HomeMy WebLinkAboutC2016-570 - 10/18/2016 - Approved DEPARTMENT OF STATE HEALTH SERVICES
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AMENDMENT#: 01
The Department of State Health Services(DSHS)and Corpus Christi-Nueces County Public Health District
(Contractor)agree to amend Contract No.2016-001398-00(Contract),which was effective on September 1,
2015. This Contract has been not been amended prior to this Amendment.
I. The Parties agree to amend Section II of this Contract to add SIXTY-ONE THOUSAND SIX HUNDRED
FORTY-FIVE DOLLARS($61,645.00)to increase the total amount that the Contract will not exceed to
ONE HUNDRED TWENTY-THREE THOUSAND TWO HUNDRED NINETY DOLLARS($123,290.00).
II. The Parties agree to amend Section IV this Contract to extend the end of the Contract term to August
31,2017.
III. The Parties agree that the amended Contract will be denominated Contract No.2016-001398-01 for
administrative purposes.
IV. The Parties agree to amend Section 7-A PROVISION OF SERVICES of this Contract by adding the
following:
The Contractor may,at its discretion,elect to provide directly observed therapy(DOT)using a video
platform.To the extent Contractor elects to utilize DOT using a video platform, it comply with the
requirements outlined in the Requirement and Recommendation Guidance Document for Video DOT
located at http://www.texastb.org.
V. The Parties agree to delete in its entirety Section 7-C MEDICATIONS AND SUPPLY INVENTORY
MANAGEMENT of this Contract and replace it with the following:
Contractor shall order TB medications through DSHS-enabled pharmacy ordering system.Contractor shall
ensure that TB medications purchased with DSHS TB Branch funds are used in a prudent manner that
contributes to disease control in their service area and shall not be distributed to other entities.
Contractor shall monitor and manage its usage of medications and testing supplies furnished by DSHS in
accordance with first-expiring-first-out(FEFO)principles of inventory control to minimize waste for those
products with expiration dates and set maximum stock levels at a 1-month supply and based on the
number of patients receiving treatment.
Between the first and the seventh working day of every month,the Contractor shall perform a physical
count of its inventory of medications and supplies furnished by DSHS and appropriately reconcile the
quantities by product and lot number in the Inventory Tracking Electronic and Asset Management System
(ITEAMS). Failure to reconcile in(TEAMS may prohibit release of medications.All DSHS-purchased
medications shall be stored properly and securely, in accordance with manufacturer's instructions(refer to
TB Work Plan,Section V).
Products that have not been used in nine(9)months,or will not be used in nine(9)months shall be
returned to DSHS Pharmacy or transferred to another TB program where the demand may be greater and
recorded in ITEAMS.
Contractor shall obtain a TB expert physician consultation and approval from the TB Branch prior to
ordering the following second-line medications:
2016-570
10/18/16 Page 1 of 5
Ord. 030987
TX Dept of State Health Services INDEXED
DEPARTMENT OF STATE HEALTH SERVICES
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AMENDMENT#: 01
•Injectable Agents: capreomycin,kanamycin,amikacin,streptomycin;
•Fluoroquinolones: levofloxacin(Levoquin),ciprofloxacin, moxifloxacin,ofloxacin;
•Bacteriostatic Agents: ethionamide,para-aminosalicylic acid,cycloserine;and
•Other Agents: clofazamine, linezolid,bedaquiline,clarithromycin,amoxicillin.
Contractor may distribute Purified Protein Derivative(PPD)and syringes for TB skin testing to correctional
facilities that meet Texas Health and Safety Code, Chapter 89 requirements. Contractor shall monitor
distribution of these items in accordance with screening activities submitted on the correctional monthly
report.
