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Home My WebLink AboutMINUTES - 09131994 - 1.84 `TO:- BOARD OF SUPERVISORS I C6 Zj Contra FROM: Mark Finucane, Health Services Director 04q By: Elizabeth A. Spooner, Contracts Administrator Costa DATE: August 23, 1994 County SUBJECT: Approve Standard Agreement (Amendment) #29-208-50 with the State Department of Health Services for the Immunization Assistance Proaram SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Chair, Board of Supervisors, to execute on behalf of the County, Standard Agreement (Amendment)#29-208-50 (State #93-17657 , A2) , effective July 1, 1993 , with the State Department of Health Services (Immunization Unit) . This amendment redistributes budget line items for fiscal year 1993-94, with no change in the payment limit of $243 , 280. II. FINANCIAL IMPACT: Approval of this amendment will enable the Department to invoice the State for program costs during the fiscal year 1993-94 by a redistri- bution of budget line items. There is no change in the payment limit of $243 , 280. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On July 27 , 1993 , the Board of Supervisors approved Standard Agreement #29-208-45 with the State Department of Health Services for continuation of the Immunization Assistance Program during fiscal year 1993-94 . Approval of Standard Agreement (Amendment) #29-208-50 redistributes budget line items to enable the Department to invoice the State for program costs incurred during that fiscal year, with no change in the payment limit of $243 , 280. The Board Chair should sign eight copies of this agreement. Seven copies of the agreement and three certified and sealed copies of this Board Order should be returned to the Contracts and Grants Unit for submission to the State Department of Health Services. CONTINUED ON ATTACHMENT: YES SIGNATURE• 1 / RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN ATIO OF BOARD C MMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED _ OTHER VOTE OF SUPERVISORS UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. Contact: Wendel Brunner, M.D. ( 313-6712) CC: Health Services (Contracts) ATTESTED �1 _ State Dept. of Health Services phil atchelor, Clerk of the Boa d of Sup®nljwjs gad Q=ty AdminiiW trot M382/7.83 BY B4A DEPUTY STATE OF CALIFORNIA - APPROVED BY ��13 -91 gy CONTRACT NUMBER , AM.NO. STANDARD AGREEMENT ATTORNEY GENERAL ST-?(Re 51�1) �.rp,. .,. ..�, = 93-17657 A-2 PA 9 4 FEDERAL EMPLOYER IDENTIFICATION NUMBER AX s 1 � , 94=6000509 THIS AGREEMENT,made and entered into this day of �' — 19— in 19in the State of California,by and between State of California,through its duly elected or appointed,qualified and acting [[�� TITLE OF OFFICER ACTING FOR STATE AGENCY ® ® 8 — 5 Chief, Program Support Branch I Department of Health Services hereafter called the State,and CONTRACTOR'S NAME COUNTY OF CONTRA COSTA (Health Services) hereafter called the Contractor. WITNESSETH: That the Contractor for and in consideration of the covenants,conditions,agreements,and stipulations of the State hereinafter expressed, does hereby agree to furnish to the State services and materials as follows: (Set forth service to be rendered by Contractor,amount to be paid Contractor, time for performance or completion,and attach plans and specifications,if any.) In that certain agreement between this Department and the County of Contra Costa(Health Services) dated June 1, 1993 and amended July 1, 1993: Paragraph 2 is amended to read: "2. The attached Exhibit B.1 Revised,entitled"Budget",consisting of four pages is made a part of this agreement by this reference. All references to Exhibit B.1 shall now read Exhibit B.1 Revised".. Paragraph 3 is amended to read: "3. The attached Exhibit CA Revised, entitled"Project Summary and Budget Justification",consisting of four pages is made a part of this.agreement by this reference. All references to Exhibit CA shall now read Exhibit CA Revised". The effective date of this amendment is July 1, 1993. All other terms and provisions of said contract shall remain in full force and effect. CONTINUED ON SHEETS,EACH BEARING NAME OF CONTRACTOR AND CONTRACT NUMBER. The provisions on the reverse side hereof constitute a part of this agreement. IN WITNESS WHEREOF,this agreement has been executed by the parties hereto, nl;on the date first above written. STATE OF CALIFORNIA CONTRACTOR AGENCY CO!: - -i ntherthan iduat state whether a corporation,partnership,etc.) Department of Health Services Y O ON 'RA COST .