AMD RE HEALTHY PEOPLE HEALTHY COMM WITH ADHS.PDF

Maricopa County — Formal (2017-05-24)

Extracted text (via pymupdf_layout) 13273 characters

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT(IGA) 150 N. 18th Ave. Suite 280
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Agreement No: ADHS16-102232 Amendment No. 5 Procurement Officer:
Russell Coplen
Healthy People 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 Six (6). Contract Changes, Section 6.1 Amendments, Purchase Orders
and Change Orders, Exhibit I will be added to the Contract under this Amendment Five (5).
2. Pursuant to Terms and Conditions, Provision Six (6). Contract Changes, Section 6.1 Amendments, Purchase Orders
and Change Orders, the Price Sheet is revised and replaced by the Price Sheet of this Amendment Five (5).
3. Pursuant to Terms and Conditions, Provision Six (6). Contract Changes, Section 6.1 Amendments, Purchase Orders
and Change Orders, Provision 10.7 in the Scope of Work will be revised and replaced with the following under this
Amendment Five (5).
10.7 Exhibit A - I –Strategies for each Program and Program Specific Tasks/Requirements and Deliverables (if any).
10.7.1 Exhibit A– Tobacco
10.7.2 Exhibit B – Chronic Disease
10.7.3 Exhibit C - Health in Arizona Policy Initiative (HAPI)
10.7.4 Exhibit D – Public Health and Health Services Block Grant
10.7.5 Exhibit E – Teen Pregnancy Prevention
10.7.6 Exhibit F – Family Planning
10.7.7 Exhibit G– Maternal and Child Health
10.7.8 Exhibit H – Healthy Arizona Worksite Program (HAWP)
10.7.9 Exhibit I – Healthy Arizona Worksite Program (HAWP) Pilot
All other provisions shall remain in its entirety.
CONTRACTOR SIGNATURE
Maricopa County
Contractor Name Contractor Authorized Signature
4041 N. Central Ave. Denny Barney
Address Printed Name
Phoenix AZ 85012 Chairman, Maricopa County Board of Supervisors
City State Zip Title
CONTRACTOR ATTORNEY SIGNATURE This Intergovernmental Agreement Amendment shall be effective the
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney date indicated. The Public Agency is hereby cautioned not to
has determined that this Intergovernmental Agreement is in proper form commence any billable work or provide any material, service or
and is within the powers and authority granted under the laws of the construction under this IGA until the IGA has been executed by an
State of Arizona. authorized ADHS signatory.
State of Arizona
Signed this _________ day of _________________________ 2016
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: Page 1 of 6
______________________________________________
Clerk of the Board Date

