HomeMy WebLinkAboutAgreement A-16-060-2 with UHC.pdf
COUNTY OF FRESNO
Fresno, CA
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AMENDMENT II TO AGREEMENT
THIS AMENDMENT, hereinafter referred to as “Amendment II”, is made and entered into this
____ day of __________, 2017, by and between the COUNTY OF FRESNO, a Political Subdivision
of the State of California, hereinafter referred to as “COUNTY”, and UNITED HEALTH CENTERS
OF THE SAN JOAQUIN VALLEY, INC., a California non-profit organization, whose address is
650 Zediker Avenue, Building 3, Parlier, California 93648-0790, hereinafter referred to as
“CONTRACTOR” (collectively the “parties”).
WHEREAS the parties entered into that certain Agreement, identified as COUNTY Agreement
No. A-16-060, effective February 2, 2016, and Agreement No. 16-060-1, effective July 12, 2016,
hereinafter collectively referred to as “Agreement”, whereby CONTRACTOR agreed to provide
certain primary preventative medical services to COUNTY’s Department of Public Health; and
WHEREAS the parties now desire to amend the Agreement regarding changes as stated below
and restate the Agreement in its entirety.
NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions,
hereinafter set forth, the sufficiency of which is hereby acknowledged, the parties agree as follows:
1. That the existing COUNTY Agreement No. A-16-060, Page 2, beginning with
Paragraph 2, “Term,” Line 10 with the word “This” and ending on Line 11 with the word “2018” be
deleted and the following inserted in its place:
“This Agreement shall become effective upon execution and shall terminate on the 29th
day of September, 2018.”
2. That the existing COUNTY Agreement No. A-16-060, Page 3, beginning with
Paragraph 4, “Compensation,” Line 15 with the word “In” and ending on Line 18 with the word
“2017” be deleted and the following inserted in its place:
“In no event shall actual services performed under this Agreement be in excess of Five
Hundred Ninety-Six Thousand, Seven Hundred Thirty-Two and No/100 Dollars ($596,732) during the
period of September 30, 2016 through September 29, 2017.”
3. That all references in existing COUNTY Agreement No. A-16-060 to “Exhibit A” shall
be changed to read “Revised Exhibit A”, where appropriate, attached hereto and incorporated herein
COUNTY OF FRESNO
Fresno, CA
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by reference.
4. That all references in existing COUNTY Agreement No. A-16-060 to “Exhibit B” shall
be changed to read “Revised Exhibit B”, where appropriate, attached hereto and incorporated herein
by reference.
5. Except as otherwise provided in this Amendment II, all other provisions of the
Agreement remain unchanged and in full force and effect. This Amendment II shall become effective
September 30, 2016.
6. COUNTY and CONTRACTOR agree that this Amendment II is sufficient to amend the
Agreement, and that upon execution of this Amendment II, the Agreement, Amendment I, and
Amendment II together shall be considered the Agreement.
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Revised Exhibit A
Scope of Work
Page 1 of 19
YEAR 1
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 County will work with UHC to provide National Diabetes Prevention
Program (NDPP) training and certification to four identified Health
Clinic System staff.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of meeting
agendas/minutes, and list of
identified partners.
• a copy of certifications, and
• training materials.
2 County 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.
September
30, 2015 –
September
29, 2016
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of the assessment results.
3 Based on results of assessment, County will identify UHC’s readiness
to implement and sustain an NDPP. County will then develop a
strategic plan to build capacity and implement a NDPP program in
conjunction with UHC.
County will 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.
September
30, 2015 –
September
29, 2016
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of meeting
agendas/minutes, and
• a copy of developed Spanish
language materials.
• a copy of planning meeting
agendas/minutes.
4 County will work with UHC to refer patients and interested community
members to scheduled NDPP classes at Health Clinic System health
centers.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a listing of classes scheduled,
• referral and attendance logs
(summary numbers only).
5 County 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.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
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
Revised Exhibit A
Scope of Work
Page 2 of 19
Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change
1 County will work with UHC to conduct a strengths, weaknesses,
opportunities, and threats (SWOT) analysis regarding lifestyle change
with identified priority population(s), and/or organizations that serve
them. Implement community engagement principles within identified
communities.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2,
Epidemiologist,
and UHC
Submit to CDPH:
• SWOT analysis, and
• a copy of SWOT analysis results.
