HomeMy WebLinkAboutC2016-568 - 10/18/2016 - Approved DEPARTMENT OF STATE HEALTH SERVICES
jPCEOp
\_C /
AMENDMENT#: 04
The Department of State Health Services(DSHS)and Corpus Christi-Nueces County Public Health District
(Contractor)agree to amend Contract No.2014-000014-00(Contract),which was effective on September 1,
2013. This Contract has been amended 3 times prior to this Amendment.The Contract as amendment is
denominated Contract No. 2016-000014-01.
I. The Parties agree to amend Section 2 of this Contract to increase the total amount of Contract to NINE
HUNDRED SIXTY-SIX THOUSAND FIVE HUNDRED FORTY-EIGHT DOLLARS($966,548.00). The total
payment to Contractor for the period from September 1,2016 through August 31, 2017,will not exceed
TWO HUNDRED FORTY-ONE THOUSAND SIX HUNDRED THIRTY-SEVEN DOLLARS($241,637.00).
II. The Parties agree to amend Section 4 of this Contract to extend the end of the Contract term to August
31,2017.
III. The Parties agree to amend Section 7 of this Contract to add the following:
Contractor shall inform and educate the public about vaccines and vaccine-preventable diseases,as
described in the DSHS Immunization Contractors Guide for Local Health Departments(located at
http://www.dshs.state.tx.us/immunize/docs/contractor/E 11-13985_FY2017_ContractorsGuide.pdf).
For Contracts of$100,000 or more, Contractors should monitor expenditures to ensure that cumulative
budget transfers among direct cost categories,with the exception of the Equipment category, do not
exceed 25%of the Contract total budget. Transfers to or from the Equipment category require prior
approval from DSHS unless the transfers are done in accordance with the guidelines in the CFPM. Costs
that result in cumulative budget transfers among direct cost categories that exceed 25%of the total
Contract budget are subject to being disallowed unless prior approval is obtained from DSHS.
Contractors are not required to obtain approval from DSHS for cumulative budget transfers that exceed
25%among direct cost categories,other than the equipment category,for Program Attachments of less
than$100,000, provided that the total budget amount is unchanged.
Contractor shall send at least one representative to Immunization Branch mandatory
meetings held in Austin, including the 1)Immunization Branch local health department held
in the fall of every year and the 2)NFC Annual Training held in January/February of every
year. Additional mandatory meetings may be required during the contract term.
Contractor shall submit out of state travel requests to the Immunization Branch for approval
when utilizing contract funds or program income.
IV. The Parties agree to amend Section 7 of this Contract to revise the following:
Contractor shall be responsible for conducting outreach regarding vaccinations for children(19 through 35
months of age in the Contractor's jurisdiction)included on the list distributed to Contractor by the ImmTrac
Group at DSHS. Lists are distributed through ImmTrac at the start of each quarterly reporting period.
Contractor shall be responsible for conducting outreach to 17-year-olds included on the lists distributed to
the Contractor by the ImmTrac Group at DSHS to explain the lifetime registry and obtain their consent to
remain in ImmTrac as an adult. Lists are distributed on October 1st; December 1st; February 1st;April
1st;June 1st;and August 1st.
2016-568
10/18/16
Ord. 030988 Page 1 of 3
TX Dept of State Health Services INDEXED
DEPARTMENT OF STATE HEALTH SERVICES
4.,1-- :....),
TE O
AMENDMENT#: 04
Contractor shall be responsible for conducting outreach to existing ImmTrac providers that have not logged
in into ImmTrac in the last 90 days. Lists are distributed on September 1st; November 1st;January 1st;
March 1st; May 1st;and July 1st.
Contractor shall review monthly contract funding expenditures and salary savings from any contract-paid
staff vacancies and revise spending plan to ensure that all funds will be properly expended under this
contract before the end of the contract term.
Contractor shall perform activities in support of the Immunization Cooperative Agreement, HCR
Immunization and Vaccines for Children Program,from the Centers for Disease Control and Prevention.
CFDA#93.268
V. The Parties agree to amend Section 15 of this Contract to add the following:
Report Name Frequency Period Begin Period End Due Date
LHD ILA Quarterly Report Quarterly 09/01/2016 11/30/2016 12/31/2016
LHD ILA Quarterly Report Quarterly 12/01/2016 02/28/2017 03/31/2017
LHD ILA Quarterly Report Quarterly 03/01/2017 05/31/2017 06/30/2017
LHD ILA Quarterly Report Quarterly 06/01/2017 08/31/2017 09/30/2017
Financial Status Report Quarterly 09/01/2016 11/30/2016 12/31/2016
Financial Status Report Quarterly 12/01/2016 02/28/2017 03/31/2017
Financial Status Report Quarterly 03/01/2017 05/31/2017 06/30/2017
Financial Status Report Quarterly 06/01/2017 08/31/2017 10/15/2017
VI. The parties agree to amend Section 16 of this Contract to add the following:
General Provisions,ARTICLE II. Compliance and Reporting, Section 2.06,Applicable Laws and
Regulations Regarding Funding Sources, is amended by deleting Section 2.06 in its entirety and replacing
it with the following:
When applicable,federal statutes,regulations and/or federal grant requirements applicable to funding
sources and any updates to such will apply to this Contract. Contractor agrees to comply with applicable
laws,executive orders, regulations and policies,as well as Office of Management and Budget(OMB)
Circulars(as codified in Title 2,200 of the Code of Federal Regulations(CFR)and 45 CFR 75)the Uniform
Grant and Contract Management Act of 1981 (UGMA),Tex. Gov. Code Chapter 783, and Uniform Grant
Management Standards(UGMS),as revised by federal circulars and incorporated in UGMS by the
Comptroller of Public Accounts,Texas Procurement and Support Services Division. UGMA and UGMS can
be located through web links on the DSHS website at http://www.dshs.state.tx,us/contracts/links.shtm.
