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Home My WebLink AboutContract 34814DEPARTIVIENT Or STt�TE HEALTH SERVICES � =�P��'' C1TY SECREi�(��'"�' � �' � x � ;�.C�f��f�AGT 1� o �� 1100 WEST 49TH STREET AUSTIN, TEXAS 78756-3199 STATE OF TEXAS COUNTY OF TRAVIS Legacy Contract No. 7560005286-2007-02 Contract No. 2007-021271 Contract Change Notice No. 002A The TEXAS DEPARTMENT OF STATE HEALTH SERVICES, hereinafter refened to as DSHS, did heretofore enter into a contract in writing with FORT WORTH DEPARTMENT OF PUBLIC HEALTH hereinafter referred to as Contractor. The parties thereto now desire to amend such contract attachment(s) as follows: SUMMARY OF TRANSACTION: ATT NO. 002A : IMMUNIZATION BRANCH - LOCALS All terms and conditions not hereby amended remain in full force and effect. EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. Authorized Contracting Entity for and in behalf of: DEPARTMENT OF STATE HEALTH SERVICES B y: Signature of Authorized Official ��I �o� Date Bob Burnette, C.P.M., CTPM Director, Client Services Contracting Unit 1100 WEST 49TH STREET AUSTIN, TEXAS 78756 � J_ "� �� Ll ---g.�_Y = ._ (512)458-7470 �vrt�ac��: Authorizatio�a l�-_ —�- Bob.Burnette @ dshs.sta�� s FORT W ORTH DEPl�R7 /' / By: Signature � � �,1�r (�� OF PUBLIC HEALTH Date Joe Paniagua, Assistant City Manager Printed Name and Title c/o 1800 University Dr. #232 Address Fort Worth, TX 76107 City, State, Zip 817.871.7201 Telephone Number Daniel.Reimer@fortworthgov.org E-mail Address for Official -�,1,!.(=. � -'.� ..�.��i:. . .€.i?�h �� g� � �� tl � • �y-� ',:��6� �� !�E(�A��'�'Q� � \ _ —_ C�ver -� e 1 � ;.,, �-i�;�c. ; ; �; ;. �:; � 6�.:��f�=`'i;�,��T �IT ' A�7TUe�I�EY � �� t' �'�� .� �.=; L ''r:. J,��";� :; �;�-;�:: '; � . � ., .. . r,'�, ``-- C�CU - Rev. 6/06 � r- � � � . . ; [� �l I �� I ' i � � , ";; � �� IdUV �' �' �G�� ' 1 ONTRACT -NO. 2007-021271- PROGRAM ATTACHIVIENT NO. 002A PURCHASE ORDER NO. 0000320770 CONTRACTOR: FORT WORTH DEPARTMENT OF PUBLIC HEALTH DSHS PROGRAM: I]VaVIUNIZATION BRANCH - LOCALS TERM: 09/O1/2006 THRU: 08/31/2007 It is mutually agreed by and between the contracting parties to amend the conditions of Contract No. 2007-021271-002 as written below. All other conditions not hereby amended are to remain in full force arid effect. Addition of supplemental activities at SECTION I. STATEMENT OF WORK: Contractor shall nerform sunnlemental activities described in anuroved Strate�v Implementation Plans. See Exhibit A, Part 1. The new contract number shown below replaces the DSHS Legacy Contract Number: r�nr•r �.rr�ONTRACT -NO. 2007-021271- �m�. � ��11�;1 � � 1 c ,�s, �. � ''.: '� I� V� �� ; � ,; �,�; ,;�c,+% �r:�l''�,a�: � R�17��--•:��';:ah�', il'�. . DEPARTMENT OF STATE HEALTH SERVICES P� E �A i � � 1100 WEST 49TH STREET AUSTIN, TEXAS 78756-3199 CATEGORICAL BUDGET CHANGE REQUEST DSHS PROGRAM: IMMUI�IIZATION BRANCH - LOCAL5 CONTRATOR: FORT WOR�'H DEPARTMENT OF PUBLIC HEALTH CONTRACT NO: 2007-021271 LEGACY CONTRACT 1v0. 7560005286-2007-02 CONTRACT TERM: 09/O1/2006 THRU: 08/31/2007 BUDGET PERIOD: 09/O1/2006 THRU: 08/31/2007 CHG: 002A 5 DTI�EG� �:�CQST; {067EC7 CLA�SS CATEGORZES)'_ i = ' r `' ' �.�+,�. F � � � �= r <�:. . ,` Current Approved Budget Re�ised` Budget (B) �: Change R'equesfied � ;,_ _ . _ . ia) �_. _ -' , ' . - _=__- -`� ._ _ _ __, - -_ - Personnel $40,000.00 $40,000.00 $OAO Fringe Benefits $8,536.00 $8,536.00 $0.00 Travel $890.00 $890.00 $0.00 Equipment $0.00 $3,000.00 $3,000.00 Supplies $2,340.00 $5,340.00 $3,000.00 Contractual $0.00 $0.00 $0.00 Other $5,539.00 $9,539.00 . $4,000.00 Totaf Direct Charges $57,305.00 $67,305.00 $10,000.00 �iN'DIR (��'O - ��- �s� x � �- �*� � �`�- � �u �;�o �--�+,� � �. :� �� '-- �Y�� , -- ��` a"'�-�- ��"�'- �� ee.. _ 3- _ �4__ .'�� i _�--`�`.�_�---�z -x.,.�-��'i a.�"`T`G.� .