Agenda 06/08/2021 Item #16D12 (After-the-Fact submittal of a CDC COVID-19 Grant Application)06/08/2021
EXECUTIVE SUMMARY
Recommendation to approve the after -the -fact submittal of a Centers for Disease Control and
Prevention (CDC) Community Health Workers for COVID-19 Response for Resilient Communities
Grant Application in the amount of $1,446,255.
OBJECTIVE: To provide accessible and equitable healthcare systems in the Immokalee farmworker
communities to improve the response to the COVID-19 pandemic.
CONSIDERATIONS: Collier County has been affected by high rates of COVID-19 from early in the
pandemic, particularly in the Immokalee area. These populations have been devastated by the COVID-19
pandemic given continued work in front-line, high -risk environments with limited worker protections;
crowded housing that impeded preventative measures such as social distancing and isolation of positive
cases at home; and lack of access to quality healthcare or social support for those that do become infected.
County staff became aware of the CDC funding in conjunction with Partners in Health on April 15, 2021
with a grant submission date of May 24, 2021. The grant supports the implementation of an outreach
program to support those most impacted and at risk of COVID-19. The application proposes hiring and
partnering with individuals who represent the racial, ethnic, and cultural diversity of Immokalee and
similar communities in the area such as Golden Gate City. The staff will focus on the social and structural
context of the community within a network of clinical supports. The Healthcare Network of Southwest
Florida along with Partners in Health will be coordinating this project if awarded and Collier County will
be responsible for administration of the grant.
The proposed project partners from Collier County Community Health Coalition (CCCHC) comprised of
the Collier County Department of Health, Partners in Health, the Coalition of Immokalee Workers, and
Mission Peniel, who will all support efforts to a Community Health Program in the County by training
and mentoring Community Healthcare Workers to serve communities most affected by COVID-19 and to
integrate Community Healthcare Workers to form care teams to support COVID-19 response efforts in
communities hardest hit by the virus. By the end of the three-year project period, it is the intent of the
project that individuals living in Collier County will have access to essential healthcare services and
individuals living in and around the most vulnerable communities will be directly connected to
Community Healthcare Workers.
Due to the short turnaround, CMA#5330 authorizes the County Manager to approve the submittal of grant
applications followed by after -the -fact approval by the Board of County Commissioners at the next
available Board meeting. The County Manager approved the submittal of the grant application on May
24, 2021 and it was submitted electronically. There is no match required for this grant program.
FISCAL IMPACT: There is no fiscal impact at this time. If the grant is awarded, funds in the amount of
$1,446,255 will be recognized via a Budget Amendment in Housing Grant Fund (705) at a future Board
meeting. There is no match required for this grant.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact.
LEGAL CONSIDERATIONS: This item is approved for form and legality and requires a majority vote
for Board action. -JAB
RECOMMENDATION: To approve the after -the -fact submittal of a Centers for Disease Control and
Prevention (CDC) Community Health Workers for COVID-19 Response for Resilient Communities
Packet Pg. 1827
06/08/2021
Grant Application in the amount of $1,446,255.
Prepared By: Joshua Thomas, Operations Analyst, Community & Human Services Division
ATTACHMENT(S)
1. [linked] Grant Application (PDF)
2. CM MEMO (PDF)
Packet Pg. 1828
16.D.12
06/08/2021
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.13.12
Doe ID: 16026
Item Summary: Recommendation to approve the after -the -fact submittal of a Centers for Disease
Control and Prevention (CDC) Community Health Workers for COVID-19 Response for Resilient
Communities Grant Application in the amount of $1,446,255.
Meeting Date: 06/08/2021
Prepared by:
Title: Operations Analyst — Community & Human Services
Name: Joshua Thomas
05/24/2021 2:45 PM
Submitted by:
Title: Manager - Federal/State Grants Operation — Community & Human Services
Name: Kristi Sonntag
05/24/2021 2:45 PM
Approved By:
Review:
Community & Human Services
Kristi Sonntag
CHS Review
Community & Human Services
Maggie Lopez
Additional Reviewer
Operations & Veteran Services
Kimberley Grant
Additional Reviewer
Public Services Department
Joshua Hammond
Public Services Department
Public Services Department
Dan Rodriguez
PSD Department Head
Grants
Erica Robinson
Level 2 Grants Review
County Attorney's Office
Jennifer Belpedio
Level 2 Attorney of Record Review
Office of Management and Budget
Debra Windsor
Level 3 OMB Gatekeeper Review
Grants
Therese Stanley
Additional Reviewer
County Attorney's Office
Jeffrey A. Klatzkow Level 3 County Attorney's Office Review
Budget and Management Office
Ed Finn
Additional Reviewer
County Manager's Office
Sean Callahan
Level 4 County Manager Review
Board of County Commissioners
Geoffrey Willig
Meeting Pending
Completed
05/24/2021 3:37 PM
Completed
05/24/2021 3:42 PM
Completed
05/25/2021 9:35 AM
Completed
05/25/2021 9:51 AM
Completed
05/25/2021 10:59 AM
Completed
05/25/2021 3:14 PM
Completed
05/27/2021 11:07 AM
Completed
05/27/2021 11:33 AM
Completed
05/27/2021 11:45 AM
Completed
05/28/2021 9:02 AM
Completed
05/31/2021 2:24 PM
Completed
05/31/2021 5:24 PM
06/08/2021 9:00 AM
Packet Pg. 1829
16.D.12.b
Co -per C01.nty
Office of Management & Budget
TO: Mark Isackson, County Manager
CC: Tami Bailey
Grant Manager -- Community and Human Svcs
Kristi Sonntag
Director — Community and Human Services
FROM: Therese Stanley
Manager — OMB Grants Compliance
DATE: May 24, 2021
Grant A lic on Reviewed and Approved by
County er, or eel
County Manager
j • 2H � Z i (date
After -the -Fact Approval by the BCC is required at
the June 8, 2021 BCC meeting
RE: County Manager review and approval to submit a federal grant application to the
Centers for Disease Control (CDC) and Prevention in the amount of $1,446,255 (ATF
21-007)
The Community and Human Services Division (CHS) is applying for funding to the Centers for
Disease Control (CDC) and Prevention under the Community Health Workers for COVID
Response and Resilient Communities Grant Program. Funding will be used to provide accessible
and equitable healthcare systems in the Immokalee farmworker communities to improve response
to the COVID-19 pandemic. CHS will be working in partnership with Collier County Department
of Health, Partners in Health, the Coalition of Immokalee Workers, and Mision Peniel to support
efforts to expand the Community Health Program in the County by training and mentoring
Community Healthcare Workers to serve Communities most affected by COVID-19 and to
integrate Community Healthcare Workers to form care teams to support COVID-19 response
efforts in communities hardest hit by the virus.
The total project cost and grant application request is in the amount of $1,446,255 to be obtained
over a three-year period. There is no match requirement for this grant.
The Centers for Disease Control and Prevention issued a Notification of Funding Availability on
April 15, 2021 with applications due no later than May 24, 2021. Due to the unique nature of the
grant and the time needed for its collaborative application process between agencies, we are
asking for your approval to submit the application followed by an After -the -Fact approval by the
Board of County Commissioners at the June 8, 2021 BCC meeting.
Once you have reviewed the application, please sign in the box above and in the areas marked
throughout the application and call me for pickup at 239-252-2959.
Thank you, and please let me know if you have any questions regarding this request.
3299 Tamiami Trail East, Suite 201 • Naples, Florida 34112-5746.239-252-8973 - FAX 239-252-8828
Packet Pg. 1830
WORKSPACE FORM 16
� �R+AiVT'S-G0V" SUPPORT@GRANRANTS.GO.GOV
This Workspace form is one of the forms you need to complete prior to submitting your Application Package. This form can be completed in its entirety offline using
Adobe Reader. You can save your form by clicking the "Save" button and see any errors by clicking the "Check For Errors" button. In -progress and completed forms
can be uploaded at any time to Grants.gov using the Workspace feature.
When you open a form, required fields are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or
incomplete information in a field, you will receive an error message. Additional instructions and FAQs about the Application Package can be found in the Grants.gov
Applicants tab.
OPPORTUNITY & PACKAGE DETAILS:
Number:
CDC-RFA-DP21-2109
Opportunity Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opportunity Package ID:
PK000266150
CFDA Number:
93.495
CFDA Description:
Community Health Workers for Public Health Response and Resilient
Competition ID:
CDC-RFA-DP21-2109
Competition Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opening Date:
03/25/2021
Closing Date:
05/24/2021
Agency:
Centers for Disease Control - NCCDPHP
Contact Information:
WORKSPACEAPPLICANT &
Stacy De Jesus
Workspace ID:
WS00679247
Application Filing Name:
COLLIER CDC-RFA-DP21-2109
DUNS:
0769977900000
Organization:
COLLIER, COUNTY OF
Form Name:
Application for Federal Assistance (SF-424)
Form Version:
3.0
Requirement:
Mandatory
Download Date/Time:
May 17, 2021 09:03:37 AM EDT
Form State:
NO Errors
OMB Number: 4040-0004
Expiration Date: 12/31/2022
Application for Federal Assistance SF-424
* 1. Type of Submission:
Preapplication
® Application
Changed/Corrected Application
` 2. Type of Application: * If Revision, select appropriate letter(s):
® New
❑ Continuation * Other (Specify):
❑ Revision
* 3. Date Received: 4. Applicant Identifier:
Completed by Grants.gov upon submission.
5a. Federal Entity Identifier:
5b. Federal Award Identifier:
State Use Only:
6. Date Received by State:
7. State Application Identifier:
8. APPLICANT INFORMATION:
*a. Legal Name: Collier County Board of County Commissioners
* b. Employer/Taxpayer Identification Number (EIN/TIN):
* c. Organizational DUNS:
0769977900000
59-6000558
d. Address:
* Street1: 3299 Tamiami Trail East
Street2:
suite 202
* City:
County/Parish:
Naples
* State: FL: Florida
Province:
*Country:
USA: UNITED STATES
* Zip / Postal Code: 34112-5746
e. Organizational Unit:
Department Name:
Division Name:
Community & Human Services
Public Services
f. Name and contact information of person to be contacted on matters involving this application:
Prefix: Mrs . * First Name:
Middle Name:
Kristi
* Last Name:
Sonntag
Suffix:
Title: Director, Community & Human Services
Organizational Affiliation:
Collier County
* Telephone Number: 23 9-252-24 8 6
Fax Number:
*Email: Kristi.Sonntag@colliercountyfl.gov
Application for Federal Assistance SF-424
* 9. Type of Applicant 1: Select Applicant Type:
B: County Government
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
* Other (specify):
" 10. Name of Federal Agency:
Centers for Disease Control - NCCDPHP
11. Catalog of Federal Domestic Assistance Number:
93.495
CFDA Title:
Community Health Workers for Public Health Response and Resilient
* 12. Funding Opportunity Number:
CDC-RFA-DP21-2109
* Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
13. Competition Identification Number:
CDC-RFA-DP21-2109
Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
14. Areas Affected by Project (Cities, Counties, States, etc.):
Add Attachment Delete Attachment View Attachment
* 15. Descriptive Title of Applicant's Project:
Collier County Community Health Coalition (CCCHC): Advancing Accessible and Equitable Healthcare
Systems in Extra Mile Migrant Farmworker Communities
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachments View Attachments
Application for Federal Assistance SF-424
16. Congressional Districts Of:
* a. Applicant 1 g * b. Program/Project 19
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment Delete Attachment View Attachment
17. Proposed Project:
* a. Start Date: 10/01/2021 * b. End Date: 09/30/2024
18. Estimated Funding ($):
a. Federal 1, 446, 255. 04
* b. Applicant 0.00
* c. State 0.001
* d. Local 0 . 00
* e. Other 0 . 0 0
*f. Program Income 0.00
*g.TOTAL 1,446,255.04
* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
❑ a. This application was made available to the State under the Executive Order 12372 Process for review on
❑ b. Program is subject to E.O. 12372 but has not been selected by the State for review.
® c. Program is not covered by E.O. 12372.
* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.)
❑ Yes ® No
If "Yes", provide explanation and attach
Add Attachment Delete Attachment View Attachment
21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may
subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
® ** I AGREE
** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: Mr. * First Name: Mark
Middle Name:
* Last Name:
Isackson
Suffix:
* Title: County Manager
* Telephone Number:
239-252-8383 Fax Number:
*Email: Mark.Isackson@colliercountyfl.gov
* Signature of Authorized Representative: completed by Grants.gov upon submission. * Date Signed: Completed by Grants.gov upon submission.
WORKSPACE FORM 1GRAN S.GO(3
� GRRiVTS.G0V"' SUPPORT@GRANTS.GOV
This Workspace form is one of the forms you need to complete prior to submitting your Application Package. This form can be completed in its entirety offline using
Adobe Reader. You can save your form by clicking the "Save" button and see any errors by clicking the "Check For Errors" button. In -progress and completed forms
can be uploaded at any time to Grants.gov using the Workspace feature.
When you open a form, required fields are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or
incomplete information in a field, you will receive an error message. Additional instructions and FAQs about the Application Package can be found in the Grants.gov
Applicants tab.
OPPORTUNITY & PACKAGE DETAILS:
Number:
CDC-RFA-DP21-2109
Opportunity Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opportunity Package ID:
PK000266150
CFDA Number:
93.495
CFDA Description:
Community Health Workers for Public Health Response and Resilient
Competition ID:
CDC-RFA-DP21-2109
Competition Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opening Date:
03/25/2021
Closing Date:
05/24/2021
Agency:
Centers for Disease Control - NCCDPHP
Contact Information:
APPLICANT & WORKSPACE
Stacy De Jesus
DETAILS:
ID:
WS00679247
Application Filing Name:
COLLIER CDC-RFA-DP21-2109
DUNS:
0769977900000
Organization:
COLLIER, COUNTY OF
Form Name:
Budget Information for Non -Construction Programs (SF-424A)
Form Version:
1.0
Requirement:
Mandatory
Download Daterrime:
May 20, 2021 01:32 :32 PM EDT
Form State:
No Errors
z c
z
O
Q
O
U.
