HomeMy WebLinkAboutResolution - 2021-R0144 - Modification of Agreement with National City and County Health Officials 4.27.2021Resolution No. 2021-RO144
Item No. 6.3.1
April 27, 2021
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute for
and on behalf of the City of Lubbock a Modification of Agreement, extending Contract
42019-121601 and providing additional funding for the program, by and between the City
of Lubbock acting by and through the City of Lubbock Health Department and the
National Association of County and City Health Officials ("NACCHO"), with its principal
place of business at 1201 (I) Eye Street NW 4th Fl., Washington, DC 20005, and related
documents. Said Modification of Agreement is attached hereto and incorporated in this
Resolution as if fully set forth herein and shall be included in the minutes of the Council.
Passed by the City Council on April 2021
DANIEL M. POPI, , MAYOR
(ATTEST:
Reb ca Garza, City S ret
I APPROVED AS TO CONTENT:
Bill Ho,,Orton, Deputy City Manager
I APPROVED AS TO FORM:
4nBrke,A sistant City Attorney
RES.Modification of Agreement NACCFIO
4.14.21
Resolution No. 2021-R0144
Modification I to Contract #2019-121601
Modification of Agreement
This Modification of Agreement ("Modification") is entered into, effective as of the date of the
later signature indicated below, by and between the National Association of County and City
Health Officials (hereinafter referred to as "NACCHO"), with its principal place of business at
1201 (I) Eye Street NW 4th F1., Washington, DC 20005, and the following, hereinafter referred
to as "Subrecipient:"
City of Lubbock 75-6000590
Subrecipient Federal Tax ID Number
1625 13th St.
Address
Lubbock, TX 79401 (806)-775-2941
City, State and Zip Phone
WHEREAS, the parties entered into Contract # 2019-121601 on the 10 h day of February 2020
("Agreement") and,
WHEREAS, the general purposes of the Agreement are unchanged; and
WHEREAS, both parties wish to make modifications to the Agreement, as described below;
THEREFORE, for the mutual consideration described in the Agreement, the parties agree to the
modifications below through the signatures of the person(s) who have the authority to bind the
parties to the changes in the Modification:
1. Term of Agreement: Article I, Section 2 of the Agreement is modified and shall continue
in effect until July 31 St, 2021, unless earlier terminated in accordance with the terms
herein. NACCHO and Subrecipient agree that the term of the Agreement may be
extended to complete the project to July 31St, 2021, provided that NACCHO receives an
extension of the programmatic activities of the related CDC GRANT# 5
NU380T000306-02-00 (CFDA # 93.421) and subject to CDC's acceptance and approval
for NACCHO to continue work with contractor, applicable guidance and federal rules
and regulations. NACCHO has been approved through "Expanded Authority" to
temporarily continue the program while waiting for the extension approval. Both parties
agree, NACCHO will not be obligated to continue the program or to make any payments
for work without CDC's extension approval to continue the program. Expiration of the
term or termination of this Agreement shall not extinguish any rights or obligations of the
parties that have accrued prior thereto. The term of this Agreement may be extended by
mutual agreement of the parties.
2. Payment for Services: Article I, Section 3 of the Agreement is modified to amend
payment by NACCHO to Subrecipient for services performed as follows:
Original Contract Amount : $25,000.00
Mod I Amount : $25,000.00
Total Contract Award Amount: $50,000.00
Available Funding Amount : $25,000.00
Updated Invoice Schedule
Invoice No.
Period of Performance
Due date
Invoice I
January I'— June 30' 2020
July 1511, 2020
Invoice 11
1"— 31 ' July 2020
August 15th, 2020
Invoice III
August 151— December 31 I1, 2020
January 1 S", 2021
Invoice IV
January 161, 2021 — June 301, 2021
July 15111, 2021
Invoice V
July I"— 3151, 2021
August 1511, 2021
3. Scope of Work: The Scope of Work attached hereto as Attachment I to the Modification
is incorporated into the Agreement and made a part thereof.
