HomeMy WebLinkAboutResolution - 2006-R0437 - Contract Change For HIV_STD Reporting - Texas Dept. Of State Health Services - 09_13_2006 (2)Resolution No. 2006-RO437
September 13, 2006
Item No. 5.11
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. 01 (DSHS
Document No. 7560005906 2007) for HIV/STD reporting and surveillance activities 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. 01 is 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 September , 2006.
M'ai�T�
�.� .•
ATTEST:
Qs
Reb ca Garza, City Secreta
APPROVED AS TO CONTENT:
Tommy C den, Health Director
APPROVED AS TO FORM:
DDres/DSHSconHIVAids07Res
August 30, 2006
STATE OF TEXAS
COUNTY OF TRAVIS
Resolution No. 2006-RO437
September 13, 2006
Item No. 5.11
DEPARTMENT OF STATE HEALTH SERVICES
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
DSHS Document No. 7560005906 2007
Contract Change Notice No. 01
The Department of State Health Services, hereinafter referred to as DSHS, did heretofore enter into a contract in writing with
LUBBOCK CITY HEALTH DEPARTMENT hereinafter referred to as Contractor. The parties thereto now desire to amend such
contract attacnment(s) as touows:
SUMMARY OF TRANSACTION:
ATT NO. 02 : HIV - SURVEILLANCE
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 Contractor) for and in behalf of:
CONTRACTOR:
LUBBOCK CITY HEALTH DEPARTMENT
B
(Signature o person authorized to sign)
DAVID A. MILLER, MAYOR
(Name and Title)
Date: September 13. 2006
RECOMM NDED:
By:
( irec r, if different
fro rson authorized to sign contract
DSHS:
DEPARTMENT OF STATE HEALTH SE
By:
(Signature of person authorized to sign)
Bob Burnette, Director
Client Services Contracting Unit
(Name and Title) Date: % CQ /'q&
KW CSCU - Rev. 8/06
Approved as W form: �
?. w �+� Alw'n�i1► Cover Page 1
DETAILS OF ATTACHMENTS
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*
01
RLSS/LPHS
09/01/06
08/31/07
State 93.991
108,204.00
0.00
108,204.00
0000320351
02
HIV/SURV
09/01/06
08/31/07
State
50,251.00
0.00
50,251.00
0000321081
DSHS Contract No.7560005906 2007 Totals
$158,455.00
$ 0.00
$158,455.00
Change No. 01
*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
CONTRACT NO.7560005906-2007
PROGRAM ATTACHMENT NO.02
PURCHASE ORDER NO.0000321081
CONTRACTOR: LUBBOCK CITY HEALTH DEPARTMENT
DSHS PROGRAM: HIV/STD EPI & SURVEILLANCE BRANCH
TERM: September 01, 2006 THRU: August 31, 2007
SECTION I. STATEMENT OF WORK:
Resolution No. 2006-R0437
September 13, 2006
Item No. 5.11
Contractor shall conduct active surveillance and reporting activities for Human
Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS).
Contractor shall comply with all applicable federal and state laws, rules, regulations, standards,
and guidelines, to include:
• Chapters 81 and 85 of the Health and Safety Code;
• Relevant portions of Chapter 6A (Public Health Service) of Title 42 (The Public Health
and Welfare) of the United States Code, as amended;
• 25 TAC Chapter 97, Subchapter F;
• DSHS Standards for Public Health Services, revised January 2004
(httD://www.dshs.state.tx.us/amb/dshsstndrds4clinicservs.pdf)
• HIV/AIDS Surveillance Manual of Operating Procedures, latest revision to be provided
to contractor;
• HIV/AIDS and STD Program Operating Procedures and Standards
(http://www.dshs.state.tx.us/hivstd/pops/default.shtin); and
• Federal HIV/AIDS Security and Confidentiality guidelines
(http://www.cdc.gov/hiv/topics/surveillance/resources/guidelines/guidance/purpose.htm)
Contractor shall perform all activities in accordance with Contractor's application, activities
work plan and any revisions, and detailed budget as approved by DSHS. All of the above -named
documents are incorporated herein by reference and made a part of this contract Attachment. All
revisions to these documents shall be approved by DSHS and transmitted in writing to
Contractor.
