HomeMy WebLinkAbout29294STD 213a
County of Fresno Department of Public Health
14-10712 A02
Page 2 of 2
1) $60,591.10 for the budget period of 03/01/2015 through 09/29/2015.
2) $1,216,267$807,078.67 for the budget period of 09/30/2015 through 09/29/2016, this includes
$577,838 of unspent funds being shifted from Year 1 to Year 2 to complete Year 1 services and a
contract reduction of $32,349.23.
3) $638,429$1,015,268.00 for the budget period of 09/30/2016 through 09/29/2017, this includes
$376,839 of unspent funds being shifted from Year 2 to Year 3 to complete Year 2 services.
4) $638,429 for the budget period of 09/30/2017 through 09/29/2018.
V. Exhibit B, A01 Attachments I, II, II-A, and III, Budget Years 1, 2, 2-A, and 3, are hereby replaced in their entirety
and shall now read Exhibit B, A02, Attachments I, II, II-A, and III, Budget Years 1, 2, 2-A, and 3.
VI. Exhibit B, Attachment IlI-A, Budget Year 3-A, is hereby augmented to this agreement.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 1 of 5765
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
Laurel Cima-Coates Janet Bates, Acting
Chief,
Programs and Policy Section
Chronic Disease Control Branch
Telephone: (916) 552-9900
Fax: (916) 552-9729
Email: 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 A02
Exhibit A
Scope of Work
Page 2 of 5765
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 A02
Exhibit A
Scope of Work
Page 3 of 5765
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 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
C. Improved quality, effective delivery and use of clinical and other preventive services
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 4 of 5765
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 A02
Exhibit A
Scope of Work
Page 5 of 5765
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, 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, 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 A02
Exhibit A
Scope of Work
Page 6 of 5765
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, 2016
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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, 2016
PI, HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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, 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 A02
Exhibit A
Scope of Work
Page 7 of 5765
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, 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, 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, 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, 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, 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 A02
Exhibit A
Scope of Work
Page 8 of 5765
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, 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, 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, 2016
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of communications/
promotion items and educational
materials.
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, 2016
HE, HES1,
HES2
Submit to CDPH:
• a compilation of public data
collected as well as a copy of event
agendas.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 9 of 5765
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, 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, 2016
PI and HE Submit to CDPH:
• a copy of meeting agendas/minutes
and
• copies of target communities’
plan(s).
• copy of promotional items
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, 2016
HE, HES1,
HES2
Submit to CDPH:
• compilation of public data collected,
and
• event agendas.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 10 of 5765
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, 2016
PI, HE, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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, 2016
PI, HE, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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, 2016
PI, HE, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of NDPP strategic plan.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 11 of 5765
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, 2016
HE, HES1,
HES2,
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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, 2016
HE, HES1,
HES2,
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 12 of 5765
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, 2016
HE, HES1,
HES2,
Epidemiologist,
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• SWOT analysis, and
• SWOT analysis results.
2 Based on the SWOT analysis, Contractor will develop a marketing
plan, including educational materials, using the CDC template.
March 1
2015 -
September
30, 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, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of the assessment results.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 13 of 5765
Program Strategy 1.7: Increase coverage for evidence-based supports for lifestyle change by working with network partners
# Activity Timeline Responsible Deliverables
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, 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.
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, 2016
HE,
Epidemiologist,
and Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of the scan results.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 14 of 5765
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
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, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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 A02
Exhibit A
Scope of Work
Page 15 of 5765
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, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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, 2016
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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, 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 A02
Exhibit A
Scope of Work
Page 16 of 5765
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, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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 A02
Exhibit A
Scope of Work
Page 17 of 5765
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, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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 A02
Exhibit A
Scope of Work
Page 18 of 5765
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, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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.
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, 2016
PI, HE, HES1,
HES2, Staff
Analyst (SA) I,
and
Epidemiologist
Submit to CDPH:
• copies of training agendas.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 19 of 5765
Cross-Cut Strategy: Build local capacity and document lessons learned of implementing local health departments and partners.
# Activity Timeline Responsible Deliverables
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, 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, 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, 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, 2016
Office
Assistant
(OA) III
Submit to CDPH:
• timesheets, and
• documentation of logistical
processes.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 20 of 5765
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
September
30, 2015 -
September
30 29,
20167
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
September
30, 2015 -
September
30 29, 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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2,
Submit to CDPH:
• a copy of training materials, and
• meeting agendas/minutes.
4 Contractor will work with Health Clinic Subcontractor to identifyied
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
September
30, 2015 -
September
30 29,
20167
PI, HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of training materials,
• meeting agendas/minutes,
• target worksite procurement
guidelines, and
• implementation plan(s).
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 21 of 5765
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
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
September
30, 2015 -
September
30 29,
20167
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of the assessment results,
• training materials, and
• meeting agendas/minutes.
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
September
30, 2015 -
September
30 29, 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
September
30, 2015 -
September
30 29, 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
September
30, 2015 -
September
30 29, 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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2,
Submit to CDPH:
• a copy of meeting
agendas/minutes, and
• campaign messages.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 22 of 5765
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
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
September
30, 2015 -
September
30 29, 2016
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
5 As part of the FCHSHC, Contractor will participate in an event to train
data collectors for the retail survey.
October 1
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2
Submit to CDPH:
• Copy of training agenda and
materials
6 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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting agenda/minutes,
• training materials, and
• photos of the campaign materials
in the retailer venue.
7 In collaboration with the FCHSHC, Contractor will participate in the
CTCP retail public data collection nutrition specific module.
October 1
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2
Submit to CDPH
• a list of retail venues where public
data was collected.
