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Agenda 07/25/2023 Item #16D 5 (To provide services to benefit impacted and disproportionately impacted residents in Collier County)16.D.5 07/25/2023 EXECUTIVE SUMMARY Recommendation for the Board of County Commissioners to approve Amendment Eight to the State and Local Fiscal Recovery Fund Plan, approve a reallocation of funds among projects and revise Key Performance Indicators, and authorize the County Manager or designee to submit the annual performance plan and to execute any sub -award agreements and payment requests necessary to distribute reimbursement for expenses to eligible parties. OBJECTIVE: To allocate State and Local Fiscal Recovery Funds to residents and provide services to benefit impacted and disproportionately impacted residents in Collier County. CONSIDERATION: The Consolidated Appropriations Act of 2021 included a $900 billion Relief package that made funds available for a variety of uses for state and local governments. Congress passed the American Rescue Plan Act of 2021 (ARP), and it was signed into law on March 11, 2021. Included in the legislation was a $350 billion State and Local Fiscal Recovery Fund, of which Collier County has received an allocation of $74,762,701. The allocation of the funds has been in accordance with US Treasury guidance and Board direction. On May 11, 2021, the Board of County Commissioners ("Board") approved Agenda Item #I IJ, an "After -the -Fact" agreement submission to the U.S. Treasury. On June 22, 2021, Agenda Item #I IH, staff presented a preliminary performance plan to the Board. This preliminary performance plan was based on the interim final rule published by the US Treasury. Subsequently, on January 6, 2022, the US Treasury published the final rule and made significant programmatic and regulatory changes that took effect on April 1, 2022. On March 22, 2022, Agenda Item #16D7, staff submitted Amendment #5 of the Plan to the Board, which included changes to funding allocations based upon the US Treasury Final rule. On July 12, 2022, Agenda Item #16D7, the Board approved Amendment #6 and the preliminary Year 2 performance report to allow staff to submit the report timely to the US Treasury. On January 10, 2023, Agenda Item #16132, the Board approved Amendment #7, which included changes to project descriptions, an additional project, and revised funding allocations. Amendment #8 includes the following changes: a. Revise Key Performance Indicators to align with project outputs and outcomes to allow for a comprehensive evaluation b. Reduce Collier County Libraries COLE project by $880,000 to support affordable housing c. Reduce Small Business Recovery by $315,000 and create a new project to support additional mental health substance abuse and outreach services d. Reduce Housing Assistance by $513,982 to support ongoing costs and add an additional $50,000 to support Physician Led Area Network (PLAN) for an additional year e. Reduce Small Business Resiliency by $1,000,000 to support affordable housing f. Reduce Small Business Recovery by $2,495,863 to support affordable housing g. Reduce EMS Public Sector Workforce by $1,000,000 to support the cost associated with the purchase of additional ambulances and light -duty trucks h. Other modifications include project narrative updates, graphic changes, and yearly breakouts for the Challenges and Opportunities, Promoting Equitable Outcomes, Community Engagement, and the Summary and Next Steps sections. FISCAL IMPACT: Funding has been made available within the Community & Human Service Housing Grant Fund (1835) Project 33765. Staff will distribute funds for eligible expenditures in accordance with Board -approved policy. Any expenses incurred by the County and associated with the administration of this agreement, including Packet Pg. 638 16.D.5 07/25/2023 full-time employees, will be accounted for and are expected to be fully reimbursable. Collier County received its initial appropriation of $37,381,350.50 on June 10, 2021. The remaining fifty percent (50%) appropriation of $37,381,350.50 was received on June 16, 2022, for a total of $74,762,701. GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this item. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. -DDP RECOMMENDATION: To approve Amendment Eight to the State and Local Fiscal Recovery Fund Plan, approve a reallocation of funds among projects and revise Key Performance Indicators, and authorize the County Manager or designee to submit the annual performance plan and to execute any sub -award agreements and payment requests necessary to distribute reimbursement for expenses to eligible parties. Submitted By: Kim Frazier, Financial Operations Manager, Community and Human Services Division ATTACHMENT(S) 1. [Linked] Collier County ARP Recovery Plan —Amend 8 (PDF) Packet Pg. 639 16.D.5 07/25/2023 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.5 Doc ID: 25956 Item Summary: Recommendation for the Board of County Commissioners to approve Amendment Eight to the State and Local Fiscal Recovery Fund Plan, approve a reallocation of funds among projects and revise Key Performance Indicators, and authorize the County Manager or designee to submit the annual performance plan and to execute any sub -award agreements and payment requests necessary to distribute reimbursement for expenses to eligible parties Meeting Date: 07/25/2023 Prepared by: Title: Manager - Federal/State Grants Operation — Community & Human Services Name: Kristi Sonntag 06/29/2023 3:38 PM Submitted by: Title: Manager - Federal/State Grants Operation — Community & Human Services Name: Kristi Sonntag 06/29/2023 3:38 PM Approved By: Review: Community & Human Services Kristi Sonntag CHS Review Public Services Department Todd Henry PSD Level 1 Reviewer Operations & Veteran Services Jeff Weir OVS Director Review Community & Human Services Kim Frazier Additional Reviewer County Attorney's Office Derek D. Perry Level 2 Attorney Review Grants Erica Robinson Level 2 Grants Review Public Services Department Tanya Williams PSD Department Head Review County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Grants Therese Stanley Additional Reviewer Office of Management and Budget Christopher Johnson Additional Reviewer County Manager's Office Amy Patterson Level 4 County Manager Review Board of County Commissioners Geoffrey Willig Meeting Pending Completed 06/29/2023 3:39 PM Completed 06/30/2023 12:04 PM Completed 06/30/2023 12:26 PM Completed 06/30/2023 1:02 PM Completed 07/13/2023 5:54 PM Completed 07/14/2023 3:34 PM Completed 07/17/2023 8:15 AM Completed 07/17/2023 8:38 AM Completed 07/17/2023 10:45 AM Completed 07/17/2023 1:59 PM Completed 07/18/2023 8:14 AM Completed 07/19/2023 3:50 PM 07/25/2023 9:00 AM Packet Pg. 640 AMERICAN RESCUE PLAN STATE AND LOCAL FISCAL RECOVERY FUNDS T�hll�l��'1�1► 4 Board of County Commissioners Rick LoCastro, Chairman, District 1 Chris Hall, District 2 Burt L. Saunders, District 3 Dan Kowal, District 4 William L. McDaniel, Jr., District 5 Office of the County Manager Amy Patterson, County Manager Dan Rodriguez, Deputy County Manager Ed Finn, Deputy County Manager Project Lead Kristi Sonntag, Director, Community and Human Services Donald Luciano, Assistant Director, Community and Human Services Support provided By Coastal Cloud OVID Solutions Collier County, Florida 2023 Recovery Plan GENERAL OVERVIEW............................................................................................................ 9 EXECUTIVE SUMMARY....................................................................................................... 9 USESOF FUNDS...............................................................................................................19 PROMOTING EQUITABLE OUTCOMES........................................................................24 COMMUNITY ENGAGEMENT.........................................................................................36 LABOR PRACTICES...........................................................................................................41 USEOF EVIDENCE............................................................................................................44 TABLE OF EXPENSES BY EXPENDITURE CATEGORY.................................................51 PROJECTINVENTORY.........................................................................................................55 PERFORMANCE REPORT.................................................................................................... 76 COLLIER KEY PERFORMANCE INDICATORS................................................................76 SUMMARY AND NEXT STEPS..........................................................................................95 APPENDIX A: COLLIER COUNTY KPI COMPENDIUM.....................................................98 PROJECTS.......................................................................................................................... 98 ANALYSIS OF KEY OUTCOME GOALS........................................................................100 PROJECT EVALUATION.................................................................................................102 Collier County, Florida 2023 Recovery Plan Performance Report 1 Amendment Log: Collier County ARP Recovery Plan The following table presents a record of amendments that occur intra-annually between submissions of the Collier County Recovery Plan Performance Report to Treasury. It includes a log of where sections are altered based on changes, and the level of approval provided. Change Date Content Approved By Pages Affected No. Amendment Process and Log Created for Recovery Plan Collier CHS P.2 Log Added 1 9/20/2021 Staff P. 77 Amendment Process Outlined Budget Change: N/A 2 Scope of Work Change: New project under EC 1.1 COVID-19 Vaccination added — CC 1.7 Vaccination. 9/28/2021 Budget Change: $80,000 of funds re -allocated from CC 3.2 Public Health Safety Operations to CC 1.7 Vaccination Collier County Board of County Commissioners — Item 11 C P.5 Graphic edited P.6 Project / EC count P.7 EC added P.13 EC added P.41 EC added / Project count P.45 Project / EC count P. 51 New Project Description added Scope of Work Change: Project CC 3.5 Altered to P.22 "substance abuse" remove Mental Health and removed 3 Substance Abuse (MHSA) 10/20/2021 County P.58 Project Description changed System of Care Purchase. No Manager g P.74 Output and budgetary changes. Outcome KPIs removed for EC 7.2 Budget Change: N/A Evidence Base Change: P.25 KPI description Project CC 1.1, additional change description added. P.36 Description 4 Evidence Base Change: 01 /10/2022 County Language Change Project CC 1.6 Description Manager P.37 Description edits Language Change; Evidence Base reference Language Change: Project removed CC1.6 description chanae. Collier County, Florida 2023 Recovery Plan Performance Report 2 5 3/22/2022 Dates changed from 2026 to 2024. KPI Change: EC 1.10 Output KPI change. Budget Change: N/A Scope of Work / Project Change: New Project - CC 1.7 Public Health Infrastructure Added New Project - CC 3.6 "Collier County Revenue Replacement" EC 6.1 Added New Project - CC 4.4 "Collier County Affordable Housing" EC 3.10 Added CC 1.5 Project Description edits CC 1.12 Project Description edits CC 2.2 Expenditure Category changed CC 4.1-4.6 Library, University, Museum Project Changes CC 1.7 Removed CC 4.5 Removed CC 5.1 Removed CC 5.2 Removed CC 5.3 Removed Project Edits CC 1.1 Project Edits CC 1.2 Project Edits CC 1.3 Project Edits CC 1.5 Project Edits CC 1.6 Project Edits CC 3.4 Project Edits CC 3.6 Project Added CC 4.1 Project Condensed and edited from CC 4.1-4.3 CC 4.2 Project Edits, EC Change to EC 2.1 from 3.13 CC 4.3 Project Edits (formerly CC 4.6) CC 4.4 Proiect Added Collier County Board of County Commissioners 3/22/2022 - Item 16D P.51 Project Overview, Goals & Evidence, and Timeline edits P.70 Output KPI, removed "annually" P.72 KPI description chanae p.0 Organizational staff changes p.7 Infographic edited i.8 Text description edits and graphic change p.9 Project text edits p.10 Project text edits and adds p.11 Project expenditure category graphic change p.12 Housing, Economic and Education goal edits p 13 Goal removal and narrative adds pp.14-17 Category edits and text changes pp.20-24 Category edits, narrative, and map changes pp.27-29 KPI edits on Equity Projects p.29 Infrastructure KPIs removed p.35 Infrastructure project description removed p.38 CC 1.1 budget adjusted p.40 CC 2.2 Project added to evidence base p.41 CC 4.4 Project Added and Evidence base provided. pp.45-48 budget adjustments per project / allocation changes p 49 Project description edits to CC 1.1 p.52 Project description edits per FGCU 54 COVID-19 vaccination project description removed 4p 9-67 Project adjustments to CC 1.1, 1.2, 1.3, 1.5, 1.6, 2.2, 3.4, 4.1, 4.2, 4.3 Collier County, Florida 2023 Recovery Plan Performance Report 3 KPI Chance: CC 1.5 KPI edits CC 1.12 KPI edits CC 3.2 KPI edits CC 3.2 KPI edits CC 3.4 KPI edits CC 2.1 KPI edits CC 2.2 KPI edits CC 3.6 KPIs added CC 4.1-4.3 KPI edits CC 4.4 KPIs added Budget Change: $15.8 Million - New $10 Million Project - CC 3.6 "Collier County Revenue Replacement" EC 6.1 Added - New $4,586,137- CC 4.4 "Collier County Affordable Housing" Added - New CC 1.7 "Collier Public Health Infrastructure" $1,200,000 added CC 1.1 (Reduced from $7,500,000 to $7,000,000) -CC 4.1 (Three library projects consolidated and reduced from $7 M to $2 M) - CC 4.2 (Reduced from $2.05 M to $1.55 M) CC 1.7 ($80,000) Removed CC 4.5 ($335,066) Removed CC 5.1 ($2,300,000) Removed CC 5.2 ($3,871,000) Removed CC 5.3 ($3,000,000) Removed p.61 CC 3.6 Provision of Government Services project added P.55 CC 1.7 Collier Public Health Infrastructure Project added P.67 CC 4.4 Collier County Affordable Housing project added 63-66 CC4.14.6 Projects removed, consolidated, or edited (p.66) CC 4.5 Museum Tourism Marketing project removed 68-70 CC5.1-5.3 Infrastructure projects removed pp.68-73 EC 1.5, 1.7, 1.9, 1.10, 1.12, 2.2, 2.5, 2.9, 3.2, 3.10, 3.13 (Now 2.1), 6.1 KPI additions and/or edits per FGCU and Project Subrecipients p.74 - Mandatory performance indicators edited to reflect CC 4.4, CC 4.1, and 4.3 Collier County, Florida 2023 Recovery Plan Performance Report 4 6 7/12/2022 Scope of Work / Project Changes: - All Expenditure Categories updated to fit Final Rule Guidance - New Project CC 4.5 Created to house subrecipient from CC 1.3 Appendix A: Evaluation Report Added Project Edits: - CC 1.3 Collier Comorbidity Care (differentiated project into two - CC 4.5 is new) CC 1.7 Collier Public Health Infra CC 4.4 Collier Collier County Affordable Housing Board of RLF edits County - CC 4.5 Collier Commissioners Access to Care (new project to hold July 12, 2022, longstanding Item 16D subrecipient project) KPI Change: - Table added for KPI metric reporting - CC 3.4 - CC 1.7 - CC 3.1 - CC 3.2 - CC 1.3 - CC 1.6 Budget Edits: - CC 1.1 reduced by 95 532 - CC 1.6 increased by 95 532 - CC 3.1 decreased by 28 000 - CC4.4 increased by 28 000 P9 Plan Format Key Updated for New ECs PP.10-11 ECs updated to Final Rule P.12 Expenditure Pie Chart updated P.14 Challenges and Opportunities updated with yearly section PP.15-18 Uses of Funds employment data and ECs updated PP. 25-31 ECs updated and yearly "measuring equity" section added PP.32-36 Community Engagement Sections broken out by year and 2022 added PP.39-46 Evidence Base ECs updated, and evidence edited for EC 2.15 PP.47-50 ECs updated in Expenses by Expenditure Category Section. PP.51-69 Project ECs updated; project description edits to CC 1.7, 3.4, and 4.4 P.70 - New Project CC 4.5 Created PP.70-78 ECs updated for KPIs and KPI edits to CC 1.7, 3.4 and 4.4 PP.79-86 New KPI reporting table added PP.89-90 Summary and Next Steps yearly breakouts added and 2022 content provided Collier County, Florida 2023 Recovery Plan Performance Report 5 7 1 /10/2023 Scope of Work / Project Changes: - New Project CC 1.8 Created to provide emergency rental assistance - CC 3.4 Project Changes - CC 4.3 Project oriented toward food assistance Project Edits: - CC 1.8 Affordable Housing: Emergency Rental Assistance - CC 3.4 Public Health and Safety Operations and Response EC and project description change - CC 4.3 Immokalee Pioneer Museum Garden EC and project description change KPI Change: - CC 1.2 - CC 1.6 - CC 3.4 - CC 3.6 - CC 4.3 Budget Edits: CC 3.2 reduced by $4,000,000 - CC 1.1 increased by $2,000,000 - New Project CC 1.8 $2,000,000 added - CC 4.1 decreased by 300 000 - CC4.4 increased by 300 000 Performance Reporting - KPI metrics updated P.9 Graphic edited P.11 Project expenditure category graphic change P.13 Expenditure Pie Chart updated PP.18-20 Uses of Funds Collier County ECs updated Board of PP.26-31 Outcomes County updated Commissioners P.40-46 Evidence base January 10, updated for CC 4.3 and 2023, Item deleted CC 1.2 16.D PP.51-71 Project Inventory updated P. 72-81 CC 1.2, 1.6, 3.4, 3.6, 4.3 KPIs edited PP.82-89 KPI data adds and changes Collier County, Florida 2023 Recovery Plan Performance Report 6 $ 7/25/2023 Scooe of Work / Proiect Changes: - New Project CC 1.9 Created to provide mental health and substance abuse services CC 1.8 Affordable Housing -Collier County Emergency Rental Assistance edits to the project description CC 2.2 Small Business Recovery project description change CC 4.1 Collier County Library — Community Outreach, Literacy, and Education project description change CC 4.3 Collier County Museums — Immokalee Pioneer Museum project description change KPI Change: - CC 1.6 - CC 2.2 - CC 3.4 - CC 4.1 - CC 4.2 - CC 4.3 - CC 4.4 Budget Edits: CC 1.1 increased by 29 500 - CC 1.6 decreased by 29 500 - CC 1.7 increased by $1,000,000 - CC 1.8 decreased by 563 982 P.11 Graphic edited P.12-14 Project expenditure category graphic change P.15 Expenditure Pie Chart updated PP.16-17 Progress To - Date updated PP.17-18 Challenges and Opportunities updated PP.19 Unemployment and Income Chart updated PP.19-23 Uses of Collier County Funds ECs updated Board of PP.28-34 Outcomes County updated Commissioners July 25, 2023, PP.36-40 Community Item Engagement updated P.44-50 Evidence base updated for CC 2.2 and deleted CC 2.1 Collier County, Florida 2023 Recovery Plan Performance Report PP. 54-54 Table of Expenditures updated PP. 55-75 Project Inventory updated P. 76-84 Performance Report CC 1.6, CC 2.2, CC 3.4, CC 4.1, CC 4.2, CC 4.3, CC 4.4 KPIs edited PP.85-92 KPI reporting table updated - New Project CC 1.9 $315,000 added - CC 2.1 decreased by $1,000,000 - CC 2.2 decreased by $2,810,863 - CC 3.2 decreased by $1,000,000 - CC3.3 increased by 513 982 - CC 4.1 decreased by 880 000 - CC4.4 increased by $4,375,863 - CC 4.5 increased by 50 000 Performance Reporting - KPI metrics updated Collier County, Florida 2023 Recovery Plan Performance Report 8 EXECUTIVE SUMMARY The COVID-19 Pandemic has resulted in widespread public health and economic impacts experienced across the nation. In Collier County, these impacts have been felt by individuals, families, local businesses as well as government and nonprofit services. In response to this nationwide crisis, the American Rescue Plan Act (ARPA) was signed into law on March 11, 2021, which established the Coronavirus State Fiscal Recovery Fund and Coronavirus Local Fiscal Recovery Fund. These funds build upon the first wave of support to state and local governments established by the Coronavirus Aid, Relief, and Economic Security (CARES) Act. While the CARES Act was intended to respond to immediate impacts from the pandemic, ARPA funding is designed to help communities turn the tide on the pandemic, address economic fallout and lay the foundation for a strong, effective, efficient, and equitable long-term recovery. ARPA funds can be used to support broad range of eligible expenses' which are designed to: ■ Support public health response, ■ Address negative economic impacts, ■ Replace public sector revenue loss, ■ Provide premium pay for essential workers, and ■ Make improvements to water, sewer, and broadband infrastructure. Collier County will receive $74,762,701 in Coronavirus State and Local Recovery Funds (SLFRF) to address local impacts. Understanding the wide array of needs throughout the community, Collier County leadership has authorized spending on support for individual, food assistance, educational programming, mental health, healthcare services, businesses, nonprofits, and affordable housing. It is the hope of leadership that every resident can benefit from the investment of these funds while ensuring that the needs of the most vulnerable in the community are targeted to promote an equitable recovery. The Collier County Recovery Plan outlines the programs that will be implemented with these funds. As these are long-term recovery funds, the County has approximately five years (December 31, 2026) to provide services and complete projects. This plan will be submitted to the U.S. Department of Treasury, aligning proposed programs with a classification system developed by Treasury for reporting on expenditures. The County recognizes that pandemic recovery must be flexible to respond to shifting changes and needs in the community and may make changes to program expenditures throughout the implementation period to address U.S. Treasury. "Interim Final Rule". 31 CFR Part 35 Collier County, Florida 2023 Recovery Plan Performance Report 9 the highest priority within the community. Collier County will measure the outputs and outcomes of projects along the way and evaluate the successes of these initiatives. To develop this plan, Collier County staff evaluated local data and worked with organizations throughout the community to consider projects that fit the community's needs. Collier County also conducted a public survey that requested feedback on proposed expenditures and additional needs. The County received over 200 responses to this survey from residents, businesses, and nonprofits with overwhelming support for the programs identified. Nearly 99% of all respondents felt that the programs outlined would benefit Collier County residents and over 94% of respondents felt that programs would benefit businesses. Transparency is important to the leadership of Collier County. The Collier County Recovery Plan, along with annual performance reports, will be posted on the Collier County website, enabling the public to monitor the spending and progress of each program. This initial Recovery Plan covers the period from the date of award to July 31, 2021. Thereafter, the Recovery Plan will cover a 12-month period and recipients will be required to submit the report to Treasury within 30 days after the end of the 12-month period (by July 31). The following table provides dates for current and future installments: Table 1: Recovery Plan /Annual Report periods covered and due dates ReportAnnual 1 .• Covered Award Date — July 31, 2021 Due Date August 31, 2021 2 July 1, 2021 — June 30, 2022 July 31, 2022 3 Jul 1, 2022—June 30, 2023 July 31, 2023 4 July 1, 2023 — June 30, 2024 July 31, 2024 5 Jul 1, 2024—June 30, 2025 July 31, 2025 6 Jul 1, 2025—June 30, 2026 July 31, 2026 7 July 1, 2026 — December 31, 2026 March 31, 2027 Collier County, Florida 2023 Recovery Plan Performance Report 10 $19.8 million $1.5 million Mortgage, rental, utility, housing navigation Help for vulnerable individuals and services, and development of new families through services provided by affordable housing. Administered through nonprofit organizations. Collier County CHS, Courts and housing 14 partners. $6.1 million $7.2 million Health and wellness promotion. Food security programs providing more O Administered through David access to homegrown, local and fresh foods through food banks, pantries, and gardens. Lawrence Center, PLAN, and Administered through CFCC, OF IFAS, and Togetherhood Collaborative. Collier Museums. - $2.7 million $2 million WSmall business recovery grants. GO Maintain nurse staffing levels to care for ta Administered by Collier County CHSI qD COVID-19 patients. Administered by Division. Collier County Hospitals. $18.2 million $10 million EMS and EM support for COVID-19 0' Government Services, including those response through 2026. normally provided by the County, such Administered by Collier County. as Public Safety. Administered by Collier County. ^� $849 thousand $6.4 million \-� Expanded and enhanced educational Program administration, grant programming to respond to loss of in- ^ management technology, staffing, UKperson instruction. Administered through ��s and subrecipient monitoring. Collier County Libraries. Includes FGCU Evaluation services. Plan Format Key Through its final rule, the US Department of Treasury details seven major expenditure categories with a total of eighty-three (83) sub -categories to ensure that proposed expenditures are eligible activities. Treasury guidance directs local governments to align each expenditure with a designated category. Collier County has identified projects in six of the seven major Expenditure Categories — EC14, 6, and 7 (EC 5, Infrastructure, is not utilized). To demonstrate the breadth of projects included in this plan along with the alignment with expenditure category, this plan has been formatted to associate a color and icon with each of the six major expenditure categories that are included in this plan. i o 0 0 0 Public Health Negative Economic Impacts EC-1 EC-2 0 0 Premium Pay Revenue Replacement EC-4 EC-6 Public Sector Capacity EC-3 �U� Administrative EC-7 Continued interventions to support individuals and families, businesses, nonprofits, first responders, education, mental health, and food security can mitigate the long-term effects of the pandemic while providing a stable foundation for future growth and prosperity. This plan identifies 21 projects in 14 Treasury -defined Expenditure Categories to receive funding over the five- year horizon. However, due to the evolving nature of the pandemic and associated recovery, these categories may shift over time to accommodate other federally allowed expenditure categories of funding. An overview of County funding areas is provided by the graphic on the previous page. The use of funds will be covered in detail in the following sections, classified by expenditure category. Collier County, Florida 2023 Recovery Plan Performance Report 12 Public Health (EC 1)MO10,840,000AMd Public Health includes programs to guide the continue health and long-term response to the pandemic. Programs providing COVID-19 response and associated services have been identified, falling into the following categories: ■ Other COVID-19 Public Health Expenses (EC 1.7) - $2,700,000 ■ COVID-19 Assistance to Non -Profits (EC 1.9) - $2,000,000 ■ Mental Health Services (EC 1.12) - $5,815,000 ■ Other Public Health Services (EC 1.14)- $325,000 Public Health EC-1 Collier County is taking a comprehensive view toward mitigating negative economic impacts, both upon individuals