HomeMy WebLinkAbout021029 ORD - 11/20/1990AN ORDINANCE
AUTHORIZING THE EXECUTION OF A CONTRACT WITH THE TEXAS
DEPARTMENT OF HEALTH FOR FUNDING OF THE CITY -COUNTY HEALTH
DEPARTMENT FROM VARIOUS STATE AND FEDERAL FUNDING SOURCES;
APPROPRIATING $167,580; AMENDING THE 1990-91 BUDGET TO ADD
THREE POSITIONS IN THE HEALTH DEPARTMENT; AND DECLARING AN
EMERGENCY.
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CORPUS
CHRISTI, TEXAS:
SECTION 1. That the City Manager is hereby authorized to
execute a contract with the Texas Department of Health for funding of
the City -County Health Department from various state and federal
funding sources, all as more fully set forth in the contract, a
substantial copy of which is attached hereto and made a part hereof,
marked Exhibit A.
SECTION 2. That there is hereby appropriated $167,580 in
the General Fund, and the fiscal year 1990-91 budget is amended by
adding the following three positions in Health Department activities
of the General Fund:
Position
Physician
Public Health Nurse II
Laboratory Director
ACTIVITY
Nursing 291-514.05
Nursing 291-514.05
Laboratory 291-514.22
SECTION 3. That upon written request of the Mayor or five
Council members, copy attached, to find and declare an emergency due
to the need of executing the abovementioned contract at the earliest
practicable date, such finding of an emergency is made and declared
requiring suspension of the Charter rule as to consideration and
voting upon ordinances at three regular meetings so that this
ordinance is passed and shall take effect upon first rgading as an
1mepgency measure this the day of bit fljtf'
ATTEST:
City Secretary
APPROVED: LA DAY OF
HALefLiGt_E:
MA R
iAdls
THE Y OF CORPUS CHRISTI
xacam�wi , 1990
CITY ATTORNEY
By
ssistant ity torney
ORD-RES\90179
MICROFILMED
CITY OF CORPUS CHRISTI, TEXAS
CERTIFICATION OF FUNDS
(City Charter Article IV Section 21)
October 31, 1990
I certify to the City Council that $ 167,580.00 (*) , the amount required for
the contract, agreement, obligation or expenditures contemplated in the above
and foregoing ordinance is in the Treasury of the City of Corpus Christi to the
credit of:
Fund No. and Name 102-000-116.14-000
Project No.
Project Name
State Grant Participation-City/County Health Dept.
from which it is proposed to be drawn, and such money is not appropriated for any
other purpose.
(*) Availability dependent upon receipt of Grant funds.
$167,580.00
,0/3//0
FIN 2-55
Revised 7/31/69
tor o Fr
1,
1 TEXAS DEPARTMENT OF HEALTH
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
CONTRACT CHANGE NOTICE NO. 2
STATE OF TEXAS TDH Document No. C1000006
COUNTY OF TRAVIS
The Texas Department of Health, hereinafter referred to as RECEIVING AGENCY, did
heretofore enter into a contract in writing with
CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT
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.
Amendment to add the following attachments: 02 -CRH -LHS; 03 -MCH -LHS; 04-MIHIA-
LHS; 05 -TTL XX -LHS; 06 -CRH -LHS; 07 -TB -LHS; 08 -TTL XX -LHS; 09 -CHRONIC -LHS;
10 -SHELL -LHS; 11 -MILK -LHS; 12 -WIC -LHS; 13 -HIV -LHS.
All terms and conditions not hereby amended remain in full force and effect.
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWS.
Authorized Contracting Entity (type above
if different from PERFORMING AGENCY)
for and in behalf of:
CORPUS CHRISTI -NUECES COUNTY PUBLIC HEALTH DISTRICT
PERFORMING AGENCY TEXAS DEPARTMENT OF HEALTH
RECEIVING AGENCY
By:
(Signature of person authorized to sign contracts) By:
Juan Garza, City Manager, City of Corpus Christi
(Name and Title)
Date:
By:
(Signature of person authorized to sign contracts)
(Signature of person authorized
to sign contracts)
Terry Faye Bieier, Chief
Bureau of Financial Services
Date:
(Name and Title)
Robert N. Barnes, Nueces County Judge APPROVED AS TO FORM:
(Name and Title)
Date:
RECOMMENDED�%::: >—�
By: 77-17:ea-'
(PERFORMING AGENCY Director if different from
person authorized to sign contract)
By.
Office of General Counsel
Approved as to form:
Hal tCityAttam
b
Cover - Fate 1
Assistant City Attomey
DOCUMENT NO. C1000006
ATTACHMENT NO. 02
PERFORMING AGENCY: CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT
RECEIVING AGENCY PROGRAM: COMMUNITY AND RURAL HEALTH
TERM: September 1, 1990 THROUGH August 31, 1991
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY will use direct assistance and/or financial assistance from
RECEIVING AGENCY to supplement the delivery of comprehensive public health
services. Comprehensive health services encompass a wide variety of personal
health services, environmental health services, and other problems of
the jurisdiction. Personal health services may include but are not limited to
adult health/chronic disease, AIDS/HIV, chronically ill/disabled children,
dental, immunization, laboratory, maternal and child health, public health
promotion/education, sexually transmitted disease control, and tuberculosis
control. Environmental health services/inspections may include but are not
limited to food, premise, swimming pool, vector control, and wastewater
control. Other services may be provided as needed when agreed to by both
parties.
Reports of comprehensive health services performed will be submitted to
RECEIVING AGENCY, Community and Rural Health, in a format and time frame
agreed upon by both parties.
Direct assistance will be provided by RECEIVING AGENCY to PERFORMING AGENCY
for the implementation of an immunization program. The goal of the
immunization program is to prevent, control, and eradicate vaccine -preventable
disease by providing/administering biologicals, promoting immunization, and
applying epidemiologic/outbreak controls within budgetary constraints. This
will be accomplished by performing the following activities and reports.
A. Investigations/Control Measures
PERFORMING AGENCY will investigate 100% of suspected cases of measles,
rubella, pertussis, poliomyelitis, and diphtheria within 24 hours after a
report is received. PERFORMING AGENCY will investigate 90% of suspected mumps
cases and 100% of suspected tetanus cases within 48 hours after a report is
received.
For the above diseases, PERFORMING AGENCY will implement the most current
outbreak control procedures/measures and contact RECEIVING AGENCY, Immuniza-
tion Division, within 48 hours after an investigation is initiated.
B. Reporting Requirements
PERFORMING AGENCY agrees to provide RECEIVING AGENCY, Immunization Division,
by January 31st, of each year, a report detailing storage measures and methods
used to control vaccine loss including method to monitor and record daily
vaccine storage temperatures. The report shall be submitted in a format
provided by RECEIVING AGENCY, Immunization Division.
