Consent 11.
Regular Board of Supervisors Meeting
Health & Social Services
- Meeting Date:
- 08/25/2015
- Title:
- Approve the new Integrated IGA#: ADHS15-094960, Healthy People Healthy Communities, between the ADHS and CHSS
- Submitted By:
- Mary Gomez, Health & Social Services
- Department:
- Health & Social Services
Presentation:
No A/V Presentation
Recommendation:
Approve
Document Signatures:
BOS Signature Required
# of ORIGINALS
Submitted for Signature:
Submitted for Signature:
1
NAME
of PRESENTER:
of PRESENTER:
None
TITLE
of PRESENTER:
of PRESENTER:
N/A
Mandated Function?:
Not Mandated
Source of Mandate
or Basis for Support?:
or Basis for Support?:
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Information
Agenda Item Text:
Approve the Integrated IGA#: ADHS15-094960, Healthy People Healthy Communities, between the Arizona Department of Health Services and Cochise Health & Social Services, for the period of 07/01/2015 to 6/30/2020, first year in the amount of $422,670.
Background:
The purpose of this IGA is to leverage multiple public health funding sources to support implementation of health priorities identified in the AzHIP and the Community Health Improvement Plans. This IGA is intended to provide flexibility to the County Health Departments to best meet the needs of their local communities through high impact strategies that realize the agreed upon outcomes. The IGA provides a pathway to improved coordination of multiple prevention programs while streamlining the administrative functions for the programs that were previously administered separately.
In order to best implement the goals of the Arizona State Health Improvement Plan (AzHIP), ADHS has developed a process to align strategies and improve integration of public health prevention programs. Multiple Bureaus within ADHS have collaborated on the development of this Intergovernmental Agreement (IGA) which combines seven (7) programs into one shared IGA. Programs included in this IGA address several health priorities from the AzHIP, including but not limited to: cardiovascular disease, chronic lower respiratory diseases, diabetes, unintentional injury, obesity, teen pregnancy, tobacco, and access to well care. This IGA includes opportunities to address crosscutting strategies, such as enhancing the physical and built environment, school health, and worksite wellness.
Implementation of this IGA will be completed in three phases that will occur in the first year of the IGA to accommodate funding cycles. Phase I will include Tobacco, Chronic Disease and Health in Arizona Policy Initiative (HAPI) and will begin July 2015. Phase II will include the Public Health and Health Services Block Grant (Accreditation activities) and will begin October 2015. Phase III will include Teen Pregnancy Prevention, Family Planning and Maternal and Child Health and will begin in January 2016. All three phases will be operational and fully implemented in years two through five with annual start dates of July 1st.
Department's Next Steps (if approved):
Your approvals are respectfully requested so that we can continue with programs already in place.
Impact of NOT Approving/Alternatives:
Not approving this amendment would result in the termination of all CHSS contracts to provide the services described above to improve the health of Cochise County residents.
To BOS Staff: Document Disposition/Follow-Up:
Please send fully executed agreement to Mary Gomez at CHSS
Fiscal Impact
- Fiscal Year:
- FYE 2016
- One-time Fixed Costs? ($$$):
- 0
- Ongoing Costs? ($$$):
- 272,145
- County Match Required? ($$$):
- 0
- A-87 Overhead Amt? (Co. Cost Allocation $$$):
- 85,208
- Source of Funding?:
- State
Fiscal Impact & Funding Sources (if known):
This is a grant-funded fixed-price program through the Arizona Department of Health Services in the amount of $422,670 for Phases I and II only. The ADHS allowable indirect rate for this program is 15% versus the county A-87 rate of 46.31%. The result is a net County subsidy of $85,208 for Phases I and II only:
Personnel / EREs: $272,145
A-87 OH Rate @ 46.31% $126,030
Authorized OH @ 15%: $ 40,822
Net County Subsidy: $ 85,208