HomeMy WebLinkAbout052217_ca07615 Sheridan Street
14 Port Townsend, WA 98368
Mon www.JeffersonCountyPublicHealth.org �is He
Consent agenda
Current Date: 5/18/17
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Vicki Kirkpatrick, Director, JCPH
DATE: 5/22/2017
SUBJECT: CHIP Interlocal Agreement
STATEMENT OF ISSUE: Request approval of the Interlocal Agreement between Jefferson
County, the City of Post Townsend, and Jefferson Healthcare establishing a 1.0 FTE CHIP
Executive Director and a .25 FTE equivalent Epidemiologist services and providing proportional
funding of same through December 31, 2018.
ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S: The Community Health Improvement Plan
is the culmination of three years of community work beginning with an extensive Community
Health Assessment, the creation of a Community Health Improvement Plan, to where we are today
— the implementation of the Plan. In order to effectively implement the Plan and sustain the
ongoing work necessary for population health improvement, the Board of Health and the Board of
Public Hospital District #2 passed resolutions asking the County, City and Hospital District to joint
support the work for the first year and a half financially. Jefferson County Public Health and
Jefferson Healthcare will jointly oversee the work of the Executive Director and the CHIP
processes.
This Agreement facilitates the continuation of the work created by over 300 community
organizations and residents who recognize the importance of health and well-being of its residents
and the intrinsic relationship between the health of our residents and the health of the
communities in Jefferson County.
Additionally, this Interlocal Agreement and the support for the Executive Director and
Epidemiologist work position Jefferson County well to work closely with the Olympic Community of
Health and to take advantage of the collective impact of the organizations.
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
Always working for a safer and healthier community
Environmental Health
Water Quality
360-385-9444
(f) 360-379-4487
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
is Hea
Jefferson Healthcare has agreed to house the CHIP staff and provide necessary office space and
equipment to enable the CHIP staff to work. They will be housed with the Olympic Community of
Health Staff and with Jefferson Healthcare's Population Health Staff which affords an ideal
arrangement.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
2017 Total Cost: $86,250
2018 Total Cost: $132,500
Jefferson County's Portion: $34,500
Jefferson County's Portion: $53,000
The CHIP Executive Director will be tasked with finding on-going funding through grants, other
collaborative efforts, etc. to sustain the work beyond 2018.
RECOMMENDATIOS: Approve the Interlocal Agreement between Jefferson County, the City of
Port Townsend, and Jefferson Healthcare.
R E V I E D
Philip Morley, Co my A ministrato
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
Date
Always working for a safer and healthier community
Environmental Health
Water Quality
360-385-9444
(f) 360-379-4487
INTERLOCAL AGREEMENT BETWEEN JEFFERSON COUNTY; JEFFERSON COUNTY PUBLIC HOSPITAL
DISTRICT NO. 2;
AND CITY OF PORT TOWNSEND FOR
COMMUNITY HEALTH IMPROVEMENT PLANNING ADMINISTRATION
This Intergovernmental Agreement is made and entered into by and between Jefferson County Washington, a
municipal corporation (hereinafter referred to as "County'), Jefferson County Public Hospital District No. 2,
Washington, a municipal corporation (hereinafter referred to as "Jefferson Healthcare"), and the City of Port
Townsend, Washington, a municipal corporation (hereinafter referred to as "City").
A Community Health Improvement Plan (CHIP) is a long-term, systematic effort to address the community's most important
health problems. They are community -driven, data focused and contain strategic actions designed to improve the health of
individuals, families and communities. They contain metrics to measure and evaluate health improvement.
The overarching goal of the CHIP is to facilitate alignment of efforts within the community, utilizing collective impact in order
make measurable differences in the health and well-being of Jefferson County people, families, and communities.
This CHIP focuses on the area of Jefferson County served by Jefferson County Public Hospital District #2, Jefferson County
Public Health, and the City of Port Townsend. West Jefferson County will be served by a separate CHIP process.