4. All other terms and conditions of the Agreement remain unchanged.
IN WITNESS WHEREOF, the persons signing below warrant that they are duly
authorized to sign for and on behalf of, the respective parties.
AGREED AND ACCEPTED AS ABOVE:
NACCHO:
In
Name: Jerome Chester
Title: Chief Financial Officer
SUBRECIPIENT:
By:
Name: Daniel M. Pope
Title: Mayor
Date: Date: 4/27/2021
NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS
MODIFICATION OF AGREEMENT- ATTACHMENT I
SCOPE OF WORK
NACCHO Containment Demo Site
Scope of Work
City of Lubbock
FY 2020 2021
INTRODUCTION
Highly antibiotic resistant carbapenemase-producing organisms (CPOs) like carbapenem-resistant
Verona integron-mediated metallo-beta-Ilactamase (VIM-CRPA) spread rapidly in healthcare facilities.
Two acute cane hospital laboratories in Lubbock Texas began submitting specimens to the Antibiotic
Resistance Lab Network (ARLN) in 2017. This testing has revealed a large cluster of over 40 cases of
VIM-CRPA in Lubbock, Texas.
The City of Lubbock Health Department is actively working with the Texas Department of State Health
Services (DSHS) and the Centers for Disease Control (CDC) on an investigation to identify the
epidemiology of the outbreak and implement control measures for VIM-CRPA and other
carbapenemase-producing organisms. This outbreak is characterized by genetically related cases
occurring across multiple healthcare facilities. but no reservoir has been identified.
A novel regional initiative including ongoing infection control support to healthcare facilities and
standardized communication of patients CPO status at transfer is being implemented to control spread
within the region. This demonstration project will enhance local capacity to respond to outbreaks,
improve overall infection control in the region. and monitor the success of regional containment
strategies.
The COVID-19 pandemic has changed this work from reducing the spread of VIM-CRPA to the emergent
threat of COVID-19 outbreaks in facilities. Fortunately, the infection control practices used to stop the
spread of VIM-CRPA are the same that will keep COVID-19 from spreading in a facility. Staff will use the
knowledge gained through the VIM-CRPA work to further local infection control compliance to address
both VIM and COVID-19.
REQUIRED ACTIVITIES
• Coordinate with the State HAIIAR program
• Participate in the CoP with local health departments
• Attend monthly check4n calls with NACCHO
• Submit quarterly reports
• Submit all invoices and related materials to NACCHO by July 15, 2020 or as indicated by
NACCHO
• Support NACCHO communications (webinar, conference presentation, and/cr blog) as needed to
share lessons leamed from containment response.
PROPOSED ACTIVITIES
o Goal: Build epidemiology and infection control prevention and response capacity within the
health department and community.
o Objective- By July 31, 2020, have one person register for the Certification in Infection
Control (CCQ exam.
c. Activities-
■ Register for the CIC exam
(1hjartWs& — FctAfkh a Inral APIs: rhaptar in thia I ichhm* rpginn
o Activities —
■ Work with LTC facilities and Hospitals to encourage management to pay for AP IC
memberships
■ Write bylaws
■ Conduct quarterly meetings either in person or virtually
• Goal: Reduce VIM-CRPA and COVID49 cases in Lubbock County long term care facilities.
o Objective- By July 31, 2020, we will increase coordination between the City of Lubbock Health
Department and facilities to respond to new cases of carbapenemase-producing organisms.
o Activities -
■ Monitor the number of isolates submitted to the ALRN from Lubbock each month.
If the number of submissions drops by more than 20% meet with the submitting
laboratory to identify reasons for decrease. If needed work with laboratory to
ensure appropriate isolates are submitted.
• Support local infection control workgroup to ensure quarterly meetings continue.
■ Conduct Infection Control Assessment and Response (ICAR) activities.
• Provide information on COVID-19 to long-term care facilities through regular
conference calls.
