HomeMy WebLinkAboutAgreement A-15-397-1 with California Dept. of Public Health.pdfCounty of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 1 of 55 57
1. Service Overview
Pursuant to California Health and Safety Code Sections 131050-131135 and 104100-104140
respectively, Contractor will provide services to local communities with populations at high risk for
diabetes and cardiovascular disease (CVD) who are 18 years and older. The services provided will
result in increasing knowledge, skills and opportunities to improve diet, physical activity, and other life
habits to prevent, delay or control diabetes, CVD and other chronic diseases
Centers for Disease Control and Prevention (CDC) funding awarded to the California Department of
Public Health (CDPH) for Contractor Local Assistance is for Lifetime of Wellness: Communities in
Action interventions and include required strategies as described in the Scope of Work.
2. CDPH Responsibilities
CDPH will be responsible for overall programmatic oversight for implementation of the activities
designed to address the risk of diabetes and CVD.
3. Service Location
The services shall be performed in the County of Fresno as prescribed in the Scope of Work.
4. Service Hours
The services shall be provided during normal Contractor working days and hours, excluding national
and state holidays.
5. Project Representatives
A. The project representatives during the term of this agreement will be:
California Department of Public Health
Majel Arnold, Janet Bates, Acting Chief,
Programs and Policy Section
Chronic Disease Control Branch
Telephone: (916) 322-5336 552-9900
Fax: (916) 552-9729
Email: Majel.Arnold cdcb@cdph.ca.gov
County of Fresno
Sara Bosse, Program Manager
Office of Policy, Planning and Communication
Department of Public Health
Telephone: (559) 600-6449
Fax: (559) 600-7687
Email: sbosse@co.fresno.ca.us
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 2 of 55 57
B. Direct all inquiries to:
California Department of Public Health
Chronic Disease Control Branch
Attention: Lisa Pulido
1616 Capitol Avenue
P.O. Box 997377, MS 7208
Sacramento, CA 95899-7377
Telephone: (916) 552-9948
Fax: (916) 552-9927
Email: lisa.pulido@cdph.ca.gov
County of Fresno
Sara Bosse, Program Manager
Office of Policy, Planning and Communication
Department of Public Health
Telephone: (559) 600-6449
Fax: (559) 600-7687
Email: sbosse@co.fresno.ca.us
C. Either party may make changes to the information above by giving written notice to the other party.
Said changes shall not require an amendment to this agreement.
6. Reporting
A. The Contractor shall submit one original Performance Report semi-annually to CDPH in the format
prescribed by the State. The Performance Reports shall describe advancement made in
completing agreement deliverables.
B. Per the Consolidated Appropriations Act of 2014, Prevention and Public Health Fund (PPHF)
summary reporting is required semiannually. The Contractor shall submit one original PPHF
Summary Report semi-annually to CDPH in the format prescribed by the State. The PPHF
Summary Reports shall provide a brief summary of reporting period activities, including
subsections for all subcontractor activities, and an estimated percentage of total goals reached.
C. Contractor shall submit one original Comprehensive Final report within 30 days after the end of the
contract. The final report shall include, at a minimum: 1) lessons learned on implementing action
items; 2) main challenges and how the challenges were addressed; 3) key partners and their roles;
4) if activities related to the implementation of deliverables will continue and if so, what activities
are planned.
D. Report periods and due dates:
Report Report Period Due Date
Year 1: Performance Report 03/01/15-07/31/15 07/06/15
PPHF Summary 03/01/15-06/30/15 07/06/15
Year 2: Performance Report I 08/01/15-01/31/16 01/15/16
PPHF Summary I 07/01/15-12/31/15 11/15/15
Performance Report II 02/01/16-07/31/16 07/15/16
PPHF Summary II 01/01/16-06/30/16 05/15/16
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 3 of 55 57
Report Report Period Due Date
Year 3: Performance Report I 08/01/16-01/31/17 01/15/17
PPHF Summary I 07/01/16-12/31/16 11/15/16
Performance Report II 02/01/17-07/31/17 07/15/17
PPHF Summary II 01/01/17-06/30/17 05/15/17
Year 4: Performance Report I 08/01/17-01/31/18 01/15/18
PPHF Summary I 07/01/17-12/31/17 11/15/17
Performance Report II 02/01/18-07/31/18 07/15/18
PPHF Summary II 01/01/18-06/30/18 05/15/18
Comprehensive Final 09/30/14-09/30/18 10/30/18 09/29/18
E. Copies of items specified in the scope of work as a Deliverable must be submitted to CDPH
concurrently with the semiannual Performance Reports.
F. If the State does not receive complete and accurate reports by the required dates, further
payments to the Contractor may be suspended until complete and accurate reports are received.
Contractor’s last monthly and/or final invoice will not be processed until an acceptable
Comprehensive Final Report has been received and approved by the State., due no later than 30
days after contract end.
G. Upon the evaluation of the contractor’s performance, the State may at its discretion terminate this
Agreement or decrease the funding allocation to Contractor if insufficient screening volume and/or
delivery of program services are not met as outlined in the Exhibit A, Scope of Work.
7. Subcontractor Requirements
Contractor will implement a competitive bid process for subcontracts $2,500 and over. All
subcontracting must comply with the requirements of the State Contracting Manual, Sections 3.06.D
and 3.17.2.D, as applicable.
8. Services to be Performed
The Contractor will provide specific services, deliverables, and tasks specified in the Scope of Work to
address strategies required by CDC funding. Any subsequent formal amendments will be approved in
writing as required pursuant to this agreement.
The Contractor will collaborate with the University of California, Davis (UCD) to collect data from
publically available sources to track and monitor progress in meeting required performance measures.
The required performance measures include:
A. Increased community and large city environments that promote and reinforce healthful
behaviors and practices related to obesity, diabetes prevention, cardiovascular health,
including key settings that support physical activity and healthful foods and beverages
B. Increased use and reach of strategies to build support of lifestyle change
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 4 of 55 57
C. Improved quality, effective delivery and use of clinical and other preventive services
D. Increased management of hypertension (HTN) and prevention of type 2 diabetes.
E. Increased community clinical linkages to support self-management and control of hypertension
and prevention of type 2 diabetes
F. Increased consumption of nutritious food and beverages and increased physical activity
G. Increased engagement in lifestyle change
H. Improved medication adherence for adults with high blood pressure (HBP)
I. Increased self-monitoring of HBP tied to clinical support
J. Increased referrals to and enrollments in lifestyle change programs (LCPs)
K. Reduced death and disability due to diabetes, heart disease and stroke by 3% in the
implementation area
L. Reduced prevalence of obesity by 3% in the implementation area.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 5 of 55 57
YEAR 1
Component 1a: Environmental Strategies to Promote Health and Support and Reinforce Healthful Behaviors
Strategy 1.1: Implement nutrition and beverage standards including sodium standards in public institutions, worksites and other key
locations such as hospitals
# Activity Timeline Responsible Deliverables
1 Contractor will work with UCD to conduct an environmental scan to:
• Identify food/beverages sold in the cafeterias, snack shops/bars,
and/or vending machines of the four largest hospitals and large
county buildings (potential reach of over 10,000 employees
combined) to determine baseline and target numbers.
• Review existing food procurement guidelines for the target venues.
• Review model food procurement guidelines from other counties.
March 1
2015-
September
30, 2015
2016
Health
Educator (HE)
and Health
Education
Specialists
(HES1, HES2)
Submit to CDPH:
• a copy of the scan tool obtained
from UCD,
• a copy of the developed plan for
conducting the scan using the scan
tool,
• a list of agencies who participated
in the environmental scan, and
• a copy of the scan results.
2 Contractor will develop educational materials on the need for
food/beverage guidelines.
Include public data on blood pressure, diabetes, and obesity in the
local jurisdiction. Distribute to government
facilities/worksites/hospitals, stakeholders, policymakers; and post
on the County Health Department website.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• a copy of developed educational
materials, and
• a screen shot of posted web
materials.
3 Contractor will identify and participate in national and state meetings,
webinars and conferences as appropriate to increase local knowledge
and capacity.
Suggestions include American Heart Association (AHA),
Association of State and Territorial Health Officials (ASTHO),
National Salt Reduction Initiative (NSRI), CDC Healthy Food
Service Guidelines, CDPH Sodium Awareness Leadership Team
(SALT), and the Million Hearts Initiative (MHI)
March 1
2015 -
September
30, 2015
2016
Principle
Investigator
(PI), HE,
HES1, HES2
Submit to CDPH:
• a copy of the agenda from each
event attended
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 6 of 55 57
Strategy 1.1: Implement nutrition and beverage standards including sodium standards in public institutions, worksites and other key
locations such as hospitals
# Activity Timeline Responsible Deliverables
4 Using environmental scans, contractor will work with the Health
Clinic Subcontractor to identify target worksites and assess the
trainings needs and provide customized technical assistance* (TA)
and training to local government officials and key stakeholders on the
need for food procurement guidelines that include sodium reduction.
*TA conveys information for the express purpose of achieving
increased capacity for project implementation and meeting required
performance measures.
March 1
2015-
September
30, 2015
2016
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of training materials, and
• meeting agendas/minutes.
5 Contractor and Health Clinic Subcontractor, will work with identified
target worksites to develop, adopt, and implement food procurement
guidelines that include sodium reduction to increase availability of
healthy foods and beverages.
March 1
2015-
September
30, 2015
2016
PI, HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the training materials,
• the meeting agendas/minutes,
• the target worksite procurement
guidelines, and
• resulting implementation plan(s).
6 Contractor will conduct an assessment of the Contractor’s internal
wellness policy.
Identify areas for strengthening and update the policy.
Distribute the policy and provide training to Contractor
supervisors regarding successful implementation.
Continue to monitor progress.
March 1
2015-
September
30, 2015
2016
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of the assessment results,
• the training materials, and
• the meeting agendas/minutes.
7 Contractor will work with UCD to identify and collect public data for
required performance measures within strategy 1.1. Attend required
webinars and trainings on public data collection and performance
measures sponsored by CDPH.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 7 of 55 57
Strategy 1.2: Strengthen healthier food access and sales in retail venues and community venues through increased availability, improved
pricing, placement, and promotion
# Activity Timeline Responsible Deliverables
1 Contractor will participate in quarterly 1-2 hour meetings of the Fresno
County Healthy Stores for a Healthy Community Workgroup
(FCHSHC) to add capacity and implement additional interventions that
encourage healthy retail environments with the goal to promote
healthier food access.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
2 Contractor will use FCHSHC assessment public data and store public
data from CDPH Environmental Health Division to identify stores for
intervention. Work with FCHSHC and CDPH Nutrition, Education, and
Obesity Prevention Branch (NEOP) to identify specific activities
needed to promote healthier food access in retail stores.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of FCHSHC assessment
results and
• retail promotion activities plan.
3 As part of FCHSHC, Contractor will provide input and TA to the
“Healthy Stores for a Healthy Community Campaign” to reinforce
campaign messages at the local level.
If possible, utilize the CDPH Chronic Disease Prevention
Messaging Toolkit to develop culturally and linguistically
appropriate campaign messages and educational materials.
Utilize Public Relations Services (PRS) to promote selected
campaign messages.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes, and
• campaign messages and
educational materials.
4 Contractor will participate in a Statewide Nutrition-Specific Retail
Workgroup facilitated by CDPH to support the FCHSHC campaign.
The workgroup will define and prioritize strategies for local level
environmental and system change interventions as related to healthier
food access.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of workgroup meeting
agenda/minutes.
5 Contractor will work with UCD to identify and collect public data for
required performance measures within strategy 1.2. Attend required
webinars and trainings on public data collection and performance
measures sponsored by CDPH.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 8 of 55 57
Strategy 1.3: Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use
agreements in communities and jurisdictions
# Activity Timeline Responsible Deliverables
1 Contractor will participate in quarterly 1-2 hour Healthy Lifestyle
Partnership (HLP) meetings (county coalition facilitated by NEOP) to
plan and implement community initiatives that promote physical
activity.
March 1 -
September
30, 2015
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
2 Contractor will use the local Physical Activity (PA) directory to
determine low and no cost PA opportunities in the county. Work with
the HLP and Partner in Community Health (PICH) to assess
community readiness, resources (including funding and local
individual/agency champions), target audience, potential reach,
barriers, and sustainability of potential PA initiatives including joint use
and structured adult physical activity programs at schools, worksites,
and other community sites. Utilize this assessment to select 1-2
physical activity initiatives that do not duplicate efforts of other
programs.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes, and
• assessment.
3 Contractor will collect or develop materials to educate stakeholders
and key opinion leaders on the selected physical activity initiatives and
engage them in the promotion of the initiatives. Provide technical
assistance as necessary.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of the training materials.
4 Contractor will work with HLP and PICH to assess the effectiveness of
potential promotional/marketing approaches for the PA initiatives and
target audiences selected.
Develop culturally and linguistically appropriate campaign
messages, including educational materials, for activities
within strategy 1.3. Implement selected communication
strategies to support physical activity initiatives including PRS
to promote selected campaign messages.
March 1
2015 -
September
30, 2015
2016
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of communications/
promotion items and educational
materials.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 9 of 55 57
Strategy 1.3: Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use
agreements in communities and jurisdictions
# Activity Timeline Responsible Deliverables
5 Contractor will work with UCD to identify and collect public data for
required performance measure 1.3. Contractor will attend required
webinars and trainings on public data collection and performance
measures sponsored by CDPH.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected as well as a copy of event
agendas.
Strategy 1.4: Develop and or implement transportation and community plans that promote walking
# Activity Timeline Responsible Deliverables
1 As part of the Fresno County Transportation Needs Assessment
already underway, Contractor will work with the Fresno Council of
Governments (Fresno COG) and the Transportation Community
Coalition (TCC) and participate in conducting an environmental
community scan for the county to identify gaps in transportation
infrastructure to support safe and active communities, existing
city/county transportation plans that promote walking and readiness
to implement walking/biking plans, as well as city/county planning
departments that are open to enhancing plans to promote more
walking/biking.
March 1
2015 -
September
30, 2015
2016
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of the scan results and
• a walking promotion plan.
2 Based on assessment results collaborate with Fresno COG and TCC,
Contractor will identify 1-2 target communities (city or unincorporated
community) and provide input to city or county general, transportation
bicycle master plans and community transportation plans to increase
number of communities that promote walking and active
transportation, and use of public transportation. Work with target
communities to promote the plan through public relations
services.
March 1
2015-
September
30, 2015
2016
PI and HE Submit to CDPH:
• a copy of meeting agendas/minutes
and
• copies of target communities’
plan(s).
• copy of promotional items
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 10 of 55 57
Strategy 1.4: Develop and or implement transportation and community plans that promote walking
# Activity Timeline Responsible Deliverables
3 Contractor will work with UCD to identify and collect public data for
required performance measure 1.4. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• compilation of public data collected,
and
• event agendas.
