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HomeMy WebLinkAboutResolution - 1868 - Contract - TDOH - STD Prevention - 11/08/1984Resolution #1868 November 8, 1984 Agenda Item #29 DGV:da RESOLUTION 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 execute for and on behalf of the City of Lubbock a Local Health Department Contract and related documents between the City of Lubbock, Texas and the Texas Department of Health, attached herewith which shall be spread upon the minutes of the Council and as spread upon the minutes of this Council shall constitute and be a part of this Resolution as if fully copied herein in detail. Passed by the City Council this 8thdayof November 1984. I "HENRYI.9-MAYOR-Y ST: an tte Boyd, City Secretary APPROVED AS TO CONTENT: aBC� Bob Cass, -Assistant City Manager APPROVED AS TO FORM: an Iver, Assistant City Attorney texas uepartMerll U1ltfdlU i AUSTIN C. C. Eaves, M.D. INTER-'4FF4CE Associate Commissioner Lubbock Community and Rural }Iealth TO Local Health Department SlifilfCT Attachment Amendment #5A Attached is your copy of the properly approved and executed attachment amendment to . a contract between this Agency and your Health Department. AN 141985 taBso� c►n xt�� BIN- SIGNED `•��� DATE Januar 9 1985 F�„R, nc Z li + Y� ATTACHMENT NO. 5a This Attachment constitutes an amendment to and becomes a part of that certain contract between the TEXAS DEPARTMENT OF HEALTH, VENEREAL DISEASE CONTROL DIVISION, and Lubbock City Health Department bearing TDH Document No. C5000571 . TERM: September'l, 1984 THROUGH November 30, 1985 SCOPE OF WORK: The Texas Department of Health strives to prevent the transmission of syphilis and gonorrhea and their resultant complications. This is accomplished in cooperation with public health regional offices and local health departments through the deployment of trained personnel whose responsibilities include case interviewing and contact investigation, surveillance, maintenance of screening programs, reporting compliance, consultation, and education of high-risk patient populations. All activities of these support staff and the local venereal disease control program are to be conducted in accordance with the established standards and objectives described in Addendum A. Established program morbidity and activity reports wi l i be used as the basis for monitoring the services provided under this agreement. Since this contract is supported in whole, or in part, by categorical federal venereal disease grant funds, this contract is contingent on availability of these federal funds. Addendum A is an integral part of this Attachment. LEGAL AUTHOR i TY: P.L. 95-626 (42 USC 247c) 42 CFR 51b, 45 CFR Part 74, PHS Grants Po cy Statement, and Grants Administration Manual. BUDGET Personnel $25,140.00 Fringe Benefits 6,000.00 $31,140.00' Total amount of this Attachment shall not exceed $ $31,140.00 CONTRACTING ENTITY FOR AND IN'BEHALF OF PERFORMING AGENCY By I die. Mayor Title Date RECEIVING AGENCY TEXAS DEPARTMENTOF HEALTH By .04'1�r Mil V, L. Millet; Deputy Commissioner Management and Administration Date JAM - 8 1985 Recommended: (t C. C. Eaves, M.D. Associate C mmissioner Community a Rural Health �Q �. lwJ y Jer m H. Greenberg, M.D . As oc ate Commissione Pr table Diseases CD Approved as to Form: By IX41 KZ1 Office of Ge eral Counsel r ADDENDUM A ' Lubbock City Health Department VENEREAL DISEASE CONTROL PROGRAM SCOPE OF YORK Long -Ranges The overall long-range objective is to bring about the reduction and eventual control of venereal disease. as measured by the incidence of syphilis and gonorrhea. among the citizens of Texas. Funding Period Ob ectivess Syphilis: 1. Perform individual interviews in at least 95% of primary. secondary and selected early latent cases of syphilis reported from all sources. with at—least 80% interviewed within 3 days of accepting the report of disease. 2. Maintain a contact index between 2,00 and 2.50 per case of primary. secondary and selected early latent syphilis interviewed. 3. Bring to examination at least 90% of (in -jurisdiction) sexual partners elicited from patients with primary. secondary and early latent syph -#ss cases. 4. Ensure that. of those sexual partners examined. at least 90% are medically evaluated within 14 days of date of initiation. with at least 5% being evaluated within 7 days. S. Provide preventive treatment to 95% of In -jurisdiction eligible sexual partners to primary. priority early latent syphilis cases. secondary and 6. Ensure that at least _2L of the iCCR syphilis referrals received from other project areas are examined within 10 days. 7. Investigate. document. and analyze thoroughly suspected congenital syphilis cases In newborns# offer and provide epidemiological assistance in at least 98% of all cases. Gonorrhea: 1. Refine female gonorrhea screening activities by targeting efforts toward those individuals at greatest risk so that: a. At feast 4,500 tests for gonorrhea are performed among high-risk female populations. excluding VD clinic patients. b. Quality control checks, as requested or as deemed necessary. are provided to facilities participating. in the statewide screening program. 2. Ensure that adequate treatment is verified for at least 95% of all females found to have a positive test for gonorrhea. 3. Interview at least 95% of all patients diagnosed with PPNG within 2 working days of receipt of laboratory report. with an overall ±verage of at least 2.00 contacts per case. 4. Ensure that at least 80% of all patients treated for PPNG. regardless of reporting source. return for a test - of -cure within 10 daays'(post -treatment). S. Interview at least 80% of at females diagnosed with G/P10 within 7 days of the programis first notice of the infection. with at least 2.00 contacts elicited per case. 6. Ensure that at least 90% of all females diagnosed with G/PID receive adequate treatment at the time of initial examination. ). Interview at least 0$ of all male and female gonorrhea patients with positive post-treatment or rescreening results in VO clinics. 8. Bring to examination at least 85% of In -jurisdiction sexual partners named by gonorrhea patients. 9. Ensure that. of those sexual partners examined. at least 75% are medically evaluated within 14 days of date of initiation. with at least ,0% being evaluated within 7 days. 10. Preventively treat at least M of the "not -infected" contacts. I1. Individually follow at least 95% of ail persons age 14 and younger who have a gonococcal Infection. f J' laboratoriest I. Ensure that at least 90% of reactive serologic tests and positive tests for gonorrhea are reported to the appropriate program component within ) days of test results. 2. Identify and contact at least 9 0j of non -reporting laboratories that routinely perform diagnostic evaluations that relate to the identificat of n of reportable VD. Clinic and Private Physician Participations 1. Conduct 6 seminars and/or presentations to physicians and other health providers for purposes of orientation and education in new clinical and laboratory testing procedures. STATE OF TEXAS COUNTY OF TRAVIS TDH Document No. C5000541 LOCAL HEALTH DEPARTMENT C O N T R A C T The Texas Department of Health, hereinafter referred to as RECEIVING AGENCY, acting through its Deputy Commissioner for Management and Administration, and the City of Lubbock, Texas on behalf of (Authorized Contracting Entity) LUBBOCK CITY HEALTH DEPARTMENT (Name of PERFORMING AGENCY) hereinafter referred to as PERFORMING AGENCY, acting through Alan its Mayor (Name of Person Authorized to Sign Contracts) (Title of Person ,mutually agree as follows: Authorized to Sign Contracts) ARTICLE 1. Scope of Work The PERFORMING AGENCY shall perform the work outlined in the Scope(s) of Work which is/are hereby incorporated and made a part of this contract as Attachment(s) 1 thru 5 , plus amendments which may be added by additional Attachment(s) from time to time during the contract period as hereinafter provided. ARTICLE 2. Terms The term of this contract shall be governed by the time period on the Attachment(s). No commitment of contract funds is permitted prior to the first day of the contract term nor subsequent to the last day of the contract term. The term of the contract maybe extended by amendment(s). ARTICLE 3. Applicable Laws and Standards The PERFORMING AGENCY will comply with the requirements set forth in the enabling Federal legislation, as set out in the Attachment(s) hereto, Treasury Circular 1075 (31 CFR Part 205) and all other Federal laws and regulations applicable to Federal funding source(s) in this contract. This contract shall be governed by the laws of the State of Texas. The PERFORMING AGENCY agrees that the Uniform Grant and Contract Management Standards (UGCMS), Article 4413, Section 32g, V.A.C.S.,issued by the Governor's Budget and Planning Office will apply as terms and conditions of this contract, and the standards are adopted by reference in their