HomeMy WebLinkAboutContract 27031 CITY. SECRETARY
CONTRACT NO.
CONTRACT FOR PUBLIC HEALTH SERVICES TDH DOCUMENT NO. 7560005286 200203
Contract Issued by: TEXAS DEPARTMENT OF HEALTH VW
(RECEIVING AGENCY) 1100 WEST 497H STREET
AUSTIN, TEXAS 78756-3199
Legal Authority to Contract: Chapters 12 and 121, Health and Safety Code.
Venue: The provisions of this Contract shall be interpreted in accordance with Texas law. Venue for any court disputes shall be in Travis County,
Texas.
PERFORMING AGENCY NAME: FORT WORTH DEPARTMENT OF PUBLIC HEALTH
MAILING ADDRESS: 1800 UNIVERSITY DR FORT WORTH TX 76107-3405
STREET ADDRESS: 1800 UNIVERSITY DR FORT WORTH TX 76107-3405
NAME OF AUTHORIZED
CONTRACTING ENTITY: CITY OF FORT WORTH
(If different from PERFORMING AGENCY)
PAYEE DATA(If not the same as PERFORMING AGENCY or AUTHORIZED CONTRACTING ENTITY; must be on file with the Texas State
Comptroller's Office.):
NAME: CITY OF FORT WORTH
ADDRESS: 1000 THROCKMORTON ST FORT WORTH TX 76102-6311
(City, State,Zip)
State of Texas Vendor Identification No. (14 digits) PAYEE AGENCY Fiscal
17560005286051 Year Ending Month: December
PAYEE BUSINESS INFORMATION FOR STATISTICAL REPORTING: Please check the categories that apply to your business.
Small Business-A corporation, sole proprietorship, or other legal entity formed for the purpose of making a profit which is
independently owned and operated and has fewer than 100 employees or has less than$1,000,000 in annual gross receipts.
X Historically Underutilized Business(HUB)-A corporation, sole proprietorship,or joint venture formed for the purpose of making
a profit in which at least 51% of all classes of the shares of stock or other equitable securities are owned by one or more persons
who have been historically underutilized(socially disadvantaged)because of their identification as members of certain groups:
Black American, Hispanic American, Asian Pacific American, Native American, and Women. The HUB must be certified by
General Services Commission or another entity.
For Profit Organization
SUMMARY OF CONTRACT DOCUMENTATION:
COVER PAGE 1 -Receiving and Performing Agency Data GENERAL PROVISIONS
COVER PAGE 2-Details of Attachment(s) ATTACHMENT(S)
COVER PAGE 3-Authorized Signatures EXHIBITS, IF APPLICABLE
Cover Page 1
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DETAILS OF ATTACHMENTS
Att/ TDH Term Financial Assistance Direct Total Amount
Arad Program Assistance (TDH Share)
No. ID Begin End Source of Amount
Funds*
O1 DIAB/DAEC 09/01/01 08/31/02 State 100,000.00 0.00 100,000.00
02 BRLHO 09/01/01 08/31/02 93.991 40,000.00 0.00 40,000.00
03 IMM/LOCALS 09/01/01 1 08/31/02 State 100,000.00 0.00 100,000.00
TDH Document No.7560005286 2002 Totals
Change No. 00 $240,000.00 $ 0.00 $240,000.00
*Federal funds are indicated by a number from the Catalog of Federal Domestic Assistance (CFDA), if applicable. REFER TO
BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS.
Cover Page 2 C��O77�U�N;3RII yN� Y
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EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
CITY OF FORT WORTH
Authorized Contracting Entity (type above if different
from PERFORMING AGENCY) for and in behalf of:
PERFORMING AGENCY NAME: RECEIVING AGENCY NAME:
FORT WO H DEPARTMENT OF PUBLIC TEXAS DEPARTMENT OF HEALTH
HEALTH
r
By: By:
ignature of0e son authorized to sign contracts) (Signature of person authorized to ign contracts)
Melanie A. Doyle, Director
Libby Watson, Assistant City Manager Grants Management Division
(Name and Title) (Name and Title)
Date: Date: O I
RECOMMENDED:
Bv:
(PERFORMING AGENCY Director, if different
from person authorized to sign contract)
Daniel B. Reimer
APPROVED AS TO FOR1 AND LEGALITY: TDH Document No: 756000528602
By:
ssistant C At ney
ATTESTED BY
2Z
Contract Authorization
9.
