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Home My WebLink AboutGroup Health Foundation - 062518 I . )41-al'AJ 9391/. GROUP HEALTH RECEIVED FOUNDATION J292018 Grant Agreement Jefferson County Public Health Lessons Learned from Community Engagement May 29,2018 Dear John, We are grateful for the opportunity to support your efforts. This document describes the agreement between Group Health Community Foundation(EIN 30-0889914,"the Foundation")and your organization as described below(please provide any updates or corrections). Information you submitted: Updates or corrections: Organization(must be Jefferson County Community Health the lagaloolity tlntwRl Improvement Plan(CHIP) receive the grant) EIN 91-60001322(please check this number) 91-6001322 Stnetaddross 615 Sheridan St. City,state,and zip code Port Townsend,WA 98368 Primary contact(name) John Nowak Alternate:Lori Flemming Primary contact(email) jnowak@jeffersonhealthcare.org lfleming@co.jefferson.wa.us You will receive a grant for general support of your mission in the amount of$7,500. By signing this agreement,you represent that your organization is(please check the correct box): O Qualified as an organization described in Section 501(c)(3)of the Internal Revenue Code of 1986(the "Code"),as amended,and that you do not know of any proposal by,or reason for,the IRS to revoke or change that status; a Qualified as an organization described in Section 501(c)(4)of the Code,and that you do not know of any proposal by,or reason for,the IRS to revoke or change that status; ® A duly established agency of the United States government,or of the government of a state or a political subdivision of a state such as a county,city,or special district;or O A Tribal government. Please note that organizations with a 501(c)(3)or 501(c)(4)classification must use grant funds exclusively for purposes described in Section 501(c)(3)or 501(c)(4),respectively,of the Code. By signing this agreement,you agree to submit a brief,reflective presentation about challenges,successes, and key leamings related to the process of engaging and partnering with communities on health equity issues.The instructions for your presentation are attached to this agreement.The deadline for sharing your presentation is June 29,2018. In keeping with our values of learning and transparency,we hope to share all of the presentations we receive. By signing this agreement,you agree to provide the Foundation a perpetual(but non-transferable and non- exclusive)license to use all or part of your presentation,with attribution,in written materials or oral presentations the Foundation may develop. 0 Please check this box if you are nat willing to provide this license to the Foundation. In carrying out work supported by this grant,you agree that you will not unlawfully discriminate in your employment practices,volunteer opportunities,or the delivery of programs or services on the basis of race, ethnicity,national origin,ancestry,religion,gender,gender identity/expression,age,medical condition, disability,veteran status,marital status,sexual orientation,or any other characteristic protected by applicable federal,state,or local law. The Foundation is not seeking any recognition or publicity for this grant.If it helpful to your organization to publicize the award,you are welcome to mention that support was provided by Group Health Foundation. Terms of agreement accepted by: For grant recipient organization Signature Printed name '14d cS4/h kk n Title ( ktii, �J r.i&1 (f W rCtl) 8 OCC Date 10 r1--c h. For the Foundation Signature 'y Printed name Cory Sbarbaro Title Acting President&CEQ Date 0G ( 2-q1 )'bIA' `. n kit" v v OL i , o Ore 76- Jefferson County Community Health Improvement Plan(CHIP) 615 Sheridan St Port Townsend,WA 98368 Website:n/a EI N:91-60001322 Budgeted annual expenses for 2018:$132,500 Contact:John Nowak,360-385-2200x2036,jnowak@jeffersonhealthcare.org 501(c)(3) 501(c)(4) Collaborative/ Government Other(please specify) coalition/network X X Mission/purpose statement: Develop and facilitate the implementation of a community plan to improve the long-term health and wellbeing of Jefferson County residents.This plan will prioritize issues identified through community health assessments. Describe the effort you will be sharing with us. Jefferson County is in the implementation phase of it's Community Health Improvement Plan(CHIP).The CHIP plan is a collaboration of over 200 community members and 1300 hours of participation in the process.The community stakeholders,The health department,hospital and city are funding a full time director to implement the program.The areas of focus are Access to Care,Immunizations,Mental Health and Chemical Dependency,and Chronic Disease Prevention and