VI. The Parties agree to delete in its entirety Section 7-D
USE OF INTERFERON GAMMA RELEASE ASSAY TESTS of this Contract and replace it with the
following:
I. Perform tuberculosis screenings using DSHS-supplied interferon gamma release assays(IGRA). DSHS
reserves the right to select either T-SPOT®.TB and/or QuantiFERONID—TB Gold in-tube tests for the
following populations in accordance with DSHS-approved age requirements:
a.TB suspects;
b.TB cases;
c. Contacts to TB suspects and cases—Consultation with the TB Branch is required for contact
investigations in which 50 or more persons are targeted for screening;
d.Targeted testing except screening in correctional facilities—Monthly screening reports shall be
submitted in accordance with reporting schedule;and
e. Routine screening of employees providing TB services.
2. IGRA testing products/supplies supported by DSHS funds shall not be provided to any organization or
establishment without documented approval from the TB Branch.
VII. The Parties agree to amend Section 7-F REPORTING of this Contract by adding the following:
1. Provide a complete and accurate Annual Progress Report covering the period from January to
December 2016,in the format provided by DSHS,demonstrating compliance with requirements of the
contract during that time period.The report shall include, but is not limited to,a detailed analysis of
performance related to the performance measures(see Section II FY16 Performance Measures).
2. The Contractor's Annual Progress Report shall not be combined with another Contractor's or health
service region's Annual Progress Report.The report is due March 15,2017,and shall be sent to the TB
Reporting Mailbox at TBContractReporting@dshs.state.tx.us(refer to TB Work Plan, Section IX, 0).Any
individual-level patient data must be sent via the PHIN.Contractors can mail the Annual Progress Report to
their DSHS Health Service Region(HSR)thereby authorizing them to submit the report on their behalf. If
the Contractor sends the report to a DSHS HSR,the deadline for submission to the TB Branch remains
unchanged.
VIII. The Parties agree to amend Section 7-Performance Measures of this Contract by adding the
following:
1. For FY17 reporting,data will be drawn from calendar year 2016(1/1/2016-12/31/2016). A compliance
percentage of not less than 82.9%is required. If fewer than 82.9%of newly reported TB cases have a
result of an HIV test reported,then DSHS may(at its sole discretion)require additional measures be taken
by Contractor to improve that percentage,on a timeline set by DSHS.
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DEPARTMENT OF STATE HEALTH SERVICES
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AMENDMENT#: 01
2. Cases,and suspected cases,of TB under treatment by Contractor shall be placed on timely and
appropriate Directly Observed Therapy(DOT).
For FY17 reporting,data will cover all cases from calendar year 2016(1/1/2016-12/31/2016). A
compliance percentage of not less than 91.6%is required.
If data indicates a compliance percentage for this Performance Measure of less than 91.6%,then DSHS
may(at its sole discretion)require additional measures be taken by Contractor to improve that percentage,
on a timeline set by DSHS.
3. Newly-reported suspected cases of TB disease shall be started in timely manner on the recommended
initial 4-drug regimen. For FY17 reporting,data will be drawn from calendar year 2016(1/1/2016
-12/31/2016). A compliance percentage of not less than 93.4%is required. If fewer than 93.4%of
newly-reported TB cases are started on an initial 4-drug regimen in accordance with this requirement,then
DSHS may(at its sole discretion)require additional measures be taken by Contractor to improve that
percentage,on a timeline set by DSHS.
4. Newly-reported TB patients that are older than 12-years-old and that have a pleural or respiratory site of
disease shall have sputum acid-fast bacilli(AFB)-culture results reported to DSHS according to the
timelines for reporting initial and updated results given herein.
For FY17 reporting,data will be drawn from calendar year 2016(1/1/2016-12/31/2016). A compliance
percentage of not less than 91.5%is required.
If data indicates a compliance percentage for this Performance Measure of less than 91.5%,then DSHS
may(at its sole discretion)require additional measures be taken by Contractor to improve that percentage,
on a timeline set by DSHS.
5. Newly-reported cases of TB with AFB positive sputum culture results will have documented conversion
to sputum culture-negative within 60 days of initiation of treatment. For FY17 reporting,data will be drawn
from calendar year 2015(1/1/2015-12/31/2015). A compliance percentage of not less than 95%is
required. If data indicates a compliance percentage for this Performance Measure of less than 95%,then
DSHS may(at its sole discretion)require additional measures be taken by contractor to improve the
percentage,on a timeline set by DSHS.
