Planned Parenthood TITLE X Grant Around 2015

8/17/2019 Planned Parenthood TITLE X Grant Around 2015

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2.

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Table Of Contents

Applicant: Planned Parenthood League of Massachusetts, Inc.

Application Number: FPH2015007161

Project Title: Title X Family Planning Continuing Grant for Central Massachusetts

Status: Awarded

Online Forms

SF-424 Application for Federal Assistance Version 2

(Upload #1): BudgetNarrativeAttachments-Attachments-1235-PPLM Title X Budget

Narrative.pdf

(Upload #2): Attachments-ATT1-1234-PPLM Title X Appendices Final 2015.pdf

(Upload #3): ProjectNarrativeAttachments-Attachments-1236-PPLM Title X Project

Narrative Final 2015.pdf

(Upload #4): Form Attachments-V1.1.pdf

SF-424A Budget Information - Non-Construction

SF-424B Assurances - Non-Construction

SF-LLL Disclosure of Lobbying Activities

Key Personnel

Project Abstract Summary

Program Narrative

Budget Narrative

Program Narrative

Additional Information to be Submitted

Negotiated Rate Agreement

Proof of Filing

Copy of By-Laws

Proof of Non-Profit Status

Note: Upload document(s) printed in order after online forms.

Page 1 of 181

PSC-HHS-000001


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DISCLOSURE OF LOBBYING ACTIVITIES

Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352

(See reverse for public burden disclosure.)

Approved b

0348

1. Type of Federal Action:

b a. contractb. grantc. cooperative agreementd. loan

e. loan guaranteef. loan insurance

2. Status of Federal Action:

b a. bid/offer/applicationb. initial awardc. post-award

3. Report Type:

a a. initial filingb. material change

4. Name and Address of Reporting Entity:

Prime Subawardee

Tier , if known:

Planned Parenthood League of Massachusetts, Inc.

1055 Commonwealth Avenue

Boston, MA 02215

Congressional District, if known:

5. If Reporting Entity in No. 4 is a Subawardee, Enter Namand Address of Prime:

6. Federal Department/Agency:Office of Asst. Sec. for Health, OPA

7. Federal Program Name/Description:Family Planning_Services

CFDA Number, if applicable: 93.217

8. Federal Action Number, if known: 9. Award Amount, if known:$

10. a. Name and Address of Lobbying Registrant(if individual, last name, first name, MI):

Planned Parenthood League of MA, PlannedParenthood League of MA1055 Commonwealth AvenueBoston, MA 02215

b. Individuals Performing Services (including address if different from No. 10a)(if individual, last name, first name, MI):Wajda, Patricia

11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure oflobbying activities is a material representation of fact upon which reliance was placed by the tier above when

the transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This

information will be reported to the Congress semi-annually and will be available for public inspection. Any

person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and

not more than $100,000 for each such failure.

Signature: Susan Lit

Print Name: Lit, Susan

Title: Chief Operating Officer

Telephone No: 617-616-1662 Date: 12/23/2014

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PSC-HHS-000002


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BUDGET INFORMATION - Non-Construction ProgramsSECTION A - BUDGET SUMMARY

Grant Program

Function

Catalog of Federal

Domestic AssistanceEstimated Unobligated Funds New

or Activity Number Federal Non-Federal Federal

(a) (b) (c) (d) (e)

1

2

3

4

5. Totals

SECTION B - BUDGET CATEGORIES

GRANT PROGRAM, FUNCTION OR ACTIVITY

(1) (2) (3) (4)

a. Personnel

b. Fringe Benefits

c. Travel

d. Equipment

e. Supplies

f. Contractual

g. Construction

h. Other

i. Total Direct Charges ( sum of 6a-6h)

j. Indirect Charges

k. TOTALS (sum of 6i and 6j)

7. Program Income

Authorized for Local Reproduction

Previous Edition Usable

6. Object Class Categories

$108,212.00

$6,250.00

$148,304.00

$846,378.00

$514,071.00

$846,378.00

$4,200.00

$65,341.00

$846,378.00

Family Planning Services




$846,378.00

FaFamily Planning ServicesFamily Planning ServicesFamily Planning Services

Page 3 of 181

(b) (4)

(b) (4)

(b) (4)

(b) (4)

(b) (4)

(b) (4)


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SECTION C - NON-FEDERAL RESOURCES

(a) Grant Program (b) Applicant (c) State (d

9.

10.

11.

12. TOTAL (sum o f lines 8-11)

SECTION D - FORECASTED CASH NEEDS

Total for 1st Year 1st Quarter 2nd Quarter

13. Federal

14. Non-Federal

15. TOTAL (sum of lines 13 and 14)

SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF T

(a) Grant Program FUTURE FUNDING PE

(b) First (c) Second

16.

17.

18.

19.

20. TOTAL (sum of lines 16-19)

SECTION F - OTHER BUDGET INFORMATION

21. Direct Charges: 22. Indirect Charges:

23. Remarks:

Authorized for Local Reproduction

8



$846,378.00



$211,595.00 $211,595.00





$869,983.00$846,378.00

$846,378.00 $869,983.00

Page 4 of 181

(b) (4)

(b) (4)

(b) (4)

(b) (4) (b) (4)

(b) (4)


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OMB Number: 0980 02

Program Announcement (CFDA)

* Program Announcement (Funding Opportunity Number)

* Closing Date

* Applicant Name

* Length of Proposed Project:

Application Control No.

* Federal Share 1st Year * Federal Share 2nd Year * Federal Share 3rd Year

* Non-Federal Share 1st Year * Non-Federal Share 2nd Year * Non-Federal Share 3rd Year

* Project Title

Federal Share Requested (for each year)

Non-Federal Share Requested (for each year)

$

$

$ $

* Federal Share 4th Year

$

* Federal Share 5th Year

$

* Non-Federal Share 4th Year * Non-Federal Share 5th Year

$

$

$

$

Expiration Date: 08/31/20

PA-FPH-15-003

12/31/2014

0.00

846,378.00

EIN: 04-2698497

Title X Family Planning Continuing Grant for Central Massachusetts


869,983.00

36

893,587.00

0.00

0.00 0.00

93.217

Page 5 of 181

(b) (4) (b) (4) (b) (4)

PSC-HHS-000005


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OMB Number: 0980 020

* Project Summary

* Estimated number of people to be served as a result of the award of this grant.:


8500

Planned Parenthood League of Massachusetts (PPLM) provides high-quality family planning and related preventive healthservices, as well as evidence-based information, education, and counseling services. At four Title X health centers in

Central Massachusetts (MA), PPLM integrates all program requirements and incorporates feedback after each Title Xprogram review. PPLM is poised to continue its administration of the Title X grant and will work toward decreasingunintended pregnancy, preventing and treating STDs and HIV/AIDS, and increasing preventive services, including breastand cervical cancer screenings, in Central MA.

