HomeMy WebLinkAboutDoc 525 - OR Health Auth SvcsDeschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 -Fax (541) 385-3202 -www.deschutes.org
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of September 14,2011
DATE: September 6,2011
FROM: Nancy England, Contract Specialist, Deschutes County Health Services, 322-7516
TITLE OF AGENDA ITEM:
Consideration of Board Signature of Document #2011-525, Amendment #2 to the Intergovernmental
Financial Agreement Award #134309 between Deschutes County Health Services, Behavioral Health
Division and the Oregon Health Authority.
PUBLIC HEARING ON THIS DATE? No.
BACKGROUND AND POLICY IMPLICATIONS:
The Oregon Health Authority (OHA) was created by the 2009 Oregon legislature to bring most health
related programs in the state into a single agency. OHA is at the forefront of lowering and containing
costs, improving quality and increasing access to health care in order to improve the lifelong health of
Oregonians. In the public sector, OHA will consolidate most of the state's health care programs,
including Addictions & Mental Health Services (AMH), Public Health, the Oregon Health Plan (OHP),
HealthyKids Connect, employee benefits and public-private partnerships. This will give the state
greater purchasing and market power to begin tackling issues with costs, quality, lack of preventive
care' and health care access. In both the public and the private sector, OHA will be working to
fundamentally improve how health care is delivered and paid for. OHA will also be working to reduce
health disparities and to broaden the state's public health focus.
The 2011-2013 Intergovernmental Agreement for the Financing of Community Addictions and
Mental Health Services sets the dollar amounts and guidelines for Deschutes County Health
Services to provide or coordinate provision of behavioral health as well as alcohol, other drug and
problem gambling prevention and treatment services for the next two years. The attached
Amendment to the agreement provides funding that is being passed through to the Commission on
Children & Families for a "Strategic Prevention Framework".
FISCAL IMPLICATIONS:
Maximum Compensation FY 11-12 is $180,000.
RECOMMENDATION & ACTION REQUESTED:
Approval and signature of Document #2011-525, Amendment #2 to the Intergovernmental Financial
Agreement Award #134309 between Deschutes County Health Services, Behavioral Health and the
Oregon Health Authority is requested.
ATTENDANCE: Jessica Kelly, Commission on Children & Families
DISTRIBUTION OF DOCUMENTS:
Fax the signature page and completed, signed "Document Return Statement" to April D. Barrett at
(503) 373-7365, fully executed copy to Nancy England.
1
I
I
t
I
1 j
DESCHUTES COUNTY DOCUMENT SUMMARY
(NOTE: This form is required to be submitted with ALL contracts and other agreements, regardless of whether the document is to be
on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board
agenda, the Agenda Request Form is also required. If this form is not included with the document, the document will be returned to
the Department. Please submit documents to the Board Secretary for tracking purposes, and not directly to Legal Counsel, the
County Administrator or the Commissioners. In addition to submitting this form with your documents, please submit this form
electronically to the Board Secretary.)
Please complete all sections above the Official Review line.
Date: jAugush2011:=]
Department: I Health S~f".Ii~~~2_~~ha~J9!aLHealthJ
Contractor/Supplier/Consultant Name: rore9On-HearthAuthontl~
Contractor Contact: ::A:pril_Ba~,!~!O
Type of Document: Amendment
Goods and/or Services: Deschutes County Health Services (DCHS) provides or coordinates
the provision of mental health and developmental disability treatment services to individuals;
services may include alcohol and drug treatment, problem gambling prevention treatment
services, transportation services, housing services and the provision of peer resources.
Background & History: The intergovernmental agreement between the Oregon Health
Authority (OHA) and DCHS provides the financing for mental health and addiction services and
sets forth the guidelines for DCHS to provide or coordinate provision of mental health services
to individuals.
Amendment #2 to the agreement provides funding that is being passed through to the
Commission on Children & Families for a "Strategic Prevention Framework".
