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Action   12.
Regular Board of Supervisors Meeting
Health & Social Services
Meeting Date:
10/08/2013
Title:
Inter-Agency Subcontract Agreement, 13-46-HEA-01
Submitted By:
Jennifer Steiger, Health & Social Services
Department:
Health & Social Services
Presentation:
No A/V Presentation
Recommendation:
Approve
Document Signatures:
BOS Signature Required
# of ORIGINALS
Submitted for Signature:
2
NAME
of PRESENTER:
Judith Gilligan
TITLE
of PRESENTER:
Prevention Services Director
Mandated Function?:
Federal or State Mandate
Source of Mandate
or Basis for Support?:
ADHS
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Information

Agenda Item Text:

Approve Inter-Agency Subcontract Agreement 13-46-HEA-01, Maternal, Infant & Early Childhood Home Visiting Program, between Cochise Health & Social Services (CHSS) and Child & Family Resources, Inc. (CFR), in the amount of $97,751 to CFR for the period 10/01/13 – 09/30/15, renewable annually.

Background:

This Inter-Agency Agreement is a subcontract provided to CFR by CHSS under CHSS IGA#: ADHS14-053682, Maternal, Infant & Early Childhood Home Visiting (MIECHV), This Inter-Agency Agreement will be renewable annually through 09/30/15, subject to acceptable performance by CFR in fulfilling contract deliverables as outlined in MIECHV Scope of Service.

In February 2013 ADHS MIECHV held a collaboration meeting in Cochise County to review the size and scope and reach of home visiting programs in the area.  Supervisors and workers from 6 different agencies and programs attended this meeting and provided ADHS MIECHV with input regarding the needs of families with young children and the ability of current home visiting programs to meet these needs. (Collaborative agencies/programs include: Cochise Health & Social Services, UofA Cooperative Extension, Easter Seals Blake Foundation, Child & Family Resources, Inc., Fort Huachuca Parent Support Program and Child Parent Centers of AZ)

In March 2013, the supervisors of those same 6 programs gathered together on their own to discuss streamlining our referral processes and addressing duplication of services, in order to make sure all eligible families in Cochise County could access home visiting services.  This group, self-named “Cochise Home Visiting Collaboration” has met monthly since then and made progress in both referral process and duplication of service and have added other issues including training for home visitors and improving the working relationships with Child Protective Services and Behavioral Health services.

In April 2013, ADHS MIECHV offered to fund our collaboration.  A Scope of Services was drawn up and a staffing plan was created to provide 50% time in direct service providing outreach and recruitment in the Sierra Vista Regional Health Center (SVRHC) of woman giving birth and 50% time as coordinator of the collaboration, including running meetings, providing community marketing to raise awareness of availability of home visiting services and planning/scheduling training for home visiting staff. CHSS decided to subcontract the majority of this work to Child & Family Resources, Inc. (CFR) as they have a contract with SVRHC which allows their home visiting coordinator to be recognized as a SVRHC staff person in order to provide direct recruitment of hospital patients.  In addition, CFR is subcontracted to provide the same position in Graham County and will be able to “co-supervise” both coordinator positions, which will enhance the efficiency and effectiveness of both collaborations.

Department's Next Steps (if approved):

Your approvals are respectfully requested.

Impact of NOT Approving/Alternatives:

Without approval of this funding, the Cochise Home Visiting Collaboration will be limited in the scope of improvements in referral and service coordination, and worker training, that will be able to be made to the matrix of home visiting services provided to over 750 families in Cochise County.

To BOS Staff: Document Disposition/Follow-Up:

Two originals sent to Clerk of the Board on 9/26/13, for Chairperson's signature.  Please return one signed original to J. Steiger, CHSS for return to CFR.

Fiscal Impact

Fiscal Year:
2013-2014
One-time Fixed Costs? ($$$):
Ongoing Costs? ($$$):
County Match Required? ($$$):
A-87 Overhead Amt? (Co. Cost Allocation $$$):
1,469
Source of Funding?:
CHSS

Fiscal Impact & Funding Sources (if known):

This is a grant-funded, fixed price program from the Arizona Department of Health Services. The entire award to CHSS through the MIECHV IGA ADHS14-053682 is in the amount of $102,000. The ADHS MIECHV IGA is a separate Action Item on this agenda (see Item 1478).

$97,751 will be subcontracted to Child & Family Resources to provide the staff position and immediate supervisory oversight for this project.
$4,249 will be used by Cochise Health & Social Services to provide grant management and fiscal oversight of the project.

The net county subsidy is calculated as follows (projected salaries/EREs are for the twelve-month funding cycle and reflect current staffing levels):

Projected Salaries/EREs $3,716
A-87 Overhead at 39.54% $1,469
Authorized overhead $533
Net County Subsidy $936

Attachments