From February to April 2014, a group of community stakeholders led by Jefferson Healthcare and Jefferson County Public
Health began to review the results of a community health assessment (CHA) that had been performed in 2013. A CHA gather!
data from a variety of sources, analyzes the data, and provides information that tells us about the health and well-being of OL
communities. The assessment analyzed current data regarding demographics, socioeconomic status, community safety, quali
of life, healthcare access, pregnancy and births, morbidity and mortality, injuries and hospitalizations, and behaviors that
impact health.
In May 2014, the group compiled a list of the top issues in Jefferson County. In June of that year, the data workgroup carried
out a prioritization exercise that identified the top four health priorities: Access to Mental Health and Chemical Dependency
Care; Chronic Disease Prevention; Access to Care; and Immunizations.
The prioritization work was reviewed by a broad based group of community leaders and stakeholders in January 2015.
This group confirmed these priorities and many of them volunteered to participate in workgroups to develop a detailed
plan of action to improve the outcomes in each of the four health priorities
Community health improvement is not a one-time effort. It is an ongoing process that looks broadly at factors impacting our
population's health and finding ways to collectively address them. A community health improvement process uses CHA data 1
identify priority issues, develop and implement strategies for action, and establish accountability to ensure measurable healt
improvement, and evaluate the strategies using identified and agreed upon measures. Adjustments in strategies may be mac
upon evaluation. The CHA/CHIP process is on-going and cyclical. Every three to five years a new Community Health
Assessment is completed, the results are vetted by community and organizational representatives, current Community Healtl
Improvement plan priorities are reviewed in the context of new data and adjustments are made based on data and
community/organizational review. At the conclusion of the community process, a new Community Health Improvement Plan
written and implemented and the process continues.
The r^mm,,nity Health lmprnslement Pian bel-gs to the r cir4nnts, privute/n^n-profit/faith-based vr-nnizatinnc, kitcinesses,
and governments of Jefferson County collectively and its implementation, success, and sustainability is dependent upon the
collective effort of all sectors of our communities in order to move the needle on improving the health of the population and
the health of our communities.
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Success will be achieved through Collective Impact. Collective Impact is the output of a coordinated effort. Collective Impac
defined by having shared goals, coordinated activities, common measurements, and ongoing communication, as well as havir
a strong organization to see things through, leads to much greater results. In the case of Jefferson County's CHIP, all partner!
will work in a coordinated way to provide support to align community efforts and sustain CHIP work over time. This will inclu
data aggregation, communication, and community collaboration.
The plan's sustainability and effectiveness will need community and organizational commitment. This starts with the
development and implementation of health policies designed to improve health. A common agenda, evaluation and
measurement, continual communication, and financial and human resources are essential to achieve success.
Partners in Jefferson County will be working to develop a community health improvement leadership structure that will inclu
oversight of the recurring cycle of CHA and community health improvement planning going forward.
Partners in Jefferson County will also work with regional partners such as the Olympic Community of Health which serves as t
Accountable Community of Health for Jefferson, Clallam, and Kitsap counties to assure that mutual goals and strategies are
developed that will benefit the residents of Jefferson County and further the overarching goal of improved community healtl-
Strategies for each Priority area have been developed and implementation of those strategies will depend upon securing a Le
Agency for each strategy.
WHEREAS, the Parties are forming a partnership to ensure operational support for the continuation of the
Community Health Assessment and Community Health Improvement Plan implementation and evaluation
cycle; and
WHEREAS, the Parties acknowledge the importance of a collective effort to improve the population's health
and that by doing so, the health of the community is improved; and
WHEREAS, the Parties recognize that community health improvement is not a one-time effort, but an on-going
process that looks broadly at factors impacting our population's health and uses the community health
assessment data to identify priority issues, develop and implement strategies for action, and establish
accountability to ensure measurable health improvement; and
WHEREAS, the Community Health Improvement process will continue to renew as the Community moves
forward and that subsequent community health assessments will provide information regarding the progress
made on current priorities and identify additional areas of focus; and
WHEREAS, the Community Health Improvement process will need community and organizational
commitment; and
WHEREAS, the Parties recognize and agree that an organizational infrastructure is necessary to support the
Community Health Assessment/Community Health Improvement Plan work and to assure alignment of
Jefferson County's health improvement efforts for the benefit of all Jefferson County residents; and
WHEREAS, this interlocal agreement is entered into for the mutual benefit of the parties and is specifically
authorized by the Interlocal Cooperation Act set forth in Chapter 39.34 of the Revised Code of Washington;
now therefore,
For and in consideration of the services to be rendered, resources to be shared, and the payments to be made,
the parties hereby recite, covenant and agree as follows:
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1. CHIP Executive Director Position & Work Plan. A 1.0 FTE CHIP Executive Director will be hired to
provide executive leadership to the CHIP efforts that will result in measureable health improvement
outcomes in identified health priority areas for Jefferson County residents. Under the general direction
of a CHIP Steering Committee, the Executive Director will develop an ongoing CHIP leadership structure
to oversee the recurring cycle of community health assessment, community health improvement
planning, implementation, and evaluation. The CHIP Executive Director will provide services including,
but not limited to:
a. Hiring or contracting for the equivalent of a .25 FTE Epidemiologist to provide data/information,
assessment, measure development, data collection, and evaluation services.