Contractor shall comply with all applicable policies adopted by DSHS Program.
Contractor shall be responsible to DSHS for the maintenance and evaluation of an active
surveillance system for HIV/AIDS cases. For the purpose of this contract Attachment, HIV
infection and AIDS are as defined by the Centers for Disease Control and Prevention of the
ATTACHMENT — Page 1
United States Public Health Service in accordance with the Health and Safety Code §81.101.
The publication designating the most current definition may be requested from DSHS.
Contractor shall perform the following:
1. REPORTING
a. Maintain and report to DSHS via quarterly reports a current list of key reporting
sources in Contractor's geographic area and visit key reporting sources at least yearly
to establish and maintain communication about reporting rules and regulations
(including Incidence Surveillance) and available public health services.
b. Contractor shall collect, for DSHS, those reports of HIV and AIDS cases diagnosed
and/or treated which health care providers (e.g., physicians, HIV service providers,
etc.) are required to make under TAC Title 25, Part 1, Chapter 97, Subchapter F, Rule
§97.132. Contractor is responsible for collecting the reports within Contractor's
geographic area as described herein.
c. Ensure that HIV/AIDS case reports are accurate and complete, through the use of
DSHS Program's site visit auditing tool, and are submitted to DSHS Program within
90 days of receipt of the initial laboratory or morbidity report.
d. Download and mail electronic and hard copy case reports, addendums or testing
history interview forms to DSHS Program weekly by Friday close of business unless
prior arrangements have been made with DSHS Program.
e. In accordance with the HIV/AIDS Surveillance Manual of Operating Procedures
(latest revision to be provided to contractor), conduct Incidence Surveillance
activities in cooperation with the contracted Incidence Surveillance technical
assistance provider identified by DSHS Program.
f. The Contractor, in accordance with TAC Title 25, Part 1, Chapter 97, Subchapter F,
Rule §97.133, Section G; will complete reports within 90 days of the child's birth
pertaining to enhanced perinatal HIV surveillance using all of the elements found in
the most current version of the form adopted by the Department of State Health
Services HIV/STD Epidemiology and Surveillance Branch.
2. REGISTRY MAINTENANCE
a. Maintain a case file on all confirmed and suspected cases of HIV and AIDS
diagnosed and/or treated within Contractor's geographic area, as specified in the
performance measures section of this contract.
ATTACHMENT — Page 2
b. Follow-up pediatric HIV exposed cases (reference HIV/AIDS Surveillance Manual of
Operating Procedures) every six (6) months until each case has met the CDC
surveillance definition of presumptively or definitely infected or uninfected
(reference HIV/AIDS Surveillance Manual of Operating Procedures).
c. Review every HIV case reported to Contractor at a minimum of once yearly to
identify and update registry with AIDS defining conditions (reference HIV/AIDS
Surveillance Manual of Operating Procedures).
d. Remove duplicate cases with other states as identified in the Routine Interstate
Duplicate Review (RIDR) project (reference HIV/AIDS Surveillance Manual of
Operating Procedures) within 10 days of receiving RIDR notices.
3. SYSTEM EVALUATION
a. Review and provide follow-up as described in this contract on all suspected
HIV/AIDS cases identified by DSHS Program's alternate record review systems (e.g.
STD -MIS, TB Registry, etc.) in order to enhance case ascertainment and validate the
effectiveness of local surveillance efforts.
b. Track reporting by local sources (e.g. local health departments, private physicians,
etc.) in order to monitor the level of compliance with legal reporting requirements and
level of case ascertainment (reference HIV/AIDS Surveillance Manual of Operating
Procedures).
c. Conduct prescribed weekly, monthly, quarterly and annual analyses (reference
HIV/AIDS Surveillance Manual of Operating Procedures) to monitor trends in the
data and evaluate data quality utilizing HARS (HIV/AIDS Reporting System).