Cover Page 3
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CITY SECRETARY
CONTRACT NO.
DOCUMENT NO. 7560005286-2002
ATTACHMENT NO. 03
PERFORMING AGENCY: FORT WORTH DEPARTMENT OF PUBLIC HEALTH
RECEIVING AGENCY PROGRAM: IMMUNIZATION DIVISION
TERM: September 01, 2001 THRU: August 31, 2002
SECTION I. SCOPE OF WORK:
The goal of RECEIVING AGENCY Program is to prevent, control, and eliminate vaccine-
preventable diseases by providing and administering biologicals, promoting immunizations,
conducting vaccine-preventable disease surveillance, assessing vaccine coverage levels, and
applying principles of epidemiology and outbreak control measures within budgetary constraints.
PERFORMING AGENCY shall implement an immunization program for children, adolescents,
and adults, with special emphasis on accelerating interventions to improve the immunization
coverage of children two years of age or younger (less than 36 months of age). PERFORMING
AGENCY shall incorporate traditional and non-traditional, systematic approaches designed to
eliminate barriers, expand immunization delivery, and establish uniform policies.
PERFORMING AGENCY shall provide services as outlined in PERFORMING AGENCY'S
Fiscal Year (FY) 2002 Contract Renewal Application and Work Plan and revisions, if any, as
agreed to and approved by RECEIVING AGENCY Program. These documents are adopted by
reference and made a part of this contract Attachment. Any revisions to these documents shall
be approved by RECEIVING AGENCY Program and transmitted in writing to PERFORMING
AGENCY.
PERFORMING AGENCY shall report all reportable conditions as specified in 25 TAC §§97.61-
97.77 and 97.101-97.102.
PERFORMING AGENCY shall report all vaccine adverse event occurrences in accordance with
the National Childhood Vaccine Injury Act of 1986.
PERFORMING AGENCY shall inform and educate the public about vaccines and vaccine-
preventable diseases.
PERFORMING AGENCY shall develop policies and plans that support individual and
community-based immunization strategies and evaluate effectiveness, accessibility, and quality
of personal and population-based immunization services and program activities.
ATTACHMENT—Page 1 --
PERFORMING AGENCY shall ensure a health care workforce that is knowledgeable about
vaccines, vaccine-preventable diseases, and delivery of vaccination,services.
PERFORMING AGENCY shall assist in distributing state-supplied vaccines to Texas Health
Steps providers, Medicaid providers, physicians, and other providers and organizations within
PERFORMING AGENCY'S local area.
PERFORMING AGENCY shall not deny vaccinations to recipients because they do not reside
within PERFORMING AGENCY'S jurisdiction.
PERFORMING AGENCY shall maintain an accurate, up-to-date list of clinics and sites where
public sector (free or low cost) immunization services are offered in PERFORMING
AGENCY'S local area.
No fee may be charged for vaccines provided by RECEIVING AGENCY Program. All vaccines
obtained from RECEIVING AGENCY Program shall be used solely for purposes of this contract
Attachment and shall not be sold to agencies or individuals.
PERFORMING AGENCY shall not collect vaccine administration fees from Medicaid
recipients. Vaccine administration fees collected from non-Medicaid patients shall be kept within
guidelines established by RECEIVING AGENCY. ' In accordance with 25 TAC §1.91, no one
shall be denied immunization services in public clinics because of inability to pay the
administration fee. Fee schedules shall not be based on vaccine type, formulation, or dose in
series. A copy of PERFORMING AGENCY'S fee schedule shall be submitted to RECEIVING
AGENCY Program with the submission of the FY 2002 Contract Renewal Application and
Work Plan.
All equipment and vaccine used by PERFORMING AGENCY which are provided by
RECEIVING AGENCY Program, shall be accounted for as public property. RECEIVING
AGENCY Program will investigate equipment or vaccine loss, destruction, spoilage, or other
waste and may require PERFORMING AGENCY to replace or reimburse RECEIVING
AGENCY Program.
PERFORMING AGENCY shall provide the parent, managing conservator, or guardian of each
patient with a form that is approved by RECEIVING AGENCY Program in compliance with 25
TAC, Chapter 100 to authorize participation in the statewide immunization registry (ImmTrac).
