IGA AMENDMENT 1 RE PUBLIC HEALTH IN ACTION WITH ADHS.PDF

Maricopa County — Formal (2014-09-10)

Extracted text (via pymupdf_layout) 31669 characters

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA)
1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Procurement Officer:
Contract No: ADHS14-061877 Amendment No. 1
Ana Shoshtarikj
Public Health in Action
It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows:
1. Effective January 1, 2015: Pursuant to the Uniform Terms & Conditions Provision 6, Paragraph 6.1 Contract
Changes, delete in its entirety Intergovernmental Agreement Scope of Work and replace with the Scope of Work,
Attachment A of this Amendment no. One (1).
2. Effective August 12, 2014: The Intergovernmental Agreement Price Sheet has been revised to state: Effective:
January 1, 2014 to December 31, 2014.
3. Effective August 12, 2014: Delete in its entirety the Intergovernmental Agreement Provision Seventeen (17) and
replace with the following:
Continued on next page.
CONTRACTOR SIGNATURE
Maricopa County
Contractor Name Contractor Authorized Signature
4041 N. Central Ave. #1400
Address Printed Name
Phoenix Arizona 85012
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 commence
has determined that this Intergovernmental Agreement is in proper any billable work or provide any material, service or construction under
form and is within the powers and authority granted under the laws of this IGA until the IGA has been executed by an authorized ADHS
the State of Arizona. signatory.
State of Arizona
Signed this _________ day of _________________________ 20_____
Signature Date
Printed Name Procurement Officer
Attorney General Contract No. P00120143000078, which is an Reserved for use by the Secretary of State
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. Under House Bill 2011, A.R.S. § 11-952
was amended to remove the requirement
that Intergovernmental Agreements be filed
Signature Date
Assistant Attorney General with the Secretary of State.
Printed Name:
Page 1 of 13

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS14-061877 Amendment No. 1 Procurement Officer:
Ana Shoshtarikj
17. Health Insurance Portability and Accountability Act of 1996
17.1 The Contractor warrants that it is familiar with the requirements of HIPAA, as amended by the Health
Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009, and accompanying
regulations and will comply with all applicable HIPAA requirements in the course of this Contract.
Contractor warrants that it will cooperate with the Arizona Department of Health Services (ADHS) in the
course of performance of the Contract so that both ADHS and Contractor will be in compliance with
HIPAA, including cooperation and coordination with the Arizona Department of Administration-Arizona
Strategic Enterprise Technology (ADOA-ASET) Office, the ADOA-ASET Arizona State Chief Information
Security Officer and HIPAA Coordinator and other compliance officials required by HIPAA and its
regulations. Contractor will sign any documents that are reasonably necessary to keep ADHS and
Contractor in compliance with HIPAA, including, but not limited to, business associate agreements.
17.2 If requested by the ADHS Procurement Office, Contractor agrees to sign a “Pledge To Protect Confidential
Information” and to abide by the statements addressing the creation, use and disclosure of confidential
information, including information designated as protected health information and all other confidential or
sensitive information as defined in policy. In addition, if requested, Contractor agrees to attend or
participate in HIPAA training offered by ADHS or to provide written verification that the Contractor has
attended or participated in job related HIPAA training that is: (1) intended to make the Contractor
proficient in HIPAA for purposes of performing the services required and (2) presented by a HIPAA
Privacy Officer or other person or program knowledgeable and experienced in HIPAA and who has been
approved by the ADOA-ASET Arizona State Chief Information Security Officer and HIPAA Coordinator.
All other provisions of this agreement remain unchanged.
Page 2 of 13

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS14-061877 Amendment No. 1 Procurement Officer:
Ana Shoshtarikj
ATTACHMENT A
Public Health in Action:
Advancing Strategies to Sustain Healthy Communities
SCOPE OF WORK
Budget Period 2
January 1, 2015 through June 29, 2015
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS14-061877 Amendment No. 1 Procurement Officer:
Ana Shoshtarikj
1. BACKGROUND
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 five (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 Domain 2 (Environmental Approaches that Promote Health): Environmental approaches that promote
health and support and reinforce healthful behaviors (statewide in schools, worksites, and communities);
1.2 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
1.3 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.
The Public Health in Action Inter-Governmental Agreement (IGA) will fund a one (1) 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 two (2) through five (5) of the IGA is contingent upon federal
appropriations.
2. SCOPE OF WORK
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 Domain 2 (Environmental Approaches that Promote Health):
2.1.1 Strategy: Increase access to healthy food and beverages
2.1.1.1 Intervention: Provide access to farmers Markets
2.1.2 Strategy: Increase physical activity access and outreach
2.1.2.1 Intervention: Design Streets and Communities for Physical Activity
2.2 Domain 3 (Health Systems Interventions):
2.2.1 Strategy: Increase implementation of quality improvement processes in health systems
Page 4 of 13

