HomeMy WebLinkAboutKC Health Network Letter of AgreementLArA i. u;
Kittitas County ti
Review Form
Grants & Contract Agreement
Today's Date [Agenda Date
09/19/2017
Fund/Department
116 -Public Health
Contract/Grant Information
Contract /Grant Agency: Kittitas County Health Network Letter of Agreement
Period Begin Date: July 1, 2017 Period End Date: May 31, 2018
Total Grant/Contract Amount: $5000.00
Grant/Contract Number:
Contract/Grant Summary:
The letter summarizes the deliverable required and to be compensated for the in the HRSA Planning
Grant.
Recommendation for Board of Health and Board of Health Review on
Department Head Signature:
Administrator Date:
Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment:
APPROVED AS TO FORM:
Signature of Prosecutor's Office Date
Signature of Auditor's Office
Signature of Board of Health member
Financial Information
Date
Date
Total Amount $5,000
State Funds $
Federal Funds $5,000
Percentage County Funds
Matching Funds $
CFDA# 93.912
In -Kind $
Explain
Is Equipment being purchased?
Who owns equipment?
Grant/Contract Review Page 1
New Personnel being hired? I Contact HR hiring — reporting requirements
Future impacts or liability to Kittitas County:
Budget Information
Budget Amendment Needed? Yes ❑ attach budget form
New Division Created?
Revenue Code
116-611.81.2.333.93.912 - $5000.00
I
Pass Through Information
Agency to Pass Through
Amount to Pass Through $
Sub -Contract Approved . Date:
NOx❑ Why not
Not an increase in bottom line
Prosecutor Review
Has the Prosecutor reviewed this agreement? Yes El No
Countv Departments Impacted
Auditor
Information Services
Facilities Maintenance
Human Resource
Prosecutor
Treasurer
Submitted
Signature:
Department:
Assignment of Tracking Intormation
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
Reviewer Date
Grant/Contract Review Page 2
KITTITAS COUNTY HEALTH NETWORK
Planning Grant 2017-2018
LETTER OF AGREEMENT
Between
Kittitas County Health Network
And Kittitas County Public Health Department
For Services under the HRSA Planning Grant
July 1, 2017
Thank you for agreeing to provide Services to the Kittitas County Health Network. This letter summarizes
the deliverables required and to be compensated for in the HRSA Planning Grant budget which runs
from July 1, 2017 to May 31, 2018.
Definitions
The following definitions are key terms that will be used in this document and throughout the project in
question:
Project Community Health Assessment & Community Health Improvement Plan
Contractor Kittitas County Public Health Department (KCPHD)
Grant HRSA Rural Health Network Development Planning Grant P10RH31087
Qualified KCPHD staff will be assigned to carry out the Services of this project. Robin Read,
Administrator, Kittitas County Public Health Department, will be the primary contact for the project.
HopeSource, as the Backbone organization appointed by the KCHN for the Planning Grant will solicit
approval of the satisfactory completion of this agreement through discussions with the Leadership
Council and final approval by the Steering Committee.
Prolect Scope of Work
KCPHD will facilitate the Community Health Assessment (CHA) & Community Health Improvement Plan
(CHIP) Workgroup in conducting the health assessment and improvement plan; will engage community
members and local partners in work groups and task forces; use the Mobilizing for Action through
Planning and Partnerships (MAPP) model for the process; and will consult with the Kittitas County
Health Network to provide the following Services:
1. Engage community and local public health system partners in a CHA/CHIP Workgroup
throughout the MAPP process
2. Hold monthly CHA/CHIP Workgroup meetings, creating task forces for specific components of
the project as needed
3. Report project progress to the KCHN Steering Committee and Leadership Council
4. Facilitate implementation of the MAPP framework through the CHA/CHIP Workgroup:
a. Establish a community health improvement vision
b. Conduct community themes and strengths assessment
c. Conduct local public health system assessment
d. Conduct forces of change assessment
e. Conduct community health status assessment
f. Identify strategic issues and priorities
g. Formulate goals, strategies and action plans
h. Update CHA and CHIP periodically as determined by KCHN
Letter of Agreement: Kittitas County Public Health Department/Kittitas County Health Network
Deliverables to be completed by May 31, 2018:
5. Complete and distribute a community health profile
6. Complete and distribute a community health improvement plan
7. Create and implement a communications plan for project
8. Monitor implementation of community health improvement plan
SrhedulP
The services described above in this agreement will commence in July 1, 2017, and be satisfactorily
completed on or before May 31, 2018. Total hours of work required and any costs incurred to complete
the project are the responsibility of the Contractor, and no costs will be compensated outside of those
included in the Planning Grant budget unless by prior written approval of the KCHN Steering Committee.
Proprietary Rights
All materials produced as a result of this Agreement are to be public domain.
Fees and Payment
In consideration for satisfactory performance of these Services, HopeSource, as Backbone organization
for the Kittitas County Health Network Planning Grant agrees to pay the Contractor five thousand dollars
($5000.00) between July 1, 2017 and May 31, 2018. An invoice for services may be submitted by the
25th of each month as work progresses, but not less than once every three months, through May 31,
2018.
Termination
The Kittitas County Health Network reserves the right to terminate this Agreement at any time upon ten
(10) days written notice to Kittitas County Public Health Department.
For the Kittitas County Public Health Department
Signature:
Printed Name:
Date:
For HopeSource, the Backbone organization for the Kittitas County Health Network Planning Grant
Signature:
Printed Name:
Date: