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CONTRACT NO: 200142 AMENDMENT NO: 1
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
and
Arizona Alliance for Community Health Centers
I. The above named contract is hereby amended as specified below:
A. Attachment A, Scope of Work. This updated scope of work shall become effective on
September 1, 2020.
B. Attachment B, Budget Justification. This updated budget narrative is effective from
September 1, 2020 to August 31, 2021.
C. Attachment C, Year-two (2) Timeline. This updated timeline shall become effective on
September 1, 2020.
D. Contract term dates shall be changed to (September 1, 2020 — August 31, 2022).
Il. 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 Arizona Alliance for Community Health Centers
By By
Clint Hickman, Chairman Lisa Nieri
Date Date.
ATTEST: APPROVED AS TO FORM:
Clerk of the Board Attorney for Maricopa County
Date Date
ATTACHMENT A
Scope of Work- Amendment 1
For Arizona Alliance for Community Health Centers
2.1 Assess Maricopa County's FQHC's and look-a-likes on training needs related to substance abuse and
OUD.
2.2 Employ a full-time program manager to design and administer a training program for the CHCs as
indicated by a CHC assessment.
2.3 Identify at least one CHC per year to create a systems change related to OUD such as offering MAT
or increasing linkages to treatment. Program manager to work with that CHC to initiate the systems
change.
2.4 Provide monthly reporting to MCDPH on grant deliverables and budget.
2.5 Provide an annual report to MCDPH.
2.6 Meet as needed with MCDPH staff and CDC project officer.
ATTACHMENT B
Budget Justification- Amendment 1
Budget Justification Narrative: September 1, 2020 - August 31, 2021
A: Personnel (includes annual Cost of Living increase of 2% effective July 1).
Project Year 2
Name & Title & Project Role FTE Annual Salary (12 months)
Janelle Jones (Substance Use Program Manager)
Manages program activities per grant and contract
requirements. Provides training and technical assistance to 0.80 $63,451 $50,761
participating Community Health Centers (CHCs). Tracks and
reports on program progress.
Da-Nell Pedersen (Director of Clinical Programs) Supervises
Program Manager to ensure timely, effective, and efficient
project development and management and alignment of project O12, S88 2 $10,198
and organizational operations.
Meredith Foulds (Training and Technical Assistance
Coordinator). Supports AACHC training and program TA 0.03 $48,789 $1,464
events.
Patricia Macias (Administrative Assistant). Provides
administrative support to Sr. Director of Quality & Data 0.01 $48,959 $490
Management and Program Manager as relates to project.
Kat Bergman (Human Resource Manager). Daily human
resource support for program staff. 0.01 $90,059 $901
Suzanne Gilbert, CPA (Chief Financial Officer). Financial
oversight, quality control, and reports/funding. O00 152,019 Saat
Michael Martin (Controller). Review of transactions, invoice
preparation, financial grant & GAAP compliance. 0.02 $84,280 $1,686
Janeth Gamez (HR & Finance Coordinator). Handles job
postings and new hire paperwork, and provides administrative 0.01 $45,913 $459
support to finance.
Lindsey Ruivivar (Director of Grants). Provides program
development assistance and ensures completion of programmatic 0.01 $90,059 $901
reports and compliance with grant requirements.
Shelli Ross (Senior Director of Operations and Training).
Oversees training, office operations, and IT. Responsible for
ensuring personnel have working equipment, software, and O05 SLi $573
supplies.
Shawn Frick (Chief Strategy Officer). Works to align grant
objectives and deliverables with organization's strategic plan. 0.005 $163,744 $819
Oversees clinical grants and supervises Director of Clinical
Programs.
Kathryn Tremonto (Executive Asst to CEO). Provides
administrative support to CEO as related to CEO engagement in 0.005 $71,126 $356
the project.
