HomeMy WebLinkAboutResolutions - 2018.06.13 - 23647MISCELLANEOUS RESOLUTION . #18237 June 13, 2018
BY: Commissioner Christine Long, Chairperson, General Government Committee
IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION — AMENDMENT #1
TO THE INTERLOCAL AGREEMENT WITH THE OAKLAND COMMUNITY HEALTH NETWORK FOR
SUBSTANCE USE DISORDER PREVENTION SERVICES
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS Oakland County has received an Amendment to the interlocal Agreement from the Oakland
Community Health Network (OCHN), to reflect updated work plan objectives for substance use disorder
prevention services; and
WHEREAS the Amendment includes total Fiscal Year (FY) 2018 funding in the amount of $215,501
which consists of $195,910 in grant funding with a required local match of $19,591; and
WHEREAS the funding is sufficient to cover two (2) Special Revenue (SR) Full-Time Eligible (FTE) Public
Health Educator III positions (#1060233-00960 and #1060233-07497) within the Health Division for FY
2018; and
WHEREAS the Amendment is effective October 1, 2017 and will remain in effect until terminated by either
of the parties; and
WHEREAS this Interlocal Agreement has completed the Grant Review Process in accordance with the
Board of Commissioners Grant Acceptance Procedures and is recommended for approval.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby
approves Amendment #1 to the Interlace] Agreement between the County of Oakland and the Oakland
Community Health Network including total FY 2018 funding of $215,501 which consists of $195,910 in
grant funding and a required local match of $19,591.
BE IT FURTHER RESOLVED to continue two (2) SR FTE Public Health Educator III positions (#1060233-
00960 and #1060233-07497) within the Health Division,
BE IT FURTHER RESOLVED that the Chairperson of the Board of Commissioners is authorized to
execute the Amendment and to approve any extensions or changes, within fifteen percent (15%) of the
original award, which are consistent with the original agreement as approved.
BE IT FURTHER RESOLVED that acceptance of this grant does not obligate the County to any future
commitment and continuation of the Special Revenue positions in the grant is contingent upon future
levels of grant funding.
Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing
resolution.
Coenissioner Christine Long, Dis
Chairperson, General Governmertt Cgmmittee
GENERAL GOVERNMENT COMMITTEE VOTE:
Motion carried unanimously on a roll call vote.
GRANT REVIEW SIGN OFF — Health & Human Services
GRANT NAME: Interlocal Agreement between Oakland County and Oakland
Community Health Network for Substance (OCHN) Use Disorder Prevention Services
FUNDING AGENCY: Oakland Community Health Network (OCHN)
DEPARTMENT CONTACT PERSON: Rachel Shymkiw, 2 -2151
STATUS: Grant Acceptance
DATE: May 9,2018
Pursuant to Misc. Resolution #17194, please be advised the captioned grant materials have
completed internal grant review. Below are the returned comments.
The captioned grant materials and grant acceptance package (which should include the Board of
Commissioners' Liaison Committee Resolution, the grant agreement/contract, Finance
Committee Fiscal Note, and this Sign Off email containing grant review comments) may be
requested to be placed on the appropriate Board of Commissioners' committee(s) for grant
acceptance by Board resolution.
DEPARTMENT REVIEW
Department of Management and Budget:
Approved — Laurie Van Pelt (5/7/18)
Department of Human Resources:
HR Approved (No Committee) Continues Positions — Lori Taylor (5/7/18)
Risk Management and Safety:
Approved by Risk Management. R.E. — Robert Erlenbeck (5/8/18)
Corporation Counsel:
APPROVED by Corporation Counsel. I see no legal issues that need to be resolved. — Mary Aim
Jerge (5/9/18)
OAKLAND COUNTY INTERLOCAL AGREEMENT BETWEEN
OAKLAND COUNTY
AND
OAKLAND COMMUNITY HEALTH NETWORK
FOR
Substance Use Disorder Prevention Services
2017-0016-SUDP #1
The Parties, Oakland County ("County") and The Oakland Community Health Network ("OCHN"),
agree and acknowledge that the purpose of this Amendment is to modify as provided herein and
otherwise continue the present contractual relationship between the Parties as described in their
current Substance Use Disorder Prevention Services ("Contract").
In consideration of the mutual promises, representations, assurances, agreements, and provisions
in the Contract and this Amendment, the adequacy of which is hereby acknowledged by the
Parties, the Parties agree to amend the Contract as follows:
1. The Parties acknowledge and agree that the FY 17 Exhibit I: Financial and Reporting
Obligations in the current Contract shall be replaced with the FY 18 Exhibit I: Financial and
Reporting Obligations as detailed in Attachment A.
2. The Parties acknowledge and agree that the FY 17 Exhibit IV: Attachments, Attachment C
and Attachment D in the current Contract shall be replaced with the FY 18 Exhibit IV:
Attachments, Attachment B and Attachment C as detailed below.