Continued funding will enable PPLM???s strong clinical capacity to provide at least 8,500 client visits in the grant???s firstyear (2015). In addition to focusing on providing access to a broad range of family planning services, PPLM will provideeducation and community outreach, especially to vulnerable and hard to reach populations. PPLM???s education programsfor adolescents and parents will serve hundreds more and increase awareness about the services provided at the Title Xcenters in Central MA. In addition, community events and advertising campaigns will generate knowledge of the servicesavailable. PPLM will focus additional efforts on forging vital partnerships with primary care providers, other health careagencies, and community-based organizations to help clients connect with a broader range of services and care.

To meet clients??? full health care needs, PPLM will strengthen its work to connect more clients to health care insurancecoverage, and will continue to further increase its efficiency through its partnerships, infrastructure, and staffing priorities.

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OMB Approval No.: 4040-Expiration Date: 06/30

ASSURANCES - NON-CONSTRUCTION PROGRAMS

Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing

instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of

information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for

reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SENIT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.

NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the

awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If suis the case, you will be notified.

As the duly authorized representative of the applicant, I certify that the applicant:

Has the legal authority to apply for Federal assistance andthe institutional, managerial and financial capability(including funds sufficient to pay the non-Federal share ofproject cost) to ensure proper planning, management andcompletion of the project described in this application.

Will give the awarding agency, the Comptroller General ofthe United States and, if appropriate, the State, throughany authorized representative, access to and the right toexamine all records, books, papers, or documents relatedto the award; and will establish a proper accountingsystem in accordance with generally accepted accountingstandards or agency directives. Will establish safeguards to prohibit employees fromusing their positions for a purpose that constitutes orpresents the appearance of personal or organizationalconflict of interest, or personal gain. Will initiate and complete the work within the applicabletime frame after receipt of approval of the awardingagency. Will comply with the Intergovernmental Personnel Act of1970 (42 U.S.C. §§4728-4763) relating to prescribedstandards for merit systems for programs funded underone of the 19 statutes or regulations specified in AppendixA of OPM's Standards for a Merit System of PersonnelAdministration (5 C.F.R. 900, Subpart F). Will comply with all Federal statutes relating tonondiscrimination. These include but are not limited to: (a)Title VI of the Civil Rights Act of 1964 (P.L. 88-352) whichprohibits discrimination on the basis of race, color or

national origin; (b) Title IX of the Education Amendmentsof 1972, as amended (20 U.S.C.§§1681- 1683, and 1685-1686), which prohibits discrimination on the basis of sex;(c) Section 504 of the Rehabilitation

Act of 1973, as amended (29 U.S.C. §794), whichprohibits discrimination on the basis of handicaps; (d)the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on thebasis of age; (e) the Drug Abuse Office and Treatment

Act of 1972 (P.L. 92-255), as amended, relating tonondiscrimination on the basis of drug abuse; (f) theComprehensive Alcohol Abuse and AlcoholismPrevention, Treatment and Rehabilitation Act of 1970(P.L. 91-616), as amended, relating to nondiscriminationon the basis of alcohol abuse or alcoholism; (g) §§523and 527 of the Public Health Service Act of 1912 (42U.S.C. §§290 dd-3 and 290 ee- 3), as amended, relatingto confidentiality of alcohol and drug abuse patientrecords; (h) Title VIII of the Civil Rights Act of 1968 (42U.S.C. §§3601 et seq.), as amended, relating tonondiscrimination in the sale, rental or f inancing ofhousing; (i) any other nondiscrimination provisions in thespecific statute(s) under which application for Federalassistance is being made; and, (j) the requirements of

any other nondiscrimination statute(s) which may applyto the application.

7. Will comply, or has already complied, with the

requirements of Titles II and III of the UniformRelocation Assistance and Real Property AcquisitionPolicies Act of 1970 (P.L. 91-646) which provide for fairand equitable treatment of persons displaced or whoseproperty is acquired as a result of Federal or federally-assisted programs. These requirements apply to allinterests in real property acquired for project purposesregardless of Federal participation in purchases.

8. Will comply, as applicable, with provisions of the Hatch

Act (5 U.S.C. §§1501-1508 and 7324-7328) which limitthe political activities of employees whose principalemployment activities are funded in whole or in partwith Federal funds.

revious Edition Usable Authorized for Local Reproduction

Standard Form 424B (Rev.Prescribed by OMB Circular

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Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act(40 U.S.C. §276c and 18 U.S.C. §874), and the Contract WorkHours and Safety Standards Act (40 U.S.C. §§327- 333),regarding labor standards for federally-assisted constructionsubagreements.

0. Will comply, if applicable, with flood insurance purchase

requirements of Section 102(a) of the Flood DisasterProtection Act of 1973 (P.L. 93-234) which requires recipientsin a special flood hazard area to participate in the program andto purchase flood insurance if the total cost of insurableconstruction and acquisition is $10,000 or more.

. Will comply with environmental standards which may beprescribed pursuant to the following: (a) institution ofenvironmental quality control measures under the NationalEnvironmental Policy Act of 1969 (P.L. 91-190) and ExecutiveOrder (EO) 11514; (b) notification of violating facilitiespursuant to EO 11738; (c) protection of wetlands pursuant toEO 11990; (d) evaluation of flood hazards in floodplains inaccordance with EO 11988; (e) assurance of projectconsistency with the approved State management programdeveloped under the Coastal Zone Management Act of 1972(16 U.S.C. §§1451 et seq.); (f) conformity of Federal actionsto State (Clean Air) Implementation Plans under Section176(c) of the Clean Air Act of 1955, as amended (42 U.S.C.§§7401 et seq.); (g) protection of underground sources ofdrinking water under the Safe Drinking Water Act of 1974, asamended (P.L. 93-523); and, (h) protection of endangeredspecies under the Endangered Species Act of 1973, asamended (P.L. 93- 205).

2. Will comply with the Wild and Scenic Rivers Act of 1968 (16U.S.C. §§1271 et seq.) related to protecting components orpotential components of the national wild and scenic riverssystem.

13. Will assist the awarding agency in assuring compliance wiSection 106 of the National Historic Preservation Act of1966, as amended (16 U.S.C. §470), EO 11593(identification and protection of historic properties), and thArchaeological and Historic Preservation Act of 1974 (16U.S.C. §§469a-1 et seq.).

14. Will comply with P.L. 93-348 regarding the protection of

human subjects involved in research, development, andrelated activities supported by this award of assistance.

15. Will comply with the Laboratory Animal Welfare Act of 196(P.L. 89-544, as amended, 7 U.S.C. §§2131 et seq.)pertaining to the care, handling, and treatment of warmblooded animals held for research, teaching, or otheractivities supported by this award of assistance.

16. Will comply with the Lead-Based Paint PoisoningPrevention Act (42 U.S.C. §§4801 et seq.) which prohibitsthe use of lead-based paint in construction or rehabilitationof residence structures.

17. Will cause to be performed the required financial andcompliance audits in accordance with the Single Audit ActAmendments of 1996 and OMB Circular No. A-133, "Auditof States, Local Governments, and Non-ProfitOrganizations."

18. Will comply with all applicable requirements of all otherFederal laws, executive orders, regulations, and policiesgoverning this program.