2 Utilizing the Chronic Disease Prevention Messaging Toolkit, County
will work with UHC to develop a plan for how partners (CBOs, Fresno
County Department of Public Health, Health Clinic Systems,
community champions) will work together to conduct outreach, build
support for and increase referrals to NDPP. Review and update
annually.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of planning meeting
agendas/minutes, and
• the outreach plan.
3 In collaboration with CDPH, County will adapt CDC NDPP
communications and marketing materials and work with UHC 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.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of County marketing plan.
• a copy of promotional materials
developed,
• distribution and reach log.
4 County will work with UHC 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.
September
30, 2015 –
September
29, 2016
HE, HES1,
HES2, and
UHC
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 County 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 lifestyle change programs
(LCPs).
September
30, 2015 –
September
29, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of the assessment results.
2 Based on assessment results, County will develop and implement an
action plan to establish or increase insurance coverage of LCPs within
county.
September
30, 2015 –
September
29, 2016
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of CDC adapted marketing
materials.
• action plan timeline.
Revised Exhibit A
Scope of Work
Page 3 of 19
Program Strategy 1.7: Increase coverage for evidence-based supports for lifestyle change by working with network partners
3 County 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.
September
30, 2015 –
September
29, 2016
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 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 County 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 UHC, focusing on achievement of
blood pressure control initiatives to identify gaps and opportunities for
collaboration. Engage with UHC to maximize understanding of EHR
policy and practice landscape within the local area.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of scan.
2 County 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
hypertension.
September
30, 2015 –
September
29, 2016
PI, HE, and
Epidemiologist
Submit to CDPH:
• a copy of meeting
agendas/minutes.
3 County 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.
September
30, 2015 –
September
29, 2016
HE, HES1,
HES2, and
UHC
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
Revised Exhibit A
Scope of Work
Page 4 of 19
Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level
1 County will work with UHC 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.
County will work with UHC 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.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of the training materials.
• an assessment report of the
environmental scan.
2 County will work with UHC 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.
September
30, 2015 –
September
29, 2016
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of meeting agendas/
minutes.
3 County will work with UHC 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.
September
30, 2015 –
September
29, 2016
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a summary of systems in use.
4 County will work with UHC and UCD to identify and collect public data
for required performance measure 2.2. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
September
30, 2015 –
September
29, 2016
HE, HES1,
HES2, and
UHC
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 County will work with UHC 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.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Subcontractor will submit to County:
• a list of proposed and interviewed
clinic systems.
Submit to CDPH:
• a copy of the scan results.
Revised Exhibit A
Scope of Work
Page 5 of 19
Program Strategy 2.3: Increase engagement of non-physician team members in hypertension management in community health care
systems
2 Based on scan results, County will work with UHC 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.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Subcontractor will submit to County:
• a list of clinic systems that adopted
the recommended
procedures/protocols
Submit to CDPH:
• a copy of adopted procedures/
protocols.
3 County will work with UHC 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 hypertension,
such as the Million Hearts International (MHI) hypertension protocols
(i.e., through local medical society). Identify training and TA needs to
facilitate adoption/implementation of tools by UHC.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of training materials, and
• meeting agendas/minutes.
4 County will work with UHC 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 .
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a summary of the evidence
gathered and gap(s) identified.
5 County will work with UHC 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.
September
30, 2015 –
September
29, 2016
HE, HES1,
HES2, and
UHC
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 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.
County will work with UHC 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 hypertension (e.g., Check. Change.
Control) with existing community health care programs.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of the scan results.
• a copy of analysis report.
Revised Exhibit A
Scope of Work
Page 6 of 19
Program Strategy 2.4: Increase use of self-measured blood pressure monitoring tied with clinical support
2 County will work with UHC to research model practices, outcomes,
and benefits to promote the adoption and EHR use with Health Clinic
Systems that include integrated hypertension algorithms and supports
for provider prompts/feedback, patient communication, and public data
tracking, monitoring, and reporting.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of sample adopted EHR
systems.
3 County will work with UHC 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.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
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 County will work with UHC to conduct asset mapping/environmental
scans that determine the CBOs in UHC 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.
County will work with UHC 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
hypertension/blood sugar.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a written summary of the scan, and
• list of community Champions.
• a copy of the assessment.
2 County will work with UHC to Develop and implement a plan for
improving the system for identifying and monitoring patients with
hypertension in Health Clinic System.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of the plan.