For and in consideration of the mutual assurances, promises, acknowledgments,
warrants, representations and agreements set forth in the Contract and this Amendment,
and for other good and valuable consideration, the receipt and adequacy of which is
hereby acknowledged, the undersigned hereby execute this Amendment on behalf of
the OCHN and County and by doing so legally obligate and bind the OCHN and
County to the terms and conditions of the Contract and this Amendment:
OAKLAND COMMUNITY HEALTH NETWORK:
DATE: BY:
Kathleen Kovach,
Deputy Executive Director
BY:
Anya Eliassen,
Chief Financial Officer
THE COUNTY OF OAKLAND
BY:
DATE:
DATE:
Chairperson, Oakland County Board of Commissioners
EXHIBIT I: Financial l and Reporting Obligations
Health Education SUD Prevention Services Summary
October 1, 2017 — September 30, 2018
Description Budget
FY18 Travel 4,809
Supplies & Materials 12,311
Contractual 175,531
Other 22,850
OCHN Funding 195,910
Local Match 19,591
Total Budget 215,501
The County shall submit an invoice to the OCHN on a monthly basis, which shall itemize all amounts due
and or owing by OCHN. Under no circumstances shall OCHN be obligated to pay the County for any
Services rendered or Goods delivered which have not been invoiced, as required, herein, within 60 days of
the date any such Goods were actually delivered or any such Services were actually rendered pursuant to
this Contract. The monthly invoice must reflect total actual program expenditures by category. The
invoices shall be submitted in a form and format agreed upon by the Parties.
Some or all of the funds provided by OCHN are federal funds. Department of Health and Human
Services/Substance Abuse and Mental Health Services Administration (SAMHSA), CFDA NO. 93.959, Block Grant
for Prevention and Treatment of Substance Abuse. Grant NO. 13 B1 MI SAPT, award phase 2016. Title SAPT
Block Grant sub-recipient relationship, non-research and development project.
Attachment A
OAKLAND COMMUNITY HEALTH NETWORK
Prevention Budget Summary & Billing Pages
FY 2017 /2018
Monthly Expenses
Agency Name Oakland County Health Division
Annual Budget X
Month/Yr
Description Current Month
Travel 4,809.00
Supplies & Materials $ 12,311.00
Contracture! $ 175,531.00
Other 22 850.00
By signing this report, I certify to the best of my
knowledge and belief that the report is true,
complete, and accurate, and the expenditures,
disbursements and cash receipts are for the
purposes and objectives set forth in the terms and
conditions of the Federal award. I am aware that any
false, fi ct itiaus, or fraudulent information, or the
omission of any material fact, may subject me to
criminal, civil or administrative penalties for fraud,
false statements, false claims or otherwise. (U.S.
Code Title 18, Section 1001 and Title 31, Sections
3729-3730 and 3801-3812).
Total Expenditures
Source of Funds
$ 215,501.00
Local Match
19.591.00
OCHN Funding $ 195,910.00
Signature
le Dale
Total Expenditures by Funding Source $ 215,501.00
OCHN PREVENTION CONTRACT 2017-18 ATTACHMENT A-PREVENTION BUDGET-BILLING SLIMMARYFRAA
2,809.00 2,809.00
2,000.00 2,000.00
Amount
Total •X .:Fi4t.fdfrlits:$01.4reet?)c.
::QP:MN.fuoditick:
OAKLAND COMMUNITY HEALTH NETWORK
Prevention Budget/Billing Form
FY: 201712018
Agency: Oakland County Health Division
Travel
For mileage expense indicate # of miles and rate per mile.
Personal Mileage
Travel and Conference
Date:
Reporting Period:
TOTALS 4,809.00 $ 4,809.00
OCHN CONTRACTS PRES/ ATTACHMENT A FY 2017/2018
OAKLAND COMMUNITY HEALTH NETWORK
Prevention Budget/Billing Form
FY: 2017/2018 Date:
Agency: Oakland County Health Division Reporting Period:
Supplies & Materials
-
Total
Amount
!:Xc:Fiiiiritliri :.. .
t_pgaiAlWri::•:::'
Sources ::X: ::..:
-OCHSRAling
Postage (750448) $ 100.00 $ 100.00
Printing (731388) $ 1,597.00 $ 500.00 $ 1,097.00
Office Supplies (750399) $ 500.00 $ 500.00
Educational Supplies (750567) $ 6,864.00 $ 2,864.00 $ 4,000.00
Food Provisions (750462) $ 750.00 , $ 750.00
Incentives (750245) -..- $ 2,500.00 $ 2,500.00
$
$ , ,
$ -
$ -
$ ..
$ -
$. _
$ .
$ _
$ _
TOTALS _ $ 12,311.00 $ 3,364.00 $ 8,947.00
OCHN CONTRACTS PRES/ ATTACHMENT A FY 2017/2018
OAKLAND COMMUNITY HEALTH NETWORK
Prevention Budget/Billing Form
FY: 2017/2018
Date:
Agency: Oakland County Health Division Reporting Period:
Contractural Total
Amount LO.pat:V.WW
:,:v.,,poldina.:Bpqr.ces.:::::::
t)ettlitikOldi .
