PURCHASE ORDER FOR WELL WOMAN HEALTHCHECK PROGRAMA - AGENDA INFORMATION FORM.DOC

Agenda Item Id:
Item Title
PURCHASE ORDER FOR WELL WOMAN HEALTHCHECK PROGRAM
C Number: C-86-08-001-3-13
Action Requested:
Approve Purchase Order (E1H38162) from the Arizona Department of Health Services (ADHS) to
Maricopa County through its Department of Public Health, to decrease the funds from the
Intergovernmental Agreement (IGA) HG761266. This Purchase order provides funds to the Well Woman
HealthCheck Program, which services uninsured or underinsured women for breast and cervical cancer
screening and diagnostic services. This Purchase Order decreases the funding from $825,000 to
$550,000 for the budget period July 1, 2010 through June 30, 2011. All other terms and conditions of
the original IGA shall remain in full force and effect.
The Department of Public Health FY 2010-11 indirect rate is 17%. Grant indirect costs are capped at
$18,000. Full indirect costs are estimated at $36,615 of which $18,000 is recoverable and $18,615 is
unrecoverable. Sub-recipient expenses are in the amount of $298,000 and are not subject to indirect.
Board Required Information:
The overall grant budget will be adjusted as necessary to accommodate this grant through a future
reconciliation. Funds for this IGA are provided by a grant from ADHS and do not affect the County's
general fund. Reimbursement to subcontractors is on a per enrollee basis at a rate established by ADHS.
Additional Information:
The Arizona Well Woman Healthcheck Program (WWHP) provides a comprehensive breast and cervical
cancer early detection screening program targeting uninsured or underinsured women, age 50 or older,
who currently have difficulty accessing these services. WWHP also includes a culturally appropriate
outreach component and research component. Maricopa County has been the fiscal agent for this
program since 1996.
IGA Approval History:
Amendment No. 7 approved on 10/6/10 under C-86-08-001-3-12.
Procurement Change Order No. 1 to Purchase Order (E9H26186) approved on 6/23/10 under C-86-08-
001-3-11.
Amendment No. 6 approved on 6/9/10 under C-86-08-001-3-10.
Amendment No. 5 approved on 1/27/10 under C-86-08-001-3-09.
Amendment No. 4 approved on 11/18/09 under C-86-08-001-3-08.
Amendment No. 3 approved on 7/22/09 under C-86-08-001-3-07.

Procurement Change Order No. 1 to Purchase Order (E9H26186) approved on 12/3/08 under C-86-08-
001-3-06.
Purchase Order approved on 9/3/08 under C-86-08-001-3-05.
Amendment No. 2 approved on 8/6/08 under C-86-08-001-3-04.
Purchase Order approved on 6/18/08 under C-86-08-001-3-03.
Amendment No. 1 approved on 4/23/08 under C-86-08-001-3-02.
Administrative correction approved on 2/6/2008 under C-86-08-001-3-01.
Base Contract approved on 6/20/2007 under C-86-08-001-3-00.
Expenditure Impact By FY:
FY11 ($275,000) revenue and expenditures
Item Notes:
(1/6/2011 2:30:01 PM) - Step: ClrkOfBrd
User: Juanita Garza - COBX
Response: APPROVE
(1/5/2011 3:16:06 PM) - Step: OMB
User: LeeAnn Bohn - OMBX
Response: APPROVE
Comments:
Recommend approval.
(12/28/2010 5:28:33 PM) - Step: CountyAtty
User: David Benton - CAOX
Response: APPROVE
Comments:
Approved as to form
(12/22/2010 9:44:30 AM) - Step: Finance
User: Robert Harwood - FINX
Response: APPROVE
(12/20/2010 2:23:14 PM) - Step: MtlsMgt
User: Wes Baysinger - MMX
Response: APPROVE

(12/20/2010 11:01:52 AM) - Step: OMB_C1
User: Jacqueline Edwards - OMBX
Response: APPROVE
Comments:
Recommend approval.
(12/17/2010 3:31:35 PM) - Comments From Juanita Garza - COBX
routing check complete
(12/17/2010 11:02:29 AM) - Step: DepartmentChief
User: Daren K. Frank - PLANDEVX
Response: APPROVE
Comments:
ok
(12/17/2010 10:08:52 AM) - Step: DeptHead
User: Max Porter - PHSX
Response: APPROVE
(12/16/2010 3:44:25 PM) - Step: DeptCoor
User: Frances Delgado
Response: APPROVE
Comments:
Please move item forward.
(12/15/2010 10:55:47 AM) - Step: Originator
User: Erik Miller - PHSX
Response: APPROVE
Comments:
Ready for Department Coordinator Review.
Is there a Financial Impact?
yes
FY Bgt PAS Fund Agency Dept Org. Object Sub- $Amount Rept. Prjt
Obj Cat. Code
FY11 N WWHC 532 861 860 8653 615 00 $(275,000) CF61 0000
FY11 N WWHC 532 861 860 8653 811 00 $(275,000) CF61 0000

Is there related Managing for Results information?
yes
Program Activity Performance/Demand Anticipated Results
Measure
Family Health Well Woman Healthcheck Anticipated number of 2,400 anticipated client
client visits. visits.
General Item Information
Department: Department of Public Health
Constellation:
Contact Name: Diane Cox
Phone Number: 602-506-0610
Return To: Erik Miller
Phone Number: 602-372-0674
Location: Supervisors' Auditorium
Board:
Meeting Date: 1/12/2011
Item Tracking
Step Action User Date
Originator APPROVE Erik Miller - PHSX 12/15/2010 10:55:45 AM
DeptCoor APPROVE Frances Delgado 12/16/2010 3:44:23 PM
DeptHead APPROVE Max Porter - PHSX 12/17/2010 10:08:50 AM
DepartmentChief APPROVE Daren K. Frank - 12/17/2010 11:02:27 AM
PLANDEVX
MtlsMgt APPROVE Wes Baysinger - MMX 12/20/2010 2:23:12 PM
Finance APPROVE Robert Harwood - FINX 12/22/2010 9:44:29 AM
Legal APPROVE David Benton - CAOX 12/28/2010 5:28:31 PM
OMB APPROVE LeeAnn Bohn - OMBX 1/5/2011 3:16:03 PM
ClrkOfBrd APPROVE Juanita Garza - COBX 1/6/2011 2:29:59 PM
CountyManager APPROVE Chris Pinuelas - CAOX 1/6/2011 3:18:47 PM