HomeMy WebLinkAboutLetter of AgreementKITTITAS COUNTY H EALTH NETWORK
Planning Grant 2017-2018
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LEDER 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
Kittitas County Public Health Department (KCPHD) Contractor
Grant HRSA Rural Health Network Development Planning Grant PlORH31087
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.
Pro ject 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 frame work 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
Schedule
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 Ri ghts
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.
Date: Lot ~I \ 7
F?r Hope ~e organization for the Kittitas County Health Network Planning Grant
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Printed ame: I L -
Date: IOJ6/1-=j--
Kittitas County
Review Form
Grants & Contract Agreement
Today's Date
09/19/2017
Fund/Department
116-Public Health
Contract/Grant Information
Agenda Date
Contract /Grant Agency: Kittitas County Health Network Letter of Agreement
Period Begin Date: July 1,2017 I I 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 Signatu ~~ , Administrator Date : col:s[ Il
Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment:
A PPRO 0 AS TO FORM :
Date
Signature of Board of Health member Date
Financial Information
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? 1 Contact HR hiring -reporting requirements
Future impacts or liability to Kittitas County:
Budget Information
Budget Amendment Needed? Yes 0 attach budget form No IKI Why not
New Division Created? Not an increase in bottom line
Revenue Code
116-611.81.2.333.93.912 -$5000.00
Pass Through Information
Agency to Pass Through
Amount to Pass Through $
Sub-Contract Approved Date:
Prosecutor Review
I Has the Prosecutor reviewed this agreement? I YesD No D
County Departments Impacted
Auditor Facilities Maintenance
Information Services Human Resource
Prosecutor Treasurer
Submitted I Signature:
Department:
I Date:
Assignment of Tracking Information
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
I Reviewer I Date
Grant/Contract Review Page 2