Component 1b: Strategies to build support for healthy lifestyles, particularity for those at high risk, to support diabetes and heart disease
and stroke prevention efforts
Program Strategy 1.5: Plan and execute strategic public data-driven actions through a network of partners and local organizations to
build support for lifestyle change
# Activity Timeline Responsible Deliverables
1 Contractor will identify a Health Clinic Subcontractor and assist them
to develop partnerships with organizations (employer groups,
insurers, health systems, community-based organizations (CBOs),
diabetes health educators, coalitions, etc.) to promote the goals of the
National Diabetes Prevention Program (NDPP) and Take off Pounds
Sensibly (TOPS).
March 1
2015-
September
30, 2015
2016
PI, HE, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of meeting agendas/minutes,
and
• list of identified partners.
2 Contractor will conduct NDPP capacity/readiness assessment
utilizing an evaluation tool created by UCD with network partners to
determine if resources are available within community to deliver the
program.
March 1
2015-
September
30, 2015
2016
PI, HE, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of the assessment results.
3 Based on results of assessment, Contractor will identify readiness of
Health Clinic System to implement and sustain an NDPP. Contractor
will then develop a strategic plan to build capacity and implement a
NDPP program in conjunction with Health Clinic Subcontractor.
March 1
2015-
September
30, 2015
2016
PI, HE, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of NDPP strategic plan.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 11 of 55 57
Program Strategy 1.5: Plan and execute strategic public data-driven actions through a network of partners and local organizations to
build support for lifestyle change
# Activity Timeline Responsible Deliverables
4 Contractor will work with Health Clinic Subcontractor to conduct a
scan to identify any existing TOPS chapters as well as CBOs within
the service area which may be interested in starting chapters.
March 1
2015-
September
30, 2015
2016
HE, HES1,
HES2,
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of scan results.
5 Contractor will work with Health Clinic Subcontractor to implement
capacity building efforts to expand TOPS to include Spanish-
language materials and resources.
March 1
2015-
September
30, 2015
2016
HE, HES1,
HES2,
Health Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of meeting agendas/minutes,
and
• a copy of developed Spanish
language materials.
6 Contractor will work with UCD to identify and collect public data for
required performance measure 1.5. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
March 1 -
September
30, 2015
HE, HES1,
HES2,
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to conduct a
Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis
regarding lifestyle change with identified priority population(s) in the
clinic system (i.e., high burden populations, whose with pre-diabetes
or uncontrolled HBP who experience racial/ethnic or socioeconomic
health disparities including inadequate access to care, poor quality of
care, or low income), and/or organizations that serve identified priority
population(s). In year 2, implement community engagement principles
within identified communities.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2,
Epidemiologist,
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• SWOT analysis, and
• SWOT analysis results.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 12 of 55 57
Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change
# Activity Timeline Responsible Deliverables
2 Based on the SWOT analysis, Contractor will develop a marketing
plan, including educational materials, using the CDC template.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of Contractor marketing
plan and educational materials.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 1.6. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 1.7: Increase coverage for evidence-based supports for lifestyle change by working with network partners
# Activity Timeline Responsible Deliverables
1 Contractor will work with network partners to conduct an assessment
utilizing an evaluation tool created by UCD to identify what health
insurance plans are offered to employees and essential benefits
included for prediabetes and prevention of type 2 diabetes.
Contractor will identify challenges and barriers to coverage for LCPs.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of the assessment results.
2 Contractor will adapt CDC communication and marketing materials
designed for various audiences to educate about prediabetes and
promote LCPs as a means to prevent or delay the onset of type 2
diabetes in high risk populations. Leverage other resources as
applicable, such as the recommendation to cover LCPs that
accompanied the report released by the University of California at Los
Angeles Center of Health Policy Research and California Center for
Public Health Advocacy.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of CDC adapted marketing
materials.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 1.7. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 13 of 55 57
Component 2a: Health System Interventions to Improve the Quality of Health Care Delivery to Populations with the Highest Hypertension
and Prediabetes Disparities
Program Strategy 2.1: Increase electronic health records (EHR) adoption and the use of health information technology (HIT) to improve
performance (pursuant to federal and state guidelines)
# Activity Timeline Responsible Deliverables
1 Contractor will conduct an environmental scan utilizing an evaluation
tool created by UCD to assess EHR/Meaningful Use of select
providers/health systems regarding implementation, related policies
and procedures, and capacity of Health Clinic Subcontractor, focusing
on achievement of blood pressure control initiatives to identify gaps
and opportunities for collaboration. Engage with Health Clinic
Subcontractor to maximize understanding of EHR policy and practice
landscape within the local area.
March 1
2015-
September
30, 2015
2016
HE,
Epidemiologist,
and Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the scan results.
2 Contractor will work with UCD to identify and collect public data.
Attend required webinars and trainings on public data collection and
performance measures sponsored by CDPH.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to identify and
provide web links for TA and training to Health Center Controlled
networks in the area (or similar health systems) in order to develop
and implement toolsets (e.g., clinical quality dashboards) to provide
clinicians with public performance data.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the training materials.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.1. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 14 of 55 57
Program Strategy 2.3: Increase engagement of non-physician team members in hypertension management in community health care
systems
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to conduct
environmental scan of providers and hospital/clinic systems and health
insurance plans, utilizing an evaluation tool created by UCD, to
determine which clinic systems are currently engaging in hypertension
management. Results will be used to determine baseline in county.
March 1
2015-
September
30, 2015
2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Subcontractor (TBD) will submit to
Contractor:
• a list of proposed and interviewed
clinic systems.
Contractor will submit to CDPH:
• a copy of the scan results.
2 Based on scan results, Health Clinic Subcontractor will promote
adoption by clinic systems of procedures/protocols that support the
implementation of comprehensive health care teams.
Contractor will monitor, provide TA, and track providers that adopt
procedures/protocols.
March 1
2015-
September
30, 2015
2016
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Subcontractor (TBD) will submit to
Contractor:
• a list of clinic systems that adopted
the recommended
procedures/protocols.
Contractor will submit to CDPH:
• a copy of adopted
procedures/protocols.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 2.3. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 15 of 55 57
Program Strategy 2.4: Increase use of self-measured blood pressure monitoring tied with clinical support
# Activity Timeline Responsible Deliverables
1 Conduct asset mapping/environmental scans, utilizing an evaluation
tool created by UCD, to determine the CBOs or health systems that
are currently providing blood pressure and or diabetes
screening/monitoring and who they serve (demographics) for baseline
and target. Identify blood pressure/diabetes champions from within the
community.
March 1
2015 -
September
30, 2015
2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the scan results.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.4. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.5: Implement systems to facilitate identification of patients with undiagnosed hypertension and people with
prediabetes
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to conduct asset
mapping/environmental scans that determine the CBOs in Health
Clinic Subcontractor service areas which are currently providing blood
pressure and or diabetes screening/monitoring and who they serve
(demographics) for baseline and target. Identify blood
pressure/diabetes champions from within the community.
March 1
2015-
September
30, 2015
2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a written summary of the scan, and
• list of community Champions.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.5. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 16 of 55 57
Component 2b: Community Clinical Linkage Strategies to Support Heart Disease and Stroke and Diabetes Prevention Efforts
Program Strategy 2.6: Increase engagement of CHWs to promote linkages between health systems and community resources for adults
with high blood pressure and adults with prediabetes or at high risk for type 2 diabetes
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to conduct an
environmental scan utilizing an evaluation tool created by UCD, to
assess existing programs that target adults with HBP and adults with
prediabetes or at high risk for type 2 diabetes. Begin with Fresno
Metro Ministry’s Community Resource Directory.
March 1
2015-
September
30, 2015
2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the scan results.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.6. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.7: Increase engagement of community pharmacists in the provision of medication-/self-management for adults with
high blood pressure
# Activity Timeline Responsible Deliverables
1 Contractor will conduct environmental scan/assessment utilizing an
evaluation tool created by UCD to determine which providers, health
insurance plans etc. are using pharmacists as part of the team for
medication/self-management.
Based on the results of the community scan, Contractor will build
relationships with health systems to promote inclusion of community
pharmacists as part of the health care team.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• a copy of the scan results.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.7. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 17 of 55 57
Program Strategy 2.8: Implement systems and increase partnerships to facilitate bi-directional referral between community resources
and health systems, including lifestyle change programs
# Activity Timeline Responsible Deliverables
1 Contractor will conduct environmental scan utilizing an evaluation tool
created by UCD of existing 211 services within Fresno County. Identify
current and potential 211 service availability and/or identify other
entities that could serve as a source for community referrals to LCPs.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• a copy of the scan results.
2 Contractor will work with Health Clinic Subcontractor to conduct
assessment of Subcontractor referral practices for patients with a
diagnosis of HBP and prediabetes, and viability of utilizing 211 for
referral to LCPs.
March 1
2015-
September
30, 2015
2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Contractor will submit to CDPH:
• a copy of assessment results.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 2.8. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
March 1 -
September
30, 2015
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 18 of 55 57
Cross-cutting (applies to all components)
Cross-Cut Strategy: Build local capacity and document lessons learned of implementing local health departments and partners.
# Activity Timeline Responsible Deliverables
1 Contractor will attend training sessions, conferences, and webinars on
specific content areas to augment the internal team’s skills and
program effectiveness (topics could include, public data mining health
records, increasing community-clinical linkages, etc.).
March 1
2015-
September
30, 2015
2016
PI, HE, HES1,
HES2, Staff
Analyst (SA) I,
and
Epidemiologist
Submit to CDPH:
• copies of training agendas.
2 Contractor will send at least 2 staff to attend CDPH required annual
meeting (1) and trainings (1-2 per year) in Sacramento. Meetings may
include: “Program Kick Off”, SALT, and NDPP.
March 1
2015-
September
30, 2015
2016
PI, HE, HES1,
HES2
Submit to CDPH:
• copies of confirmed travel
arrangements.
3 Contractor will provide a description of best practice, noting whether it
refers to innovative educational materials/presentations, policies,
success stories, or other.
March 1
2015-
September
30, 2015
2016
HE Submit to CDPH:
• a copy of best practices summary
report.
4 Contractor will participate in focus groups and planning workgroups.
Focus groups may include TA, educational materials, and/or review of
evaluation tools. Workgroups may include sodium taskforce and
NDPP.
March 1
2015-
September
30, 2015
2016
HE Submit to CDPH:
• copies of meeting
agendas/minutes.
5 Contractor will provide internal support including logistics and
paperwork for orders, mailing, travel, meetings, technical support,
training, etc.
March 1
2015-
September
30, 2015
2016
Office
Assistant
(OA) III
Submit to CDPH:
• timesheets, and
• documentation of logistical
processes.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 19 of 55 57
YEAR 2
Component 1a: Environmental Strategies to Promote Health and Support and Reinforce Healthful Behaviors
Strategy 1.1: Implement nutrition and beverage standards including sodium standards in public institutions, worksites and other key
locations such as hospitals
# Activity Timeline Responsible Deliverables
1 Contractor will develop educational materials on the need for
food/beverage guidelines.
Include public data on blood pressure, diabetes, and obesity in
the local jurisdiction. Distribute to government
facilities/worksites/hospitals, stakeholders, policymakers. Post
on the Fresno County Health Department website.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2,
Submit to CDPH:
• a copy of developed educational
materials and a screen shot of
posted materials.
2 Contractor will identify and participate in national and state meetings,
webinars and conferences as appropriate to increase local knowledge
and capacity.
Suggestions include AHA, ASTHO, NSRI, CDC Healthy Food Service
Guidelines, SALT, and MHI.
October 1
2015 -
September
30, 2016
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of event agendas.
3 Contractor will use existing environmental scans identify target
worksites, assess their training needs and provide customized
training/TA to local government officials and key stakeholders on the
need for food procurement guidelines that include sodium reduction.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2,
Submit to CDPH:
• a copy of training materials, and
• meeting agendas/minutes.
4 Contractor will work with identified target worksites to develop, adopt,
and implement food procurement guidelines that include sodium
reduction to increase availability of healthy foods and beverages.Use
public relations services to promote new guidelines and/or
policies.
October 1
2015 -
September
30, 2016
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of training materials,
• meeting agendas/minutes,
• target worksite procurement
guidelines, and
• implementation plan(s).
5 Contractor will conduct an assessment of the internal wellness policy
for the Fresno County Department of Public Health (FCDPH). Identify
areas for strengthening and update the policy. Distribute the policy and
provide training/TA to FCDPH supervisors regarding successful
implementation. Monitor progress.
October 1
2015 -
September
30, 2016
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of the assessment results,
• training materials, and
• meeting agendas/minutes.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 20 of 55 57
Strategy 1.1: Implement nutrition and beverage standards including sodium standards in public institutions, worksites and other key
locations such as hospitals
# Activity Timeline Responsible Deliverables
6 Contractor will work with UCD to identify and collect public data for
required performance measures within strategy 1.1. Attend required
webinars and trainings on public data collection and performance
measures sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Strategy 1.2: Strengthen healthier food access and sales in retail venues and community venues through increased availability, improved
pricing, placement, and promotion
# Activity Timeline Responsible Deliverables
1 Contractor will participate in quarterly 1-2 hour meetings of the
FCHSHC to add capacity and implement additional interventions that
encourage healthy retail environments with the goal to promote
healthier food access.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
2 Contractor will use FCHSHC assessment public data and store public
data from CDPH Environmental Health Division to identify stores for
intervention. Work with FCHSHC and NEOP to identify specific
activities needed to promote healthier food access in retail stores.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of FCHSHC assessment
results and
• retail promotion activities plan.
3 As part of FCHSHC, Contractor will provide input to the “Healthy
Stores for a Healthy Community Campaign” to reinforce campaign
messages at the local level. If possible, utilize the CDPH Chronic
Disease Prevention Messaging Toolkit to develop culturally and
linguistically appropriate campaign and educational messages. Utilize
PRS to promote selected campaign messages.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2,
Submit to CDPH:
• a copy of meeting
agendas/minutes, and
• campaign messages.
4 In collaboration with the FCHSHC subcommittee, Contractor will
participate in the California Tobacco Control Program (CTCP) retail
public data collection training to prepare for public data collection.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 21 of 55 57
Strategy 1.2: Strengthen healthier food access and sales in retail venues and community venues through increased availability, improved
pricing, placement, and promotion
# Activity Timeline Responsible Deliverables
5 As part of the FCHSHC, Contractor will participate in an event to
train data collectors for the retail survey.
October 1,
2015-
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• Copy of training agenda and
materials
56 Contractor will recruit, determine specific training/resources needs,
and provide TA to at least 1-2 new owner/operator representatives of
grocery/specialty food retailers including farmers’ market operators to
participate in the FCHSHC campaign to improve healthy options in
their stores.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting agenda/minutes,
• training materials, and
• photos of the campaign materials
in the retailer venue.
