AMD GRANT AWARD RE PRENATAL OUTRCH WITH FTF.PDF

4000 North Central Avenue, Suite 800
Phoenix, Arizona 85012
Phone: 602-771-5100
Fax: 602-274-7040
www.azftf.gov
Chair
Steven W. Lynn DATE: June 11, 2014
Vice Chair TO: Maricopa County Department of Public Health
Dr. Pamela Powell
ATTENTION: Tracy Sloat
Members tracysloat@mail.maricopa.gov
Nadine Mathis Basha
Gayle Burns FROM: Renae Rosales
Janice Decker
Hon. Cecil Patterson RE: Grant Renewal Information
Vivian Saunders
Ruth Solomon
________________________________________________________
Ex-Officio Members
Congratulations on the renewal of your grant from the Phoenix South Regional
Clarence H. Carter Partnership Council. The award period for your grant, FTF-RC014-13-0378-02-Y3, is
Director DES July 1, 2014 through June 30, 2015.
Will Humble Follow Up Action Necessary
Director ADHS Please print two copies of the attached Grant Renewal Amendment form, obtain
original signatures by your designated signatory, and mail both originals back to my
attention. First Things First will countersign and return one original for your
John Huppenthal records.
Superintendent ADE
For your FY15 grant, the reimbursement requests, data and narrative reports, and
Chief Executive Officer general grant management documentation will continue to be submitted through
Sam Leyvas the Partner and Grant Management System (PGMS). Please reference the Grantee
Resources Folder in PGMS for the most current versions of the budget modification
request and staff change notification forms.
Your current grant ends June 30, 2014 and the current terms require final data and
narrative reports be submitted on or before July 21, 2014 and your final request for
reimbursement must be submitted no later than August 15, 2014 (45 days from
the grant end date.) Unexpended funds from 2014 do not carry over to the 2015
fiscal year.
If you have any questions, please contact either of us, Renae Rosales,
rrosales@azftf.gov, or Kathy Rice, krice@azftf.gov, 602-771-5096. We look forward
to working with you again this year.

Early Childhood Health and
Grant Renewal Amendment Development Board (First
Things First)
Page
2015 Grant Award 4000 North Central
1 Avenue, Suite 800
FTF-RC014-13-0378-02-Y3
of Phoenix, Arizona 85012
Phoenix South
Prenatal Outreach 1 (602) 771-5000
(602) 265-0009 fax
CONTRACTOR:
Maricopa County Department of Public Health
4041 N. Central Ave., Ste. 1400
Phoenix, Arizona 85012
PURPOSE OF AMENDMENT:
1. Pursuant to Special Terms and Conditions, “Contract Renewal”, of the above referenced Grant
Agreement/Contract Award, the State of Arizona hereby exercises its sole option to renew the Grant
Agreement/Contract Award number referenced above. The renewal start date is July 1, 2014 and end
date is June 30, 2015.
2. Total award amount for the contract period is $399,806.00
3. The Grantee is responsible for all updated Standards of Practice located for reference in the First
Things First Grant Management System known as PGMS under Grantee Resources.
4. All other terms and conditions remain unchanged.
Contractor hereby acknowledges receipt and understanding The above referenced amendment is hereby executed
of the contract amendment. effective July 1, 2014 once signed and dated below:
Signature _______________________________________________
Josh Allen
Name CFO/COO
Title _______________________________________________
Date
Date

Attachment A
Program Implementation Questions
1. Provide a brief narrative description of your proposed program that will be implemented in
SFY15, including context for the activities listed in Program Implementation Plan.
(Attachment B)
South Phoenix Healthy Start (SPHS) proposes continued focus on the delivery of prenatal outreach
services to families greatest at risk for poor or compromised birth outcomes based upon the standards
of practice outlined by First Things First. The primary service focus for this program will continue to be
all families regardless of race and ethnicity with children ages 2-5 years living in the target area.
Additionally, outreach and recruitment strategies will continue to be developed and implemented at a
community based level and will be aimed at reaching single-parent, female-headed households, teen
parents, pregnant and parenting families living in all the South Phoenix Regional zip codes.
Recruitment into services will continue to be performed by SPHS staff; contracted Promotoras and
Community Mobilizers, program volunteers, consortia and FTF partner organizations and FTF funded
Parents Partners Plus. Trained Promotoras, Community Mobilizers and volunteers will continue to
identify specific South Phoenix, Laveen and Maryvale neighborhood and even individual needs around
perinatal health, conduct health promotion and early childhood education messaging activities,
distribute health promotion and community resource materials, link families to health care and other
providers and provide feedback to SPHS regarding successes, needs and recommendations for future
work within the community.
On-going participation in community health and resource fairs; health, safety and development
promotion and awareness activities will continue throughout the grant period. SPHS will sponsor
several large scale "community forum" type activities focused on domestic violence, child abuse
prevention, infant mortality and breastfeeding awareness in 201412015.
SPHS staff received certification training to become ACA counselors in 2013 and begin assisting with
enrollment of family members and community into health care through Arizona's exchange. SPHS will
continue their roll in assisting with enrollment, including AHCCCS and provide direct links and referrals
for early prenatal care, establishment of a medical and pediatric home, immunization and oral health
clinics. SPHS will maintain and grow the strategy of co-locating Healthy Start team members at
community based locations such as hospitals and health clinics (Maryvale and St, Joseph's Hospitals,
MIHS Family Health Centers, Mountain Park Health Center) and WIC offices to assist not only in
enrolling families into Healthy Start but in linking them to other FTF funded programs and community
resources needed. At least four "neighborhood hubs" will be established within South Phoenix, Laveen
and Maryvale neighborhoods; in churches, community centers or schools and operated by community
volunteers as a means of providing social support, local resources, early childhood education and
health promotion information to a greater community.
SPHS will continue providing other core services; individual specific home visitation and case
management, perinatal health education, infant health, safety and developmental assessment,
1

