CONTRACT AMENDMENT RE POLICY ANALYSIS WITH ASU.PDF

CONTRACT NO: C436-12-609•-3 ,05 AMENDMENT NO: 5
ADMEN DMENT TO
CONTRACT
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
4041 N Central Avenue, Suite 1400, Phoenix, Arizona 86012
and
State of Arizona, and Arizona Board of Regents on behalf of
Arizona State University
The above named contract is hereby amended as specified below:
A. Replace Section 6.24,1. Exhibit A Pricing with Exhibit A-1 Pricing $76,750 which
includes supplemental funding in the amount of 52,500 for the Contract period
July 1, 2013 through June 30, 2014.
B. Replace Section 6.24.2, Exhibit B Scope of Work with Exhibit B-1 Scope of Work.
II. Ail other terms and conditions of the original contract shall remain in full force and
effect,
IN WITNESS VVHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF FOR AND ON BEHALF OF
MAR1COPA COUNTY ARIZONA STATE UNIVERSITY
By:
Chairman, Board of Supervisors
Date Date
ATTEST . ATTEST
Tara Seaton
Clerk of the Board i'-c -s[starirDirectar —
Re sea r AdministratiOn
Date Date Arizona -Etate tiraversity
APPROVED AS TO FORM APPROVED AS TO FORM
Attorney for MarlooPa County ,
Date Date

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EXHIBIT B-I.
ASU's Tobacco-Free Campus Post-implementation Policy Evaluation
Arizona State University (ASU) implemented a tobacco-free campus policy (ACD 804: Tobacco-
Free Campus) effective August 1,2013. The policy states:
To protect the health and safety of university faculty, staff, students, and visitors on the
campuses of ASU... Smoking and the use of smokeless tobacco products are prohibited
in or on all university:
owned property
2. leased property
3. facilities
4. grounds
5. parking structures
6. university-owned vehicles
SRC conducted a pre-implementation evaluation of this policy during the spring of 2013. Since
the policy has now gone into effect, SIRC will continue this evaluation post-implementation
through collaborations with the Maricopa County Department of Public Health (MCDPH) and
ASU.
During the first 1-2 months of the evaluation, SIRC will analyze the 2013 NCHA-I I student data
that became available in July 2013, These data were collected in April 2013 and provide
information on the tobacco behaviors and tobacco-free policy attitudes among ASU students
pre-implementation. The pre-implementation evaluation report submitted to MCDPH in June
2013 will be updated to include these data.
The post-implementation evaluation will mirror the pre-implementation evaluation for
comparison purposes. However, due to the additional time allotted to the first year of the post-
implementation evaluation, additional components will be incorporated to enhance the quality
and comprehensiveness of the evaluation. These include counting tobacco-related litter on all
four ASU campuses within Maricopa County at two time points, September and April, to analyze
potential changes throughout the academic year as students, staff and other ASU patrons
become more aware of and accustomed to the new policy requirements. SIRC will also
supplement the evaluation with qualitative data. These data will be collected through focus
groups conducted with ASU populations, such as the Facilities and Maintenance staff, that may
be less likely to complete the online surveys and on may have valuable information to contribute
to the policy evaluation that is not captured through the surveys.
Return on investment estimates will be recalculated to incorporate additional and updated data
as available. These estimates will be designed to project longer term health care cost savings
associated with the implementation of the tobacco-free campus policy.
SIRC will compile all data and ROI estimates into a comprehensive report that will be submitted
to MCDPH by June 30, 2014 1 .
1 Pending discussions with the American College Health Association (ACHA), which conducts the annual National
College Health Assessment (NCHA-II), the date of the final report may need to be extended if 2014 student data are
not available until July or August 2014.

