2019. The County will pay Agency the total amount of this grant on or before the
last day of March 2019. Payment is contingent upon receipt of mutually agreed
upon Performance Measures and satisfactory semi-annual reports as outlined in
section 2(n) of this contract. The return of a completed contract is required in
order to receive payment.
4. General Provisions
a. The Parties to this Grant intend that the relationship between them contemplated
by the Grant is that of independent agency. No agent, employee, or servant
Agency will be solely and entirely responsible for its acts and the act of its agents,
employees, servants and subcontractors during the performance of the Grant.
b. Payment pursuant to the Grant, if in County, State or Federal funds, whether in
whole or in part, is subject to and contingent upon the continuing availability and
appropriation of County funds for the purpose thereof.
c. This Grant constitutes the full and complete agreement of the parties and
supersedes or incorporates any prior written and oral agreements of the parties. In
addition, Agency understands that no County official or employee, other than the
Board of County Commissioners acting as a body at a Board meeting, has
authority to enter into a Grant or to modify the terms of this Grant on behalf of the
County. Any such Grant or modification to this Grant must be in writing and be
executed by the parties hereto.
5. Default/Cancellation. If Agency shall default in the performance of Agency’s
Obligations pursuant to the terms of this Agreement, and/or fails to provide an accounting
or use or appropriation of monies granted in the manner in which such accounting was
represented to the County, Agency shall have the right to cure said default after written
notice by the County of the default to Agency. If Agency fails to cure such default within
sixty (60) days after written notice is given from the County to Agency specifying the
nature of such default (or if such default cannot be cured within the aforesaid period of
time, if the Agency shall fail to promptly commence to cure the same and to thereafter
diligently proceed with such cure), County shall reserve the right to cancel this
7
Agreement and make a demand for the return of all monies that County determines, at its
sole discretion, were not appropriated in accordance with this Agreement. Written notice
of default and cancellation shall be made to Agency by first class mail, postage prepaid
and by certified mail, return receipt requested, to the following address:
Haidith Ramirez-Leon, Program Director
Roaring Fork School Health Centers
9197 Grant St Thornton CO 80229
6. Entire Agreement: This Agreement constitutes the full and complete Agreement of the
parties hereto and shall not be modified except by a written agreement signed by the
parties.
8
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed as
of the latest date written below.
PITKIN COUNTY, COLORADO
By: ____________________________________________________________
Nancy N. Sundeen Date
Director of Health & Human Services
Roaring Fork School Health Centers
By: ____________________________________________________________
Lisa Robbiano Date
Program Director
Mar-11-2019
Mar-12-2019