CONTRACT AMENDMENT RE PUBLIC HEALTH POLICY WITH HEALTH RESOURCES IN ACTION.PDF

CONTRACT NO: C-86-12-010-3-05 AMENDMENT NO: 5
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
4041 N Central Avenue, Suite 1400, Phoenix, Arizona 85012
and
HEALTH RESOURCES IN ACTION
The above named contract is hereby amended as specified below:
A. Replace Section!. Contract Term, 1.1 end date with June 30, 2014.
B. Section 6.25.1 Exhibit A Pricing, replaced in its entirety with the attached revised
budget Exhibit A in the amount not-to-exceed $147,340 for project period January 1,
2014 through June 30, 2014.
C. Section 6.25.2 Exhibit B Scope of Work replaced in its entirety and replace with the
attached revised Exhibit B, Scope of Work.
I I. All other terms and conditions of the original contract 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 HEALTH RESOURCES IN ACTION
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
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5. Stigi41, SiiIjo 208
Health Resources in Action 13:-.r.sTo:h: MA 021113
Advancing Public Health and Medical Research .F ?51O$2
December 19, 2013
Lee Connelly, MINI
Administrator, Community Transformation Division
Maricopa County Department of Public Health
4041 N. Central Ave. Phoenix, AZ 85012
Dear Ms. Connelly:
Thank you for the opportunity to submit a proposal to the Maricopa County Department of Public
Health in the amount of $147,340 to provide the health department's leadership with a series of
products and strategies for strengthening its ability to partner with the health care and business sectors
as you mutually seek to achieve the Triple Aim of health reform: Improved Patient Care, Improved
Population Health Outcomes and Lowered Health Care Costs.
Attached please find a proposal narrative with a scope of service, as well as a budget with more detail
relevant to each deliverable. Should you have any questions, please contact our Chief Strategy Officer,
Laurie Stillman, at Lstillman@hria.org . If you want to speak with me directly, please don't hesitate to
contact me. My extension is x701 and my email is Rconsidine@hria.org .
Best wishes for a healthy holiday season and New year.
Sincerely,
Raymond Considine
President

Exhibit A
Budget Proposal to Maricapa County Department of Public Health from Health Resources in Action
12/19/13
Hours Total
6 infographics/5 priority areas
Strategy 6.00 720.00
Research 60.00 7,700.00
Development 30.00 4,900.00
Revisions 18.00 2,160.00
6 best practice briefs/5 priority areas
Strategy 6.00 720.00
Research 60.00 7,200.00
Development 48.00 6,960.00
Revisions 18.00 2,160.00
6 webinars (2 presenters each) 168.00 20,160.00
Best practice report (2 health issues)
Strategy 3.00 360.00
Lit review 14.00 1,680.00
Qualitative research 30.00 3,600.00
Development 20,00 2,800.00
Revisions 6.00 720,00
Works te wellness toolkit (up to 5 topic areas)
Strategy 25,00 3,000.00
Research 119.00 14,280.00
Development & revision 152.00 18,240.00
Internal assessment/7 interviews 21.00 2,520.00
Internal staff retreat (2 people)
Travel 42.00 6,900.00
Prep & follow up 48.00 5,760.00
Communication TA (20 hours) 20.00 2,400.00
Project management 270,00 32,400.00
Total 147,340.00