Contractor also shall comply with all applicable federal and state assurances contained in UGMS, Part III,
State Uniform Administrative Requirements for Grants and Cooperative Agreements§_.14. If applicable,
Contractor shall comply with the Federal awarding agency's Common Rule, and the U.S. Health and
Human Services Grants Policy Statement, both of which may be located through web links on the DSHS
website at http://www.dshs.state.tx.us/contracts/Iinks.shtm. For contracts funded by block grants,
Contractor shall comply with Tex. Gov.Code Chapter 2105.
VII. Exhibit A,Work Plan of the Contract is replaced for the period beginning on September 1, 2016,with
the attached Exhibit A-1,Work Plan.
VIII. Except as provided in this Amendment,all other terms and conditions in the Contract will remain and
Page 2 of 3
DEPARTMENT OF STATE HEALTH SERVICES
�C�E �F
AMENDMENT#: 04
be in full effect.
IX. This Amendment is effective on September 1,2016.
By signing this Amendment,the undersigned certify that they have the authority to bind their respective
party to this Amendment's terms and conditions.
Department Of State Health Services Contractor
By: Janna Zumbrun By: Ms. Margie Rose
Title: Associate Commissioner Title: City Manager
Date: October 20,2016 Date: October 19, 2016
Page 3of3
DEPARTMENT OF STATE HEALTH SERVICES
•st�cF
u, -;f11.,.;;0;
tY .-It:b4
AMENDMENT#: 04
be in full effect.
IX. This Amendment Is effective on September 1,2016.
By signing this Amendment,the undersigned certify that they have the authority to bind their respective
party to this Amendment's terms and conditions.
Department Of State Health Services Contractor
By: By
Title: Title
Date: Date
Apr oved as to fAiii 611151 I le
A 41
Au 11,1 ;1
As i .nt Crt i ne 3
For j Attorney
Page 3 of 3
DEPARTMENT OF STATE HEALTH SERVICES
1,!i',:l:::st,ift
AMENDMENT#: 04
be in full effect.
IX. This Amendment is effective on September 1,2016.
By signing this Amendment,the undersigned certify that they have the authority to bind-their respective
party to this Amendment's terms and conditions.
Department Of State Health Services Contractor -� )
By: By; C,. ICS
Title: Title_
G Y
Date: Date:
to Ili iita
ATTEST: L \--- X'C',-- I IL �-L
REBECCA HUERTA
CITY SECRETARYY
Approved as to f. . I(P
.oda 11,1 :/ �.
i` 0
As J
.nt Crti ne j
For Attorney
bid ocf12)
„u(11 1\ILL.
IT COUNCIL........1....1. e
SECKTAW.' 0
I
Page 3 of 3
Corpus Christi-Nueces County Public Health District(City) DCPS FY17 IMMUNIZATION LOCALS RENEWAL
Exhibit:Exhibit A DCPS•20174MMfLOCALS-00010
Organization Name: Corpus CluLst•Nueces County Public Heath District(City)
Contract Number. 2016-000014-01 Program ID: IMM/LOCALS
Contract Term: 91112016-613112017 Program Name: Immunization Branch-Locals
Exhibit Title: 'Exhibit A
Program Stewalydship and Accountability
Contractor General Requirement Unit Al:•
Implement a comprehensive immunization program.Activities under this requirement shall be conducted in accordance with the
Department of State Health Services(DSHS)Immunization Contractors Guide for Local Health Departments.
Activities:
•Adhere lo Standards for Child and Adolescent Immunization Practices and Standards for Adult Immunization Practices found at
htpJlwww.cdc.govlvacclnes/recslvac-adnhtnlnv-immz•stdshtm
•Maintain current policies in compliance with the DSHS immrssnization Contractors Guide for Local Health Departments and have
them available to Contractor's staff.
•Lapse no more than 5%of total funded amount of the contract.
o Maintain and adjust spending plan throughout the contract term to avoid lapsing funds.
o Account for and use Program Income appropriately tmoughout the contract term.
o Maintain staffing levels to meet required activities of the contract and to ensure that all funds In the personnel category are
expended.
o The funded amount of the contract may be reduced if more than 5 percent of the funded amount of contract Is lapsed in the
previous fiscal year.
•Submit required Quarterly Local Health Department(LHD)Inter-Local Agreement(LA)Reports to DSHS Immwdzation Contracts
at dshsi m unizationcontraclaradshs.stale bc.us by Close of Business(COB)Central Standard Time(C.S.T.)on December 31,
2016;on March 31,2017;June 30,2017:and September 30,2017 or the next business day if the date fails ons weekend or state
approved holiday.
•Submit Corrective Action Plan(CAP)letter to DSHS Contract Management Unit(CMU)within fifteen(15)business days alter
On-Site Evaluation if findings are not resolved at time of site visit to the satisfaction of the DSHS Health Service Region(HSR)
immunization Program Manager and OSHS Immunization Branch Contracts staff.
Contractor General Requirement Unit A-2:
Complete Texas Vaccines for Children(NFC)site visits.TVFC unannounced visits.and follow-up visits assigned by DSHS
immunization unization Branch or OSHS HSR Immunization Program stall within prescribed timeframes outlined in the TVFC Operations
Manual.Activities under this requirement shoe be conducted in accordance with the DSHS Immunization Contractors Guide for
Local Health Departments.