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
September
30, 2015 -
September
30 29, 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 A02
Exhibit A
Scope of Work
Page 23 of 5765
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
September
30, 2015 -
September
30 29, 2016
PI, HE, HES1,
HES2
Submit to CDPH:
• a copy of meeting
agendas/minutes.
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2
Submit to CDPH:
• a copy of training materials.
3 Contractor will provide training and TA to facilitate the development
and implementation of the selected physical activity initiatives.
October 1
September
30, 2015 -
September
30 29,
20167
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.
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
September
30, 2015 -
September
30 29,
20167
PI, HE, HES1,
HES2,
Submit to CDPH:
• a copy of
communications/promotion items.
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
September
30, 2015 -
September
30 29, 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 A02
Exhibit A
Scope of Work
Page 24 of 5765
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
September
30, 2015 -
September
30 29, 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, 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
September
30, 2015 -
September
30 29,
20167
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
September
30, 2015 -
September
30 29, 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
September
30, 2015 -
September
30 29, 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
September
30, 2015 -
September
30 29, 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 A02
Exhibit A
Scope of Work
Page 25 of 5765
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2015 -
September
30 29, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• Copy of DPRP Capacity
Assessment.
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
September
30, 2015 -
September
30 29, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of planning meeting
agendas/minutes.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 26 of 5765
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 refer patients
and interested community members to scheduled NDPP classes at
Health Clinic System health centers. Promote classes through public
relations services.
October 1
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a listing of classes scheduled,
• referral and attendance logs
(summary numbers only).
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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 In year 2, based on SWOT analysis results, implement community
engagement principles within identified communities with Health
Clinic Subcontractor.
October 1
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2,
Epidemiologist,
and Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• List of potential community
engagement activities.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 27 of 5765
Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change
# Activity Timeline Responsible Deliverables
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. Review and update annually.
October 1
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of planning meeting
agendas/minutes, and
• the outreach plan.
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2015 -
September
30 29, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 28 of 5765
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
September
30, 2015 -
September
30 29, 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
September
30, 2015 -
September
30 29, 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
September
30, 2015 -
September
30 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 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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of scan.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 29 of 5765
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
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
September
30, 2015 -
September
30 29, 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
September
30, 2015 -
September
30 29, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• an assessment report of the
environmental scan.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 30 of 5765
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 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
September
30, 2015 -
September
30 29, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of meeting agendas/
minutes.
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
September
30, 2015 -
September
30 29, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2015 -
September
30 29, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 31 of 5765
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of adopted procedures/
protocols.
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of training materials, and
• meeting agendas/minutes.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 32 of 5765
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 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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2015 -
September
30 29, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of analysis report.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 33 of 5765
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of the assessment.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 34 of 5765
Program Strategy 2.5: Implement systems to facilitate identification of patients with undiagnosed hypertension and people with pre-
diabetes
# Activity Timeline Responsible Deliverables
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 35 of 5765
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 (CHWs) 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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of
the San
Joaquin
Valley)
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of
the San
Joaquin
Valley)
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of
the San
Joaquin
Valley)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 36 of 5765
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
September
30, 2015 -
September
30 29, 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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2015 -
September
30 29, 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 A02
Exhibit A
Scope of Work
Page 37 of 5765
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
September
30, 2015 -
September
30 29, 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.
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
September
30, 2015 -
September
30 29,
20167
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
September
30, 2015 -
September
30 29,
20167
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2015 -
September
30 29, 2016
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a compilation of public data
collected, and
• a copy of event agendas.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 38 of 5765
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
September
30, 2015 -
September
30 29, 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.
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
September
30, 2015 -
September
30 29, 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
September
30, 2015 -
September
30 29,
20167
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 -
September
29, 2017
OA III Submit to CDPH:
• timesheets, and
• documentation of logistical
processes.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 39 of 5765
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
September
30, 2016 -
September
30 29, 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
September
30, 2016 -
September
30 29, 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
September
30, 2016 -
September
30 29, 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 and Health Clinic
Subcontractor.
October 1
September
30, 2016 -
September
30 29, 2017
PI, HE, HES1,
HES2, Health
Clinic
Subcontractor
(United Health
Centers of the
San Joaquin
Valley)
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
September
30, 2016 -
September
30 29, 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 A02
Exhibit A
Scope of Work
Page 40 of 5765
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
September
30, 2016 -
September
30 29, 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
September
30, 2016 -
September
30 29, 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
September
30, 2016 -
September
30 29, 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
September
30, 2016 -
September
30 29, 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 subcommittee, Contractor will
participate in the CTCP spokesperson training to prepare for a
FCHSHC press event.
October 1
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2
Submit to CDPH:
• a copy of the spokesperson
training agenda.
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
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2,
Submit to CDPH:
• a copy of the press event packet.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 41 of 5765
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
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 Fresno County.
October 1
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2,
Submit to CDPH:
• a copy of the adapted factsheet.
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
September
30, 2016 -
September
30 29, 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
September
30, 2016 -
September
30 29, 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
September
30, 2016 -
September
30 29, 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
September
30, 2016 -
September
30 29, 2017
PI, HE, HES1,
HES2,
Submit to CDPH:
• a copy of communications/
promotion items.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 42 of 5765
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
September
30, 2016 -
September
30 29, 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 Contractor will continue to collaborate with Fresno COG and TCC, to
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
September
30, 2016 -
September
30 29, 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 utilize the
completed walkability assessment(s) to identify potential local active
transportation project(s) for funding from CalTrans and other funding
sources.