depression screening and preconception/interconceptional and postnatal service coordination and
education delivered by Healthy Start Community Health Workers (CHW) under the supervision of a full
time nurse and social worker. Frequency of home visitation is adjusted based on level of risk and to
meet accessibility needs of families (i.e. extended and weekend hours.) Participant-centered Family
Development Plans will be established by the development of goals and objectives based on the
family's needs for accessing and utilizing perinatal and infant health care, reducing risk and isolation,
improvements in healthy behaviors, participating in education or work related activities. Progress on
the accomplishment of these goals and other dimensions related to perinatal risk and resiliency will be
monitored using the Life Skills Progression tool. Small age specific and prenatal trimester specific
groups or cohorts will continue to receive prenatal and parenting education conducted by health
educators, professional staff and CHWs in community based locations, i.e. high schools, satellite
locations throughout target areas such as Maryvale Hospital Family Education Center and Valle del Sol
Health Clinic at 43rd Avenue and Thomas Road, Core HS services will continue to be supported
through contracted prenatal and familial support services provided by doulas, child birth education,
intimate partner violence group facilitation, family literacy "reading from birth" and male
involvement/fatherhood classes. These services will continue to assist in contributing to increasing
individual knowledge and skill of recognizing and preventing prematurity, managing chronic disease,
building resiliency by building personal assets and accessing local resources that will begin to minimize
risk and contribute to more positive birth outcomes,
Preconception health counseling will be conducted by CHW and trained Promotoras in target area high
schools, satellite locations and during specific community events focused on teen prevention of repeat
pregnancies and to promote health and healthy behavior prior to pregnancy. Reproductive life plans
will be distributed to participants receiving the preconception counseling with referrals to family
planning and other medical providers. Free pregnancy testing through a private grant made in behalf
of SPHS through Healthy Mothers, Healthy Babies at Maryvale Hospital is conducted in the laboratory
and results provided to SPHS staff who contact, counsel, enroll and refer dependent on the results of
the test and to help assure early prenatal care is initiated or preconception health education is
delivered.
Community- based, population-based health promotion on perinatal/preconception and infant health,
safety and development topics will be provided during various community outreach events throughout
the year, reaching thousands of target community residents. Venues such as health fairs, community
events at churches and community centers, neighborhood gatherings, school orientations and parent
nights. Multi-family housing activity nights are examples of opportunities in which SPHS and its
contracted Promotoras and program volunteers reach deeper into the community with health promotion
topics relevant to the program. An annual health education plan will be developed in September 2014
to identify and guide specific perinatal and infant health, safety and development themes addressed by
monthly educational and promotional activities throughout the region.
Monthly SPHS Community Consortium meetings will continue to be held throughout the year within the
target area; providing strategic planning, health education, partner networking and program service
awareness. The 10th Annual SPHS Community Consortium Strategic Planning session will be held
2

December 5, 2014. At least half of the consortium meetings will be held at Central Phoenix locations
throughout 2014/2015.
Annual Professional Development Plans and ongoing training and education strategies will continue to
focus on individual employee performance improvement. These plans are developed annually with all
employees as a part of Maricopa County's performance management system. In-services,
educational classes, tuition assistance programs, conference attendance and other training events will
be integral components of employee development throughout the next grant cycle. Monthly staff
meetings and bi-weekly individual reflective and directive supervision meetings will provide
opportunities for staff and management to discuss individual performance, protocols, standards and
expectations and to develop strategies to come in alignment. Topics critical to staff development over
the next year will include: mandated reporting, diversity and culturally competent practice,
communication, motivation, resiliency building and asset based community development,
Representative employees, program participants and community members/partners will attend the
annual FTF conference in summer 2014 and the Healthy Start Spring Education conference in
Washington DC in March 2015. These educational opportunities offer learning program specific
information and resources, network building and conducting advocacy while representing the collective
impact, successes and challenges experienced by the target area families.
On-going monthly quality assurance reviews will be conducted on case management procedures,
documentation and data entry, health education delivery, assessment and resultant development
planning on enrolled families. Reflective and directive or technical assistance supervision will be
provided to staff on a monthly basis to assure performance standards are met. Quarterly and annual
surveys and assessments of program participants' progress, prenatal characteristics, and community
based data (epidemiologic data, community partners and consortia members' satisfaction and strategic
input) will be conducted and analyzed for programmatic effectiveness and modification throughout the
next grant cycle. See Question #3 for detail on utilization of programmatic data and implementation
strategies.
2. If applicable, explain any proposed modifications for SY15, including the change(s) to be
made, how they were determined to be necessary, and how they will contribute to the
success
of your program. Please note that program modifications cannot deviate from the original
scope of work or applicable standards of practice.
No modifications to the program are proposed for SY 15. However, in an effort to begin
establishing evidence of the effectiveness of the various activities through statistical analysis
through a mixed method model of evaluation. Bids for evaluation support will be acquired through
the Maricopa County Procurement and Solicitation process. Healthy Start has a robust data
collection system that would benefit from professional analysis in order to better inform
programmatic growth and design, as well as dissemination of lessons learned.
3. Describe how the program data will be utilized to improve program implementation. Include
assurances that data collection and submission will be timely and ongoing.