Activities:
•Conduct TVFC site visit follow-up and submit results following the process described and within deadlines established in the TVFC
Operations Manual.
•Conduct TVFC site visits in 100%of subcontracted entitles as listed In the ILA end non-LHD immunization clinics,If applicable.
•Conduct TVFC unannounced storage and handling visits at TVFC enrolled provider offices within the jurisdiction following the
process described end within deadlines established In the TVFC Operations Manual.
Contractor General Requirement Unit A-3:
Ensure that expired,wasted,and unaccounted-for vaccines do not exceed 5%In Contractor's clinics.Activities under this
requirement shall be conducted in accordance with the DSHS Immunization Contractors Guide for Local Health Departments and
TVFC Operations Manuel.
Activities:
Ensure that expired,wasted,and unaccounted-for vaccines do not exceed 5%In Contractor's clinics.
•Ensure that all expired,spoiled/wasted vaccines Is appropriately identified and entered into the Electronic Vaccine Inventory(EV1)
system.
•Maintain storage and handling policies and procedures according to the TVFC Operations ManuaL
(hip//w w.dshs.stale.lx ualimmmunizeitvfcfvfc.manuaLsftrn)
•Ensure that appropriate routine and emergency vaccine storage and handing plans are in place at each clinic location.
•Ship overstocked vaccines and vaccines approaching expiration to alternate providers for immediate use when Instructed to do so
by the DSHS HSR Immunization Program Manager to avoid vaccine waste.Contractor is responsible for covering the cost to ship
09/14/2016
Corpus Christi•Nueces County Public Health District(City) DCPS FY17 IMMUNIZATION LOCALS RENEWAL
Exhibit:Exhibit A DCPS-201T-IMM/LOCALS-00010
overstocked vaccines and vaccines approaching expiration.
Contractor General Requirement A•4:
Implement a plan to assure that vaccines provided through the TVFC program are not provided inadvertently to fully privately Insured
Individuals,including children covered by the State Children's Health Insurance Program(CHIP).
Establish and maintain protocols for screening individuals for ekgibility and insurance coverage before administering vaccines
provided through the TVFC program.Contractors may use the TVFC Program Patient ENgkiity Screening Record(C-10)and the
Adult Safety Net(ASN)Program Adult Eligibility Screening Record(EF11-12842)or electronically store this information.
Any child who,upon screening,meets one of the eligibiity criteria listed below and is 18 years of age or younger qualifies for stale
or federal vaccine through the TVFC program:
a.Eligible for Vaccine For Children(VFC)Vaccine:
•Medicaid Enrolled.
•No Health Insurance,
•American Indian or Alaskan Native,or
•Underinsured'served by a Federally Qualified Health Center(FOHC),Rural Health Clinic(RHC).or a deputized provider.
b.Eligible for State/Federal Vaccine:
•Enrolled in CHIP",or
•Other Underinsured'•'.
'Underinsured includes children with health Insurance that does not include vaccines or only covers specific vaccine types.Children
are only eligible for vaccines that are not covered by insurance.In addl ion,to receive VFC vaccine,underinsured children must be
vaccinated through a FOHC or RHC or under an approved deputized provider.The deputized provider must have a written agreement
with an FOHC/RHC and the statelotalherritoriel immunization program in order to vaccinate underinsured children.
Children enrolled in separate state CHIP.These children are considered insured and are eligible for vaccines through the TVFC
Program as long as the provider bills CHIP for Mie administration of the vaccine.
"'Other underinsured are children that are underinsured but are not eligible to receive federal vaccine through the VFC Program
because the provider or facility is not a FOHC/RHC or a deputized provider.However,these children may be served if vaccines are
provided by the state program to cover these non-VFC eligible children.
Assessing Program Performance
Contractor General Requirement Unit B-1:
Conduct educational,promotional.and outreach activities for the general public to enhance immunization awareness,Including
distribution of DSHS-provided materials.Activities under this requirement shall be conducted in accordance with the DSHS
Immunization Contractors Guide for Local Health Departments.
Activities:
•Contractor will provide vaccine and Immunization education to target audiences and to the general public on the benefits of
vaccination.the risk of vaccine-preventable diseases,stayig on the Advisory Committee an Immunization Practices(ACIP)
Recommended immunization Schedule(s),and the importance of not missing any vaccines.
•inform and educate parents of infants,children.adolescents,adults(men and women),grandparents,seniors,health-care
providers,and the general public about vaccines for all age groups and vaccine-preventable diseases.Information should include the
importance and benefits of being fully vaccinated,vaccine recommendations,and the location of community vaccination clinics.
•Conduct at least one monthly Immunization education activity specifically directed to one of the target groups as directed by the
DSHS Immunization Branch.
•Conduct at least twelve(12)outreach and educational activities during the contract period In accordance with Texas Health and
Safety Code Chapter 181,Subsection A,Section 181.0095,to each of the following audiences:health-care providers,health-care
clinks,hospitals,and any other health-care facility providing health care to adolescents 14 to 18 years of age and report results on
the Quarterly Report.Outreach and education activities must focus on the Immunization registry and the option for an Individual who
Is 18 years of age or older to consent to having their immunization records stored within the immunization registry.Additional
outreach and educational activities may focus on high schools,colleges,and universities.
•Document the activity with the number and type of participants and evaluate activity by obtaining feedback from participants.
