PHI HEAT SURV WITH EPI AMD 1 (01).PDF

Agreement No. 1021103
C-86-16-047-3-01
SUBAWARD
AMENDMENT 1
The Public Health Institute and Maricopa County Department of Public Health are parties to a fixed price
Subaward dated January 25, 2016. This Agreement is hereby amended as follows below with changes in
strikethroughs and italics.
AGREEMENT NUMBER: 1021103
PAYMENT TYPE: Fixed Price
PERIOD OF PERFORMANCE: January 1, 2016 through June 30, 2017 December 31, 2017
TOTAL AMOUNT: Fixed Price of $30,000 $40,000
1. PERIOD OF PERFORMANCE: The period of performance for work outlined in this Subaward is
expected to start and end as follows unless amended by both parties:
• Start Date: January 1, 2016
• End Date: June 30, 2017 December 31, 2017
2. PURPOSE OF SUBAWARD: Subrecipient will implement the activities and complete the reporting
requirements outlined in Exhibit A (Statement of Objectives) Exhibit A-1 (Revised Statement of
Objectives).
3. TOTAL AMOUNT: This Subaward is for the total fixed price amount of $30,000 $40,000.
4. USE OF FUNDS: This Subaward is to be used in accordance with the Subrecipient's approved budget
outlined in Exhibit A (Statement of Objectives) Exhibit A-1 (Revised Statement of Objectives).
Subrecipient must obtain prior approval of PHI to make materials changes in program objectives,
implementation strategy, key personnel, or timetable must be requested in writing.
5. INVOICES: Subrecipient will invoice PHI for services rendered in accordance with Exhibit A
(Statement of Objectives) Exhibit A-1 (Revised Statement of Objectives) and according to Exhibit B
(Payment Schedule) and Exhibit B-1 (Additional Payment Schedule). Upon approval by the PHI’s
Program Representative, Linda Rudolph, of the Subrecipient’s invoices, PHI will pay Subrecipient, in
arrears, the total fixed price amount specified above. PHI will have no obligation to pay Subrecipient for
invoices submitted more than 30 days after the date of expiration of this agreement. Invoices will be on
letterhead and include: Agreement Number, Subrecipient Name, Subrecipient Mailing Address,
Subrecipient Telephone, Invoice Number, Invoice Period, and Signature. For fixed price agreements,
invoices must include a description of objectives achieved and payment amount.
All other terms and provisions of the Subaward shall remain in full force and effect.
SUBRECIPIENT SIGNATURE PUBLIC HEALTH INSTITUTE
________
Name Denny Barney Date Audrey Seger Sprain Date
Title Director of Operations
Chairman, Board of Supervisors
APPROVED AS TO FORM:_______________________________ 1 ATTEST:______________________________________
Attorney for Maricopa County Clerk of the Board

Agreement No. 1021103
EXHIBIT A-1
REVISED STATEMENT OF OBJECTIVES
SEE ATTACHED
EXHIBIT B-1
ADDITIONAL PAYMENT SCHEDULE
The Subrecipient will be paid an additional amount of $10,000 as follows:
The first payment of $5,000 will be disbursed on July 1, 2017. The second payment of $5,000
will be disbursed on December 31, 2017 upon receipt of a final report on December 1, 2017 and
completion of all associated deliverables outlined in the amended Scope of Work.
Payment Deliverables Date
$5,000 N/A July 1, 2017
$5,000 1. Completion of two Quarterly Reports (July 30, 2017 December 31, 2017
and Sept 30, 2017)
2. Completion of Final Report by December 1, 2017
3. Participation in two 1:1 calls (July and September) and
facilitated self-assessment discussion (November)
4. Completion of all deliverables outlined in amended
SOWs by December 1, 2017
2

Scope of Work
SOW Amendment (March 2017):
Activities Deliverables Timeline
1. Implement action plan with 1.1 Meeting minutes December 1, 2017
input from key stakeholders
and steering committee
2. Align climate change work 2.1 Steering committee meeting December 1, 2017
into one of the existing minutes
health coalitions (Health 2.2 HIPMC bylaws with
Improvement Partnership of climate change included
Maricopa County) 2.3 HIPMC strategic plan with
climate change included
GOAL 1: Collaborate with community stakeholders to mitigate climate change and improve public
health
Objective: By January 31, 2016, complete an assessment of Maricopa County’s capacity to provide community
services that aim to mitigate climate change and/or assist citizens with adapting to extreme heat.
Activity: Develop a comprehensive list of
programs and services managed Action:
by state government, local
government, or community Output: A fairly comprehensive list of
organizations that (i) work on Completion / programs and services
climate change; (ii) provide extension of On-going provided has been compiled
services for vulnerable populations; Appendix 2 but as we contact these
and/or (iii) manage preventive agencies and acquire other
health initiatives; list should include potential partners the list
contact information for each continues to be amended
organization
Activity: Contact individuals at each Output:
organization to (i) further
understand their services; and (ii) Appendix 2 will
determine whether their services include a Action:
are accessible to homebound column that On-going
individuals; summaries of these tracks & See above
meetings will be added to the list of summarizes
programs above communication
Objective: By March 31, 2016, launch a local collaborative with community stakeholders.
Action:
MCDPH/ASU has identified the
Activity: Contact individuals at each Output: City of Phoenix and Maricopa
organization to gauge their County Human Services as
organization’s interest to work on Appendix 2 will primary partners. We are
a local collaborative aimed at include a Complete working with these two
linking homebound individuals to column that by 2/29/16 agencies to identify suitable
sustainable public health tracks & community organizations as
initiatives in an effort to increase summarizes additional community
health equity communication stakeholders. In addition
contacted Area Agency on
Aging and Southwest Network.
1