entirety. If there is a conflict_ between the provisions of this contract and UGCMS, the provisions of UGCMS will prevail unless expressly stated otherwise. A copy of this manual and its references are provided to PERFORMING AGENCY by RECEIVING AGENCY upon request. PERFORMING AGENCY will utilize RECEIVING AGENCY'S policies and procedures for hiring and promoting individuals into budgeted state positions funded by this contract. Qualifications of any individuals filling these positions will be subject to approval of the RECEIVING AGENCY'S Bureau of Personnel Management. The purpose of the approval is to insure that individuals occupying these state funded positions meet minimum educational and experience requirements. 1 PERFORMING AGENCY shall have in placa legally sufficient Due Process Hearing Procedures for all of its employees. The Director of the PERFORMING AGENCY is to be in complete charge of all public health activities of the PERFORMING AGENCY and shall direct the personnel. The Director shall have full authority to employ, promote, suspend, demote, discharge and transfer any and all personnelwithin the PERFORMING AGENCY, PROVIDED, HOWEVER, that any demotion, suspension or discharge shall be in accordance with the Due Process Hearing Procedures as set out above. All personnel, whether state paid employees or not, are employees of the PERFORMING AGENCY which shall be responsible for their direction and control and liable for any of their acts or omissions. The only distinction between state and locally paid employees is that state paid employees receive state benefits, and are subiect 't.o certain obligations as state employees, as contained in state law. PERFORMING AGENCY agrees to defend and indemnify the RECEIVING AGENCY for any and all claims and/or judgements taken against. any employees, state or locally paid, or against. said RECEIVING AGENCY, arisinq out of any claims or cause of action against any. such employee. ARTICLE: 4. Compensation and Payment For services satisfactorily performed pursuant to the Scope(s) of Work, the PERFORMING AGENCY shall have furnished or be reimbursed by the RECEIVING AGENCY in an amount not to exceed the total of all Attachment(s) which are attached hereto. Allowable costs shall be only as outlined in the Attachments(s). The PERFORMING AGENCY will not bill the RECEIVING AGENCY for any costs under this contract which have also been billed or should have been billed to any other funding source. Costs claimed for reimbursement must be substantiated. With proper justification, and concurrence of the RECEIVING AGENCY, the PERFORMING AGENCY may request advance payment under this contract in accordance with the applicable provisions of this contract. The PERFORMING AGENCY shall submit certified vouchers for reimbursement according to the procedures set out in this contract. At the close of each quarter, a signed expenditure report, the format of which is in the UGCMS, must be sunmitt.ed. The voucher and expenditure report shall reflect the total allowable costs incurred and revenue received during the preceding period. All revenues received from the delivery of contract services shall also be identified. ARTICLE .,f�, r'undinq The PERFORMING AGENCY shall use funds from this contract to supplement their budget.. These funds will in no event supplant such State, local, and other non -Federal funds. PERFORMING AGENCY agrees that should expenditures of local funds for public health services be needed as matching for Federal tends such expenditures of local funds are assigned to the RECEIVING AGENCY as allowable match for the receipt of the Federal funds to further public health activities. In the event such assigned funds are required by the PERFORMING AGENCY to match other Federal funds, prior written approval must be obtained from the RE.CEIVTNG AGENCY to withdraw the assigned funds from the RECEIVING AGENCY. This contract is contingent upon funding being available for the term of the contract and PERFORMING AGENCY shall have no right of action against the RECEIVING AGENCY in the event that the RECEIVING AGENCY is unable to perform. its obligations under this contract as a result of the suspension, termination, withdrawal, or failure of funding to the RECEIVING AGENCY or lack of sufficient funding of the RE.:CEIVING AGENCY for any Attachment(s) to this contract. If funds become unavailable; provisions of the Termination Article in this contract shall apply. z ARTICLE 6. Program Income