Agenda 09/29/2009 Item #16D 6
Agenda Item No. 1606
September 29,2009
Page 1 of 11
EXECUTIVE SUMMARY
Recommendation to accept the Health Care and Other Facilities Special Congressional
Initiative from the United States Department of Health and Human Services in the amount
of $141,570.00 and approve the necessary budget amendment to recognize the revenue.
OBJECTIVE: To accept the Health Care and Other Facilities Special Congressional Initiative
from the United States Department of Health and Hwnan Services and approve the required
budget anlendment. This grant application was approved by the Collier County Board of County
Commissioners on May 26,2009 Item 16 Dll.
CONSIDERATIONS: The Housing and Hwnan Service~ Department was recently awarded a
Healtll Care and Other Facilities Special Congressional Initiative on behalf of the Physician Led
Access Network and other agencies serving the uninsured population of Collier County with
health care.
In the fall of 2008, staff of the Housing and Human Services Department met with representatives
of The Ferguson Group to discuss and present a project questionnaire on a proposed project for
health care access for the uninsured in partnership with a local not for profit provider, the
Physician Led Access Network (PLAN). A total of 20 county projects were originally submitted
for consideration to The Ferguson Group representatives. The Ferguson Group professionally
evaluated the funding potential of each project. Based on opportunities available, the PLAN
project was one of nine (9) projects recommended for Collier County's Fiscal Year 2009 Federal
Legislative Agenda. The Board of County Commissioners approved this project as one of their
legislative priorities on February 12, 2008.
PLAN is the community-based referral network that coordinates volunteer medical care for
eligible low-income, uninsured adults in need of health services in Collier County. Led by our
physicians, it is a community partnership that brings together our physicians, community clinics,
hospitals, diagnostic and laboratory facilities, and other healthcare providers through an
integrated delivery system of volunteer care. PLAN is an initiative launched by tlle Collier
County Medical Society. This past year, PLAN coordinators facilitated over 900 patient
encounters; these patients received over $1,700,000 in donated care.
Collier County Government will purchase the equipment and software needed to implement a
Health Infonnation Teclmology project. The goal of the project is the efficient electronic transfer
of information linking data from the hospitals' systems, the community's clinics that serve as
access to care for the poor and the private practice paliicipating healthcare providers into PLAN.
In addition, diagnostic equipment to help serve tlle low income population with health care will be
purchased by the County for participating clinics.
This appropriation was approved as part of the Omnibus Appropriations Bill for Fiscal Year 2009
(PL 111-8), signed into law on March 22, 2009. The Housing and Hunlan Services Depaliment
received all official Notice of Grant Award for this program with an effective date of September
Agenda Item No. 1606
September 29,2009
Page 2 of 11
1,2009 and end date of August 31,2010.
Collier County Housing and Human Services will serve as the Fiscal Entity for this grant. There
is no match required and no general fund dollars will be expended.
FISCAL IMP ACT: Serving as the fiscal entity for the administration of this project will require
a minimal amount of staff involvement.
GROWTH MANAGEMENT IMPACT: There is no growth management impact due to this
request.
LEGAL CONSIDERATIONS: This item has been reviewed and approved by the County
Attorney's Office. This item is legally sufficient for Board approval. - CMG -
RECOMMENDATION: Staff recommends that the Board of County Commissioners accept
the Health Care and Other Facilities Special Congressional Initiative earmark and approve the
necessary budget amendment.
Prepared by: Marcy Krumbine, Director, Housing and Human Services
I
t'age 1 or 1
Agenda Item No. 1606
September 29, 2009
Page 3 of 11
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
Item Number: 1606
Item Summary: Recommendation to accept the Health Care and Other Facilities Special Congressional Initiative
from the United States Department of Health and Human Services in the amount of $141,570.00
and approve the necessary budget amendment to recognize the revenue.
