HomeMy WebLinkAboutResolution - 2005-R0003 - Contract Amendment With State Health Services - 01_13_2005Resolution No. 2005-R0003
January 13, 2005
Item No. 18
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 Contract Change No. 09 to a Contract
with the Texas Department of State Health Services (DSHS Document No. 7560005906
2005) for Immunization Services and any associated documents by and between the City
of Lubbock and the Texas Department of State Health Services, a copy of which Contract
Change No. 09 and associated documents are attached hereto and which shall be spread
upon the minutes of this Council and as spread upon the minutes of this Council shall
constitute and be a part hereof as if fully copied herein in detail.
Passed by the City Council this 13th day of January '2005.
MARC McDOYJGAL, MAYOR
ATTEST:
Garza, City Secretary
APPROVED AS TO CONTENT:
Tommy C n, Health Director
APPROVED AS TO FORM:
Donald G. Vandiver, Attorney of Counsel
DDres/TDHcon05Chg9 Res
December 20, 2004
STATE OF TEXAS
COUNTY OF TRAVIS
Resolution No. 2005-R0003
January 13, 2005
> Item No. 18
DEPARTMENT OF STATE HEALTH SERVICES
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
DSHS Document No. 7560005906 2005
Contract Change Notice No. 09
The Department of State Health Services, hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in
writing with LUBBOCK CITY HEALTH DEPARTMENT hereinafter referred to as PERFORMING AGENCY. The parties thereto
now desire to amend such contract attachment(s) as tollows:
SUMMARY OF TRANSACTION:
ATT NO. OIC : IMMUNIZATION BRANCH - LOCALS
All terms and conditions not hereby amended remain in full force and effect.
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
CITY OF LUBBOCK HEALTH DEPARTMENT
Authorized Contracting Entity (type above if different
from PERFORMING AGENCY) for and in behalf of:
PERFORMING AGENCY:
LUBBOCK CITY HEALTH DEPARTMENT
By: :. O. .
(S g t so authorized to sign)
MARC McDOUGAL, MAYOR
(Name and Title)
Date: January 13, 2005
RECOMMENDED:
By:
(PERFORMI AGENCY Director, if different
from person authorized to sign contract
RECEIVING AGENCY:
DEPARTMW OF STATE HEALTH SERVICES
By:
(Signature of person authorized to sign)
Bob Burnette, Director
Procurement and Contracting Services Division
(Name and Title)
Date: %/l"/0Z
DB PCSD - Rev. 6/04
ATTEST
QL". 1�'
Rebecca Garza, City Se retary
Approved as to form:
City Attorney
Cover Page 1
Resolution No. 2005-R0003
DETAILS OF ATTACHMENTS January 13, 2005
Item No. 18
Att/
DSHS Program ID/
Term
Financial Assistance
Direct
Total Amount
Amd
DSHS Purchase
Assistance
(DSHS Share)
No.
Order Number
Begin
End
Source of
Amount
Funds*
01C
IMM/L'OCALS
01/01/04
08/31/05
State 93.268
230,440.00
0.00
230,440.00
0000001776
02
HIV/SURV
09/01/04
08/31/05
State
50,251.00
0.00
50,251.00
C038578000
03
ACFH/POP
09/01/04
08/31/05
93.994
45,977.00
0.00
45,977.00
C038805000
04
ZOONOSIS
09/01/04
08/31/05
State
10,886.00
0.00
10,886.00
C038061000
05
OPHP/LPHS
09/01/04
08/31/05
State 93.991
118,554.00
0.00
118,554.00
C039236000
06A
CPSBIOTERR
09/01/04
08/31/05
93.283
547,791.00
0.00
547,791.00
0000300707
DSHS DocumentNo.7560005906 2005 Totals
$1,003,899.00
$ 0.00
$1,003,899.00
Change No. 09
*Federal funds are indicated by a number from the Catalog of Federal Domestic Assistance (CFDA), if applicable. REFER TO
BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS.
Cover Page 2
DOCUMENT NO. 7560005906-2005
ATTACHMENT NO. 01 C
PURCHASE ORDER NO. 0000001776
Resolution No. 2005-R0003
January 13, 2005
Item No. 18
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: IMMUNIZATION BRANCH
TERM: January 01, 2004 THRU: August 31, 2005
It is mutually agreed by and between the contracting parties to amend the conditions of
Document No. 7560005906 2005 -01B as written below. All other conditions not hereby
amended are to remain in full force and effect.