6. Newly diagnosed TB cases that are eligible*to complete treatment within 12 months shall complete
therapy within 365 days or less.*Exclude TB cases 1)diagnosed at death,2)who die during therapy, 3)
who are resistant to Rifampin,4)who have meningeal disease, and/or 5)who are younger than 15 years
with either miliary disease or a positive blood culture for TB. For FY17 reporting,data will cover all cases
from calendar year 2016(1/1/2016-12/31/2016). A compliance percentage of not less than 87%is
required. If data indicates a compliance percentage for this Performance Measure of less than 87%,then
DSHS may(at its sole discretion)require additional measures be taken by Contractor to improve that
percentage,on a timeline set by DSHS.
7. Increase the proportion of culture-confirmed TB cases with a genotyping result reported. For FY17
reporting,data will be drawn from calendar year 2016(1/1/2016-12/31/2016). A compliance percentage of
not less than 94.2%is required. If data indicates a compliance percentage for this Performance Measure
of less than 94.2%,then DSHS may(at its sole discretion)require additional measures be taken by
Contractor to improve that percentage,on a timeline set by DSHS.
8. TB cases with initial cultures positive for Mycobacterium tuberculosis complex shall be tested for drug
susceptibility and have those results documented in their medical record. For FY17 reporting,data will be
drawn from calendar year 2015(1/1/2015-12/31/2015). A compliance percentage of not less than 97.8%
is required. If data indicates a compliance percentage for this Performance Measure of less than 97.8%,
then DSHS may(at its sole discretion)require additional measures be taken by Contractor to improve that
Page 3 of 5
DEPARTMENT OF STATE HEALTH SERVICES
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AMENDMENT#: 01
percentage,on a timeline set by DSHS.
9. Newly-reported TB patients with a positive AFB sputum-smear result shall have at least three contacts
identified as part of the contact investigation that must be pursued for each case. For FY17 reporting,data
will be drawn from calendar year 2016(1/1/2016-12/31/2016). A compliance percentage of not less than
92%is required. If data indicates a compliance percentage for this Performance Measure of less than
92%,then DSHS may(at its sole discretion)require additional measures be taken by Contractor to
improve that percentage,on a timeline set by DSHS.
10. Newly-identified contacts, identified through the contact investigation,that are associated with a
sputum AFB smear-positive TB case shall be evaluated for TBI and disease. For FY17 reporting,data will
be drawn from calendar year 2015(1/1/2015-12/31/2015). A compliance percentage of not less than
82.5%is required. If data indicates a compliance percentage for this Performance Measure of less than
82.5%,then DSHS may(at its sole discretion)require additional measures be taken by Contractor to
improve that percentage,on a timeline set by DSHS.
11. Contacts,identified through the contact investigation,that are associated with a sputum AFB
smear-positive case and that are newly diagnosed with TBI shall be started on timely and appropriate
treatment. For FY17 reporting,data will be drawn from calendar year 2015(1/1/2015-12/31/2015). A
compliance percentage of not less than 70%is required. If data indicates a compliance percentage for this
Performance Measure of less than 70%,then DSHS may(at its sole discretion)require additional
measures be taken by Contractor to improve that percentage,on a timeline set by DSHS.
12. Contacts,identified through the contact investigation,that are associated with a sputum AFB
smear-positive case that are newly diagnosed with TBI and that were started on treatment shall complete
treatment for TBI as described in Targeted Tuberculin Testing and Treatment of Latent TB Infection(LTBI),
Morbidity and Mortality Weekly Report,Vol.49, No. RR-6,2000;according to timelines given,therein. For
FY17 reporting,data will be drawn from calendar year 2016(1/1/2016-12/31/2016). A compliance
percentage of not less than 50%is required. If data indicates a compliance percentage for this
Performance Measure of less than 50%,then DSHS may(at its sole discretion)require additional
measures be taken by Contractor to improve that percentage,on a timeline set by DSHS.
