HomeMy WebLinkAboutResolution - 3212 - Grant Application - TDOH - Aids Education Coordinator - 09_28_1989Resolution # 3212
September 28, 1989
Item #22
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RESOLUTION
WHEREAS, the City Council of the City of Lubbock deems it to be in the
best interest of the health, safety and welfare of the citizens of the City
of Lubbock to seek funding for an AIDS Education Coordinator through a Texas
Department of Health grant; NOW THEREFORE:
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to make application for a grant from the Texas Department of Health
to fund an AIDS Education Coordinator for the City of Lubbock and to sign
such grant application and associated documents as are necessary to secure
said grant funding.
Passed by the City Council this 28th day of September 1989.
B. C. MCMIN , MAYOR
T:
, City Secre@ary
APPRO D AS TO CONTENT:
Rita P. Harmon, Assistant City
Manager for Public Safety and Services
APPROVED AS TO FORM:
D01'ald G. Vandiver, First Assistant
City Attorney
Texas Department of Health
Robert Bernstein, M.D., F.A.C.P.
Commissioner
March 28, 1990
Anthony B. Way, M.D.
Director
LUBBOCK CITY HEALTH DEPARTMENT
P.O.Box 2548
Lubbock, T% 79408 0000
TDH Document No. C0000541
Change No. 02 , 04
Dear Doctor Way:
1100 West 49th Street
Austin, Texas 78756-3199
(512) 458-7111
Robert A. MacLean, M.D.
Deputy Commissioner
Professional Services
Hermas L. Miller
Deputy Commissioner
Management and Administration
Enclosed is an approved copy of the above referenced document. Please file it with
the office of record for your agency.
If we may be of assistance, please callus at 512/458-7470.
Sincerely,
T�cn'Mde4,
-fw Julian M. Kosh, Jr., Director
Grants Management Division
JMK:jr
• TEXAS DEPARTMENT OF -HEALTH
1100 WEST 49TH STREET
AUSTIN, TEXAS 78766-3199
CONTRACT CHANGE NOTICE NO. 2
STATE OF TEXAS TDH Document No. C0000541
COUNTY OF TRAVIS
The Texas Department of Health, 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 as follows:
-------------------------------------------------------------------------------
SUMMARY OF TRANSACTION: ;
Revision to public health services contract. '
Att. No. 07 — Contractual HIV services; education, prevention and risk ;
_ reduction services. ;
All terms and conditions not hereby amended remain in full force and effect. ;
t
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. ;
CITY OF LUBBOCK ;
Authorized Contracting Entity (type above ;
if different from PERFORMING AGENCY) ;
for and in behalf of: '
LUBBOCK CITY HEALTH DEPARTMENT TEXAS DEPARTMENT OF HEALTH
PERFOR-,ING AGENCY RECEIVING AGENCY ;
ISign ture of person authorized (Signature of rson t thorizec ;
to sign contracts) to sign cont acts) ;
Hermas L. Miller ;
Deputy Commissioner ;
B. C. M c M i n n, M a y o r Management and Administration ;
(Name and Title) (Name and Title) ;
' 8 1990
'
Date: Date: MAR 2 '
RECOMMENDED: APPROVED AS TO FORM: ;
- D)By:
(PERFORMING AGENCY Director, Office o General 06unsel
"if different from person ;
authorized to sign contract) ;
Cover - Page 1
DETAILS OF ATTACHMENTS
Att/;I
i
1
1
1
An. ;
TDH
; Term ;
State Pos.