and businesses. The following expenditure categories have been identified for program spending: ■ Food Programs (EC 2.1) - $7,222,490 ■ Household Assistance: Rent, Mortgage, and Utility Aid (EC 2.2) - $10,961,018 ■ Long-term Housing Security: Affordable Housing (EC 2.15) - $8,790,000 ■ Addressing Educational Disparities: Aid to High Poverty Districts (EC 2.24) - $849,304 ■ Assistance to Small Business: Loans or Grants to Mitigate Financial Hardship (EC 2.29) - $2,689,137 ■ Assistance to Impacted Nonprofit Organizations (EC 2.34) - $1,500,000 Expenditure Category under the Final rule comprises assistance to services provided by the local government. These programs will provide essential EMS services and assist in program monitoring and evaluation: Public Sector Workforce: Payroll and Benefits for Public Health, Public Safety, or Human Services Workers (EC 3.1) — $15,166,770 Public Sector Capacity: Effective Service Delivery (EC 3.4) - $600,000 Economic Impacts EC-2 Public Sector Capacity EC-3 Collier County, Florida 2023 Recovery Plan Performance Report 13 The County will recognize Collier EMS staff for their heroic efforts with a one-time $2,000 hazard pay distribution for each employee that served on the front line during the 2020-21 pandemic response: ■ Premium Pay for Public Sector Employees (EC 4.1) - $380,000 Recognizing that the County can meet diverse needs of residents and businesses as the community transitions from the most severe impacts of the pandemic (e.g., re -opening needs), the County has prioritized revenue replacement in order to meet a broad array of local government service needs: ■ Provision of Government Services (EC 6.1) - $10,000,000 This category includes funding for grant management until late 2026. The County has prioritized projects in the following expenditure category areas: ■ Administrative Expenses (EC 7.1) - $5,763,982 Premium Pay EC-4 Revenue Replacement EC-6 Administrative EC-7 Approximately 78% of funding will be implemented through Collier County Divisions and 22% through local non-profit organizations, businesses, and universities. These areas will promote a well-rounded recovery from the pandemic over the next five years — as funding must be fully obligated by December 31, 2024, and expended by December 31, 2026. The below chart depicts funding allocation percentages by Expenditure Category. These shares will likely evolve over the full Plan horizon (2021-2026). Collier County, Florida 2023 Recovery Plan Performance Report 14 Collier County ARP Expenditure Category Allocations EC 7 - Administrative EC 6 - Rever Replaceme 13% EC 4 - Premium Pay 1% EC 3 - Public Health -Negative Economic Impact Public Sector Capacity 21% ve Economic Impacts 43% Collier County, Florida 2023 Recovery Plan Performance Report 15 Key Outcome Goals The over -arching outcome goal of Collier ARP funding is to: ■ Provide a robust level of response to the pandemic, ■ Mitigate impacts to individuals, families, and businesses, ■ Increase resilience within educational, health and food systems, and ■ Support essential employees. Outcome goals for projects are geared at health, housing, food security, economic recovery, and education improvements. These include: [IFFealth Gballs 11 ■ Agencies in Collier County continue to provide higher levels of healthcare and other supportive services that enrich the health of the population. ■ Collier County residents receive rental, mortgage, utility assistance, housing navigation and affordable housing to mitigate increased housing instability. ■ Community nutrition, food demonstration, and food pantry services connect Collier County underserved populations to more nutrition. ■ Collier County small businesses receive recovery assistance, resulting in fewer business with long- term debt/financial burden. ■ Education services positively impact QCT and underserved youth, improving educational programs to support remediation of skills lost during COVID-19. For details on current Key Performance Indicators and other project tracking, see the KPI section, below. Progress To -Date 2021 The County finalized allocations for its initial plan and provided a timely submission in August 2021. A software platform was initiated to manage subrecipients and direct applications, and sub -recipient agreements and Memorandums of Understanding (MOUs) began development. Collier County, Florida 2023 Recovery Plan Performance Report 16 2022 Since the submission of the initial Recovery Plan in August 2021, Treasury released its SLFRF Final Rule. This impacted the feasibility of Collier projects, which were updated to streamline reporting and ensure that the County is able to efficiently render services to residents and businesses as the community works towards long-term recovery from the pandemic. 100% of funds have been encumbered as projects, bearing new Expenditure Category labels. The software platform is now 75% complete, capable of managing subrecipient projects and handling direct grant applications. A direct grant portal for project CC 1.1 Affordable Housing: Mortgage and Rent is open, and applications are being reviewed. CC 1.2 — Assistance to nonprofits, began in late 2022 and awards are occurring now. This project is administered by the Community Foundation. The County, Florida Gulf Coast University, and implementation partners have submitted timely reporting to Treasury, and will continue to meet reporting and expenditure goals as outlined by Treasury. 2023 The County recognizes that pandemic recovery must be flexible to respond to shifting changes and needs in the community. After a recent evaluation of the projects the County determined that there was a need to realign some projects to better address the highest priorities within the community. Project CC 3.4 Assistance to Non - Profits was revised to provide funding to offset increased personnel payroll costs due to the pandemic. In addition, the County has increased funding to housing assistance initiatives. This realignment of funding will help further the County's efforts to provide rental assistance and development costs associated with construction of new affordable housing units. The County will continue to measure the outputs and outcomes of projects and evaluate the success of these initiatives. Challenges and Opportunities 2021 The Collier County Recovery Plan represents new efforts, augmentation, and expansion of services to Collier County. Given the amount of funding, finalizing the current set of projects and coordination and capacity building among sub -recipients offered challenges and opportunities to explore new interventions united under a common set of goals. Additionally, Coronavirus Local Fiscal Recovery Funds are new and guidance on implementation will likely continue to be released by the US Department of Treasury over the next year. Collier County's current plan and allocation of programs among Expenditure Categories represents the County's understanding of these classifications, which may receive further definition and differentiation by the federal government. It is expected that with new guidance released, the County may need to realign programs to better fit within Expenditure Collier County, Florida 2023 Recovery Plan Performance Report 17 Category definitions. Therefore, working to refine the local Expenditure Category — Project — Subaward system is an ongoing process, and it is the County's hope that Treasury will continue to make technical assistance available to SLFRF recipients. 2022 As anticipated, Final Rule guidance has impacted Collier County projects, which underwent an extensive reconsideration and changes in light of the January 2022 release by Treasury. Five projects were substituted with replacements based on streamlined reporting or factors impacting allowability of costs. The County will continue to monitor and respond to Treasury guidance by re -orienting and updating its Recovery Plan and projects. 2023 As of 2023, the County is still feeling the impacts of Hurricane Ian and construction of housing is proceeding at a slower pace than usual. The devastation caused by the hurricane has created a ripple effect on the already strained construction industry, resulting in supply chain disruptions, material shortages, and labor shortages. Additionally, rent increases and the loss of affordable units continue to be a significant challenge for the County in 2023. As the demand for housing outstrips supply rents are rising, making it increasingly difficult for low-income families to find affordable housing. The loss of affordable units due to the Hurricane is also a growing concern. This has resulted in the displacement of many low-income families and further exacerbated the affordable housing crisis. Collier County, Florida 2023 Recovery Plan Performance Report 18 USES OF FUNDS In collaboration with partners and in parallel with other federal COVID-19 funding, Collier County has identified a range of projects that further local pandemic response and recovery. Based on current data and community outreach, projects within Expenditure Categories 1-4 and 6-7 have been identified. Indicators influencing an assessment of overall community and economic health, such as unemployment and household income are discussed in the following section. Unemployment and Income According to Local Area Unemployment Statistics, Collier unemployment levels have largely stabilized since the onset of the pandemic. Prior to the pandemic, Collier County unemployment reached a low of 2.9% in December 2019. The sudden rise in unemployment peaked in April of 2020 (14.3%), then declined over the next six months. By December of 2020, the unemployment rate was down to the pre -pandemic level of the previous year (2.9%). As of January 2023, unemployment is 2.5%, which is down 2.2 points year -over -year, and even down .9 points from the January 2020 level and the rate remains below the pre -pandemic level through February of 2023. Collier County is hopeful that it will not experience another hike in unemployment as leaders, businesses and residents have gained more knowledge over the past two years in regard to the pandemic. However, it is recognized that the uncertain course of the pandemic could cause additional volatility in the future. Collier County Unemployment Rate from 2019 — Most Recent Available Month Collier County Unemployment Rate: 2019-2023 4 �411 2 https://florida'obs.orcl/workforce-statistics/data-center/statistical-programs/local-area-unemployment-statistics Collier County, Florida 2023 Recovery Plan Performance Report 19 While the overall poverty rate in Collier County is comparatively low at 9.4% (Census), like many counties there are pockets within the community wherein it is more pervasive. Collier has eleven Qualified Census Tracts (detailed in the "Promoting Equitable Outcomes" section) wherein 50% of households make less than 60% of the area median income and are eligible for low-income housing assistance. These communities, including Immokalee, East Naples, Golden Gate, and others represent focus areas for COVID-19 treatment, vaccination, other health assistance, household assistance, economic assistance, and beyond to strive for an efficient, effective, and equitable recovery. Funding Tables Given recovering unemployment, yet persistent pockets of disproportionately disadvantaged, the range of Expenditure Categories and underlying projects provide a diverse set of interventions to support communities and businesses in Collier County. Collier County and partners have identified projects within Expenditure Categories 1 - 4, and 6-7. The following set of graphics detail Expenditure Category and Project information for all Collier County activities within this Recovery Plan. Public Heal Public Health represents fourteen percent of total funds allocated to address public health challenges and needs. Programs providing COVID-19 response and associated services have �� been identified, falling into the following categories: Other COVID-19 Public Health Expenses (EC-1 COVID-19 Assistance to Non -Profits (EC-1.9) Public Health Mental Health Services EC-1.12 (EC-1) Mental Health Services (EC-1.12) Other Public Health Services EC-1.14 Other Public Health Services (EC-1.14) CC 1.7 $2,700,000 CC 3.4 $2,000,000 CC 1.5 $5,500,000 CC 1.9 $315,000 CC 1.3 $175,000 CC 4.5 $150.000 Collier County, Florida 2023 Recovery Plan Performance Report 20 Collier County is taking a comprehensive view toward individual and business negative 00 economic impact assistance. Forty-three percent of total funds are allocated within this category. The following expenditure categories have been identified for program spending: o `:�N'o Expenditure .- -.. Project Amount -..Number (EC-2.1) Food Programs CC 1.4 $5,115,000 EC-2.1 Food Programs CC 4.2 $1,546,000 (EC-2.1) Food Programs CC 4.3 $561,490 (EC-2.2) Household Assistance: Rent, Mortgage, and CC 1.1 $8,933,968 Utility Aid (EC-2.2) Household Assistance: Rent, Mortgage, and CC 1.6 $591,032 Utility Aid Negative Economic (EC-2.2) Household Assistance: Rent, Mortgage, and CC 1.8 $1,436,018 Utility Aid Impacts (EC-2) (EC-2.15) Long-term Housing Security: Affordable CC 4.4 $8,790,000 Housing (EC-2.24) Addressing Educational Disparities: Aid to CC 4.1 $849,304 High Poverty Districts (EC-2.29) Small Business Assistance — Loans or CC 2.2 $2,689,137 Grants to Mitigate Financial Hardship (EC-2.34) Assistance to Impacted Nonprofit CC 1.2 $1,500,000 Organizations TOTAL 949 Twenty-one percent of total funds are allocated within this category. The following table presents projects within this category: Collier County, Florida 2023 Recovery Plan Performance Report 21 The County will recognize Collier EMS staff for their heroic efforts with a one-time $2,000 OO hazard pay distribution for each employee that served on the front line during the 2020-21 pandemic response. One percent of total funds are allocated within this category: <5�� Recognizing that Collier County can nimbly respond to evolve local needs as the community emerges from the pandemic by pursuing the broad range of allowable services enabled by this expenditure category, the County has selected EC 6.1 for funding allocation. Thirteen percent of total funds are allocated within this category: 101 This category includes funding for grant management and evaluation of programs and outcomes until late 2026. Eight percent of total funds are allocated within this category. Expenditure : Q Category areas are as follows: U These areas will promote a well-rounded recovery from the pandemic over the next five years — as funding must be fully obligated by December 31, 2024 and expended by December 31, 2026. Collier County, Florida 2023 Recovery Plan Performance Report 22 Other Federal Funds Currently in Use to Respond to COVID-19 Collier County has deployed federal response and recovery funds since mid-2020. Through its CARES programs — amounting to $67.1 million, which are now fully exhausted - the County was able to prevent further crises and achieve economic stabilization. This included individual assistance (CCAP) and business assistance grants that have been re -tooled for inclusion in the current recovery plan (CC 1.1 and 2.2). A review of four currently active federal recovery funds totaling $23 million is provided below for broader context: Community Development Block Grant (CDBG) CV [$2,744,274] - Annually, utilizing a formula basis, Collier County is awarded grant funding from the U.S. Department of Housing and Urban Development (HUD). Collier County utilizes fifteen percent (15%) of its annual allotment of grant funding for public service activities and the balance is utilized to support public activities related to a variety of infrastructure projects (i.e., stormwater planning, sidewalks, new fire station, etc.). All funds must meet a National Objective — Low - to -moderate Income, prevent or eliminate slum and blight or urgent community need. Specific projects support legal service for businesses, senior center, health services. HOME Investment Partnership (HOME)- ARP [$2,729,078] — Collier County is considered a Participating Jurisdiction (PJ) for the HOME program. The funding received, is allocated utilizing a formula designed to reflect relative housing need. These funds are utilized to implement local housing strategies that enables Collier County to increase affordable housing opportunities for low and very low-income families. Funding will support the acquisition of a transitional housing complex for persons who are homeless or at risk of homelessness and may have special needs. Emergency Solutions Grant (ESG) CV [$3,183,770] — The U.S. Department of Housing and Urban Development, awards grants on a formula basis, to Collier County. These funds are utilized to provide emergency assistance to people who are homeless or at risk of homelessness so that they might quickly regain stability in permanent housing. Funding will support rapid rehousing, case management, and shelter operations. Emergency Rental Assistance (ERA) [$14,329,718] - Funds provided via the US Treasury to local governments to assist with rental debt and evictions and the loss of basic housing security. COVID-19 has exacerbated an affordable housing crisis that predated the pandemic and that has exacerbated deep disparities that threaten the strength of an economic recovery that must work for everyone. To meet this need, the Emergency Rental Assistance program makes funding available to assist households that are unable to pay rent or utilities. Two separate programs have been established: ERA1 provides up to $8M under the Consolidated Appropriations Act, 2021, which was enacted on December 27, 2020, and ERA2 provides up to $6.3M under the American Rescue Plan Act of 2021, which was enacted on March 11, 2021. Collier County will continue to monitor funds use and impacts across Recovery Plan projects and the above programs to ensure that funds are utilized efficiently and effectively, without duplication. Collier County, Florida 2023 Recovery Plan Performance Report 23 PROMOTING EQUITABLE OUTCOMES Collier County is committed to the "consistent and systematic fair, just, and impartial treatment of all individuals, including individuals who belong to underserved communities."' through the development and implementation of funding and projects outlined in this Recovery Plan. Equity has served as a guiding principle for the development of the plan, influencing the goals identified, project design, geographic and needs -based provision of services, and intended program outcomes. Collier County will continue to monitor equitable outcomes throughout the funding horizon. A key aspect of project development has been a focus on Qualified Census Tracts (QCTs) and disproportionately disadvantaged residents. American Community Survey Data finds that of Collier County's population of 384,902, roughly 89.3% are white, 7.3% are black, 1.6% are Asian, and 28.6% are Hispanic. 73.3% of housing is owner -occupied, 85.2% of the population has access to broadband, the Median household income is $76,415, and 9.4% of persons are in poverty4. While the poverty rate is comparatively low countywide, areas of more concentrated poverty exist in East Naples, Immokalee, and in the Southwest part of the County. Lower income communities in Collier also display higher social vulnerability scores, as defined by the Center for Disease Control's Social Vulnerability Index (SVI). Variables such as poverty, lack of transportation access, and more crowded housing can figure into a higher SVI score, indicating that these communities may face more challenges during recovery'. QCTs, distributions of household income, as well as CDC's social vulnerability, along with geography -specific projects, are shown in the following maps. Qualified Census Tracts A Qualified Census Tract (QCT) means, "any census tract which is designated by the Secretary of Housing and Urban Development and, for the most recent year for which census data are available on household income in such tract, either in which 50 percent or more of the households have an income which is less than 60 percent of the area median gross income for such year or which has a poverty rate of at least 25 percent." There are 11 QCTs in Collier, including: 7.00, 104.10, 104.20, 106.01, 107.01, 111.03, 112.04, 112.05, 113.01, 113.02, and 114.001. Projects in this plan that focus on housing, food programs, education, and health and wellness target disproportionately disadvantaged persons and QCTs. In addition, several location - based programs and services have been identified in the plan as predominately serving QCTs. Many of the projects serve equitable ends (based on higher need), through a county -wide approach. However, projects CC4.1-4.4 target disproportionately impacted beneficiary populations. These Library, Museum, 3 Executive Order 13985, On advancing racial equity and support for underserved communities. Web Link 4 EDA StatsAmerica: https://www.statsamerica.org/USCP/ American Community Survey, 2019. htti)s://www.census.gov/quickfacts/fact/table/colliercountyforida/PST045219 5 CDC Social Vulnerability: https://www.atsdr.cdc.gov/placeandhealth/svi/fact sheet/fact sheet.html 6 HUD, 2022. https://www.huduser.gov/portal/sadda/sadda qct.html Collier County, Florida 2023 Recovery Plan Performance Report 24 University Extension, and Affordable Housing projects directly serve QCTs or areas of higher social vulnerability, as shown by the following maps. Collier County Qualified Census Tracts - West County ." �., Legend � "�`"" o cI o�y ILD.ry •I `°°L C4.1: Collier Libraries — Golden Gate Gny o— wq.. c.e•a Gor CIuD �i i Y�ro• I O Qualified • ^ Easl Napks O Census Tracts - CC 4.4i collier County Affordable Housing O R—a Ro •I rork: O G•tl WooA l•Yy CIW Gotl Conn Cyy y CIUD RoyY AM noa C4D CollierARP tntr c ��w cal Project N,pr: W., TfC TI•wo aaI C N R�k� CDC/ATSDR/Divlsion of Toxicology and Human Health Sciences/Geospatial Research, Analysis & Services Program I University of South Florida, County of Collier, Esri, HERE, Garmin, USGS, NGA, EPA, USDA, NPS Collier County Qualified Census Tracts - East County Legend CC 4.1 Collier Libraries - Immokalee Qualified Census Traces CC 4.3 Immokalee Pioneer Museum Collier ARP O Project = CC 4.2 Extension Education II r.l• N !� CDC/ATSDR/Division of Toxicology and Human Health Sciences/GeosPaual Research, Analysis & Services Program I University of South Florida, County of Collier, Esri, HERE, Garmin, USGS, NGA, EPA, USDA, NIPS Collier County, Florida 2023 Recovery Plan Performance Report 25 Median Household Income Median Household Income in Collier County is $100,700. By census tract, the median household income ranges from $30,000 to above $100,000 per year, as shown on the map below. Areas shaded in dark red indicate a higher concentration of low-income households. The largest area of concentrated poverty is located in Northern Collier County in the Immokalee area. Golden Gate, East Naples, and South along US-41 toward Naples Manor also contain tracts with modest median household incomes. Several of these areas are served by ARP projects herein. Collier County Household Income Legend > $96,500 Boma $pin0s S62,800 National Figure < M,200 Household - Income O , Collier ARP .... Project N RAJ CDC/ATSDR/Dlviston of Toxicology and Human Health Sciences/GeosOatial Research, Analysis & Services Program I Esn, HERE, Gamin, USGS, NGA, EPA, USDA, NPS Social Vulnerability Social vulnerability refers to the resilience of communities when confronted by external stresses on human health, such as natural or human -caused disasters or disease outbreaks. The CDC's Social Vulnerability Index (SVI) uses 15 U.S. census variables at census tract level to identify communities that may need a higher level of support when recovering from a stressor event. In the map below, darker blue areas indicate higher social vulnerability. Immokalee, East Naples, Golden Gate, and Naples Manor all show a confluence of factors that can affect access to resources and vulnerability to disasters. These areas are mostly congruous with the HUD - identified Qualified Census Tracts and are served by ARP Recovery Plan projects. Collier County, Florida 2023 Recovery Plan Performance Report 26 Collier County Social Vulnerability Index Legend I, .75-1 P ,. Highest Vulnerability .5-.75 .25-.5 0-.25 Lowest Vulnerability Social Vulnerability j Index Collier ARP I Project CN Esn, HERE, Gamin, USGS, NGA, EPA, USDA, NPS I CDC/ATSDR/Division of Toxicology and Human Health Sciences/Geospatial Research, Analysis & Services Program Equitable Outcome Goals Collier County Recovery Plan projects will target Qualified Census Tracts and disproportionately impacted groups — namely lower income populations that are at risk of eviction or foreclosure, populations with health comorbidities that can exacerbate COVID-19 impacts, and those impacted by loss of in -person school instruction due to the pandemic. Food assistance, education, medical services, and public health activities are targeted to populations where low income is endemic, unemployment is higher than the county average, access to education continues to pose challenges, and co -morbidities to respiratory health continue to exacerbate health outcomes. The following goals have been identified, aligning with funding areas prioritized by the County. Public Health Goal (EC-1) Target Impacted and Disproportionately Impacted populations for access to public health services. Negative Economic Impacts (EC-2) Target Impacted and Disproportionately Impacted populations for access to Food Programs, Rent, Mortgage, and Utility Aid, Education Disparities, and Other Economic Support. Collier County, Florida 2023 Recovery Plan Performance Report 27 Awareness Awareness of projects and services funded will be high, given the entities delivering new food, rent, mortgage, mental health services, education, and health services are trusted and established. With partners such as the Collier County Community Foundation, Collier County Libraries, and County Communications, awareness of programs will be transmitted to disadvantaged populations currently served by other funding and programs, and via a host of social media options, including email and Facebook notifications. Access and Distribution The distribution of these programs, and access to them, will predominantly serve low- and moderate -income individuals and families as well as disproportionately disadvantaged populations and groups. Whether through implementation within QCTs or based on identified pandemic impacts to Treasury -identified presumed -eligible beneficiary populations, these programs will address disparities such as wealth and education that exacerbated pandemic impacts. Outcomes Given the above goals, awareness, and distribution of projects, intended outcomes are to address hardships that were unevenly shared during the pandemic. Predominantly lower income persons with less food security, lower access to public health services, and early education will be the recipients, which is aimed at closing gaps in health, food security, and education. Many of the outcomes described above under Key Outcome Goals recognize that residents who have experienced disparities leading to lower income, healthcare, and education are the focus populations of most project interventions. Projects CC 1.1-1.6, 1.8 and 3.4 (Rental Assistance, Mental Health, Housing, and Public Health Services, Food Security, and Housing Navigators), and CC 4.1-4.5 (Education, Food Assistance, Affordable Housing, and Medical Care) were designed to serve residents of historically underserved, QCT, and/or disproportionately disadvantaged communities. Specifically, outputs and outcomes of selected equity - focused or adjacent projects are as follows (see also the Key Performance Indicators section): Expenditure Collier ('.atPnnr\i County Outputs Outcomes Collier County, Florida 2023 Recovery Plan Performance Report 28 Expenditure Collier Category County Project CC 1.5 Mental EC 1.12 Health Services Outputs • At least 8500 total crisis stabilization bed days • At least 1100 persons served annually. • Readmission rates at 30, 90, and 180 days. Outcomes • 75% of individuals served in the Crisis Stabilization Units will receive evidence - based suicide risk screening using the Columbia -Suicide Severity Rating Scale (C-SSRS). • 75% of individuals served in the Crisis Stabilization Units will participate in evidence -based safety planning (Stanley -Brown Safety Plan) to mitigate risk factors and strengthen protective factors post -discharge. Collier County, Florida 2023 Recovery Plan Performance Report 29 EC 1.14 CC 4.5 Collier (Continued) Access to Care • Total number of patients referred by PLAN to medical providers in their network. • Number of services that referred patients received. • Dollar value of donated services as reported by medical providers in PLAN's network. • Number of new medical providers enrolled in PLAN's network. • At least 370 patients referred annually to medical providers in the PLAN network for services. • Referred patients will receive a minimum of 2400 services annually. • At least $3,000,000 worth of donated services annually, reported by medical providers in the PLAN network. • At least 2 new medical providers will be enrolled in PLAN during the agreement period of oerformance. Expenditure Collier ('atAnnry County Outputs Outcomes EC 2.1 (Continued) CC 4.2 University Extension — Reaching More • Number of households participating in evidence -based nutrition education programs. Collier County, Florida 2023 Recovery Plan Performance Report • Number of households in nutrition education programs who increase their knowledge of cost- efficient healthy meal preparation and how increased fruit and vegetable consumption supports nutrition for improved health. 