\ iotiideaapientea CPHQ (Chief Executive Officer). 0.005 $197,300 $987
‘Total Personnel 1.04 $70,247
B: Fringe Benefits
Fringe Benefits _ |23.65% of Total Salaries. Below is a breakdown: Year 2
FICA Tax 7.65% of Total Salaries $5,374
Health Insurance 10.5% of Total Salaries $7,376
Life & Disability Insurance 1.5% of Total Salaries $1,054
Retirement Plan Benefits 4% of Total Salaries $2,810
Total Employee Benefits $16,614
A & B Total Personnel and Fringe $86,861
C: Travel
Purpose of Travel Item & Computation Year 2
Travel within
Maricopa County to |< 4 Mileage ($0.575/mile) * 300 miles per month $2,070
provide training and
support to CHC sites.
Airfare @ $500/trip * 2 trips $1,000
Program Manager to |Lodging: $181/nt * 4 nights per trip * 2 trips $1,448
attend 2 national * '
+ of 7
conferences and/or Meals $76/day * 2 days + $57/day Ist and last day* 2 trips $532
trainings annually, {Ground Transportation: $100 R/T * 2 trips $200
Local airport parking: $15/day * 4 days * 2 trips $120
Total Travel — $5,370)
Total travel costs equal $5370. AACHC will only seek travel reimbursement up to the federal travel and per
diem rates.
D: Equipment: N/A
E: Supplies
Item Description Year 2
Office Supplies Paper, pens, ink, etc. @ $10/mth based on historical use. $120
Total Supplies Expense $120
F. Consultant/Contractual Costs
Vendor Item & Calculation Year 2
Ascend Healthcare — {Consulting services for SUD/OUD treatment infrastructure support: $13,500
Inc 108 hours * $125/hour ,
Fester&Chapman Annual external audit and tax filing (allocated based on federally $500
funded programs)
Ideal Networks IT Support: $12,000/mth*12 mth*1.035 /58 FTEs $2,570
Total Contractual Expenses $ 16,570
Contractual costs totalling $16,681 include: 1) Consultant to provide technical assistance for the planning,
development and implementation of SUD/OUD treatment programs, such as Medication Assisted Treatment
estimated at 108 hours * $125/hr. 2) Fester & Chapman to conduct the annual financial and Single Audit.
Costs are allocated based on AACHC federally funded projects, with $500 allocated to this project. 3) Ideal
networks to provide IT support for program staff on an on-going basis as AACHC's contracted IT provider.
Fees are $100/hour and average $12,000/month. Costs are alliocate by FTEs dedicated to project/58** total
organizational FTEs.
**Please note that AACHC leases employees and provides administrative services, such as IT support, to 2
other non-profit entities (CVN and TAPI). The cost and denominator used in the allocations reflect the entities
using the services.
G. Construction: N/A
H:Other Costs
Item Description/Calculation Year 2
Program Training —_|Training costs, including materials, audio/visual support, for a SUD
symposium which may be held in-person or virtually; virtual group $34,293
trainings; and, virtual or in-person targeted one-on-one assistance
Insurance
Liability, D&O, ete @ $24,000/yr *1.035/37 FTEs $671
Worker's Comp $0.35 per $100 in salaries $246
Staff Training Trainings required by law (HIPAA, etc.) $15,000/yr *1.035/42 FTEs $370
Subsceigstans Citrix Online: gotomeeting service $1,950/yr *1.035/42 FTEs $48
Telephone/Internet —_|Telephone/ internet est. $28,600 yr *1.035/58 FTEs $510
Cell Phone Reimbursement: $50/mth*12 mths*1.035 FTEs $621
Postage/Copying FP: Postage Meter $3,120 annually *1.035/58 FTEs $56
Arizona Office Technologies: Copiers/printers maintenance $321
$18,000/yr*1.035/58 FTEs -
Rent Office rent $160,000/yr*1.035/42 FTEs $3,943
Total Other Costs $41,079
Other costs totalling $41,079 include: 1) Training costs for in-person and/or virtual events. 2) Business
insurance based on annual cost of $24,000/year allocated to project based on program FTEs as a % of total
AACHC FTEs**, 3) Worker's Comp at $0.35 per every $100 in salaries. 4) Staff trainings required by law
(such as HIPAA, harassment, etc) at $15,000/yr * program FTEs/AACHC + CVN FTEs. 5) Subscription for
gotomeeting for educational webinars and statewide program meetings at $1,950/yr * program FTEs/AACHC
+ CVN FTEs. 4) Telephone and Internet based on annual cost of $21,600/yr * program FTEs /58 total
organizational FTEs. Per AACHC policy, staff using cell phone for business qualify for reimbursement of
$50/month; budget includes $50 * 12 months * program FTEs. 5) Postage Meter & Printer/Copier agreements
necessary to carry out daily business based on annual costs, allocated on program FTE as a % of
organizational FTEs. Actual expense allocacted by usage. 6) Office space for program staff calculated as a %
of total rent based on program FTEs/AACHC + CVN FTEs. TAPI's occupancy costs are not included in the
allocation.