4. EPIDEMIOLOGIC INVESTIGATIONS
a. Initiate epidemiologic investigations on newly reported No Reported Risk (NRR)
cases and cases of public health importance (reference HIV/AIDS Surveillance
Manual of . Operating Procedures) within three (3) days of receipt of case report
through contact with appropriate health care provider and a review of patients'
medical records.
b. A determination of the need for public health follow-up will be made on all HIV
positive test results within three (3) business days of the receipt of the test results. If
no clear determination can be made within the three (3) business days, the HIV test
results should be sent to a Disease Intervention Specialist (DIS) for investigation.
c. Perform epidemiological follow-up on all NRR cases through active surveillance
activities within 120 days of notification from DSHS.
ATTACHMENT — Page 3
d. Assist DSHS Program with other epidemiologic investigations as deemed necessary
by DSHS Program or CDC.
5. CONFIDENTIALTY
a. Store all case files and computer diskettes containing patient information in a locked
file cabinet when not in use. The locked file cabinet and surveillance computer shall
be kept in a locked room with limited, controlled access.
b. Utilize passwords to access computer databases containing HIV/AIDS case data.
Passwords shall be changed monthly and known only to authorized surveillance
personnel.
c. Limit the number of persons who have access to registry files to those persons
directly involved in case reporting and to the HIV/STD Program Manager in the
geographic area of the Contractor.
d. Require a statement of confidentiality to be signed by all personnel, including IT,
having access to HIV/AIDS case files, computer diskettes, and computer systems
kept on file by Contractor.
e. Require annual HIV surveillance security training for all personnel, including IT,
having access to HIV/AIDS case files, computer diskettes and computer systems kept
on file by Contractor.
f. Contractor may release demographic analyses of local data as public information as
long as it complies with the Texas Department of State Health Services, DSHS
Program Policy No. 020.061 "Publication or Release of HIV/STD Data", as well as
state and federal law.
g. When electronically transmitting case specific information, any transmission by
Contractor that does not incorporate the use of an encryption package meeting
Advanced Encryption Standards (AES), will not contain identifying information or
use terms easily associated with HIV or AIDS. The terms HIV or AIDS must not
appear anywhere in the context of the communication, including the sender and/or
recipient address and label.
DSHS reserves the right, where allowed by legal authority, to redirect funds in the event of
financial shortfalls. DSHS Program will monitor Contractor's expenditures on a quarterly basis.
If expenditures are below that projected in Contractor's total contract amount as shown in
SECTION III. BUDGET, Contractor's budget may be subject to a decrease for the remainder of
the Attachment term. Vacant positions existing after ninety (90) days may result in a decrease in
funds.
ATTACHMENT — Page 4
Contractor shall authorize its staff to attend training, conferences, and meetings for which funds
were budgeted, as approved by DSHS.
PERFORMANCE MEASURES
The following performance measures will be used to assess, in part, Contractor's effectiveness in
providing the services described in this contract Attachment, without waiving the enforceability
of any of the other terms of the contract:
Contractor shall enter no less than 90% of all new disease reports received by Contractor
as morbidity (non -fatal condition) into the HIV/AIDS Reporting System within 24 hours
of the receipt of the disease report.
Contractor shall ensure transfer of collected HIV/AIDS case information to DSHS
Program weekly by the close of business each Friday. Contractor may send a written
request to DSHS Program to extend the timetable for transferring data. Any such
agreement shall be in writing and signed by both parties.
Contractor shall have no less than 90% of the HIV/AIDS case reports completed with
legitimate answers to the three (3) questions: 1) was patient informed of HIV status; 2)
were partner services needed; and 3) are additional referral services needed. If the
percentage of case reports with these three (3) questions completed drops below 80%,
Contractor must prepare and submit a plan to DSHS Program addressing how the
completion percentage will be improved and must follow DSHS directives in response to
that plan.