Agreement Starting Date: IJUfY01.2011]
Annual Value or Total Payment: [M~2<imum 'Com~nsation is $180,OO5.l
rgJ Insurance Certificate Received (CheC~bo~_---------;
Insurance Expiration Date: [ Coun~Contractor J
Check all that apply: o RFP, Solicitation or Bid Process o Informal quotes «$1S0K)
rgJ Exempt from RFP, Solicitation or Bid Process (specify -see DCC §2.37)
Funding Source: (Included in current budget? rgJ Yes 0 No
If No, has budget amendment been submitted? 0 Yes 0 No
RIll no I I
Is this a Grant Agreement providing revenue to the County? 0 Yes I:8J No
Special conditions attached to this grant:
Deadlines for reporting to the grantor:
If a new FTE will be hired with grant funds, confirm that Personnel has been notified that it is a
grant-funded position so that this will be noted in the offer letter: 0 Yes 0 No
Contact information for the person responsible for grant compliance: Name:
Phone#:
Departmental Contact and Title: i Nancy England, Contract Specialist I
Phone #: ~41-322-7516 I
Department Director Approval: --~....!!f~~----__2............I.....,b=--.:..."___
Date
Distribution of Document: Fax the signature page and completed, signed "Document
Return Statement" to April D. Barrett at (503) 373-7365, fully executed copy to Nancy England.
Official Review:
County Signature Required (check one): 111 BOCC 0 Department Director (if <$25K)
o Administrator (if >$25K ut <$150K; if >$150K, BOCC Order No. _____
Legal Review >rk. ~ Date g 21 --{{
Document Number: =20.::,.1"-1:....-5=2=5=--_____
8/11/2011
A&D 60-Strategic Prevention Framework (SPF)/2011-2013
Page I of 4
EXHIBIT A&D 60-Strategic Prevention Framework (SPF)
I. Service Description
The Strategic Prevention Framework State Incentive Grant (SPF SIG) program will
provide an effective, comprehensive prevention framework with a common set of goals
to be adopted and integrated at the local level to:
• Prevent the onset and reduce the progression of substance abuse, including childhood
and underage drinking;
• Reduce substance abuse-related problems; and
• Build prevention capacity and infrastructure at the local level.
SPF SIG-funded programs shall utilize the Department of Health and Human Service's
Substance Abuse Mental Health Service Administration's (SAMHSA's) SPF SIG
(available at http://prevention.samhsa.gov/evidencebasedlevidencebased.pdf) as the
model on which to develop long-range strategic plans and annual action plans. In sum,
the SPF SIG is a five-step evidence-based process for community planning and decision
making.
The five-step model includes, but is not limited to:
1. Assessment: Mobilize key stakeholders to collect the needed data to understand
substance abuse consequences, consumption patterns, and contributing factors to
those patterns ofthe specific drug use issues identified.
2. Capacity: Mobilize/build capacity with a local coalition to change the conditions
and address the specific drug use issues identified.
3. Planning: Produce strategic goals, objectives, and performance targets as well as
preliminary action plans including a logic model.
4. Implementation: Implement the plan with multiple policies, practices, strategies,
or interventions based on characteristics, culture, and context of the target
population.
5. Evaluation: Measure impact of SPF and monitor, sustain, improve, or replace
implemented practices, policies or programs based on evaluation findings.
SPF SIG services will be implemented through one or more of the SAMHSA Center for
Substance Abuse Prevention's (CSAP) six strategies. The six strategies with examples of
services are:
1. Information Dissemination-media campaigns, speaking engagements;
2. Prevention Education -school curricula and parenting education and skill
building;
A&D 6O-Strategic Prevention Framework (SPF) GT0217-11 Approved 5119/20 II
A&D 6O-Strategic Prevention Framework (SPF)/2011-2013
Page 2 of4
3. Alcohol, Tobacco & Other Drug (ATOD) free alternatives, youth leadership and
community service projects;
4. Problem Identification and Referral -student assistance programs
5. Community Based Processes-interagency collaboration, coalition building, and
networking;
6. Environmental/Social Pol icy-school policies and community laws concerning
alcohol, tobacco and other drugs.
II. Performance Requirements
County, in providing A&D 60 Services, must comply with OAR 415-056-0000 through
415-056-0025, and must have a current Letter of Approval issued by OHA.
County must implement its SPF SIG Services funded through this Agreement in
accordance with the SPF SIG framework, described in section I, culminating with a
Strategic Plan, (Plan), which is subject to OHA approval, within the first six months of
funded services. OHA Financial Assistance to the County in the subsequent biennium,
for SPF SIG Services, will in part depend upon the County achievement of the outcomes
set forth in the Plan. In the event of a conflict or inconsistency between the provisions of
the Plan and the provisions ofthis Service Description, the provisions ofthis Service
Description shall control.