Health Educator II, Position # 00960 $ 42,384.00 $ 42,384.00
Health Educator II, Position #07497 $ 55,177.00 , $ 55,177.00
Fringe Benefits Total 69,055.00 r $ $ 69,055.00
$ -
Administrator Match $ 2,353.00 $ 2,353.00
Supervisor Match $ 6,562.00 $ 6,562.00 ,
$ -
$
$
$ -
$ -
$ -
$ _
$ .
$ _
$ _
Fringe Benefit Total $ - _
TOTALS $ 175,631.00 $ 8,915.00 $ 166,616.00
OCHN CONTRACTS PREV ATTACHMENT A FY 2017/2018
OAKLAND COMMUNITY HEALTH NETWORK
Prevention Budget/Billing Form
FY: 2017/2018
Date:
Agency: Oakland County Health Division Reporting Period:
Other Total
Amount opp,tittpti::-.•
:ii.t,F.Oildit(g:$04046.4::::)5.::,
":- 0Q1114f.(#400::
Telephone $ 1,872.00 $ 1,872,00
Liability Insurance (774677) $ 360.00 $ 360.00
Interpretation Fees (730982) $ 200.00 $ 200.00
Educational Programs (730555) $ 1,000.00 $ 1,000.00
Training (731941) $ 500,00 $ 500,00
License & Permits (731115) $ 1,000.00 $ 1,000.00
IT Operations (774636) $ 5,440.00_ $ 5,440.00
Indirect $ 12,478.00
"
$ 12,478,00
$ -
$
$ -
_
$ -
TOTALS $ 22,850.00 $ 7,312.00 $ 15,538.00
OCHN CONTRACTS PREV ATTACHMENT A P12017/2018
ATTACHMENT B
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2017-2018
Program Name: SUD Prevention- Health Education
Agency/Organization: Oakland County Health Division
Prepared By: Trish Zizumbo/ Melanie Stone
Program Goal:
Date Prepared: 8/24/2017
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in Oakland County
with particular emphasis on high risk populations
Specific Activity and Objective (s)
(Number consecutively and use separate page for each
Prevention Activity)
Estimated
Total
Recipients
(12 months)
Number of Direct Service Hours (outputs)
P = Planned / A = Delivered
1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL
P A P AP A P A P A
Activity #1 Engage in education and recruitment activities
with personnel in schools, youth-serving agencies and
other community organizations in order to implement
Botvin's Life Skills Elementary and Middle School Training
Program, Botvin Parenting Program, Botvin Transitions
Program, PhotoVoice, Safe Dates Program, and the
Michigan Model for Health. Particular emphasis in recruiting
will be placed on high risk geopgraphic areas. Outcomes=
(1) number of agencies receiving education; (2) the
number, names and location of successfuly recruited
organizations.
20 15 15 20 70 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
Strategy: (list)
A = Alternative
C = Community-Based
E = Education
Sub Total 201 0 15 01 15 0 20 70
Total
N = Information dissemination
P = Problem ID & Referral
V = Environmental
OCHN Contract FY 17/18 Prevention Attachment B MBO frm
ATTACHMENT B
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2017-2018
Program Name:
Agency/Organization:
Prepared By:
Program Goal:
SUD Prevention Health Education
Oakland County Health Division
Trish Zizumbo/ Melanie Stone
Date Prepared: 8/24/2017
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in Oakland County
with particular emphasis on high risk populations
Specific Activity and Objective (s)
(Number consecutively and use separate page for each
Prevention Activity)
Estimated
Total
Recipients
(12 months)
Number of Direct Service Hours (outputs)
P = Planned IA = Delivered
1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL
P A P A P A P A P A
Activity #2 Provide a minimum of 30 (thirty) series of
Botvin's Life Skills Training to elementary school age
students in Oakland County. A series consists of 8 (eight)
hour-long lessons plus an additional 2 (two) sessions for
pre/post testing, orientation, and celebratory activity.
Outcomes to be delivered include the pre/post testing
results of the LST indicators of knowledge, attitude and
skills, including individual and group scores. A 5% (five
percent) increase is expected in the overall group score
from pre to post testing.
75 75 75 75 _ 300 0,
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Strategy: (list)
A = Alternative
C = Community-Based
E:.-4 Education
N = Information dissemination
P = Problem ID & Referral
V = Environmental
Sub Total! 751 01 751 01 751 01 751 0
Total
300
OCHN Contract FY 17/18 Prevention Attachment B MBO frm
ATTACHMENT B
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2017-2018
Program Name:
Agency/Organization:
Prepared By:
Program Goal:
SUD Prevention Health Education
Oakland County Health Division
Trisha Zizumbo/ Melanie Stone
Date Prepared: 8/24/2017
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in Oakland County
with particular emphasis on high risk populations
Specific Activity and Objective (s)
(Number consecutively and use separate page for each
Prevention Activity)
Estimated
Total
Recipients
(12 months)
Number of Direct Service Hours (outputs)
P = Planned / A = Delivered
1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL
P AP AP A P A P A
Activity #3 Provide a minimum of 2 (two) series of Botvin's
Life Skills Training to middle school age students. A series
consists of 15 (fifteen) hour-long lessons plus an additional
2 sessions for pre/post testing, orientation, and celebratory
activity. Outcomes to be delivered include the pre/post
testing results of the LST indicators of knowledge, attitude
and skills, including individual and group scores. A 5% (five
percent) increase is expected in the overall group score
from pre to post testing.
