HomeMy WebLinkAboutC2006-465 - 9/19/2006 - Approved
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DEPARTMENT OF STATE HEALTH SERVICES
1100 WEST 49TH STREET
ALSTIN, TEXAS 78756-3199
ST A TF OF TEXAS
DSHS Document No. 7460005741C2007
COUNTY OF TRAVIS
Contract Change Notice No. 01
The Department of State Health Services, hereinafter referred to as DSHS, did heretofore enter into a contract in writing with
CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT (CITY) hereinafter referred to as Contractor. The parties
thereto now desire to amend such contract attachment(s) as follows:
SUMMARY OF TRANSACTION:
ATT NO. 02 IMMUNIZATION BRANCH LOCALS
All terms and conditions not hereby amended remain in full force and effect.
EXECUTED IN D1 JPLICATE ORIGINALS ON THE DATES SHOWN.
CORPUS. CHRISTI (CITY OF!
Authorized Contracting Entity (type above if different
from Contractor) for and in behalf of:
CONTRACTOR:
DSHS:
CORPUS CHRISTI-NUECES COUNTY PUBLIC
HEALTH DISTRICT (CITY)
DEPARTMENT OF STATE HEALTH SERVICES
By:
(Signatu
person authorized to ,ign)
0J!C1 lX K'. rJ h'--J,~ M\hJff1t(
(Name a1/'. Title.)... I
'7 .[
Date ! /1/-
. -.- (
By:
(Signature of person authorized to sign)
~
Bob Burnette, Director
Client Services Contractinl! Unit
(Name and Title)
Date: 10 I ~ I [)Lo
RECOMMENDED
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By:, .11~Z .J.. ~...J..,_ d...,-~ . ,,,,,f/'r(
(DSHS Director, if different" '.
from person authorized to sign contract
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2006-465
09/19/06
Res026988
. u
nt City Attorney
For City Attorney
Cover Page 1
DSHS
DETAILS OF ATTACHMENTS
AItJ '\ DSHS Program ID/ Term
t\md DSHS Purchase --- I
N,!! 'lrder Number Begm I End Source of
- --+ RLSSlLPHS ----- -- --t-:~~~-;,- -- - Funds*
O! 10000320478 _____(~~/Ol/06 E~ State93.991_
02 i ~:;~~ s 09/01/06 ~~3l/(~ State 93.268
DSHS Contract NO.746000574JC2007 Totals
Change No. 0 1
Financial Assistance
Direct
Assistance
Total Amount
(DSHS Share)
Amount
202.923.00
0.00
202,923.00
144,350.00
0.00
144,350.00
$347,273.00
$ 0.00
$347,273.00
"Federal funds are mdlcated by a number from the (:atalog of Federal Domestic Assistance (CFDA), if applicable. REFER TO
BUDGFT SECTION OF ANY ZERO AMOUNT A TT ACHMENT FOR DETAILS.
Cover Page 2
DOCUMENT NO. 7460005741C-2007
PROGRAM A IT ACHMENT NO. 02
PURCHASE ORDER NO. 0000320813
CONTRACTOR' CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH
DISTRICT (CITY)
DSHS PROGRAM: IMMUNIZATION BRANCH
TERM September 01, 2006 THR U: August 31, 2007
SECTION I. STATEMENT OF WORK:
Contractor shall provide essential public health services as specified in Contractor's
approved 2004 lnterlocal Application for Immunization Services, ILA 104 0003.1, dated
June 16, 2003, incorporated herein by reference and made part of this Program
Attachment. Any revislOns to these documents shall be approved by the DSHS Program
and transmitted in writing to Contractor.
DSHS may renew this Program Attachment for 1 (one) additional year term at DSHS's
sole discretion.
Contractor shall implement an immunization program for children, adolescents, and
adults, with specIal emphasis on accelerating interventions to improve the immunization
coverage of children two years of age or younger (less than 36 months of age).
Contractor shall incorporate traditional and non-traditional systematic approaches
designed to eliminate harriers. expand immunization delivery, and establish uniform
policI es
Contractor shall be enrolled as a provider in the Texas Vaccines for Children Program
(TVFC) and adhere to [he TVFC Operations Manual and policy guidelines provided by
DSHS.
Contractor shall report all reportable conditions as specified in 25 Texas Administrative
Code (TAC) Part I ~~971 - 97.6 and ~~97.101 - 97.102.
Contractor shall report all vaccine adverse event occurrences in accordance with the
National Childhood Vaccine Injury Act of 1986.
C'ontractor shall inform and educate the public about vaccines and vaccine-preventable
dIseases.
\ITACHMENT - Page 1
Contractor shall develop policies and plans that support individual and community-based
Immumzation strategies and evaluate the effectiveness, accessibility, and quality of
personal and population-based immunization services and program activities.
