Common use of RESPONSIBILITIES OF SUBRECIPIENT Clause in Contracts

RESPONSIBILITIES OF SUBRECIPIENT. 3.1 For a Strategic Approach to Advancing Health Equity for Priority Populations with or at risk for diabetes the Subrecipient shall: (1) strengthen self-care practices by improving access, appropriateness, and feasibility of DSMES services for priority populations. (A) engage referring providers and community/clinical partners (i.e. DSMES providers) in streamlined referral processes to DSMES/other diabetes support programs; and (B) work with DSMES providers to identify needs related to increasing referrals (i.e. marketing materials, communication efforts, etc.). (2) improve acceptability and quality of care for priority populations with diabetes. (A) support existing or new clinic partners to implement diabetes care practices through QI projects, improving interpretation services offered, clinic workflow and follow up procedures, implementing team-based care, etc. (3) increase enrollment and retention of priority populations in the National DPP lifestyle intervention and the MDPP by improving access, appropriateness, and feasibility of the programs. (A) partner with new organizations (i.e. senior centers) to offer the National DPP LCP and assist organizations in registering to become CDC-recognized National DPPs through the Diabetes Prevention Recognition Program; and (B) identify geographic areas that have gaps in access to culturally appropriate services, by using the information gleaned in 2.1. Additionally, find opportunities to use the Utah Healthy Places Index to expand health equity efforts in diabetes prevention. 3.2 For the National Cardiovascular Health Program the Subrecipient shall: (1) track and monitor clinical and social services and support needs measures shown to improve health and wellness, health care quality, and identify patients at the highest risk of cardiovascular disease with a focus on hypertension and high cholesterol. (A) work with local primary care clinic to implement or improve their SDOH screenings. (2) implement team-based care to prevent and reduce cardiovascular disease risk with a focus on hypertension and high cholesterol prevention, detection, control and management through the mitigation of social support barriers to improve outcomes. (A) build the capacity of clinical teams to provide and connect patients with social services to help with reducing hypertension and high cholesterol. This shall include conducting formal and informal assessments of the current multidisciplinary team employed by the clinic, and planning how to improve the team based on the assessment results; (3) link community resources and clinical services that support bidirectional referrals, self- management, and lifestyle change to address social determinants that put the priority populations at increased risk of cardiovascular disease with a focus on hypertension and high cholesterol. (A) refer people in the community and in clinical settings with hypertension to lifestyle change programs, including the healthy heart ambassador program, SNAP-ED and EFNEP; (B) conduct an inventory of CHWs in their areas to identify where they are working and the populations they serve; (C) work with one clinic and one community partners in local areas to implement and improve SMBP programs. 3.3 For the State Physical Activity and Nutrition Program the Subrecipient shall: (1) implement state level policies and activities that promote food service and nutrition guidelines and associated healthy food procurement in facilities, programs, or organizations where food is sold, served, and distributed. (A) identify food venues that have a mission that would support FSG guidelines; and (B) partner with local government entities to adopt Eat Well Utah in their cafeterias. (2) implement state level policies and activities that coordinate uptake and expansion of existing fruit and vegetable voucher incentives and produce prescription programs. (A) promote and educate community and clinical partners on the health benefits of SNAP and WIC and provide them with the tools and training required to offer help with SNAP and WIC enrollment to their patients and clients. (3) implement state-level policies and activities to connect pedestrian, bicycle, or transit transportation networks to everyday destinations. (A) provide technical assistance to government agencies & communities working to improve PA safety and access on everyday routes to destinations; and (B) engage with community organizations to identify & implement policy or environmental changes that support PA in local areas (e.g., walk audits, citizen science assessments). (4) implement state level policies and activities that achieve continuity of care for breastfeeding families. (A) finalize a breastfeeding campaign with unified messages for hospitals, worksites, and ECEs based on existing platforms for partners and public; and (B) utilize assessments conducted from previous years to make improvements to lactation accommodations. 3.4 For reporting the Subrecipient shall: (1) submit detailed reports on progress, results and performance measure data by the following dates: (A) October 15, 2024; (B) January 15, 2025; (C) April 15, 2025; and (D) July 15, 2025. (2) comply with the reporting format in Qualtrics to document the progress made on the activities. The Subrecipient shall ensure that necessary information is entered into all required reporting fields. 3.5 For contract responsibilities the Subrecipient shall: (1) attend the annual Department Forum; (2) attend the Chronic Conditions Disease Management group; and (3) jointly review expenditures with the Department to determine if at least 35% of funds have been expended on activities as allocated: (A) if Subrecipient is below 35% expenditures a written plan of action will be provided by Department to ensure utilization of remaining funds for contract and funding purposes; and (B) over a three-year time period if the Subrecipient consistently underspends funds, the Department will work with the Health Promotion and Prevention Executive group and Governance to determine appropriate reallocation of funds.