•Use national Immunization observances as opportunities to conduct specific education end promotional activities to give emphasis
to the importance and benefits of vaccines:National Infant Immunization Week(NIIW),National Immunization Awareness Month
(N IAM).National Adult Immunization Week(NAIW).and National influenza Vaccination Week(NIVW).
•Develop and Implement a written communications and customer service plan to assure customers receive consistent,correct
immunization Inlormalbn and services In a courteous and friendly manner on a timely basis.
•Participate In special initiatives as directed by the DSHS knmunizaton Branch.such as the Dairy Queen Coupon project,the
Hallmark Card Governors Program,and others.
•Participate I statewide media campaigns by distributing DSHS-developed and produced public service announcements end
09/14/2018
Corpus Christi•Nueces County Public Health District(City) DCPS FY17 IMMUNIZATION LOCALS RENEWAL
Exhibit:Exhibit A DCPS-2017-INNNLOCALS-00010
materials to local television and radio stations,newspapers.parent publications,university newspapers,high school newspapers,
and neighborhood newspapers.
•Promote www.InurwnlzeTexas.com,the Immunization Branch's website;The Upshot,an electronic newsletter;and the Vaccine
Advisory.a vaccine newsletter,to providers in the Contractor's jurisdiction.
•Promote and distribute Immunization literature for the public to TVFC providers and Contractor's clinics.
•Provide k>fommtion to dents,families.health-care providers,and the general public on the purpose of the Texas immunization
registry,(i mmTrac);the benefits of 1mmTrac participation;and the importance of maintaining a complete Immunization history in
ImmTrac.
•Inform the general public about the TVFC and ASN Programs and the eligibility criteria for participating in the programs.
•Distribute TVFC information and educational materials at venues where parents of TVFC-eNglble children might frequent
•Distribute ASN information and educational materials at venues end clinics that serve eligible adults.
•Inform and highly recommend to the medical community and local providers within the Contractor's'jurisdiction the most current
Centers for Disease Control and Prevention(CDC)Epidemiology and Prevention of Vaccine-Preventable Disease(EP1-VAC)training.
The most current pink book,titled Epidemiology and Prevention of Vacdne.Preventable Disease can be found on the CDC website
at:(Idlp IIwww.cdc.gov/vaccines/pubs/pinkbookli dex.Mm1)
Estabiish collaborative efforts with appropriate community entities regarding promoting Immunization and the reduction of
vaccine-preventable diseases.Activities under this requirement shall be conducted in accordance with the DSHS Immunization
Contractors Guide for Local Health Departments.
Activities:
•Identify providers.hospitals,schools,child-care faaNlies,social service egerxies,and community groups involved M promoting
Immunizations and reducing vaccine-preventable diseases.
•List and maintain contact information of group members and collaborations and identify the best practices they are promoting.
•Maintain written agreements and updates of group members and collaborations.
•Document communications,group meetings,and planning of activities that promote the Best Practices Identified in contract
agreement.Documents are to be accessible during site visits.
•Report new group members on the Quarterly Report.
Contractor General Requirement Unit B-2
As directed by the 051iS Immunization Branch,complete 100 percent of assigned child-care facility and Head Start center
assessments and data-care audits.Activities under this requirement shall be conducted in accordance with the 05115
immunization Contractors Guide for Local Health Departments and Population Assessment Manual.
As directed by the OSHS Immunization Branch,complete 100 percent of assigned public and private school assessments.
retrospective surveys,and validation surveys.Activities under this requirement shall be conducted in accordance with the DSHS
Immunization Contractors Guide for Local Health Departments and Population Assessment Manual.
Activities:
•Complete and report 100 percent of required audlts/assessments as assigned by the DSHS Immunization Branch.These will
include:
o Texas Child-Cam Immunization Assessment
o Child-Care Audit
o Annual Report of immunization Status(school sell-assessments)
o School Audit
o Texas School immunization Validation Survey
o Texas County Retrospective Immunization School Survey(TCRISS)
•Assigned surveys/assessments must be completed utilizing the instructions in DSHS Immunization Contractors Guide for Local
Health Departments and the Population Assessment Manual.
•Monitor vaccination end exemptions per respective areas for completed audits/assessments.
•Analyze,provide feedback,and monitor vaccination trends for public school districts,private schools,licensed child-pre facilities,
and registered family homes to increase vaccination coverage using audit/assessment data.
•identify trends and areas of need for LHD jurisdictions and coordinate interventions.
•Collaborate with schools,licensed Bald-care centers,and registered child-care homes to identify needed improvements.Report
these resulslMdigs to the DSHS immunization Branch.
Contractor General Requirement Unit B3:
Work with TVFC providers to develop quality improvement processes to Increase coverage levels and decrease missed opportunities
using Assessment.Feedback,Incentives,and eXchange(AFIX)components,as appropriate,and move toward use of immunization
Information System(NS)as primary source of data for provider coverage level assessment Activities under this requirement shall be
conducted in accordance with the DSHS Immunization Contractors Guide for Local Health Departments and the Texas Vaccine for
09/14/2015
Corpus Chrtsti•Nueces County Public Health District(City) DCPS FY17 IMMUNIZATION LOCALS RENEWAL
Exhibit ExhibitA DCPS-2017-MMILOCALS.00010
Children(1 VFC)Program Provider Manual.
Activities:
•Conduct Inwrwnization coverage level assessments utilizing the AFIX online tool and(CoCASA)in 100%of subcontracted entities
as listed In the ILA and non-L[40 immunization clinics,if applicable.