Exhibit B
Fostering Public Health and Health Care Partnerships for Improving Population Health
in Maricopa County
1. Identification Information:
• Name of Contact: Laurie Stillman, Chief Strategy Officer
• Business Name: Health Resources in Action, Inc.
- Address: 95 Berkeley Street, Boston, MA 02116
• Phone Number: 617-451-0049, ext. 201
• EIN/DUNS Number: 125333963 (DUNS Number)
• Email Address: Istillman@hria.org (organization website: www.hria.org )
2. Description of the Firm Offering Professional Services.
Health Resources in Action (HRiA) is pleased to submit this proposal to the Maricopa County
Department of Public Health (MCDPH) to provide the health department leadership with a series of
products and strategies for strengthening its ability to partner with the health care sector as you
mutually seek to achieve the Triple Aim of health reform: Improved Patient Care, Improved Population
Health Outcomes and Lowered Health Care Costs.
HRiA is a 501(c) 3 national nonprofit public health and medical research organization located in Boston,
MA serving governmental, community, health care, and philanthropic organizations across the United
States. Founded in 1957, HRiA works to help people live healthier lives and create healthy
communities through policy, prevention, health promotion, and research. This broad mission
statement has remained consistent throughout HRiA's history and is reflected in the organization's
various services and competencies, including research, assessment, and evaluation; strategic planning
and organizational effectiveness; public policy and systems change; training and capacity building; youth
development, and health communications. With a strong focus on the multi-faceted issues facing
vulnerable populations and a deep understanding of health disparities, HRiA has earned a national
reputation as a leader in promoting healthy communities.
3 . Approach to Services
Through a number of components and strategies, HRiA's consultant team will produce five overarching
deliverables based on MCDPH's articulated aims:
a) Communications materials and strategies for collaborating with the health care sector in six major
areas
• Factsheets describing the rationale and approaches for adopting best practices for clinical
and community/public health partnerships in six areas. One of the six areas will address
the overall value of prevention and population health strategies. The remaining five
factsheets will address healthy eating, active living, diabetes, asthma, and cardiovascular
disease. These topics may change based on the economic and epidemiological data
available as this project unfolds.
• INFOGRAPHIC s that will visually represent the key concepts explicated in each of the six
areas identified above
• Webinars, will be presented to various audiences (e.g. MCDPH staff, payers, providers,
etc) via HRiA's Community Health Training Institute platform. The topics will be
determined by MCDPH, with a maximum of six presentations. The objective of these
webinars will learn together about cost effective practices for addressing key health
challenges, such as asthma.
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Oral Health System Assessment
• Technical Assistance Consulting on communications strategies for the above deliverables
b) Best practice report will be developed to address two major public health priority issues not
currently being addressed by MCDPH: Elder Falls Prevention and Prescription Drug Abuse
• FRIA will research the published and gray literature to provide background on Elder Falls
Prevention and will identify evidence-based best practices for addressing them. In
addition, MCDPH will provide background research to HRiA on Prescription Drug Abuse,
and then HRiA will develop an Operational Action Plan describing the "nuts and bolts' ) of
getting the work done in a large, urban local health department.
• Three model health departments, experienced in addressing these two topics, will be
interviewed to describe how they are implementing these prevention programs through
their health departments, and whether they are showing results. Short case studies will be
written up.
• The literature and qualitative data will be synthesized into a report that will be used by
MCDPH to inform potential program development in these two areas. It will incorporate a
practical Action Plan for Prescription Drug Abuse.
c) Healthy Worksites Toolkit. HRIA will identify and/or create evidence based or evidence-informed
worksite wellness resources that provide practical guidance for small, medium and large employers
to assist them in implementing worksite wellness initiatives in up to five topic areas (physical
activity, healthy eating, prescription drug abuse, tobacco, and biometric
screenings/immunizations). These topics may change based on the employer and employee data
that becomes available during the assessment phase of this project. Included in the toolkits (one
toolkit for each topic) will potentially include messaging/communication strategies and/or
information on existing campaigns to entice employees to participate in wellness initiatives, sample
policy language, facilitators to success, ways to address potential challenges that employers may
face to implement these, etc.
d) Technical Assistance for Assisting Key MCDPH Staff to move their work upstream
• While the format is to be determined, at least two staff from HRiA will conduct a brief
assessment of key departments within MCDPH, and organize /lead a full day retreat that
will assist staff to analyze their current work and identify opportunities for them to not only
enhance their partnerships with the health care sector, but also identify best practice
strategies for moving their programs into more impactful and sustainable approaches that
utilize policy, environmental and systems change strategies.
5. Timeline. The project is expected to begin the first week of January 2014 and be completed by June 30,
2014
6. Project Assumptions:
a) MCDPH staff will identify their five priority areas to be researched by January 6 th, 2014
b) MCDPH economists will research and communicate their findings to HRIA staff on costs
associated with the five or six priority chosen areas to research
c) Up to five topics can be researched for the healthy worksites toolkit with the resources
available. These two topics will be identified by January 13 th, 2014 by MCDPH. MCDPH will be
responsible for uploading the information to its website
d) MCDPH will take responsibility for publicity and recruiting for the webinars
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Oral Health System Assessment
e) MCDPH staff will be available on a bi-weekly basis for planning calls; In January weekly calls may be
required.
f) MCDPH will respond in a timely fashion regarding requested feedback on products. A key project leader
will be identified.
g) MCDPH will organize the logistics for the two in-person meetings with staff retreat and with the health
care summit. MCDPH will cover the meeting costs including providing supplies and meals or snacks. A note
taker may be required by MCDPH staff, as well as assistance with meeting facilitation.
7. Project Costs: The total project cost is estimated at $147,340. Attached please find a detailed summary
of the costs involved. We have billed our consultant costs at $120/hour; $90/hr for travel time.
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