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Home My WebLink AboutC-6060 - Grant Agreement for the Community Paramedicine Data Project0 D O i CALIFORNIA HEALTHCARE. FOUNDATION -%I February 12, 2015 Mr. David Kiff City Manager City of Newport Beach 100 Civic Center Drive Newport Beach, CA 92660 Dear Mr. Kiff: Reference Number: 18762 The California HealthCare Foundation is pleased to award a grant to City of Newport Beach as a stipend to provide data in support of the Community Paramedicine Data Project. The amount of this grant is a fixed amount of $16,600. This agreement is effective February 15, 2015 and terminates on July 31, 2015, unless extended by written agreement initiated by the Foundation. Sandra Shewry, Director, State Health Policy, will be your Foundation contact during the course of this project. All correspondence and invoices related to this project should be addressed to her. Scope of Work In support of OSHPD's Health Workforce Pilot Project #173, the grantee will provide the Community Paramedicine's Independent Evaluator (the Philip R. Lee Institute or Health Policy Studies at the University of California, San Francisco) with all required data elements. These data include: Baseline data on care provided by pilot sites prior to implementation of the pilot interventions Data on site specific training provided to prospective community paramedics within 30 days of completion of each of these training components Data on implementation of the pilot interventions The grantee's Local Pilot Program Managers have had opportunities to review and comment on the data elements for the evaluation and have agreed to provide them. They will have an opportunity to comment on any proposed changes to the required data elements. Each Local Pilot Program Managers will have the responsibility for collecting all required data and forwarding them to the Independent Evaluator. Local Pilot Program Managers may designate other staff to assist with data collecting and reporting but will be responsible for the 1438 Web5ler Street, Suite 400 Oakland, California 94612 T 510.238.1040 F. 510.238.1388 WWW.CHCEGRG accuracy of data and the timeliness with which data are submitted to the independent evaluator. Pilot sites will provide the Independent Evaluator with up to date names and contact information for Local Pilot Program Managers and any other staff assisting with data collection and reporting. The grantee understands and agrees that there is a need for all pilot sites to collect similar data elements. In light of this, the grantee agrees that grantee's pilot site will: • collect standardized data pertinent to the community paramedicine concept being tested; • report data elements on each concept being tested (if site is testing more than one concept). • use the web -based data reporting tools that the Independent Evaluator has developed to transmit data to the Independent Evaluator; • report baseline and implementation data on a monthly basis. Baseline data will be reported for five months, from August 2014 through December 2014. Implementation data will be reported for the duration of the pilot project — estimated to be from June 2015 through May 2016. The University of California, Los Angeles Center for Prehospital Care will be responsible for submitting all data on the core training. Individual pilot sites' Local Pilot Program Managers will be responsible for submitting data on site specific training. Deliverables/Payments: The following deliverables will be due on this grant: Date Due Type of Report Report Description February 15, 2015 Signed Agreement February 27, 2015 Interim Deliverable Verification from UCSF that initial data submission of baseline data has been received. February 27, 2015 Invoice Invoice for $8,600 July 31, 2015 Final Deliverable Pilot site achieving operational status as designated by EMSA. Pilot site to submit invoice for this payment along with verification letter from EMSA of "operational status" of site. July 31, 2015 Invoice Invoice for $8,000 (may be submitted early — as soon as deliverable is met). Payments will be made within 30 days of receipt and approval of the contingency for that payment detailed as follows: Amount Contingency Contingency Due Date $8,600 Interim Deliverable and Invoice February 27, 2015 $8,000 Final Deliverable and Invoice July 31, 2015 Invoices should include Reference #18762. City of Newport Beach, Reference #18762, Page 2 Other Terms The California Healthcare Foundation may periodically issue a general press release announcing funded projects, or include this grant in a published list of grants awarded by CHCF. If the Grantee wishes to issue a press release regarding this grant, CHCF requires review and final sign -off of the text by its Publishing and Communications Department. Any publication produced by the Grantee that refers or results from this agreement should include an acknowledgment of CHCF that reads: Supported by the California Healthcare Foundation, based in Oakland, California. Funds paid under this agreement may not be used to: 1) carry out propaganda or otherwise attempt to influence legislation; 2) influence the outcome of any specific public election; or 3) carry on directly or indirectly any voter registration drive. If the work performed under this agreement result in access to information that is confidential to, or a trade secret of the California HealthCare Foundation, you hereby agree not to disclose any such information without written authorization from the Foundation. Your signature below acknowledges your acceptance of the agreement as described in this letter. Please sign this letter, and mail or fax (510-587-0149) one signed copy to Danny Sandoval Program Associate. Yours truly, Fab 'I 2 20I S 4:29 P" Craig C. Ziegler VP of Finance, Administration & Investments cc: Sandra Shewry, Director, State Health Policy Lisa Kang, Director, Grants Administration Name/Signature: Organization: City of Newport Beach Tax ID: 95-6000751 Date: 3I I-0 tic; n' �=�' '/�� City ' omey chM a s- ATTEST:AA4 � } u - ibfwl&-- Nellad I. Brown, ty Clerk Date: `3.18-'e ference #18762, Page 3 CALIFORNIA HEALTHCARE FOUNDATION March 5, 2015 Mr. David Kiff City Manager City of Newport Beach 100 Civic Center Drive Newport Beach, CA 92660 Dear Mr. Kiff: Reference Number: 18762 This letter officially approves your request for a no -cost extension to the project, Community Paramedicine Data Project Fountain Valley Fire Department. The project is now scheduled to end on September 30, 2015. The revised schedule for the remaining deliverables due for this grant is as follows: Current Due Date Revised Due Date Type of Report Report Description February 15, 2015 April 15, 2015 Signed Agreement May be submitted early. February 27, 2015 April 30, 2015 Interim Verification from UCSF that Deliverable initial data submission of baseline data has been received. (may be submitted early — as soon as deliverable is met). February 27, 2015 April 30, 2015 — Invoice Invoice for Interim Deliverable. (may be submitted early — as soon as deliverable is met). July 31, 2015 September 30, 2015 ' Final Deliverable _ Pilot site achieving operational status as designated by SMSA. Pilot site to submit invoice for this payment along with verification letter from EMSA of "operational status" of site. (may be submitted early — as soon as deliverable is met). July 31, 2015 September 30, 2015 Invoice Invoice of Final Deliverable (may be submitted early — as soon as deliverable is met). 1438 Webster Street. Sude 400 Oakland, California 94612 T 510 2381040 F 510 2381388 WWW.CHCF ORG City of Newport # 18762 , page 2 Payments will be made within 30 days of receipt and acceptance of the contingency for that payment as detailed below: Amount Contingency Contingency Due Date $8,600 Interim Deliverable & Invoice April 30, 2015 $8,000 Final Deliverable & Invoice September 30, 2015 Please call me if you have any questions. Yours truly, Sandra Shewry Director, State Health Policy Program cc: I..,isa Kang, Director, Grants Administration