Welcome Baby Strategic Partnership Hospital Letter … Baby Hospital LOI Info Session.pdf ·...
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Welcome Baby Strategic Partnership Hospital Letter of Intent Information Session July 18, 2012
Transcript of Welcome Baby Strategic Partnership Hospital Letter … Baby Hospital LOI Info Session.pdf ·...
Welcome Baby Strategic
Partnership Hospital
Letter of Intent
Information Session
July 18, 2012
o Proposition 10: The California Children and Families First Act of 1998
o First 5 LA
o Strategic Plan FY 2009-2015 ◦ Welcome Baby Program Goal areas: Maintain Healthy Weight, Safe
from Abuse and Neglect, Ready for Kindergarten
First 5 LA
Family Strengthening Strategies
1. Welcome Baby 2. Universal Assessment of Newborns
o Welcome Baby Program Goals:
• Increased Breastfeeding
• Families receive appropriate health and developmental care
• Families linked to needed resources
o Funding: Based upon hospital’s birth rate and patient’s place of residence
Welcome Baby
Welcome Baby
o To be implemented within and outside First 5 LA’s placed-based efforts, called Best Start
o If all 24 eligible hospitals participated would reach 80% of Best Start births and almost half (48%) of births countywide
Welcome Baby Program Overview
o Provides new moms with
information, support and linkages to community resources
o Provides one-on-one visits and phone calls by a “parent-coach” or nurse to provide information on:
• Nutrition for mom and baby
• Labor and delivery
• Home safety before and after baby comes home
• Breastfeeding
• Child development
• Other resources in the community
Welcome Baby Program Overview
Welcome Baby Hospital Visit
o Completed by Hospital Liaison
o Bedside visit following delivery
o Provides support and information on: • Breastfeeding
• Positive parent-infant interaction
• Postpartum and newborn follow-up care
• Completion of universal risk screening
Welcome Baby Hospital Visit
Universal Risk Screening
Aims to identify families at greatest risk and need and link families to supportive services
Utilizing the Bridges for Newborn Screening Tool
Used by Orange County hospitals for past 10 years
Successfully measures a family’s level of risk
Families who need support will receive additional home visits
Welcome Baby Client Flow
Welcome Baby Hospital Visit
- All mothers eligible- Complete Risk Assessment
Prenatal Visits for Families residing within a Best Start Community
BEST START FAMILY WITH LOW-MEDIUM RISK
ASSESSMENT: Receive up to 5 additional home-visits
NON-BEST START FAMILY WITH LOW-MEDIUM RISK::
Receive appropriate referrals, as needed
BEST START FAMILY WITH HIGH RISK ASSESSMENT: Referred to Select Home
Visitation Program
NON-BEST START FAMILY WITH HIGH RISK
ASSESSMENT: Receive up to 3 additional
home visits
Legend: Solid text box: activity completed by Hospital Dotted text box: activity completed by community-based partner
Welcome Baby
• Hospital Benefits
• Program provided at no cost to
women of all income levels delivering
at participating hospitals
• Provides patients with continuum of
care with bedside support and
linkages to resources
• One-on-one patient assessment
• Prevention of readmissions for infant
safety and health problems
• Support improved performance
measures for hospitals
Welcome Baby Benefits
o Increased breastfeeding initiation rates (for both any and exclusive)
68%
54%,
48%
46%
Latina/Hispanic
African American/Black
Exclusive Breastfeeding Initiation Rate Comparison
California rate WB prenatal rate
Welcome Baby Benefits
54%
66%
21%
5%
37% 39%
57%
91% 94%
85% 82%
89% 89% 91%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
All WB WB Prenatal SPA 4 SPA 6 CHMC LA County California
% ExclusiveBreastfeeding
% Any Breastfeeding
WB Breastfeeding Initiation Rates versus Comparison Groups
Welcome Baby Benefits
87.5%
64%
85%
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0%
WB
Medicaid
Commerical
% Receiving Postpartum Care (21-56 days)
Welcome Baby
HO
SPIT
ALS
• Strategic partnership
between targeted