PERFORMING AGENCY agrees to provide RECEIVING AGENCY, Immunization Division,
monthly reports of vaccine utilization/loss, within ten working days after the
end of each month, on forms provided by RECEIVING AGENCY (forms C5, C5A, C33,
C33A). PERFORMING AGENCY will obtain monthly biological reports from private
physician offices and others who receive state supplied biologicals.
PERFORMING AGENCY agrees to provide RECEIVING AGENCY, Immunization Division,
by September 15th, of each year, a report on the number of people served with
immunizations (unduplicated count) and the number of visits for immunizations
in the preceding State Fiscal Year.
In addition to support for the above activities, RECEIVING AGENCY, Bureau of
Laboratories, agrees to provide direct assistance of laboratory supplies to
PERFORMING AGENCY to execute laboratory analyses for the following RECEIVING
AGENCY programs: water bacteriology, milk bacteriology, and chemistry,
syphilis serology, gonorrhea testing, and other approved laboratory analyses.
PERFORMING AGENCY agrees to meet standards for such analyses as set forth by
RECEIVING AGENCY, Bureau of Laboratories, the Clinical Laboratories Improve-
ment Act, the Safe Drinking Water Act, the National Conference of Interstate
Milk Shippers, and/or the Public Health Service Grade A Pasteurized Milk
Ordinance.
PERFORMING AGENCY agrees to comply with the following:
Texas Immunization Laws, Rules and Regulations; Human Resources Code, Chapter
42; Texas Education Code, Section 2.09, 2.09A; U.S. Department of Health and
Human Services, Childhood Immunization Grant.
PERFORMING AGENCY will provide an estimated5 fl,000 clients with
services/units of service in or benefiting the county(ies)/area defined as:
NUECES.
SECTION II. LEGAL AUTHORITY TO CONTRACT:
Chapters 12 and 121, Health and Safety Code.
SECTION III. SPECIAL PROVISIONS:
None.
SECTION IV. BUDGET:
FINANCIAL ASSISTANCE
Financial assistance involves payment of funds to PERFORMING AGENCY for costs
incurred in carrying out approved activities.
Personnel $69,900.00
Fringe Benefits 17,508.00
Travel .00
Equipment .00
Supplies .00
Contractual .00
Other .00
Total Direct Costs $87,408.00
Indirect .00
TOTAL $87,408.00
Financial status reports (FSRs) are due the 20th of December, March,
June, September and the 15th of October.
RECEIVING AGENCY financial assistance will not exceed $87,408.00.
3
DIRECT ASSISTANCE
Direct assistance involves the assignment of state funded positions or the
provision of materials or supplies such as vaccines in lieu of cash.
Personnel [ 4 position(s)] $113,124.00
Laboratory Support 18,000.00
Vaccine 314,830.00
TOTAL $445,954.00
Direct assistance for personnel in the amount of $113,124.00 is shown on
the attached list of positions and budgetary amounts which is an
integral part of this attachment. State salary warrants for net
earnings will be issued in accordance with state regulations.
Direct assistance for public health laboratory services is provided by
RECEIVING AGENCY, Bureau of Laboratories, through requisition for
supplies processed in accordance with RECEIVING AGENCY guidelines.
Financial status reports (FSRs) are not required on direct assistance.
Program income generated from activities supported with direct assistance will
be reported on FSRs required for financial assistance provided through this
attachment, if applicable, or through other program attachment(s) benefiting
from this assistance.
RECEIVING AGENCY direct assistance will not exceed $445,954.00.
Total RECEIVING AGENCY assistance will not exceed $533,362.00.
4
DOCUMENT NO. C1000006
ATTACHMENT NO. 03
PERFORMING AGENCY: CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT
RECEIVING AGENCY PROGRAM: BUREAU OF MATERNAL AND CHILD HEALTH
TERM: October 1, 1990 THROUGH August 31, 1991
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY will use direct assistance and/or financial assistance from
RECEIVING AGENCY to provide clinical health services to women and children.
Emphasis will be placed on prenatal care for pregnant women, family planning
services, and preventive child health services, especially for low income
women and children.
Services will be performed in accordance with the standards for maternity,
family planning, and child health services as promulgated by the RECEIVING
AGENCY, Bureau of Maternal and Child Health. Maternity/Family Planning and
Child Health Clinic reports will be submitted to RECEIVING AGENCY, Bureau of
Maternal and Child Health, in a format and time frame to be agreed upon by
both parties.
PERFORMING AGENCY will provide an estimated 2.800 clients with
services/units of service in or benefiting the county(ies)/area defined as:
NUECES.
SECTION II. LEGAL AUTHORITY TO CONTRACT:
Chapters 12 and 121, Health and Safety Code.
SECTION III. SPECIAL PROVISIONS:
The General Provisions Program Income Article requires that a fee for services
system and a schedule of fees be developed. Low income mothers and children
provided health services under this attachment will not be charged a fee. The
term "low income" refers to an individual or family with an income determined
to be below the nonfarm income official poverty line defined by the Office of
Management and Budget and revised annually in accordance with Section 624 of
the Economic Opportunity Act of 1964.
SECTION IV. BUDGET:
1
Personnel $89,089.00
Fringe Benefits 7,628.00
Travel
1,169.00
Equipment .00
Supplies 10,083.00
Contractual 41,269.00
Other 00
Total Direct Costs $149,238.00
Indirect
.00
TOTAL $149.238.00
Continued financial assistance for
11 months (Oct -.Aug).
Financial status reports (FSRs) are due the 20th of December, March, June,
and September and the 15th of October.
Total reimbursements will not exceed S149,238.00.
DOCUMENT NO. C1000006
ATTACHMENT NO. 04
PERFORMING AGENCY: CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT
RECEIVING AGENCY PROGRAM: BUREAU OF MATERNAL AND CHILD HEALTH-MIHIA
TERM: September 1, 1990 THROUGH August 31, 1991
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY shall deliver comprehensive maternity and infant health
services and ancillary services to eligible women and infants. PERFORMING
AGENCY shall provide prenatal care including consultation, laboratory tests,
and case management for all potentially eligible pregnant women and their
infants with special emphasis on high risk women and infants. Eligibility for
the above services will be determined under the Maternal and Infant Health
Improvement Act (MIHIA) Program Rules. Appropriate intrapartum care as well
as the prenatal care will be provided to all financially eligible high risk
pregnant women who do not qualify for Medicaid certification.
Services delivered under this contract shall be provided in compliance with
the plan of operation detailed in the approved Request for Proposal (RFP) on
which this contract is awarded. The referenced RFP is hereby incorporated in
as part of this attachment.