RESPONSIBILITIES OF SUBRECIPIENT. 3.1 4.1 For a Strategic Approach to Advancing Health Equity for Priority Populations with or at risk for diabetes the Subrecipient shall: (1) strengthen Strengthen self-care practices by improving access, appropriateness, and feasibility of DSMES services for priority populations. (A) identify one new organization, assess interest and evaluate capacity to provide DSMES; (B) engage referring providers providers, community and community/clinical partners (i.e. DSMES providers) in streamlined referral processes to DSMES/DSMES or other diabetes support programs; and (BC) work with distribute DSMES providers marketing materials to identify needs related to increasing referrals (i.e. marketing materials, communication efforts, etc.)increase awareness of DSMES programs in priority populations and among referring providers. (2) improve Improve acceptability and quality of care for priority populations with diabetes. (A) support two existing or new clinic partners partnes to implement diabetes care practices through QI projects, improving interpretation services offered, clinic workflow and follow up procedures, implementing team-based care, etc. (3) increase Increase enrollment and retention of priority populations in the National DPP lifestyle intervention and the MDPP by improving access, appropriateness, and feasibility of the programs. (A) partner with new organizations support existing MDPP sites to increase referrals and participation and improve reimbursement processes. (i.e. senior centers4) to offer Expand availability of the National DPP LCP lifestyle intervention as a covered health benefit for Medicaid Beneficiaries, employees and assist organizations in registering to become CDC-recognized National DPPs through the Diabetes Prevention Recognition Program; andcovered dependents at high risk for type 2 diabetes. (BA) identify geographic areas that have gaps in access explore becoming trained and recognized as a Healm guide to culturally appropriate services, by using the information gleaned in 2.1. Additionally, find opportunities promote National DPP to use the Utah Healthy Places Index to expand health equity efforts in diabetes preventionworksites. 3.2 4.2 For the National Cardiovascular Health Program the Subrecipient shall: (1) track and monitor clinical and social services and support needs measures shown to improve health and wellness, health care quality, and identify patients at the highest risk of cardiovascular disease with a focus on hypertension and high cholesterol. (A) work with local primary care clinic to implement or improve their SDOH screenings. (2) implement Implement team-based care to prevent and reduce cardiovascular disease risk with a focus on hypertension and high cholesterol prevention, detection, control and management through the mitigation of social support barriers to improve outcomes. (A) build the capacity of work with two local clinics to implement or improve team based care; and (B) work with two clinics to assist clinical teams to provide with providing and connect connecting patients with social services to help with reducing hypertension and high cholesterol. This shall include conducting formal and informal assessments of the current multidisciplinary team employed by the clinic, and planning how to improve the team based on the assessment results;. (32) link Link community resources and clinical services that support bidirectional referrals, self- management, and lifestyle change to address social determinants that put the priority populations at increased risk of cardiovascular disease with a focus on hypertension and high cholesterol. (A) refer people in the community and in clinical settings with hypertension to lifestyle change social service programs, including the healthy heart ambassador programNational DPP as well as traditional social service programs, SNAP-ED and EFNEPincluding 211; (B) conduct an inventory of CHWs in their areas to identify where they are working and the populations they serve;; and (C) work with one clinic and one community partners two clinics in local areas to implement and improve SMBP programs. 3.3 For the State Physical Activity and Nutrition Program the Subrecipient shall: (1) implement state level policies and activities that promote food service and nutrition guidelines and associated healthy food procurement in facilities, programs, or organizations where food is sold, served, and distributed. (A) identify food venues that have a mission that would support FSG guidelines; and (B) partner with local government entities to adopt Eat Well Utah in their cafeterias. (2) implement state level policies and activities that coordinate uptake and expansion of existing fruit and vegetable voucher incentives and produce prescription programs. (A) promote and educate community and clinical partners on the health benefits of SNAP and WIC and