PERFORMING AGENCY shall provide RECEIVING AGENCY Program weekly data transfers
of all vaccines administered in a format that is compatible for inclusion in the statewide
immunization registry (ImmTrac).
PERFORMING AGENCY shall comply with all applicable federal and state laws, rules,
regulations, standards, and guidelines in effect on the beginning date of this contract Attachment
ATTACHMENT—Page 2 JCUD
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unless amended. The following documents are incorporated by reference and made a 'part of this
contract Attachment.
• PERFORMING AGENCY'S FY 2002 Contract Renewal Application, and any
revisions;
• Human Resources Code §42.043, VTCA;
• Education Code §§38.001-38.002, VTCA;
• Health and Safety Code §§81.023.and 161.001-161.009, VTCA;
• 25 TAC §§97.61-97.77 and 97.101-97.102;
• 25 TAC, Chapter 96;
• 25 TAC, Chapter 100;
• 42 USC §§247b and 300 as-25;
• Omnibus Budget Reconciliation Act of 1993, 26 USC §498013;
• RECEIVING AGENCY'S Client Services Standards for Public Health and
Community Clinics, revised June 1997;
• RECEIVING AGENCY'S Vaccine-Preventable Disease Surveillance guidelines,
http://www.tdh.state.tx.us/immunize/docs/guide.htm;
• RECEIVING AGENCY'S Pharmacy guidelines;
• Centers for Disease Control and Prevention's Advisory Committee on
Immunization Practices (ACIP) guidelines, including the statement:
"Immunization of Health-Care Workers"; and
• Standards for Pediatric Immunization Practices, February 1996, recommended by
the National Vaccine Advisory Committee, approved by the United States Public
Health Service, and endorsed by the American Academy of Pediatrics.
Within thirty (30) days of receipt of an amended standard(s) or guideline(s), PERFORMING
AGENCY shall inform RECEIVING AGENCY Program, in writing, if it will not continue
perfonnance under this Attachment in compliance with the amended standard(s) or guideline(s).
RECEIVING AGENCY may terminate the Attachment immediately or within a reasonable
period of time as determined by RECEIVING AGENCY.
PERFORMANCE MEASURES
The following performance measure(s) will be used, in part, to assess PERFORMING
AGENCY'S effectiveness in providing the services described in this contract Attachment to the
service area, without waiving the enforceability of any of the terms of the contract.
PERFORMING AGENCY shall investigate 0% of all reported vaccine-preventable
diseases in accordance with RECEIVING AGENCY'S Vaccine-Preventable Disease
Surveillance Guidelines.
PERFORMING AGENCY shall investigate 0% of suspected hepatitis B infections in
pregnant women to assure appropriate treatment and follow-up as directed by Health and
ATTACHMENT—Page 3
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Safety Code §81.090 and RECEIVING AGENCY'S Vaccine-Preventable Disease
Surveillance Guidelines.
PERFORMING AGENCY shall provide RECEIVING AGENCY Program monthly
reports of doses administered submitted by the fifteenth calendar day of each month for
the previous calendar month, in formats approved by RECEIVING AGENCY Program.
PERFORMING AGENCY shall implement an immunization reminder and/or recall
system to notify parents or guardians of children less than 36 months of age when
immunizations are due. The notifications may be automated or manual and may consist
of mail or telephone contacts.
PERFORMING AGENCY shall conduct immunization audits in 0% of assigned
childcare facilities and registered family homes.
PERFORMING AGENCY shall conduct annual assessments in 0% of local health
department sites, sub-contracted entities, and WIC clinics using the Assessment Feedback
Initiative eXchange (AFIX) methodology. PERFORMING AGENCY shall submit
assessment results to RECEIVING AGENCY Program within two (2) weeks after
completion.
PERFORMING AGENCY shall offer to conduct annual assessments in 100% of Texas
Vaccines for Children (TVFC)-enrolled private provider sites using the Assessment
Feedback Initiative Exchange (AFIX) methodology.
PERFORMING AGENCY shall conduct monitoring visits in 0% of Texas Vaccines for
Children Program (TVFC)-enrolled provider sites using the RECEIVING AGENCY'S
monitoring tool and methodology. PERFORMING AGENCY shall submit monitoring
report to RECEIVING AGENCY Program within two (2) weeks after completion of
visit.