b. Facilitating forward progress in implementation of the priority goals, objectives and strategies
contained in the CHIP and develops a reporting structure to track progress.
c. Providing expert advice and support for strategy lead agencies and assures they are clear on the
specific roles, deliverables and accountabilities relative to the CHIP.
d. Being responsible to the CHIP Steering Committee and the Joint boards.
e. Securing on-going, sustainable, and stable funding beyond the two-year commitment of the
Parties.
f. Monitoring and reports on progress of lead agencies and their strategies.
g. Developing a system for reporting outcomes (short-term, mid-term, and long-term) related to
the priorities, goals, objectives and strategies that is meaningful and includes an easily
understood dashboard that demonstrates collective progress toward population health
improvement.
h. Assuring financial accountability and proper records management.
i. Fostering sustainable health system initiatives that improve the experience of care and the
health of populations, and reduces the per capita of health care.
j. Working collaboratively with the Olympic Community of Health.
?. CHIP Executive Director Budget and Funding in 2017 and 2018.
2017 - 8 months only
BUDGET
Executive Director $ 61,000
Epidemiology $ 17,000
Admin Support (overhead) $ 8,250
Subtotal $ 86,250
CONTRIBUTION BY JURISDICTION
Jefferson Healthcare $ 34,500
Jefferson County $ 34,500
City of Port Townsend $ 17,250
Total $ 86,250
2018 -12 months, 3% increase
Executive Director $ 94,000
Epidemiology $ 26,000
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Admin Support (overhead) $ 12,500
subtotal $ 132,500
Jefferson Healthcare
Jefferson County
City of Port Townsend
Total
$ 53,000
$ 53,000
$ 26,500
$ 132,500
3. CHIP Executive Director. Jefferson Healthcare and Jefferson County Public Health will take the lead in
hiring the CHIP Executive Director on behalf of the Parties. Jefferson Healthcare, with the assistance of
Jefferson County Public Health, will conduct the recruitment, receive the applications hire the CHIP
Executive Director. The Parties shall have the option to attend interviews conducted to evaluate
candidates, and provide opinions to Jefferson Healthcare and Jefferson County Public Health as to the
most qualified candidate. The CHIP Executive Director will be an employee of Jefferson Healthcare, will
be housed at Jefferson Healthcare, and Jefferson Healthcare will be the fiscal agent for the funding
necessary to support the CHA/CHIP organization (including payroll (salary and benefits), hiring or
contracting for EPI services and any or all other funding received to support the CHIP program (whether
from the Parties to this Agreement or any other source.
4. Compensation. Jefferson Healthcare shall pay the Executive Director's salary and benefits salary and
shall also pay the salary and benefits of a .25 FTE Epidemiologist if hired or shall pay the Contractor for
the equivalent cost of a .25 FTE Epidemiologist if the services are contracted. Jefferson Healthcare shall
also prepare an annual billing statement for distribution to the Parties.
Jefferson Healthcare shall work with the other Parties to prepare an annual CHIP Program budget.
Jefferson County and the City of Port Townsend shall be billed and shall pay Jefferson Healthcare for
their share of the annual budgeted expenditures as shown in Section 2 of this Agreement. Jefferson
Healthcare will send the invoice for 2017 upon execution of this Agreement and will send the 2018
invoice at the beginning of the 2018 calendar year.