**Please note that AACHC provides leased employees and other administrative services, such as office space
and telephone, to 2 other non-profit entities (CVN and TAPI). The cost and the denominator used in the
allocations reflect the entities using the services.
Year 2
TOTAL DIRECT COSTS BY YEAR $150,000
TOTAL COSTS BY BUDGET CATEGORY Year 2
Personnel $ 70,247
Fringe $16,614
Travel $5,370
Equipment $0
Supplies $120
Consultant/Contractual $16,570
Construction $0
Other $41,079
TOTAL PROJECT $150,000
Timeline for Year 2
ATTACHMENT C
Year 2 Timeline - Amendment 1
Overall Goal: Increase access to prevention activities and to coordinate and integrate Opioid Use Disorder
(OUD) care utilizing high quality, complete, and timelier data on opioid prescribing and overdoses in several
targeted underserved populations.
Strategy: Provide health system support to Maricopa County Community Health Centers (CHCs) by increasing
opioid-related training capacity and by facilitating linkages to care, resources for clinical support of patients
with chronic pain, including the screening for Opioid Use Disorder (OUD), use of non-opioid pain treatment
modalities, Motivational Interviewing (MI), and adverse childhood experiences (ACEs).
OBJECTIVE ACTIVITY START & | OUTCOMCES RESPONSIBLE
END DATES STAFF
Objective 1: Assess 1.1 Evaluate survey 11/1/20- Effectiveness of | -Da-Nell Pedersen,
the substance abuse results from training 11/15/20 the trainings Director of Clinical
and OUD training and | webinars hosted during provided during | Programs
health system change | year 1. year | -Janelle Jones, SUD
T/TA needs and gaps understood and | Program Manager
in FQHCs in Maricopa gaps that need
County. to be addressed
in year 2
identified.
1.2 Explore potential 11/15/20- Training topics | -Da-Nell Pedersen,
training topics based 11/30/20 that will address | Director of Clinical
on year | evaluation substance abuse | Programs
results and health and OUD T/TA | -Janelle Jones, SUD
center needs. needs Program Manager
identified.
1.3 Prepare training 12/1/20- Training plan -Da-Nell Pedersen,
content, materials, 12/31/20 developed. Director of Clinical
methodology, Programs
evaluation survey, and -Janelle Jones, SUD
schedule for training Program Manager
events.