PERFORMING AGENCY agrees to comply with the following:
Chapter 32,Health and Safety Code, Maternal and Infant Health Improvement Act;
Maternal and Infant Health Improvement Act Program Rules;
Maternal and Infant Health Improvement Act Program Manual, March 1990.
These documents are incorporated by reference as a part of this attachment.
PERFORMING AGENCY shall provide full delivery services to an estimated
35 clients.
PERFORMING AGENCY shall provide prenatal/case management services to an
estimated 1,000 clients.
PERFORMING AGENCY will provide an estimated 1,000 clients with
services/units of service in or benefiting the county(ies)/area defined as:
NUECES, SAN PATRICIO.
SECTION II. LEGAL AUTHORITY TO CONTRACT:
Chapters 12 and 121, Health and Safety Code.
SECTION III. SPECIAL PROVISIONS:
FUNDING
As a condition of funds being awarded in this contract attachment, PERFORMING
AGENCY shall ensure that the level of funds which were available to PERFORMING
AGENCY for maternity and infant care on January 1, 1986, or upon receipt of
the applicant's first contract for MIHIA services, will not be diverted. Funds
authorized under this contract attachment shall not be used to replace
existing programs, services or benefits currently funded or reimbursed
through other resources, or which are legally required. These funds are meant
to provide an additional scope of services. This provision does not preclude
the replacement of lost federal monies or state grant monies directed to
maternal and infant health improvement services by MIHIA dollars. MIHIA
Program Rules provide guidelines for other conditions of funding.
TERMS AND CONDITIONS OF PAYMENT
Sections X and XI of the Maternal and Infant Health Improvement Act Program
Manual shall apply as basis for compensation and payment under this contract
attachment.
TERMINATION
In addition to the Termination Article in the General Provisions, MIHIA
Program Rules shall apply as guidelines for termination.
OTHER PROJECT REQUIREMENTS
In the event any provider agreements are entered into, PERFORMING AGENCY shall
be responsible to RECEIVING AGENCY for the performance of any subcontractor.
PERFORMING AGENCY must verify provider application information before
approving the provider for program participation. Specific criteria and
stipulations for physicians and hospitals may be found in the MIHIA Program
Rules. PERFORMING AGENCY shall immediately notify RECEIVING AGENCY, Chief,
Bureau of Maternal and Child Health, of any provider changes.
All physicians, hospitals, and other providers must agree to abide by the
criteria listed in the MIHIA Program Rules and also to accept program fees as
payment in full for MIHIA services delivered to eligible individuals.
Physicians who contract with PERFORMING AGENCY for greater than 20 hours per
week or who are on salary with PERFORMING AGENCY may not be reimbursed by
MIHIA funds.
As a condition of provider application, hospitals must agree to allow
RECEIVING AGENCY to conduct or arrange for onsite visits and both medical and
fiscal audits.
SECTION IV. BUDGET:
Personnel $180,972.00
Fringe Benefits 40,532.00
Travel 14,790.00
Equipment .00
Supplies 5,000.00
Contractual 31,948.00
Other 5,500.00
Total Direct Costs $278,742.00
Indirect .00
TOTAL $278,742.00
Financial reports are due the 20th of December, March, June
and September and the 15th of October.
Total reimbursements will not exceed $278,742.00.
DOCUMENT NO. C1000006
ATTACHMENT NO. 05
PERFORMING AGENCY: CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT
RECEIVING AGENCY PROGRAM: BUREAU OF MATERNAL AND CHILD HEALTH -TITLE XX
TERM: September 1, 1990 THROUGH August 31, 1991
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY will use direct assistance and/or financial alsistance from
RECEIVING AGENCY to provide clinical health and family planning services to
low income women and children. Services will be performed in accordance with
the standards for family planning as promulgated by RECEIVING AGENCY, Bureau
of Maternal and Child Health. Family planning reports will be submitted to
RECEIVING AGENCY, Bureau of Maternal and Child Health, in a format and time
frame to be agreed upon by both parties.
PERFORMING AGENCY will provide an estimated 6,900 clients with
services/units of service in or benefiting the county(ies)/area defined as:
NUECES.
SECTION II. LEGAL AUTHORITY TO CONTRACT:
Chapters 12 and 121, Health and Safety Code.
SECTION III. SPECIAL PROVISIONS:
The General Provisions Program Income Article requires that a fee for services
system and a schedule of fees be developed. Low income mothers and children
provided health services under this attachment will not be charged a fee. The
term "low income" refers to an individual or family with an income determined
to be below the nonfarm income official poverty line defined by the Office of
Management and Budget and revised annually in accordance with Section 624 of
the Economic Opportunity Act of 1964.
Funds included in Category 06 on the attached budget pages represent Title XIX
and XX "flow through" funds available only for payments to third party pro-
viders of Title XIX and XX eligible family planning services.
SECTION IV. BUDGET:
FINANCIAL ASSISTANCE
Financial assistance involves payment of funds to PERFORMING AGENCY for costs
incurred in carrying out approved activities.
Personnel $162,756.00
Fringe Benefits 38,960.00
Travel 4,712.00
Equipment .00
Supplies 42,191.00
Contractual 2,505.00
Other .00
Total Direct Costs $251,124.00
Indirect .00
TOTAL $251,124.00
Financial reports are due the 20th of December, March, June
and September and the 15th of October.