County's performance shall include the following:
Assessment:
Additional needs assessment data collection: measuring the intervening variables for
problem behavior through completion of a logic model. Data is expected to be as
localized as possible.
Complete other assessment tools as directed to include Tri-Ethnic Community
Readiness Assessment and cross-site evaluation instruments (e.g. GLl, CLl and PLI).
Capacity:
One FTE for Project Director.
Coalition: County must either have in place or form a coalition with required sectors,
as defined by the SPF Advisory Council. The coalition must demonstrate the
following: mission statement, bylaws (including cultural competency
statement/policy), officers, records of meeting notes/minutes, meeting schedule,
coalition/board development/training plan, etc.
Planning:
A comprehensive Plan will be completed for priorities identified by OHA. The Plan
will address all five steps of the SPF SIG process with inclusion of sustainability and
A&D 60-Strategic Prevention Framework (SPF) GT0217-11 Approved 5/19/20 II
A&D 60-Strategic Prevention Framework (SPF)/2011-2013
Page 3 of 4
cultural competency. Logic models addressing root causes or intervening variables
from sub-recipient location will be included to ensure that counties will be able to
guarantee the right fit of the practices, policies or programs selected for
implementation to make countywide changes in the priority area.
Detailed timelines, goals and objectives, and challengeslbarriers will also be
addressed in the Plan.
1m plementation:
The Plan will be reviewed by OHA's Evidence-Based Practices Committee to ensure
that the appropriate strategies, policies, and practices are implemented to address the
priority area. All chosen strategies, policies, and practices must meet the 75%
threshold of being evidence based. The Plan must also be approved by the SPF
Advisory Council.
Training will be provided by OHA to ensure that the County has the capacity to
deliver and replicate the programs, policies, and practices in order to reach the desired
change.
Evaluation:
County will complete evaluation tools and any other evaluation requirements as
instructed by OHA's evaluation team.
Data entry and reports will be monitored and tracked.
County will make best efforts to have a written commitment from all of the County's
schools to implement the Student Wellness Survey.
County must participate in site visits, any state trainings or required meetings. County
shall comply with OHA's written materials provided at OHA's training sessions.
III. Special Reporting Requirements
Ongoing monitoring and evaluation are essential to determine if the outcomes desired are
achieved and to assess program effectiveness and service delivery quality. All tools and
evaluation measures will be provided by OHA's prevention unit.
County must provide federally required performance data including the Community
Level Instrument (CLl) and the Program Level Instrument (PLI) upon request by
OHA, with quarterly reports being completed for and returned to OHA.
County will complete the needs assessment workbook, evaluation workbook and any
other tool deemed reasonably necessary by OHA.
County must provide a one-year budget narrative (budget detail and justification) to
OHA's prevention unit.
A&D 60-Strategic Prevention Framework (SPF) GT0217-11 Approved 5119/20 II
A&D 6O-Strategic Prevention Framework (SPF)120 11-20 13
Page 4 of4
IV. Financial Assistance Calculation and Disbursement Procedures
A. Calculation of Financial Assistance. The funds awarded for SPF are intended to
be general financial assistance to County for this SPF project. Accordingly,OHA
will not track delivery of SPF services on a per unit basis so long as County
delivers SPF Services as part of its CMHP. Total OHA financial assistance for
SPF Services under a particular line of the Financial Assistance Award shall not
exceed the total funds awarded for SPF Services as specified on that line.
B. Disbursement: OHA will disburse the funds awarded for SPF Services identified
in a particular line of the Financial Assistance Award to County as set forth in the
Special Condition on that line:
1. OHA may, upon written request of County, adjust allotments.
2. Upon amendment to the Financial Assistance Award, OHA shall adjust
allotments as necessary, to reflect changes in the funds awarded for SPF
Services on that line ofthe Financial Assistance Award.
3. OHA may, after notice to County, suspend allotments pending receipt of
complete and accurate CLI and PLI data and required reports described in
Section III above.
C. Agreement Settlement. Agreement Settlement will be used to verify the inclusion
of SPF Services as part of County's CMHP, based on data properly reported to
OHA through reports required or permitted by this Service Description or an
applicable Specialized Service Requirement.
A&D 60-Strategic Prevention Framework (SPF) GT0217-11 Approved 5/19/2011