OBJECTIVE ACTIVITY START & | OUTCOMCES RESPONSIBLE
END DATES STAFF
Objective 2: Provide | 2.1 Continue 9/1/20- Year | -Janelle Jones, SUD
6-8 | training events on | implementing year | 10/3 1/20 substance abuse | Program Manager
substance abuse and webinar schedule. and OUD
OUD, linkages to care, training events
and screening, referral completed.
and treatment 2.2 Coordinate 1/1/21 - Substance -Janelle Jones, SUD
resources for clinicians | planning and logistics | 2/1/21 abuse and OUD | Program Manager
and providers at health | for training events. training events | - Meredith Foulds,
centers in Maricopa scheduled and Training and TA
County by 8/31/2021. organized. Coordinator
2.3 Implement training | 2/1/21 - Substance -Janelle Jones, SUD
events. 7/31/21 abuse and OUD | Program Manager
training events - Meredith Foulds,
completed. Training and TA
Coordinator
2.4 Evaluate training 8/1/21- Substance -Da-Nell Pedersen,
events. 8/15/21 abuse and OUD | Director of Clinical
training events | Programs
evaluated.
Solicitation PH RFP 200142
Substance-Abuse Infrastructure in FQHCs in Maricopa County
-Janelle Jones, SUD
Program Manager
Objective 3: Provide | 3.1. Continue 9/1/20- TA provided to | -Da-Nell Pedersen,
health systems support | providing health 11/30/20 identified Director of Clinical
for opioid-related systems support to FQHCs on Programs
needs such as linkages | health centers implementation | -Janelle Jones, SUD
to care, use of non- identified for TA in of evidenced- Program Manager
opioid pain treatment | year 1. based
modalities, screening interventions.
for OUD, M.I. and 3.2 Evaluate TA 12/1/20- TA evaluation -Da-Nell Pedersen,
ACEs to 2-4 FQHCs activities for year | 12/31/20 conducted of Director of Clinical
in Maricopa County by | health centers. health systems | Programs
8/31/2021. support -Janelle Jones, SUD
provided. Program Manager
3.3 Identify 2-4 new 1/1/21 - 2-4 FQHCs and | -Da-Nell Pedersen,
FQHCs to determine 2/28/21 identified for Director of Clinical
specific opioid-related health systems | Programs
needs and change. -Janelle Jones, SUD
opportunities with Program Manager
them.
3.4 Offer TA on how 3/1/21 - TA provided to | -Janelle Jones, SUD
to incorporate 7/31/21 identified Program Manager
evidence-based FQHCs and on
interventions such as, implementation
MAT; SBIRT; and of evidenced-
ACEs. based
interventions.
3.5 Evaluate TA 8/1/21 - TA evaluation -Da-Nell Pedersen,
activities. 8/15/21 conducted of Director of Clinical
health systems | Programs
support -Janelle Jones, SUD
provided. Program Manager
3.6 Prepare a summary | 8/15/21- T/TA outcomes | -Da-Nell Pedersen,
report of outcomes 8/31/21 summary report | Director of Clinical
resulting from the submitted to Programs
T/TA events and MCDPH. -Janelle Jones, SUD
activities, including Program Manager
recommendations for
Year 3 of the grant.
Objective 4. Leverage | 4.1. Continue 9/1/20- TA provided to | -Da-Nell Pedersen,
the use of data to supporting 11/30/20 FQHCs Director of Clinical
identify trends in implementation efforts utilizing Azara__| Programs
SUD/OUD service for health centers that SUD module. -Shelli Ross, Senior
delivery and patient receive the Azara SUD Director of Operations &
outcomes module. Training
4.2 Review data ona 12/1/20- Monthly data -Da-Nell Pedersen,
monthly basis and 8/31/21 submitted to Director of Clinical
compile report for MCDPH. Programs
MCDPH. -Janelle Jones, SUD
Program Manager
4.3 Identify trends in 12/1/20- Trends -Da-Nell Pedersen,
SUD/OUD service 8/31/21 identified and Director of Clinical
delivery and patient
Programs
Solicitation PH RFP 200142
Substance-Abuse Infrastructure in FQHCs in Maricopa County
outcomes and discuss
with the FQHCs.
discussed with
FQHCs.
-Janelle Jones, SUD
Program Manager
In addition to the activities listed in the Year 2 Timeline, AACHC will provide monthly reporting to MCDPH on
grant deliverables and budget and an annual report to MCDPH, and meet as needed with MCDPH staff and CDC
project office.