The following table provides an overview of the data collection and quality assurance plan for the
SPHS program during the 2015 grant year:
P an or Data Collectior 1) Training for CHW, Promotoras, Community Volunteers who collect data
(purpose, time frame, format and forms)
2) Collection of data and data entry in Outreach Education database
3) Collection of data and data entry into Participant database
4) Collection of Target Area, Maricopa County and Program Participant
Characteristics and Birth Outcomes and Health Risk Factors
5) Collection of data on Life Skills Progression (LSP), Ages and Stages
(ASQSE), and Pregnancy Risk Monitoring Systems (PRAMS)
instruments
6) On-going database review of quality and timeliness of data
7) Training for report writers on key performance indicators, monthly
reporting of data; quarterly summaries for FTF progress reports and
summary report showing annual success
Plan for Using the Data 1) Determine which areas by Zip Code need specific health promotion and
messaging, higher levels of service, participation in outreach and
recruitment activities to assure target numbers are achieved
2) Identify specific topics, populations/subpopulations and locations for
outreach and education strategies to be deployed
3) Measure frequency of home visits based on needs, risk, and prenatal
and infant development
4) Determine effectiveness of outreach and home visitation strategies
5) Demonstrate shifts and trends in disparities of birth outcomes
6) LSP, ASQSE, and PRAMS instruments assist in "road mapping" future
perinatal education needs and specific health, family development,
parenting and infant development objectives are developed
7) Demonstrate ongoing progressions families are making around their
prenatal/postnatal goals and objectives and make modifications in plans
and award and celebrate successes
8) Referrals made to other local home visitation programs are made to
meet specific case management needs
9) Linkages to existing community based parenting programs, workshops,
and other health, developmental and social services
10) Categorize and quantify information on health, referrals, resources and
education by individual, region, and Zip Code
11) Community based outreach plans initiatives can be developed and
revised based on the results of the LSP and PRAMS
12) Measure the number of women and their families who have medical,
obstetrical and pediatric homes
13) Identify specific providers who provide quality services and where gaps
in resources for specific health and social needs are present
14) Identify needs for promoting specific educational offerings to specific
populations and locales
15) Determine specific community partners to make referrals to meet
individual needs for specialized home visitation programs (i.e. NFP,
Healthy Families)
16) Identify additional subject matter expert facilitators, instructors,
contractors who can meet on-going educational needs
4

17) Comparative analysis against Outreach Education components of
comprehensive Annual Education Plan and Annual Outreach Plan and
making adjustments to the plans throughout the year
QNCbritititiOilt.: .„...:.:„.„,..,„ .. .: ... .. 1) Accuracy-required fields on participant characteristics and education
ti.100#001#1 session information is input correctly into the database
2) Timeliness-within specified time periods for corresponding core services
3) Data security and back-up-nightly of the database is conducted; data is
secured by password, access to data by HS staff only
4) Data audits are conducted prior to bi-weekly reflective and directive
supervision sessions • with supervisor so that performance may be
aligned to standards and expectations and to enable professional
development goal setting May occur
5) Evaluation of data (case management and customer service data) is
conducted on a monthly and quarterly basis to determine programmatic
progress, satisfaction and utilization of service, gaps in service, new
strategies and interventions needed, training and education, new
resources or partners and other support services, identification and
development of strategies to overcome barriers in perinatal, prenatal
. and pediatric care

6
Documentation billing flyers site
meeting annual staff plan Control telecom service local current and
Support of minutes of evaluations of development Inventory spreadsheet of inventory, contracts releases, newsletters, announcement of expectations form
Copies Copies Copies Copies and Press Copy review
Be .
Task Win . Completed/Timeline monthly 2015 2015 2015 2014 2015
bate On-going May 1, May 1, July 2014 January September February
Plan
Staff, Project Project Support Support and Support
Implementation Responsible RN HS RN HS Maricopa Finance Maricopa Telecom Representatives Director
2015 Person Management Social Work Supervisor, Supervisor, Director Social Work Supervisor, Supervisor, Director Administrative Specialist, County Department Representative Administrative Specialist, County Procurement Team, Administrative Specialist Project
HS HS Hub HS
Program
supervision evaluations materials and Neighborhood Locations
Task building Development and audit existing
reflective performance team Staff supplies telecom review new Hubs of and Hub
Staff meetings Staff Quarterly Annual Plans Annual inventory Annual contract Establish Service Site review Satellite
Equipment
B Activities Staffing Plant, supplies
Attachment Physical and

7
as of copies as of copies as of copies to posted
tests and training tests and training tests and training of received Consortium reports reports reports database
Post Post Post of
and Pre applicable individual records and Pre applicable individual records and Pre applicable individual records Presentations information Community Copies Monthly Quarterly FTF
to
bi- or Friday
monthly during case and reflective monthly usually consortium meetings 2014 2015 First 2014 2015
On-going On-going weekly management meetings individual supervision On-going offerings during staff Summer March On-going month each 2014 July October January 2015 April
Guest in- in-
instructors, trainers RN Guest instructors, trainers RN Guest instructors, trainers Administrative Team Administrative
Supervisor, in-service contracted facilitators Work Supervisor, Supervisor, contracted facilitators Work Supervisor, Supervisor, contracted facilitators Team Team Representatives, Participant, Community Representative HS Support, Management Management
RN and Social service and Social service and HS HS CHW HS Team, Support
Spring Reports
and Development Conference Start Conference Reports
Management
Topic Management Communications FTF Healthy Quarterly
Perinatal Case Infant/Child Annual Annual Education Monthly FTF
and Reporting
Development Training and
Database

8
PRAMS Summary Contact Card Log Reports of copies printout documented and
and summary staff Event Business Community Activity Summary Summary materials, pages and reports screening and database Family Plans in data
LSP and from Community and releases, web of instruments in contacts database of Development of
Monthly reports sheets Outreach Forms Brief Forms, File Mobilizer Group Evaluation Report Press collateral update Orientation enrollment Copies data of All in Copies printout database
Friday Friday Friday Friday
LSP 2014 2015 First First 2013 2014 First First within protocol
August January PRAMS On-going month On-going month September January 2014 On-going On-going On-going month On-going month On-going specified frames
each each April each each time
Promotoras Support Director Director Director, MCDPH Team
Work RN Supervisor, Supervisor Team, Coordinator Administrative Project Project Project PIO, Master CHW-Outreach
Social HS HS HS HS MCDPH Web CHW CHW
and and and Plans
Upgrade and Other
Progression Database Health Fairs Mobilizers Evaluation Highlight Assessment, and contacts Development
Skills Groups Press/Publication Visits
Life PRAMS Community Resource Community Focus Monthly Monthly Intake Screening, Referrals Home participant Family Education
and Case
Media Recruitment and Management
Outreach, Enrollment

