ADHS IGA PUB HEALTH IN ACTION AMD 2 (02).PDF

Maricopa County — Formal (2017-09-06)

Extracted text (via pymupdf_layout) 16170 characters

C-86-16-066-3-02
ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT(IGA) 150 N. 18th Avenue Suite 260
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Agreement No: ADHS16-114422 Amendment No. 2 Procurement Officer:
Russell Coplen
Public Health in Action: Advancing Strategies to Sustain Healthy Communities
Effective upon signature, it is mutually agreed that the Agreement referenced above is amended as follows:
1. Pursuant to Terms and Conditions, Provision 6. Contract Changes, Section 6.1 Amendments, Purchase Orders and
Change Orders, the Scope of Services is revised and replaced with the Scope of Services of this Amendment Two
(2).
2. Pursuant to Terms and Conditions, Provision 6. Contract Changes, Section 6.1 Amendments, Purchase Orders and
Change Orders, the Price Sheet is revised and replaced with the Price Sheet of this Amendment Two (2).
All other provisions shall remain in their entirety.
CONTRACTOR SIGNATURE
Maricopa County by and through its
Maricopa County Department of Public Health
Contractor Name Contractor Authorized Signature
4041 N. Central Ave. Denny Barney
Address Printed Name
Phoenix AZ 85012 Chairman, Board of Supervisors
City State Title
Zip
CONTRACTOR ATTORNEY SIGNATURE This Intergovernmental Agreement Amendment shall be
Pursuant to A.R.S. § 11-952, the undersigned public agency effective the date indicated. The Public Agency is hereby
attorney has determined that this Intergovernmental Agreement cautioned not to commence any billable work or provide
is in proper form and is within the powers and authority granted any material, service or construction under this IGA until
under the laws of the State of Arizona.
the IGA has been executed by an authorized ADHS
Maricopa County Attorney's Office signatory.
State of Arizona
Signed this _________ day of ________________ 2017
Signature Date
Printed Name Procurement Officer
Attorney General Contract No. P0012014000078, which is an
Agreement between public agencies, has been reviewed
pursuant to A.R.S. § 11-952 by the undersigned Assistant
Attorney General, who has determined that it is in proper form
and is within the powers and authority granted under the laws of
the State of Arizona.
Signature Date
Assistant Attorney General
Printed Name:
ATTEST:__________________________________
Clerk of the Board
Page 1 of 7

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT(IGA) 150 N. 18th Avenue Suite 260
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Agreement No: ADHS16-114422 Amendment No. 2 Procurement Officer:
Russell Coplen
1. BACKGROUND
1.1. The Arizona Department of Health Services (ADHS) Division of Prevention Services (DPS) received
the CDC-RFA-DP13-1305 State Public Health Actions to Prevent and Control Diabetes, Heart Disease,
Obesity and Associated Risk Factors and Promote School Health Cooperative Agreement (Grant
Number: 1 U58 DP004793.01), a 5 year project that is contingent upon federal appropriations. The
overall purpose of the Centers for Disease Control and Prevention (CDC) Cooperative Agreement is to
support State Health Departments which implement targeted strategies resulting in measureable
impacts addressing school health, nutrition and physical activity, obesity, diabetes and heart disease
and stroke prevention. The long term outcome of the program is to “improve prevention and control of
hypertension, diabetes, and overweight and obesity.” The enhanced component of the CDC
Cooperative Agreement addresses the following three (3) areas of CDC’s Four (4) Chronic Disease
Prevention and Health Promotion Domains:
1.1.1. Domain 2 (Environmental Approaches that Promote Health): Environmental approaches that
promote health and support and reinforce healthful behaviors (statewide in schools, worksites,
and communities):
1.1.2. Domain 3 (Health Systems Interventions): Health Systems interventions to improve the
effective delivery and use of clinical and other preventive services in order to prevent disease,
detect diseases early, and reduce or eliminate risk factors and mitigate or manage
complications; and
1.1.3. Domain 4 (Community Clinical Linkages): Strategies to improve community-clinical linkages
ensuring that communities support and clinics refer patients to programs that improve the
management of chronic conditions and meeting the management and emergency care needs
of students with chronic conditions.
1.2. The Public Health in Action Inter-Governmental Agreement (IGA) will fund a one-year collaborative
effort at the Local Health Department level that will result in “improved prevention and control of
hypertension, diabetes, and overweight and obesity.” Renewal for Years 4 through 5 of the IGA is
contingent upon federal appropriations.
2. SCOPE OF WORK
2.1. The IGA will address a variety of school health, nutrition and physical activity, obesity, diabetes and
heart disease and stroke prevention evidence-based strategies designed to impact performance
measures, and to promote county-wide health changes so that public health impact will be maximized.
Local Health Departments are expected to develop and implement a scope of work with strategies that
are in accordance with local community needs, and should emphasize complementary policy,
environmental, programmatic, and infrastructure activities that integrate and build on each other to
optimize health improvements. Strategies that influence policy, systems, or environmental change
practices (aka Public Health Approaches) are highly recommended. The Local Health Department will
select at a minimum one (1) of the strategies to be addressed (based on the strategies within the
enhanced component of Public Health in Action-1305 Work Plan):
2.1.1. Domain 2 (Environmental Approaches that Promote Health):
2.1.1.1. Strategy: Increase access to healthy food and beverages.
2.1.1.1.1. Intervention: Provide access to Farmers Markets.
2.1.1.2. Strategy: Increase access to breastfeeding friendly environments.
Page 2 of 7

