HomeMy WebLinkAboutMINUTES - 04251995 - 1.79 7�TO: BOARD OF SUPERVISORS o
Ciontra
FROM: Mark Finucane, Health Services Director costa,�OS
DATE: April. 7, 1995 County
SUBJECT: Approve Submission of Funding. Application #29-265-32 with
the State Department of Health Services
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 #29-265-32 with the State Department of Health
Services, in the amount of $1,015,045, for the period from July 1, 1995 through
June 30, 1996, for continuation of the Maternal and Child Health County
Allocation/Black Infant Health/Comprehensive Perinatal Improvement Program.
II. FINANCIAL IMPACT:
Approval of this agreement by the State will result in $1,015,045 for this
program. Sources of funding are as follows:
State Allocation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$390,065
Federal Funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$624,980
Required County Match. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$336,135
FY 1995-96 TOTAL PROGRAM $1,351,180
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
Approval of this Funding Application #29-265-32 will provide funding for
continuation of the Maternal and Child Health County Allocation/Black Infant
Health/Comprehensive Perinatal Improvement Program during FY 1995-96. This
program is also responsible for maintaining the MCH Toll Free Referral System, the
Perinatal Care Guidance Program, Comprehensive Perinatal Outreach and the Black
Infant Health Program.
The Board Chair should sign three copies of the application. Two signed copies
of the application and three certified/sealed copies of this Board Order should
be returned to the Contracts and Grants Unit for submission to the State.
CONTINUED ON ATTACHMENT: YES SIGNATURE: z.
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S) p p
ACTION OF BOARD ON "�•• ,T�7 7-� APPROVED AS RECOMMENDED 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
OF SUPERVISORS ON THE DATE SHOWN.
Contact: Mary Foran (313-6254)
CC: State Dept. of Health Services ATTESTED _.
Health Services Dept. (Contracts)
Phil gatchelor, Clerk of the Board of
SupwVi5gls aid county AdminL*aW
M382/7-83 BY lit- + �,�(j�.6d(��� DEPUTY
Agreement and Certification
1. Agreement: To be completed by all applicants
The undersigned hereby affirms that the statements contained in the application
package are true and complete to the best of the applicant's knowledge, and further,.
real* es this Yablic document which is open to public inspection.
DirecCor, UTarUrent of Health SeMces
Original Signature Title
Mark Finucane
Name (Type or Print) Date
2. Certification Statement: To be completed by all applicants
certify that this Maternal, Child, and Adolescent Health Service Program will
comply with all federal and State legal requirements pertaining to the program.
I understand that the State will use the materials submitted by this agency as
a guideline .for program consultation and assessment.
/J�I- � " Giair, Board of &Vnvi,sors
Origi al Signature Title
Gayle Bishop -/-a2.��99•j
Name (Type or Print) Date
3. Certification Statement: For local health jurisdictions only (optional)
I certify that this health jurisdiction has a Maternal, Child, and Adolescent
Health Board advisory to the Maternal, Child, and Adolescent Health Service
programs.
1 — (,&,� Local Health Officer
Local Health Officer (Original Signature) Title
William Walker, MD
Name (Type or Print) Date
PM 166 (MCH) 11/94 11_7
Project Proposal
The MCH project provides the leadership to develop, implement and annually
revise the MCAH/Family Health Plan to address Contra Costa County's MCAH needs and
priorities. In fiscal year 1993-1994 Contra Costa County's MCAH Team selected
seventeen Year 2000 objectives to be achieved and identified a series of coordinated
MCAH activities to achieve these objectives, all of which are designed to improve Family
Health.
The following programs, funded by this project, are key to achieving Contra
Costa's Year 2000 Family Health objectives: Prenatal Care Guidance, Comprehensive
Perinatal Services Program, Comprehensive Perinatal Outreach, Black Infant Health and
perinatal vital statistics analysis (designed to reach the perinatal and infant health
objectives); Toll Free Line and Help Desk (designed to support an improved MCAH
infrastructure); Service Integration Team, SB 620 Healthy Start Projects and Family
Maintenance Organization (designed to create a comprehensive system of prevention and
care for MCAH populations); and overall program coordination and advocacy.
mchdssk a:mchproj.pro /PM166 as/January 31,1995
rC. FISCAL YEAR 1995-96 ANTICIPATED FUNDS BY SOURCE
List all federal,state,and local grants,contract and agreements for generic maternal,child, and adclescent
health services to which you have applied for fiscal year 1995-96 funding.