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS14-061877 Amendment No. 1 Procurement Officer:
Ana Shoshtarikj
2.2.1.1 Intervention: Increase Electronic Health Record (EHR) adoption and the use of health
Information Technology (IT) to improve performance
2.2.1.2 Intervention: Increase the institutionalization and monitoring of aggregated/standardized
quality measures at the provider and systems level
2.3 Domain 4 (Community Clinical Linkages):
2.3.1 Strategy: Implement policies, processes, and protocols in schools to meet the management and care
needs of students with chronic conditions
2.3.1.1 Intervention: Identify and track students with chronic conditions that may require daily or
emergency management, e.g. asthma and food allergies
2.3.1.2 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
2.3.1.3 Intervention: Provide assessment, counseling, and referrals to community based medical
care providers for students on activity, diet, and weight-related chronic conditions
2.4 Maricopa County has selected the Domain 2 (Environmental Approaches that Promote Health),
provision 2.1, Strategy 2.1.1 and Intervention 2.1.1.1 for completion under this Agreement.
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.
3.1.2 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.
3.2 Administrative Services
The Contractor shall:
3.2.1 Complete a brief narrative of the overall scope of the project including goals and objectives relative
to the identified strategy (ies) selected. Complete Attachment A by listing activities, lead personnel,
key partners, and timeframe to accomplish them building on scope of project defined in narrative.
(Performance measures will be listed by ADHS in Attachment B)
3.2.2 Complete a logic model that includes outlining an evaluation design that will incorporate
performance measures for each strategy selected, including but not limited to those listed in
Attachment B. The performance measures will be collected and reported at the local health
department level. Assistance in methodology, design and planning will be provided by ADHS, as
needed.
3.2.3 Develop and submit a proposed budget for the funding cycle and/or any subsequent funding years.
3.2.4 Submit quarterly Contractor’s Expenditure Reports (CER).
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS14-061877 Amendment No. 1 Procurement Officer:
Ana Shoshtarikj
7. GLOSSARY
7.1 American Diabetes Association (ADA): Non-profit organization that leads the fight against the deadly
consequences of diabetes and advocates for those affected by diabetes. Entity is also responsible for
recognizing diabetes self-management programs across the United States.
7.2 American Association of Diabetes Educators (AADE): A multi-disciplinary professional membership
organization dedicated to improving diabetes care through education. With more than 13,000 professional
members including nurses, dietitians, pharmacists, and others, AADE has a vast network of practitioners
involved in the daily treatment of diabetes patients. AADE accredits DSME programs as ADA. However,
AADE accreditation provides diabetes education programs with a written curriculum specifically tailored to
their practice setting. The curriculum is based on the AADE7™ Self-Care Behaviors framework and current
evidence and practice guidelines.
7.3 Capacity: An organization’s ability to achieve its mission effectively and to sustain itself over the long term.
Capacity also refers to the skills and capabilities of individuals.
7.4 Capacity Building: The process of improving an organization’s ability to achieve its mission. It includes
increasing skills and knowledge; increasing the ability to plan and implement programs, practices, and
policies; increasing the quality, quantity, or cost-effectiveness of programs, practices, and policies; and
increasing sustainability of infrastructure or systems that support programs, practices, and policies.
7.5 Chronic Conditions: Any illness, disease, disorder, or disability that is of long duration or frequently recurs
and is either not curable or has residual features that result in limitations in daily living requiring adaptation in
function or special assistance. These may include, but are not limited to, asthma, food allergies, obesity, and
diabetes.
7.6 Chronic Disease Prevention and Health Promotion Domains:
7.6.1 Domain 1: Epidemiology and surveillance is a core public health function in which all state
departments of health are engaged. The investment in this activity supports states to build and
maintain expertise to collect data and information and to develop and deploy effective interventions,
identify gaps in program delivery, and monitor and evaluate progress in achieving program goals.
Data and information from these efforts can and should be used routinely to inform decision makers
and the public about the effectiveness of preventive interventions (including program effectiveness
and public health impact) and the burden and unmet need of chronic diseases and associated risk
factors.
7.6.2 Domain 2: Environmental approaches that promote health and support and reinforce healthful
behaviors facilitate improvements in social and physical environments to make healthy behaviors
easier and more convenient for Americans. The investment in this activity supports state-level and/or
statewide programmatic efforts and targeted efforts in schools, early care and education (ECE),
worksites, and communities.
7.6.3 Domain 3: Health system interventions to improve the quality, effective delivery and use of clinical
and other preventive services in order to prevent disease, detect disease early, and reduce or
eliminate risk factors and mitigate or manage complications. Health systems interventions improve
the clinical environment to more effectively deliver quality preventive services and help Americans
more effectively use and benefit from those services. The investment in this activity supports health
system and quality improvement changes such as electronic health records, systems to prompt
clinicians and deliver feedback on performance, and requirements for reporting on outcomes such
as control of high blood pressure and the proportion of the population up-to-date on chronic disease
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS14-061877 Amendment No. 1 Procurement Officer:
Ana Shoshtarikj
preventive services, as well as outreach to consumers to help reduce barriers to accessing these
services.
7.6.4 Domain 4: Strategies to improve community-clinical linkages ensures that communities support and
clinics refer patients to programs that improve management of chronic conditions. The investment in
this activity addresses those with or at high risk for chronic diseases and facilitates access, referral
and payment for quality community resources, to best manage their condition or disease. These
