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Home My WebLink AboutResolutions - 2020.12.07 - 33967MISCELLANEOUS RESOLUTION #20641 December 7, 2020 BY: Commissioner Penny Luebs, Chairperson, Health, Safety and Human Services Committee IN RE: HEALTH AND HUMAN SERVICES/HEALTH DIVISION — AMENDMENT #4 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 Amendment #4 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 existing agreement was adopted by the Board of Commissioners on September 28, 2017, via Miscellaneous Resolution (M.R.) #17267 and amended in FY 2018 via M.R. #18237 on June 3, 2018, in FY 2019 via M.R. #19072 on April 2, 2019; and again, on December 12, 2019, via M.R.#19396; and WHEREAS Amendment #4 for Fiscal Year (FY) 2021 includes the same amount of funding from the previous year's award totaling $218,833, which consists of $198,939 in grant funding and a required local in -kind match of $19,894; and WHEREAS the $19,894 local in -kind match is budgeted within the Health Division General Fund, which includes salaries, printing, educational supplies, telephone communications, and IT operations; and WHEREAS the agreement with OCHN includes providing Botvin LifeSkills® Training Program, Botvin Parenting Program, Botvin Transitions Program, and Safe Dates Program to elementary, middle school and high school children, young adults, and parents, which requires a sole source purchasing contract for curriculum with Princeton Health Press; and WHEREAS the funding is sufficient to continue two (2) Special Revenue (SR) Full -Time Eligible (FTE) Public Health Educator III positions (#1060261-00960 and #1060261-07497) within the Health Division for FY 2021; and WHEREAS Amendment #4 is effective October 1, 2020, and will remain in effect until terminated by either of the parties; and WHEREAS this Interlocal Agreement has completed the Grant Review Process and is in compliance with Miscellaneous Resolution #19006. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby approves Amendment #4 to the Interlocal Agreement between the County of Oakland and the Oakland Community Health Network including FY 2021 funding totaling $218,833, which consists of $198,939 in grant funding and a required local in -kind match of $19,894. BE IT FURTHER RESOLVED to approve a sole source purchasing contract with Princeton Health Press for the Botvin LifeSkills® Training Program, Botvin Parenting Program, Botvin Transitions Program, and Safe Dates Program. BE IT FURTHER RESOLVED to continue two (2) SR FTE Public Health Educator III positions (#1060261- 00960 and #1060261-07497) within the Health Division BE IT FURTHER RESOLVED that the Chairperson of the Board of Commissioners is authorized to execute the Amendment and to approve any extensions or changes, within fifteen percent (15%) of the original award, which are consistent with the original agreement as approved. BE IT FURTHER RESOLVED that acceptance of this grant does not obligate the County to any future commitment and continuation of the Special Revenue positions in the grant is contingent upon future levels of grant funding. BE IT FURTHER RESOLVED the FY 2021 budget is amended as follows: HEALTH MDPH OSAS FUND #28249 GR0000000203 Bud Ref: 2020 Analysis: GLB Activity GLB Revenues 1060261-134795-610313 Federal Operating Grants Total Revenues FY 2021 Expenditures 1060261-134795-702010 Salaries Regular ($ 99,513) 1060261-134795-722740 1060261-134795-730555 1060261-134795-730926 1060261-134795-730982 1060261-134795-731115 1060261-134795-731346 1060261-134795-731388 1060261-134795-731941 1060261-134795-732018 1060261-134795-750245 1060261-134795-750392 1060261-134795-750399 1060261-134795-750462 1060261-134795-750567 1060261-134795-774677 Fringe Benefits Education Programs Indirect Costs Interpreter Fees Licenses and Permits Personal Mileage Printing Training Travel and Conference Incentives Metered Postage Office Supplies Provisions Training -Educational Supplies Insurance Fund Total Expenditures HEALTH MDPH OSAS FUND #28249 GR0000001010 Bud Ref: 2021 Analysis: GLB Activity GLIB (67,746) (1,500) (12,230) (200) (1,000) (3,045) (1,621) (2,200) (2,000) (2,264) (50) (250) (550) (4,500) (270) (_ 198 939 FY 2021 Revenues 1060261-134795-610313 Federal Operating Grants $198,939 Total Revenues 198 939 Expenditures 1060261-134795-702010 Salaries Regular $101,500 1060261-134795-722740 Fringe Benefits 63,639 1060261-134795-730072 Advertising 5,000 1060261-134795-730555 Education Programs 1,202 1060261-134795-730926 Indirect Costs 10,059 1060261-134795-730982 