HomeMy WebLinkAboutNeighborhood Health - Programming Agreement at the Washington Fruit CenterAGREEMENT
Programming a - Washington Fruit Center
THIS AGREEMENT (hereinafter "Agreement") is made and entered into by and between the City of Yakima
(hereinafter the "City") a Washington municipal corporation, and Yakima Neighborhood Health Services (hereinafter
"Programmer")
WITNESSETH: The parties, in consideration of the terms and conditions herein, do hereby covenant and agree as follows:
1 Programming Services
The minimum services (hereinafter referred to as "Programming") that the Programmer will provide include those as
described in Programmer's RFP Submittal, which is attached as Exhibit A hereto and incorporated herein by this reference.
2, Contract Term
Programming will be awarded for one 12-month contract period. Non-competitive continuation requests will be considered
up to two (2) additional years depending on performance and availability.
3. Termination
Either party may terminate the Contract at any time, without cause, by providing at least thirty (30) calendar days' notice,
in writing, of the intended date of termination.
4. Agency Relationship between City and Programmer
Programmer shall, at all times, be an independent Contractor and not an agent or representative of City with regard to
performance of the Programming. Programmer shall not represent that it is, or hold itself out as, an agent or representative
of City. In no event shall Programmer be authorized to enter into any agreement or undertaking for, or on, behalf of City.
5, Compliance with Law
Programmer agrees to perform all Programming under and pursuant to this Contract in full compliance with any and all
applicable laws, rules, ordinances and regulations adopted or promulgated by any governmental agency or regulatory body,
whether federal, state, local, or otherwise including policies adopted by the City, as such laws, ordinances, rules, regulations
and policies apply to the use and operation of City of Yakima property, facilities and operations as those laws, ordinances,
rules, regulations, and policies now exist or may hereafter be amended or enacted.
6. Non -Discrimination
During the performance of this Contract, Programmer agrees as follows:
The Programmer shall not discriminate against any person on the grounds of race, creed, color, religion, national origin,
sex, age, marital status, sexual orientation, gender identity, pregnancy, veteran's status, political affiliation or belief, or the
presence of any sensory, mental or physical handicap in violation of the Washington State Law Against Discrimination
(RCW chapter 49.60) or the Americans with Disabilities Act (42 USC 12101 et seq.).
This provision shall include but not be limited to the following: employment, upgrading, demotion, transfer, recruitment,
advertising, layoff or termination, rates of pay or other forms of compensation, selection for training, and the provision of
Services under this Agreement.
In the event of the Programmer's noncompliance with the non-discrimination clause of this contract or with any such rules,
regulations, or orders, this Contract may be cancelled, terminated, or suspended in whole or in part and the Programmer
may be declared ineligible for any future City contracts.
Page 1 of 5
7. The Americans With Disabilities Act
With regard to the services to be performed pursuant to this Agreement, Programmer agrees to comply with the Americans
With Disabilities Act of 1990, 42 U.S.C. § 12101 et seq. (ADA) and its implementing regulations, and Washington State's
antidiscrimination law as contained in RCW Chapter 49.60 and its implementing regulations. The ADA provides
comprehensive civil rights to individuals with disabilities in the area of employment, public accommodations, state and local
government services, and telecommunications.
8. No Insurance Provided by City
It is understood the City does not maintain liability insurance for Programmer and/or its staff.
9. Indemnification and Hold Harmless
Programmer agrees to protect, defend, indemnify, exonerate, and hold harmless the City, its elected and appointed officials,
agents, officers, and employees (hereinafter "parties protected") from (1) any and all claims, demands, liens, lawsuits,
administrative and other proceedings, and (2) any and all judgments, awards, losses, liabilities, damages (including punitive
or exemplary damages), penalties, fines, costs and expenses (including legal fees, costs, and disbursements) for, arising
out of, or related to any actual or alleged death, injury, damage or destruction to any person or any property (including but
not limited to any actual or alleged violations of civil rights) to the extent solely or concurrently caused by, arising out of, or
related to any actual or alleged act, action, default or omission (whether intentional, willful, reckless, negligent, inadvertent,
or otherwise) resulting from, arising out of, or related to Programmer's provision of services, work or materials pursuant to
this Agreement. Programmer further agrees that it specifically and expressly waives its immunity under industrial insurance,
Title 51 RCW, or immunity under any other provision of law to the extent of the obligations assumed to the parties protected
hereunder.
10. Insurance
On or before the effective date of this Agreement, Programmer shall provide the City with a certificate of insurance as proof
of liability insurance in the amount of Two Million Dollars ($2,000,000 00) that clearly states who the provider is, the amount
of coverage, the policy number, and when the policy and provisions provided are in effect (any statement in the certificate
to the effect of "this certificate is issued as a matter of information only and confers no right upon the certificate holder" shall
be deleted). Said policy shall be in effect for the duration of this Agreement. The policy shall name the City, its elected and
appointed officials, officers, agents, employees and volunteers as additional insureds, and shall contain a clause that the
insurer will not cancel or change the insurance without first giving the City thirty (30) calendar days prior written notice.
Insurance shall be with an insurance company or companies rated A-VII or higher in Best's Guide. The insurance company
shall be either admitted in the State of Washington or a licensed surplus lines insurance company in the State of Washington
If the City is damaged by the failure of Programmer to maintain the above insurance or to so notify the City, then
Programmer shall bear all costs attributable thereto. If requested, Programmer shall provide the City With a complete copy
of the policy.
11. Assignment.
This Agreement, or any interest herein, or claim hereunder, shall not be assigned or transferred in whole or in part by
Programmer to any other person or entity without the prior written consent of the City In the event that such prior written
consent to an assignment is granted, then the assignee shall assume all duties, obligations, and liabilities of Programmer
stated herein
12. Background Checks
Personnel (Programmer and Staff, including Volunteers) must undergo a 10-year criminal history background check,
initiated and paid for by Programmer. Initial background checks must be performed within thirty (30) days of award of
contract and reports given to the City Representative at that time. Checks on any new staff hired during the term of this
contract must be performed immediately and reports given to the City Representative as soon as they are available.
a. Programmer and Staff must not have been convicted of any crimes against any vulnerable population in any
degree in the preceding ten (10) year period.
b. Programmer and Staff must not have been convicted of the crime of larceny or theft in any degree in the
preceding five (5) year period.
Page 2 of 5
c. Programmer and Staff must be clear of any domestic violence, sexual or drug related convictions. Programmer
and Staff shall be free from any pending felony actions or convictions.
d. Programmer shall maintain a drug free workplace/policy. No staff may be under the influence or exhibit any
signs of either alcohol, drug use, or both.
e. Annually, during contract renewal, Programmer will provide the same background check for each staff
member working on this contract that was required when the contract was awarded.
f. Violation of, or failure to adhere to any of the above requirements shall be deemed sufficient cause for
termination.
13. General Requirements
a. Programmer is responsible for supervision of all minors and persons who are part of a vulnerable population
and/or require special care, who are in attendance at their program(s) at ,all times.
b. Programmer is responsible for hiring, counseling, discipline, and firing of their own program staff.
c. Programming must be kept to a sound level that does not disrupt other programs.
d. Damages/No-Alterations
Programmer agrees to exercise the utmost care in the use of the facility and property. No permanent
alterations may be made. All tables and chairs must be returned to the appropriate storage area in good
order. All debris and spills must be cleaned. Trash must be placed in trash bags, removed from building and
deposited in the outside receptacle. All supplies and equipment must be removed from the building
immediately following your session. Any equipment that remains will be made available to all users of the
facility at no charge. Building must be returned to the same condition as when you arrived.
e. FacilitSecurity
The City may prohibit entry to any secure facility, or remove from the facility, a Programmer or a staff member
who does not perform his/her duties in a professional manner, or who violates the secure facility's security
rules and procedures. The City reserves the right to search any person, property, or article entering its
facilities.
14. Integration
This Contract, along with the City of Yakima's RFP 12111 P Programming at the Washington Fruit Center and the
Programmer's response to the Request for Proposals ("RFP"), represents the entire understanding of the City and
Programmer as to those matters contained herein. No prior oral or written understanding shall be of any force or effect with
respect to those matters covered herein. This Contract may not be modified or altered except in writing signed by both
parties.
15. Severability
If any portion of this Agreement is changed per mutual agreement or any portion is held invalid, the remainder of the
Agreement shall remain in full force and effect.
16. Governing Law
This Contract shall be governed by and construed in accordance with the laws of the State of Washington.
17. Venue
The venue for any judicial action to enforce or interpret this Contract shall lie in a court of competent jurisdiction in Yakima
County, Washington.
18. Authority
The person executing this Contract, on behalf of Programmer, represents and warrants that he/she has been fully
authorized by Programmer to execute this Contract on its behalf and to legally bind Programmer to all the terms,
performances and provisions of this Contract.
19. Notices
Unless stated otherwise herein, all notices and demands shall be in writing and sent or hand delivered to the parties to
their addresses as follows:
TO CITY: Ken Wilkinson
Parks & Recreation Manager
City of Yakima Parks & Recreation Division
2301 Fruitvale Boulevard
Yakima, WA 98902
TO PROGRAMMER: Rhonda Hauff
CEO
Yakima Neighborhood Health Services
12 S 8"h Street, PO Box 2605
Yakima, WA 98907-2605
The foregoing sections of this Contract, 2-19 inclusive, shall survive the expiration or termination of this Contract in
accordance with their terms.
IN WITNESS WHEREOF, the parties hereto execute this Contract as of the day and year first above written.
CITY OF YAKIA YAKIA VALLEY NEIGHBORHOOD HEALTH SERVICES
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By:
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a o bate; Date: January 28, 2022
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o ° Rhonda Hauff, CEO
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Yakima Neighborhood Health Services
12 South 8'h St, PO Box 2605
Yakima WA 98907-2605
Phone (509) 454-4143 Fax (509) 454-3651
www.ynbs.org
Maria Mahue, Purchasing Manager
City of Yakima
129 North 2nd Street
Yakima WA 98901
Yakima Neighborhood Health Services (YNHS), a 501 (c) 3 non-profit Community
Health Center in Yakima, is pleased to present "Neighborhood's Neighborhood"
proposal to provide Child and Adolescent Health Services at the Washington Fruit
Community Center (WFCC). Our efforts will target prevention services to all residents
of Yakima, with particular focus on the low income and historically underserved
residents of northeast Yakina.