Contractor shall make a determination of how the need for public health follow-up will
be made on 95% of all HIV positive test results within three (3) business days of the
receipt of the test results. If no clear determination can be made within the three (3)
business days, the HIV test results should be sent to a Disease Intervention Specialist
(DIS) for investigation.
DSHS Program will provide HIV/AIDS case reporting activities for cases diagnosed in
the following geographic area(s): Armstrong, Bailey, Briscoe, Carson, Castro, Childress,
Cochran, Collingsworth, Crosby, Dallam, Deaf Smith, Dickens, Donley, Floyd, Garza,
Gray, Hale, Hall, Hansford, Hartley, Hemphill, Hockley, Hutchinson, King, Lamb,
Lipscomb, Lubbock, Lynn, Moore, Motley, Ochiltree, Oldham, Parmer, Potter, Randall,
Roberts, Sherman, Swisher, Terry, Wheeler, Yoakum.
Contractor shall complete and submit quarterly activity reports demonstrating
Contractor's conduct of HIV/AIDS case -finding activities. These reports shall be
submitted to DSHS Program on the 20th calendar day of March 2007, July 2007 and
October 2007, January 2008 in a format provided by DSHS Program.
ATTACHMENT — Page 5
This Contract is contingent upon the continued availability of funding. If funds become
unavailable through lack of appropriations, budget cuts, transfers of funds between programs or
health and human services agencies, amendment to the Appropriations Act, health and human
services agencies consolidation, or any other disruptions of current appropriated funding for this
Contract, DSHS may restrict, reduce, or terminate funding under this Contract.
PAYMENT METHOD
Cost Reimbursement
BILLING INSTRUCTIONS
Invoices shall be submitted to the following address:
Department of State Health Services
Fiscal Division/Accounts Payable
1100 West 49t' Street
Austin, Texas 78756
SECTION II. SPECIAL PROVISIONS:
Due to the sensitive and highly personal nature of HIV/AIDS-related information, Contractor
shall require its personnel to adhere strictly to the General Provisions, Confidentiality Article.
General Provisions, Confidentiality Article, Security of Patient or Client Records Section, is
revised to include the following:
Neither Contractor, nor any sub recipient, shall transfer a client or patient record through
any means, including. electronically, to another entity or person, or sub recipient without
written consent from the client or patient, or someone authorized to act on his or her
behalf, however, DSHS may require Contractor, or any sub recipient, to transfer a client
or patient record to DSHS if the transfer is necessary to protect either the confidentiality
of the record or the health and welfare of the client or patient.
DSHS shall have access to a client or patient record in the possession of Contractor, or any sub
recipient, under authority of the Health and Safety Code, Chapters 81 and 85, and the Medical
Practice Act, Texas Occupations Code, Chapter 159. In such cases, DSHS shall keep
confidential any information obtained from the client or patient record, as required by the Health
and Safety Code, Chapter 81, and Texas Occupations Code, Chapter 159.
General Provisions, Records Retention Article, Retention Section, is revised to include the
following:
ATTACHMENT — Page 6
All records pertaining to this contract Attachment shall be retained by Contractor and
made timely to DSHS, the Comptroller General of the United States, the Texas State
Auditor, or any of their authorized representatives, and in accordance with DSHS's
General Provisions.
ATTACHMENT — Page 7
SECTION III. BUDGET:
PERSONNEL
FRINGE BENEFITS
TRAVEL
EQUIPMENT
SUPPLIES
CONTRACTUAL
OTHER
TOTAL DIRECT CHARGES
INDIRECT CHARGES
TOTAL
Total reimbursements will not exceed $50,251.00.
$35,000.00
14,581.00
0.00
0.00
670.00
0.00
0.00
$50,251.00
$0.00
$50,251.00
Financial status reports are due the 30th of December, 30th of March, 30th of June, and the 31st
of October.