Interpreter Fees 500 1060261-134795-731115 Licenses and Permits 250 1060261-134795-731346 Personal Mileage 3,019 1060261-134795-731388 Printing 2,500 1060261-134795-731941 Training 500 1060261-134795-732018 Travel and Conference 1,000 1060261-134795-750245 Incentives 2,000 1060261-134795-750294 Materials and Supplies 1,000 1060261-134795-750392 Metered Postage 500 1060261-134795-750399 Office Supplies 250 1060261-134795-750462 Provisions 250 1060261-134795-750567 Training -Educational Supplies 5,500 1060261-134795-774677 Insurance Fund 270 Total Expenditures 1 8 939 Chairperson, on behalf of the Health, Safety and Human Services Committee, I move the adoption of the foregoing resolution. Commissioner enny Luebs, District #16 Chairperson, ealth, Safety and Human Services Committee HEALTH, SAFETY AND HUMAN SERVICES COMMITTEE VOTE: Motion carried on a roll call vote with Kochenderfer absent. GRANT REVIEW SIGN -OFF — Health & Human Services/Health GRANT NAME: Amendment #4 to the Interlocal Agreement between Oakland County and Oakland Community Health Network for Substance Use Disorder Prevention Services FUNDING AGENCY: Oakland Community Health Network DEPARTMENT CONTACT PERSON: Stacey Smith / (248) 452-2151 STATUS: Grant Acceptance (Greater than $10,000) DATE: 11/02/20 Please be advised the captioned grant materials have completed internal grant review. Below are the returned comments. The Board of Commissioners' liaison committee resolution and grant acceptance package (which should include this sign - off email and the grant agreement/contract with related documentation) may be requested to be placed on the agenda(s) of the appropriate Board of Commissioners' committee(s) for grant acceptance by Board resolution. DEPARTMENT REVIEW Management and Budget: Approved by M & B. The draft resolution will need to be updated for the necessary budget amendment. —Lynn Sonkiss (1102/20) Human Resources: HR Approved — No HR Implications, continues positions — Lori Taylor (10/28/20) Risk Management: Amendment approved by Risk Management. — Robert Erlenbeck (10/28/20) Corporation Counsel: Approved by Corporation Counsel (there are no legal issues). — Sharon Barnes (10/30/20) OAKLAND COUNTY INTERLOCAL AGREEMENT BETWEEN OAKLAND COUNTY AND OAKLAND COMMUNITY HEALTH NETWORK 1: Substance Use Disorder Prevention Services 2017-0016-SUDP #d 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: The Parties acknowledge and agree that the FY20 Exhibit I: Financial and Reporting Obligations in the current Contract shall be replaced with the FY21 Exhibit I: Financial and Reporting Obligations as detailed in Attachment A. 2. The Parties acknowledge and agree that the FY20 Exhibit IV: Attachments, Attachment B and Attachment C in the current Contract shall be replaced with the FY21 Attachment B and Attachment C as attached. Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0046-SUDP Page 1 ol'29 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 OC14N and County and by doing so legally obligate and bind the OCf N and County to the terms and conditions of the Contract and this Amendment: OAKLAND COMMUNITY HEALTH NETWORK: DATE: Nicole M. Lawson, Ph.D., Deputy Executive Director / Chief Operating Officer BY: DATE: Anya Eliassen, Chief Financial Officer THE COUNTY OF OAKLAND BY: DATE: Chairperson, Oakland County Board of Commissioners Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0016-SIJDP Page 2 of 29 EXHIBIT 1: Financial' and Reporting Obligations Health Education SUD Prevention Services October 1, 2020 — September 30, 2021 Description FY21 Travel Supplies & Materials Contractual Other OCHN Funding Local Match Total Budget Budget 4,019 15,523 173,623 25,668 198,939 19,8941 218,833 1 The County shall submit an invoice to the OCHN on a monthly basis, which shall itemize all amounts due and or owing by OCHN. 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 B 1 MI SAPT, award phase 2016. Title SAPT Block Grant sub -recipient relationship, non -research and development project. Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0016-SUDP Page 3 of 29 Attachment A OAKLAND COMMUNITY HEALTH NETWORK Prevention Budaet Summary & Billina Paaes FY 2021 Monthly Expenses Agency Name* Oakland County Health Division Description Current 114onth Travel $4,019.00 Supplies & Materials $15,523.00 Contractural $173,623 00 Other $25,668.00 Total Expenditures $218,833.00 Source of Funds Local Match $19,894.00 OCHN Funding $198,939.00 Total Expenditures Z fvFunding Source Annual Budget �X Month/Yr Oct. 2020 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 ,my false, fictitious, 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) Signature Tllle Date Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0016-SITDP Page 4 ol'29 OAKLAND COMMUNITY HEALTH NETWORK Prevention BudgetlBilling Form FY 2021 Date: Agency: Oakland County Health Division Reporting Period: Travel Total 7777 -X, Funding 9ouroea X _ For mileage expense indicate # of miles and rate per mile. Amount Cgoal Matgh ACHN Funding - Mileage # miles x ifs rate $3,019 00 $3,019 00 Travel and Conference $1,000 00 $1,000 00 1 $ $ TIITALN $4,019.00 Oakland Community I lentil Network Amendment Number 4 of Contract Number 2017-0016-SUDP Page 5 of29 OAKLAND COMMUNITY HEALTH NETWORK Prevention Budget/Billing Form FY 2021 Date: Agency: Oakland County Health Division Reporting Period: Supplies & Materials Total X Funding Sources X Amount Local Match OCHN Funding I Postage (750448) $500.00 $500.00 Printing (731388) $3,371.00 $871.00 $2,500.00 Office Supplies (750399) $250.00 $250.00 Educational Supplies (750567) $8,152.00 $2,652.00 $5,500.00 Provisions (750462) $250.00 $250.00 (Incentives (750245) $2,000.00 $2,000 00 Materials & Supplies (750294) 1000 10001 $- TOTALS $15,523.00 $3,523.00 $12,00000 Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0016-SI lDP Page 6 of 29 OAKLAND COMMUNITY HEALTH NETWORK Prevention Budget/Billing Form FY 2021 Date: Agency: Oakland County Health Division Reporting Period: Contractural Total Amount Health Educator II, Position # 00960, # $46,754 00 Health Educator II, Position # 07497 ik $54,746.00 ..,_ . X` FUridtrlg spurges X 4ocelMdtdh'.: „,gCHNFundingI $46,754 00 $54,746 00 Administrator Match $2,978.00 $2,978.00 Supervisor Match $5,045.00 $5,045.00 Chief Match $461.00 $461.00 Rvinge nenefit7`etal $63,639.00 1 TOTALS $173,623.00 $8,484.00 $101,500,001 Oakland Community I lealth Nehvork Amendment Number 4 of Contract Number 2017-0016-SUDP Page 7 of 29 OAKLAND COMMUNITY HEALTH NETWORK Prevention Budget/Billing Form FY 2021 Agency: Oakland County Health Division Other Telephone Liability Insurance (774677) Interpretation Fees (730982) Educational Programs (730555: Training (731941) License & Permits (731115) IT Operations (774636) Indirect Advertising ' TOTALS Total Amount $1,543.00 $270.00 $500.00 $1,202.00 $500.00 $250.00 $6,344 00 $10,059.00 $5,000.00 $25,668.00 Date: Reporting Period: X; Fundi�g scurces X" locaL,Match OOHN Funding $1,543.00 $6,344.00 $270.00 $500.00 $1,202.00 $500.00 $250.00 i $10,059.00 $5,000 Oakland Community Health Network Amendment Number 4 of Contract Numhei 2017-0016-SUDP Page 8 of 29 ATTACHMENT B Oakland Community Health Network/Substance Use Disorder Services Management by Objective FY 2021 Program Name: SLID Prevention- Health Education Date Prepared: 9/1812020 Agency/Organization: Oakland County Health Division Prepared By: Hanna Cassise Program Goal: 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 Estimated Number of Direct Service Hours (outputs) Specific Activity and Objective (s) Total P = Planned / A = Delivered (Number consecutively and use separate page for each Recipients 1 st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL Prevention Activity) (12 months) P A P A P 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** I Life Skills Elementary and Middle School* Training I Program, Botvin Parenting Program, Botvin Transitions Program, and Safe Dates Program. Particular emphasis in I recruiting will be placed on high risk geopgraphic areas. I Outcomes= the number, names and location of successfuly recruited organizations I *as requested. I I Strategy: (list) A = Alternative C = Community -Based E we Education N = Information dissemination P = Problem ID & Referral V = Environmental **Only available to purchase from Princeton Health Press 5 5 10 10 Sub Total 5 0 5 0 10 0 10 0 Total 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 30 0 OCHN Contract FY 18119 Prevention Attachll &4VBoIABAKrffraltb Network Amendment Number 4 of Contract Number 2117-0016-SUDP Page 9 of 29 ATTACHMENT B Oakland Community Health NetworklSubstance Use Disorder Services Management by Objective FY 2021 Program Name: SLID Prevention Health Education Date Prepared: 9/18/2020 Agency/Organization: Oakland County Health Division Prepared By: Hanna Cassise Program Goal: 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 Estimated Number of Direct Service Hours (outputs) Specific Activity and Objective (s) P = Planned / A = Delivered (Number consecutively and use separate page