HomeMy WebLinkAboutContract 32358 CITY SECRETARYQ
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DEPARTMENT OF STATE HEALTH SERVICES
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
STATE OF TEXAS DSHS Document No. 7560005286 2006
COUNTY OF TRAVIS Contract Change Notice No.02
The Department of State Health Services,hereinafter referred to as RECEIVING AGENCY,did heretofore enter into a contract in
writing with FORT WORTH DEPARTMENT OF PUBLIC HEALTH hereinafter referred to as PERFORMING AGENCY. The
parties thereto now desire to amend such contract attachment(s)as follows:
SUMMARY OF TRANSACTION:
ATT NO.03 : IMMUNIZATION BRANCH-LOCALS
All terms and conditions not hereby amended remain in full force and effect.
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: RECEIVING AGENCY :
FORT WORTH DEPARTMENT OF PUBLIC DEPARTMENT OF STATE HEALTH SERVICES
HEALTH
By: By:
(Signal �Y orized to sign) (Signature of person authorized to sign)
o rso
Joe Paniagua, Assistant City Manager Bob Burnette,Director
Client Services Contracting Unit
(Name and Tit e) (Name and Title) t�
Date: g2110 O S Date: / b I D J
RECOMMENDW: - 1�
By: �� Contract; Authoriz tion►
(PERFORMING AGENCY Director,if different
from person authorized to sign contract
Date
DB CSCU-Rev.6/05
k-� a PjV,.yt awLC( Attested By
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Cover Page 1 a
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DETAILS OF ATTACHMENTS
Att/ DSHS Program ID/ Term Financial Assistance Direct Total Amount
Amd DSHS Purchase Assistance (DSHS Share)
No. Order Number Begin End Source of Amount
Funds*
01 RLSS/LPHS 09/01/05 02/28/06 20,000.00 0.00 20,000.00
02 DIAB/CDSP 09/01/05 08/31/06 State 80,000.00 0.00 80,000.00
0000309271
03 IMM/LOCALS 09/01/05 08/31/06 State 93.268 57,305.00 0.00 57,305.00
0000309148
DSHS Document No.7560005286 2006 Totals
Chan e No.02 $157,305.00 $ 0.00 $157,305.00
*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 : J
DOCUMENT NO. 7560005286-2006
ATTACHMENT NO. 03
PURCHASE ORDER NO. 0000309148
PERFORMING AGENCY: FORT WORTH DEPARTMENT OF PUBLIC HEALTH
RECEIVING AGENCY PROGRAM: IMMUNIZATION BRANCH
TERM: September 01, 2005 THRU: August 31, 2006
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 will provide essential public health services as specified in
PERFORMING AGENCY'S approved 2004 Interlocal Application for Immunization
Services, ILA I04 0003.1, dated June 16, 2003, and subsequent renewal applications,
incorporated herein by reference and made 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 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 report all reportable conditions as specified in 25 Texas
Administrative Code (TAC) Part I §§97.1 - 97.6 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 safety, vaccine-preventable diseases, and delivery of
immunization services.
PERFORMING AGENCY shall comply with written policies and procedures provided
by RECEIVING AGENCY Program in managing state-supplied vaccines, including
guidelines for proper storage and handling of vaccines.
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.
PERFORMING AGENCY shall not charge a fee 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 by April l"
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 to RECEIVING AGENCY Program periodic
data transfers of all vaccines administered in a format that is compatible for inclusion in
the statewide immunization registry, ImmTrac, and in accordance with the schedule
provided by RECEIVING AGENCY.
ATTACHMENT—Page 2
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 unless amended. The following documents are incorporated by reference and
made a part of this contract Attachment.