October 1
September
30, 2016 -
September
30 29, 2017
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
September
30, 2016 -
September
30 29, 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 A02
Exhibit A
Scope of Work
Page 43 of 5765
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 and promote the classes through public
relations/media.
October 1
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, HES3,
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• Copy of evaluation data.
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).
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 44 of 5765
34 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
September
30, 2016 –
September
3029, 2017
HE, HES1,
HES2
Submit to CDPH:
• a compliation 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, Contractor
will work with provide TA to the 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. Review and update annually.
October 1
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of planning meeting
agendas/minutes, and
• the outreach/marketing plan.
2 In collaboration with CDPH, Contractor will work with Health Clinic
Subcontractor 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.
October 1
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2016 -
September
30 29, 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 A02
Exhibit A
Scope of Work
Page 45 of 5765
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
September
30, 2016 -
September
30 29,
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
September
30, 2016 -
September
30 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 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
September
30, 2016 -
September
30 29, 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
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of promotional materials,
• materials distribution log, and
• meeting agendas/minutes.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 46 of 5765
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
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
September
30, 2016 -
September
30 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
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
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2016 -
September
30 29, 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 A02
Exhibit A
Scope of Work
Page 47 of 5765
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
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a summary of the evidence
gathered and
• a summary of gap(s) identified.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 48 of 5765
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
September
30, 2016 -
September
30 29, 2017
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 by Health Clinic System that include integrated HBP algorithms
and supports for provider prompts/feedback, patient communication,
and public data tracking, monitoring, and reporting and public
relations services.
October 1
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, HES3,
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2016 -
September
30 29, 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 A02
Exhibit A
Scope of Work
Page 49 of 5765
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 provide TA to 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
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2016 -
September
30 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, 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 and public
relations services. Contractor will work with CHWs for their input and
guidance on promotional strategies between health systems and
community resources and monitor change.
October 1
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, HES3,
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of the plan and
• a summary of changes made.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 50 of 5765
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
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
September
30, 2016 -
September
30 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 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
September
30, 2016 -
September
30 29, 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
September
30, 2016 -
September
30 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 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
September
30, 2016 -
September
30 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.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 51 of 5765
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 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). Provide TA to Ddetermine
what resources/systems are needed to ensure bi-directional referrals
are made.
October 1
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2016 -
September
30 29, 2017
HE, HES1,
HES2
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
September
30, 2016 -
September
30 29, 2017
PI, HE, HES1,
HES2, SA II,
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 A02
Exhibit A
Scope of Work
Page 52 of 5765
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
September
30, 2016 -
September
30 29, 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
September
30, 2016 -
September
30 29, 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, 20156 -
September
29, 2017
OA IIISAII
Submit to CDPH:
• timesheets, and
• documentation of logistical
processes.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 53 of 5765
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
September
30, 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
September
30, 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
September
30, 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
September
30, 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 A02
Exhibit A
Scope of Work
Page 54 of 5765
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
September
30, 2017 -
September
29, 2018
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
September
30, 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
September
30, 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
September
30, 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
September
30, 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 A02
Exhibit A
Scope of Work
Page 55 of 5765
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
September
30, 2017 -
September
29, 2018
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
September
30, 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
September
30, 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
September
30, 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 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
September
30, 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 A02
Exhibit A
Scope of Work
Page 56 of 5765
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
September
30, 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
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 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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of classes scheduled,
• referral and attendance logs
(summary numbers only).
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
September
30, 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 A02
Exhibit A
Scope of Work
Page 57 of 5765
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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, and
Health Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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 .
Review and update annually.
October 1
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of promotional materials
developed,
• distribution and reach log.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 58 of 5765
Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change
# Activity Timeline Responsible Deliverables
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
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, Contractor will develop and implement
an action plan to establish or increase insurance coverage of LCPs
within county.
October 1
September
30, 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
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
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
September
30, 2017 -
September
29, 2018
PI, HE,
Epidemiologist
Submit to CDPH:
• a copy of meeting
agendas/minutes.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 59 of 5765
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
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
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 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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 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 A02
Exhibit A
Scope of Work
Page 60 of 5765
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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a summary of the evidence
gathered and
• gap(s) identified.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 61 of 5765
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
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 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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 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 A02
Exhibit A
Scope of Work
Page 62 of 5765
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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
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, 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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
Submit to CDPH:
• a copy of the plan and
• a summary of changes made.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 63 of 5765
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
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
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.
October 1
September
30, 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
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 2.8: 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
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.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 64 of 5765
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 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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2, Health
Clinic
Subcontractor
(TBDUnited
Health
Centers of the
San Joaquin
Valley)
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
September
30, 2017 -
September
29, 2018
HE, HES1,
HES2
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
September
30, 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, 2017 -
September
3029,
20158
PI, HE, HES1,
HES2
Submit to CDPH:
• copies of confirmed travel
arrangements.
County of Fresno Department of Public Health
14-10712 A02
Exhibit A
Scope of Work
Page 65 of 5765
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
September
30, 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
September
30, 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, 20157 -
September
29, 2018
OA III Submit to CDPH:
• timesheets, and
• documentation of logistical
processes.