17 17 0 0 34
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Strategy: (list)
A = Alternative
C = Community-Based
E Education
N = Information dissemination
P = Problem ID & Referral
V = Environmental
Sub Total 17 01 171 0 01 0
Total
3
OCHN Contract FY 17/18 Prevention Attachment B MBO frm
ATTACHMENT B
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2017-2018
Program Name:
Agency/Organization:
Prepared By:
Program Goal:
SUD Prevention- Health Education
Oakland County Health Division
Trish Zizumbo/ Melanie Stone
Date Prepared: 8/24/2017
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in Oakland County
with particular emphasis on high risk populations
Specific Activity and Objective (s)
(Number consecutively and use separate page for each
Prevention Activity)
Estimated
Total
Recipients
(12 months)
Number of Direct Service Hours (outputs)
P = Planned / A = Delivered
1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL
P A P A P A P A P A
Activity #4 Provide a minimum of 4 (four) series of Botvin's
LifeSkills Transitions Program to Oakland County families.
A series consists of six, 1 hour-long lessons that can be
down over the course of 2, 3, or 6 weeks. Outcomes to be
provided include the results of attitude and behavior change
from pre to post testing, including group as well as
individual behavior change scores.
12 12 24 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
Strategy: (list)
A = Alternative
C = Community-Based
E = Education
N = Information dissemination
P = Problem ID & Referral
V = Environmental
SubTotall 01 DI 121 01 01 DI 12
Total
Total Outputs =
24
OCHN Contract FY 17/18 Prevention Attachment B MBO frm
ATTACHMENT B
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2017-2018
Program Name:
Agency/Organization:
Prepared By:
Program Goal:
SUD Prevention Health Education
Oakland County Health Division
Trish Zizumbo/ Melanie Stone
Date Prepared: 8/24/2017
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in Oakland County
with particular emphasis on high risk populations
Specific Activity and Objective (s)
(Number consecutively and use separate page for each
Prevention Activity)
Estimated
Total
Recipients
(12 months)
Number of Direct Service Hours (outputs)
P = Planned / A = Delivered
1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL
p A P A P A P A P A
Activity #5 Provide a minimum of 3 (three) series of Botvin's
Life Skills Training Parent Program to Oakland County
families. A series consists of 7 weekly, 90 minute long
lessons. Outcomes to be provided include the results of
attitude and behavior change from pre / post testing,
including group as well as individual behavior change
scores.
10 10 10 30 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Strategy: (list)
A = Alternative
C = Community-Based
E = Education
N = Information dissemination
P = Problem ID & Referral
V = Environmental
Sub Totall 101 01 101 0
Total
Total Outputs =
OCHN Contract FY 17/18 Prevention Attachment B MBO frm
Total Outputs =
ATTACHMENT B
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2017-2018
Program Name:
Agency/Organization:
Prepared By:
Program Goal:
SUD Prevention- Health Education
Oakland County Health Division
Trish Zizumbo/ Melanie Stone
Date Prepared: 8/24/2017
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in Oakland County
with particular emphasis on high risk populations
Specific Activity and Objective (s)
(Number consecutively and use separate page for each
Prevention Activity)
Estimated
Total
Recipients
(12 months)
Number of Direct Service Hours (outputs)
P = Planned IA = Delivered
1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL
P A P A P A PAP A
Activity #6 Obtain training for the Michigan Model for
Health - K-8 through Oakland Schools. Provide 1 (one) pilot
ATOD (alcohol, tobacco and other drugs) and SEL (social
and emotional learning) Strand of the Elementary Michigan
Model for Health Curriculuum.
14 14 0
IIIHMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 0 0
11111 0 0
11111111111111111.111111111111111111111.11 0 0 0 0
II II •00
0 0
1.1111111111111111111111111111111111110 0 0
11111.11 IIIII 0 0
IINIIIIIIIIIIIIIIIIIIIIIIIIIIIII 0 0
Strategy: (list)
A = Alternative
C = Community-Based
E -4. Education
N = Information dissemination
P = Problem ID & Referral
V = Environmental
OCHN Contract FY 17/18 Prevention Attachment B MBO frm
ATTACHMENT B
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2017-2018
Program Name:
Agency/Organization:
Prepared By:
Program Goal:
SUD Prevention Health Education
Oakland County Health Division
Trish Zizumbo/ Melanie Stone
Date Prepared: 8/24/2017
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in Oakland County
with particular emphasis on high risk populations
Specific Activity and Objective (s)
(Number consecutively and use separate page for each
Prevention Activity)
Estimated
Total
Recipients
(12 months)
Number of Direct Service Hours (outputs)
P = Planned IA = Delivered
1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL
p A P A P A P A P A
Activity #7 Provide a minimum of 2 (two) series of the Safe
Dates Program to middle school and/or high school
students in Oakland County. A series consists of 10 (ten)
hour-long lessons which includes for pre/post testing,
orientation, and celebratory activity. Outcomes to be
delivered include the results of the evaluation tool
accompanying the program.