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT(IGA) 150 N. 18th Ave. Suite 280
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Agreement No: ADHS16-102232 Amendment No. 5 Procurement Officer:
Russell Coplen
EXHIBIT I
Healthy Arizona Worksite Program (HAWP)
1. Background
The health of the modern workforce is changing. The American workforce is diverse and has complex health needs
such as chronic diseases that may include depression, diabetes and hypertension have led to increase associated
health care cost for both the employer and the employee. Worksite wellness programs can improve the health of
employees while reducing health care costs for employers and improving worker productivity. In an effort to engage
the workforce and improve the climate for complex health needs for which the Healthy Arizona Worksite Program
(HAWP) was founded.
Contractors are encouraged to participate in HAWP 101 training that supports the development and implementation of
policies that promote worksite wellness. HAWP is an evidence based program developed in partnership between the
Arizona Department of Health Services and Maricopa County Department of Public Health. HAWP is a healthy
nutrition, physical activity, and tobacco control program funded by tobacco tax revenue that is designed to help
Arizona employers establish worksite wellness programs
2. Tasks
Contractors shall select at least one area of worksite wellness from the list of tasks below which is not currently in
process at their worksite for the duration of this contract.
2.1. Worksite Wellness Focus Options:
2.1.1. Healthy Arizona Worksite Program Training 101
The purpose of the Healthy Arizona Worksites Program (HAWP) is to help Arizona employers
successfully implement evidence-based worksite wellness initiatives. Visit
http://healthyazworksites.org/ to learn more about the training and begin the enrollment process.
2.1.2. Influenza Vaccinations at the Worksites
Work places are subject to risk for some of the highest costs when influenza outbreaks occur.
Workplaces play a key role in flu prevention through the organization and implementation of a
vaccination program. http://azdhs.gov/preparedness/epidemiology-disease-control/flu/index.php
2.1.3. Infant at Work Policy Development/Implementation
There are many benefits to new parents being afforded the opportunity to bring their infant to work
during their first six months of early development, including productivity, reduced attrition rates and
employee satisfaction. The benefit to the infant is even greater. Visit the following link to learn how
to get started. http://azdhs.gov/prevention/nutrition-physical-activity/breastfeeding/infant-at-
work/index.php
2.1.4. Breastfeeding Friendly Worksite
Employers can have a significant impact on their employees' duration of breastfeeding. Order a free
Breastfeeding Accommodation Toolkit for your workplace to learn what you need to start your
lactation program. For more information and a free toolkit visit azdhs.gov/prevention/nutrition-
physical-activity/breastfeeding today.
2.1.5. Smoke-Free Worksites and Worksite Tobacco Cessation (ASHLine)
Page 2 of 6

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT(IGA) 150 N. 18th Ave. Suite 280
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Agreement No: ADHS16-102232 Amendment No. 5 Procurement Officer:
Russell Coplen
The benefits to tobacco cessation at the workplace are not only healthful, but monetary. Businesses
can save $6000 per year per smoker. Visit http://healthyazworksites.org/webinars/tobacco-
cessation-ashline-employee-health-roi/
2.1.6. Safety Belt Use/Distracted Driving Policy
The workplace is the ideal place to implement a safe driving policy. Many companies have done
this out of caring for their employees and to minimize risk and liability. Beginning a Safe Driver
campaign at your workplace? Visit for statistical seat belt information http://pub.azdhs.gov/e-
books/brfss/brfss-annual-report-2012/files/assets/basic-html/page81.html.
2.1.7. Healthy Meeting Policy
Nearly half of our waking hours are spent at work, and many of those hours are spent in meetings
and conferences. By adopting healthy meeting guidelines, your organization can help to create an
environment that supports employee’s efforts to eat well and be physically active. The ADHS
Healthy Meeting Policy and Toolkit will be provided as separate stand-alone documents for
reference.
2.1.8. Sun Safety
Begin a Sun Safety program at the workplace. Offer sunscreen, umbrella loaner programs, sun
shade structures, skin exams by a qualified healthcare professional and/or literature on the dangers
of too much sun exposure. Visit the following link for more information.
http://www.azdhs.gov/documents/licensing/childcare-facilities/providers/sun/sun-safety-disaster-
emergency-mgt.pdf
2.1.9. Promotion of Physical Activity at the Worksite (walking trail maps, point of decision prompts,
stair/step challenges)
Your company can set up walking routes around the office and celebrate and reward employees
who use them to make their sedentary lifestyle more active. It's a great way to fit in some fitness,
take a break and become more productive all at once. Visit
https://www.cdc.gov/physicalactivity/worksite-pa/ for ideas.
2.1.10. Chronic Disease Self-Management
Reducing risk factors for chronic conditions and diseases such as physical inactivity, smoking and
poor nutrition are also important. If a chronic disease has already been diagnosed it is important
adults to understand and take an active role in the management of the chronic condition.
Resources such as the Stanford Chronic Disease Self-Management Program (CDSMP), resources
and connections to partners addressing chronic diseases such as diabetes, cardiovascular disease,
arthritis, osteoporosis and cancer. Please visit azdhs.gov/prevention/tobacco-chronic-
disease/healthy-aging/index/.php#hacn-home or http://azlwi.org/ to learn more about CDSMP.
3. Tasks
The Contractor shall:
3.1. Choose one of the programs listed below that will assist with the organization’s overall employee health on an
annual basis over the course of this agreement;
3.2. Inform the ADHS Project Manager of the selection in writing by choosing the check list below; and
3.3. Report to the Project Manager on an annual basis of progress, employee successes and program
achievements.
Page 3 of 6

