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HomeMy WebLinkAboutOrdinance 14343~ ~ ~r Ordinance No ~ ~J ~~ AN ORDINANCE INCREASING THE ESTIMATED RECEII'TS AND APPROPRIATIONS IN THE GRANTS FUND IN THE AMOUNT OF $167,766 SUBJECT TO THE RECEII'T OF THE GRANT FROM THE TEXAS DEPARTMENT OF HEALTH FOR THE PURPOSE OF FUNDING AN IMMUNIZATION OUTREACH PROGRAM, MAKING THIS ORDINANCE CUMULATIVE OF PRIOR ORDINANCES AND REPEALING ALL 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 the Fiscal Year 1999-00 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 $167,766 subject to the receipt of the grant from the Texas Department of Health for the purpose of funding an immumzation outreach program. SECTION 2. Should any portion, section or part of a section of this ordmance 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 m full force and effect. SECTION 3 That this ordinance shall be cumulative of Ordinance No. 13886 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 appropnahons, in which instance said conflicting provisions of said prior ordinances and appropriations are hereby expressly repealed. SECTION 4 This ordmance shall take effect and be m full force after the date of its passage, and it is so ordained. APPROVED O FORM AND EGALITY r'~ Assis nt City orney~j ~~~ ~/ - Date ~ -/ 9 -OD Adopted ~~o-oo Effective City of Fort Worth, Texas ~I~A~Or A11d C,aui1C1` 01111r1uf11cAt'1a11 C DATE REFERENCE NUMBER LOG NAME PAGE 9/19/00 C-18240 50HOTSHOTS 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 apply for and, if offered, accept and execute a grant contract with the Texas Department of Health for $167,766 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 estimated receipts and appropriations by $167,766 in the Grants Fund, and 3 Waive indirect costs of $13,333 (46 62% of related salary and fringe benefits) which will allow grant funding to be utilized in providing this service. DISCUSSION 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 of 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, DT, IVP, MMR, HepB, and Hib vaccines in preschool age children, and 80% Varicella immunity (vaccine or disease history) The City's Public Health Department, Outreach Division is proposing a partnership with the Fire Department and MedStar ambulance service 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 immunization City of Fort Worth, Texas ~ll~u~ar Ae~~ ~runc~l autmunicAt~iore C C DATE REFERENCE NUMBER LOG NAME PAGE 9/19/00 C-18240 50HOTSHOTS 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 preschoolers in the City is being caught in this lack of access An event in June 2000 provided immunizations to 259 children Of that total, 47% were aged 2 to 4 years, 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, 212E Felix Street. Training will be facilitated by Public Health 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 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 LVV I Submitted for City Manager's FUND ACCOUNT CENTER AMOUNT CITY SECRETARY Office by: (to) GR76 451923 050301669000 $167,766.00 ,APPROVED Libby Watson 6183 GR76 (5) Various 050301669010 $167,766.00 ~ ~~~~~~~ ~ Ori inatin D rt t H d P C g g epa men ea : SEP 19 2C~ Letha Aycock 7201 (from) }' ~ Additional Information Contact: °i~ "~''`""'"~ .`T'i'Ltp .h~C:LZ6taFy Ct~ tl't6 Tex s CItSr of Fort W°rtn Rowena Wooters 7201 , Adapt~l Qr~~nant~ ~®e, ~ y3 y3