As the host organization for the CHIP program, Jefferson Healthcare agrees to provide all-inclusive
workspace and the services of an administrative assistant in support of the CHIP program as needed. In
exchange for hosting the CHIP program and providing necessary space, telecommunications, computer,
workstation, internet, and clerical support, Jefferson Healthcare will receive "Administrative Overhead"
in an amount not to exceed $8,250 in 2017 and $12,500 in 2018 as shown in Section 2 of this
Agreement.
In no event shall a Party's proportion of funding contributions be less than or exceed the percentage
shown in Section 2 of this Agreement. Should any Party desire additional services or services
specifically focused on their individual organization from the CHIP program, the Parties will negotiate a
cost for those specially desired services and payment will be made by the requesting Party to Jefferson
Healthcare to fully cover the costs associated with those additional services.
No changes to the funding amounts or percentages shall be made to this Agreement unless negotiated
and agreed to by all Parties to this Agreement.
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;. Status and Workspace. The Parties specifically agree that the CHIP Program will provide professional
services for the benefit of all partners. Workspace, to include a desk, chair, and access to standard office
equipment and computer connections, shall be made available and provided by Jefferson Healthcare as
necessary.
;. Support and Monitoring of the CHIP Program. The Parties shall support and monitor the performance
and progress of the CHIP Program in the following ways:
• Jefferson County Public Health and Jefferson Healthcare will provide In -Kind support by
designating two representatives from each organization to serve as a Steering Committee to
provide operational oversight of the Executive Director and the CHIP Work. Policy Direction
will be provided jointly by the Jefferson County Board of Health and the Public Hospital District
#2 Board through a minimum of two meetings per year.
• The CHIP Steering Committee, together with the Executive Director, will report to the Joint
Board of Health and Public Hospital District #2 Board at least quarterly. More frequently if
requested by the Joint Board.
• The CHIP Executive Director may also serve as a liaison to the City of Port Townsend Council
and the Jefferson County Board of Commissioners.
�. Term. This agreement shall become effective upon full execution by all three Parties. This Agreement
shall continue in force and effective through December 31, 2018. This Agreement reflects each Party's
commitment to pay to Jefferson Healthcare the amounts described in Section 2 CHIP Executive Director
Budget and Funding in 2017 and 2018, and Section 4 Compensation, of this agreement. Extension of the
terms of this agreement beyond the initial period may be affected by written agreement of the parties.
3. Termination. Any partner may terminate this Agreement by providing at least sixty (60) days advance
notice of termination in writing to the other partners. However, as stated in Section 7 Term, the partner
requesting termination must continue their payment to Jefferson Healthcare through December 31, 2018
unless all remaining Parties agree on the new payment responsibilities and amounts resulting from
updated proportions.
i. Modification. This Agreement may only be modified or amended in writing representing the mutual
acceptance by all parties of said amendment or modification.
Hold Harmless. Each party to this Agreement shall defend, indemnify and hold the other party, its
appointed and elected officers and employees, harmless from claims, actions, injuries, damages, losses or
suits including attorney fees, arising or alleged to have arisen directly or indirectly out of or in
consequence of the performance of this Agreement to the extent caused by the fault or negligence of the
indemnitor, its appointed or elected officials, employees, officers, agents, assigns, volunteers or
representatives.
Applicable Law and Venue. This Agreement shall be construed and interpreted in accordance with the
laws of the State of Washington. In the event of a dispute, such dispute shall be litigated in the Superior
Court of Jefferson County, Washington.
Non -Discrimination. Parties shall not discriminate in any manner related to this Agreement on the basis
of race, color, national origin, sex, religion, age, marital status or disability in employment or the
provision of services.
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3. Severability. If any provision of the Agreement shall be held invalid, the remainder of this Agreement
shall not be affected thereby if such remainder would then continue to serve the purposes and objectives
of all parties.
4. Entire Agreement. This Agreement constitutes the entire agreement between the parties. Any
modifications or amendments to this Agreement shall be in writing and shall be signed by each party.
5. Compliance with RCW 39.34.040. Pursuant to RCW 39.34.040, this agreement shall be filed with the
Jefferson County Auditor or alternatively, listed by subject on the public web site of the Parties hereto or
on other electronically retrievable public source.