13. For Class B immigrants and refugees with abnormal chest x-rays read overseas as consistent with TB,
increase the proportion who initiate a medical evaluation within 30 days of arrival. Arrival is defined as the
first notice or report;whether that is by fax,phone call,visit to the health department or EDN notification.
For FY17 reporting,data will be drawn from calendar year 2016(1/1/2016-12/31/2016). A compliance
percentage of not less than 62% is required. If data indicates a compliance percentage for this
Performance Measure of less than 62%,then DSHS may(at its sole discretion)require additional
measures be taken by Contractor to improve that percentage,on a timeline set by DSHS.
14. For Class B immigrants and refugees with abnormal chest x-rays read overseas as consistent with TB,
increase the proportion who initiate and complete a medical evaluation within 90 days of arrival. For FY17
reporting data will be drawn from calendar year 2016(1/1/2016-12/31/2016). A compliance percentage of
not less than 60%is required. If data indicates a compliance percentage for this Performance Measure of
less than 60%,then DSHS may(at its sole discretion)require additional measures be taken by Contractor
to improve that percentage,on a timeline set by DSHS.
15. For Class B immigrants and refugees with abnormal chest x-rays read overseas as consistent with TB
and who are diagnosed with TBI during evaluation in the US, increase the proportion who start treatment.
For FY17 reporting,data will be drawn from calendar year 2016(1/1/2016-12/31/2016). A compliance
percentage of not less than 64%is required. If data indicates a compliance percentage for this
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DEPARTMENT OF STATE HEALTH SERVICES
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AMENDMENT#: 01
Performance Measure of less than 64%,then DSHS may(at its sole discretion)require additional
measures be taken by Contractor to improve that percentage,on a timeline set by DSHS.
16. For Class B immigrants and refugees with abnormal chest x-rays read overseas as consistent with
TB and who are diagnosed with TB infection during evaluation in the US and started on treatment, increase
the proportion who complete treatment for TB infection. For FY17 reporting,data will be drawn from
calendar year 2015(1/1/2015-12/31/2015). A compliance percentage of not less than 70%is required. If
data indicates a compliance percentage for this Performance Measure of less than 70%,then DSHS may
(at its sole discretion)require additional measures be taken by Contractor to improve that percentage,on a
timeline set by DSHS
If Contractor fails to meet any of the performance measures,Contractor shall furnish in the Annual
Progress Report,due March 15,2017,a written narrative explaining the barriers and the plan to address
those barriers. This requirement does not excuse any violation of this Contract, nor does it limit DSHS as
to any options available under the contract regarding breach
X. The Parties agree to amend Section 16 of this Contract to add the following:
General Provisions,ARTICLE XXI.PROGRAM OPERATIONS, Section 21.05, Contractor's Notification of
Change to Certain Contract Provisions to replace it with the following:
Subject to the following restrictions,without prior approval, Contractor may transfer money between budget
categories and must provide the System Agency Contract Manager with prior notification of this transfer.
No budget category transfer or cumulative transfers may exceed 25%of the total contract value or
$100,00,whichever is less. If the budget transfer(s)exceeds$100,000,alone or cumulatively,prior written
approval from the System Agency is required. If the budget transfer(s)exceeds 25%of the total contract
value,alone or cumulatively,a formal contract amendment is required.
X. Except as provided in this Amendment,all other terms and conditions in the Contract will remain and
be in full effect.
Xl. 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 21,2016 Date: October 19,2016
Page 5 of 5
•
Corpus Christi-Nueces County Public Health District(City) DCPS FY17 TB/State RENEWAL
Fiscal Federal Funding Accountability and Transparency Act(FFATA)Certification DCPS-2017-TB/PC-ST-00013
•
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
10/27/2016
Corpus Christi-Nueces County Public Health District(City) DCPS FY17 TB/State RENEWAL
Fiscal Federal Funding Accountability and Transparency Act(FFATA)Certification DCPS-2017-TB/PC-ST-00013
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
10/27/2016
Corpus Christi-Nueces County Public Health District(City) DCPS FY17 TB/State RENEWAL
Signature Page DCPS-2017-111/PC-ST-00013
DEPARTMENT OF STATE HEALTH SERVICES
Amendment#01
The Department of State Health Services (DSHS) and Corpus Christi-Nueces County Public Health District
(Contractor)agree to amend Contract No. 2016-001398-00(Contract),which was effective on September 1,