�1,.G.-. ��f b� Base ($) �o.00 �o.00 �o.00 Rate (%) 0.00% 0.00% 0.00% Indirect Total $0.00 $0.00 $0.00 �� F-- f� � � �+Y"-°- i" .,�y� , �, r 3 �..�f-- �, -..�'.��- � . r . y� a; -_ , �_ - �RVl7R .�►�1�I�1��7��. __��'�-'��°�`�..3`�� ; `��'��-,-�Q,�s � , _'�� '�� ,�?.� z ��-�� ; �.�-�. , x Program Income $0.00 $0.00 $0.00 Other Match $0.00 $0.00 $0.00 Income Total $0.00 $0.00 $0.00 `��w+�y�1e/�� --�. ,�„�,� /�!��,/!� C��.ftn.TJ�6 ..�a"e�-,['_', .E�'i.T,. � '_ � � �, �1�� ,�n, ' h;��:.n��:+�,�-�.bf ��.�� '� ,t,# _ _ �_� _ ' _'-�.. -�.�'a"� �`vat,��;��a. Advance Limit $0.00 $0.00 $0.00 Restricted Budget $0.00 $0.00 $0.00 �` _ -- - - �_.y .�• - .=�'- - .-,�' t - - t+� �� *-.-�.�,;��'� - - - - - - lr..� Cost Total $57,305.00 $67,305.00 $10,000.00 Performing Agency Share $0.00 $0.00 $0.00 Receiving Agency Share $57,305.00 $67,305.00 $10,000.00 Total Reimbursements �57,305.00 $67,305.00 $10,000.00 Limit } ,- �...� � - .� 2- ....--z�. .� ��... �..��C�� ` > � ' r - : i � _ _ i 'i. ..Outreach S ecialist staff. :� _. ._ . ,. _ . -.,,. . _.:,; _ , , . .: : __.,. __ ,, . . _ :>. . . . ,..: . , , .< This amendment is to add additional funds to implement innovative immuniza"tion promotion strategies and to fund Imm I rac/P1CS DEPARTMENT OF STATE HEALTH SERVICES PT E 0 W ��x 1100 WEST 49TH STREET AUSTIN, TEXAS 78756-3199 EQUIPMENT LIST CHANGE REQUEST DSHS PROGRAM: IMMUNIZATION BRANCH - LOCALS CONTRACTOR: CITY OF FORT WORTH CONTRACT TERM: 09/O1/2006 THRU: 08/31/2007 BUDGET PERIOD: 09/O1/2006 THRU: 08/31/2007 CONTRACT NO: 2007-021271 CHG: 002A LEGACY CONTRACT NO. 7560005286-2007-02 PREVIOUS EQUIPMENT LIST NEW EQUIPMENT LIST ;;��l��,l:'°�:t 1�'��t��c; �j, �"!',e� �a,""',% � �v J � L� � �,�� $ ' :!!i ;• .i �� V .. `:l � . 2�, : - ,U �� F r.';: � I , ir � �'i.�;,�,`Ji��l�� ' �Zi,o CONTRACT -NO. 2007-021271- PROGRAM ATTACHMENT NO. 002A PURCHASE ORDER NO. 0000320770 EXHIBIT A STRATEGIES TO INCREASE VACCINE COVERAGE LEVELS IMPLEMENTATION PLAN Part 1: Approved Strategy Implementation Plan is the one (1) received by DSHS Program on October 12, 2006. EXHIBIT A — Page 1 City of Fort Worth, Texas IUlayor and Council Communication COUAfCiL ACTION: Approved on 7/18/2006 - Ordinance No. 17057-07-2006 DATE: Tuesday, July 18, 2006 LOG NAME: 501MMUNIZATIONS REFERENCE NO.: **C-21572 SUBJECT: Authorization to Execute a Contract with the Texas Department of State Health Services to Provide Immunization Outreach to the Community from September 1, 2006 to August 31, 2007, Adoption of Appropriation Ordinance and Interfund Loan RECOMMENDATION: It is recommended that the City Council: 1. Authorize the City Manager to re-apply for, accept and execute if awarded, a grant contract with the Texas Department of State Health Services for up to $100,000.00 to be used to increase immunization levels in pre-school aged children and provide awareness and education at the community level from September 1, 2006 to August 31, 2007; 2. Adopt the attached appropriation ordinance increasing estimated receipts and appropriations by $100,000.00 in the Grants Fund; 3. Waive indirect costs of 44.61 % of related salary and fringe benefits which are the most recent rates indicated by the Finance Department; and . 4. Authorize a non-interest bearing interfund loan from the General Fund to the Grants Fund in the amount of $25,000.00 for the interim financing of this grant pending contract execution to provide for a smooth transition from one grant funding period to the next. DISCUSSION: Texas immunization levels for children 19-35 months have improved from 71.3% in 2UO2, to 78.1 % in 2003 (Source: National Immunization Survey, Centers for Disease Control and Prevention). A comparison of the 1998 and 2003 City of Fort Worth Pubfic Health Department Community Needs Assessments show a statistically