hospitals and First 5 LA
• Demonstrate an interest
to participate and
submitted paperwork
(Letter of Intent)
CO
MM
UN
ITY B
ASED
ORG
’S
• May apply to be part
of a First 5 LA Home
Visitation Provider
Pool
• Must establish formal
agreement with a
participating hospital
(MOU)
Eligibility (LOI, page 8-9)
o Strategic Partnership
o 24 Hospitals identified as eligible by First 5 LA
o Hospitals may choose to partner with one or more community-based organizations or entities to support the prenatal, hospital and/or postpartum visits
o Hospital may choose to contract with ONE lead community-based organization or entity
Program Implementation Partnerships
o First 5 LA Home Visitation Provider Pool
o A lead community-based agency or entity will be responsible for partnering with other agency’s as needed to support full implementation
Program Implementation
◦ Hospital must serve as fiscal agent and demonstrate ability to support grant administration
◦ Demonstrate willingness to follow established Welcome Baby protocols and procedures
◦ Support and ensure coordination with community-based agencies and stakeholders
◦ Ability to support the recruitment, training and development, and on-going supervision of Hospital Liaison staff
Expectations & Deliverables (LOI, page 7-8)
◦ Hospital Liaison Activities and Qualifications
◦ Estimated staff size for Hospital Liaisons
◦ Additional Hospital Staff Support:
Hospital Liaison Supervision (% of time)
Grant Administration
Hospital Staff (LOI, Page 5-6 and 8)
◦ LOI Online Application
◦ Cover Letter
◦ Proposal Narrative = 5 pages maximum
◦ Letters of Support (3)
LOI Content
◦ Proposed Welcome Baby implementation approach Role of key departments and personnel
Intent to partner with one or more community-based agencies or entities
-Describe optimal staffing plan, including qualifications
-History and experience coordinating with any local, community-based agencies or entities
Proposal Narrative
o BUDGET FORMS AND BUDGET NARRATIVE - Budget Instructions Form
- Excel document o Budget Summary Sheet
o Individual Sheets for Sections
BUDGET
BUDGET (LOI, Page 9-10)
Targeted Hospital
Best Start Families:
# of Births
Non-Best Start
Families:
# of Births
*Estimated Annual Budget:
Antelope Valley Hospital 3386 1357 $5,147,760
Beverly Hospital 290 770 $2,934,320
Centinela Memorial Medical Center 437 1601 $702,400
Citrus Valley Medical Center-Queen of Valley Campus 407 3783 $1,234,720
Garfield Medical Center 912 2396 $2,066,720
Good Samaritan Hospital 728 3734 $2,198,720
Greater El Monte Community Hospital 152 388 $2,483,680
Kaiser Hospital: Baldwin Park 162 2260 $1,124,320
Kaiser Hospital: Panorama City 463 1468 $1,216,880
Kaiser Hospital: South Bay 426 1397 $1,138,160
Little Company of Mary- San Pedro Hospital 166 615 $471,760
Long Beach Memorial Medical Center 1348 3494 $3,230,880
Memorial Hospital of Gardena 409 990 $952,240
Monterey Park Hospital 724 904 $1,346,240
Northridge Hospital Medical Center 398 1966 $1,327,680
Pacific Alliance Medical Center 560 1456 $1,344,000
Pacific Hospital of Long Beach 387 513 $731,520
Providence Holy Cross Medical Center 941 1548 $1,898,960
Queen of Angels / Hollywood Presbyterian Medical Center 717 3808 $2,498,320
St. Mary Medical Center 1408 1582 $2,547,680
St. Francis Medical Center 2536 3293 $4,766,160
Torrance Memorial Medical Center 368 2876 $1,650,880
Valley Presbyterian Hospital 1360 3073 $3,078,800
White Memorial Medical Center 1315 2771 $2,896,800
BUDGET FORMS FIRST 5 LA Agreement #
Page : 1 of 10
BUDGET SUMMARY
Agency:
Project Name: Agreement Period:
1 Personnel 0
2 Contracted Svcs (Excluding Evaluation) 03 Equipment 0
4 Printing/Copying 0
5 Space 0
6 Telephone 0
7 Postage 0
8 Supplies 0
9 Employee Mileage and Travel 0
10 Training Expenses 0
11 Evaluation 0
12 Other Expenses (Excluding Evaluat io n) 0
13 *Indirect Costs 0
TOTAL: $0
Fiscal Contact Person Date
Program Officer
Agency Authorized Signature Date
Finance
Phone #
*Indirect Costs MAY NOT exceed 10% of Personnel cost, excluding Fringe Benefits.