67 In collaboration with the FCHSHC, Contractor will participate in the
CTCP retail public data collection nutrition specific module.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH
• a list of retail venues where public
data was collected.
7 8 Contractor will work with UCD to identify and collect public data for
required performance measures within strategy 1.2. Attend required
webinars and trainings on public data collection and performance
measures sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Strategy 1.3: Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use
agreements in communities and jurisdictions
# Activity Timeline Responsible Deliverables
1 Contractor will participate in quarterly 1-2 hour Healthy Lifestyle
Partnership (HLP) meetings (county coalition facilitated by NEOP) to
plan and implement community initiatives that promote physical
activity.
October 1
2015 -
September
30, 2016
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 22 of 55 57
Strategy 1.3: Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use
agreements in communities and jurisdictions
# Activity Timeline Responsible Deliverables
2 Contractor will use the local PA directory to determine low and no cost
PA opportunities in the county, work with the HLP and Partner in
Community Health (PICH) to assess community readiness, resources
(including funding and local individual/agency champions), target
audience, potential reach, barriers, and sustainability of potential PA
initiatives including joint use and structured adult physical activity
programs at schools, worksites, and other community sites.
Contractor will utilize this assessment to select 1-2 physical activity
initiatives that do not duplicate efforts of other programs.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes, and
• copy of assessment.
3 2 Contractor will collect or develop materials to educate stakeholders
and key opinion leaders on the selected physical activity initiatives and
engage them in the promotion of the initiatives.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of training materials.
4 3 Contractor will provide training and TA to facilitate the development
and implementation of the selected physical activity initiatives.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2,
Submit to CDPH:
• a copy of meeting agenda/minutes
and photos.
• Additional specific deliverables will
be identified after the initiatives are
selected.
5 4 Contractor will work with HLP and PICH to assess the effectiveness of
potential promotional/marketing approaches for the PA initiatives and
target audiences selected.
Develop culturally and linguistically appropriate education and
campaign messages for activities within strategy 1.3.
Implement selected communication strategies to support
physical activity initiatives including PRS to promote selected
campaign messages.
October 1
2015 -
September
30, 2016
PI, HE, HES1,
HES2,
Submit to CDPH:
• a copy of
communications/promotion items.
6 5 Contractor will work with UCD to identify and collect public data for
required performance measure 1.3. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 23 of 55 57
Strategy 1.4: Develop and or implement transportation and community plans that promote walking
# Activity Timeline Responsible Deliverables
1 As part of the Fresno County Transportation Needs Assessment
already underway, Contractor will work with the Fresno Council of
Governments (Fresno COG) and the Transportation Community
Coalition (TCC) and participate in conducting an environmental
community scan for the county to identify gaps in transportation
infrastructure to support safe and active communities, existing
city/county transportation plans that promote walking and readiness to
implement walking/biking plans, as well as city/county planning
departments that are open to enhancing plans to promote more
walking/biking.
October 1
2015 -
September
30, 2016
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of scan results and
• walking promotion plan.
2 Based on assessment results, Contractor will continue to collaborate
with Fresno COG and TCC, identify 1-2 to work with target
communities (city or unincorporated community) and provide input to
city or county general, transportation bicycle master plans, and
community transportation plans to increase number of communities
that promote walking and active transportation, and use of public
transportation. Work with target communities to promote the plans
through public relations services.
October 1
2015 -
September
30, 2016
PI, HE Submit to CDPH:
• a copy of meeting
agendas/minutes and
• copies of target communities’
plan(s).
3 Contractor will educate community leaders from 1-2 target
communities on conducting walkability assessment to determine scope
of problem and highlight changes needed to create safe environments
for active transportation
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes, and
• training materials.
4 Contractor will coordinate with TCC, target city/county officials
including law enforcement, and community members to conduct 1-2
walkability assessments in target communities to determine scope of
problem and highlight changes needed to create safe environments for
active transportation.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of the walkability
assessment(s).
5 Contractor will work with UCD to identify and collect public data for
required performance measure 1.4. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2,
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 24 of 55 57
Component 1b: Strategies to build support for healthy lifestyles, particularity for those at high risk, to support diabetes and heart disease
and stroke prevention efforts
Program Strategy 1.5: Plan and execute strategic public data-driven actions through a network of partners and local organizations to
build support for lifestyle change
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to provide NDPP
training and certification to at least four identified Health Clinic System
staff.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of certifications, and
• training materials.
•
2 Contractor will provide technical assistance to Health Clinic
Subcontractor to complete the NDPP Capacity Assessment and
will initiate the CDC recognition process.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• Copy of DPRP Capacity
Assessment.
2 Contractor will work with Health Clinic Subcontractor to provide TOPS
training to Health Clinic System staff on how to initiate and lead TOPS
chapters. Offer and promote the training to other interested CBOs
serving Health Clinic System target population.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of promotional and training
materials.
3 Contractor will work with Health Clinic Subcontractor to participate
in planning for a statewide NDPP summit led by CDPH staff.
Planning will include participation in planning meetings, developing
summit materials, identifying appropriate key partners/stakeholders to
identify the strategic direction and priorities for increasing referrals,
utilization, and reimbursement of NDPP.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of planning meeting
agendas/minutes.
4 Contractor will work with Health Clinic Subcontractor to refer patients
and interested community members to scheduled NDPP classes at
Health Clinic System health centers. Promote classes through
public relations services.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a listing of classes scheduled,
• referral and attendance logs
(summary numbers only).
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 25 of 55 57
Program Strategy 1.5: Plan and execute strategic public data-driven actions through a network of partners and local organizations to
build support for lifestyle change
# Activity Timeline Responsible Deliverables
5 Contractor will work with Health Clinic Subcontractor to refer patients
and interested community members to chapters of TOPS at Health
Clinic System health centers and nearby CBOs with weekly meetings
for members.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a listing of classes scheduled,
• referral and attendance logs
(summary numbers only).
6 5 Contractor will work with Health Clinic Subcontractor and UCD to
identify and collect public data for required performance measure 1.5.
Attend required webinars and trainings on public data collection and
performance measures sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to conduct a
strengths, weaknesses, opportunities, and threats (SWOT) analysis
regarding lifestyle change with identified priority population(s), and/or
organizations that serve them. In year 2, based on SWOT analysis
results, implement community engagement principles within identified
communities.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2,
Epidemiologist,
and Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of SWOT analysis results.
• List of potential community
engagement activities.
2 Utilizing the Chronic Disease Prevention Messaging Toolkit,
Contractor will work with Health Clinic Subcontractor to develop a plan,
including educational materials, for how partners (CBOs, Fresno
County Department of Public Health, Health Clinic Systems,
community champions) will work together to conduct outreach,
promote the programs through public relations services, build
support for and increase referrals to NDPP and TOPS. Review and
update annually.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of planning meeting
agendas/minutes, and
• the outreach plan.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 26 of 55 57
Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change
# Activity Timeline Responsible Deliverables
3 In collaboration with CDPH, Contractor will adapt CDC NDPP
communications, educational, and public relations services for
marketing materials and work with Health Clinic Subcontractor to
mobilize champions to disseminate in target communities as a means
to increase reach to and engagement of priority populations. Assess
reach and outcomes of lifestyle change strategies and marketing
efforts and refine as necessary.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of promotional materials
developed,
• distribution and reach log.
4 Contractor will work with Health Clinic Subcontractor and UCD to
identify and collect public data for required performance measure 1.6.
Attend required webinars and trainings on public data collection and
performance measures sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 1.7: Increase coverage for evidence-based supports for lifestyle change by working with network partners
# Activity Timeline Responsible Deliverables
1 Contractor will work with network partners to conduct an assessment
utilizing an evaluation tool created by UCD to identify what health
insurance plans are offered to employees and essential benefits
included for prediabetes and prevention of type 2 diabetes. Identify
challenge and barriers to coverage for LCPs.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of the assessment results.
2 Based on assessment results, Contractor will develop and implement
an action plan to establish or increase insurance coverage of LCPs
within county.
October 1
2015 -
September
30, 2016
PI, HE, HES1,
HES2
Submit to CDPH:
• action plan timeline.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 1.7. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 27 of 55 57
Component 2a: Health System Interventions to Improve the Quality of Health Care Delivery to Populations with the Highest Hypertension
and Pre-diabetes Disparities
Program Strategy 2.1: Increase electronic health records (EHR) adoption and the use of health information technology (HIT) to improve
performance (pursuant to federal and state guidelines)
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to conduct a
community scan within Health Clinic System of blood pressure control
initiatives to identify gaps and opportunities for collaboration and
improve performance.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of scan.
2 Contractor will recruit providers/health systems to participate in Central
Valley Health Information Exchange (CVHIE) to promote reporting on
National Quality Forum (NQF) 18 and 59 and standardized clinical
quality measures for management and treatment of patients with HBP.
October 1
2015 -
September
30, 2016
PI, HE, and
Epidemiologist
Submit to CDPH:
• a copy of meeting
agendas/minutes.
3 Contractor will work with Health Clinic Subcontractor and UCD to
identify and collect public data for required performance measure 2.1.
Attend required webinars and trainings on public data collection and
performance measures sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to assess
capacity for providers and/or health systems, utilizing an evaluation
tool created by UCD, to electronically track, monitor and report
aggregated/standardized quality measures to the Centers for Medicare
and Medicaid Services, CDPH, and others.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• an assessment report of the
environmental scan.
2 Contractor will work with Health Clinic Subcontractor to convene
representatives from county Federally Qualified Health Centers
(FQHCs) and CVHIE to develop protocols and processes for
monitoring and sharing standardized quality measures at the provider
level.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of meeting agendas/
minutes.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 28 of 55 57
Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level
# Activity Timeline Responsible Deliverables
3 Contractor will work with Health Clinic Subcontractor to expand health
system EHR analytics or participation in clinical quality dashboards for
Health Clinic System patients with hypertension, prediabetes, and
diabetes. Promote quality improvement through the implementation of
systems that provide relevant and timely patient public data to
providers and health systems.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a summary of systems in use.
4 Contractor will work with Health Clinic Subcontractor and UCD to
identify and collect public data for required performance measure 2.1.
Attend required webinars and trainings on public data collection and
performance measures sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.3: Increase engagement of non-physician team members in hypertension management in community health care
systems
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to conduct
environmental scan of providers and hospital/clinic systems and health
insurance plans, utilizing an evaluation tool created by UCD, to
determine which team members are currently engaging in hypertension
management. Results will be used to determine baseline in county.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the scan results.
2 Based on scan results, Contractor will work with Health Clinic
Subcontractor to promote adoption by Health Clinic System providers
of procedures/protocols that support the implementation of
comprehensive health care teams. Monitor and track providers that
adopt procedures/protocols.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of adopted procedures/
protocols.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 29 of 55 57
Program Strategy 2.3: Increase engagement of non-physician team members in hypertension management in community health care
systems
# Activity Timeline Responsible Deliverables
3 Contractor will work with Health Clinic Subcontractor to utilize scan
results to identify evidence and practice tools to share with the provider
community that support the implementation of evidence-based
guidelines for HBP, such as the MHI hypertension protocols i.e.,
through local medical society. Identify training and TA needs to
facilitate adoption/implementation of tools by Health Clinic
Subcontractor.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of training materials, and
• meeting agendas/minutes.
4 Contractor will work with Health Clinic Subcontractor to develop a
workgroup and project workplan to fill 1-2 of the evidence gaps
specified in The Community Guide at
http://www.thecommunityguide.org/cvd/RGteambasedcare.html .
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a summary of the evidence
gathered and gap(s) identified.
5 Contractor will work with Health Clinic Subcontractor and UCD to
identify and collect public data for required performance measure 2.3.
Attend required webinars and trainings on public data collection and
performance measures sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.4: Increase use of self-measured blood pressure monitoring tied with clinical support
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to provide
assessment or analysis results to augment and enhance Health Clinic
System provider’s capacity and reach. Analysis should include
feasibility and compatibility of self-management programs for HBP
(e.g., Check. Change. Control) with existing community health care
programs.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of analysis report.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 30 of 55 57
Program Strategy 2.4: Increase use of self-measured blood pressure monitoring tied with clinical support
# Activity Timeline Responsible Deliverables
2 Contractor will work with Health Clinic Subcontractor to research
model practices, outcomes, and benefits to promote the adoption and
EHR use with Health Clinic Systems that include integrated HBP
algorithms and supports for provider prompts/feedback, patient
communication, and public data tracking, monitoring, and reporting.
Promote new practices to community partners.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of sample adopted EHR
systems.
3 Contractor will work with Health Clinic Subcontractor and UCD to
identify and collect public data for required performance measure 2.4.
Attend required webinars and trainings on public data collection and
performance measures sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.5: Implement systems to facilitate identification of patients with undiagnosed hypertension and people with pre-
diabetes
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to complete an
assessment of Health Clinic System to identify patients with
undiagnosed hypertension and/or pre-diabetes, provide referral for
education and provider feedback about home blood pressure/blood
sugar monitoring, and provider prompts and patient contact system for
managing patients with HBP/blood sugar.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the assessment.
2 Contractor will work with Health Clinic Subcontractor to Develop and
implement a plan for improving the system for identifying and
monitoring patients with HBP in Health Clinic System. Promote new
system to community partners.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the plan.
3 Contractor will work with Health Clinic Subcontractor and UCD to
identify and collect public data for required performance measure 2.5.
Attend required webinars and trainings on public data collection and
performance measures sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 31 of 55 57
Component 2b: Community Clinical Linkage Strategies to Support Heart Disease and Stroke and Diabetes Prevention Efforts
Program Strategy 2.6: Increase engagement of CHWs to promote linkages between health systems and community resources for adults
with high blood pressure and adults with pre-diabetes or at high risk for type 2 diabetes
# Activity Timeline Responsible Deliverables
1 Contractor will assess where CDPH, PHI and other partners currently
are with fiscal reimbursement strategies for Community Health
Workers (CHW s) within health plans. Contractor will work with Health
Clinic Subcontractor to conduct an environmental scan, utilizing an
evaluation tool created by UCD of existing clinics, the California
Health Workforce Alliance report, and local health care systems to
identify which have CHWs or similar staff.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the scan results.
2 As a result of the health system scan, Contractor will work with Health
Clinic Subcontractor by providing TA to develop a plan to promote
systematic change to involve Health Clinic System CHWs to promote
linkages between health systems and community resources to
improve outcomes for heart disease and diabetes. Coordinate with
others working on CHW initiatives for awareness, input, and support.
Work with CHWs for their input and guidance on promotional
strategies between health systems and community resources. Monitor
change. Promote new guidelines or policies through public
relations services.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of the plan and
• a summary of changes made.