Exhibit B, Attachment I
Budget Year 1
(03/01/2015 through 09/29/2015)
County of Fresno Department of Public Health
14-10712 A01 A02
Page 1
Task 1a
Heart
3015%
Task 1b
Diabetes
7035%
Task 2a
Diabetes
3015%
Task 2b
Heart
7035%
A. PERSONNEL
Position Title Base Salary Months Benefit
%Cost Cost Cost Cost Total
% FTE Total Costs
Principle Investigator 77,792$ 7 64.74% $ 283 $ 660 $ 283 $ 660 $ 1,886
Health Educator 45,058$ 3 70.76% $ 1,183 $ 2,760 $ 1,183 $ 2,760 70% $ 7,886
Health Education Specialist 38,740$ 3 73.23% $ 1,307 $ 3,051 $ 1,307 $ 3,051 90% $ 8,716
Health Education Specialist 38,740$ 3 73.23% $ 872 $ 2,034 $ 872 $ 2,034 60% $ 5,812
Staff Analyst I 42,354$ 4 86.01% $ 198 $ 462 $ 198 $ 462 $ 1,320
Office Assistant III 32,812$ 7 90.02% $ 355 $ 828 $ 355 $ 828 $ 2,366
Epidemiologist 61,672$ 3 80.25% $ - $ - $ - $ - $ -
Total Salaries 337,169$ 76.89% $ 4,198 $ 9,795 $ 4,198 $ 9,795
B. FRINGE BENEFITS
$ 3,092 $ 7,216 $ 3,092 $ 7,216
$ 7,290 $ 17,011 $ 7,290 $ 17,011
C. OPERATING EXPENSES
$ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
$ - $ - $ - $ -
223$ 520$ 223$ 520$
$ 223 $ 520 $ 223 $ 520
D. TRAVEL
$ 49 $0 $0 $0
$ 405 $ 945 $ 405 $ 945
$ 454 $ 945 $ 405 $ 945
E. SUBCONTRACTS
$0 $0 $0 $0
$0 $0 $0 $0
Component 1 Component 2
Total
Average 76.89% of Personnel** $ 20,616
$ 27,986
**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 $ 48,602
General Office Supplies $ -
Printing ♦C1,all Strategies; ♦C2, all Strategies $ -
Meeting room rentals ♦C1,all Strategies; ♦C2, all Strategies $ -
Conferences/Trainings (hotel, per diem, parking, and
mileage) ♦C1,all Strategies; ♦C2, all Strategies $ 2,700
Communications $ -
Tech Support 1,486$
Total Operating $ 1,486
Local travel to complete SOW deliverables (1200 miles at
$.575/mile) ♦C1,all Strategies; ♦C2, all Strategies $ 49
Total Travel $ 2,749
Health Clinic Subcontractor (TBDUnited Health Centers of
the San Joaquin Valley) ♦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
Total Subcontracts $0
Exhibit B, Attachment I
Budget Year 1
(03/01/2015 through 09/29/2015)
County of Fresno Department of Public Health
14-10712 A01 A02
Page 2
F. OTHER COSTS
$0 $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
$ 7,967 $ 18,476 $ 7,918 $ 18,476
$ 1,170 $ 2,711 $ 1,162 $ 2,711
$ 9,497 $ 9,633 $ 4,183 $ 2,711.10
$ 9,137 $ 21,187 $ 9,080 $ 21,187
$21,187.10
Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)
Public Relations Services (Media, Press release, Campaign)
♦C1a,S1.2,A3,A5; S1.2,A1-A6; S1.3,A1-A6; S1.4,A1-A4 $0
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
Meeting supplies, interpretation, and child care for all
sessions and kick-off meetings. ♦C1,all Strategies; ♦C2, all
Strategies
$0
Education/Training Materials (including related translation
of materials) ♦C1a,S1.1,A1,A3-A4; S1.4,A3; ♦C1b,S1.5,A1-A2;
♦C2a,S2.3,A3; ♦C2b,S2.7,A2
$0
Total Other Costs $0
TOTAL DIRECT COSTS $ 52,837
G. INDIRECT COSTS
Total Allowable Direct Costs $ 52,837
Calculated at 14.68% of Total Allowable* Direct Costs $ 7,754
$ 7,754.10
*Only the first $25,000 of each subcontract may be used in the calculation
Total Expenses $ 60,591
$60,591.10
Exhibit B, Attachment II
Budget Year 2
(09/30/2015 through 09/29/2016)
County of Fresno Department of Public Health
14-10712 A01 A02
Page 1
Task 1a
Heart
3015%
Task 1b
Diabetes
7035%
Task 2a
Diabetes
3015%
Task 2b
Heart
7035%
A. PERSONNEL
Position Title Base Salary Months Benefit
%Cost Cost Cost Cost Total
% FTE Total Costs
Principle Investigator 79,021$ 12 64.74% $ 3,161 $ 1,976 $ 790 $ 1,976 10% $ 7,903
Health Educator 49,426$ 12 69.85% $ 13,839 $ 8,650 $ 3,460 $ 8,650 70% $ 34,599
$ 13,782 $ 8,614 $ 3,446 $ 8,614 $ 34,456
Health Education Specialist 42,510$ 12 72.18% $ 17,003 $ 10,628 $ 4,251 $ 10,628 100% $ 42,510