provide them with the tools and training required to offer help with SNAP and WIC enrollment to their patients and clients. (3) implement state-level policies and activities to connect pedestrian, bicycle, or transit transportation networks to everyday destinations. (A) provide technical assistance to government agencies & communities working to improve PA safety and access on everyday routes to destinations; and (B) engage with community organizations to identify & implement policy or environmental changes that support PA in local areas (e.g., walk audits, citizen science assessments). (4) implement state level policies and activities that achieve continuity of care for breastfeeding families. (A) finalize a breastfeeding campaign with unified messages for hospitals, worksites, and ECEs based on existing platforms for partners and public; and (B) utilize assessments conducted from previous years to make improvements to lactation accommodations. 3.4 4.3 For reporting the Subrecipient shall: (1) submit Submit detailed reports on progress, results and performance measure data by the following dates: (A) October 15, 20242023; (B) January 15, 20252024; (C) April 15, 20252024; and (D) July 15, 20252024. (2) comply Comply with the reporting format in Qualtrics Catalyst to document the progress made on the activities. The Subrecipient shall ensure that necessary information is entered into all required reporting fields. 3.5 4.4 For contract responsibilities the Subrecipient shall: (1) attend the annual Department Forum; (2) attend the Chronic Conditions Disease Management group; and (3) jointly Jointly review expenditures with the Department to determine if at least 35% of funds have been expended on activities as allocated: (A) if Subrecipient is below 35% expenditures a written plan of action will be provided by Department to ensure utilization of remaining funds for contract and funding purposes; and (B) over a three-year time period if the Subrecipient consistently underspends funds, the Department will work with the Health Promotion and Prevention Executive group and Governance to determine appropriate reallocation of funds.

RESPONSIBILITIES OF SUBRECIPIENT. 3.1 4.1 For a Strategic Approach to Advancing Health Equity for Priority Populations with or at risk for diabetes the Subrecipient shall: (1) strengthen self-care practices by improving access, appropriateness, and feasibility of DSMES services for priority populations. (A) identify one new organization, assess interest and evaluate capacity to provide DSMES; (B) engage referring providers providers, community and community/clinical partners (i.e. DSMES providers) in streamlined referral processes to DSMES/DSMES or other diabetes support programs; and (BC) work with distribute DSMES providers marketing materials to identify needs related to increasing referrals (i.e. marketing materials, communication efforts, etc.)increase awareness of DSMES programs in priority populations and among referring providers. (2) improve acceptability and quality of care for priority populations with diabetes. (A) support two existing or new clinic partners partnes to implement diabetes care practices through QI projects, improving interpretation services offered, clinic workflow and follow up procedures, implementing team-based care, etc. (3) increase enrollment and retention of priority populations in the National DPP lifestyle intervention and the MDPP by improving access, appropriateness, and feasibility of the programs. (A) partner with new organizations support existing MDPP sites to increase referrals and participation and improve reimbursement processes. (i.e. senior centers4) to offer expand availability of the National DPP LCP lifestyle intervention as a covered health benefit for Medicaid Beneficiaries, employees and assist organizations in registering to become CDC-recognized National DPPs through the Diabetes Prevention Recognition Program; andcovered dependents at high risk for type 2 diabetes. (BA) identify geographic areas that have gaps in access explore becoming trained and recognized as a Healm guide to culturally appropriate services, by using the information gleaned in 2.1. Additionally, find opportunities promote National DPP to use the Utah Healthy Places Index to expand health equity efforts in diabetes preventionworksites. 