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HomeMy WebLinkAboutMINUTES - 04271993 - 1.51 TO: BOARD OF SUPERVISORS FROM. Mark Finucane, Health Services Director ��"+ Contra By: Elizabeth A. Spooner, Contracts Administrator Costa DATE: April 15, 1993 County Approve Submission of Funding Application #29-265-26 with SUBJECT: the State Department of Health Services for Continuation of the Maternal and Child Health and Perinatal Improvement Program 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, Funding Application #29-265-26 with the State Department of Health Services in the amount of $870,705 for the period July 1, 1993 - June 30, 1994 for continuation of the Maternal and Child Health and Perinatal Improvement Program. II. FINANCIAL IMPACT: Approval of this agreement by the State will result in $870,705 for this program. Sources of funding are as follows: State Allocation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$190,141 Federal Funds (through the State DOHS) . . . . . . . . . . . . .$680,564 County (In-Kind Only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$258.904 FY 1993-94 TOTAL PROGRAM $1,129,609 III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On September 8, 1992 the Board approved Standard Agreement #29-265-24 with the State Department of Health Services for continuation of the Maternal and Child Health and Perinatal Improvement Program during the period July 1, 1991 through June 30, 1993 (as amended by Standard Agreement Amendment #29-265-25, approved by the Board on October 6, 1992) . Funding Application #29-265-26 requests funding for continuation of the program through FY 1993-94. The Board Chair should sign six copies of the application, five of which should then be returned to the Contracts and Grants Unit for submission to the State. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME j' ON OF BOARD 60MMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS X 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 Contact: Wendel Brunner, M.D. (313-6712) OF SUPERVISORS ON THE DATE SHOWN. cc: Health Services (Contracts) ATTESTED Auditor-Controller (Claims) Phil Batchelor, Clerk of the Board of State Department of Health Services $UpervWrsad6o tyAdminL*aW M382/7-e8 BY DEPUTY TO: BOARD OF SUPERVISORS 1 —bl FROM: Mark Finucane, Health Services Director hi✓�r� Contra By: Elizabeth A. Spooner, Contracts Administrator (Costa DATE: April 15, 1993 @oCounty Approve Submission of Funding Application #29-265-26 with SUBJECT: the State Department of Health Services for Continuation of the Maternal and Child Health and Perinatal Improvement Program 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, Funding Application #29-265-26 with the State Department of Health Services in the amount of $870,705 for the period July 1, 1993 - June 30, 1994 for continuation of the Maternal and Child Health and Perinatal Improvement Program. II. FINANCIAL IMPACT: Approval of this agreement by the State will result in $870,705 for this program. Sources of funding are as follows: State Allocation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$190,141 Federal Funds (through the State DOHS) . . . . . . . . . . . . .$680,564 County (In-Kind Only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$258.904 FY 1993-94 TOTAL PROGRAM $1,129,609 III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On September 8, 1992 the Board approved Standard Agreement #29-265-24 with the State Department of Health Services for continuation of the Maternal and Child Health and Perinatal Improvement Program during the period July 1, 1991 through June 30, 1993 (as amended by Standard Agreement Amendment #29-265-25, approved by the Board on October 6, 1992) . Funding Application #29-265-26 requests funding for continuation of the program through FY 1993-94. The Board Chair should sign six copies of the application, five of which should then be returned to the Contracts and Grants Unit for submission to the State. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME AT ON OF BOARD 0MMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON 7, APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS -� UNANIMOUS (ABSENT ) 1 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 Contact: Wendel Brunner, M.D. (313-6712) OF SUPERVISORS ON THE DATE SHOWN.� cc: Health Services (Contracts) ATTESTED Auditor-Controller (Claims) State Department of Health Services Phil Batchelor, Clerk of the Board of ' Welyl mW County AdininWift M382/7-e3 BY DEPUTY � \ ` ' ~�� ~~��.���� 29 - 265 - 26 � �� �� �� �� �� �� �� �� � *� q� v� � /� V� 01 |[ |AL US[ ONLY I | / � FUNU|N6 APPL ICA TION [oot/U\ No. 93- FISCAL YEAR 1993-94 [ [ Subrn�ton.gi na/ oud 2 copies cm/npkxc *x/h u(kzc6/ncn/3 to: [ [ [ Maternal and Child Health Branch P.O. Box 942732 714 P Street, Room 740 S8Cr8meOLV. [A 94237-7320 REVIEW ATTACHED INSTRUCTIONS CAREFULLY BEFORE COMPLETING APPLICATION Indicate all *Cx',e}^tcu state programs to which you have ^pn\.cu for fiscal year 1993'e4 funo`"; m/ecken appropriate boxes) 3 rarn workers eg C^)/f�om/v co'lt�'en Services O lno/^n Health O Primary [are Grant (A6 iJ),) O Rural xe*}m N [m)u Health o.sa-,.|`t' Program � Paternal and Child xe^}m O Adult Dov Heai�­ c^'e (AB 161/) � Office of Family plvon`og O Genetically Ha"c.c^opcu Persons Program n [nnvn/zat.on Assistance Pq uomen Infants Cnildren Supplemental r d N Other rui Hin Risk Infant �� lL -up A. APPLICATION INFORMATION l . OFFICIAL AGENCY NAME AND ADDRESS (as it is to appear on agreement) � Name: Contra Costa County Health Services Department/Public Health Address : �47 �en��c Avenue, Suite �6� � -_-~~ City: Martinez, CA ZIP [Ode 94553 County: Contra Costa County Telephone i \ 313-6256 � �_~____-__' 2 . CATEGORY OF PROJECT: MCH 3 . AMOUNT REQUESTED FOR FISCAL YEAR 1993-94 : $ 870 , 705 PROPOSED FUND/NG PERIOD.- From to MH/DO/YY MM/0D/YY 4 . PQOPOSEHR� NARRATIVE SU�� : (Do not exceed this space .) . \ Ihis project cm»rdzn�Les MCH secvices for ConLra Costa County. project goals inc/ud� overall MCA8 coordination and advocacy, incLoding MCABDoacd. p�cinaLal subsLaoce abuse activities and pecinaLaL vital statistics anu)ysis, Local CPSP pLanning' recruitment and impLemenLation, neinLenance o[ tn| i [cee telephone line' Black ln[unc Health activities and PcsnacoL �a�� Guidance pro�ram acLiriLi��. __' Y 1 �. AG[NC Y IN{-ORMAI ION 1), ml all 1 . Agency Director Name : Mark Finucane Title: Director, Department of Health Services Address : 20 Allen Street , Martinez , CA ZIP Code : 94553 Telephone : ( 510) 370-5001 2 . Agency Fiscal Officer: Name: Patrick Godley Title: Chief, Financial Officer Address : 20 Allen Street, Martinez, CA ZIP Code : 94553 Telephone : ( 510) 370-5005 3. Agency Official with Board Authority to Commit Agency to Agreement : Name: Wendel Brunner, MD Title: Assistant Director of Health Services, Public Health Division Address: 597 Center Avenue, Suite 200, Martinez, CA ZIP Code: 94553 Telephone : ( 510) 313-6712 4. Project Director ( if none, agency contact , regarding application) : Name: Mary Foran, MPH Title : Director, Office for Service Integration Address : 597 Center Avenue, Suite 365, Martinez , CA ZIP Code: 94553 Telephone : 510) 313-6256 _. 5. Provider Numbers : Medi-Cal N/A Federal Employer ID Clinic License Number and Expiration Dote 6. Agency Tax Status : [X] Public (Government:'Un i e!-� i t,; [ ] Other (Specific ) a c: . [- I SC_AI- YE fkN 199 -94 At+T I C !r'f;T 11) FUNIS BY SOUIZc.:I List all federal, state, and local grants. contract. and agreefnents for generic maternal, child. and adolescent healtt, services to which you have applied for fiscal year 1993.94 funding. NAME OF FUNDING SOURCE SPECIFY FEDERAL, STATE AMOUNT OF SUPPORT FUNDING OR LOCAL PERIOD ( including private) CHDP State, County 2661860 1993-94 EPDST 1, 1987827 1993-94 EPDST - PCG Federal, State, County 267,244 I CCS State, County 4,600,000 1993-94 High Risk Infant Follow-up State 251 886 1993-94 Childhood Injury Preventio Demonstration Project State 95,000 1993-94 MCH(MCH,CPO,PCG) Federal, State, County 11299,644 1993-94 II Family Planning State 127,200 1993-94 i WIC Federal, State 883,813 1993-94 Dental Disease Program State 100,575 1993-94 African-American Infant Health Project State 84,375 1993-94 .