Source of
No. ;
Program
; Begin End ;
or Grant ;
Funds*
;
Amount
(TON Share)
CIA ;
COMMUNITY 8 RURAL HEALTH
9/ 1/89; 8/31/90;
Pos.( 3) ;
STATE INKIND
;
$
65,604.18
;
028 ;
COMMUNITY 6 RURAL HEALTH
9/ 1/89: 8/31/90:
Grant
STATE
$
86,528.00
1 1
1 1
I 1 1
1 1 1
1
I
1
1
I
1
03
MATERNAL 6 CHILD HEALTH
9/ 1/89; 8/31/90;
Pos.( 2)
13.994
$
28,764.00
;
t 1
1 1 1
1
7
I
04 ;
MATERNAL 8 CHILD HEALTH
;10/ 1/89; 9/3Q/90;
Grant ;
13.994
;
126,291.O0
;
t
t 1
i 1 1
1 I t
I
1
1
1
I
05
MATERNAL a CHILD HEALTH
9/ 1/89; 8/31/90:
Grant ;
STATE
E
70,984.00
1 t
1 1 1
I
1
1
05 ;
IMMUNIZATION
9/ 1/89; 8/31/90:
Grant ;
INKIND 13.268
;
.00
;
1 1
1 1 1
1
1
1
07 ;
HIV
1/ 1/90; 8/31/90;
Grant ;
STATE
;
$
22,747.00
1
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TDH Document No. C0000541
1 1 1 t
;xXXXXXXXxxxxxxxxxxxXXXXXXXXXXX;
TOTAL
1
$
402,924.18
1
Change
No. 02
1
i
1 �
1
:Federal
funds are indicated by a nu*bar from the Catalog of Federal Domestic
Assistance (CFDA), if applicable.
REFER TO
BUDGET SECTION OF ANY ZERO
AMOUNT ATTACHMENT FOR DETAILS.
DOCUMENT NO. C0000541
ATTACHMENT NO. 07
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: HIV DIVISION
TERM: January 1, 1990 THROUGH August 31, 1990
SECTION I. SCOPE OF WORK
PERFORMING AGENCY will conduct AIDS/HIV (acquired immune deficiency syndrome/
human immunodeficiency virus) program including the following component(s):
Education, prevention, and risk reduction services
Services will conform with requirements in RECEIVING AGENCY request for
proposal (RFP) and application/activities work plan submitted by PERFORMING
AGENCY, as agreed to in negotiations between both parties and approved by
RECEIVING AGENCY. Programmatic reports will be submitted as required by
RECEIVING AGENCY program.
PERFORMING AGENCY will comply with the Human Immunodeficiency Virus Services
Act, Chapter 1195, Page 4854, Acts of the 71st Legislature, Regular Session,
and other applicable legal requirements.
The above named documents are adopted by reference as part of this attachment.
Changes in or amendments to the foregoing which may be added from time to time
during the life of this attachment constitute amendments to this attachment.
Changes will be provided by RECEIVING AGENCY program to PERFORMING AGENCY.
PERFORMING AGENCY will provide an estimated 75,000 clients with
services/units of service in or benefiting the county(ies)/area defined as:
LUBBOCK.
SECTION II. LEGAL AUTHORITY:
Chapter 12, Health and Safety Code, and Current Appropriations Bill.
Chapter 81, Health and Safety Code.
Human Immunodeficiency Virus Services Act, Chapter 1195, Page 4854, Acts of
the 71st Legislature, Regular Session, 1989.
SECTION III. SPECIAL PROVISIONS:
The provisions of the Human Immunodeficiency Virus Services Act include, but
are not limited to, the following special provisions:
PERFORMING AGENCY may provide accurate information about ways to reduce
the risk of exposure to or transmission of human immunodeficiency virus.
PERFORMING AGENCY will provide information and educational materials that
are accurate, comprehensive, and consistent with current findings of the
—1—
United States Public Health Service.
RECEIVING AGENCY will provide a due process procedure for the resolution
of conflicts between the PERFORMING AGENCY and the RECEIVING AGENCY in
accordance with the program rules adopted by the Texas Board of Health,
including the rules for informal hearing, 25 Texas Administrative Code
Sections 1.51 -1.55.