All program.income shall be retained by the PERFORMING AGENCY and; (1) be used by the PERFORMING AGENCY for any purposes which further the objectives of legislation under which the contract was made and be deducted from total project costs, or (2) be deducted from total project costs, according to the RECEIVING AGENCY'S policy interpreting UGCMS, a,copy of which is provided as supplementary material to the UGCMS manual. ARTICLE 7. Records The PERFORMING AGENCY will have a system in effect to protect from inappropriate' disclosure of patient records maintained by them in connection with the activities funded under this contract. ARTICLE 8_ Reports and Inspections The.PERFORMING AGENCY shall make financial, program, progress, and other reports as requested by the RECEIVING AGENCY in the format agreed to by the parties hereto and will arrange for onsite inspections by the RECEIVING AGENCY. The PERFORMING AGENCY shall participate fully in any required evaluation study of this program. PERFORMING AGENCY will furnish RECEIVING AGENCY an annual budget of the PERFORMING AGENCY. The budget shall be for the fiscal year of. the PERFORMING AGENCY and shall include the name, classification, and gross salary for each employee, both state and local. Travel, fringe benefits, and all other expenditures budgeted shall also be included. ARTICLE 9. Amendments The RECEIVING AGENCY will submit a revised budget to the PERFORMING AGENCY. either increasing or decreasiriq the amount of funds allocated at such times that additional funds become available or at such tines that funds must be withdrawn. The original budget and revisions thereto become a part of this contract and are subject to all of the terms and conditions of this contract. This contract shall not be altered, changed, or amended except. by instrument in writing executed by authorized officials of the parties hereto. This contract may be amended by the addition of Attachments(s) containing additional Scope(s) of Work and Budget(s) related to same, such Attachment(s) to he duly executed by the parties as hereinabove provided. ARTICLE: 10. Property, and Supplies Subject to the obligations and conditions set forth in this contract and UGCMS, title to all property purchased from funds provided herein shall vest upon acquisition with the PERFORMING AGENCY. The PERFORMING AGENCY shall. maintain a property and supplies inventory and administer a program of maintenance, repair, and protection of assets provided under this contract so as to assure their full availability and usefulness for performance under this contract. The RECEIVING AGENCY retains the option to recover all unused supplies and useable equipment furnished under this contract upon the termination of relationship of the parties hereto. This also includes acquisitions through lease -purchase agreements with funds provided under this contract, or with funds provided by program income attributable to the. programs provided for under this contract. 3 In the event the PERFORMING AGENCY is indemnified, reimbursed; or otherwise compensated for any loss of, destruction of, or damage to, the assets provided under this contract during the period of this contract, it shall use the proceeds to repair or replace said assets. ARTICLE 11. Discrimination Prohibited No person in the United States shall on the grounds of race, creed, color, handicap, age. ability to pay, sex, or national origin be excluded from participation in, be denied the proceeds of, or be subject to discrimination in the performance of this contract. The parties will comply with the regulations promulgated by the Secretary of DHHS, with the approval of the President of the United States, pursuant to Title VI of the Civil Riqhts Act of 1964 (45 CFR Part 80). In addition, the PERFORMING AGENCY Rehabilitation Act of 1973, Public that no individual "shall, soley by the participation in, be denied discrimination in this program." ARTICLE, 12. Severabi_l itv shall comply with the provisions of the Law 93-112, Section 504, which ensures reason of handicap, be excluded from the benefits of, or be subject to If any provision(s) of this contract shall be construed to be illegal or invalid, it shall not affect the legality or validity of any of the other provisions hereof, and the illegal or invalid provision(s)shall be deemed stricken and deleted herefrom to the same extent and effect as if never incorporated herein, but all other provisions shall continue. ARTICLE . 