9
Dates data
(Sept Plan Community Calendar 2014) Sheets of Calendar Monthly Sheets priorities activities/resources Reports Reports Notes and report and reports project reports
SPHS Topics, strategic year Hub Reports data data and summary
Education 2014) Education (December Attendance Annual and Attendance New and next for Monthly Database QA Supervision Survey summary Survey summary Survey and
2014 Reports 2014 June 30, June 1:1 supervision 30, June 2014
2014 2015 Monthly 2015 2015 2015 2015
July January December Monthly On-going On-going 2014, reflective On-going 2014 September January April June January
Members, Director Director RN CHW Consultant Director Director Consultant
Team Promotoras Coordinator Project Project Promotoras Coordinator Work Supervisor, Supervisor, and Database Evaluation Project Project Evaluation
HS HS HS CHW Social HS HS
Session Activity Reviews and for Activities
Consortium Education Hubs Activity Satisfaction Partners, Surveys Analysis HS of
Events and Planning Sites Assurance
Education Community Meetings Strategic Neighborhood Satellite Quality Participation Surveys Community, Consortium Correlational Effectiveness
Based
Community Services Evaluation

10
and
data
raw reports
of
Copies analysis
monthly each
Friday
On-going First month
Director, Database
RN
Project Work Supervisor, Supervisor, Evaluation Consultant
HS Social and
LSP
ASQ, screening target child
and and maternal outcome
assessments, analysis safety
assessment population health, demographics
Risk data

Attachment C
Line item Budget
Budget period: July 1, 2014 —June 30, 2015
13i4dget Category.. line Item Descripti d Funds Total Cost
PERSONNEL 500.1 1tK::: Personnel Services Sub Total $166,351
Salaries Community Health Worker 5 FTE 131,711
Social Worker .5 PIE 19,606
Admin Assistant .5 PIE 15,034
EMPLOYEE RELATED EXPENSES loyee Related. Expenses Sub Total ...$65,463
Fringe Benefits or Other ERE Community Health Workers FTE 69,86
Social Worker .5 FTE 8,228
Admin Assistant .5 PIE 7,348
PROFESSIONAL AND OUTSIDE SERVICES Professional & Outside Services Su
52,200
Total
Contracted Services Doula 17,500
Community Trainings 8,250
Prornotora 10,000
Language Line 250
Evaluation Consultant 16,200 .. .
TRAVEL Travel Sub
In-State Travel Taxi
Staff Mileage 1,602
Out of State Travel Airfare/Hotel/Per Diem 5,757
A1D : TO ORGANIZATIONS OR INDIVIDUALS::: Aid to Organizations Of:lhiPV100al .OSUbETOtaY.: :
Subgrants or Subcontracts to
0
organizations/agencies/entities
OTHER OPERATING Other Operating Expenses Sub Total $45,837
• Telephones/Communications Services 2,844
• General Office Supplies 1,200
• Food 2,096
• Rent/Occupancy 17,410
6 Furniture 2,000
• Postage SO
• Dues/Subscriptions 300
• Printing/Copying 2,500
• Professional Development/Staff Training 1,500
• Conference Workshops/ Training Fees for 4,950
Staff
• Program Materials
5,007
• Program Supplies
720
• Program Incentives
5,260
NON-CAPITAL EQUIPMENT NofiCa. :$4,500A
4,500
$363,460
Total Admin./Indirect
Authorized signature Date ef/gAY
11

Attachment C (Continued)
Budget Narrative
Personnel Services
Five full-time equivalent Community Health Workers (CHW) to provide full range of Healthy
Start services; outreach, recruitment of prenatal/postnatal families, screening and identifying
strengths and needs, development planning, referrals and prenatal/postnatal/infant/parenting
education. The CHW is a paraprofessional and the primary staff member who will provide home
and community based prenatal post natal and family core services.
A part-time Social Worker to assist highest at-risk individual program participants and their
families based on referrals from CHWs through times of crisis by performing activities such as
outreach efforts, conducting advanced assessments of bio-psycho-social conditions, helping
identify and resolve problems, identifying resources, advocating on the individual's behalf,
arranging services, completing applications, and acting as a liaison between different agencies
and services. Responsible for assuring effective handling large CHW case loads, documenting
and presenting findings, preparing reports, and following through to ensure that progress is
made and that services are helpful.
The part-time Administrative Support Specialist will provide office support and data entry for
the project. This position and the Social Worker position share funding for additional 20 hours
per week to make a full time equivalent with Central Phoenix Regional Council-Prenatal
Postnatal Outreach grant.
The salaries listed are based upon the current market rate of entry to midrange incumbents,
dependent on experience and working a 40 hour work week. Qualified bilingual staffs receive
.30 additional pay per hour.
Position Hourly FTE Hr/Yr Yearly Variable Fixed Sub Total
Benefits Benefit Benefits
CHW #1 $12.76 1 2088 $26,643.00 $5,131.44 $8,904.00 $14,035.44
CHW # 2 $12.76 1 2088 $26,643.00 $5,131.44 $8,904.00 $14,035.44
CHW# 3 $12.76 1 2088 $26,643.00 $5,131.44 $8,904.00 $14,035.44
CHW #4 $12.40 1 2088 $25,891.00 $4,986.61 $8,904.00 $13,890.61
CHW #5 $12.40 1 2088 $25,891.00 $4,986.61 $8,904.00 $13,890.61
Social Worker $18.78 0.5 1044 $19,606.00 $3,776.12 $4,452.00 $8,228.12
Admin Support $14.40 0.5 1044 $15,034.00 $2,895.55 $4,452.00 $7,347.55
Total
Personnel 6 $166,351.00 Total ERE $85,463.20
Employee Related Expenses See table above. The Variable Fringe Costs for Maricapa County
employees beginning July 1, 2014 is based on 19.26% of their bi-weekly salary for Medicare,
Social Security, Arizona Unemployment, Worker's Compensation and Arizona State Retirement
12