Lz
r
W
0
D
m
a
a
Ln
o
Ln
Ln
N
C
N
C
o �
fif),
vH
a�
rn
a
3
m
�
L
a
�
a
N
LL �
N
C
d'
O
L
z
O
3
m
z
N �
N v
LL
6R
69
L
O
0
0
O
0
0
d
a
a
N
LL
Li
z
a
0
�
a
a
o
Ln
Ln
a
Lo
N
Ln
N
L
EC
C
G
ip
N G
i
W
LL
ER
ER
d
N V
t C
N w
LL N
O Q £
O z
_ y
io E
rn
U O
a
E
Q
L iri
O
O U
O 'j
3 N C N
_
C a
•.i N N GI •.I
+.+
i
N O
LL
Ea Ea
E H N H E
O O N N O
U 3 fx a U
v-:
N
M
Ln
0
.�
� O
v a
v m
E 2D
LL U_
-o m
-ao
c O
Co
rl
M
O
O
O
O
O
O
c
O
c
O
'-I
m
O
O
O
O
O
O
O
O
O
O
w
OD
O
O
O
4l
O
O
m
O
In
O
V
m
O
in
1n
OD
an
GD
N
N
O
Ln
O
D
D
O
69
EA
69
EA
EA
ff?
K}
K}
Q
O
Z
O
D
69
K}
K}
LL
0
0
o
O
O
O
O
O
o
o
O
o
Q
o
0
0
0
0
0
0
0
0
0
0
0
CD
O
d
H
Z
CDL
Q
L
z
.i
rn
o
0
0
0
0
0
0
0
0
0
❑
DD
m
o
0
o
0
0
Ln
o
Ln
o
,a r� a
J� 'J U
c
CD
rn
0
OD
N
N
N
N
ro U
W C
o
m
0
v
a
v
a
x W a 0
V
V
V
Oro w
4 w u
4J
a w a •H a
7 N O rl a
0
0
0 N W
O O W W O
U S a a U
E9
ER
ER
s
0
Ecc
co
v
c
N
d
<D
d
�
O
m
y
0
Y
U
E
rn
c
am
r
4
..
R
m
c
d
V
V
V
d
c
00
w
7
.r
U
0
3
O
L
O
O
IL
LLW
cn
U
U
O
c
H
o
O
a
El
0
0
0
0
0
0
0
fn
0
0
m
a
p
m
a
o
0
J
L
in
in
t
0
N
t
L
L
d
L
u
to
<A
<A
t�
tR
69
O
p
o
p
m
O
o
O
m
O
n
M
LO
M
:A
O
O
M
O
l0
M
O
d
O
d
Li
a
a
N
N
.
L
�
L
Q
N
N
O
r
W
ul
ul
7
�
i
Gi
M
O
O
L
L
d
d
L)
O
a
Lu
p
O
O
p
OD
O
p
O
OD
O
Lo
M
Lo
M
W
c9
0
0
o
Z
M
M
L
d
d
LL
0
Z
N
N
W
LL
C
Lo
L
O
W
C>
O
N
Ci
Z
V
J
N
...
U)
N
v
W
m
LL
a1
U
W
LU
0
oo
p
o
=
Cl)
o
o
o
0
o.
o
W
v
M
c
M
O
V
W
o
o
Q
o
I
a
o
LL
Z
i
}
U
W
—
Q
V
Lu
L
W
Z
N
W
_
r-
O
,1
O
L
N
d'
N
V
U
N
W
C.
y
3
G
LL
p
N
W
Q
U
r
z
m
LU
LL
Q!
Z
.�
d
LL
Z
O
F--
C)
�r
Z
M
o
M
W
LL
Z
LL
o
v
v
V
r
C
LL
O
O
Wy
U)
F-
LU
W
y
c
c
W
r
Cl)
4J
L
Q
aJ
w
N
H
W
a
a
H
LU
m
�
C7
m
N
�
N
p
m
E
a
w
W
m
O
a
a
a
o
Z
o
L
aL
r
v
a
S
LU
y
L
W
C
L
W
r
O
U
r
r
f6
0
ul
N
Cl)
Sa
<D
'n
N
W
00
r
fC
N
r
C
C
�
O
O
m-
E
E
m
oi
E
y
a1
x N
R
C N
7
f0
4.1
�oi0
LLLO
U U
0
U U
LL
Z
0
O
r
N
M
In
tD
P
OD
Q>
O
r
M
OD
6
r
r
r
r
T
T
T
T
r
r
N
N
N
Q
U
N
d
WORKSPACE FORM 16
� �R+AiVT'S-G0V" SUPPORT@GRANRANTS.GO.GOV
This Workspace form is one of the forms you need to complete prior to submitting your Application Package. This form can be completed in its entirety offline using
Adobe Reader. You can save your form by clicking the "Save" button and see any errors by clicking the "Check For Errors" button. In -progress and completed forms
can be uploaded at any time to Grants.gov using the Workspace feature.
When you open a form, required fields are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or
incomplete information in a field, you will receive an error message. Additional instructions and FAQs about the Application Package can be found in the Grants.gov
Applicants tab.
OPPORTUNITY & PACKAGE DETAILS:
Number:
CDC-RFA-DP21-2109
Opportunity Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opportunity Package ID:
PK000266150
CFDA Number:
93.495
CFDA Description:
Community Health Workers for Public Health Response and Resilient
Competition ID:
CDC-RFA-DP21-2109
Competition Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opening Date:
03/25/2021
Closing Date:
05/24/2021
Agency:
Centers for Disease Control - NCCDPHP
Contact Information:
WORKSPACEAPPLICANT &
Stacy De Jesus
Workspace ID:
WS00679247
Application Filing Name:
COLLIER CDC-RFA-DP21-2109
DUNS:
0769977900000
Organization:
COLLIER, COUNTY OF
Form Name:
Project Abstract Summary
Form Version:
2.0
Requirement:
Mandatory
Download Date/Time:
May 20, 2021 10:33:54 AM EDT
Form State:
NO Errors
OMB Number: 4040-0019
Expiration Date: 02/28/2022
Project Abstract Summary
This Project Abstract Summary form must be submitted or the application will be considered incomplete. Ensure the Project Abstract
field succinctly describes the project in plain language that the public can understand and use without the full proposal. Use 4, 000
characters or less. Do not include personally identifiable, sensitive or proprietary information. Refer to Agency instructions for any
additional Project Abstract field requirements. If the application is funded, your project abstract information (as submitted) will be made
available to public websites and/or databases including USAspending.gov.
Funding Opportunity Number
CDC-RFA-DP21-2109
CFDA(s)
93.495
Applicant Name
Descriptive Title of Applicant's Project
Project Abstract
Collier County, located in Southwestern Florida, has been affected by high rates of COVID-19 from early on in the
pandemic. The county is a major center for tomato growing and other large-scale agricultural production, and is
home to many migrant farmworkers and other essential workers, approximately half of whom are un- or under -
documented. These populations have been devastated by the COVID-19 pandemic given continued work in front-line,
high -risk environments with limited worker protections; crowded housing that impede preventive measures such as
social distancing and isolation of positive cases at home; and lack of access to quality healthcare or social
support for those that do become infected. By hiring and partnering with individuals who represent the racial,
ethnic, and cultural diversity of Immokalee and similar communities in the area, and who understand the social
and structural context of the community within a network of social and clinical support, the Collier County
Community Health Coalition (CCCHC) team has begun to address the barriers that migrant farm workers have
historically faced to accessing healthcare. In this proposed Component A project, CCCHC partners, which include
the Collier County government, the Healthcare Network, Department of Health Collier County, Partners In Health,
the Coalition of Immokalee Workers, and Mision Peniel, will support efforts to expand the Community Health
Program in the county by training and mentoring CHWs to serve Extra Mile communities in Collier County and to
integrate the CHW function into care teams to support COVID-19 response efforts in communities hit hardest and
among populations that are at high risk for COVID-19 exposure, infection, and poor health outcomes. CHWs will
identify, counsel, and connect residents with COVID-19 and other chronic conditions to clinical care; serve as
resource navigators in linking individuals to social support; and act as bridges between the community and the
healthcare system by elevating community feedback and supporting individuals to overcome linguistic, geographic,
and social barriers to care. By the end of the project period, the 384,900 individuals living in Collier County
will have access to essential healthcare services, and the approximately 75,000 individuals living in and around
Extra Mile communities, representing the most vulnerable communities in the region, will be directly connected to
WORKSPACE FORM 16
� �R+AiVT'S-G0V" SUPPORT@GRANRANTS.GO.GOV
This Workspace form is one of the forms you need to complete prior to submitting your Application Package. This form can be completed in its entirety offline using
Adobe Reader. You can save your form by clicking the "Save" button and see any errors by clicking the "Check For Errors" button. In -progress and completed forms
can be uploaded at any time to Grants.gov using the Workspace feature.
When you open a form, required fields are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or
incomplete information in a field, you will receive an error message. Additional instructions and FAQs about the Application Package can be found in the Grants.gov
Applicants tab.
OPPORTUNITY & PACKAGE DETAILS:
Number:
CDC-RFA-DP21-2109
Opportunity Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opportunity Package ID:
PK000266150
CFDA Number:
93.495
CFDA Description:
Community Health Workers for Public Health Response and Resilient
Competition ID:
CDC-RFA-DP21-2109
Competition Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opening Date:
03/25/2021
Closing Date:
05/24/2021
Agency:
Centers for Disease Control - NCCDPHP
Contact Information:
WORKSPACEAPPLICANT &
Stacy De Jesus
Workspace ID:
WS00679247
Application Filing Name:
COLLIER CDC-RFA-DP21-2109
DUNS:
0769977900000
Organization:
COLLIER, COUNTY OF
Form Name:
Disclosure of Lobbying Activities (SF-LLL)
Form Version:
2.0
Requirement:
Mandatory
Download Date/Time:
May 20, 2021 11:32:21 AM EDT
Form State:
NO Errors
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 OMB Number: 4040-0013
Expiration Date: 02/28/2022
1. * Type of Federal Action:
2. * Status of Federal Action:
3. * Report Type:
❑ a. contract
a. bid/offer/application
® a. initial filing
® b. grant
® b. initial award
❑ b. material change
❑ c. cooperative agreement
❑ c. post -award
d.loan
❑ e.loan guarantee
❑ f. loan insurance
4. Name and Address of Reporting Entity:
®Prime F]SubAwardee
Name
Collier County Board of County Commissioners
Street 1 Street 2
3299 Tamiami Trail East Suite 202
City State zip
Naples FL: Floride 34112
Congressional District, if known: 19
5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:
6. * Federal Department/Agency:
7. * Federal Program Name/Description:
Centers for Disease Control
Community Health Workers for Public Health Response and Resilient
CFDA Number, ifapplicable: 93.495
8. Federal Action Number, if known:
9. Award Amount, if known:
1,456,840.04
10. a. Name and Address of Lobbying Registrant:
Prefix * First Name Middle Name
Becker
Last Name Suffix
Poliakoff
Street f Street 2
1275 K Street, N.W. Suite 850
City State zip
Washington DC: District of Columbia 20005
b. Individual Performing .Services (including address ifdifferentfrom No. 10a)
Prefix Ms First Name Amanda Middle Name
Last Name suffix
Wccd
Street f Street 2
1275 K Street, N.W. Suite 850
*City Washington State DC: District of Columbia zip 20005
11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which
reliance was placed by the tier above when the transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to
the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than
$10,000 and not more than $100,000 for each such failure.
" Signature: Completed on submission to Grants. gov
*Name: Prefix First Name Middle Name
Mr Mark
* Last Name Suffix
Isackson
Title: County Manager Telephone No.: 239-212-8383 Date: Completed on submission to Grants.gov
Federal Use Only:
Authorized for Local Reproduction
Standard Form - LLL(Rev. 7-97)
WORKSPACE FORM 16
� �R+AiVT'S-G0V" SUPPORT@GRANRANTS.GO.GOV
This Workspace form is one of the forms you need to complete prior to submitting your Application Package. This form can be completed in its entirety offline using
Adobe Reader. You can save your form by clicking the "Save" button and see any errors by clicking the "Check For Errors" button. In -progress and completed forms
can be uploaded at any time to Grants.gov using the Workspace feature.
When you open a form, required fields are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or
incomplete information in a field, you will receive an error message. Additional instructions and FAQs about the Application Package can be found in the Grants.gov
Applicants tab.
OPPORTUNITY & PACKAGE DETAILS:
Number:
CDC-RFA-DP21-2109
Opportunity Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opportunity Package ID:
PK000266150
CFDA Number:
93.495
CFDA Description:
Community Health Workers for Public Health Response and Resilient
Competition ID:
CDC-RFA-DP21-2109
Competition Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opening Date:
03/25/2021
Closing Date:
05/24/2021
Agency:
Centers for Disease Control - NCCDPHP
Contact Information:
WORKSPACEAPPLICANT &
Stacy De Jesus
Workspace ID:
WS00679247
Application Filing Name:
COLLIER CDC-RFA-DP21-2109
DUNS:
0769977900000
Organization:
COLLIER, COUNTY OF
Form Name:
Budget Narrative Attachment Form
Form Version:
1.2
Requirement:
Mandatory
Download Date/Time:
May 21, 2021 12:04:53 PM EDT
Form State:
NO Errors
Budget Narrative File(s)
*Mandatory Budget Narrative Filename: udget Narrative. pdf
Add Mandatory Budget Narrative Delete Mandatory Budget Narrative View Mandatory Budget Narrative
To add more Budget Narrative attachments, please use the attachment buttons below.
Add Optional Budget Narrative Delete Optional Budget Narrative View Optional Budget Narrative
Collier County Community Health Coalition (CCCHC): Advancing Accessible and
Equitable Healthcare Systems in Extra Mile Migrant Farmworker Communities
Budget Narrative:
The total budget requested for Year 1 of the proposed scope of work is $ 421,744.34
Collier County costs
Grantee: $ 11,936.34
Personnel- $10,102.70
Grants Coordinator 0.10 FTE: $ 5,663.90
The Grant Coordinator will provide program administration, compliance review, project support,
financial review, and oversight of the program sub recipients to ensure program compliance with
applicable grant guidelines.
Accountant 0.5 FTE: $ 2,782.35
The Accountant will oversee all fiscal aspects of the grant funds including grant payment
requests, disbursements, contractual payments, and drawdowns from the grantor agency as
applicable. The accountant will also ensure compliance with all other legal requirements of the
grant and audit requirements.
Operations Analyst 0.3 FTE: $ 1,656.45
The Operations Analyst will provide compliance review and monitoring of grant regulations,
performs monitoring visits to sub -grantees and prepares closeout documentation.