supports include interventions such as clinician referral, community and school delivery and third-
party payment for effective programs that increase the likelihood that people with high blood
pressure, diabetes or prediabetes and other chronic conditions in school-age children such as
asthma and food allergies will better manage their conditions.
7.7 Chronic Disease Self-Management Programs (CDSMP): Is a six week self-management workshop that
meets once a week, for two and a half hours. Each workshop is facilitated by two trained leaders following an
established curriculum. CDSMP workshops are designed to help people with ongoing health problems
manage them more effectively. Anyone with a chronic condition such as diabetes, arthritis, heart disease,
asthma, or any other on-going health problem should participate. Curriculum can be presented in both
English and Spanish.
7.8 Competitive Foods: Any foods or beverages sold or served outside of the school meal program in various
school-based venues including a la carte in the cafeteria, vending machines, school stores, snack bars,
concession stands, fundraisers on school grounds, classroom-based activities.
7.9 Complete Streets: A Complete Street is one that is designed and operated to safely accommodate all
users, including: motorists, pedestrians, bicyclists, transit users, and people of all ages and abilities. A
Complete Street is comprised of many different elements; these elements may include, but are not limited
to: sidewalks, bike lanes, crosswalks, curb-cuts, wide shoulders, medians, bus pullouts, audible pedestrian
signals, sidewalk bulb-outs, and more. The elements that are used can vary from project to project, but the
end result is still to achieve a connected network that is safe and effective for all modes of travel.
7.10 Comprehensive school physical activity program (CSPAP): Before, during and after-school physical
activity through recess and other physical activity breaks, intramural and physical activity clubs,
interscholastic sports, walk- and bicycle-to-school initiatives, and quality physical education.
7.11 Continuous Quality Improvement: A system that seeks to improve the provision of services with an
emphasis on future results.
7.12 Health Disparities: are differences in health outcomes and their determinants between segments of the
population, as defined by social, demographic, environmental, and geographic attributes.
7.13 Healthy People 2020: Provides national health objectives for improving the health of all Americans by
encouraging collaborations across sectors, guiding individuals toward making informed health decisions,
and measuring the impact of prevention activities.
7.14 Inclusion: Inclusion refers to both the meaningful involvement of community members in all stages of the
program process, and maximum involvement of the target population in the benefits of the intervention. An
inclusive process assures that the views, perspectives, and needs of affected communities, care providers,
and key partners are actively included.
7.15 Local Education Agencies (LEAs): Local Education Agencies are also known as school districts.
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS14-061877 Amendment No. 1 Procurement Officer:
Ana Shoshtarikj
7.16 Lobbying: Direct lobbying includes any attempt to influence legislation, appropriations, regulations,
administrative actions or Executive Orders (“legislation or other orders”), or other similar deliberations at all
levels of government through communications that directly express a view on proposed or pending
legislation or other orders and which are directed to members of staff, or other employees of a legislative
body or to government officials or employees who participate in the formulation of legislation or other
orders. Grass Roots lobbying includes efforts directed at inducing or encouraging members of the public to
contact their elected representatives at the Federal, State or local levels to urge support of, or opposition to,
proposed or pending legislative proposals.
7.17 National Diabetes Prevention Program (DPP): The National Diabetes Prevention Program encourages
collaboration among federal agencies, community-based organizations, employers, insurers, health care
professionals, academia, and other stakeholders to prevent or delay the onset of type 2 diabetes among
people with prediabetes in the United States. Each state has its own recognized programs.
7.17.1 Outcome: The observable benefits or changes for populations and/or public health capabilities that
will result from a particular program strategy.
7.18 Performance Measures: Performance measurement is the ongoing monitoring and reporting of program
accomplishments, particularly progress toward pre-established goals. It is typically conducted by program or
agency management. Performance measures may address the type or level of program activities
conducted (process), the direct products and services delivered by a program (outputs), or the results of
those products and services (outcomes). A “program” may be any activity, project, function, or policy that
has an identifiable purpose or set of objectives.
7.18.1 Program Strategies: Public health interventions or public health capabilities.
7.19 Quality physical education: A high quality physical education includes: (1) curriculum, (2) policies and
environment, (3) instruction, and (4) student assessment. It is offered daily for grades K-12 (150 minutes
for elementary students and 225 minutes per week for secondary students). It meets the needs of all
students; is an enjoyable experience for all students; keep students active for most of physical education
class time; teaches self-management as well as movement skills; and emphasizes knowledge and skills
that can be used for a lifetime.
7.19.1 Recess: Discretionary time during the school day (i.e., 20 minutes daily) that allows elementary
school students to engage in physical activity.
7.19.2 School-aged youth: Ages 6-19 years.
7.20 School health services: Services schools or school-based health centers provide to identify and resolve
health-care needs of students, provide case management for health and mental health issues, link students
and families to community health resources.
7.20.1 Schools: Kindergarten, elementary, and secondary (i.e., middle/junior high school and high school)
grade levels.
7.21 School meals: The National School Lunch Program and School Breakfast Program administered by the
United States Department of Agriculture’s Food and Nutrition Service.
7.22 State-level strategies: Those strategies which focus on agencies or organizations such as Department of
Education, Medicaid, and Department of Transportation, which have broad systems, organizational and
environmental influence across the state.
Page 10 of 13