13 . Scope of .mAgreement This contract incorporates all of the agreements, convenants, and understandings between the parties hereto concerning the Attachment(s) and all such covenants, agreements, and understandings have been merged into this written contract. No prior agreement or understanding, oral or otherwise, of the parties or their agents shall be valid or enforceable unless embodied in this contract. ARTICLE 14. Termination This contract may be terminated by the xutual consent of' both parties or by either of the parties hereto for noncompliance by the other party with this contract. A party intending to terminate the contract for non- compliance by the other party shall provide written notice to the other party at least thirty (30) days prior to the intended date of termination. Such notice shall include the reasons for the termination and shall provide the other party an opportunity to rebut the reasons in writing. By such termination, neither party may nullify obligations already incurred for performance or failure to perform prior to the date of termination. Such termination shall not be an exclusive remedy but shall be in addition to any other rights and remedies provided by law or under this contract. If the total amount of funds allocated for this contract should become depleted or unavailable during any contract budget period, and the RECEIVING AGENCY is unable to obtain additional funds for such purposes, the RECEIVING AGENCY shall immediately provide written notification to the PERFORMING AGENCY of such fact and such Attachments(s) to this contract is/are terminated upon receipt of that notification. Furthermore, in the event that Federal or State laws or other requirements should be amended or judicially interpreted so as to render continued fulfillment of this contract, on the part of either party, unreasonable.or impossible, or if the parties should be unable to.agree. upon- amendment which would therefore be needed to enable the substantial continuation of the services contemplated herein, then, and in that event, the parties shall be discharged from any further obligations created under the terms of this contract, except for the equitable settlement of the respective accrued interests or obligations incurred up to the date of termination. ARTICLE 15. UGCMS Pass -Through Contract Provisions E)GCMS contains requirements in OMB Circulars No. A-102 and A-87 that pass- through with State and Federal monies including but not limited to: 1. allowable costs in applicable Cost Principles, A-87; Z. financial management. standards, A-102, Attachment G; :i. procurement, A-102, Attachment 0; and 4. audit. requirements, A-102, Attachment. P. in addition, A-102, Attachment O, sets out provisions that must be in all contracts. Those provisions are hereby adopted when applicable, and include but are not limited to: audit and record access and retention; Equal Employment Opportunity; environmental and energy protection laws and requlations. ARTICLE 16. Financial Reporting Requirements The following prescribes uniform reporting procedures for the PERFORMING AGENCY to: I. summarize expenditures and unexpended funds; 2. report the status of approved cash advances; 3. request advances and reimbursements; and 4. promulgate standard forms incident thereto, Cost Reimbursement Method: Month 1 y, or as needed The PERFORMING AGENCY shall submit a State of Texas Purchase Voucher (TDH Form #AG -37). Quarterly The PERFORMING AGENCY shall submit a Financial Status Report State Supplemental Form 269a (TDH Form #GC -4) by the twentieth (20th) of the month following a quarter. If no previous request for funds has been received, a Request for Advance or Reimbursement Form 270 (TDH Form #GC. -10) and a State of Texas Purchase Voucher shall be submitted. Annual/Final The PERFORMING AGENCY shall submit a Request for Advance or Reimbursement Form 270; a Financial Status Report Form 269 and State. Supplemental Form 269x; and , if necessary, a State of Texas Purchase Voucher if all costs have not. been reimbursed, or refund of excess monies if costs incurred were less than funds received. Advance Method: .