YNHS is a full -scope, comprehensive health and social service organization. Our
trained staff are effective in outreach and engagement strategies, and have proven
successful in collaborations in the community assisting residents in getting the help
they need. We are excited about the possibilities the collaborations in the WFCC may
bring.
'TIIHS Representative: Rhonda Hauff, CEO
Physical Address: Yakima Neighborhood Health Services, 12 South 8th Street, Yaki
WA 98901
Mailing Address: Yakima Neighborhood Health Services, PO Box 2605, Yakima WA
98907-2605
Telephone: 509-574-5552; Email : rhonda.haufi`&_vnW,,s.ora
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Yakima Neighborhood Health Services
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Accredited by the Joint Commission Patient Centered Medical Home Level 3
YNHS will utilize a combination of WFCC classroom space and the YNHS mobile medical unit to
• health screenings, immunizations, and healthy behavior to all individuals and families
• present at the Washington Fruit Community Center. Our goal is to provide a • stop"
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and their fames •1 promote healthy behaviors. "Neighborhood's Neighborhood"
Yakima Neighborhood Health Services / Washington Fruit Community Center Page 12
and basic health care services in a culturally appropriate manner. CHWs help the
patient overcome health inequities and the social determinants of health by accessing
the services and r• the patient identifies as needing. • CHWs are part of the
• • since the beginning of the Covid pandernic we have seen a
s!7.,ncant dislaritierr between the health literacii of our "mflAw�ri •:
have a working knowledge of smart phones, tablets, and PCs to access their health
provider and health information, versus our poorest and non-English speaking
populations. For those who rarely use a computer, smart phones are difficult to
understand and navigate. A skilled CHW is effective in helping people safely access
healthcare with their provider via video visits and r• their patient portal. Being
able to utilize technology to access health care services are skills which can further
equity and health literacy. Without these skills, we fear the health disparities will be
further exacerbated as the gap between those that have access and • that do •
Over the past several months, • CHWs have been • with • most vulnerable
populatiois to kelp tkext 5?ccess f• :aelic?l W kek?vitr?l ke?ltk visits tkri!&!gx tkeir
Smart Phones or tablets. Additionally, the CHWs conduct a Social Determinants
assessment as part of their engagement, and will assist families connecting to •
basic needs • / rental assistance, food, clothing, health insurance) as a result •`
this assessneT,t.
B. Service Capacity
Neighborhood's Neighborhood will be onsite at the WFCC one day per week (this day is
negotiable with the other service providers. Additional time can be added based • the
popularity • the services and the demand. Based on a schedule •.i one day per week,
we anticipate the following service capacity:
C. Staffing Overview and Quacations
RHONDA HAUFF is the CEO of Yakima Neighborhood Health Services, and has • with
YNHS since 1983. Ms. Hauff serves on the Board of Directors of the National Health Ca
for the Homeless Council. She is past chair of NACHC's Health Care for Homeless
Committee and Health Care in Public Housing Task Force, and serves • several •
partnerships to coordinate access and services for underserved populations. Ms. Hauff
oversees the competencies and integrity of all programs at YNHS.
LRET=-
Jocelyn Pedrosa, MD is the Chief Medical Officer of YNHS, having started her professional
career at YNHS in 1996 after completing her residency in Pediatrics from the University of
Was-&-wAM ctor of Medicine from the Universit% of the PhiII7-,ines, College of
Medicine in Manila in 1991. Dr. Pedrosa oversees all clinical staff of inter -disciplinary
providers and support staff in the areas of primary care, behavioral health, pharmacy,
nutrition services, outreach and housing to support patient centered care for all the center's
patients, and particularly special needs agricultural workers, homeless, and residents of public
housing in Yakima County. Dr. Pedrosa oversees the credentialing and privileging of all clinical
ommission on Accreditation of Health Care
Organizations.
-if
anom �-.lian�ceOff�lcer at YNHS a�ndhas •een �with
the organization since 1995. Her role is to lead YNHS staff in quality initiatives and risk
management activities, and oversee customer service operations.
Katie Smith, RD-CD is the Nutrition Services Director at YNHS and has been 2011. Ms Smith 1
certified with the American Academy of Diabetes Educators as a national Diabetes Educator
and oversees all nutrition programs at YNHS including WIC, SNAP -Ed, Neighborhood Kids, an
Diabetes Self -Management Education.
YNHS provides services without regard to age, race, handicap, sexual orientation, national
origin or ancestry. Governance is based on the firm belief that those we serve should have
input into our service delivery system. The corporate by-laws have reflected this commitme
since YNHS was founded 45 years ago, requiring the board be comprised of at least 51% use
of our services. Agricultural workers and people who have experienced homelessness, and
those who live, or have lived in public housing are also on the board, as well as
representative(s) of the LGBTQ+ community.
D. Intended Outcomes
YNHS will record collect demographic data to assure we are reaching our target population
- of low-income and otherwise disadvantaged families from the community (race, ethnicity,
income, poverty level, insurance status, housing/homeless status, migrant status, etc.)
At the end of the program year, we expect:
* 90% of children screened during well child visits will be referred to a primary
care provider for follow-up care If an acute or chronic problem is identified and
the patient is not currently being treated.
* 90% of children screened for immunizations will be provided immunizations and
those immunizations will be entered into the Washington State Immunization
Information System.
o 85% of •! participating in Snap Ed and AADP groups will demonstrate
increased knowledge • nutrition and physical activity resources available in the
community.
o 85% of children and adults participating in the Snap Ed and AADP programs will
report increased physical activity and consumption of fruits and vegetables.
& 70% of families served by a CHW will report increased confidence or use of
technology • access health information • health care.
E, 12-month Work Plan
• Month 0-
o Identification of space readiness at Washington Fruit Community Center.
o Identify location for mobile unit next to WFCC (mobile unit used for exams)
• Month 1 -
o Discuss schedule with City staff and/or other service providers regarding space
utilization.
o Identify YNHS staff assignments (Pediatrician, Medical Assistant, Dietitian,
Community Health Worker, Receptionist, IT Analyst),
• Month 2 -
o Communications Director develops outreach materials (written and social media) in
English and Spanish to promote new site and services at WFCC.
o Outreach Team distributes information to neighborhoods around WFCC,
o Supplies ordered for WFCC.
o Mobile unit prepared.
Month 3 -
o Services begin.
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to • high -quality, cost effective • care. Services are tailored with th e
individual patient involved and toward their interest. The activities chosen for the WFCC
?-re Evidence Based Practices and include:
CATCH (Coordinated Approach To Child Health) - CATCH is part of the CDC's Whole School,
Whole Community, Whole Child" model. YNHS has been using this as part of our Snap Ed
program and found it successful with our children.
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Intervention Toolkit. It is designed to support healthy behavior change in the areas of
healthy eating, food safety, cookln& and food resource management.
MEMEMM
Qualification Requirements
t. Qualifications our organization has providing the proposei
progrart-mg:
Yakima Neighborhood Health Services (YNHS) is a Community Health Center which has been
serving Yakima County for 45 years. Our services Include Integrated medical, dental and
behavioral health services, pharmacy, optometry, maternity support services, nutrition
education for women, infants and young children (WIC), Snap -Ed, and homeless services
including street outreach, medical respite care, permanent supportive housing, emergency
services assistance, and street outreach.
YNHS has been accredited by the Joint Commission on Accredited Health Care Organizations
since 2000, and was the first Community Health Center in the State of Washington to be
recognized as a Patient Centered Medical Home by the National Center for Quality
Assurance.
2. Experience providing similar programming
In the 1990s, YNHS was a founding partner of "KidScreen" which was a collaborative effort
of school districts, social service agencies, and health care providers to provide health and
developmental screenings for young children throughout Yakima County, and connect
families with community services to meet identified needs. This was a mobile program,
moving locations throughout Yakima County on a monthly basis to reach vulnerable families
who might not otherwise enter our systems through traditional venues. KidScreen was
successful for over ten years, and was followed by another ten year project called Kids
Connect, which focused on connecting children to ongoing primary care and reducing the
use of hospital emergency rooms for non -emergent care. Both programs relied on YNHS
taking a team and services out to the community, engaging consumers and providinlF4
services in non-traditional medical settings (like churches and community centers).
3. Existing partnerships that contribute to our success
YNHS has loni�i stand in,-wra rtn ersh i-ts in Yakima Count& As
Kids Connect are two such examples. Though these programs were both initially funded
through federal grants, they each continued for years through the inkind support of each
agency because of the strength of the partnerships. Those partners include Community
Health of Central Washington, Yakima Valley Farm Workers Clinic, Yakima Valley Farm
Workers Clinic, and ESD 105.
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the Henry Beauchamp Community Center, Comprehensive Health Services, and formerly
Triumph Treatment Services).
Homeless Student Stability Program — Homeless Liaisons in all school districts and ES
105.
Lead Organization, Health Benefit Exchange, Affordable Care Act — partnering with
Community Health of Central Washington and Yakima Valley Farm workers Clinic to
outreach to uninsured and provide information and health care application assistance
Yakima County Covid response — YN HS has partnered with Yakima County Departmen
of Human Services and the Office of Emergency Management. We have been providi
Rental and other Emergency Assistance, recuperative and supportive housing. I
The CATCH Eat Smart Nutrition Program aids child nutrition services staff in grades K-8
providing:
• Healthy menu planning, purchasing, preparation and promotional tips
• An introduction to coordinated school health and facilitation with weliness policy
concepts
• Resources for planning healthy school parties, staff & parent functions, and fundralsers
• Useful tips on how to implement GO, SLOW, and WHOA as an aide in helping children
choose healthy foods and to promote positive nutrition messages throughout the
school and to parents.