•Conduct follow-up activities for all NFC compliance site-visits for private providers in their jurisdiction,utilizing the CDC Provider
Education.Assessment.and Reporting(PEAR)system and directly anter data into PEAR to document follow-up activities for TVFC
compliance site visits for ani sub-contracted entities and non-local health department clinics.The contractor shall submit the final
assessment results in the PEAR system within twenty-four(24)hours of conducting the visit.
•Conduct TVFC unannounced storage and handling visits at TVFC provider offices utilizing the CDC PEAR system and direWy
enter data into PEAR to document NFC Unannounced storage and handling visit results it provider offices.The contractor shall
submit the final unannounced storage and handling visit results in the PEAR system within twenty-four(24)hours of conducting the
visit.
Contractor General Requirement Unit B-4:
Investigate and document at least 90%of reportable confirmed or probable vaccine-preventable disease(VPD)cases within thirty
(30)days of Initial report to public health in accordance with DSHS Emerging and Acute Infectious Disease Guidelines at:
http:www.dshs.state.tx.uslIDCU/investigalbnflnvesdgation-Gnddancer.Activities under this requirement shall be conducted In
accordance with the DSHS Immunization Contractors Guide for Local Health Departments.
Activities:
•Adhere to the DSHS Emerging and Acute Infectious Disease Guidelines found at
hdpJlwww.dahs.state.tx.uslti3CU/invesigationfinvestigation-Guidanea,NBS Data Entry Guidelines,and current Epi-Case Criteria
Guide(both found at(hdpsJ/bmedss.dshs.state.tx.us:110091PHlNDox/UserResources!)hi conducting this General Requirement and
the associated activities.
•Complete all data entry Into NEDSS Base System(NBS)following the NBS data Entry Guidelines at
(https:/lbmedss.dahs state lx.ua:t1009/PHINDox/UserResources1).
•Verify and enter complete vaccination history M NBS on all VPD investigations with case status of confirmed or probable.
Complete vaccination history should be assessed through immTrac.provider offices,school records,or patient records.
•Routinely review and follow up on all VPD laboratory reports received,Including electronic lab reports(ELRs)sent from DSHS
through NBS and Health Alert Network(HAN).
•Provide feedback on any unmet performance measures during each Quarterly Report review.
•All new VPD survaifiance staff will attend Introduction to NBS training and complete the certification process in order to gain
access to the NBS system.
Contractor General Requirement Unit 85:
Educate,Inform,and train the medical community and local providers within Contractor's Jurisdiction on Immunization activities
listed below.Activities under this requirement shall be conducted In accordance with the DSHS Immunization Contractors Guide for
Local Health Departments.
Activities:
•Provide training on TVFC requirements and updates(as described in the TVFC Operations Manual)to TVFC providers annually at
a minimum.
•Document annual training in PEAR for each Provider identification Number(PIN)In jurisdiction.
•Ensure that the TVFC providers have the most up•to•date,DSHS-produced immunization tnfonsnation in their offices.
•Provide training,Information,and technical assistance to promote the effective use of ImmTrac by private providers(which includes
education regarding the benefits d ImmTrac paricipation).
•Educate private providers about the ImmTrac enrollment process and the statutory requirement to report immunizations.
•As directed by the DSHS Immunization Branch identify first responders and their immediate family In the community and inform
them of the opportunity to be Included In ImmTrac.
•Conduct eduatlonat training for hospital and health-care providers within the Contractor's jurisdiction,to increase mandatory
saeening and reporting of hepatitis B surface antigen(HBsAg)-positive women.
•Provide training on the prevention of Perinatal Hepatitis B to providers widin the Contractor's jurisdiction.
•Educate physicians,laboratories,hospitals,schools,child-care stall,end other health providers on VPD reporting requirements.
•Educate and update providers on the most current ACIP recommendations for ail age groups,as well as on applicable regulatory
vaccination requirements.
•Provide training relating to Standards for Child and Adolescent Immunization Practices and Standards for Adult krnruntzaton
Practices(htp://www.cdc.gov/vaccines/recalvac adminfrev.immz slde.hkn)to all immunization prov tiers within Contractor's
•inform all private providers on the federal requirement that the most current Vaccine information Statements(VIS)must be
09114/2016
Corpus Christl•Nueces County Public Health District(City) DCPS FY17 IMMUNIZATION LOCALS RENEWAL
Exhibit:Exhibit A DCPS-20174MM1LOCALS•00010
distributed to patients at:(hltp:/www.cdc.gov/vaccines/hcplvisAndex.hbni)
•Promote a healthcare workforce that is knowledgeable about vaccines,vaccine recommendations,vaccine safety.VPDs.and the
delivery of immunization services.
•Educate healthcare workers on the need to be vacdnated themselves.
•Provide Information to community health-care employers(hospitals.dirties,doctor's offices,bng4enn care fact hies)about the
importance of vaccination of health-care workers.
•Educate private providers to send National immunization Surveys(NIS)to the Contractor for research prior to returning the survey
to COC,If applicable.
•Coordinate educational and other activities with local Women Infant and Children(WIC)programs to assure that children
paiticipatng In WIC are screened and referred to their medical home for vaccination using a documented Immunization history in
accordance with the Standards for Chid and Adolescent knm unization Practices at:
hip•l1www.cdc.gov/vacdneshacdvec-adminfrevlmmz•stds.htm.
•titer educational opportunities to all WIC programs in the service area,including information about on-line and satehte broadcast
continuing education opportunities from the CDC Continuing Education web site at hap://www.cdc.govhraodnesledfdefauLhtm.
•Report on education.training.outreach activities or collaborative efforts conducted to the medical community and local providers
in the Contractor's jurisdiction and the outcomes on each Quarterly Report.