31 • Number of repeat CC 4.3 Collier participants that self - report increased fruit County EC 2.1 Museums: and vegetable Number of households consumption based (Continued) Immokalee receiving food assistance. on CDC Behavioral Pioneer Risk Factor Museum Surveillance System (BRFSS) Fruit and Vegetable questions. • Number of persons or households receiving 25% of persons or eviction prevention households served services. will be impacted or CC 1.6 — disproportionately EC 2.2 Housing • Number of persons or impacted, as defined (Continued) Navigators and households served that by Treasury. Legal Services are impacted or disproportionately • 25% of cases will impacted population, as result in successful defined by Treasury. eviction prevention. Expenditure Collier ('atAnnry County Outputs Outcomes EC 2.2 (Continued) CC 1.8 Affordable Housing — Collier County Emergency Rental Assistance • Number of persons receiving rent, or utility assistance. • 100% of households assisted will be impacted or disproportionately impacted population, as defined by Treasury. Collier County, Florida 2023 Recovery Plan Performance Report 33 Expenditure Collier Category County Outputs Project CC 4.1 Collier Number of students EC 2.24 County Libraries participating in — COLE evidence -based tutoring Program programs. Outcomes • Increased positive attitude towards literacy as measured by pre- and post - survey of participating students. Collier County, Florida 2023 Recovery Plan Performance Report 34 Measuring Equity Assessing the location and extent of underserved populations within this plan has occurred through identification of Qualified Census Tracts, Household Income by Census Tract, and Tract -based Social Vulnerability Index scores. From this, projects have been tailored to serve as many of these areas as possible. Project CC 3.6, Evaluation and Data Analysis, subrecipient agreements, and memorandums of understanding will further define equity -responsive KPIs. Future annual reports will provide qualitative and quantitative updates, coordinated through project CC 3.6, Evaluation and Data Analysis, on how projects and approaches have achieved or promoted equitable outcomes or goals. The "Evidence Base and Impact Evaluation" Team will coordinate with sub -recipients to further build out KPIs and identify service distribution to low income and disproportionately disadvantaged communities. The County may work with the Evaluation Team to elaborate existing Key Outcome and Equity Goals and identify programmatic changes based on data gathered during the project horizon. 2022 In light of final rule guidance, the County is emphasizing services to and data collection upon impacted and disproportionately impacted beneficiaries. This includes persons of low to moderate income, persons experiencing housing or food insecurity, persons experiencing unemployment, recipients of certain federal benefits, inhabitants of Qualified Census tracts, and students who lost access to in -person instruction for a significant amount of time. As reporting data from projects and subrecipients becomes elaborated, reflections of populations served and KPIs related to equity projects will be reported in the Performance Report and Appendix A. 2023 Collier County continues to reduce disparities in life outcomes as well as disparities in public investment to shape those outcomes that will benefit all residents. Collier County continues to develop and implement strategies that identify, prioritize and effectively support the most disadvantaged geographies and populations. All programs are focused on authentically engaging residents, organizations, and other community stakeholders to inform and determine interventions (e.g., policy and program) and investments. The County seeks to improve long-term outcomes both intergenerationally and multigenerational. Data is being used to effectively assess and communicate equity needs and support timely project activities. Working collaboratively and intentionally across departments as well as across leadership levels and decision - makers the County acts urgently and boldly to achieve tangible results. All programs will align policies, processes, practices to effectively address equity challenges throughout the County's workforce (personnel, contractors and vendors) Collier County, Florida 2023 Recovery Plan Performance Report 35 COMMUNITY ENGAGEMENT 2021 The initial Collier County Recovery Plan was developed with significant input from partners and the public. The Community Engagement process began with partner/expert project creation. Proposal worksheets were developed and sent to partners across government and nonprofit sectors, including libraries, museums, and University Extension offices. The proposals developed by partner organizations supported public health response, economic impact responses, and services to disproportionately impacted communities. The initial set of ideas were vetted through the County Commission. Subsequently, a public survey was disseminated to determine if the programs proposed in the Recovery Plan would support the needs of the community, and final tweaks were then made. The figure below shows the steps followed in the Collier County engagement process. At the partner/expert phase Collier County staff met with the Community Foundation of Collier County, The Affordable Housing Advisory Committee, Collier County Health Department, and the Community Mental Health Agency. These meetings, conducted in mid-2021, gave rise to the initial projects which were reviewed by the Commission. Collier County developed its first plan proposal in late Spring 2021, which was shared with the public through its County Commission meeting schedule and noticing protocols. The plan was discussed by the Commission, Collier County, Florida 2023 Recovery Plan Performance Report 36 was made available for public comment, and a draft final version was approved at the June 22, 2021, Board of County Commissioners Board Meeting'. To help raise awareness toward building the final Recovery Plan, a public input survey, website, and a one - page summary were crafted and deployed. The one -page summary and associated social media postings were duplicated in Spanish to disseminate information to the significant Hispanic population living within Collier County. Email outreach was sent to over 1,000 recipients through County and Community Foundation channels and highlighted in Collier County Facebook posts. The below figure shows the distribution of stakeholders who were asked to provide feedback. Collier County ARP Community Engagement Information Recipients 254 42 24 Collier Officials Housing Assistance Housing Assistance Recipients Providers 207 125 Small Businesses Housing and Regulatory Nonprofit Affiliate Relief Network The survey, open from August 13, 2021, through August 20, 2021, received 206 responses. Residents, businesses, non -profits, and others provided answers, and feedback was positive. The following graphics present summary statistics and other highlights from the survey. Collier County, June 22, 2021. CRA Board Meeting Agenda: https://www.colliercountyfl.gov/home/showpublisheddocument/97540/637595144825167868 Collier County, Florida 2023 Recovery Plan Performance Report 37 136 I am responding as a Collier County... Resident ■ Business Non -Profit ■ Other 57 5 6 Resident Business Non -Profit Other 204 respondents provided an answer to their identity for the purpose of the survey. 136 respondents replied as residents, 5 as businesses, 57 as non -profits, and 6 as "other". The following two graphics explore respondents' perception of proposed program benefits to residents and businesses. No 3 Yes Do these program areas add services that Collier County Residents can benefit from? 202 The vast majority — 98.5% - felt that the Collier programs presented by the website and 1-pager could be of benefit to Collier County residents. 133 of the 136 Resident respondents answered that programs and services would benefit people in the County. Collier County, Florida 2023 Recovery Plan Performance Report 38 Do these program areas add services that Collier County Businesses can benefit from? No 12 Yes 194 A strong majority of respondents also felt that the programs depicted by the website and one -page outreach could be of benefit to Collier County businesses — 94.2%. Of note, all five business respondents answered "Yes", that the projects depicted (including business recovery and resilience grants) would be of benefit to area businesses. 54 of the 57 non-profit respondents also found that the projects would benefit businesses. In addition to general perception of the programs, respondents were invited to give open-ended input on public health, economic assistance, community services, essential workers, and infrastructure project preferences. Many of the responses reflect variations on projects as described within the plan, highlighting the importance of mental health and grief services (mentioned over 50 times), food assistance (35 mentions), services to children including education (31 mentions) and childcare (21 mentions), broadband access (22 mentions), training (20 mentions), and additional healthcare (17 mentions). Given the commitment to monitoring and evaluation during the plan horizon, evaluators can return to survey responses for complementary programs should the need arise. Building Capacity of Community Organizations Implementation of Collier County projects will add capacity to local community organizations providing services to communities of color, low incomes, and limited English proficiency. This includes Collier Libraries in QCTs, Collier Museums in QCTs, and University and non-profit partners directly serving these areas. Engagement will continue beyond plan creation, through implementation, and represent a hallmark of Collier ARP funding. 2021 Collier County Communications pushed messaging and information out to the full community. The County Communications and Customer Relations Division is committed to providing accurate, timely and useful information through a multimedia approach. This can include the County website, social media, government access television, printed publications, news releases, and public education and outreach. A full Spanish language complement is provided, and communications will be released during the ARP funding horizon (through 2026) in both English and Spanish. Collier County, Florida 2023 Recovery Plan Performance Report 39 2022 Since the inaugural plan, a significant amount of evolution has occurred. The release of the Final Rule and associated guidance led to project review and necessary adjustments. Per public input to the 2021 survey, however, projects still align with stated preferences. Mental health and grief services are still strongly supported; food assistance now contains the Community Foundation, OF Extension, and Collier Museums projects; education is supplied by the Library COLE and Museum projects; training for businesses through the Business Resilience grants; and additional healthcare through the EMS projects, PPE, PLAN, and Meals of Hope projects. Collier County and partners initiated project specific messaging — for example, CC 1.1 Affordable Housing Grants — as projects began the pre -application process. An upcoming grant cycle project for 2022 will be CC 1.2 — which will include messaging for potential nonprofit grantees. The County continues to engage residents, businesses, and constituents via interaction at all levels. The graphics below serves as an illustrative representation showcasing a utility bill insert and a social media post, strategically employed to amplify the dissemination of messages and information to residents. New project proposals are fielded on a monthly basis and are evaluated according to need, allowability under SLFRF guidelines, and funding availability. Continued engagement of area nonprofits will be a feature of the full project horizon. 2023 Collier County is committed to providing ongoing outreach and communication with potential applicants as they prepare for the launch of the small business recovery program and the affordable housing program. To ensure that these programs are successful in meeting the needs of the community, Collier County will use a range of communication channels, including social media, email, and community meetings. These efforts will be designed to provide clear and concise information about the programs, eligibility criteria, and application procedures, as well as to answer any questions that potential subrecipients may have. Collier County recognizes that effective outreach and communication are critical to the success of these programs, and will continue to work closely with the community to ensure that they are accessible and effective in meeting the needs of those they are designed to serve. "c EV/CT/aAf Pq(D7"1 CE Collier County has expanded its scope to help more residents vvho are struggling to paV rent. �p mortgage or utilities, or a combination of those. Visit ColllerFLAsslstance.corn to apply online and Coi! c,-1. for details such as income and other requirements If you still have questions or have trouble applying, you can email or call the Collier Count, CornrnuniIV and limnan Services Division at (239) 252 CARE (2273).(239) 450 2114 or CollierCoAmericanRecovery@oolliercountyfl.gov. Collier County, Florida 2023 Recovery Plan Performance Report 40 LABOR PRACTICES Collier County utilizes strong labor standards to promote effective and efficient delivery of projects while also supporting economic recovery through strong employment opportunities. The Board of County Commissioners has set a tone for inclusive, competitive labor practices for all employees and contractors. The following paragraphs discuss Collier Human Resources policies and Procurement Services Division values that enable fair labor practices. It is the continuing policy of Collier County Board of County Commissioners to ensure that all Human Resources policies and practices are administered without regard to race, color, religion, sex, age, national origin, physical or mental handicap, or marital status.' All Human Resources practices, including compensation, benefits, discipline, safety, as well as social and recreational activities are administered and conducted in compliance with State and Federal law. All recruitment, selection, placement, promotion, transfer, training, and reduction in force decisions are based solely on the candidates'/employees' job -related qualifications and abilities. Outreach programs may be utilized to recruit, hire, and ensure advancement of qualified minority group members, women, disabled individuals, and veterans. Collier County Government takes steps as necessary to ensure that the work environment is free of unlawful discrimination or harassment. On an annual basis, the County reviews its Human Resources procedures anc strives to ensure that its supervisors and managers adhere to its commitment to Equal Employment Opportunity (EEO) principles. Collier County Government encourages employees who have EEO -related questions, comments, or complaints to discuss them with their supervisor, department director, administrator, or a representative from the Human Resources department. Employees are also encouraged to utilize the Commitment to Fair Treatment Procedure. Additionally, Collier County Government refers applicants and employees to the Florida Commission on Human Relations (FCHR), established in 1969 with the intent of protection against unlawful 8 Collier County Personnel Ordinance No. 2001-50 Collier County, Florida 2023 Recovery Plan Performance Report 41 discrimination. The FCHR assists in claims of wrongdoing, including discrimination, and provides a means for effectively resolving problems should they arises. In 2020, Collier County Procurement Services PROCUREMENT SERVICES DIVISION Division was awarded the N ati o n a I Procurement Vision: The Procurement Services Division is a trusted strategic partner that provides val- ue driven support services. Our vision is to deliver best -class procurement services serv- Institute's 25th Annual ing the best interest of the County. Achievement of Mission: To maximize the value we deliver the County by providing best -class procure- ment services and a commitment to strategic planning and competitive purchasing with consistent procurement support services that assist customers in obtaining their goals in Procurement, which sertringthe community. recognizes procurement Core Values organizations that Honesty lei Integrity: We speak and act truthfully, acknowledging mistakes, keeping commitments and embrace innovation, avoiding silence; we do the right thing even when it is unpopular or nobody would know the difference. professionalism, Service: We value and embrace the opportunity and responsibility to serve our community; our customers come first and we will strive to serve them in a friendly, fair, respectful and efficient manner. productivity, leadership, Accoantability: We are individually and collectively responsible for our behavior and performance; business and e-Procurement. The is conducted in accordance with the highest professional and ethical standards. National Procurement Quality We strive for continuous improvement in the delivery of our service doing the entire job right the Institute encourages the first time. development of Respect: We treat others with dignity and courtesy. excellence and continued Knowledge: We are a learning organization, and encourage and promote continuous personal and profession - al development as a means of enhancing our team members' ability to plan for the future, make good deci- organizational sions and solve customer problems. i m p rove m e nt in public Stewardship: We recognize that we are spending other's money; we carefully manage the resources entrust- ed to us; and, we seek to control costs of operations, improve efficiency and provide the greatest and best and non-profit value and term on invested funds. institutions. Collier Collaboration: We realize that our success is interdependent on the success of other organizations, business- es and institutions of our County, Region and State. We seek, therefore, to work cooperatively with these County is one of the 15 agencies to allocate our collective resources to achieve mutual goals. distinguished first-time Consistency: We provide reliable, stead and uniform service to internal and external customers. winners, one of 32 Self -Initiating /Self Correcting: We are proactive and flexible; quickly adapting to changes in political, market and financial conditions. We believe that our self -initiating, self-correcting behavior helps us learn agencies in Florida, and and encourages and enables us to be independent and collaborative problem solvers. one of 40 Counties in the United States and Exceeding expectations, every day! Canada10»_ The Collier County Procurement Services Division procures more than $800 million annually in goods and services, overseeing awards, market research and analysis, and bids for County contracts. Contractor monitoring and performance observes all regulations required by 2 C.F.R. 200 as pertains to federal funding. Where applicable, the Division 9 Collier County, 2015. https://www.colliercountyfl.gov/Home/ShowDocument?id=61640 0 Collier County, 2021. https://www.colliercountyfl.ciov/your-government/divisions-f-r/procurement-services Collier County, Florida 2023 Recovery Plan Performance Report 42 monitors prevailing wages to ensure that contractors are exceeding federal minima and that compensation is fair and competitive within the County. The vision, mission, and values of Collier County Procurement division center on trust, honesty, collaboration, quality, and beyond to ensure that workers and beneficiaries are respected in their provision and enjoyment of County amenities. Collier County, Florida 2023 Recovery Plan Performance Report 43 USE OF EVIDENCE For Collier County projects falling within the categories of Public Health (EC 1) and Negative Economic Impacts (EC 2) the County is committed to identifying how funds are being used for evidence -based interventions, and where applicable, how project impacts can be evaluated in a way that builds evidence. In addition to evidence presented here and by subrecipients, project CC 3.5 will bring in the services of an Evidence Base and Impact Evaluation team to coordinate activities in these areas. The treasury defines evidence -based projects as "interventions with strong or moderate evidence": • Strong evidence means the evidence base that can support causal conclusions for the specific program proposed by the applicant with the highest level of confidence, as backed by one or more well -designed and well -implemented experimental study conducted on the proposed program with positive findings on one or more intended outcomes. • Moderate evidence means that there is a reasonably developed evidence base that can support causal conclusions. It consists of one or more quasi -experimental studies with positive findings on one or more intended outcomes or two or more non -experimental studies with positive findings on one or more intended outcomes." The following Collier County projects under EC 1 and 2 will strive to include evidence -based findings to justify program activities: Percent of Project Expenditure Description Evidence -based Findings Project Category Backed by Evidence " U.S. Department of the Treasury. "Coronavirus State and Local Fiscal Recovery Funds Guidance on Recipient Compliance and Reporting Responsibilities". 2021 Collier County, Florida 2023 Recovery Plan Performance Report Project Expenditure Description Evidence -based Findings Category Barnett, M.L., Gonzalez, A., Miranda, J. Chavira, D.A. Lau, A.S (2018). Mobilizing community health workers to address mental health disparities for underserved populations: A systematic review. Adm Policy Ment Health, 45:195-211. DOI 10.1007/s10488-017- 0815-0 Kangovi, S., Mitra, N., Grande, D., Mental Long, J.A., Asch, D.A. (2020). Health EC 1.12 $315,000 to Evidence -based community health and provide worker program addresses unmet social substance Mental evidence -based needs and generates positive return on abuse Health mental health investment, Health Affairs, 39(2),207- Services and substance 213. DOI 10.1377/hlthaff.2019.00981 services abuse services. CC 1.9 Whitley, E.M., Everhart, R.M., Wright, R.A. (2006) Measuring return on investment of outreach by community health workers. Journal of Health Care for the Poor and Underserved, 17(1), 6- 15. https://doi.org/l 0.1353/hpu.2006.0015 *Full Evidence Base maintained by FGCU Impact and Evaluation Team; available upon request. Percent of Project Backed by Evidence *(see below) Collier County, Florida 2023 Recovery Plan Performance Report 45 Percent of Project Expenditure Description Evidence -based Findings Project Category Backed by Evidence Extension Family and Consumer Science $1,546,000 to Programs and the Family Nutrition provide classes, Program use a: "comprehensive set of EC 2.1 demonstrations, best practices in nutrition education for Reaching and meal low-income audiences". Best practices More — Household supplements that are elements and/or strategies, supported Extension Assistance: support nutrition by evidence, that have been shown to be Education Food strategies and effective in achieving programmatic CC 4.2 Programs food preparation outcomes" Web link to promote nutritional Full Evidence Base maintained by FGCU security. Impact and Evaluation Team; available upon request. Collier County, Florida 2023 Recovery Plan Performance Report *(see below) ME Percent of Project Expenditure Description Evidence -based Findings Project Category Backed by Evidence $8,933,968 to address housing A study of housing assistance programs needs exacerbated by during Covid-19 found that "many EC 2.2 the COVID-19 programs were ultimately successful in Household pandemic — serving households within a limited time Affordable Assistance: rental assistance period." Partnering with local nonprofits Housing — and mortgagessistance led to better outcomes. Reina, Ellen, "COVID-19 Mortgage Rent, assistance a for 0- Aurand et al. Emergency and Rent Mortgage, AM I, as well Rental Assistance: Analysis of a National CC 1.1 and Utility as housing Survey of Programs" 2021. Web Link Aid navigators and Full Evidence Base in development and to legal services to be maintained by FGCU Impact and assist persons Evaluation Team. experiencing homelessness. *(see below) Collier County, Florida 2023 Recovery Plan Performance Report 47 Percent of Project Expenditure Description Evidence -based Findings Project Category Backed by Evidence $1,436,018 to address housing A study of housing assistance programs needs during Covid-19 found that "many exacerbated by programs were ultimately successful in Affordable EC 2.2 the COVID-19 serving households within a limited time Housing — Household pandemic — period." Partnering with local nonprofits Collier County Assistance: rental assistance led to better outcomes. Reina, Ellen, Emergency Rent, to Collier Aurand et al. "COVID-19 Emergency Rental Mortgage, and County's most Rental Assistance: Analysis of a National Assistance Utility Aid disadvantaged Survey of Programs" 2021. Web Link CC 1.8 residents and reduce Full Evidence Base in development and to homelessness be maintained by FGCU Impact and and housing Evaluation Team. instability. *(see below) Collier County, Florida 2023 Recovery Plan Performance Report 48 Project Expenditure Description Evidence -based Findings Category EC 2.24 Collier Addressing $849,304 to County Educational fund library Libraries — Disparities: education COLE Program Aid to High assistance CC 4.1 Poverty programs Districts Cindy Mediavilla of UCLA Dept. of Information Studies provides models for Homework Centers in her book Creating & Managing the Full Service Homework Center 2018. Web Link Best practices for Teen life skills groups have been explore by Christopher Harriet (2010) Web Link and the Young Adult Library Services Organization (2017). Web Link. Libraries have functioned as educational building blocks for communities and continue to evolve to meet educational needs. Anne Whisken provides context on the "changing role of libraries, which involve considerations of the move from hard copy to digital resources and new views about the ways the library itself should operate. (Whisker, Anne. Synergy. 