PERFORMING AGENCY must comply with the most current version of the document
entitled "Content of AIDS -Related Written Materials, Pictorials, Audiovisuals,
Questionnaires, Survey Instruments, and Education Sessions," which is in-
corporated by reference as part of this attachment. Except for those items
provided by RECEIVING AGENCY, any written materials, pictorials, audiovisuals,
questionnaires or survey instruments, and educational group session activities
to be used under this attachment will be reviewed and approved by a local
Program Materials Review Panel (PMRP).
PERFORMING AGENCY will:
1. Convene the PMRP as necessary, but not less than semi-annually, to present
for its assessment actual copies of draft texts, scripts, detailed
descriptions for written materials, pictorials, and/or audiovisuals it
plans to use.
2. Assure that its project files contain a statement of all PMRP votes,
signed by the PMRP members, and obtained prior to use/expenditures. The
statement of votes must contain the vote of each PMRP member on each item
voted on. A majority vote is necessary to use/purchase an item. A list
of the majority votes on each item (pass/fail) must be submitted to the
RECEIVING AGENCY program in programmatic quarterly reports.
3. Conform with all reasonable requests of the local PMRP.
Programmatic Services and Procedures
PERFORMING AGENCY will ensure that program activities and personnel funded
through this attachment are used appropriately for approved HIV program.
Any deviations from agreed upon program activities and personnel must be
submitted in writing to RECEIVING AGENCY, Director, HIV Division.
Further, PERFORMING AGENCY will authorize and pay for staff to attend in-
state and out-of-state training, conferences, and meetings for which funds
were approved and budgeted.
PERFORMING AGENCY will conduct activities funded through this attachment in
such a way as to form linkages with other community agencies to facilitate
referrals and prevent duplication of effort.
Programmatic reports will be submitted quarterly on the same cycle as
financial reports.
For purposes of this attachment, GENERAL PROVISIONS section is amended by
-2-
the following:
SUBCONTRACTING (first sentence revised; remainder of paragraph not changed)
PERFORMING AGENCY may enter into agreement with subcontractors with prior
written approval of RECEIVING AGENCY.
CONFIDENTIALITY (complete article is replaced by following)
PERFORMING AGENCY is bound by the following restrictions on the use of
individual patient information/data.
1. Confidentiality of all records is absolutely essential when they contain
information/data concerning HIV testing, diagnosis of HIV related illness
or HIV infection. Breach of confidentiality is grounds for
termination.
2. All information obtained in connection with the examination, care or
services provided to any individual under this attachment will not,
without the individual's written consent, be disclosed, except as may be
authorized or required by law.
3. Information derived from this program may be disclosed in statistical or
summary form, or for clinical purposes if the identity of the individual,
who is diagnosed or provided care under this program, is protected.
4. When counseling, testing and partner notification (CTPN) are conducted,
the following guidelines apply.
a. If a client chooses to be anonymous when the mandatory offer of
anonymity is made, then
(1) no record will be maintained linking the person's identity with
his/her real name or pseudonym or other identifiers, and
(2) upon notice to the client, the lab slip(s) containing the test
results will be either handed to the client at posttest
counseling or shredded. No copies will be maintained.
b. If a client elects to have a confidential file made for the testing
and counseling, this file must be maintained in a fashion consistent
with RECEIVING AGENCY's HIV Testing Guidelines which are incorporated
by reference and made a part hereof.
c. No log containing personal information or identifiers or HIV status
will be maintained in anonymous or confidential testing situations.
-3-
SECTION IV. BUDGET:
Personnel $14,720.00
Fringe Benefits 3,827.00
Travel 150.00
Equipment .00
Supplies 1,100.00
Contractual .00
Other 2,000.00
Total Direct $21,797.00
Indirect 950.00*
Total $22,747.00
Financial reports are due the 20th of March, June, and September and
the 15th of October.
Total reimbursements for this Attachment (shall not exceed $22,747.00.
