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Agenda 05/10/2022 Item #16D 5 (After-the-Fact Submittal of Housing Grant for Year 2-Covid 19)
05/10/2022 16.D.5 EXECUTIVE SUMMARY Recommendation to approve the "After -the -Fact" submittal of a Grant Application for Year 2 of the Centers for Disease Control Community Health Workers for COVID-19 Response for Resilient Communities program, in the amount of $421,744. (Housing Grant Fund 705) OBJECTIVE: To provide accessible and equitable healthcare systems in the Immokalee farmworker communities to improve response to the COVID-19 pandemic. CONSIDERATIONS: On June 8, 2021 (Agenda Item #16.D.12), the Collier County Board of County Commissioners ("Board") approved the submittal of an application to the Centers for Disease Control and Prevention (CDC) for the Community Health Workers for COVID-19 Response for Resilient Communities (CCR) Grant. This three-year grant program supports the implementation of an outreach project to assist those most impacted and at risk of COVID-19. On September 28, 2021 (Agenda Item #16.D.9), the Board approved a Notice of Award from the CDC, in the amount of $421,744, for the Year 1 budget period of August 31, 2021-August 30, 2022. Year 2 and Year 3 budget periods are subject to future approval by CDC. On December 14, 2021 (Agenda Item #16.D.18), the Board executed a subrecipient agreement with Collier Health Services, Inc. (CHSI), to implement the CDC CCR grant program. Under this agreement, CHSI has hired and is training a team of six (6) Community Health Workers (CHWs) to deliver COVID- 19 related services and serve as resource navigators within medically underserved communities of Collier County. By the end of the three-year project period, 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. The continuation application for Year 2 award under the CCR program, will allow CHSI to continue delivering these necessary healthcare services within Collier County. County staff became aware of the funding opportunity on February 17, 2022, with a due date of April 21, 2022. Due to the complex nature of the grant application and collaboration with outside agencies, CMA#5330 authorizes the County Manager to approve the submittal of grant applications followed by "After -the -Fact" approval by the Board at the next available Board meeting. The County Manager approved the submittal of the grant application on April 18, 2022. There is no match required for this grant program. FISCAL IMPACT: There is no Fiscal impact at this time. If the Year 2 grant is awarded, funds 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 associated with this Item. LEGAL CONSIDERATIONS: This item has been approved as to form and legality, and requires a majority vote for Board approval. -DDP RECOMMENDATION: To approve the "After -the -Fact" submittal of a Grant Application for Year 2 of the Centers for Disease Control Community Health Workers for the COVID-19 Response for Resilient Communities program, in the amount of $421,744. (Housing Grant Fund 705) Prepared By: Joshua Thomas, Operations Analyst, Community & Human Services Division ATTACHMENT(S) 1. CDC-CCR Year 2 APR Packet (PDF) 2. CM MEMO (PDF) Packet Pg. 716 16.D.5 05/10/2022 COLLIER COUNTY Board of County Commissioners Item Number: 16.13.5 Doe ID: 22019 Item Summary: Recommendation to approve the "After -the -Fact" submittal of a Grant Application for Year 2 of the Centers for Disease Control Community Health Workers for COVID-19 Response for Resilient Communities program, in the amount of $421,744. (Housing Grant Fund 705) Meeting Date: 05/10/2022 Prepared by: Title: Operations Analyst — Community & Human Services Name: Joshua Thomas 04/20/2022 1:24 PM Submitted by: Title: Manager - Federal/State Grants Operation — Community & Human Services Name: Kristi Sonntag 04/20/2022 1:24 PM Approved By: Review: Community & Human Services Cynthia Balterman Additional Reviewer Community & Human Services Blanca Aquino Luque Additional Reviewer Community & Human Services Kristi Sonntag CHS Review Operations & Veteran Services Kimberley Grant Additional Reviewer Community & Human Services Maggie Lopez Additional Reviewer Public Services Department Todd Henry PSD Level 1 Reviewer Grants Erica Robinson Level 2 Grants Review Public Services Department Tanya Williams PSD Department Head Review County Attorney's Office Derek D. Perry Level 2 Attorney Review Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Growth Management Operations Support Christopher Johnson Grants Therese Stanley Additional Reviewer County Manager's Office Dan Rodriguez Level 4 County Manager Review Board of County Commissioners Geoffrey Willig Meeting Pending Completed 04/20/2022 4:24 PM Completed 04/20/2022 8:56 PM Completed 04/21/2022 9:31 AM Completed 04/21/2022 4:56 PM Completed 04/25/2022 9:52 AM Completed 04/25/2022 1:13 PM Completed 04/25/2022 1:32 PM Completed 04/26/2022 2:40 PM Completed 04/27/2022 11:23 AM Completed 04/27/2022 12:17 PM Completed 04/27/2022 1:50 PM Additional Reviewer Completed Completed 04/28/2022 9:10 AM Completed 05/02/2022 10:00 AM 05/10/2022 9:00 AM Packet Pg. 717 16.D.5.a Collier County Public Services Department Communitv & Human Services Division U.S. Department of Health and Human Services Centers for Disease Control and Prevention Kq!21 healthcare rI LN network Collier County Community Health Coalition: Advancing Accessible & Equitable Healthcare Systems in Extra Mile Migrant Worker Communities Grant: Community Health Workers for COVID Response and Resilient Communities (CCR) Awarded to: Collier County, Florida Subrecipient: Collier Health Services, Inc. d/b/a Healthcare Network Packet Pg. 718 q Ui � $ PIM 0 CL @ � 2 c _ 0 � � c ■ � m @ tm 0 � @ U c ■ E 0 � @ � (uo|e� mld¥ ejezjee A Noo oQo:BOO Z 1813e d MdVZJe A Mom 3(33 :IU8WLI3ePV � ƒ � \ � \ \z \ £ [ t e \ ` 0 \ CD El > g E / & o t c co % o f 2 L g ƒ ± ■ \ R \ ƒ k v = C 2 2 ± c 1115L� > / § m /\ z k z o � § {( § / '0 m = = a 3 w± o E_ E_ 7 b 5 § 7 q / C) k e q a J a CO CC,-, o ° / ƒ % = f 0 / C / q m \ ■ 0 o t 7 k & � -0\ � / % /<L 2 co\ / k ƒ ƒ / / � ƒ < \ \ 0 \ ƒ \/ o E o E\ / c \ & ) / 2 / \ 2 #=a) Ww E7 R R b k m■ 2: - Cl) ) £ 2 \n 2 �� J § § co.§ / 7 § \ E o E 7 \ \k ° f \ )0 § / g U A \ \ / 20 LU q ƒ q « c © 2 2 .2 § \ = a y % « $ ■ ! / ) U - C / R 2 - ;C &_ 2 n m 0= \ c 3 c o© �/ 0 f ¢ / " ) e 2 S §- 2 k q \ § f ® c ° / �\ §2 CU = & ¢ ® E c E' 3 E ° o § + , c 2 6 / .§ E & c • � k \� 2c N E _3 /2 } \ ¥ (D Cj) 0_ ) (\ \ k k% § 0 CL t } \ 0- \ / 4 d q /\ \ CL x 3 k R / gmmMdV ejezjea A Moo oQo:MZZ 1031ood NdVZJe A MOO-303:lu8wLl3eUV k k k F 0 E k 2 § ƒ ( / m � b ~ / q e / 4 � \ 2 2 co \ 0 CL & a� CD in \ cn 0 DL B / § 0 E 2 k ) ¢ IL \ $ } / 0 < / \ � \ G . 7 � � CD � = 0 % \ k § CL � k \ kU ~ ƒ 0 \2\ .0 kk§ k\/ ƒ§§ \\} /0 \{j .- ED =0 �2\ \[) #/§ j\{ �C) � to � kj )&° \§\ \(\ )\{ /a� 0 c_ [§&® p-tk k�/� eE62 /&)£ ***( ®22< {< ;§$/ 13 'E Dram na-o e®/A \\c 0(D0 )_c� (\Em \f\\ q} x/\z j cep \Lc \0 0 CD /\%) \ggo o) �aR§ ¥2Bo 75; u 0 (n E L. co 2 � C gmmldV}ejzz,eekmoo 3a3:6OZ ) 101ood MdVZJe A Now 303 :IUGWLIOellV 5 — / � o � \ m f ) = m § > / ¥ » R ( k ¥ ° \ \ �\ � co \ \ ) f� <_ ƒ o� w§Z 0 / ) w 3 cn R / k § § _ ± � ± \ � 0 2 . m u 0 2 2 E Q / \ @ \ / @ @ \ � -a/ / w co / \ \ ® 00 \ k E a ® w ƒ } \ e / / $ co / Ln 'o E k � Ukk� \ e = n 7 E m 6 U � $ 2 co \ � ° d S d d § j / ° $ f \ E \ E \ \ % : \ @ / ƒ 5 5 E < R E = / ? / \ \ m % L $ 2 0 e a_ R L $ / U E m± ¥ / \ \ \ / \ e 3 d 5 a 6 a ._ a % 0 \ u e U U 0 w & a % 6 (6 w 0 / � 2 CL 0 � 0 N 0 � � 21 a 0 0 (uoi;eoilddd;ueaE) Z aee k M33 303 : 6OZZ) 1013ed MdV Z ae0A N33-343 :IUGWLaoe;;d 0 0 U) J °� o L •C a r _o O a� Q� O O O p V1 M v1 M CD 0 `m U W N 3 69 o L 69 a ❑ O M W O . x � LU LL 0- 0 O O Lu z \p M �O M z ❑ z - J LL LL 0 0 cn cn s9 m Lij a) z O .... 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Q Q Q Q w I-- Q Q Q Q 0 F- W O O LU E 3 3 3 E 3 3 O O co wCO O a_x x x x x x x x Cl) c Cfl 00 E E U U U U U U U U 0 0 0 0 •� •� o o p p •- N N N N O O N N N N O Q Q Q Q Q Q Q Q (a J 0 J w w w w U LL a 04 04 04 a: a Co Q U Q U Q U Q U O H a) LL O z O H Q U Q U Q U Q U O ❑ Q-' Oo O O N M L6 co f_ 06 6i O N N M N C C1 0 0- Y� R V O J �0 d N 0 t 21 16.D.5.a Budget Narrative The total budget requested for Year 2 of the proposed scope of work is $ 421,744.00 Grantee - Collier County costs: $ 33,675.00 Personnel- $ 28,341.00 Grants Coordinator 0.22 FTE: $ 14,962.00 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 0.15 FTE: $ 9,931.00 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 0.05 FTE: $ 3,448.00 The Operations Analyst will provide compliance review and monitoring of grant regulations, performs monitoring visits to sub -grantees and prepares closeout documentation. Fringe Benefit- $ 5,334.00 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 11.17%. Benefit rates are standard for all employees and agree with acceptable IRS. Packet Pg. 723 16.D.5.a Sub -Grantee Year 2 Request - Healthcare Network: $388,069.00 Contractor Information 1. Name of Contractor: Collier Health Services, Inc. d/b/a Healthcare Network — Non -Profit Organization 2. Method of Selection: Sole Source. Prior to application to the CDC, Healthcare Network and Partners in Health had already begun developing a Community Health Worker program in Immokalee, Florida, in the wake of the COVID-19 pandemic. These agencies have an established partnership with this program as well as experience in implementing this community -based program in some Extra Mile communities of Collier County, therefore, they were the only agencies capable of implementing this program. 