ATTACHMENT — Page 8
1100 West 49th Street
Austin, Texas 78756-3199
Department of State Health Services
FINANCIAL STATUS REPORT
FSR269A
Fiscal Division/Accounts Payable
Phone (512) 458-7435
Contractor Name: LUBBOCK CITY HEALTH DEPARTMENT
DSHS Program: HIV/SURV
DSHS Document # Year Attachment #
Payee Aect. No.:
7560005906 2007 02
Payee Vendor ID No.: 17560005906001
Basis: [ ] Cash [ ] Accrual
Payee Name: CITY OF LUBBOCK
Address: PO BOX 2000
City, ST,zip: LUBBOCK, TX 79408-2000
Contract Term: (Month/Day/Year)
From:09/01/2006 To: 08/31/2007
Period Covered by this Report:
From: 09/01/2006 To: 11/30/2006
PO Number: 0000321081
Final Report? [ ] Yes [ X No
(i) Budget Categories
(ii)
Approved
Budget
Project Cost per General Ledger
M
Remaining
Budget
Balance
(ii minus iv)
(III)
This Period
(iv)
Cumulative
a. Personnel [ ]
35,000.00
b. Fringe Benefits [ ]
14,581.00
c. Travel [ ]
0.00
d. E ui ment [ ]
0.00
e. Supplies [ ]
670.00
f. Contractual [ ]
0.00
g.Other [ ]
0.00
h. Total Direct Charges
50,251.00
i. Indirect Charges [ ]
0.00
'. Total Charges
50,251.00
LESS: k. Program Income Collected
1. Non-DSHS Funding
m. ADVANCE:Received (Col. iii)/ Repaid (Col. ivy
Balance Owed Col. v
n. Total Reimbursement Requested
o. Total Reimbursement Received
Prepared by:
Title: Phone #:
CERTIFICATION:I certify to the best of my knowledge and belief that this report is correct and
complete and that all outlays and unliquidated obligations are for the purposes set forth in the award
documents.
Signature of Authorized Certifying Official
Date Submitted:
Typed or Printed Name and Title of Certifying Official
Telephone
DSHS Form GC4a (269a) Revised 6/04
1100 West 49th Street
Austin, Texas 78756-3199
Department of State Health Services
FINANCIAL STATUS REPORT
FSR269A Fiscal Division/Accounts Payable
Phone (512) 458-7435
Contractor Name: LUBBOCK CITY HEALTH DEPARTMENT
DSHS Program: HIV/SURV
DSHS Document 1# Year Attachment 1#
Payee Atct. No.:
7560005906 2007 02
Payee Vendor ID No.: 17560005906001
Basis: I I Cash I 1 Accrual
Payee Name: CITY OF LUBBOCK
Address: PO BOX 2000
City, ST, Zip: LUBBOCK, TX 79408-2060
Contract Term: (Month/DayNear)
From:09/01/2006 To: 08/31/2007
Period Covered by this Report:
From: 12/01/2006 To: 02/28/2007
PO Number: 0000321081
Final Report? I 1 Yes I X No
(i) Budget Categories
(ii)
Approved
Budget
Project Cost per General Ledger
(v)
Remaining
Budget
Balance
(ii minus iv)
(iii)
This Period
(iv)
Cumulative
a. Personnel [ ]
35,000.00
b. Fringe Benefits [ ]
14,581.00
c. Travel [ J
0.00
d. Equipment [ ]
0.00
e. Su lies [ J
670.00
f. Contractual [ J
0.00
g.Other [ J
0.00
h. Total Direct Charges
50,251.00
i. Indirect Char es [ J
0.00
'. Total Charges
50,251.00
LESS:k. Program Income Collected
I. Non-DSHS Funding
m. ADVANCE:Received (Col. iii)/ Repaid (Col. ivy
Balance Owed Col. v
( }
n. Total Reimbursement Requested
o. Total Reimbursement Received
Prepared by:
Title: Phone #:
CERTIFICATION:I certify to the best of my knowledge and belief that this report is correct and
complete and that all outlays and unliquidated obligations are for the purposes set forth in the award
documents.