2015 Web Link). Percent of Project Backed by Evidence *(see below) Collier County, Florida 2023 Recovery Plan Performance Report 49 Percent of Project Expenditure Description Evidence -based Findings Project Category Backed by Evidence Best practices for new collection design are explored by authors such as Paul Betty —"Assessing Homegrown Library Collections: Using Google Analytics to Track Use of Screencasts and Flash - based Learning Objects" (2009). Web Link Full Evidence Base maintained by FGCU Impact and Evaluation Team; available *The County is working with an Evidence Base and Impact Evaluation Team (CC 3.5) to determine feasible evidence -based project expenditure amounts. The Team may also make recommendations regarding a learning agenda or other tools for overall program monitoring and evaluation. Collier County, Florida 2023 Recovery Plan Performance Report 50 TABLE OF EXPENSES BY EXPENDITURE CATEGORY The following table of expenses by category details Collier County's anticipated project expenses for the full SLFRF award amount ($74,762,701), to be obligated by December 31, 2024. As of December 31, 2022, Expenditure Categories are divided between project -based allocations (planned expenditures), MOUs and Agreements (Obligations), and Expenditures. The County is working to fully on-line all projects and expects obligations and expenditures within all categories by late 2023. Current Total Projects: 21 Current Total Amount: $74,762,701 9ublic Health (EC-1) Amou ][1anned .. .. Expenditures .- -.. L - .o �W6 ry Plan Other COVID-19 Public $2,700,000 1.7 Health Expenses Allocated as $1,700,000 $0 $0 Projects COVID-19 Assistance to $2,000,000 1.9 Non -Profits Allocated as $0 $0 $0 Projects $5,815,000 1.12 Mental Health Services Allocated as $5,500,000 $2,062,507.50 $2,062,507.50 Projects 1.14 Other Public Health $325,000 Allocated as $175 000 $45,000 $45,000 Services Projects $100,000 Collier County, Florida 2023 Recovery Plan Performance Report 51 Negative Economic Impacts (EC-2) 0 _ 0 O 0 0 PlannedAmount of 12.31.2022 Expenditures spent-.. date of 12.31.2022 Recovery Plan Household $7,222,490 $5,115,000 2.1 Assistance: Food Allocated as $1,546,000 $5,115,000 $0 Programs Projects $561,490 Household Assistance: Rent, $10,961,018 $1,280,735.77 $1,259,326.91 2.2 Mortgage, and Allocated as $620,532 $1,237,639.61 UtilityAid Projects Long-term Housing $8,790,000 2.15 Security: Affordable Allocated as $0 $0 $0 Housing Projects Addressing Educational $849,304 2.24 Disparities: Aid to Allocated as $849,304 $0 $0 High -Poverty Projects Districts Assistance to Small Businesses: Loans $2,689,137 2.29 or Grants to Allocated as $0 $0 $0 Mitigate Financial Projects Hardship Assistance to $1,500,000 2.34 Impacted Nonprofit Allocated as $1,500,000 $0 $0 Organizations Projects Collier County, Florida 2023 Recovery Plan Performance Report 52 Public Health -Negative Economic Impact: Public Sector Capacity (EC-3) G* O0 Premium Pay (EC-4) Collier County, Florida 2023 Recovery Plan Performance Report 53 Category Cumulative Amount 1 lanned Obligations spent since xpenditures to as of Expenditures last to 12.31.2022 as of Recover 12.31.2022 lik plan Cumulative Amount Planned Obligations Expenditures spent since Expenditures to as of as of last date 12.31.2022 12.31.2022 Recovery Plan 'ww u 5 •�'i'a � ll�rl lYl i��P I�I��iJA �-. - �•,rpY.r ■.i _ i As presented above, Collier County has currently identified 23 projects falling under 14 expenditure category areas in its initial Recovery Plan. These projects respond to partner feedback, information about outstanding needs and underserved populations, and public feedback. However, given the long horizon, likelihood of evolving needs, and extensive expenditure category breadth, it is expected that projects and expenditure categories may change over time. Project CC1.1: Affordable Housing $8,933,968 - Mortgage and Rent Project EC 2.2 — Household Assistance: Rent, Expenditure Funding Amount Category Mortgage, and Utility Aid Collier County will implement direct grant assistance to individuals and families in the form of rent, mortgage, utility assistance, and other expenses related to housing instability as defined by the County. Rental assistance may include first month's rent, last month's rent, and initial fees including but not limited to: relocation assistance, security deposit, application fee, utility fees, pet fees, or any other fees associated with obtaining a new lease agreement. The rental program will be available to individuals with income of 0% to 140% AMI, and the mortgage Project Overview program will serve households up to 140% AMI, targeting residents in QCTs and those at or below 185% of the Federal Poverty Level. The program will provide a maximum of $25,000. The primary delivery mechanism will be through online applications, and the County will partner with all housing assistance and marketing entities for messaging. The intended outcome is to assist rental households and owner -occupied households to avoid eviction, foreclosure, and potentially homelessness. The goal of Collier County's Mortgage and Rent project is to prevent an increase of individuals and families in poverty as exacerbated by COVID-19. While COVID-19 presented a new stressor to housing stability, rental and mortgage assistance programs acting via a cash transfer, are long established mechanisms for preventing loss of housing. The efficacy Goals & of state and local rental assistance programs during COVID-19 was provided by The National Use of Evidence Low Income Housing Coalition, found at this link: Web Link. The County intends to work with an Evidence Base and Impact Evaluation Team (CC3.5) to determine feasible evidence -based project expenditure amounts and other KPIs and evaluation techniques. Website https://www.colliercountyhousing.com/ Timeline 2021-2024 Collier County, Florida 2023 Recovery Plan Performance Report 55 Project CCU: Help for Vulnerable Individuals and Families - Not for Profits Funding Project EC 2.34 — Assistance to Impacted Nonprofit $1,500,000 Expenditure Amount Category Organizations This project will provide $1.5 million in the form of grants to Collier County nonprofit organizations that have been impacted by the pandemic. Grants will not exceed $50,000 per entity, and applicants must show impacts such as decreased revenue, financial insecurity, increased costs, capacity to weather financial hardship, or challenges covering payroll. Project Overview The project will be implemented through direct awards and competitive grants to nonprofit organizations that Outcomes will include sustained services to Collier County beneficiaries, as provided by assisted nonprofits. The goal of this project is to assist Collier County nonprofit organizations, and by so doing, provide continuity and enhancement to the services offered to their constituent populations. Goals & Use of Nonprofit subrecipients will implement these services. An evidence base is not required for Evidence this Expenditure Category, however the County is working with an Evidence Base and Impact Evaluation Team (CC3.5) to evaluate this project based on KPIs and analysis found in Appendix A. Website https://colliercf.orgg/ Timeline 2022-2026 Collier County, Florida 2023 Recovery Plan Performance Report 56 M ' • - • - • • or Funding Amount $175,000 Project Expenditure EC 1.14 Other Public Health Services Category This project will provide food, nutrition, and diabetes counseling services to impacted and disproportionately impacted Collier County residents improve health for comorbidities associated with COVID-19. It includes home visits for low-income individuals with diminished mobility and diabetes -specialized meal delivery. A comprehensive diabetes care center will be outfitted in the Immokalee Qualified Census Tract to provide public health consultations to Project Overview beneficiaries. This project will be implemented through a subrecipient agreement with a nonprofit partner organization. Nonprofit subrecipients will report on KPIs and project progress through a web -based software portal. Outputs include food deliveries and individuals served by public health consults. The goal of this program is to reduce the severity of diabetes in individuals served, thereby improving overall health. Individuals served will be Treasury Impacted or Disproportionately Goals & Impacted populations. Use of Evidence While EC 1.14 does not require an evidence base, studies show that comorbidities exacerbate COVID-19 (web link). Further evidence and evaluation will be determined by the subrecipient's work with the Evidence Base and Impact Evaluation Team (CC 3.5). Website https://mealsofhope.or Timeline 2022-2026 Collier County, Florida 2023 Recovery Plan Performance Report 57 0 0 'C^1' 0 0 Project• • • Security for CollierCounty• $5,115,000 Project Expenditure Funding Amount EC 2.1 Household Assistance: Food Programs Category This project addresses food access, affordability, and infrastructure for healthy, fresh food. Funds will bolster emergency food operations, strengthen local food distribution systems, expand nutrition education, and reduce hunger. The primary delivery mechanism will be a Project sub -grantee agreement with Community Foundation of Collier County to support local food Overview banks. The project will also support trainings and demonstrations of nutrition education and marketing for local food systems. Outcomes will include greater food security and higher nutrition for disadvantaged Collier County residents. The goal of the project is to reduce hunger and malnutrition in Collier County, as exacerbated by COVID-19. Sub -grantees will draw from best practices in hunger relief organizations, as detailed by evidence such as that found here: Goals & Use of Evidence Further evidence base will be detailed by the subrecipient. Alternatively, an impact evaluation may be conducted. The County intends to work with an Evidence Base and Impact Evaluation Team (CC3.5) to determine feasible evidence -based project expenditure amounts and other KPIs and evaluation techniques. Website https://colliercf.orgg/ Timeline 2021-2022 Collier County, Florida 2023 Recovery Plan Performance Report IN ' • i - Funding $5,500,000 Project Expenditure EC 1.12 Mental Health Services Amount Category This project will provide $5.5 million for mental health services to individuals in Collier County. As a result of the pandemic, increased social isolation has exacerbated depressive Project Overview and affective disorders; these funds will be used toward the outcome of reducing negative mental stresses in all individuals served. The Goal of this project is to reduce mental health burdens and negative associated behaviors for all persons served. Evidence will be provided by sub -recipients to verify method, and impact evaluation will be utilized where appropriate. Nonprofit subrecipients will implement these services. Further evidence base will be detailed Goals & by the subrecipient. An impact evaluation may be conducted. The County intends to work Use of with an Evidence Base and Impact Evaluation Team (CC3.5) to determine feasible evidence - Evidence based project expenditure amounts and other KPIs and evaluation techniques. Documentation on use of procedures as evidence based in literature was provided by subrecipient January 2022. Evidence bibliography has been reviewed as sufficient by Impact Evaluation Team as appropriate, and can be provided upon request. Website https://davidlawrencecenters.org/ Timeline 2021-2024 Collier County, Florida 2023 Recovery Plan Performance Report 59 0 0 'C^1' 0 0 Project• • Navigators and Legal Funding Project EC 2.2 Household Assistance: Rent, $591,032 Expenditure Amount Category Mortgage, and Utility Aid Housing Navigator Services will complement CC 1.1 Housing and Rental Assistance, in the form of "navigators" who assist persons at risk of eviction with navigating the Collier County Courts system. A housing navigator and legal services will be provided, who will assist Project residents to negotiate payment plans and other means of avoiding loss of housing. Overview Outcomes will include lower rates of eviction among persons served as detailed in the KPI tables. The project began in 2022 with an agreement with a local not -for -profit housing counseling agency and legal aid nonprofit is developed — anticipated to run through 2024. A first goal for this project is to decrease eviction rates among persons served. A second goal of this project is to extend housing services to Collier County's most disadvantaged residents and reduce homelessness and housing instability. Goals & Use of Evidence base for this project will be developed by the subrecipients and the FGCU impact Evidence evaluation team, and maintained by FGCU. An impact evaluation may be conducted. The County intends to work with an Evidence Base and Impact Evaluation Team (CC3.5) to determine feasible evidence -based project expenditure amounts and other KPIs and evaluation techniques. Website https://collierlegalaid.org and https://floridahelp.org . Timeline 2022-2024 Collier County, Florida 2023 Recovery Plan Performance Report 0 Funding $2,700,000 Project Expenditure EC 1.7 Other COVID-19 Public Health Amount Category Expenses This project will provide funding toward the acquisition of much -needed fleet improvements for Collier County EMS. Pandemic -related calls increased strain on existing EMS transportation capital stock, accelerating asset depreciation and impacting the ability to provide a high level of service in public health and medical response. Through CC 1.7, up to four new ambulances and four light duty trucks will be added to the EMS fleet to enhance response to medical emergencies throughout the recovery phase of the pandemic. Equipment Project supporting EMS services will be purchased to further outfit the ambulances and trucks, Overview including but not limited to: radios, lighting, sirens, and health monitoring and healthcare equipment. This project will be implemented by Collier County EMS through an MOU agreement. A written justification of the project will be maintained by the County in accordance with Treasury Final Rule Capital Expenditure guidance for projects with total capital expenditure between $1 and $10 Million. The Goal of this project is to maintain and enhance a high level of service provided by Collier County EMS in direct services to the public. Goals & Use of Evidence FGCU will work with the County subrecipient to finalize Key Performance Indicators and metrics, which will be updated in future versions of the Recovery Plan. An impact evaluation may be conducted. This Expenditure Category does not require an evidence base. Website https://www.colliercountyfl.gov/government/county-manager- operations/divisions/emergency-medical-services Timeline 2022-2024 Collier County, Florida 2023 Recovery Plan Performance Report 61 Project AssistanceRental • Affordable Collier Funding Project EC 2.2 — Household Assistance: Rent, $1,436,018 Expenditure Amount Category Mortgage, and Utility Aid Collier County recognizes the deep rental debt and fear of evictions and the loss of basic housing security experienced by many residents. COVID-19 has exacerbated an affordable housing crisis that predated the pandemic and that has deep disparities that threaten the strength of an economic recovery that must work for everyone and as such with the closure of ERA many households need some assistance through their ERA obligation period. To cover these needs of these impacted and disproportionately impacted families, Collier County Project Overview will use ARP funds to assist. The program requirements for this project will mirror those of ERA2, families and expenditures will be administratively transferred from ERA2 to the Emergency Rental Assistance program to prevent any undue burden. It is the intent that this project will assist only through a current obligation, with a maximum amount of $25,000 in assistance or 18 months whichever comes first, documentation requirements will mirror the ERA2 program. The goal of Collier County's Emergency Rental Assistance program is to decrease eviction rates and provide utility assistance to Collier County's most disadvantaged residents and Goals & reduce homelessness and housing instability. Use of Evidence The County intends to work with an Evidence Base and Impact Evaluation Team (CC3.5) to determine feasible evidence -based project expenditure amounts and other KPIs and evaluation techniques. Website https://www.colliercountyhousing.com/ Timeline 2021-2024 Collier County, Florida 2023 Recovery Plan Performance Report WE ' • Services • and Substance Abuse Funding Amount Project $315,000 Expenditure EC 1.12 Mental Health Services Category This project will provide $315,000 for mental health and substance abuse services to individuals in low to moderate -income areas in Collier County. As a result of the pandemic, increased social isolation has exacerbated depressive and affective disorders. The project Project Overview funds will be used toward providing informal mental health and substance abuse counseling, referrals for primary care services and a variety of outreach events to address healthy lifestyles including physical and mental health . The Goal of this project is to improve community prevention, advocacy, and education related to mental health and substance use disorders for all persons served. Evidence will be provided by sub -recipient to verify method, and impact evaluation will be utilized where appropriate. Goals & Use of Nonprofit subrecipients will implement these services. Further evidence base will be detailed Evidence by the subrecipient. An impact evaluation may be conducted. The County intends to work with an Evidence Base and Impact Evaluation Team (CC3.5) to determine feasible evidence - based project expenditure amounts and other KPIs and evaluation techniques. Evidence bibliography has been reviewed as sufficient by Impact Evaluation Team as appropriate, and can be provided upon request. Website https:Hhealthcareswfl.org/ Timeline 2021-2024 Collier County, Florida 2023 Recovery Plan Performance Report 63 0 0 'C^1' 0 0 ProjectRecovery Funding Project EC 2.29 Loans or Grants to Mitigate $2,689,137 Expenditure Amount Category Financial Hardship The small business recovery project will provide grants of up to $25,000, for Economic Injury Disaster Loan (EIDL) forgiveness. The program will be managed by the County through an Project online portal -based application. Overview Partners will include area business assistance nonprofits; outcomes are approximately 100 instances of business assistance, resulting in fewer business with business with long-term debt/financial burden. The goal of this program is to assist approximately 100 businesses, resulting in lower financial burden. Business assistance throughout the pandemic has been documented to have achieved a positive effect: Web Link. A literature review has been conducted by FGCU Goals & and is available upon request. Evaluation of the project will occur via metrics on savings in Use of interest payment from loans. Evidence An impact evaluation may be conducted. The County intends to work with an Evidence Base and Impact Evaluation Team (CC3.5) to determine feasible evidence -based project expenditure amounts and other KPIs and evaluation techniques. Website https://www.colliercountyhousing.com/ Timeline 2023-2026 Collier County, Florida 2023 Recovery Plan Performance Report 121 Project . . • for ligesponders Project Funding EC 4.1: Premium Pay for Public Sector $380,000 Expenditure Amount Employees Category Collier County EMS workers provided critical COVID-19 response throughout the 2020 and 2021 pandemic. For these heroic efforts, Collier County will be providing a one-time, $2,000 Project Overview hazard pay distribution to each EMS employee for services rendered between March 2020 and the initiation of this award cycle. Goals include recognition of essential frontline work and increased employee retention. This project was implemented and completed during 2022. Expenditure Category 4.1 does not require an evidence -based approach. Evaluation will Goals & include metrics on employee retention and job satisfaction, reported following the hazard pay. Use of Evidence This project expenditure category does not require an evidence -based allocation. Website https://www.colliercountyhousing.com/ Timeline 2022 Collier County, Florida 2023 Recovery Plan Performance Report 65 Project CC3.2: Public Health and Safety Operations and Response Funding Project EC 3.1 Public Sector Workforce: Payroll and Amount $15,166,770 Expenditure Benefits for Public Health, Public Safety, or Category Human Services Workers This project will cover costs incurred by Collier County Emergency Medical Services to cover payroll and benefits of employees responding to COVID-19. Staff will attest to COVID-19 Project Overview related work activities. This project will begin once monitoring protocols have been established, following submission of the Recovery Plan. Outcomes include maintaining employee retention. Goals for this project are maintained employee retention. While this project expenditure Goals & category does not require an evidence base, activity will be monitored to ensure activities Use of correspond to COVID-19 response. Evidence This project does not require evidence -based allocations. Website https://www.colliercountyfl.gov/government/county-manager- operations/divisions/emer enc -medical-services Timeline 2023-2026 Collier County, Florida 2023 Recovery Plan Performance Report 66 Project • • Funding Project Amount $5,763,982 Expenditure EC 7.1 Administrative Expenses Category This project covers staff and consultant activities dedicated to ensuring program compliance, monitoring, auditing, and administration. New staff capacity will be added through December Project 2026. This project will begin following submission of the Recovery Plan and continue Overview throughout the duration of allowable SLFRF funding timelines. It will primarily involve Collier County and consultant partners. Outcomes include compliance and monitoring for all other SLFRF Recovery Plan projects. Goals for this project are project success for all other areas within the Recovery Plan. While this project expenditure category does not require an evidence base, Collier County is Goals & committed to open, transparent, efficient government and is keeping administrative costs to Use of lower than 10%. Evidence This project does not require evidence -based allocations. Website hops://www.colliercountyhousing.com/ Timeline 2021-2026 Collier County, Florida 2023 Recovery Plan Performance Report 67 Funding Amount $2,000,000 Project Expenditure EC 1.9 COVID-19 Assistance to Non -Profits Category The NCH Healthcare System is a not -for -profit, multi -facility healthcare system located in Naples, Florida. NCH and the medical facilities and hospitals that fall under their jurisdiction have been on the frontline of the public health emergency providing services to prevent and mitigate COVID-19 to the general public. Responding to the pandemic required NCH to increase their COVID-19 treatment capacity. The market for nursing staff was highly Project competitive and staffing shortfalls were a challenge. In addition, due to staffing shortfalls in Overview the summer, the hospital was required to fill nursing positions through staffing agencies. The goal of the grant to NCH is to mitigate financial hardship by offsetting the increased personnel payroll costs due to COVID-19 and maintain safe nursing staffing levels to patient census to ensure safety and quality of care delivery. Staff will attest to COVID-19 related work activities and outcomes include maintaining nursing staffing levels to care for COVID-19 patients. The goals of this project are to offset increased personnel payroll costs due to COVID-19 and Goals & maintain safe nurse staffing levels to patient census to ensure safety and quality of care Use of delivery. Evidence This project does not require evidence -based allocations. Website https:Hnchmd.org Timeline 2022-2026 Collier County, Florida 2023 Recovery Plan Performance Report 68 ' •ject CC3.5: Evaluation and Data Analysis Funding Project EC 3.4 Public Sector Capacity: Effective $600,000 Expenditure Amount Category Service Delivery This project will create the systems and evaluation processes to assist Collier County ARP projects to measure impact transparently and with a focus on efficacy, equity, and efficiency. Project It will include services