Contractor shall ensure a health care workforce that is knowledgeable about vaccines,
\ accme safety, vaccine-preventable diseases, and delivery of immunization services.
Contractor shall compi y with written policies and procedures provided by DSHS in
managing vaccines supplied through the TVFC program, including guidelines for proper
srorage and handling of vaccines and for safeguarding vaccine in the event of natural
dlsastel
Contractor shall Implement DSHS's new vaccine management system, the Pharmacy
Inventory Control System (PICS), as the system becomes available throughout the state
in FY 2007. Implementation wlll include using PICS in Contractor clinics, promoting the
use of the system in non-health department TVFC provider offices, and performing
updates to the system on behalf of TVFC provider offices that submit monthly doses
administered and vaccine accounting reports in hardcopy,
Contractor shall maintain an accurate, up-to-date list of clinics and sites where public
sector (free or low cost) immunization services are offered in the jurisdiction served by
the Contractor.
Contractor shall not charge a fee for vaccines supplied through the TVFC program. All
TVFC-supplied vaccines shall be used solely for purposes of this Program Attachment
and shall not be sold to agencies or individuals.
In accordance With 25 T AC S 1.91, Contractor shall not collect vaccine administration
fees from Medicaid and Children's Health Insurance Program (CHIP) recipients. Vaccine
admmistration fees collected from non-Medicaid patients shall not exceed those
established in Section fwo, Part Four of the TVFC Operations Manual. Fee schedules
shall not be based on vaccine type, formulation, or dose in series.
Contractor shall not deny vaccinations to recipients because they do not reside within
Contractor's jurisdiction or because of an inability to pay an administration fee.
\11 equipment and vaccine used by Contractor which are provided by DSHS shall be
accounted for as publIc property. The DSHS Program will investigate equipment or
\accme loss, destruction, spoilage, or other waste and may require Contractor to replace
lr reimburse the DSHS Program. This provision does not waive any other remedies
legally available to DSHS regarding contract breaches.
Contractor shall provide to the DSHS Program periodic electronic data transfers of all
vaccines administered in a format that is compatible for inclusion in the statewide
lInmunIzation registry ImmTrac, and in accordance with the schedule provided by
DSHS
A IT ACHMENT - Page 2
Contractor shall comply with all applicable federal and state laws, rules, regulations,
standards, and guidelines in effect on the beginning date of this Program Attachment
unless amended. The following documents are incorporated by reference and made a part
of thIS Program Attachment.
· Contractor's approved 2004 Interlocal Application for Immunization Services;
· Human Resources Code 942.043, VTCA;
· Education Code g~38.001-38.002, VTCA;
· Health and Safety Code ~12.032, gg81.023 and 161.001-161.009, VTCA;
· 25 T AC Chapter 97;
· 25 T AC, Chapter 96;
· 25 T AC, Chapter 100;
· 42 USC S9247b and 300 aa-25;
· Omnibus Budget Reconciliation Act of 1993,26 USC 94980B;
· DSHS's Standards for Public Health Clinic Services, revised August 31, 2004;
· DSHS's Vaccine-Preventable Disease Surveillance guidelines,
http://www.dshs.state.tx.us/immunize/vpd_main.shtm;
· DSHS's TVFC Operations Manual,
http://www.dshs.state.tx.us/immunize/tvfc/tvfc_manual.shtm;
· Centers for Disease Control and Prevention's Advisory Committee on
Immunization Practices (ACIP) guidelines, including the statement:
"Immunization of Health-Care Workers",
http://www.cdc.gov/nip/ACIP/default.htm; and,
· Standards for Child and Adolescent Immunization Practices, February 8, 2002,
recommended by the National Vaccine Advisory Committee, approved by the
United States Public Health Service, and endorsed by the American Academy of
Pediatrics. http://www .cdc. gov /ni p/publications/pink/appendices/H/standards-
pediatric. pdt.
This Contract is contingent upon the continued availability of funding. If funds become
unavailable through lack of appropriations, budget cuts, transfers of funds between
programs or health and human services agencies, amendment to the Appropriations Act,
health and human serVIces agencies consolidation, or any other disruptions of current
appropnated funding for this Contract, DSHS may restrict, reduce, or terminate funding
under this Contract.