19. Will comply with the requirements of Section 106(g) of theTrafficking Victims Protection Act (TVPA) of 2000, asamended (22 U.S.C. 7104) which prohibits grant awardrecipients or a sub-recipient from (1) Engaging in severeforms of trafficking in persons during the period of time tha

the award is in effect (2) Procuring a commercial sex actduring the period of time that the award is in effect or (3)Using forced labor in the performance of the award orsubawards under the award.

SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL

Susan Lit

* TITLE

CEO

APPLICATION ORGANIZATION


* DATE SUBMITTED

12/23/2014

Standard Form 424B (Rev. 7-97)

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Key Personnel

Name Position Title Annual SalaryNo.Months

Budget

%

Time

Fed

Amoun

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OMB Number: 4040-0004

Application for Federal Assistance SF-424

* 1. Type of Submission:

* 3. Date Received:

5a. Federal Entity Identifier:

State Use Only:

6. Date Received by State:

8. APPLICANT INFORMATION:

* a. Legal Name:

* b. Employer/Taxpayer Identification Number (EIN/TIN):

d. Address:

* Street1:

* City:

* State:

* Country:

* Zip / Postal Code:

e. Organizational Unit:

Department Name:

f. Name and contact information of person to be contacted on matters involving this application:

Prefix:

Middle Name:

* Last Name:

Suffix:

Title:

Organizational Affiliation:

* Telephone Number:

* Email:

Street2:

County:

Province:

Preapplication

Application

Changed/Corrected Application

* 2. Type of Application:

4. Applicant Identifier:

New

Continuation

Revision

7. State Application Identifier:

* First Name:

* If Revision, select appropriate letter(s):

* Other (Specify)

* 5b. Federal Award Identifier:

* c. Organizational DUNS:

Division Name:

Fax Number:

Version 02


02215-1001

Susan

Boston

[email protected]

1055 Commonwealth Avenue

Planned Parenthood League of M

Lit

12/23/2014

617-616-1662

Massachusetts

Chief Operating Officer

617-616-1665

04-2698497

EIN: 04-2698497

03081264800000308126480000

UNITED STATES

Planned Parenthood League of Massachusetts, Inc.Planned Parenthood League of Massachusetts, Inc.

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PSC-HHS-000010


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9. Type of Applicant 1: Select Applicant Type:

Type of Applicant 2: Select Applicant Type:

Type of Applicant 3: Select Applicant Type:

* Other (specify):

* 10. Name of Federal Agency:

11. Catalog of Federal Domestic Assistance Number:

CFDA Title:

* 12. Funding Opportunity Number:

* Title:

13. Competition Identification Number:

Title:

14. Areas Affected by Project (Cities, Counties, States, etc.):

* 15. Descriptive Title of Applicant's Project:

Attach supporting documents as specified in agency instructions.

Version 02


PA-FPH-15-003-049962

PA-FPH-15-003

Nonprofit with 501C3 IRS Status (Other than Institution of Higher Education)


93.217

Office of the Assistant Secretary for Health

FY15 Announcement of Anticipated Availability of Funds for Family Planning Services Grants Region 1 Massachusetts(entire state)

FY15 Announcement of Anticipated Availability of Funds for Family Planning Services Grants Region 1 Massachusetts(entire state)

Title X Family Planning Continuing Grant for Central Massachusetts

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PSC-HHS-000011


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16. Congressional Districts Of:

* a. Applicant

Attach an additional list of Program/Project Congressional Districts if needed.

17. Proposed Project:

* a. Start Date:

18. Estimated Funding ($):

* a. Federal

* b. Applicant

* c. State

* d. Local

* e. Other

* f. Program Income

* g. TOTAL

* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?

* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.)

21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statementsherein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims maysubject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)

** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agencyspecific instructions.

Authorized Representative:

Prefix:

Middle Name:

* Last Name:

Suffix:

* Title:

* Telephone Number:

* Email:

* Signature of Authorized Representative:

a. This application was made available to the State under the Executive Order 12372 Process for review on

b. Program is subject to E.O. 12372 but has not been selected by the State for review.

c. Program is not covered by E.O. 12372.

Yes

** I AGREE

No

* First Name:

* b. Program/Project

Fax Number:

* Date Signed:

* b. End Date:

Version 02

Authorized for Local Reproduction Standard Form 424 (Revised 10/2005

Prescr bed by OMB Circular A-102


Martha

[email protected]

2483927

M

CEO

846378

Walz

2-5

0

2-5

12/23/2014Susan Lit

617-616-1665

03/31/2018

617-616-1651

04/01/2015

0

0

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(b) (4)

(b) (4)

PSC-HHS-000012


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Application for Federal Assistance SF-424 Version 02

The following field should contain an explanation if the Applicant organization is delinquent on any Federal Debt. Maximum number of

characters that can be entered is 4,000. Try and avoid extra spaces and carriage returns to maximize the availability of space.

* Applicant Federal Debt Delinquency Explanation


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Upload #1




Status: Awarded

Document Title: BudgetNarrativeAttachments-Attachments-1235-PPLM Title X Budget

Narrative.pdf

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u get arrat ve

See Budget Summary, SF 424A

Multi-year Budget Overview

1. Personnel

Staff typeTitle X Allocation

Year 1Title X Allocation


Year 3

Advance Practice Clinicians

Key Personnel

Administrative Staff

Total $514,071 $529,216 $544,360

2. Fringe Benefits

Type of benefitTitle X Allocation



Year 3

FICA

Health and Dental

Retirement

Life insuranceWorkers comp

Unemployment

EAP and MBTA

Total $108,212 $111,400 $114,588

3. Travel

Title X AllocationYear 1



$4,200 $4,200 $4,200

4. Equipment – $0 no equipmentbudgeted.

5. Supplies

SuppliesTitle X Allocation



Year 3

Contraceptives

Clinic disposables

Medication

Lab Services

Lab Supplies

Office & Program SuppliesTotal $65,341 $68,608 $71,875

6. Contractual

ContractualTitle X Allocation



Year 3

Contracted Services

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(b) (4)

(b) (4)

(b) (4)

(b) (4)(b) (4)

PSC-HHS-000015


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7. Other




Printing

TelephoneRent

Repairs/Maintenance

Security

Utilities/Office Expense

Educational Materials/Literature

Outreach Materials/Activity

Translation Services

Computer Services

Subscriptions/Publications

Dues & Fees (incl PPFA)

Postage, Shipping, Freight

Insurance/MalpracticeTotal $148,304 $150,310 $152,315

TOTAL BUDGET $846,378 $869,983 $893,587

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(b) (4)

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Budget Narrative for Grant Year 1 (April 1, 2015 - March 31, 2016)

1. Personnel

This covers all staff costs associated with operating PPLM's Title X Central MA health centers

and staff in administration and operations handling Title X management and program operations.

The staff budget is based on percentage of effort associated with each position. Effort is allocated

based on projected Title X client visits and/or estimates based on actual staff time associated

with Title X activities.

