The URL can be used to link to this page

Home My WebLink AboutMINUTES - 04191994 - 1.112 vat � 1.112 TO: BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director ✓ Contra By: Elizabeth A. Spooner, Contracts Administrator (enc}a DATE: April 7 1994 COu SUBJECT: Approve Standard Agreement (Amendment) #29-208-47 with the State Department of Health Services for the Immunization Assistance 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, Standard Agreement (Amendment) #29-208-47 (State #93-17657, Al) , effective July 1,. 1993, with the State Department of Health Services (Immunization Unit) to increase the contract payment limit by $38,519, from $204,761 to a new payment limit of $243,280 for FY 1993-94. This program provides funds for County's Immunization Assistance Program. II. FINANCIAL IMPACT: Approval of this Standard Agreement (Amendment) by the State will result in an increase of $38,519 of State and Federal funding for the Immunization Assistance Program. No County match is required. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On July 26, 1993, the Board of Supervisors approved Standard Agreement #29-208-45 with the State Department of Health Services for continuation of the long-standing Immunization Assistance Program operated by the Public Health Division of the Health Services Department. The County maintains this program to make immunizations available to all persons in need of this service in order to prevent the occurrence and transmission of childhood diseases. This program also includes an adverse reaction monitoring system and outbreak control team. This contract must be maintained in order for the County to continue to receive free vaccine from the State. Funding Application #29-208-46, for Immunization Project subvention funds, was approved by the Board of Supervisors on January 25, 1994. Standard Agreement (Amendment) #29-208-47 is the result of that funding application and will provide additional funds to enhance and expand immunization clinical services for County's Immunization Assistance Program. 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: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON (11Z�:Q +919 9`�' APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS _LTEUNANIMOUS (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) ATTEST_E_D Phil 6atche Risk Management �lor Cterk of the oatd of . Auditor-Controller Supervisors and County Administrator, Coptractor M3e2/7-83 BY C�g.�Q , DEPUTY SSTATEPFCn1FORNIA~ � O E CTMOR'S TANDARD AC'REE �i Copy CONTRACT NUMBER AM.NO. STD.2(REv.5-91) 93=17657 A-1 TAXPAYER'S FEDERAL EMPLOYER IDENTIFICATION NUMBER THIS AGREEMENT,made and entered into this 1st day of July _ 19 93 94-6000509 in 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 Chief, Program Support Branch Department of Health Services hereafter called the State,and CONTRACTOR'S NAME2 — 208 - 47 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: Paragraph 2 is amended to read: "2. The attached Exhibit B Revised, entitled"Budget",consisting of four pages is made a part of this agreement by this reference. All references to Exhibit B shall now read Exhibit B Revised". Paragraph 3 is amended to read: "3. The attached Exhibit C 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 C shall now read Exhibit C Revised". CONTINUED ON 1 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,upon the date first above written. STATE OF CALIFORNIA CONTRACTOR AGENCY CONTRACTOR(If other than an individual,state whether a corporation,partnership,etc.) Department of Health Services COUNTY OF CONTRA COSTA. BY(AUTHORIZED BY(AUTHORIZED SI RE) D A-,Mo� 46�d PRINTED NAME OF PER SIGNING PRINTED NA AND TITLE PERSON IGNING if EDWARD E. PORT 8 ERG IEF PROGRAM SUPPORT Chair, Board of Supervisors TITLE ADDRESS Chief, Program Support Branch 651 Pine -Street; Martinez, Califoarnia 94553 AMOUNT ENCUMBERED BY THIS PROGRAM/CATEGORY(CODE AND TITLE) FUND TITLE Department of General Services DOCUMENT Local Assistance/Clearing Account General $ 38,519.00 (OPTIONAL USE) _ PRIOR AMOUNT ENCUMBERED FOR THIS CONTRACT FFP 63.3/o o Federal Catalog#93.268 a n ;`c`r ITEM CHAPTER