3. Period of Performance: 8/31/2021 — 8/30/2024. Award amounts/budgets are authorized on an annual basis, pending CDC approval. 4. Scope of Work: Healthcare Network will serve as the primary implementing agency of program services. Healthcare Network is an established healthcare provider in several areas of Collier County, including Immokalee and Golden Gate, Florida, that will be beneficial for creating a community -based health response. Healthcare Network will staff the program with Community Health Workers that are recruited from the Extra Mile communities of Collier County and will provide the basic training and orientation to the role in order to deliver services to program participants. Healthcare Network will also be the primary entity responsible for data collection, conducted by the CHWs during client interventions. 5. Method of Accountability: Throughout program implementation, Healthcare Network participates in quarterly Partnership Meetings with Collier County to discuss program progress and corrective action, as necessary. Healthcare Network will also receive a minimum of annual monitoring evaluations from Collier County's Grants Compliance Unit. Day-to-day guidance is provided by the Collier County Grant Coordinator, who is primarily responsible for supervising the contract. Finally, Healthcare Network is contractually obligated to meet CDC requirements for data collection, performance measure reporting frequency, as well as meeting any identified performance targets. 6. Itemized Budget and Justification: Packet Pg. 724 16.D.5.a Personnel- $211,600.00: Six (LOE 80%) Community Health Workers will continue to support Extra Mile communities, at a cost of $3,500.00 per month per CHW ($201,600.00 in total). HCN's Human Resources Manager at 5% LOE ($270/month) for hiring and HR support and CHW Lead at 15% LOE ($562.50/month) for management of the CHWs and project implementation over 12 months, totaling $10,000.00 for Year 2. The Community Relations Director position is dedicated to leading the team of CHWs, specifically regarding data collection and analysis processes. Fringe Benefit- $52,900.00: HCN's fringes include FICA at 7.65%, Retirement at 8.01% and Health Insurance at 9.34% of salary costs and has been applied proportionately to each project role's level of effort. Travel- $18,312.00: Local travel- $18, 312.00: HCN 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 calculation assumes teams of 2 will travel together, and each of the three teams will travel 50 miles per day for 218 annual workdays for a total of 32,700 miles. Supplies- $7,256.00: Folding chairs for COVID-19 education, testing and vaccination events (20 @ $30.00), storage boxes to transport supplies (6 @ $50.00), handcarts (6 @ $100.00), office supplies, including paper, pens, water, snacks ($2,000.00), Testing Team Supplies/PPE (N-95 masks, face shields, etc. for 104 days @ $.O1/day), PPE to distribute during community outreach (218 days at $0.36/each for six CHWs), Hand sanitizers (44 @ $3.69). Other- $7,200.00: Monthly phone plans will be provided for CHW work phones and iPads to enable consistent communication with community stakeholders and clients, at a monthly cost of $50.00 per phone and iPad/tablet (6 phones, $3,600.00; 6 iPads/tablets, $3,600.00) Sub -Contractual- $90,801.00: A. $15,000.00: Local program evaluation services; 100% of contract costs ($15,000.00) are dedicated to support program evaluation. 1. Name of Contractors: Jeffrey Harman, Ph.D. Professor, Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine; Packet Pg. 725 16.D.5.a Samantha Goldfarb, DrPH, MPH, Assistant Professor, Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine 2. Method of Selection: Recommended due to extensive experience in program evaluation with CDC and other grants. 3. Period of Performance: The Year 2 contract has not been executed. It will be effective 9/1/2022 through 8/31/2023. 4. Scope of Work: Dr. Harman and Dr. Goldfarb will: • Attend quarterly meetings for the Collier County CCR grant and provide updates about the status of the program evaluation and activities. • Conduct ongoing process and outcome metrics including tracking of activities, as well as instrument (surveys, focus groups, and interviews) development and data collection with target audiences, key stakeholders, and providers implementing CCR initiatives. These activities will occur virtually unless otherwise agreed upon by both parties. • Document evaluation results as needed and via a Quarterly Progress Report submitted to HcN. • Prepare a Quarterly Progress Report with all evaluation activities and findings to be submitted to HcN no later than July 31, 2023. This document will align with and address the questions as outlined in the HcN Evaluation and Performance Management plan. 5. Method of Accountability: Healthcare Network will be primarily responsible for monitoring their subcontractors, Dr. Jeffrey Harman and Dr. Samantha Goldfarb. 6. Itemized Budget and Justification: Total Payment: $15,000.00 Payment Schedule: $1,250.00/month for on -going project evaluation services (invoices submitted to HcN on the 301h of each month) B. $75,801.00: Healthcare Network will contract with Partners In Health to deliver CHW training, mentorship, program implementation guidance, and program evaluation services. 18% of contract costs ($13,644.18) are dedicated to support program evaluation. 1. Name of Contractor: Partners in Health, Non -Profit Organization Packet Pg. 726 16.D.5.a 2. Method of Selection: Sole Source. Prior to application to the CDC, Healthcare Network and Partners in Health had already begun developing a Community Health Worker program in Immokalee, Florida, in the wake of the COVID-19 pandemic. These agencies have an established partnership with this program as well as experience in implementing this community -based program in some Extra Mile communities of Collier County, therefore, they were the only agencies capable of implementing this program. 3. Period of Performance: The Year 2 contract has not been executed. It will be effective 9/1/2022 through 8/31/2023. 4. Scope of Work: Partners in Health will assist with ongoing CHW training, workplan and evaluation & Performance Measurement Plan review meetings, community outreach and program evaluation services, in conjunction with local program evaluation subcontractor. 5. Method of Accountability: Healthcare Network will be primarily responsible for monitoring their subcontractor, Partners in Health. 6. Itemized Budget and Justification: Total Payment: $75,801.00 Payment Schedule: $6,316.75/month for on -going program consultation services (invoices submitted to HcN on the 30th of each month) Packet Pg. 727 16.D.5.a Analysis of Remaining Time and Funds Calculation for unexpended funds projected as of 8/30/2022, per line item. Collier County Personnel: • Collier County budgeted $27,289.00, for salaries and benefits, to be expended by 8/30/2022. The revised projection for salaries and benefits is $15,302.00. This revision is due to the program starting later than anticipated. Estimated Collier Copp . unobligated funds in Year 1: $11,987.00 Healthcare Network Personnel: • CHWs budgeted for 9 months @ $251,250.00. Actual will be 5 months @ approximately $140,000.00 for salary and benefits. • HR manager budgeted for 12 months @ $10,500.00. Actual will be 11 months at $9,625.00 • Community Health Manager budgeted for 12 months @ $10,500.00. Actual will be 11 months at $9,625.00. Travel: • CHW teams will travel for 5 months, starting in April; estimate $ l l ,000.00 expenses rather than $19,777.00 budged. Supplies: • Full $8,930.00 is expected to be used. Packet Pg. 728 16.D.5.a Other: • Monthly cell phone and iPad charges begin in April; estimate $1,500.00 expenses rather than $2,700.00 budgeted. Contractual: • PIH consulting — While continuing to finalize contract with PIH, expect to utilize $101,237.00. • Local program evaluators Drafting contract with consultants and expect to utilize $10,561.00. Estimated Healthcare Network unobligated funds in Year 1: $101,977.00 Total Estimated Unobligated Funds in Year 1: $113,964.00 Packet Pg. 729 16.D.5.a Performance Narrative 8/31/2021— 8/30/2022 Successes to date: CBI: Hire & Train • Recruited