Meeting Date: 9/29/2009 9:00:00 AM
Approved By
Marcy Krumbine Director Date
Public Services Housing & Human Services 9/16/20093:46 PM
Approved By
Kathy Carpenter Executive Secretary Date --
Public Services Public Services Admin. 9/17/200910:04 AM
Approved By
Colleen Greene Assistant County Attorner Date
County Attorney County Attorney Office 9/17/200910:29 AM
Approved By
Terri A. Daniels Grants Coordinator Date
Public Services Housing & Human Services 9/17/200911:50 AM
Approved By
Marlene J. Foord Grants Coordinator Date
Administrative Services Administrative Services Admin. 9/17/20091:28 PM
Approved By
Marla Ramsey Public Services Administrator Date
Public Services Public Services Admin. 9/17/20094:03 PM
Approved By
OMB Coordinator OMB Coordinator Date
County Manager's Office Office of Management & Budget 9/18/2009 11 :14 AM
Approved By
Jeff Klatzkow County Attorney Date
County Attorney County Attorney Office 9/18/20091:41 PM
Approved By
Sherry Pryor Management & Budget Analyst Date
County Manager's Office Office of Management & Budget 9/18/20094:07 PM
Approved By
Leo E. Ochs. Jr. Deputy County Manager Date I
Board of County
Commissioners County Manager's Office 9/19/20099:09 AM
file://C:\Agendatest\export\135-September 29,2009\16. CONSENT AGENDA\16D. PUBLI... 9/23/2009
Page 1
1. DATE ISSUED: 2. PROGRAM CFDA: 93.887 DEPARTMENT OF HEALTH AND HUr~A'rI1~Qm~, 2009
08/19/2009
3. SUPERCEDES AWARD NOTICE dated: HEALTH RESOURCES AND SERVICES ADMINlslfQgt:le1N:>f 11
except that any additions or restrictions previously imposed remain in effect unless specifically rescinded, _RSA
4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT NO.:
1 C76HF15996-01-00 C76HF15996
6. PROJECT PERIOD: NOTICE OF GRANT AWARD
FROM: 09/01/2009 THROUGH: 08/31/2010 AUTHORIZATION (Legislation/Regulation)
7. BUDGET PERIOD: The Consolidated Appropriations Act of 2008, P.L.11 0-161
P.L.111-8
FROM: 09/01/2009 THROUGH: 08/31/2010
8. TITLE OF PROJECT (OR PROGRAM): Health Care and Other Facilities
9. GRANTEE NAME AND ADDRESS: 10. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL INVESTIGATOR)
Collier County Marcy Krumbine
3301 Tamiami Trail E Collier County
Naples, FL 34112-3969 3301 Tamiami Trail E.
Naples, FL 34112-4961
11. APPROVED BUDGET: (Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE
[X] Grant Funds Only a. Authorized Financial Assistance This Period $ 141,570.00
[] Total project costs including grant funds and all other financial b. Less Unobligated Balance from Prior Budget Periods
participation i. Additional Authority $ 0.00
ii. Offset $ 0.00
a. Salaries and Wages: $ 0.00 c. Unawarded Balance of Current Year's Funds $ 0.00
b. Fringe Benefits: $ 0.00 d. Less Cumulative Prior Award(s) This Budget $ 0.00
c. Total Personnel Costs: $ 0.00 Period
d. Consultant Costs: $ 0.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $ 141,570.00
e. Equipment: $ 136,475.00 ACTION
f. Supplies: $ 0.00 13. RECOMMENDED FUTURE SUPPORT: (Subject to the availability of
g. Travel: $ 0.00 funds and satisfactory progress of project)
h. Construction/Alteration and Renovation: $ 0.00 TOTAL COSTS'
i. Other: $ 5,095.00
j. Consortium/Contractual Costs: $ 0.00 14. APPROVED DIRECT ASSISTANCE BUDGET: (In lieu of cash)
k. Trainee Related Expenses: $ 0.00 a. Amount of Direct Assistance $ 0.00
I. Trainee Stipends: $ 0.00 b. Less Unawarded Balance of Current Year's $ 0.00
m. Trainee Tuition and Fees: $ 0.00 Funds
n. Trainee Travel: $ 0.00 c. Less Cumulative Prior Awards(s) This Budget $ 0.00
o. TOTAL DIRECT COSTS: $ 141,570.00 Period
p. INDIRECT COSTS: (Rate: % of S&WfTADC) $ 0.00 d. AMOUNT OF DIRECT ASSISTANCE THIS $ 0.00
q. TOTAL APPROVED BUDGET: $141,570.00 ACTION
i. Less Non-Federal Resources: $ 0.00
Ii. Federal Share: $ 141,570.00
15. PROGRAM INCOME SUBJECT TO 45 CFR Part 74.24 OR 45 CFR 92.25 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING
AL TERNA TIVES:
A=Addition B=Deduction C=Cost Sharing or Matching D=Other [A]
Estimated Program Income: $ 0.00
16. THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO, AND AS APPROVED BY HRSA,IS ON THE ABOVE TITLED PROJECT
AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING:
a. The grant program legislation died above. b. The grant program regulation cited above. c. This award notice including terms and conditions, if any. noted below under REMARKS. d. 45 CFR Part 74 or 45 CFR Part 92 as applicable. In the
event there are oonfliding or otherwise inconsistent policies applicable to the grant, the above order of precedence shall prevail. Acceptance of the grant tenns and conditions is acknowledged by the grantee when funds are drawn or otherwise
obtained from the grant payment system.
REMARKS: (Other Terms and Conditions Attached [X] Yes [] No )
Electronically signed by Dorothy M. Kelley, Grants Management Officer on: 08/19/2009
17. OBJ. CLASS: 41.61 18. CRS-EIN: 1596000558A1 19. FUTURE RECOMMENDED FUNDING:
SUBPROGRAM
CODE'
09-3880581 N/A
NOTICE OF GRANT AWARD (Continuation Sheet)
HRSA Electronic Handbooks (EHBs) Registration Requirements
The Project Director of the grant (listed on this NGA) and the Authorizing Official of the grantee organization are
required to register (if not already registered) within HRSA's Electronic Handbooks (EHBs). Registration within
HRSA EHBs is required only once for each user for each organization they represent. To complete the
registration quickly and efficiently we recommend that you note the 10-digit grant number from box 4b of this
NGA. After you have completed the initial registration steps (i.e., created an individual account and associated it
with the correct grantee organization record), be sure to add this grant to your portfolio. This registration in
HRSA EHBs is required for submission of noncompeting continuation applications. In addition, you can also use
HRSA EHBs to perform other activities such as updating addresses, updating em ail addresses and submitting
certain deliverables electronically. Visit https:llgrants.hrsa.gov/webexternal/login.asp to use the system.
Additional help is available online and/or from the HRSA Call Center at 1-877-464-4772.
Terms and Conditions
Failure to comply with the special remarks and condition{s) may result in a draw down restriction being placed
on your Payment Management System account or denial of future funding.
Grant Specific Terms:
1. Based on total project costs, the draw down percentage for this project is 100%. Grant funds can only be drawn down
from the Payment Management System (PMS) as costs are incurred, and it is strongly recommended that the draw
down be done in the same proportion as the grant is to total project costs.
2. Project description: funds will be used to purchase equipment
Project location: Naples, FL
The grantee agrees to:
1. Purchase the equipment specified in the approved application. The grantee may change individual items without
HRSA prior approval as long as they are within the approved project scope. This only applies to projects with
equipment purchase.
2. Construct the project, or cause it to be constructed to final completion in accordance with the approved application
and approved plans and specifications. This only applies to construction and renovation projects.
3. Submit to DFCR and OGMO for prior approval, changes that alter the cost of the project by more than 10%, use of
space, location, or functional layout from that specified in the approved application. This only applies to construction
and renovation projects.
4. Design the project as described in the approved application. This only applies to design projects.
5. Request prior approval from the OGMO, HRSA to use grant funds for anything other than the approved purposes.
This applies to all projects.