10 10 20 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Strategy: (list)
A = Alternative
C = Community-Based
E = Education
N = Information dissemination
P = Problem ID & Referral
V = Environmental
01 0 10 0 10
0
Total Outputs =
OCHN Contract FY 17/18 Prevention Attachment B MBO frm
ATTACHMENT B
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2017-2018
Program Name:
Agency/Organization:
Prepared By:
Program Goal:
SUD Prevention Health Education
Oakland County Health Division
Trish Zizumbo/ Melanie Stone
Date Prepared: 812412017
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in Oakland County
with particular emphasis on high risk populations
Specific Activity and Objective (s)
(Number consecutively and use separate page for each
Prevention Activity)
Estimated
Total
Recipients
(12 months)
Number of Direct Service Hours (outputs)
P = Planned / A = Delivered
1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL 4
P A P AP A P A P A
Activity #8 Provide training, facilitation and community
event planning in the completion of 3 (three) PhotoVoice
projects related to the prevention of substance use and the
non-medical use of prescription drugs by youth. Outcomes
to be reported: demographics/ description of the
populations involved; summary of ideas generated;
examples of photos, screenshots of postings, commmunity
exhibit produced by the project.
8 8 8 24 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Strategy: (list)
A = Alternative
E = Education
N = Information dissemination
P = Problem ID & Referral
V = Environmental
Sub Total 81
Total
0 8 0 01 0 8 0 24
24
Total Outputs =
OCHN Contract FY 17/18 Prevention Attachment B MBO frm
Sub Total
Total
Total Outputs = 526
ATTACHMENT B
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2017-2018
Program Name:
Agency/Organization:
Prepared By:
Program Goal:
SUD Prevention- Health Education
Oakland County Health Division
Trish Zizumbo/ Melanie Stone
Date Prepared: 8/24/2017
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in Oakland County
with particular emphasis on high risk populations
Specific Activity and Objective (s)
(Number consecutively and use separate page for each
Prevention Activity)
Estimated
Total
Recipients
(12 months)
Number of Direct Service Hours (outputs)
P = Planned IA = Delivered
1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL
p AP AP AP A P A
Activity #9 (a) Promote and provide technical assistance to
prescription and over-the counter drug disposal and take
back programs in Oakland County. Outcomes to be
reported: number, locations and types of events, number of
pounds collected, report on results of senior survey re:
barriers to disposal; (b) support the Scope of Pain training
and continue providing evidence-based training regarding
safe prescribing practices to health care and medical
professional. Outcomes to be reported include: training
tools and number and types of professional trained.
MIIIIIMIM 5 onsim 10 o
Ell MI 0 0
MIIIIII.
MIIIIMM
MII
IIIII
IIIIII 0 0
0 0
=MIN IIIMMIIIIIMI 0 0
MI 0 0
MOM =MI Mill 0 0
=MOM III. 0 0
MM. .111.1111. 0 0
IIIII MI 0 0
MENEM MEM. 0 0
11111 El 0 0
Strategy: (list)
A = Alternative
C = Community-Based
E = Education
N = Information dissemination
P = Problem ID & Referral
V r-• Environmental
OCHN Contract FY 17/18 Prevention Attachment B MBO frm
ATTACHMENT C
OAKLAND COMMUNITY HEALTH NETWORK (OCHN)
SUBSTANCE USE DISORDER SERVICES
PURCHASE OF SERVICE POLICIES
For
PROVIDERS OF PREVENTION SERVICES
Oakland County Health Division Specific
FY 2017-2018
TABLE OF CONTENTS
I. BUDGETS 2
Prevention Budget 2
Program Local Match 2
II. BILLING AND PAYMENT 2
Prevention Billing Summary Form 2
Billing Summary Page 2
Bill Due Date 2
Reimbursements 2
Performance Requirement 2
III. AMENDMENTS AND ALLOCATIONS 2
Request an amendment 2
Budget amendment 2
Request for Amendment Form 2
IV. DATA, REPORTING AND RECORD RETENTION 3
Evidence-Based Services Prevention Management by Objectives (MBO) 3
Reimbursement 3
Reporting Requirements 3
Electronic Submission 3
Records Retention 4
V. AGENCY AND STAFF REQUIREMENTS 4
License and Prevention Credential Requirements 4
Criminal Background Checks 4
VI. CULTURAL COMPETENCY 4
VII. CONFIDENTIALITY 5
VIM CHOICE POLICY AND PROCEDURE 5
The Federal Register 5
Charitable Choice Regulations 5
IX. REQUIRED DISCLAIMERS 6
Funding Sources Statement 6
Recipient Rights Statement 6
OCHN Logo Requirements 6
X. OCHN PREVENTION REVIEW 6
Programmatic and On-Site Reviews 6
Bi-annual Financial Review 6
FY 2017/2018
OCHN Prevention Program Policies and Procedures
I. Budget
A. Prevention programs will submit an annual budget for OCHN-administered funds that
include revenue sources for total substance use disorder prevention programming using the
following forms: Prevention Budget/ Billing Summary and Budget/Billing Pages
(Attachment A.)