Additional supporting documents may be requested
0 0
0
High School Recruitment Pilot Program RFP APPENDIX F
BUDGET REQUEST FORMS
Total CostsMatching FundsFirst 5 LA FundsCost Category
00 0
0
00
0 0
0
First 5 LA Authorized Staff Only
0
0
0
0
0
0
0
$0$0
0
0
0
0
0
0
0
o AGENCY INVOLVEMENT IN LITIGATION AND/OR CONTRACT COMPLIANCE DIFFICULTIES - Agency involvement in
litigation
- Must sign in blue ink and mail original to First 5 LA
Additional Documentation P
APPENDIX G
AGENCY INVOLVEMENT IN LITIGATION AND/OR
CONTRACT COMPLIANCE DIFFICULTIES
Agency Name: _________________________________________________________
Program Title: ___________________________________________________________
Check YES or NO on the following questions. If a YES answer is checked, please
explain fully the circumstances and include discussion of the potential impact on the
program if funded. As part of the contract agreement process, the COMMISSION, at its
own discretion, may implement procedures to validate the responses made below. The
COMMISSION reserves the right to reject all or part of the contract agreement if false or
incorrect information is submitted by the contractor.
YES NO
1. Is the lead agency currently, or within the past two (2)
years, involved in litigation?
2. Is the lead agency director currently, or within the past
two (2) years, involved in litigation related to the
administration and operation of a program/ project or
agency?
3. Are any key staff members unable to be bonded?
4. Have there been unfavorable rulings by a funding source
against the lead agency for improper management or
contract compliance deficiencies?
5. Has the lead agency or agency director ever had public or
foundation funds withheld?
6. Has the lead agency ever had its non-profit status
revoked or withheld?
7. Has the agency or agency director refused to participate
in any fiscal audit requested by a government agency or
funding source?
EXPLANATION (Use additional pages, if necessary):
________________________________________ ________________
Agency’s Authorized Signature Date
_________________________________________
Print Name of Authorized Agent
o CONTRACTOR SIGNATURE AUTHORIZATION FORM - Signature(s) from
agency’s authorized signatory
- Must sign in blue ink and mail original to First 5 LA
APPENDIX H
CONTRACTOR SIGNATURE AUTHORIZATION FORM INSTRUCTIONS: Check the appropriate boxes below and then sign and submit two (2) completed original forms. The form will be considered incomplete if the Certification section is not signed by the agency’s authorized signatory, as delegated by bylaws or corporate resolution. If applicable, a copy of the board resolution must be included with completed form.
ALL SIGNATURES MUST BE DONE IN BLUE FOR VERIFICATION PURPOSES.