• PERFORMING AGENCY'S approved 2004 Interlocal Application for
Immunization Services, and any revisions or subsequent renewal applications;
• 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 Chapter 97;
• 25 TAC, Chapter 96;
• 25 TAC, Chapter 100;
• 42 USC §§247b and 300 as-25;
• Omnibus Budget Reconciliation Act of 1993, 26 USC §4980B;
• RECEIVING AGENCY'S Standards for Public Health Clinic Services, revised
August 31, 2004;
• 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 Child and Adolescent Immunization Practices, February 8, 2002,
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 performance under this Attachment in compliance with the amended
standard(s) or guideline(s). RECEIVING AGENCY may terminate the contract
Attachment immediately or within a reasonable period of time as determined by
RECEIVING AGENCY.
PERFORMANCE MEASURES
All activities shall be performed in accordance with PERFORMING AGENCY'S Annual
Plan and detailed budget as approved by RECEIVING AGENCY Program based on the
2004 Interlocal Application for Immunization Services, ILA 104 0003.1, dated June 16,
2003 and any subsequent renewal applications. 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 Attachment.
ATTACHMENT—Page 3
PERFORMING AGENCY shall submit to RECEIVING AGENCY Program the
monthly reports of doses administered and the monthly biological order form in a
format provided by RECEIVING AGENCY and in accordance with the schedule
provided to PERFORMING AGENCY by RECEIVING AGENCY Program.
PERFORMING AGENCY shall implement an immunization reminder and recall
system to notify parents or guardians of children less than 36 months of age when
immunizations are due or past due. The notifications may be automated or manual
and may consist of mail or telephone contacts.
PERFORMING AGENCY shall complete 100% of annual assessments in sub-
contracted entities and local Women, Infant and Children (WIC) clinics using the
Assessment, Feedback, Incentives, and eXchange (AFIX) methodology as assigned
by RECEIVING AGENCY. PERFORMING AGENCY shall submit assessment
results to RECEIVING AGENCY Program within two (2) weeks after completion.
PERFORMING AGENCY shall recruit and enroll providers into the Texas Vaccines
for Children (TVFC) program.
PERFORMING AGENCY will perform the following applicable required activities:
1. Implement a plan to improve vaccination coverage levels;
2. Work with the local WIC agencies for referral of under-vaccinated WIC
enrollees;
3. Ensure that expired, wasted, and unaccounted for vaccines do not exceed 5%
for DTaP, Hib, hepatitis B, IPV, MMR, PCV7, and varicella vaccines for
Local Health Department clinics;
4. Decrease the proportion of duplicate records or questionable matches in
ImmTrac;
5. Increase the percentage of children less than six (6) years of age participating
in ImmTrac;
6. Increase the number of registered provider sites for ImmTrac;
7. Increase TVFC provider enrollment;
8. Increase the number of educational opportunities on vaccine-preventable
diseases available to public and private providers;
9. Complete 100% of assigned TVFC follow-up site visits;
10. Promote and ensure immunization services are provided for all age groups
with emphasis on pockets of need;
11. Increase the reporting of varicella cases;
12. Complete 90% of vaccine-preventable disease investigations within thirty (30)
days from date reported;
13. Identify all infants born to hepatitis B surface antigen (HBsAG)-positive
pregnant women. PERFORMING AGENCY shall investigate 100% of
suspected hepatitis B infections in pregnant women to ensure appropriate
treatment and follow-up as directed by Health and Safety Code §81.090 and
ATTACHMENT—Page 4
RECEIVING AGENCY'S Vaccine-Preventable Disease Surveillance
Guidelines;
14. Ensure all reported infants born to HBsAg positive women receive hepatitis B
vaccine and Hepatitis B Immune Globulin (HBIG) within seven (7) days of
birth;
15. Complete 100% of assigned childcare facility assessments or surveys; and,
16. Complete 100% of assigned public or private school assessments or surveys.
Activities may be subsequently amended as directed by the Centers for Disease
Control and Prevention and RECEIVING AGENCY Program. RECEIVING
AGENCY Program must approve, in writing, any revisions to PERFORMING
AGENCY'S Annual Plan.
