AMD RE TOBACCO USE PREV MULTIHOUSIING WITH AM LUNG ASSN.PDF

CONTRACT NO: C-86-15-054-3-04 AMENDMENT NO: 4
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
4041 N Central Avenue, Suite 1400, Phoenix, Arizona 85012
and
American Lung Association in Arizona,
an Arizona Corporation
I. The above named contract is hereby amended as specified below:
6.28, Incorporation of Document, 6.28.2 Exhibit B, Scope of Work, Objective 1.6,
Detailed Work Plan replace with Revised - Exhibit B, Scope of Work, Objective 1.6,
Detailed Work Plan.
II. All other terms and conditions of the original contract and its amendments shall
remain in full force and effect.
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF FOR AND ON BEHALF OF
MARICOPA COUNTY AMERICAN LUNG ASSOCIATION
In ARIZONA, an Arizona Corporation
By: By:
Chairman, Board of Supervisors
Date Date
ATTEST: ATTEST:
Clerk of the Board
Date Date
APPROVED AS TO FORM: APPROVED AS TO FORM:
Attorney for Maricopa County
Date Date
1

REVISED - EXHIBIT B, SCOPE OF WORK, Detailed Work Plan, 11/1/2016 – 10/31/17
Detailed Work Plan
Goal 1: Decrease Arizonan’s exposure to secondhand smoke in their homes by increasing
access to smoke-free multi-unit housing options with a minimum of 52 properties adopting
smoke-free policies in Year 1, 60 in Year 2, and 66 in Year 3.
Objective 1.1: Reach out to decision Activities:
makers in the multi-family housing • Plan, organize and execute educational events bi-
industry to provide education, annually for decision makers in multi-family (MF)
resources and technical support housing industry
leading to improved indoor air quality • Provide technical support to decision makers and
in Maricopa County multi-unit property managers in support of their transition to
adopting no-smoking rules
properties.
• Involve stakeholders in outreach activities – including
subcontracting with up to four partners to conduct
outreach in targeted areas
• Interface with multi-family housing industry decision
makers through professional organizations such as
Arizona Multi-housing Association, Arizona Housing
Alliance, and NAHRO
• Track activities relative to transitions to no –
smoking rule adoption
• Ensure data input on outreach conducted by
community partners
• Increase the number of smoke-free multi- family
units
• Continue to expand program outside of Maricopa
County with additional outreach to multifamily
apartment communities in Pima, Coconino,
Yuma, Mohave and other counties as requests for
service are received. Add at least 12 properties
outside of Maricopa County to the smoke-free
policy LOI list.
2

REVISED - EXHIBIT B, SCOPE OF WORK, Detailed Work Plan, 11/1/2016 – 10/31/17
Objective 1.2: Use the recently • Conduct research
developed white paper, collateral • Work with media contractor to incorporate information
marketing materials, knowledgeable into collateral materials (fact sheets) and web site
speakers and website information and • Incorporate information in educational presentations and
overall advance state and municipal trainings for stakeholders
policy options to encourage smoke-free • Identify speakers and local experts
multi- unit housing on: • Feature this information in educational events for
• smoke-free ordinances decision makers in MF housing industry
• tax credits/ incentives • Share info through professional organizations (AMA,
• re-development financing AHA, NAHRO)
credits • Continue to lead and support the Arizona Smoke Free
Living Coalition by managing workgroups, and
organizing large group meetings and activities to expand
the group’s reach and effectiveness. Encourage ASFL
Coalition strategic partners to engage in subcontracts
aimed at gaining commitments from apartment
communities to transition to smoke-free.
Objective 1.3: Identify five counties • Conduct needs assessment to collect baseline data,
outside of Maricopa (tentatively identify needs and resources related to MF housing
Coconino, Yuma, Greenlee, Mohave, • Identify and develop relationships with local
and Navajo Counties) and engage stakeholders through in-person visits.
partners to provide training, resources • Subcontract with up to four partners to conduct outreach
and technical support leading to with property owners/managers in targeted areas (which
will likely include areas outside of Maricopa County
improved indoor air quality in multi-
• Collaborate with STAND youth programs in Mohave
unit properties.
and Pima Counties to support their efforts on policy
change in those communities.
• Plan, organize and execute educational events for
community partners in the 5 identified counties
• Offer educational presentations and training on smoke-
free housing to community partners, MF decision
makers, and other key stakeholders
• Provide technical support via telephone and online to
community partners who are involved in helping MF
decision makers transition to adopting no-smoking rules
(additional on-site support as needed)
• Track activities relative to transitions to no –
smoking rule adoption
• Ensure data input on outreach conducted by
Community Partners
• Develop relationships with decision makers in all
counties engaged in the work of improving indoor air
quality
• Reach out to professional and community organizations
on a statewide basis to inform and engage decision
makers
3