for each Total 1 st Qtr. 2nd Qtr. 3rd Qtr, 4th Qtr. TOTAL Prevention Activity) Recipients (12 months) p A P A P A P A P A Activity #2 Provide a minimum of 35 (thirty-five) 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 Strategy: (list) A = Alternative C = Community -Based E = Education N = Information dissemination P = Problem ID & Referral V = Environmental **Only available to purchase from Princeton Health Press 90 90 85 85 350 0 0 0 0 0 0 0 0 0 0 0 Sub Total 90 0 90 0 85 0 85 0 350 Total 350 OCHN Contract FY 18/19 Prevention AttacKW&V BoM1304rffFaltb Network Amendment Number 4 of Coniract Number 2017-0016-SUDP Page 10 of 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ATTACHMENT B Oakland Community Health Network/Substance Use Disorder Services Management by Objective FY 2021 Program Name: SUD Prevention- Health Education Date Prepared: 9/18/2020 Agency/Organization: Oakland County Health Division Prepared By: Hanna Cassise Program Goal: 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 Estimated Number of Direct Service Hours (outputs) Specific Activity and Objective (s) P = Planned / A = Delivered Number consecutive) and separate page for each Total � y use P g Recipients 1st Qtr. 2nd Qtr. 3rd Otr 4th Qtr. TOTAL Prevention Activity) (12 months) P A P A P A P A P A Activity #3: Provide a minimum of 3 (three) series of Botvin's** LifeSkills Transitions Program to Oakland County I families. A series consists of six, 1 hour-long lessons that I can be done over the course of 2, 3, or 6 weeks. Outcomes I to be provided include the results of attitude and behavior I change from pre to post testing, including group as well as I individual behavior change scores. Strategy: (list) A = Alternative C = Community -Based E = Education N = Information dissemination P = Problem ID & Referral V = Environmental **Only available to purchase from Princeton Health Press 7 7 7 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Sub Total 0 0 7 0 7 0 7 0 21 0 Total 21 0 OCHN Contract FY 18/19 Prevention AttachfalAmV BoMB04rltralib Network Amendment Number 4 of Contract Number 2017-0016-SrJ I7P Page 11 of 29 ATTACHMENT B Oakland Community Health Network/Substance Use Disorder Services Management by Objective FY 2021 Program Name: SUD Prevention Health Education Date Prepared: 9/18/2020 Agency/Organization: Oakland County Health Division Prepared By: Hanna Cassise Program Goal: 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 Estimated Number of Direct Service Hours (outputs) Specific Activity and Objective (s) Total P = Planned / A = Delivered (Number consecutively and use separate page for each 1 st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr TOTAL Prevention Activity) Recipients (12months) p A P A P A P A P A Activity #4: Provide a minimum of 3 (three) series of Botvin's** Life Skills Training Parent Program and/or Guiding Good Choices to Oakland County families. A series I consists of 7 weekly, 90 minute long lessons. Outcomes to I be provided include the results of attitude and behavior I change from pre / post testing, including group as well as I individual behavior change scores. I ( I I I I Strategy: (list) A = Alternative C = Community -Based E = Education N = Information dissemination P = Problem ID & Referral V = Environmental **Only available to purchase from Princeton Health Press 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 Sub Total 0 0 10 0 10 0 10 0 30 0 Total 30 .. 0 OCHN Contract FY 18/19 Prevention AttachfaWm@BoM90tfrmalth Network Amendment Number 4 of Contract Number 2017-0016-SUDP Page 12 or 29 ATTACHMENT B Oakland Community Health Network/Substance Use Disorder Services Management by Objective FY 2021 Program Name: SLID Prevention Health Education Date Prepared: 9/18/2020 Agency/Organization: Oakland County Health Division Prepared By: Hanna Cassise Program Goal: 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 Estimated Number of Direct Service Hours (outputs) Specific Activity and Objective (s) P = Planned / A = Delivered Number consecutive) and use separate page for each Total ( y p P g Recipients 1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL Prevention Activity) (12 months) P A P A P A P A P A Activity #5: Provide a minimum of 4 (four) 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, Strategy: (list) A = Alternative C = Community -Based E = Education N = Information dissemination P = Problem ID & Referral V = Environmental 10 20 10 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Sub Total 0 0 10 0 20 0 