RECEIVING AGENCY financial assistance will not exceed S 251,124.00
2
CORPUS CHRISTI/FAMILY PLANNING
TEXAS DEPARTMENT OF HEALTH PHR 8
OPERATING BUDGET FOR YEAR ENDING AUGUST 31, 1991
AS OF JUNE 30, 1990
H21311/K13028
CATE- DESCRIPTION OR TITLE
GORY
1 ACCOUNTANT III
ACCOUNTANT III
NURSE III
NURSE III
NURSE II
NURSE II
4.— NURSE 1I
NURSE II
-?-- CASEWORKER 1I
CASEWORKER II
CLERICAL SUPERVISOR
CLERICAL SUPERVISOR
COMMUNITY SERV AIDE
COMMUNITY SERV AIDE
II
1II
III
MEDICAL RECORDS CLERK
MEDICAL RECORDS CLERK
MEDICAL RECORDS CLERK
MEDICAL RECORDS CLERK
CLERK III
CLERK III
— CLERK III
CLERK III
-- - COMMUNITY SERV AIDE II
COMMUNITY SERV AIDE II
COMMUNITY
COMMUNITY
COMMUNITY
COMMUNITY
COMMUNITY
COMMUNITY
SERV AIDE
SERV AIDE
SERV AIDE
SERV AIDE
SERV AIDE
SERV AIDE
COMMUNITY SERV AIDE
COMMUNITY SERV AIDE
COMMUNITY SERV AIDE
COMMUNITY SERV AIDE
II
II
II
II
II
II
II
II
COMMUNITY SERV AIDE II
COMMUNITY SERV AIDE 11
COMMUNITY SERV AIDE II
COMMUNITY SERV AIDE II
STATISTICAL CLERK I
STATISTICAL CLERK I
STATISTICAL CLERK I
STATISTICAL CLERK I
BUDGET NO. CF309
PAGE 537
'7133
FUND ENO ITEM JOB PAY PAY EFFECTIVE MONTHLY BUDGETED AMT
DESC. MONTH NO. CLASS GP STP DATE RATE
MCH -LT SEP 050 1163
STATE AUG 050 1163
MCH -LT SEP 060 4386
STATE AUG 060 4386
MCH -LT SEP 084 4385
STATE AUG 084 4385
MCH -LT SEP 085 4385
STATE AUG 085 4485
MCH -LT SEP 106 5212
STATE AUG 106 5212
MCH -LT SEP 148 0063
STATE AUG 148 0063
16 01
16 03
14 02
14 03
12 06
07 01
06 03
06 05
06 04
06 06
SEP 90 2,311.00
OCT 90 2,311.00
SEP 90 2,443.00
OCT 90 2.443.00
SEP
OCT
SEP
OCT
SEP
OCT
90 2,061.00'20
90 2,061.00+
90 2,148.004 ,9.0
90 2,148.00
90 2,101.00 411)-/
90 2,101.00
SEP 90
OCT 90
MCH -LT SEP 169 5503 SEP 90
STATE AUG 169 5503 OCT 90
MCH -LT SEP 190 4021 SEP 90
STATE AUG 190 4021 OCT 90
MCH -LT SEP 191 4021 SEP 90
STATE AUG 191 4021 OCT 90
MCH -LT SEP 212 0055 SEP 90 1,445.00;4o
STATE AUG 212 0055 OCT 90 1,445.00
MCH -LT SEP 213 _0055 06 02 SEP 90 1,263.00 ff'
STATE AUG 213 0055 OCT 90 1,263.00
MCH -LT SEP 234 5502 04 04 SEP 90 1,212.00f,3 (
STATE AUG 234 5502 OCT 90 1,212.00
MCH -LT SEP 236 5502 04 04 SEP 90 1,212.00 2,JQ
STATE AUG 236 5502 OCT 90 1,212.00
MCH -LT SEP 238 5502 04 03 SEP 90 1,159.00
STATE AUG 238 5502 OCT 90 1,159.00
MCH -LT SEP 239 5502 04 03 SEP 90 1,159.00
STATE AUG 239 5502 OCT 90 1,159.00
MCH -LT SEP 240 5502 04 01 SEP 90 1,117.00
STATE AUG 240 5502 OCT 90 1,117.00
MCH -LT SEP 241 5502 04 01 SEP 90 1,057.00
STATE AUG 241 5502 OCT 90 1,057.00
MCH -LT SEP 243 5502 04 02 SEP 90 1,108.00
STATE AUG 243 5502 OCT 90 1,108.00
MCH -LT SEP 244 5502 04 02 SEP 90 1,128.00 as
STATE AUG 244 5502 OCT 90 1,128.00x`
MCH -LT SEP 263 1801 04 05 SEP 90 1,248.00
STATE AUG 263 1801 OCT 90 1,248.00
MCH -LT SEP 264 1801 04 02 SEP 90 1,108.00
STATE AUG 264 1801 OCT 90 1,108.00
1,320.00
1,320.00
1,320.00 ,Y 1
1,320.00
27,732.00
29,316.00
24,732.00
25,776.00
25,212.00
15,840.00
15,840.00
1,380.00
1,380.00 16,560.00
1,338.00
1,338.00
6 THIRD PARTY REIMBURSE MCH -LT SEP
THIRD PARTY REIMBURSE MCH -LT AUG
SEP 90
OCT 90
16,056.00
17,340.00
15,156.00
14,544.00
14,544.00
13,908.00
13,908.00
13,404.00
12,684.00
13,296.00
13,536.00
14,976.00
13,296.00
367,656.00 *
4,000.00
54,000.00
DOCUMENT NO. C1000006
ATTACHMENT NO. 06
PERFORMING AGENCY: CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT
RECEIVING AGENCY PROGRAM: COMMUNITY AND RURAL HEALTH
TERM: September 1, 1990 THROUGH August 31, 1991
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY will use direct assistance and/or financial assistance from
RECEIVING AGENCY to supplement the delivery of comprehensive public health
services. Comprehensive health services encompass a wide variety of personal
health services, environmental health services, and other problems of
the jurisdiction. Personal health services may include but are not limited to
adult health/chronic disease, AIDS/HIV, chronically ill/disabled children,
dental, immunization, laboratory, maternal and child health, public health
promotion/education, sexually transmitted disease control, and tuberculosis
control. Environmental health services/inspections may include but are not
limited to food, premise, swimming pool, vector control, and wastewater
control. Other services may be provided as needed when agreed to by both
parties.
Reports of comprehensive health services performed will be submitted to
RECEIVING AGENCY, Community and Rural Health, in a format and time frame
agreed upon by both parties.
PERFORMING AGENCY will provide an estimated 3,500 clients with
services/units of service in or benefiting the county(ies)/area defined as:
NUECES.
SECTION II. LEGAL AUTHORITY TO CONTRACT:
Chapters 12 and 121, Health and Safety Code.
SECTION III. SPECIAL PROVISIONS:
None.
SECTION IV. BUDGET:
Personnel $58,428.00
Fringe Benefits 2,868.00
Travel .00
Equipment ,00
Supplies .00
Contractual .00
Other .00
Total Direct Costs $61,296.00
Indirect .00
TOTAL $61,296.00
Financial status reports (FSRs) are due the 20th of December, March,
June, September and the 15th of October.
Total reimbursements will not exceed $61,296.00.
DOCUMENT NO. C1000006
ATTACHMENT NO. 07
PERFORMING AGENCY: CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT
RECEIVING AGENCY PROGRAM: TUBERCULOSIS CONTROL DIVISION
TERM: September 1, 1990 THROUGH August 31, 1991
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY will provide extended services for tuberculosis prevention
and control throughout the PERFORMING AGENCY's jurisdiction. PERFORMING
AGENCY agrees to perform the following activities:
A. Provide administrative and professional direction of the tuberculosis
control program in accordance with local and state policies.
B. Provide services consistent with RECEIVING AGENCY policies and American
Thoracic Society and Centers for Disease Control Joint Statements for
tuberculosis prevention and control. The following objectives will be
obtained during the period of this attachment:
1. At least 90t of all newly developed cases reported and placed on
therapy complete the recommended course of multiple drug therapy.
2. At least 75X of newly developed sputum -positive cases who are
evaluated convert their sputa to negative within three (3) months.
3. At least 75% of persons at high risk to tuberculosis complete
preventive treatment.