Physical Education and Physical Activity
cooperation, and respect.
Family Engagement & Community Involvement
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Employee Wellness
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and visible way to acknowledge employees who are caught eating healthy foods and
exercising.
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EnvironmentPhysical
The goal of CATCH is to create an environment in which healthy behaviors are not only
taught, but . encouraged isupported. Schools are often limited in the physical
encourages modest changes. For example, hanging teacher and student created signage
throughout classrooms and hallways to promote CATCH concepts, such as GO -SLOW -
WHOA and being a CATCH MVP (Move and stay active, Value healthy eating, Practice
healthy changes they can make due to funding and other restrictions, therefore CATCH
Health Services
An abundant body of - -.:ch supports the importance of
healthy
r and physical
bones,activity for maintaining good health, including improved cardiovascular fitness, stronger
r emotional andobesity prevention.
1
Counseling, Psychological, Social Services
Research has shown that implementing strategies that help students to eat healthy and be
physically active can result in fewer behavioral problems, decreased rates of absenteeism,
improved a• performance,and •'academic
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of healthy eating, food safety, cooking, and food resource management. Food Smarts is a flexible, learner -
centered, multi -session nutrition and cooking program with several available lesson plans to fit the needs of a
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engaged in simple recipe preparation as an instructional strategy. The adult curriculum of Food Smarts
is available in English, Spanish, Russian, Chinese, Vietnamese, and Korean. The youth curriculum is availablr,
in only English. Target Behavior: Healthy Eating Intervention Type: Direct Education
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facilitated anywhere where direct education is appropriate. Over 15,000 unduplicated participants have
graduated from Food Smarts workshops series over the past 13 years. Several hundred staff have been trained
at partner sites via the Food Smarts Training Program to enable continuation of the intervention, Setting:
Community (Live), Faith -based community, Food pantries, Health care, School (Learn), USDA program sites
(not National School Lunch Program) Target Audience: Elementary School, Middle School, High School,
Pregnant/Breastfeeding Women, Parents/Mothers/Fathers, Adults, Older Adults, Homeless/Food Pantry Clients
Race/Ethnicity: All
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variety of lesson plan groups (four -week, five -week, or six -week) and lesson lengths (30, 60, or 90 minutes),
allowing implementing partners the discretion to choose which option meets the needs of their chents/agency.
Also included in the Instructor guide is a curriculum fidelity handout that outlines types of modcations,
guidance for those modifications, examples, and evaluation requirements. Partners must be trained via the
in -person or web -based Food Smarts Training Program in order to implement the series. After which, they can
i,mnlement on their own time, Leah's Pantry offers technical assistance to &Wort implementation. Partners will
be expected to sign a Partner Agreement, as well as share any evaluation data collected.
11terve * 1, MAICU'als
• Food Smarts Adult Workbook (available in English, Spanish, Russian, Chinese, Korean, Vietnamese
• Food Smarts Instructor Guide: Adult (English)
• Food Smarts Kids Workbook (English)
4 Food Smarts Instructor Guide: Kids (English)
* Food Smarts for Food Waste (English)
More information about above mentioned resources visit: hi ://www.leahspantrv,91Xlwhat-we-offer/rlasses-
curriculum/food-smarts-curriculum/
Intervention Costs
There is a cost for training in most cases but often the state agency funds training for local implementers. Once
an agency is trained, digital access to curriculum materials is free. Printed workbooks and instructor guides may
be ordered from Leah's Pantry or Amazon.com at a cost. Print copies of the participant workbooks and
accompanying instructor guides can be purchased through our website. Costs vary, please see website for
updated prices. !iq js:%r)yK,Le44 yqdap or /t ct-cate�g food -smarts/ �_ !qa/
Evidence SummarI97
y
Outcome evaluations demonstrate statistically significant improvement in short- and medium -term healthy
eating indicators. Per our FY 2017 outcome evaluation, participants reported statistically significant changes in:
• Using yPlate to make food choices
• Increasing fruit and vegetable consumption
• Eating more than one kind of vegetable
• Decreasing sugary beverage consumption
Our FY15 and FYI 6 evaluations also demonstrate statistically significant changes in food safety and resource
management. Evidence -based Approach: Practice -tested
page 2 of 3 https://snapedtoolkit.org/interventions/Programs/food-smarts/ 09110/202103:29:01 pm
Based on the SNAP -Ed Evaluation Framework, the following outcome indicators can be used to evaluate
intervention progress and success.
Readiness and Changes — Effectiveness and 'Population
'Capacity — Short Medium Term 'Maintenance — Long
Term (ST) (MT) Term (LT) Results (R)
Individual MT1
Environmental
Settings
Sectors of Influence
MT1: Healthy Eating
• MT1d: Ate more than one kind of vegetable (p=0.038)
• MT1f. Used yPlate to make food choices (p=0.044)
• MT1h: Decreased sugary beverage consumption (p=0.001)
• MT1: Increased it consumption (p--0.00)
• MT1m: Increased vegetable consumption (p=0.002)
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1:1: 1 f 1 "1 Tim ITO n M
developed by Leah's Pantry. Contact Person(s)- Adrienne Markworth Phone: 650-351-7780 Email address:
page 3 of 3 https:Hsnapedtoolkit.org/interventions/programs/food-smwU/ 09/10/202103:29:01 pm
9129M, 3:66 PM CDC - Commun6y Hoo6h Worker Rommee - SMT Qehwey
Centers for Disease
Control and Prevention
Community Health Worker Resources
A community health worker (CHW) is a frontline public health worker who Is a
trusted member or has a particularly good understanding of the community m
served. A CHW serves as a liaison between health and social services and the
community to facilitate access to services and to Improve the quality and
cultural competence of service delivery.'
a
The resources on this page are collected from programs acrossCDC that host
materials pertinent to CHWs. These resources should be helpful not only to
CHWs but also to those who work with them. Each description identifies which of the following audiences are most likely
to find the resources useful:
• CHWs, who might be known by other names (e.g., promotores de salud, coaches, lay health advisors, community
health representatives, peer mentors, peer navigators)
• Certified educators, who might be CHWs or belong to another allied clinical group
• Community -based organizations, including faith -based organizations and other communitygroups that work with or
host CHWs
• Health insurers, purchasers, and payers —including Medicaid, Medicare, commercial insurers, and employers —who
have questions about reimbursing for the services that CHWs provide
• Healthcare providers, who want to incorporate CHWs into their practices
• Public health professionals who work with CHWs and other groups listed here
• Members of the general public, who might have engaged with CHWs and want to understand more about their role
If you identify a CDC resource not listed here, see an error, or have additional feedback, please email the NCCDPHP
Community Health Worker Workgroup.
Asthma +
Cancer
0
General Resources
Community Health WorkersCan Be a Public Health Force for Change In the United States: Three Actions for a New
Paradigm
This CDC staff -authored paper discusses how to strengthen the roles of CHWs, enabling them to become collaborative
leaders in a healthcare environment dramatically changing from "sickness care" systems to systems that provide
comprehensive care for Individuals and families and supports community and tribal wellness.
Type of Resource:Journal article
Language: English
Audiences: Health insurers, purchasers, and payers, healthcare providers, public health professionals
Related CDC programs: Heart Disease and Stroke Prevention
Promoting Policy and Systems Change to Expand Employment of Community Heaft Workers (CHWs',
1/3
M 'r. -Tel PER M LT� I
CDC - Communk Hm*h Worker Resources - OnT GMeway
This resource is a six -session online course designed to provide state programs and other stakeholders with basic
knowledge about CHWs, such as official definitions of CHWs, workforce development, and other topic areas. In addition,
the course covers how states can become engaged in policy and systems change efforts to establish sustainability for the
work of CHWs, and Includes examples of states that have proven success In this arena.
Type of Resource: Training
Language: English
Audiences: All
Related CDC programs: Heart Disease and Stroke Prevention
Community Health Workers: Part of the Solution EAj
This CDC staff -authored paper describes how two states, Massachusetts and Minnesota, initiated comprehensive policies
to foster far more use of CHWs and, in the case of Minnesota, to make CHW services reimbursable under Medicaid.
Type of Resource: journal article
Language:English
Audiences: Community -based organizations, NGOs, health insurers, purchasers, and payers, healthcare providers, public
health professionals
Related CDC programs: Heart Disease and Stroke Prevention
Promotores cle Salud/Community Health Workers
CDC's Office of Minority Health and Health Equity showcases several CDC community health worker programs directed
at those who work in diabetes, HIV/AiDs, cervical cancer, heart disease, high blood pressure, kidney disease, and other
areas. CHWs are an asset In educating people about health protection and disease prevention In a culturally appropriate
way, and in building trust to link people with needed health and medical services.
Type of Resource: Web page
Language. English
Audiences: All
Related CDC programs'. Minority Health
A Summary of State Community Health Worker Laws B [PDF-68OKB]
This fact sheet summarizes the extent to which states enact laws addressing CHW infrastructure, professional identity,
workforce development, and financing.
Type of Resource: Fact sheet
Language: English
Audiences: Community -based organizations, NGOs, healthcare providers, public health professionals
Related CDC programs: Heart Disease and Stroke Prevention
How the Centers for Disease Control and Prevention (CDQ Supports Community Health Workers In Chronic Disease
Prevention and Health Promotion 1§ [PDF-273KB]
This resource provides: 1) basic Information on who CHWs are, 2) how CHWs support the priority domains of CDCs
National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), 3) a list of grantees engaged in CHW
strategies, and 4) NCCDPHP products about and for CHWs.
Type of Resource: Report
Language: English
Audiences: All
Related CDC programs: Heart Disease and Stroke Prevention
Policy Evidence Assessment Report: Community Health Worker Policy Components 0 [PDF-1,07MB]
This report summarizes evidence bases for components of CHW policy interventions relating to chronic disease policy.