2015. This Contract has been not been amended prior to this Amendment.
I.The Parties agree to amend Section II of this Contract to add SIXTY-ONE THOUSAND SIX HUNDRED
FORTY-FIVE DOLLARS ($61,645.00)to increase the total amount that the Contract will not exceed to ONE
HUNDRED TWENTY-THREE THOUSAND TWO HUNDRED NINETY DOLLARS ($123,290.00).
II.The Parties agree to amend Section IV this Contract to extend the end of the Contract term to August 31,
2017.
Ill. The Parties agree that the amended Contract will be denominated Contract No. 2016-001398-01 for
administrative purposes.
IV. The Parties agree to amend Section 7-A PROVISION OF SERVICES of this Contract by adding the
following:
The Contractor may, at its discretion, elect to provide directly observed therapy(DOT)using a video platform.
To the extent Contractor elects to utilize DOT using a video platform, it comply with the requirements outlined in
the Requirement and Recommendation Guidance Document for Video DOT located at http://www.texastb.org.
V.The Parties agree to delete in its entirety Section 7-C MEDICATIONS AND SUPPLY INVENTORY
MANAGEMENT of this Contract and replace it with the following:
Contractor shall order TB medications through DSHS-enabled pharmacy ordering system. Contractor shall
ensure that TB medications purchased with DSHS TB Branch funds are used in a prudent manner that
contributes to disease control in their service area and shall not be distributed to other entities.
Contractor shall monitor and manage its usage of medications and testing supplies furnished by DSHS in
accordance with first-expiring-first-out(FEFO)principles of inventory control to minimize waste for those
products with expiration dates and set maximum stock levels at a 1-month supply and based on the number of
patients receiving treatment.
Between the first and the seventh working day of every month, the Contractor shall perform a physical count of
its inventory of medications and supplies furnished by DSHS and appropriately reconcile the quantities by
product and lot number in the Inventory Tracking Electronic and Asset Management System (ITEAMS). Failure
to reconcile in !TEAMS may prohibit release of medications.All DSHS-purchased medications shall be stored
properly and securely, in accordance with manufacturer's instructions (refer to TB Work Plan, Section V).
Products that have not been used in nine (9)months, or will not be used in nine (9) months shall be returned to
DSHS Pharmacy or transferred to another TB program where the demand may be greater and recorded in
!TEAMS.
Contractor shall obtain a TB expert physician consultation and approval from the TB Branch prior to ordering
the following second-line medications:
-Injectable Agents:capreomycin, kanamycin, amikacin, streptomycin;
•Fluoroquinolones: levofloxacin (Levoquin), ciprofloxacin, moxifloxacin, ofloxacin;
-Bacteriostatic Agents: ethionamide, para-aminosalicylic acid, cycloserine; and
-Other Agents: clofazamine, linezolid, bedaquiline, clarithromycin, amoxicillin.
Contractor may distribute Purified Protein Derivative (PPD)and syringes for TB skin testing to correctional
facilities that meet Texas Health and Safety Code, Chapter 89 requirements. Contractor shall monitor
distribution of these items in accordance with screening activities submitted on the correctional monthly report.
VI.The Parties agree to delete in its entirety Section 7-D
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Corpus Christi-Nueces County Public Health District(City) DCPS FY17 TB/State RENEWAL
Signature Page DCPS-2017-TB/PC-ST-80013
USE OF INTERFERON GAMMA RELEASE ASSAY TESTS of this Contract and replace it with the following:
I. Perform tuberculosis screenings using DSHS-supplied interferon gamma release assays (IGRA). DSHS
reserves the right to select either T-SPOT®.TB and/or QuantiFERONS—TB Gold in-tube tests for the following
populations in accordance with DSHS-approved age requirements:
a.TB suspects;
b.TB cases;
c. Contacts to TB suspects and cases—Consultation with the TB Branch is required for contact investigations
in which 50 or more persons are targeted for screening;
d.Targeted testing except screening in correctional facilities—Monthly screening reports shall be submitted in
accordance with reporting schedule; and
e. Routine screening of employees providing TB services.