and hired six (6) bilingual, local community health workers. Developed curriculum for training, including two-day promotors training, led by Partners in Health (PIH), which will be completed by April 8. Additional training is being scheduled at least once each week. • Pre and post -training evaluation forms are being used for CHW` training. These will be reviewed and updated for each CHW training session. • Continued existing relationships with organizations and leaders in priority population communities and developed new relationships with St. Vincent de Paul, Emmanuel Communities, Catholic Charities, Backpacks for the Homeless, Gargiulo Farms, Lipman Family Farms, Fu Time Children's Early Learning Academy, Help a Diabetic Child, Lion's Clubs, Core Health Services, Meals of Hope, Harry Chapin Food Bank, YMCA of SW Florida, St. Matthew's House, Golisano Children's Museum, Bethel Assembly of God, Blue Zones Project (food insecurity initiative) and AVOW (hospice/grief services). • HCN, PIH, CIW and Mision Peniel currently meet every other week to plan and update the workplan. Over time, these will be expanded to include other partners and collaborators. Looking at structures to bring in guest speakers from social support and other organizations to provide update on services available or needs identified in the community. CB3: Deploy - Partnerships • Established relationships with more than a dozen new organizations in or serving priority areas to help identify at -risk populations and provide access to social support services. • Continuing to refine and expand referrals to health services, including primary care at HCN, and social support services. Establishing two-way referrals with other organizations as we learn more about what each group can bring to the table to serve community needs. Packet Pg. 730 16.D.5.a • CHWs conducted successful home visit with client identified by HCN Chronic Care Management (CCM) team. Additional case assignments are being identified by HCN CCM and during COVID-19 testing and health fair events, and door-to-door canvassing and events in Extra Mile communities. HCN maintains a strong relations and good communications with DOH -Collier County. DOH is expanding into other health education at the next scheduled "Super" Spring Health Fair at RCMA on April 30. Success Story: In December 2021, HCN made a connection with St. Vincent de Paul, an organization providing monthly food distributions to priority populations, including migrant farmworker camps in North Naples, an area we had not previously served with our COVID-19 outreach efforts. The organization was looking for a partner to provide access to primary healthcare for their clients. Following participation in an initial Saturday food distribution event at the end of January, and with assistance from the manager of this and another farmworker camp in the immediate area, Healthcare Network's CHW team set up and promoted in advance a mini health fair for families on Saturday, Feb. 27. • 91 attendees (children and adults) • 31 vaccinated (2 children and 29 adults) — vaccines provided by Golisano Children's Hospital • 67 HCN goodie bags distributed (including rapid COVID-19 home test kits) • 51 blood pressure screenings • 46 glucose screenings • 37 bags of food, plus a quantity of food donations provided monthly by St. Vincent de Paul volunteers • 6 PCR COVID-19 tests Packet Pg. 731 16.D.5.a CB4: Deploy — Educating Partners/Messaging Setting up tracking systems to document messages delivered (dates, audiences, venues). • HCN Chief Medical Officer and Training Director are supportive of opportunities to shadow in practices. Establishing strong partnership with HCN Quality Director and Manager of the new HCN Chronic Care Management Team to begin planning protocols to care for priority populations. • Relationships/partnerships are expanded rapidly (see above). Success Story: HCN recently expanded its partnership with a Spanish-speaking radio station in Immokalee, hosted and supported by Bethany Assembly of God. HCN CHWs were invited to participate in interviews about COVID-19 and are now addressing other health issues. A regularly scheduled program has now features HCN CHWs who have talked about their CHW roles in the community and about specific chronic conditions, including diabetes and hypertension. CB5: Promote Engagement • Throughout the Omicron surge in fall and winter, HCN scheduled weekly testing events in Immokalee and Golden Gate, where COVID-19 education, including vaccine education, was provided. Several "combo' events for testing and vaccinations also drew children and adults. Testing events continue in Immokalee, and "pop-up" mini -health fairs with blood pressure and blood sugar screening, are also set up in priority population neighborhoods, including farmworker camps. • Referral systems and protocols are being fine-tuned (see CB4 above). C136: CHW Engagement • Tablets will be available and tracking software secured to begin capturing field data after CHWs have been trained. Packet Pg. 732 16.D.5.a Challenges Recruiting six (6) CHWs from Extra Mile communities: • The pandemic has caused significant challenges in the job market across the country and Southwest Florida is no exception. The unemployment rate is extremely low. • Bilingual individuals who want to serve their communities have been difficult to identify, particularly in the priority population areas. • As CHWs expand awareness of their roles and build trust in Extra Mile communities, they will naturally identify others who may have an interest in CHW roles. Securing a software system to use for data collection in the field: • Due to the remote nature of our Extra Mile communities, the system must be able operate without internet. • Trying to identify options that already screen for Social Determinants of Health and can be customized to capture additional data. CDC Program Support to Recipients The webinars, AMP resources and support materials (binder) have been most helpful. We need to take advantage of collaboration/networking tool on AMP to ask questions and share experiences/best practices. In fact, we will use this to identify which software systems other CHW teams are using for data collection and analysis. Packet Pg. 733 16.D.5.a Performance Narrative 8/31/2022 — 8/30/2023 Our goal for the next budget period is to continue training and supporting six CHWs so they are effective in their outreach in Extra Mile communities as they educate priority populations —and organizations they identify as possible collaborators —about the role of CHWs, help identify individuals with potential health conditions through Social Determinants of Health (SDOH) screening, and connect individuals and families with primary care and social support services, as needed. Utilizing one-on-one conversations, group presentations and mini health fairs, CHWs will identify those with underlying or chronic health conditions and will make appropriate referrals. CHWs will be focused on ensuring that underserved, vulnerable populations in Collier County can improve health equity by overcoming barriers to care. We also set a goal to fully utilize a tracking system to collect training and outreach data for review and analysis. Finally, with PIH and local consultants, we will continue implementing a program evaluation plan to understand where we are succeeding or not, and make changes in our CHW training and community outreach, as needed. Objectives for Upcoming Budget Period (Aug. 31, 2022 to Aug. 30, 2023) Objective Performance/Outcome Measure CBI Support six CHWs with training and Pre- and post -training test results and guidance to effectively build trust and field shadowing evaluations showing help priority populations with referrals understanding and actual performance (connections) to medical care and social of CHW role. support services. C133 Integrate CHWs into organizations and Add a total of at least six (6) additional entities to support state/local public organizations from Extra Mile health -led COVID-19 response efforts. communities. C134 Proactively develop and disseminate CHW documentation of home visits, messages; measure the number and type. group presentations/health fairs and media interviews. Target per CHW: 20 home visits/month, 1 group Packet Pg. 734 16.D.5.a presentation (or health fair)/month and 1 media interview in 6 months. CB5 Proactively reach out to populations of CHW documentation of number of focus, especially those at highest risk for individuals screened and needs poor health outcomes, including those identified during home visits and group resulting from COVID-19. Measure the presentation/health fairs. Target per number of individuals reached through CHW: 20 home visits/month and 1 messaging and education. group presentation (or health fair)/month. CB6 Actively refer individuals to primary care CHW documentation of number of (Healthcare