� i I i i i i � s D A[ |O�| | �gresmcn� � To be comV| eLnd b,; i IppiiconLs The undersigned hereby afFirms Lha� the s tut2meots [nntain2d )n the application package 8re cLrue and cumple IL e to the best Of the ,applicant ' s k urLher, realiIe3 Lhis } 5 8 public ooc � which public inspection . Director, Department ol //�i{^�. Health Services Mack Finucane NaFe-(Type or Print) Date 2 . Certification Statement : To be completed by all applicants I certify that this Maternal . Child, and Adolescent Health Service Program will comply with all federal and State legal requirements pertaining to the program- [ understand that the State will use the materials submitted by 'this agency as 8 guideline for program consultation and assessment . Chair, Board of Supervisors Tom ] nclakson APR 9 7 1993 Name (Type or Fr-int) Date 3. Certification Statement: For iO[6l health jurisdictions Only [ cert i 'Fy that the County has a Haternal , Child, and Adnle5[ent Health Board advisory to the Maternal . Child. and Adolescent Service programs , the membership OF which meets the requirements of the Health and Safety Code Section 321 . 7 . . ' Assistant Health Services Director/Public Health Local ''`" ' `" Otticer Title (original signature) Wendel Drunner, MD Name (Type or Print) Date 4 . Certification Statement : To be completed by other than local health jurisdictions / herebv certify that a copy of this proposal has been/will be Sent to the health officer(s) [o/ county(s) and/or local health iurisdi[tioo in which proposed activities are to occur. � Original SionaLure���--- ------ Tit e - �� '��l�� - - - -----~� ------ s s State of CaOfor I --Health and weffaue .Agency Pepartmr.r.t or r-,ascan S...icrs AFFIRMATIVE ACTION INFORMATION SHEET 1, For statistical purposes,please complete the following information to the questions below. 2. This information is for statistical use only. It is considered confidential and does not constitute a basis for award or rejection of any contract, work order, service authorization,or purchase order with the Department. VENDOR/CONTRACTOR INFORMATION -- --- Name of Firm OGS vendor Number Contra Costa County Health Services Department Name of principal(if otner tnan an Indmcuai firm) Title `— Business Address City z Y 597 Center Avenue, Suite 365 Martinez, CA 94553 Type of Ownership (Use 2 digits, i.e.,01,02, 10, 11,etc.); 01 = Individual 02 = Partnership 03= For Profit Corp. 04 = Not-for-Profit Corp. 05 = For Profit Hospital/Skilled Nursing Facility 06 = Not-for-Profit Hospital/Skilled Nursing Facility 07 = Unincorporated Association 08 = College,'University (Including both Public and Private) including University Hospitals 09= County Government only 10 = Other California governmental entity, exceot County and No. 11 below. (City,School District,Water District,Joint Powers, etc.) 11 = California State Agency 12=Other entity, including Federal Government,another State,any entity not identified in 1 thru 11. Indicate Ownership digit(s) here: 9 Tyci of Business Contractdr'S license Held.If any! Statistical Information Ethnic Codes: Male Female Male Female Black Americans 1 A American Indians/Alaska Natives 7 G Asian-Pacific Americans 2 B Filipino Americans 8 H Hispanic Americans 4 D Asian-Indian Americans 9 i Pacific islanders 6 F Caucasian/White Americans 5 E Enter Ethnicity of Vendor/Contractor from above list: Has Vendor/Contractor applied to and been approved by the Office of Small and Minority Business, Department of General Services, as a small business? (See reverse side). Yes ❑ No ❑ If yes,enter the date of the letter OSMS sent to the Vendor/Contractor approving the small business