HomeMy WebLinkAboutMINUTES - 06041985 - 1.96 ,TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services DirectorAf`_ /'�, �r�
By: Elizabeth A. Spooner, Contracts` Administrator Costa
DATE: May 23, 1985 40 County
SUBJECT: Approval of Funding Application 29-259-13 with the
State Department of Health Services
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve submission of Funding Application 4429-259-13 to the State Department of
Health Services in the amount of $92,706 for the period July 1, 1985 - June 30, 1986
for the Refugee Preventive Health Services Program.
II. FINANCIAL IMPACT:
Approval of this agreement by the State will result in $92,706 of State funding for
the Refugee Preventive Health Services Program. The funding application includes a
request for $11,393 to cover the cost of part-time services by a County Supervising
Public Health Nurse and a Typist Clerk. After approval by the State, this funding
will be included in the FY 1985-86 Public Health budget.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
For over four years the County has participated in the Refugee Preventive Health
Services Program with the State Department of Health Services. On July 31, 1984 the
Board approved Contract #29-259-12 in the amount of $55,000 for Refugee Preventive
Health Services during FY 1984-85 operated by the Public Health Division of the
Health Services Department through .a. subcontract with the Refugee Health Project of
Catholic Charities; Diocese of Oakland who provided interpreter services. Approval
of Funding Application #29-259-13 will allow continuation of the program during FY
1985-86 and assure compliance with Chapter 1, Section 17000-17003 of the Welfare and
Institutions Code.
Program funds are used to provide interpreter services by trained bilingual health
aides to Contra Costa's extensive refugee population (Southeast Asian, Afghanistan,
Polish, Chinese, etc.) in order to overcome barriers to health care. There are
approximately 7,000 refugees currently living in Contra Costa County, with approxi-
mately 3,000 receiving public assistance. Public Health Nurses are currently
serving 5,200 refugees. The most serious health problem of refugees is tuber-
culosis. Approximately 35% of incoming refugees have positive TB test results, and
nine cases of active TB were identified during the past year.
DG:sh
CONTINUED ON ATTACHMENT: X YES SIGNATURE: Q
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN A ION OF BOARD dOMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON S 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.
ORIG: Health Services (Contracts) 4 /
CC: County Administrator ATTESTED
Auditor-Controller Phil B chelor, Clerk of the Board of
Contractor Supervisors and County Administrator
Mee2/7-ee BY DEPUTY
Board Order
Contract #29-259-13
Page 2
Health education is a major component of the program. Public Health Nurses visit
refugee homes to educate the refugees regarding the health care system, as well as
understanding and caring for their own personal health needs and the importance of
compliance with medical prescriptions including those for tuberculosis control.
This document has been approved by the Department's Contracts and Grants
Administrator in accordance with the guidelines approved by the Board's Order of
December 1, 1981 (Guidelines for contract preparation and processing) Health
Services Department).
In order to meet the State deadline for submission, the funding application has
been forwarded to the State, subject to Board approval on June 4, 1985. After
approval, the Clerk of the Board should submit six copies of the Board Order to the
Contracts and Grants Unit for submission to the State.
I