6. Meet in a timely fashion any conditions of award that accompany this grant awardi This applies to all projects.
Program Terms:
1. On a regularly scheduled basis, HRSA grantees are required during their project period to participate in a performance
review of their HRSA funded program{s) by a review team from HRSA's Review. If your organization has been
selected for a performance review, you will be contacted at least twelve weeks before your performance review begins
in order to provide you with additional information about the scope and process for your review, and to schedule the
dates for the on-site phase. Upon completion of the performance review, grantees are expected to prepare an Action
Plan that identifies key actions to improve program performance as well as addresses any identified program
requirement issues.
Standard Terms:
Agenda Item No. 16D6
September 29, 2009
NOTICE OF GRANT AWARD (Continuation Sheet) Page 3 Date Issued: 08/19/2009 age 0
Award Number: 1 C76HF15996-01-00
1. All discretionary awards issued by HRSA on or after October 1, 2006, are subject to the HHS Grants Policy Statement
(HHS GPS) unless otherwise noted in the Notice of Award (NoA). Parts I through '" of the HHS GPS are currently
available at http://ftp.hrsa.gov/grants/hhsgrantspolicystatement.pdf and it is anticipated that Part IV, HRSA
program-specific guidance will be available at the website in the near future. In addition, HRSA-specific contacts will
be appended to Part III of the GPS which identifies Department-wide points of contact. Please note that the Terms and
Conditions explicitly noted in the award and the HHS GPS are in effect. Once available, Part IV, HRSA
program-specific guidance will take precedence over Parts I and II in situations where there are conflicting or
otherwise inconsistent policies.
2. The HHS Appropriations Act requires that when issuing statements, press releases, requests for proposals, bid
solicitations, and other documents describing projects or programs funded in whole or in part with Federal money, all
grantees receiving Federal funds, including but not limited to State and local governments, shall clearly state the
percentage of the total costs of the program or project which will be financed with Federal money, the dollar amount of
Federal funds for the project or program, and percentage and a dollar amount of the total costs of the project or
program that will be financed by nongovernmental sources.
3. Recipients and sub-recipients of Federal funds are subject to the strictures of the Medicare and Medicaid anti-kickback
statute (42 U.S.C. 1320a - 7b(b) and should be cognizant of the risk of criminal and administrative liability under this
statute, specifically under 42 U.S.C. 1320 7b(b) Illegal remunerations which states, in part, that whoever knowingly
and willfully:
(A) Solicits or receives (or offers or pays) any remuneration (including kickback, bribe, or rebate) directly or indirectly,
overtly or covertly, in cash or in kind, in return for referring (or to induce such person to refer) an individual to a person
for the furnishing or arranging for the furnishing of any item or service, OR
(B) In return for purchasing, leasing, ordering, or recommending purchasing, leasing, or ordering, or to purchase,
lease, or order, any goods, facility, services, or item
....For which payment may be made in whole or in part under subchapter XIII of this chapter or a State health care
program, shall be guilty of a felony and upon conviction thereof, shall be fined not more than $25,000 or imprisoned for
not more than five years, or both.
4. Items that require prior approval from the awarding office as indicated in 45 CFR Part 74.25 [Note: 74.25 (d) HRSA
has not waived cost-related or administrative prior approvals for recipients unless specifically stated on this Notice of
Grant Award] or 45 CFR Part 92.30 must be submitted in writing to the Grants Management Officer (GMO). Only
responses to prior approval requests signed by the GMO are considered valid. Grantees who take action on the basis
of responses from other officials do so at their own risk. Such responses will not be considered binding by or upon the
HRSA.