PERFORMING AGENCY shall recruit and enroll providers into the TVFC program.
SECTION II. SPECIAL PROVISIONS
General Provisions, Reports Article, is revised to include the following:
PERFORMING AGENCY shall submit quarterly program reports to RECEIVING
AGENCY Program according to the following timelines and in the formats provided by
RECEIVING AGENCY Program.
ATTACHMENT—Page 4 ED
19M C"K L K09
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NAME OF REPORT APPLICABLE QUARTERS DUE DATES
Immunization Program - September, October,November December 30
Performance Measure December, January, February March 30
Quarterly Report March, April, May June 30
June, July, August September 30
Immunization Program - September, October,November December 30
Recruitment Quarterly Report December, January, February March 30
March, April, May June 30
June, July, August September 30
For immunization activities performed under this contract Attachment, General Provisions,
Overtime Compensation Article is not applicable. In addition, PERFORMING AGENCY shall
comply with the following paragraphs:
PERFORMING AGENCY is authorized to pay employees who are not exempt under the
Fair Labor Standards Act (FLSA), 29 USC, Chapter 8, §201 et seq., for overtime or
compensatory time at the rate of time and one-half per FLSA.
PERFORMING AGENCY is authorized to pay employees who are exempt under FLSA
on a straight time basis for work performed on a holiday or for regular compensatory
time hours when the taking of regular compensatory time off would be disruptive to
normal business operations.
Authorization for payment under this provision is limited to work directly related to
immunization activities and shall be in accordance with the amount budgeted in this
contract Attachment. PERFORMING AGENCY shall document proper authorization or
approval for any work performed by exempt or non-exempt employees in excess of forty
(40)hours per work week.
ATTACHMENT—Page 5
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SECTION III. BUDGET:
PERSONNEL $44,928.00
FRINGE BENEFITS 11,232.00
TRAVEL 1,607.00
EQUIPMENT* 6,600.00
SUPPLIES 13,837.00
CONTRACTUAL 0.00
OTHER 21,796.00
TOTAL $100,000.00
Total reimbursements will not exceed $100,000.00 .
Financial status reports are due the 30th of December, 30th of March, 30th of June, and the 30th
of November.
* Equipment list attached.
ATTACHMENT—Page 6 OR(CBIl'f� et�4vU �
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PERFORMING AGENCY: FORT WORTH DEPARTMENT OF PUBLIC HEALTH
RECEIVING AGENCY PROGRAM: IMMUNIZATION DIVISION
TDH DOC. NO: 7560005286 02
ATTACHMENT NO:03
Change No. 00
EQUIPMENT LIST
ITEM DESCRIPTION NO. OF UNIT EXTENSION
UNITS COST
OO I Dell Latitude CPx Laptop Pentium III processor;750 MHz with 14.1"XGA 1 5,100.00 $ 5,100.00
TFT Display; 12GB hard drive; 128MB SDRAM, 1DIMM;MSWin2000;
10/100+Modem 56K; 3COM 10/100 CardBus LAN Card, VS.6;24X
max/IOX min CD-ROM Drive; 1100 Wireless Access Card;Lithium-Ion
Battery;Carrying Case. Or equivalent.
002 Kenmore Refrigerator/Freezer;20 cu.ft.;auto defrost. Or equivalent. 2 750.00 $ 1,500.00
TOTALS $ 6,600.00
Items may be brand name, if specified,or equivalent.
Equipment List Page 1 \NTY SEC A1511(,ly
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City of Fort Worth, Texas
"avow and council Communication
DATE REFERENCE NUMBER LOG NAME PAGE
8/9/01 **C-18705 1 50IMMUNE 1 of 2
SUBJECT APPROPRIATION ORDINANCE AND CONTRACT WITH THE TEXAS DEPARTMENT
OF HEALTH TO PROVIDE IMMUNIZATION OUTREACH TO THE COMMUNITY
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize the City Manager to accept and execute a grant contract with the Texas Department of
Health for $100,000 to be used to increase immunization levels in pre-school aged children and
provide awareness and education at the community level; and
2. Adopt the attached appropriation ordinance increasing appropriations and estimated receipts by
$100,000 in the Grants Fund; and
3. Waive indirect costs of 27.31% of related salary and fringe benefits - which are the most recent
rates as indicated by the Finance Department.