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT(IGA) 150 N. 18th Avenue Suite 260
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Agreement No: ADHS16-114422 Amendment No. 2 Procurement Officer:
Russell Coplen
2.1.1.2.1. Intervention: Ensure workplace compliance with federal lactation
accommodation law.
2.1.2. Domain 3 (Health Systems Interventions):
2.1.2.1. Strategy: Increase implementation of quality improvement processes in health systems
2.1.2.1.1. Intervention: Increase Electronic Health Record (EHR) adoption and the use
of health Information Technology (IT) to improve performance
2.1.2.1.2. Intervention: Increase the institutionalization and monitoring of
aggregated/standardized quality measures at the provider and systems level
2.1.3. Domain 4 (Community Clinical Linkages):
2.1.3.1. Strategy: Implement policies, processes, and protocols in schools to meet the
management and care needs of students with chronic conditions
2.1.3.1.1. Intervention: Identify and track students with chronic conditions that may
require daily or emergency management, e.g. asthma and food allergies
2.1.3.1.2. Intervention: Develop protocols that ensure students identified with a chronic
condition that may require daily or emergency management are enrolled into
private, state, or federally funded insurance programs, if eligible
2.1.3.1.3. Intervention: Provide assessment, counseling, and referrals to community
based medical care providers for students on activity, diet, and weight-
related chronic conditions
2.2. Maricopa County has selected the following target strategy(ies) for completion under this Agreement:
2.2.1. Domain 2 (Environmental Approaches that Promote Health):
2.2.1.1. Strategy: Increase access to healthy food and beverages
2.2.1.1.1. Intervention: Provide access to farmers Markets
2.2.1.2. Strategy: Increase access to breastfeeding friendly environments
2.2.1.2.1. Intervention: Ensure workplace compliance with federal lactation
accommodation law
3. TASK AND REQUIREMENTS
3.1. Minimum Staffing Competency. The Contractor shall:
3.1.1. Designate or dedicate staff with previous policy and/or public health experience to manage
and/or administer the program, and food policy and/or food access experience specific to an
understanding of Arizona farmers markets; worksite wellness experience through the Healthy
Arizona Worksite Program (HAWP); and school health index training. It is recommended that
the staff have an undergraduate degree from an accredited institution in related areas,
including, but not limited to nutrition, public health or a related field such as public policy or
public health administration.
Page 3 of 7