Healthy Living. Share one lesson that you learned along the way about engaging with communities(we are interested in challenges, successes,and surprises). Our community effort has involved people from many sectors of our community.We think the structure of our process has help engage a high number of community members.We think the structure is both reproducible and scalable.The level of collaboration and engagement has been a pleasant surprise. How did you intentionally attempt to address systematic or structural issues(such as power imbalances)that contribute to inequities? We have employed structured facilitation tools based on Lean Processing to standardize meetings and communications.These standard tools have reduced the imbalance in our community by treating every agency with the same standard methods.We also have the good fortune to have a basically closed medical community with only one system of providers in the community. Describe how your community-centered approach influenced the design and/or implementation of your effort. Because our project is about improving the health of our entire community,it required us to be a grass roots campaign that involved all of the stakeholders involved in the health of our community.This drove the choices about health priorities and then ultimately the design of the implementation.Our teams are focused around our four health priorities and involve many sectors of the community and different points of view. 615 Sheridan Street � Port Townsend, WA 98368 , e� on www.JeffersonCountyPublicHealth.org Public Heal Consent Agenda June 20, 2018 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Vicki Kirkpatrick, Public Health Director DATE: June 20, 2018 SUBJECT: Agenda Item - Group Health Foundation Grant - General Support for the CHIP; Upon Signature -June 29, 2018; $7,500.00 STATEMENT OF ISSUE: Jefferson County Public Health, requests Board approval of the Group Health Foundation Grant to support the CHIP (Community Health Implementation Grant); Upon signature - no later than June 29, 2018; $7,500.00. ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S: The purpose of this grant is for general support of the CHIP. Stipulations of the grant include: 1) submitting a brief, reflective presentation about challenges, successes, and key learnings related to the process of engaging and partnering with communities on health equity issues and, 2) agreeing to provide the Foundation a perpetual (but non-transferable and non-exclusive) license to use all or part of the presentation, with attribution, in written materials or oral presentations the Foundation may develop. FISCAL IMPACT/COST BENEFIT ANALYSIS: There is no impact to the general fund. RECOMMENDATION: JCPH management requests approval of the Group Health Foundation Grant to support the CHIP (Community Health Implementation Grant); Upon signature — not later than June 29, 2018; $7,500.00. RE Alir de-„,et..100 Philip Morley, ounty Admin'. - Date Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487 CONTRACT REVIEW FORM CONTRACT WITH: Group Health Foundation (Contractor) CONTRACT FOR: Group Health Foundation Grant for CHIP Program TERM: 12/31/18 r '1,44,;0-.2`, �' f°/ ate" � ,s '�rrf 9 � ``"L,"°s/r":€ F✓ ��f fx'S xF;.�/'r 5,y"r r r. � ,.� x �'/r u-F rp x �`.,�s�t l i1� a b f` rx - Aia r ,F s i aa7 Rs C rxF ,st t0s `x'ryr sfl• "ixx "r S $ f r A A x , " ;r x,, s ''„',! ` r `j `,-%-v."-':444,-<,z. , / ;f-f ,r x'r F rx ,�t rx r f ,:�" f r' / f ri r�`'rf� '' K s 6 Fu'. f>N✓ r v o+'r '� x ft 9}r# r ,rx�q1 ,?at,r'r,,/rr r��.d:'x'rxr xr try.�ix ,x,':..r�„s.�F.„r>"?rc��fi„r�`,'i�s r,✓.�r�,x�irslurrrs�,i,.;s,s,r t�„��.�,a rt�Ar'.i�,,a��r�/ ,' _�. x,'�v- ;p Ilrrxr' ✓rx' • fx '* ' 1- —.444„; rr , J* ' ' r „r `� , /r _ , , ,r s ra x . Zf 7a �„ , AMOUNT: $7,500 PROCESS: Exempt Consultantfrom SelectionBidProcess Process Revenue: Cooperative Purchase Expenditure: _ Competitive Sealed Bid Matching Funds Required: Small Works Roster Source(s) of Matching Funds: Vendor List Bid RFP or RFQ Step 1: REVIEW BY RI4leied • . ? NT Review by: `10igPAT Date Reviewed: Returned for revision(See comments) EL APPROVED FORM Comments: Step 2: REVIEW BY PROSECUTING ATTORNEY Review by: Date Reviewed: Returned for revision(See comments) 0 APPROVED AS TO FORM Comments: Step 3: DEPARTMENT MAKES REVISIONS Have contractor sign appropriate number of originals. Step 4: SUBMIT TO PROSECUTING ATTORNEY FOR FINAL SIGN OFF Step 5: SUBMIT TO BOCC FOR APPROVAL Submit originals and 6 copies of Contract,Review Form,and Agenda Bill to BOCC Office. Place"Sign Here"markers on all places the BOCC needs to sign. MUST be in BOCC Office by 4:30 p.m.TUESDAY for the following Monday's agenda. (This form to stay with contract throughout the contract review process.)