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT(IGA) 150 N. 18th Ave. Suite 280
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Agreement No: ADHS16-102232 Amendment No. 5 Procurement Officer:
Russell Coplen
PRICE SHEET
HEALTHY PEOPLE HEALTHY COMMUNITIES
MARICOPA - ADHS16-102232
JULY 1, 2017 - JUNE 30, 2018
ACTION PLAN
UNIT OF NUMBER
ITEM/SERVICE DESCRIPTION UNIT RATE TOTAL
MEASURE OF UNITS
Action Plan – All Programs EA 1 $250,366.00 $250,366.00
TOTAL 1 $250,366.00 $250,366.00
TOBACCO
UNIT OF NUMBER
ITEM/SERVICE DESCRIPTION UNIT RATE TOTAL
MEASURE OF UNITS
See SOW for Specific Service
Strategies (i.e. Prevention,
QTR 4 $488,404.38 $1,953,617.52
Cessation, Secondhand Smoke,
Enforcement)
TOTAL 4 $488,404.38 $1,953,617.52
HEALTH IN ARIZONA POLICY INITIATIVE
UNIT OF NUMBER
ITEM/SERVICE DESCRIPTION UNIT RATE TOTAL
MEASURE OF UNITS
See SOW for Specific Service
Strategies (i.e. Alzheimer’s, Chronic
Pulmonary Disease, Hypertension,
Self-Management, Procurement,
QTR 4 $134,183.62 $536,746.48
Healthy Community Design, School
Health, Worksite Wellness, Clinical
Care, and Special Health Care
Needs)
TOTAL 4 $134,183.62 $536,746.48
Page 5 of 6

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT(IGA) 150 N. 18th Ave. Suite 280
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Agreement No: ADHS16-102232 Amendment No. 5 Procurement Officer:
Russell Coplen
HEALTHY ARIZONA WORKSITE PROGRAM
UNIT OF NUMBER
ITEM/SERVICE DESCRIPTION UNIT RATE TOTAL
MEASURE OF UNITS
See SOW for Specific Service Strategies QTR 4 $70,509.50 $282,038.00
TOTAL 4 $70,509.50 $282,038.00
PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT
UNIT OF NUMBER
ITEM/SERVICE DESCRIPTION UNIT RATE TOTAL
MEASURE OF UNITS
See SOW for Specific Service Strategies
(i.e. Fees for Accreditation, Quality
Improvement Projects, Workforce
Development Implementation, QTR 1 $81,750.00 $81,750.00
Performance Management
Documentation, Progress Toward
County Health Improvement Plan)
TOTAL 1 $81,750.00 $81,750.00
FAMILY PLANNING / MATERNAL and CHILD HEALTH (Title V Block Grant)
UNIT OF NUMBER
ITEM/SERVICE DESCRIPTION UNIT RATE TOTAL
MEASURE OF UNITS
See SOW for Specific Service Strategies QTR 4 $67,676.00 $270,704.00
TOTAL 4 $67,676.00 $270,704.00
TEEN PREGNANCY PREVENTION
UNIT OF NUMBER
ITEM/SERVICE DESCRIPTION UNIT RATE TOTAL
MEASURE OF UNITS
See SOW for Specific Service Strategies QTR 4 $45,967.00 $183,868.00
TOTAL 4 $45,967.00 $183,868.00
TOTAL
ITEM/SERVICE DESCRIPTION TOTAL
GRAND TOTAL $3,559,090.00
Page 6 of 6