Print Name: Title: AUTHORIZED SIGNATORY
Signature: Date:
DOCUMENT(S)
Authorized to sign: INVOICES REPORTS CONTRACT CONTRACT AMENDMENTS BUDGET & BUDGETAMENDMENTS
Print Name: Title: AUTHORIZED SIGNATORY
Signature: Date:
DOCUMENT(S)
Authorized to sign: INVOICES REPORTS CONTRACT CONTRACT AMENDMENTS BUDGET & BUDGETAMENDMENTS
Print Name: Title: AUTHORIZED SIGNATORY
Signature: Date:
DOCUMENT(S)
Authorized to sign: INVOICES REPORTS CONTRACT CONTRACT AMENDMENTS BUDGET & BUDGETAMENDMENTS
Print Name: Title: AUTHORIZED SIGNATORY
Signature: Date:
DOCUMENT(S)
Authorized to sign: INVOICES REPORTS CONTRACT CONTRACT AMENDMENTS BUDGET & BUDGETAMENDMENTS
CERTIFICATION: PER THE AGENCY’S BYLAWS AND THE ATTACHED BOARD RESOLUTION (IF APPLICABLE), I/WE HEREBY VERIFY THAT I AM AN AUTHORIZED AGENCY SIGNATORY/WE ARE AUTHORIZED AGENCY SIGNATORIES FOR THE AFOREMENTIONED AGENCY AND AS SUCH CAN SIGN AND/OR DELEGATE AUTHORIZATION TO SIGN AND BIND THE AGENCY AS IT RELATES TO THE ABOVE-REFERENCED PROGRAM TO THE DELEGATED AUTHORIZED SIGNATORY/SIGNATORIES LISTED ON THIS FORM.
PER SECTION (INCLUDE SECTION NUMBER) OF THE AGENCY’S BYLAWS SIGNATURE AUTHORIZATION IS PROVIDED TO AGENCY
AUTHORIZED SIGNATORY BELOW: PER THE BOARD’S RESOLUTION (COPY ATTACHED)
CONTRACT/AMENDMENTS WILL REQUIRE:
ONE SIGNATURE PER BYLAWS OR TWO SIGNATURES PER BYLAWS or AS A CORPORATION*
Name:
Title:
AGENCY
AUTHORIZED SIGNATORY:
Signature: Date:
Name:
Title:
**AGENCY AUTHORIZED SIGNATORY:
Signature: Date:
*If Agency is a corporation, two (2) authorized signatories will be required on all documents submitted, unless specified in the organization’s Bylaws or corporate resolution.
IMPORTAN/.T NOTE: If the signature authorization status of any individual changes during the term of the grant agreement, it is the responsibility of the contractor to contact their respective Program Officer regarding the change and to complete and submit a new Signature Authorization Form. Incorrect information on file may delay the processing of any of the documents submitted.
USE NEW PAGE FOR ADDITIONAL AUTHORIZED SIGNATORIES. ALL ADDITIONAL PAGES MUST BE SIGNED BY THE AGENCY’S AUTHORIZED SIGNATORY OR SIGNATORIES.
LOS ANGELES COUNTY CHILDREN & FAMILIES FIRST – PROPOSITION 10 COMMISSION (AKA FIRST 5 LA) DO NOT MODIFY THIS FORM SAF REV 5-07 FY 2006-07
Additional Documentation
o IRS ACCOUNT DETERMINATION LETTER (If applicable)
o BUSINESS LICENSE
(If applicable)
o CURRENT AUDIT/FINANCIALSTATEMENTS
Additional Documentation
o BY-LAWS
(If applicable)
o ARTICLES OF INCORPORATION
(If applicable)
o BOARD OF DIRECTORS LIST
Additional Documentation
o Review Process
o Contract Negotiations • Budget
• Scope of Work
o Commission’s Consent Calendar
o Contract Execution
Application Process
Timeline (LOI, page 10)
Action Item Dates
Letter of Intent Submission Deadline
Aug. 10, 2012
Sept. 28, 2012
Nov. 30, 2012
Jan. 25, 2013
Mar. 29, 2013
May 31, 2013
Application Process completed
Sept. Oct. Dec. Feb. April June
Contract Negotiations with First 5 LA
Sep.-Oct.
Nov.-
Dec.
Jan.-Feb.
Mar.-April
May-June
July-Aug.
Board Approval of Contract
Nov. Jan. Mar. May July Oct.
Execution of Contract
Dec. 2012
Feb.
2013
April 2013
June 2013
Aug. 2013
Nov.
2013
Welcome Baby Strategic Partnership Hospital Letter of Intent
QUESTIONS?
Contact Information:
Diana Careaga, Program Officer