DISCUSSION:
On September 19, 2000 (M&C C-18240), the City Council authorized the City Manager to apply for a
$167,766 contract with the Texas Department of Health to provide immunization outreach to the Fort
Worth community. That contract was not awarded. The Public Health Department has since become
aware of another opportunity to apply for a contract that would fund immunization outreach services.
The original proposal has been resubmitted with a reduction in funding to $100,000.
Texas immunization coverage levels for two-year old children differ profoundly from the national level.
The Texas coverage for two-year olds reached a plateau in 1996 at 74%. In 1998, immunization levels
for Texas two-year olds were seven percentage points below the national level (81%).
The fundamental reason for under immunization are those factors related to poverty. These factors can
be overcome by removing financial and access barriers. Texas parents overwhelmingly believe in the
importance of immunizations for their children, yet may not consider the importance of timing or may
not know when immunizations are due. Various focus groups revealed parental confusion about the
schedule, the need for numerous shots, and the low awareness about immunization services.
The goal of this proposal is to utilize immunization funds to achieve and maintain 90% vaccine
coverage for DtaP (pertussis or acellular pertussis), DT (diphtheria, tetanus), IVP (polio), MMR
(measles, mumps and rubella), HepB (hepatitus B), and Hib (Haemophilus influenzae type b) vaccines
in pre-school age children.
The City's Public Health Department, Outreach Division is proposing a partnership with the Fire
Department to immunize more preschool age children. This partnership with emergency personnel
makes sense for our community. The personnel are medically trained, know their neighborhoods, and
these stations are "safe havens" in the community. The stations are easily accessible, Americans with
Disabilities Act. compliant, and appealing to young children. Enlisting firefighters and paramedics to
become immunization partners creates an innovative collaboration in providing needed services to the
community. There will be no charge for the immunizations.
City of Fort Worth, Texas
4vagor and Council Communication
DATE REFERENCE NUMBER LOG NAME PAGE
8/9/01 **C-18705 I 50IMMUNE 2 of 2
SUBJECT APPROPRIATION ORDINANCE AND CONTRACT WITH THE TEXAS DEPARTMENT
OF HEALTH TO PROVIDE IMMUNIZATION OUTREACH TO THE COMMUNITY
As part of the advocacy role, outreach staff is extremely aware of the lack of access to health services.
This is especially acute in the area of immunization. The target group of infants and pre-schoolers in
the City is caught in this lack of access. An event in June 2000 provided immunizations to 259 children.
Of that total, 47% were 2 to 4 years of age, inferring that these infants and toddlers are not getting
immunizations regularly from a primary care provider. According to the 1998 Community Needs
Assessment, 21.9% of children less than 5 years of age had no insurance.
Initially, the proposed locations will be two fire stations located in different geographical quadrants of
the City. These locations are close to "pockets of need". The locations are Station 15 (3100 Azle
Avenue), and Station 17 (212 East Felix Street). Training will be facilitated by Public Health
Department nursing staff (using Texas Department of Health guidelines), and the Emergency
Physicians Advisory Board's standing protocol from the Fire Department. Immunizations will be offered
by paramedics during the evening and weekend hours.
The Outreach staff will distribute information about the availability of services to recreation centers,
apartments, neighborhood day-care centers, and faith-based organizations to assure the public is
informed of the immunization services. Data collection will be done using the Clinic Assessment
Software Application Program. Data will be downloaded to the Texas Department of Health's "Imm
Trac" computer system.
Staff recommends the waiver of indirect costs to maximize the funds toward the grant objective.
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that upon adoption of the attached appropriation ordinance, funds will be
available in the current operating budget, as appropriated, of the Grants Fund.
LW:n
Submitted for City Manager's FUND ACCOUNT CENTER AMOUNT CITY SECRETARY
Office by: (to)
GR76 451923 050301712000 $100,000.00 APPROVED
Libby Watson 6183 GR76 (5)Various 050301712010 $100,000.00 CITY COUNCIL
Originating Department Head:
Daniel Reimer 7201 (from) AUG 9�}) 2001
Additional Information Contact:
Cft�Soc�tt�c�of so
Efts�Yost,WasW,bzas
Daniel Reimer 7201