4. At least 90X of all cases are evaluated monthly.
C. Maintain and make available to the RECEIVING AGENCY upon request and after
reasonable notice, the following records documenting program services pro-
vided by the PERFORMING AGENCY pursuant to this attachment:
1. Medical records of all individuals,
2. Statistical records.
D. Submit program reports in the time frames and format specified by the
RECEIVING AGENCY.
E. Submit a written request (including a program plan and proposed budget)
for continuation of this agreement to the appropriate TDH Regional
Director at least ninety (90) days prior to the end of this attachment
term.
RECEIVING AGENCY agrees to provide administrative and management assistance as
well as any consultation necessary for the successful implementation and
operation of the program.
-1-
DIRECT ASSISTANCE
Direct assistance involves the assignment of state funded positions or the
provision of materials or supplies such as vaccines in lieu of cash.
Personnel [ 4 position(s)) $76,284.00
TOTAL $76,284.00
Direct assistance for personnel in the amount of $76,284.00 is shown on
the attached list of positions and budgetary amounts which is an
integral part of this attachment. State salary warrants for net
earnings will be issued in accordance with state regulations.
Financial status reports (FSRs) are not required on direct assistance.
Program income generated fro■ activities supported with direct assistance will
be reported on FSRs required for financial assistance provided through this
attachment, if applicable, or through other program attachment(s) benefiting
from this assistance.
RECEIVING AGENCY direct assistance will not exceed $76,284.00.
Total RECEIVING AGENCY assistance will not exceed $78,784.00.
3
CORPUS CHRISTI/NUECES CO/TB SERVICE
TEXAS DEPARTMENT OF HEALTH PHR 8
OPERATING BUDGET FOR YEAR ENDING AUGUST 31, 1991
AS OF JUNE 30. 1990 BUDGET NO. CF430
H21311/K13028
PAGE 542
CATE- DESCRIPTION OR TITLE FUND END ITEM JOB PAY PAY EFFECTIVE MONTHLY BUDGETED AMT
GORY DESC. MONTH NO. CLASS GP STP DATE RATE
1 NURSE III STATE AUG 005 4386 16 04 SEP 90 2,546.00 30,552.00
X-RAY TECHNICIAN III STATE AUG 050 4293 11 02 SEP 90 1,697.00 20,364.00
CLERK II STATE AUG 150 0053 04 01 SEP 90 1,057.00 12,684.00
CLERK II STATE AUG 151 0053 04 01 SEP 90 1,057.00 12.684.00
76,284.00 *
DOCUMENT NO. C1000006
ATTACHMENT NO. 08
PERFORMING AGENCY: CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT
RECEIVING AGENCY PROGRAM: BUREAU OF MATERNAL AND CHILD HEALTH -TITLE XX
TERM: October 1, 1990 THROUGH September 30, 1991
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY will use direct assistance and/or financial assistance from
RECEIVING AGENCY to provide clinical health and family planning services to
low income women and children. Services will be performed in accordance with
the standards for family planning as promulgated by RECEIVING AGENCY, Bureau
of Maternal and Child Health. Family planning reports will be submitted to
RECEIVING AGENCY, Bureau of Maternal and Child Health, in a format and time
frame to be agreed upon by both parties.
PERFORMING AGENCY will provide an estimated 1,100 clients with
services/units of service in or benefiting the county(ies)/area defined as:
NUECES.
SECTION II. LEGAL AUTHORITY TO CONTRACT:
Chapters 12 and 121, Health and Safety Code.
SECTION III. SPECIAL PROVISIONS:
The General Provisions Program Income Article requires that a fee for services
system and a schedule of fees be developed. Low income mothers and children
provided health services under this attachment will not be charged a fee. The
term "low income" refers to an individual or family with an income determined
to be below the nonfarm income official poverty line defined by the Office of
Management and Budget and revised annually in accordance with Section 624 of
the Economic Opportunity Act of 1964.
-1-
SECTION IV. BUDGET:
Personnel $84,732.00
Fringe Benefits 21,552.00
Travel ,00
Equipment .00
Supplies .00
Contractual .ob
Other .00
Total Direct Costs $106,284.00
Indirect .00
TOTAL $106,284.00
Financial reports are due the 20th of January, April, July
and October and the 15th of November.
Total reimbursements will not exceed $106,284.00.
SECTION IV. BUDGET:
Personnel 523,799.00
Fringe Benefits 5,950.00
Travel 1,400.00
Equipment .00
Supplies 2,000.00
Contractual 10,000.00
Other 226.00
Total Direct Costs 543,375.00
Indirect .00
TOTAL 543,375.00
Financial reports are due the 20th of December, March, June
and September and the 15th of October.
Total reimbursements will not exceed $43,375.00.
-2-
DOCUMENT NO. C1000006
ATTACHMENT NO. 10
PERFORMING AGENCY: CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT
RECEIVING AGENCY PROGRAM: SHELLFISH SANITATION CONTROL DIVISION
TERM: September 1, 1990 THROUGH August 31, 1991
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY will provide laboratory analyses of oyster meat and crab
meat samples. Testing will meet laboratory proficiency standards as set
forth by the American Public Health Association "Recommended Procedures for
the Examination of Sea Water and Shellfish" Fifth Edition, and the Association
of Official Analytical Chemists "Official Methods of Analysis" Thirteenth
Edition. Pursuant to this agreement, PERFORMING AGENCY agrees to:
1. Perform to completion and report out by mail as soon as possible all
required and/or requested tests. Reports will be made on standard
laboratory results forms provided by RECEIVING AGENCY.
2. Send reproducible copies of the laboratory results froms to RECEIVING
AGENCY regional office: Texas Department of Health, Public Health
Region 8, Shellfish Sanitation Control Program, 1233 Agnes, Corpus
Christi, Texas 78401, and central office: Texas Department of Health,
Shellfish Sanitation Control Division, 1100 West 49th Street, Austin,
Texas 78756.
3. Submit monthly vouchers and supporting information on kinds and numbers
of tests and retests performed and total number of samples analyzed.
Vouchers will be submitted to RECEIVING AGENCY, Shellfish Sanitation
Control Division.
PERFORMING AGENCY will provide an estimated 40 clients with
services/units of service in or benefitting the county(ies)/area defined as:
NUECES.
SECTION II. LEGAL AUTHORITY TO CONTRACT:
Chapters 12 and 121, Health and Safety Code.
SECTION III. SPECIAL PROVISIONS:
General Provisions, Financial Reports Article, does not apply to this
attachment.
SECTION IV. BUDGET:
Total reimbursements for this attachment shall not exceed $1,000.00.
Compensation for tests will be based on the following test fee schedule:
OYSTER MEAT E 525.00
Standard Plate Count
pH
Fecal Coliform
1.