3 Contractor will work with Health Clinic Subcontractor and UCD to
identify and collect public data for required performance measure 2.6.
Attend required webinars and trainings on public data collection and
performance measures sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 32 of 55 57
Program Strategy 2.7: Increase engagement of community pharmacists in the provision of medication-/self-management for adults with
high blood pressure
# Activity Timeline Responsible Deliverables
1 Contractor will conduct environmental scan/assessment utilizing an
evaluation tool created by UCD to determine which providers, health
insurance plans etc. are using pharmacists as part of the team for
medication/self-management. Based on the results of the community
scan build relationships with health systems to promote inclusion of
community pharmacists as part of the health care team.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of the scan results.
2 Contractor will work with Health Clinic Subcontractor to identify and
convene appropriate partners to identify and share best practices,
including training of pharmacists and mechanism of payment;
promoting inclusion of pharmacists in the team for community-based
medication reconciliation/reporting to providers and hypertension self-
management. Promote new guidelines or policies through public
relations services.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of meeting
agendas/minutes.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 2.7. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.8: Implement systems and increase partnerships to facilitate bi-directional referral between community resources
and health systems, including lifestyle change programs
# Activity Timeline Responsible Deliverables
1 Contractor will institute 211 service LCPs for HBP and pre-diabetes,
and/or identify other entities that could serve as a source for
community referrals to LCPs. Develop tracking/monitoring system for
referrals.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes,
• 211/referral system service
promotion materials, and
• a summary of the
tracking/monitoring system.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 33 of 55 57
Program Strategy 2.8: Implement systems and increase partnerships to facilitate bi-directional referral between community resources
and health systems, including lifestyle change programs
# Activity Timeline Responsible Deliverables
2 Contractor will develop and implement a communications plan to
provide TA and assist with communication, awareness, and outreach
strategy to maximize reach and impact of 211.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of 211 communication plan.
3 Contractor will work with Health Clinic Subcontractor to educate Health
Clinic System providers about community resources available for
patients with HBP and pre-diabetes, and the benefits of using a
community referral system, such as 211, within their organization (e.g.
utilizing EHR to refer patients to community resources). Determine
what resources/systems are needed to ensure bi-directional referrals
are made.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of training materials, and
• 211/referral system service
promotion materials.
4 Contractor will work with Health Clinic Subcontractor and UCD to
identify and collect public data for required performance measure 2.8.
Attend required webinars and trainings on public data collection and
performance measures sponsored by CDPH.
October 1
2015 -
September
30, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Cross-cutting (applies to all components)
Cross-Cut Strategy: Build local capacity and document lessons learned of implementing local health departments and partners.
# Activity Timeline Responsible Deliverables
1 Contractor will attend training sessions, conferences, and webinars on
specific content areas to augment the internal team’s skills and
program effectiveness (topics could include, public data mining health
records, increasing community-clinical linkages, etc.).
October 1
2015 -
September
30, 2016
PI, HE, HES1,
HES2, SA I,
and
Epidemiologist
Submit to CDPH:
• copies of training agendas.
2 Contractor will send at least 2 staff to attend CDPH required annual
meeting (1) and trainings (1-2 per year) in Sacramento. Meetings
may include: “Program Kick Off”, SALT, and NDPP.
March 1 -
September
30, 2015
PI, HE, HES1,
HES2
Submit to CDPH:
• copies of confirmed travel
arrangements.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 34 of 55 57
Cross-Cut Strategy: Build local capacity and document lessons learned of implementing local health departments and partners.
# Activity Timeline Responsible Deliverables
3 Contractor will provide a description of best practice, noting whether it
refers to innovative educational materials/presentations, policies,
success stories, or other.
October 1
2015 -
September
30, 2016
Health
Educator
Submit to CDPH:
• a best practices summary report.
4 Contractor will participate in focus groups and planning workgroups.
Focus groups may include TA, educational materials, and/or review of
evaluation tools. Workgroups may include sodium taskforce, and
NDPP.
October 1
2015 -
September
30, 2016
Health
Educator
Submit to CDPH:
• copies of meeting
agendas/minutes.
5 Contractor will provide internal support including logistics and
paperwork for orders, mailing, travel, meetings, technical support,
training, etc.
March 1 -
September
30, 2015
OA III Submit to CDPH:
• timesheets, and
• documentation of logistical
processes.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 35 of 55 57
YEAR 3
Component 1a: Environmental Strategies to Promote Health and Support and Reinforce Healthful Behaviors
Strategy 1.1: Implement nutrition and beverage standards including sodium standards in public institutions, worksites and other key
locations such as hospitals
# Activity Timeline Responsible Deliverables
1 Contractor will identify and participate in national and state meetings,
webinars and conferences as appropriate to increase local knowledge
and capacity.
Suggestions include AHA, ASTHO, NSRI, CDC Healthy Food Service
Guidelines, SALT, and MHI.
October 1
2016 -
September
30, 2017
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of event agendas.
2 Contractor will work with identified target worksites to develop, adopt,
and implement food procurement guidelines that include sodium
reduction to increase availability of healthy foods and beverages.
October 1
2016 -
September
30, 2017
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of training materials,
• meeting agendas/minutes,
• target worksite procurement
guidelines, and
• implementation plan(s).
3 Contractor will conduct an assessment of the internal wellness policy
for the Fresno County Department of Public Health (FCDPH). Identify
areas for strengthening and update the policy. Distribute the policy and
provide training to FCDPH supervisors regarding successful
implementation. Monitor progress.
October 1
2016 -
September
30, 2017
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of the assessment results,
• training materials, and
• meeting agendas/minutes.
4 Contractor will meet with directors of other county departments and
share the FCDPH wellness policy. Through discussion, assess the
viability of implementing a similar or modified version of the FCDPH
wellness policy in the other departments.
October 1
2016 -
September
30, 2017
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
5 Contractor will work with UCD to identify and collect public data for
required performance measures within strategy 1.1. Attend required
webinars and trainings on public data collection and performance
measures sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 36 of 55 57
Strategy 1.2: Strengthen healthier food access and sales in retail venues and community venues through increased availability, improved
pricing, placement, and promotion.
# Activity Timeline Responsible Deliverables
1 Contractor will participate in quarterly 1-2 hour meetings of the
FCHSHC to add capacity and implement additional interventions that
encourage healthy retail environments with the goal to promote
healthier food access.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
2 Contractor will use FCHSHC assessment public data and store public
data from CDPH Environmental Health Division to identify stores for
intervention. Work with FCHSHC and NEOP to identify specific
activities needed to promote healthier food access in retail stores.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a copy of FCHSHC assessment
results and
• retail promotion activities plan.
3 As part FCHSHC, Contractor will provide input to the “Healthy Stores
for a Healthy Community Campaign” to reinforce campaign messages
at the local level. If possible, utilize the CDPH Chronic Disease
Prevention Messaging Toolkit to develop culturally and linguistically
appropriate campaign messages.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2,
Submit to CDPH:
• a copy of meeting
agendas/minutes, and
• campaign messages.
4 Contractor will recruit, determine specific training/resources needs, and
provide TA to at least 1-2 new owner/operator representatives’
grocery/specialty food retailers including farmers’ market operators to
participate in the FCHSHC campaign to improve healthy options in
their stores.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting agenda/minutes,
• training materials, and
• photos of the campaign materials
in the retailer venue.
5 In collaboration with the FCHSHC, Contractor will participate in the
CTCP retail public data collection nutrition specific module.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a list of retail venues where public
data was collected.
6 5 In collaboration with the FCHSHC subcommittee, Contractor will
participate in the CTCP spokesperson training to prepare for a
FCHSHC press event.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a copy of the spokesperson
training agenda.
7 6 In collaboration with the FCHSHC subcommittee and CDPH,
Contractor will plan and participate in the CTCP retail public data
collection press event.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2,
Submit to CDPH:
• a copy of the press event packet.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 37 of 55 57
Strategy 1.2: Strengthen healthier food access and sales in retail venues and community venues through increased availability, improved
pricing, placement, and promotion.
# Activity Timeline Responsible Deliverables
8 7 In collaboration with the FCHSHC subcommittee, Contractor will assist
with the dissemination of Fresno County retail public data collection
results. Results will be provided by CTCP in the form of a factsheet
that will be adapted to meet the needs of Solano Fresno County.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2,
Submit to CDPH:
• a copy of the adapted factsheet.
9 8 Contractor will work with UCD to identify and collect public data for
required performance measures within strategy 1.2. Attend required
webinars and trainings on public data collection and performance
measures sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Strategy 1.3: Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use
agreements in communities and jurisdictions
# Activity Timeline Responsible Deliverables
1 Contractor will participate in quarterly 1-2 hour Healthy Lifestyle
Partnership (HLP) meetings (county coalition facilitated by NEOP) to
plan and implement community initiatives that promote physical
activity.
October 1
2016 -
September
30, 2017
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
2 Contractor will provide training and TA to facilitate the development
and implementation of the selected physical activity initiatives.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting agenda/minutes
and photos.
• Additional specific deliverables will
be identified after the initiatives are
selected.
3 Contractor will work with HLP and PICH to assess the effectiveness of
potential promotional/marketing approaches for the PA initiatives and
target audiences selected. Develop culturally and linguistically
appropriate campaign messages. Implement selected communication
strategies to support physical activity initiatives including PRS to
promote selected campaign messages.
October 1
2016 -
September
30, 2017
PI, HE, HES1,
HES2,
Submit to CDPH:
• a copy of communications/
promotion items.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 38 of 55 57
Strategy 1.3: Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use
agreements in communities and jurisdictions
# Activity Timeline Responsible Deliverables
4 Contractor will work with UCD to identify and collect public data for
required performance measure 1.3. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2,
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Strategy 1.4: Develop and or implement transportation and community plans that promote walking
# Activity Timeline Responsible Deliverables
1 Based on assessment results, Contractor will continue to collaborate
with Fresno COG and TCC, identify 1-2to work in target communities
(city or unincorporated community) and provide input to city or county
general, transportation bicycle master plans and community
transportation plans to increase number of communities that promote
walking and active transportation, and use of public transportation.
October 1
2016 -
September
30, 2017
PI, HE, Submit to CDPH:
• a copy of meeting
agendas/minutes and
• copies of target communities’
plan(s).
2 Contractor will coordinate with TCC, target city/county officials
including law enforcement, and community members to conduct 1-2
walkability assessments in target communities to determine scope of
problem and highlight changes needed to create safe environments for
active transportation.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2,
Submit to CDPH:
• a copy of the walkability
assessment(s).
3 2 Contractor will coordinate with TCC, target city/county officials
including law enforcement, and community members to utilize the
completed walkability assessment(s) to identify potential local active
transportation project(s) for funding from CalTrans and other funding
sources.
October 1
2016 -
September
30, 2017
PI, HE, Submit to CDPH:
• a copy of meeting
agendas/minutes and
• list of the potential projects
identified.
4 3 Contractor will work with UCD to identify and collect public data for
required performance measure 1.4. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2,
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 39 of 55 57
Component 1b: Strategies to build support for healthy lifestyles, particularity for those at high risk, to support diabetes, heart disease
and stroke prevention efforts
Program Strategy 1.5: Plan and execute strategic data-driven actions through a network of partners and local organizations to build
support for lifestyle change
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to refer patients
and interested community members to scheduled NDPP classes at
health centers.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of classes scheduled,
• referral and attendance logs
(summary numbers only).
2 Contractor will work with Health Clinic Subcontractor to submit
evaluation data to CDC in order to achieve NDPP recognition
status.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• Copy of evaluation data.
2 3 Contractor will work with Health Clinic Subcontractor to refer patients
and interested community members to chapters of TOPS at health
centers and nearby CBOs with weekly meetings for members.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of classes scheduled,
• referral and attendance logs
(summary numbers only).
3 4 Contractor will work with UCD to identify and collect public data for
required performance measure 1.5. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 40 of 55 57
Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change
# Activity Timeline Responsible Deliverables
1 Utilizing the Chronic Disease Prevention Messaging Toolkit, Contractor
will work with Health Clinic Subcontractor to develop a plan for how
partners (CBOs, Fresno County Department of Public Health, Health
Clinic Subcontractor, community champions) will work together to
conduct outreach/marketing, build support for and increase referrals to
NDPP and TOPS. Review and update annually.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of planning meeting
agendas/minutes, and
• the outreach/marketing plan.
2 In collaboration with CDPH, Contractor will adapt CDC NDPP
communications and marketing materials and mobilize champions to
disseminate in target communities as a means to increase reach to
and engagement of priority populations. Assess reach and outcomes of
lifestyle change strategies and marketing efforts and refine as
necessary.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of promotional materials
developed, and
• distribution and reach log.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 1.6. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 1.7: Increase coverage for evidence-based supports for lifestyle change by working with network partners
# Activity Timeline Responsible Deliverables
1 Based on assessment results, Contractor will develop and implement
an action plan to establish or increase insurance coverage of LCPs
within county.
October 1
2016 -
September
30, 2017
PI, HE, HES1,
HES2
Submit to CDPH:
• action plan timeline.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 1.7. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 41 of 55 57
Component 2a: Health System Interventions to Improve the Quality of Health Care Delivery to Populations with the Highest Hypertension
and Pre-diabetes Disparities
Program Strategy 2.1: Increase electronic health records (EHR) adoption and the use of health information technology (HIT) to improve
performance (pursuant to federal and state guidelines)
# Activity Timeline Responsible Deliverables
1 Contractor will recruit providers/health systems to participate in CVHIE
to promote reporting on NQF 18 and 59 and standardized clinical
quality measures for management and treatment of patients with HBP.
October 1
2016 -
September
30, 2017
PI, HE,
Epidemiologist
Submit to CDPH:
• a copy of meeting
agendas/minutes.
2 Contractor will work with Health Clinic Subcontractor to create and/or
adapt existing Patient-centered Medical Home (PCMH) certification
materials for use with partners of the California Primary Care
Association or the County Medical Society.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of promotional materials,
• materials distribution log, and
• meeting agendas/minutes.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 2.1. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to convene
representatives from FQHCs and CVHIE in the county to develop
protocols and processes for monitoring and sharing standardized
quality measures at the provider level.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of meeting agendas/
minutes.
2 Contractor will work with Health Clinic Subcontractor to expand health
system EHR analytics or participation in clinical quality dashboards for
Health Clinic System patients with hypertension, pre-diabetes, and
diabetes. Promote quality improvement through the implementation of
systems that provide relevant and timely patient public data to
providers and health systems.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a summary of systems in use.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 42 of 55 57
Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level
# Activity Timeline Responsible Deliverables
3 Contractor will work with UCD to identify and collect public data for
required performance measure 2.1. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.3: Increase engagement of non-physician team members in hypertension management in community health care
systems
# Activity Timeline Responsible Deliverables
1 Based on scan results, Contractor will work with Health Clinic
Subcontractor to promote adoption by Health Clinic System providers
of procedures/protocols that support the implementation of
comprehensive health care teams. Contractor will monitor and track
procedures/protocols adopted by providers.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of adopted procedures/
protocols.