System plan make up this employee benefit cost. Fixed Benefit Cost of $8,904.00 per FTE.
Total ERE: $85,463.
Professional and Outside Services:
All contracts for professional services will be procured following Maricopa County Procurement
code requiring open Request for Proposals for all contracted services using providers from
current County vendor listings. Rates for contracted services were determined from averages
obtained from recent procurement contracts meeting similar specifications within Maricopa
County. Additionally, Maricopa County Compensation market midranges were averaged into
the salary rates for contracted services. Due to the high level of risk and comprehensive
prenatal and post natal case management services provided, professional consultation services
will be contracted to assist the SPHS case management team with specific population outreach
and recruitment, special needs care and service coordination, individual prenatal, post natal
and infant support (i.e. doula), special age-specific developmental, family development
planning consultation.
Prenatal Family Support Specialist (Doula) will be fully doula trained to assist families needing
additional support prenatally, during the birthing process and after the baby is born. A rate of
$500.00 per participant family will be contracted for 35 births during this grant period for a
total of $17,500. These contracts will be awarded to multiple individuals selected through
procurement process or to a single organization that coordinates prenatal support or doulas to
provide these services; the total amount will not be awarded to a single individual doula in
total.
Community Education and Trainings: Community based trainings and workshops will be
scheduled and taught or facilitated by subject matter experts who will provide staff, partners,
participants and community residents with information on male involvement, child birth
education, asset building community development theory and practice, age and gender specific
parenting techniques, teen programs, communication skills, health disparities, etc. Participant
training events and workshops are offered within the community on a variety of different
perinatal and parenting topics open to the program participants and community using
contracted, outside sources and subject matter experts. All sessions are opened to community
partners and in many cases the general target community to offer training opportunities and to
promote continuity of perinatal health concepts and to distribute knowledge base deeper into
the community. Each session cost for contracted facilitator, including their prep time and
materials is based on averages of three most recent procurement contracts for similar services,
when contractors provide all materials as well as their services.
Session 4 hours of instruction $400.00 per 4 16 -4hr sessions $6,400.00
Facilitation/instruction @$100/hr. hr. session
Materials/Supplies $15.00/participant x $300/session 16-4 hr. sessions $4,800.00
13

20 participants
Consult, Development 5 hours of prep/4 hr. $300.00/sessio 16-4 hr. sessions $4,800.00
and Prep session@$60/hr.
Total Cost of Sessions $1000.00 per 4 16 sessions $16,000.00
hr. session
Additional sessions 1 hour of co- $ 100.00 per 5 sessions $ 500.00
facilitation/instructio lhr. session
Ii
Total request is $16,500.00 for four (4) 4-hour sessions or 16 hours and five hours of
facilitation/co-facilitation only for additional instruction/training events scheduled during the
grant year will be split 50% with Central Phoenix Regional Council = $8,250.
Pronnotoras/Communitv based Site Coordination Due to the on-going requirement for outreach
cultivation at all levels within the community, this contract is responsible for assisting in
"ramping up" recruitment of Central Phoenix families and making referrals to needed services
especially to meet service gap neighborhoods, isolated zip codes etc. Promotoras will recruit
women and families for perinatal services from Healthy Start and other FTF projects and
partner organizations based on their specific individual needs. Promotoras will provide
neighborhood by neighborhood outreach, and focus on hard to reach and low service/provider
areas. They will act as the point of contact for the community and will provide quarterly
updates with different health, development themes and community partner/resource
"spotlights" at key businesses, community centers, multifamily housing complex areas,
community meetings, neighborhood associations, etc. Promotoras services will be contracted
through a community agency. A total of $ 10,000.00 to include coordination of Promotoras and
their compensation when working on monthly and quarterly outreach projects/events.
Language Line Access to a language translation line is essential when staff need to
communicate a specific message to a non-English speaking clients and a bilingual staff member
is not available. This resource is also very helpful when non-English speaking community
members are seeking services, resources or referrals. Average potential cost per year is $250
total/year.
Evaluation Consultation
Bids for evaluation support will be acquired through the Maricopa County Procurement and
Solicitation process. Healthy Start has a robust data collection system that would benefit from
professional analysis in order to better inform programmatic growth and design, as well as
dissemination of lessons learned. Current vendors with Maricopa County are averaging
$120/hour. This funding cost will be shared with Central Phoenix Regional Council; this budget
will contribute allow for 15 hours evaluation services/month x 9 months = $16,200 annual cost.
14