Network or other) and to individuals screened and healthcare other names conditions (housing/shelter, (medical, dental, pharmacy, food, mental health/addictions, mental/behavioral) needs identified and employment/income, clothing/household, referrals made. Target per CHW: 20 childcare/parenting, government/legal). home visits/month and 5 referrals to primary care/month. rn 0 N N r d t,1 M a IL Q N L M d U U V C U c 0 E t v Q Packet Pg. 735 16.D.5.a Year 1 Progress Report (APR) - Collier County NOFO: Component: Current Submission Status: Export Date & Time: DP21-2109 Component A In Progress 4/14/2022 10:23 AM (GMT-04:00) Eastern Daylight Time (America/New York) CB1: Training Collaboration Identify and collaborate with community -wide efforts to ensure comprehensive acquisition of relevant knowledge, roles, and skills by CHWs so they are prepared to successfully engage with existing state and/or local public health -led actions to manage COVID-19 among priority populations within communities. i. Racial and ethnic minority groups; and Priority Populations ii. Persons who are economically disadvantaged; and iii. Persons who have certain underlying medical conditions that increase COVID-19 risk. Geographic Areas Migrant Farmworker Communities in Collier County, including but not limited to: Immokalee, Golden Gate, Lely, Everglades City, Goodland, Copeland, and Chokoloskee. Increased skills/capacity/roles of CHWs to provide services and support for COVID-19 public Key Deliverables Proposed health response efforts among priority populations. Measured by pre- and post -training subject matter evaluation forms for training sessions and field shadowing experiences. Weekly trainings held for CHWs on existing team; Trainings by PIH team, with pre- and Key Deliverables Produced post -testing; will continue as CHWs for this grant are hired. CHWs engaged in helping to determine training needs/topics. Successes CHWs have increased knowledge about COVID-19 and other health issues, including hypertension and diabetes. CHWs feel more engaged and prepared for education work in the community. Barriers/Challenges Recruiting CHWs has been challenging but now seeing success. Recruiting CHWs from extra mile communities. Activities Activity Details Description: Recruit Community Healthcare Providers, Agencies, and Stakeholders for Coalition involvement by identifying and contacting key leaders in communities with existing HCN clinics: Immokalee and Golden Gate. Start Date: 9/1/2021 End Date: 3/31/2022 Setting: Community Based Organizations;Community Centers;Federally Qualified Health Centers (FQHC);Heath Clinics;Hospitals;Multi-unit Family Housing;Outpatient Clinic;Schools Setting: Progress Status: Completed Progress Notes: Continued existing relationships: CIW, RCMA, Guadalupe Center, Grace Place for Children & Families, David Lawrence Center, Immokalee Foundation, Amigo Center, Golisano Children's Hospital (Lee Health), NCH Healthcare, Premier Mobile Health Services Developed new relationships: St. Vincent de Paul, Emmanuel Communities, Catholic Charities, Backpacks for the Homeless, Gargiulo Farms, Lipman Family Farms, Fun Time Children's Academy, Help a Diabetic Child, Lion's Clubs, Core Health Services, Meals of Hope, Harry Chapin Food Bank, YMCA of SW Florida Page 1 of 11 Packet Pg. 736 16.D.5.a (Naples/Marco Island/Immokalee), St. Matthew's House, Golisano C'Mon Children's Museum, Bethel Lead Personnel Assigned: Healthcare Network Assembly of God, Blue Zones Project (food Contributing Partners: Partners In Health, Department of Health, security initiative), AVOW (hospice/grief services). Mission Peniel, Coalition of Immokalee Workers Will to continue to engage additional agencies as applicable. Key Contracts & Consultants: Not applicable. 2 Description: Onboarding Training for new CHWs, including 1-day Status: Completed Human Resources new employee orientation and 1-day training about programs and services offered by Healthcare Network, including sliding Progress Notes: Six CHWs will be on board and fee scale. will receive their HR orientation by March 31. Start Date: 9/1/2021 End Date: 3/31/2022 Setting: Federally Qualified Health Centers (FQHC);Other Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners in Health Key Contracts & Consultants: Partners In Health 3 Description: Partners in Health 3-5 Day Promotora Training Workshop Status: Completed for CHWs: Understanding Social Determinants of Health, General COVID-19 Knowledge, Communication Strategies, Navigating Progress Notes: Healthcare Network and PIH Challenging Household Visits, the Accompaniment Concept and the Promotores Training to be completed by April 8. Psycho- Social Support Strategies. Start Date: 9/1/2021 End Date: 3/31/2022 Setting: Federally Qualified Health Centers (FQHC);Other Setting: Lead Personnel Assigned: Partners In Health Contributing Partners: Healthcare Network Key Contracts & Consultants: Partners In Health 4 Description: Hold recurring Bi-Weekly Trainings for CHWs with Status: On track for completion Partners in Health to monitor program progress, successes, and weakness, and to train on current clinical and community issues for the Progress Notes: Healthcare Network and PIH COVID-19 response. currently conduct weekly training. HCN will track training sessions and topics and Start Date: 10/1/2021 who attended each training. Pre- and post -training evaluations will be collected and the Director End Date: 8/30/2022 (Mayra) will upload into HCN system. Setting: Federally Qualified Health Centers (FQHC);Other Setting: Lead Personnel Assigned: Partners in Health Contributing Partners: Healthcare Network Key Contracts & Consultants: Partners in Health 5 Status: On track for completion Page 2 of 11 1 Packet Pg. 737 16.D.5.a Description: Hold Recurring Bi-Monthly Coalition Meetings to educate on CHWs work and updates, and provide opportunities for community Progress Notes: Healthcare Network, PIH, CIW, stakeholders to give feedback and assist in identifying unmet needs and Mision Peniel currently hold update/progress report additional resources. meetings. These will be expanded to include other partners and collaborators. Looking at structures to Start Date: 12/1/2021 perhaps bring in guest speakers from social support and other organizations to provide updates on End Date: 8/30/2022 services available or needs identified in the community. Setting: Community Based Organizations;Community Centers;Heath Clinics;Hospitals;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health, Collier County, Department of Health, Mission Peniel, Coalition of Immokalee Workers Key Contracts & Consultants: Partners In Health 6 Description: Develop pre- and post -training subject matter evaluation Status: Completed forms for training sessions and field shadowing experiences. Progress Notes: Pre- and post -training evaluation Start Date: 3/7/2022 forms have been used for CHW training; these will be reviewed and updated; results will be stored in a End Date: 3/31/2022 central file for evaluation; additional pre- and post -training forms will be developed for Setting: Federally Qualified Health Centers (FQHC) door-to-door canvassing/home visits. The developed forms will continue to be utilized Setting: throughout the project life. Lead Personnel Assigned: CHW Director Contributing Partners: Partners in Health Key Contracts & Consultants: Partners in Health C113: Integrate CHWs (Organization) Integrate CHWs into organizations and care teams to support the public health response to COVID-19 among priority populations within communities. i. Racial and ethnic minority groups; and Priority Populations ii. Persons who are economically disadvantaged; and iii. Persons who have certain underlying medical conditions that increase COVID-19 risk. Geographic Areas Migrant Farmworker Communities in Collier County, including but not limited to: Immokalee, Golden Gate, Lely, Everglades City, Goodland, Copeland, and Chokoloskee. Increased workforce of CHWs delivering services to manage the spread of COVID-19. Key Deliverables Proposed Number of engaged organizations will be tracked with frequency of interaction, type of interactions, and any referrals made. Maintained current collaborative relationships and developed several new relationships (see Key Deliverables Produced CBI, Activity 1). Page 3 of 11 1 Packet Pg. 738 16.D.5.a Successes Continuing to recruit and onboard CHWs, which should be complete by early April. Recruiting CHWs. Once onboard and trained, integrating CHWs into organizations and care Barriers/Challenges teams will naturally evolve as these relationships exist (including integration into HCN clinical/chronic care management team). Activities Activity Details Progress 1 Description: Recruit in Extra Mile Communities and onboard 6 new CHWs to the existing teams located in Immokalee & Golden Gate. Start Date: 9/l/2021 End Date: 3/31/2022 Setting: Community Based Organizations;Community Centers Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners in Health Key Contracts & Consultants: Partners in Health Status: Completed Progress Notes: Six (6) community health workers will be on board by March 31 and promotores training completed by April 8. 