(See Article on Compensation and Payment) The PERFORMING AGENCY may request an advance. Amount of the advance will he determined by the amount and term of the Attachment(s). Amount of the advance will be liquidated in the final months of the contract, so that atter the Final Billinq, the PERFORMING AGENCY will not have excess advance runds on hand. Advance funds may be drawn only to meet immediate cash needs for disbursements (tFGCMS and Federal Circulars). Monthly The PERFORMING AGENCY shall submit a State of Texas Purchase Voucher (TDH Form #AG -37) for each month of the contract in an amount as determined above. The State of Texas Purchase Voucher may be submitted on a monthly basis, or sufficient number of vouchers to cover the contract period may be submitted when contract signatures are obtained. 5 The PERFORMING AGENCY shall submit a Financial Status Report State Supplemental Form 269a (TDH Form #GC -4) and a Request for Advance or Reimbursement Form 270 (TDH Form #GC -.IO) by the twentieth .(20th) of the month followinq a quarter. Annual/Final The PERFORMING AGENCY shall submit a Request for Advance or Reimbursement,Form 270; a Financial Status Report Form 269 and State Supplemental Form 269a; and., if necessary, a State of Texas Purchase Voucher if all costs have not been reimbursed, or a refund of excess monies if costs incurred were less than funds received. 6 EXECUTED IN TRIPLICATE ORIGINALS ON THE DATES INDICATED. CONTRACTING ENTITY FOR AND IN BEHALF OF PERFORMING AGENCY By ALANRY Title MAYOR Date APPROVED AS TO CONTENT: �� CasS Bob Cass, Assistant City Manager RECEIVING AGENCY By ermas L. '11illet Deputy Commissioner Management and Administration Date NOV 2 8 1984 Recommended: By- (?x &A C.C. Eaves, M.D. Associate Commissioner Community and Rural Health. APPROVED AS TO FORM: Recommended: Ry Vandiver, First Assistant City Clift. rice, M.D. Attorney Assoc ate Commissioner Personal Health Services Recommended .7 o H . Greenber so iate Commiss rev ntable Disea Approved as to Form: By Y Office of General Counsel ATTACHMENT NO. 1 PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT PROGRAM WITHIN RECEIVING AGENCY (TDH): COMMUNITY AND RURAL HEALTH TERM: September 1, 1984 through August 31, 1985 SCOPE OF WORK: The state direct assistance and other funds to health departments are intended to supplement in the delivery of comprehensive public health services to protect the health of all citizens in the department's jurisdiction. Services include, but are not limited to Immunizations, Maternal and Child Health, Crippled Children, Adult Health, Tuberculosis Control, Chronic Disease, Dental Health, Public Health Education, Venereal Disease Control. Environmental Health Services will be provided which includes, but are not limited to Food Inspections, Waste Water Control, Vector Control, Premise Inspections, Swimming Pool Inspections, and other services as related to the particular problems of the jurisdiction. The attached list of positions and budgetary amounts exclusive of category 41 is an integral part of Attachment 1. Reports of services performed under this attachment shall be submitted to the Office of Community and Rural Health. An annual audit report must also be submitted to TDH. Submit evidence that a public hearing was held on expenditure of all Health Block Grant funds. LEGAL AUTHORITY: Current Appropriations Bill; Title V, Social Security Act, Omnibus Budget Reconciliation Act of 1981, and DHHS final regulations on block grants. BUDGET: Total amount of this Attachment shall not exceed $ 118,737.84 3641*66 NURSE 11 NURSE 11 LIC VOCATIONAL NURSE 11 6 p ANTS j-�04L 5co:)I8�43f--512�111SEP 8�j 19676.0 . W.. - C N EAUG02 43Oct 05 19676.01 Ti 1 C NO SEPri6*441-1EDISEP $5 193(;8.0 REHL� AUo I I I JOLT 6 20#112000 1 191(,3$100 �"Pll �47rf.nc rmp'OYEE BENEEITe, I?l ----------T EMPLOYEE BENEFITS JNC HL I AUG� OCT 815 j2,,S4r,n-n TATE I !IU C HLT AU PL A-11 RENO AU 481057,84 -stago.no 649790-00 19163t000 406157*84 Lt 8 0 C K CITylgiSM507, 'J�EALTH IDEPT f, PACE 10S Texas Department of Health OPERATING BUDGET FOR YEAR ENDING AUCUST 319 19" OPEWInG BUDGET tuDGET NO* LCCDJ AS OF JUNE So@ 1994 e f4ir PI v 7 FUND FUND SALARIES ONLY CATE- DESCRIPTION OR TITLE NO ENDING ITEM B JOB Jo PAY PAY PAY EFFECTIVE El F. MONTHLY BUDGETED AMOUNT GORYI SC DESC. MONTH NO.. rDl000usqi CLASS GP TEP DATE I- RATE STATE AU 'I L srp 65 91004 10*924*92 --OPUSLIC MEALTH DENTIST 11 3641*66 NURSE 11 NURSE 11 LIC VOCATIONAL NURSE 11 6 p ANTS j-�04L 5co:)I8�43f--512�111SEP 8�j 19676.0 . W.. - C N EAUG02 43Oct 05 19676.01 Ti 1 C NO SEPri6*441-1EDISEP $5 193(;8.0 REHL� AUo I I I JOLT 6 20#112000 1 191(,3$100 �"Pll �47rf.nc rmp'OYEE BENEEITe, I?l ----------T EMPLOYEE BENEFITS JNC HL I AUG� OCT 815 j2,,S4r,n-n TATE I !IU C HLT AU PL A-11 RENO AU 481057,84 -stago.no 649790-00 19163t000 