CRAB MEAT 2 $35.00
Standard Plate Count
Staphylococcus Aureus
E. coli
SECTION IV. BUDGET:
Laboratory analyses will be performed at a rate per sample and per test not to
exceed the following schedule:
RAM SAMPLES
SPC $ 3.00
Somatic Cell 5.00
Growth Inhibitors 2.00
Freezing Point 1.00
TOTAL $ 11.00
PASTEURIZED SAMPLES
SPC
Coliform
Growth Inhibitors
Phosphatase
Cryoscope
$ 3.00
2.00
2.00
3.00
1.00
TOTAL $ 11.00
PERFORMING AGENCY will comply with all applicable laws, regulations,
standards, and guidelines established at Federal, State and Local levels
as these regulations now appear or may be amended during the period of this
attachment. These include but are not limited to:
1. Child Nutrition Act of 1966, as amended (42 USC 1786)
2. Public Laws 99-500 and 99-591
3. Child Nutrition Act and WIC Bureau Reauthorization Act of 1989,
Public Law 101-147
4. Uniform Federal Assistance Regulations 7 CFR Part 3015
5. Applicable Federal Regulations located in 7 CFR Part 246
6. State WIC Policy and Procedures Manual
SECTION II. LEGAL AUTHORITY TO CONTRACT:
Chapters 12 and 121, Health and Safety Code.
SECTION III. SPECIAL PROVISIONS:
General Provisions, APPLICABLE LAWS AND STANDARDS Article, is amended to
include the following: PERFORMING AGENCY will respond in writing to all
review and audit exceptions within thirty calendar days of their receipt.
General Provisions, ASSURANCES Article, is hereby amended to include the
following: PERFORMING AGENCY hereby agrees that it will comply with Title VI
of Civil Rights Act of 1964 (42 USC 2000d et. seq.,), Title IX of the Educa-
tion Amendments of 1972 (20 USC 1681) et. seq.,), Section 504 of the Rehabili-
tation .act of 1973 (29 USC 794), Age Discrimination Act of 1975 (42 USC 6101
et. seq.,); all provisions required by the implementing regulations of the
Department of Agriculture; Department of Justice Enforcement Guidelines,
28 CFR Parts 50.3 and 42; and FNS directives and guidelines, to the effect
that, no person will, on the grounds of race, color, national origin, sex,
age, or handicap, be excluded from participation under any program or activity
for which the PERFORMING AGENCY receives Federal financial assistance from
FNS; and hereby gives assurance that it will immediately take measures
necessary to effectuate this attachment.
By accepting this assurance, PERFORMING AGENCY agrees to compile data,
maintain records and submit reports, as required, to permit effective
enforcement of the nondiscrimination laws and permit authorized USDA personnel
during normal working hours to review such records, books, and accounts as
needed to ascertain compliance with the nondiscrimination laws. If there are
any violations of this assurance, the Department of Agriculture, Food and
Nutrition Service, will have the right to seek judicial enforcement of this
assurance. This assurance is binding on the PERFORMING AGENCY, its successors,
transferees, and assignees, as long as they receive assistance or retain
possession of any assistance from the Department of Agriculture. The person
or persons whose signatures appear on the COVER PAGES of this attachment are
authorized to sign this assurance on behalf of the PERFORMING AGENCY.
General Provisions, STANDARDS FOR FINANCIAL MANAGEMENT Article, Number 1.,
regarding internal budgeting and Number 3., regarding billing, collection, and
fee schedules are not applicable.
General Provisions, OVERTIME COMPENSATION Article, is not applicable.
General Provisions, TERMS & CONDITIONS OF PAYMENT Article, is hereby modified
to include the following paragraphs.
The participant caseload quantity will be assigned by RECEIVING AGENCY by
giving written notice to PERFORMING AGENCY and may be subject to change from
time to time upon written notice to PERFORMING AGENCY from RECEIVING AGENCY.
PERFORMING AGENCY assumes liability for all food costs resulting from
PERFORMING .AGENCY exceeding assigned caseload maximum. The number of
individuals served in excess of assigned caseload are not to be included in
the calculation of earned administrative funds as described below.
RECEIVING AGENCY will reimburse PERFORMING AGENCY for administrative costs
which include participant referral, vendor evaluation and monitoring,
nutrition education, general administrative support, start-up costs, outreach,
applicant screening, and food card issuance.
Administrative costs will be reimbursed based on actual
exceed the "maximum reimbursement" set out below, based
participants who actually receive food instruments each
do not receive any food instruments whose breastfeeding
pants, to the extent that the total so derived does not
AGENCY's total assigned caseload within any given month.
costs, but not to
upon the sum of the
month plus infants who
mothers were partici-
exceed the PERFORMING
Surplus funds (the
amount by which maximum reimbursements exceed actual cost) can be accumulated
and carried forward within the attachment term. The time period during which
surpluses may be recovered will be determined by the RECEIVING AGENCY.
PARTICIPANTS SERVED PER MONTH
First 500 participants served
Next 1000 participants served
Next 3500 participants served
All additional participants served
MAXIMUM REIMBURSEMENT
$ 9.25 per
$ 7.60 per
$ 5.30 per
$ 3.15 per
participant
participant
participant
participant
PERFORMING AGENCY agrees that: (1) not less than 20% of total administrative
costs will be separately identified and documented as expenditures directly
related to nutrition education; (2) that RECEIVING AGESCY will reimburse
PERFORMING AGENCY for administrative expenses at a rate not greater than five
times the amount of properly documented expenditures for nutrition education,
but not more than is earned based on actual participation not to exceed
PERFORMING AGENCY'S assigned participant caseload; and, (3) that RECEIVING
AGENCY will increase the maximum reimbursement to PERFORMING AGENCY by an
additional 5.50 per each pregnant and breastfeeding woman participating in
the PERFORMING AGENCY's Program. Nutrition education expenditures must be
supported by documentation of participant attendance or nonattendance. For
a PERFORMING AGENCY whose monthly participation falls below 500, RECEIVING
AGENCY has the option to compute the sliding scale allowable at a 500 parti-
cipant level with the stipulation that the 20% nutrition education expendi-
•
ture requirement is met. RECEIVING AGENCY reserves the right to exclude
and/or recover any expenditures that have been claimed and/or paid that are
not authorized by the regulations and/or directives pertaining to the program.
RECEIVING AGENCY also reserves the right to withhold a proportionate amount of
earned administrative funds when evidence exists that nutrition education is
not being provided by PERFORMING AGENCY, or PERFORMING AGENCY is not complying
with the provisions of USDA and/or RECEIVING AGENCY directives. RECEIVING
AGENCY reserves the right to grant exceptions to the above funding formula.
PERFORMING AGENCY agrees to break out separately on the face of the claim for
reimbursement (State of Texas Purchase Voucher, TDH form AG -37) the costs
associated with nutrition education, breastfeeding, and other administrative
costs.