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA)
1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Procurement Officer:
Contract No: ADHS14-061877 Amendment No. 1
Ana Shoshtarikj
ATTACHMENT B
The Annual Action Plan will identify the activity, lead personnel, key partners, time frame, and performance
measures.
The Evaluation Design will incorporate performance measures for each strategy, including but not limited to those
listed below, which will be collected and reported at the county level. Assistance in methodology design and planning
will be provided by ADHS as needed. Methodology will be approved by ADHS prior to the report of performance
measures.
Table 1:
Name of Organization/County:
Name of Project:
1. Please provide a narrative that explains the organization’s history/background in implementing this strategy/initiative.
2. Please provide a narrative of the implementation of the proposed activities related to the strategy. Please include any
timelines and deliverables that the organization/county will have.
Annual Action Plan
 Enhanced: Domain 2, Strategy 1- Increase access to healthy foods and beverages
 Intervention: Provide access to farmers markets
Goal(s) of the Project:
Objective(s) of the Project:
Activity Lead Personnel Key Partners Time frame Performance Measures
1.1a: Number of farmer’s markets
that are accessible to designated
underserved areas
Baseline:
Target:
Data Source:
Year Data Collected:
1.1b: Number of farmer’s markets
that accept federal or state
nutrition assistance benefit
programs (e.g., SNAP, WIC,
FMNP)
Baseline:
Target:
Data Source:
Year Data Collected:
1.1c: Number of adults that
access farmer’s markets in
underserved areas
Baseline:
Target:
Page 12 of 13

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA)
1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Procurement Officer:
Contract No: ADHS14-061877 Amendment No. 1
Ana Shoshtarikj
Data Source:
Year Data Collected:
1.1d: Number of families that
access farmer’s markets in
underserved areas
Baseline:
Target:
Data Source:
Year Data Collected:
3. Please describe how activities link to the defined performance measures:
Page 13 of 13