2 Description: As clients are enrolled or referred, a caseload of Status: On track for completion households will be assigned to each CHW to assess their needs and help them navigate through and or access the health services available. Progress Notes: CHWs conducted successful home visit with client identified by Healthcare Start Date: 10/l/2021 Network chronic care management (CCM) team. Additional case assignments are being identified by End Date: 8/30/2022 HCN CCM and during COVID-19 testing and health fair events, and door-to-door canvassing and Setting: Community Based Organizations;Community Centers;Federally events in Extra Mile communities. Qualified Health Centers (FQHC);Heath Clinics;Hospitals;Long Term Care Facilities;Multi-unit Family Housing;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health Key Contracts & Consultants: Partners in Health 3 Description: CHWs and DOH -Collier County will coordinate their Status: On track for completion COVID testing and vaccination schedules, with CHWs assisting with translation and registration at DOH events, as needed; and CHWs will Progress Notes: Healthcare Network has a strong provide referrals to healthcare and social support services for community relationship and good communications with members who have tested positive for COVID-19. DOH -Collier County. Collaborations for education, testing and vaccinations will continue. DOH Start Date: 11/l/2021 expanding into education for other health issues at next scheduled "Super" Spring Health Fair at End Date: 8/30/2022 RCMA on April 30. Setting: Community Centers;Heath Clinics;Hospitals;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health, Department of Health Page 4 of 11 Packet Pg. 739 1 fi.D.5.a Key Contracts & Consultants: Partners in Health 4 Description: Coalition will collaborate with local healthcare providers to Status: On track for completion develop and implement consistent referral procedures for agencies and medical providers to refer community members for Progress Notes: Continuing to refine and expand CHW-case-management, as well as for CHWs to refer clients to referrals to health services, including primary care providers for applicable social support and other services. at Healthcare Network, and social support services. Establishing two-way referrals with other Start Date: 1/1/2022 organization as we learn more about what each group can bring to the table to serve community End Date: 8/30/2022 needs. Setting: Community Based Organizations;Community Centers;Federally Qualified Health Centers (FQHC);Heath Clinics;Hospitals;Long Term Care Facilities;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health, Department of Health Key Contracts & Consultants: Partners in Health 5 Description: Develop and maintain list of existing and new Status: On track for completion organizations utilizing CHWs to target organizations. Progress Notes: See CBI -I. Expanding outreach Start Date: 2/l/2022 in Extra Mile communities which will be more robust as new CHWs spend time in their assigned End Date: 8/30/2022 areas. Setting: Community Based Organizations;Heath Clinics;Schools;Other Setting: Lead Personnel Assigned: CHW Director Contributing Partners: Partners in Health Key Contracts & Consultants: Partners in Health CB4: Educate Partners Develop and disseminate messaging that educates organizations and care teams on the critical role CHWs play in delivering services and managing the spread of COVID-19 among priority populations within communities. i. Racial and ethnic minority groups; and Priority Populations ii. Persons who are economically disadvantaged; and iii. Persons who have certain underlying medical conditions that increase COVID-19 risk. Geographic Areas I Migrant Farmworker Communities in Collier County, including but not limited to: Immokalee, Golden Gate, Lely, Everglades City, Goodland, Copeland, and Chokoloskee. Number and type of messages developed and disseminated. Data regarding canvassing and home visits will be recorded along with presentations and media exposure in extra mile Key Deliverables Proposed communities. Per CHW: 20 home visits per month, 1 group presentation per month, and 1 media interview per 6 months. Page 5 of 11 1 Packet Pg. 740 16.D.5.a Key Deliverables Produced CHW team has initiated home visits, group presentations, and media interviews. Successes CHW team has successfully begun making home visits, doing radio and other interviews and making presentations. Barriers/Challenges CHWs will need to establish relationships and build trust in the Extra Mile communities to which they are assigned. Activities Activity Details Progress 1 Description: Develop an ongoing program to give CHWs opportunities Status: On track for completion to shadow Healthcare Network clinicians and attend clinical meetings, as appropriate, to learn clinic processes and procedures, as well as to Progress Notes: Healthcare Network Chief provide CHWs opportunities to share experiences from the community, Medical Officer and Training Director are leading to coordinated patient case management and support. supportive of opportunities to shadow in practices; had positive meeting with Quality Director and Start Date: 11/1/2021 Manager of new Chronic Care Management Team to begin planning protocols. End Date: 8/30/2022 Setting: Federally Qualified Health Centers (FQHC);Heath Clinics;Hospitals;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health Key Contracts & Consultants: Partners in Health 2 Description: Document connections made to educate about CHW role Status: On track for completion through home canvassing/visits, groups presentations and media interviews. Progress Notes: Setting up tracking systems to document messages delivered (dates, audiences, Start Date: 3/7/2022 venues). End Date: 8/30/2022 Setting: Community Based Organizations;Community Centers;Heath Clinics;Multi-unit Family Housing;Outpatient Clinic;Schools;Other Setting: Lead Personnel Assigned: CHW Director Contributing Partners: Partners in Health Key Contracts & Consultants: Partners in Health 3 Description: Begin Recruiting Community Medical Providers, Status: On track for completion Agencies, and Stakeholders for Coalition involvement by identifying and contacting key leaders in Extra Mile Communities where CHW Progress Notes: Proactively established involvement has not yet been established, to include (but not limited to): relationships with other health providers including Lely, Everglades City, Goodland, Copeland, Chokoloskee. Department of Health -Collier County, Golisano Children's Hospital (Lee Health), Help a Diabetic Start Date: 4/l/2022 Child (screening and free supplies), Lion's Club (vision screening/free glasses) and Premier Mobile End Date: 8/30/2022 Health Services. Beginning to identify leaders and key players in the Extra Mile communities including churches, schools, government, service agencies and other. Page 6 of 11 I Packet Pg. 741 16.D.5.a Setting: Community Based Organizations;Community Centers;Heath Clinics;Hospitals;Long Term Care Facilities;Multi-unit Family Housing;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health Key Contracts & Consultants: Partners in Health 4 Description: Begin canvassing and promoting in Extra Mile Status: On track for completion Communities to disseminate educational materials regarding CHW role, resources, and opportunities for involvement. Progress Notes: New relationships with St. Vincent de Paul and Grace Place have provided Start Date: 4/1/2022 opportunities to provide services in migrant farmworker camps and neighborhoods. End Date: 8/30/2022 Setting: Community Based Organizations;Community Centers;Heath Clinics;Hospitals;Long Term Care Facilities;Multi-unit Family Housing;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health Key Contracts & Consultants: Partners in Health CB5: Promote Engagement Coordinate and/or promote opportunities, such as messaging/education, within communities and clinical settings to facilitate the engagement of CHWs in addressing the needs of those at highest risk for poor health outcomes, including those resulting from COVID-19. i. Racial and ethnic minority groups; and Priority Populations ii. Persons who are economically disadvantaged; and iii. Persons who have certain underlying medical conditions that increase COVID-19 risk. Geographic Areas Migrant Farmworker Communities in Collier County, including but not limited to: Immokalee, Golden Gate, Lely, Everglades City, Goodland, Copeland, and Chokoloskee. Increased utilization of community resources and clinical services for those at highest risk for