procured to assist with meeting Treasury Guidelines on evidence base Overview and impact evaluation for all relevant Collier ARP projects. Outcomes include evaluation and analysis that leads to optimized health, food security, housing, medical, disadvantaged services, and economic support programs in Collier County. Goals for this project are project include high level of service in measuring and evaluating Collier County ARP projects, such that residents, businesses, and nonprofits are served in Goals & ways that improve community health and prosperity. This project will streamline and refine Use of the use of evidence and monitoring for all projects proposed in the recovery plan requiring Evidence evidence and evaluation. This project does not require evidence -based allocations. Website https://www.fgcu.edu/ Timeline 2022-2026 Collier County, Florida 2023 Recovery Plan Performance Report 69 ' •ject CC 3.6: Collier CountyRevenue Replacement Funding Amount $10,000,000 Project Expenditure EC 6.1 Provision of Government Services Category This project involves election of the use of Treasury's standard $10 Million dollar Revenue Replacement option, enabled via the 2022 SLFRF Final Rule. These funds will be utilized to provide government services normally provided in Collier County. Collier County will Project implement the project. Project Key Performance Metrics include tracking the dollars spent to Overview date on provision of government services, and number of Public Safety personnel supported. This project addresses the need for government services traditionally provided by Collier County, which have been impacted by pandemic related volatility, namely public safety. The goal of this project is to enable provision of government services typically provided by Collier County, which have been negatively impacted by pandemic volatility. While this Goals & expenditure category does not require an evidence based, these activities represent Collier's Use of long-time commitment to excellence in the provision of public services. Evaluation will occur Evidence via tracking of Key Performance Indicators. This project expenditure category does not require an evidence -based allocation. Website hops://www.colliercountyhousing.com/ Timeline 2022-2026 Collier County, Florida 2023 Recovery Plan Performance Report 70 0 0 Q 0 0 ProjectCollierCounty• CommunityOutreach, Literacy, • Education Funding Project EC 2.24 Addressing Educational Disparities: $849,304 Expenditure Amount Aid to High Poverty Districts Category The Community Outreach, Literacy and Education (COLE) Program will provide educational sessions at the Golden Gate and Immokalee libraries, both serving Qualified Census Tract (QCT) populations. The library will offer a minimum of three sessions per week to support literacy and improved educational outcomes of local school -age students in grades K-12 or participants engaged in General Educational Development (GED) or in pursuit of a high Project school diploma. A COLE coordinator will serve at each branch, preparing for and overseeing Overview community outreach, and homework including English as a Second Language (ESOL). The COLE Program includes the use of laptops for access to online educational resources, materials for instructional sessions, teaching personnel and staff. To support homework help through the COLE program, additional visual, print and audio materials will be purchased to support instruction during the session and for students to check out to practice reading comprehension. Outcomes include increased positive attitude towards literacy skills as measured by pre- and post -survey of participating students. The project will be measured in terms of program registration, attendance, and increased positive attitude toward literacy skills based on pre and post survey. The project draws from evidence in the education field as presented above in the evidence base section. Goals & Use of Evidence base for this project will be developed by the subrecipients and the FGCU impact Evidence evaluation team, and maintained by FGCU. An impact evaluation may be conducted. The County intends to work with an Evidence Base and Impact Evaluation Team (CC3.5) to determine feasible evidence -based project expenditure amounts and other KPIs and evaluation techniques. Website https://www.collierlibrary.org. Timeline 2022-2026 Collier County, Florida 2023 Recovery Plan Performance Report 71 Project• • More - Extension Education Funding Project Amount $1,546,000 Expenditure EC 2.1 Household Assistance: Food Programs Category This project involves nutrition education, healthy meals through food purchases, meal preparation, and activities to improve dietary quality, nutrition literacy, and reduce overall health disparities exacerbated by the pandemic. This project will be executed by the Project University of Florida Institute of Food and Agricultural Science (UFJIFAS) Extension Collier Overview County (AKA University Extension Services). A memorandum of understanding will be developed between Collier County and University Extension Services (UES) to implement this project. Outcomes include participation in activities and education to improve knowledge of cost-effective meal preparation and the importance of fruits and vegetable intake for enhancing health. The goal of this project is to extend the outreach of Extension through increased support of food assistance through nutrition education to low-income Collier County residents who have been adversely affected by COVID, by providing nutrition education to SNAP -eligible recipients in Collier County. Evidence for nutrition education, nutrition literacy, and grocery store tours, particularly when accompanied by healthy food demonstrations as a means of improving food security and Goals & dietary intake, have been shown to be effective through research. Full evidence base will be Use of maintained by the FGCU Impact Evaluation Team. The program will be evaluated in Evidence accordance with goals, such as by participant behavior change through pre- and post-test measures. Collier County OF Extension Office will implement these services. This project involves collaboration with an Evidence Base and Impact Evaluation Team (CC3.5) to evaluate evidence -based project expenditure amounts, KPIs and evaluation techniques. Website https://sfyl.ifas.ufl.edu/collier/ Timeline 2022-2026 Collier County, Florida 2023 Recovery Plan Performance Report 72 ProjectCollierCounty•Pioneer Museum Funding Project Amount $561,490 Expenditure EC 2.1 Household Assistance: Food Programs Category This project consists of recreating a 1.25-acre citrus grove and half -acre garden at Immokalee Pioneer Museum, to provide access to healthier fruit and vegetable options to individuals Project experiencing food insecurity due to hardships exacerbated by the COVID-19 pandemic. Overview The project will be implemented through a memorandum of understanding with Collier County Museums. Outcomes will include lower food insecurity as tracked by produce distributed over the life of the project. Goals of this project include decreased food insecurity for residents within the QCTs surrounding Immokalee. Evidence base supports community gardens provide participants with easier access healthier food options those who participate consume more fruits and vegetables throughout the day than non -community garden program participants. Goals & Collier County Museums will implement this service. Further evidence base will be detailed Use of through the MOU. Full evidence based is maintained by FGCU Impact and Evaluation Team Evidence and is available upon request. This project involves collaboration with an Evidence Base and Impact Evaluation Team (CC3.5) to evaluate evidence -based project expenditure amounts, KPIs and evaluation techniques. Website https:Hcolliermuseums.com Timeline 2022-2026 Collier County, Florida 2023 Recovery Plan Performance Report 73 ProjectCollierCounty• • •le Housing Funding Project EC 2.15 Long-term Housing Security: $8,790,000 Expenditure Amount Category Affordable Housing This project involves the creation of a Loan Fund and a Grant Program that will provide capital to Internal Revenue Code (IRC) Section 42 Low Income Housing Tax Credit (LIHTC), IRC Section 142 Tax Exempt Bond -eligible projects, or other qualifying affordable housing projects located in Collier County. Capital provided in the form of loans will be accounted for in accordance with the Treasury Final Rule, "Treatment of Loans" section. Capital provided in Project the form of grants will be managed as a subrecipient agreement with the Developer. Grants or Overview loans will be utilized to cover all eligible development costs associated with delivery of new affordable housing units, to include but not limited to construction, permitting, survey, developer fees, impact fee and labor and materials. Flexibility of capital access options is intended to facilitate maximum leverage of the program; hence, both loans and grants will be available. The goal for this program is to provide development assistance for affordable housing which serves Collier County impacted and disproportionately impacted households. Goals & Use of Evidence Evidence supporting affordable housing interventions has been gathered by FGCU and can be provided upon request. Website hops://www.mcdprop.com/ and https://www.ruralneighborhoods.org// Timeline 2023-2026 Collier County, Florida 2023 Recovery Plan Performance Report 74 ' • • - -7,P:nJi*.., Funding Amount $150,000 pe EC 1.14 Other Public Health Services Category This project will provide medical services to Impacted and Disproportionately Impacted Collier County residents, including primary, urgent, and specialized care. Individuals with acute and chronic health concerns will be connected to physicians, nurse practitioners, and other healthcare professionals offering pro-bono services through a nonprofit intermediary Project organization. This project will be implemented through a subrecipient agreement with a Overview nonprofit partner organization. Nonprofit subrecipients will report on KPIs and project progress through a web -based software portal. Outputs include referrals made, services provided, and physicians recruited to oin the service provider network. The goal of this program is to address general and specialized illness for beneficiaries served through medical treatment. Individuals served will be Treasury Impacted or Disproportionately Goals & Impacted populations. Use of Evidence While EC 1.14 does not require an evidence base, studies show that comorbidities exacerbate COVID-19 (web link). Further evidence and evaluation will be determined by the subrecipient's work with the Evidence Base and Impact Evaluation Team (CC 3.5). Website www.plancc.org Timeline 2022-2024 Collier County, Florida 2023 Recovery Plan Performance Report 75 M COLLIER KEY PERFORMANCE INDICATORS Key Performance Indicators (KPIs), in addition to those mandated by the Treasury, reflect individuals, families, and businesses served, with an emphasis on outcomes that increase access, decrease negative health outcomes, and evaluate the efficiency, efficacy, and equity. For the August 31, 2021, Recovery Plan, Key Performance Indicators — i.e., outputs and outcomes — have been defined broadly in response to current project definition. As sub -recipient agreements and MOUs are composed, outputs and outcomes may shift to reflect the implementing organization's specific logic model. Please see Appendix A: Collier County KPI Compendium for evaluation on KPIs. From the Collier County inventory of projects, the following KPIs have been developed by expenditure category. The first table provides an overview of KPIs; the second provides data inputs for the current year. Expenditure Associated Output KPIs Outcome KPIs Category Projects EC 1.9 CC 3.4 Public Health and Safety Operations and Response • Maintain sufficient nurse staffing levels during the pandemic to ensure patient safety Collier County, Florida 2023 Recovery Plan Performance Report • Maintain the appropriate level of nursing staffing as evidenced by the ratio of nursing FTE's to Patient Census. 76 EC 1.12 CC 1.5 Mental Health Services • At least 8500 total crisis stabilization bed days • At least 1100 clients served per year • Readmission rates at 30, 90, and 180 days • 75% of individuals served in the Crisis Stabilization Units will receive evidence -based suicide risk screening using the Columbia - Suicide Severity Rating Scale (C-SSRS) • 75% of individuals served in the Crisis Stabilization Units will participate in evidence - based safety planning (Stanley -Brown Safety Plan) to mitigate risk factors and strengthen protective factors post - discharge EC 1.12 CC 1.9 Mental Health and substance abuse Services CC 1.3 Collier EC 1.14 Comorbidity Care • Number of individuals served • Number of outreach services. • Total number of Home Food Deliveries • Number of services beneficiaries received. • Dollar value of donated food and services • Number of unduplicated individuals and families served • Total individuals served • Total number of referrals to provider agencies. • Increased number of beneficiary services provided, measured quarter -over -quarter 0 _ i0 O 0 0 Expenditure Category EC 1.14 (Continued) Associated Projects CC 4.5 Health and Wellness Promotion Output KPIs • Total number of patients referred by PLAN to medical providers in their network. • Number of services that referred patients received • Dollar value of donated services as reported by medical providers in PLAN's network • Number of new medical providers enrolled in PLAN's network Outcome KPIs • At least 370 patients referred annually to medical providers in the PLAN network for services • Referred patients will receive a minimum of 2400 services annually • At least $3,000,000 worth of donated services annually, reported by medical providers in the PLAN network • At least 2 new medical providers will be enrolled in PLAN during the agreement period of Collier County, Florida 2023 Recovery Plan Performance Report 79 Expenditure Associated Output KPIs Outcome KPIs Category Projects • Number of households in nutrition education CC 4.2 Number of programs who increase households their knowledge of cost - EC 2.1 University participating in efficient healthy meal (Continued) Extension — evidence -based preparation and how Reaching More nutrition education increased fruit and vegetable consumption programs. supports nutrition for improved health. EC 2.2 CC 1.1 Affordable Housing — Mortgage and Rent • Number of persons receiving rent, mortgage, or utility assistance • 40% of persons or households will be impacted or disproportionately impacted population, as defined by Treasury. • 100% of homeowners served will receive housing counseling services. Collier County, Florida 2023 Recovery Plan Performance Report 80 CC 1.6 — EC 2.2 Housing (Continued) Navigators and Legal Services • Number of persons or households receiving eviction prevention services • Number of persons or households served that are impacted or disproportionately impacted population, as defined by Treasury • Number of persons or households referred to Legal Aid • 25% of persons or households served will be impacted or disproportionately impacted, as defined by Treasury • 25% of cases will result in successful eviction prevention Expenditure Associated Output KPIs Outcome KPIs Category Projects EC 2.24 CC 4.1 Collier County Libraries • Number of students participating in evidence -based tutoring programs Increased positive attitude towards literacy as measured by pre- and post -survey of participating students. Collier County, Florida 2023 Recovery Plan Performance Report 82 Expenditure Category EC 2.34 Associated Projects CC 1.2 Help for Vulnerable Individuals and Families -Aid to Not For Profits Output KPIs • Number of Nonprofit Organizations receiving assistance (for this reporting period) • Number of Nonprofit Organizations approved to receive assistance located in QCTs (for this reporting Outcome KPIs • Total dollar amount of salary support for Nonprofit Organizations provided (for this reporting period) • Number of CC 3.2 Public government FTEs Health and responding to Maintain employee EC 3.1 Safety COVID-19 retention Operations supported under this authority EC 3.4 CC 3.5 Evaluation and Data Analysis • Number of projects for which evaluation data has been negotiated with subrecipient • Number of projects for which evaluation plans have been defined and implemented • Number of projects for which evidence base has been refined Annual Key Outcome Goal assessments Collier County, Florida 2023 Recovery Plan Performance Report 83 M Expenditure Associated Category Projects CC 3.1 Collier EC 4.1 County Premium (Hazard) Pay for First Responders Output KPIs • Number of staff provided premium (hazard) pay benefits Outcome KPIs • Lower turnover rate in job categories receiving premium (hazard) pay Collier County, Florida 2023 Recovery Plan Performance Report 84 ea M � N O N -+ M CL N at N O N v O N N � � N co r o O O � m N CV LLL � r N Oco U CIO � rO CC —_ CD CD C C4 U N - O = C C "_ N Y = Q. 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Household Assistance and Housing Support: • Number of people or households receiving eviction prevention services (including legal representation) • Number of affordable housing units preserved or developed Collier County is pursuing projects in household assistance through its rental and mortgage assistance program and will collect information about people and households receiving eviction prevention services via project CC 1.6. Additionally, CC 4.4, Collier County Affordable Housing, will report on number of affordable housing units preserved or developed. b. Negative Economic Impacts (EC 2): • Number of workers enrolled in sectoral job training programs • Number of workers completing sectoral job training programs • Number of people participating in summer youth employment programs Collier County's assistance for negative economic impacts includes grants for business recovery and business resilience counseling, technical services, and technology upgrade funding. While the projects are intended to positively benefit workers, sectoral job training programs are not a current ARP funded project; thus, data thereon is not going to be captured. c. Education Assistance: • Number of students participating in evidence -based tutoring programs Collier County projects CC 4.1 and 4.3 target Education Services to high poverty districts, and to the extent that activities within each project consist of tutoring services, data will be collected on students participating therein. d. Healthy Childhood Environments: • Number of children served by childcare and early learning (pre-school/pre-K/ages 3- 5) • Number of families served by home visiting Collier County has not allocated project funding directly for childcare, early learning, or home visitations at this time. Should sub -recipient projects emerge that included childcare or home visits, data will be collected thereon. Collier County, Florida 2023 Recovery Plan Performance Report 93 Ineligible Activities: Tax Offset Provision (States and territories only) Collier County Florida is not required to report on these items. a. Revenue-reducina Covered Chanaes See Section C (11) on page 33 of the Reporting Guidance for additional information. $0.00 Collier County, Florida 2023 Recovery Plan Performance Report 94 SUMMARY AND NEXT STEPS 2021 This plan represents the first phase in a multi -year process of reporting and plan implementation. Through it, Collier County has created a roadmap for utilizing the $74,762,701 awarded by the Treasury to spur recovery in an efficient, effective, and equitable fashion. As mentioned in the Executive Summary, six more iterations of this plan — delivered as an Annual Report — will be created between August 31, 2021, and March 31, 2027. Per Treasury Guidance for States, U.S. territories, metropolitan cities and counties with populations exceeding 250,000 residents, Collier County will also be required to submit a one-time Interim Report on August 31, 2021, and a Project and Expenditure Reports starting October 31, 2021, and then on a quarterly basis until 2027. Given that the COVID-19 pandemic brought about an unprecedented leap — and precipitous drop — in Collier County unemployment, it is likely that recovery needs will evolve over the five-year project horizon. Additionally, as the County collaborates with implementation partners, projects and KPIs will be further defined to best express organizational capacities and the needs of populations served. As such, Expenditure Categories, Projects, KPIs, and Outcomes are likely to continue to change in the months and years to come, which this plan has emphasized throughout. As recommended in Treasury Guidance, the County will notify Treasury of substantial updates to the plan in months and years to come. At this point, next steps will consist of finalizing subrecipient agreements and memorandums of understanding with all implementation partners. The County will also work with administration partners to build out the software data capture, project management, and reporting systems that underpin successful project deployment. Staff will work to create policies and procedures for County grant and assistance programs, targeting those disproportionately disadvantaged by the pandemic. An evaluation team will also begin "deep dive" activities to define impact evaluation and additional evidence bases where needed. Plan Amendments Recognizing that Expenditure Category uses and Projects will evolve overtime, amendments to the plan are anticipated. Amendments can be processed on a continual basis throughout the year and will be shown on an Amendment Log at the beginning of the document. The Amendment Log will note amendment number, date, content of amendment, level of approval that has approved the content, and affected pages. All plan amendments will be routed to the County Manager for approval. For amendments involving re- allocations of over $50,000, recommendation to accept updates via memorandum or agenda material will be provided to the Board. All amendments will be carried out in accordance with existing Collier County Grants and Procurement policies and procedures. Collier County, Florida 2023 Recovery Plan Performance Report 95 This plan will be posted on a public -facing website for the entirety of project activities (until 2027). For questions, please contact the Collier County Community and Human Services Division at (239) 252-2273. 2022 Collier County responded to numerous changes between submission of the 2021 Recovery Plan, the amended 2021 plan submitted to Treasury (Amendment 5), and the 2022 edition (Amendments 6 and 7). Five projects were added and five removed, in step with changing pandemic needs and local priorities. This included use of the Revenue Replacement Expenditure Category, removal of infrastructure projects, and additions of an affordable housing project and EMS capital expenditure project. Further, many of the County's centerpiece equity projects were re -crafted to better fit within Final Rule expenditure categories, and reasonable and proportional responses to identified impacts or impacted/disproportionately impacted populations. Subrecipient agreements experienced continual adaptation during this timeframe. As Treasury guidance changed, so too did the corresponding agreements the County had in development. Key Performance Indicators were improved and evidence bases were updated. This led to delays in project roll -outs; ultimately a good development rather than to have projects in defunct Expenditure Categories or lacking justification, such as the reasonable and proportional response. Collier County collaborated with subrecipients to access the current need and realigned project budgets and expenditure categories to better serve the community. Significant progress has been made pertaining to grant management software and oversight. Florida Gulf Coast University will continue to assist with project monitoring & evaluation, which may also impact projects and expenditure categories utilized in years to come. Collier County, Florida 2023 Recovery Plan Performance Report 96 2022 Performance Report Submitted to US Treasury July 31, 2022 In addition to the Performance Report, this KPI Compendium provides detailed analysis of Collier County Recovery Plan KPIs. It consists of an annual analysis of Key Outcome Goals, followed by project -by -project evaluation reporting, including an overview, use of evidence, KPI discussion, and SWOT analysis. PROJECTS Project Evidence Evaluation? SWOT? Base? CC1.1 Affordable Housing — Yes Yes Yes Mortgage and Rent CC1.2 Help for Vulnerable Individuals and Families — Not for Yes Yes Yes Profits CC1.3 Collier Comorbidity Care Yes Yes Yes CC1.4 Food Security for Collier Yes Yes Yes County Residents CC1.5 Mental Health Services Yes Yes Yes CC1.6 Housing Navigators and Yes Yes Yes Legal Services CC1.7 Collier Public Health No Yes Yes Infrastructure CC2.1 Small Business Resiliency Yes Yes Yes CC2.2 Small Business Recovery Yes Yes Yes CC3.1 Collier County Premium No Yes Yes (Hazard) Pay for First Responders CC3.2 Public Health and Safety No Yes Yes Operations and Response CC3.3 Administration No Yes No CC3.4 Personal Protective Yes Yes Yes Equipment (PPE) Collier County, Florida 2023 Recovery Plan Performance Report 98 Project Evidence Evaluation? SWOT? Base? CC3.5 Evaluation and Data No Yes Yes Analysis CC3.6 Collier County Revenue No Yes No Replacement CC4.1 Collier County Library - Community Outreach, Literacy, Yes Yes Yes and Education (COLE) CC4.2 University Extension, Reaching More - Extension Yes Yes Yes Education CC4.3 Collier County Museums - Yes Yes Yes Immokalee Pioneer Museum CC4.4 Collier County Affordable Yes Yes Yes Housing CC4.5 Collier Access to Care Yes Yes Yes Collier County, Florida 2023 Recovery Plan Performance Report 99 ANALYSIS OF KEY OUTCOME GOALS As stated in the Recovery Plan, the overarching outcome goal of Collier ARP funding is to: • Provide a robust level of response to the pandemic, • Mitigate impacts to individuals, families, and businesses, • Increase resilience within educational, health and food systems, and • Support essential employees. During FY21-22, Projects across all Key Outcome Goals were initiated, however data collection and evaluation remains in an introductory phase. While progress is being made toward each of the below Key Outcome Goals, specific evaluation will be postponed until greater project data is collected. Health Goal Agencies in Collier County continue to provide higher levels of healthcare and other supportive services that enrich the health of the population. o During year one the county and the evaluators engaged in processes to define project areas within the health goals for sub awardees, create agreements with community and county entities, and launch stages of various projects to be implemented in the process. For the health goal 9 projects are designed to contribute to health care outcomes and are in various stages of project planning and implementation as evidenced by performance on the KPIs for each. • Collier County residents receive rental, mortgage, utility assistance, housing navigation and affordable housing to mitigate increased housing instability. o During year one the county and the evaluators engaged in processes to define project areas within the housing goals for sub awardees, create agreements with community and county entities, and launch various projects to be implemented in the process. For the housing goal 3 projects are designed to contribute to improved housing outcomes and are in various stages of project planning and implementation as evidenced by performance on the KPIs for each. • Community nutrition, food demonstration, and food pantry services connect Collier County underserved populations to more nutrition. o During year one the county and the evaluators engaged in processes to define project areas within the food security goals for sub awardees, create agreements with community and county entities, and launch various projects to be implemented in the process. For the food security goal 4 projects are designed to contribute to improved food security outcomes and Collier County, Florida 2023 Recovery Plan Performance Report 100 are in various stages of project planning and implementation as evidenced by performance on the KPIs for each. One project has completed their deliverables and met all KPIs as of this annual report Collier County small businesses receive recovery and resilience assistance, resulting in greater employee retention and revenue growth. o During year one the county and the evaluators engaged in processes to define project areas within the economic recovery goals for sub awardees, create agreements with community and county entities, and plan for various projects to be implemented in the process. For the economic recovery goal 2 projects are designed to contribute to improved economic outcomes. These projects will commence in year 2 of the ARP award to the Collier County. Education services positively impact QCT and underserved youth, improving educational programs to support remediation of skills lost during COVID-19. o During year one the county and the evaluators engaged in processes to define project areas within the education goals for sub awardees, create agreements with community and county entities, and plan for various projects to be implemented in the process. For the education goal a project is designed to contribute to improved education outcomes. This project will commence in year 2 of the ARP award to the Collier County. Collier County, Florida 2023 Recovery Plan Performance Report 101 PROJECT EVALUATION The following sections provide project -by -project overviews, use of evidence, KPI discussion, and SWOT analysis, as applicable. Collier County, Florida 2023 Recovery Plan Performance Report 102 2022 Project [CC1.11: Affordable Housing — Mortgage and Rent Funding amount: $6,904,468 Project Expenditure Category: EC 2.2 Project Evaluation Timeline Ending: June 30, 2022 Key Outcome Goal alignment: Housing Protect overview Collier County will implement direct grant assistance to individuals and families in the form of rent, mortgage, and utility assistance. The rental program will be available to individuals with income of 0% to 140% AMI, and the mortgage program will serve households up to 140% AMI, targeting residents in QCTs and those at or below 185% of the Federal Poverty Level. The program will provide a maximum of $25,000. Link to project: N/A Use of Evidence The goal of the project is to mitigate housing instability preventing an increase of individuals and families in poverty. In addition to the below cited similar interventions with positive outcomes, FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below. 