HomeMy WebLinkAboutMemo - Mail Packet - 5/7/2019 - Memorandum From Cameron Gloss And Meaghan Overton Re: March 11, 2019 Lpt Follow Up - Grant Award From Colorado Department Of Public Health And Environment281 North College Avenue
P.O. Box 580
Fort Collins, CO 80522-0580
970.221.6376
970.224.6134 - fax
Planning, Development &
Transportation
MEMORANDUM
DATE: April 26, 2019
TO: Mayor Troxell and City Councilmembers
THRU: Darin Atteberry, City Manager
Jeff Mihelich, Deputy City Manager
Laurie Kadrich, Planning, Development and Transportation Director
Jacqueline Kozak-Thiel, Chief Sustainability Officer
Tom Leeson, Community Development and Neighborhood Services Director
Beth Sowder, Social Sustainability Director
FROM: Cameron Gloss, City Planning Manager
Meaghan Overton, City Planner
Susan Beck-Ferkiss, Social Policy and Housing Program Manager
RE: 3-11-19 LPT Follow-Up / Grant Award from Colorado Department of Public
Health and Environment
The purpose of this memo is to share additional information with City leadership about a
$795,657 grant awarded to the City of Fort Collins from the Colorado Department of Public
Health and Environment (CDPHE). This information was requested at the March 11, 2019
Leadership Planning Team meeting.
Grant Objectives:
Over the next two years, this grant will enable Planning and Development and Social
Sustainability staff to implement critical updates to policies, codes and regulations affecting the
quality and quantity of affordable housing with a specific lens on reducing health inequities in
our community.
Grant Background:
Funding for this grant comes from the CDPHE Office of Health Equity’s Health Disparities Grant
Program (HDGP). This grant is funded through Amendment 35 (Tobacco Tax) revenues.
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Funding for this two-year grant cycle is specifically focused on improving health outcomes and
reducing health disparities in under-represented populations by funding the successful
implementation of community-led policy and systems changes that address housing affordability.
The attached memo from the Office of Health Equity outlines the background of the Request for
Applications for this grant, the review process, and the funding recommendations made to the
State Board of Health in March 2019.
Amount and Timing:
The City was awarded a total of $795,657 in reimbursable grant funding over a two-year grant
cycle (State FY 2020-2021). The budget for each year is approximately $397,000. Year 1 (July
2019-June 2020) will focus on assessment, analysis and community engagement. Year 2 (July
2020-June 2021) will focus on code/policy writing, implementation and adoption of
recommended changes. The timing of the grant funding aligns very well with the initial
implementation of City Plan and the 2019 update of the Affordable Housing Strategic Plan.
Key Staff and Partners:
The City is the lead agency on this grant and is responsible for overall management and
coordination of all grant activities. Departments involved in this effort include:
• Planning and Development - lead, convener, organizer, public engagement
• Finance - grant management, financial expertise, purchasing assistance
• Social Sustainability - topic area expertise, policy coordination, public engagement
• Consultant support - cultural competency, code writing, economic analysis, policy,
marketing
The grant also requires cross-sector collaboration with outside organizations or entities who will
receive funding and play a key role in the project. Each of the organizations below is formally
committed to the grant and has submitted a letter of collaboration to CDPHE:
• Larimer County Department of Health and Environment, Built Environment Group
• The Family Center/La Familia
• The Family Leadership Training Institute
• The Center for Public Deliberation at CSU
One of the first tasks associated with this grant will be a stakeholder analysis. Many different
sectors (e.g. businesses and employers, developers, housing agencies, property
managers/owners) will need to be involved in this project in a variety of capacities. While these
stakeholders will not have responsibility for coordinating or managing the grant itself, their
participation will be critical to the success of the project.