10 0 40 0 Total 40 0 OCHN Contract FY 18/19 Prevention Attach)*"U Bohi90tfrfha1m Network Amendment Number 4 of Contract Number 2017-0016-SLTnP Page 13 of 29 ATTACHMENT B Oakland Community Health Network/Substance Use Disorder Services Management by Objective FY 2021 Program Name: SLID Prevention Health Education Date Prepared: 9/18/2020 Agency/Organization: Oakland County Health Division Prepared By: Hanna Cassise Program Goal: 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 Estimated Number of Direct Service Hours (outputs) Specific Activity and Objective (s) Total P = Planned / A = Delivered (Number consecutively and use separate page for each Recipients 1 at Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL Prevention Activity) (12 months) P A P A P A P A P A Activity #6: Provide a minimum of 30 (thirty), 1 hour vaping education programs to Oakland County students, parents, I teachers, health professionals, and community I organizations. Outcomes to be reported include the results I of awareness and knowledge change from pre / post testinq (either provided by MDHHS or created by OCHD). Strategy: (list) A = Alternative C = Community -Based E = Education N = Information dissemination P = Problem ID & Referral V = Environmental 5 10 10 I I I I Sub Total 5 Total 5 0 10 0 10 0 5 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 90 . 0 OCHN Contract FY 18/19 Prevention Attachhi4#mt1BoI%B04rtha1tb Network Amendment Number 4 of Contract Number 2017-0016-SUDP Page 14 of 29 I`i1r1X8JWJI#ftd? Oakland Community Health Network/Substance Use Disorder Services Management by Objective FY 2021 Program Name: SLID Prevention- Health Education Date Prepared: 9/18/2020 Agency/Organization: Oakland County Health Division Prepared By: Hanna Cassise Program Goal: 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 Estimated Number of Direct Service Hours (outputs) Specific Activity and Objective (s) P = Planned / A = Delivered (Number consecutively and use separate page for each Total Recipients 1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL Prevention Activity) (12 months) P A P A P A P A P A Activity #7: Promote and provide technical assistance to prescription and over -the counter drug disposal efforts; act as a resouce to the general community and other service agencies, particularly with an interest in Oakland County senior population and caretakers. Outcomes to be reported: number of face to face and phone consultations, number of disposal sites where assistance was provided, presentations, policy changes/creations, communication pieces/strategies, etc Strategy: (list) A = Alternative C = Community -Based E = Education N = Information dissemination P = Problem ID & Referral V = Environmental 10 10 10 10 40 0 0 0 0 0 0 0 0 0 0 0 Sub Total 10 0 10 0 10 0 10 0 40 Total 40 Total Outputs= 641 OCHN Contract FY 18/19 Prevention AttachMtnt1Bolr 80grHralm Network Amendment Number 4 or Contract Number 2017-0016-SUDP Page 15 of 29 ATTACHMENT C OAKLAND COMMUNITY HEALTH NETWORK (OCHN) SUBSTANCE USE DISORDER SERVICES PURCHASE OF SERVICE POLICIES For PROVIDFRS OF PRFVFNTION SERVICES FY 2021 Oakland Community health Network Amendment Number 4 of Contract Number 2017-0016-S11llP Page 16 of 29 TABLE OF CONTENTS I. BUDGETS ... ...................................... .................................................................................. I PreventionBudget.............................................................................................................. 2 ProgramLocal Mutch....................................................................................................... 2 H. BILLING AND PAYMENT..................................................................................................2 Prevention Billing Summary Form.................................................................................. 2 BillingSummary Page .....................................................................................................2 BillDue Date.................................................................................................................... 2 Reimbursements........................................................................................... .................. 2 Performance Requirement..............................................................._........................2 III. AMENDMENTS AND ALLOCATIONS............................................................................... 2 Requestan amendment...................................................................................................... 