Type of Resource: Report
Language: English
Audiences: Community -based organizations, NGOs, healthcare providers, public health professionals
Related CDC programs: Heart Disease and Stroke Prevention
Policy Evidence Assessment Report, Community Health Worker Policy I& [PDF-230MB]
This resource summarizes the assessment of evidence supporting policy components that comprise a CHW policy
Intervention.
Type of Resource: Fact sheet
Language., English
Audiences: Community -based organizations, NGOs, healthcare providers, public health professionals
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OrMl. 3:65 PM CDC - Cormunky Hoolh WoMer Rommel - STLT Get"
Related CDC programs: Heart Disease and Stroke Prevention
Making the Business Case for Prevention %ndee Series: Community Health Workers Bridge Health Care Gap
Improved quality of care, Increased compliance, and reduced costs —these are just a few of the many benefits of
including CHWs as part of a comprehensive health care team. This video shows how CHWs help patients, especially those
with language or other barriers, navigate complex health care systems.
Type of Resource: Multimedia
Language: English
Audiences: All
Related CDC programs: Division of Nutrition, Physical Activity, and Obesity
Community -Clinical Linkages forthe Prevention and Control of Chronic Diseases: A Practitioner's Guide a [PDF-1.7MB]
This guide is a resource for public health practitioners to define and facilitate community -clinical linkages.
Type of Resource: Report
Language: English
Audiences: All
Related CDC programs: Heart Disease and Stroke Prevention
What Evidence Supports State Laws to Establish Community Health Worker Scope of Practice and Certification? In
[PDF-485KB]
This report provides an update to the previous CHW Policy Evidence Assessment Report and assesses evidence for two
types of CHW policy interventions addressed in existing state laws to inform state decision makers and public health
organizations.
Type of Resource: Report
Lan guage:English
Audiences: All
Related CDC praffams: Heart Disease and Stroke Prevention
A Summary of State Community Health Worker Laws-2016 IS CPDF-1 .14ME13
This state law document builds on the CDCs 2013 state law fact sheet A Summary of State Community Health Worker
Lava, which describes the landscape of state laws addressing four attributes of a sustainable CHW program:
infrastructure, professional identity, workforce development, and financing.
Type of Resource: Fact sheet
Language: English
Audiences: All
Related CDC programs: Heart Disease and Stroke Prevention
Policy BriefFacilitating the Use of Community Health Workers In Health Delivery Systems NJ [PDF-622KB]
This resource discusses state -level policy options and their possible effects on the services provided by CHWs. This policy
brief Is a companion to the policy evidence assessment report, "What Evidence Supports State Laws to Establish
Community Health Worker Scope of Practice and Certification!
Type of Resource: Report
Language: English
Audiences: All
Related CDC programs: Heart Disease and Stroke Prevention
Infectious Disease I
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"`{ of h" Treasury
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1A WA 98907-2605 059
8016205667
is 0445189187
Apr28,2011'
91-0928817
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Your 11 r /yer Identification Num91-0928817. Please keep this numberin
your permanent records. You should enter your name and your EIN, exactly as shown
above, on all business federalforms rrequire
and onany related
correspondence documents.
;l1 { 1 r rirOT-WItIrl
rst pa
• r write, please include telephone 1 `:: where
you may be reached and the
best /1
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Amber fi
1001850735
Customer
/ _ Service
_ Representative
9rr��rtt ctf t+he Trrrry ttr
Person to Contact: John G. Lion
(District Director
Internal Revenue Service
♦a
p Yakima Neigbborhood Health Services
12 South Eight Street
Yakima, WA
Form Number. 990
rl : 790
We are pleased to tell you that as a result of our examination for
the above periods we will continue to -reco ize your organization as
tax—exempt.
e have indicated below whether there is a change in your liability
for the unrelated business income tax as provided by sections 511
through 515 of the Internal Revenue Code.
There is no ohange.
❑ You will receive an examination report explaining the proposed
adjustments.
Thank you for your cooperation.
Sincerely yours,
a;bz &0 0-1r�
District Director
ii:
i
Extension mYContract No. 2022-043
For
Programming at the Washington Fruit Center Agreement
This Extension of the existing Contract No. 2022'043 entitled "Programming at the Washington
Fruit Center," and entered into on February 16. 2022 (hereafter the "Contract") with Yakima Valley
Neighborhood Health Services (hereafter "Contractor") is between the City of Yakima (hereafter the "City")
and Contractor.
Whereas, the City entered into City Contract 2O23'O43with Contractor for the purpose ofproviding
programing at the Washington Fruit Center; and
Whereas, the original term ofsaid Contract currently terminates onFebruary 1G.2U23;and
Whereas, Contractor has requested toextend current contract terms ofanadditional one (1)year
Contract term with the City; and
Whereas, both parties agree that contract extension would bemutually beneficial; and
Now, therefore, the City and Contractor oQroo to the following contract extension of the existing
Contract, under the conditions set forth:
The term of Contract No. 2022'043 is hereby extended for 365 days from February 16.
2023. THROUGH February 16. 2024 or until Contract ioterminated byeither party in
accordance with the terms of the Contract.
Except as expressly modified hmnain, all other bomna and conditions of the above -referenced
Contract No. 2022-043 between the City of Yakima and Yakima Valley Neighborhood Health Services shall
remain infull force and effect.
CITY OF YAKIMA
By:
'City Manager
Dote:
Contract No. 2O22'O43Extension 1
Yakima Valley Neighborhood Health Services
Al
By:
Noma RhondoHnuff
Title: CEO
Date: 1/31/23
°
AGREEMENT
Programming at the Washington Fruit Center
THIS AGREEMENT (hereinafter "Agreement") is made and entered into by and between the C����m
�a��after#m"C�v�aVVoohng�nmunkjmduo�o ||on'andYakimoNo' hbo�ondHaaNnGem�on(hereinafter
WITNESSETH: The parties, in consideration of the terms and conditions herein, do hereby covenantand agree aufollows:
I. Programming Services
The minimum oemkmu (hereinafter referred to an "Programming") that the Programmer will provide include those as
described in Programmers RFP Submittal, which is attached as Exhibit A hereto and incorporated herein by this reference.
2. Contract Term
Programming will boawarded for one 12-moMhcontract period. Non-competitive continuation requests will boconsidered
up to two (2) additional years depending on performance and availability.
3. Termination
Either party may terminate the Contract at any time, without cause, by providing at least thirty /30calendar days' notice.
in writing, of the intended date of termination.
4. /gonuv Relationship between City and Programmer
Programmer shall, at all timex, be an independent Contractor and not an agent or representative of City with regard to
performance of the Programming. Programmer shall not represent that it is, or hold itself out as, an agent or representative
of City. In no event shall Programmer be authorized to enter into any agreement or undertaking for, or on, behalf of City.
5. Compliance with Law
Programmer agrees 0n poMumn all Programming under and pursuant Vothis Contract in full compliance with any and all
applicable laws, rules. ordinances and regulations adopted or promulgated by any governmental agency or regulatory body,
whetherfederal, state, local, or otherwise including policies adopted by the City, as such laws, ordinances, rules, regulations
and policies apply to the use and operation of City of Yakima property. facilities and operations as those laws, ordinances,
rules, regulations, and policies now exist or may hereafter be amended or enacted.
8.
During the performance of this Contract, Programmer agrees as/ollow&
The Programmer shall not discriminate against any person on the grounds of race, creed, color, religion, national origin,
sex, age, marital status, sexual orientation, gender identity, pregnancy, veteran's status, political affiliation urbelief, orthe
presence of any sensory, mental or physical handicap in violation of the Washington State Law Against ��mi��
(RCYVcho�ar49.8U)or�eAmnr�wit
h �Disabilities etonq.). -
This provision shall include but not be limited hothe following: amy|oymont, upgrading, damotion, tnansfer, recruitment,
advertising, layoff or termination, rates of pay or other forms of compensation, selection for training, and the provision of
Services under this Agreement,
|nthe event ofthe Programmer's noncompliance with the non-discrimination clause of this contractorwith any such rules,
regulations, urorders, this Contract may becancelled, terminated, orsuspended inwhole nrinpan and the Programmer
may bedeclared ineligible for any future City contracts,
Page I of 5
°
7. The Americans With Disabilities Act
With regard to the services to be performed pursuant to this Agreement, Programmer agrees to comply with the Americans
With Disabilities Act uf1S9O.42U.G.C.8131O1etseq. (ADA)and its implementing regulations, and Washington 8tate'm
antidiscrimination law as contained in RCYV Chapter 49.80 and its implementing regulations. The ADA provides
comprehensive civil rights to individuals with disabilities in the area of employment, public accommodations, state and local
government services, and telecommunications.
8. NnInsurance Provided byCity
It is understood the City does not maintain liability insurance for Programmer and/or its staff.
9. Indemnification and Hold Harmless
Programmer agrees to protect, defend, indemnify, exonerate, and hold harmless the City, its elected and appointedVfficials.
aQonts, offioom, and employees (hereinafter "parties pmtected^)from (1) any and all claims, demands, liens, |owouKo.
administrative and other pmoaedingu.anUC8anyunduU]ud0monts.awards.loxuen.|iahUhieo.damagao0mdudingpundivo
or exemplary damages), penalties, fines, costs and expenses (including legal fees, costs, and disbursements) for, arising
out of, or related to any actual or alleged death, injury, damage or destruction to any person or any property (including but
not limited to any actual or alleged violations of civil rights) to the extent solely or concurrently caused by, arising out of, or
related to any actual or alleged act, action, default or omission (whether intentional, willful, reckless, negligent, inadvertent,
or otherwise) resulting from, arising out of, or related to Programmers provision of services, work or materials pursuant to
this Agreement. Programmer further agrees that it specifically and expressly waives its immunity under industirial insurance,
Title 51 RCW, or immunity under any other provision of law to the extent of the obligations assumed to the parties protected
hereunder.