Alignment with City Priorities:
This grant is closely aligned with community, City and Council priorities, particularly in the
Neighborhood Livability and Social Health Outcome Area. Several policy documents adopted
within the last six years – including the City Strategic Plan (2018) and City Plan (2019) – discuss
the need for more affordable housing, both subsidized and non-subsidized. Further, several
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plans specifically mention a need to prevent displacement of vulnerable populations. This grant
would provide significant funding to implement policy direction contained in:
• Affordable Housing Redevelopment Displacement Mitigation Strategy (2014)
• Housing Affordability Policy Study (2014)
• Affordable Housing Strategic Plan (2015 with update beginning this year)
• Social Sustainability Strategic Plan (2016)
• City Strategic Plan (2018)
• City Plan (2019)
Next Steps:
The contract for this grant will be finalized over the next month. After the contract is finalized and
signed, staff will seek City Council approval for appropriation of unanticipated grant revenue.
Timeline for this appropriation is expected to be sometime in June 2019, exact date to be
determined. The grant project will begin in July 2019.
Attachments:
1. Office of Health Equity Memo (pages 1-5 of 22) – HDGP Funding Recommendations
2. City of Fort Collins Press Release
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To: Members of the State Board of Health
From: Maggie Gomez, Co-chair, Health Equity Commission
Leslie Cook-Knerr, Co-chair, Health Equity Commission
Web Brown, Director, Office of Health Equity
Jami Hiyakumoto, Manager, Health Disparities Grant Program
Through: Karin McGowan, Deputy Executive Director and Director, Community Relations
and Legislative Services Division (KM)
Date: March 18, 2019
Subject: Request for approval of the Health Equity Commission’s FY 2020-2021 funding
recommendations for Health Disparities Grant Program grantee projects.
The Health Disparities Grant Program (HDGP) respectfully requests approval of the enclosed
funding recommendations for grant projects for the next two-year funding cycle, fiscal years
(FY) 2020-2021, beginning July 1, 2019 and concluding June 30, 2021. Specifically, the grant
program is seeking approval to provide a total of $2,934,570 in grant funding to five (5)
grantee projects.
Per statute, these recommendations were approved by the Health Equity Commission and are
supported by the Colorado Department of Public Health and Environment (CDPHE).
Enclosed with this memo is:
Background information and statutory requirements.
The HDGP FY 2020-2021 RFA (Request for Applications) and Strategic Framework.
Application review and funding recommendation processes.
List of the FY 2020-2021 recommended grant projects.
FY 2020-2021 HDGP projects recommended for funding.
These funding recommendations expand the grant activities approved by the Board of Health
in April and May of 2018. A summary of these grants is located in Appendix A.
Please contact Web Brown, Director of the Office of Health Equity (OHE) at 303-692-2329 with
any questions or requests for additional information.
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Amendment 35 Grant Programs Health Disparities Grant Program
Board of Health Funding Recommendation March 2019 Page 2
Background Information and Statutory Requirements
The Colorado Assembly created the Health Disparities Grant Program (HDGP) to “provide
prevention, early detection, and treatment of cancer and cardiovascular and pulmonary
diseases to under-represented populations. These populations are currently identified by
race, ethnicity, sexual orientation, gender identity, disability status, age, geographic area
and socioeconomic status and experience poorer health outcomes.”
Sections 25-4-2203(2)(b) and 25-20.5-302, C.R.S., and 6 CCR 1014-5 (HDGP rules promulgated
by the State Board of Health) state grants for the HDGP shall meet at least one of the
following criteria:
Provide evidence-based strategies for the prevention and early detection of cancer,
cardiovascular disease and chronic pulmonary disease in health care, workplace and
community settings;
Provide diagnosis and treatment services for anyone who has abnormalities discovered
in screening and early detection programs;
Implement education programs for the public and health care providers regarding
cancer, cardiovascular disease and chronic pulmonary disease; or
Provide evidence-based strategies to overcome health disparities in the prevention
and early detection of cancer, cardiovascular disease and chronic pulmonary disease.
The Colorado Department of Public Health and Environment (CDPHE) acknowledges that
generations-long social, economic and environmental inequities result in poorer health. They
affect communities differently and have a greater influence on health than either individual
choices or a person’s ability to access health care. Reducing health disparities through
policies, practices and organizational systems can help improve opportunities for all
Coloradans.