CONTRACT #: 860-15-006
 Research and make recommendations to identify the best
ways to reach public housing residents with the intent of
providing smoking cessation activities, including ASHline.
o Research methods should include a literature
review and surveys at a minimum.
 Survey of HUD residents:
o Questions should include the following: If
residents want to quit, what onsite assistance
would they find most helpful - smoking cessation
groups, quitline, online course, free patch, gum or
text communication?
 Where are the Maricopa County FQHCs (and look-alikes)
located in proximity to public housing?
o Show on an overlay.
 What kind of technical assistance do public housing
officials need with smoke-free policy (implementation,
compliance, enforcement, eviction)?
 Within 60 days of completion, be prepared to present
findings of Whitepaper to audiences TBD at a later date,
during this grant period.
 Provide additional recommendations for cessation within
this population.
Objective 1.4: Incorporate linkages • Provide ASHLine promotional materials to
(promotion and referrals) to Arizona property owners/managers with properties going
Smokers’ Helpline (ASHLine) smoke-free.
cessation services in all buildings that • Include ASHLine information in all
go smoke-free. presentations to housing decision makers
• Ensure that ALA staff members are trained on active
referrals and are committed to making active referrals
Objective 1.5: Provide a statewide • Cultivate relationships with stakeholders/volunteers
grassroots forum for members of the invested in tobacco issues including residents in
healthcare community, public health low-income communities, fire department officials,
chambers of commerce, health care professional
arena, and community agencies
associations
invested in indoor air quality issues to
• Provide training opportunities to stakeholders
identify community needs, develop
• Convene workgroups on behalf of the ASFL Coalition
plans, share resources, and implement to carry out day to day outreach and educational efforts
activities around creating smoke free • Hold strategic planning session with Coalition to chart
environments.
future activities
• Ensure that partners outside of Maricopa County are
included in efforts and activities of the forum.
• Hold a forum in each of the 5 target counties
• Conduct outreach to apartment community decision
makers via trade shows, industry conferences, interfacing
with professional associations, and making sales calls to
property management companies.
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CONTRACT #: 860-15-006
Objective 1.6: Develop a white paper on  What percentage of Maricopa County public housing
how the Arizona Department of Health residents smoke?
o This would include the Housing Authority of
Services/Bureau of Tobacco and Chronic
Maricopa County and all other housing authorities
Disease can capitalize on the opportunity within the county.
of the U.S. Department of Housing and  What percentages of public housing properties have started
Urban Development’s (HUD) final or implemented SF Policy throughout Maricopa County?
Smoke-Free Policy rule to assist o This would include the Housing Authority of
Maricopa County and all other housing authorities
disparate populations in Maricopa
within the county.
County to quit smoking.
 What percentage of Public Housing residents are aware of
or use ASHLine services?
o This would include the Housing Authority of
Maricopa County and all other housing authorities
within the county.
 Where do public housing residents routinely get their
medical care?
 How many FQHCs (and look-alikes) in Maricopa County
currently refer to ASHLine?
o How many referrals per month do they average?
 Research and make recommendations to identify the best
ways to reach public housing residents with the intent of
providing smoking cessation activities, including ASHline.
o Research methods should include a literature
review and surveys at a minimum.
 Survey of HUD residents:
o Questions should include the following: If
residents want to quit, what onsite assistance
would they find most helpful - smoking cessation
groups, quitline, online course, free patch, gum or
text communication?
 Where are the Maricopa County FQHCs (and look-alikes)
located in proximity to public housing?
o Show on an overlay.
 What kind of technical assistance do public housing
officials need with smoke-free policy (implementation,
compliance, enforcement, eviction)?
 Within 60 days of completion, be prepared to present
findings of Whitepaper to audiences TBD at a later date,
during this grant period.
 Provide additional recommendations for cessation within
this population.
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CONTRACT #: 860-15-006
Goal 2: Increase awareness among the public, the healthcare community and decision
makers of the health risks and economic impact of poor air quality through social media
campaign, collateral material, and websites.
Objective 2.1: Build messaging and • Work with media contractor to develop new messaging
disseminate campaigns to create a around issues such as health risk (not annoyance),
deeper understanding of health risks disclosure policies, licensing, and childhood exposures
to second hand smoke
associated with secondhand smoke
exposure beyond the • Serve as subject matter experts to Arizona
Department of Health Services (ADHS) contractor,
“nuisance/annoyance” perception. Riester, to ensure secondhand smoke campaign
messaging is scientifically sound
• Incorporate new messaging into presentations, web
site, collateral material, social media, and paid ads.
• Respond to inquiries from the general public
resulting from the ADHS/Riester campaign
• Engage ASFL Coalition members, healthcare
professionals, stakeholders/volunteers in writing
letters to the editor and/ or guest editorial submissions
• Collect, compile, and utilize data on apartment
communities statewide through market research and
data acquisition. (A telephone survey will be
conducted regionally across Arizona to determine
resident attitudes on smoking and smoke-free living.)
Objective 2.2: Contribute resources • Stakeholders/ volunteers participating in the ASFL
and content to Coalition will review the
www.AZSmokeFreeLiving.org on an www.AZSmokeFreeLiving.org website and provide
input and updates on an ongoing basis
ongoing basis.
• Incorporate new messaging around issues such as
disclosure policies, licensing, and childhood exposures
to second hand smoke
• Continually add new data and resources to the
www.AZSmokeFreeLiving.org and website focused on
indoor air quality, multi-unit housing issues and
resources, and second hand smoke exposures in other
environments
• Develop and post new content such as video profiles
of MF housing apartment community residents,
owners, and managers who have transitioned to no
smoking rules
• Develop new collateral material for outreach and
informing decision makers on the benefits of
transitioning to smoke-free and basic information on
how to implement smoke-free policies.
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CONTRACT #: 860-15-006
Objective 2.3: Increase monthly • Stakeholders/volunteers participating in the ASFL
average total visitors to Coalition will review the
www.AZSmokeFreeLiving.org website www.AZSmokeFreeLiving.org website and provide
input and updates on an ongoing basis
by 10% (baseline 1/1/14 to 12/31/14 is
2,293). • Incorporate new messaging around issues such as
disclosure policies, licensing, and childhood exposures
to second hand smoke
• Continually add new data and resources to the
www.AZSmokeFreeLiving.org and website focused on
indoor air quality, multi-unit housing issues and
resources, and second hand smoke exposures in other
environments
• Develop and post new content such as video profiles of
MF housing apartment community owners and
managers who have transitioned to no smoking rules
• Utilize social media to drive people to web site
• Ensure all presentations and collateral materials are
branded with web address
• Utilize AzDHS statewide media campaign to drive
additional visitors to web page.
Objective 2.4: Increase active referrals • Include ASHLine in all presentations,
to ASHLine conducted by staff to 60. educational, and collateral materials
• Promote ASHLine through ASFL website
• Encourage ASFL Coalition members and
stakeholders to promote ASHLine; provide partners
with collateral materials
• 7 Utilize social media to promote ASHLine
• Coach and train coalition members and property
management stakeholders in making active referrals
to ASHLine

