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HomeMy WebLinkAboutC09-518 Eagle Care Medical Clinic of the Vail Valley Medical Center GrantGRANT RECIPIENT AGREEMENT BETWEEN EAGLE COUNTY AND EAGLE CARE MEDICAL CLINIC OF THE VAIL VALLEY MEDICAL CENTER Bright5tart Community Service Grant Grant Recipient: Eagle Care Medical Clinic of the Vail Valley Medical Center Grant Amount: $11,050 Grant Period: November 15, 2009 -December 31, 2009 Whereas, Eagle County works to promote the health, safety, and welfare of Eagle County citizens of all ages; and Whereas, among the services Eagle County provides in order to promote such health, safety, and welfare are grants-in-aid to local organizations whose work assists the County in accomplishment of the goal to create and sustain a safe, healthy, and socially diverse community; and Whereas, Eagle Care Clinic (hereinafter referred to as "Grant Recipient") has agreed to provide services that create and sustain a healthy and socially diverse community in Eagle County; and Whereas, Grant Recipient acknowledges that pursuant to the terms of C.R.S. ยง 24-76.5-101, et seq., Eagle County is prohibited from providing certain public benefits to illegal aliens over the age of eighteen. Now, therefore, in consideration of the foregoing premises and the following promises, Eagle County and Grant Recipient enter into this Agreement for payment of the grant award in the amount of Eleven Thousand and Fifty Dollars (11,050) to Grant Recipient. A. Grant Recipient agrees that funds awarded by Eagle County may be used and expended solely to fund quality improvement materials or activities during the Grant Period. In return for the award of the $11,050 grant, Grant Recipient agrees to submit a report no later than April 15, 2010 including: (a) The items purchased for exam room refurbishing. (b) The number of children treated with dental kits. (c) The number of children provided with fluoride varnishes. (d) The amount of funding matched by Vail Valley Medical Center. (e) The number of prenatal and pediatric patients who benefited from the BrightStart funds. 1~-51~ B. Grant funds under this agreement are to be used and expended within the Grant Period. Any funds not used or expended during the Grant Period must be returned to Eagle County. Grant recipient must provide receipts to Eagle County. C. If, after payment of the Grant Award, Eagle County reasonably determines that payment was improper because the purposes for which the payment was made were misrepresented, or the terms of this Agreement were breached, then upon written notice of such determination and request for reimbursement from Eagle County, Grant Recipient shall forthwith return such payment to Eagle County. D. In the event of litigation in connection with this Agreement, the prevailing party shall be entitled to recover all reasonable costs incurred, including attorney fees, costs, staff time and other claim related expenses. E. Grant Recipient shall comply at all times and in all respects with all applicable federal, state and local laws, resolutions and codes; and specifically, with the requirements of the Civil Rights Act of 1964 and Section 504, Rehabilitation Act of 1973, concerning discrimination on the basis of race, color, sex, age, religion, political beliefs, national origin or handicap. F. Grant Recipient shall not assign any of its rights or duties under this Grant Agreement to a third party without the prior written consent of County. County shall terminate this Grant Agreement in the event of any assignment without its prior written consent, in which case, any unused Grant Funds must be returned to County. G. Grant Recipient agrees that no agent, employee or volunteer of Grant Recipient shall be deemed an agent, employee or volunteer of County. H. Grant Recipient shall maintain, for a minimum of three (3) years, adequate financial and programmatic records for reporting to County on performance of its responsibilities hereunder. Grant Recipient shall be subject to financial audit by federal, state or county auditors or their designees. Grant Recipient authorizes County to perform audits or to make inspections during normal business hours, upon 48 hours notice to Grant Recipient for the purpose of evaluating performance under this Grant Agreement. Grant Recipient shall cooperate fully with authorized Health and Human Services representatives in the observation and evaluation of the program and records. Grant Recipient shall have the right to dispute any claims of misuse of funds and seek an amicable resolution with County. I. This Agreement shall be governed by the laws of the State of Colorado. Jurisdiction and venue for any suit, right or cause of action arising under, or in connection with this Agreement shall be exclusive in Eagle County, Colorado. J. This Grant Agreement supersedes all previous communications, negotiations, and/or agreements between the respective parties hereto, either verbal, or written, and the same not expressly contained herein are hereby withdrawn and annulled. K. This Grant Agreement does not, and shall not be deemed or construed to confer upon or grant to any third party or parties any right to claim damages or to bring any suit, action or other proceeding against either Grant Recipient or County because