status: Has Vendor/Contractor applied to and been approved by the Office of Civil Rights, Department of Transportation, as a Minority Business Enterprise or a Disadvantaged Business Enterprise? Yes ❑ No ❑ If yes, enter CalTrans seven-digit certificate number given to Vendor/Contractor: Enter certificate expiration date: Is Vendor/Contractor a"Women-Owned Enterprise"? Yes ❑ No ❑ DNS Inform_tion. Date Received: By: Date entered DHS Program Name: in CMS SA log: INFORMATION PRACTICES ACT STATEMENT This information is requested by the State of California,Department of Health Services for statistical purposes only. Completion of :7�e is voluntary and there are no consequences for not providing the information. Information wiI) b- provided to Contract Mar_--; �• : Section, Business Services Section, Records Management and Administrative Support Sec:ion of the D=partment a( Health Ser: res, a :i Possibly other public agencies. For more information or access to your records, contact the Section Cn�ef, Contract Management Department of Health Services, 744 P Street, Sacramento, CA 958 i 4, Telephone (91 6) 32261 22 Hos 1090 areal f t Stats of{dU orntr—HsaRn and WU4a Agcy Oson;msnt or, sa�tn 5.,,,icr� AFFIRMATIVE ACTION INFORMATION SHEET 1. For statistical purposes,please complete the following information to the questions befovv. 2. This information is for statistical use only. It is considered confidential and does not constitute a basis for award or rejection of any contract,work order, service authorization,or purchase order with the Department, VENDOR/CONTRACTOR INFORMATION Name of Firm DGS Vendor Number Contra Costa County Health Services Department Name of Principal tit otner than an Individual firm) Tt.tte Business Address City 2 a 597 Center Avenue, Suite 365 Martinez, CA 94553 Type of Ownership (Use 2 digits, i.e.,01,02, 10, 11,etc.); 01 = Individual 02 =Partnership 03= For Profit Corp. 04 = Not-for-Profit Corp, 05 = For Profit Hospital/Skilled Nursing Fac,lr•y 06 = Not-for-Profit Hospital/Skilled Nursing Facility 07 = Unincorporated Association 08 =College/University (including both Public and Private) including University Hospitals 09= County Government only 10 = Other California governmental entity, except Coun:y and No. 11 below, (City,School District,Water District, Joint Powers,etc.) 11 = California State Agency 12 =Other entity, inciudinc Federal Government,another State,any entity not identified in 1 thru 11. Indicate Ownership digit(s) here: 9 Tyo'of Business Contractor's L11 Anse Meld, if any: Statistical Information Ethnic Codes: Male Female Male Female Slack Americans I A American Indians/Alaska Natives 7 G Asian-Pacific Americans 2 B Filipino Americans 8 H Hispanic Americans 4 D Asian-Indian Americans 9 I Pacific Islanders 6 F Caucasian/White Americens 5 E Enter Ethnicity of Vendor/Contractor from above list: Has Vendor/Contractor applied to and been approved by the Office of Small and Minority Business. Department of General Services, as a small business? (See reverse side). Yes ❑ No ❑ if yes,enter the date of the letter OSMB sent to the Vendor/Contractor approving the small business status: Has Vendor/Contractor applied to and been approved by the Office of Civil Rights, Department of Transportation,as a Minority Business Enterprise or a Disadvantaged Business Enterprise? Yes ❑ No ❑ If yes,enter CalTrans seven-digit certificate number given to Vendor/Contractor: Enter certificate expiration date: Is Vendor/Contractor a"Women-Owned Enterprise"? Yes ❑ No ❑ DHS inform2tion. Date Received: By: Date entered DHS Program Name: in CMS SA log: INFORMATION PRACTICES ACT STATEMENT This information is requested by the State of California, Department of Health Services for statwicai pu:noses only. Completion of .