Fringe Benefit- $1,833.64
Collier County budget instruction manual identifies social security and Medicare (FICA) costs to
be calculated at a rate of 7.65% (1.45% for Medicare and 6.20% for Social Security) of each
employee's salary. Retirement is also available to full time employees and calculated at 10.5%.
Benefit rates are standard for all employees and agree with acceptable IRS
Contractual costs $409,808
Sub -grantee 1- Healthcare Network: $303,173
Personnel- $201,000: Six new full-time (LOE 100%) Community Health Workers will be hired
to support Extra Mile communities, at a cost of $3,333 per month per CHW for 9 months to
account for project launch time ($180,000 in total). HCN's Human Resources Manager
($875/month) and Community Health Manager ($875/month) will both dedicate 15% LOE to the
hiring and management of the CHWs and project implementation over 12 months, totaling
$21,000 for Year 1.
Fringe Benefit- $40,200: HCN's fringe rate of 20% of salary costs has been applied
proportionately to each project role's level of effort. Included in this rate are payroll taxes,
payroll administration, health insurance, workers compensation insurance, and life insurance.
Project Narrative 1
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
Travel- $1,680:
Local travel- $1,680: HCN project administration and CHW staff will use their own vehicles for
travel related to project implementation and will be reimbursed for mileage at a cost of $0.56, the
federal GSA rate. Mileage needs are estimated at 250 miles per month for project administration
roles (between 2 staff roles) for 12 months, and 350 miler per CHW (for 6 CHWs, 2,100 miles in
total) for 9 months.
Supplies- $5,300:
Six basic smartphones will be purchased for use by the CHWs, costed at $250 each ($1,500 in
total). Two laptops ($1,8000 each) will be purchased for project administration and data
collection, for use in HCN offices, totaling $3,600. 10 CHW Training Manuals will be printed
and bound at a cost of $20 each ($200 in total), to be distributed to CHWs and training
facilitators.
Other- $2, 700:
Monthly phone plans will be provided for CHW work phones to enable consistent
communication with community stakeholders and clients, at a monthly cost of $50 per phone (6
phones, $2,700 in total for 9 months).
Indirect Charges- $52,293: HCN will apply an indirect rate of 20% against its total direct cost
base of $261,464.
Sub -grantee 2- Partners In Health: $106,635
Personnel- $60,606: The following four PIH staff will participate in the implementation of this
project over the 12 months in Year 1: The Sr. Project Lead (LOE 15%, $18,750 in total) will
provide regular technical input throughout the project implementation and will be the daily point
of contact for PIH's programmatic contributions to this project. The Project Manager (LOE 20%,
$13,600 in total) will support project implementation and contractual compliance, acting as the
main point of contact for administrative purposes between PIH and Collier County. The Sr.
Technical Advisor (LOE 10%, $17,200 in total) and the Director of Community Health Systems
(LOE 10%, $11,056 in total) will provide expert support on CHW training and integration into
the wider health system.
Fringe Benefit- $13,333: PIH's fringe rate of 22% of salary costs has been applied
proportionately to each project role's level of effort. Included in this rate are payroll tax, payroll
administration, health and dental insurance, workers compensation insurance, life insurance, and
4053b matched contribution.
Travel- $9,555:
Local travel- $1,680: PIH staff based in Immokalee will use their own vehicles for travel related
to project implementation and will be reimbursed for mileage up to a total of 250 miles per
month (between 2 staff roles) at a cost of $0.56, the federal GSA rate.
Project Narrative 2
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
Long-distance travel- $7,875: Two PIH staff based in Boston will travel to Collier County to
provide direct support to the project implementation. Five trips of 5 days/4 nights each are
planned in Year 1, including one trip for the Director of Community Health Systems and four
trips (one per quarter) for the Sr. Technical Advisor. Included in the budget are return airfares
from MA to FL ($300/trip, $1,500 in total), accommodation (20 nights (4 per trip) at $100/night,
total $2,000), per diem (25 days (5 per trip) at $50/day (PIH standard rate), total $1,250), and
rental car costs (25 days (5 per trip) at $125/day, total $3,125).
Contractual- $5,000: Biostatistician support will be required for data analysis and assessment, to
be contracted from PIH's research partner at the Brigham and Women's hospital, budgeted at
$500/day for 10 days in Year 1.
Indirect Charges- $18,141: PIH will apply its NICRA of 20.5% against its total direct cost base
of $88,494.
Project Narrative 3
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
WORKSPACE FORM 16
� �R+AiVT'S-G0V" SUPPORT@GRANRANTS.GO.GOV
This Workspace form is one of the forms you need to complete prior to submitting your Application Package. This form can be completed in its entirety offline using
Adobe Reader. You can save your form by clicking the "Save" button and see any errors by clicking the "Check For Errors" button. In -progress and completed forms
can be uploaded at any time to Grants.gov using the Workspace feature.
When you open a form, required fields are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or
incomplete information in a field, you will receive an error message. Additional instructions and FAQs about the Application Package can be found in the Grants.gov
Applicants tab.
OPPORTUNITY & PACKAGE DETAILS:
Number:
CDC-RFA-DP21-2109
Opportunity Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opportunity Package ID:
PK000266150
CFDA Number:
93.495
CFDA Description:
Community Health Workers for Public Health Response and Resilient
Competition ID:
CDC-RFA-DP21-2109
Competition Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opening Date:
03/25/2021
Closing Date:
05/24/2021
Agency:
Centers for Disease Control - NCCDPHP
Contact Information:
WORKSPACEAPPLICANT &
Stacy De Jesus
Workspace ID:
WS00679247
Application Filing Name:
COLLIER CDC-RFA-DP21-2109
DUNS:
0769977900000
Organization:
COLLIER, COUNTY OF
Form Name:
Project Narrative Attachment Form
Form Version:
1.2
Requirement:
Mandatory
Download Date/Time:
May 21, 2021 12:08:08 PM EDT
Form State:
NO Errors
Project Narrative File(s)
* Mandatory Project Narrative File Filename: Project Narrative.pdf
Add Mandatory Project Narrative File Delete Mandatory Project Narrative File View Mandatory Project Narrative File
To add more Project Narrative File attachments, please use the attachment buttons below.
Add Optional Project Narrative File Delete Optional Project Narrative File View Optional Project Narrative File
Collier County Community Health Coalition (CCCHC): Advancing Accessible and
Equitable Healthcare Systems in Extra Mile Migrant Farmworker Communities
Table of Contents
1. Project Abstract Summary
2. Project Narrative
A. Background
B. Approach
i. Purpose
ii. Outcomes
iii. Strategies and Activities
1. Collaborations
2. Target Populations
C. Applicant Evaluation and Performance Measurement Plan
D. Organizational Capacity of Applicants to Implement the Approach
E. Work Plan
F. Budget Narrative
3. Required Attachments
i. CVs of Key Personnel
ii. Staffing Plan
iii. Letters of Support
iv. Budget Narrative
v. Table of Contents
Project Narrative
A. BACKGROUND:
COVID-19 has brought the ruinous impacts of an uncontrolled pandemic to the US. More than
500,000 Americans have died in the space of just 12 months. Outbreaks across the country have
laid bare the systemic injustice in the US health system, as communities of color bear the brunt
of the pandemic. Collier County (CC), located in Southwestern Florida, has been affected by
high rates of COVID-19 for over 12 months. For the week of May 7 -14, 2021, 120.29 cases per
100,000 people and fewer than 10 deaths have been recorded.1 Collier County serves as a major
center for tomato growing and other large-scale agricultural production, with a $413 agricultural
economy. Of Collier County's population of approximately 385,000, 28.2% are Latino, 6.72%
are Black and 2.66% are from other minority groups. In the county, 12.2% live below the
poverty line. 2 Despite pockets of wealth, economic inequity across the county is staggering.
Parts of the county, including the Immokalee area, are some of the most vulnerable communities
in the United States. It is home to many migrant farmworkers and other essential workers,
approximately half of whom are un- or under -documented. Immokalee's population, which is
72.1 % Latino and 21.2% Black and which has a poverty rate of 42.4%3, has been devastated by
the COVID-19 pandemic given continued work in front-line, high -risk environments with
limited worker protections; crowded trailers that impede preventive measures such as social
distancing and isolation of positive cases at home; and lack of access to quality healthcare or
social support for those that do become infected. At the high of the pandemic, the community
had one of the highest rates of COVID-19 in the state, with a positivity rate of 36%.
In order to implement an effective COVID-19 response, and to build a more equitable healthcare
system for the future, it is necessary to address the underlying structures that make migrant
farmworkers and their families more susceptible to becoming sick and less likely to receive
healthcare. The COVID-19 pandemic brought together a team of stakeholders in Collier County
that has proven its capacity to bring COVID-19 related services to vulnerable households in
Immokalee and to address the social determinants of health by positioning Community Health
Workers (CHWs) as bridges, connected to clinical and social supports, rather than as islands,
which stand alone without referral mechanisms. By hiring and partnering with individuals who
represent the racial, ethnic, and cultural diversity of Immokalee and similar communities in the
area, and who understand the social and structural context of the community within a network of
social and clinical support, the Collier County Community Health Coalition (CCCHC) team has
begun to address the socioeconomic, linguistic, and cultural barriers that migrant farm workers
have historically faced to accessing healthcare.
Importantly, while Immokalee offers an example of a population of agricultural laborers that has
been disproportionately impacted by the pandemic, it is not the only underserved farm working
community in Collier County. Rather, the health inequities that have been exacerbated by the
COVID-19 pandemic call for expanded efforts to reduce barriers to healthcare services for
multiple "extra mile" communities, those that require additional efforts and resources to reach
1 CDC COVID Data Tracker, https://covid.cdc.14ov/covid-data-tracker/#count,, . Accessed 05/17/2021.
2 United States Census Bureau, 2014-2018 Poverty Rate in the United States by County,
https://www.census.gov/library/visualizations/interactive/2014-2018-poverty-rate-by-county.html. Accessed 05/12/2021.
3 Data USA, Immokalee, FL, b!Vs:Hdatausa.io/profile/geo/immokalee-fl/. Accessed 05/05/2021.
Project Narrative 1
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
with quality care due to historically rooted cultural, socioeconomic, linguistic, and geographic
vulnerabilities.
B. APPROACH:
The CCCHC partners, which include the Collier County government, the Healthcare Network
(HCN), Department of Health Collier County (DOH-C), Partners In Health (PIH), the Coalition
of Immokalee Workers (CIW), and Mision Peniel (MP), have been based in Immokalee and are
in the process of expanding their work to Golden Gate, an underserved area that will serve as a
home base alongside Immokalee, due to the presence of clinics in both communities. Through
this grant, the team seeks to extend their work together as the CCCHC by recruiting, training,
and mentoring CHWs from additional Extra Mile communities, which will allow for the
geographic expansion of care into highly vulnerable areas that are scattered throughout the
county to prevent geography from becoming a form of care rationing. By building upon the
proven expertise of CCCHC members in community trust, access to local public health and
healthcare delivery systems, and knowledge of best practices for responding to health
emergencies and strengthening healthcare systems around the world, the CCCHC will extend its
reach into remote geographic pockets of migrant farmworkers to operationalize healthcare as a
human right throughout Collier County.
i. Purpose: The CCCHC will support efforts to expand the Community Health Program beyond
Immokalee by recruiting, training, and mentoring CHWs from Extra Mile communities in Collier
County to identify, counsel, and connect residents with COVID-19 and other chronic conditions
to clinical care; to serve as resource navigators in linking individuals to social support; and to act
as bridges between the community and the healthcare system by elevating community feedback
and supporting individuals to overcome linguistic, geographic, and social barriers to care.
ii. Outcomes: Through local partnerships with farmworker communities and long-established
expertise in building community health programs, we will hire, mentor, and host regular
meetings with Extra Mile CHWs supporting satellite communities in Collier County, who will
join an already robust training program in Immokalee. We will improve access to and quality of
care for migrant farm workers by assigning CHWs to patients or households in these
communities, where patient encounters will take place through regular visits with community
members assigned via clinicians and/or regular home visits to households for outreach,
education, vulnerability assessments, and referrals to clinics and local hospitals. Community
health outcomes will be measured by embedding the program into a study, where pre- and post -
activation scores and engagement scores will be measured. We anticipate improved activation
and improved engagement with longitudinal care scores will be observed as outcomes of the
program. Depending on the databases that are made accessible to the CCCHC, we can also
examine the impact on the number of hospitalizations, which we anticipate will decrease due to
improved access to primary and preventative care. By the end of the project period, the 384,900
individuals living in Collier County will have access to essential healthcare services, and the
approximately 100,000 individuals living in Immokalee, Golden Gate, the farmworker
communities of Naples Park, Lipman's Labor Camp, and Lely, and medically underserved
communities in Everglades City, Goodland, Copeland and Chokoloskee, representing the most
vulnerable communities in the region, will be directly connected to CHWs.
Project Narrative 2
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
iii. Strategies and Activities: The CCCHC recognizes the disparate impact that COVID-19 has
had on communities of migrant farm workers in Collier County and the underlying health
inequities that the pandemic has exposed. The Coalition is committed to continuing to support an
effective and equitable COVID-19 response and to begin rebuilding a healthcare system that is
accessible to people who have been historically excluded from services by expanding the work
of CHWs beyond Immokalee and Golden Gate and into satellite Extra Mile communities.
Strategy 1: Train
The training sub -strategy and activities proposed will increase CHW collaboration in public
health -led actions to build and reinforce the knowledge and skills required to engage in
community -wide efforts to manage COVID-19 among priority populations (Strategy CB1).
1.1 Expand the CHW workforce: To support the end of COVID-19 transmission and recovery
from the pandemic, the CCCHC will expand the CHW workforce into Extra Mile communities
of Collier County, which are defined by high levels of linguistic, socioeconomic, cultural, and
geographic vulnerabilities. HCN includes CHWs (called Health Promoters) within their staffing
structure as part of a continued Community Health Program in Immokalee and Golden Gate.
Throughout the COVID-19 pandemic, Health Promoters have played a crucial role in rebuilding
trust in the healthcare system. Because they speak the same languages and share lived
experiences with many community members, these individuals best understand the local social
and cultural landscape, making them expert resource navigators and accompagnatos.
Furthermore, they serve as bridges between the community and the healthcare system by
supporting migrant farm workers to overcome linguistic, socioeconomic, and cultural barriers to
care, and elevating local voices to decision makers, which ensures that interventions are feasible
and acceptable for the end recipients.