General Provisions, ADVANCE PAYMENTS Article, is not applicable to this
attachment.
General Provisions, PROGRAM INCOME Article, paragraph one, is not applicable
to this attachment.
General Provisions, FINANCIAL REPORTS Article, paragraph three (Annual/Final
Report), first sentence is amended to read: A final report, Financial Status
Report, Federal Form 269 (TDH form GC -3), will be submitted no later than
December 31st of each year. (Remainder of paragraph does not change.)
General Provisions, REPORTS AND INSPECTIONS Article, paragraph one, is hereby
modified to include the following wording:
PERFORMING AGENCY will submit monthly performance data which includes:
Report of Program Operation, AC 80-1; Report of Card Sequence Used, AC 80-3;
and, Cards Voided, AC 80-4. Lost/Stolen Report, AC 78-10, will be submitted
as necessary. On an annual basis, a Racial Ethnic Group Participation Form,
FNS -191, for the reporting month of April will be submitted by the seventh
working day of May.
General Provisions, EQUIPMENT AND SUPPLIES Article, is amended by adding the
following: PERFORMING AGENCY agrees to accept responsibility and financial
liability for all equipment and supplies purchased with RECEIVING AGENCY WIC
Program funds whether purchased locally by the PERFORMING AGENCY, or by the
RECEIVING AGENCY and transferred to the care and custody of the PERFORMING
AGENCY. PERFORMING AGENCY further agrees to conduct an annual physical
inventory of all equipment purchased with RECEIVING AGENCY WIC Program funds
and submit it to the RECEIVING AGENCY WIC Program by February 28th of each
year. RECEIVING AGENCY reserves the right to recover the cost of equipment
or supplies purchased by the RECEIVING AGENCY and placed in the custody of the
PERFORMING AGENCY if such articles are lost, stolen, or otherwise unlocated.
-4-
SECTION IV. BUDGET:
All categories of costs billed to the RECEIVING AGENCY and allocation of such
costs must be in accordance with the "Plan to Allocate Direct Costs," (PADC),
submitted by PERFORMING AGENCY and approved by RECEIVING AGENCY. A listing of
the categories contained in the negotiated PADC are shown in Exhibit A of this
attachment.
Project #38
Corpus Christi-Nueces County Public Health District
Corpus Christi, Texas
FY91 Plan to Allocate Direct Costs
Approved Categories
Personnel Costs
Personnel Benefits
Travel
Communications
Printing and Reproduction
Office Supplies
Equipment
Postage
Contractual
(A) Office Space Rental
(B) Security Services
(C) Door Mat Services
(D) Bottled Water Services
(E) Telephone Maintenance Service
Other
(A) Maintenance Supplies
(8) Education Materials, Tracts, Seminars
(C) Equipment Repair and Maintenance
(D) Annual Dues
Medical Supplies
Audit
Exhibit A
DOCUMENT NO. C1000006
ATTACHMENT NO. 13
PERFORMING AGENCY: CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT
RECEIVING AGENCY PROGRAM: HIV DIVISION
TERM: September 1, 1990 THROUGH August 31, 1991
SECTION I. SCOPE OF WORK
PERFORMING AGENCY will conduct .AIDS/HIV (acquired immunodeficiency syndrome/human
immunodeficiency virus) program activities which include the following component(s):
1. Establish and/or maintain AIDS/HIV health education/risk reduction programs for
the targeted populations and/or the general public; and,
2. Perform counseling, testing, referral, and partner notification (CTRPN)
activities which include establishing and/or maintaining anonymous or
confidential HIV testing programs for persons at increased risk of HIV infection
due to individual sexual behavior, intravenous drug abuse, or other risk
behaviors.
3. Carry out an active surveillance and reporting program and initiate and maintain
effective communications and working relationships with area health professionals
and groups to permit travel, data collection, and related activities to be
conducted throughout the area.
All information and education materials developed and provided by PERFORMING AGENCY
will be accurate, comprehensive, and consistent with current findings of the United
States Public Health Service.
PERFORMING AGENCY agrees that all activities will be performed in accordance with the
applicable RECEIVING AGENCY current program rules and guidelines, PERFORMING AGENCY'S
continuation objectives, activities work plans, and detailed budget as approved by
RECEIVING AGENCY with the most current version of the program rules. PERFORMING
AGENCY will submit to RECEIVING AGENCY written acknowledgment of receipt and
acceptance of the document. All of the above named documents are adopted by reference
as part of this attachment.
PERFORMING AGENCY assures that expenditure of funds will be in acco. dance with the
respective activity's detailed budget.
PERFORMING AGENCY will provide CTRPN 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 behavior.
Counseling and Testing
1. Offer voluntary anonymous and/or confidential HIV testing to clients who may
want to be tested.
-1-
2. Provide culturally sensitive and effective pretest and posttest counseling based
on Centers for Disease Control (CDC) approved model.
3. Publicize HIV counseling and testing services so that potential clients will
know where and when services are available.
4. 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.
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. PERFORMING AGENCY will develop and maintain referral plan by which reciprocal
linkages are established with other service providers (especially other
RECEIVING AGENCY funded providers) for the purpose of:
a. ensuring that behavior changes occur and are sustained;
b. providing psychosocial services;
c. medical intervention;
d. substance abuse treatment;
e. family planning services;
f. financial and legal assistance;
g. case management;
h. long term care.
Partner Notification
1. All partner notification services are to be consistent with RECEIVING AGENCY's
Serologic Test Counseling and Partner Notification Techniques guidelines
which are incorporated by reference and made a part hereof.
2. Encourage HIV+ clients to voluntarily refer their sexual and/or needle
sharing partners for HIV counseling and testing.
3. Encourage intravenous drug users (IVDU) to voluntarily refer their sexual
and/or 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
partners to be notified, elicit adequate information for RECEIVING AGENCY STD
clinic personnel to make the notification.
CTRPN Quality Assurance Guidelines
1. PERFORMING AGENCY assures that pretest and posttest counseling sessions are
performed by staff who have received counseling training from a course
approved by RECEIVING AGENCY.
2. PERFORMING AGENCY will conduct monthly monitoring of counseling, testing, and
partner notification sessions and give performance feedback to counselors.
3. PERFORMING AGENCY agrees to facilitate RECEIVING AGENCY review of scheduled
counseling, testing and partner notification sessions.
A
PERFORMING AGENCY will carry out an active Human Immunodeficiency Virus (HIV)
surveillance and reporting program. Program manger and staff will initiate and
maintain effective communication and working relationships with area health
professionals and groups to permit travel, data collection, and related activities to
be conducted throughout the area.