` is voluntary and there are no consequences for not providing the information. Information vriil c zycivided to Contract Palart :r-; Section, Business Services Section, Records Management and Administrative Support Section cf the ^•:)3runent of Heail` Se r::c:-•,. z .: Possibly other public agencies. For more information or access to your records, contact the S� ., r. C- ;', Contract Manager•len. Department of Health Services, 744 P Street, Sacramento, CA 95814, Telephone (9 15) 322 e1 22 Has 1090(21881 i e CONTRA COSTA COUNTY MCH ALLOCATION BUDGET JUSTIFICATION 1993-1994 I. Staffing Pattern Each position carried in the personnel section of the budget is assigned to carry out specific objectives as noted on attachment A which also identifies which positions are enhanced and non- enhanced and whether activities are FFP eligible. The salaries and percent time for each position is documented on the budget. The percent time budgeted for each person is the amount necessary to carry out the assigned responsibilities. In addition to State and Federal funding, a substantial amount of county dollars are devoted to accomplishing the scope of work. There are three benefits rates represented in the budget. The rate for permanent county employees is 31.0%. Temporary staff rate is 10.53% and contract employee rate is 7.65%. The Epidemiologist and Childhood Injury Prevention (CIP) Data Analyst are both contract employees. The only temporary staff are student interns. The rest of the positions are filled by permanent county employees. The MCAH Director directs the MCAH team which provides overall program planning, coordination, and advocacy. In addition, he is responsible for active participation in CCLDMCAH, and other State issue committees. The OSI Director participates on the MCAH Team. In addition, she coordinates execution of the entire scope of work, including supervision of other staff on the program. The BIH Director participates on the MCAH team and is responsible for monitoring the BIH portion of the contract. The PH Clinic Services Director is as member of the MCAH team whose focus is on planning and evaluating MCH clinical services and acting liaison with local SB620 projects. The Executive Assistant to the PH Director participates on the MCAH team with a special focus on ongoing support to advisory boards which advocate for MCH services (PEHAB,MCAH). The Epidemiologist is a member of the MCAH team with special responsibilities of analysis and tracking of the Year 2000 MCH Objectives. The CIP Data Analyst participates on the MCAH team and is responsible for developing and maintaining the CIP data systems. The Accountant is responsible for fiscal monitoring of the budget including all ledgers and invoicing. The clerical staff provide comprehensive clerical support including typing, word processing, ordering, filing, maintenance and distribution of educational materials for all professional staff on the budget. The CPSP Coordinator, PH Nutritionist, PH Social Worker, Senior Health Education Specialist, and Health Education Specialist (also a MCAH team member) work in the CPSP section of the program, providing recruitment, training, consultation and technical assistance to potential and approved providers. Another Senior Health Education Specialist works entirely on toll free systems. The line item for temporary staff funds short term projects for general MCH coordination which is expected to be carried out by student interns. II. Operating Expenses Travel $3,800 (50010 MCH E, 50% MCH N) Training $2,200 (50% MCH E, 50% MCH N) Subcontract A) $29,000 B) $3,600 A) Contract to East Bay Perinatal Council is for continuation of current BIH activities to include support and education groups on a wide range of issues for clients. Funds support staff time, space, childcare and supplies for the groups. B) Contract to Consultant for CPSP, Jeff Gould, MD, MPH, who is retained to do analysis of perinatal vital statistics and CPSP data collection efforts. Space $30,907 Equipment $3,468 HP laser jet Series IV printer $1,700 WYSE terminal/keyboard $385 software $1,383 Indirect Costs $44,197 Other Expenses $30,390 Office Expenses/Postage $6,000 Communication $13,000 Copier $5,000 Education Materials $3,750 Publicity/Marketing $2,640 III. 