NAME OF FUNDING SOURCE SPECIFY FED,STATE AMOUNT OF SUPPORT FUNDING
OR LOCAL PERIOD
INCLUDING PRIVATE
CHDP State, County $264,420 1995-96
EPSDT Federal, State, Cty $1,488,829 1995-96
CCS State, County $4,968,376 1995-96
High Risk Infant Follow—Up State $251,886 1995-96
MCH (CPSP, CPO, PCG, SIH) Federal, State, Cty $1,351,181 1995-96
Family Planning State $130,486 1995-96
WIC Federal, State $1,272,035 1995-96
Dental Disease Program State $98,577 1995-96
r'
Designated Program Project Director
Pledse complete and return with your RFA package. All related program information
will be sent to the MCH Director and the Project Director listed below.
Program: KMAllocation & CPO Project
Name: Mary Foran, MPH Title: OSI Director
Address597 Center Avenue, Suite 365
City: Martinez, CA ZIP Code 94553
Telephone ( 519 '313-6254 FAX (510 ) 313-6708
Program: Black Infant Health
Name: Bobby Isom Title: Deputy Director , CHDP
Address: 595 Center Avenue, Suite 310
City: Martinez, CA ZIP Code 94553
Telephone (510) 313-6150 FAX (510 ) 313-6160
Program:
Name: Title:
Address:
City: ZIP Code
Telephone ( FAX ( '
Program:
Name: Title:
Address:
City: ZIP Code
Telephone ( ) FAX ( )
RFA FY 1995-96
' II-$
SCOPE OFk WORK ...........
Exhibit B-Scope of Work
Project Title: Maternal and Child Health (MCH)
The County Allocation Scope of Work (SOW) for Fiscal Year 1995-1996 is composed
of two mandatory goals with six objectives. Contractors are required to perform the
SOW in its entirety.
Some portion of your MCH SOW may be eligible for Federal Financial Participation
(FFP). The amount of general fund allocated to your county for State/federal match
is listed in the County Allocation Table (Attachment A). Consult the directions for FFP
to determine the type of activity and amount that can be matched.
GOAL No. 1
To support the Maternal and Child Health Branch in achieving goals and priorities
identified in the California MCH Title V Plan for Fiscal Years 1995/96 through
1999/2000.
Objective No. 1
Activities targeted by the California MCH Title V Plan will be included in the
city/county Action Plan as appropriate to the identified needs of the
city/county.
Objective No. 2
In negotiation with MCH Branch staff, the Contractor will update their Action
Plan to include activities that are targeted by the California MCH Title V Plan.
Goal No. 2
To assure that all mothers and children,particularly those families with incomes below
200% of the federal poverty level, have access to quality maternal and child health
services.
Objective No. 1
Each local health jurisdiction shall develop and maintain a MCH infrastructure
which.promotes the health and well-being of all women of childbearing age,
infants, children, and adolescents.
Objective No. 2
The health jurisdiction shall develop, maintain and expand its network of
qualified health care providers who provide comprehensive perinatal services
to women and infants, including working with existing and evolving managed
care plans in the county.
111-10 RFA. F 1995_96
Objective No. 3
The health jurisdiction shall assist women eligible for Medi-Cal benefits to
receive early and appropriate prenatal care.
Objective No. 4
Each local jurisdiction will assist in the development of Managed Care plans and
their mandated subcontracts for related MCH functions
Additional objectives 'may be added if the Contractor and MCH Branch Program
Consultant agree. The request for additional objectives must be in writing.
Each objective may include an "Estimated Relative Value" (ERV) to indicate the
percentage of cost of the activities. The sum of all ERV's must equal 100%. If ERV's
are utilized and an audit exception occurs, then the penalty is limited to the percent
of time devoted to that objective.
III_�'I RFA FY 1995-96
Exhibit B-Scope of Work
Project Title: Black Infant Health (BIH)
Goal No. 1
To reduce African-American infant mortality and its underlying causes through a
comprehensive community based effort by assuring that "at risk" pregnant and
parenting African-American women have access to quality maternal and child health
services.
Objective No. 1
Develop and maintain a viable infrastructure as well as community network that
supports, facilitates, and promotes better health care for "at risk" pregnant and
parenting African-American women, infants, and families.
Objective No. 2
Implement culturally competent strategies acceptable to the African-American
communities that facilitate access to perinatal services and provides consistent
care and coordination to meet the needs of "at risk" African-American women,
infants and families.
Objective No. 3
Increase community awareness regarding problems associated with infant
mortality in the African-American community.
Objective No. 4
Promote better health care, preconceptional care, proper nutrition, and smoking
cessation programs within a community based context to assure improved birth
outcomes.