2 Budgetamendment............................................................................................................ 2 Requestfor Amendment Form........................................................................................... 2 IV. DATA, REPORTING AND RECORD RETENTION............................................3 Evidence -Bared Services Prevention Management by Objectives (MBO) ........................ 3 Reimbursement................................................................................................................... 3 Reporting Requirements..................................................................................................... 3 ElectronicSubmission...................................................................................................... 3 RecordsRetention.............................................................................................................. 4 V. AGENCY AND STAFF REQUIREMENTS................................................................................4 License and Prevention Credential Requirements ............................................................ 4 Criminal Background Checks........................................................................................... 4 VI. CULTURAL COMPETENCY.......................................................................................4 VII. CONFIDENTIALITY..........................................................................................5 VIII. CHOICE POLICY AND PROCEDURE..............................................................5 TheFederal Registert.......................................................................................................... 5 Charitable Choice Regulations........................................................................................ 5 IX. REQIII RED DISCLAIMERS.........................................................................................6 Funding Sources Statement.............................................._................................................. 6 RecipientRights Statement................................................................................................ 6 OCHNLogo Requirements ...............................................................................................6 X. OCHN PREVENTION REVIEW................................................................6 Programmatic and On -Site Reviews.................................................................................. 6 Bi-annual Financial Review............................................................................................. 6 Oakland Community Heal Or Network Amendment Number 4 of Contract Number 2017-0016-SUDP Page 17 of 29 FY 2020/2021 OCHN Prevention Program Policies and Procedures 1. 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 OCITN 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 1 Oth may not be processed for payment until the following month. 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. I1I. Amendments and Adjustments to Allocations A. A program can request an amendment at any time up to the OCI-IN amendment deadline of May 14, 2021. 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 (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 Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0016-SIJDP Page 18 of 29 updated budget summary and billing pages — (fax or email to Christina Nicholas at 248.858.0949. nicholascl(iloaldandchn.ore or by mail to her attention at 5505 Corporate Dr., Troy, MI 48098. For questions call248.452.9850). 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.stidpds.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 • Program Intervention Name Outputs delivered during the invoiced month must be entered into the Michigan Data Prevention System (MPDS) by the 10d' 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 rhodesrr r oaldandchn.orc). 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 rhodesrlatoaldan(ichn.oru). O. All forms and reports must be submitted in electronic form. Failure to submit required reports in a timely manner to OCHN will result in withholding of payment for services. Oakland Community Health Network Amendment Number 4 or Contract Number 2017-0016-SIJDP Page 19 of 29 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 (CITES) OR Must file a certification "Development Plan' with Michigan Certification Board for Addiction Professionals (MCBAP) within sixty (60) days of the contact start date. Information on filing a Development Plan may be found at www.nlcbaD.c0n1. 