CONTRACT #: 860-15-006
Objective 2.5: Contribute to statewide • Collaborate with smoke-free forum members to raise
efforts to create healthier communities, awareness with calls to action (e.g. tobacco cessation or
including smoke-free parks initiatives creating smoke free policies in MF apartment
communities)
with Maricopa County STAND,
through outreach to community groups • Partner with Maricopa County Department of Public
Health on STAND youth efforts to promote smoke-
to provide education, resources and free parks
technical support. • Coordinate with American Heart Association and the
American Cancer Society/Cancer Action Network on
communication efforts promoting healthy
communities
• Utilize Awareness Months (COPD, Lung Cancer,
Asthma), Kick Butts Day, Great American
Smoke-Out, etc. to educate the community via
events, social media, etc.
• Initiate and organize awareness events via social
media
• Plan follow-up activities with outreach and event
partners
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CONTRACT #: 860-15-006
Goal 3: Increase the number of existing Silver and Gold smoke-free properties within the state by
25%.
Objective 3.1: Contact property  Contact property professionals who haven't included
professionals of smoke-free properties electronic/vaping devices in their SF policies.
with no rules on electronic/vaping  Educate and support upgrades to SF policies to include
electronic/vaping devices.
devices to educate and support upgrades
 Encourage these properties to move along the continuum to
in policies to include electronic/vaping
written Silver or Gold smoke-free policies.
devices, with the intent of increasing
existing policies quality.
9