< 9PRINT ORIZEDSIGNATURE) � BY. � SIAR AME F PERSON ING PF-f ME D TITLE OF PERSON SIGNING G . ,ir, Board of Supervisors TITLE ADDR Chief, Program Support Branch 6.,i Pine Street, rtztttinez, California 94553 AMOUNT ENCUMBERED BY THIS PROGRAM/CATEGORY(CODE AND TITLE) FUND TITLE De artment of General Services DOCUMENT Local Assistance/Clearing Account General �J $ 0 (OPTIONAL USE) PO POLICY BUQGET PRIOR AMOUNT ENCUMBERED FOR FFP 63.3% Federal Catalog#93.268 THIS CONTRACT Dep rfinent of General S:�rvices ITEM CHAPTER STATUTE FISCAL YEAR $ 243,280.00 4260-111-001 55 1993 1993/94 A P P P 0 V E TOTAL AMOUNT ENCUMBERED TO DATE OBJECT OF EXPENDITURE(CODE AND TITLE) $ 243,280.00 11 93-51343-4470-702-03 0 2 1994 I hereby certify upon my own personal knowledge that budgeted funds T.B.a.NO. B.R.NO. are available for the period and purpose of the expenditure stated above. SIGNATURE A UNTING OFFICER DATE D Asst.chW Counsel l s CONTRACTOR F1 STATE AGENCY DEPT.OF GEN.SER. El CONTROLLER El NOV 0'7 199141-1.-1 COUNTY OF CONTRA COSTA EXHIBIT B.1 REVISED (Health Services) PAGE 1 of.A PAGES Amendment Effective Monthly Salary Percent or Prior Approved (-)and/or+ New Approved Personal Services /Hourly Rate Hours of Time Amount 7/1/93 Amount Immunization Coord. $4386-$5505 50% $32,508.00 $0.00 $32,508.00 Registered Nurse $24.68-$30.06/hr. 2080 hrs. $59,545.00 $0.00 $59,545.00 Registered Nurse $24.68-$30.06/hr. 1339 hrs. $38,441.00 $0.00 $38,441.00 Disease Inter. $1925-$3000 50-100% $24,570.00 ($10,170.00) $14,400.00 Technician Clerk Experienced $1849-$2248 50% $13,488.00 $0.00 $13,488.00 Level Staff Benefits @ 11.02%-30%, $41.267.00 ($4.954.00) $36.313.00 Total Personal Services $209,819.00 ($15,124.00) $194,695.00 Operating Expenses A. Supplies 1. Office $1,000.00 $8,900.00 $9,900.00 2. Clinic $3,872.00 $0.00 $3,872.00 B. Health Education Materials $5,000.00 $7,124.00 $12,124.00 C. Laboratory Screening $0.00 $0.00 $0.00 D. Travel-- In-State $2,390.00 $0.00 $2,390.00 Travel-- Out-of-State $1,200.00 $0.00 $1,200.00 E. Equipment $9,999.00 $0.00 $9,999.00 F. Subcontracts $10.000.00 900.00 9100.00 (Descriptions on Exhibit B Revised Budget,pages 2,3,&4) Total Operating Expenses $33,461.00 $15,124.00 $48,585.00 TOTAL BUDGET $243,280.00 $0.00 $243,280.00 %,DHS 8212(9/92) EXHIBIT B .1, REVISED BUDGET PAGE 2 OF . 4 PAGES APPLICATION FOR IMMUNIZATION PROJECT SUBVENTION FUNDS Applicant : County cf Contra Costa (Health Services) Budget Period From: 7/1/93 to 6.z3n fq4 F. Subcontracts (List the name of the contractor or consultant and the time period of the contract- Also, indicate the hourly/weekly/monthly rate of reimbursement and total contract amount.) Name of Subcontractor: GRAPHIC ARTIST TO BF DF 7.RMTNFD Address: City, State, &Zip Code: Telephone#: Dollar Amount 1. Personal Services Rate of Required from (List positions) Time Period Reimbursement California Graphic Artist 1/94 - 6/94 $1000 to develop appropriate educational material$ (6 months) $150 - $250/month $1000 Personal Services Subtotal Is 1000 11. Operating Expenses Supplies Health Education Materials Travel (in-state) Equipment Operating Expenses Subtotal Is D F. Subcontracts Total - (I. Personal Services + )).'Operating Expenses) Is 1000 (include amount on Operating Expenses, Exhibit B, Budget, page 2) Note: A written justification of the above Contractor service(s) and expected completed work product(s) must be included in Exhibit C Budget Justification of this agreement. DHS 8312 (9/92) EXHIBITS .1 REVISED BUDGET PAGE_i OF 4 PAGES APPLICATION FOR IMMUNIZATION PROJECT SUBVENTION FUNDS Applicant : County of Contra Costa (Health Services ) Budget Period,From: 7/i/9-3—to 6/30 94 F. Subcontracts (List the name of the contractor or consultant and the time period of the contract. Also, indicate the hourly/weekly/monthly rate of reimbursement and total contract amount.) Name of Subcontractor: Center for New Americans Address: 113'5 Lacey T ane City, State, &.Zip Code: Concord Telephone#: 798-3492 Dollar Amount I. Personal Services Rate of Required from (List positions) Time Period Reimbursement .California Translaters 1/94-6/94 $200-300 per $600 translation (6 mcnths) $100 - $300/monti Personal Services Subtotal $ 600 II. Operating Expenses Supplies Health Education Materials Travel (in-state) Equipment Operating Expenses Subtotal Is F. Subcontracts Total = (I. Personal Services + II. Operating Expenses) $ 600 (Include amount on Operating Expenses, Exhibit B, Budget, page 2) Note: A written justification of the above Contractor service(s) and expected completed work product(s) must be included in Exhibit C Budget Justification of this agreement. 