2 Contractor will work with Health Clinic Subcontractor to Utilize scan
results to identify evidence and practice tools to share with the provider
community that support the implementation of evidence-based
guidelines for HBP, such as the MHI hypertension protocols i.e.,
through local medical society. Identify training and TA needs to
facilitate adoption/implementation of tools with Health Clinic Systems.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of training materials, and
• meeting agendas/minutes.
3 Contractor will work with Health Clinic Subcontractor to develop a
workgroup and project work plan to fill 1-2 of the evidence gaps
specified in The Community Guide at
http://www.thecommunityguide.org/cvd/RGteambasedcare.html
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a summary of the evidence
gathered and
• a summary of gap(s) identified.
4 Contractor will work with UCD to identify and collect public data for
required performance measure 2.3. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 43 of 55 57
Program Strategy 2.4: Increase use of self-measured blood pressure monitoring tied with clinical support
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to research model
practices, outcomes, and benefits to promote the adoption and EHR
use by Health Clinic System that include integrated HBP algorithms
and supports for provider prompts/feedback, patient communication,
and public data tracking, monitoring, and reporting.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of sample adopted EHR
systems.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.4. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.5: Implement systems to facilitate identification of patients with undiagnosed hypertension and people with
prediabetes
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to develop and
implement a plan for improving the system for identifying and
monitoring patients with HBP in Health Clinic System.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the implementation plan.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.5. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 44 of 55 57
Component 2b: Community Clinical Linkage Strategies to Support Heart Disease and Stroke and Diabetes Prevention Efforts
Program Strategy 2.6: Increase engagement of CHWs to promote linkages between health systems and community resources for adults
with high blood pressure and adults with pre-diabetes or at high risk for type 2 diabetes
# Activity Timeline Responsible Deliverables
1 As a result of the health system scan, Contractor will develop a plan to
promote systematic change to involve Health Clinic System CHWs to
promote linkages between health systems and community resources to
improve outcomes for heart disease and diabetes. Contractor will work
with Health Clinic Subcontractor to coordinate with others working on
CHW initiatives for awareness, input, and support. Contractor will work
with CHWs for their input and guidance on promotional strategies
between health systems and community resources and monitor
change.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the plan and
• a summary of changes made.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.6. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.7: Increase engagement of community pharmacists in the provision of medication-/self-management for adults with
high blood pressure
# Activity Timeline Responsible Deliverables
1 Contractor will identify and convene appropriate partners to identify
and share best practices, including training of pharmacists and
mechanism of payment; promoting inclusion of pharmacists in the team
for community-based medication reconciliation/reporting to providers
and hypertension self-management.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting agendas/
minutes.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.7. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 45 of 55 57
Program Strategy 2.8: Implement systems and increase partnerships to facilitate bi-directional referral between community resources
and health systems, including lifestyle change programs
# Activity Timeline Responsible Deliverables
1 Contractor will institute 211 service LCPs for HBP and prediabetes,
and/or identify other entities that could serve as a source for
community referrals to LCPs. Develop tracking/monitoring system for
referrals.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting agendas/
minutes,
• 211/referral system service
promotion materials, and
• summary of the tracking/monitoring
system.
2 Contractor will work with Health Clinic Subcontractor to educate Health
Clinic Systems about community resources available for patients with
HBP and pre-diabetes, and the benefits of using a community referral
system, such as 211, within their organization (e.g. utilizing EHR to
refer patients to community resources). Determine what
resources/systems are needed to ensure bi-directional referrals are
made.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of training materials, and
• 211/referral system service
promotion materials.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 2.8. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2016 -
September
30, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 46 of 55 57
Cross-cutting (applies to all components)
Cross-Cut Strategy: Build local capacity and document lessons learned of implementing local health departments and partners.
# Activity Timeline Responsible Deliverables
1 Contractor will attend training sessions, conferences, and webinars on
specific content areas to augment the internal team’s skills and
program effectiveness (topics could include, public data mining health
records, increasing community-clinical linkages, etc.).
October 1
2016 -
September
30, 2017
PI, HE, HES1,
HES2, SA I,
Epidemiologist
Submit to CDPH:
• copies of training agendas.
2 Contractor will send at least 2 staff to attend CDPH required annual
meeting (1) and trainings (1-2 per year) in Sacramento. Meetings
may include: “Program Kick Off”, SALT, and NDPP.
March 1 -
September
30, 2015
PI, HE, HES1,
HES2
Submit to CDPH:
• copies of confirmed travel
arrangements.
3 Contractor will provide a description of best practice, noting whether it
refers to innovative educational materials/presentations, policies,
success stories, or other.
October 1
2016 -
September
30, 2017
HE
Submit to CDPH:
• a copy of best practices summary
report.
4 Contractor will participate in focus groups and planning workgroups.
Focus groups may include TA, educational materials, and/or review of
evaluation tools. Workgroups may include sodium taskforce, and
NDPP.
October 1
2016 -
September
30, 2017
HE
Submit to CDPH:
• copies of meeting
agendas/minutes.
5 Contractor will provide internal support including logistics and
paperwork for orders, mailing, travel, meetings, technical support,
training, etc.
March 1 -
September
30, 2015
OA III Submit to CDPH:
• timesheets, and
• documentation of logistical
processes.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 47 of 55 57
YEAR 4
Component 1a: Environmental Strategies to Promote Health and Support and Reinforce Healthful Behaviors
Strategy 1.1: Implement nutrition and beverage standards including sodium standards in public institutions, worksites and other key
locations such as hospitals
# Activity Timeline Responsible Deliverables
1 Contractor will identify and participate in national and state meetings,
webinars and conferences as appropriate to increase local knowledge
and capacity.
Suggestions include AHA, ASTHO, NSRI, CDC Healthy Food Service
Guidelines, SALT, and MHI.
October 1
2017 -
September
29, 2018
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of event agendas.
2 Contractor will work with identified target worksites to develop, adopt,
and implement food procurement guidelines that include sodium
reduction to increase availability of healthy foods and beverages.
October 1
2017 -
September
29, 2018
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of training materials,
• meeting agendas/minutes,
• target worksite procurement
guidelines, and
• implementation plan(s).
3 Contractor will meet with directors of other county departments and
share the FCDPH wellness policy. Through discussion, assess the
viability of implementing a similar or modified version of the FCDPH
wellness policy in the other departments.
October 1
2017 -
September
29, 2018
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
4 Contractor will work with UCD to identify and collect public data for
required performance measures within strategy 1.1. Attend required
webinars and trainings on public data collection and performance
measures sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2,
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Strategy 1.2: Strengthen healthier food access and sales in retail venues and community venues through increased availability, improved
pricing, placement, and promotion
# Activity Timeline Responsible Deliverables
1 Contractor will participate in quarterly 1-2 hour meetings of the
FCHSHC to add capacity and implement additional interventions that
encourage healthy retail environments with the goal to promote
healthier food access.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 48 of 55 57
Strategy 1.2: Strengthen healthier food access and sales in retail venues and community venues through increased availability, improved
pricing, placement, and promotion
# Activity Timeline Responsible Deliverables
2 Contractor will use FCHSHC assessment public data and store public
data from CDPH Environmental Health Division to identify stores for
intervention. Work with FCHSHC and NEOP to identify specific
activities needed to promote healthier food access in retail stores.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a copy of FCHSHC assessment
results and
• retail promotion activities plan.
3 As part FCHSHC, Contractor will provide input to the “Healthy Stores
for a Healthy Community Campaign” to reinforce campaign messages
at the local level. If possible, utilize the CDPH Chronic Disease
Prevention Messaging Toolkit to develop culturally and linguistically
appropriate campaign messages.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes, and
• campaign messages.
4 Contractor will recruit, determine specific training/resources needs, and
provide TA to at least 1-2 new owner/operator representatives’
grocery/specialty food retailers including farmers’ market operators to
participate in the FCHSHC campaign to improve healthy options in
their stores.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting agenda/minutes,
• training materials, and
• photos of the campaign materials
in the retailer venue.
5 Contractor will work with UCD to identify and collect public data for
required performance measures within strategy 1.2. Attend required
webinars and trainings on public data collection and performance
measures sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Strategy 1.3: Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use
agreements in communities and jurisdictions
# Activity Timeline Responsible Deliverables
1 Contractor will participate in quarterly 1-2 hour Healthy Lifestyle
Partnership (HLP) meetings (county coalition facilitated by NEOP) to
plan and implement community initiatives that promote physical
activity.
October 1
2017 -
September
29, 2018
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 49 of 55 57
Strategy 1.3: Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use
agreements in communities and jurisdictions
# Activity Timeline Responsible Deliverables
2 Contractor will provide training and TA to facilitate the development
and implementation of the selected physical activity initiatives.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting agenda/minutes
and photos.
• Additional specific deliverables will
be identified after the initiatives are
selected.
3 Contractor will work with HLP and PICH to assess the effectiveness of
potential promotional/marketing approaches for the PA initiatives and
target audiences selected.
Develop culturally and linguistically appropriate campaign
messages for activities within strategy 1.3. Implement selected
communication strategies to support physical activity initiatives
including PRS to promote selected campaign messages.
October 1
2017 -
September
29, 2018
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of communications/
promotion items.
4 Contractor will work with UCD to identify and collect public data for
required performance measure 1.3. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Strategy 1.4: Develop and or implement transportation and community plans that promote walking
# Activity Timeline Responsible Deliverables
1 Based on assessment results, Contractor will collaborate with Fresno
COG and TCC, identify 1-2 target communities (city or unincorporated
community) and Contractor will continue to provide input to city or
county general, transportation bicycle master plans and community
transportation plans to increase number of communities that promote
walking and active transportation, and use of public transportation.
October 1
2017 -
September
29, 2018
PI, HE, Submit to CDPH:
• a copy of meeting
agendas/minutes and
• copies of target communities’
plan(s).
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 50 of 55 57
Strategy 1.4: Develop and or implement transportation and community plans that promote walking
# Activity Timeline Responsible Deliverables
2 Contractor will coordinate with TCC, target city/county officials
including law enforcement, and community members to utilize the
completed walkability assessment(s) to identify potential local active
transportation project(s) for funding from CalTrans and other funding
sources.
October 1
2017 -
September
29, 2018
PI, HE, Submit to CDPH:
• a copy of meeting
agendas/minutes and
• list of the potential projects
identified.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 1.4. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Component 1b: Strategies to build support for healthy lifestyles, particularity for those at high risk, to support diabetes and heart disease
and stroke prevention efforts
Program Strategy 1.5: Plan and execute strategic data-driven actions through a network of partners and local organizations to build
support for lifestyle change
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to refer patients
and interested community members to scheduled NDPP classes at
Health Clinic System health centers.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of classes scheduled,
• referral and attendance logs
(summary numbers only).
2 Contractor will work with Health Clinic Subcontractor to refer patients
and interested community members to chapters of TOPS at Health
Clinic System health centers and nearby CBOs with weekly meetings
for members.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of classes scheduled,
• referral and attendance logs
(summary numbers only).
3 2 Contractor will work with UCD to identify and collect public data for
required performance measure 1.5. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 51 of 55 57
Program Strategy 1.5: Plan and execute strategic data-driven actions through a network of partners and local organizations to build
support for lifestyle change
# Activity Timeline Responsible Deliverables
3 Contractor will work with Health Clinic Subcontractor to submit
evaluation data to CDC in order to achieve NDPP recognition
status.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBD)
Submit to CDPH:
• Copy of evaluation data.
Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change
# Activity Timeline Responsible Deliverables
1 Utilizing the Chronic Disease Prevention Messaging Toolkit, Contractor
will work with Health Clinic Subcontractor to develop a plan for how
partners (CBOs, Fresno County Department of Public Health, Health
Clinic System, community champions) will work together to conduct
outreach/marketing, build support for and increase referrals to NDPP
and TOPS. Review and update annually.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of planning meeting
agendas/minutes,
• the outreach/marketing plan.
2 In collaboration with CDPH and Health Clinic Subcontractor, Contractor
will adapt CDC NDPP communications and marketing materials and
mobilize champions to disseminate in target communities as a means
to increase reach to and engagement of priority populations. Assess
reach and outcomes of lifestyle change strategies and marketing
efforts and refine as necessary.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of promotional materials
developed,
• distribution and reach log.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 1.6. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 52 of 55 57
Program Strategy 1.7: Increase coverage for evidence-based supports for lifestyle change by working with network partners
# Activity Timeline Responsible Deliverables
1 Based on assessment results, Contractor will develop and implement
an action plan to establish or increase insurance coverage of LCPs
within county.
October 1
2017 -
September
29, 2018
PI, HE, HES1,
HES2
Submit to CDPH:
• action plan timeline.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 1.7. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Component 2a: Health System Interventions to Improve the Quality of Health Care Delivery to Populations with the Highest Hypertension
and Prediabetes Disparities
Program Strategy 2.1: Increase electronic health records (EHR) adoption and the use of health information technology (HIT) to improve
performance (pursuant to federal and state guidelines)
# Activity Timeline Responsible Deliverables
1 Contractor will recruit providers/health systems to participate in CVHIE
to promote reporting on NQF 18 and 59 and standardized clinical
quality measures for management and treatment of patients with HBP.
October 1
2017 -
September
29, 2018
PI, HE,
Epidemiologist
Submit to CDPH:
• a copy of meeting
agendas/minutes.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.1. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to convene
representatives from FQHCs and CVHIE in the county to develop
protocols and processes for monitoring and sharing standardized
quality measures at the provider level.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of meeting
agendas/minutes.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 53 of 55 57
Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level
# Activity Timeline Responsible Deliverables
2 Contractor will work with Health Clinic Subcontractor to expand health
system EHR analytics or participation in clinical quality dashboards for
Health Clinic System patients with hypertension, pre-diabetes, and
diabetes. Promote quality improvement through the implementation of
systems that provide relevant and timely patient public data to
providers and health systems.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a summary of systems in use.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 2.1. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.3: Increase engagement of non-physician team members in hypertension management in community health care
systems
# Activity Timeline Responsible Deliverables
1 Based on scan results, Contractor will work with Health Clinic
Subcontractor to promote adoption by Health Clinic System providers
of procedures/protocols that support the implementation of
comprehensive health care teams. Monitor and track providers who
adopt procedures/protocols.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of adopted
procedures/protocols.
2 Contractor will work with Health Clinic Subcontractor to utilize scan
results to identify evidence and practice tools to share with the provider
community that support the implementation of evidence-based
guidelines for HBP, such as the MHI hypertension protocols i.e.,
through local medical society. Identify training and TA needs to
facilitate adoption/implementation of tools with Health Clinic
Subcontractor.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of training materials, and
• meeting agendas/minutes.