STATUTE FISCAL YEAR DeF�c"tyrern Of CCneral Sen•;ces TOTAL AMOUNT ENCUUMBEMBE RED TO $ 204,7 0 4260-111-001 55 1993 1993/94 A P P ERO j E DATEOBJECT OF EXPENDITURE(CODE AND TITLE) $ 243,280.00 93-51343-4470-702-03 spy 16 X994 l 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. BY SIGNATU F OUNTING OFFICER D T D Aset'Chief Counsel F1 CONTRACTOR STATE AGENCY ❑ DEPT.OF GEN.SER. ❑ CONTROLLER El AUG 9 1994 STATE OF CALIFORNIA r r STANDARD AGREEMENT - STD.2 (REV. 5-91) (REVERSE) 1. The Contractor agrees to indemnify,defend and save harmless the State,its officers,agents and employees from anv and all claims and losses accruing or resulting to any_andall contractors, subcontractors;- materialmen,laborers and any other person,firm or corporation furnishing;or supplying work services, materials or supplies in connection with the performance of this.contract,and from any and all claims and losses accruing or.Resulting;to any person,firm or corporation who may be injured,or damaged by the Contractor in the performance of this contract. 2. The Contractor,and the agents and employees of Contractor,in the performance of the agreement,shall act in an independent capacity and not as officers or employees or agents of State of California.. 3. The State may terminate this agreement and be relieved of the payment of any consideration to Contractor. should Contractor fail to perform the covenants herein contained at-the time and in the manner herein provided. In the event of such termination the State may proceed with the work in any manner deemed proper by the State. The cost to the.State shall be deducted from any sum due the Contractor wider this agreement,and the balance,if any,shall be paid the Contractor upon demand. 4. Without the written consent of the State,this agreement is not assignable by Contractor either in whole or in part. S. Time is of the essence in this agreement. ti. No alteration or variation of the terms of this contract shall be valid unless Imide in writing and signed by the parties hereto,and no oral understanding or agreement not incorporated herein,shall be binding on any of the parties hereto. 7. The consideration to be paid Contractor, as provided herein, shall be in compensation for all of Contractor's expenses incurred in the performance hereof, including travel and per diem, unless otherwise expressly so provided. 91 61014 Contractor: County of Contra Costa Contract No.: 93-17657 A-1 (Health Services) Page 2 Paragraph 6 is amended to read: "6. The attached Exhibit Al Revised,entitled"Equipment Purchased with State Funds",consisting of one page is made a part of this agreement by this reference". Paragraph 9 a. is amended to read: "a. Under the terms of this contract for Fiscal Year 1993/94 ending June 39, 1994,the maximum amount payable shall not exceed$89,206". Paragraph 11 is amended to read: "11. Under the terms of this contract, the combined maximum amount of state and federal funds payable through June 30, 1994 shall not exceed$243,280". 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. COUNTY OF CONTRA COSTA EXHIBIT B REVISED (Health Services) PAGE 1 of 4 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% $31,986.00 $522.00 $32,508.00 Registered Nurse $24.68-$30.06/hr. 2080 hrs. $59,544.00 $1.00 $59,545.00 Registered Nurse $24.68-$30.06/hr. 1339 hrs. $11,909.00 $26,532.00 $38,441.00 Communicable $1925-$2340 100% $14,040.00 $10,530.00 $24,570.00 Disease Technician Clerk Experienced $1849-$2248 50% $13,488.00 $0.00 $13,488.00 Level Clerk Experienced $1849-$2248 25% $6,744.00 ($6,744.00) $0.00 Level Staff Benefits @ 11.02%-30% $41.313.00 ($46,00) $41.267.00 Total Personal Services $179,024.00 $30,795.00 $209,819.00 ORerating_Expenses A. Supplies 1. Office $1,000.00 $0.00 $1,000.00 2. Clinic $1,500.00 $2,372.00 $3,872.00 B. Health Education Materials $3,000.00 $2,000.00 $5,000.00 C. Laboratory Screening $0.00 $0.00 $0.00 D. Travel--In-State $420.00 $1,970.00 $2,390.00 Travel-- Out-of-State $1,200.00 $0.00 $1,200.00 E.Equipment $3,617.00 $6,382.00 $9,999.00 F. Subcontracts $15.000.00 ($5,000,00) $10.000.00 (Descriptions on Exhibit B Revised Budget,pages 2,3,&4) Total Operating Expenses $25,737.00 $7,724.00 $33,461.00 TOTAL BUDGET $204,761.00 $38,519.00 $243,280.00 DHS'8312 (9/92) EXHIBIT B REVISED BUDGET PAGE 2 OF . 