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. VL 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 • The program must identify how access to services is facilitated for persons with diverse cultural backgrounds and Limited English Proficiency (LEP) and hearing impairment Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0016-SIJDII Page 20 ol'29 • 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. VIL 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. VIH. 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 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 Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0016-SULN' Page 21 of 29 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 stale 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 nroeram 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 Prevention contract questions may be addressed to Rachel Rhodes, Prevention Coordinator for OCHN: rhodesr(a)oaklandchn.ora or (248)452-9850. Oakland Community Health Network Amendment Number 4 of Contract Number 2047-0016-SUDP Page 22 of 29 Agency: Amending Budget: Purpose of Amendment: Expenditures TOTAL EXPENDITURES Source of Funds Local Match IOCHN Funding ATTACHMENT C-1 REQUEST FOR AMENDMENT OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services Requested by: Current Budget Proposed Budget Increase/Decrease 0 0 0 0 0 0 0 TOTAL FUNDING ❑ Approved ❑ Not Approved Date Signature Date 0 0 0 0 0 Pended: Comments: Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0016-SUDP Page 23 of 29 Agency Name: OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services Mid-Year/End-of-Year Prevention Program Report ❑ Mid -Year —Due April 12, 2021 ❑ End of Year — Due October 11, 2021 Note: The Mid -Year Report should reflect activity from October thru March. The End -of -Year report should contain a summation of activity for the entire vear. SimDly tvne vour responses beneath each question. 1) Describe your service 000ulation for the reporting period. Indicate how successful you were in recruiting your target population. It is not necessary to provide exact numbers... however, please describe what risk categories you intended to target and if different from your original plan- describe the actual population served. What impact did this change, if any- have on program/service delivery or outcomes? 2) Refer to your MBO (Manal;ement By Objective) form and comment on any services that were not provided as planned (explain either why you were not able to complete the activity and/or why you did something different from the original plan.) Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0016SUDI, Page 24 ol'29 3) Describe your program's overall process evaluation method(s) and the results of vour evaluation. (In a process evaluation items commonly include recruitment procedures and retention rate; number of participants; staff processing of program activity; participant comments or results of satisfaction surveys.) Describe any ways in which your process evaluation results will be used to improve the program in the future. 4) Outcome Evaluation: Complete the Attached Outcome Tables for each service/activity listed on your MBO Form. State your measurable indicator(s) from the MBO Form and provide supporting data to show if the outcome was achieved. Use as many tables as you need to present results in an organized and logical manner (please number if using multiple tables.) For activities/services that are implemented as series at multiple locations - you may choose to state outcomes by grade, school, city, etc. but the provider must include a table with an overall result for a particular program. 5) Provide supporting documentation. • Actual data used to calculate outcome results and a description of how the results were determined • Program flyers or letters used to recruit participants • Outline or brief description of the program or curriculum • A copy of evaluation instruments • Letters of support or news articles generated by the program Call or email Rachel Rhodes at rltodesr(&oakltuttichn.ortr for assistance in collecting, calculating, analyzing and reporting data. Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0016-SUDP Page 25 of 29 OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services Prevention Activities FY 2019/2020 Outcomes Table # Example Program Name: ExamnlP MBO Target Population Activity #_ Hispanic parents living in the Pontiac and Auburn Hills areas Comments: Group Designation: Indicator Statement Hispanic parents who participate in the Love & Logic Program (3 hours per week for 8 weeks) will experience (a) 7% increase in positive parenting attitudes and interaction with their children and (b) a 10% increase in knowledge of positive parenting techniques as measured by the Love & Logic Pre Post Test that accompanies the program. Outcome Results Auburn Hill Elem Group #1 (a) 15% (b) 12% OCHN Use Only Please Note: For activities/services that are implemented in series at multiple locations — you may choose to state outcomes by grade, school location, city, etc., but please also include a table with an overall result. Copy and create as many tables as you deem necessary to accurately report your results. Attach supporting data/spreadsheets to table or at end of report. Oaklmid Community Ilea] th Network Amendment Number 4 of Contract Number 2017-0016-SUDP Page 26 of 29 OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services Prevention Activities FY 2019/2020 Outcomes Table # 1 Program Name: Group Designation: MBO Activity Comments: OCHN Target Population Indicator Statement Outcome Results Use Only Please Note: For activities/services that are implemented in series at multiple locations — you may choose to state outcomes by grade, school location, city, etc., but please also include a table with an overall result. Copy and create as many tables as you deem necessary as you deem necessary to accurately report results. Attach supporting datalspreadsheets to table or at end of report. Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0016-S1JDP Page 27 of 29 OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services Prevention Activities FY 201912020 Outcomes Table # 2 Program Name: Group Designation: MBO Activity Comments: OCHN Target Population Indicator Statement Outcome Results Use Only Please Note: For activities/services that are implemented in series at multiple locations — you may choose to state outcomes by grade, school location, city, etc., but please also include a table with an overall result. Copy and create as many tables as you deem necessary to accurately report results. Attach supporting data/spreadsheets to table or at end of report. Oakland Community Health Network Amendment Number 4 of Contract Number 2017-0016-SUDP Page 28 m' 29 ATTACHMENT C-3 AGENCY NAME OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services TOBACCO ACTIVITY REPORT FY 2020/2021 ❑ 6 Month ❑ Year End Instructions: Please briefly describe any tobacco use prevention activities your group or organization has undertaken in the past six-month reporting period in each of the following strategies: Information Dissemination Specific topic of information Description of population distributed to Estimated Outputs Education Type of format (class, series of classes, video, speaker, skills training, etc.) Description of audience Estimated outputs Community -Based Activity (Describe activity: examples may include assessing community needs regarding tobacco use; accessing services and funding for tobacco use prevention; providing trainings on tobacco use prevention, etc.) Estimated outputs Environmental Strategies (Describe activity: examples include any activity undertaken to change the physical, legal, economic, and social processes of a community that are associated with tobacco use, i.e., establishing tobacco free policies, preventing underage sale of tobacco products to minors, vendor education, changing codes, ordinances, or regulations regarding sale and use.) Estimated outputs Oakland Community Health Nehvurk Amendment Number 4 of Contract Number 2017-0016-SUDP Page 29 of 29 Resolution #20641 December 7. 2020 Moved by Gingell seconded by Luebs the resolutions on the amended Consent Agenda be adopted. AYES: Gingell, Hoffman, Jackson, Kochenderfer, Kowall, Kuhn, Long, Luebs, Markham, McGillivray, Middleton, Miller, Nelson, Powell, Quarles, Spisz, Taub, Weipert, Woodward, Zack, Gershenson. (21) NAYS: None. (0) A sufficient majority having voted in favor, the resolutions on the amended Consent Agenda were adopted. A"" Q . I HEREBY A"PROVE THIS RESOLU T ION CHIEF DEPUTY COUNTY EXECUTIVE ACTING PURSUANT TO MCL 45.559A (7) STATE OF MICHIGAN) COUNTY OF OAKLAND) I, 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 December 7, 2020, 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 Circuit Court at Pontiac, Michigan this Th day of December, 2020. th? J Lisa Brown, Oakland County