3 Contractor will work with Health Clinic Subcontractor to develop a
workgroup and project work plan to fill 1-2 of the evidence gaps
specified in The Community Guide at
http://www.thecommunityguide.org/cvd/RGteambasedcare.html
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a summary of the evidence
gathered and
• gap(s) identified.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 54 of 55 57
Program Strategy 2.3: Increase engagement of non-physician team members in hypertension management in community health care
systems
# Activity Timeline Responsible Deliverables
4 Contractor will work with UCD to identify and collect public data for
required performance measure 2.3. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.4: Increase use of self-measured blood pressure monitoring tied with clinical support
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to research model
practices, outcomes, and benefits to promote the adoption and EHR
use with Health Clinic System health centers that include integrated
HBP algorithms and supports for provider prompts/feedback, patient
communication, and public data tracking, monitoring, and reporting.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of sample adopted EHR
systems.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.4. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.5: Implement systems to facilitate identification of patients with undiagnosed hypertension and people with
prediabetes
# Activity Timeline Responsible Deliverables
1 Contractor will work with Health Clinic Subcontractor to develop and
implement a plan for improving the system for identifying and
monitoring patients with HBP in Health Clinic System.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the plan.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.5. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 55 of 55 57
Component 2b: Community Clinical Linkage Strategies to Support Heart Disease and Stroke and Diabetes Prevention Efforts
Program Strategy 2.6: Increase engagement of CHWs to promote linkages between health systems and community resources for adults
with high blood pressure and adults with pre-diabetes or at high risk for type 2 diabetes
# Activity Timeline Responsible Deliverables
1 As a result of the health system scan, Contractor will work with Health
Clinic Subcontractor to develop a plan to promote systematic change
to involve Health Clinic System CHWs to promote linkages between
health systems and community resources to improve outcomes for
heart disease and diabetes. Coordinate with others working on CHW
initiatives for awareness, input, and support. Work with CHWs for their
input and guidance on promotional strategies between health systems
and community resources. Monitor change.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD)
Submit to CDPH:
• a copy of the plan and
• a summary of changes made.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.6. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Program Strategy 2.7: Increase engagement of community pharmacists in the provision of medication-/self-management for adults with
high blood pressure
# Activity Timeline Responsible Deliverables
1 Identify and convene appropriate partners to identify and share best
practices, including training of pharmacists and mechanism of
payment; promoting inclusion of pharmacists in the team for
community-based medication reconciliation/reporting to providers and
hypertension self-management.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting agendas/
minutes.
2 Contractor will work with UCD to identify and collect public data for
required performance measure 2.7. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 56 of 55 57
Program Strategy 2.8: Implement systems and increase partnerships to facilitate bi-directional referral between community resources
and health systems, including lifestyle change programs
# Activity Timeline Responsible Deliverables
1 Contractor will institute 211 services LCPs for HBP and pre-diabetes,
and/or identify other entities that could serve as a source for
community referrals to LCPs. Develop tracking/monitoring system for
referrals.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes,
• 211/referral system service
promotion materials, and
• a summary of the
tracking/monitoring system.
2 Contractor will work with Health Clinic Subcontractor to educate Health
Clinic System providers about community resources available for
patients with HBP and pre-diabetes, and the benefits of using a
community referral system, such as 211, within their organization (e.g.
utilizing EHR to refer patients to community resources). Determine
what resources/systems are needed to ensure bi-directional referrals
are made.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBD),
Submit to CDPH:
• a copy of training materials, and
• 211/referral system service
promotion materials.
3 Contractor will work with UCD to identify and collect public data for
required performance measure 2.8. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
October 1
2017 -
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A01
Exhibit A
Scope of Work
Page 57 of 55 57
Cross-cutting (applies to all components)
Cross-Cut Strategy: Build local capacity and document lessons learned of implementing local health departments and partners.
# Activity Timeline Responsible Deliverables
1 Contractor will attend training sessions, conferences, and webinars on
specific content areas to augment the internal team’s skills and
program effectiveness (topics could include, public data mining health
records, increasing community-clinical linkages, etc.).
October 1
2017 -
September
29, 2018
PI, HE, HES1,
HES2, SA I,
Epidemiologist
Submit to CDPH:
• copies of training agendas.
2 Contractor will send at least 2 staff to attend CDPH required annual
meeting (1) and trainings (1-2 per year) in Sacramento. Meetings may
include: “Program Kick Off”, SALT, and NDPP.
March 1 -
September
30, 2015
PI, HE, HES1,
HES2
Submit to CDPH:
• copies of confirmed travel
arrangements.
3 Contractor will provide a description of best practice, noting whether it
refers to innovative educational materials/presentations, policies,
success stories, or other.
October 1
2017 -
September
29, 2018
HE Submit to CDPH:
• a copy of best practices summary
report.
4 Contractor will participate in focus groups and planning workgroups.
Focus groups may include TA, educational materials, and/or review of
evaluation tools. Workgroups may include sodium taskforce, and
NDPP.
October 1
2017 -
September
29, 2018
HE Submit to CDPH:
• copies of meeting
agendas/minutes.
5 Contractor will provide internal support including logistics and
paperwork for orders, mailing, travel, meetings, technical support,
training, etc.
March 1 -
September
30, 2015
OA III Submit to CDPH:
• timesheets, and
• documentation of logistical
processes.
County of Fresno Department of Public Health
14-10712 A01
Exhibit B
Budget Detail and Payment Provisions
Page 1 of 4
1. Invoicing and Payment
A. In no event shall the County request reimbursement from the State for obligations entered into
or for costs incurred prior to the commencement date or after the expiration of this Agreement.
B. For services satisfactorily rendered and upon receipt and approval of the invoices, California
Department of Public Health (CDPH) agrees to compensate the County for actual expenditures
incurred in accordance with the rates specified herein or attached hereto.
C. The County shall submit, in arrears, not more frequently than once a month, and no less than
quarterly, an invoice to CDPH for costs incurred pursuant to this agreement. In Addition, each
invoice shall contain the following:
14-10712
Lisa Pulido
California Department of Public Health
Chronic Disease Control Branch
MS 7208
P.O. Box 997377
Sacramento, CA 95899-7377
D. Invoices shall:
1) Be prepared on County letterhead and bear the County name as shown on the agreement.
If invoices are not on produced letterhead invoices must be signed by an authorized official,
employee or agents certifying that the expenditures claimed represent actual expenses for
the service performed under this contract.
2) Invoices must be submitted to CDPH electronically only. Hard copies are not required.
3) Identify the billing and/or performance period covered by the invoice.
4) Itemize costs for the billing period in the same or greater level of detail as indicated in this
agreement. Subject to the terms of this agreement, reimbursement may only be sought for
those costs and /or cost categories expressly identified as allowable in this agreement may
be reimbursed.
5) Be submitted to CDPH within 60 days of invoice period end.
E. Timely Submission of Final Invoice
1) A final undisputed invoice shall be submitted for payment no more than sixty (60) calendar
days following the expiration or termination date of this agreement, unless a later or
alternate deadline is agreed to in writing by the program project representative, as shown in
Exhibit A, provision 5A. Said invoice should be clearly marked “Final Invoice”, indicating that
all payment obligations of CDPH under this agreement have ceased and that no further
payments are due or outstanding. CDPH may, at its discretion, choose not to honor any
delinquent final invoice if the County fails to obtain prior written CDPH approval of an
alternate final invoice submission deadline.
2) The Contractor is hereby advised of its obligation to submit to the state, with the final
invoice, a completed copy of the “Contractor’s Release (Exhibit F)”.
County of Fresno Department of Public Health
14-10712 A01
Exhibit B
Budget Detail and Payment Provisions
Page 2 of 4
2. Budget Contingency Clause
A. It is mutually agreed that if the Budget Act of the current year and/or any subsequent years
covered under this Agreement does not appropriate sufficient funds for the program, this
Agreement shall be of no further force and effect. In this event, the State shall have no liability
to pay any funds whatsoever to Contractor or to furnish any other considerations under this
Agreement and Contractor shall not be obligated to perform any provisions of this Agreement.
B. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this
program, the State shall have the option to either cancel this Agreement with no liability
occurring to the State, or offer an agreement amendment to Contractor to reflect the reduced
amount.
3. Payment
A. Costs for this Agreement shall be computed in accordance with State Administrative Manual
Sections 8752 and 8752.1.
B. Nothing herein contained shall preclude advance payments pursuant to Article 1, Chapter 3,
Part 1, Division 3, Title 2 of the Government Code of the State of California.
4. Advance Payments
No advance payment is allowed under this agreement.
5. Amounts Payable
A. The amounts payable under this agreement shall not exceed:
1) $638,429 60,591 for the budget period of 03/01/2015 through 09/30 29/2015.
2) $638,429 1,216,267 for the budget period of 10/01 09/30/2015 through 09/30 29/2016, this
includes $577,838 of unspent funds being shifted from Year 1 to Year 2 to complete
Year 1 services.
3) $638,429 for the budget period of 10/01 09/30/2016 through 09/30 29/2017.
4) $638,429 for the budget period of 10/01 09/30//2017 through 09/29/2018.
B. Reimbursement shall be made for allowable expenses up to the amount annually encumbered
commensurate with the state fiscal year in which services are performed and/or goods are
received.
6. Expense Allowability / Fiscal Documentations
A. Invoices, received from the County and accepted for payment by CDPH, shall not be deemed
evidence of allowable agreement costs.
B. The County shall maintain for review and audit and supply to CDPH upon request, adequate
documentation of all expenses claimed pursuant to this agreement to permit a determination of
expense allowability.
County of Fresno Department of Public Health
14-10712 A01
Exhibit B
Budget Detail and Payment Provisions
Page 3 of 4
C. If the allowability of an expense cannot be determined by CDPH because invoice detail, fiscal
records, or backup documentation is nonexistent or inadequate according to generally accepted
accounting principles or practices, all questionable costs may be disallowed and payment may
be withheld by CDPH. Upon receipt of adequate documentation supporting a disallowed or
questionable expense, reimbursement may resume for the amount substantiated and deemed
allowable.
D. If travel is a reimbursable expense, receipts must be maintained to support the claimed
expenditures.
E. Invoices must be clearly labeled to differentiate Budgets and Tasks as per the
incorporated Budget Attachments.
7. Travel and Per Diem Reimbursement
Travel and per diem reimbursement shall be in accordance with State travel regulations and rates.
Reimbursement for out-of-state travel requires prior written authorization by the CDPH program
Contract Manager who may either approve said travel in a budget exhibit or issue a letter of
approval if such travel was not previously specified in an approved budget. A copy of the
Contractor’s approved travel rates shall be provided to CDPH upon request.
8. Federal Contract Funds
A. It is mutually understood between the parties that this contract may have been written for the
mutual benefit of both parties before ascertaining the availability of congressional appropriation
of funds to avoid program and fiscal delays that would occur if the contract were executed after
that determination was made.
B. This contract is valid and enforceable only if sufficient funds are made available to the State by
the United States Government for the fiscal year(s) 2014-2018 for the purpose of this program.
In addition, this contract is subject to any additional restrictions, limitations, or conditions
enacted by the Congress or to any statute enacted by the Congress that may affect the
provisions, terms or funding of this agreement in any manner.
C. The parties mutually agree that if the Congress does not appropriate sufficient funds for the
program, this agreement shall be amended to reflect any reduction in funds.
D. The department has the option to invalidate the contract under the 30-day cancellation clause or
to amend the contract to reflect any reduction in funds.
9. Recovery of Overpayments
A. Contractor agrees that claims based upon the terms of this agreement or an audit finding,
and/or an audit finding that is appealed and upheld, will be recovered by the State by one of the
following options:
1) Contractor‘s remittance to the State of the full amount of the audit exception within 30 days
following the State’s request for repayment;
2) A repayment schedule which is agreeable to both the State and the Contractor.
County of Fresno Department of Public Health
14-10712 A01
Exhibit B
Budget Detail and Payment Provisions
Page 4 of 4
B. The State reserves the right to select which option as indicated above in paragraph A will be
employed and the Contractor will be notified by the State in writing of the claim procedure to be
utilized.
C. Interest on the unpaid balance of the audit finding or debt will accrue at a rate equal to the
monthly average of the rate received on investments in the Pooled Money Investment Fund
commencing on the date that an audit or examination finding is mailed to the Contractor,
beginning 30 days after Contractor‘s receipt of the State’s demand for repayment.
D. If the Contractor has filed a valid appeal regarding the report of audit findings, recovery of the
overpayments will be deferred until a final administrative decision on the appeal has been
reached. If the Contractor loses the final administrative appeal, Contractor shall repay, to the
State, the over-claimed or disallowed expenses, plus accrued interest. Interest accrues from
the Contractor’s first receipt of State’s notice requesting reimbursement of questioned audit
costs or disallowed expenses.
Exhibit B, Attachment I
Budget Year 1
(03/01/2015 through 09/3029/2015)
County of Fresno Department of Public Health
14-10712 A01
♦ Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)Page 1
Position Title Base Salary Months Benefit
%Cost Cost Cost Cost Total %
FTE
Total
Costs
77,792 7 64.74% $ 681 $ 1,588 $ 681 $ 1,588 10% $ 4,538
$ 283 $ 660 $ 283 $ 660 $ 1,886
Health Educator 45,058 3 70.76% $ 1,183 $ 2,760 $ 1,183 $ 2,760 70%$ 7,885
7,886
Health Education Specialist 38,740 3 73.23% $ 1,307 $ 3,051 $ 1,307 $ 3,051 90%$ 8,717
8,716
Health Education Specialist 38,740 3 73.23% $ 872 $ 2,034 $ 872 $ 2,034 60%$ 5,811
5,812
Staff Analyst I 42,354 4 86.01% $ 424 $ 988 $ 424 $ 988 20% $ 2,824
$ 198 $ 462 $ 198 $ 462 $ 1,320
Office Assistant III 32,812 7 90.02% $ 718 $ 1,675 $ 718 $ 1,675 25% $ 4,785
$ 355 $ 828 $ 355 $ 828 $ 2,366
Epidemiologist 61,672 3 80.25% $ 231 $ 540 $ 231 $ 540 10% $ 1,542
$0 $0 $0 $0 $0
Total Salaries 337,169$ 76.89% $ 5,415 $ 12,635 $ 5,415 $ 12,635
$ 4,198 $ 9,795 $ 4,198 $ 9,795
$ 3,092 $ 7,216 $ 3,092 $ 7,216
$ 7,290 $ 17,011 $ 7,290 $ 17,011
$0 $0 $0 $0
$0 $0 $0 $0
$0 $0 $0 $0
$0 $0 $0 $0
$ 223 $ 520 $ 223 $ 520
$ 223 $ 520 $ 223 $ 520
$ 49 $0 $0 $0
Principal Principle
Investigator
Printing ♦C1,all Strategies; ♦C2, all Strategies
$ 49
$ 1,486
CD. TRAVEL
$ 104 $ 242 $ 104 $ 242 $ 690 Local travel to complete SOW deliverables (1200 miles at
$.575/mile) ♦C1,all Strategies; ♦C2, all Strategies
$ 1,486
Total Operating $ 3,900 $ 9,100 $ 3,900 $ 9,100 $ 26,000
$0
Tech Support $ 750 $ 1,750 $ 750 $ 1,750 $ 5,000
$ 1,500 $ 3,500 $ 1,500 $ 3,500 $ 10,000
$0
Meeting room rentals ♦C1,all Strategies; ♦C2, all
Strategies
Communications $ 375 $ 875 $ 375 $ 875 $ 2,500
$0
$ 150 $ 350 $ 150 $ 350 $ 1,000
BC. OPERATING EXPENSES
General Office Supplies $ 1,125 $ 2,625 $ 1,125 $ 2,625 $ 7,500
$0
$ 9,716 $ 4,164 $ 9,716 $ 27,759
$ 27,986
$ 48,602
Component 1 Component 2
TotalTask 1a
Heart 30%
Task 1b
Diabetes 70%
Task 2a
Diabetes
Task 2b
Heart 70%
$ 20,616
**Fresno County employees receive benefits based upon their date of hire, retirement tier level, and job classification. Benefit rates vary
based upon the length of time in a position and changes yearly with merit adjustments.