Surveillance activities will include:
1. Organizing an active surveillance system.
a. Establish and maintain communication with key medical groups/individuals in
the community.
b. Identify reporting sources for AIDS cases and HIV infections, i.e.,
hospitals and hospital-based physicians, physicians in non -hospital
practice, public and private clinics and medical records systems.
c. Develop and maintain a list of key reporting sources.
d. Develop reporting procedures.
i. Determine who will complete AIDS cases and HIV infection report forms.
ii. Determine how blank report forms will be distributed.
iii. Determine who will review AIDS case report forms for completeness.
2. Maintaining a Case Registry
a. Maintain a case file on all confirmed and suspected cases of AIDS as
defined by the Centers for Disease Control (CDC).
b. Complete update forms on previously reported cases to reflect date of death
and/or the diagnosis of an additional opportunistic disease.
c. Submit cases, updates and HIV infection reports to the RECEIVING AGENCY
HIV Surveillance Program on a weekly basis.
3. Conducting Epidemiologic Investigations
a. Initiate epidemiologic investigations on newly reported no -identified -risk
(NIR) cases within five days of receipt of case report.
b. Initiate epidemiologic investigations on newly reported cases alleging
exposure through transfusion received after 1985 within five days of
receipt of case report.
4. Evaluating Surveillance System.
a.
Conduct at least one retrospective review annually in either a hospital or
out-patient setting in order to evaluate the level of case ascertainment.
b. Review and provide thorough follow-up on suspect cases identified by
RECEIVING AGENCY alternate record review systems in order to enhance case
ascertainment and validate the effectiveness of local surveillance efforts.
-3-
-4
c. Enter into AIDS Reporting Systems (ARS) the source of case reports and/or
document source on case report form in order to track activities of
reporting sources.
5. Analysis of Data.
Demographic analyses with fewer than three cases per cell will not be distributed
outside the surveillance network unless aggregated.
6. Quarterly Activity Reports.
a. Submit quarterly activity reports within 20 days after the end of each
quarter.
b. Quarterly reports are to be submitted using the Centers of Disease Control
report format with attachments limited to a description of any unique or
innovative surveillance activities conducted during the preceding quarter.
7. Confidentiality
a. Case records/files must be stored in a locking file cabinet when not in use
with key access limited to surveillance staff. Locking file cabinets and
surveillance computers must be kept in a locked room with limited,
controlled access.
b. Passwords must be used in access procedures for computer databases
containing AIDS/HIV case data. Password must be changed monthly and known
only to surveillance personnel.
c. Any documents to be disposed of that contain patient identifiers/information
must be shredded.
d. Locking, fire-resistant security cabinets will be maintained for the report
forms and backup diskettes at RECEIVING AGENCY's central office registry and
selected local health departments.
PERFORMING AGENCY agrees to comply with the following:
Chapter 81 of the Health and Safety Code.
Article 4419b-4, V.T.C.S., Human Immunodeficiency Virus Services Act.
PERFORMING AGENCY shall provide an estimated 52,000 clients with services/units
of service in or benefiting the county(ies)/area defined as:
NUECES, SAN PATRICIO, JIM WELLS, ARANSAS, BEE, KLEBERG
SECTION II. LEGAL AUTHORITY
Chapters 12 and 121, Health and Safety Code.
SECTION III. SPECIAL PROVISIONS:
RECEIVING AGENCY will supply PERFORMING AGENCY with the most current version of the
document entitled "Content of AIDS -Related Written Materials, Pictorials,
Audiovisuals, Questionnaires, Survey Instruments, and Education Sessions in Centers
for Disease Control Assistance Programs," and its preface which is written by
RECEIVING AGENCY. Said document and its preface are incorporated as part of this
attachment as though it were written herein verbatim. PERFORMING AGENCY will provide
to RECEIVING AGENCY written acknowledgment of receipt and acceptance of this document
and its preface will comply with the guidelines contained in this document and its
preface.
Due to the sensitive and highly personal nature of AIDS/HIV-related information,
strict adherence to the General Provisions Confidentiality Article and the RECEIVING
AGENCY program rules regarding confidentiality is required. PERFORMING AGENCY success
depends upon whether persons at risk believe that the program observes this
principle. In addition to these conditions, PERFORMING AGENCY will comply with the
following specific requirements regarding individual patient information/data when
conducting counseling, testing, referral, and partner notification activities.
1. If a client chooses to be anonymous when the mandatory offer of anonymity is made,
then:
a. no record will be maintained linking the person's identity with his/her real
name or pseudonym or other identifiers; and
b. upon notice to the client, the lab slip(s) containing the test results will be
shredded/destroyed. Originals and copies of test results will not be
maintained longer than 30 days.
2. If a client elects to have a confidential file made for the testing and
counseling, this file will be maintained in a fashion consistent with RECEIVING
AGENCY's HIV Testing Guidelines which are incorporated by reference and made a
part hereof. If confidential testing is needed, then the lab slip containing the
test results may be provided to the client if requested.
3. No log containing personal information or identifiers or HIV status will be
maintained in anonymous or confidential testing situations.
PERFORMING AGENCY will submit required programmatic reports quarterly on the same
cycle as financial status reports.
PERFORMING AGENCY will authorize their staff to attend in-state and out of state
training, conferences, and meetings for which funds were budgeted and approved by
RECEIVING AGENCY.
-5-
r
SECTION IV. BUDGET:
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
Other
Total Direct
Indirect
TOTAL
Financial reports are due the
of October.
Total reimbursements
Total reimbursements
exceed $ 58,916.00 .
$107,890.00
21,688.00
12,498.00
.00
3,000.00
. 00
2,899.00
$147,975.00
. 00
$147,975.00
20th of December, March, June, September and the 15th
for this Attachment shall not exceed $147,975.00
for Education, Prevention, and Risk Reduction services shall not
Total reimbursements for Counseling; Testing, and Partner Notification shall not
exceed $ 72,493.00 .
Total reimbursements for Surveillance services shall not exceed $ 16,566.00
-6-
Corpus Christi, Texas
c;-0 day of {141.1J_ Il i -(j � , 19 G
TO THE MEMBERS OF THE CITY COUNCIL
Corpus Christi, Texas
For the reasons set forth in the emergency clause of the foregoing
ordinance an emergency exists requiring suspension of the Charter rule
as to consideration and voting upon ordinances at three regular
meetings; I/we, therefore, request that you suspend said Charter rule
and pass this ordinance finally on the date it is introduced, or at
the present meeting of the City Council.
Respectfully, Respectfully,
Council Members
The above ordinance was
Betty N. Turner
Cezar Galindo
Leo Guerrero
Tom Hunt
Edward A. Martin
Joe McComb
Clif Moss
Mary Rhodes
Frank Schwing, Jr.
045
R
THE CITY OF CORPUS CHRISTI
passed by the following vote:
C QILS.