$ 16,726 $ 10,454 $ 4,182 $ 10,454 $ 41,816
Health Education Specialist 42,510$ 12 72.18% $ 10,202 $ 6,377 $ 2,551 $ 6,377 60% $ 25,507
$ 10,139 $ 6,337 $ 2,534 $ 6,337 $ 25,347
Staff Analyst I 45,032$ 12 82.20% $ 3,603 $ 2,252 $ 901 $ 2,252 20% $ 9,008
Office Assistant III 35,490$ 12 85.97% $ 3,549 $ 2,218 $ 887 $ 2,218 25% $ 8,872
$ 2,838 $ 1,774 $ 709 $ 1,774 $ 7,095
Epidemiologist 64,402$ 12 77.12% $ 2,576 $ 1,610 $ 644 $ 1,610 10% $ 6,440
$0 $0 $0 $0 $0
Total Salaries 358,392$ $ 53,933 $ 33,711 $ 13,484 $ 33,711
74.89% $ 50,249 $ 31,407 $ 12,562 $ 31,407
B. FRINGE BENEFITS
$ 14,785 $ 34,498 $ 14,785 $ 34,498
$ 12,950 $ 30,216 $ 12,950 $ 30,216
$ 68,718 $ 68,209 $ 28,269 $ 68,209
$ 63,199 $ 61,623 $ 25,512 $ 61,623
C. OPERATING EXPENSES
$ 152 $ 350 $ 151 $ 350
$0 $0 $0 $0
$ 750 $ 1,750 $ 750 $ 1,750
$0 $0 $0 $0
$ 150 $ 350 $ 150 $ 350
$0 $0 $0 $0
$ 563 $ 1,314 $ 563 $ 1,314
$ 465 $ 1,086 $ 465 $ 1,086
962$ 2,244$ 932$ 2,244$
56$ 129$ 55$ 130$
$ 2,577 $ 6,008 $ 2,546 $ 6,008
$521 $1,215 $520 $1,216
Component 1 Component 2
Total
**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 $ 233,405
$ 211,957
Average 73.10% 74.89% of Personnel** $ 98,566
$ 86,332
$ 125,625
$ 134,839
General Office Supplies $ 1,003
$0
Meeting room rentals ♦C1,all Strategies; ♦C2, all Strategies
$ 1,000
$0
Printing ♦C1,all Strategies; ♦C2, all Strategies $ 5,000
$0
Tech Support Communications 6,382$
370$
Security, and Utilities and Facilities $ 3,754
$ 3,102
Total Operating $ 17,139
$3,472
Exhibit B, Attachment II
Budget Year 2
(09/30/2015 through 09/29/2016)
County of Fresno Department of Public Health
14-10712 A01 A02
Page 2
D. TRAVEL
$ 75 $ 175 $ 75 $ 175
$ 600 $ 1,400 $ 600 $ 1,400
$ 517 $ 1,207 $ 518 $ 1,206
$ 675 $ 1,575 $ 675 $ 1,575
$ 592 $ 1,382 $ 593 $ 1,381
E. SUBCONTRACTS
$ 116,583 $ 55,485 $ 116,583
$0 $3,869 $1,681 $3,869
$ 116,583 $ 55,485 $ 116,583
$0 $3,869 $1,681 $3,869
F. OTHER COSTS
$ 10,853 $ 15,000 $ 2,000 $ 15,000
$0 $0 $0 $0
$ 150 $ 350 $ 150 $ 350
$0 $0 $0 $0
$ 150 $ 350 $ 150 $ 350
$0 $0 $0 $0
$ 150 $ 350 $ 150 $ 350
$0 $0 $0 $0
$ 11,303 $ 16,050 $ 2,450 $ 16,050
$0 $0 $0 $0
$ 83,273 $ 208,425 $ 89,425 $ 208,425
$ 64,312 $ 68,089 $ 28,306 $ 68,089
$ 83,273 $ 100,167 $ 42,265 $ 100,167
$ 64,312 $ 68,089 $ 28,306 $ 68,089
$ 12,491 $ 15,025 $ 6,340 $ 15,025
$ 9,497 $ 9,633 $ 4,183 $ 9,481
$ 95,764 $ 223,450 $ 95,764 $ 223,450
$73,809 $77,722 $32,489 $77,570
Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)
Local travel to complete SOW deliverables (926 miles at
$.54/mile) ♦C1,all Strategies; ♦C2, all Strategies $ 500
Total Travel $ 4,500
$ 3,948
Conferences/Trainings (hotel, per diem, parking, and
mileage) ♦C1,all Strategies; ♦C2, all Strategies
$ 4,000
$ 3,448
Total Subcontracts $ 288,651
$9,419
Health Clinic Subcontractor (TBDUnited Health Centers of
the San Joaquin Valley) ♦C1b,S1.5,A1-A5; S1.6,A1-A4;
♦C2a,S2.1,A1,A3; S2.2,A1-A4; S2.3,A1-A45; S2.4,A1-A3;
S2.5,A1-A3; ♦C2b,S2.6,A1-A3; S2.7,A2; S2.8,A3-A4
$ 288,651
$9,419
Technical Assistance (Provider Support - TBD. Based on
available funding) ♦C1a,S1.1,A3,A5; S1.2,A6;S1.3,A3-4
♦C1b, S1.5,A2; ♦C2a,S2.3,A3; ♦C2b,S2.6,A2; S2.8,A2 ♦Cross-
CutA4
$1,000
$0
Public Relations Services (Media, Press release, Campaign)
♦C1a,S1.1,A4; S1.2,A3,A7; S1.3,A4; S1.4,A2 ♦C1b,S1.5,A4;
S1.6,A2-A3 ♦C2aS2.4,A2; S2.5,A2, ♦C2b,S2.6,A2; S2.7,A2,
S2.8,A3
$42,853
$0
Education/Training Materials (including related translation
of materials) ♦C1a,S1.1,A1,A3-A5; S1.2,A3,A5; S1.3,A2,A4
♦C1b,S1.5,A1; S1.6,A2-A3; ♦C2a,S2.3,A3 ♦C2b,S2.8,A3
$1,000
$0
Meeting supplies, interpretation, and child care for all
sessions and kick-off meetings. ♦C1,all Strategies; ♦C2, all
Strategies
$1,000
$0
Total Other Costs $45,853
$0
TOTAL DIRECT COSTS $ 589,548