3 County 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.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Revised Exhibit A
Scope of Work
Page 7 of 19
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 County will work with UHC to conduct an environmental scan utilizing
an evaluation tool created by UCD, to assess existing programs that
target adults with hypertension and adults with prediabetes or at high
risk for type 2 diabetes. Begin with Fresno Metro Ministry’s Community
Resource Directory.
County will assess where CDPH, PHI and other partners currently are
with fiscal reimbursement strategies for Community Health Workers
(CHW s) within health plans. County will work with UHC 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.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of the scan results.
2 As a result of the health system scan, County will work with UHC 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.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of the plan and
• a summary of changes made.
3 County 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.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
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 County 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.
September
30, 2015 –
September
29, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of the scan results.
Revised Exhibit A
Scope of Work
Page 8 of 19
Program Strategy 2.7: Increase engagement of community pharmacists in the provision of medication-/self-management for adults with
high blood pressure
2 County 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.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of meeting
agendas/minutes.
3 County 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.
September
30, 2015 –
September
29, 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 County 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.
County will institute 211 service LCPs for hypertension 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.
September
30, 2015 –
September
29, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of the scan results.
• a copy of meeting
agendas/minutes,
• 211/referral system service
promotion materials, and
• a summary of the
tracking/monitoring system.
2 County will work with UHC to conduct assessment of Subcontractor
referral practices for patients with a diagnosis of hypertension and
prediabetes, and viability of utilizing 211 for referral to LCPs.
County will develop and implement a communications plan to assist
with communication, awareness, and outreach strategy to maximize
reach and impact of 211.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2
Submit to CDPH:
• a copy of assessment results.
• a copy of 211 communication plan.
3 County will work with UHC to educate Health Clinic System providers
about community resources available for patients with hypertension
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.
September
30, 2015 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of training materials, and
• 211/referral system service
promotion materials.
Revised Exhibit A
Scope of Work
Page 9 of 19
Program Strategy 2.8: Implement systems and increase partnerships to facilitate bi-directional referral between community resources
and health systems, including lifestyle change programs
4 County 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.
September
30, 2015 –
September
29, 2016
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
YEAR 2
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 County will work with UHC to refer patients and interested community
members to scheduled NDPP classes at health centers and promote
the classes through public relations/media.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, HES3
and UHC
Submit to CDPH:
• a copy of classes scheduled,
• referral and attendance logs
(summary numbers only).
2 County 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.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, and
UHC
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 Utilizing the Chronic Disease Prevention Messaging Toolkit, County
will work with UHC to develop a plan for how partners (CBOs, Fresno
County Department of Public Health, UHC, community champions) will
work together to conduct outreach/marketing, build support for and
increase referrals to NDPP. Review and update annually.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of planning meeting
agendas/minutes, and
• the outreach/marketing plan.
2 In collaboration with CDPH, County will work with UHC to 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.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of promotional materials
developed, and
• distribution and reach log.
Revised Exhibit A
Scope of Work
Page 10 of 19
Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change
3 County 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.
September
30, 2016 –
September
29, 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, County will develop and implement an
action plan to establish or increase insurance coverage of LCPs within
county.
September
30, 2016 –
September
29, 2017
PI, HE, HES1,
HES2
Submit to CDPH:
• action plan timeline.
2 County 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.
September
30, 2016 –
September
29, 2017
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 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 County 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
hypertension.
September
30, 2016 –
September
29, 2017
PI, HE
Submit to CDPH:
• a copy of meeting
agendas/minutes.
2 County will work with UHC 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.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of promotional materials,
• materials distribution log, and
• meeting agendas/minutes.
3 County 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.
September
30, 2016 –
September
29, 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
Revised Exhibit A
Scope of Work
Page 11 of 19
Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level
1 County will work with UHC 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.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of meeting agendas/
minutes.
2 County will work with UHC 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.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a summary of systems in use.
3 County will work with UCD to identify and collect public data for
required performance measure 2.2. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
September
30, 2016 –
September
29, 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, County will work with UHC to promote adoption
by Health Clinic System providers of procedures/protocols that support
the implementation of comprehensive health care teams. County will
monitor and track procedures/protocols adopted by providers.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of adopted procedures/
protocols.
2 County will work with UHC 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 hypertension, 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.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of training materials, and
• meeting agendas/minutes.
3 County will work with UHC 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
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a summary of the evidence
gathered and
• a summary of gap(s) identified.