10, Insurance
On or before the effective date of this Agreement, Programmer shall provide the City with a certificate of insurance as proof
of liability insurance in the amount of Two Million Dollars ($2,000,000 00) that clearly states who the provider is, the amount
of coverage, the policy number, and when the policy and provisions provided are in effect (any statement in the certificate
to the effect of "this certificate is issued as a matter of information only and confers no right upon the certificate holder" shall
be deleted), Said policy shall be in effect for the duration of this Agreement. The policy shall name the City, its elected and
appointed officials, officers, agents, employees and volunteers as additional insureds, and shall contain a clause that the
insurer will not cancel or change the insurance without first giving the City thirty (30) calendar days prior written notice.
Insurance shall be with an insurance company or companies rated A-VII or higher in Bests Guide. The insurance company
shall be either admitted in the State of Washington or a licensed surplus lines insurance company in the State of Washington
If the City is damaged by the failure of Programmer to maintain the above insurance or to so notify the City, then
Programmer shall bear all costs attributable thereto. If requested, Programmer shall provide the City With a complete copy
of the policy.
11. Assignment.
This Agreement, or any interest herein, or claim hereunder, shall not be assigned or transferred in whole or in part by
Programmer to any other person or entity without the prior written consent of the City In the event that such prior written
consent to an assignment is granted, then the assignee shall assume all duties, obligations, and liabilities of Programmer
stated herein
12. Background Checks
Personnel (Programmer and Staff, including Volunteers) must undergo u1O-year criminal history background check,
initiated and paid for bvProgrammer. Initial background checks must be performed within thirty (30) days of award of
contract and reports given to the City Representative at that time. Checks on any new staff hired during the term of this
contract must be performed immediately and reports given to the City Representative as soon as they are available.
m. Programmer and Staff must not have been convicted of any crimes against any vulnerable population in any
degree inthe preceding ten (10year period.
b. Programmer and Staff must not have been convicted of the ohmo of larceny or theft in any do8ma in the
preceding five (5)year period.
Page 2 of 5
'
o. Programmer and Staff must be clear of any domestic violence, sexual or drug related convictions. Programmer
and Staff shall hofree from any pending felony actions mconvictions.
d. Programmer shall maintain a drug free workplace/policy. No staff may be under the influence or exhibit any
signs ofeither alcohol, drug use, orboth.
a. Aonua|ly, during nootnout renewm|. Programmer will provide the name background check for each staff
member working onthis contract that was required when the contract was awarded.
L Violation of, or failure to adhere to any of the above requirements shall be deemed sufficient cause for
termination.
13. General Requirements
a. Programmer is responsible for supervision of all minors and persons who are part of a vulnerable population
and/or require special care, who are inattendance at their program(s) atall times.
h. Programmer is responsible for hiring, counseling, discipline, and firing of their own program staff.
o. Programming must bwkept h>asound level that does not disrupt other programs.
d. Damaqqs/Nm
Programmer agrees toexercise the utmost care inthe use ofthe facility and property. Nupermanent
alterations may be made. All tables and chairs must be returned to the appropriate storage area in good
order. All debris and spills must be cleaned. Trash must be placed in trash bags, removed from building and
deposited in the outside receptacle. All supplies and equipment must be removed from the building
immediately following your session. Any equipment that remains will bemade available tuall users of the
facility at no charge. Building must be returned to the same condition as when you a*ecl.
e.
The City may prohibit entry hnany secure facility, nrremove from the facility, uProgrammer orustaff member
who does not perform his/her duties in a professional manner, or who violates the secure facility's security
m|au and pmondu/au. The City reserves the right b/search any person, pmperty, or article entering its
facilities.
14. Integration
This Contract, along with the City mfYakima'u RFP 12111P Programming at the Washington Fruit Center and the
Programmer's response to the Request for Proposals (^RFP^), represents the entire understanding of the City and
Programmer aS10those matters contained herein. Nuprior oral nrwritten understanding shall beo[any force oreffect with
respect 0uthose matters covered homin. This Contract may not bemodiifiod oraltered except in writing signed by both
parties,
15.Gamonubi|ity
If any portion of this Aommmon( is changed per mutual agreement or any portion is held invalid, the remainder ufthe
Agreement shall remain infull force and effect.
18. Governing Low
This Contract shall bogoverned by and construed |naccordance with the laws of the State of Washington.
17. Venue
The venue for any judicial action benforce or interpret this Contract shall lie inacourt of competent jurisdiction in Yakima
County, Washington.
18. Authority
The person executing this Contract, on behalf of Programmer, represents and warrants that he/she has been fully
authorized byProgrammer toexecute this Contract nnits behalf and to legally bind Programmer to all the terms,
Page 3 of 5
19. Notices
Unless stated otherwise herein, all notices and demands shall be in writing and sent or hand delivered to the parties to
their addresses as follows:
TO CITY:
TO PROGRAMMER:
Ken Wilkinson
Parks & Recreation Manager
City of Yakima Parks & Recreation Division
2301 Fruitvale Boulevard
Yakima, WA 98902
Rhonda Hauff
CEO
Yakima Neighborhood Health Services
12 S 8th Street, PO Box 2605
Yakima, WA 98907-2605
The foregoing sections of this Contract, 2-19 inclusive, shall survive the expiration or termination of this Contract in
accordance with their terms.
IN WITNESS WHEREOF, the parties hereto execute this Contract as of the day and year first above written.
CITY OF YAKIMA
City Manager
Date:
0
C.>
13
YAKIMA VALLEY NEIGHBORHOOD HEALTH SERVICES
By:
Date: January 28, 2022
Rhonda Huff, CEO
(Print name)
Page 4 of 5
Programmer's RFP Submittal
Separate Attachment
EXHIBIT A
Page5of5
1r)i.614-
Ylki1114 Neighborhood Health Service,
12 South ti St, PO Box 2605
Yakima WA 98907-2605
Phone (509) 454-4143 Fax (509) 454-3651
www.ynbLorg
September 28, 2021
Maria Mahue, Purchasing Manager
City of Yakima
129 North 2nd Street
Yakima WA 98901
Maria.mayhue(yakimawa.qov
Ms. Mayhue,
Yakima Neighborhood Health Services (YNHS), a 501 (c) 3 non-profit Community
Health Center in Yakima, is pleased to present "Neighborhood's Neighborhood"
proposal to provide Child and Adolescent Health Services at the Washington Fruit
Community Center (WFCC). Our efforts will target prevention services to all residents
of Yakima, with particular focus on the low income and historically underserved
residents of northeast Yakima.
YNHS is a full -scope, comprehensive health and social service organization. Our
trained staff are effective in outreach and engagement strategies, and have proven
successful in collaborations in the community assisting residents in getting the help
they need. We are excited about the possibilities the collaborations in the WFCC may
bring.
YNHS Representative: Rhonda Hauff, CEO
Physical Address: Yakima Neighborhood Health Services, 12 South 8th Street, Yakima
WA 98901
Mailing Address: Yakima Neighborhood Health Services, PO Box 2605, Yakima WA
98907-2605
Telephone: 509-574-5552; Email : rhonda.hauffynhs.orq
I believe this proposal meets all the requirements set forth in this RFP.
Rhonda Hau , 0
Yakima Neighborhood Health Services
Accredited by the Joint Commission
Patient Centered Medical Home Level 3
Yakima Neighborhood Health Services / Washington Fruit Community Center Page I 1
A. Schedule of Activities
YNHS will utilize a combination of WFCC classroom space and the YNHS mobile medical unit to
provide health screenings, immunizations, and healthy behavior to all individuals and families
who present at the Washington Fruit Community Center. Our goal is to provide a "one stop"
Patient Centered Medical Home model of assessment, education, and interventions for children
and their families to promote healthy behaviors. "Neighborhood's Neighborhood"
comprehensive program includes:
• Healthy Kids (well child) exams — Early Periodic Screening, Diagnosis, and Treatment
(EPSDT) exams include complete physical exams for children under age 21. The exam
also includes a family health history, hearing and vision screens, blood lead levels,
behavioral health screens, age appropriate developmental screens, and immunizations.
As part of these exams for adolescents 13 years old and older, the well child exam also
includes counseling with the provider about Sexually Transmitted Infections (STIs) and
Family Planning. Our staff will be available to provide well child (including sports
physicals to both YNHS established patients and those who are not YNHS patients). The
well child exams and immunizations will be provided in the YNHS mobile unit (to be
parked outside in an agreed upon location). Use of the mobile unit will provide patient
privacy, access to medical equipment, the YNHS Electronic Health Record , and to the
Washington State Immunization Information System.
• Immunizations (including Covid-19 vaccines) — during and separate from the Healthy
Kids exams, consumers and their family members will be able to get immunizations .
YNHS participates in the Washington State Immunization Information System (WAIIS),
so for anyone who comes to our program, our staff would be able to access WAIIS and
identify if there are immunization needs whether they are YNHS established patients or
not.
Diabetes Prevention - providing nutrition education and physical activities to children
and adults (separate curriculums) using the American Dietetic Association's "Food
Smarts" age -appropriate curriculum and the "CATCH" curriculum for physical activity.
This will be an expansion of current programs in place at YNHS through the Department
of Agriculture's Snap -Ed program and the American Academy of Diabetes Prevention
(AADP) Program at YNHS. These are Evidence Based Practices and are provided by
trained staff. The AADP program at YNHS has been accredited by the American
Academy of Diabetes Prevention.
• Health Literacy and Improving Access to Care — As part of the YNHS team at the WFCC,
we will include a Community Health Worker / Navigator who is bilingual/bicultural to
help families navigate the health care system in Yakima. Community Health Workers
(CHWs) help families and individuals navigate the health and social service systems, act
as patient advocates, connect people to needed services, and provide health education,
Yakima Neighborhood Health Services / Washington Fruit Community Center Page I 2
and basic health care services in a culturally appropriate manner. CHWs help the
patient overcome health inequities and the social determinants of health by accessing
the services and supports the patient identifies as needing. Our CHWs are part of the
community. Specifically since the beginning of the Covid pandemic we have seen a
significant disparity gap between the health literacy of our "mainstream" patients, who
have a working knowledge of smart phones, tablets, and PCs to access their health
provider and health information, versus our poorest and non-English speaking
populations. For those who rarely use a computer, smart phones are difficult to
understand and navigate. A skilled CHW is effective in helping people safely access
health care with their provider via video visits and through their patient portal. Being
able to utilize technology to access health care services are skills which can further
equity and health literacy. Without these skills, we fear the health disparities will be
further exacerbated as the gap between those that have access and those that do not.