B. Programs will provide a 10% local match for all OCHN funding and submit as part of
budget.
II. Billing and Payment
A. The Prevention Billing Summary Form along with the Prevention Budget Billing Pages are
the source document for billing the OCHN for actual expenditures related to prevention
services provided each month.
B. Payment for services will be based on actual expenses incurred for service delivery. The
Billing Summary page must include the total amount expended for each category
(Travel, Supplies & Materials, Contractual, and Other) for the invoiced month, as well as a
breakout by funding source (i.e. OCHN funds and/or Local Match) The Billing Pages
must contain the monthly charges by line item in each category as identified in the
original budget.
C. Bills are due to OCHN no later than ten (10) days after the close of each service month;
those received after the 10th may not be processed for payment until the following month.
The provider is obligated to invoice OCHN within 60 days of service delivery.
D. Reimbursements will be based on the understanding that a certain level of performance,
measured by outputs (face-to-face or direct service hours engaged with the service
population - ATTACHMENT B) must be met in order to receive full reimbursement of
costs up to the contracted amount at the end of the contract year.
E. For this agreement, the performance requirement is defined as 100% of the OCHN-
funded share of the Total Expenditure amount.
III. Amendments and Adjustments to Allocations
A. A program can request an amendment at any time up to the OCHN amendment deadline of
May 15, 2018.
B. A budget amendment with revised budget pages is required when there is a change in a
budget category over $2,000 or 15% of the category, whichever constitutes the greater
amount. The deviation allowance does not authorize new categories or line items within the
category.
C. Request for Amendment Form (Attachment C-1) must be completed and approved by
OCHN before requested changes can be implemented. In order to move 15% or $2,000
OCHN PREY CONTRACTS ATTACHMENT C FY 2017/2018
2
(whichever is greater) from one budget category to another, it is necessary to complete the
Request for Amendment Form, including a detailed explanation of the changes and updated
budget summary and billing pages — (fax or email to Christina Nicholas at 248.282.7116,
nicholasc@oaklandclulorg or by mail to her attention at 5505 Corporate Dr., Troy, MI
48098. For questions call 248.452.9850). You will receive a determination of approval,
disapproval or pending status within 10 business days or comments/questions if further
clarification is required.
IV. Data, Reporting & Record Keeping
A. Prevention contractors must provide evidence-based prevention services (as defined in the
Research-based Prevention Protocol of their proposal).
B. A Prevention Management by Objectives (MBO) Form (Attachment B) describing
specific measurable objectives and assigned number of outputs for each is submitted as part
of the contract and will be reviewed for compliance during the contract year.
C. All OCHN-funded program grantees are required to participate in the collection of State-
required prevention data elements by utilizing the Michigan Prevention Data System
(MPDS) (http://mpds.sudpds.com), a web-based system- including but not limited to:
• Number of direct hours (defined as face to face or output hours)
• Collection of strategies employed (Information Dissemination, Education,
Community-Based, Problem Identification and Referral, Environmental, or
Alternative)
• Population code
• Service population, type and domain
• Service population demographics
• Evidence-based practice
• Funding source
Outputs delivered during the invoiced month must be entered into the Michigan Data
Prevention System (MPDS) by the 10th of the month following the service month, for on-
time reimbursement.
D. Reimbursement is based on the understanding that a certain level of performance, measured
by outputs (face-to-face or direct service hours engaged with the target population) must
be met in order to receive full reimbursement of costs, up to the contracted amount.
E. OCHN grantees must submit a Mid-Year and End-of-Year Prevention Program Report
(Attachment C-2) that includes a narrative, data outcome tables and process evaluation
results for all programs/services - no later than ten (10) days following the end of the
reporting period (e-mail to altmanlaoaklandchn.org).
F. OCHN grantees must incorporate tobacco prevention activities into their programming. A
report of tobacco prevention activities must be completed biannually, using the Tobacco
Activity Report Form (Attachment C-3) — and submitted with the Mid-Year and End-of-
Year Reports (e-mail to altmank(&,oaklandchn.org).
G. All forms and reports must be submitted in electronic form. Failure to submit required
OCHN PREV CONTRACTS ATTACHMENT C FY 201712018
3
reports in a timely manner to OCHN will result in withholding of payment for services.
H. Program documents related to OCHN-funded prevention services must be retained for a
period of seven (7) years in addition to the present contract year. After a period of three (3)
years post-program completion, providers may store documents electronically.
V. Agency and Staff Requirements
A. All agencies receiving OCHN-administered prevention funds must possess/demonstrate
expertise in substance use prevention. Agencies must possess or have in possession by
October 1, 2017, a current State of Michigan substance use prevention license (CAIT,
Community Change, Alternatives, and Information & Training).
http://www.michigan.gov/lara/
B. During the period covered by this contract, the provider agency that directly employs or
contracts with the OCHN to provide prevention services is responsible for verifying the
ongoing certification status of employees. This includes verification of the credential(s),
monitoring staff development plans, and compliance with continuing education
requirements.