SECTION I. SCOPE OF WORK, 2nd paragraph, is replaced with the following:
PERFORMING AGENCY will provide essential public health services as specified in
PERFORMING AGENCY'S approved 2004 Interlocal Application for Immunization
Services, dated June 16, 2003, and subsequent renewal applications, incorporated herein
and made part of this contract Attachment. Any revisions to these documents shall be
approved by RECEIVING AGENCY Program and transmitted in writing to
PERFORMING AGENCY.
SECTION I. SCOPE OF WORK, 8th paragraph, is replaced with the following:
PERFORMING AGENCY shall ensure a health care workforce that is knowledgeable
about vaccines, vaccine safety, vaccine -preventable diseases, and delivery of
immunization services.
SECTION I. SCOPE OF WORK, 16`h paragraph, is replaced with the following:
PERFORMING AGENCY shall provide to RECEIVING AGENCY Program periodic
data transfers of all vaccines administered in a format that is compatible for inclusion in
the statewide immunization registry, ImmTrac, and in accordance with the schedule
provided by RECEIVING AGENCY.
SECTION I. SCOPE OF WORK, 17`h paragraph, bullets 1, 10, and 14, are replaced with
the following:
• PERFORMING AGENCY'S approved 2004 Interlocal Application for
Immunization Services, and any revisions or subsequent renewal applications;
• RECEIVING AGENCY'S Standards for Public Health Clinic Services, revised
August 31, 2004;
• Standards for Child and Adolescent Immunization Practices, February 8, 2002,
recommended by the National Vaccine Advisory Committee, approved by the
ATTACHMENT — Page 1
United States Public Health Service, and endorsed by the American Academy of
Pediatrics.
SECTION I. PERFORMANCE MEASURES, is replaced in its entirety with the
following:
All activities shall be performed in accordance with PERFORMING AGENCY'S Annual
Plan and detailed budget as approved by RECEIVING AGENCY Program based on the
Interlocal Application for Immunization Services, dated June 16, 2003 and any
subsequent renewal applications. The following performance measure(s) will be used, in
part, to assess PERFORMING AGENCY'S effectiveness in providing the services
described in this contract Attachment to the service area, without waiving the
enforceability of any of the terms of the contract Attachment.
PERFORMING AGENCY shall submit to RECEIVING AGENCY Program the
monthly reports of doses administered and the monthly biological order form in a
format provided by RECEIVING AGENCY and in accordance with the schedule
provided to PERFORMING AGENCY by RECEIVING AGENCY Program.
PERFORMING AGENCY shall implement an immunization reminder and recall
system to notify parents or guardians of children less than 36 months of age when
immunizations are due or past due. The notifications may be automated or manual
and may consist of mail or telephone contacts.
PERFORMING AGENCY shall complete 100% of annual assessments in sub-
contracted entities and local Women, Infant and Children (WIC) clinics using the
Assessment, Feedback, Incentives, and eXchange (AFIX) methodology as assigned
by RECEIVING AGENCY. PERFORMING AGENCY shall submit assessment
results to RECEIVING AGENCY Program within two (2) weeks after completion.
PERFORMING AGENCY shall recruit and enroll providers into the Texas Vaccines
for Children (TVFC) program.