Assuring Access to Vaccines
Contractor General Requirement Unit C-1:
Engage American Indian tribal governments,tribal organizations representing those governments.and tribal epidemiology centers of
Alaskan Native Villages and Corporations located within contracted LHD boundaries in immunization activities.Activities under this
requirement shall be conducted In accordance with the OSHS immunization Contractors Guide for Local Health Departments.
Activities:
•Perform education,training.outreach activities and provide technical assistance for American Indian tribal governments,tribal
organizations representing those governments,and tribal epidemiology centers of Alaskan Native Villages and Corporations.
•Report on education,training.outreach activities,or collaborative efforts conducted to American Indian tribal governments,tribal
organizations representing those governments,and tribal epidemiology centers of Alaskan Native Villages and Corporations and the
outcomes on each Quarterly Report.
Contractor General Requirement Unit C-2:
Provide immunization on services and ACIP-recommended vaccines in Contractor's clinics to children,adolescents,and adults to
maximize vaccine coverage levels within Contractor's jurisdiction.Activities under this requirement shall be conducted in accordance
with the DSHS immunization Contractors Guide for Local Health Departments.
•Ensure that all ACP recommended vaccines are routinely available to TVFC patients.
•Ensure that all vaccines listed on the ASN vaccine formulary are available to eligible adult patients.
•Ensure that every adult uninsured client identified as at-risk for any VPD be offered vaccinations on-site and on-demand or be
provided contact information and be referred to the nearest ASN provider.A list of ASN providers can be found al
htlps:llwww.dshs.state.br.us/asnd.
•Recommend the simultaneous administration of all needed vaccines for the patient.
•Follow ohly medically supportable contraindications to vaccination.
•Verbally educate patients and parentslguardians about the benefits and risks of vaccination and distribute DSHS educational
materials.as applicable,as part of this conversation.
•Discuss,and attempt to schedule.the next immunization visit at each client encounter.
•Explain the benefits of a"medical home"and assist the parenUguardlan in obtaining or identifying the child's medical home.
•Use a Reminder/Recall manual system,Taxes Wide Immunization Client Encounter System,ImmTrac,or other system),
•Establish"standing orders"for vaccination in Contractor's clinics,consistent with legal requirements for standing orders(including,
but not limited to,those found in the Texas Medical Practice Act).
•implement an employee Immunization policy according g to CDC recommendations in Contractor's clinics.
Enroll and sustain a network of TVFC providers to administer federally funded vaccines to program-810le populations according to
COC/ACIP and National Vaccine Advisory Committee(NVAC)standards.
Conduct recruitment to increase the number of ImmTrac providers.TVFC providers,and Perinatal Hepatitis B providers.Activities
under this requirement shall be conducted in accordance with One DSHS Immunization Contractors Guide for Local Health
Departments.
Activities:
•Conduct recruitment activities as defined in tie TVFC Operations Manual with providers on the DSHS-supplied provider recruitment
list
09/14/2016
Corpus Chrlstl-Nueces County Public Health District(City) DCPS FY17 IMMUNIZATION LOCALS RENEWAL
Exhibit:Exhibit A DCPS-2017-11111/LOCALS-00010
•Target adolescent health-care providers for recruitment and emphasize adolescent vaccine requirements and recommendations
Contractor General Requirement Unit C-3:
Assure compliance with Health and Human Services(HHS)Depulization Guidance.Activities under this requirement shall be
conducted in accordance with the DSHS immunization Contractors Guide for Local Health Departments.
Activate:
•Annually sign Deputlzalion Addendum,and provide Immunization services to underinsured children.
•Report monthly the number of vaccine doses administered to underinsured clients by age categories 0-6 years and 7-18 years of
age as directed by the(SHS Immunization Branch.
•Report monthly the number of unduplicated underinsured clients served by age categories 0-6 years and 7-18 years of age as
directed by the DSHS immunization Blanch.
Contractor General Requirement Unit C-4:
Work with partners.as appropriate,to assure coordination of the following activities in order to prevent perinatal hepates B
tranarnission.
a.ldentificalion of HBsAg-positive pregnant women.
b.Timely newborn post-exposure prophylaxis(PEP)with hepatitis B vaccine and hepatitis B knmune globulin(HBIG).
c.Timely completion of doses two and three of hepatitis B vaccine.
d.Timely completion of post-vaccination urology testing.
Ensure all pregnant women are screened for HBsAg and that all HBsAg-positive pregnant women are reported to the DSHS
Immunization Branch.Activities under this requirement shall be conducted in accordance with the DSHS Immunization Contractors
Guide for Local Health Departments and Perinatal Hepatitis B Prevention Manual.
Activities:
•Develop a surveillance system that includes prenatal care providers,obstetrical and gynecological care providers,family
practitioners,and labor end delivery facilities to assure all HBsAg-poWive pregnant women are reported to the DSHS Immunization
Branch within one week of diagnosis.
•Educate prenatal care providers to ensure they are screening pregnant women for HBsAg status during each pregnancy;
implement procedures for documenting HBsAg screening results in prenatal care records,and forward original laboratory results to
the delivery facility.
•Educate delivery hospitals to ensure they verify prenatal HBsAg test results of pregnant women on admission for delivery and lest
for HBsAg at delivery,regardless of prenatal test results as required by law.
•Provide DSHS produced educational materials on how to prevent perinatal hepatitis B transmission for distribution to appropriate
clients in agencies that include WIC,religious organizations,refugeenmmtgraton assistance programs,and other community-based
organizations.