PERFORMANCE MEASURES
A II actl vities shall be performed in accordance with Contractor's Annual Plan and
detailed budget, as approved by DSHS, based on the 2004 Interlocal Application for
ImmunIzation Services, ILA 104 0003.1, dated June 16, 2003. The following
performance measure(s \ will be used, in part, to assess Contractor's effectiveness in
providing the services described in this Program Attachment, without waiving the
enforceability of any of the terms of the Contract:c
ATTACHMENT - Page 3
Contractor shall submit 10 the DSHS Program the monthly reports of doses
administered and the monthly biological order form in a format provided by DSHS
and in accordance with the schedule provided to Contractor by DSHS. Reports
should be submitted to:
Department of State Health Services
Immunization Branch (Mail Code 1946)
1100 W. 49th Street
Austin. TX 78756
Contractor shall implement an immunization reminder and recall system to notify
parents or guardians of children less than 36 months of age when immunizations are
due or past due. The notifIcations may be automated or manual and may consist of
mall or telephone contacts.
Contractor shall utllize the AFIX (Assessment, Feedback, Incentives, and eXchange)
methodology to conduct quality assurance site-visits for all sub-contracted entities
and non-local health department Women, Infant and Children (WIC) clinics.
Assessment shall he done using the DSHS Immunization Quality Assurance Site
Visit tool and the Clinic Assessment Software Application (CASA), as specified by
the DSHS Program. Contractor shall submit assessment results to the appropriate
DSHS Regional Immunization Program manager within two (2) weeks after
completion.
Contractor shall recruit and enroll providers into the Texas Vaccines for Children
(TVFC) program and recruit and register providers to use the statewide registry,
ImmTrac, to look up child records at every visit and to report immunizations
administered as required by law.
Contractor shall perform all the activities associated with the following Objectives stated
In the 2007 renewal application:
Develop a comprehensive plan to assure that immunization services and
ACIP-recornmended vaccines are available to medically underserved and/or
under-Immunized children and adults living in areas where coverage is low
(pockets of need);
Work with local WIC programs for assessment of children's immunization
status and referral of under-vaccinated WIC enrollees for vaccination at their
medical home.
I, Build and participate in a variety of partnerships with community-based
organizations and human service agencies (internal and external to your Local
Health Department [LHD]) to promote best practices, specific activities, and
special projects to increase vaccination coverage levels for children 0 through
35 months;
-+ Ensure that expired, wasted, and unaccounted for vaccines do not exceed 5%
for DTaP, Hib, hepatitis B, IPV, MMR, PCV7, varicella, hepatitis A, and
A IT ACHMENT - Page 4
combmatIOn vaccines in LHD clinics;
"I. EffectIvely utilize ImmTrac in LHD clinics;
h Increase the number of registered provider sites actively reporting
immunizations to ImmTrac;
, Promote the effective use of ImmTrac by private providers;
x Increase the number of children less than six years of age who participate in
ImmTrac;
9. Ensure that ImmTrac data are complete, current, and accurate;
to. Increase TVFC provlder enrollment;
[1. Provide educational opportunities to public and private providers on vaccine
recommendations, the Standards for Child and Adolescent Immunization
Practices and the Standards for Adult Immunization Practices, reporting of
vaccine-preventable diseases, recordkeeping, the use of Vaccine Information
Statements (VIS), the TV PC program, and the ImmTrac registry;
12. Complete 100% of quality assurance follow-up visits assigned by DSHS
Austin or Health Service Region Staff;
13. Provide immunization services and ACIP-recommended vaccines to ensure
that children are fully vaccinated;
14. Promote adult immunization among adults in the general population and
among health care workers;
IS. Conduct educational, promotional, and outreach activities for the general
public to enhance immunization awareness;
16. Investigate and document 90% of reportable suspected vaccine-preventable
disease cases within 30 days of notification in accordance with DSHS's
Vaccine-Preventable Disease (VPD) Surveillance Guidelines;
17. Implement a comprehensive Perinatal Hepatitis B program that accomplishes
the following:
a Increase by 5% the number of hepatitis B surface antigen-positive
(HBsAg+) pregnant women identified;
b Increase by 5% the number of infants born to HBsAg+ pregnant
women that are identified;
c. Increase by 5% the number of these infants that receive one dose of
hepatitis B \ accine and HBIG within 12 hours of birth and no later
than seven days after birth;
d. Increase by 5% the number of these infants that complete the hepatitis
B vaccine series and receive post-vaccination serologic testing; and,
e Increase by 5% the number of susceptible household and sexual
contacts of HBsAg+ pregnant women that complete the hepatitis B
vaccme senes.
18. Assure that rubella susceptible women identified m public health clinics are
offered MMR;
19. Complete 100% of child-care facility and Head Start assessments assigned by
DSHS; and,
20. Complete 100% of public and pri vate school assessments and retrospective
and validation surveys assigned by DSHS.
A IT ACHMENT - Page 5
L\ctivlties may be subsequently amended as directed by the Centers for Disease Control
and Prevention (CDC) dnd DSHS. The DSHS Program must approve, in writing, any
revisIOns to the Contractor's Annual Plan.