PERFORMING AGENCY will perform the following applicable required activities:
1. Implement a plan to improve vaccination coverage levels;
2. Work with the local WIC agencies for referral of under -vaccinated WIC
enrollees;
3. Ensure that expired, wasted, and unaccounted for vaccines do not exceed 5%
for DTaP, Hib, hepatitis B, IPV, MMR, PCV7, and varicella vaccines;
4. Decrease the proportion of duplicate records or questionable matches in
ImmTrac;
5. Increase the percentage of children less than six (6) years of age participating
in ImmTrac;
6. Increase the number of registered provider sites for ImmTrac;
7. Increase TVFC provider enrollment;
8. Increase the number of educational opportunities on vaccine -preventable
diseases available to public and private providers;
ATTACHMENT — Page 2
9. Complete 100% of assigned TVFC follow-up site visits;
10. Promote and ensure immunization services are provided for all age groups
with emphasis on pockets of need;
11. Increase the reporting of varicella cases;
12. Complete 90% of vaccine -preventable disease investigations within thirty (30)
days from date reported;
13.Identify all infants born to hepatitis B surface antigen (HBsAG)-positive
pregnant women. PERFORMING AGENCY shall investigate 100% of
suspected hepatitis B infections in pregnant women to ensure appropriate
treatment and follow-up as directed by Health and Safety Code §81.090 and
RECEIVING AGENCY'S Vaccine -Preventable Disease Surveillance
Guidelines;
14. Ensure all reported infants born to HBsAg positive women receive hepatitis B
vaccine and Hepatitis B Immune Globulin (HBIG) within seven (7) days of
birth;
15. Complete 100% of assigned childcare facility assessments or surveys; and,
16. Complete 100% of assigned private school assessments or surveys.
Activities may be subsequently amended as directed by the Centers for Disease
Control and Prevention and RECEIVING AGENCY Program. RECEIVING
AGENCY Program must approve, in writing, any revisions to the PERFORMING
AGENCY'S Annual Plan.
SECTION II. SPECIAL PROVISIONS, 2°d, 3`a, and 51" paragraphs are replaced with the
following:
Funds shall not be used for purchase of vaccines, inpatient care, construction of facilities,
or debt retirement in accordance with RECEIVING AGENCY Interlocal Application for
Immunization Services, dated June 16, 2003 and any subsequent renewal applications.
Travel expenses shall be reimbursed according to current state travel regulations and shall
not exceed the reimbursement for mileage allowed under the Appropriations Act.
PERFORMING AGENCY is required to complete and submit the following reports
utilizing a format provided by RECEIVING AGENCY Program:
Report Type
Reporting Period
Report Due Date
Programmatic
l/1/04 — 3/31/04
4/30/04
Programmatic
4/l/04 — 6/30/04
7/30/04
Programmatic
7/l/04 — 9/30/04
10/30/04
Programmatic
10/1/04 — 12/31/04
1130105
Programmatic
111105 — 4/30/05
5/30/05
Programmatic
5/1/05 — 8/31/05
9/30/05
Final Summary
l/l/04 — 8/31/05
10/30/05
ATTACHMENT — Page 3
DEPARTMENT OF STATE HEALTH SERVICES
RECEIVING AGENCY PROGRAM: IMMUNIZATION BRANCH
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
CONTRACT TERM: 01/01/2004 THRU: 08/31/2005 BUDGET PERIOD: 01/01/2004 THRU 08/31/2005
DSHS DOC. NO.7560005906 200501C CHG. 09
REVISED CONTRACT BUDGET
FINANCIAL ASSISTANCE
OBJECT CLASS CATEGORIES
CURRENT APPROVED
BUDGET (A)
CHANGE
REQUESTED (B)
NEW OR REVISED
BUDGET (C)
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
Other
Total Direct Charges
Indirect Charges
TOTAL
PERFORMING AGENCY SHARE:
Program Income
Other Match
RECEIVING AGENCY SHARE
PERFORMING AGENCY SHARE
$94,000.00
$61,115.00
$155,115.00
30,889.00
26,860.00
57,749.00
1,800.00
720.00
2,520.00
0.00
0.00
0.00
4,531.00
2,700.00
7,231.00
0.00
0.00
0.00
7,044.00
781.00
7,825.00
$138,264.00
$92,176.00
$230,440.00
0.00
0.00
0.00
$138,264.00
$92,176.00
$230,440.00
0.00
0.00
0.00
0.00
0.00
0.00
$138,264.00
$92,176.00
$230,440.00
$0.00
$0.00
$0.00
Detail on Indirect Cost Rate Type:
Rate 0.00 Base $0.00 Total $0.00
Budget Justification: Amendment to extend contract term and increase contract amount with 8 months of funding in order to return
contract term to the State Fiscal year. No revision to number served.
Form No. GC-9 ECPS — Rev. 10/04
Financial status reports are due the 30th of April, 30th of July, 30th of October, 30th of January, 30th of April, 30th of July, and the
30th of November.
ATTACHMENT — Page 4