Personnel Summary

Following is a staffing summary, including the total to be funded with Title X dollars. Detail for

each line item appears below.

Staff type Title X Allocation Non-Federal


Key Personnel


Total $514,071

Health Center Personnel

This includes health center licensed and non-licensed staff: Advance Practice Clinicians (NPs,

CNMs, PAs), Registered Nurses (RNs), and Healthcare Assistants (HCAs) who take medical

histories, perform exams and tests, prescribe medication, give injections, provide contraceptive

counseling and handle follow-up care if needed. Also included are Health Center Managers and

Coordinators who manage day-to-day operations in the health centers.

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Staff type FTEs

AllowableAnnualSalary

% ofSalary

forTitle X

SalaryAppliedto Grant

%Allocatedto Title X

Title Xallocation

Non-Federal

Center Managers andCoordinators

Advance PracticeClinicians (APCs)Health Care Assistants(HCAs)

Registered Nurses (RNs)

Total 21.20 $896,021 $896,021 $355,772

Key Personnel

Organizational leadership involved in oversight and administration of Title X program.

Name Position


% ofSalary

forTitle X



Title Xallocation

Non-Federal

Martha Walz President/CEO

Susan Lit COO

OPEN CFO

Medical Director

Deb FentonVP of HC Ops/FP ManagerQualityAssurance

ManagerDirector ofPatient Services

Total $946,103 $160,838 $49,895

Administrative Personnel

Administrative staff supporting Title X activities include: call center staff who help clients make

appointments; finance staff, including accounting staff who handle all financial reporting and

auditing, purchasing staff who oversee health center supplies and medication purchasing, and

billing staff who oversee medical billing and claims processing; Information Systems staff

supporting computer systems and Electronic Health Records system; lab staff that perform tests;

and outreach and education staff handling Title X outreach and education-related programs.

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(b) (4)

(b) (6)

(b) (6)

(b) (6)

(b) (4)

(b) (4)

(b) (4)

(b) (6)

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Name Position


% ofSalary

forTitle X



Title Xallocation

Non-Federal

Call CenterPatient Contact

Center Manager

6.0 FTEs

PatientEngagementSpecialist

Lab

Lab Manager

Lab Assistant

Finance

ControllerAccountingAssociatePurchasing

ManagerDirector ofRevenue Cycle

Billing Manager

4.0 FTEs Medical BillersOutreach &Education

CommunityParent Educator& OutreachSpecialistVP of BusinessDevelopment

InformationTechnology

AssociateDirector of ISTApplicationsAnalyst

Total $1,095,634 $187,404 $108,404

2. Fringe Benefits

Fringe benefits for staff salaries allocated to Title X include FICA, medical/dental insurance, life

insurance, workers' compensation, retirement plan, state unemployment taxes, EAP (Employee

Assistance Program), and reimbursement for monthly public transportation (e.g., MBTA).

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(b) (6)

(b) (6)

(b) (6)

(b) (6)

(b) (6)

(b) (6)(b) (6)

(b) (6)

(b) (6)

(b) (6)

(b) (6)

(b) (6)

(b) (4)

(b) (6)

(b) (6)

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Type of benefit % of salaryTitle X

AllocationNon-

Federal

FICA

Health and Dental

Retirement

Life insuranceWorkers comp

Unemployment

EAP and MBTA

Total 21.05% $108,212

3. Travel

Travel is 100% of the cost for Title X-related trainings/conferences, including regional/state

conferences and national conferences.

TravelLocation Staff Traveling Purpose of Travel

BudgetedExpense

Title XAllocation

Non-Federal

TBD

VP of HC Ops(Family PlanningProgram Manager)

Regional GranteeMeeting $2,200 $2,200

TBD NP/VP of HC Ops Title X Conference $2,000 $2,000

Total $4,200 $4,200

4. Equipment

$0 equipment expense

5. Supplies

Supplies include contraceptive methods (IUDs, implants, oral contraceptives, hormonal

injection, patch, ring, and emergency contraception), clinic disposables used during exams,

medications, lab services and supplies, including pregnancy tests, Pap tests, blood tests and STI

tests, and office supplies used for Title X activities.

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SuppliesBudgetedExpense

% allocatedto Title X

Title Xallocation Non-Federal

Contraceptives

Clinic disposables

Medication

Lab ServicesLab Supplies

Office & Program Supplies

Total $384,357 $65,341

6. Contractual

Contractual includes and for Title X data processing

services.

ContractualBudgetedExpense



Contracted Services $0

Total $0

7. Other

This includes additional costs of operating PPLM's Title X program.

BudgetedExpense



Printing

Telephone

Rent

Repairs/Maintenance

Security





Computer Services




Insurance/Malpractice

Total $582,940 $148,304

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1. Personnel

This covers all staff costs associated with operating PPLM's Central MA Title X health centers

and staff in administration and operations handling Title X management and program operations.

The staff budget is based on percentage of effort associated with each position. Effort is allocated

based on projected Title X client visits and/or estimates based on actual staff time associated

with Title X activities. Grant year 2 includes anticipated 3% increase in salaries based on average

yearly increases.

Personnel Summary

Following is a staffing summary, including the total to be funded with Title X dollars. Detail for




Key Personnel


Total $529,216





counseling, and handle follow-up care if needed. Also included are Health Center Managers and


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Staff type FTEs


% ofSalary

forTitle X



Title Xallocation

Non-Federal

Center Managers andCoordinatorsAdvance PracticeClinicians (APCs)Health Care Assistants(HCAs)


Total 21.20 $922,901 $922,901 $366,445

Key Personnel


Name Position


% ofSalary

forTitle X



Title Xallocation

Non-Federal


Susan Lit COO

OPEN CFO

Medical DirectorVP of HC Ops/ FPManager

Quality AssuranceManagerDirector of PatientServices

Total $963,596 $163,811 $51,114


Administrative staff supporting Title X activities include: call center staff who help clients make

appointments; finance staff, including accounting staff who handle all financial reporting and

auditing, purchasing staff who oversee health center supplies and medication purchasing, and

billing staff who oversee medical billing and claims processing; Information Systems staff


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Name Position


% ofSalary

forTitle X



Title Xallocation

Non-Federal

Call CenterPatient ContactCenter Manager

6.0 FTEs


Lab

Lab Manager

Lab Assistant

Finance

ControllerAccounting

AssociatePurchasingManagerDirector ofRevenue Cycle

Billing Manager


Community ParentEducator &OutreachSpecialistVP of BusinessDevelopment


Associate Directorof ISTApplicationsAnalyst

Total $1,128,503 $193,027 $111,656

2. Fringe Benefits



Assistance Program), and reimbursement for monthly public transportation (e.g., MBTA). Grant

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year 2 includes increases based on increased salary expense.


AllocationNon-

Federal

FICA

Health and DentalRetirement

Life insurance

Workers comp

Unemployment

EAP and MBTA

Total 21.05% $111,400

3. Travel


conferences and national conferences. No anticipated change in expense for grant year 2.