12:(3/92) EXHIBIT 8 :1 R.EVISED BUDGET PAGE. 4 OF 4 PAGES,. , APPLICATION FOR IMMUNIZATION PROJECT SUBVENTION FUNDS Applicant :_ County of Contra Costa (Health Services) Budget Period From: 7/1/93 to 6/30/94 F.Subcontracts (List the name of the contractor or consultant and the time period of the contrail. Also,Indu�ate the hourty/weekly/monthly rate of reimbursement and total contract amount) Name of Subcontractor Pittsburg ,Preschool Coordinating Council Address: 1760 Chester Drive City, State, &Zip Code: Pittsburg, Ca. 94565 Telephone# 510-439-29061 Dollar Amount t. Personal Services Rate of Required from (List positions) Time Period Reimbursement California Community Outreach 7/1/93-6/30/94 $10/hr. for a $7500 Worker total of 750 houis (12 months) Personal Services Subtotal Fs-7566 If. Operating Expenses Supplies Health Education Materials Travel(in-state) Equipment Operating Expenses Subtotal S F.Subcontracts Total = (I. Personal Services +If. Operating Expenses) S7500 (include amount on Operating Expenses, Exhibit B, Budget,page 2) Note: A written justification of the above Contractor service(s) and expected completed work product(s) must be included in Exhibit C Budget Justification of this agreement. (DHS 8312(9/52) Exhibit CA REVISED Project Summary and Budget Justification Page 1 cf 4 Pages APPUCATiON FOR IMMUNIZATION PROJECT SUBVENTION SHORT SUMMARY OF PROJECT (Not to exceed 200 words) The purpose of the Immunization Program is to prevent the occurrence and transmission of vaccine preventable diseases through immunizations, surveillance and outbreak control. The program will provide immunization services, promote immunization awareness, encourage families to keep permanent immunization records, and assure that schools maintain a permanent record keeping system. Program activities will be coordinated with local school officials and community agencies. These activities will be carried out in an attempt to: (1) raise immunization levels above 98% for all school age children and 95% for all infants and preschool children and (2) incense the number of 4th doses of DTP administered in public health clinics to children 15 months to 2 years by 10% over the prior fiscal year. Surveillance and outbreak control measures are incorporated into the program which include measles, pertussis, rubella, Hepatitis'B,Haemophilus Influenzae Type b and other vaccine preventable disease. Priority will be given to the: 1) annual kindergarten and preschool immunization assessments and selective review audits, 2) distribution of immunization materials to all public and private schools and'preschook with inservice/consultation visits maintained, 3) expanded outreach efforts to infants and toddlers 4) on-site clinics at WIC, State Preschool and Headstart sites, 4) toddler immunization campaign, 5) measles elimination program, 6) provision of regularly scheduled public immunim6on clinics with special clinics as needed, 7) a reminder/recall system for children who attend the monthly immunization clinics, WIC, and State Preschool/Headstart on site clinics 8) outbreak control measures to contain/stop vaccine preventable disease. 9) increased provider outreach efforts to adopt the 'The No Barriers to Immunization Policy' to reduce missed opportunities with programs for continuing education units for professionals. A computerized immunization system with a 386.PC and Green Lira-software is updated monthly to maintain: 1) permanent retrievable record keeping system for persons given immunizations in the immunization-only clinics and special outreach clinics 2) vaccne usage and inventory activities, and 3r communi- cations to schools, health care providers, hospitals, and community organizations Other software . programs will be investigated this year in an effort to establish a computerized immunization link to public and private immunization providers. Name of Project Director Name and Address of Applicant Including Organizational Unit Responsible for Project Activity LTr=ization Program Wendel Brunnet, M.D. , M.P.H. 597 Center Ave. 200A Martinez, CA 94553 (DHS 8312(9/92) r Exhibit"C .1 REVISED Project Summary and Budget Justification Page 2 of 4 Pages APPLICATION FOR IMMUNIZATION PROJECT SUBVENTION BUDGET JUSTIFICATION (Please provide written justifications for all positions and operating expenses requested on Exhibit B