Through this grant, the CCCHC will support the recruitment and training of CHWs to service the
Extra Mile communities in Collier County, connecting migrant farm workers in harder to reach
areas, especially those with pre-existing and chronic conditions, to healthcare services. Six Extra
Mile CHWs will be trained through the established, rigorous CHW training program in
Immokalee to be deplored to satellite communities.
The training for CHWs, developed and delivered by PIH drawing on the organization's decades
of experience in building community health programs in resource -limited settings around the
world, begins with a 3- to 5-day orientation in the classroom, where the team learns about
accompaniment, cultural humility, effective communication, addressing the social determinants
of health, household visits, and case management. Sessions involve multiple opportunities for
role play and discussion, supporting CHWs to practice what they have learned, foster supportive
and collaborative team dynamics, and apply skills to their own life experiences.
1.2 Reinforce CHW capacity through continuous mentorship and support: After the initial
training, PIH will provide continued boots -on -the -ground mentorship in the field to support and
reinforce the learned skills in practice. PIH staff will accompany CHWs on household visits and
during case management calls to both model effective interactions and to provide regular
supportive feedback. PIH and HCN will also host monthly debrief sessions together with the
Project Narrative 3
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
Immokalee, Golden Gate, and Extra Mile teams to exchange lessons learned, implement program
improvements from feedback from the community, and conduct additional training sessions for
ongoing CHW skill reinforcement and practice.
Strategy 2: Deploy
The deployment sub -strategies and activities proposed will engage organizations and care teams
throughout the community in the promotion (Strategy C134) and integration (Strategy CB3) of
the CHW function in delivering support services to support the public health response to
COVID-19 among priority populations.
2.1 Promote the importance of the CHW role in the care team: The CCCHC will develop
and disseminate messaging to educate organizations and care teams on the critical role that
CHWs play in delivering services and managing the spread of COVID-19. Alongside CHW
training sessions, PIH will engage HCN administrative staff and clinicians to understand the role
of CHWs as members of the care team. Thus, all staff at the clinic will gain skills in
communication and cultural humility to enhance patient experiences with the healthcare system,
and every individual will understand their role in referral pathways between the community,
clinics, and hospitals. Additionally, using their vast community connections, the CIW and
Mision Peniel will share information about the services provided by CHWs to community
members and other local organizations. The CIW will make announcements on their radio station
and through their farmworker education sessions to increase the visibility of the CHW program
and its supportive services for migrant farmworker communities.
2.2 Enhance community outreach: Once fully trained, Extra Mile CHWs will be deployed to
conduct household visits and community outreach to share health information, on COVID-19
and other common or prevalent medical conditions, and to actively refer vulnerable individuals
to clinical and social resources, which has been shown to improve healthcare outcomes across
diverse settings. The CCCHC will strengthen existing referral pathways from the community to
HCN clinics in Immokalee and Golden Gate and other social support providers in Collier
County, beginning with the activities 2.3 and 2.4 described below.
2.3 Expand rapid testing: Testing services have improved through a series of targeted
interventions that have enabled the rapid identification and support of COVID-19 cases,
including the introduction of mobile testing in accessible geographic locations at convenient
times; use of rapid tests rather than PCR tests; immediate connection to social support for
positive cases at testing events; and distribution of food vouchers at events to incentivize testing.
The team is currently hosting approximately three mobile testing events per week in Immokalee.
The CCCHC will support testing efforts coupled with distribution of food vouchers in
Immokalee, Golden Gate, and satellite communities to promote early detection and management
of cases to stop the spread of COVID-19. Testing is more important now than ever given the new
variant strains present in the US. Furthermore, distribution of food vouchers has supported those
who have previously lacked access to testing in Immokalee to receive testing, especially
farmworkers, which has enabled rapid connection to social support for the most vulnerable. The
CCCHC plans to host 1-3 testing events in Collier County per week. The CHWs will promote
testing events in advance to the community and attend the events to provide logistical and
Project Narrative 4
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
language interpretation support. CHWs will provide education before and after an individual
receives a test to ensure they understand the public health recommendations for preventing and
managing COVID-19, and will support the delivery of results and the direct referral of COVID-
positive patients to social support services that enable their safe isolation.
2.4 Promote equitable vaccination access: The first vaccination event in Immokalee resulted in
the vaccination of only one Immokalee resident due to technological, linguistic, and logistical
barriers to registration that led the event to be flooded with outsiders.4 Thus, the CCCHC has
needed to adopt a rigorous outreach strategy to better promote the COVID-19 vaccine by
actively identifying, educating, and registering Immokalee residents for vaccination
opportunities. The team will implement strategies shown to promote equitable vaccination
access, including: expansion of the Community Health program to support CHWs to go door-to-
door to register residents for vaccination opportunities in Extra Mile communities; provision of
linguistically and culturally appropriate informational materials to dispel myths and rebuild trust
from a challenging historical legacy; address transportation issues to vaccine sites, or offer
mobile/in-neighborhood vaccines; and accompaniment of individuals at vaccination events
through connection to social supports.
Vaccination events provide opportunity for a large number of community members to be
connected to wrap around services. At these events, CHWs conduct vulnerability assessments to
identify individuals in need of social support and follow-up with households to establish long-
term relationships through regular visits providing supporting referrals to care services.
Additionally, after CHWs are assigned to patients and/or households by clinicians, they will
work with healthcare providers to address social determinants of health, providing food, housing,
and other services needed to ensure recommendations for improving healthcare outcomes are
feasible.
Strategy 3: Engage
The engagement strategies and activities proposed will promote (Strategy CB5), and document
and facilitate (Strategy CB6) CHW engagement across communities and clinical settings in in
the care, support, and follow-up of service provision to improve health outcomes for priority
populations at highest risk, including those resulting from COVID-19.
3.1 Promote CHW engagement in additional communities and clinical settings: Building
upon the relationships and strategies that have functioned throughout the COVID-19 response,
the CCCHC will work to promote CHWs in advancing a long-term accessible, equitable, and
resilient healthcare system for Collier County. CHWs will be housed at the Healthcare Network,
the only Federally Qualified Health Center (FQHC) in Collier County. The Extra Mile CHWs
will join the existing Immokalee and Golden Gate CHWs as valued members of the care team,
expanding into additional communities the referral pathways through which CHWs identify
patients in the community and schedule them appointments with clinicians at the HCN, arrange
transport, and escort them through registration processes. The referral process will be bi-
directional, with healthcare providers at the HCN also able to assign vulnerable patients to
'Freeman, L., COVID-19 vaccination appointments in Immokalee filled with Naples residents, Naples Daily News. January 5,
2021. https://www.ngplesnews.com/story/news/health/2021/01/05/residents-sarasota-broward-,get-covid-19-vaccination-
immokalee/4132853001/. Accessed 05/01/2021.
Project Narrative 5
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
CHWs for follow-up in their communities to address social determinants of health. During
regular visits with assigned households, CHWs will provide food and other resources to patients,
and, with household permission, share updates back with the clinical care team. CHWs will also
continue to participate in COVID-related activities, such as testing and vaccination events, to
enable the team to continue sharing linguistically, socially, and culturally accessible information
to support communities to stop the spread of COVID-19.
3.2 Document and facilitate the continued CHW provision of care, support and follow-up
services across clinical and community settings.
Year I- Expand systems to document CHW engagement in care, support and follow-up: The
current data collection system used by the HCN Immokalee CHW Program will be improved and
expanded to include Golden Gate and Extra Mile CHWs. Using tablets with pre -developed
Microsoft Teams questionnaires, CHWs will collect the following data during household visits:
demographic information, vulnerability assessment, incidence of COVID-19 in the household,
pre-existing conditions, access to healthcare, and clinical and resource needs.
As CHWs will be housed administratively at the HCN, they will be able to document individual
information for patients at the clinic as part of the Electronic Health Record in Athena. This will
enable information gained through the community health program to become part of a patient's
health record, supporting clinicians to provide more holistic care.
Years 2 and 3- Facilitate ongoing CHW involvement in care, support and follow-up: CHWs
will be involved in the care, support, and follow-up of both COVID-positive and non-COVID
patients. To identify COVID-positive patients, the CHWs will attend rapid testing events in the
community, where individuals receiving positive results will be assigned a CHW case manager.
This CHW will support the patient to conduct self -monitoring of symptoms with pulse oximeter
and temperature readings, which can be used according to HCN protocols to refer individuals to
clinical care, and to connect households impacted by COVID to social support, such as food and
housing. To support non-COVID patients, CHWs will either identify individuals with pre-
existing conditions through canvassing and household visits in the community, who can then be
referred as patients to the HCN or to their preferred Primary Care Provider, or they can be
assigned to patients identified as in need of support by care teams at HCN. CHWs will provide
ongoing support through regular phone calls and household visits to provide food and other
necessities, and emotional accompaniment to support adhere to treatment plans.
3.3 Expand integration of CHWs into social support systems: PIH has used social support to
improve healthcare outcomes for the past three decades, from providing tuberculosis patients
with food packages to enhance treatment adherence to alleviating transportation costs for HIV
patients who would not otherwise be able to travel to the hospital to receive medications. For
vulnerable populations, clinical care must be delivered hand in hand with social support to
improve health outcomes. In Immokalee, Mision Peniel supports infectious cases to isolate and
alleviates the economic burden on individuals impacted by COVID-19 by disbursing cash
transfers to community members who test positive for COVID-19. Social support eases testing
fears, provides short-term financial stability to positive cases, and has direct epidemiologic
benefit through encouraging isolation to stop the spread of COVID-19.
Project Narrative 6
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
Year 1-Embed social support into case management systems: The CCCHC will support the
design and implementation of this social support system in satellite communities beyond
Immokalee to extend the benefits of these services to others in need. The CCCHC will perform a
resource mapping exercise to create an updated directory of social supports that are available in
Collier County, and will expand their network of partners to build referral pathways from the
community to organizations providing essential services such as food, housing, education, and
childcare. CHWs will be trained to refer vulnerable community members, including both
COVID-positive and COVID-negative individuals, to these services when needs are identified,
and will provide follow up after referrals to ensure needs are addressed and support has been
appropriately provided.
Currently, Mision Peniel provides cash transfers to all patients who test positive for COVID in
Immokalee. This system has been critical in supporting individuals to isolate by alleviating
barriers that arise from missing work, such as fear of eviction and heightened food insecurity.
The CCCHC will actively seek ongoing funding to expand the cash transfer system to other
communities as the CHW program is expanded.
Years 2 and 3- Integrate social support programming with the health system: The CCCHC will
build a permanent network of social supports connected to clinical referral pathways to address
the social determinants of health that impact healthcare outcomes for the most vulnerable. CHWs
not only identify vulnerable patients in a community but also serve as resource navigators,
connecting individuals to clinical and social supports. After the CCCHC creates an updated
resource directory for Collier County, CHWs will be able to connect community members to the
available services and identify and advocate for additional resources needed to fill gaps.
1. Collaborations:
Collier County will serve as the lead applicant of the Coalition and will provide administrative
oversight through its knowledge of the social, economic, and political systems that operate in the
county as a whole. The Healthcare Network (HCN) will be the primary sub -grantee and will
house the Community Health Workers (CHW) administratively. Partners In Health (PIH) will
draw on its experiences building Community Health programs in remote areas around the world
to collaborate on recruitment, training, and mentorship of CHWs beyond Immokalee and into
satellite communities. The Department of Health (DOH) offers knowledge of and access to the
local public health system. As Community -Based Organizations (CBOs), the Coalition of
Immokalee Workers (CIW) and Mision Peniel (MP) represent important community voices and
will serve as consultants through program design and implementation processes. The team will
also work to develop relationships with similar organizations in Golden Gate, East Naples, and
other communities in Collier County to expand membership of the CCCHC.
Collier County has a longstanding relationship with the Department of Health, which operates as
a county health department, and the Healthcare Network, which provides healthcare services
throughout Southwest Florida. Their partnership with the Coalition of Immokalee Workers and
Mision Pcniel has been strengthened through their collective work to ground the COVID-19
response in community -driven efforts. While Partners In Health is the newest partner in Collier
Project Narrative 7
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
County, the organization has quickly established deep relationships with the other stakeholders
and the Immokalee community by training and mentoring the current Health Promoters in
Immokalee.
2. Target Populations and Health Disparities:
Migrant workers face staggering vulnerabilities to sickness due to historically rooted social,
economic, and political systems that have structured health inequities into the living and working
conditions of this population. To understand the structural vulnerability of farmworkers to
illness, it is important to examine the history that has contributed to their marginalization.
Exploitation in the agricultural industry was first established through the system of chattel
slavery and was perpetuated through debt bondage, convict labor, and profiteering by growers, or
farm owners, of immigrants and refugees, who are often fleeing economic and political
devastation and lack choice or bargaining power in their workforce participation. The
marginalization of farmworkers has been further codified through the establishment of
exclusionary legislation, such as the National Labor Relations Act of 1935 and the Fair Labor
Standards Act of 1938, which failed to include agricultural laborers in protecting workers' rights
to organize and to receive minimum wages, respectively. These political, social, and economic
systems make farmworkers a highly impoverished and underserved population, resulting from
low wages without overtime pay, employment instability, lack of benefits, and stagnation of
wages despite economic inflation.5
This socioeconomic vulnerability often positions farmworkers in hazardous and exploitative
living and working conditions that make them more susceptible to illness but less likely to access
healthcare services or social support. According to the National Agricultural Workers Survey
(HAWS), 33% of migrant farmworkers live below the federal poverty line, placing them at
increased risk of food insecurity and under/malnutrition, which have been associated with poor
health outcomes and increased risk for development of non -communicable diseases.' At work,
farmworkers perform dangerous and physically exhausting labor for long hours in harsh
conditions, which exposes them to crush injuries, skin cancers, and inhalation of chemicals used
on crops that have been associated with pulmonary diseases, neurotoxicity, and higher incidence
of birth defects.' Despite high levels of structural vulnerability to poor health, 53% of
farmworkers have no health insurance,8 which also prevents many individuals from seeking
regular primary care for the identification and treatment of "silent" diseases like hypertension,
hyperlipidemia, and diabetes.