4 County 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.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Revised Exhibit A
Scope of Work
Page 12 of 19
Program Strategy 2.4: Increase use of self-measured blood pressure monitoring tied with clinical support
# Activity Timeline Responsible Deliverables
1 County will work with UHC to research model practices, outcomes, and
benefits to promote the adoption and EHR use by Health Clinic System
that include integrated hypertension algorithms and supports for
provider prompts/feedback, patient communication, and public data
tracking, monitoring, and reporting.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of sample adopted EHR
systems.
2 County 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.
September
30, 2016 –
September
29, 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 County will work with UHC to develop and implement a plan for
improving the system for identifying and monitoring patients with
hypertension in Health Clinic System.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of the implementation plan.
2 County 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.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
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, County 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. County will work
with UHC to coordinate with others working on CHW initiatives for
awareness, input, and support. County will work with CHWs for their
input and guidance on promotional strategies between health systems
and community resources and monitor change.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, UHC
Submit to CDPH:
• a copy of the plan and
• a summary of changes made.
Revised Exhibit A
Scope of Work
Page 13 of 19
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
2 County 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.
September
30, 2016 –
September
29, 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 County 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.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting agendas/
minutes.
2 County 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.
September
30, 2016 –
September
29, 2017
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 County will institute 211 service LCPs for hypertension and
prediabetes, and/or identify other entities that could serve as a source
for community referrals to LCPs. Develop tracking/monitoring system
for referrals.
September
30, 2016 –
September
29, 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.
Revised Exhibit A
Scope of Work
Page 14 of 19
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 County will work with UHC to educate Health Clinic Systems about
community resources available for patients with hypertension 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.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of training materials, and
• 211/referral system service
promotion materials.
3 County 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.
September
30, 2016 –
September
29, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
YEAR 3
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 County will work with UHC to refer patients and interested community
members to scheduled NDPP classes at Health Clinic System health
centers.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of classes scheduled,
• referral and attendance logs
(summary numbers only).
2 County 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.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
3 County will work with UHC to submit evaluation data to CDC in order to
achieve NDPP recognition status.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of evaluation data
Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change
# Activity Timeline Responsible Deliverables
Revised Exhibit A
Scope of Work
Page 15 of 19
Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change
1 Utilizing the Chronic Disease Prevention Messaging Toolkit, County
will work with UHC 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. Review and update
annually.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of planning meeting
agendas/minutes,
• the outreach/marketing plan.
2 In collaboration with CDPH and UHC, County 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.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of promotional materials
developed,
• distribution and reach log.
3 County 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.
September
30, 2017 –
September
29, 2018
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, County will develop and implement an
action plan to establish or increase insurance coverage of LCPs within
county.
September
30, 2017 –
September
29, 2018
PI, HE, HES1,
HES2
Submit to CDPH:
• action plan timeline.
2 County 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.
September
30, 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
Revised Exhibit A
Scope of Work
Page 16 of 19
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)
1 County 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
hypertension.
September
30, 2017 –
September
29, 2018
PI, HE,
Epidemiologist
Submit to CDPH:
• a copy of meeting
agendas/minutes.
2 County 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.
September
30, 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 County will work with UHC 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.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of meeting
agendas/minutes.
2 County will work with UHC 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.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a summary of systems in use.
3 County will work with UCD to identify and collect public data for
required performance measure 2.2. Attend required webinars and
trainings on public data collection and performance measures
sponsored by CDPH.
September
30, 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, County will work with UHC 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.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of adopted
procedures/protocols.
Revised Exhibit A
Scope of Work
Page 17 of 19
Program Strategy 2.3: Increase engagement of non-physician team members in hypertension management in community health care
systems
2 County will work with UHC 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 hypertension, such as
the MHI hypertension protocols i.e., through local medical society.
Identify training and TA needs to facilitate adoption/implementation of
tools with UHC.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of training materials, and
• meeting agendas/minutes.
3 County will work with UHC 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
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a summary of the evidence
gathered and
• gap(s) identified.
4 County 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.
September
30, 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 County will work with UHC to research model practices, outcomes, and
benefits to promote the adoption and EHR use with Health Clinic
System health centers that include integrated hypertension algorithms
and supports for provider prompts/feedback, patient communication,
and public data tracking, monitoring, and reporting.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of sample adopted EHR
systems.
2 County 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.
September
30, 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 County will work with UHC to develop and implement a plan for
improving the system for identifying and monitoring patients with
hypertension in Health Clinic System.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of the plan.
Revised Exhibit A
Scope of Work
Page 18 of 19
Program Strategy 2.5: Implement systems to facilitate identification of patients with undiagnosed hypertension and people with
prediabetes
2 County 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.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
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, County will work with UHC 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.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of the plan and
• a summary of changes made.