Objective No. 5
Implement model development intervention(s) per needs assessment findings.
Objective No. 6
Participate in the evaluation of BIH Programs.
111-15 RFA FY 1995-96
Project Title: Comprehensive Perinatal Outreach (CPO)
The Contractor shall work toward achieving the following goals and will accomplish
the following objectives. This shall be done by performing the specified activities and
evaluating the results using the listed methods to focus on process and/or outcome.
Goal No. 1
Promote centralized planning and effective implementation of outreach efforts to
pregnant and parenting women at risk for poor birth outcome and tobacco exposure.
Objective No. 1
There will be a single, coordinated local effort to improve existing outreach
activities for pregnant and parenting women, including referral to tobacco
cessation resources.
Objective No. 2
Case finding and care coordination activities will be provided to targeted at-risk
prenatal and postpartum women, stressing early and continuous perinatal and
infant health care, assessment of tobacco use and referral to resources-so as
to avoid the negative effects of tobacco use and exposure to second hand
smoke on women, their infants and the family.
Objective No. 3
Barriers and unmet needs in the provision of health services for pregnant and
parenting women will be identified and addressed.
Goal No. 2
Evaluate the effectiveness of the Comprehensive Perinatal reach Program.
Objective No. 1
An outcome evaluation plan will be developed.
Objective No. 2
The outcome evaluation plan will be negotiated with and acceptable to the
Regional Consultation and Program Data and Evaluation Sections of the
Maternal and Child Health Branch.
Objective No. 3
The outcome evaluation will be implemented according to the timetable in the
evaluation plan.
Goal No. 3
Support the MCH Branch in achieving goals and priorities identified in the California
Title V Plan for fiscal years 1995/96 through 1999/2000.
Objective No. 1
Activities targeted by the California Title V five year plan' that relate to perinatal
outreach and/or substance control will be included in the city/county Action Plans
appropriate to their identified needs.
I11-23 RFA FT 1995-96
h�;B��DGE .............. ..
g�
Contra Costa County
MCH Allocation
Budget Justification Narrative
1995-1996
Y. Personnel:
Each position carried in the personnel section of the budget is assigned to carry
out specific objectives in the scope of work. 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
employees rate is 7.65%. The Epidemiologist and Program Specialist are contract
employees. The only temporary staff are the Administrative Assistant and one of
the Experienced Level Clerks. 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, who is also the MCH Project Director, participates on the MCAH
Team. She coordinates execution of the entire scope of work, including
supervision of other staff on the program. She also directs implementation of
activities to improve integration of all MCAH-Family Health oriented program
through special projects within the Health Services Department such as the Help
Desk and Family Maintenance Organization and between the Department and
other family-serving agencies. The BIH Director participates on the MCkH team
and is responsible for monitoring the BIH portion of the contract. The PH Clinic
Services Director is a member of the MCAH team whose focus is on planning and
evaluating MCH clinical services and acting as liaison with local SB620 - Healthy
Start projects and the Service Integration Teams._
The Executive Assistant to the Public Health Director participates on the MCAH
team with a special focus on ongoing support to advisory boards which advocate
for MCH services (PEHAB, MCAH and Center for Health in North Richmond). The
Epidemiologist is a member of the MCAH team with special responsibilities of
analysis and tracking of the Year 2000 MCH Objectives. The Childhood Injury
Prevention (CIP) Data Analyst participates on the MCAH team and is responsible
for developing and maintaining the CIP data systems.
MCH Allocation Budget Justification Page 3
These operating expenses are used to support the twenty-five positions on our
contract. The other miscellaneous funds are also used to support our growing
CPSP provider base and necessary outreach activities.
MCH BIH CPO
IIX. Indirect Costs . . . . . . . . . . . . . . 66,851.00 366.00 8,038.00
IV. Other
Equipment . . . . . . . . . . . . . . . . . . . 2,400.00 0 0
Furniture . . . . . . . . . . . . . . . . . . . . 0 0 - 0
Subcontract . . . . . . . . . . . . . . . . . . . 0 1 131,217.00 1 97,098.00
Contract to East Bay Perinatal Council is for continuing 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. BIH
Project Manager also coordinates the community advisory panel — Black Infant
Mortality Forum.
V. Summary:
MCH BIH CPO
Total Operating Expenses 96,732.00 0 0
Total Personnel 847,900.00 4,792.00 95,787.00
Total Expenditures 1,013.883.00 136,375.00 200,923.00
amcbdisk aabudsiuu.95/January 31,1995
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