Over the past several months, our CHWs have been working with our most vulnerable
populations to help them access both medical and behavioral health visits through their
Smart Phones or tablets. Additionally, the CHWs conduct a Social Determinants
assessment as part of their engagement, and will assist families connecting to other
basic needs (housing / rental assistance, food, clothing , health insurance) as a result of
this assessment.
B. Service Capacity
Neighborhood's Neighborhood will be onsite at the WFCC one day per week (this day is
negotiable with the other service providers. Additional time can be added based on the
popularity of the services and the demand. Based on a schedule of one day per week,
we anticipate the following service capacity:
Activity
Well child exams
Hours (one day / week)
12pm 7pm
Immunizations
12pm — 7pm
#Appts annually_
500
700
Diabetes Prevention
3pm — 7pm
Health Literacy / Navigation
12pm — 7prn
200
500
C. Staffing Overview and Qualifications
RHONDA HAUFF is the CEO of Yakima Neighborhood Health Services, and has been with
YNHS since 1983. Ms. Hauff serves on the Board of Directors of the National Health Care
for the Homeless Council. She is past chair of NACHC's Health Care for Homeless
Committee and Health Care in Public Housing Task Force, and serves on several local
partnerships to coordinate access and services for underserved populations. Ms. Hauff
oversees the competencies and integrity of all programs at YNHS.
Yakima Neighborhood Health Services / Washington Fruit Community Center Page 1 3
Jocelyn Pedrosa, MD is the Chief Medical Officer of YNHS, having started her professional
career at YNHS in 1996 after completing her residency in Pediatrics from the University of
Illinois at Chicago, and her Doctor of Medicine from the University of the Philippines, College of
Medicine in Manila in 1991. Dr. Pedrosa oversees all clinical staff of inter -disciplinary
providers and support staff in the areas of primary care, behavioral health, pharmacy,
nutrition services, outreach and housing to support patient centered care for all the center's
patients, and particularly special needs agricultural workers, homeless, and residents of public
housing in Yakima County. Dr. Pedrosa oversees the credentialing and privileging of all clinical
staff, in accordance with the standards of the Joint Commission on Accreditation of Health Care
Organizations.
Michelle Sullivan, LMHC, is the Chief Quality and Compliance Officer at YNHS and has been with
the organization since 1995. Her role is to lead YNHS staff in quality initiatives and risk
management activities, and oversee customer service operations.
Katie Smith, RD-CD is the Nutrition Services Director at YNHS and has been 2011. Ms Smith is
certified with the American Academy of Diabetes Educators as a national Diabetes Educator
and oversees all nutrition programs at YNHS including WIC, SNAP -Ed, Neighborhood Kids, and
Diabetes Self -Management Education.
YNHS provides services without regard to age, race, handicap, sexual orientation, national
origin or ancestry. Governance is based on the firm belief that those we serve should have
input into our service delivery system. The corporate by-laws have reflected this commitment
since YNHS was founded 45 years ago, requiring the board be comprised of at least 51% users
of our services. Agricultural workers and people who have experienced homelessness , and
those who live, or have lived in public housing are also on the board, as well as
representative(s) of the LGBTQ+ community.
D. Intended Outcomes
YNHS will record collect demographic data to assure we are reaching our target population
of low-income and otherwise disadvantaged families from the community (race, ethnicity,
income, poverty level, insurance status, housing/homeless status, migrant status, etc.)
• At the end of the program year, we expect:
o 90% of children screened during well child visits will be referred to a primary
care provider for follow-up care If an acute or chronic problem is identified and
the patient is not currently being treated.
o 90% of children screened for immunizations will be provided immunizations and
those immunizations will be entered into the Washington State Immunization
Information System.
Yakima Neighborhood Health Services / Washington Fruit Community Center Page 1 4
o 85% of children participating in Snap Ed and AADP groups will demonstrate
increased knowledge of nutrition and physical activity resources available in the
community.
o 85% of children and adults participating in the Snap Ed and AADP programs will
report increased physical activity and consumption of fruits and vegetables.
o 70% of families served by a CHW will report increased confidence or use of
technology to access health information or health care.
E. 12-month Work Plan
• month o-
o Identification of space readiness at Washington Fruit Community Center.
o Identify location for mobile unit next to WFCC (mobile unit used for exams)
Month 1-
o Discuss schedule with City staff and/or other service providers regarding space
utilization.
o Identify YNHS staff assignments (Pediatrician, Medical Assistant, Dietitian,
Community Health Worker, Receptionist, IT Analyst).
Month 2 —
o Communications Director develops outreach materials (written and social media) in
English and Spanish to promote new site and services at WFCC.
o Outreach Team distributes information to neighborhoods around WFCC .
o Supplies ordered for WFCC.
o Mobile unit prepared.
Month 3 —
o Services begin.
F. Literature Citation(s)
Our model used is a Patient Centered Medical Home (PCMH) model, which is an approach
to delivering high -quality, cost effective primary care. Services are tailored with the
individual patient involved and toward their interest. The activities chosen for the WFCC
are Evidence Based Practices and include:
CATCH (Coordinated Approach To Child Health) — CATCH is part of the CDC's Whole School,
Whole Community, Whole Child" model. YNHS has been using this as part of our Snap Ed
program and found it successful with our children.
www.catchinfo.or research the-cdc-model
Yakima Neighborhood Health Services / Washington Fruit Community Center Page 1 5
Food Smarts is a program developed by the USDA and is part of the SNAP -Ed Strategies and
Intervention Toolkit. It is designed to support healthy behavior change in the areas of
healthy eating, food safety, cooking, and food resource management.
www,.§p a pedtootkit.,org
Community Health Workers are frontline public health workers, typically trusted members of the
community, who serve as liaisons between health and social services and the community to
facilitate access to services and improve quality and cultural competence of service delivery.
www.cdc.gayipublichealthgatewayjchwfindex.html
Qualification Requirements
1. Qualifications our organization has providing the proposed
programming:
Yakima Neighborhood Health Services (YNHS) is a Community Health Center which has been
serving Yakima County for 45 years. Our services include integrated medical, dental and
behavioral health services, pharmacy, optometry, maternity support services, nutrition
education for women, infants and young children (WIC), Snap -Ed, and homeless services
including street outreach, medical respite care, permanent supportive housing, emergency
services assistance, and street outreach.
YNHS has been accredited by the Joint Commission on Accredited Health Care Organizations
since 2000, and was the first Community Health Center in the State of Washington to be
recognized as a Patient Centered Medical Home by the National Center for Quality
Assurance.
2. Experience providing similar programming
In the 1990s, YNHS was a founding partner of "KidScreen" which was a collaborative effort
of school districts, social service agencies, and health care providers to provide health and
developmental screenings for young children throughout Yakima County, and connect
families with community services to meet identified needs. This was a mobile program,
moving locations throughout Yakima County on a monthly basis to reach vulnerable families
who might not otherwise enter our systems through traditional venues. KidScreen was
successful for over ten years, and was followed by another ten year project called Kids
Connect, which focused on connecting children to ongoing primary care and reducing the
use of hospital emergency rooms for non -emergent care. Both programs relied on YNHS
Yakima Neighborhood Health Services / Washington Fruit Community Center Page I 6
taking a team and services out to the community, engaging consumers and providing
services in non-traditional medical settings (like churches and community centers).
3. Existing partnerships that contribute to our success
YNHS has long standing partnerships in Yakima County. As described earlier, KidScreen and
Kids Connect are two such examples. Though these programs were both initially funded
through federal grants, they each continued for years through the inkind support of each
agency because of the strength of the partnerships. Those partners include Community
Health of Central Washington, Yakima Valley Farm Workers Clinic, Yakima Valley Farm
Workers Clinic, and ESD 105.
Currently, YNHS works with these same organizations on many programs to support low
income and disadvantaged populations. Several of our satellite facilities are located within
partnering organizations with similar missions, and at their requests (we have clinics inside
the Henry Beauchamp Community Center, Comprehensive Health Services, and formerly
Triumph Treatment Services).
A few additional examples of partnerships include:
• Homeless Student Stability Program — Homeless Liaisons In all school districts and ESD
105.
• Lead Organization, Health Benefit Exchange, Affordable Care Act — partnering with
Community Health of Central Washington and Yakima Valley Farm workers Clinic to
outreach to uninsured and provide information and health care application assistance.
• Yakima County Covid response — YNHS has partnered with Yakima County Department
of Human Services and the Office of Emergency Management. We have been providing
Rental and other Emergency Assistance, recuperative and supportive housing.
(Additional examples are available I)
4. A copy of our 501 c 3 registration is attached
[OOQOI OTTO OPP 'OI[Y TO [MILD MIILTM
How CATCH aligns with the WSCC Model:
The CATCH program consists of five main components:
1) Classroom lessons for each grade level on nutrition, physical activity, and screen time
reduction
2) 2) Enhanced PE instruction and activities designed to maximize the time spent in moderate -
to -vigorous physical activity
3) 3) Guidance and resources for creating a school nutrition environment that promotes healthy
foods and reinforces classroom learning
4) 4) The CATCH •.rdlnation Kit which ties components 1-3 together and provides a
framework for collaboration among administrators, teachers, nutrition staff, parents, and
other important stakeholders
5) 5) Implementation training, technical assistance, and evaluation support to ensure program
fidelity and sustainability.
