Consent 8.
Regular Board of Supervisors Meeting
Health & Social Services
- Meeting Date:
- 05/06/2014
- Title:
- ADHS IGA 13-041535, Immunization Program, Amedment #1
- Submitted By:
- Jennifer Steiger, Health & Social Services
- Department:
- Health & Social Services
Presentation:
No A/V Presentation
Recommendation:
Approve
Document Signatures:
BOS Signature NOT Required
# of ORIGINALS
Submitted for Signature:
Submitted for Signature:
0
NAME
of PRESENTER:
of PRESENTER:
n/a
TITLE
of PRESENTER:
of PRESENTER:
n/a
Mandated Function?:
Federal or State Mandate
Source of Mandate
or Basis for Support?:
or Basis for Support?:
ADHS
You will use this Agenda Item template if your item involves a Grant (whether a new or renewal grant). You also must attach the Grant Approval Form to the item before Finance will approve it. Select the SPECIAL LINKS on your left-hand menu and Click on "Grant Approval Form". Then complete the form, save it and attach it to your item (on the Attachments tab).
Information
Agenda Item Text:
Approve Amendment #1 to Intergovernmental Agreement (IGA) #ADHS13-041535, Immunization Program, between the Arizona Department of Health Services and Cochise Health & Social Services, in the amount of up to $50,000 plus additional reimbursable activities at a per unit assigned value, for the period of 1/1/14 – 12/31/14.
Background:
CHSS has received funds for its Immunization Program since 1993 to deliver immunization services to County residents. The State through agreements with CDC provides the vaccine to us free of charge. The grant funds pay for management, staffing, outreach, and operating costs of this program.
Our services, which are free for all uninsured or underinsured children effective 10/1/2012, include: immunizing children against vaccine preventable diseases during the course of their childhood, maintaining their vaccination records in accordance with state and national requirements, and assisting school age children with required vaccinations in order to meet school registration and advancement requirements. The Public Health Nurses at all five Health Department locations conduct regular clinics at least weekly (which are heavily attended), in addition to monthly evening clinics, year round, and special ‘Back to School’ clinics. Schedules have been expanded in Bisbee and Douglas to additional half day clinics to address the increased demand in those two areas.
The IGA amendments of this agreement provide a price sheet which denotes reimbursement rates per unit of service or activity with detailed ceiling amounts depending on market forces related to the cost of vaccine. The total expected amount available for payment during this grant year of approximately $86,273 is not expected to change from the CY 2013 agreement. This agreement modifies the scope of work by including minor changes to the previously contracted tasks such as review of CoCASA reports, enhanced compliance with VFC and VFA materials and supplies management, and increased collaboration with schools to improve vaccine rates. The price sheet has not changed for this contract period. The scope of work is open from 1/1/2014 through 12/31/2014 and is renewable through 2017. This amendment reflects flat funding when compared to the last funding cycle, but exact amounts cannot be determined until the impact of ACA enrollment on vaccine rates is evaluated, completion rates are calculated, individual schools IDR’s are reviewed, and collaborative work with schools has been completed.
Our services, which are free for all uninsured or underinsured children effective 10/1/2012, include: immunizing children against vaccine preventable diseases during the course of their childhood, maintaining their vaccination records in accordance with state and national requirements, and assisting school age children with required vaccinations in order to meet school registration and advancement requirements. The Public Health Nurses at all five Health Department locations conduct regular clinics at least weekly (which are heavily attended), in addition to monthly evening clinics, year round, and special ‘Back to School’ clinics. Schedules have been expanded in Bisbee and Douglas to additional half day clinics to address the increased demand in those two areas.
The IGA amendments of this agreement provide a price sheet which denotes reimbursement rates per unit of service or activity with detailed ceiling amounts depending on market forces related to the cost of vaccine. The total expected amount available for payment during this grant year of approximately $86,273 is not expected to change from the CY 2013 agreement. This agreement modifies the scope of work by including minor changes to the previously contracted tasks such as review of CoCASA reports, enhanced compliance with VFC and VFA materials and supplies management, and increased collaboration with schools to improve vaccine rates. The price sheet has not changed for this contract period. The scope of work is open from 1/1/2014 through 12/31/2014 and is renewable through 2017. This amendment reflects flat funding when compared to the last funding cycle, but exact amounts cannot be determined until the impact of ACA enrollment on vaccine rates is evaluated, completion rates are calculated, individual schools IDR’s are reviewed, and collaborative work with schools has been completed.
Department's Next Steps (if approved):
Your approvals are respectfully requested.
Impact of NOT Approving/Alternatives:
Noncompliance with the IGA scope of work, and cessation of the Immunization Program for Cochise County children.
To BOS Staff: Document Disposition/Follow-Up:
A fully executed original will be sent to the Clerk of the Board for filing purposes.
Fiscal Impact
- Fiscal Year:
- 2014
- One-time Fixed Costs? ($$$):
- Ongoing Costs? ($$$):
- County Match Required? ($$$):
- 29,661
- A-87 Overhead Amt? (Co. Cost Allocation $$$):
- 33,975
- Source of Funding?:
- ADHS
Fiscal Impact & Funding Sources (if known):
This is a grant funded, fixed-price program through the Arizona Department of Health Services in the anticipated amount of $86,273. The net county subsidy is as follows:
Budgeted Salaries/EREs: $85,925
A-87 OH @ 39.54%: $33,975
5% Small Grant OH: $4,314
Net County Subsidy: $29,661
Budgeted Salaries/EREs: $85,925
A-87 OH @ 39.54%: $33,975
5% Small Grant OH: $4,314
Net County Subsidy: $29,661