*UGCMS, Table 1
i
-4-
. TEXAS DEPARTMENT. OF HEALTH
' 1100 'WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
CONTRACT CHANGE NOTICE NO. 4
STATE OF TEXAS
COUNTY OF TRAVIS
TDH Document No. C0000541
The Texas Department of Health, 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 as follows:
-----------------------------------'------.—'------------------------.-------- ---
SUMMARY OF TRANSACTION:
Revision to public health services contract.
Att. No. 08 Contractual HIV prevention services.
All terms and conditions not hereby amended remain in full force and effect.
EIECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN,
CITY OF LUBBOCK
Authorized Contracting Entity (type above
if different from PERFORMING AGENCY)
for and in behalf of:
LUBBOCK CITY HEALTH DEPARTMENT TEXAS DEPARTMENT OF HEALTH
PERFORMING AGENCY RECEIVING AGENCY
10
Q Vol /
By:- -------------------
(Si store of person authorized
to sign contracts)
B. C. McMinn, Mayor
(Name and Title)
Date:
Bp ✓ ' f
(Signatur of erson a�rthorl d
to sign contracts)
Hermes L. Miller
Deputy Commissioner
Management and Administration
(Name and Title)
Date: PAR 2 S 1990
----------------------------------------------
RECOMMENDED: APPROVED AS TO FORK:
By: -, -- ------------1------
(PEAF RKING A NCY Directo Office o�eral Counsel
0
if different from person
authorized to sign contract)
Cover - Page 1
DETAILSOF. AT.TACHK9KTS
j Att/ j
I
•1
11
I
Am.
TDH
; Term
;
State Pas, ;
Source of
No, ;
Program
; ,Be ;
nin
End ;
or.Grant ;
Funds* Amount
(TDH Share)
01A ;
I 1
COKKUNITY
I RURAL HEALTH
; 9/ 1/89,1
1 I
8/31/90;
I
Pos.( 3) ;
I
STATE INRIND ; ;
I
65,604.18 ;
1
02B ;
COKKUNITY
L RURAL HEALTH
; 9/ 1/891,
8/31/901
Grant ;STATE
S
86,528.00
1 I
I 1
1
I
1
i
03
MATERNAL
1 CHILD HEALTH
9/ 1/89:
8/31/90;
Posd 2)
13,994 ; ;
28,764.00
1 I
I 1
I
1
1
1
04
1 1
MATERNAL
I CHILD HEALTH
;10/ 1/89:
1 I
9/30/90;
1
Grant ;
I
13,994 : ;
1
129,297.00
1
t I
05
KATERNAL
A CHILD HEALTH
! 1
; 9/ 1/89,
I
8/31/90:
I
Grant ;
I
STATE ; ;
I
70,984.00
1 I
06
IKKUNIZATION
I I
9/ 1/89:
I
8/31/90:
1
Grant
t
INIIND 13,268
I
.00
07
1
HIY
1/ 1/90;
I 1
8/31/901
I
Grant
I
STATE ; ;
I
22,747.00
1
I 1
O8
HIY
I I
; 1/ 1/9D;
I
8/31/90:
1
Grant
I
STATE ; ;
1
22,609.00
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1_----1-----------------------------------1--------
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TDH Document No. C0000541
--------I
;IIIIIIIIIIIIIIIIIIIIIIIIIIIIII;
------------
I-----------------------
TOTAL ;
I
425,533,18
Change No, 04
M
I
I
I
1--- ----
tFederal funds
----1-----------------------------I----------------------------------------�
are indicated by a number
from the Catalog of Federal Domestic
Assistance (CFDA), if
applicable.
REFER
TO BUDGET
SECTION OF ANY ZRRO AKOUNT ATTACHMENT
FOR DETAILS.