3.2 4.2 For the National Cardiovascular Health Program the Subrecipient shall: (1) track and monitor clinical and social services and support needs measures shown to improve health and wellness, health care quality, and identify patients at the highest risk of cardiovascular disease with a focus on hypertension and high cholesterol. (A) work with local primary care clinic to implement or improve their SDOH screenings. (2) implement team-based care to prevent and reduce cardiovascular disease risk with a focus on hypertension and high cholesterol prevention, detection, control and management through the mitigation of social support barriers to improve outcomes. (A) build the capacity of work with two local clinics to implement or improve team based care; and (B) work with two clinics to assist clinical teams to provide with providing and connect connecting patients with social services to help with reducing hypertension and high cholesterol. This shall include conducting formal and informal assessments of the current multidisciplinary team employed by the clinic, and planning how to improve the team based on the assessment results;. (32) link community resources and clinical services that support bidirectional referrals, self- management, and lifestyle change to address social determinants that put the priority populations at increased risk of cardiovascular disease with a focus on hypertension and high cholesterol. (A) refer people in the community and in clinical settings with hypertension to lifestyle change social service programs, including the healthy heart ambassador programNational DPP as well as traditional social service programs, SNAP-ED and EFNEPincluding 211; (B) conduct an inventory of CHWs in their areas to identify where they are working and the populations they serve;; and (C) work with one clinic and one community partners two clinics in local areas to implement and improve SMBP programs. 3.3 4.3 For the State Physical Activity and Nutrition Program program the Subrecipient shall: (1) implement state level policies and activities that promote food service and nutrition guidelines and associated healthy food procurement in facilities, programs, or organizations where food is sold, served, and distributed. (A) identify food venues that have a mission that would support FSG guidelinesexplore ways to engage existing partners in Eat Well Utah in innovative ways; and (B) partner with local government entities to adopt Eat Well Utah identify food venues in their cafeteriashigh need areas and implement Food Service Guidelines (FSG) culturally competent FSG by conducting a needs assessment. (2) implement state level policies and activities that coordinate uptake and expansion of existing fruit and vegetable voucher incentives and produce prescription programs. (A) promote and educate community and clinical partners on the health benefits of SNAP and WIC and provide them with the tools and training required to offer help with SNAP and WIC enrollment to their patients and clients. (3) implement state-level policies and activities to connect pedestrian, bicycle, or transit transportation networks (e.g., activity-friendly routes) to everyday destinations. (A) promote safe places to recreate to communities & agencies (including Parks and Rec. agencies); and (B) provide technical assistance to government agencies & communities working to improve PA safety and access on everyday routes to destinations; and. (B3) engage with community organizations implement state level policies and activities that integrate national standards related to identify & implement policy or environmental changes that support PA in local areas nutrition, physical activity, and breastfeeding and advance Farm to ECE. (e.g.A) promote Farm to ECE educational program through outdoor learning environment, walk auditsand experiential gardening trainers, citizen science assessments)curricula, and resources. (4) implement state level policies and activities that achieve continuity of care for breastfeeding families. (A) work with the State to finalize a breastfeeding campaign with unified messages for hospitals, worksites, and ECEs based on existing platforms for partners and public; and (B) utilize assessments conducted from previous years to make improvements to lactation accommodations. 3.4 4.4 For reporting the Subrecipient shall: (1) submit detailed reports on progress, results and performance measure data by the following dates: (A) October 15, 20242023; (B) January 15, 20252024; (C) April 15, 20252024; and (D) July 15, 20252024. (2) comply with the reporting format in Qualtrics Catalyst to document the progress made on the activities. The Subrecipient shall ensure that necessary information is entered into all required reporting fields. 3.5 4.5 For contract responsibilities the Subrecipient shall: (1) attend the annual Department Forum; (2) attend the Chronic Conditions Disease Management group; and (3) jointly review expenditures with the Department to determine if at least 35% of funds have been expended on activities as allocated: (A) if Subrecipient is below 35% expenditures a written plan of action will be provided by Department to ensure utilization of remaining funds for contract and funding purposes; and (B) over a three-year time period if the Subrecipient consistently underspends funds, the Department will work with the Health Promotion and Prevention Executive group and Governance to determine appropriate reallocation of funds.