Key Deliverables Proposed poor health outcomes among priority populations within the community. Data will track the number of individuals served by CHWs. Target: 20 home visits per month per CHW. CHWs have begun making referrals to increase utilization of community resources. This data Key Deliverables Produced will be reflected in the next semi-annual performance measure reporting. Because of partnerships and current multilingual, culturally appropriate CHW work during Successes COVID-19 pandemic, migrant farmworker communities in Immokalee, Golden Gate and North Naples trust Healthcare Network CHWs and are receptive to education and services to improve quality of life. Page 7 of 11 I Packet Pg. 742 16.D.5.a Lacking software to efficiently capture information from all contacts in the field into a secure Barriers/Challenges database. CHWs are currently recording data manually and team is currently exploring options to purchase the necessary software. Activities Activity Details Progress 1 Description: Healthcare Network and CHWs will conduct COVED-19 Status: On track for completion testing events in underserved neighborhoods where needs are identified. Testing events will be convenient for the populations in terms of Progress Notes: • Throughout the Omicron surge location, time and day of week (evenings and weekends, for example). in fall and winter, HCN scheduled weekly testing events in Immokalee and Golden Gate, where Start Date: 9/l/2021 COVID-19 education, including vaccine education, was provided. Several "combo' events for testing End Date: 8/30/2022 and vaccinations also drew children and adults. Testing events continue in Immokalee, and Setting: Community Based Organizations;Community Centers;Heath "pop-up" mini -health fairs with blood pressure and Clinics;Hospitals;Outpatient Clinic;Schools blood sugar screening, are also set up in priority population neighborhoods, including farmworker Setting: camps. Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health, Department of Health Key Contracts & Consultants: Partners in Health 2 Description: CHWs will refer clients to COVID-19 resources when Status: On track for completion appropriate and address barriers to linking with resources, such as transportation access; identify clients without a primary care physician Progress Notes: • HCN Chief Medical Officer and and will make necessary referrals to primary care physicians; address Training Director are supportive of opportunities to barriers to linking with the healthcare provider and facilitating the new shadow in practices. Establishing strong partnership patient appointment; identify social service needs of clients and make with HCN Quality Director and Manager of the referrals for service providers such as: housing, food, and utilities new HCN Chronic Care Management Team to assistance. begin planning protocols to care for priority populations. Start Date: 10/1/2021 End Date: 8/30/2022 Setting: Community Based Organizations;Community Centers;Federally Qualified Health Centers (FQHC);Heath Clinics;Hospitals;Long Term Care Facilities;Multi-unit Family Housing;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health Key Contracts & Consultants: Partners in Health 3 Description: To educate and build trust CHWs will schedule meetings Status: On track for completion with the local organizations and religious leaders (church pastors and other organized groups). Progress Notes: Established relationships with multiple churches, including Bethel Assembly of Start Date: 11/1/2021 God and Emmanuel Lutheran Church/Emmanuel Communities. Scheduling additional outreach in End Date: 8/30/2022 Extra Miles communities in the next few weeks. Setting: Community Based Organizations;Community Centers;Other Setting: Page 8 of 11 Packet Pg. 743 16.D.5.a Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health Key Contracts & Consultants: Partners in Health 4 Description: CHWs will launch door-to-door canvassing in Extra Mile Status: On track for completion communities to provide vaccine education and provide assistance to connect those interested in the vaccine through scheduling, Progress Notes: Initial outreach tours have already transportation, and language assistance. occurred in two of the Extra Mile communities and additional outreach is planned in the next few Start Date: 6/1/2022 weeks. End Date: 8/30/2022 Setting: Community Based Organizations;Community Centers;Heath Clinics;Multi-unit Family Housing;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health, Department of Health Key Contracts & Consultants: Partners in Health 5 Description: The Coalition will reach out to coordinate with Growers to Status: On track for completion increase availability of vaccination at migrant farm worker sites. Progress Notes: CHWs will continue reaching out Start Date: 6/1/2022 to growers in Extra Mile communities, such as Lipman Family Farms and Gargiulo Farms. End Date: 8/30/2022 Setting: Other Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health, Collier County Key Contracts & Consultants: Partners in Health CB6: Document CHW Engagement Year 1: Initiate and develop and/or utilize systems to document engagement of CHWs in the care, support, and follow-up across clinical and community settings of priority populations at highest risk for poor health outcomes, including those resulting from COVID-19. Year 2: Facilitate engagement of CHWs in the care, support, and follow-up across clinical and community settings of priority populations at highest risk for poor health outcomes, including those resulting from COVID-19. i. Racial and ethnic minority groups; and Priority Populations ii. Persons who are economically disadvantaged; and iii. Persons who have certain underlying medical conditions that increase COVID-19 risk. Geographic Areas Migrant Farmworker Communities in Collier County, including but not limited to: Immokalee, Golden Gate, Lely, Everglades City, Goodland, Copeland, and Chokoloskee. Page 9 of 11 Packet Pg. 744 16.D.5.a Increased utilization of community resources and clinical services for those at highest risk for poor health outcomes among priority populations within the community. Data will track the Key Deliverables Proposed number and type of referrals made and utilized by clients. Target: 10 referrals per month per CHW. CHWs have begun making referrals to increase utilization of community resources and are Key Deliverables Produced tracking data manually. Because of partnerships and current multilingual, culturally appropriate CHW work during Successes COVID-19 pandemic, migrant farmworker communities in Immokalee, Golden Gate and North Naples trust Healthcare Network CHWs and are receptive to education and services to improve quality of life. Lacking software to efficiently capture information from all contacts in the field into a secure Barriers/Challenges database. CHWs are currently recording data manually and team is currently exploring options to purchase the necessary software. Activities Activity Details Progress 1 Description: 6 tablets will be purchased, for CHW use to data collcction Status: Delayed but likely to be completed and documentation. Progress Notes: Order for 6 tablets will be placed Start Date: 10/1/2021 by March 31. End Date: 3/31/2022 Setting: Other Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Collier County Key Contracts & Consultants: Not applicable. 2 Description: New data collection processes will be implemented, to Status: Delayed but likely to be completed increase capacity for data tracking, and program team members will be trained on the new data collection system. Progress Notes: Tablets will be available and tracking software secured by end of April. Training Start Date: 10/1/2021 will be provided to CHWs to begin data collection in May. End Date: 3/31/2022 Setting: Other Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health, Collier County Key Contracts & Consultants: Partners in Health 3 Description: CHWs will collect client data during household visits and Status: On track for completion interactions (such as at a food distribution event) to track project outputs. Output data will include: Household demographics, number of client Progress Notes: Data collection tools will be visits conducted, services provided, number of COVID tests and available in April and CHWs will begin collecting vaccinations, existing primary care provider relationship status and data in May. referrals made. Page 10 of 11 I Packet Pg. 745 16.D.5.a Start Date: 10/1/2021 End Date: 8/30/2022 Setting: Other Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners In Health Key Contracts & Consultants: Partners in Health 4 Description: Data collection services and program evaluation services Status: Delayed but likely to be completed will be contracted to assist in the review of data correlated to program impact on the communities. Progress Notes: Meeting scheduled