BudgetedExpense

Title XAllocation

Non-Federal

TBD

VP of HC Ops(Family PlanningProgram Manager)

Regional GranteeMeeting $2,200 $2,200

TBD NP/VP of HC Ops Title X Conference $2,000 $2,000

Total $4,200 $4,200

4. Equipment


5. Supplies




tests, and office supplies used for Title X activities. Grant year 2 includes a 5% increase in

supply expenses, based on projected increase in visits.

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Contraceptives

Clinic disposables

Medication



Total $403,575 $68,608

6. Contractual


services. There is no anticipated increase in expense for grant year 2.





Total $0

7. OtherIncludes additional costs of operating PPLM's Title X program. Grant year 2 includes an

anticipated 2% increase in expenses.

Budgeted

Expense

% allocated

to Title X

Title X

allocation Non-FederalPrinting

Telephone

Rent

Repairs/Maintenance

Security





Computer Services


Dues & Fees (incl PPFA)Postage, Shipping, Freight


Total $590,157 $150,310

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1. Personnel

This covers all staff costs associated with operating PPLM's Title X health centers and staff in

administration and operations handling Title X management and program operations. The staff

budget is based on percentage of effort associated with each position. Effort is allocated based on

projected Title X client visits and/or estimates based on actual staff time associated with Title X

activities. Grant year 3 includes anticipated 3% increase in salaries based on average yearly

increases.

Personnel Summary

Following is a staffing summary, including total to be funded with Title X dollars. Detail for




Key Personnel


Total $544,360





counseling, and handle follow-up care if needed. Also included are Health Center Managers and


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Staff type FTEs


% ofSalary

forTitle X



Title Xallocation

Non-Federal

Center Managers andCoordinatorsAdvance PracticeClinicians (APCs)Health Care Assistants(HCAs)


Total 21.20 $949,782 $949,782 $377,118

Key Personnel


Name Position


% ofSalary

forTitle X



Title Xallocation

Non-Federal


Susan Lit COO

OPEN CFO

Medical DirectorVP of HC Ops/FP Manager

QualityAssuranceManagerDirector ofPatient Services

Total $981,089 $166,785 $52,334


Administrative staff supporting Title X activities includes: call center staff who help clients

make appointments; finance staff, including accounting staff who handle all financial reporting

and auditing, purchasing staff who oversee health center supplies and medication purchasing,

and billing staff who oversee medical billing and claims processing; Information Systems staff


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Name Position


% ofSalary

forTitle X



Title Xallocation

Non-Federal

Call CenterPatient ContactCenter Manager

6.0 FTEs


Lab

Lab Manager

Lab Assistant

Finance

ControllerAccounting

AssociatePurchasingManagerDirector ofRevenue Cycle

Billing Manager


Community ParentEducator &Outreach SpecialistVP of BusinessDevelopment


Associate Directorof ISTApplicationsAnalyst

Total $1,161,372 $198,649 $114,908

2. Fringe Benefits



Assistance Program), and reimbursement for monthly public transportation (e.g., MBTA). Grant

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year 3 includes increases based on increased salary expense.


AllocationNon-

Federal

FICA

Health and DentalRetirement

Life insurance

Workers comp

Unemployment

EAP and MBTA

Total 21.05% $114,588

3. Travel


conferences and national conferences. No anticipated change in expense for grant year 3.


BudgetedExpense

Title XAllocation

Non-Federal

TBD

VP of HC Ops(Family PlanningProgramManager)

Regional GranteeMtg $2,200 $2,200

TBDNP/VP of HCOps Title X Conference $2,000 $2,000

Total $4,200 $4,200

4. Equipment


5. Supplies




tests, and office supplies used for Title X activities. Grant year 3 includes a 5% increase in

supply expenses, based on projected increase in visits.

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Contraceptives

Clinic disposables

Medication



Total $422,793 $71,875

6. Contractual


services. There is no anticipated increase in expense for grant year 3.





Total $0

7. Other

Includes additional costs of operating PPLM's Title X program. Grant year 3 includes an

anticipated 2% increase in expenses.

BudgetedExpense



Printing

Telephone

Rent

Repairs/Maintenance

Security





Computer Services





Total $597,375 $152,315

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Upload #2




Status: Awarded

Document Title: Attachments-ATT1-1234-PPLM Title X Appendices Final 2015.pdf

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APPENDIX A: Project Work Plan

PPLM will continue to provide comprehensive family planning services at its Central MA Title

X centers. PPLM provides patients with unbiased, confidential, medically accurate, culturally

and age-appropriate information and services that meet their unique needs. Patients receive

information and education on topics including: abstinence; pregnancy testing and full-options

counseling; chlamydia, gonorrhea, and syphilis testing; rapid HIV testing; cancer screening

through breast exams and Pap smears; birth control methods (male and female condoms, pills,

patches, rings, IUDs, implants, diaphragms, hormonal injections); emergency contraception;

HPV vaccine; colposcopy; LEEP; reproductive life planning; referrals for treatment of HIV and

health care and social service needs beyond the scope of services PPLM offers. PPLM projects it

will serve 6,375 unique clients through 8,500 client visits in the first year of the grant.

PPLMÕs Central MA Title X Location, Hours and Projected Client Visits

Location Hours Projected Client

Visits/Year

Fitchburg

Health Center

391 Main Street

Fitchburg, MA 01420

67 Family Planning Hours/ Month

Monday: 10:00am Ð 4:00pmThursday: 10:00am Ð 7:30pm

Year 1: 1289

Year 2: 1350Year 3: 1,417

Marlborough

Health Center

91 Main StreetSte. 103

Marlborough, MA 01752

69 Family Planning Hours/Month Wednesday: 10:00pm Ð 7:30pm

Saturday: 8:00am Ð 12:00pm

Year 1: 950Year 2: 998

Year 3: 1,047

Milford

Health Center

208 Main Street

Ste. 101Milford, MA 01757

69 Family Planning Hours/Month

Tuesday: 10:00am Ð 7:30pmFriday: 10:00am Ð 4:00pm

Year 1: 1160

Year 2: 1,218Year 3: 1,278

Central

Massachusetts

Health Center

470 Pleasant StreetWorcester MA 01609

244 Family Planning Hours/Month

Monday: 8:00am Ð 7:15pm

Tuesday: 7:30am Ð 3:45pm

Wednesday: 8:00am Ð 7:15pmThursday: 8:00am Ð 7:15pmFriday: 8:00am Ð 5:00pm

Saturday: 8:00am Ð 2:00pmWalk-in services available

Year 2: 5101Year 2: 5,356

Year 3: 5,623

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#

Problem/Need: Individuals and families in Central MA need greater access to quality family

planning services. Many low-income, culturally diverse community members may need

specialized outreach activities to learn about and access family planning services.

Goal I: Provide high-quality family planning clinical services in Central MA to reduce

unplanned pregnancy and STD/HIV infection with an emphasis on providing services to low

income individuals and families while providing community education and outreach to

vulnerable, hard-to-reach and at-risk populations.