406157*84 ATTACHMENT NO. 2 PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT PROGRAM WITHIN RECEIVING AGENCY (TDH): COMMUNITY AND RURAL HEALTH TERM: October 1, 1984 through September 30, 1985 SCOPE OF WORK: To provide laboratory services. LEGAL AUTHORITY: Title XIX, Public Health Services Act, Omnibus Budget Reconciliation Act of 1981; DHHS final regulations on block grants. BUDGET: Personnel $21,420.00 Total amount of this Attachment shall not exceed S 21,420.00 • TDH Document' No . ATTACHMENT 3 PERFORMING AGENCY: Lubbock City Health. Department PROGRAM WITHIN RECEIVING AGENCY (TDH): Bureau of Maternal and Child Health TERM: September 1, 1984 through August 31, 1985 SCOPE OF WORK: To provide clinical services to meet the needs of low income women and children with particular reference to prenatal care for pregnant women, family planning services, and preventive child health services. These services shall be provided in accordance with the standards for maternity, family planning, and" -child health services as promulgated by the Bureau of Maternal and Child Health, Texas Department of Health. Services performed under this Attachment shall be reported monthly by submission of Maternity/Family Planning and Child Health Clinic Reports. LEGAL AUTHORITY: Title V, Social Security Act, Omnibus Reconciliation Act of 1981; DHHS regulations on block grant. BUDGET: State provided support per the attached budget. Total amount of this Attachment shall not exceed $ 155,415.92 Texas Department of Health. LUBBOCKC1TY/'Fk`!,I.CY: HEALTH SERVICES PAGE ' 10 OPERATING BUDGET OR YEAR ENDING AUGUST 31s 190S OPERATING BUDGET AS OF JUNE 30# 1984 BUDGET NO. LC301 CATE- GORY DESCRIPTION OR TITLE FUND SALARIES ONLY BUDGETED AMOUNT DESC. ENDING MONTH ITEM NO. JOB CLASS PAY GP PAY STEP EFFECTIVE - DATE MONTHLY RATE 1 NURSE III NURSE ITT NC HL r 141 SE All D2 Dn 43861 It D SEP £ 21091000 NURSE 11 MC HLY AU OR 438 OCT 85 1#676*OC, 209112000 NURSE TI CLERK TYPIST II MC HLI MC HLT SE 16U Dk i6 436 Lt1i 1 O SEP 85 OCT 85 1r676*0 1rID26.t1 i2tS36.1]Q COMMUNITY SERV AIDE I CLERK T MC HL MC HLY SE AU 13 15 55D 0051 0 D SCP a OCT 95 859.0 $39*00 10#068*00 37 DRUGS MC HLI AUGOCT B5 15t'S3[Ist1D TENT CLIENT SERVICES -- MEDICAL MC NO A96 OCT 85 312SOoDO 3 � Q.t30 AA—Cl.-IrELIX SERVICES — EP mr "1 .1 SEP 851 CLIENT SERVICES - FP MC ML AUGOCT 85 130%'78.34 1 0070000�Srp SE 1*958*16 EMPLOYEE BENEFITS MC HLY AUGOCT BE 211539.76 3 097 9 MC HLI C WLI SEP AU 11*368:82 144 Q47.10 155 415.92, ATTACHMENT 4 PERFORMING AGENCY: Lubbock City Heal -t-b-PD epartment PROGRAM WITHIN RECEIVING AGENCY (TDH): Bureau of Laboratories 'ERM:September 1, 1984 through August 31, 1985 SCOPE OF WORK: ':his laboratory agrees to provide reports on testing on approximately 35,500 specimens annually as indicated in the --categories below in support of Texas Department of Health programs. A. 'Nater bacteriology 11,000 S. Milk bacteriology and chemistry Syphilis serology 12,000 D. Gonorrhea testing 12,000 E. Other approved analyses 500 Total 35,500 This laboratory agrees to meet the standards for such analyses as set forth by the Bureau of Laboratories, the Clinical Laboratories Improvement Act, the Safe Drinking Water Act, The National Conference of Interstate Milk Shippers, and/or the Public Health Service Grade A Pasteurized Milk Ordinance. Support for this scope of work is provided in part by the Bureau of Laboratories through supplies, equipment and training it provides and by other programs through both the central and/or regional budgets and programs. ATTACHMENT NO. S PERFORMING AGENCY: Lubbock City Health Department PROGRAM WITHIN RECEIVING AGENCY (TDH): Venereal Disease Control Division TERM: ___—September 1, 1984 THROUGH November 30, 1985 SCOPE OF WORK: The Texas Department of Health strives to prevent the transmission of syphilis and gonorrhea and their resultant complications. This is accomplished in cooperation with public health regional offices and local health departments through the deployment of trained personnel whose responsibilities include case interviewing and contact investigation, surveillance, maintenance of screening programs, reporting compliance, consultation, and education of high—risk patient populations. All activities of these support staff and the local venereal disease control program are to be conducted in accordance with the established standards and objectives described in Addendum A. Established program morbidity and activity reports will be used as the