with prospective program evaluation consultant; should Start Date: 11/1/2021 have contract in place by mid -April. End Date: 3/31/2022 Setting: Other Setting: Lead Personnel Assigned: Partners In Health Contributing Partners: Healthcare Network and Collier County Key Contracts & Consultants: To Be Determined/Contracted Page 11 of 11 1 Packet Pg. 746 16.D.5.a Year 2 Work Plan- Collier County NOFO: Component: Current Submission Status: Export Date & Time: DP21-2109 Component A In Progress 4/4/2022 2:14 PM (GMT-04:00) Eastern Daylight Time (America/New York) CB1: Training Collaboration Identify and collaborate with community -wide efforts to ensure comprehensive acquisition of relevant knowledge, roles, and skills by CHWs so they are prepared to successfully engage with existing state and/or local public health -led actions to manage COVID-19 among priority populations within communities. i. Racial and ethic minority groups; and Priority Populations ii. Persons who are economically disadvantaged; and iii. Persons who have certain underlying medical conditions that increase COVID-19 risk. Geographic Areas Migrant farmworker communities in Collier County, including but not limited to: Immokalee, Golden Gate, Lely, Everglades City, Goodland, Copeland and Chokoloskee. Increased skills/capacity/roles of CHWs to provide services and support for COVID-19 public Key Deliverables Proposed health response efforts among priority populations. Measured by pre- and post -training subject matter evaluation forms for training sessions and field shadowing experiences. Activities Activity Details 1 Description: Continue recruiting Healthcare Providers, Agencies and Other Stakeholders (such as faith -based organizations, early childhood learning centers and schools) for Coalition involvement by identifying and connecting key leaders and advocates in Extra Mile communities. Start Date: 9/1/2022 End Date: 8/31/2023 Setting: Community Based Organizations;Community Centers;Federally Qualified Health Centers (FQHC);Heath Clinics;Hospitals;Multi-unit Family Housing;Schools Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners in Health, Department of Health, Mision Peniel, Coalition of Immokalee Workers Key Contracts & Consultants: Not applicable. 2 Description: Hold recurring bi-weekly trainings on timely topics as determined by Partners in Health and the HCN Community Outreach Director CHWs, and conduct pre- and post -training testing to measure understanding of topics, including, but not limited to, COVID-19 updates/trends, Social Determinants of Health (SDOH) principles and screening tools, how to make medical and social support referrals based on SDOH screening and how to track and monitor progress of clients. Start Date: 9/l/2022 End Date: 8/31/2023 Setting: Federally Qualified Health Centers (FQHC);Other Setting: Lead Personnel Assigned: Partners in Health Contributing Partners: Healthcare Network Key Contracts & Consultants: Partners in Health 3 Description: Hold recurring monthly Coalition Meetings to educate partners about CHW work and updates and provide opportunities for community stakeholders to give feedback and assist in identifying unmet needs and additional resources in Extra Page 1 of 6 1 Packet Pg. 747 16.D.5.a Mile communities. Start Date: 9/l/2022 End Date: 8/31/2023 Setting: Community Based Organizations;Community Centers;Heath Clinics;Hospitals;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners in Health, Collier County, Department of Health, Mision Peniel, Coalition of Immokalee Workers Key Contracts & Consultants: Partners in Health, FSU consultants CB3: Integrate CHWs (Organization) Integrate CHWs into organizations and care teams to support the public health response to COVID-19 among priority populations within communities. i. Racial and ethnic minority groups; and Priority Populations ii. Persons who are economically disadvantaged; and iii. Persons who have certain underlying medical conditions that increase COVID-19 risk. Geographic Areas Migrant farmworker communities in Collier County, including but not limited to: Immokalee, Golden Gate, Lely, Everglades City, Goodland, Copeland, and Chokoloskee. Increased workforce of CHWs delivering services to manage the spread of COVID-19, and Key Deliverables Proposed addressing social determinants of health (SDOH)/underlying health conditions. Number of engaged organizations will be tracked with frequency of interactions, type of interactions, and any referrals made. Activities Activity Details 1 Description: Through door-to-door canvassing, group presentations and health fairs, identify clients requiring support; assess their needs and help them navigate through and or access the healthcare and social supports to address their needs. Start Date: 9/l/2022 End Date: 8/31/2023 Setting: Community Based Organizations;Community Centers;Federally Qualified Health Centers (FQHC);Heath Clinics;Hospitals;Long Term Care Facilities;Multi-unit Family Housing;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners in Health Key Contracts & Consultants: Partners in Health; FSU consultants 2 Description: CHWs and DOH -Collier County will continue to coordinate their COVID-19 testing and vaccination schedules, as needed; CHWs will provide referrals to healthcare and social support services for community members who test positive for COVID-19; CHWs will follow up with each client, particularly those with underlying health conditions. Start Date: 9/l/2022 End Date: 8/31/2023 Setting: Community Centers;Heath Clinics;Hospitals;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners in Health, Department of Health Key Contracts & Consultants: Partners in Health Page 2 of 6 1 Packet Pg. 748 16.D.5.a 3 Description: CHWs will utilize consistent referral protocols to refer clients/community members for HCN Chronic Care / Case Management services and HCN Chronic Care Managers will refer clients/community members in Extra Mile communities for appropriate follow up and support in their community (home). Start Date: 9/l/2022 End Date: 8/31/2023 Setting: Community Based Organizations;Community Centers;Federally Qualified Health Centers (FQHC);Heath Clinics;Hospitals;Long Term Care Facilities;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners in Health, Department of Health Key Contracts & Consultants: Partners in Health 4 Description: Maintain and update a list of existing and new organizations utilizing CHWs to target priority populations in Extra Mile communities. Start Date: 9/1/2022 End Date: 8/31/2023 Setting: Community Based Organizations;Heath Clinics;Schools;Other Setting: Lead Personnel Assigned: CHW Director Contributing Partners: Partners in Health Key Contracts & Consultants: Partners in Health CB4: Educate Partners Develop and disseminate messaging that educates organizations and care teams on the critical role CHWs play in delivering services and managing the spread of COVID-19 among priority populations within communities. i. Racial and ethnic minority groups; and Priority Populations ii. Persons who are economically disadvantaged; and iii. Persons who have certain underlying medical conditions that increase COVID-19 risk. Geographic Areas Migrant Farmworker Communities in Collier County, including but not limited to: Immokalee, Golden Gate, Lely, Everglades City, Goodland, Copeland, and Chokoloskee. Number and type of messages developed and disseminated. Data regarding canvassing, health Key Deliverables Proposed evets, home visits and other will be recorded along with presentations and media exposure in Extra Mile communities. Per CHW: 20 home visits/month, 1 group presentation per month, and 1 media interview per 6 months. Activities Activity Details Description: Continue CHW in -clinic shadowing opportunities with Healthcare Network providers (physicians, nurses) and Chronic Care Managers (CCMs). Set up regular education and information sharing sessions about CHW roles and field experiences with HCN (and other) providers and CCMs. Start Date: 9/l/2022 End Date: 8/31/2023 Setting: Federally Qualified Health Centers (FQHC);Heath Clinics;Hospitals;Outpatient Clinic Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners in Health Page 3 of 6 1 Packet Pg. 749 16.D.5.a Key Contracts & Consultants: Partners in Health 2 Description: Continue documenting connections made with individuals, organizations and media to educate about CHW role through home canvassing/visits, group presentations and media interviews. Start Date: 9/1/2022 End Date: 8/31/2023 Setting: Community Based Organizations;Community Centers;Heath Clinics;Multi-unit Family Housing;Outpatient Clinic; Schools;Other Setting: Lead Personnel Assigned: CHW Director Contributing Partners: Partners in Health Key Contracts & Consultants: Partners in Health CB5: Promote Engagement Coordinate and/or promote opportunities, such as messaging/education, within communities and clinical