Budget ff additional space is required, attach additional pages.) PERSONNEL SERVICES Immunization Coordinator - $32,508 Coordinates activities- to meet program goals: conducts immunization assessments and provides consultation and technical assistance to school and child care facilities to raise and/or maintain immunization levels of at least 98% in school age children and 95% in infants and preschool children, participates in newborn and toddler outreach efforts, provides immunization information to the medical and lay communities, coordinates programs for continuing education for professionals, works to reduce/eliminate vaccine preventable disease (ie., measles, mumps, rubella, pertussis, hemophilus influenza type b), provides the operational link between schools and preschools and the State IAP office, supervises the computerized record keeping system, manages vaccine and vaccine accountability, Registered Nurses (2 positions) - $97,986 ($59,545 & $38,441) Expand service by establishing immunization clinic services twice a month in Brentwood and/or Oakley. There are no regular immunization clinics in these growing areas except once a month in the Brentwood WIC clinic. These areas also house a majority of the county's migrant and hispanic populations. Expand existing Immunization Clinics in Pittsburg, Concord and Richmond from weekly to daily service. Outreach clinics will be expanded to others areas of the county as identified. Disease Inter. 'Technician — $14,400 Expand door-to-door outreach and work with community leaders to establish clinic times and locations to reach the targeted population. Will provide information classes in clinics and community groups. Will provide language appropriate materials to clinics and community groups. Expand immunization record audits of day care facilities to identify younger siblings needing immunizations. Enhance provider visit/education program. (DHS 8312(9/92) Exhibit C .1 REVISED Project Summary and Budget Justification Page 3 of 4 pages APPLICATION FOR IMMUNIZATION PROJECT SUBVENTION BUDGET JUSTIFICATION (Please provide written Justifications for all positions and operating expenses requested on Exhibit B Budget If additional space is required,attach additional pages.) Clerk Experienced Level - $13,488 Provides clerical support to accomplish the goals and objectives of the program. The activities include: typing and filing reports and letters, xeroxing, preparing kindergarten and preschool registration packets, filling orders, tabulating audit results, mailing materials to schools, child care facilities, family day homes and health care providers, maintaining the computerized retrievable -immunization record . system and manual reminder system, and providing clerical support to clinic and the Immunization Program Coordinator. Staff Benefits at 11.02%-30% - $36,313 OPERATING EXPENSES A. Supplies 1 . Office - Pens, paper, envelopes, postage for mass mailings and reminder/recall, postcards, phone for computer fax/modem. $_9,9oo 2. Clinic - Syringes, alcohol, drapes, cotton, bandaids, needle disposal boxes, containers to transport equipment. $3,872 B. Health Education Materials - Printing reminder/recall postcards to remind parents when their child's next immunization is due; developing, printing and/or ordering of culturally sensitive brochures, fliers, posters, videos.- $12,124 C. Travel 1. In-State - Local program related activities and expanded program outreach,clinical and educational activities for all program staff listed. $2,390 2. Out-of-State - Necessary for Program Staff to attend the National Immunization Conference. $1 ,200 8312(9/92) , Exhibit C..1 REVISED Project Summary and Budget Justification page4 of 4 Pages APPLICATION FOR IMMUNIZATION PROJECT SUBVENTION BUDGET JUSTIFICATION (Please provide written justifications for all positions and operating expenses requested on Exhibit B Budget If additional space is required,attach additional pages.) D. Equipment - $9,999 Computer software and associated hardware to establish a computer network system with multi-provider access and reminder/recall: Computer hardware and software to link outreach clinics with the immunization data base. cellular phones for clinic access. E. Subcontracts - $9,100 1 . Contract with a graphic artist to develop appropriate materials. 2. Contract for assistance with multiple language translations of educational materials. 3. Contract with Pittsburg Preschool Coordinating Council for Community Outreach Worker.