Professional and Outside Services Total: $52,200
Travel:
In State-Taxi Services Taxi service is provided on an as- needed basis so that clients may attend
Childbirth Education classes; these classes occur in the evening and when the clients are in their
third trimester of pregnancy, making other options such as the bus not a safe option. This
service is a last resort when it is determined that the client truly has no other viable resource
for transportation to the classes. Taxi services average $350/series x 5 series = $1,750.
In State Travel—Staff Mileage Outreach and home based core services are the foundation of
this project and mileage reimbursement and all travel and reimbursement is paid in accordance
with state guidelines. Standardized mileage reimbursement forms are completed by
employees at the end of each pay period and submitted to their supervisor for approval.
Reimbursement is provided directly to the employee via payroll checks. Reimbursement
requests for mileage must be made prior to 60 days following travel. Travel expenses related to
mileage reimbursement is based on average reimbursement rates for current Healthy Start
home and community visit schedules; our mileage costs have decreased with the addition of
our satellite offices as staff need to travel shorter distances in order to see clients. Five FTEs
and two 1/2 FTEs conducting outreach, education and home visitation work in the community
average in-state travel based on a rate of .445 per mile x an average of 300 miles per month
by all members of the work team or $133.50 per month x 12 = $1,602 in mileage rates next
year.
Out of State Travel—Travel to mandate federal grantee training on the Healthy Start model
core services, policy education and community advocacy issues are conducted annually in
Washington DC during the National Healthy Start Association Spring Conference and
Congressional Education Days in March/April. 3 FTF South Phoenix Regional Council funded
employees/and or participants are encouraged to attend the conference per year.
Approximate costs for 3 1/2 days of educational activities per employee is:
Airfare--$ 500.00 RT $1,500.00 total for 3 employees
Ground Transportation--$35.00 RT $ 105.00 total for 3 employees
Lodging--$ 275.00 per night for 4 nights ($1100.00) $3,300.00 total for 3 employees
Per Diem/Meals—$71.00 per day for 4 days ($284.00) $ 852.00 total for 3 employees
$5,757.00 Spring Conference Travel
Total Travel: $9,109
Other Operating Expenses:
All purchases for supplies, materials, rents, leases and other contracts for services are made
using Maricopa County Procurement, Facilities and IT Equipment codes and policies. All
purchases and contracts are negotiated by the Procurement, Facilities and IT Departments with
input from project management staff and MCDPH administration. All requests for purchase
must receive prior supervisory and financial approval. Independent purchases cannot be made,
reimbursements are not allowable and no petty cash will be available for project use.
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Telephone/Communication Services: Due to the extensive programmatic travel, home visits
and community events and concerns about home and community safety, a cell phone is issued
to each employee. Services are provided through Maricopa County Communications; bundled
services per staff and satellite site is $42.00 per month for Community Health Workers and $55
per month for the Social Work Supervisor, of which 50% is shared expense with Central Phoenix
Regional Council Prenatal Outreach grant. $237.00 per month x 12 months is an annual
telecom charge of $2,844.00.
General Office Supplies: Average costs for general office supplies for program staff is
estimated at $200/year. Monthly expenses estimated include: paper (copy, postcards,
letterhead); printer ink cartridges and copier toner; and general office supplies (files, desk top
supplies). 6 FTE program staff x 200 = annual request of $1,200.
Food Supplies
Food costs will be shared with the Central Phoenix Regional Council-Prenatal Postnatal
Outreach grant. Light nourishment during weekly support groups, (100/year) at $1.00 per
person serving approx. 1000 individuals for a total of $1,000; light refreshment or small meal at
16 community workshops, classes or education programs per year not to exceed $3/person x
320 people for a total of $960; Monthly community advisory/consortium meetings providing
working lunches for community partners, program participants, residents and other agency
representatives. Average of 30 individuals attends each month costing approx. $8.00 per
month per attendee for 8 months-no meetings during summer months or December for a cost
of $1,920. Monthly baby food making and infant nutrition classes conducted for 200 women at
a cost of $26.00/class for food supplies for a total of $312.00 per year. Total cost food supplies
and nourishment of $ 4,192 at 50% = $2,096 annual cost.
Rent: Contractual costs for the Healthy Start office located at 2737 W. Southern Avenue, Suite
8, Tempe, Arizona includes base rent, utilities, janitorial service, parking, maintenance and sales
tax is $57,453 for FY15. This South Phoenix Regional Council Prenatal/Postnatal grant will
contribute 33% of the annual facilities cost totaling $17,410.00 per year to rent and occupancy.
Furniture: Portable tables and chairs are needed for outreach, community and educational
events. The tables and chairs need to be durable yet light enough for staff to move as needed.
Tables: 5 x $220 = $1,100, Chairs 15 x $60 = $900. Total: $2,000.
Postage On occasion postal and/or courier service is needed for distributing correspondence,
provider letters, survey post cards and referral letters through the US Mail or packages through
contracted courier service. This expense is calculated at an average of $50/year.
Dues/Subscription: Annual dues to National Healthy Start Association are $300.00. This
membership provides members-only access to the other 105 Healthy Start sites nationwide,
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toolkits, technical assistance, FAQ and member bulletin board, free webinar access for prenatal,
postnatal and infant health topics, no cost registration in the 2-day National Healthy Start
Leadership Training institute.
Printing and Copying: Duplication Costs for training curriculum materials and health
assessments based on average copy cost of $2.00 per participant for 400 families per year
totaling $800.00 for materials. Bulk copies of event flyers, educational handouts, resources and
referrals will be made in-house at an annual cost not to exceed $1,700.00 for a total duplication
expense of $2,500.
Professional Development/Staff Training:
On-going staff training is essential in order to increase competency and productivity, improve
comprehensive knowledge needed to provide individualized prenatal support and family
services and home based education. It also allows staff to meet training and certification
standards of the various development programs, increase employee loyalty and sense of value,
reduce turnover rate and bring about a return on the investment. This budget will allow for
each FIE to attend up to 2 local conferences at $200 each ($400 total), and up to 4 local