In addition to the prior approval requirements identified in Part 74.25, HRSA requires grantees to seek prior approval
for significant rebudgeting of project costs. Significant rebudgeting occurs when, under a grant where the Federal
share exceeds $100,000, cumulative transfers among direct cost budget categories for the current budget period
exceed 25 percent of the total approved budget (inclusive of direct and indirect costs and Federal funds and required
matching or cost sharing) for that budget period or $250,000, whichever is less. For example, under a grant in which
the Federal share for a budget period is $200,000, if the total approved budget is $300,000, cumulative changes within
that budget period exceeding ~75,OOO would require prior approval). For recipients subject to 45 CFR Part 92, this
requirement is in lieu of that in 45 CFR 92.30(c)(1 )(ii) which permits an agency to require prior approval for specified
cumulative transfers within a grantee's approved budget. [Note, even jf a grantee's proposed rebudgeting of costs falls
below the significant rebudgeting threshold identified above, grantees are still required to request prior approval, if
some or all of the rebudgeting reflects either a change in scope, a proposed purchase of a unit of equipment
exceeding $25,000 (if not included in the approved application) or other prior approval action identified in Parts 74.25
and 92.30 unless HRSA has specifically exempted the grantee from the requirement(s).]
5. Payments under this award will be made available through the DHHS Payment Management System (PMS). PMS is
administered by the Division of Payment Management, Financial Management Services, Program Support Center, -
which will forward instructions for obtaining payments. Inquiries regarding payment should be directed to: Payment
Management, DHHS, P.O. Box 6021, Rockville, MD 20852, http://www.dpm.psc.gov/ or Telephone Number:
1-877-614-5533.
NOTICE OF GRANT AWARD (Continuation Sheet) Page 4
Award Number: 1 C76HF15996-01-00
6. The DHHS Inspector General maintains a toll-free hotline for receiving information concerning fraud, waste, or abuse
under grants and cooperative agreements. Such reports are kept confidential and callers may decline to give their
names if they choose to remain anonymous. Contact: Office of Inspector General, Department of Health and Human
Services, Attention: HOTLINE, 330 Independence Avenue Southwest, Cohen Building, Room 5140, Washington, D. C.
20201, Email: Htips@os.dhhs.gov or Telephone: 1-800-447-8477 (1-800-HHS- TIPS).
7. Submit audits, if required, in accordance with OMB Circular A-133, to: Federal Audit Clearinghouse Bureau of the
Census 1201 East 10th Street Jefferson, IN 47132 PHONE: (310) 457-1551, (800)253-0696 toll free
http://harvester.census.gov/sac/facconta.htm
8. EO 13166, August 11, 2000, requires recipients receiving Federal financial assistance to take steps to ensure that
people with limited English proficiency can meaningfully access health and social services. A program of language
assistance should provide for effective communication between the service provider and the person with limited
English proficiency to facilitate participation in, and meaningful access to, services. The obligations of recipients are
explained on the OCR website at http://www.hhs.gov/ocr/lep/revisedlep.html.
9: This award is subject to the requirements of Section 106 (g) of the Trafficking Victims Protection Act of 2000,as
amended (22 U.S.C. 7104). For the full text of the award term, go to http://www.hrsa.gov/grants/trafficking.htm. If you
are unable to access this link, please contact the Grants Management Specialist identified in this Notice of Grant
Award to obtain a copy of the Term.
Reporting Requirements:
1. Due Date: Annually Beginning: 01/01/2010 Ending:Budget End Date
The grantee will submit annual progress reports through the HRSA Electronic Handbooks.
For questions contact: phone - (301) 443-3665; email - hcofta@hrsa.gov
2. Due Date: Within 30 days of Budget End Date
Scan and upload the following document(s) into the HRSA Electronic Handbooks. A SF 424C budget page showing
the actual, final project costs. See page 15 of the following link: http://www.hhs.gov/forms/PHS-5161-1.pdf
3. Due Date: Within 30 days of Project End Date
Submit an itemized list of the equipment items purchased with grant funds. This list must be uploaded into the HRSA
Electronic Handbooks. Records for equipment acquired with Federal funds shall be retained for 3 years after final
disposition. I
4. Due Date: Within 90 days of Budget End Date
The grantee must submit a Financial Status Report within 90 days after the budget period end date. This report should
reflect cumulative reporting within the project period and must be submitted using the Electronic Handbook (EHB).
Failure to comply with these reporting requirements will result in deferral or additional restrictions of future
funding decisions.
