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HomeMy WebLinkAboutC07-271 CDPHE_immunizationsSTATE OF COLORADO Bill Owens, Governor Dennis E. Ellis, Executive Director �0 pF colo Dedicated to protecting and improving the health and environment of the people of Colorado 4300 Cherry Creek Dr. S. Laboratory Services Division * x Denver, Colorado 80246.1530 8100 Lowry Blvd. Phone (303) 692-2000 Denver, Colorado 60230-6928 * 1876, TDD Line (303) 691-7700 (303) 692-3090 Located in Glendale,. Colorado Colorado Department http./Awww.cdpne.state.co.us of Public Health IMMUNIZATION PROGRAM STATEMENT OF WORK FOR COUNTY NURSING SERVICES (CNS) Term: August 1, 2007 through June 30 2008 1. The CNS shall formulate public policies, in collaboration with community leaders designed to solve local immunization access issues by: A. Promoting, educating and supporting providers regarding the value of active participation in reminder and recall activities through: 1. community and provider trainings regarding implementation of clinic and practice based reminder and recall systems. 2. collaboration with community providers to implement clinic and practice based reminder and recall systems (i.e. Colorado Immunization Information System — CIIS) 3. implementation of CNS clinic based reminder and recall systems. 2. The CNS shall follow the Standards for Child and Adolescent Immunization Practices (CDC, 2006) to assure all populations have access to appropriate immunization services and evaluate the effectiveness of that service in their communities by: A. Delivering optimal Immunization clinical services including proper storage and documentation of vaccinations including: 1. develop and follow appropriate procedures for vaccine storage and handling with appropriate clinic equipment and implementing written policies and procedures for vaccine storage, vaccine ordering and emergency response. 2. utilize up-to-date written vaccination protocols and have them readily accessible at all locations where vaccines are administered. 3. persons who administer vaccines and staff who manage or support vaccine administration are knowledgeable and receive ongoing education. B. Conducting onsite clinical services with optimal access such as: 1. non-traditional clinic access at a minimum of one (1) of the CNS's clinics to permit clients access to necessary vaccinations during evening or weekend hours (e.g. expanded clinic hours). 2. providing "express lane" or drop-in appointments at the CNS's clinic. 3. utilizing incentives to encourage completion of children's primary immunization schedule. C. Providing support for immunization initiatives through the Colorado Supplemental Nutrition program — Woman, Infants and Children (WIC) by: 1. providing vaccinations on site or 2. assessing immunization histories and referring children appropriately or 3. distributing educational materials regarding immunization and locally available service 3. The CNS shall perform an assessment of the available immunization services within their jurisdiction and monitor the health of their communities and children at risk for under -immunization by: A. Collaborating with one or more agencies to: 1. determine the availability of immunization services within their communities 2. ensure immunization services are readily accessible at sites other than the CNS's site. 3. provide community education regarding vaccines and immunizations through distribution of educational materials, provision of educational workshops, submission of press releases with relevant news and updates, 4. providing technical advice and assistance for providers and other appropriate activities. 4. BUDGET: In consideration of those services satisfactorily and timely performed by the CNS under this Purchase Order the State shall cause to be paid to the CNS a sum not to exceed FORTY NINE THOUSAND SIX HUNDRED EIGHTY FOUR ($49,684.00 Of the total financial obligation of the State referenced above, $0.00 are identified as attributable to a, funding source of the United States government and,49$ .684.00 are identified as attributable to a funding source of the state of Colorado. 5. REIMBURSEMENT under this Purchase Order, shall be made to the CNS by the State on a quarterly basis; accordingly, the CNS shall be paid one fourth (1/4) of the State's financial obligation under this Purchase Order each quarter. The CNS shall be reimbursed TWELVE THOUSAND FOUR HUNDRED TWENTY ONE ($12.421.00) per quarter. The final payment for this Purchase Order, is contingent upon the State's timely receipt of an annual statement from CNS in the form attached hereto as Attachment A, which is incorporated herein by this reference. 6. REPORTS: The CNS shall submit two (2) online Immunization Program progress reports to the State. Each progress report is due within fifteen (15) calendar days of the end of each reporting period. The progress reports shall document the CNS's progress towards completion of the activities described herein. The CNS's December and June payments shall not be reimbursed by the State until the requisite progress report is submitted to the State by the CNS. Reporting period and progress report due dates are as follows: Progress Period Due Date July 1 -November, 2007 December 15, 2007 December 1.2007 -May 31, 2008 June 15, 2008 Thank you for your cooperation and support. If you have any questions please contact me at 303-692-2314 or Teri Lindsey at 303-692-2732 (teri.lindsey@state.co.us). Sincerely, Beth Hoffinan Fiscal Manager Immunization Program Phone: (303) 692-2314 Fax: (303) 691-6118 Beth.hoffman(a)state.co.us EAGLE COUNTY NURSING SERVICE TOTAL FOR FY2008 = $49,684.00 LOCAL HEALTH PARTNER ACCEPTANCE OF COUNTY NURSING SERVICES IMMUNIZATION REQUIREMENTS I , on behalf of hereby acknowledge that the requirements for the Immunization Service Purchase Order have been reviewed, and are accepted and agreed to. I further acknowledge that I have the necessary authority to sign this acceptance on behalf of the entity mentioned above. Signature Title Date Attachment A COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT I MAWNIZATION PROGRAM ***SAMPLE*** FROM: Tax ID#: YEARLY CONTRACT REIMBURSEMENT CERTIFICATION FORM DUE DATE: June 15, 2008 TO: Colorado Department of Public Health and Environment Immunization Program 4300 Cherry Creek Drive South IMM – A4 Denver, Colorado 80246-1530 This is to certify that the contract services have been performed per Purchase Order Number _ for the period of August 1, 2007 through June 30, 2008. SIGNATURE DO NOT SIGN—SAMPLE ONLY Contractor or Authorized Designee Date I hereby certify that all contract requirements have been met and final payment of $ for contract services for the period of August 1, 2007 through June 30, 2008 is authorized. SIGNATURE Program Director or Authorized Designee C.\WINDOWS\Temporary Intemet Fi1es\0LK5F\SAWLE Annual Reimbumcnrnt Ce tifcation Form CY08.doc Date