Objective Key Action Steps Timeline Responsibility Evaluation Plan

I.A.1) Achieve client visit

volume goals

Maintain a monthly

minimum of 449 family planning clinical hours

in Central MA:Worcester, 244

Fitchburg, 67Marlborough, Milford,

69

April 2015 Ð

March 2018

VP of Health

CenterOperations

Volume data

I.B.1) Market theavailability of Title X

family planning servicesin Central MA to reach

volume goal.

Increase communityawareness of PPLM

Title X servicesthrough at least 2

marketing campaignsthrough social media,

transit online or radioads yearly.

April 2015 ÐMarch 2018

VP of BusinessDevelopment

Volume andmarket data

reports.

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$

I.C.1) Build robust

referral relationships toassist clients in locating

primary health care tohelp reach volume goal.

Develop at least 4

robust community partnerships with PCPs

to develop mutually beneficial referral

relationships to assist patients in locating

family planningservices and primary

health care.

Develop at least 2 new

referral relationshipswith high schools to

insure school-basedhealth centers know

about and can referadolescents to PPLM.

Provide PPLM

materials and an in- person overview of our

Title X services to staffat referring provider

locations.

Sept. 2015 Ð

March 2016

Center

Managers

Parent Educator

and CommunityOutreach

Specialist

Dissemination of

PPLM materialsand replacement

requests.

Volume data.

I.D.1) Provide training to

providers about PPLMTitle X services to

encourage client referralto reach volume goals.

Train 12 new external

provider partners aboutPPLM health services

and provide referralmaterials for their

clients. Including afocus on the

importance of HIV andSTD testing/treatment.

Promote Rapid HIVtest option to external

provider partners, andthe availability and

effectiveness ofcontraceptive options

including LARC, allavailable on site at our

Title X locations inCentral MA.

April 2015 Ð

March 2016

Community

Parent Educatorand Outreach

Specialist

Participants

understanding ofservices

includingconfidentiality/

sliding fee scale.

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%

I.E.1) Expand Outreach

Committee of the CentralMA Advisory Committee

and continue to seek itsguidance on outreach

opportunities.

Expand Outreach

Committee by invitingthree additional/new

members representativeof our priority

populations to helpwith client-facing

materials review andoutreach suggestions.

April 2015 Ð

March 2016

Worcester

Health CenterManager

Meeting minutes

I.F.1) Provide on-sitehealth center tours and

open houses to reachvolume goals.

Provide at least 2 openhouse/health center

tours to local providersto educate them about

PPLM and Title Xservices each year.

Yearly, April2015 Ð

March 2018

CommunityParent Educator

and OutreachSpecialist

Participantsunderstanding of

PPLM servicesincluding

confidentiality/slide fee scale

I.G.1) Educate bi-lingual

parents, guardians or othercaring adults about PPLMfamily planning services

and how to talk with theirchildren about sexuality,

relationships, and decisionmaking.

Teach 450 in year 1

and 475 in year 2 and500 in year 3 bi-lingual parents or other caring

adults in Central MAthrough ÒSeamos

HonestosÓ parentworkshops to increase

their confidence in being a go-to resource

for their children/teens.The workshops

increase parentalawareness of Title X

services at PPLM.

April 2015 Ð

March 2018

Community

Parent Educatorand OutreachSpecialist

Post workshop

surveys.

I.H.1) Utilize the newly

developed Get Real TeenCouncil (GRTC) to

educate teens aboutsexuality, healthy decision

making and PPLM/Title Xservices, to help reach

volume/outreach goals.

13 PPLM trained (bi-

lingual and culturallydiverse) tenth and

twelfth grade teens willoffer sexual health

training to at least 500of their peers in year 1

and 525 in year 2 and

550 in year 3. Includesinformation about TitleX free/confidential

health services that donot require parental

consent.

April 2015 Ð

March 2018

Get Real

Trainer

Pre/post-test of

trainers abouttheir knowledge

of STDs, protection

methods, consentand healthy

relationships and

comfort as aPPLMambassador and

comfort withtheir facilitation

skills.

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Problem/Need: Clients should have high quality family planning care that provides all of the

information necessary to make the best choice of a contraceptive method that meets their needs.

Clients also need factual information to make decisions about STD/HIV testing, as well as access

to testing services that provide accurate and confidential results to insure they receive

appropriate care.

Goal II. Insure that staff providing education and information about contraceptives are well-

trained to provide appropriate client-centered care that focuses on the efficacy of the full range of

contraceptive choices available including side-effect management. Ensure staff is well-trained to

provide education and information about the importance of STD/HIV testing, including accurate

test results and follow up care as needed.


II.A.1) Improve clientoutcomes by training staff

through annually revisedscripts on contraceptive

counseling and theimportance of STD/HIV

testing.

Train 75% of HCAs throughthe Jumpstart 2 program to

insure staff develop theskills to address

contraceptive tiering, client preference, ease of use, and

side effect profile. Insurestaff is appropriately trained

to educate clients about the benefits of STD/HIV

testing.


Director ofPatient

Services

Staff post trainingassessment. Staff

observation.

II.B.2) Improve outcomes

for adolescent clients by providing client care that

is youth-friendly,

accessible, appropriate,effective and efficient foryouth as recommended by

the WHO.

Develop staff training that

insures staff are teen-readyat all times. Staff will

understand how to work

with adolescents in amanner that is effective,accessible, appropriate and

youth friendly

Training

materials will be used on an

ongoing

basis fromApril 2015 ÐMarch 2018

VP of

Education andTraining

Staff observation

using a youth-friendly

assessment tool.

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'

II.C.2) Staff will assist

clients with theirreproductive life plans by

offering the full range ofcontraceptive methods and

emergency contraception.

Staff will document

discussion of reproductivelife planning 98% of the

time.

Each year, 100% of staff

receive training at New HireOrientation, Jumpstart 1 and

75% of staff receive morein-depth training at

Jumpstart 2.

Staff successfully document

discussion of reproductivelife planning in the EHR

98% of the time.

April 2015

March 2018

Heath Services

Director

Staff observation

and chart audit.

II.D.2) All staff will

receive orientation and in-service training as part of

their 90-day introductory period.

Each year, new staff will

attend multiple days oforientation and in-service

training as part of theironboarding process. These

training days are referred toas New Hire Orientation

and Jumpstart.Trainings include:

Introduction to Title X;Mandatory Reporting Laws;

Human Trafficking;Services to Minors Ð State

and Federal Laws; HIPAA:Protecting Patient Privacy;

Medical RecordsDocumentation; Birth

Control Methods; STDs.

April 2015-

March 2018

Manager of

InternalTraining

All trainings are

tracked within alearning

managementsystem called the

Trainingcompliance is

audited on aquarterly basis by

the Manager ofInternal Training.

II.E.2) 100% of staff will

receive annual trainingson Federal/State

requirement for reportingor notification of child

abuse, child molestation,sexual abuse, rape or

incest, as well as onhuman trafficking.

Each year, all staff receive

Mandated Reporting andHuman Trafficking Training

on an annual basis duringAll Health Center Meetings

and other staff meetings.