4 PAGES APPLICATION FOR IMMUNIZATION PROJECT SUBVENTION FUNDS Applicant : County of Contra Costa (Health Services) Budget Period From: Z/1 /9-3 to fiLMZ94 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 BE DFTERMTNFD Address: City, State, &Zip Code: Telephone#: Dollar Amount I. Personal Services Rate of Required from (List positions) Time Period Reimbursement_ California Graphic Artist 1/94 - 6/94 $1500 to develop appropriate educational materialE (6 months) $250/month $1500 Personal Services Subtotal F$_$1500 II. Operating Expenses Supplies Health Education Materials Travel (in-state) Equipment Operating Expenses Subtotal $ F: Subcontracts Total = (I. Personal Services + 11. Operating Expenses) $ 1500 (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) EXHIBIT B REVISED BUDGET . PAGE_3_ 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 contract. Also, indicate the hourly/weekly/monthly rate of reimbursement and total contract amount.) Name of Subcontractor: Center for New Americans Address: 1135 T acey T nnP 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 $1000 translation (6 mcnths) $150 - $300/monti Personal Services Subtotal Is Il. Operating Expenses Supplies Health Education Materials Travel (in-state) Equipment Operating Expenses Subtotal F$ o F. Subcontracts Total = (I. Personal Services + 11. Operating Expenses) $ inoo (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(9/92) EXHIBIT B REVISED BUDGET PAGE 4 OF 4 PAGES,• APPUCATION FOR IMMUNIZATION PROJECT SUBVENTION FUNDS Applicant : County of Contra Costa (Health Services) Budget Period From: 7/1/93 to 6/30/94 F.Subcontracts (Ust 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. Pittsburg Preschool Coordinating Council Address: 1760 Chester Drive City, State,&Zip Code: Pittsburg, Ca. 94565 Telephone#: 510-439-29061 Dollar Amount 1. Personal Services Rate of Required from (List positions) Time Period Reimbursement Califomia Community Outreach 7/1/93-6/30/94 $10/hr. for a $7500 Worker total of 750 ho (12 months) Personal Services Subtotal 7500 Il. Operating Expenses Supplies Health Education Materials ` Travel (in-state) Equipment Operating Expenses Subtotal s F.Subcontracts Total = (1. Personal Services+11. Operating Expenses) C---)Ioo — _1 (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 C REVISED Project Summary and Budget Justiftcaticn Page 1 cf 4 Pages APPLICATION FOR IMMUNIZATION PROJECT SUSVEN[ION 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 980/,2 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 ail public and private schools and preschools 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 immunization clinics with special clinics as needed, 77) 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) vaccine 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 Ittnttmi.zation Program Wendel Brunnet, M.D. , M.P.H. 597 Center Ave. #200A Martinez, CA 94553 (DHS 8312(9/92)' Exhibit C 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. Communicable Disease Technician - $24,570 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 REVISED ' Project Summary and Budget Justification Page 3 of a 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% - $411267 OPERATING EXPENSES A. Supplies 1 . Office - Pens, paper, envelopes, postage for mass mailings and reminder/recall postcards, phone for computer fax/modem. $1 ,000 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. - $5,000 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 )HS 8312 (9792) • Exhibit C REVISED Project Summary and Budget Justification Page4__Qf 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 - s9,999 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. E. Subcontracts - $10,000 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. m J N ` ° M to 4 ° Z M i uxi � M o tvco m V d m q cc w 3 CO cz U n Q to N O_ T d N o o n '1 Q � .� ... :3 t{ G p O1,3 W ctS 'a eo •' c � x Q to U } ' N � U :. 7 � ycr w 1 tin ,°i` Ln rd to Cl) M cc r ' Z v � � ° ° V V N �