$228,796
*Only the first $25,000 of each subcontract may be used in the calculation
Total Expenses $ 638,429
$261,590
G. INDIRECT COSTS
Calculated at 15.0% of Total Allowable* Direct Costs
$ 325,872
$ 228,796 Total Allowable Direct Costs
$ 48,881
$ 32,794
Exhibit B, Attachment II-A
Budget, Year II2-A
(Unspent balance from Budget Year 1)
09/30/15 through 09/29/16
County of Fresno Department of Public Health
14-10712 A01 A02
Page 1
Task 1a
Heart 3015%
Task 1b
Diabetes
7035%
Task 2a
Diabetes
3015%
Task 2b
Heart
7035%
A. PERSONNEL
Position Title Base Salary Months Benefit
%Cost Cost Cost Cost Total
% FTE Total Costs
45,058.00$ 3 70.76% $ 1,428 $0.00 $0.00 $0.00 70% $ 1,428
$ 1,427.15 $ 1,427.15
Health Education
Specialist 38,740.00$ 3 73.23% $ 782.00 $0.00 $0.00 $0.00 90% $ 782.00
38,740.00$ 3 73.23% $ 1,026 $0.00 $0.00 $0.00 60% $ 1,026
$ 1,025.08 $ 1,025.08
Total Salaries 337,169$ $ 3,236 $0.00 $0.00 $0.00 $ 3,236
122,538$ 76.89% $ 3,234.23 $ 3,234.23
B. FRINGE BENEFITS
$ 2,488 $ - $ - $ -
$0.00
$ 5,724 $0.00 $0.00 $0.00
$ 3,234.23
C. OPERATING EXPENSES
$ 10,500 $0.00 $0.00 $0.00
$8,973.62
$ 15,000 $0.00 $0.00 $0.00
$6,471.82
$ 1,190 $0.00 $0.00 $0.00
$1,000.00
$ 3,000 $0.00 $0.00 $0.00
$ 2,490.86
$ 29,690 $0.00 $0.00 $0.00
$18,936.30
D. TRAVEL
$ 2,000 $0.00 $0.00 $0.00
$ 1,969.90
$ 2,000 $0.00 $0.00 $0.00
$ 1,969.90
E. SUBCONTRACTS
$15,693 $ 200,959 $ 86,126 $ 200,959
$15,693 $200,959 $86,126 $200,958.97
$15,693 $ 200,959 $ 86,126 $ 200,959
$15,693 $200,959 $86,126 $200,958.97 Total Subcontracts $ 503,737
$ 503,736.97
Total Travel $ 2,000
$ 1,969.90
Health Clinic Subcontractor (TBDUnited Health
Centers of the San Joaquin Valley) ♦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
$ 503,737
$ 503,736.97
Conferences/Trainings (hotel, per diem, parking, and
mileage) ♦C1a,all Strategies; ♦C2, all Strategies
$ 2,000
$ 1,969.90
Equipment (3 b&w printers to complete SOW
activities)
$ 3,000
$ 2,490.86
Total Operating $ 29,690
$18,936.30
Printing ♦C1,all Strategies; ♦C2, all Strategies $ 15,000
$ 6,471.82
Meeting room rentals ♦C1,all Strategies; ♦C2, all
Strategies
$ 1,190
$ 1,000.00
**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 $ 5,724
$ 3,234.23
General Office Supplies $ 10,500
$ 8,973.62
Component 1 Component 2
Total
Average 76.89% of Personnel** $ 2,488
$0.00
Health Education
Specialist
Health Educator
Exhibit B, Attachment II-A
Budget, Year II2-A
(Unspent balance from Budget Year 1)
09/30/15 through 09/29/16
County of Fresno Department of Public Health
14-10712 A01 A02
Page 2
F. OTHER COSTS
$ 8,500 $0.00 $0.00 $0.00
$6,088 $0 $0 $0
$ 7,500 $0.00 $0.00 $0.00
$0.00 $0 $0 $0
$ 3,500 $0.00 $0.00 $0.00
$0.00 $0 $0 $0
$ 4,500 $0.00 $0.00 $0.00
$2,500 $0 $0 $0
$ 24,000 $0.00 $0.00 $0.00
$8,588 $0 $0 $0
$ 77,107 $ 200,959 $ 86,126 $ 200,959
$ 48,421.43 $ 200,959.00 $ 86,126.00 $ 200,958.97
$ 65,164 $ 8,750 $ 3,750 $ 8,750
$ 36,478.43 $ 8,750.00 $ 3,750.00 $ 8,750.00
$ 9,566 $ 1,285 $ 551 $ 1,285
$ 5,903.93 $ 1,284.15 $ 550.35 $ 1,284.84
$ 86,673 $ 202,244 $ 86,676 $ 202,244
$54,325.36 $202,243.15 $86,676.35 $202,243.81
Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)
Total Expenses $ 577,837
$545,488.67
TOTAL DIRECT COSTS $ 565,151
$ 536,465.40
Total Allowable Direct Costs $ 86,414
$ 57,728.43
G. INDIRECT COSTS
Calculated at 14.68% of Total Allowable* Direct Costs $ 12,686
$ 9,023.27
*Only the first $25,000 of each subcontract may be used in the calculation
Education/Training Materials (including related
translation of materials)
♦C1a,S1.1,A2; S1.2,A3; S1.3,A3-A4
$4,500
$2,500
Total Other Costs $24,000
$8,588
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
Meeting supplies, interpretation, and child care for all
sessions and kick-off meetings. ♦ C1a, all Strategies
