HomeMy WebLinkAboutOrdinance 16156{
Ordinance No l ~ ~~
AN ORDINANCE INCREASING ESTIMATED RECEIPTS AND APPROPRIATIONS IN
THE GRANTS FUND IN THE AMOUNT OF $57,305.13, 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 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 2004-2005 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 $57,305.13, 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 incorporated into the ordinance effecting the budget of the municipal
government of the City of Fort Worth for the ensuing Fiscal Year beginning October 1 2004 and ending
September 30 2005, 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hereby expressly repealed.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
Assistant y Attorney
ADOPTED AND EFFECTIVE. ~~ ~~, ~y
City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL ACTION Approved on 10/5/2004 Ordinance No 16156
DATE Tuesday October 05 2004
LOG NAME 501MMUNIZATIONS REFERENCE NO *C-20322
SUBJECT
Adoption of Appropriation Ordinance and Authorization to Execute a Contract with the Texas
Department of State Health Services to Provide Immunization Outreach to the Community
RECOMMENDATION
It is recommended that the City Council.
1 Authorize the City Manager to apply for accept and execute if awarded a grant contract with the
Texas Department of State Health Services formerly the Texas Department of Health in the amount of
$ 57 305 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 attached appropriation ordinance increasing appropriations and estimated receipts by
$ 57 305 00 in the Grants Fund
3 Waive indirect costs of 33 43 percent of related salary and fringe benefits which are the most recent
rates as 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 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
The Immunization Outreach contract between The Texas Department of State Health Services formerly the
Texas Department of Health and the Fort Worth Public Health Department, has been funded for three
years beginning August 2001 The previous contract was approved on August 7 2003 (M8~C C-19693) to
continue the Immunization Program
Texas immunization levels for children ages 19-35 months have improved from 71 3 percent in 2002 to
781 percent 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 percent to 95 9 percent)
The fundamental reasons for under immunization are 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 preschool age
children This partnership with emergency personnel makes sense for the 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
Loename SOIMMUNIZATIONS PauP 1 of ~
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 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 goal of this proposal is to utilize immunization funds to achieve and maintain 90 percent vaccine
coverage for vaccine preventable diseases. Currently vaccines are given for DtaP (diphtheria tetanus and
a cellular pertussis) IVP (injectable 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 percent) were not insured 59 (4 8 percent) were underinsured 343 (28 1 percent) were
on Medicaid and 46 (3 8 percent) were on the Children s Health Insurance Program (CHIP)
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 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 ihto the
Tarrant County Immunization Registry and downloaded to the States "ImmTrac data base
City staff recommends the waiver of indirect costs to maximize the funds toward the grant objective The
city will absorb approximately $4 000 because of this action
FISCAL INFORMATION/CERTIFICATION
The Finance Director certifies that upon approval of the above recommendations receipt of the grant and
adoption of 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, interim funds will be returned to the
General Fund
TO Fund/Account/Centers FROM Fund/Account/Centers
GR76 451923 050301983000 $57.305.00
GR76 5(VARIOUS) 050301983010 $57.305.00
Submitted for City Manaaer's Office b~ Joe Paniagua (6140)
Originating Department Head. Daniel Reimer (7201)
Additional Information Contact: Barbara Murph (6213)
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