COVER - Page 2
I
t
DOCUMENT NO. C0000541
ATTACHMENT NO. 08
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: HIV DIVISION
TERM: January 1, 1990 THROUGH August 31, 1990
SECTION I. SCOPE OF WORK
PERFORMING AGENCY will conduct AIDS/HIV (acquired immune deficiency syndrome/
human immunodeficiency virus) program including the following component(s):
LOCAL HEALTH PROJECT
Prevention Services
--Counseling, Testing and Partner Notification (CTPN)
PERFORMING AGENCY will conduct programs to reduce the spread of Human
Immunodeficiency Virus (HIV) infections and AIDS by: 1) establishing and/or
maintaining anonymous or confidential HIV testing programs offered to
persons at increased risk for HIV infection because of individual sexual
behavior, intravenous drug abuse, or other personal behaviors, 2) estab-
lishing and/or maintaining AIDS/HIV health education/risk reduction
programs for the general public and persons with high risk behaviors, and
3) evaluating the effectiveness of these programs and services in reducing
the transmission of HIV through the use of knowledge, attitude, and behavior
(KAB) survey instruments.
Counseling and Testing
1. Offer voluntary anonymous and/or confidential HIV testing to clients
who may want to be tested.
2. Offer HIV counseling and testing services at a location that is
convenient for the majority of the target population and during hours
established to reach these clients.
3. Publicize HIV counseling and testing services so that potential
clients will know where and when services are available.
4. Provide culturally sensitive and effective pretest and posttest
counseling based on Centers for Disease Control (CDC) approved model.
5. Use scannable forms supplied by RECEIVING AGENCY for collection of
demographic information'and blinded test result data.
6. Utilize RECEIVING AGENCY's laboratory for all ELISA and Western Blot
testing.
7. Make referrals to other agencies as appropriate. (Examples:
substance abuse, reproductive services, long term care, etc.)
-1-
Partner Notification
1. All partner notification services are to be consistent with RECEIVING
AGENCY guidelines which are incorporated by reference and made a part
hereof.
2. Encourage HIV+ clients to voluntarily refer their sex partners for
HIV counseling and testing.
3. Encourage intravenous drug users (IVDU) to voluntarily refer their
needle sharing partners for HIV counseling and testing.
4. If the client wishes to make the partner notification personally,
provide guidance in making contacts.
5. If the client does not want to make the partner notification, but
wishes them to be notified, elicit adequate information for RECEIVING
AGENCY STD clinic personnel to make notification.
PERFORMING AGENCY will provide prevention services to the target population
defined as:
1. Males who routinely have sex with other males.
2. Males who occasionally have sex with other males.
3. Males who have sex with males and females.
4. Males and females with multiple sex partners.
5. Persons with a history of sexually transmitted diseases.
6. Persons with a history of high risk behaviors.
PERFORMING AGENCY will provide an estimated 1,000 clients with
services/units of service in or benefiting the county(ies)/area defined as:
LUBBOCK.
SECTION II. LEGAL AUTHORITY:
Chapter 12, Health and Safety Code, and Current Appropriations Bill.
Chapter 81, Health and Safety Code.
Human Immunodeficiency Virus Services Act, Chapter 1195, Page 4854, Acts of
the 71st Legislature, Regular Session, 1989.
SECTION III. SPECIAL PROVISIONS:
PERFORMING AGENCY must comply with the most current version of the document
entitled "Content of AIDS -Related Written Materials, Pictorials, Audiovisuals,
Questionnaires, Survey Instruments, and Education Sessions," which is in-
corporated by reference as part of this attachment. Except for those items
provided by RECEIVING AGENCY, any written materials, pictorials, audiovisuals,
questionnaires or survey instruments, and educational group session activities
to be used under this attachment will be reviewed and approved by a local
Program Materials Review Panel (PMRP).
-2-
i
PERFORMING AGENCY will:
1. Convene the PMRP as necessary, but not less than semi-annually, to present
.<.;
for its assessment actual copies of draft texts, scripts, detailed
descriptions for written materials, pictorials, and/or audiovisuals it
plans to use.