These health inequities have only been exacerbated during the COVID-19 pandemic. Many
farmworkers live close together in trailers and sit shoulder -to -shoulder on buses that transport
them to work, making social distancing nearly impossible and facilitating rapid transmission of
5 Fuentes, P., Reyes C., Gerardo, Murtagh, C., Nolan, C. & Palazueos, D. "Migrant Worker Health and Healthcare in COVID-19"
in Primary Care in the COVID-19 pandemic, Basu, S., Alpert, I & Phillips, R, (Cambridge, Harvard Medical School Center for
Primary Care), 285-295. (2021).
6 Hernandez, T. & Gabbard, S. Findings from the National Agricultural Workers Survey 2015-2015: A Demographic and
Employment Profile of United States Farmworkers. (2018).
Fuentes, P., et. al. (2021)
s Hernandez, T. & Gabbard, S. Findings from the National Agricultural Workers Survey 2015-2015: A Demographic and
Employment Profile of United States Farmworkers. (2018).
Project Narrative 8
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
the coronavirus. When individuals do become sick, few can afford to stay home from work,
which prevents them from being able to isolate effectively, and lack of access to healthcare
causes many agricultural laborers to suffer worse health outcomes.
Because farmworkers are uniquely vulnerable to the devastation of the COVID-19 pandemic, it
is essential to identify and implement interventions to stop COVID-19 transmission, catalyze
recovery, and rebuild healthcare systems that can better serve this historically marginalized
population. The Community Health Program in Immokalee has demonstrated strategies that are
effective for supporting this community to overcome barriers to care. By conducting outreach
with linguistically, culturally, and socially accessible information, Community Health Workers
have been able to promote coronavirus awareness and rebuild trust in the healthcare system.
Additionally, by performing regular case management in the form of phone calls and household
visits with COVID positive patients, CHWs have initiated rapid referrals to clinical care for
individuals susceptible to poor health outcomes. Finally, by partnering with Mision Peniel, the
Community Health Program in Immokalee has demonstrated the importance of embedding social
support systems into clinical care in order to support individuals to overcome socioeconomic
barriers to accessing care and/or adhering to clinical recommendations.
Through the Collier County Community Health Coalition, the team will expand these strategies
that have been proven to be effective into geographically remote communities in order to
improve healthcare outcomes for marginalized populations throughout the county.
C. APPLICANT EVALUATION AND PERFORMANCE MEASUREMENT PLAN:
The proposed evaluation and performance management plan builds on the robust infrastructure
for data collection, evaluation, and participatory input of the project partners. Data will be
collected in semi-annual cycles to align with performance measurement reporting to CDC and
the Evaluation/TA partners. Iterative feedback will be incorporated regularly to adjust and
improve strategies over time. At a minimum each year, two success stories detailing the impacts
of the different strategies and activities will be shared using the NCCDPHP Success Stories
Application.
The CCCHC will measure the impact of the Extra Mile Community Health Program on the
communities it intends to serve through several metrics that have been used to demonstrate
impact in previous peer -reviewed studies that have assessed the role of CHWs in connecting
patients to healthcare services. The impact of the CHW Program on preventing and controlling
COVID-19 infections and strengthening community resilience will be reflected in outputs
including number of tests conducted each week, positivity rate, percent of cases connected to
social support, percent of cases referred to clinical care, percent of population vaccinated, and
number of hospitalizations per month if available. The extent to which the CHW Program
contributes to changes in healthcare outcomes will be assessed through several measures,
including pre- and post- activation scores and pre- and post- engagement after longitudinal care
scores. Other metrics will be chosen based off feasibility and appropriateness after continued
discussions with partners and may include a combination of the following: grit scale score;
attachment style score; basic needs scale score; alcohol overuse score; drug use score; self -rated
health score; perceived stress score; health literacy score; number of ED visits over time period;
Project Narrative 9
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
and number of hospital admissions over time period. Data will be collected in 6 month
increments at 0 months, 6 months, 12 months, 18 months, 24 months, 30 months, and 36
months.
Data analysis and dissemination: Dr. Dan Palazuelos, PIH's Director of Community Health
Systems, has a joint appointment with PIH, Harvard Medical School and the Brigham and
Women's Hospital (BWH) in Boston, MA. To assess program impact, Dr. Palazuelos has
already conducted an IRB-approved study tracking pre- and post- activation and longitudinal
engagement scores in Immokalee, with support from his research team at BWH, which will be
expanded to the new components of the CHW Program proposed here. PIH will track pre- and
post- activation and longitudinal engagement scores through an IRB-approved study. Data
generated through this project will be collected, analyzed, stored, and disseminated through these
existing mechanisms, which would build on the team's previous experiences in conducting
exploring the impact of COVID-19 on the Immokalee community.
D. ORGANIZATIONAL CAPACITY OF APPLICANTS TO IMPLEMENT THE
APPROACH:
Collier Country has a long history of providing services to citizens that meet families' basic
health and social needs, often stepping in when no other resource are available. The Community
& Human Services (CHS) Division provides comprehensive services such as prescription and
medical assistance to those in need, in addition to managing affordable housing opportunities in
the community to support the most vulnerable residents. Collier County has provided targeted,
community -based support to county residents throughout the COVID pandemic, working
through County Caseworkers who assist residents in need. The county has provided meals and
other food assistance for home -bound individuals and has facilitated financial assistance and
linkage to other support services. Additionally, Collier County has hosted and supported early
vaccination events for seniors and other high -risk populations, providing transportation services
where needed.
The CHS oversees grant activities for all of the public service divisions for Collier County and
has a demonstrated track record of sound programmatic and fiscal oversight specifically in grant
management. The most recent single audit revealed "no findings or management letter
comments". Currently, CHS successfully administers approximately $21 million in federal and
state grant funds. The entire government entity is supported by professionals in Human
Resources, Risk Management, Office of Management and Budget, and Procurement. Each area is
led by seasoned professionals with appropriate professional degrees and certification credentials.
The County Attorney's Office reviews all documents for legality.
Collier County demonstrates highly effective financial management through our written and
implemented policies and procedures, qualified and trained financial staff, effective
communications, cross training and self -assessments. To further ensure financial compliance of
our program, the local Office of Management and Budget provides oversight on all aspects of
financial grant management providing an additional layer of internal control over the application,
budget, procurement, financial transactions, draws, reports and grant closeout. Furthermore, we
Project Narrative 10
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
have a finance department separate from the Collier County Board of County Commissioners
that provide pre and post audit functions for all fiscal components.
To ensure compliance with program requirements, staff will receive internal training on
administrative processing and financial tracking. Staff also attend/participate in any regional,
state, and national conferences that help develop skills and ideas that will progress all involved
or impacted by the CDC funding received. The Grant Coordinator and the Collier County Grant
Compliance Unit examine physical records and cross reference information to confirm and
maintain accuracy. To keep all CDC programmatic information including statutes, regulations,
and applicable OMB circulars, the Grant Coordinator participates in all webinars and conference
calls related to the program. The Grant Coordinator and the project accountant will regularly
participate in any CDC sanctioned training opportunities and federally sponsored trainings
focused on compliance requirements, OMB circular CFR part 200. Working with the fiscal
department, the Grant Coordinator ensures responsible and timely spending of grant funds
through fiscal oversight and budgetary maintenance.
Collier County has established purchasing and procurement policies to oversee fund
management and expenditures. Supplies and capital assets such as facilities and equipment will
be tracked and distributed by the Grant Coordinator for use by the Community Health Workers,
HCN and/or PIH staff.
The project oversight for this CDC project funding, if awarded to Collier County, will be
handled by Catherine Sherman, Grant Coordinator and will be responsible for ensuring all CDC
grant funded activities comply with the federal funding announcement and all regulations and
guidelines as established by the CDC and the Code of Federal Regulations. Ms. Sherman has two
years of experience managing local, state and federal grant funds. The Grant Coordinator is
responsible for communication with the grantor agency (CDC), project oversight, grant
compliance, pay requests, developing and implementing policies, generating reports, developing
public relations and communications, preparing media materials, and serving on applicable
community boards, councils, and committees. For the fiscal responsibility, Blanca Aquino
Luque, Accounting Supervisor, will perform all fiscal oversight and budgetary services for this
CDC award on behalf of Collier County. Ms. Luque has over 15 years of experience in not -for -
profit and government accounting and holds a CPA license.
Under the direction of Tami Bailey, Federal and State Grant Manager for CHS; Kristi Sonntag,
the Director of Community and Human Services; and Financial and Operational Support
Manager, Maggie e Lopez the department collectively holds 45 years of grants administration
experience that will ensure sound programmatic and fiscal oversight, as well as, support for Ms.
Sherman and Ms. Luque throughout every aspect of the grant award.
The Healthcare Network will be the primary sub -grantee and will house the Community Health
Workers administratively and lead the recruitment, hiring, employment, orientation,
development, coaching, counseling, and firing of team members. This will enable the Extra Mile
CHWs to join the existing group of Health Promoters in Immokalee, which has a pre -established,
rigorous training and support structure. The HCN will support administrative management of the
CHWs. They will also assist in the development of scope of work plans and provide the clinical
Project Narrative 11
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
infrastructure to continue hosting regular testing and vaccination events. Finally, HCN clinicians
can support the identification and assignment of medically vulnerable cases and households to
CHWs and receive referrals to their clinics when applicable.
By sharing information with the community while connecting vulnerable households to essential
resources, HCN's current team of Health Promoters has supported Immokalee residents to
overcome barriers to protect themselves from COVID-19. In the first 8 months of the Immokalee
program (July 2020 - February 2021), the groups of 6 - 12 Health Promoters, which were housed
administratively by the DOH-C and HCN and trained and mentored by PIH, reached 2,800
households constituting 9,000 people, and distributed 17,000 masks and 8,000 informational
packets.
Partners In Health will be sub -granted as advisors to support identification of and outreach to
remote communities, development of scope of work plans, design and implementation of training
and materials, and assistance as implementers in the field through continued mentorship to the
CHWs. For the last three decades, PIH has been a leader in fighting infectious disease and
building strong community health systems around the world. The team works with governments
and communities in 11 countries to build the capacity of health systems in partnership with local
leaders. From Haiti to Peru to Liberia, PIH has walked shoulder to shoulder with partners
through devastating outbreaks of Ebola, cholera, tuberculosis, and many other diseases. When
the COVID-19 pandemic amplified the same health inequities seen abroad in the United States,
the organization launched the US Public Health Accompaniment Unit to draw on lessons learned
globally to support governments and communities around the country to respond to COVID-19.
PIH now supports 16 states, counties, cities, tribal governments, and communities across the US,
using the accompaniment model to guide their work. Accompaniment requires patients,
communities, organizations, and governments to walk in bilateral partnerships in addressing
health challenges and allows the person or group being accompanied to guide the journey. It is
not technical assistance in the traditional sense because it is not passive; rather, accompaniment
is regular, dedicated, at -the -elbow support that takes responsibility for outcomes. PIH has been in
Immokalee since May 2020, and the organization has accompanied the team in the following
tasks: recruitment and training of Health Promoters with development of training materials,
ongoing refreshers, and continued mentorship in the field; design and implementation of
workflow at rapid testing and vaccination events; and co -creation of social support systems,
including cash transfer system with Mision Peniel.
The Department of Health will serve as local public health department representatives. As
advisors to the project, the DOH can shed light on local public health systems and support the
team in developing contacts in other communities and hosting testing and vaccination events.
The Coalition of Immokalee Workers is an internationally recognized organization dedicated to
fighting human trafficking and gender -based violence at work and ensuring the recognition of
human rights within the workplace for migrant workers. Built on a foundation of farmworker
community organizing starting in 1993, the CIW is based in Immokalee and represents an
important and powerful community voice. Throughout the COVID-19 pandemic, the CIW has
supported the implementation of mobile testing. They have also partnered with Mision Peniel
Project Narrative 12
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
and Partners In Health to design a social support system that supports community members
impacted by COVID-19 to stay home and isolate, and they collaborated with the Department of
Health and Department of Emergency Management to host walk-up vaccination events in April
and May that have been attended by 2,000+ people, most of whom were farmworkers and
Immokalee residents who would not otherwise have had access to vaccination services. The CIW
will continue to advise the CCCHC to ensure interventions are community -driven, such as by
supporting the mapping of vulnerable communities and helping to recruit and train Extra Mile
CHWs.
Finally, Mision Peniel is a pastoral ministry of charity and service, providing food, clothing,
fellowship, and emergency support to farmworkers in partnership with Peace River Presbytery.
From December 2020 through April 2021, the team disbursed $482,000+ in cash transfers to
400+ households impacted by COVID-19, many of whom were identified as positive cases at
HCN and DOH testing events, proving their capacity to build and implement social support
systems that are embedded in healthcare services. Mision Peniel will continue to serve as
advisors to the team as they design and support permanent social support systems with partners
throughout Collier County to address the social determinants of health and to integrate social
support into clinical referral pathways.
Together, the partners in the CCCHC offer important experiences in healthcare delivery,
community health, advocacy, and social work that will make them successful in expanding the
current CHW program into geographically remote communities.
E. WORK PLAN:
Activity
Process Measure
Responsible
Completion
Date
Strategy 1• Train
Period of Performance Outcome:
Outcome Measures:
• Increased skills/capacity/roles of
# of CHWs successfully completing local public health -led COVID-
CHWs to provide services and support
19 response training efforts as determined by relevant public health -
for COVID-19 public health response
led entities
efforts among priority populations
1.1.1 Expand the CHW workforce
# of new CHWs hired
HCN, PIH
October 31,
2021
# of new CHWs trained in COVID-19
response
1.2 Reinforce CHW capacity through
# of feedback and learning exchange
HCN, PIH
July 31,
continuous mentorship and support
sessions held
2022
Ongoing
# of additional CHW training sessions
throughout
held
Year 2 & 3
Strategy 2: Deploy
Period of Performance Outcome:
Outcome Measures:
• Increased workforce of CHWs
# and type of organizations/entities that are integrating CHWs to
delivering services to manage the
support state/local public health -led COVID-19 response efforts.
spread of COVID-19
# and type of messages developed and disseminated
Project Narrative 13
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
2.1 Promote the importance of the
# and type of CHW-role promotion
HCN, PIH
December
CHW role in the care team
messages disseminated to other
31, 2021
members of the care team
# and type of CHW-role promotion
messages disseminated to the
communityand local organizations
2.2 Enhance community outreach
# of household visits conducted by
HCN, PIH,
July 31,
CHWs in Extra Mile communities
CIW, CC,
2022
DOH
Ongoing
# of community outreach events
throughout
supported with CHWs
Year 2 & 3
2.3 Expand rapid testing
# of COVID testing events held
HCN, PIH,
July 31,
CIW, CC,
2022
# of individuals/households referred to
DOH
social support services through testing
events
2.4 Promote equitable vaccination
# of vaccination events held
HCN, PIH,
July 31,
access
CIW
2022
# of people vaccinated at vaccination
events
# of people at vaccination events
referred for social support
Strategy 3: Engage
Period of Performance Outcome:
Outcome Measures:
• Increased utilization of community
# of individuals within communities and/or clinical settings reached
resources and clinical services for
through messaging and education
those at highest risk for poor health
outcomes among priority populations
# of patients referred for individual, specific named health and social
conditions that increase the risk for COVID-19 within clinical and/or
community settin s.