■ Conduct at least 4 virtual infection control assessments in long term care facilities.
■ Make recommendations to improve infection control practices as needed.
• Complete point prevalence surreys of at -risk patients as needed.
■ Interview newly identified cases and provide education to patient and caretakers
within 2 weeks of diagnosis.
• Summarize findings in quarterly reports submitted to NACCHO.
■ Share lessons learned, training materials and any tools that are developed with
NACCHO and other local health departments.
o Objective- Objective- Increase PPE usage and work to reduce PPE fatigue in long term care
facilities.
o Activities —
• Develop a local incentive program to encourage PPE compliance.
■ Recruit champions in long-term care facilities to monitor for PPE compliance,
utilizing a secrete shopper type program.
• Encourage ODVID-19 vaccination uptake among long-term care facility employees.
■ Monitor facilities for new cases of ViM-CRPA and COVID.
■ Refine recommendations to improve infection control practices.
4
TIMELINE
ActivWllilestone
Nov Dec Jan Feb Mar Apr I May I Jun I Jul
sow
Staff Training
Respond to New Gases
Conduct Facility Follow up
Adend Stakeholder Group
Meeting
Convene quarterly meetings with
facility administrators
BUDGET
tine ttems
Total Original
Amount
Modified Budget
Amount
Total Budget
Amount
Personnel& rrange
S6,600
$154200
$22,200
supplies
51,260
$5,50C
$6,760
Registration
S5,230
$5,230
Travel
$11,910
$11,910
0thes
$300
$300
Grant Total
$25AW
Szspw
$50,000
Project Background
This demonstration site project, as outlined in the CDC NOFO Work Plan, aims to promote the
role of local public health in containment of emerging antimicrobial -resistance threats through a
regional approach. City of Lubbock Health Department (CLHD) was selected due to its
experience responding to like carbapenem-resistant Verona integron-mediated metallo-beta-
lactamase (VIM-CRPA), which is an emerging AR threat and currently Lubbock, Texas had the
highest rate of VIM-CRPA in the United States. In addition to their unique, situational
experience on AR containment, CLHD has a strong, well -established relationship with the Texas
Department of State Health Services. A novel regional initiative including ongoing infection
control support to healthcare facilities and standardized communication of patient's status at
transfer is being implemented to control spread within the region. This demonstration project
will enhance local capacity to respond to outbreaks, improve overall infection control in the
region, and monitor the success of regional containment strategies. The COVID-19 pandemic
has changed this work from reducing the spread of VIM-CRPA to the emergent threat of
COVID-19 outbreaks in facilities. Fortunately, the infection control practices used to stop the
spread of VIM-CRPA are the same that will keep COVID-19 from spreading in a facility. Staff
will use the knowledge gained through the VIM-CRPA work to further local infection control
compliance to address both VIM and COVID-19.
Justification for modification
The emergence of the novel coronavirus 2019 (COVID-19) and the resulting threat to the
public's health has resulted in local health departments shifting staff time and focus to confront
it. Long term care facilities (such as nursing homes) are at high risk for spread of HAls and
emerging infectious diseases like COVID-19 due to their congregate nature, the prevalence of
underlying chronic conditions among the population served, and shortcomings in proper
infection control practices. COVID-19 appeared in nursing homes in City of Lubbock and the
health department responded by supporting infection prevention and control practices. The basic
elements of an infection prevention program are designed to prevent the spread of infection in
healthcare settings. When these elements are present and practiced consistently, the risk of
infection among patients and healthcare personnel is reduced. CLHD has been responding to a
high number of outbreaks and requests for support in these facilities, and is conducting outreach
and providing education in line with their original scope of work, but due to the volume and
ongoing efforts, their contract is being modified to extend this work through July 2021. The
goals of the project remain the same, but the scope of work has been adjusted to reflect the
assessment activities and shifted prioritization of infection prevention and control strategies,
including effective use of personal protective equipment.
C