2. Assure that its project files contain a statement of all PMRP votes,
signed by the PMRP members, and obtained prior to use/expenditures. The
statement of votes roust contain the vote of each PMRP member on each item
#
voted on. A majority vote is necessary to use/purchase an item. A list
of the majority votes on each item (pass/fail) must be submitted to the
t
RECEIVING AGENCY program in programmatic quarterly reports.
i
3. Conform with all reasonable requests of the local PMRP.
'
Programmatic Services and Procedures
PERFORMING AGENCY will ensure that program activities and personnel funded
through this attachment are used appropriately for approved HIV program.
Any deviations from agreed upon program activities and personnel must be
submitted in writing to RECEIVING AGENCY, Director, HIV Division.
;o
Further, PERFORMING AGENCY will authorize and pay for staff to attend in-
state and out-of-state training, conferences, and meetings for which funds
,
were a pproved and budgeted.
A}q
PERFORMING AGENCY will conduct activities funded through this attachment in
such a way as to form linkages with other community agencies to facilitate
z
referrals and prevent duplication of effort.
"'!A
Programmatic reports will be submitted quarterly on the same cycle as
financial reports.
a
PERFORMING AGENCY will submit special and quarterly narrative reports on
-
activities and accomplishments as required. Reports will contain a concise
overview of the quarterly activities, in addition to AIDS Education
,.�
Presentation/Audiovisual Usage Report and the PMRP votes.
}
PERFORMING AGENCY will submit scannable forms on a weekly basis.
j
Quality Assurance Guidelines
t;
1. Assure that adequate pretest and posttest counseling sessions are
provided by staff who have received counseling training from a course
.F
approved by RECEIVING AGENCY.
1
2. Provide regular supervisory monitoring of counseling, testing, and partner
notification sessions and give performance feedback to counselors.
3. Facilitate RECEIVING AGENCY overseeing of counseling, testing and partner
notification sessions when scheduled.
For purposes of this attachment, GENERAL PROVISIONS section is amended by
the following:
SUBCONTRACTING (first sentence revised; remainder of paragraph not changed)
PERFORMING AGENCY may enter into agreement with subcontractors with prior
written approval of RECEIVING AGENCY.
CONFIDENTIALITY (complete article is replaced by following)
a
PERFORMING AGENCY is bound by the following restrictions on the use of
-a
individual patient information/data.
a
1. Confidentiality of all records is absolutely essential when they contain
a
information/data concerning HIV testing, diagnosis of HIV related illness
,,j
or HIV infection. Breach of confidentiality is grounds for
a
termination.
s2.
All information obtained in connection with the examination, care or
services provided to any individual under this attachment will not,
without the individual's written consent, be disclosed, except as may be
;.
authorized or required by law.
3. Information derived from this program may be disclosed in statistical or
summary form, or for clinical purposes if the identity of the individual,
who is diagnosed or provided care under this program, is protected.
,
4. When counseling, testing and partner notification (CTPN) are conducted,
3
the following guidelines apply.
a. If a client chooses to be anonymous when the mandatory offer of
anonymity is made, then
(1) no record will be maintained linking the person's identity with
his/her real name or pseudonym or other identifiers, and
(2) upon notice to the client, the lab slip(s) containing the test
results will be either handed to the client at posttest
acounseling
or shredded. No copies will be maintained.
A
1
b. If a client elects to have a confidential file made for the testing
and counseling, this file must be maintained in a fashion consistent
#
with RECEIVING AGENCY's HIV Testing Guidelines which are incorporated
by reference and made a part hereof.
,a
9
c. No log containing personal information or identifiers or HIV status
.y .
will be maintained in anonymous or confidential testing situations.
;'
-4-
SECTION IV. BUDGET:
Personnel $15,887.00
Fringe Benefits 3,972.00
Travel 800.00
Equipment .00
i Supplies 500.00
i Contractual .00
Other 500.00
Total Direct
$21,659.00
Indirect ( 0.00%) 950.00
Total $22,609.00
Financial reports are due the 20th of March, June, and September and
the 15th of October,
Total reimbursements for this Attachment shall not exceed $22,609.00.
Indirect cost based on UGCMS, Table 1.