3.1 Promote CHW engagement in
# and type of community organization
CC, HCN,
July 31,
additional communities and clinical
engaged on CHW integration
PIH, DOH
2O22
settings
Ongoing
# and type of clinical setting engaged
throughout
on CHW integration
Year 2 & 3
3.2 Document and facilitate the continued CHW provision of care, support and follow-up services across
clinical and community settings
Year 1- Expand systems to document
# of CHWs accessing and using
HCN, PIH,
December
CHW engagement in care, support and
electronic systems to document client
DOH
31, 2021
follow-up:
interactions
Years 2 and 3- Facilitate ongoing CHW
# and type of individual/household
CC, HCN,
Year 2 & 3
involvement in care, support and follow-
interactions made by CHWs to provide
PIH
UP
care/support
CHW reports on progress and scope of
involvement in care/support service
structure
3.3 Expand integration of CHWs in social support systems
Year 1- Embed social support into case
# of new social support network
HCN, PIH,
July 31,
management systemspartners
identified and engaged
MP
2022
Project Narrative 14
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
# and type of social support services
CC, HCN,
Year 2 & 3
Years 2 and 3- Integrate social support
accessed in Extra Mile communities
PIH, CIW,
programmingwith the health system
MP
Sustainability: Beginning in Year 2, the Coalition will develop plans for sustainability and
replicability. To address sustainability, we will identify and advocate for policy changes that
must be implemented to provide structural support to CHWs in the healthcare system; identify
long term funding mechanisms through Return on Investment analyses; and strengthen existing
clinical and social support referral pathways in partnership with local stakeholders. To ensure
replicability, the Coalition will develop protocols, training materials, and job aides that can be
used for replication based on CDC principles of adaptation; identify and develop avenues for
sharing lessons learned, such as through the nationwide Learning Collaborative that is part of the
Partners In Health U.S. Public Health Accompaniment Unit; and partner with other community
health programs in the U.S. to provide mutual mentorship and technical assistance.
F. BUDGET NARRATIVE
The total budget requested for Year 1 of the proposed scope of work is $ 421,744.34
Collier County costs
Grantee: $ 11,936.34
Personnel- $10,102.70
Grants Coordinator 0.10 FTE: $ 5,663.90
The Grant Coordinator will provide program administration, compliance review, project support,
financial review, and oversight of the program sub recipients to ensure program compliance with
applicable grant guidelines.
Accountant 0.5 FTE: $ 2,782.35
The Accountant will oversee all fiscal aspects of the grant funds including grant payment
requests, disbursements, contractual payments, and drawdowns from the grantor agency as
applicable. The accountant will also ensure compliance with all other legal requirements of the
grant and audit requirements.
Operations Analyst 0.3 FTE: $ 1,656.45
The Operations Analyst will provide compliance review and monitoring of grant regulations,
performs monitoring visits to sub -grantees and prepares closeout documentation.
Fringe Benefit- $1,833.64
Collier County budget instruction manual identifies social security and Medicare (FICA) costs to
be calculated at a rate of 7.65% (1.45% for Medicare and 6.20% for Social Security) of each
employee's salary. Retirement is also available to full time employees and calculated at 10.5%.
Benefit rates are standard for all employees and agree with acceptable IRS
Project Narrative 15
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
Contractual costs $409,808
Sub -grantee 1- Healthcare Network: $303,173
Personnel- $201,000: Six new full-time (LOE 100%) Community Health Workers will be hired
to support Extra Mile communities, at a cost of $3,333 per month per CHW for 9 months to
account for project launch time ($180,000 in total). HCN's Human Resources Manager
($875/month) and Community Health Manager ($875/month) will both dedicate 15% LOE to the
hiring and management of the CHWs and project implementation over 12 months, totaling
$21,000 for Year 1.
Fringe Benefit- $40,200: HCN's fringe rate of 20% of salary costs has been applied
proportionately to each project role's level of effort. Included in this rate are payroll taxes,
payroll administration, health insurance, workers compensation insurance, and life insurance.
Travel- $1, 680:
Local travel- $1,680: HCN project administration and CHW staff will use their own vehicles for
travel related to project implementation and will be reimbursed for mileage at a cost of $0.56, the
federal GSA rate. Mileage needs are estimated at 250 miles per month for project administration
roles (between 2 staff roles) for 12 months, and 350 miles per CHW (for 6 CHWs, 2,100 miles in
total) for 9 months.
Supplies- $5,300:
Six basic smartphones will be purchased for use by the CHWs, costed at $250 each ($1,500 in
total). Two laptops ($1,8000 each) will be purchased for project administration and data
collection, for use in HCN offices, totaling $3,600. 10 CHW Training Manuals will be printed
and bound at a cost of $20 each ($200 in total), to be distributed to CHWs and training
facilitators.
Other- $2, 700:
Monthly phone plans will be provided for CHW work phones to enable consistent
communication with community stakeholders and clients, at a monthly cost of $50 per phone (6
phones, $2,700 in total for 9 months).
Indirect Charges- $52,293: HCN will apply an indirect rate of 20% against its total direct cost
base of $261,464.
Sub -grantee 2- Partners In Health: $106,635
Personnel- $60,606: The following four PIH staff will participate in the implementation of this
project over the 12 months in Year 1: The Sr. Project Lead (LOE 15%, $18,750 in total) will
provide regular technical input throughout the project implementation and will be the daily point
of contact for PIH's programmatic contributions to this project. The Project Manager (LOE 20%,
$13,600 in total) will support project implementation and contractual compliance, acting as the
main point of contact for administrative purposes between PIH and Collier County. The Sr.
Technical Advisor (LOE 10%, $17,200 in total) and the Director of Community Health Systems
Project Narrative 16
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
(LOE 10%, $11,056 in total) will provide expert support on CHW training and integration into
the wider health system.
Fringe Benefit- $13,333: PIH's fringe rate of 22% of salary costs has been applied
proportionately to each project role's level of effort. Included in this rate are payroll tax, payroll
administration, health and dental insurance, workers compensation insurance, life insurance, and
4053b matched contribution.
Travel- $9,555:
Local travel- $1, 680: PIH staff based in Immokalee will use their own vehicles for travel related
to project implementation and will be reimbursed for mileage up to a total of 250 miles per
month (between 2 staff roles) at a cost of $0.56, the federal GSA rate.
Long-distance travel- $7,875: Two PIH staff based in Boston will travel to Collier County to
provide direct support to the project implementation. Five trips of 5 days/4 nights each are
planned in Year 1, including one trip for the Director of Community Health Systems and four
trips (one per quarter) for the Sr. Technical Advisor. Included in the budget are return airfares
from MA to FL ($300/trip, $1,500 in total), accommodation (20 nights (4 per trip) at $100/night,
total $2,000), per diem (25 days (5 per trip) at $50/day (PIH standard rate), total $1,250), and
rental car costs (25 days (5 per trip) at $125/day, total $3,125).
Contractual- $5,000: Biostatistician support will be required for data analysis and assessment, to
be contracted from PIH's research partner at the Brigham and Women's hospital, budgeted at
$500/day for 10 days in Year 1.
Indirect Charges- $18,141: PIH will apply its NICRA of 20.5% against its total direct cost base
of $88,494.
Project Narrative 17
Collier County Community Health Coalition: Advancing Accessible and Equitable Healthcare Systems in Extra Mile Migrant
Farmworker Communities
WORKSPACE FORM 16
� �R+AiVT'S-G0V" SUPPORT@GRANRANTS.GO.GOV
This Workspace form is one of the forms you need to complete prior to submitting your Application Package. This form can be completed in its entirety offline using
Adobe Reader. You can save your form by clicking the "Save" button and see any errors by clicking the "Check For Errors" button. In -progress and completed forms
can be uploaded at any time to Grants.gov using the Workspace feature.
When you open a form, required fields are highlighted in yellow with a red border. Optional fields and completed fields are displayed in white. If you enter invalid or
incomplete information in a field, you will receive an error message. Additional instructions and FAQs about the Application Package can be found in the Grants.gov
Applicants tab.
OPPORTUNITY & PACKAGE DETAILS:
Number:
CDC-RFA-DP21-2109
Opportunity Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opportunity Package ID:
PK000266150
CFDA Number:
93.495
CFDA Description:
Community Health Workers for Public Health Response and Resilient
Competition ID:
CDC-RFA-DP21-2109
Competition Title:
Community Health Workers for COVID Response and Resilient Communities (CCR)
Opening Date:
03/25/2021
Closing Date:
05/24/2021
Agency:
Centers for Disease Control - NCCDPHP
Contact Information:
WORKSPACEAPPLICANT &
Stacy De Jesus
Workspace ID:
WS00679247
Application Filing Name:
COLLIER CDC-RFA-DP21-2109
DUNS:
0769977900000
Organization:
COLLIER, COUNTY OF
Form Name:
Other Attachments Form
Form Version:
1.2
Requirement:
Optional
Download Date/Time:
May 21, 2021 12: 10:37 PM EDT
Form State:
NO Errors
Other Attachment File(s)
Mandatory Other Attachment Filename: Table of Contents. pdf
Add Mandatory Other Attachment Delete Mandatory Other Attachment View Mandatory Other Attachment
To add more "Other Attachment' attachments, please use the attachment buttons below.
Add Optional Other Attachment Delete Optional Other Attachment View Optional Other Attachment
\ CDE
d
\ 15
»
\
= o /
'E
<
\ \ \ �
E
\
0:, �i
- a b
§
Q
ƒ
>
<
g
\�k
>Gf'k.E
0 4)0
06
/I
ƒ
co\<
_
/
k
\
\
{
/
E
LU b
•E
Cd
/
�LL
CL2
#
t
o �@
/
\
\ \
ƒ
4
ƒ
£
k $
\?
2 2
2�
LU
»/
\{
E\
�H
2 V
------
'
Q §
z \
« «
m-
/a=[
4
�E\\
j£=7
=00
:\ § / ®
t
>2m�
=�--
.\
<//ƒ
E-
g
4
_a)
\
(-
4
I
E
. ..
..
0
/\
a)
g e
z 3 § @
a) E
0-
= o = <
2�°m
�a-cl�
/ 5 0 �n
I m E
}
� m
= m
�\\\/
� \ §� E E
> 7 % E
_ LLU
4---------
0
�CL
�\2 . //
z >
eE�& a
E / $ � G
£6OU _ m
ƒƒE
E '
/\
E O/
_
$ §
2 =
\_
as
>
z
/
§
t------4-------------------------
.\
----/--------------
I
E �
�
Blanca M. Aquino, CPA
PROFESSIONAL SKILLS PROFILE
Certified Public Accountant with more than 18 years of professional business experience including 2 years of accounting
supervisory work, 8 years of experience maintaining the financial administration of federal, state, and local grants. Eight
years of experience in financial accounting, reporting and fund accounting. Ability to understand and prepare a set of
financial statements in accordance with GAAP/FASB/GASB. Worked analyzing historical costs and projecting future
financial needs. Prepared, maintained, and administered annual corporate budgets (accrual basis) and grant budgets
(modified accrual and cash basis) Monitored expenditure, analyzed budgets, prepared financial reports. Prepared budget
amendments and journal entries as necessary. Reviewed and reconciled general ledger transactions. Experience assigning
expenditures to proper cost center and verifying the proper posting of expenditures. Allocated monthly expenses according
to the allocation plan and suggested modifications when necessary. Experience preparing a variety of financial and
accounting records and reports including but not limited to revenue and expenditures reports, executives' summaries, and
aging reports. Assisted with the annual single audit, researched, and provided information to auditors. Proficient in the
accounting software SAP, Quantum and QuickBooks Pro, SQL, Word, Excel, Outlook, and Power Point.
PROFESSIONAL EXPERIENCE
Accounting Supervisor, Collier County, Naples FL
Senior Accountant, Collier County, Naples, FL
Grant Accountant, Collier County, Naples, FL
01/2020 to present
03/2016 to 01/2020
08/2015 to 03/2016
• Supervised the work of four grant accountants, grant coordinator and grant support specialist. Supervised the
Division fiscal operations.
• Approve purchase order, budget amendments, executives summaries, different financial reports for the grantor's
agencies.
• Prepared the annual budget for each grant and set the dot structure for the new fiscal year.
• Analyzed historical costs and projected future financial needs.
• Monitored grant expenditures, prepared budget amendments and journal entries as necessary.
• Reconciles the general ledger.
• Reviewed and approved sub recipient pay requests.
• Monitored that grant expenditures are in accordance with grantor guidelines.
• Supervised the financial performance of different Federal, State and Local grants.
• Researched guidelines regulations to ensure compliance and allowable expenditures.
Financial Analyst, Centerstone (formerly Manatee Glens) Bradenton, FL 02/2013 to 08/2015
• Maintained all financial operations of federal, state, and local grants, including the preparation and submission of
monthly invoices, quarterly and annual expenditures.
• Worked with the following Federal, State and Local grants:
• Federal: OAG (VOCA=180,000 annually); CDBG and Shelter Plus Care (TBRA = $170,000 annually)
• State: CFMHA (Central Florida Mental Health Association = $7,200,000 annually); DCF (Community Action
Team = $1,500,000 annually); Florida Department of Education (Supported Employment = $100,000 annually);
FCASV (Victims of Sexual Assault = $85,000 annually); Partner with the YMCA of Sarasota, fiends came from
DCF (Safe Children Coalition = $1,800,000 annually)
• Local: Manatee County (11 contracts: aging services, baker act adult and youth, hospital unit and detox, CAT team,
sexual assault adult and youth and three drug courts = $2,500,000 annually); Sarasota County (three drug court
contracts = $ 420,000 annually); Manatee Sheriff Office (SANE = $35,000 annually)
• Prepared grant applications and reviewed contracts for grants awarded to the department.