Deliverables/activities
• Analyze student NCHA-Il data for 2013, fall 2013
• Update pre-implementation report to include student data, fall 2013
• Continuously compile data on process evaluation measures, applicable outcomes
measures and costs associated with policy implementation, on-going
O Work with insurance companies and health organizations (including ASU Benefits) to
compile healthcare usage and cost data, on-going
• Count/observe prevalence of tobacco-related litter on all ASU campuses within Maricopa
County at two time points, September and April
• Refine, conduct and analyze student and employee surveys in conjunction with ASU,
spring 2014
6 Conduct focus groups with appropriate populations (e.g., ASU Facilities and
Maintenance staff), on-going
• Calculate return on investment estimates with updated data to show long-term health
care cost savings, spring 2014
O Prepare post-implementation report for Year 1, June 30, 2014
Measures to be included in 2013-2014 evaluation:
• Process Evaluation Measures
o Number of tobacco cessation programs offered
O Number of programs/events offered to educate students and employees on
tobacco-free campus policy
O Number of policy-related announcements distributed
O Number of signs erected
O Number and percentage of smoking areas/ashtrays removed
• Outcome Evaluation Measures
o Number and percentage of employees/students who smoke or use tobacco
products
6 Overall usage & daily consumption we expect, at a minimum, a
decrease in daily consumption of tobacco products
O Number and percentage of students who began smoking during or following first
semester at ASU and/or after age 18 (to compare with national measures)
O E-cigarette usage rates
• Will use of e-cigarettes increase as a result of the tobacco-free policy?
What does this mean for public health?
O Participation rates in tobacco cessation programs
O Participation rates in tobacco-related training/educational activities
O Policy approval ratings (via student/employee survey)
O Exposure to secondhand smoke (self-report via survey)
O Absenteeism (self-report and HR data)

o Student/staff attitudes toward tobacco use (via student/employee survey)
o Student/employee health (self-report via student/employee survey and HR
records)
o Tobacco-related doctor/hospital visits
o Tobacco-related litter on campuses (e.g., cigarette butts, empty packs) will
conduct another round of counting litter on campuses to compare with pre-
implementation numbers
o Compliance rate, including self-reported incidence of noncompliance, supervisor
report of noncompliance, and peer report of noncompliance
O Changes in enrollment rates
o Number of formal complaints received by ASU administration regarding smoking
on campus
o Number of formal complaints received by ASU administration regarding policy
implementation
• Cost Measures (for pre-implementation period through June 30, 2013)
o FTEs assigned to policy implementation (including marketing/communications,
web development, coordination, facilities personnel, etc.)
o Communications
Signage (have pre-implementation estimate; calculate actual costs by
2014)
e Advertisements
▪ PR
o Website development and maintenance
o Training/education of students and faculty/staff
o Smoking cessation programs
O Removal of smoking-related cues (e.g., ashtrays, smoking areas)
O Current student healthcare costs
o Faculty/staff healthcare costs
• Work with student health and insurance companies over a more extended
period of time to gather these data if possible
o Productivity Losses (provided a valid estimate is available)

Southwest Interdisciplinary
Research Center
ARIZONA STATE UNIVERSITY
SIRC Obesity Project
The Southwest Interdisciplinary Research Center (SIRC) at Arizona State University is
pleased to collaborate with Maricopa County in their training efforts.
We anticipate that it will take at least two full days of work (a minimum of 16 hours) to
put together and deliver a quality presentation integrating the results of the 2012 and
2013 obesity projects/reports. We will need to pay our consultants additional fees to
participate in the presentation as well, since they made unique contributions to the
projects.
Given the anticipated effort and our hourly rate with MCDPH ($165), we could do the
presentation to the CHIP group for $2500, which is actually a little less than our total
anticipated cost.
Personnel:
Holly Figueroa, Evaluation Coordinator/Research Analyst has worked at the
Southwest Interdisciplinary Research Center at Arizona State University for nearly six
years. In her current position she partners with nonprofit and governmental agencies at
the local, state and national levels to analyze policy alternatives and evaluate the
effectiveness of programs related to health, education and substance abuse prevention.
She also provides training and technical assistance statewide to increase the capacity
and sustainability of community organizations and to support the proliferation of
evidence-based services throughout Arizona. Most recently Holly has worked with
Maricopa County Department of Public Health and Arizona Department of Health
Services, Division of Behavioral Health Services. Holly earned a Master of Social Work
from Arizona State University with a concentration in Planning, Administration and
Community Practice. She is currently pursuing her Ph.D. in Public Administration and
Policy at ASU.
Christine Totura, Ph.D., SIRC Research Consultant has worked on a related project
last year and has the needed expertise to contribute to this project. She is totally
familiar with the background information and the client needs; the client knows her of
previous work and granted SIRC continuing work to develop their Obesity Prevention
initiative based on her and SIRC's project last year (Contract C-86-12-009-3-03, ASU
account numbers GSS0059 and GSS0060).
SIRC
An exploratory Center of Excellence on Health Disparities
School of Social Work - College of Public Programs
Mail Code 4320 - 411 N. Central Avenue - Suite 720
Phoenix, AZ 85004-0693
(602) 496-0700 Fax (602) 496-0958
sircasu.edu httu:ilsirc.asu.edu