To address these issues, the overall purpose of the HDGP is to ensure all Coloradans have an
equal opportunity to live in thriving communities and achieve their full health potential. To
accomplish this (including preventing diseases such as cancer, cardiovascular disease and
pulmonary disease and addressing health disparities), the OHE realizes we need to look at
factors that affect where we are born, grow, live, learn, work, play and age. This includes
social and economic factors that influence health and public health, such as unequal
education, employment, social support, community safety, housing, transportation and
environmental conditions.
These factors are called “upstream determinants” because they begin to have a negative
impact on a person’s health long before the person is diagnosed with a disease. Addressing
these determinants presents an opportunity to prevent diseases from developing. By funding
programs, policies and practices that address these upstream determinants, we can influence
healthy social, economic and environmental conditions that give rise to health disparities and
contribute to cancer, cardiovascular disease and chronic pulmonary disease.
Section 25-4-2206, C.R.S. created a 15-member Health Equity Commission that serves as an
advisor to the OHE issues, specifically focusing on alignment, education, and capacity-building
for state and local health programs and community-based organizations. This commission
makes recommendations to the office and the department on the health disparities grant
program regarding financial support for local and statewide initiatives that address
prevention, early detection, needs assessment, and treatment of cancer, cardiovascular
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Amendment 35 Grant Programs Health Disparities Grant Program
Board of Health Funding Recommendation March 2019 Page 3
disease, including diabetes, and pulmonary disease in minority populations. In addition,
pursuant to Section 25-4-2203, C.R.S. the commission appoints a review committee to review
the applications received and make recommendations to the commission regarding the
entities that may receive grants and the amount of the grants. The commission finalizes the
recommendations for funding and provide them to the state board. Within thirty days (30)
after receiving the commission’s recommendations, the state board awards grants to the
selected entities, specifying the amount and duration of each award. Grants are not to
exceed three years without renewal.
Evaluation of the HDGP is required pursuant to Section 25-20.5-305, C.R.S. HDGP grantees will
work with Kaiser Permanente Colorado, Institute for Health Research, Partners in Education
Research Center (the state selected evaluation grantee) to develop evaluation plans and to
seek assistance on evaluation strategies. Grantees are required to submit quarterly progress
reports and report on project implementation and outcomes.
The HDGP FY 2020-2021 RFA (Request for Applications) and
Strategic Framework
The Office of Health Equity developed a strategic framework after engaging community,
governmental, statewide and rural agencies to gather input on the need for funding related to
closing the gap on health disparities in Colorado. The HDGP seeks to fund lead agencies with
existing partnerships to implement evidence-based strategies to overcome health disparities
in the prevention, early detection, and treatment of cancer, cardiovascular and pulmonary
diseases in underrepresented populations by: 1) working on systems and policy changes that
are community led and address housing and land-use planning, 2) focus on affordability and
reducing displacement, segregation and gentrification. These partnerships must include
multisector collaborations (for example: education, transportation, environmental conditions,
employment, community safety, etc.). The project must begin the process for making, or
implementing approaches that make, changes to public and organizational practices, rules,
laws and regulatory changes related to housing and land-use planning focused on anti-
displacement and/or affordability that affect how systems operate and influence people’s
health.
With guidance from the Health Equity Commission, the Office of Health Equity released RFA
#11545 on September 12, 2018 that reflected the HDGP FY 2020-2021 strategic framework. An
applicant information webinar for the HDGP RFA was held on September 25, 2018. In addition,
applicants had the opportunity to submit questions regarding the RFA to the program staff via
email. Updates and responses to all questions received were posted on the program’s web
page (https://www.colorado.gov/pacific/cdphe/hdgp-funding-opportunities) for public
access. The deadline for all grant applications was October 30, 2018.
Application Review and Funding Recommendation Processes
Thirteen (13) applications for HDGP grants were receive by the RFA deadline totaling a
request of approximately $3,900,000 per year.