SECTION II. SPECIAl PROVISIONS:
Contractor shall comply with Texas Health and Safety Code, Chapters 81 and 161.
Funds shall not be used for purchase of vaccines, inpatient care, construction of facilities,
or debt retirement in accordance with the DSHS 2004 Interlocal Application for
lmmum::.ation Services, dated June 16,2003.
Travel expenses shall be reimbursed according to Contractor's written travel policy
submitted with the 2007 renewal application. If no written travel policy was submitted,
travel expenses shall be reimbursed according to current state travel regulations. In no
case shall reimbursement exceed the reimbursement for hotel, per diem and mileage
allowed under the current Appropriations Act.
Monthly billings must he submitted on a State of Texas Voucher Request form no later
than the close of the following month. Vouchers may be emailed to
invOlces@dshs.state.tx.us, faxed to (512) 458-7442, or mailed to:
Texas Department of State Health Services
FIscal/Claims Processing Unit/Grants (G-206)
AITN: Randall Childers
1100 W. 49th Street
Austin, TX 78756
Contractor is required to complete and submit the following tri-annual reports utilizing a
format provided by the DSHS Program:
[Report Type
LErogrammatic _____
l Programmatic
I ProgrammaticlFinal
Re ortin Period
9/1/06 - 12/31/06
1/1/07 - 4/30/07
5/1/07 - 8/31/07
Re ort Due Date
1/30/07
5/30/07
10/15/07
Tn-annual reports should be submitted electronically to the appropriate DSHS Regional
ImmUnization Program Manager identified on the reporting form.
for immunization activities performed under this Program Attachment, General
Provisions, General Business Operations of Contractor Article, Overtime
Compensation Section is replaced with the following paragraphs:
Contractor is authorized to pay employees who are not exempt under the Fair
Labor Standards Act (FLSA), 29 USC, Chapter 8, g201 et seq., for overtime or
compensatory time at the rate of time and one-half per FLSA.
L\TTACHMENT - Page 6
t :ontractor is authorized to pay employees who are exempt under FLSA on a
,-,traight time basls for work performed on a holiday or for regular compensatory
Hme hours when the taking of regular compensatory time off would be disruptive
to normal business operations
'\uthorization for payment under this provision is limited to work directly related
to immunization activities and shall be in accordance with the amount budgeted in
this contract Attachment. Contractor shall document proper authorization or
approval for an) work performed by exempt or non-exempt employees in excess
If forty (40) hours per work week.
l..TIACHMENT - Page 7
SE<:::TION m. BUDGET
PERSONNEL
FRINGE BENEFITS
rRA VEL
EQUIPMENT
SUPPLIES
CONTRACTUAL
OTHER
$115,527.00
28,823.00
0.00
0.00
0.00
0.00
0.00
TOT AL DIRECT CHARGES
INDIRECT CHARGES
rOTAL
$144,350.00
$0.00
$144,350.00
Total reImbursements will not exceed $144,350.00.
Financial status reports are due the 30th of December. 30th of March, 30th of June, and the 30th
of October
A TI ACHMENT - Page 8
CERTIFICA TION REGARDING LOBBYING
CERTIFICA TION FOR CONTRACTS. GRANTS.
LOANS AND COOPERATIVE AGREEMENTS
The undersigned certifies, to the best of his or her knowledge and belief that:
( l) No federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or an
employee of any agency, a member of Congress in c~nnection with the awarding of any
federal contract, the making of any federal grant, the making of any federal loan, the
entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of any federal contract, grant, loan, or cooperative
agreement.
(2) If any funds other than federal appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an officer or employee of any
agency, a member of Congress, an officer or employee of Congress, or an
employee of a member of Congress in connection with this federal contract, grant,
loan, or cooperative agreement, the undersigned shall complete and submit Standard
Form-nl, "Disclosure Form to Report Lobbying," in accordance with it's
instructions.
(3) The undersigned shall require that the language of this certification be included in the
award documents for all subawards at all tiers (including subcontracts, sub grants,
and contracts under grants, loans and cooperative agreements) and that all
subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when
this traasaction was made or entered into. Submission of this certification is a prerequisite
for making or entering into this transaction impo~ by Section 1352, Title 31, U.S. Code.
Any person who fails to file the required certification shall be subject to a civil penalty of not
less thaa $10,000 and not more than $100,000 for each such failure.
~- Cj1-22-clc
Sign,fure. Date
- 1 I '~\
Print N~~-~uthl~ fI~l~:al
7460005741C 2007-02
Application or Contract Number
CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT (CITY)
Organization Name and Address
1702 HORNE ROAD
{'ORP~~ CHRIST~2 8469-C )00