RESPONSIBILITIES OF SUBRECIPIENT. 3.1 For a Strategic Approach to Advancing Health Equity for Priority Populations with or at risk for diabetes the Subrecipient shall: (1) strengthen self-care practices by improving access, appropriateness, and feasibility of DSMES services for priority populations. (A) engage referring providers and community/clinical partners (i.e. DSMES providers) in streamlined referral processes to DSMES/other diabetes support programs; and (B) work with DSMES providers to identify needs related to increasing referrals (i.e. marketing materials, communication efforts, etc.). (2) improve acceptability and quality of care for priority populations with diabetes. (A) support existing or new clinic partners to implement diabetes care practices through QI projects, improving interpretation services offered, clinic workflow and follow up procedures, implementing team-based care, etc. (3) increase enrollment and retention of priority populations in the National DPP lifestyle intervention and the MDPP by improving access, appropriateness, and feasibility of the programs. (A) partner with new organizations (i.e. senior centers) to offer the National DPP LCP and assist organizations in registering to become CDC-recognized National DPPs through the Diabetes Prevention Recognition Program; and (B) identify geographic areas that have gaps in access to culturally appropriate services, by using the information gleaned in 2.1. Additionally, find opportunities to use the Utah Healthy Places Index to expand health equity efforts in diabetes prevention. 3.2 For the National Cardiovascular Health Program the Subrecipient shall: (1) track and monitor clinical and social services and support needs measures shown to improve health and wellness, health care quality, and identify patients at the highest risk of cardiovascular disease with a focus on hypertension and high cholesterol. (A) work with local primary care clinic to implement or improve their SDOH screenings. (2) implement team-based care to prevent and reduce cardiovascular disease risk with a focus on hypertension and high cholesterol prevention, detection, control and management through the mitigation of social support barriers to improve outcomes. (A) build the capacity of clinical teams to provide and connect patients with social services to help with reducing hypertension and high cholesterol. This shall include conducting formal and informal assessments of the current multidisciplinary team employed by the clinic, and planning how to improve the team based on the assessment results; (3) link community resources and clinical services that support bidirectional referrals, self- management, and lifestyle change to address social determinants that put the priority populations at increased risk of cardiovascular disease with a focus on hypertension and high cholesterol. (A) refer people in the community and in clinical settings with hypertension to lifestyle change programs, including the healthy heart ambassador program, SNAP-ED and EFNEP; (B) conduct an inventory of CHWs in their areas to identify where they are working and the populations they serve; (C) work with one clinic and one community partners in local areas to implement and improve SMBP programs. 3.3 For the State Physical Activity and Nutrition Program the Subrecipient shall: (1) implement state level policies and activities that promote food service and nutrition guidelines and associated healthy food procurement in facilities, programs, or organizations where food is sold, served, and distributed. (A) identify food venues that have a mission that would support FSG guidelines; and (B) partner with local government entities to adopt Eat Well Utah in their cafeterias. (2) implement state level policies and activities that coordinate uptake and expansion of existing fruit and vegetable voucher incentives and produce prescription programs. (A) promote and educate community and clinical partners on the health benefits of SNAP and WIC and provide them with the tools and training required to offer help with SNAP and WIC enrollment to their patients and clients. (3) implement state-level policies and activities to connect pedestrian, bicycle, or transit transportation networks to everyday destinations. (A) provide technical assistance to government agencies & communities working to improve PA safety and access on everyday routes to destinations; and (B) engage with community organizations to identify & implement policy or environmental changes that support PA in local areas (e.g., walk audits, citizen science assessments). (4) implement state level policies and activities that achieve continuity of care for breastfeeding families. (A) finalize a breastfeeding campaign with unified messages for hospitals, worksites, and ECEs based on existing platforms for partners and public; and (B) utilize assessments conducted from previous years to make improvements to lactation accommodations. 3.4 For reporting the Subrecipient shall: (1) submit detailed reports on progress, results and performance measure data by the following dates: (A) October 15, 2024; (B) January 15, 2025; (C) April 15, 2025; and (D) July 15, 2025. (2) comply with the reporting format in Qualtrics to document the progress made on the activities. The Subrecipient shall ensure that necessary information is entered into all required reporting fields. 3.5 3.4 For contract responsibilities the Subrecipient shall: (1) attend the annual Department Forum; (2) attend the Chronic Conditions Disease Management group; and (3) jointly review expenditures with the Department to determine if at least 35% of funds have been expended on activities as allocated: (A) if Subrecipient is below 35% expenditures a written plan of action will be provided by Department to ensure utilization of remaining funds for contract and funding purposes; and (B) over a three-year time period if the Subrecipient consistently underspends funds, the Department will work with the Health Promotion and Prevention Executive group and Governance to determine appropriate reallocation of funds.