A four-stage review process was followed. The first stage involved a technical review by
program staff for completeness in addressing major components of the RFA (e.g., did the
application propose a system or policy change, are the partners from different sectors, etc.)
and compliance with the legislation. Next, nine (9) applications totaling a request of
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Amendment 35 Grant Programs Health Disparities Grant Program
Board of Health Funding Recommendation March 2019 Page 4
approximately $2,800,000 per year (a total of $5,600,000 for the 2-year grant period) moved
to the remaining three-stage process on November 15, 2018. This included an independent
scoring by individual reviewers comprised of community volunteers and program staff
assigned applications based on their area of expertise. Conflicts of interest were disclosed
and accounted for during the application review assignments.
During the next stage which took place between January 2, 2019 and January 18, 2019,
reviewers met as a team to discuss each application and agree on the overall team score for
each application. Three (3) applications scored 86-100 points and were highly recommended
for funding; two (2) applications scored 71-85 points and were recommended for funding if
funds were available; and four (4) applications scored below 70 points and were not
recommended for funding. Finally, a funding conference was held on February 6, 2019 where
applications were discussed and a final list of recommended applications was forwarded to
the Health Equity Commission. The Health Equity Commission met to review and finalize
these recommendations on February 6, 2019 and again conflicts were disclosed. Individuals
were asked to leave the room during review, discussion and voting on those applications as
needed. Through a formal vote the Health Equity Commission moved five (5) applications
totaling $2,934,570 for the two-year grant cycle for final approval by the Board of Health.
These five (5) agencies represent both urban and rural counties; community-based
organizations and local public health agencies. All projects focus on either housing or land-
use planning with the goal of increasing housing affordability and reducing displacement,
segregation and gentrification as outlined in the RFA.
FY 2020-2021 HDGP Projects Recommended for Funding
The following provides detail regarding the projects recommended for funding for the next 2-
year funding cycle. Please note that all amounts listed are the total “not to exceed” 2-year
funding amounts. The detailed project information is based on the information contained in
the originally submitted grant applications and may vary from the final negotiated projects.
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Amendment 35 Grant Programs Health Disparities Grant Program
Board of Health Funding Recommendation March 2019 Page 5
Number of Recommended Applications by Upstream Determinants of Health
Upstream Determinants of Health
# Apps %
Housing 3 50%
Land-use Planning 3 50%
Totals 6* 100%
*Some applicants will work on both upstream determinants during their project.
50% 50%
UPSTREAM DETERMINANTS OF
HEALTH
Housing Land-use Planning
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Contact: David Young, Communications Specialist, dyoung@fcgov.com, 970.221.6882
Date: April 4, 2019
FOR IMMEDIATE RELEASE
City Wins Colorado Department of Public Health and Environment Grant
Recognizing the importance of housing affordability and health equity, the City of Fort Collins is excited to
announce it has been awarded a $780,000 grant from the Colorado Department of Public Health and
Environment’s (CDPHE) Health Disparities Grant Program.
The grant titled, “Making Policy Together: A Community-Driven Approach to Improving Housing
Affordability in Fort Collins,” will bring City and community stakeholders together to implement critical
updates to policies affecting the quality and quantity of affordable and attainable housing, with a specific
focus on reducing health inequities in our community.
Health inequity is an issue in communities around the country, including Fort Collins. Here, lower income,
often Hispanic/Latinx communities tend to experience higher levels of obesity, asthma, and poor mental
health, and our community’s lack of affordable and attainable housing is linked to these negative health
outcomes.
The City hopes to help positively influence health incomes by working with the community to identify
changes to development regulations and explore policy solutions that can improve our supply of affordable
and attainable housing. This work will also coincide with an update to the City’s Affordable Housing
Strategic Plan.
The City is partnering with several outside partners on this two-year grant, including The Family Leadership
Training Institute, the Larimer County Department of Health and Environment, the Center for Public
Deliberation at Colorado State University (CSU), and The Family Center/La Familia. Within the City this
work is being led by the Planning Department in partnership with Social Sustainability.
The City is starting work on this grant in summer 2019 and will ramp up efforts in the coming months. More
information about the Colorado Department of Public Health and Environment and the Health Disparities
Grant Program is available at https://www.colorado.gov/pacific/cdphe/ohe.
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