of any breach hereof or because of any of the terms, covenants, agreements and conditions contained herein. L. Invalidity or unenforceability of any provision of this Grant Agreement shall not affect the other provisions hereof, and this Grant Agreement shall be construed as if such invalid or unenforceable provision was omitted. M. Grant recipient agrees to following: (a) BrightStart Acknowledgement. Contractor shall acknowledge in all public information materials that the Eagle Care Clinic is a community BrightStart partner. (b) Network of Care. The Contractor shall cooperate with BrightStart in providing information to parents, staff, and the public on community early childhood programs and how to access these early childhood programs for services using the Network of Care website located at www.networkofcare.org. (c) Mandatory Reporting. Contractor shall notify HHS immediately of all reports of suspected child abuse or neglect involving Contractor, including, but not limited to, employees, volunteers and clients. HHS contractors are considered to be mandatory reporters for suspected child abuse and neglect and are to make those reports directly to HHS Children and Family Services - (970) 328-8840. N. Grant Recipient certifies that it has read the Agreement, understands each and every term and the requirements set forth herein, and agrees to comply with the same. //THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK// Funds will not be disbursed without a signed Grant Recipient Agreement. Please complete this page and return to the Eagle County Department of Health and Human Services. c'~ `~ Name Signature ~ ~ ~ /~~/G Title Date ~~ ~ ~ c,x ~-G goo Mailing Address U~i~, ~~ ~Sl (~~~5 City, State, Zip COUNTY OF EAGLE, STATE OF COLORADO By and through the County Manager gy. ~% /-. ~ith P. Montag, County Man er BUDGET Materials Amount Exam Room Refurbishing $2300.00 500 Dental Kits with 500 Fluoride Varnishes $8500.00 25 Peak Flow Meters $250.00 Total: $11,050.00 ~~ ~~ r Eaclo aunty kids Eagle County Early Childhood Proposal Name of sub-committee: Health & Safety Name of person making the proposal: Tess Lloyd Name of project: Exam Room Refurbishing: Explanation of the proposed services: The two pediatric exam rooms in Eagle Care Clinic are inadequately furnished with unsafe and unsightly exam tables, wall-mounted otoscope and opthalmoscope units which make it difficult to examine squirming lap babies, and one exam stool (broken) shared between the two rooms. The exam tables have been cited as an infection control violation due to torn covers and exposed fillings which cannot be disinfected. We have been offered two basic used tables which are being replaced by Cardiology. While they are intact, they offer no storage or safety rails. The pediatric providers have requested 2 pediatric exam tables with adequate storage and safety rails to facilitate safe examinations, and necessary supplies at hand. They have also requested two portable otoscope/opthalmoscope diagnostic sets for better access to little ears and eyes. Finally, they would like to roll around the room freely and not have to carry their broken stool from one exam room to another. Our pediatric providers have a frequent need for nebulizers for treatment of respiratory ailments. The clinic owned five, but three that were loaned out have not been returned. They ask for two additional units to ensure availability as necessary. Our obstetric providers are constantly sharing hand-held fetal Dopplers as one of the three seems always to be in for repair. At least one day per week, prenatal patients are seen in the Clinic on the Garden Level and in Eagle Care II on Level I, and the care techs are constantly running up and down the steps to "borrow" the working Doppler. C:\Documents and Settings\dchurchill.ECG\Local Settings\Temporary Internet Files\Content.Outlook\M3XFIY37\Eagle County Early Childhood Proposal-Eagle Carel.doc Last Updated: 1 /4/2010 They have requested two new Obstetric Dopplers to ensure the function and effectiveness of fetal heart detection. Proposed Budget for the program/project: Pediatric Exam Tables (Hausmann Treatment Table) @ $1100.00 each = $2200.00 Exam Stools on Wheels @ $149.00 each = Portable Otoscope-Opthalmoscope (Welch Allyn) @ $500.00/set = Huntleigh Healthcare Fetal Dopplers 2 @ $500.00 = Nebulizers (MedQuip Compressor Nebulizer) 2 @ $50.00 Total Requested budget from BrightStart: WMC will match BrightStart contribution: Budget Request Narrative: Stated above 300.00 1000.00 1000.00 100.00 $2300.00 $2300.00 Needs Assessment: It is our desire to provide high-quality affordable health care in a safe, clean environment with up-to-date equipment. Our budget does not always permit replacement of equipment when it can be repaired, taped, or carried instead of rolled. C:ADocuments and Settings\dchurchill.ECG\Local Settings\Temporary Internet Files\Content.Outlook\M3XFIY37\Eagle County Early Childhood Proposal-Eagle Carel.doc Last Updated: 1/4/2010 Goals and expected outcomes: Safety: Replacement of exam tables will improve the safety of our little ones with safety rails to keep them from rolling off, and intact surfaces adequately disinfected. Effectiveness: Dopplers with the newest technology will increase the likelihood of early detection of