$3,500
$0.00
Public Relations Services (Media, Press release,
Campaign) ♦C1a,S1.2,A3; S1.3,A4; S1.4,A2
$8,500
$6,088
Exhibit B, Attachment III
Budget Year 3
(09/30/2016 through 09/29/2017)
County of Fresno Department of Public Health
14-10712 A01 A02
Page 1
Task 1a
Heart 3015%
Task 1b
Diabetes
7035%
Task 2a
Diabetes
3015%
Task 2b
Heart
7035%
A. PERSONNEL
Position Title Base Salary Months Benefit
%Cost Cost Cost Cost Total
% FTE Total Costs
77,792.00$ 12 64.74%$1,167 $2,723 $1,167 $2,723 10%$7,779
$79,021 $1,185 $2,766 $1,185 $2,766 $7,902
49,426.00$ 12 69.41%$5,190 $12,109 $5,190 $12,109 70%$34,598
$52,004 $7,801 $18,201 $7,801 $18,201 $52,004
42,510.00$ 12 71.67%$5,739 $13,391 $5,739 $13,391 90%$38,259
$44,187 $6,629 $15,465 $6,628 $15,465 $44,187
42,510.00$ 12 71.67%$3,826 $8,927 $3,826 $8,927 60%$25,506
$44,187 $6,628 $15,465 $6,629 $15,465 $44,187
46,436.00$ 12 80.79%$1,393 $3,251 $1,393 $3,251 20%$9,287
$48,211 $1,446 $3,375 $1,446 $3,375 $9,642
35,984.00$ 12 84.44%$1,349 $3,149 $1,349 $3,149 25%$8,996
$0 $0 $0 $0 $0 $0
65,572.00$ 12 75.85%$984 $2,295 $984 $2,295 10%$6,557
$44,187 $662 $1,547 $663 $1,547 $4,419
360,231$ 74.08%$19,647 $45,844 $19,647 $45,844
$311,797 70.29%$24,351 $56,819 $24,352 $56,819
B. FRINGE BENEFITS
$ 14,555 $ 33,962 $ 14,555 $ 33,962
$16,802 $ 39,205 $ 16,802 $ 39,205
$ 34,202 $79,806 $34,202 $79,806
$ 41,153 $ 96,024 $ 41,154 $ 96,024
B. C. OPERATING EXPENSES
$ 450 $1,050 $450 $1,050
$0.00 $0.00 $0.00 $0.00
$ 1,500 $3,500 $1,500 $3,500
$0.00 $0.00 $0.00 $0.00
$ 150 $350 $150 $350
$0.00 $0.00 $0.00 $0.00
$ 150 $350 $150 $350
$0.00 $0.00 $0.00 $0.00
143$ $333 $143 $333
$0.00 $0.00 $0.00 $0.00
$ 2,393 $5,583 $2,393 $5,583
$0.00 $0.00 $0.00 $0.00Total Operating $ 15,950
$0.00
Communications $ 1,000
$0.00
Tech Support Security, Utilities and Facilities 950$
$0.00
Printing ♦C1,all Strategies; ♦C2, all Strategies $ 10,000
$0.00
Meeting room rentals ♦C1,all Strategies; ♦C2, all
Strategies
$ 1,000
$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 $ 228,016
$ 274,355
General Office Supplies $ 3,000
$0.00
Average 74.08% 70.29% of Personnel** $ 97,034
$112,014
Component 1 Component 2
Total
Health Educator
Health Education
Specialist
Total Salaries
Principal Investigator
Epidemiologist Health
Education Specialist
Office Assistant III
Staff Analyst II
Health Education
Specialist
$162,341
$130,983
Exhibit B, Attachment III
Budget Year 3
(09/30/2016 through 09/29/2017)
County of Fresno Department of Public Health
14-10712 A01 A02
Page 2
C. D. TRAVEL
$104 $242 $104 $242
$0.00 $0.00 $0.00 $0.00
$405 $945 $405 $945
$53 $123 $52 $123
$509 $1,187 $509 $1,187
$53 $123 $52 $123
D. E. SUBCONTRACTS
$ - $ 79,368 $ 158,736 $ 79,368
$47,621 $111,115 $47,621 $111,115
$0 $ 79,368 $ 158,736 $ 79,368
$47,621 $111,115 $47,621 $111,115
E. F. OTHER COSTS
$ 7,500 $ 17,500 $ - $ -
$79 $184 $79 $184
$ 225 $ 525 $ 225 $ 525
$45 $105 $45 $105
$ 197 $ 460 $ 197 $ 460
$0.00 $0.00 $0.00 $0.00
$ 225 $ 525 $ 225 $ 525
$45 $105 $45 $105
$ 8,147 $ 19,010 $ 647 $ 1,510
$169 $394 $169 $394
$ 45,251 $ 184,953 $ 196,487 $ 167,453
$ 88,996 $ 207,656 $ 88,996 $ 207,656
$ 45,251 $ 113,918 $ 46,084 $ 96,418
$ 45,125 $ 105,291 $ 45,125 $ 105,291
$ 6,643 $ 16,723 $ 6,765 $ 14,154
$ 6,769 $ 15,794 $ 6,769 $ 15,794
$ 51,894 $ 201,676 $ 203,252 $ 181,607
$95,764 $223,450 $95,765 $223,450
Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)
Education/Training Materials (including related
translation of materials) ♦C1a,S1.1,A3; S1.2,A4-A6;
S1.3A2; ♦C1b,S1.5A1-A2; ♦C2a,S2.3,A2; ♦C2b,S2.6A2;
S2.7,A1; S2.8,A2
$1,500
$300
Total Other Costs $29,315
$1,126
*Only the first $25,000 of each subcontract may be used in the calculation
Total Expenses $638,429
TOTAL DIRECT COSTS $ 594,143