•Provide trainings,as directed by the DSHS Immunization Branch,to delivery hospitals on reporting HBsAg positive lest results for
women who have delivered at their facilites.
•Submit all Perinatal Hepatitis B educational training conducted each quarter on the Education.Training,Information,and
Collaborations(EITC)lab of the quarterly report
Ensure that ell infants born to HBsAg-positive women and women whose HBsAg status is unknown will receive the list dose of the
hepatitis B vaccine and/,WIG within 12 hours of birth.Activities under this requirement shall be conducted In accordance with the
DSHS Immunization ion Contractors Guide for Local Health Departments and Perinatal Hepatitis B Prevention Manual.
Activities:
•Ensure all labor and delivery facilities develop standing orders and policies to administer the first dose of the hepatitis 13 vaccine
and HMG to al-risk infants within 12 hours of birth.
•Identify labor and delivery facilities that do not have standing orders and/or policies and educate providers to establish standing
orders and policies to administer to at-risk infants the first dose of the hepatitis B vaccine and HBIG within 12 hours of birth.
•Determine the number of newborns that do not receive the rust dose of the hepatitis B vaccine and/or HBIG and work with those
facilities to ensure all at-risk infants receive the hepatitis B vaccine series and MEG within 12 hours of birth.
•Report to the DSHS immunization Branch all infants born to HBsAg•positive women within fifteen(15)calendar days of the event
Ensure that 100%of the number of identified infants born to HBsAg-positive women wIl complete the hepatitis B vaccine series and
post-vaccination serology testing.Activities under this requirement shall be conducted in accordance with the DSHS Immunization
Contractors Guide for Local Health Departments and Perinatal Hepatitis B Prevention Manual.
Activities:
•Administer or obtain from the provider or ImmTrac the complete hepatitis B vaccine series.infants shall complete the hepatitis B
vaccine series by 6to 8 months of age if the infant receives a single antigen or Pediarbee vaccine.
•Perform post-vaccination serologic lasting or obtain from the provider the post-vaccination serologic testing results to determine
immunity against hepatitis B.Post vaccination serologic tasting shall be done by 9 months of age K the infant received a single
09/14/2016
Corpus Christi-Nunes County Public Health District(City) DCPS FY1T IMMUNIZATION LOCALS RENEWAL
Exhibit:Exhibit A DCPS-2017 10
antigen or Pedlarix®vaccine.
•For al cases documented as a lost to follow-up on the Perinatal Hepatitis B case management form,report the number and types
of attempted activities performed in locating the mother or guardian of the Infant to the OSHS Immunization Branch on the Perinatal
Hepatitis 13 case management form.
Contractor General Requirement Unit C-5:
Al household contacts over 24 months of age and sexual partners of reported HBsAg-positive women shall be referred for serologic
testing to determine susceptibility status In accordance with the DSHS immunization Contractors Guide for Local Health
Departments and Perinatal Hepatitis B Prevention Manual
Household contacts over the age of 24 months and sexual contacts are not eligible for the program.They should be referred to
health care jtroviders for screening and vatclnatbn If susceptible.The number of contacts over age 24 Months identified and refined
lo e health care provider is to be documented on the woman's case management form.
Ensure al household contacts below or equal to 24 months of age are case managed as appropriate to ensure the infant completes
the hepatitis B vaccine series and receives post-vaccination serologic lasting as needed.A contact case management form should
be compieted for all contacts under or equal to 24 months of age and case management activities performed.
immunization Information Technology infrastructure-Assure that the immunization information technology infrastructure supports
program goals and objectives.
Contractor General Requirement Unit 0-1:
Promote provider site participation and assure immunization record completeness,timeliness,accuracy.efficiency,and dela use to
support immunization program goals end objectives.
Effectively utilize ImmTrac,the statewide immunization registry.In Contractors'clinics.
Work in good faith,and as specified herein,to increase overall enrolment into ImmTrac for al age groups including adults.
Work in good faith and as specified herein,to ensure ImmTrac registered private providers use ImmTrac effectively as defined in the
DSHS immunization Contractors Guide for Local Health Departments.
Activities under the requirements above shah be conducted in accordance with the DSHS Immunization Contractors Guide for Local
Health Departments
Activities:
•Recruit new private provider sites for immTrac.
•Search for the client's immunization history at every client encounter.
•Review the client's record for vaccines due and overdue according to the CDC Recommended Schedules at:
hltp://www.cdc.govtvaccinesischodulesfindest.html.
•Report to ImmTrac all immunizations admNstered to children(younger than 1!y years of age)and consented adults In
Contractor's clinics,either directly into ImmTrac or through TWICES.
•Follow and explain recommended guidelines for obtaining and submitting ImmTrac consent forms according to the Instructions
found at htlpJMwww.dshs.state.b4usfImmunize/docslconsentyuideines.pdf.
•Offer updated Immunization History Report to the client or client's parent or guardian at every client encounter.
•At every client encounter,compare al immunization histories(ImmTrac,TWICE.%validated patient-held records,clinic medical
record)and enter into ImmTrac any historical immunizations not in ImmTrac.
•Verbally and with DSHS produced literature,inform parents presenting at Contractor's clinics about knmTrac and the benefits of
inclusion in ImmTrac.
•Provide orientation to al ImmTrac providers at least once a year and maintain documentation of all technical assistance provided
(e.g..telephone logs).
•Explain and demonstrate the effective use of ImmTrac according to the instructions located in the DSHS immunization Contractors
Guide for Local Health Departments.