The CATCH program design is based on the Center for Disease Control and Prevention's
Coordinated School Health model as it relates to physical activity and nutrition, and aligns with
the updated Whole School Whole Community, Whole Child WSCC) I 'el. The key to this
alignment Is the CATCHCoordination' Kit. Unique to the CATCH program (no other program on
the market has a similar tool), this resour provides a step-by-step guide for coordinating
wellness effort across the campus, district, and into the community. On each campus, a CATCH
Champion and team are recruited to spearhead and coordinate program efforts. The CATCH
team may include PE & dassroom teachers, nutrition services, health services, school
administrators, specials teachers, parent leaders, students, and oommunity constituents.
Organized into 6-week themes, the coordination kit guides the CATCH team in conducting
simple to more complex activities designed to engage the school community and deliver
consistent messaging about healthy lifestyles. Examples of activities included in the
coordination kit are: Signage promoting GO -SLOW -WHOA, including health messages in daily
announcements, sending home parent tip sh:<ts and newsletters, hosting a family/community
fun night, planning staff wellness activities, etc.
More specifically, CATCH aligns with the WSCC model as follows:
Health Education
CATCH provides a classroom curriculum for each grade level (K-8) that teaches students to
identify, practice and adopt healthy eating and physical activity habits. Each lesson
contains detailed instruction for teachers, as well as opportunities for integrating activities
into other subject areas such as language arts and math. To meet the needs of different
types of leamers, a variety of educational strategies are used including individual practice,
cooperative learning groups, large discussion groups, educational games, media, skill -
building activities, and goal -setting and reinforcement incentives. CATCH curriculum
materials address the National Health Education Standards for grades K-8.
Nutrition Environment and Services
CATCH impresses on students key lessons about the nutritional value of various food
groups. CATCH uses a stoplight model to break foods out into three groups: GO, SLOW,
and WHOA foods. The goal is to eat more GO foods than SLOW foods, and to eat WHOA
foods only in very small amounts. GO describes foods that are whole grain, unprocessed
fruits and vegetables, lowest in fat, contain no added sugar, and can be eaten daily. SLOW
describes foods that are slightly processed and may have some added salt, fat or sugar.
WHOA describes foods that have the highest fat and sugar.
The CATCH Eat Smart Nutrition Program aids child nutrition services staff in grades K-8
providing:
• Healthy menu planning, purchasing, preparation and promotional tips
• An introduction to coordinated school health and facilitation with wellness policy
concepts
• Resources for planning healthy schoolparties, staff & parent functions, and fundraisers
• Useful tips on how to implement GO, SLOW, and WHOA as an aide in helping children
choose healthy foods and to promote positive nutrition messages throughout the
school and to parents.
Physical Education and Physical Activity
The CATCH PE curriculum is designed to increase the amount of moderate -to -vigorous
physical activity children engage in during their PE time to at least 50% (consistent with
NASPE guidelines) and encourage students to perform 60 minutes of physical activity
every day. Developmentally appropriate activities reinforce movement skills, sports
involvement, physical fitness, social development, skill competency, and cognitive
understanding about the importance of lifelong physical activity. All CATCH activities are
non -elimination and stress the development of valuable social skills including teamwork,
cooperation, and respect.
Family Engagement & Community Involvement
CATCH's parent materials encourage parents to teach their children healthy lifestyle skills,
become healthy role models, and reinforce in -school teaming. CATCH classroorri lessons
include take home activities for children and parents to do together, reinforcing the
importance of supporting children's healthy habits at home. In addition, the Coordination
Kit provides various resources for engaging parents and the community including letters
home to parents, agenda items for PTA meetings, tips for planning family/community
activities, etc.
Employee Wellness
Through strategies and resources provided in the rdination Kit, CATCH helps school
staff to engage in h Ithy behaviors and act as positive role models for their students. For
example, administrative are encouraged to institute a policy in which only healthy snacks
are provided for school meetings and "Caught You Being Healthy Postcardsprovide a fun
and visible way to acknowledge ernployees who are caught eating healthy foods and
exercising,
Social and Emotional School Climate
By coordinating wellness efforts throughout the school community, CATCH creates a
culture in which healthy behaviors are encouraged and supported. PE and classroom
activities promote cooperation and teamwork and guide students in being positive role
models for their peers and families. The original clinical trial for CATCH, as well as
subsequent research studies, have shown that exposure to CATCH increases students'
perceived social support and self -efficacy for healthy eating and physical activity.
Physical Environment
The goal of CATCH is to create an environment in which healthy behaviors are not only
taught, but also encouraged and supported. Schools are often limited in the physical
changes they can make due to funding and other restrictions, therefore CATCH
encourages modest changes. For example, hanging teacher and student created signage
throughout classrooms and hallways to promote CATCH concepts, such as GO -SLOW -
WHOA and being a CATCH MVP (Move and stay active, Value healthy eating, Practice
healthy habits).
Health Services
An abundant body of research supports the importance of healthy eating and physical
activity for maintaining good health, including improved cardiovascular fitness, stronger
bones, enhanced emotional wellbeing, and obesity prevention.
Counseling, Psychological, & Social Services
Research has shown that implementing strategies that help students to eat healthy and be
physically active can result in fewer behavioral problems, decreased rates of absenteeism,
improved cognitive performance, and higher academic achievement.
This document was downloaded from hi tps://sna_pedtoolkit,oN tcrvent ions/proerams/ food -smarts/. Copyright
C 2021 UNC Center for Health Promotion and Disease Prevention.
Leah's Pantry
very'.
Food Smarts is a direct education intervention that is designed to support healthy behavior change in the areas
of healthy eating, food safety, cooking, and food resource management. Food Smarts is a flexible, learner -
centered, multi -session nutrition and cooking program with several available lesson plans to fit the needs of a
variety of settings. A kitchen is not required for the implementation of the intervention, but participants can be
engaged in simple recipe preparation as an instructional strategy. The adult curriculum of Food Smarts
is available in English, Spanish, Russian, Chinese, Vietnamese, and Korean. The youth curriculum is available
in only English. Target Behavior: Healthy Eating Intervention Type: Direct Education
I terve tio ec uOitiO
Food Smarts for Adults was developed by working with parents living in long term transitional housing shelters,
adults living in affordable housing communities throughout CA, and clients of charitable food distributions in
San Francisco. The youth curriculum was developed with youth living in affordable housing communities and
attending out -of -school programs, representing different backgrounds and ages. Food Smarts workshops can be
facilitated anywhere where direct education is appropriate. Over 15,000 unduplicated participants have
graduated from Food Smarts workshops series over the past 13 years. Several hundred staff have been trained
at partner sites via the Food Smarts Training Program to enable continuation of the intervention. Setting:
Community (Live), Faith -based community, Food pantries, Health care, School (Learn), USDA program sites
(not National School Lunch Program) Target Audience; Elementary School, Middle School, High School,
Pregnant/Breastfeeding Women, Parents/Mothers/Fathers, Adults, Older Adults, Homeless/Food Pantry Clients
Race/Ethnicity: All
terve tion onents
Food St iarls includes the foDowin. core C0111 meats: instructor guides, participant workbooks, and participant
An:1; o ,t1 .*: ranedroountout tervention dood-strieutsr 199/1TP/2021 03:29:01 pm
mpOS SUSI es e intmen compoti ravine
the facilitation framework, lesson plans, activities, participant materials, and outcome evaluations. There are a
variety of lesson plan groups (four -week, five -week, or six -week) and lesson lengths (30, 60, or 90 minutes),
allowing implementing partners the discretion to choose which option meets the needs of their clients/agency.
Also included in the Instructor guide is a curriculum fidelity handout that outlines types of modifications,
guidance for those modifications, examples, and evaluation requirements. Partners must be trained via the
in -person or web -based Food Smarts Training Pro . it in order to implement the series. After which, they can
implement on their own time. Leah's Pantry offers technical assistance to support implementation. Partners will
be expected to sign a Partner Agreement, as well as share any evaluation data collected.
te e tio ateril
Intervention materials for Food Smarts:
• Food Smarts Adult Workbook (available in English, Spanish, Russian, Chinese, Korean, Vietnamese
• Food Smarts Instructor Guide: Adult (English)
• Food Smarts Kids Workbook (English)
• Food Smarts Instructor Guide: Kids (English)
• Food Smarts for Food Waste (English)
More information about above mentioned resources visit: hup://www.leahspantry.org/what-wc-offerlclasses-
curriculum/food-smarts-curriculurn/
te
tio osts
There is a cost for training in most cases but often the state agency funds training for local implementers. Once
an agency is trained, digital access to curriculum materials is free. Printed workbooks and instructor guides may
be ordered from Leah's Pantry or Amazon.com at a cost. Print copies of the participant workbooks and
accompanying instructor guides can be purchased through our website. Costs vary, please see website for
updated prices. https://www.leahspantr% roduct-cate uor‘ /food -smarts/
vi • ence
ry
Outcome evaluations demonstrate statistically significant improvement in short- and medium -term healthy
eating indicators. Per our FY 2017 outcome evaluation, participants reported statistically significant changes in:
• Using MyPlate to make food choices
• Increasing fruit and vegetable consumption
• Eating more than one kind of vegetable
• Decreasing sugary beverage consumption
Our FY15 and FY16 evaluations also demonstrate statistically significant changes in food safety and resource
management. Evidence -based Approach: Practice -tested
page 2 of 3 https://snapedtoollcitorg/interventions/programs/food-smarts/ 09/10/2021 03:29:01 pm
1 tors
Based on the SNAP -Ed Evaluation Framework, the following outcome indicators can be used to evaluate
intervention progress and success.
Readiness and
Capacity — Short
Term (ST)
Individual
Enviro
Settings
$ Mt
ental
Sectors of Influence
Changes —
Medium Term
(MT)
MT]
MT1: Healthy Eating
• MT1d: Ate more than one kind of vegetable (p=0.038)
• MTlf: Used MyPlate to make food choices (pA/044)
• MT1h: Decreased sugary beverage consumption (p.001)
• MTI: Increased fruit consumption (p=0.00)
• MT1m: Increased vegetable consumption (p=0.002)
va
ti
ten
is
Effectiveness and
Maintenance — Long
Term (LT)
Population
Results (R)
Evaluation materials include pre- and post -questionnaires for both the youth and adult curricula.