trainings at $50/each (200 total). 6 FTE x $600 $3,600 for local staff professional
development. Conference fees for 3 staff to attend the National Healthy Start Conference in
Washington DC: $450 x 3 = $1,350 Total: $4,950.
Doula skill development is also essential to ensure on going quality control regarding doula care
provided on behalf of Healthy Start. This budget will support 6 planned training sessions
available to contracted doulas: 10 doula's x 6 sessions x $50/each = $3,000 x50% to be shared
with Central Phoenix Regional Council = $1500.
Program Materials: Project implementation requires the assessment of pregnant, post partum
women and children for successful case management, goal planning and education.
Client Curriculum (Reproductive Life Plan Kits, Prenatal passports, Birth Plans, Preconception
life plans, Beginnings Guides) - $2,342 Teen and Peer Support Group Meeting (post partum
depression, prenatal stress reduction) and Training materials for weekly meeting handouts,
packets, CD's or DVD's x approximately $204 per month for a total cost of $2,450.00 per year.
Peer led support group meeting materials for an average of 43 men per year at $5,00 per
person = cost includes notebook binders for $215.00 per year. Total Program Materials:
$5,007
Program Supplies:
Bus passes are provided to participants to encourage compliance with program events, doctor
appointments and other community meetings. Based on recent, average usage: $60/month x
12 months = $720
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Program Incentives
These incentives offer program participants' tangible "pat on the back" opportunities for
families accomplishing milestones and challenging program goals. Additionally, it can provide a
means of encouraging participants to attend small group classes, focus groups, community
meetings, etc. These incentives are non-cash in the form of household, baby and personal
hygiene/grooming goods and services available in the target community. A catalog of
incentives and the SPHS Healthy Bucks incentive program track participation and goal
accomplishment and offer "cashing in" Mom Bucks for items. items are themed around
prenatal support services, such as gift certificates for prenatal and post partum home services,
breast pumps, blenders for baby food making, etc. Distribution of approximately $350 per
month in participant incentives for a total of $4,200.00.
Community Volunteer Incentives are used as reimbursements for volunteers' time and
resources (gas, mileage, special skills.) Community Mobilizer or volunteer incentives are non-
cash reimbursements for their time and effort during their volunteer service in the form of
vendor checks through registering as a Maricopa County Procurement Vendor and reimbursed
at a general rate of reimbursement is based on $10.00 per hour for approximately 106
volunteer hours for an annual total of $ 1060.00. Total Program Incentives: $5,260
Other Operating Total: $45,837
Non-Capital Equipment: Individual access to a computer has become a necessity for personnel
at all levels and scopes of work; computers and related technology have become the mode of
all daily business including email communication, webinars and community partner websites,
the Maricopa County Intranet, computer/web-based systems such as timesheets, shared files,
Word, Excel, PowerPoint, databases and so forth. As this project model also requires most staff
to have mobile technology in order to work at various satellite sites throughout their week, 3
desktop computers (over 5 years old) need to be replaced. This budget will purchase 3 laptop
units (laptop, docking station, monitor, mouse and keyboard) at $1500 per unit; this cost is
based on recent similar purchases. $1500 x 3 = $4,500.
Administrative/Indirect Costs: OPTION B (see Attachment G)
Maricopa County Department of Public Health maintains a federally approved indirect cost rate
agreement for indirect costs for up to 10% of the grant request. Current cost allocation for
administrative costs is 15% of the budget, the percentage requested from each funding source.
As allowed by First Things First, a 10% administrative cost rate is requested in this budget, with
the remaining 5% being contributed by Maricopa County Department of Public Health.
Total indirect at 10%: $36,346
Total Budget: $399,806
Authorized signature Date.
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Attachment D
Key Personnel
$TAFF MEMBER BACKGROONDANO .:EXPRTISEI .OPPERSONSEL.
Name: Lisa L. Derrick Master's in Counseling emphasis in Educational Psychology, BA in Administration
Title: Program Director and Management. Worked for 25 years for Maricopa County as manager for
FTE on this project: In-Kind AHCCCS Eligibility-Medicaid Training, Director of Clinical and Non-Clinical Education
Program Management Support for Maricopa Integrated Health System. Currently serves as the President of the
Board of Directors of National Healthy Start Association; Chair and Faculty of the
Healthy Start Leadership Training Institute.
Name: Zelma Washington RN with advanced degrees, most recently working as a nursing instructor in OB with
Title: RN Case Mgmt. Sup, college level students. Extensive history of maternal child health and general clinical
FTE on this project: In-Kind practice.
Operational Supervisory Support
Name: Erika Quinonez Alvarez Has lived in target area for last 19 years; bilingual Spanish speaking and has 5 years
Title: Community Health Worker of case management experience working for Maricopa County Public Health; she has
FTE on this project: 1 attended college and is certified as a Clinical Technician.
Name: Gloria Corbin Has lived in target area for nearly 15 years; has several years experience handling
Title: Community Health Worker Medicare and Medicaid enrollment and 5 years working in child care and child
FIE on this project: 1 development settings
Name: LaKesha Crump Formerly lived in target area; has 7 years experience working in case management
Title: Administrative Support in health and social service, 3 years in Maricopa County Department of Public
Specialist Health; 2 years in childhood development and child care; financial institution and
FTE on this project: .50
office management experience; attended some college.
Name: Vacant
Title: Social Workers Case
Management Supervisor
FTE on this project: .50
Name: Tatiana Loncar Lives in the target area and multilingual; 3 years of child development and child care
Title: Community Health Worker experience in a health and social service setting and has worked for Maricopa
FTE on this project: 1 County Department of Public Health for one year; 3 years of college and is a
Registered Nursing Assistant with a Nurse Delegation Certificate.
Name: Theresa Mitchell-Lopez Lives in target area; bilingual Spanish speaking with over 5 years' experience as a
Title: Community Health Worker certified Medical Assistant working for Maricopa County Correctional Health with
FIE on this project: 1 female inmates and detainees and in the Pediatric Clinic at Maricopa Medical Center.
She has college education in health care and foreign language.
Name: Bethany Neal Lives in target area and recent U of A graduate (BS) in Public Health with emphasis
Title: Community Health Worker