Activity: Host an informational conference Output: Action:
call that describes the goals of
the collaborative and the Record The City of Phoenix, Area
community survey. Use the call attendance; Agency on Aging and ADHS
to discuss survey questions and Summarize Completed participated w/ MCDPH in a
how the data may be used by discussion in 06/2016. conference call where we
stakeholders to initiate/improve meeting discussed the community
heat-exposure prevention efforts minutes date. survey and heat-exposure
for homebound individuals in the prevention efforts for
county. Homebound individuals.
Action:
Activity: Schedule quarterly “Heat Summit” Output:
meetings, reserve a meeting Publish and First Heat Summit was
room, prepare preliminary circulate a Completed completed on 11/16/16.
agendas for meetings, and 11/16/2016 Planning to host 2nd summit on
announce meetings to local schedule for 4/2017.
collaborative future meetings
This activity is in progress
Objective: By February 29, 2017, work with local heat collaborative to discuss project findings and develop plans
for addressing the needs of homebound individuals in the county.
Activity: During a meeting with community- Action:
based organizations, discuss needs Output: Completed preliminary analysis on
and common barriers for homebound In- homebound study and included
individuals in regards to accessing Meeting Progress infographics page into packets for
available services; discuss feasible minutes Bridging Climate Change & Public
methods for helping them overcome Health Stakeholder meeting.
these barriers
Activity: Local heat collaborative stakeholders
will interpret findings, make
recommendations, and form
partnerships to develop effective Output: Complete Action:
marketing campaigns and by
appropriate, culturally sensitive Strategic
interventions E.g. organizations that plan 04/30/17 N/A
provide transportation may
coordinate with cooling centers to
ensure readily available parking
Objective: By June 30, 2017, significantly increase MCDPH’s awareness about the interplay between climate
change, public health, and health equity, as well as build capacity to address these issues, by being an active
member within this Climate Change Collaborative.
Activity: During two in-person meetings and
monthly calls, exchange knowledge Action:
about climate change, public health,
and the challenges of implementing Output: Monthly Jessica White and Benita McKinney
effective interventions, with fellow 1/1/16 – attended the January 2016 in person
urban health departments who Meeting meeting. MCDPH and ASU staff
received funding from The Climate minutes 6/30/17 participated in a conference call and
Change and Public Health Learning a webinar with PHI staff.
Collaborative for Urban Health
Departments
2

Action:
Activity: Exchange knowledge and skills with MCDPH is Currently discussing with
scientists, community members, other interoffice groups about
policy makers, and other relevant permanently adding climate change
stakeholders to identify the health- Output: Quarterly discussions on their meeting
related issues of a community and Meeting 1/1/16 – agendas. During these meetings
discover the most appropriate and minutes 6/30/17 project updates are given and a
effective interventions to address discussion on climate change and
those needs at quarterly “Heat our project.
Summit” meetings One action item was a presentation
from one of our intern’s in August of
2016. She presented on Climate
Change & the Homebound Project.
Objective: By July 31, 2017, summarize and disseminate the methods, results, recommendations, and challenges
of this heat prevention project, so other local health jurisdictions may learn from our knowledge and experience.
Activity: Summarize findings from Maricopa Output:
County’s “Heat Prevention for Quarterly Action:
homebound individuals” project in Quarterly 1/1/16 –
Quarterly Reports and a Final and final 7/31/17 N/A
Report for the Collaborative reports
Activity: Disseminate project findings to
stakeholders outside the Output: Complete Action:
Collaborative by presenting findings Abstracts / by
at professional meetings and manuscript 7/31/17 N/A
preparing a manuscript
GOAL 2: Reduce the rate of heat-related morbidity and mortality among homebound individuals
in Maricopa County, Arizona
Objective: By August 2016, collect temperature and survey data from homebound individuals to assess needs
during extreme heat events and determine both awareness and use of heat exposure prevention services.
Activity: Arrange a user agreement with
Arizona State University (via Dr.
David Hondula) to use “I-button” Output:
technology for with this survey User Action:
agreement Arizona State University recently
The I-button is a device that records between purchased 75 additional I-buttons
temperatures over time. Data is later Maricopa for use during this project. The
downloaded by an investigator. We would County Ongoing recent acquisition will allow for 75
like to place an I-button in a room of the Department of I-buttons to be placed in homes at
house where homebound individuals spend Public Health any given time. This phase of the
most of their time. We can use the I-button and Arizona project will take place in Spring of
data as a tool to educate people about the State 2017.
differences between perceived University
temperatures and actual temperatures
inside the home.
3