$ 593,304
Total Allowable Direct Costs $ 301,671
$ 300,832
F. G. INDIRECT COSTS
Calculated at 14.68 15.0% of Total Allowable* Direct
Costs
$ 44,285
$ 45,125
Meeting supplies, interpretation, and child care for all
sessions and kick-off meetings. ♦C1,all Strategies;
♦C2, all Strategies
$1,314
$0.00
Total Subcontracts $ 317,472
$ 317,472.00
Public Relations Services (Media, Press release,
Campaign) ♦C1a,1.3,A3 ♦C1b,S1.5,A1; S1.6,A1,A2
♦C2a,S2.4,A1-2 ♦C2b,S2.6,A1
$25,000
$526
Technical Assistance (Provider Support - TBD. Based on
available funding) ♦C1a,S1.2,A4; ♦C1b,S1.3,A2;
♦C1b,S1.6,A1 ♦C2a,S2.3,A2;S2.5,A1;♦C2b,S2.8,A2
♦Cross-CutA4
$1,500
$300
Total Travel $ 3,392
$351
Health Clinic Subcontractor (TBDUnited Health
Centers of the San Joaquin Valley) ♦C1a,S1.1,A4
♦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
$ 317,472
$ 317,472.00
$ 692
Conferences/Trainings (hotel, per diem, parking, and
mileage) ♦C1,all Strategies; ♦C2, all Strategies
$ 2,700
$351
Local travel to complete SOW deliverables (1200 miles
at $.575 .535/mile) ♦C1,all Strategies; ♦C2, all
Strategies $0.00
Exhibit B, Attachment III-A
Budget Year 3-A
(Unspent balance from Budget Year 2)
09/30/16 through 09/29/17
County of Fresno Department of Public Health
14-10712 A01 A02
Page 1
Task 1a
Heart 15%
Task 1b
Diabetes 35%
Task 2a
Diabetes
15%
Task 2b
Heart
35%
A. OPERATING EXPENSES
$150 $350 $150 $350
$450 $1,050 $450 $1,050
$337 $787 $337 $787
$1,238 $2,888 $1,238 $2,888
$201 $469 $201 $469
$300 $700 $300 $700
$2,676 $6,244 $2,676 $6,244
D. TRAVEL
$75 $175 $75 $175
$750 $1,750 $750 $1,750
$825 $1,925 $825 $1,925
E. SUBCONTRACTS
$7,318 $ 111,576 $ 48,639 $ 111,727
$7,318 $ 111,576 $ 48,639 $ 111,727
$0 $0 $0 $0.00
F. OTHER COSTS
$7,283 $16,992 $7,283 $16,992
$0 $0 $0
$900 $2,100 $900 $2,100
$0 $0 $0
$270 $630 $270 $630
$0 $0 $0
$285 $665 $285 $665
$0 $0 $0
$8,738 $20,387 $8,738 $20,387
$0 $0 $0 $0
$19,557 $140,132 $60,878 $140,283
$0 $0 $0 $0
$15,989 $37,306 $15,989 $37,306
$2,398 $5,596 $2,398 $5,596
$21,955 $145,728 $63,276 $145,879
Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A)
Calculated at 15.0% of Total Allowable* Direct Costs $15,989
*Only the first $25,000 of each subcontract may be used in the calculation
Total Expenses $376,839
TOTAL DIRECT COSTS $360,850
$0
G. INDIRECT COSTS
Total Allowable Direct Costs $106,590
Education/Training Materials (including related
translation of materials)
♦C1a,S1.1,A2; S1.2,A3; S1.3,A3-A4
$1,900
$0
Total Other Costs $58,250
$0
Technical Assistance (Provider Support - TBD. Based
on available funding) ♦C1a,S1.1,A3,A5;
S1.2,A6;S1.3,A3 ♦C1b, S1.5,A2; ♦C2a,S2.3,A3;
♦C2b,S2.6,A2; S2.8,A2 ♦Cross-CutA4
$6,000
$0
Meeting supplies, interpretation, and child care for all
sessions and kick-off meetings. ♦ C1a, all Strategies
$1,800
$0
Total Subcontracts $ 279,260
$ -
Public Relations Services (Media, Press release,
Campaign) ♦C1a,S1.1,A4; S1.2,A3,A6; S1.3,A4;
S1.4,A2 ♦C1b,S1.5,A4; S1.6,A2-A3 ♦C2aS2.4,A2;
S2.5,A2, ♦C2b,S2.6,A2; S2.7,A2, S2.8,A3
$48,550
$0
Health Clinic Subcontractor (United Health Centers of
San Joaquin Valley) ♦C1a,S1.1,A4 ♦C1b,S1.5,A1-A5;
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; S2.7,A2;
S2.8,A3-A4
$ 279,260
$ -
Conferences/Trainings (hotel, per diem, parking, and
mileage) ♦C1,all Strategies; ♦C2, all Strategies
$5,000
$0
$500
Total Travel $5,500$500
Total Operating $17,840
Local travel to complete SOW deliverables (926 miles
at $.535/mile) ♦C1,all Strategies; ♦C2, all Strategies
Printing ♦C1,all Strategies; ♦C2, all Strategies $3,000
Meeting room rentals ♦C1,all Strategies; ♦C2, all
Strategies $2,248
Security, Utilities and Facilities $8,252
Minor Equipment $2,000
Communications $1,340
General Office Supplies $1,000
Component 1 Component 2
Total