April 2015-

March 2018

Manager of

InternalTraining

Post-Training

assessments

II.F.2) Improve HIV

outcomes by offeringrapid HIV testing and provide timely referral of

clients with positiveresults for treatment.

Increase HIV testing by 5%

each year across CentralMA sites.

April 2015 Ð

March 2018

Health

ServicesDirector

Point of Care

audits

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(

II.G.2) Continuously

improve chlamydia andgonorrhea testing by

routinely testing clientswithin routine and

standalone visits.

Increase chlamydia and

gonorrhea testing from 51%of total family planning

visits in 2014 receiving teststo 53% of total visits. Plan

for increases in years 2 and3 based on year 1 results

April 2015 Ð

March 2018

Health

ServicesDirector

Visit stats

II.H.2) Insure that PPLMAPCs are providing up-to-

date evidenced-based careto promote breast cancer

screening and riskassessment.

Increase audits of breastrelated visits from once a

year to twice a year.


QualityAssurance

Manager

Review auditresults with

clinicians.

II.I.2) Continue to meet orexceed the cervical cancer

screening benchmark of

the NCQA.

Semi-annual review of benchmarking data and

share results with all health

center staff.


QualityAssurance

Manager

Review of benchmarking

results

II.J.2) Improve client

outcomes by insuring thatcare is provided within the

guidelines of nationallyrecognized standards for

care outlined in PPFAclinical protocols that are

updated and reviewedannually with all

clinicians.

All APCs have access to

clinical protocols inelectronic and print format.

All clinicians will reviewannual updates/changes and

documentation of thisreview by clinician will be

recorded.

April 2015 Ð

March 2018

Patient

ServicesDirector

Documentation of

protocol reviewwithin internal

training staffdocumentation

system.

Trainingcompliance is

audited on a

quarterly basis bythe Manager ofInternal Training.

Problem/Need: As a Title X grantee, PPLM must comply with all Title X administrative

standards to ensure prudently managed resources and adherence to Title X regulations regarding

project administration of quality health care, planning and evaluation.

Goal III. PPLM will address all Title X administrative standards regarding resource

management, quality health care, planning and evaluation by insuring efficiency and quality

through ongoing program evaluation. PPLM is committed to employing rigorous nationally

recognized programs or processes for achieving quality health care improvement.

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)


III.A.3) Ensure that PatientContact Center staff (the

call center) and PatientServices Specialists

(reception staff) are well-trained regarding clients

rights to care, charges, billing and collection

requirements to insure proper use of Title X

funding.

Each year, 100% of PatientContact Center and Patient

Services Specialists(reception staff) complete a

full day Revenue CycleTraining to review and

understand Title Xregulations including sliding

fee scale, incomeverification, third party

billing and waiver of copayfor clients below 250% of

FPL if applicable.

March2015 Ð

April 2016

CenterManagers

Trainingassessments and

ongoingobservation and

audits.

III.B.3) ClientÕs right to

Waiver of Insurance Copay

if income guidelines aremet will be communicatedto all reception staff.

Develop a workflow and

procedures for income

verification and waiver ofthird party billing copays forclients under 250% of FPL.

April 2015

Ð June

2015

VP of Health

Center

Operations

EPM audit and

review

III.C.3) PPLM willaccurately document

income verification in theelectronic practice

management systemroutinely.

PPLM staff will documentincome verification

accurately 98% of the time.

April 2015 Ð March

2018

CenterMangers

Documentationaudit

III.D.3) PPLM willmaintain staffing that is

culturally and linguisticallydiverse to insure sensitivity

and ability to serve adiverse population of

clients.

PPLM will ensure that thereis culturally and

linguistically diverse staff ateach health center. Staff will

successfully pass atranslation assessment before

beginning to providetranslation services to clients.

April 2015-March

2018

CenterMangers

HRdocumentation

III.E.3) PPLM will assistclients to access health

insurance enrollment.

PPLM will partner withcertified health insurance

enrollment specialists to provide clients with access to

educational materials and

enrollment opportunities.

In year 2, PPLM will assess

ability for PPLM staff to become certified enrollment

specialists and determineneed for additional staff to

handle client enrollment.

April 2015 Ð March

2016

April 2016-

March2017

CenterManagers

Documentationof enrollment

effort inElectronic

Practice

Managementsystem.

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*

III.F.3) PPLM tracks

occurrences includingÒnear missesÓ to identify

areas for qualityimprovement and training

in providing client care.The tracking system will

be efficient, transparentand reportable.

Current hybrid paper and

electronic occurrencereporting system will be

converted to theelectronic management

system.

Yearly, data entered intodatabase.

April 2015

Ð March2018

Quality

AssuranceManger

III.G.3) PPLM healthcenter staff understand the

value and requirement toreport and track

occurrences to insurequality services.

Each year, 100 % of healthcenter staff will receive

occurrence reporting trainingand a 5% increase in the

number of occurrencesreported will be the result.

April 2015 Ð March

2018

QualityAssurance

Manger

Internal Trainingassessment and

documentation indatabase of

successful stafftraining

completion.

III.H.3) In recognition ofthe CDC guidelines forquality improvement

PPLM will use clientsatisfaction surveys to

develop a PDSA (plan, dostudy, act) to improve

client satisfaction inCentral MA.

Review client satisfactionsurvey with staff and selectone area for improvement.

PDSA will address the areaand client satisfaction will be

measured to determine ifimprovement has been made.

September2015 ÐApril 2016

Center Manger Clientsatisfactionsurvey responses

and review both pre and post

PDSA.

Problem/Need: To meet Title X requirements, clinical services must be effective, efficiently

delivered in a client-centered, equitable, and accessible manner. Staff must be well-trained in all

areas of client care through a consistently delivered and documented training plan to insure Title

X requirements are met or exceeded.

Goal IV. Provide and maintain quality training for all project staff to insure the delivery of

quality protocol-driven client care, community outreach and education in Central MA.


IV.A.4) Ensure that 100% ofstaff who work at reception or

in PPLMÕs Call Center

All call center andreception staff and their

managers will receive a

April2015 Ð

March

Director ofRevenue Cycle

Skills assessmentchecklist

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"+

understand Title X charges,

billing and collectionrequirements; third party

payment collection includingthe need for income

assessment before collectingco-pays, and eligibility for

discounts for minors whoreceive confidential services.

full-day revenue cycle

training.

Staff will be assessedyearly by management

using a skills checklist.

2018

initialtraining,

training ofnew staff

each year

IV.B.4) 100% of clinical staffwill complete annual protocol

review and revisions training.

All protocols will bereviewed annually during

cliniciansÕ meetings. New protocols are available in

print and electronic formfor ease of reference.

December2015 Ð

March2018

MedicalDirector

Quarterly chartreview by visit

type.

IV.C.4) 100% of licensed

staff complete annual trainingon follow up and referral

procedures.

Staff review follow-up and

referral procedures

May 2015

Ð July2015 and

yearly

Patient

ServicesDirector

Quarterly chart

review/audits.

IV.D.4) 100% of project staff

will successfully complete anannual Title X training.

