HomeMy WebLinkAboutOrdinance 15196r
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Ordinance No (~V
AN ORDINANCE INCREASING ESTIMATED RECEIPTS AND APPROPRIATIONS
IN THE GRANTS FUND IN THE AMOUNT OF $100,000 FOR THE PURPOSE OF
FUNDING AND ACCEPTING THE CONTINUATION OF A GRANT CONTRACT
WITH THE TEXAS DEPARTMENT OF HEALTH TO PROVIDE IMMUNIZATION
OUTREACH TO THE COMMUNITY, 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 I
That in addition to those amounts allocated to the various City departments for Fiscal Year 2001-02 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 for the purpose funding and accepting the continuation of a grant contract
with the Texas Department of Health to provide immunization outreach to the community
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 unpair
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. 14745 and all other ordinances and appropriations
amending the same except m 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ordinances and appropriations are hereby expressly repealed.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.
APP VED AS O LEGALITY
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As istan ity Atto l_~
ADGPTED AND EFFECTIVE.
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City of FoYt Worth, Texas
Mayor and Council
Communication
DATE REFERENCE NUMBER LOG NAME PAGE
8/13/02 **C-19195 5000TREACH 1 of 3
SUBJECT APPROPRIATION _ORDINANCE _AND _CON_l"INUATION OF A GRANT CONTRACT
WITH THE LTEXAS DEPARTMENT OF HEALTHY 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 continuation to 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 from September 1, 2002, to
August 31, 2003, 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 35 97% of related salary and fringe benefits, which are the most recent rates
as indicated by the Finance Department; and
4 Authorize anon-interest bearing inter-fund loan from the General Fund to the Grants Fund in the
amount of $25,000 for interim financing for this grant pending contract execution to ensure a smooth
transition from one grant funding period to another
DISCUSSION
On August 9, 2001 (M&C C-18705, Ordinance No 14742), the City Council authorized a grant contract
with the Texas Department of Health to provide immunization outreach to the community 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 Removing
financial and access barriers can overcome these factors 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, PCV-7, IPV, MMR, HepB, Hib, and Varicella vaccines in a target population of
preschool age children (those under 5 years of age)
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City of Fort Worth, Texas
Mayor and Council
Communication
DA
8/13/02
**C-19195
LOG
5000TREACH
2 of 3
sue~tci APPROPRIATION ORDINANCE AND CONTINUATION OF A GRANT CONTRACT
WITH THE TEXAS DEPARTMENT OF HEALTH TO PROVIDE IMMUNIZATION
OUTREACH TO THE COMMUNITY
The City's Public Health Department, Outreach Division is proposing a continued 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, American
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
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 preschoolers 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.
The program is currently operating in 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,
76106, and Station 17, 212 East Felix Street, 76115 Services are offered two times a month for three
hours per station, totaling twelve hours per month In six months, this program has served 144 children
under the age of 5 years, and 47 who were 6 years of age or older; 519 immunizations were
administered According to the 2000 US Census Bureau, 5,140 children under the age of 5 resided in
zip code 76106, and 228 resided in zip code 76115
Training will be facilitated by Public Health Outreach nursing staff (using Texas Department of Health
guidelines) and the Emergency Physicians Advisory Board's standing protocol from the Fire
Department. Paramedics will administer immunizations during the evening and weekend hours
The program coordinator and 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 conducted using the
Clinic Assessment Software Application Program Data will be downloaded to the Texas Department of
Health's "ImmTrac" computer system To ensure compliance, areminder/recall system has been
developed where a reminder postcard is mailed to the child's parents informing them of their next
scheduled immunization/s To motivate the parents to consistently comply with the immunization
schedule, various incentives are given to them such as T-shirts, stickers, safety pops, and first aid kits.
The waiver of indirect costs is requested in order to maximize the effectiveness of the program
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City of Fort Worth, Texas
Mayor and Council
Communication
DATE
8/13/02 REFERENCE NUMBER
**C-19195 LOG NAME
5000TREACH PAGE
3 of 3
SUBJECT APPROPRIATION ORDINANCE AND CONTINUATION OF A GRANT CONTRACT
WITH THE TEXAS DEPARTMENT OF HEALTH TO PROVIDE IMMUNIZATION
OUTREACH TO THE COMMUNITY
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
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Submitted for City Manager's FUND ACCOUNT CENTER AMOUNT CITY SECRETARY
Office by: (to)
1) GR76 451953 050301799000 $100,000 00
Libby Watson 6183 4) GR76 220001 000301799000 $ 25,000.00
Originating Department Head: 1) GR76 5 (various) 050301799010 $100,000.00
Daniel Reimer 7201 (from) APPROVED 08/13/02
4) GG01 136076 0000000 $ 25,000.00 ORD.# 15196
Additional Information Contact:
Daniel Reimer 7201