fetal heart tones, rendering unnecessary the frightening and very expensive ultrasound exams indicated when heart tones escape detection. Ease of examination: The longed-for wheeled exam stools and portable otoscope/opthalmoscope units will facilitate comfortable and thorough examinations. Objectives and timeline for accomplishment: Again, our objective is to provide healthcare in a safe, clean environment with up-to- date technology. The above items would contribute immediately to our goals. Target population and/or target area for the program/project: Eagle Care Medical Clinic serves the uninsured and underinsured population of Eagle County in our Edwards location. Number of participants or beneficiaries: Eagle Care has recorded 2937 pediatric services in the 11 months from 11/4/08-9/4/09. C:\Documents and Settings\dchurchill.ECG\Local Settings\Temporary Internet Files\Content.Outlook\M3XFIY37\Eagle County Early Childhood Proposal-Eagle Carel.doc Last Updated: 1 /4/2010 Program strategies/project activities and the use of evidence based practices: Community Partnerships: Eagle Care strives to provide the developmental screening essential to early identification of children in need of services who receive their immunizations from the Eagle County Public Health services. In addition, our pediatric providers provide the most accessible and to some the only accessible sick child care. Approved by (Enter Name) Subcommittee on ,BrightStart Steering Committee on ( ), BrightStart Council on ( ). C:\Documents and Settings\dchurchill.ECG\Local Settings\Temporary Internet Files\Content.0utlook\M3XFIY37\Eagle County Early Childhood Proposal-Eagle Carel.doc Last Updated: 1/4/2010 . ~; ~~ ,~ A~: for Eagle County kids Eagle County Early Childhood Proposal Name of sub-committee: Name of person making the proposal: Tess Lloyd Office Manager, Eagle Care Medical Clinic Name of project: Patient Supplies Explanation of the proposed services: There are certain critical programs being initiated in Eagle Care Medical Clinic and elsewhere throughout the County which cannot be implemented without take-home supplies. By far the largest and most significant of these is the "Cavity Free by Three" initiative. Eagle Care practitioners are making a supreme effort to educate prenatal and pediatric patients and their caretakers on the importance of dental hygiene. Without supplies to offer at no cost, we are having difficulty implementing the program. We would like to make the fluoride varnish treatment an integral element of the well child exam for those patients not being treated through WIC. Proposed Budget for the program/project: 500 Dental kits including: @ $15.00/kit $7,500.00 Toothbrush Toothpaste Fluoride Practitioner time (education & application 500 Individual vials of fluoride varnish @ $2.00 1.000.00 Peak Flow Meters (for asthmatic patients) 25 @ $10.00 250.00 Total Requested budget from BrightStart: (include a detailed line item budget) Detailed above: $8750.00 Budget Request Narrative: Dental disease is the number one chronic childhood disease among Colorado children and is routinely seen in early childhood in Eagle Care Clinic. Here's the news: it is caused by bacteria and most infants are infected by their parents! Below are some facts, found on the "Cavity Free at Three" website www.cavityfreeatthree.org - Dental caries -which are 100% preventable - is the most common chronic childhood disease, five times as common as asthma; seven times as common as hay fever. - 80% of the disease is in 20% of the population. It is largely a disease of poverty. - Dental disease affects children's ability to eat properly, grow, attend school and learn. - In Colorado 18% of our 2-4 year-olds have dental caries. The infection rate of the patients in Eagle Care Clinic has not been measured, but it is significantly higher than the state rate. Through this grant opportunity, we hope to implement this program at the Prenatal as well as the pediatric level of care. We want it to become a cultural imperative for educated parents to stop this disease. Needs Assessment: Stated above Goals and expected outcomes: The goal is to educate parents, even as early as in the course of prenatal care, as to the importance of proper dental hygiene and routine checkups and in turn reduce the pervasiveness of dental disease. Objectives and timeline for accomplishment: The education and treatment have been started in Eagle Care Medical Clinic, but slowly because we have been required to charge for the service and supplies. Patients educated and scheduled for treatment are failing to show up for their appointments. We suspect that the up-front cost of the appointment is inhibiting the program. Target population and/or target area for the program/project: Prenatal and pediatric patients in Eagle Care Clinic. Number of participants or beneficiaries: We would like to incorporate this program into our prenatal and pediatric clinics. Program strategies/project activities and the use of evidence based practices: Community Partnerships: In partnership with the WIC program, Eagle Care hopes to make a significant contribution to reduce the pervasiveness of dental disease in our population. Approved by (Enter Name) Subcommittee on ,BrightStart Steering Committee on ( ), BrightStart Council on ( ).