1. Anderson L. M., Charles, J. S., Fullilove M.T., Scrimshaw S.C., Fielding J.E., Normand J. (2003) Providing affordable family housing and reducing residential segregation by income. A systematic review. Am J Prev Med. 24 (3), 47-67. 2. Moulton, S., Chun, Y., Pierce, S., Holtzen, H., Quercia, R. G., and Riley, S. (2022) Does Temporary Mortgage Assistance for Unemployed Homeowners Reduce Longer Term Mortgage Default? An Analysis of the Hardest Hit Fund Program. Journal of Policy Analysis and Management, 41(2), 515-551 3. Shroder, M. (2002) Does housing assistance perversely affect self-sufficiency? A review essay. Journal of Housing Economics, 11, 381-417. Performance Report Output KPIs Output KPI #1: Number of persons receiving rent, mortgage, or utility assistance • Output KPI #1 as of annual report, no persons/households have been funded at county level Outcome KPIs Outcome KPI #1: 40% of persons or households will be impacted or disproportionately impacted population, as defined by Treasury Collier County, Florida 2023 Recovery Plan Performance Report 103 • Outcome KPI #1: as of annual report, no persons/households have been funded at county level Outcome KPI #2: 100% of homeowners served will receive housing counseling services • Outcome KPI #2: as of annual report , no persons/households have been funded at county level SWOT Analysis The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. STRENGTHS: • Although no quantitative analysis yet, the early release of the program has been pointed out as a strength given the ability to get people the aid needed WEAKNESSES (IMPEDIMENTS • Given the early release some functionalities of the program/website were missing. • Applicants may require one on one assistance in filling out the application, leading to incomplete applications or misclassifications. • Although application has been approved, at time of interview, no funds had been released yet for applicants. OPPORTUNITIES (LESSONS LEARNED • Hiring additional staff sooner to allow for quicker processing and releasing of funds to provide timely assistance to more people. Provide extra feedback on application throughout the entire process and its many agencies (e.g., County Government, County Clerk, etc.) HELP has identified local community group (Great Naples Leadership) composed of retired executives wanting to assist with filing of applications, as application outreach can be scalable. However, given current bottleneck, this effort may create additional issues. THREATS (CHALLENGES due to IMPEDIMENTS Use of extra time to go over misclassified applications. Current volume of funds provided by multiple federal agencies, and the coordination of funds release create capacity constraint. Collier County, Florida 2023 Recovery Plan Performance Report 104 Project [CC1.21: Help for Vulnerable Individuals and Families — Not for Profits Funding amount: $1,500,000 Project Expenditure Category: EC 2.34 Project Evaluation Timeline Ending: June 30, 2022 Key Outcome Goal Alignment: Economic Recovery The project will provide support services for socially vulnerable individuals and families through direct awards and competitive grants to nonprofit organizations who provide one or more services, including but not limited to elderly and child caregiving, housing assistance, food insecurity assistance, domestic violence, and sexual assault assistance. Grant award will help supplement not -for -profit revenue streams that have been impacted by Covid-19, maintaining and/or increasing their ability to provide services to vulnerable populations. Covid-19 has also increased the demand for several of these services. Link to project: N/A Use of Evidence No evidence is required for this project. FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below. Performance Report Output KPIs Output KPI #1: Number of nonprofits receiving assistance • Output KPI #1 as of annual report, no data exists for this metric Output KPI #2: Number of nonprofits operating in QCTs that receive assistance • Output KPI #2 as of annual report, no data exists for this metric Outcome KPIs Outcome KPI #1: Number of services provided quarterly by assisted nonprofits to Collier County beneficiaries • Outcome KPI #1: as of annual report, no data exists for this metric SWOT Analvsis The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. STRENGTHS: Collier County, Florida 2023 Recovery Plan Performance Report 105 No Strengths have been identified at this time, pending project start WEAKNESSES (IMPEDIMENTS No Weaknesses have been identified at this time, pending project start OPPORTUNITIES (LESSONS LEARNED No Opportunities have been identified at this time, pending project start THREATS (CHALLENGES due to IMPEDIMENTS No Threats have been identified at this time, pending project start Collier County, Florida 2023 Recovery Plan Performance Report 106 Project [CC1.31: Collier Comorbidity Care- Meals of Hope Funding amount: $175,000 Project Expenditure Category: EC 1.14 Project Evaluation Timeline Ending: June 30, 2022 Key Outcome Goal alignment: Health, Food Security Project overview The main activities of the Meals of Hope led by Collier Comorbidity Care are to improve access to healthy foods, especially among individuals living with or at risk of diabetes, increased opportunities for health promotion through home well checks during food delivery services and focus on approaches to increase fresh produce in food pantries while supporting clients via nutrition and cooking education. Opportunities for health promotion enable Collier underserved populations to enjoy better health through nutrition and health education. Project Website: Meal Packing - Meals of Hope Use of Evidence The goal of this project is to provide opportunities to improve health outcomes adversely affected by COVID, exacerbated by food insecurity and limited access to healthy foods and education outreach targeting diabetes and comorbidities. In addition to the below cited similar interventions with positive outcomes, FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below. 1. Simmet A, Depa J, Tinnemann P, Stroebele-Benschop N. The Dietary Quality of Food Pantry Users: A Systematic Review of Existing Literature. JAcad NutrDieL 2017 Apr;117(4):563-576. doi: 10.1016/j.jand.2016.08.014. Epub 2016 Oct 7. PMID: 27727100. 2. Gibson S, Metcalfe JJ, McCaffrey J, Allison T, Prescott MP. Nutrition Environment at Food Pantries Improves After Fresh Produce Donation Program. J Nutr Educ Behay. 2022 May;54(5):432-441. doi: 10.1016/j.jneb.2021.09.005. PMID: 35534101 3. Seligman HK, Levi R, Ridberg R, Smith M, Hills N, Waxman E. Impact of Enhanced Food Pantry Services on Food Security among Adults with Diabetes Using a Crossover Study Design. Curr Dev Nutr. 2022 Feb 10;6(4): nzac021. doi: 10.1093/cdn/nzac021. PMID: 35415385; PMCID: PMC8989277. $175,000 is the amount of funding for this project. Performance Report Output KPIs Output KPI #1 Total number of Home Food Deliveries • Output KPI #1 As of this annual report, 33 home deliveries have been made to 11 houses Collier County, Florida 2023 Recovery Plan Performance Report 107 Output KPI #2 Number of services beneficiaries received • Output KPI #2 As of annual report, 51 beneficiaries were served. Output KPI #3 Dollar value of donated food and services • Output KPI #3 As of this annual report, there was approximately $5000 worth of food and services donated Output KPI #4 Number of unduplicated individuals and families served • Output KPI #4 As of this annual report, 33 individuals and 11 families were served Output KPI #5 Total individuals served • Output KPI #5 As of this annual report, 51 individuals were served Outcome KPIs Outcome KPI #1 Increased number of beneficiary services provided measured quarter -over -quarter • Outcome KPI #1 As of this annual report, no data exists for this metric as Q3 is the baseline metric against which subsequent services will be compared. SWOT Analysis The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. STRENGTHS: • The home delivery and opportunities for charitable food system considering dietary quality for non - communicable diseases and associated comorbidities play a key role in mitigating short-term food insecurity for adults with diabetes WEAKNESSES (IMPEDIMENTS • Community -based applications to improve opportunities for improved health outcomes could improve capacity for diabetes self -management, prevent complications, and reduce diabetes -related health disparities has been challenged by limited in -person service opportunities for provision of services related to pandemic safety protocols. OPPORTUNITIES (LESSONS LEARNED • This program expands usual pantry services adding diabetes -specific food boxes, diabetes self -management education, health care referrals as appropriate, and glucose monitoring. THREATS (CHALLENGES due to IMPEDIMENTS • Processes related to opening fully compliant facilities, thus affecting on -site health promotion activities. Collier County, Florida 2023 Recovery Plan Performance Report 108 Project [CC1.4L Food Security for Collier County Residents (Community Foundation) Funding amount: $5,115,000 Project Expenditure Category: EC 2.1 Project Evaluation Timeline Ending_ June 30, 2022 Key Outcome Goal alignment: Health, Food Security Project overview — This project was completed in its entirety by 11112022 This project addresses food access, affordability, and infrastructure for healthy, fresh food. Funds will bolster emergency food operations, strengthen local food distribution systems, expand nutrition education, and reduce hunger. The primary delivery mechanism will be a sub -grantee agreement with Community Foundation of Collier County to support local food banks. The project will also support trainings and demonstrations of nutrition education and marketing for local food systems. Outcomes will include greater food security and higher nutrition for disadvantaged Collier County residents. Link to project: N/A Use of Evidence The goal of this project is to decrease food insecurity exacerbated by the pandemic. In addition to the below cited similar interventions with positive outcomes, FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below. Castro AN, White MA, Ishdorj A, Thompson D, Dave JM. The Impact of the COVID-19 Pandemic on Food Distribution at Emergency Food Assistance Organizations in the Southwestern United States: A Qualitative Investigation. Nutrients. 2021 Nov 26;13(12):4267. doi: 10.3390/nu13124267. PMID: 34959818; PMCID: PMC8703558. 2. Bertmann F, Rogomentich K, Belarmino EH, Niles MT. The Food Bank and Food Pantries Help Food Insecure Participants Maintain Fruit and Vegetable Intake During COVID-19. Front Nutr. 2021 Aug 6;8:673158. doi: 10.3389/fnut.2021.673158. PMID: 34422877; PMCID: PMC8378669. 3. Long CR, Rowland B, Steelman SC, McElfish PA. Outcomes of disease prevention and management interventions in food pantries and food banks: a scoping review. BMJ Open. 2019 Aug 21;9(8):e029236. doi: 10.1136/bmjopen-2019-029236. PMID: 31439606; PMCID: PMC6707699. $5,115,000.00 is the dollar amount of the total project spending allocated towards evidence -based interventions for each project Performance Report Output KPIs Output KPI #1 Support at least five Food Banks or Pantries serving Residents of Collier County. Collier County, Florida 2023 Recovery Plan Performance Report 109 The Collier County Community Foundation expenditures supported food distribution directly to five food pantries (Catholic Charities, Our Daily Bread, Meals of Hope, St. Matthews House, and Naples Senior Center) and indirectly to 35 pantries via partnerships with two food banks (Harry Chapin and Midwest Food Bank). Output KPI #2 Support a minimum of 10,000 households in Collier County with food security goods and services, with demographic and OCT info for populations served. The Collier County Community Foundation expenditures supported 673,720 beneficiaries. The number of beneficiaries supported corresponds to 15,650 UNDUPLICATED household's indicative of meeting the output KPI of 10,000 households supported. Additionally, 75% pantries are located in QCTs Outcome KPIs Outcome KPI #1 75% of distributed food packages will include nutrition and/or healthy diet information. • The Collier County Community Foundation responded to the requirement of nutrition and/or diet information imposed beginning in July 2021. Subsequently, 100% of distributed food packages included the information As an aggregate, KPI was met. Outcome KPI #2 Children ages 18 or younger will be at least 25% of beneficiaries of all food pantry distributions. The Collier County Community Foundation supported food distribution to 673,720 beneficiaries. The household demographic extrapolated from beneficiaries is highly indicative that at least 25% of the beneficiaries were children aged 18 or younger. KPI was met. Outcome KPI #3 At least 40% of funds expended for food distribution will be in a Collier County OCT. • The Collier County Community Foundation expenditure supporting food distribution to the food banks and pantries in Collier County allowed significant distribution within QCTs, such that 79% of the funds expended for food distribution was in a Collier County OCT. KPI was met. SWOT Analysis Progress is reported based on a SWOT Analysis conducted in partnership with food banks and pantries included in the funding period. The progress presented herein is based on qualitative assessments derived from banks and pantries as well as analysis of aggregated quantitative data STRENGTHS: • Project outcomes 2 and 3 were met by individual banks and/or pantries and therefore, outcomes were met. • Over 1.3 million pounds of food was distributed by Harry Chapin Food Bank alone, allowing the consortium to meet the food needs of a record -setting number of consumers during this time. This is only the amount of food Harry Chapin distributed, the amount in total was much greater but we did not collect that information. The additional food was distributed during regularly scheduled pantry services or newly added mobile pantries, which made it easier to serve low-income residents. • Individual pantries met or exceeded project outcomes in amount of food delivered, households served, and distribution across the lifespan. • The Community Foundation was able to navigate the storage issue through additional partnerships for nearly a full year. Collier County, Florida 2023 Recovery Plan Performance Report 110 WEAKNESSES (IMPEDIMENTS The drive -up operations that made it safe also meant limited contact with the consumers thereby making it more difficult to collect statistics, stories, distributing information, etc. Lack of storage was initially a major issue. • Limited staff and resources to meet the increased demand. OPPORTUNITIES (LESSONS LEARNED • The food assistance programs emphasize nutritional foods such as produce, dairy, and proteins. Each partner is encouraged to distribute nutritional items at their distributions while also providing choice to clients when possible. • Through a connection made by the Community Foundation, St. Matthew's House was able to use warehouse space donated on a long-term basis by Cheney Bros, and Meals of Hope was able to use warehouse space at Stan's Coffee • The challenges and impediments identified will allow for better preparedness for next pandemic or disaster as well as enhanced capacity to focus on developing a system to collect demographic information and statistics using a drive -by style of food delivery more easily. THREATS (CHALLENGES due to IMPEDIMENTS • Reduced availability of food from the usual sources. Food price increases due to inflation. Lack of storage initially was a major issue. Continued increase in number of consumers seeking food. Beyond food provisions, hot meals were served to seniors during lunch. However, COVID safety protocol prevented the provision of hot lunches at Naples Senior Center, limiting food security services. Collier County, Florida 2023 Recovery Plan Performance Report III Project [CC1.5L Mental Health Services- David Lawrence Mental Health Funding amount: $5,500,000 Project Expenditure Category: EC 1.12 Project Evaluation Timeline Ending_ June 30, 2022 Key Outcome Goal alignment: Health Project overview This project will provide $5.5 million for the delivery of mental health services to individuals in Collier County. As a result of the pandemic, increased social isolation has exacerbated depressive and affective disorders; these funds will be used toward the outcome of reducing negative mental stresses in all individuals served. Beneficiaries who demonstrate negative mental stress and behaviors such as seeking assistance for depression and suicide risk will be treated and discharged with a safety plan to improve mental health and avoid suicide. The impact is to improve mental health for individuals in Collier County. Individuals who are Court ordered and voluntary beneficiaries who seek this service in Collier County will benefit from this service. Suicide prevention and treatment of risk for depression and suicide during the pandemic/epidemic ensures productive citizens and saves lives. The pandemic has broadly impacted Americans' behavioral health during and post -pandemic times. Link to project: www.Davidlawrencecenters.org Use of Evidence The goal of this project is to reduce mental health burdens and negative associated behaviors for all persons served. Three representative citations of evidence are provided to verify method, and impact evaluation is utilized where appropriate. The complete evidence -based bibliography is on file with FGCU evaluators and has been deemed sufficient to support project interventions. In addition to the below cited similar interventions with positive outcomes, FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below:(full bibliography for evidence is on file with FGCU evaluators.) Posner, K., Brown, G. K., Stanley, B., et al. (2011). The Columbia -Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. American Journal of Psychiatry, 168(12), 1266-1277. 2. Polly Y Gipson 1, Prachi Agarwala, Kiel J Opperman, Adam Horwitz, Cheryl A King. Columbia -Suicide Severity Rating Scale: Predictive validity with adolescent psychiatric emergency patients. Pediatr Emerg Care. 2015 Feb;31(2):88-94. doi: 10.1097/PEC.0000000000000225. 3. Stanley, B., Chaudhury, S. R., Chesin, M., Pontoski, K., Bush, A. M., Knox, K. L., & Brown, G. K. (2016). An emergency department intervention and follow-up to reduce suicide risk in the VA: acceptability and effectiveness. Psychiatric Services, 67(6), 680-683. Retrieved from http://ps.psychiatryonline. org/doi/abs/ 10.1176/appi.ps.201500082 $5.5 million is the total project spending allocated towards evidence -based interventions for the mental health project. Collier County, Florida 2023 Recovery Plan Performance Report 112 Performance Report Output KPIs Output KPI #1 At least 8500 total crisis stabilization bed days over the period of performance. • Output KPI #1: 11,513 total crisis stabilization bed days have been provided since 7/1/2021 Output KPI #2 At least 75 clients served per year • Output KPI #2: 1607 clients were served since 7/1/2021 Output KPI #3 Readmission rates at 30,60, and 90 days • Output KPI #3: 30-day-10.9%; 90 day-4.58% (15.48% inclusive); 180-day-additional 2.46% (17.94% inclusive) since July 1, 2021. Outcome KPIs for period 7/1/2021 through June 30, 2022 Outcome KPI #1: 75% of individuals served in the Crisis Stabilization Units will receive evidence -based suicide risk screening using the Columbia -Suicide Severity Rating Scale (C-SSRS) • Outcome KPI #1: 99.71% of clients served in the Crisis Stabilization unit were assessed for risk using the C- SSRS. The number of clients who received screening exceeded the target. KPI Met Outcome KPI #2: 75% of individuals served in the Crisis Stabilization Units will participate in Evidence -based safety planning (Stanley -Brown Safety Plan) to mitigate risk factors and strengthen protective factors post discharge. • Outcome KPI #2: 93.07% of clients serviced in the Crisis Stabilization unit participated in Evidence -based safety planning. The number of clients who received screening exceeded the target. KPI Met SWOT Analysis The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. STRENGTHS: All outcomes were met and exceeded from the beginning of the project (7/1/2021 through June 30, 2022) through the first year as described in the KPIs sections above. The evidence base used in KPI #1 (C-SSRS) offers guidance and understanding by clinicians to protect the safety of patients and to execute a plan of intervention treatments. The C-SSRS is attached to the clinical and nursing assessments. If the initial score is moderate or moderately high, there is a reassessment with the C-SSRS prior to client discharge. A delay in discharge can be an outcome of maintaining a moderate or moderately high result to support the ongoing safety of the client. The evidence base used in KPI# 2 (Stanley- Brown Safety Plan tool) is a tool used to evaluate access to lethal means of harm and provides a plan for response if a safety crisis occurs post- discharge. All clinical staff are provided comprehensive and multidisciplinary training on both tools. Readmission rates are in line with the range of central Florida readmission rates by similar provider agencies. Expended funds for clients in QCTs were $332,128 out of $1,650,006.00 for all mental health services. Therefore 20.1% of clients were from QCTs and QCT clients occupied 20.11% of the crisis bed days. Collier County, Florida 2023 Recovery Plan Performance Report 113 WEAKNESSES (IMPEDIMENTS Limitation: Moderate levels of evidence are used in the intervention design due to the absence of randomized clinical trial (RCT) data on the use of the tools. The COVID-19 pandemic has influenced the staff mix resulting in more newly hired and PRN staff as opposed to fulltime experienced staff in light of excessive demand for beds. OPPORTUNITIES (LESSONS LEARNED Use of standardized instruments allows for project performance to be compared with performance results published in the literature and to add to the literature as unique lessons become apparent. There are mitigating reasons for clients not receiving the assessment tools; staff intends to understand more fully the reasons for the variance in tool administrations and will plan accordingly for administration to all clients. The culture of safety is paramount in the clients they serve which begins with the recruiting of staff, onboarding, and continuing professional development. THREATS (CHALLENGES due to IMPEDIMENTS It is recognized that population demographics and intensity of needs in patients can change over time during the project due to other disaster experiences which may mitigate the outcomes. Evaluation which seeks to understand the contributions of heterogeneous demographic and environmental factors will inform these variances when they occur. An extremely high volume of clients has challenged licensure guidelines, work processes that add to the difficulty in personnel staffing, and challenges in ensuring that adequate safety protocols are consistently followed at the facility. Additional beds are being added in the near future which will influence additional staffing needs. Collier County, Florida 2023 Recovery Plan Performance Report 114 Project [CC1.61: Housing Navigators and Legal Services Funding amount: $620,532 Project Expenditure CategorX: EC 2.2 Project Evaluation Timeline Ending; June 30, 2022 Key Outcome Goal alignment: Housing Project overview This project helps individuals at risk of eviction with navigating the Collier County Courts system. In addition, housing navigation services will assist with housing stability including locating housing, reviewing agreements, assistance with other rental assistance programs, among others. With housing navigation services housing stability is addressed in two main fashions. In the short-term, there will be a resolution to individuals facing eviction. In the long-term, assistance in the form of services described above should help individuals to make appropriate decisions in terms of housing, decreasing potential defaults payments, eviction, and homelessness. Link to project: N/A Use of Evidence This project has two goals: (1) to decrease eviction rates among the served population, and (2) to extend housing services to Collier County's most disadvantaged residents and reduce homelessness and housing instability. In addition to the below cited similar interventions with positive outcomes, FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below. 