basis for monitoring the services provided under this agreement. Since this contract is supported in whole, or in part, by categorical federal venereal disease grant funds, this contract is contingent on availability of these federal funds. Addendum A is an integral part of this Attachment. LEGAL AUTHORITY: P.L. 95-626 (42 USC 247c) 42 CFR 51bi 45 CFR Part 74, PHS Grants Policy Statement, and Grants Administration Manual. BUDGET: Personnel. $31,140.00 Fringe Benefits 6,000.00 $3737,1 'o.00 Total amount of this Attachment shall not exceed $ 37,140.00 ADDENDUM A Lubbock City -County Health Department VENEREAL DISEASE CONTROL PROGRAM SCOPE OF YORK Long -Range: The overall long-range objective Is to bring about the reduction and eventual control of venereal disease, as measured by the incidence of syphilis and gonorrhea, among the citizens of Texas. Funding Period Ob ectivest Syphilise 1. Perform individual interviews in at least 95% of primary. secondary and selected early latent cases of syphilis reported from all sources. with at—fit 80% interviewed within 3 days of accepting the report of disease. 2. Maintain a contact index between 2.00 and 2.50 per case of primary. secondary and selected early latent syphilis interviewed. 3. Bring to examination at least 90% of (in -Jurisdiction) sexual partners elicited from patients with primary. secondary and early latent syphilis cases. 4. Ensure that. of those sexual partners examined. at least 90% are medically evaluated within 14 days of date of Initiation. with at least _/5% being evaluated within 7 days. 5. Provide preventive treatment to 95% of In -jurisdiction eligible sexual partners to primary. secondary and priority early latent syphilis cases. 6. Ensure that at least _35% of the ICCR syphilis referrals received from other project areas are examined within 10 days. j. Investigate. document. and analyze thoroughly suspected congenital syphilis cases in newbornsl offer and. provide epidemiological assistance in at least 98% of all cases. Gonorrheas 1. Refine female gonorrhea screening activities by targeting efforts toward those individuals at greatest risk so thats a. At least 4,500 tests for gonorrhea are performed among high-risk female populations, excluding VD clinic patten'— ts. b. Quality control checks. as requested or as deemed necessary. are provided to facilities participating. in the statewide screening program. 2. Ensure that adequate treatment is verified for at least 95% of all females found to have a positive test for gonorrhea. 3. Interview at least 95% of all patients diagnosed with PPNG within 2 working days of receipt of laboratory report. with an overall average of at least 2.00 contacts per case. 4. Ensure that at least 8 QJ of all patients treated for PPNG. regardless of reporting source. return for a test - of -cure within 10 ays post-treatment). 5. Interview at least 80% of all females diagnosed with G/PID within ] days of the program's first notice of the infection. with at deist 2.00 contacts elicited per case. 6. Ensure that at least Q° of all females diagnosed with G/PID receive adequate treatment at the time of initial examination. 7. Interview at least .4% of all male and female gonorrhea patients with positive post-treatment or rescreening results In VD clinics. 8. Bring to examination at least 85% of in -jurisdiction sexual partners named by gonorrhea patients. 9. Ensure that. of those sexual partners examined. at least 75% are medically evaluated within 14 days of date of initiation. with at least _0% being evaluated within 7 days. 10. Preventively treat at least _951of the 'hot -infected" contacts. 11. Individually follow at least 35% of all persons age 14 and younger who have a gonococcal infection. r �� . s "f.'�i►^! -' tui Si'''i +'�'Sist"iii>r.p" F`..,s .:+,�,.: 1��`S'� .�y�i,�f'' 4'�'+•..i'3±'6'.F `1i1N`xS'�� ��' 11 �d���'� � +�•, �`'v ``i i, �r � fid[ L 'ii.� 1. tr� rt 1 f laboratoriess I. Ensure that at least 90% of reactive serologic tests and positive tests for gonorrhea are reported to the appropriate program component within 7 days of test results. 2. Identify and contact at least 9 02 of non—reporting laboratories that routinely perform diagnostic evaluations that relate to the Identification of reportable VD. Clinic and Private Physician Participations 1. Conduct 6 seminars and/or presentations to physicians and other health providers for purposes of orientation and education in new clinical and laboratory testing procedures.