• Assisted in the preparation of the corporate annual budget.
• Monitored the agency expenditures on a monthly basis to ensure funding is available for continuity of operations.
• Allocated monthly expenditures to the proper cost center according to the plan allocation, using different drivers:
salary, miles driven, square footage, FTE.
• Prepared all grant related budgets.
• Monitored expenditures, analyzed variances, prepared budget amendments as necessary.
• Analyzed and communicated financial information effectively to internal and external stakeholders.
• Assisted with the annual audit, including but not limited to the preparation of supporting schedules and the
compilation of pertinent documentation. Performed the walkthrough with the auditors.
• Analyzed historical costs and projected future financial needs.
• Reconciled General ledger accounts and performed a variety of accounting duties pertaining to the preparation and
maintenance of the Department budget.
Counter Manager/Sales, Macys Inc., Sarasota, FL 01/2008 to 02/2013
• Instrumental in supporting the counter rapid growth and expansion, including an increase in revenues and
profitability. Supervised the work of 3 employees. Gained experience in public relations, special events and
planning.
Accounting Intern, Mike Lowe CPA, North Port, FL
01 /2010 to 02/2010
• Work directly with the tax accountant and got exposure to individual, partnership, corporate and estate tax return.
• Office duties as needed by the CPA. Assembled of client information and tax returns.
Sales, Dillard's, Naples, FL 11/2004 to 01/2007
• Top -producing sales representative generated more than $150,000 sales on a yearly basis. Set and achieved
personal sales goals while supporting the goals of the team.
Supervisor, The Registry Resort and Club, Naples, FL 12/2003 to 12/2005
• Supervised the work of 12 employees.
• Contacted front desk, housekeeping, and maintenance staff when guests had any request. Kept records of room
availability and guests' accounts.
• Addressed and solved guest comments or complaints. Assigned duties, inspected work, investigated complaints
regarding the service, and took corrective action.
EDUCATION
• 5"' Year of Accounting
University of South Florida, Sarasota, FL
Graduate coursework: Governmental and Non -For -Profit Accounting, Advanced Financial Accounting, Law and
the Accountant, Auditing II, Intermediate Financial Accounting III, Federal Taxation.
• Bachelor of Science Accounting, Magna Cum Laude
University of South Florida, Sarasota, FL
• Bachelor in Hospitality Management, Magna Cum Laude
University Ricardo Palma, Lima, Peru
LICENSES
• Certified Public Accountant AC 54235
• Certified Public Manager (Ongoing)
AWARDS
• Merit based scholarships awards for 3.8 GPA or higher to fund my accounting education: FICPA (2 years awarded)
Venice Gulf Coast Community Foundation (3 years awarded), Women's Resource Center of Sarasota County (4
years awarded), and Community Foundation of Sarasota County (5 years awarded)
Catherine Sherman - Grants Coordinator
Bachelor of Science in Social Work / Franciscan University of Steubenville, Ohio
Education
Magna Cum Laude, from the CSWE accredited social work program on May 11, 2019.
Experience Collier County, Community and Human Services / Grants Coordinator
January 2021 - Current, 3339 Tamiami Trail E, Naples, FL 34112
Supervisor: Tami Bailey
Oversee implementation of HUD-CDBG and DOJ-BJA funded grants projects. Coordinate
subrecipients to monitor grant activity and compliance, and oversee program progress reporting.
Ensure programmatic management, including: agreement writing, record keeping, Federal
compliance, and grant timeliness.
Collier County, Community and Human Services / Grants Support Specialist
August 2020 - January 2021, 3339 Tamiami Trail E, Naples, FL 34112
Supervisor: Tami Bailey
Review and approve applications for CARES Act grant assistance. Identify and collect necessary
documentation needed for grant applications. Manage grant applicants within caseload to ensure
Federal compliance and efficient disbursement of funds.
Family Court, State of Delaware / Mediator
September 2019 - August 2020, 500 N. King St. Wilmington, DE 19801
Supervisor: Rudolph Eackeard / 302-255-0200
Serve as a mediator for Family Court petitions, including: Protection from Abuse, Custody,
Visitation, Guardianship, Child Support. Maintain extensive knowledge of and uphold Family
Court statutes and procedures, while facilitating an effective and neutral setting in which litigants
can discuss and overcome obstacles to reach an agreement.
Family Counseling Center / Seasonal Office Assistant
December 2017 - August 2019, 301 N. Van Buren St. Wilmington, DE 19805
Supervisor: Robert McCreary / 302-576-4136
Assisted in the daily functions of the office of the Counseling Center, as well as assisting in
maintaining client and donor databases
Eastern Ohio Correction Center (Women's) / Social Work Intern
December 2019 - April 2019, 227 N. Market St. Lisbon, OH 44432
Supervisor: Ramona Rosenberg / 330-420-0288
Implemented Cognitive Behavioral based treatment concerning substance abuse and criminal
thinking patterns, for both individuals and groups. Assessed bio-psycho-social needs of residents
throughout treatment. Assisted in discharge planning into transitional living and community
resources.
Valley Hospice / Social Work Intern
August 2018 - December 2019, 10686 OH-150 Rayland, OH 43943
Supervisor: Paul Dimmey, MSW / 740-859-5650
Assessed bio-psycho-social needs of patients and families, utilizing crisis intervention. Provided
social and emotional support, and referrals to community resources.
0�,; Office of the County Manager
i:.`_%« Mark Isackson
3299 Tamiami Trail East, Suite 202 • Naples Florida 34112-5746 • (239) 252-8383 • FAX: (239) 2524010
May 24, 2021
Stacy De Jesus, Project Officer
Department of Health and Human Services
Centers for Disease Control and Prevention
1600 Clifton Rd.
Atlanta, GA 30329-4027
Ref: CDC, Community Health Workers for COVID Response and Resilient Communities
(CCR), CDC-RFA-DP21-2109
Dear Ms. De Jesus,
I am writing on behalf of the Collier County Board of County Commissioners to share our
willingness to join the Collier County Community Health Coalition alongside Partners in Health
(PIH), the Coalition of Immokalee Workers, the Healthcare Network, Mision Peniel, and the
Collier County Department of Health.
Grant funding from the Centers for Disease Control for Community Healthcare Workers for
COVID-19 response will greatly assist the Immokalee community in Collier County. Immokalee
has been disproportionately impacted by the COVID-19 pandemic due to the continued work of
migrant farm workers in front-line high -risk environments with limited protection for workers,
crowded living conditions, and limited access to healthcare and social services. Since June
2020, the Collier County Health Department has joined PIH, Healthcare Network (HCN) and
Mision Peniel in implementing various work streams to respond to COVID-19 in Immokalee,
including Health Promoter Programs, Rapid testing, Social Support, and Equitable vaccine
access.
Collier County is committed to collaborating with PIH, HCN, and the Coalition of Immokalee
Workers to support the residents of Immokalee to recover from the effects of COVID-19 by
continuing community outreach to connect people to essential clinical and social services;
maintain rapid testing systems for early disease detection; conduct case management with
social support connections to allow infected individuals to isolate; and expand vaccination
access opportunities.
Collier County supports the efforts of the County Health Department, Partners in Health,
Healthcare Network, and the Coalition of Immokalee Workers to enhance the COVID-19
response in the Immokalee community. Funding from the CDC Community Health Workers for
COVID Response and Resilient Communities Grant will greatly assist with these efforts.
Manager
Mission:
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
May 18, 2021
on
HEALTH
Collier County
Vision: To be the Healthiest State in the Nation
Stacy De Jesus
Department of Health and Human Services
Centers for Disease Control and Prevention
1600 Clifton Rd., Atlanta, GA 30329-4027
Ron DeSantis
Governor
Scott A. Rivkees, MD
State Surgeon General
Ref: Community Health Workers for COVID Response and Resilient Communities (CCR), CDC-
RFA-DP21-2109
Dear Ms. De Jesus,
My name is Kimberly Kossler, and I serve as the Administrator at the Department of Health in Collier
County (DOH -Collier). I am writing to express our commitment to participating in the Collier County
Community Health Coalition, as part of Collier County's application to the above referenced notice of
funding opportunity.
DOH -Collier is one of 67 county health departments that forms an integrated public health system
serving the State of Florida by providing services mandated by Florida statutes and guided by the
Centers for Disease Control and Prevention (CDC), Ten Essential Public Health Services and the
Public Health Accreditation Board's (PHAB) Twelve Public Health Accreditation Domains. DOH -Collier
provides essential public health services to more than 391,603 residents and approximately 1.67 million
visitors to our county annually. We have 150 budgeted full-time employees and provide services for
infectious disease prevention and control, immunizations, immigrant and refugee health, dental, family
planning, WIC, Healthy Start, community health planning, chronic disease prevention and wellness
programs, vital statistics, emergency preparedness, and environmental health services. This past year
the health department provided 117,595 individual public health services excluding over 100,000 doses
of COVID-19 vaccine administered throughout the County.
Throughout the COVID-19 pandemic, DOH -Collier has been working alongside partners to implement
an effective response to protect the health of all residents and visitors to Collier County. Our strategies
have included: free walk-up and appointment -based COVID-19 testing in Naples and Immokalee;
contact tracing for residents of Collier County; and free walk-up and appointment -based COVID-19
vaccination. We also partnered with the international non -governmental organization Partners In Health
to design and implement the first COVID-19 Promotora Program in Immokalee from June 2020 -
August 2020, where Promotoras visited door-to-door in Immokalee to share culturally, linguistically, and
socially accessible information about COVID-19, connect residents to essential services, gather and
elevate feedback on community needs. When this program ended in August 2020, we supported the
Healthcare Network and Partners In Health to continue this outreach work through the Promotora
Program that is housed at Healthcare Network.
We look forward to our ongoing collaboration with Collier County, Healthcare Network, Partners In
Health, the Coalition of Immokalee Workers, and Mision Peniel through the Collier County Community
Florida Department of Health in Collier County
Office of the Administrator • Kimberly Kossler, MPH, RN, CPH
3339 E. Tamiami Trail, Suite 145 • Naples, Florida 34112-4961
Accredited Health Department
Public Health Accreditation Board
www.FloridaHealth.gov
Health Coalition in order to continue protecting and promoting the health of all residents and visitors of
Collier County.
Thank you for your consideration and support. For any further inquiries, please contact me at (239)252-
8201 or Kimberly. Kossler(cD-flhealth.gov.
Sinc rel ,
� C�
Kimberly Ko sler, MPH, RN, CPH
Administrator & Health Officer
Florida Department of Health in Collier County
3339 Tamiami Trail East
Naples, FL 34112
V!2 healthcare
rI 0 network
Stacy De Jesus
Department of Health and Human Services
Centers for Disease Control and Prevention
1600 Clifton Rd., Atlanta, GA 30329-4027
Ref: Community Health Workers for COVID Response and Resilient Communities
(CCR), CDC-RFA-DP21-2109
Dear Ms. De Jesus,
I am writing today as a representative of the Healthcare Network to express our commitment
to joining the Collier County Community Health Coalition alongside Collier County, the
Department of Health, Partners In Health, the Coalition of Immokalee Workers, and Mision
Peniel.
Healthcare Network (HCN) is a Federally Qualified Health Center (FQHC) in Southwest
Florida dedicated to providing quality healthcare that is accessible to everyone regardless of
ability to pay, insurance status, or documentation status. Since its founding in 1977, the
HCN has been serving the community's healthcare needs through its private, not -for -profit
model, providing comprehensive primary and preventative healthcare including physical
health, oral health, and mental health to persons of all ages. We provide care to nearly
50,000 patients using a Sliding Fee Discount Program to reduce costs to uninsured and
underinsured patients based on their income and family size. We work collaboratively with
the communities we serve, with strong, positive relationships with elected and public
officials, government agencies (Department of Health and others), law enforcement,
business and community leaders, foundations, as well as other healthcare organizations,
including NCH Healthcare System, the local community hospital.
As the only FQHC in Collier County, we work to alleviate health disparities that exist
during normal times in the underserved, vulnerable populations in Collier County. When the
COVID-19 pandemic exacerbated these health inequities, we responded by recruiting,
hiring, and training community health workers as part of a COVID-19 Health Promoter, or
"Promotora," Program. Since August 2020, Partners In Health has providing promotora
training and guidance to team members in their community work. PIH also provided short-
term funding to expand the team in January 2021. The team employs several tactics to
reduce the spread of COVID-19, including: door-to-door outreach to provide culturally
appropriate education materials and messaging about COVID-19 prevention, transmission,
testing, and vaccination; case management, including phone calls and household visits, for
patients that are sick with COVID-19 to ensure rapid referral to clinical and social services
when necessary; rapid and PCR mobile COVID-19 testing in the neighborhoods and
community centers where Immokalee residents work and gather; and linguistic and
logistical support at HCN and DOH vaccination events.
1454 Madison Avenue
Immokalee, Florida 34142
P 239.658.3000
www. healthcamswfi.arg
PROVIDING
QUALITY
HEALTHCARE
FOR ALL
SIN E 1977
The Health Promoter Program has been well received by the Irnmokalee community and partners, which has
helped to rebuild trust in healthcare and other services among marginalized populations. We seek to extend the
program throughout Collier County in order to maintain an effective and equitable COVID-19 response and to
continue the healthcare system strengthening efforts in collaboration with community and government agencies
beyond the pandemic. By hiring additional Health Promoters, we can expand our reach beyond Immokalee to
increase access to quality care in other underserved Collier County communities, such as Golden Gate, Everglades
City, and East Naples. We believe that the partnerships that have been established over the past year make the
Collier County Community Health Coalition well positioned to apply lessons learned during the CDVID-19
pandemic well into the future.
Thank you for your consideration. If you have any questions, please feel free to reach out at 23 9.65 8.3 066 or
eplaszek@healthcareswfl.org.
Best,
ILI
Emily Ptaszek, VD, MBA, FACHE
President & CEO
`Let mutual love continue. Do not neglect to show
hospitality to strangers, for by doing that some have
entertained angels without knowing it."