0
1 1
for
0
Website: The Leah's Pantry website (www,leahspantrorg) includes morc on Food Smarts and other programs
developed by Leah's Pantry, Contact Person(s): Adrienne Markworth Phone: 650-351-7780 Email :ii ess:
Add ennegleabspantry.org
page 3 of 3 https://snapedtoolkitorg/interventions/programs/food-smarts/ 09/10/2021 03:29:01 pm
162W21, 3:66 PM
CDC
Centers fox Menlo
Control and Prevention
CDC • Community Health Worlur Rai • QTLT Getaway
Community Health Worker Resources
A community health worker (CHW) is a frontline public health worker who is a
trusted member or has a particularly good understanding of the community
served. A CHW serves as a liaison between health and social services and the
community to facilitate access to services and to Improve the quality and
cultural competence of service delivery.
The resources on this page are collected from programs across CDC that host
materials pertinent to CHWs. These resources should be helpful not only to
CHWs but also to those who work with them. Each description Identifies which of the following audiences are most likely
to find the resources useful:
• CHWs, who might be known by other names (e.g., promotores de salud, coaches, lay health advisors, community
health representatives, peer mentors, peer navigators)
• Certified educators, who might be CHWs or belong to another allied clinical group
• Community -based organizations, Including faith -based organizations and other community groups that work with or
host CHWs
• Health Insurers, purchasers, and payers —including Medicaid, Medicare, commercial insurers, and employers —who
have questions about reimbursing for the services that CHWs provide
• Healthcare providers, who want to incorporate CHWs into their practices
• Public health professionals who work with CHWs and other groups listed here
• Members of the general public, who might have engaged with CHWs and want to understand more about their role
If you identify a CDC resource not listed here, see an error, or have additional feedback, please email the NCCDPHP
Community Health Worker Workgroup.
Asthma
Cancer
Cardiovascular Disease
Diabetes
General Resources
Community Health Workers Can Be a Public Health Force for Change In the United States: Three Actions for a New
Paradigm
C�
This CDC staff -authored paper discusses how to strengthen the roles of CHWs, enabling them to become collaborative
leaders in a healthcare environment dramatically changing from "sickness care systems to systems that provide
comprehensive care for Individuals and families and supports community and tribal wellness.
Type of Resource: Journal article
Language: English
Audiences: Health insurers, purchasers, and payers, healthcare providers, public health professionals
Related CDC programs: Heart Disease and Stroke Prevention
Promoting Policy and Systems Change to Expand Employment of Community Health Workers (CHWs)
1/3
Daiii21, 3:66 PIO CDC - Comm* Haab Wear Rosatarces STLI Datergey
This resource is a six -session online course designed to provide state programs and other stakeholders with basic
knowledge about CHWs, such as official definitions of CHWs, workforce development, and other topic areas. In addition,
the course covers how states can become engaged in policy and systems change efforts to establish sustainability for the
work of CHWs, and includes examples of states that have proven success In this arena.
Type of Resource: Training
Language: English
Audiences: All
Related CDC programs: Heart Disease and Stroke Prevention
Community Health Workers: Part of the Solution Ei
This CDC staff -authored paper describes how two states, Massachusetts and Minnesota, Initiated comprehensive policies
to foster far more use of CHWs and, In the case of Minnesota, to make CHW services reimbursable under Medicaid.
Type of Resource:Journal article
Language: English
Audiences: Community -based organizations, NGOs, health insurers, purchasers, and payers, healthcare providers, public
health professionals
Related CDC programs: Heart Disease and Stroke Prevention
Promotores de Salud/Community Health Workers
CDCs Office of Minority Health and Health Equity showcases several CDC community health worker programs directed
at those who work in diabetes, HIWAIDs, cervical cancer, heart disease, high blood pressure, kidney disease, and other
areas. CHWs are an asset In educating people about health protection and disease prevention In a culturally appropriate
way, and In building trust to link people with needed health and medical services.
Type of Resource: Web page
Language: English
Audiences: All
Related CDC programs: Minority Health
A Summary of State Community Health Worker Laws • [PDF-680KB]
Thls fact sheet summarizes the extent to which states enact laws addressing CHW infrastructure, professional identity,
workforce development, and financing,
Type of Resource: Fact sheet
Language: English
Audiences: Community -based organizations, NGOs, healthcare providers, public health professionals
Related CDC programs: Heart Disease and Stroke Prevention
How the Centers for Disease Control and Prevention (CDC) Supports Community Health Workers In Chronic Disease
Prevention and Health Promotion • [PDF-273KB]
This resource provides: 1) basic information on who CHWs are, 2) how CHWs support the priority domains of CDCs
National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), 3) a list of grantees engaged in CHW
strategies, and 4) NCCDPHP products about and for CHWs.
Type of Resource: Report
Language: English
Audiences: All
Related CDC programs: Heart Disease and Stroke Prevention
Policy Evidence Assessment Report: Community Health Worker Policy Components • [PDF-1.07MB)
This report summarizes evidence bases for components of CHW policy interventions relating to chronic disease policy.
Type of Resource: Report
Language: English
Audiences: Community -based organizations, NGOs, healthcare providers, public health professionals
Related CDC programs: Heart Disease and Stroke Prevention
Policy Evidence Assessment Report Community Health Worker Policy • [PDF-230MB]
This resource summarizes the assessment of evidence supporting policy components that comprise a CHW policy
intervention.
Type of Resource: Fact sheet
Language: English
Audiences: Community -based organizations, NGOs, healthcare providers, public health professionals
1e5pi•Mweva.e.dc,govVaildwoldipsteenyklwofindeattgoil
713
WW1. 3:68 PM CDC Cantnunty Hurl Welter Rosana§ 8TLT (Mawr'
programs: Heart Disease and Stroke Prevention
Making the Business Case for Prevention Video Series: Community Health Workers Bridge Health Care Gap
Improved quality of care, Increased compliance, and reduced costs —these are Just a few of the many benefits of
including CHWs as part of a comprehensive health care team. This video shows how CI-IWs help patients , especially those
with language or other barriers , navigate complex health care systems.
Type of Resource Multimedia
Language: English
Audiences: All
Related CDC programs: Division of Nutrition, Physical Activity, and Obesity
Community -Clinical Linkages for the Prevention and Control of Chronic Diseases: A Practitioner's Guide 111 [PDF-1.7MB]
Thls guide is a resource for public health practitioners to define and facilitate community -clinical linkages.
Type of Resource: Report
language: English
Audiences: All
Related CDC programs: Heart Disease and Stroke Prevention
What Evidence Supports State Laws to Establish Community Health Worker Scope of Practice and Certification? •
[PDF-485KB]
This report provides an update to the previous CHW Policy Evidence Assessment Report and assesses evidence for two
types of CHW policy interventions addressed in existing state laws to inform state decision makers and public health
organizations.
Type of Resource: Report
Language: English
Audiences: Ail
Related CDC programs: Heart Disease and Stroke Prevention
A Summary of State Community Health Worker Laws-2016 [PDF-1 14MB]
This state law document builds on the CDCs 2013 state law fact sheet, A Summary of State Community Health Worker
Laws , which describes the landscape of state laws addressing four attributes of a sustainable CHW program:
infrastructure, professional identity, workforce development, and financing.
Type of Resource: Fact sheet
Language: English
Audiences: All
Related CDC program: Heart Disease and Stroke Prevention
Policy Brief: Facilitating the Use of Community Health Workers In Health Delivery Systems 0 [PDF-622K3I
This resource discusses state -level policy options and their possible effects on the services provided by CHWs. This policy
brief is a companion to the policy evidence assessment report, "What Evidence Supports State Laws to Establish
Community Health Worker Scope of Practice and Certification.'
Type of Resource: Report
Language: English
Audiences: All
Related CDC programs: Heart Disease and Stroke Prevention
Infectious Disease
Injury Prevention
Obesity
Physical Activity
Page last reviewed:August 18, 2016
Mkacllreterw.cdc.
IRS
nt of + e Tr iry
Rev - ue Service
0 w :n, UT 84201 .
Y ORHOOD ' s ' VICES
PO BOX 2605
Y ' A
WA 98907-260S 059
Taxpayer Identification Number: 91-0928817
Form(s): •
Dear T • ayer:
16205667 P.02
In reply refer to: + 5189187
Apr 28, 2011 LTR 147C
91-0928817
This letter is in response to your telephone inquiry of Apri128th, 2011.
Your Employer Identification Number (EIN) Is 91-0928817. Please keep this number in
your p „ : ent records. You should enter your name and your EIN, exactly as shown
above, on all business federal tax forms that require its use, and on any related
correspondence documents.
If you have any questions regarding this letter, please call our Customer Service
Department at 1-800-829.0115 between the hours of 7:00 AM and 10:00 PM. If you
prefer, you may write to us at the address shown at the top of the first page of this letter.
When you write, please include a telephone number where you may be reached and the
best time to call.
Sincerely,
Amber Baird
1001850735
Customer Service Representative
Addtvss any reply to P.O. Scat 21224. 5 .ttt ; %irineon 9e111
t #1l tr n t" Off
i' e;ist
Person to Contact: John G. Lien
Telephone Number: (206) 442-5132
Ot re cUP
nus arvtce
SEP 4 1981
fn frepIy refer tst
EP/EO:TS:JGL
Yakima Neighborhood Health Services
12 South Eight Street
Yakima, WA
1f - 9l-0c12.
Fonn Number: 990
Psrlods Endoi: 7906
1
SEP8 1981
We are pleased to tell you that as a result of our examination for
the above periods we will continue to recognize your organization as
tax—exempt.
We have indicated below whether there is a change in your liability
for the unrelated business income tax as provided by sections 511
through 515 of the Internal Revenue Code.
® There is no change.
0 You will receive an examination report explaining the proposed
adjustments.
Thank you for your cooperation.
Sincerely yours,
District Direotor
Letter 988 (DO) (7•71)