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT(IGA) 150 N. 18th Avenue Suite 260
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Agreement No: ADHS16-114422 Amendment No. 2 Procurement Officer:
Russell Coplen
3.2. Administrative Services. The Contractor shall:
3.2.1. Work with ADHS on work plan updates and report any barriers or challenges to accomplishing
work plan activities.
3.2.2. Collaborate with the ADHS Epidemiology Program Manager on quarterly reports and document
requests including the CDC annual progress report and generation of success stories.
3.2.3. Develop and submit a proposed budget for the funding cycle to the ADHS Domain 2 Obesity
Lead.
3.2.4. Submit biannual Contractor’s Expenditure Reports (CER).
3.2.5. Workplace Physical Activity: Conduct a retrospective review of completed CDC Worksite
Health Scorecards from Year 4 to identify average Physical Activity section score and identify
the lowest three items of that section.
3.2.6. The Contractor may:
3.2.6.1. Leverage program or policy activities with other currently funded initiatives and
3.2.6.2. Partner with other Local Health University(ies) on program or policy activities.
3.3. Breastfeeding Friendly Environments: Workplace Lactation Accommodation: The Contractor shall:
3.3.1. Promote the ADHS Making it Work breastfeeding toolkit at statewide Healthy Arizona Worksite
Program (HAWP) trainings. ADHS will provide marketing materials to contractor.
3.3.2. Review toolkit requests from on-line survey and fill within two (2) weeks of order date. ADHS
will supply the toolkits to contractor.
3.3.3. Make regular contact with businesses receiving the toolkit to answer questions and offer
technical assistance provided by the ADHS Breastfeeding Consultant.
3.3.4. Document trainings and toolkits distributed in quarterly updates to ADHS.
3.3.5. Collaborate with ADHS Breastfeeding Consultant and ADHS to assess need, market, deliver,
and evaluate two (2) webinars targeting workplace breastfeeding accommodation.
3.3.6. Work and develop partnerships with State and community partners, such as: Arizona
Department of Economic Security, Arizona Department of Agriculture, ADHS tobacco/chronic
disease contractors, Women, Infant and Children (WIC) Local Agencies, tribal communities,
ADE’s Health & Nutrition team, local educational agencies, community health centers and
community based organizations, including those supporting students with chronic conditions,
present in the Local Health Departments, in order to fulfill developed action plan.
3.3.7. Implement strategy(ies) and associated work plan activities approved by ADHS.
3.3.8. Participate in conference calls and in–person meetings with ADHS, or ADHS Consultants when
scheduled such as CDC Project Officer calls to provide work plan updates.
3.3.9. Work in collaboration with the Arizona State University (ASU) School of Nutrition and Health
Promotion to leverage current research activities around the expansion of access to farmers
markets in Arizona.
Page 4 of 7

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT(IGA) 150 N. 18th Avenue Suite 260
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Agreement No: ADHS16-114422 Amendment No. 2 Procurement Officer:
Russell Coplen
3.3.10. Disseminate pilot study findings statewide for replication of services and approach throughout
Arizona.
4. DELIVERABLES
4.1. The Contractor shall:
4.1.1. Prepare and submit an annual action plan, no later than thirty (30) days following the contract
award.
4.1.2. Prepare and submit a proposed budget for the funding year and/or subsequent funding years
thirty (30) days following the contract award to the ADHS Domain 2 Obesity Lead.
4.1.3. Submit quarterly progress reports using templates provided: October 10, 2017; January 10,
2018; April 10, 2018; June 10, 2018.
4.1.4. Prepare and submit a monthly report on the status of businesses that have requested and
received a Breastfeeding Accommodation Toolkit and update on Farmers’ Markets
implementation status
4.1.5. Prepare and submit an individually signed electronic CER invoice, no later than thirty (30) days
following the contract mid-year;
4.1.6. Submit a final CER invoice for the program, no later than forty-five (45) days following the end
of each contract year.
4.1.7. Submit copies of all printed or broadcast media or any other educational and/or marketing
materials developed using funds awarded under this Intergovernmental Agreement (IGA) to the
ADHS Program Manager for review and approval. In addition, use the applicable CDC
disclaimers for publications, conferences, meetings, etc.
4.1.7.1. Publications: This publication (journal article, etc.) was supported by Cooperative
Agreement DP004793-05, funded by the Centers for Disease Control and
Prevention. Its contents are solely the responsibility of the authors and do not
necessarily represent the official views of the Centers for Disease Control and
Prevention or the Department of Health and Human Services.
4.1.7.2. Conferences, Meetings, Publications: Funding for this (conference, meeting,
publication, etc.) was made possible by the Centers for Disease and Control and
Prevention. The views expressed in written materials or publications and by
speakers and moderators do not necessarily reflect the official policies of the
Department of Health and Human Services, nor does the mention of trade names,
commercial practices, or organizations imply endorsement by the U.S. Government.
4.1.8. Submit the name, phone numbers, and resume of all program staff funded under this IGA are
due within thirty (30) days of hire, and should be sent to the ADHS Program Manager.
5. NOTICES, CORRESPONDENCE, AND REPORTS
5.1. Notices, Correspondence and Program Reports from the Contractor to ADHS shall be sent to:
Arizona Department of Health Services
Bureau of Tobacco and Chronic Disease
Page 5 of 7

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT(IGA) 150 N. 18th Avenue Suite 260
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Agreement No: ADHS16-114422 Amendment No. 2 Procurement Officer:
Russell Coplen
PRICE SHEET
Fixed Price beginning June 30, 2017 through June 29, 2018
Account Classification Number per Budget Unit Rate Total Cost
Period
Domain 2; Strategy 1.1; 2 $25,000.00 $50,000.00
Intervention 1.1.1
Domain 2; Strategy 1.2; 2 $2,500.00 $5,000.00
Intervention 1.2.1
TOTAL $55,000.00
Page 7 of 7