Total Personnel Costs $ 9,579 $ 22,351 $ 9,579 $ 22,351 $ 63,860
A. PERSONNEL
$ 36,101
B. FRINGE BENEFITS Average 76.89% of Personnel** $ 4,164
Exhibit B, Attachment I
Budget Year 1
(03/01/2015 through 09/3029/2015)
County of Fresno Department of Public Health
14-10712 A01
♦ Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)Page 2
Component 1 Component 2
TotalTask 1a
Heart 30%
Task 1b
Diabetes 70%
Task 2a
Diabetes
Task 2b
Heart 70%
$ 454 $ 945 $ 405 $ 945
$0 $0 $0
$0 $0
$0 $0 $0 $0
$0 $0 $0 $0
$0 $0
$0 $0 $0 $0
$ 7,967 $ 18,476 $ 7,918 $ 18,476
$ 19,787 $ 51,171 $ 23,821 $ 44,471
$ 7,967 $ 18,476 $ 7,918 $ 18,476
$ 1,170 $ 2,711 $ 1,162 $ 2,711
$ 9,137 $ 21,187 $ 9,080 $ 21,187
$ -
Health Clinic Subcontractor (TBD)
♦C1b,S1.5,A1-A6; S1.6,A1-A4; ♦C2a,S2.1,A1,A3; S2.2,A1-A4;
S2.3,A1-A5; S2.4,A1-A3; S2.5,A1-A3; ♦C2b,S2.6,A1-A3;
S2.8,A3-A4 $0 $0 $0 $0
$ -
$ 503,737
Total Subcontracts $ 125,934 $ 251,869 $ 125,934 $ 503,737
$ 2,749
DE. SUBCONTRACTS
$ 125,934 $ 251,869 $ 125,934
Total Travel
$ 7,512 $ 3,497 $ 6,528 $ 20,442
FG. INDIRECT COSTS
TOTAL EXPENSES $ 22,692 $ 176,284 $ 270,853
$0
TOTAL DIRECT COSTS $ 19,787 $ 168,772 $ 267,356 $ 162,072 $ 617,987
$ 168,600 $ 638,429
$ 52,837
Total Allowable Direct Costs $ 139,250
*Only the first $25,000 of each subcontract may be used
in the calculation $ 7,754
Calculated at 14.68% of Total Allowable* Direct Costs $ 2,905
$0
Total Other Costs $ 5,800 $ 10,200 $ 1,500 $ 3,500 $ 21,000
$0 $0Education/Training Materials (including related translation
of materials) ♦C1a,S1.1,A1,A3-A4; S1.4,A3; ♦C1b,S1.5,A1-
$ 1,750 $ 750 $ 2,500
$ 375 $ 875 $ 375 $ 875 $ 2,500 Meeting supplies, interpretation, and child care for all
sessions and kick-off meetings. ♦C1,all Strategies; ♦C2, all
Strategies
$0
$ 1,125 $ 2,625 $ 1,125 $ 2,625 $ 7,500
$0
$0
EF. OTHER COSTS
$ 2,550 $ 5,950 $ 8,500
Technical Assistance (Provider Support - TBD. Based on
available funding) ♦C1a,S1.1,A3,A5; S1.2,A5;
♦C1b,S1.3,A4; ♦C2a,S2.3,A3; ♦Cross-CutA4
$0 $0Public Relations Services (Media, Press release, Campaign)
♦C1a,S1.2,A3,A5; S1.2,A1-A6; S1.3,A1-A6; S1.4,A1-A4
$0
$ 509 $ 1,187 $ 509 $ 1,187 $ 3,390
Conferences/Trainings (hotel, per diem, parking, and
mileage)
♦C1,all Strategies; ♦C2, all Strategies
$ 405 $ 945 $ 405 $ 945 $ 2,700
$ 60,591
$ 52,837
Exhibit B, Attachment II
Budget Year 2
(09/3010/01/2015 through 09/3029/2016)
County of Fresno Department of Public Health
14-10712 A01
♦ Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)Page 1
Position Title Base Salary Months Benefit
%Cost Cost Cost Cost Total
% FTE Total Costs
77,792$ 12 64.74% $ 1,167 $ 2,723 $ 1,167 $ 2,723 10% $ 7,779
79,021$ $ 3,161 $ 1,976 $ 790 $ 1,976 $ 7,903
Health Educator 47,918$ 12 69.85% $ 5,031 $ 11,740 $ 5,031 $ 11,740 70% $ 33,543
49,426$ $ 13,839 $ 8,650 $ 3,460 $ 8,650 $ 34,599
Health Education Specialist 41,210$ 12 72.18% $ 5,563 $ 12,981 $ 5,563 $ 12,981 90% $ 37,089
42,510$ $ 17,003 $ 10,628 $ 4,251 $ 10,628 100% $ 42,510
Health Education Specialist 41,210$ 12 72.18% $ 3,709 $ 8,654 $ 3,709 $ 8,654 60% $ 24,726
42,510$ $ 10,202 $ 6,377 $ 2,551 $ 6,377 $ 25,507
Staff Analyst I 45,032$ 12 82.20% $ 1,351 $ 3,152 $ 1,351 $ 3,152 20% $ 9,006
$ 3,603 $ 2,252 $ 901 $ 2,252 $ 9,008
Office Assistant III 34,892$ 12 85.97% $ 1,308 $ 3,053 $ 1,308 $ 3,053 25% $ 8,723
35,490$ $ 3,549 $ 2,218 $ 887 $ 2,218 $ 8,872
Epidemiologist 63,596$ 12 77.12% $ 954 $ 2,226 $ 954 $ 2,226 10% $ 6,360
64,402$ $ 2,576 $ 1,610 $ 644 $ 1,610 $ 6,440
Total Salaries 351,651$ 74.89% $ 19,084 $ 44,529 $ 19,084 $ 44,529 $ 127,226
358,392$ $ 53,933 $ 33,711 $ 13,484 $ 33,711 $ 134,839
$ 152
$ 350
$ 1,314
$ 333 $ 333
2,244$ 6,382$
$ 143 $ 950
$ 2,577 $ 6,008 $ 2,546 $ 6,008 $ 17,139
$ 1,003
Printing ♦C1,all Strategies; ♦C2, all Strategies
$ 3,024 $ 7,055 $ 3,024 $ 7,055 $ 20,159
Meeting room rentals ♦C1,all Strategies; ♦C2, all Strategies $ 150 $ 350 $ 1,000
962$ 2,244$ 932$
$ 150
$ 563
$ 143
$ 150
$ 563
Communications Security and Utilities
Tech Support
Total Operating
$ 1,000
$ 3,754
$ 2,131
$ 750
$ 77,877 $ 33,376 $ 77,877 $ 222,507
BC. OPERATING EXPENSES
$ 4,973 $ 2,131 $ 4,973 $ 14,209
$ 350
$ 1,314
$ 150 $ 350
General Office Supplies $ 450
$ 350 $ 151
$ 1,750 $ 750 $ 1,750 $ 5,000
$ 14,785 $ 34,498
A. PERSONNEL
TOTAL PERSONNEL COSTS $ 33,376
**Fresno County employees receive benefits based upon their date of hire, retirement tier level, and job classification. Benefit rates
vary based upon the length of time in a position and changes yearly with merit adjustments.
$ 14,785 $ 34,498 $ 98,566
$ 68,718 $ 68,209 $ 28,269 $ 68,209 $ 233,405
B. FRINGE BENEFITS Average 74.89% 73.10% of
Personnel**
$ 350
Component 1 Component 2
TotalTask 1a
Heart 30%
Task 1b
Diabetes
70%
Task 2a
Diabetes
30%
Task 2b
Heart 70%
$ 14,292 $ 33,348 $ 14,292 $ 33,348 $ 95,281
Principal Principle
Investigator
$ 1,050 $ 450 $ 1,050 $ 3,000
Exhibit B, Attachment II
Budget Year 2
(09/3010/01/2015 through 09/3029/2016)
County of Fresno Department of Public Health
14-10712 A01
♦ Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)Page 2
Component 1 Component 2
TotalTask 1a
Heart 30%
Task 1b
Diabetes
70%
Task 2a
Diabetes
30%
Task 2b
Heart 70%
$ 150
$ 15,647 $ 36,510 $ 647
$ 225
$ 175 $ 500
$ 1,400
Calculated at 14.68% 15.0% of Total Allowable* Direct Costs
$ 509
$ 75 $ 175 $ 75
$ 600
$ 675
$ 405
$0
$0
Meeting supplies, interpretation, and child care for all
sessions and kick-off meetings. ♦C1,all Strategies; ♦C2, all
Strategies
$ 197 $ 460 $ 197
$ 145,174
DE. SUBCONTRACTS
$ 150 $ 350
Local travel to complete SOW deliverables (1200926 miles at
$.575.54/mile) ♦C1,all Strategies; ♦C2, all Strategies
Total Travel
Conferences/Trainings (hotel, per diem, parking, and mileage)
♦C1,all Strategies; ♦C2, all Strategies
Total Subcontracts
Health Clinic Subcontractor (TBD) ♦C1b,S1.5,A1-A2,A4-A5;
S1.6,A1-A3; ♦C2a,S2.1,A1; S2.2,A1-A3 4; S2.3,A1-A4; S2.4,A1-
A2 3; S2.5,A1-A23; ♦C2b,S2.6,A1-A23; S2.7,A2; S2.8,A3-A4
Public Relations Services (Media, Press release, Campaign)
♦C1a,1.3,A5 S1.1,A4; S1.2,A3,A7; S1.3,A4; S1.4,A2
♦C1b,S1.5,A4; S1.6,A2-A3; S1.7,A2 ♦C2aS2.4,A2; S2.5,A2,
♦C2b,S2.6,A2; S2.7,A2, S2.8,A3
CD. Travel
$ 675 $ 1,575
$ 72,574
$ 1,575 $ 4,500
$ 145,174 $ 72,574
$ 104 $ 242 $ 104 $ 242 $ 690
$ 600
$ 945 $ 2,700
$ 1,187 $ 3,390
$ 72,574 $ 290,294
$ 116,583 $ 55,485 $ 288,651
*Only the first $25,000 of each subcontract may be used in the calculation
$ 638,429
$ 290,294
$ 12,491 $ 15,025 $ 6,340 $ 15,025 $ 48,881
$ 47,764
FG. INDIRECT COSTS
$ 589,548
$ 116,583
Total Other Costs
Education/Training Materials (including related translation of
materials) ♦C1a,S1.1,A1,A3-A54; S1.2,A3,A5; S1.3,A2,A4;
S1.4,A3 ♦C1b,S1.5,A1-A2; S1.6,A2-A3; ♦C2a,S2.3,A3
♦C2b,S2.7,A2; S2.8,A3
$ 72,574
$ 460 $ 1,315
$1,000
$ 405 $ 945
$ 1,400 $ 4,000
$ 509 $ 1,187
$ 225 $ 525 $ 1,500
$1,000 $ 150
TOTAL DIRECT COSTS $ 52,556 $ 195,203 $ 182,703 $ 160,203 $ 590,664
$ 11,303 $ 16,050 $ 2,450 $ 16,050
$ 10,853 $ 15,000 $ 2,000 $ 15,000
$ 150 $ 350 $ 150 $ 350
$ 525
$ 116,583 $ 55,485 $ 116,583 $ 288,651
EF. OTHER COSTS
$ 15,000 $ 35,000 $ - $ - $ 50,000
Technical Assistance (Provider Support - TBD. Based on
available funding) ♦C1a,S1.1,A3,A5; S1.2,A56; ♦C1b S1.3,A3-
4 ♦C1b, S1.5,A2; ♦C2a,S2.3,A3; ♦C2b,S2.6,A2; S2.8,A2 ♦Cross-
CutA4
$ 225 $ 525
$ 95,764 $ 223,450 $ 95,764 $ 223,450
$ 130,963 $ 45,889 $ 95,963
$ 83,273 $ 100,167 $ 42,265 $ 100,167
Total Allowable Direct Costs $ 52,556
$ 174,290
$ 7,715
Total Expenses
$ 1,500
$1,000
$42,853
$ 350 $ 150 $ 350
$ 60,271 $ 214,428 $ 189,439
$ 19,225 $ 6,736 $ 14,087
$ 325,872
$ 83,273 $ 208,425 $ 89,425 $ 208,425
$ 325,370
$ 1,510 $ 54,315
$45,853
$ 350
$ 225 $ 525
Exhibit B, Attachment II-A
Budget, Year II-A
(Unspent balance from Budget Year I)
09/30/15 - 09/29/16
County of Fresno Department of Public Health
14-10712 A01
♦ Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)Page 1
Position Title Base Salary Month
s Benefit %Cost Cost Cost Cost Total %
FTE
Total
Costs
Health Educator 45,058.00 3 70.76% $ 1,428 $0.00 $0.00 $0.00 70% $ 1,428
Health Education Specialist 38,740.00 3 73.23% $ 782 $0.00 $0.00 $0.00 90% $ 782
Health Education Specialist 38,740.00 3 73.23% $ 1,026 $0.00 $0.00 $0.00 60% $ 1,026
Total Salaries 337,169$ 76.89% $ 3,236 $0.00 $0.00 $0.00
$ 3,000 $0.00 $0.00 $0.00
Technical Assistance (Provider Support - TBD. Based on
available funding) ♦C1a,S1.1,A4; S1.2, A3; S1.3,A3 ♦Cross-
CutA4
$ 7,500 $0.00 $0.00 $0.00
Total Subcontracts $ 15,693
$ 7,500
$ 200,959 $ 86,126 $ 200,959 $ 503,737
Total Travel $ 2,000 $0.00 $0.00 $0.00 $ 2,000
E. SUBCONTRACTS
Health Clinic Subcontractor (TBD)
♦C1a,S1.1,A4-A5 ♦C1b,S1.5,A1-A5; S1.6,A1; ♦C2a,S2.1,A1;
S2.2,A1; S2.3,A1-A2; S2.4,A1; S2.5,A1; ♦C2b,S2.6,A1; S2.8,A2
$ 15,693 $ 200,959 $ 86,126 $ 200,959 $ 503,737
Total Operating $ 29,690
Equipment (3 b&w printers to complete SOW activities) $ 3,000
Meeting room rentals ♦ C1a, all Strategies $ 1,190 $0.00 $0.00 $0.00 $ 1,190
$0.00 $0.00 $ 2,488
Printing ♦ C1a, all Strategies $ 15,000 $0.00 $0.00 $0.00 $ 15,000
C. OPERATING EXPENSES
General Office Supplies $ 10,500 $0.00 $0.00 $0.00 $ 10,500
Component 1 Component 2
TotalTask 1a
Heart 30%
Task 1b
Diabetes
70%
Task 2a
Diabetes
30%
Task 2b
Heart 70%
$ 29,690 $0.00 $0.00 $0.00
**Fresno County employees receive benefits based upon their date of hire, retirement tier level, and job classification. Benefit rates vary
based upon the length of time in a position and changes yearly with merit adjustments.