— Hebrews 13:1
May 17, 2021
Stacy De Jesus
Department of Health and Human Services
Centers for Disease Control and Prevention
1600 Clifton Rd., Atlanta, GA 30329-4027
mision
'0
Peniel
Ref: Community Health Workers for COVID Response and Resilient Communities (CCR),
CDC-RFA-DP21-2109
Dear Ms. De Jesus,
My name is Ruth DeYoe, and I serve as the mission coordinator at Mision Peniel. I am writing
today on behalf of Mision Peniel to express our commitment to participating in the Collier
County Community Health Coalition, as part of Collier County's application to the above refer-
enced NOFO.
In September 2006, Mision Peniel began as a pastoral ministry of charity and service, providing
food, clothing, fellowship, and emergency support to farmworkers in Immokalee as an extension
of Beth -El Farmworker Ministries. Since 2013, Mision Peniel has continued as a ministry of the
Presbyterian Church (USA) in Southwest Florida. Each week, the mission serves between 300
to 700 farmworker community members at its food distribution and provides regular pastoral
care to farm workers and their families, including counseling, fellowship opportunities, hospital
visitation and assistance in orienting migrants to a new culture. We are committed to bringing
people of faith and compassion together to act with farmworkers to achieve fundamental change
in their living and working conditions while increasing public awareness of the need for reconcili-
ation and bridge building between sectors.
What we've learned from a year of coronavirus is that frontline workers are indispensable. They
keep us safe, fed, and cared for. They keep our economy moving, yet too often they live
paycheck -to -paycheck. Deemed "essential" in the face of a devastating global pandemic, they
now also face the constant risk of contracting COVID-19. In Southwest Florida, this is the story
of thousands of farmworkers and their families in the town of Immokalee.
Most individuals and families in our community were excluded from federal COVID-19 stimulus
payments and similarly do not qualify for other relief programs or social safety nets. Perhaps
most disturbing is the fact that most are not offered paid time off or sick days, even if they test
positive or fall ill with coronavirus. As a result, direct social support is critical, not only to provide
security to farmworkers and their families, but also to contain the spread of COVID-19 by mak-
ing it economically possible for workers to stay home from the fields and processing plants to
recuperate and return to their work.
208 Boston Avenue PO Box 1204 Immokalee, Florida 34143 www.misionpeniel.com
Recognizing the unique vulnerabilities faced by the Immokalee community, Misi6n Peniel set up
a designated relief fund to alleviate the disparate impact of the pandemic on those who were
directly affected by the virus. This fund has helped families pay rent, cover utility bills, and buy
food, but its impact is felt community -wide. By meeting the urgent economic needs of COVID-
positive essential workers, this kind of financial support is allowing individuals and family mem-
bers to quarantine at home safely, curbing the spread of the virus.
Emergency assistance is distributed by Misi6n Peniel through a new partnership with Partners
In Health, augmenting Misi6n Peniel's existing network and infrastructure with additional admin-
istrative and outreach support in order to effectively distribute cash assistance as quickly as
possible. Individuals in need of assistance are identified in partnership with the Healthcare Net-
work, which is conducting regular testing, as well as through outreach conducted by the Coali-
tion of Immokalee Workers and Partners In Health. From May 2020 to April 2021, the team has
distributed $73,848 in needs based assistance, and from December 2020 to April 2021, we
have disbursed $482,840 in cash transfers to COVID-positive patients.
As we reflect on the future of healthcare in Immokalee, we recognize the importance of social
support in increasing access to quality care for the most vulnerable and addressing the social
determinants of health. We are eager to bring our experiences in designing and implementing
social support systems in Immokalee to serve as advisors on the Collier County Community
Health Committee to promote the health of the entire population.
Thank you again for your consideration of this proposal. If you have any questions or further in-
quiries, please do not hesitate to contact me at 386-793-6151 or ruth Q peace rive rp resbyte ry. org
In Supportive Partnership,
Ruth DeYoe
Mission Coordinator
Misi6n Peniel
208 Boston Avenue PO Box 1204 Immokalee, Florida 34143 www.misionpeniel.com
Partners
In Health
May 12, 2021
Stacy De Jesus
Department of Health and Human Services
Centers for Disease Control and Prevention
1600 Clifton Rd. Atlanta, GA 30329-4027
Ref: CDC, Community Health Workers for COVID Response and Resilient Communities
(CCR), CDC-RFA-DP21-2109
Dear Ms. De Jesus,
I am writing on behalf of Partners In Health (PIH) to share our willingness to join the Collier
County Community Health Coalition in support of the application led by Collier County for the
above referenced NOFO, alongside our partners at the Department of Health, the Coalition of
Immokalee Workers, the Healthcare Network, and Mision Peniel.
For the last 33 years, PIH has been a leader in fighting infectious disease and building strong
community health systems around the world. Our team works with governments and
communities in 11 countries to build the capacity of health systems in partnership with local
leaders. From Haiti to Peru to Liberia, PIH has walked shoulder to shoulder with our partners
through devastating outbreaks of Ebola, cholera, tuberculosis, and now, COVID-19. The
response to this epidemic has laid bare the systemic injustice in the U.S. health system, as
communities of color bear the brunt of the pandemic.
Based on the early success of PIH's work in COVID-19 contact tracing in Massachusetts, PIH
launched the US Public Health Accompaniment Unit (USPHAU) in April 2020 to support
governments and communities around the country as they responded to COVID-19. Through a
generous seed grant from The Audacious Project, PIH now supports 16 states, counties, cities,
tribal governments and communities across the U.S. Our team supports our partners to respond
to COVID-19, recover from a year of lost health, and reimagine more equitable health systems
for the future.
One community that has been disproportionately impacted by the COVID-19 pandemic is
Immokalee, Florida due to the continued work of migrant farm workers in front-line, high -risk
environments with limited worker protections, crowded living conditions, and limited access to
healthcare or social services. Partners In Health first came to Immokalee at the request of the
Coalition of Immokalee Workers (CIW), who raised the flag for additional support in June 2020.
Since then, PIH has joined the CIW, Department of Health (DOH), Collier County, Healthcare
Network (HCN), and Mision Peniel in implementing various work streams to respond to COVID-
19 in Immokalee, including:
• Health Promoter Program: PIH has partnered with the HCN to train health promoters
from Immokalee, who share linguistically, socially, and culturally accessible information
on COVID-19 with the community. The Health Promoters also serve as resource
navigators to connect individuals to essential social supports like food, medicine, and
housing to address the social determinants of health that have been exacerbated by the
pandemic. Because the Health Promoters represent the linguistic, racial, ethnic, and
social diversity of Immokalee, they bring a rich understanding of the complex social and
structural context and draw on their own lived experiences to connect with community
members and to rebuild trust in the healthcare system.
Rapid testing: Early testing events in Immokalee were inaccessible to the majority of
residents due to linguistic barriers, schedules that conflicted with the work day, hard -to -
reach locations, and lack of support for those that tested positive. In response, the team
of PIH, HCN, and CIW now hosts mobile rapid testing events three times per week,
where services are brought directly to the community.
Social Support: Individuals from Immokalee that test positive for COVID-19 are eligible
for financial resources via cash transfers from Mision Peniel. This social support enables
COVID-19 patients to stay home during their infectious period while alleviating fears of
eviction and heightened food insecurity that come from missing work.
Equitable vaccine access: PIH has helped to implement strategies for equitable
vaccine access by supporting the HCN Health Promoters to conduct community
outreach, often going door-to-door to sign individuals up for vaccination opportunities
and transporting patients to events.
PIH is committed to collaborating with the Collier County Community Health Coalition to support
the residents of Immokalee to recover from the effects of COVID-19 by continuing community
outreach to connect people to essential clinical and social services; maintaining rigorous rapid
testing systems to promote early detection of disease; conducting case management with
connections to social support to enable infectious individuals to isolate; and expanding equitable
access to vaccination opportunities. Once COVID-19 is brought under control, Immokalee can
reimagine what health equity might look like for its residents, especially those who have been
historically excluded from accessing healthcare services, by building a new Community Health
workforce and integrating social support programming with the health system. We look forward
to contributing our experiences in strengthening healthcare systems around the world while
learning from partners with a rich historical, social, and structural understanding of Immokalee.
Thank you for your consideration of this proposal. Should you require additional information,
please contact me at cbroderick(a)-pih.org with any further questions.
Sincerely,
Caroline Broderick
Sr. Director of Grants Management and Compliance
Partners In Health
.na.litinn
May 17, 2021
Stacy De Jesus
Department of Health and Human Services
Centers for Disease Control and Prevention
1600 Clifton Rd., Atlanta, GA 30329-4027
Tmm nkn.l ee Wnrkerv,
Box 603, Immokalee, FL
workers@ciw-online.org
Ref: Community Health Workers for COVID Response and Resilient Communities (CCR), CDC-RFA-
DP21-2109
Dear Ms. De Jesus,
I am writing this letter as a representative of the Coalition of Immokalee Workers (CIW) in response to the request to
join the Collier County Community Health Coalition. We are committed to being a part of this team as we believe this
group is well poised to advance health equity in Immokalee, Florida.
The CIW is an internationally recognized organization dedicated to fighting human trafficking and gender -based
violence at work and ensuring the recognition of human rights within the workplace for migrant workers. Built on a
foundation of farmworker community organizing starting in 1993, the CIW is based in Immokalee and represents an
important and powerful community voice.
Throughout the COVID-19 pandemic, the CIW has advocated for an equitable response alongside the community by
calling for increased testing and vaccination. We have supported the implementation of mobile testing, and our staff
attend events three times a week as volunteers to enhance the workflow and to ensure services are accessible to the
community. We have partnered with Mision Peniel and Partners In Health to design a social support system that
supports community members impacted by COVID-19 to stay home and isolate, and we have partnered with the
Department of Health and Department of Emergency Management to host 15 walk-up vaccination events in April
and May that have been attended by over 3000 people, most of whom were farm workers and Immokalee residents
who would not otherwise have had access to vaccination services.
We first began supporting the Collier County government and the Florida Department of Health in Immokalee in
April 2020 at the start of the COVID-19 pandemic by advocating for increased testing and resources dedicated to the
essential yet extremely vulnerable workers in our community. We worked to bring Doctors Without Borders to assist
with testing. We have also been collaborating on the Immokalee Health Promoter Program since June 2020 with
Partners In Health and later the Healthcare Network, and we've been working with Mision Peniel since September
2020 to implement a social support system that alleviates the disproportionate impact of COVID-19 on the
community. We believe that our current working relationship with these partners sets us up to form a strong coalition
that can collaborate to strengthen healthcare services in Immokalee moving forward.
In the future, we seek to build upon lessons learned through COVID-19 and the partnerships that have been
established to continue strengthening the healthcare system in Immokalee. We will work with the team to advance
health education in the community through our regular radio shows and outreach work, and we will support the
Health Promoter Program by identifying geographic areas of need, supporting recruitment of Health Promoters from
the community, and advising on the various work streams. By joining the Collier County Community Health
Coalition, we can help to elevate local voices and ensure decisions are informed and driven by the Immokalee
community.
Thank you for your consideration. If you have any questions, please do not hesitate to contact me at 239-986-0891 or
juliakciw-online.org
Sincerely yours,
vJ�M
Julia Perkins
Form Approved Attachment G
OMB Control Number0920-1132 PERFORMANCE PROGRESS and MONITORING REPORT
Expiration Date: 10/31/2022
OFR Risk Questionnaire
Risk Questionnaire
Instructions: Prior to making an award, the Centers for Disease Control (CDC) evaluates the degree of risk posed by an applicant.
In filling out the Risk Questionnaire, each question should be answered as completely as possible, using extra pages if necessary. Please return your completed questionnaire
to [Name of Contact].
General Information
Legal Name of Organization
Collier County Board of County Commissioners
In which country (or countries) does your organization propose to operate for this
USA
NOFO? Please list all separated by commas.
In which country is the headquarters or general office of your organization located?
USA
Please identify what type of organization you are (non-profit, for -profit, educational
Government agency
El
institution, other).
Is your organization incorporated or legally registered?
Yes If not, please explain:
Operational
Does your organization have a President/Director/Chief Executive
Yes If not, please explain:
Officer and Chief Financial Officer?
Personnel
Does your organization have written human resource (HR) policies
Yes, enclosed If not, please explain:
and procedures?
List the number of employees within your organization.
Full Time Employees: 1923 Part-time Employees: 54
Volunteers: 19
Programmatic
Performance
Financial Risk
Has your organization managed U.S. Government grants or
cooperative agreements within the last 36 months?
Received federal grant but not from CDC in the last 3 years
Does your organization have written accounting policies
Yes, enclosed
and procedures?
Explanation: Yes, Collier County has written accounting policies and
Can your accounting records separate the receipts and payments of
Yes
Accounting
a federal grant from the receipts and payments of your organization's
System
other activities?
Can your accounting records summarize expenditures from a federal
Yes
grant according to different budget categories such as salaries, rent,
supplies and equipment?
Does your organization have systems, policies, and procedures for
Yes
tracking and approving hours worked by employees, contractors,
and volunteers?
Does your organization have internal controls and anti -corruption
Yes
Internal
ethics codes that are emphasized by leadership?
Controls
Does your organization have written project management policies,
Yes If no, please provide an explanation:
procedures, and systems?
Is your organization familiar with U.S. government regulations
Yes
concerning costs which can be charged to U.S. grants (Title 2,
U.S. Code of Federal Regulations, Part 200, Subpart E)?
Cash
Does your organization have a bank account registered in its name
Yes If not, please explain how you plan to manage funds from a potential award?
Management
and that is capable of segregating grant funds from other funds?
What percent of your organization's capital is from federal funding?
4%
(percentage = total federal funding in previous FY/ organization's
annual gross revenue in previous FY)
What is the dollar amount of your total current assets? (i.e. cash
$ 708,211,458.00
and other assets that are expected to be converted to cash within
Going
the next twelve months)
Concern
What is the dollar amount of your total current liabilities? (i.e. amounts
$ 188,400,706.00
due to be paid to creditors within the next twelve months)
What is the dollar amount of your total debt?
$ 592,391,158.00
What is the dollar amount of your total assets? (e.g. cash, fixed
Compliance
assets, accounts receivable, etc.)
Risk
$ 4,037,086,994.00
Does your organization have regular independent audits that you
Yes
contract and pay for?
Audit
If yes, who performs the audit?
Clifton Larsen Allen LLC
What was the date of the most recent audit and what was the result?
Date: Opinion:
04/27/2021 Unmodified
CDC 0.1567 CS 323086 3/4/2021
RESET PRINT EMAIL