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U IL CL a) _0Q) 0 C: m Q) :3 � E .9 > a) E Q-CL m G3 U Q) C) 0)-o ca) E C- a) 0 -0 > 0 (7) 0 W 0 0 a- m c� co ccs U a .o U C .CA V1 � *� 0 a q 3) o CO CO U CL d 0 Z co t° W cn a (� U w � t. p i m 4, cv a- O = CL U �n CO a- lc� c0 ' v O 6 U o 15-0 c.0 oQ U C o — Q� � o o i p O U t3 v Cy L O -tom.? v, � o = fl U C O ctS co U m C O O ATTACHMENT B PERINATAL CARE COORDINATOR (1 .0 FTE) DUTY STATEMENT The Perinatal Care Coordinator coordinates a wide range of activities within the Health Services Department to promote perinatal health. Under general direction, facilitates collaboration and coordination among the Comprehensive Perinatal Services Program (CPSP) providers; conducts needs assessments of low-income pregnant women; analyzes medical data to monitor perinatal health trends within the County and performs other related work as required. As CPSP Coordinator (.75 FTE), the Perinatal Care Coordinator carries out the following responsibilities: 1 . RESOURCE DEVELOPMENT AND PLANNING: (50%) A. Collaborating with perinatal health groups and consultants to conduct health needs assessment; B. Identify health needs of pregnant, low-income women; C. Identifying and analyzing medical data needed to develop County .perinatal plan; D. Developing an annual Scope of Work including objectives and activities to meet identified health needs of pregnant, low-income women; E. Developing and implementing strategies to reach pregnant, low-income women; F. Attending regional and statewide meetings to provide input into how to best organize, plan, implement and evaluate local programs to provide health services to pregnant, low-income women; G. Consulting with local health care providers and agencies regarding local prenatal needs/resource development; H. Evaluating/monitoring availability of obstetrical and support service resources within the local community; I. Informing medical professionals of CPSP program and services; J. Consultation with providers regarding program information; Identifying and assessing support service practitioners; K. Assessing the adequacy of potential providers to provide safe and appropriate care (site visits, etc.); L. Planning and providing orientation to provider(s') staff regardkig Comprehensive Perinatal Services Program assessment and intervention components; M. Assisting providers in the development of model perinatal services and completion of CPSP application for approval. 2. COMMUNITY AND INTERAGENCY LIAISON: (10%) A. Attending community and/or local advisory meetings to provide expertise and program guidance regarding perinatal health issues; B. Facilitate collaboration, coordination, communication and cooperation among Comprehensive Perinatal Services Providers and providers of related services (i.e., MediCal intake, CCS, WIC, CHDP, Prenatal Care Guidance, Born Free, Prop 99, etc.); 3. TECHNICAL ASSISTANCE AND PROVIDER RELATIONS: (15%) A. Interpreting program information to approved providers in a timely fashion; B. Planning and/or providing inservice/workshops for provider's staff to increase their skills in providing quality comprehensive perinatal services and in medical and/or program issues; C. Consulting with providers regarding methodologies and strategies for Comprehensive Perinatal Services Program implementation; D. Communicating with providers on issues affecting medical practices; E. Consulting with providers regarding health education materials most appropriate for clients; F. Oversees recruitment and orientation of new providers. OTHER PERINATAL RESPONSIBILITIES INCLUDE: 1 . Providing collaborative leadership for implementation of the CPO Plan (15%). 2. Provide administration direction and supervision of CPSP staff as well as public health nursing staff in Healthy Start prenatal care clinics (10%). SH:jap /uiusr/m/cpspldury stmt.fob