significant increase in the percentage of households with pre-school children having their immunizations (88.0% to 95.9%). The fundamental reason for under immunization are those factors related to poverty. These factors can be overcome by removing financial and access barriers. The City's Public Heaith Department, Outreach Division, is proposing a continued partnership with the Fire Department for paramedics to immunize preschool age children. This partnership with emergency personnel makes sense for aur community. The personnel are medically trained, know their neighborhoods and the fire stations are known "safe havens° in the community. The fire stations are easily accessible, Americans with Disabilities Act compliant and appealing to young children. Flexible hours of operation help remove the barrier of access� for working parents. Enlisting firefighters and paramedics to become immunization partners is an innovative way to keep improving immunization coverage in this vulnerable population. The end result is protection for all the residents of Fort Worth. There will continue to be no charge to the residents for these immunizations. Logname: SOIIV�ZATIONS Page 1 of 2 The goal of this proposal is to utilize immunization funds from DSHS to achieve and maintain 90% vaccine coverage for vaccine preventable diseases. Currently vaccines are given for DtaP (diphtheria, tetanus, and acellular pertussis), IVP (injectable polio), MMR (measles, mumps, and rubella), Hep6 (hepatitis B), HepA (hepatitis A), Varicella (chickenpox), HiB (haemophilus influenza type b) and PVC 7(pneumococcal disease). The immunization program has provided 5,787 vaccines to 1,924 children from January 2002 through December 2005. Of these children, 1129 (58.7%) were not insured, 111 (5.8%) were underinsured, 597 (31 %) were on Medicaid, 63 (3.2%) were on the Children's Health Insurance Program (CHIP) and the remaining 24 (1.3%) had access to care issues. As part of the advocacy role, Outreach staff is aware of the lack of culturally competent access to services. Immunization services must be provided in a way that encourages compliance by meeting the needs of the population at highest risk for not being immunized. The continuation of this immunization program will help insure access. The current locations for this program are Station 15 (3100 Azle Avenue), Station 17 (212 East Felix Street), and Station 3(4700 Ramey). Protocol and standing delegation orders are in place and quality assurance is maint�ined through a collaborative effort between the Public Health Department and the Fire Department. The Outreach staff distributes information about the availability of services throughout the City in recreation centers, day care centers, child care provider classes, and faith based organizations for example. Data collection is done using the Statistical Package for the Social Sciences (SPSS) Version 11.0. Data is entered into the Tarrant County Immunization Registry and downloaded to the State's "ImmTrac" data base. FISCAL INFORMATION/CERTIFICATION: The Finance Director certifies that upon approval of the above recommendations and the attached appropriation ordinance, funds will be available in the current operating budget, as appropriated, of the Grants Fund. Upon execution of the grant contract, the interim funds will be retumed to the General Fund. TO Fund/AccountlCenters GR76 451923 050301089000 GR78 5(VARIOUS) 050301089010 GR76 220001 00030108900U Submitted for City Manager's OfFce b� Originating Department Head: Additional Information Contact: $100.00D.00 $100.000.00 $25.000.00 FROM Fund/Account/Centers GG01 136076 000000 $25,000.00 Joe Paniagua (6575) Daniel Reimer (7201) Daniel Reimer (7201) Barbara Murph (6213) Logname: SO�V7QViUNIZATIONS Page 2 of Z