Signature of Authorized Certifying Official
Date Submitted:
Typed or Printed Name and Title of Certifying Official
Telephone
DSHS Form GC-4a (269a) Revised 6/04
1100 West 49th Street
Austin, Texas 78756-3199
Department of State Health Services
FINANCIAL STATUS REPORT
FSR269A Fiscal Division/Accounts Payable
Phone (512) 458-7435
Contractor Name: LUBBOCK CITY HEALTH DEPARTMENT
DSHS Program: HIV/SURV
DSHS Document # Year Attachment #
Payee Acct. No.:
7560005906 2007 02
Payee Vendor ID No.: 17560005906001
Basis: [ ] Cash [ ] Accrual
Payee Name: CITY OF LUBBOCK
Address: PO BOX 2000
City, ST, zip: LUBBOCK, TX 79408-2000
Contract Term: (Month/Day/Year)
From:09/01/2006 To: 08/31/2007
Period Covered by this Report:
From: 03/01/2007 To: 05/31/2007
PO Number: 0000321081
Final Report? [ ] Yes [ X No
(i) Budget Categories
(ii)
Approved
Budget
Project Cost per GeneraI Ledger
(v)
Remaining
Budget
Balance
(ii minus iv)
(iii)
This Period
(iv)
Cumulative
a. Personnel [ ]
35,000.00
b. Fringe Benefits [ ]
14,581.00
c. Travel [ ]
0.00
d. E ui ment [ ]
0.00
e. Supplies [ ]
670.00
f. Contractual [
0.00
g.Other [ ]
0.00
h. Total Direct Charges
50,251.00
i. Indirect Charges [
0.00
'. Total Charges
50,251.00
LESS:k. Program Income Collected
( )
)
1. Non-DSHS Fund in
( )
m. ADVANCE:Received (Col. iii)/ Repaid (Col. ivy
Balance Owed Col. v
( )
n. Total Reimbursement Requested
o. Total Reimbursement Received
Prepared by:
Title: Phone #:
CERTIFICATION:I certify to the best of my knowledge and belief that this report is correct and
complete and that all outlays and unliquidated obligations are for the purposes set forth in the award
documents.
Signature of Authorized Certifying Official
Date Submitted:
Typed or Printed Name and Title of Certifying Official
Telephone
DSHS Form GC-4a (269a) Revised 6/04
1100 West 49th Street
Austin, Texas 78756-3199
Department of State Health Services
FINANCIAL STATUS REPORT
FSR269A Fiscal Division/Accounts Payable
Phone (512) 458-7435
Contractor Name: LUBBOCK CITY HEALTH DEPARTMENT
DSHS Program: HIV/SURV
DSHS Document # Year Attachment #
Payee Acct. No.:
7560005906 2007 02
Payee Vendor ID No.: 17560005906001
Basis: ( 1 Cash 1 l Accrual
Payee Name: CITY OF LUBBOCK
Address: PO BOX 2000
City, ST, Zip: LUBBOCK, TX 79408-2000
Contract Term: (Month/Day/Year)
From:09/01/2006 To: 08/31/2007
Period Covered by this Report:
From: 06/01/2007 To: 08/31/2007
PO Number: 0000321081
Final Report? 1 XYes l ]No
(i) Budget Categories
(ii)
Approved
Budget
Project Cost per General Ledger
(v).
Remaining
Budget
Balance
(ii minus iv)
(iii)
This Period
(iv)
Cumulative
a. Personnel [ ]
35,000.00
b. Fringe Benefits [ ]
14,581.00
c. Travel [ ]
0.00
d. Equipment [ ]
0.00
e. Supplies [ ]
670.00
f. Contractual [ ]
0.00
g.Other [ ]
0.00
h. Total Direct Charges
50,251.00
i. Indirect Charges [ ]
0.00
i. Total Char es
50,251.00
LESS:k. Program Income Collected
1. Non-DSHS Funding
m. ADVANCE:Received (Col. iii)/ Repaid (Col. ivy
Balance Owed Col. v
n. Total Reimbursement Requested
o. Total Reimbursement Received
Prepared by:
Title: Phone #:
CERTIFICATION:I certify to the best of my knowledge and belief that this report is correct and
complete and that all outlays and unliquidated obligations are for the purposes set forth in the award
documents.