SECTION II. SPECIAL PROVISIONS
PERFORMING AGENCY shall comply with Texas Health and Safety Code, Chapters 81
and 161.
Funds shall not be used for purchase of vaccines, inpatient care, construction of facilities,
or debt retirement in accordance with RECEIVING AGENCY Interlocal Application for
Immunization Services, dated June 16, 2003 and any subsequent renewal applications.
Travel expenses shall be reimbursed according to current state travel regulations and shall
not exceed the reimbursement for mileage allowed under the Appropriations Act.
Monthly billings must be submitted on a State of Texas Voucher Request form no later
than the close of the following month.
PERFORMING AGENCY is required to complete and submit the following reports
utilizing a format provided by RECEIVING AGENCY Program:
Report Type Reporting Period Report Due Date
Programmatic 9/1/05 — 12/31/05 1/30/06
Programmatic 1/1/06 —4/30/06 5/30/06
Programmatic 5/1/06— 8/31/06 9/30/06
Final Summary 9/1/05 — 8/31/06 10/30/06
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.
ATTACHMENT—Page 5 -
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 6
F
SECTION III. BUDGET:
PERSONNEL $38,747.00
FRINGE BENEFITS 7,603.00
TRAVEL 1,367.00
EQUIPMENT 0.00
SUPPLIES 5,689.00
CONTRACTUAL 0.00
OTHER 3,899.00
TOTAL DIRECT CHARGES $57,305.00
INDIRECT CHARGES $0.00
TOTAL $57,305.00
Total reimbursements will not exceed$57,305.00.
Financial status reports are due the 30th of December, 30th of March, 30th of June, and the 30th
of November.
ATTACHMENT—Page 7
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City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL ACTION: Approved on 5/17/2005 - Ord. #16438-05-2005
DATE: Tuesday, May 17, 2005
LOG NAME: 50IMMUNIZATIONS REFERENCE NO.: **C-20735
SUBJECT:
Authorize Execution of a Contract with the Texas Department of State Health Services to Provide
Immunization Outreach to the Community from September 1, 2005 through August 31, 2006 and
Adopt Appropriation Ordinance
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;
2. Adopt the 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 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 2002, 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 Public Health Department Community Needs Assessments show a
statistically significant increase in the percentage of households with pre-school children having their
immunizations (88% 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 Health Department, Outreach
Division, is proposing a continued partnership with the Fire Department to immunize pre-school age
children. This partnership with emergency personnel makes sense for our 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 citizens for these immunizations.
The goal of this proposal is to utilize immunization funds to achieve and maintain 90% vaccine coverage for
Logname: 50IMMLMZATIONS Pagel of 2
vaccine preventable diseases. Currently vaccines are given for DtaP (diphtheria, tetanus and acellular
pertussis), IVP (inject able polio), MMR (measles, mumps and rubella), HepB (hepatitis B) HepA (hepatitis
A), Varicella (chickenpox), and HiB (haemophilus influenza type b). The immunization program has
provided 3,828 vaccines to 1,243 children from January 2002 through September 2004, of these children,
772 (67.3%) were not insured, 59 (4.8%) were underinsured, 343 (28.1%) were on Medicaid, and 46 (3.8%)
were on the Children's Health Insurance Program (CHIP).
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
maintained 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. 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.
City staff recommends the waiver of indirect costs to maximize the funds toward the grant objective.
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that upon approval of the above recommendations and the 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 returned to the General Fund.
TO Fund/Account/Centers FROM Fund/Account/Centers
GR76 451923 050301025000 $100,000.00 GG01 136076 0000000 $25,000.00
GR76 5(VARIOUS) 050301025010 $100,000.00
GR76 220001 000301025000 $25,000.00
Submitted for City Manager's Office by: Joe Paniagua (6140)
Originating Department Head: Daniel Reimer (7201)
Additional Information Contact: Barbara Murph (6213)
Logname: 50IMMUNIZATIONS Page 2 of 2