•Conduct follow-up with registered IrxmTrac providers who are inactive or not using ImmTrec effectively.
•Train ImmTrac providers'staff on ImmTrac data entry and quality standards.
•Update all demographic information,including address and telephone number,at every client encounter.
•Conduct outreach(Including,but not limited to,the specific outreach described in the DSHS Immunization Contractors Guide for
Local Health Departments)to families of children 19 to 35 months of age who are not up-to-date on their Immunizations according to
ImmTrac locate additional immunization histories;and enter history data Into ImmTrac.
•Collaborate with prenatal health-care providers,birth registrars,hospital staff,pediatricians,and other entitles to educate parents.
expectant parents.and providers about ImmTrac and the benefits of participation.Includes the dissemination of DSHS educational
materials as appropriate.
•Identify and contact families of children for whom ImmTrac consent has been granted but who do not have complete immunization
records In ImmTrac.
•Identify all providers who administer vaccine in'warden's jurisdiction,Including both pediatric and adult Immunization providers.
09114/2016
Corpus Chrtstl.Nueces County Public Health District(City) °CPS FY17 IMMUNIZATION LOCALS RENEWAL
Exhibit:Exhibit A DCPS-20174MM/LOCALS-00010
•Collaborate with partners and develop a provider recruitment strategy to Include complementary vaccinators,such as pharmacists
and school-located vaccination clinics.
•Encourage ImmTrac participation among providers.
•Use and train providers on the use of the new ItS es the system becomes available.
Contractors General Requirement Unit 0-2:
Assure provider participation in vaccine ordering and inventory management using the Electronic Vaccine inventory(EVA)system.
•Educate providers regarding vaccine ordering policies.
•Train providers to use the EVI system for inventory and order entry.
•Train providers on the use of the new IIS system as the system becomes available.
Assist all other TVFC providers IN local Jurisdiction with maintenance of appropriate vaccine stdck levels.Activities under this
requirement shall be conducted in accordance with the DSHS Immunization Contractors Guide for Local Health Departments and
the current NFC Operations Manual.
Activities:
•Evaluate maximum vaccine stock levels twice a year in all TVFC provider clinics under Contractor's jurisdiction and assess
providers'Inventories when visiting clinics.
•Review 100%of monthly biological reports,vaccine orders(when applicable),and temperature recording forms for accuracy and to
ensure that the vaccine supply is appropriately maintained and within established maximum stock levels.Review and approval For
vaccine orders(when applicable)must be documented in EVI.
•Ship overstocked vaccines and vaccines approaching expiration to altercate providers for immediate use when instructed to do so
by the DSHS HSR Immunization Program Manager to avoid vaccine waste.Contractor is responsible for covering the cost to ship
overstocked vaccines and vaccines approaching expiration.
•if vaccine is available locally,submit Vaccine Transfer Authorization Form(EC.67)to DSHS HSR immunization Program Managers
for approval prior to conducting transfers endlor deliveries to support the TVFC providers requesting assistance.
•Educate and assist all NFC providers with NFC Provider Choice,as directed by the DSHS Immunization Branch.
•Offer provider updates,training,and information as changes to vaccine management occur.
09/1412016
Corpus Christi-Nueces County Public Health District(City) DCPS FY17 IMMUNIZATION LOCALS RENEWAL
Fiscal Federal Funding Accountability and Transparency Act(FFATA)Certification DCPS-2017-IMM/LOCALS-00010
Organization Name Corpus Christi-Nueces County Public Health District(City)
Address 1702 Home Road
City Corpus Christi State Texas Zip Code(9 digit) 78416
Payee Name City of Corpus Christi
Address PO BOX 9277
City Corpus Christi State TX Zip Code(9 digit) 78469-9277
Vendor identification No. 17460005741 MailCode 027
Payee DUNS No. 069457786
1. Did your organization have a gross income,from all sources, of more than$300,000 in your previous tax
year?
Yes No
2.Certification Regarding%of Annual Gross from Federal Awards.
Did your organization receive 80%or more of its annual gross revenue from federal awards during the
preceding fiscal year?
Yes No
3.Certification Regarding Amount of Annual Gross from Federal Awards.
Did your organization receive$25 million or more in annual gross revenues from federal awards in the
preceding fiscal year?
Yes No
4.Certification Regarding Public Access to Compensation Information.
Does the public have access to information about the compensation of the senior executives in your
business or organization(including parent organization,all branches, and all affiliates worldwide)through
periodic reports filed under section 13(a)or 15(d)of the Securities Exchange Act of 1934(15 U.S.C.
78m(a),78o(d))or section 6104 of the Internal Revenue Code of 1986?
Yes No
If Yes,where can this information be found?
If No,you must provide the names and total compensation of the top five highly compensated officers.
Example:John BIum:500000;Mary Redd:50000;Eric Gant:400000;Todd PIatt:300000;Sally Tom:300000
10/21/2016
Corpus Christi-Nueces County Public Health District(City) DCPS FY17 IMMUNIZATION LOCALS RENEWAL
Fiscal Federal Funding Accountability and Transparency Act(FFATA)Certification DCPS-2017-IMM/LOCALS-00010
Identify contact persons for FFATA Correspondence.
FFATA Contact Person#1
Name Constance Sanchez
Email Constancep@cctexas.com
Telephone (361)826-3227
FFATA Contact Person#2
Name Blandina Costley
Email BlandinaC@cctexas.com
Telephone (361)826-7252
As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification
form are true,complete and correct to the best of my knowledge.
E-Signature Date
Ms.Annette Rodriguez 10/19/2016
10/21/2016