DATED this day of 2017.
COUNTY OF JEFFERSON
Kathleen Kier, Chair
Board of County Commissioners
ATTEST
Carolyn Avery, Deputy Clerk of the Board
APPROVED AS TO FORM:
Michael Haas, Prosecuting Attorney
CITY OF PORT TOWNSEND
David Timmons, City Manager
ATTEST
Joanna Sanders, City Clerk
APPROVED AS TO FORM:
Steve Gross, City Attorney
JEFFERSON COUNTY PUBLIC HOSPITAL
DISTRICT No. 2
Mike Glenn, CEO
ATTEST:
Marie Dressler, Secretary of the Commission
Attachment A
Minimal Program Requirements
and
Statement of Work
CHIP program requirements
The following elements describe the essential functions of the CHIP Executive Director:
Provides direction, administration and short- and long-term planning and evaluation for CHIP processes
and of initiatives/programs tied to specific indicators and measures.
Leads strategic planning, priority setting, sustainability and assessment activities.
Develops a CHIP leadership structure to oversee the recurring cycle of community health assessment and
community health improvement planning
Develops, manages budget and prepares financial reports for the Steering Committee and the Joint
Governing Board.
Engages a wide representation of stakeholders to analyze data, evaluate evidence -based projects, and
implement projects that can effectively improve the public's health across Jefferson County.
Supports and assists lead agencies in implementation of their strategies to achieve the goals and
objectives associated with those strategies.
Assesses needs for technical expertise and consultation. Makes recommendations for and procures
consultant services within available budget.
Serves as the primary public representative and advocate for CHIP as empowered to do so by the
governing body.
Develop communication tools and documents for use in communication about CHIP goals and
achievements.
Develops and maintains strong collaborative relationships with local community groups and agencies to
ensure ongoing stakeholder and broad community engagement. Provides a Jefferson County perspective
and advocates for resources from local, regional, state, and foundations.
Engages with epidemiology support for the development of metrics and ensures data is being collected
that, to the extent possible, focuses on outcomes rather than output or performance measures.
* Monitors and reports on progress towards metrics.
Creates, reviews and approves reports which provide information and status updates for all components
of CHIP and its identified health priorities.
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Develop a system for reporting outcomes (short-term, mid-term, and long-term) related to the priorities,
goals, objectives and strategies that is meaningful. The system will include an easily understood
dashboard that demonstrates collectively progress a toward population health improvement.
Liaises with Jefferson County Board of Health and Jefferson Co Hospital District board, City of Port
Townsend Council, Jefferson County Board of Commissioners, Olympic Community of Health, as well as
Jefferson County Public Health and Jefferson Healthcare representatives.
Serves as an active participant in regional Olympic Community of Health meetings, discussions and
collaborations and ensure the sustained collaborative involvement of appropriate regional and state
partners
Serves as a resource for lead agencies, motivates and mentors lead agency staff, as needed, in providing
quality and appropriate quantity of work in assigned areas utilizing resources efficiently.
Identifies funding sources and secures resources.
Fosters sustainable health system initiatives that improve the experience of care and the health of
populations, and reduce per capita costs of health care.
Supports the work of the governing body.
Nurtures a work culture of innovation and appropriate risk-taking.
Assures agendas are developed and minutes are recorded to document progress.
In addition to the essential functions listed above, the CHIP Steering Committee and the Executive Director
will seek on-going, sustainable, and stable funding to continue the work of the CHIP program beyond 2018.
Statement of Work:
All Parties will:
• Support the CHIP program through funding, in-kind, and management as outlined specifically in the
Interlocal Agreement.
• Assist the Steering Committee and the Executive Director in seeking stable and sustainable funding to
support the ongoing work of the CHIP program beyond 2018.
Payment Schedule:
Payments to Jefferson Healthcare will be made annually as invoiced by Jefferson Healthcare for the
proportionate share of budgeted expenditures as set forth in Section 4. Compensation of this Interlocal
Agreement.
• Payments to the Jefferson Healthcare will be billed and paid as described in Section 4. Compensation of
this Interlocal Agreement.
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