1. Anderson L. M., Charles, J. S., Fullilove M.T., Scrimshaw S.C., Fielding J.E., Normand J. (2003) Providing affordable family housing and reducing residential segregation by income. A systematic review. Am J Prev Med. 24 (3), 47-67. Moulton, S., Chun, Y., Pierce, S., Holtzen, H., Quercia, R. G., and Riley, S. (2022) Does Temporary Mortgage Assistance for Unemployed Homeowners Reduce Longer Term Mortgage Default? An Analysis of the Hardest Hit Fund Program. Journal of Policy Analysis and Management, 41(2), 515-551 3. Shroder, M. (2002) Does house assistance perversely affect self-sufficiency? A review essay. Journal of Housing Economics, 11, 381-417. Performance Report Given differences in KPIs reported across quarters KPIs were reconciled to match the KPIs listed below. Output KPI #1 is consistent across quarters. Output KPI #2 and Outcome KPI #1 are calculated also using old KPIs Number of persons or households in QCTs and Number of persons or households at or below 185% of the Federal Poverty Level. Outcome KPI #2 also uses old KPIs Number of persons or households with a filed eviction and Number of persons or households that avoided an eviction. Some KPIs are reported as non -unique households because no extra information was given by HELP and/or Legal Aid to allow for this differentiation. Also, no additional information on overlap between households in QCTs and at or below FPL was given to allow for unique accounting. Collier County, Florida 2023 Recovery Plan Performance Report 115 Output KPIs Output KPI #1: Number of persons or households receiving eviction prevention services • Output KPI #1 as of annual report, 63 non -unique households have received some eviction prevention services (56 to date in FY 2022) Outcome KPI #2: Number of persons or households served that are impacted or disproportionately impacted population, as defined by Treasury Output KPI #2: as of annual report, 63 non -unique households can be considered as impacted or disproportionately impacted population, as defined by Treasury (56 to date in FY 2022) Outcome KPIs Outcome KPI #1: 25% of persons or households served will be impacted or disproportionately impacted, as defined by Treasury • Outcome KPI #1: as of annual report, at least 90% of served households are impacted or disproportionately impacted, as defined by Treasury Outcome KPI #2: 25% of cases will result in successful eviction prevention • Outcome KPI #2: as of annual report, 98% of cases resulted in successful eviction prevention. The only case not successful happened because household came in too late for successful eviction prevention. SWOT Analysis The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. STRENGTHS: Both HELP and Legal Aid have pointed to the communication between HELP, Legal Aid and Collier County Government as a strength to this program. The additional steps/processes associated with this program has allowed for quick referrals and is perceived to have reached people that usually are missed by other similar programs. • Ability to push funds quickly WEAKNESSES (IMPEDIMENTS • An increase in critical applicants with urgent needs has limited the ability to prioritize cases when needed. • KPI Success and compensation are tied to ability of Collier County to complete the process which can take time even though the application and process has been properly handled and negotiated. o Solution: better define what success is, tying it to "stipulation approval' and not "adjournment." This makes process fair to all involved, as the success becomes "measurable, observable, and controllable" for subrecipients Collier County, Florida 2023 Recovery Plan Performance Report 116 o Comment.' After conversation with Collier County, some extra negotiation will occur between all parties to find agreeable language. OPPORTUNITIES (LESSONS LEARNED Connecting to all stakeholders, including apartment management associations has allowed the development of relationships that allow for such program to work better. It creates another source of information to those in need while building trust and goodwill with landlords. Provide extra feedback on application throughout the entire process and its many agencies (e.g., County Government, County Clerk, etc.). Access to history of file is crucial when writing up legal case. Improve outreach, for example, using County TV. Provide simple point of contact (phone and website) focusing on relevant information for getting connected to help. THREATS (CHALLENGES due to IMPEDIMENTS • Reevaluation of files at various levels may be slowing down the process. • Subrecipients expressed concerns regarding coordination processes outside their control. Collier County, Florida 2023 Recovery Plan Performance Report 117 Project [CC1.7L Collier Public Health Infrastructure -Collier County Funding amount: $1,700,000 Project Expenditure Category: EC 1.7 Project Evaluation Timeline Ending_ June 30, 2022 Key Outcome Goal alignment: Health Project overview This project will provide funding toward the acquisition of much -needed fleet improvements for Collier County EMS. Pandemic -related calls increased the strain on existing EMS transportation capital stock, accelerating asset depreciation and impacting the ability to provide a high level of service in public health and medical response. Through CC 1.7, up to four new ambulances and four light duty trucks will be added to the EMS fleet to enhance response to medical emergencies throughout the recovery phase of the pandemic. Equipment supporting EMS services will be purchased to further outfit the ambulances and trucks, including but not limited to: radios, lighting, sirens, and health monitoring and healthcare equipment. This project will be implemented by Collier County EMS through an MOU agreement. A written justification of the project will be maintained by the County in accordance with Treasury Final Rule Capital Expenditure guidance for projects with total capital expenditure between $1 and $10 Million. FGCU will work with the County subrecipient to further refine Key Performance Indicators and metrics, which will be updated in future versions of the Recovery Plan. An impact evaluation may be conducted. This Expenditure Category does not require an evidence base. Link to project: N/A Use of Evidence The goal of this project is to maintain and enhance a high level of service provided by Collier County EMS in direct services to the public. Evidence base is not required for this expenditure category. Subrecipient is evaluating this project via KPI and SWOT, as detailed below $1,700,000.00 is the dollar amount of the total project spending allocation. Performance Report Output KPIs Output KPI #1 Number of fully outfitted Ambulances and Light Trucks acquired for Collier EMS emergency response. • Output KPI #1 As of this annual report, no data exists for this metric as activities have not started. Outcome KPIs Collier County, Florida 2023 Recovery Plan Performance Report 118 Outcome KPI #1 Improved response times for EMS services, as measured by a year -over -year comparison, pre- and post -acquisition of new EMS vehicles. • Outcome KPI #1 As of this annual report, no data exists for this metric as activities have not started. SWOT Analysis is not requested/required by Collier County Collier County, Florida 2023 Recovery Plan Performance Report 119 Project [CC2.11.- Small Business Resiliency Funding amount: $1,000,000 Project Expenditure Category: EC 2.30 Project Evaluation Timeline Ending: June 30, 2022 Key Outcome Goal alignment: Economic Recovery Project overview This project provides support to small businesses adversely impacted by Covid-19 to improve their resiliency by reimbursing expenses related to software upgrades, digital marketing, and strategic planning counseling. By improving business operations and knowledge on issues such as legal aid, accounting, and finance for instance, businesses will be in a better position to navigate downturns. Link to project: N/A Use of Evidence The goal of this project is to increase business resilience, resulting in fewer business closures, more hires, and greater revenue. In addition to the below cited similar interventions with positive outcomes, FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below. 1. Doern, R. (2017). Strategies for resilience in entrepreneurship: Building resources for small business survival after a crisis. Creating Resilient Economies. Edward Elgar Publishing 2. Adam, N. A., & Alarifi, G. (2021). Innovation practices for survival of small and medium enterprises (SMEs) in the COVID-19 times: the role of external support. Journal of Innovation and Entrepreneurship, 10(1), 1-22 3. Katare, B., Marshall, M. I., & Valdivia, C. B. (2021). Bend or break? Small business survival and strategies during the COVID-19 shock. International Journal of Disaster Risk Reduction, 61, 102332 Performance Report Output KPIs Output KPI #1: Number of businesses receiving strategic counseling or technology upgrade • Output KPI #1 as of annual report, no data exists for this metric Outcome KPIs Outcome KPI #1: New hires as a result of program participation • Outcome KPI #1: as of annual report, no data exists for this metric Outcome KPI #2: Number of retained employees as a result of program participation • Outcome KPI #2: as of annual report, no data exists for this metric Outcome KPI #3: Business sales revenue growth among participants • Outcome KPI #3: as of annual report, no data exists for this metric Collier County, Florida 2023 Recovery Plan Performance Report 120 SWOT Analysis The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. STRENGTHS: No Strengths have been identified at this time, pending project start WEAKNESSES (IMPEDIMENTS • No Weaknesses have been identified at this time, pending project start OPPORTUNITIES (LESSONS LEARNEDY • No Opportunities have been identified at this time, pending project start THREATS (CHALLENGES due to IMPEDIMENTS • No Threats have been identified at this time, pending project start Collier County, Florida 2023 Recovery Plan Performance Report 121 Project [CC2.2 Small Business Recovery Funding amount: $5,500,000 Project Expenditure Category: EC 2.29 Project Evaluation Timeline Ending: June 30, 2022 Key Outcome Goal alignment: Economic Recovery Project overview This project will provide grants of up to $25,000 for Economic Injury Disaster Loan (EIDL) forgiveness, utility bill in arrears payments, or assistance to enable the applicant to retain or recruit employees. The ability to pay bills, loans, and payroll, including attraction of new employees is important for maintenance of businesses' operation, especially during economic downturns. This project tackles an important issue by assisting affected small businesses to keep afloat. Link to project: N/A Use of Evidence The goal of this project is to reduce business closures and increase employment. In addition to the below cited similar interventions with positive outcomes, FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below. 1. Watson, M. (2021) The Role of SBA Loans in Small Business Survival after Disaster Events. Journal of Planning Education and Research https://doi.org/l0.1177/0739456X211028291 2. Adam, N. A., & Alarifi, G. (2021). Innovation practices for survival of small and medium enterprises (SMEs) in the COVID-19 times: the role of external support. Journal of Innovation and Entrepreneurship, 10(1), 1-22 3. Katare, B., Marshall, M. I., & Valdivia, C. B. (2021). Bend or break? Small business survival and strategies during the COVID-19 shock. International Journal of Disaster Risk Reduction, 61, 102332 Performance Report Output KPIs Output KPI #1: Number of businesses receiving grant assistance • Output KPI #1 as of annual report, no data exists for this metric Outcome KPIs Outcome KPI #1: New hires as a result of program participation • Outcome KPI #1: as of annual report, no data exists for this metric Outcome KPI #2: Business sales revenue growth among participants • Outcome KPI #2: as of annual report, no data exists for this metric SWOT Analysis Collier County, Florida 2023 Recovery Plan Performance Report 122 The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. STRENGTHS: • No Strengths have been identified at this time, pending project start WEAKNESSES (IMPEDIMENTS • No Weaknesses have been identified at this time, pending project start OPPORTUNITIES (LESSONS LEARNED • No Opportunities have been identified at this time, pending project start THREATS (CHALLENGES due to IMPEDIMENTS No Threats have been identified at this time, pending project start Collier County, Florida 2023 Recovery Plan Performance Report 123 Project [CC3.11: Collier County Premium (Hazard) Pay for First Responders -Collier County Funding amount: $380,000 Project Expenditure Category: EC 4.1 Project Evaluation Timeline Ending: June 30, 2022 Key Outcome Goal alignment: Health Project overview The goal of this project is to provide Collier County EMS workers who worked during the critical COVID-19 response throughout the 2020 and 2021 pandemic a one-time, $2,000 hazard pay distribution to each EMS employee for services rendered between March 2020 and the initiation of this award cycle. This payment recognizes this essential frontline work and serves to increase employee retention. The project recognizes employees who worked during the critical COVID-19 pandemic with a bonus structure to acknowledge their contributions to health and to serve as a retention strategy to maintain sufficient personnel to provide EMS health services. Link to project: N/A Use of Evidence No evidence is required for this project. FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below. $380,000 is the dollar amount of the total project spending allocated towards interventions. Performance Report Output KPIs Output KPI #1 Number of staff provided premium (hazard) pay benefits • Output KPI #1 191 staff were provided premium (hazard) pay Outcome KPIs Outcome KPI #1 Lower turnover rate in job categories receiving premium (hazard) pay • Outcome KPI #1 As of this annual report, no data exists for this metric SWOT Analysis results are not requested/required by Collier County The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. Collier County, Florida 2023 Recovery Plan Performance Report 124 STRENGTHS: Hazard (premium) pay to recognize employee work is often applied during exceptional conditions and can serve to augment regularly scheduled raises in the year awarded. Compensation is known to support satisfaction and employee retention. WEAKNESSES (IMPEDIMENTS • Other forms of employee satisfaction contributing to retention are not addressed by the bonus structure in the year awarded. OPPORTUNITIES (LESSONS LEARNED • An employee survey will assist in uncovering the true nature of conditions that contribute to employee job satisfaction and dissatisfaction. THREATS (CHALLENGES due to IMPEDIMENTS • If other factors for retention are not able to be accomplished, employee retention may be affected despite the compensation structure — for example, union negotiations. Collier County, Florida 2023 Recovery Plan Performance Report 125 Project [CC3.2]: Public Health and Safety Operations and Response- Collier County Funding amount: $20,166,770 Project Expenditure Category: EC 3.1 Project Evaluation Timeline Ending: June 30, 2022 Key Outcome Goal alignment: Health Project overview This project will cover costs incurred by Collier County Emergency Medical Services to cover payroll and benefits of employees responding to COVID-19. Staff will attest to COVID-19 related work activities. This project will begin once monitoring protocols have been established, following submission of the Recovery Plan. Outcomes include maintaining employee retention. This project does not require evidence -based allocations. Link to project: N/A Use of Evidence The goals of this project are greater enforcement of public health ordinances and increased employee retention. FGCU and the subrecipient are evaluating this project via KPI and SWOT detailed below. $20,166,770.00 is the dollar amount of the total project spending. Performance Report Output KPIs Output KPI #1 Number of government FTEs responding to COVID-19 supported under this authority • Output KPI #1 As of this annual report, no data exists for this metric Outcome KPIs Outcome KPI #2 Maintain employee retention • Outcome KPI #2 As of this annual report, no data exists for this metric SWOT Analysis is not requested/required by Collier County Collier County, Florida 2023 Recovery Plan Performance Report 126 Project [CC3.3 Administration NOT EVALUATED BY FGCU Funding amount: $5,250,000.00 Project Expenditure Category: EC 7.1 Project Evaluation Timeline Ending: June 30, 2022 Project overview Administration covers County and Consulting (i.e., website, plan writing) expenses related to administering the full $74.7 million dollar program. Website: https://www.colIiercountyhousing.com/community-assistance-program/ Use of Evidence The goal of this project is to provide successful implementation and oversight of all other Collier County ARPA projects. This project is not required to report on an evidence base. Performance Report Output KPIs Output KPI #1: Dollar amount of funds encumbered to ARPA Projects Output KPI #1: $74,762,701 — the full award amount has been encumbered. Outcome KPIs Outcome KPI #1: Number of timely Treasury submissions for Collier County ARPA o Outcome KPI #1: 3, The 2021 and 2022 annual reports and three quarterly reports have been submitted. SWOT Analysis is not requested/required by Collier County Collier County, Florida 2023 Recovery Plan Performance Report 127 Project [CC3.41: Personal Protective Equipment (PPE) NCH Facilities in Collier County Funding amount: $2,000,000 Project Expenditure Category: EC 1.5 Project Evaluation Timeline ending June 30, 2022 Key Outcome Goal alignment: Health Project overview This project covers personal safety equipment needed by Collier County healthcare operations throughout Collier County. Supplies to be ordered include masks, face shields, swabs, tops, gowns, gloves, wipes, and related items; with the goal of minimizing contact and transmission of SARS-CoV-2. It will primarily involve Collier County Hospitals, including staff, patients, and visitors in the facilities. Outcomes include reduced COVID-19 transmission and infection in hospital staff, patients, and visitors. Link to project: NCH Healthcare System (nchmd.org) Evidence Base This project does not require evidence -based allocations. The goals for this project are to reduce COVID-19 transmission and infection among Collier County hospital and system operations staff, patients, and visitors. Masks, face shields, swabs, tops, gowns, gloves, wipes, and related protective equipment are recommended by the Centers for Disease Control and Prevention (CDC), and this project strives to implement that best practice in Collier. The evaluation model is quantitative in nature with reported counts of the distribution of PPE Supplies quarterly as compared to the inventory reported at the highest level in 2020-2021. Should any deviations occur, a narrative explaining deviation(s) will be included with an action plan for restoring inventory in the subsequent quarter. $2,000,000 is the dollar amount of the total project spending allocated towards meeting the goal. Performance Report Output KPIs Output KPI #1. Count of PPE supplies distribution • Output KPI #1 As of this annual report, no data exists for this metric Outcome KPIs Outcome KPI #1 Maintain a 30-day supply of PPE as evidenced by inventory roster provided at the time of agreement execution • Outcome KPI #1 As of this annual report, no data exists for this metric from NCH. The first NCH data report will submit data generated from July 1, 2022 SWOT Analysis Collier County, Florida 2023 Recovery Plan Performance Report 128 STRENGTHS Inventory control for optimal availability and distribution of protective equipment (PPE) ensures adequacy of protection from COVID-19 transmission to the degree offered by PPE. NCH implements mandatory training on PPE as part of the broader program for annual infection control throughout the hospital. Periodic just -in -time refresher training is used when warranted. WEAKNESSES (IMPEDIMENTS Despite availability of protective equipment, factors such inadequate training and inconsistent use can mitigate the effectiveness of the infection control interventions. Furthermore, due to the delay in symptoms display or asymptomatic COVIID-19 infected individuals, even the correct use of PPE is not enough to completely prevent community or hospital - based spread. OPPORTUNITIES (LESSONS LEARNED): Lessons were learned in the industry concerning the supply chain issues with PPE as well as the quality and availability of PPE products. The availability of vendors who have been properly vetted for quality PPE supplies during the pandemic helped to avoid instances of insufficient, ineffective, and inadequate supplies of PPE. Even with an adequate stock of PPE, frequent reminders through training and visible cueing can facilitate the proper use of PPE supplies, distribution, and use. THREATS (CHALLENGES due to IMPEDIMENTS Complacency in employee use and lack of enforcement of proper use can increase the risk of transmission even when PPE is sufficiently maintained and appropriately implemented. Collier County, Florida 2023 Recovery Plan Performance Report 129 Project [CC3.5]: Evaluation and Data Analysis- Florida Gulf Coast University Funding amount: $600,000 Project Expenditure Category: EC 3.4 Project Evaluation Timeline Ending: June 30, 2022 Project overview This project creates the systems and evaluation processes to assist Collier County ARP projects to measure impact transparently and with a focus on efficacy, equity, and efficiency. It includes services procured to assist with meeting Treasury Guidelines on evidence base and impact evaluation for all relevant Collier ARP projects. Outcomes include evaluation and analysis that leads to optimized health, food security, housing, medical, disadvantaged services, and economic support programs in Collier County Link to project: N/A Use of Evidence (Not Applicable) Goals for this project include a high level of service in measuring and evaluating Collier County ARP projects, such that residents, businesses, and nonprofits are served in ways that improve community health and prosperity. This project will streamline and refine the use of evidence and monitoring for all projects proposed in the recovery plan requiring evidence and evaluation. The evaluation design is constituted of both formative and summative data collection, pre and post measures, and qualitative and quantitative designs. $600,000.00 is the dollar amount of the total project spending allocated towards interventions for the project. Performance Report Output KPIs Output KPI #1 Number of projects for which evaluation data has been negotiated with subrecipients. • Output KPI #1 20 —All applicable projects have had evaluation KPIs negotiated with subrecipients. Output KPI #2 Number of projects for which evaluation plans have been defined and implemented. Output KPI #2: 19 projects have been reviewed for evaluation plans, resulting in 14 projects being evaluated by FGCU evaluation team while six will not be evaluated quarterly by FGCU by direction of Collier County. Output KPI #3 Number of projects for which the evidence base has been refined. • Output KPI #3 14 projects have evidence -based interventions as required by US Treasury guidance Collier County, Florida 2023 Recovery Plan Performance Report 130 Outcome KPIs Outcome KPI #1 Annual Key Outcome Goal assessments Outcome KPI #1 Five key outcome goal assessments have been conducted, as part of the annual evaluation report. All projects have been matched under one of five key outcomes goals: health, housing, economic recovery, education, food security SWOT Analysis is not requested/required by Collier County The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. STRENGTHS: • FGCU used year one to build relationships with all sub-awardees, Coastal Cloud, OVID, and Collier County as agreements were negotiated to refine all KPIs. • The FGCU evaluator team members worked well together to build solutions to challenges confronted in building and executing the evaluation process. • Several team members engaged in the evaluation were trained in the application of NVivo analytics to facilitate qualitative analyses for sub awardees. • County staff monitor the validity of projects and information reported. WEAKNESSES (IMPEDIMENTS • For the generalization of findings among sub-awardees the predominant form of evidence is moderate in nature by definition in US Treasury guidance which may limit application across demographics of clients in a specific sector. OPPORTUNITIES (LESSONS LEARNED • Close communication to clarify data needed is essential to the alignment of understanding among all parties. • Shifts in sub awardee measures as projects progress benefit from the flexibility in evaluation processes. • Quantitative and qualitative (SWOT interviews) data collection presents a robust description of progress for projects. THREATS (CHALLENGES due to IMPEDIMENTS • Sub awardee timeliness of data input affects the timeliness of ability of FGCU evaluations to be submitted by due dates. Collier County, Florida 2023 Recovery Plan Performance Report 131 FGCU does not verify veracity of data submitted by the sub awardee; rather it seeks to clarify how data is gathered and submitted, noting any aberrations that would suggest further examination. Collier County, Florida 2023 Recovery Plan Performance Report 132 Project [CC3.6 Collier County Revenue Replacement NOT EVALUATED BY FGCU Funding amount: $10,000,000 Project Expenditure Category: EC 6.1 Project Evaluation Timeline Ending: June 30, 2022 Project overview Collier County Revenue Replacement utilizes the 1-time election of $10 million assumed revenue loss due to the pandemic, and funds County operations with said replacement. Use of Evidence Evidence is not required for this expenditure category Performance Report Output KPIs Output KPI #1: Dollars spent on provision of government services to date • Output KPI #1 No data currently available Outcome KPIs Outcome KPI #1: Number of Public Safety personnel supported o Outcome KPI #1 No data currently available SWOT Analysis is not requested/required by Collier County Collier County, Florida 2023 Recovery Plan Performance Report 133 Project [CC4.11: Collier County Library — Community Outreach, Literacy, and Education (COLE) Funding amount: $1,729,304 Project Expenditure CategorX: EC 2.24 Project Evaluation Timeline Ending: June 30, 2022 Key Outcome Goal alignment: Education Project overview The COLE project will provide educational sessions at the Golden Gate and Immokalee library branches three times per week with the intended outcome of improving reading skills for students who lost in -person instruction during the COVID-19 school closures. Funds will be utilized to provide homework and tutoring support for ESOL students and teen life programs. Online programs such as BrainFuse, will be purchased as a resource to promote improved reading outcomes. Expenditures will also include Wi-Fi hotspots for students to check-out for up to 12 weeks in order to access the online remedial programs and online tutoring support. Additional face-to-face support will be provided. Expenditures will include resources such as additional visual, print and audio materials for students to check out. The program is being implemented through a signed memorandum of understanding. Tutoring services will begin in fall 2022. This program contributes to "Addressing Educational Disparities: Aid to High Poverty Districts." Beneficiaries are students who lost in person instruction because of school closures due to the COVID-19 Pandemic. The students' learning loss was further exacerbated by lack of internet access to participate in online instruction. The COLE program will provide for remediation in reading skills to recoup lost learning. The library branches providing the COLE program serves students in a qualifying census tract who lost reading instruction during school closures for COVID-19. Link to project: N/A Use of Evidence The goal of the Collier County Library — Community Outreach, Literacy, and Education (COLE) program is to increase reading comprehension skills in students who lost in -person instruction due to school closures for the COVID-19 pandemic. Three representative citations of evidence are provided to verify method, and impact evaluation is utilized where appropriate. The program is utilizing BrainFuse and is currently researching evidence -based online reading programs to use (i.e., Reading A to Z). The library will be tracking student progress through online reading pre- and post -assessments in order to evaluate the project's effectiveness and build evidence to support the program. The goal of the COLE program is to increase students' reading comprehension skills as measured by pre- and post - assessments of participating students. In addition to the below cited similar interventions with positive outcomes, FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below. A full bibliography for evidence is on file with FGCU evaluators. 