Training is provided in

health center staff meetings

Yearly

eachOctober

2015-2018

Center

Manager

Internal Training

Documentation

IV.E.4) 100% of APCs will

complete quarterly codingtraining, including ICD-10

training in 2015.

Clinicians will receive

coding review and trainingat mandatory quarterly

clinician meetings.

April,

October,January

training

each year2015-2018

Director of

Revenue Cycle

Billing reviews

and codingaudits.

IV.F.4) 100% licensed staff

will successfully completeCPR training bi-annually.

Staff participate in training

arranged at the healthcenter with an outside

vendor.

October

2016/2017/2018

Health

ServicesDirectors

Successful

completion oftest at end of

training.

IV.G.4) In recognition of the

CDC guidelines for qualityimprovement, PPLM will

institute a nationally-recognized team training

(TeamSTEPPS) to reducemedical errors, enhance client

safety, improve clinicaloutcomes, and increase

medical and liability costsavings.

Institute one TeamSTEPPS

concept at all four Title XCentral MA sites by March

2016.

Assess and plan foractivities in 2017 and 2018.

April

2015 ÐMarch

2016

Quality

AssuranceManager

Internal Training

assessment anddocumentation.

Client

satisfactionsurveys.

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APPENDIX B: PPLM Articles of Organization

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TABLE OF CONTENTS

,-./012 / 3,425 67-689295 68:2-9 ,3; -21,.2; 4,..2-9 $)

,-./012 // ;/-20.8-9 $)1. Powers ........................................................................................................................................................... 38

2. Number, Election and Term of Office .................................................................................................... 383. Annual Meeting ............................................................................................................................................ 38

4. Regular Meetings .......................................................................................................................................... 385. Special Meetings ........................................................................................................................................... 39

6. Notice of Meetings ...................................................................................................................................... 397. Action at Meetings ....................................................................................................................................... 39

8. Action Without Meeting ............................................................................................................................. 399. Resignation .................................................................................................................................................... 39

10. Removal ....................................................................................................................................................... 39

11. Vacancies ..................................................................................................................................................... 4012. Disqualification .......................................................................................................................................... 40

13. Compensation ............................................................................................................................................ 40

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ARTICLE I: NAME, PURPOSES, POWERS AND RELATED MATTERS

The name of Planned Parenthood League of Massachusetts, Inc. (hereinafter in these By-lawsreferred to as the ÒCorporationÓ), the location of its principal office and its purposes shall be as setforth in the Articles of Organization and these By-laws. The powers of the Corporation and of its

directors, officers, committees, and members, and all matters concerning the conduct and regulationof the affairs of the Corporation and the manner in which and the officers and agents by whom itspurposes may be accomplished shall be governed by such provisions in regard thereto, if any, as areset forth in the Articles of Organization and these By-laws. All references in these By-laws to the Articles of Organization shall be construed to mean the Articles of Organization as from time to time amended.

ARTICLE II: DIRECTORS

1. Powers The Board of Directors shall have and may exercise all of the powers of the Corporation asconferred by law upon the members of a nonprofit corporation.

2. Number, Election and Term of Office The governing body of the Corporation shall be a Board of Directors consisting of not less thanfifteen (15) nor more than thirty-five (35) persons. Directors shall be elected at the annual meetingof the Board of Directors from the slate presented by the Governance Committee in accordance with Article IV(6), and they shall serve in accordance with the provisions of this Article II.Directors elected to a full term shall hold office until the third annual meeting after that meeting at which they are elected, except that any director elected to fill a vacancy shall hold office inaccordance with Section 11 of this Article II. No person shall be elected a director for more thantwo consecutive three-year terms. Thereafter, an elected director shall not be eligible for election tothe Board of Directors until the annual meeting following the annual meeting at which his or her

term expired.

3. Annual Meeting The annual meeting of the Board of Directors of the Corporation shall be held at the principaloffice of the Corporation in Boston, or at such other place within the Commonwealth ofMassachusetts as designated in the notice of annual meeting, on any date between April 1 and June30 of each year. If such annual meeting is omitted on a day herein provided therefor, a specialmeeting may be held in place thereof, and any business transacted or elections held at such meetingshall have the same effect as if transacted or held at the annual meeting.

4. Regular MeetingsRegular meetings of the Board of Directors may be held without call or notice at such places and atsuch times as the Board or Executive Committee may from time to time determine. A regularmeeting shall be held without call or notice at the same place as the annual meeting of the Board ofDirectors or the special meeting held in lieu thereof, after the election of a new Board of Directors,for the purpose of electing officers and the Executive Committee of the Corporation.

Any meeting of the Board of Directors, Executive Committee or any other committee of the Boardof Directors may take place by conference call in which those participating whether in person or by

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11. Vacancies Any vacancy on the Board of Directors may be filled by vote of the remaining directors, providedthat a director so elected shall serve until the next annual meeting, at which time the Board ofDirectors shall elect a director for the remainder of the unexpired term. Service of a partial term to

fill a vacancy shall not preclude eligibility to serve two full terms.

The position of any member of the Board of Directors who shall be absent from three (3) or moreconsecutive meetings without giving valid reason may, at the recommendation of the ExecutiveCommittee and subject to the approval of the Board, be declared vacant and shall be filled inaccordance with the provision of this Section. Board members so affected shall be notified by theClerk. In the event of any vacancy in the Board of Directors, the remaining directors may exercisethe powers of the full Board until successors are elected.

12. DisqualificationNo paid member of the CorporationÕs staff shall serve as a member of the Board of Directors. Noclose relative of the CorporationÕs staff shall serve as a member of the Board of Directors nor shall

any close relative of a member of the Board of Directors be an employee of the Corporation.

No employee of Planned Parenthood Federation of America (ÒPPFAÓ) or any of the CorporationÕsaffiliates may serve on the Board of Directors of the Corporation.

13. CompensationNo director shall receive any compensation for his or her services as a member of the Board ofDirectors as such; provided, however, that any director may, if authorized by the Board of Directors,be reimbursed for necessary expenses, including travel expenses, reasonably incurred by a director inthe performance of duties as a director.

ARTICLE III: MEMBERS

1. Members1.1 The Corporation shall have no statutory members. Any action or vote required or

permitted by law to be taken by members of the Corporation shall be taken by actionor vote of the same percentage of the directors. The members described in Article III,Section 1.2 are not statutory members.

1.2 The members of the Corporation shall include Donor Members, Network Members,and National Members (collectively, the ÒAssociate MembersÓ). Associate Membersare not statutory members and shall have no voting or other rights with respect to theCorporation.

Donor Members shall include any individual who has made a contribution of $25.00 ormore to the Corporation during any of the preceding three calendar years.

Network Members shall include any individual registered as a member of theCorporationÕs Legislative Alert Network.

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National Members shall include any resident of the Commonwealth ofMassachusetts who has made a contribution of $25.00 or more to PPFA during anyof the preceding three calendar years.

ARTICLE IV: COMMITTEES

1.

Standing Committees There shall be seven (7) standing committees of the Boar

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