Total Personnel Costs $ 5,724 $0.00 $0.00 $0.00 $ 5,724
A. PERSONNEL
$ 3,236
B. FRINGE BENEFITS Average 76.89% of Personnel** $ 2,488 $0.00
D. TRAVEL
Conferences/Trainings (hotel, per diem, parking, and mileage) ♦
C1a, all Strategies $ 2,000 $0.00 $0.00 $0.00 $ 2,000
F. OTHER COSTS
Meeting supplies, interpretation, and child care for all sessions
and kick-off meetings. ♦ C1a, all Strategies $ 3,500 $0.00 $0.00 $0.00 $ 3,500
Public Relations Services (Media, Press release, Campaign)
♦C1a,S1.2,A3; S1.3,A4; S1.4,A2 $ 8,500 $0.00 $0.00 $0.00 $ 8,500
Exhibit B, Attachment II-A
Budget, Year II-A
(Unspent balance from Budget Year I)
09/30/15 - 09/29/16
County of Fresno Department of Public Health
14-10712 A01
♦ Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)Page 2
Component 1 Component 2
TotalTask 1a
Heart 30%
Task 1b
Diabetes
70%
Task 2a
Diabetes
30%
Task 2b
Heart 70%
$ 65,164 $ 8,750 $ 3,750 $ 8,750 $ 86,414
Calculated at 14.68% of Total Allowable* Direct Costs $ 9,566 $ 1,285 $ 551 $ 1,285 $ 12,686
Total Allowable Direct Costs
G. INDIRECT COSTS
TOTAL DIRECT COSTS $ 77,107 $ 200,959 $ 86,126 $ 200,959 $ 565,151
$ 4,500 $0.00 $0.00 $0.00
$ 24,000 $0.00 $0.00 $0.00
Education/Training Materials (including related translation of
materials) ♦C1a,S1.1,A2; S1.2,A3; S1.3,A3-A4 $ 4,500
Total Other Costs $ 24,000
*Only the first $25,000 of each subcontract may be used in the calculation
TOTAL EXPENSES $ 86,673 $ 202,244 $ 86,676 $ 202,244 $ 577,837
Exhibit B, Attachment lll
Budget Year 3
(10/0109/30/2016 through 09/3029/2017)
County of Fresno Department of Public Health
14-10712 A01
♦ Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)Page 1
Position Title Base Salary Months Benefit
%Cost Cost Cost Cost Total
% FTE
Total
Costs
Principal Investigator 77,792.00 12 64.74% $ 1,167 $ 2,723 $ 1,167 $ 2,723 10% $ 7,779
Health Educator 49,426.00 12 69.41% $ 5,190 $ 12,109 $ 5,190 $ 12,109 70% $ 34,598
Health Education Specialist 42,510.00 12 71.67% $ 5,739 $ 13,391 $ 5,739 $ 13,391 90% $ 38,259
Health Education Specialist 42,510.00 12 71.67% $ 3,826 $ 8,927 $ 3,826 $ 8,927 60% $ 25,506
Staff Analyst I 46,436.00 12 80.79% $ 1,393 $ 3,251 $ 1,393 $ 3,251 20% $ 9,287
Office Assistant III 35,984.00 12 84.44% $ 1,349 $ 3,149 $ 1,349 $ 3,149 25% $ 8,996
Epidemiologist 65,572.00 12 75.85% $ 984 $ 2,295 $ 984 $ 2,295 10% $ 6,557
Total Salaries 360,231$ 74.08% $ 19,647 $ 45,844 $ 19,647 $ 45,844
Technical Assistance (Provider Support - TBD. Based on
available funding) ♦C1a,S1.2,A4; ♦C1b,S1.3,A2; ♦C2a,S2.3,A2;
♦Cross-CutA4
$ 225 $ 525 $ 225 $ 525 $ 1,500
E. OTHER COSTS
Public Relations Services (Media, Press release, Campaign)
♦C1a,1.3,A3 ♦C1b,S1.6,A1,A2 $ 7,500 $ 17,500 $ - $ - $ 25,000
Total Subcontracts $ - $ 79,368 $ 158,736 $ 79,368 $ 317,472
D. SUBCONTRACTS
Health Clinic Subcontractor (TBD)
♦C1b,S1.5,A1-A2; S1.6,A1-A2; ♦C2a,S2.1,A2; S2.2,A1-A2;
S2.3,A1-A3; S2.4,A1; S2.5,A1; ♦C2b,S2.6,A1; S2.8,A2
$ - $ 79,368 $ 158,736 $ 79,368 $ 317,472
Total Travel $ 509 $ 1,187 $ 509 $ 1,187 $ 3,390
Conferences/Trainings (hotel, per diem, parking, and mileage)
♦C1,all Strategies; ♦C2, all Strategies $ 405 $ 945 $ 405 $ 945 $ 2,700
C. TRAVEL
Local travel to complete SOW deliverables (1200 miles at
$.575/mile) ♦C1,all Strategies; ♦C2, all Strategies $ 104 $ 242 $ 104 $ 242 $ 690
Total Operating $ 2,393 $ 5,583 $ 2,393 $ 5,583 $ 15,950
Tech Support $ 143 $ 333 $ 143 $ 333 $ 950
Communications $ 150 $ 350 $ 150 $ 350 $ 1,000
Meeting room rentals ♦C1,all Strategies; ♦C2, all Strategies $ 150 $ 350 $ 150 $ 350 $ 1,000
Printing ♦C1,all Strategies; ♦C2, all Strategies $ 1,500 $ 3,500 $ 1,500 $ 3,500 $ 10,000
B. OPERATING EXPENSES
General Office Supplies $ 450 $ 1,050 $ 450 $ 1,050 $ 3,000
Component 1 Component 2
TotalTask 1a
Heart 30%
Task 1b
Diabetes 70%
Task 2a
Diabetes
Task 2b
Heart 70%
**Fresno County employees receive benefits based upon their date of hire, retirement tier level, and job classification. Benefit rates vary based upon
the length of time in a position and changes yearly with merit adjustments.
Total Personnel Costs $ 34,202 $ 79,806 $ 34,202 $ 79,806 $ 228,016
A. PERSONNEL
$ 130,983
B. FRINGE BENEFITS Average 74.08% of Personnel** $ 14,555 $ 33,962 $ 14,555 $ 33,962 $ 97,034
Exhibit B, Attachment lll
Budget Year 3
(10/0109/30/2016 through 09/3029/2017)
County of Fresno Department of Public Health
14-10712 A01
♦ Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)Page 2
Component 1 Component 2
TotalTask 1a
Heart 30%
Task 1b
Diabetes 70%
Task 2a
Diabetes
Task 2b
Heart 70%
$ 45,251 $ 113,918 $ 46,084 $ 96,418
*Only the first $25,000 of each subcontract may be used in the calculation
TOTAL EXPENSES $ 51,894 $ 201,676 $ 203,252 $ 181,607 $ 638,429
F. INDIRECT COSTS
Calculated at 14.68% of Total Allowable* Direct Costs $ 6,643 $ 16,723 $ 6,765 $ 14,154 $ 44,285
Total Allowable Direct Costs $ 301,671
TOTAL DIRECT COSTS $ 45,251 $ 184,953 $ 196,487 $ 167,453 $ 594,143
Total Other Costs $ 8,147 $ 19,010 $ 647 $ 1,510 $ 29,315
Education/Training Materials (including related translation of
materials)
$ 225 $ 525 $ 225 $ 525 $ 1,500
Meeting supplies, interpretation, and child care for all sessions
and kick-off meetings. ♦C1,all Strategies; ♦C2, all Strategies $ 197 $ 460 $ 197 $ 460 $ 1,315
Exhibit B, Attachment IV
Budget Year 4
(10/01 09/30/2017 through 09/29/2018)
County of Fresno
14-10712 A01
♦ Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)Page 1
Position Title Base Salary Months Benefit %Cost Cost Cost Cost Total %
FTE Total Costs
Principal Investigator 77,792.00 12 64.74% $ 1,167 $ 2,723 $ 1,167 $ 2,723 10% $ 7,779
Health Educator 50,960.00 12 69.00% $ 5,351 $ 12,485 $ 5,351 $ 12,485 70% $ 35,672
Health Education Specialist 43,836.00 12 71.18% $ 5,918 $ 13,808 $ 5,918 $ 13,808 90% $ 39,452
Health Education Specialist 43,836.00 12 71.18% $ 3,945 $ 9,206 $ 3,945 $ 9,206 60% $ 26,302
Staff Analyst I 47,892.00 12 71.16% $ 1,437 $ 3,352 $ 1,437 $ 3,352 20% $ 9,578
Office Assistant III 37,102.00 12 74.70% $ 1,391 $ 3,246 $ 1,391 $ 3,246 25% $ 9,276
Epidemiologist 67,626.00 12 66.38% $ 1,014 $ 2,367 $ 1,014 $ 2,367 10% $ 6,763
Total Salaries 369,045$ 69.76% $ 20,223 $ 47,188 $ 20,223 $ 47,188
Meeting supplies, interpretation, and child care for all sessions
and kick-off meetings. ♦C1,all Strategies; ♦C2, all Strategies $ 135 $ 315 $ 135 $ 315 $ 900
Technical Assistance (Provider Support - TBD. Based on available
funding) ♦C1a,S1.2,A4; ♦C1b,S1.3,A2; ♦C2a,S2.3,A2; ♦Cross-
CutA4
$ 225 $ 525 $ 225 $ 525 $ 1,500
E. OTHER COSTS
Public Relations Services (Media, Press release, Campaign)
♦C1a,1.3,A3 ♦C1b,S1.6,A1,A2 $ 3,000 $ 7,000 $ - $ - $ 10,000
Total Subcontracts $ - $ 85,204 $ 170,408 $ 85,204 $ 340,815
D. SUBCONTRACTS
Health Clinic Subcontractor (TBD) ♦C1b,S1.5,A1-A2; S1.6,A1-A2;
♦C2a, S2.2,A1-A2; S2.3,A1-A3; S2.4,A1; S2.5,A1; ♦C2b,S2.6,A1;
S2.8,A2
$ - $ 85,204 $ 170,408 $ 85,204 $ 340,815
Total Travel $ 509 $ 1,187 $ 509 $ 1,187 $ 3,390
Conferences/Trainings (hotel, per diem, parking, and mileage)
♦C1,all Strategies; ♦C2, all Strategies $ 405 $ 945 $ 405 $ 945 $ 2,700
C. TRAVEL
Local travel to complete SOW deliverables (1200 miles at
$.575/mile) ♦C1,all Strategies; ♦C2, all Strategies $ 104 $ 242 $ 104 $ 242 $ 690
Total Operating $ 1,643 $ 3,833 $ 1,643 $ 3,833 $ 10,950
Tech Support $ 143 $ 333 $ 143 $ 333 $ 950
Communications $ 150 $ 350 $ 150 $ 350 $ 1,000
Meeting room rentals ♦C1,all Strategies; ♦C2, all Strategies $ 150 $ 350 $ 150 $ 350 $ 1,000
Printing ♦C1,all Strategies; ♦C2, all Strategies $ 750 $ 1,750 $ 750 $ 1,750 $ 5,000
B. OPERATING EXPENSES
General Office Supplies $ 450 $ 1,050 $ 450 $ 1,050 $ 3,000
Component 1 Component 2
TotalTask 1a
Heart 30%
Task 1b
Diabetes 70%
Task 2a
Diabetes 30%
Task 2b
Heart 70%
**Fresno County employees receive benefits based upon their date of hire, retirement tier level, and job classification. Benefit rates vary based upon the length of
time in a position and changes yearly with merit adjustments.
Total Personnel Costs $ 34,332 $ 80,107 $ 34,332 $ 80,107 $ 228,877
A. PERSONNEL
$ 134,822
B. FRINGE BENEFITS Average 69.76% of Personnel** $ 14,108 $ 32,919 $ 14,108 $ 32,919 $ 94,055
Exhibit B, Attachment IV
Budget Year 4
(10/01 09/30/2017 through 09/29/2018)
County of Fresno
14-10712 A01
♦ Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)Page 2
Component 1 Component 2
TotalTask 1a
Heart 30%
Task 1b
Diabetes 70%
Task 2a
Diabetes 30%
Task 2b
Heart 70%
$ 39,948 $ 101,544 $ 45,281 $ 94,544
*Only the first $25,000 of each subcontract may be used in the calculation
TOTAL EXPENSES $ 45,812 $ 193,321 $ 214,002 $ 185,294 $ 638,429
F. INDIRECT COSTS
Calculated at 14.68% of Total Allowable* Direct Costs $ 5,864 $ 14,907 $ 6,647 $ 13,879 $ 41,297
Total Allowable Direct Costs $ 281,317
TOTAL DIRECT COSTS $ 39,948 $ 178,415 $ 207,355 $ 171,415 $ 597,132
Total Other Costs $ 3,465 $ 8,085 $ 465 $ 1,085 $ 13,100
Education/Training Materials (including related translation of
materials)
$ 105 $ 245 $ 105 $ 245 $ 700