2 County 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.
September
30, 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.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting agendas/
minutes.
2 County 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.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Revised Exhibit A
Scope of Work
Page 19 of 19
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 County will institute 211 services LCPs for hypertension 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.
September
30, 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 County will work with UHC to educate Health Clinic System providers
about community resources available for patients with hypertension
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.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2, and
UHC
Submit to CDPH:
• a copy of training materials, and
• 211/referral system service
promotion materials.
3 County 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.
September
30, 2017 –
September
29, 2018
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
Revised Exhibit B
Page 1 of 3
PERSONNEL
Position Title and Name Annual Salary % FTE Program Salary Ben. Rate Ben. Cost
Chief Clinical Services Officer 115,066$ 0.30 34,520$ 23% 7,940$
Program Coordinator 86,985$ 0.80 69,588$ 23% 16,005$
Health Educator 45,760$ 4.75 217,360$ 23% 49,993$
Registered Dietition 54,760$ 1.20 65,712$ 23% 15,114$
Patient Navigator (CHW) 40,000$ 2.40 96,000$ 23% 22,080$
Data & Analytics Director 100,000$ 0.25 25,000$ 23% 5,750$
Transportation Driver 26,000$ 0.50 13,000$ 23% 2,990$
Sub-Total 10.20 521,180$ 119,871$
Total Personnel 641,051$
EQUIPMENT
Equipment 5,000$
Total Equipment 5,000$
OPERATIONAL
General Office Supplies 2,500$
Total Operational 2,500$
TRAVEL
Local travel 3,000$
Conferences/Trainings 15,000$
Total Travel 18,000$
OTHER
Meeting supplies, interpretation, child care 5,390$
Education/Training Materials 25,000$
Printing and reproduction 5,000$
Total Other 35,390$
Total Direct Costs 701,941$
Administrative (Indirect) Costs 92,090$
TOTAL BUDGET 794,031$
YEAR 1 (Feb. 2 - Sept. 29, 2016)
Revised Exhibit B
Page 1 of 3
PERSONNEL
Position Title and Name Annual Salary % FTE Program Salary Ben. Rate Ben. Cost
Chief Clinical Services Officer 109,323$ 0.30 32,797$ 23%7,543$
Program Coordinator 95,909$ 0.80 76,727$ 23%17,647$
Patient Navigators (CHW)35,311$ 2.40 84,746$ 23%19,492$
Health Educators 37,906$ 4.75 180,054$ 23%41,412$
Data Analytics Director 59,028$ 0.25 14,757$ 23%3,394$
Transportation Drivers 26,000$ 0.50 13,000$ 23%2,990$
Sub-Total 9.00 402,081$ 92,479$
Total Personnel 494,560$
OPERATIONAL
General Office Supplies 3,110$
Total Operational 3,110$
TRAVEL
Local travel 4,079$
Conferences/Trainings 2,611$
Total Travel 6,690$
OTHER
Meeting supplies, interpretation, child care 2,876$
Education/Training Materials 12,458$
Total Other 15,334$
Total Direct Costs 519,694$
Administrative (Indirect) Costs 77,038$
TOTAL BUDGET 596,732$
YEAR 2 (Sept. 30, 2016 - Sept. 29, 2017)
Revised Exhibit B
Page 1 of 3
PERSONNEL
Position Title and Name Annual Salary % FTE Program Salary Ben. Rate Ben. Cost
Program Coordinator 86,986$ 0.75 65,240$ 23% 15,005$
Patient Navigator (CHW) 40,000$ 1.20 48,000$ 23% 11,040$
Health Educator 45,760$ 2.50 114,400$ 23% 26,312$
Transportation Driver 26,000$ 0.50 13,000$ 23% 2,990$
Sub-Total 4.45 240,640$ 55,347$
Total Personnel 295,987$
OPERATIONAL
General Office Supplies 2,500$
Total Operational 2,500$
TRAVEL
Local travel 3,000$
Conferences/Trainings 1,000$
Total Travel 4,000$
OTHER
Meeting supplies, interpretation, child care 1,000$
Education/Training Materials 10,204$
Total Other 11,204$
Total Direct Costs 313,691$
Administrative (Indirect) Costs 27,124$
TOTAL BUDGET 340,815$
YEAR 3 (Sept. 30, 2017 - Sept. 29, 2018)