Signature of Authorized Certifying Official
Date Submitted:
Typed or Printed Name and Title of Certifying Official
Telephone
DSHS Form GC-4a (269a) Revised 6/04
CITY OF LUBBOCK
MEMO
TO: LEEANN DUMBAULD, CITY MANAGER
FROM: TOMMY CAMDEN, HEALTH DEPARTMENT DIRECTOR
SUBJECT: AGENDA COMMENTS - September 13, 2006 CITY COUNCIL MEETING
DATE: August 31, 2006
ITEM# / SUBJECT:
Consider a resolution authorizing and directing the Mayor to execute for and on behalf of
the City of Lubbock Change No. 01 (DSHS Document No. 7560005906 2007) for HIV/STD
reporting and surveillance activities and any associated documents by and between the
City of Lubbock and the Texas Department of State Health Services.
BACKGROUND/ DISCUSSION:
This FY06-07 annual contract with the Department of State Health Services (formerly
Texas Department of Health), DSHS Document No. 7560005906 2007, provides financial
assistance for preventive, health promotion and direct services in the area of HIV/ AIDS
Surveillance.
The contract amount of $50,251 supports salary, fringe benefits, and supplies for the
HIV/AIDS Surveillance specialist. The contract period covers between September 1, 2006
thru August 31, 2007.
This person does not operate a clinic; rather as a surveillance specialist, he is dedicated to
investigating cases of HIV and AIDS infection in Lubbock. As of May 31, 2006, 916
individuals have been diagnosed as HIV positive, 547 have AIDS and 247 individuals have
died of AIDS -related complications in the Lubbock area. One of the primary missions of
public health is to monitor the health status of the community by identifying and
investigating health problems and health hazards. On -going surveillance is essential in
determining the nature and extent of HIV and AIDS infection in Lubbock. Accurate
numbers may increase the availability of additional funding from outside sources, in order
to provide services to those infected.
A Memorandum of Agreement (MOA) to formally establish the roles and responsibilities
of the Lubbock City Health Department HIV/AIDS Surveillance Program, the Public
Health Region (PHR) 1 HIV/STD Program and the Bureau of HIV and STD Prevention
surveillance program in regard to HIV/ AIDS reporting and surveillance activities for the
Agenda Comments—DSHS HIV Contract 2006-07
State of Texas residents within the 41 identified counties for Public Health Region 1
(PHR1) was passed by Council on November 18, 2005.
Responsibilities of the Lubbock City Health Department include conducting active
surveillance and reporting activities for human immunodeficiency virus/acquired
immunodeficiency syndrome (HIV/AIDS) for all 41 counties in Public Health Region 1,
comply with reporting requirements and maintaining a current list of key reporting
sources in the counties in PHR 1, maintain a case file on all confirmed and suspected cases
of HIV and AIDS within counties of PHR 1, evaluate the system for reporting compliance,
initiate epidemiologic investigation on newly reported No Reported Risk (NRR) cases and
cases of public health importance, and adherence to all confidentiality requirements.
FISCAL IMPACT
Grant funding in the amount of $50,251.00 remains the same as in the previous funding
cycle. The impact to the general fund is minimal as the majority of salary and benefits are
paid by the grant.
SUMMARY/RECOMMENDATION:
These programs fulfill the Core Missions of Public Health — those of Surveillance,
Prevention, and Health Education. Without the funding from the Department of State
Health Services contract, our local public health efforts would be greatly impaired and the
risk of illness in Lubbock citizens would increase. Therefore, Tommy Camden, Health
Director, and Health Department staff recommends approval of the resolution.
Agenda Comments—DSHS HIV Contract 2006-07