Activity: Develop a survey for homebound Action:
individuals that quantifies: (i) MCDPH staff created a survey
perceived risk of heat-associated Output: which inquired on perception of
morbidity and mortality; (ii) heat, resources, and knowledge
coping mechanisms; (iii) Final version Complete by awareness of services in MC. Our
knowledge / awareness of of survey for 5/31/16 staff have administered the
available services in Maricopa administration survey. And completed
County; (iv) utilization of preliminary analysis. We are
services; and (v) facilitators and moving forward with interpretation
barriers to services of the results.
Action:
Protocol has been developed and
Activity: Develop a protocol for staff from Output: surveys have been collected in
Home-Delivered Meals to provide Final version Complete by August 2016.
and collect both the I-buttons and of protocol for 8/31/16 We have modified this activity to
surveys partners collect I-Button Technology in
Spring of 2017 in order to have a
good sample size.
This activity is in progress.
Action:
Activity: Train Home-Delivered Meals Indicator:
staff to administer and collect the Attendance Completed MCDPH facilitated 3 separate
surveys based on protocol by 08/31/16 trainings to staff from the Home-
records Delivered Meals program and
was able to deliver surveys.
Action:
Output:
Activity: Administer the survey to collect Completed Surveys were administered to
representative data from the I-button and
target population survey by 8/31/16 target population. Ours is
datasets currently in process of data
analysis.
4

Objective: By October 2016, identify themes, trends, and issues mentioned in survey responses.
Activity: MCDPH epidemiologists will Output: Complete Action:
analyze survey data to determine Tables / charts by Completed preliminary
key findings 10/31/16 analysis. Final Report is
of results in progress.
Activity: ASU climatologists will analyze I- Output: Complete Action:
button data to determine key Tables / charts by Activity has been moved
findings of results 10/31/16 to Spring 2017.
Output:
Activity: Summarize and report the major Report of Complete Action:
barriers to accessing heat findings for by
prevention services local 11/30/16 In progress
collaborative
Objective: By June 30, 2017, increase community awareness of (i) heat-related symptoms, (ii)
methods for preparing for extreme heat events, and (iii) Maricopa County’s effective and appropriate
heat prevention services for homebound individuals.
Action: Media campaign
completed. During the
Output: White House Webinar
Activity: Participate in Extreme Heat Week List of Complete (hosted on 5/26/2016),
focusing on 2 major items. (1) The educational by our Director of Public
Media Campaign and (2) The White Twitter 5/27/16 Health, Dr. Bob England,
House Webinar postings presented on Building
Community
Preparedness to
Extreme Heat.
Output:
Activity: Extreme heat warning List of Complete Action: Media campaign
communication from 6/3-6/6/16 educational 6/6/16 completed
Social Media
posts
Action:
Distributed over 1300
Activity: Prepare educational material that packets to Homebound
describes the risks of heat exposure Output: individuals on heat facts,
and existing services for Educational Ongoing information and referral
homebound individuals to prevent materials hotline, and resources
heat-related morbidity and mortality on cooling centers. This
information was given in
both Spanish & English.
Activity: Invite healthcare and social care
providers to the “Heat Summit” in
April 2017 to increase awareness Indicator: Complete Action:
about the special needs of by
homebound individuals during Attendance list 4/30/17 In progress
extreme heat events and discuss
existing services in Maricopa
County
Activity: Invite housing developers /
contractors to “Heat Summit”
meetings to discuss potential Complete Action:
community-level interventions that Indicator:
will change the local environment, Attendance list 4/30/17 by In progress
such as constructing energy
efficient homes or modifying them to
prevent heat-related illness
5

Activity: Invite housing community managers
to “Heat Summit” meetings so they Indicator: Complete Action:
may relay information to their by
tenants about staying cool / Attendance list 4/30/17 N/A
hydrated/ and being energy efficient
Activity: Distribute educational material to Indicator:
homebound individuals through Distribution list Complete Action:
Home-Delivered Meals program with total by
and other community partners that numbers 6/30/17 N/A
reach the target population reached
Indicator:
Activity: Among the county’s most Frequency
vulnerable individuals, actively table Complete Action:
facilitate connections between indicating by
homebound individuals with number of 6/30/17 N/A
organizations that provide services
effective and appropriate services provided
6