HomeMy WebLinkAboutOrdinance 17057-07-2006Ordinance No 17057-07 2006
AN ORDINANCE INCREASING ESTIMATED RECEIPTS AND
APPROPRIATIONS IN THE GRANTS FUND IN THE AMOUNT OF $100 000
SUBJECT TO RECEIPT OF THE GRANT FROM THE TEXAS DEPARTMENT OF
STATE HEALTH SERVICES FOR THE PURPOSE OF FUNDING THE PUBLIC
HEALTH DEPARTMENT IMMUNIZATION OUTREACH PROGRAM; MAKING
THIS ORDINANCE CUMULATIVE OF PRIOR ORDINANCES IN CONFLICT
HEREWITH AND PROVIDING AN EFFECTIVE DATE.
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF FORT WORTH
TEXAS
SECTION 1
That in addition to those amounts allocated to the various City departments for Fiscal Year 2005-
2006 and in the Budget of the City Manager there shall also be increased estimated receipts and
appropriations in the Grants Fund in the amount of $100 000 subject to receipt of the grant from the
Texas Department of State Health Services, for the purpose of funding the Public Health's
Department Immunization Outreach program
SECTION 2.
That should any portion, section or part of a section of this ordinance be declared invalid,
inoperative or void for any reason by a court of competent jurisdiction such decision, opinion or
judgment shall in no way impair the remaining portions, sections, or parts of sections of this
ordinance, which said remaining provisions shall be and remain in full force and effect.
SECTION 3
That this ordinance shall be cumulative of Ordinance No 16582 and all other ordinances and
appropriations amending the same except in those instances where the provisions of this ordinance
are in direct conflict with such other ordinances and appropriations, in which instance said
conflicting provisions of said prior ordinances and appropriations are hereby expressly repealed
SECTION 4
This ordinance shall take effect upon adoption
APPROVED AS TO FORM AND LEGALITY
YV
Assistant y Attorney
ADOPTED AND EFFECTIVE. July 18, 2006
City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL 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 anon-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 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 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 Health 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 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 residents for these immunizations
Logname• SOIMMUNIZATIONS 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) HepB (hepatitis B) HepA
(hepatitis A) Varicella (chickenpox) Hi6 (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 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 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 States 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 returned to the General Fund
TO Fund/Account/Centers FROM Fund/Account/Centers
GR76 451923 050301089000 $100,000.00 GG01 136076 000000 $25,000.00
GR76 5(VARIOUS) 050301089010 $100.000.00
GR76 220001 000301089000 $25,000.00
Submitted for City Manager's Office ~. Joe Paniagua (6575)
Originating Department Head. Daniel Reimer (7201)
Daniel Reimer (7201)
Additional Information Contact: Barbara Murph (6213)
Logname SOIMMUNIZATIONS Page 2 of 2