NGA Email Address(es):
jamesmudd@colliergov .net;donnafiala@colliergov .net;marcykru mbine@colliergov.net;mworrell@hrsa.gov
Note: NGA emailed to these address(es)
Contacts:
Program Contact: For assistance on programmatic issues, please contact HCOF Program Office at:
HRSAlHSBIDFCR
5600 Fishers Lane
Rockville, MD 20857-0001
Phone: (301 )443-3665
Email: hcofta@hrsa.gov
Division of Grants Management Operations: For assistance on grants administration issues, please contact Mary
NOTICE OF GRANT AWARD (Continuation Sheet)
Worrell at:
HRSA/OFAM/DGMO
5600 Fishers Lane
Rockville, MD 20857-0001
Phone: (301 )443-5181
Email: mworrell@hrsa.gov
Fax: (301 )443-6686
Responses to reporting requirements, conditions, and requests for post award amendments must be mailed to the
attention of the Office of Grants Management contact indicated above. All correspondence should include the Federal
grant number (item 4 on the award document) and program title (item 8 on the award document). Failure to follow this
guidance will result in a delay in responding to your request.
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I ._.
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Agenda Item No. 16D6
September 29, 2009
Page 9 of 11
Budget Detail Worksheet and Narrative
A. Personnel
N arne/Position Computation Cost
Accounting Supervisor $77,000 x .05 FTE $3,850
Accounting Technician $49,700 x .025 FTE $1,245
County staff will assist key personnel in the acquisition and
coordination of assets. They will also be responsible for the
quarterly and annual reporting requirements and fund management
as it relates to invoice payments and draw down of funds.
SUBTOTAL $ 5,095
B. Fringe Benefits --
No fringe benefits are requested SUBTOTAL $ 0
C. Travel
No travel requested is requested SUBTOTAL $ 0
Health Information Technology Special Congressional Initiative
HRSA-08-128
Agenda Item No. 16D6
September 29, 2009
Page 10 of 11
D. Equipment
Description Computation Cost
Scanning System & Scanners 8 @ $2,500 $20,000
Scanning equipment will be located in the 4 ED's, PLAN, and the 3 primary clinics
Computers 5 @ $2,525 $12,625
Total of five computers. Three (3) to be located at PLAN, one (1) at
Sr. Friendship Center, and one (I) for County Office. Computers will be
used for accessing the database via the internet and retrieving additional
information from participating PLAN providers
Ultrasound Machine 1 @ $85,2QO- $85,200
To be located at Collier Health Services. This will allow for better use of
the telemedicine progratn as current equipment is not compatible.
HemaPointH2 1 @ $1,600 $ 1,600
To be located at Senior Friendship Center. Measures Hemoglobin and Hemacrit.
EKG Machine 1 @ $6,400 $ 6,400
To be located at Senior Friendship Center. _.
Bone U1trasonometer 1 @ $7,650 $ 7,650
To be located at Senior Friendship Center.
Urinalysis Machine 1 @ $1,000 $ 1,000
To be located at Senior Friendship Center
Digital Scale 2 @ $1,000 $ 2,000
To be located at Senior Friendship Center. Scale measures height and BMI.
SUBTOTAL $136,475
E. Supplies
No supplies requested SUBTOTAL $ 0
F. Construction
No Construction is requested SUBTOTAL $ 0
G. Consulting
No Consulting is requested SUBTOTAL $ 0
I. Indirect Costs
No Indirect Cost is requested SUBTOTAL $ 0
Health Information Technology Special Congressional Initiative
HRSA-08-128
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Agenda Item No. 16D6
September 29, 2009
Page 11 of 11
Budget Summary
Budget Category Amount
A. Personnel $ 5,095
B. Fringe Benefits $
C. Travel $ 0
D. Equipment $ 136.475
E. Supplies $ 0
F. Construction -- $ 0
G. Consultants / Contracts $ 0
H. Other $ 0
Total Direct Costs $ 141.570
1. Indirect Costs 0
TOTAL PROJECT COSTS $ 141.570
Federal Request $141.570
Non-Federal Amount $0
Health Information Technology Special Congressional Initiative
HRSA-08-128