C. As a condition of the contract, Prevention Professionals (commonly described as Program
or Prevention Coordinators, Prevention Specialist, or Consultants i.e., those responsible for
the planning, coordination and or oversight of program implementation) must be certified
by the Michigan Certification Board for Addiction Professional (MCBAP) as one of the
following:
• Certified Prevention Specialist M (CPS-M)
• Certified Prevention Specialist R (CPS-R)
• Certified Prevention Consultant M (CPC-M)
• Certified Prevention Consultant R (CPC-R)
• Certified Health Educator Specialist (CHES)
OR
Must file a certification "Development Plan" with Michigan Certification Board for
Addiction Professionals (MCBAP) within sixty (60) days of the contract start date.
Information on filing a Development Plan may be found at www.mcbap.com. Failure to
comply with credentialing requirement may result in termination of the contract.
D. All providers must conduct yearly criminal background checks on all employees (and
potential employees) employed in programs funded by the OCHN, as a condition of
employment.
VI. Cultural Competency and a Trauma Informed Approach to Prevention
A. Providers must submit a cultural competency plan to the OCHN, addressing the following
elements and be able to document same at their annual program review:
• The program must identify and assess the cultural needs of potential and active
clients based on population served
OCHN PREV CONTRACTS ATTACHMENT C FY 2017/2018
4
• The program must identify how access to services is facilitated for persons with
diverse cultural backgrounds and Limited English Proficiency (LEP) and hearing
impairment
• The program must identify standards for the recruitment and hiring of culturally
competent staff members
• The program must document cultural competency training for provider staff upon
hire and bi-annually (every two years) thereafter for all staff
B. Agencies must document staff training in a trauma-informed approach to Prevention within
the period of the contract. The training must include: an understanding of the critical nature
of trauma in the development of SUD; an understanding of the dimensions of resiliency;
building community capacity, and learning strategies to change community conditions to
support individuals, families and communities affected by trauma/adverse experiences.
VII. Confidentiality
The provider will comply with all Federal requirements contained in 42 CFR, Part 2,
Confidentiality of Alcohol and Drug Abuse Patient Records, Final Rule, June 9, 1987, as well as
any information about alcohol and other drug use obtained by a "program" (42 CFR2.11),
(42CFR2.12b). Information may be disclosed in summary, statistical or other form which does not
directly identify particular individuals.
VIII. Charitable Choice Policy and Procedure
A. The Federal Register (45 CFR part 96) contains federal Charitable Choice SAPT block
grant regulations that apply to prevention and treatment providers/programs. The
regulations require: (1) that the designation of religious (faith-based) organizations as such
be based on the organization's self-identification as religious (or faith-based) and (2) that a
program beneficiary receiving services from such an organization who objects to the
religious character of a program has a right to notice, referral and alternative services which
meet standards of timeliness, capacity, accessibility and equivalency — and ensuring contact
to this alternative provider.
B. The program is required to comply with all applicable requirements of the Charitable
Choice regulations. If the program identifies itself as a religious or faith-based organization,
it must provide the federally mandated model notice to all clients. Providers who are faith-
based must notify participants of their right by providing the following model notice:
No provider of substance abuse services receiving Federal funds
from the U.S. Substance Abuse and Mental Health Services
Administration, including this organization, may discriminate
against you on the basis of religion, a religious belief, a refusal to
hold a religious belief, or a refusal to actively participate in a
religious practice.
If you object to the religious character of this organization, Federal
law gives you the right to a referral to another provider of substance
abuse services. The referral, and your receipt of alternative services,
must occur within a reasonable period of time after you request
them. The alternative provider must be accessible to you and have
the capacity to provide substance abuse services. The services
OCHN PREV CONTRACTS ATTACHMENT C FY 2017/2018
5
provided to you by the alternative provider must be of a value not
less than the value of the services you would have received from this
organization.
IX. Required Statement of Funding Sources and Statement of Recipient Rights
Prevention programs that maintain records that include both the recipient's name and information
regarding his or her substance use, shall provide the recipient with a summary of recipient rights
protected by state or federal laws and promulgated rules. Any program announcement, brochure, or
other written communication that describes the program's substance abuse prevention services shall
state the following:
Recipients of substance abuse prevention services have rights protected by state and
federal laws and promulgated rules". For information contact the OCHN Substance
Use Disorder Services, Recipient Rights Coordinator Sherrie Williams, 5505
Corporate Dr., Troy, MI 48098 or call 248.858.1210
Providers must assure that any program reports, articles and publications that result from
information gathered through the use of state, federal or county funds acknowledge receipt of that
support from the OCHN and/or the appropriate federal agencies by use of the following statement:
Federal, State, and/or County Funding has been provided through the Oakland
Community Health Network Substance Use Disorder Services to support the project
costs.
In addition to the disclaimer above, the promotion of any program, activity, training, or meeting
funded in whole or in part by the OCHN must contain the OCHN logo.