settings to facilitate the engagement of CHWs in addressing the needs of those at highest risk for poor health outcomes, including those resulting from COVID-19. i. Racial and ethnic minority groups; and Priority Populations ii. Persons who are economically disadvantaged; and iii. Persons who have certain underlying medical conditions that increase COVID-19 risk. Geographic Areas Migrant farmworker communities in Collier County, including but not limited to: hnmokalee, Golden Gate, Lely, Everglades City, Goodland, Copeland, and Chokoloskee. Increased utilization of community resources and clinical services for those at highest risk for Key Deliverables Proposed poor health outcomes among priority populations within the community. Data will track number of individuals serviced by CHWs. Target: 20 home visits per month per CHW. Activities Activity Details 1 Description: Through education, testing and vaccination events, as well as group presentations, CHWs will identify those with underlying/chronic health conditions, especially those testing positive for COVID-19, and refer them to the appropriate medical care --including referral to a primary care provider, if they do not have one --and social support services. Address barriers to care and health equity, including transportation, housing, food and utilities assistnt. Start Date: 9/1/2022 End Date: 8/31/2023 Setting: Community Based Organizations;Community Centers;Federally Qualified Health Centers (FQHC);Heath Clinics;Hospitals;Long Term Care Facilities;Multi-unit Family Housing;Outpatient Clinic;Schools;Other Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners in Health Key Contracts & Consultants: Partners in Health 2 Description: Continue efforts to educate and build trust by having CHWs schedule meetings with local organizations, schools and faith -based organizations; inform them of CHW role and seek their assistance in identifying priority populations in Extra Mile communities, as well as local resources to serve at -risk individuals. Start Date: 9/1/2022 End Date: 8/31/2023 Setting: Community Based Organizations;Community Centers;Schools;Other Page 4 of 6 1 Packet Pg. 750 16.D.5.a Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners in Health Key Contracts & Consultants: Partners in Health; FSU program evaluation consultants 3 Description: CHWs will reach out to Growers and Packers to coordinate COVID-19 education, testing and vaccinations for migrant farmworkers. Start Date: 9/l/2022 End Date: 8/31/2023 Setting: Other Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners in Health, Coalition of Immokalee Workers Key Contracts & Consultants: Partners in Health CB6: Document CHW Engagement Year 1: Initiate and develop and/or utilize systems to document engagement of CHWs in the care, support, and follow-up across clinical and community settings of priority populations at highest risk for poor health outcomes, including those resulting from COVID-19. Year 2: Facilitate engagement of CHWs in the care, support, and follow-up across clinical and community settings of priority populations at highest risk for poor health outcomes, including those resulting from COVID-19. i. Racial and ethnic minority groups; and Priority Populations ii. Persons who are economically disadvantaged; and iii. Persons who have certain underlying medical conditions that increase COVID-19 risk. Geographic Areas Migrant farmworker communities in Collier County, including but not limited to: Immokalee, Golden Gate, Lely, Everglades City, Goodland, Copeland, and Chokoloskee. Increased utilization of community resources and clinical services for those at highest risk for Key Deliverables Proposed poor health outcomes among priority populations within the community. Data will track the number and type of referrals made and utilized by clients. Target: 10 referrals per month, per CHW. Activities Activity Details 1 Description: Continue collecting client data during household visits and other interactions (such as at food distribution or health fair events) to track project outputs. Output data will include: Household demographics, number of client visits conducted, services provided, number of COVID-19 tests and vaccinations, number of screening efforts (blood pressure & other), existing primary care provider relationship status and referrals made to primary medical care and social supports. Start Date: 9/l/2022 End Date: 8/31/2023 Setting: Community Based Organizations;Community Centers;Multi-unit Family Housing;Outpatient Clinic;Schools;Other Setting: Lead Personnel Assigned: Healthcare Network Contributing Partners: Partners in Health Key Contracts & Consultants: Partners in Health; FSU program evaluation consultant 2 Description: Program evaluation plan will be implemented. Page 5 of 6 1 Packet Pg. 751 16.D.5.a Start Date: 9/1/2022 End Date: 8/31/2023 Setting: Federally Qualified Health Centers (FQHC) Setting: Lead Personnel Assigned: Partners in Health Contributing Partners: Healthcare Network; FSU Program Evaluation Consultant Key Contracts & Consultants: FSU Program Evaluation Consultant Page 6 of 6 1 Packet Pg. 752 16.D.5.a DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB Complete this form to disclose lobbying activities pursuant to 31 11.S.C.1352 4040-0013 1. * Type of Federal Action: 2. * Status of Federal Action: 3. * Report Type: a. conlract a. bfdfoffer/appiicalion ® 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 FSubAwardee Name Collier County board of County Commissioners ' Street 1 Street 2 3339 E Tamiami Trail Suite 202 City State Zip Naples FL; Florida J3412 Congressional District, if known: 19/25 5. If Reporting Entity in NoA is Subawardee, Enter Name and Address of Prime: 6. * Federal DepartmenVAgency: T. * Federal Program Name/Description: Centers for Disease Control. Community Health Workers for Public health Response and Resilient CFDANumber, ifapplicable, 93.495 8. Federal Action Number, if known: 9. Award Amount, if known: 1,456, 640,94 10. a. Name and Address of Lobbying Registrant: Prefix First Name MiddieName Mr Becker 'Last Name Suffix Foliakoff Street 9 Street 2 1275 K Street, N.W. Suite 850 t city Stale zrp 4lash ington DC: District of Columbia 200D5 b. Individual Performing Services (including address if difforentfrom No. 10a) Prefix 'First Name Middle Name h7s Amanda ' Last Name Su#lx Wood 'Sfreaff 1275 K Street, N.W. Slreel2 Suite 850 'Crly Washirsgton Stale DC; bistrict of Columbia Zip 2D005 11 Information requested through this form is authorized31 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 .1.1111, tranir-1. as 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 rspection. Any person who fails to rile the required disclosure shall he subject to a civil penalty of not less than $10.000 and not more than $100,000 for each s Signature: Completed on submission t Ls..gov *Name: Prefix ® Name MarkMiddle 'Last Name Suffix [sackson u Title: County llanager Telephone No.: 239-252-8383 Date: 04/21/2022 Federal Use, Only: y Authorized for Local Reproduction standard Form • LLL (Rev. 7.97) rn r O N N d Y V W a a N L d U U U 0 V C t :.i 2 Q Packet Pg. 753 16.D.5.b Clv 1err C014ftty Office of Management & Budget TO: Mark Isackson, County Manager CC: Tami Bailey Grant Manager — Community and Human Svcs Kristi Sonntag Director— Community and Human Services FROM: Therese Stanley SR Manager — OMB Grants Compliance DATE: April 15, 2022 Grant Agpficatio/]leviewed and Approved by County anagerb designee: County Manager 4 -t$' yL(date After -the -Fat Approval by the BCC is required at the May 10, t2022 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 $421,744 (ATF 22-010) The Community and Human Services Division (CHS) is applying for Year 2 funding to the Centers for Disease Control (CDC) and Prevention under the Community Health Workers for COVID Response and Resilient Communities Grant Program. This grant program supports the implementation of an outreach project to assist those most impacted and at risk of COVID-19. During year 1, CHS executed a subrecipient agreement with Collier Health Services, Inc. (CHSI), to implement the CDC CCR grant program. Under this agreement, CHSI has hired and is training a team of six Community Health Workers (CHWs) to deliver COVID-19 related services and serve as resource navigators within medically underserved communities of Collier County. The continuation application for Year 2 award under the CCR program, will allow CHSI to continue delivering these necessary healthcare services within Collier County. 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 February 17, 2022 with applications due no later than April 21, 2022. 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 May 10, 2022 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. 0 2 w U r c d E �a a 3299 Tamiami Trail fast, Suite 201 - Naples, Florida 34112-5746.239-252-8973 • FAX 239.252-8828 Packet Pg. 754