1. Mediavilla, C. (2001). Creating a full -service homework center in your library. American Library Association. Collier County, Florida 2023 Recovery Plan Performance Report 134 2. Betty, P. (2009). Assessing homegrown library collections using google analytics to track use of screencasts and clash -based learning objectives: Special issue on usage statistics of electronic resources. Journal of Electronic Resources Librarianship, 21(1), 75-92. 3. Harriott, C. (2010). Conversations: teen talk and life skills group (Doctoral dissertation, California State University, Northridge). $1,729,304.00 is the total project spending allocated towards evidence -based interventions for the COLE program. Performance Report Output KPIs Output KPI #1: Number of students participating in evidence -based tutoring programs, with demographic information. As of this annual report, no data exists for this metric. Output KPI #2: Computer equipment usage statistics with demographic information. • As of this annual report, no data exists for this metric. Outcome KPIs Outcome KPI #3: Increased reading comprehension or other educational attainment that will be measured by pre- and post -assessment of participating students. • As of this annual report, no data exists for this metric SWOT Analysis The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. SWOT analysis provided below is limited due to the program currently in the planning stages. Currently interviews are being conducted for the various positions of the homework center. Program is in planning stages as noted above and has not begun to provide services to beneficiaries. STRENGTHS: Community & Human Services (CHS): strong support and teamwork via Grant Coordinators for the Library sub -recipient group working on the COLE grant; New FTE Library Program Specialist to execute and oversee the two OCT-area Homework Centers brings a wealth of ideas and experience; Grant well -received and appreciated by OCT-area Branch Managers who know their demographic and how best to aid them to mitigate learning loss attributed to COVID impacts. Collier County, Florida 2023 Recovery Plan Performance Report 135 WEAKNESSES (IMPEDIMENTS Processes and procedures are disseminated and implemented through the various channels in the government organization with many movable parts; this naturally takes time and resets the previous expected timeline targets of the program. Areas where the Homework Centers can take place are rather small in dimension and will take some innovative thinking and brainstorming to utilize all the materials purchased, how to store them, and how best to serve the students in a positive and impactful way. OPPORTUNITIES (LESSONS LEARNED • QCT-areas where Homework Centers are to be located will be well -served by the COLE Grants objectives and outcomes; • Diverse and multimodal means of learning tools are available to purchase and implement to bring enriching resources to students in these areas who might otherwise not have access to them; • Budget large enough to hold additional sessions, if possible (due to staffing), through added weekend sessions for both K12 or GED students. THREATS (CHALLENGES due to IMPEDIMENTS • Supply -chain issues with receiving computers, homework center stations, materials, etc. Restrictions on how, where, and to whom the funds can be used on severely limits allocating and using the funds as well meeting the spend -down process within the allotted timeline. Collier County, Florida 2023 Recovery Plan Performance Report 136 Project [CC4.2L University Extension, Reaching More — Extension Education Funding amount: $1,546,000 Project Expenditure Category: EC 2.1 Project Evaluation Timeline Ending_ June 30, 2022 Key Outcome Goal alignment: Health, Nutrition, Education Project overview This project involves nutrition education, healthy food purchases and cooking activities; family financial education; hands on gardening and landscape programs; and youth development life skills/leadership acquisition activities for underserved residents. These programs will be executed by the University of Florida Institute of Food and Agricultural Science (UF1IFAS) Extension Collier County. A memorandum of understanding will be developed with the OF Extension to implement this project. Outcomes include increased food security for participants from QCTs. Link to project: N/A Use of Evidence University Extension Services has deep roots in Collier County to serve as the outreach and non -formal education branch of the Land Grant University system. Extension professionals focus on community -based education to enhance the universities' outreach in agriculture, engineering, youth development, and family and consumer sciences which in 2020 grew to include community resource development for addressing COVID. Given the tremendous need for health and nutrition -related activities, University Extension Services coalesced efforts for coordination and communications, curriculum development, training, and resource development efforts to improve health and nutrition centering COVID-19 related outreach. In light of COVID-19, agents will deliver training and provide technical assistance on a host of health and nutrition related matters to keep participants informed on COVID-19, share nutrition and education through cooking demonstrations and activities, provide written communication, and/or overall nutrition technical assistance. The goal of this project is to increase access to healthy food and nutrition education. In addition to the below cited similar interventions with positive outcomes, FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below. The full bibliography is maintained in the FGCU and has been deemed sufficient to support activities. 1. Narine, L., & Meier, C. (2020). Responding in a time of crisis: Assessing extension efforts during COVID-19. Advancements in Agricultural Development, 1(2), 12-23. https://doi.org/l0.37433/aad.vl i2.35 2. https://www.cdc.gov/nccdphp/dnpao/state-local-programs/pdf/healthier-food-retail-guide-full.pdf 3. Strayer, Thomas E. III MSc; Balis, Laura E. PhD; Harden, Samantha M. PhD Partnering for Successful Dissemination: How to Improve Public Health With the National Cooperative Extension System, Journal of Public Health Management and Practice: March/April 2020 - Volume 26 - Issue 2 - p 184-186 doi: 10.1097/ P H H .0000000000001025 $1,546,000.00 is the dollar amount of the total project spending allocated towards evidence -based interventions for each project. Collier County, Florida 2023 Recovery Plan Performance Report 137 Performance Report Output KPIs Output KPI #1. Number of individuals participating in evidence -based nutrition education programs • Output KPI #1 As of this annual report, no data exists for this metric. Outcome KPIs Outcome KPI #1 Number of participants in nutrition education programs who increase their knowledge of meal preparation and how fruits and vegetables support nutrition for improved health o Outcome KPI #1 As of this annual report no data exists for this metric. Outcome KPI #2 Number of participants planning healthy meals based on MyPlate recommendations o Outcome KPI #2 As of this annual report, no data exists for this metric. Outcome KPI #3 Increased consumption of fruits, vegetables, or healthy meals that meet FDA dietary guidelines, and purchases of healthy foods by participants o Outcome KPI #3 As of this annual report, no data exists for this metric. SWOT Analysis The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. NOT yet started STRENGTHS: • Programs are ready to implement in August 2022 WEAKNESSES (IMPEDIMENTS • No Weaknesses have been identified at this time; pending reporting from subrecipient OPPORTUNITIES (LESSONS LEARNED • No Opportunities have been identified at this time; pending reporting from subrecipient THREATS (CHALLENGES due to IMPEDIMENTS • Understanding need for purchase order and quotes for food and supplies is being discussed Collier County, Florida 2023 Recovery Plan Performance Report 138 Project [CC4.3L Collier County Museums — Immokalee Pioneer Museum Funding amount: $561,490 Project Expenditure Category: EC 2.1 Project Evaluation Timeline Ending_ June 30, 2022 Key Outcome Goal alignment: Food Security Project overview This project consists of recreating a citrus grove and homestead garden at Immokalee Pioneer Museum, serving QCTs 112.04, 112.05, 113.01, 113.02, and 114.00, to provide access to healthier fruit and vegetable options to individuals experiencing food insecurity due to hardships exacerbated by the COVID-19 pandemic. The 1.25-acre citrus grove and % acre garden will be effectuated through a memorandum of understanding with Collier County Museums. Outcomes will include lower food insecurity as tracked by produce distributed over the life of the project. Link to project: N/A This program contributes to "Household Assistance: Food Programs," which addresses food insecurity as a result of the pandemic. It is located within a Qualified Census Tract. The Immokalee Pioneer Museum serves beneficiaries within QCT 114 and adjacent QCTs who are experiencing food insecurity. Use of Evidence Goals of this project include decreased food insecurity for residents within the QCTs surrounding Immokalee. Evidence base supports that community gardens provide participants with easier access to healthier food options and those who participate consume more fruits and vegetables throughout the day than non -community garden program participants. In addition to the below cited similar interventions with positive outcomes, FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below (full bibliography for evidence is on file with FGCU evaluators.) Alaimo, Packnett, E., Miles, R. A., & Kruger, D. J. (2008). Fruit and Vegetable Intake among Urban Community Gardeners. Journal of Nutrition Education and Behavior, 40(2), 94-101. https://doi.org/l 0.1016/j j neb.2006.12.003 2. Burt, Mayer, G., & Paul, R. (2021). A systematic, mixed studies review of the outcomes of community garden participation related to food justice. Local Environment, 26(1), 17-42. https://doi.org/l 0.1080/13549839.2020.1861589 3. Hume, Grieger, J. A., Kalamkarian, A., D'Onise, K., & Smithers, L. G. (2022). Community gardens and their effects on diet, health, psychosocial and community outcomes: a systematic review. BMC Public Health, 22(1), 1247-1247. https:Hdoi.org/l0.1186/s12889-022-13591-1 Collier County, Florida 2023 Recovery Plan Performance Report 139 $561,490.00 is the total project spending allocated towards evidence -based interventions for the project. Performance Report Output KPIs Output KPI #1: Number of participants in community gardening programs who receive food assistance • As of this annual report, no data exists for this metric. Outcome KPIs Outcome KPI: #1 Number of repeat participants that self -report increased fruit and vegetable consumption based on CDC Behavioral Risk Factor Surveillance System (BRFSS) Fruit and Vegetable questions. • As of this annual report, no data exists for this metric. SWOT Analysis The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. SWOT analysis provided below is limited due to the program being in planning stages. Program is in planning stages as noted above and has not begun to provide services to beneficiaries. STRENGTHS- • No Strengths have been identified at this time; pending reporting from subrecipient WEAKNESSES (IMPEDIMENTS • No Weaknesses have been identified at this time; pending reporting from subrecipient OPPORTUNITIES (LESSONS LEARNED • No Opportunities have been identified at this time; pending reporting from subrecipient THREATS (CHALLENGES due to IMPEDIMENTS • No Threats have been identified at this time; pending reporting from subrecipient Collier County, Florida 2023 Recovery Plan Performance Report 140 Project [CC4.41: Collier County Affordable Housing Funding amount: $4,086,137 Project Expenditure Category: EC 2.15 Project Evaluation Timeline Ending: June 30, 2022 Key Outcome Goal alignment: Housing Project overview This project involves the utilization of grants and loans in the veins of a Low -Income Housing Tax Credit (LIHTC) program to cover eligible development costs associated with the delivery of new affordable housing units in Collier County. Given the increase of median prices due both supply and demand shocks in the County, the vulnerable population has suffered with an even faster increase in housing costs (both mortgage and rents) leading to increase in homelessness, out -migration of low-income population and difficulty in attracting workforce to the region. This project tackles the supply side of the market by assisting with the increase in the number of affordable housing units in the County, which will improve market conditions for current residents and attract new workforce. Link to project: N/A Use of Evidence The goal of this project is to provide development assistance for affordable housing, thus increasing the amount of affordable housing units in Collier County. In addition to the below cited similar interventions with positive outcomes, FGCU and the subrecipient are evaluating this project via KPI and SWOT, as detailed below. 1. Luque, J. (2020) Assessing the role of TIF and LIHTC in an equilibrium model of affordable housing development. Regional Science and Urban Economics, 80, 103377 2. Dunlap, T. P., Burkhalter, B. B., Watson, D. J., & Fitzpatrick, J. A. (1995). Reshaping the Local Economy through a Revolving Loan Fund Program in an Entrepreneurial City. Economic Development Quarterly, 9(1), 74-79. 3. Desai, M., Dharmapala, D., & Singhal, M. (2010). Tax incentives for affordable housing: the low-income housing tax credit. Tax policy and the economy, 24(1), 181-205. Performance Report Output KPIs Output KPI #1: Total dollar amount of affordable housing loans provided • Output KPI #1 As of annual report no data exists for this metric. Output KPI #2: Total dollar amount of affordable housing grants provided • Output KPI #2 as of annual report no data exists for this metric. Collier County, Florida 2023 Recovery Plan Performance Report 141 Outcome KPIs Outcome KPI #1: Number of affordable housing units preserved or developed • Outcome KPI #1 as of annual report no data exists for this metric. SWOT Analysis The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. STRENGTHS: • No Strengths have been identified at this time, pending project start WEAKNESSES (IMPEDIMENTS • No Weaknesses have been identified at this time, pending project start OPPORTUNITIES (LESSONS LEARNED • No Opportunities have been identified at this time, pending project start THREATS (CHALLENGES due to IMPEDIMENTS No Threats have been identified at this time, pending project start Collier County, Florida 2023 Recovery Plan Performance Report 142 Project [CC4.51: Collier Access to Care - PLAN Funding amount: $100,000 Project Expenditure Category: EC 1.14 Project Evaluation Timeline Ending: June 30, 2022 Key Outcome Goal alignment: Health Project overview This project will provide medical services to impacted and disproportionately Impacted Collier County residents, including primary, urgent, and specialized care. Individuals with acute and chronic health concerns will be connected to physicians, nurse practitioners, and other healthcare professionals offering pro-bono services through a nonprofit intermediary organization. Access to care is an important attribute for improving health status. Collier County residents who are uninsured and who cannot afford to pay for health care providers and services need access to an agency that can coordinate uncompensated care thereby connecting patients and providers to achieve health care interventions to improve health status in the community. Access to care is a public health value. Link to project: www.plancc.org Use of Evidence The goal of this program is to address general and specialized illness for beneficiaries served through medical treatment. Individuals served will be Treasury Impacted or Disproportionately Impacted populations. 1. https://www.researchgate.net/profile/Ronald- Andersen/publication/237675193 Improving access to care in America Individual and contextual indicato rs/links/556cd20a08aec226830548fa/Improving-access-to-care-in-America-I ndividual-and-contextual- indicators.pdf 2. Dennis P. Andrulis Access to Care Is the Centerpiece in the Elimination of Socioeconomic Disparities in Health. Ann Intern Med.1998; 129:412-416. doi:10.7326/0003-4819-129-5-199809010-00012 3. Shah, R., Chen, C., O'Rourke, S., Lee, M., Mohanty, S. A., & Abraham, J. (2011). Evaluation of Care Management for the Uninsured. Medical Care, 49(2), 166-171. http://www.jstor.org/stable/41103892 $100,000.00 is the dollar amount of the total project spending allocated towards evidence -based interventions for this project. Performance Report Output KPIs Output KPI #1 Total number of patients referred by PLAN to medical providers in their network • Output KPI #1: 381 patients have been referred by PLAN to providers since 71112021 Collier County, Florida 2023 Recovery Plan Performance Report 143 Output KPI #2 Number of services that referred patients received • Output KPI #2: 1867 services have been provided to PLAN patients since 71112021 Output KPI #3 Dollar value of donated services as reported by medical providers in PLAN's network • Output KPI #3: $3,095,140.00 is the value of donated services since 71112021 Output KPI #4 Number of new medical providers enrolled in PLAN's network • Output KPI #4: Two new medical providers have been added to PLAN since 71112021 Outcome KPIs Outcome KPI #1 At least 370 patients referred annually to medical providers in the PLAN network for services o Outcome KPI #1- MET: 381 patients have been referred by PLAN to providers since 71112021 Outcome KPI #2 Referred patients will receive a minimum of 2400 services annually (PLAN Award started October 1, 2021, so only three quarters of data constitute the annual report on their metrics) o Outcome KPI #2- Progress toward goal is apparent: 1867services have been provided to PLAN patients since the start of their award on October 1,2021. Forecasts for number of services were based on retrospective data over last 3 years when COVID-19 was in the acute phase of the pandemic. It is too early to understand if any change in annual services will be a trend for PLAN recipients due to a myriad of factors including COVID-19 and long COVID trajectories, patient hesitancy to seek care due to fear of communicability of COVID from outside the home, and provider stress in offering services in the midst of a continuing presence of COVID-19 to name a few. Outcome KPI #3 At least $3,000,000.00 worth of donated services annually, reported by medical providers in the PLAN network o Outcome KPI #3: MET- $3,095,140.00 is the value of services delivered to PLAN patients by providers since 71112021 Outcome KPI #4 At least 2 new medical providers will be enrolled in PLAN during the agreement period of performance o Outcome KPI #4: MET- Two new medical providers were added to the PLAN registry since 71112021. SWOT Analysis The SWOT Analysis is conducted in partnership with the subrecipient (if applicable) and is based on available quantitative and qualitative data. STRENGTHS: Collier County, Florida 2023 Recovery Plan Performance Report 144 PLAN has a long history of linking Collier County residents in need of health care services with pro bono health care providers and services. PLAN has 150 specialists in the data base to provide services. The provision of free medical services allows patients to dedicate their other resources to food security, housing, transportation, and quality of life. PLAN never closed/denied the services offered and continued to see even more patients during the Covid-19 pandemic. WEAKNESSES (IMPEDIMENTS): PLAN Telecommunication network is over 10 years old and is reported to be overloaded with messages as it is a one tele mailbox messaging system that is dependent on a staff member retrieving all messages regardless of the nature and urgency of the inquiry which contributes to intermittent delays in retrieval and response. In addition, PLAN is always recruiting for additional pro bono providers due to the regular rotation of new and existing providers from the pro bono list which can contribute to lengthening the time for a patient to receive the referral and coordination of services. There is a small marketing budget to educate the provider community as to the nature of services, recruitment of providers, and requirements for patients to access PLAN. Providers have been known to refer patients to PLAN without screening for patient qualifications and this places PLAN in the position to deny access to services for those referrals who do not qualify. OPPORTUNITIES (LESSONS LEARNED PLAN explored an updated and improved call center model found it to be cost -prohibitive with current PLAN budget so external funding is required to update telecommunications systems which can improve access and timely care. Marketing personnel also need to be added with external funding to ensure appropriate community education for PLAN services and recruitment of additional pro bono providers to meet the demand PLAN is experiencing. THREATS (CHALLENGES due to IMPEDIMENTS): Service delays for patients can result in diagnoses and treatments that may have been more effective earlier in the trajectory of the disease process. The outdated telecommunication system contributes to this delay. It has been noted in the literature that delays in service due to COVID-19 demands for care, provider office closures for periods of time, unavailability of beds for elective surgeries, and fear expressed by patients to seek care in an environment that may contribute to COVID exposure have resulted in delayed care. While some pro bono providers see many patients and provide more than their share of care others may only see a few patients and place limits on the services provided. Providers who decline or limit care report they want other providers to join the ability of the community to provide bono care; they report stress with workloads due to prolonged Covid-19 pandemic; and they may impose a limited number of services (i.e., number of surgeries per month/number of patients willing to provide services). Providers lack the knowledge as to how PLAN and the State provide physician benefits for coverage of PLAN patients. PLAN cannot afford incentives to recruit providers and depends on the good will of providers and their dedication to service in their communities. The small staff of three, the lack of a marketing person, and the outdated telecommunication system contribute to limited recruitment success and an underinformed community as to the needs for pro bono care and timely access to care. Collier County, Florida 2023 Recovery Plan Performance Report 145 2023 Draft Performance Report Submission to US Treasuryjuly 31, 2023 AMERICAN RESCUE PLAN STATE AND LOCAL FISCAL RECOVERY FUNDS