X. Programmatic and Financial Review
OCHN grantees are subject to an annual site review as well as annual scheduled program review by
the OCHN Service Network Analyst. The site review affords OCHN an opportunity to experience
the staff and program in action. The program review looks at compliance with contractual
requirements: licensing requirements, progress toward meeting output and outcome goals, process
and outcome evaluation, certification and background checks on employees, timeliness and
accuracy of billing and reporting, etc.
Grantees are also subject to a complete financial review on a bi-annual basis by the OCHN Fiscal
Analyst. The objectives of the financial review are:
• Verify the reported expenditures have supporting documentation and were allowable
expenses
• Determine whether an agency's internal controls are adequate to provide reasonable
assurance that funds are managed in compliance with applicable laws and regulations
and/or provisions of the contract
• Confirm the billing was consistent with the contract budget
• Review the agency's financial audit to determine if there were any significant audit
findings
OCHN PREY CONTRACTS ATTACHMENT C FY 2017/2018
6
Prevention contract questions may be addressed to Kathleen Altman, Prevention Coordinator for
OCHN: altmarikAoaklandchn.org or (248)452-9850.
°CHAT PREV CONT1MCTS ATTACHMENT C FY 2017/2018
7
FISCAL NOTE .(MISC. #18237) June 13, 2018 ,
BY: Commissioner Thomas Middleton, Chairperson, Finance Committee
IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION — AMENDMENT #1
TO THE INTERLOCAL AGREEMENT WITH THE OAKLAND COMMUNITY HEALTH NETWORK FOR
SUBSTANCE USE DISORDER PREVENTION SERVICES
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
Pursuant to Rule XII-C of this Board, the Finance Committee has reviewed the above referenced
resolution and finds:
1. Resolution authorizes Amendment #1 to the Interlocal Agreement between Oakland County and
Oakland Community Health Network (OCHN) to reflect updated workplan objectives related to
substance use disorder prevention services.
2. The existing agreement was adopted by the Board of Commissioners on September 28, 2017 via
Miscellaneous Resolution #17267.
3. Amendment #1 includes FY 2018 funding in the amount of $215,501, which consists of $195,910
in grant funding and a required local match of $19,591.
4. The $19,591 local match is budgeted in the Health Division General Fund, which includes
salaries, educational supplies, telephone communications, and IT operations.
5. Amendment #1 continues funding for two (2) Special Revenue (SR) Full-Time Eligible (FTE)
Public Health Educator III positions (1060233-00960 and 1060233-07497) within the Health
Division.
6. Amendment #1 is effective as of October 1, 2017 and will remain in effect until terminated by
either party.
7. The FY 2018 budget is amended as follows:
HEALTH MDPH OSAS FUND #28249
GR0000000203 Bud Ref: 2018 Analysis: GLB Activity GLB
FY 2018
Revenues
1060261-134795-610313
Expenditures
1060261-134795-702010
1060261-134795-722740
1060261-134795-730555
1060261-134795-730982
1060261-134795-731346
1060261-134795-731388
1060261-134795-731941
1060261-134795-732018
1060261-134795-750245
1060261-134795-750294
1060261-134795-750392
1060261-134795-750399
1060261-134795-750567
1060261-134795-770631
1060261-134795-730926
1060261-134795-731115
1060261-134795-750462
1060261-134795-774677
Federal Operating Grants
Revenue Total
Salaries Regular
Fringe Benefits
Education Programs
Interpreter Fees
Personal Mileage
Printing
Training
Travel and Conference
Incentives
Materials and Supplies
Metered Postage
Office Supplies
Training-Educational Supplies
Bldg Space Cost Allocation
Indirect Costs
Licenses and Permits
Provisions
Insurance Fund
Total Expenditures
($19,591)
($19,591)
($1,584)
($1,890)
($4,641)
($ 800)
($1,739)
($1,403)
($ 500)
($1,000)
($ 83)
($ 2,500)
($ 900)
($ 500)
($ 4,000)
($ 904)
$ 1,423
$ 500
$ 750
$ 180
($z1
FINANCE COMMITTEE VOTE:
Motion carried unanimously on a roll call vote.
.ammissioner Thomas Middleton, Dist
Chairperson, Finance Committee
ct #4
Resolution #18237 June 13, 2018
Moved by Hoffman supported by Zack the resolutions (with fiscal notes attached) on the amended
Consent Agenda be adopted (with accompanying reports being accepted).
AYES: Crawford, Fleming, Gershenson, Hoffman, Jackson, Kochenderfer, KowaII, Long,
McGillivray, Middleton, Quarles, Spisz, Taub, Tietz, Weipert, Woodward, Zack, Berman,
Bowman. (19)
NAYS: None. (0)
A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the amended
Consent Agenda were adopted (with accompanying reports being accepted).
HERM/ APPROVE THIS RESOLUTION
CHIEF DEPUTY COUNTY EXECUTIVE
ACTING PURSUANT TO MCL 45.559A (7)
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and
accurate copy of a resolution adopted by the Oakland County Board of Commissioners on June 13, 2018,
with the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at
Pontiac, Michigan this 13th day of June, 2018
Lisa Brown, Oakland County