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FTE on this project: 1 in Community Health Education. She served her internship in health and fitness
training and has business operations experience. Additionally, her work history
included conducting female empowerment workshops and after school education
programming.
*In addition, please attach a resume (for current personnel) or a job description (for positions to be
hired) for the key personnel involved in the project and listed above. If awarded and there is a change
in staff or a vacant position filled, a Staff Change Notification form and resume must be uploaded via
the Communication Log in PGMS within 14 days of hire.
KEY PERSONNEL INCLUDE ANYONE WHO WILL BE PAID FROM THE GRANT
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Attachment E
DISCLOSURE OF OTHER FUNDING SOURCES
Please list all other funding that your organization currently receives from State or Public Agencies,
Federal Agencies, Non-Profit Organizations, or any other source providing funding for the funded
program*. Statute ARS 84183 provides for a prohibition on supplanting of state funds by First Things
First expenditures, meaning that no First Things First monies expended are to be used to take the place
of any existing state or federal funding for early childhood development and health programs.
Use a continuation sheet if necessary. The following form may be reproduced with word processing
software or another form may be created that contains all the information requested,
Type of Funding If used for
Received From Amount match on
(Federal, State, local, other)
this grant
State First Things First Central Phoenix $399,994.00
Regional Council
Federal HRSA Maternal Child Health Bureau $384,160.00
Healthy Start Division
TOTAL: $784,154.00
*Should include only those funds that will support the program detailed the awarded First Things First grant award
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Attachment F
First Things First Standard Agency Information Collection Form
A. Agency Information:
Program Name (if applicable): Maricopa County Department of Public Health: Family Health Services — FTF Program
Agency: Maricopa County through its Department of Public Health Contact Person: Lisa L Derrick
Address: 4041 N Central Ave, Ste 1400 Position: Lisa Derrick
Address Email: LisaDerrickP ma 11.maricopa.gov
City, State, Zip: Phoenix, AZ 85012 Phone: 602-438-7812 Ext
County: Maricopa Fax 602-276-3209
Employer Identification Number: 86-6000472
Agency Classification: State Agency X County Government Local Government Schools
Tribal Faith Based Non Profit Private Organization Other
Have you previously conducted business with First Things First using this EIN?
If not, please go to http://www.goo.az.gov/Vendor/account setup horne.asp,
download the State of Arizona Substitute W-9 Form, and submit with your application
Congressional district (federal) in which agency provides most services: District # 4
Legislative district (state) in which agency provides most services: District # 15
Go to http://www.azredistrictinq.oro and click on Final Maps to identify your
Congressional and legislative district
Approximate federal funding (from a federal source) to be received in current fiscal year? $28,696,233
Agency's fiscal year-end date: June 30, 2014
Agency's accounting method: Cash X Accrual
Does your organization undergo an annual independent audit in accordance with OMB Circular A-133? X Y
Contact information for firm conducting agency audit:
Audit firm: State of Arizona, Office of the Auditor General
Address: 2910 N 44th Street, Suite 410, Phoenix, AZ 85018
Phone: 602-553-0333
B. Proposed Program Information/Description:
Amount requested: $399,806
Service area of proposed program: South Phoenix Regional Council Zip Codes
Target population of proposed program: Pregnant and parenting families with children under age of five
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Lead Strategy - Prenatal Outreach
Provide a contracted number for the following service unit for FY 15:
Number of adults attending training sessions: 450
Number of adults receiving home visitation: 250
Number of children receiving screening: 0
Number of developmental screenings conducted: 0
Number of hearing screenings conducted: 0
Number of vision screenings conducted: 0
Important Items to NOTE:
O If you are providing a different contracted service number than what was contracted for in FY 14, provide a brief
description explaining the change.
6 If you are not providing services for a particular service unit within a strategy with more than one service unit,
please indicate "NA."
o A complete listing of First Things First Target Service Unit descriptions can be found in PGMS under the Grantee
Resources folder.
Please provide a brief description (250 words or less) of the proposed program. This description will be used by First Things
First for all public information regarding the grant.
No difference in services since FY14 contract
Contact Information:
For each contract in the Partner and Grants Management System (PGMS), there are four contact slots available
that provide a varying degree of access. The four slots are the Main Contact (all access), the Program Contact
(access to narrative and data reports), the Evaluation Contact (access to only data reports) and the Finance
Contact (budget and reimbursements.) The same person may be assigned to more than one slot.
Main Contact: This person has overall responsibility for ensuring the program is successfully implemented and will
have access to all financial, programmatic, and data reports in PGMS.
Main Contact: Tracy Sloat
Position: Nursing Manager
Address: 4041 N Central Avenue, Suite 700
City, State, Zip: Phoenix, Arizona 85012
Email: TracySloatPmail.maricopa.gov
Phone: 602 -506 -0610 Ext. Fax: 602-506-6896
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Program Contact: This person has responsibility for the regular program operations. They will be able to access
program narrative and data reports in PGMS.
Program Contact: Lisa Derrick
Position: Program Coordinator
Address: 2737W Southern Avenue, Suite 8
City, State, Zip: Tempe, Arizona 85282
Email: LisaDerrick@mail.maricopa.gov
Phone: 602-438-7812 Ext. Fax:
Financial Contact: This person has the responsibility for financial accounting and reporting including submitting
reimbursement request through PGMS. They will be able to access financial information in PGMS.
Financial Contact: John Schulz
Position: Accountant
Address: 4041 N Central Avenue, Suite 700
City, State, Zip: Phoenix, Arizona 85012
Email: JohnSchulz@mailmaricopmgy
Phone: 602-506-6788 Ext. Fax:
Evaluation Contact: This contact person has responsibility for the program's evaluation and data collection
activities. They will be able to access the data reports in PGMS.
Evaluation Contact: Lisa Derrick
Position: Program Coordinator
Address: 2737W Southern Avenue, Suite 8
City, State, Zip: Tempe, Arizona 85282
Email: LisaDerrick@mail.maricopmov
Phone: 602-438-7812 Ext. Fax:
PGMS Training
If any of the contacts are new or in need of technical assistance with PGMS, please indicate the type of training
and which contact:
O Accessing/Navigating PGMS Contact(s):
O Narrative/Data Report Entry Contact(s):
O Reimbursements/Budget Modifications Contact(s):
O Other: Contact(s):
24