2. IGRA testing products/supplies supported by DSHS funds shall not be provided to any organization or
establishment without documented approval from the TB Branch.
VII.The Parties agree to amend Section 7-F REPORTING of this Contract by adding the following:
1. Provide a complete and accurate Annual Progress Report covering the period from January to December
2016, in the format provided by DSHS, demonstrating compliance with requirements of the contract during that
time period. The report shall include, but is not limited to, a detailed analysis of performance related to the
performance measures (see Section II FY16 Performance Measures).
2.The Contractor's Annual Progress Report shall not be combined with another Contractor's or health service
region's Annual Progress Report. The report is due March 15, 2017, and shall be sent to the TB Reporting
Mailbox at TBContractReporting@dshs.state.tx.us (refer to TB Work Plan, Section IX, 0). Any individual-level
patient data must be sent via the PHIN. Contractors can mail the Annual Progress Report to their DSHS Health
Service Region (HSR)thereby authorizing them to submit the report on their behalf. If the Contractor sends the
report to a DSHS HSR,the deadline for submission to the TB Branch remains unchanged.
VIII. The Parties agree to amend Section 7- Performance Measures of this Contract by adding the following:
1. For FY17 reporting, data will be drawn from calendar year 2016 (1/1/2016-12/31/2016).A compliance
percentage of not less than 82.9% is required. If fewer than 82.9% of newly reported TB cases have a result of
an HIV test reported, then DSHS may (at its sole discretion)require additional measures be taken by
Contractor to improve that percentage, on a timeline set by DSHS.
2. Cases, and suspected cases, of TB under treatment by Contractor shall be placed on timely and appropriate
Directly Observed Therapy(DOT).
For FY17 reporting, data will cover all cases from calendar year 2016 (1/1/2016-12131/2016).A compliance
percentage of not less than 91.6% is required.
If data Indicates a compliance percentage for this Performance Measure of less than 91.6%,then DSHS may
(at its sole discretion) require additional measures be taken by Contractor to improve that percentage, on a
timeline set by DSHS.
3. Newly-reported suspected cases of TB disease shall be started in timely manner on the recommended initial
4-drug regimen. For FY17 reporting, data will be drawn from calendar year 2016 (1/1/2016-12/31/2016).A
compliance percentage of not less than 93.4% is required. If fewer than 93.4%of newly-reported TB cases are
started on an initial 4-drug regimen in accordance with this requirement, then DSHS may(at its sole discretion)
require additional measures be taken by Contractor to improve that percentage, on a timeline set by DSHS.
4. Newly-reported TB patients that are older than 12-years-old and that have a pleural or respiratory site of
disease shall have sputum acid-fast bacilli (AFB)-culture results reported to DSHS according to the timelines
for reporting initial and updated results given herein.
For FY17 reporting,data will be drawn from calendar year 2016 (1/1/2016-12/31/2016).A compliance
percentage of not less than 91.5% is required.
If data indicates a compliance percentage for this Performance Measure of less than 91.5%, then DSHS may
08/22/2016
Corpus Christi-Nueces County Public Health District(City) DCPS FY17 TB/State RENEWAL
Signature Page DCPS-2017-113/PC-ST-00013
(at its sole discretion)require additional measures be taken by Contractor to improve that percentage, on a
timeline set by DSHS.
5. Newly-reported cases of TB with AFB positive sputum culture results will have documented conversion to
sputum culture-negative within 60 days of initiation of treatment. For FY17 reporting, data will be drawn from
calendar year 2015(1/1/2015-12/31/2015). A compliance percentage of not less than 95% is required. If data
indicates a compliance percentage for this Performance Measure of less than 95%,then DSHS may(at its
sole discretion)require additional measures be taken by contractor to improve the percentage, on a timeline
set by DSHS.
6. Newly diagnosed TB cases that are eligible*to complete treatment within 12 months shall complete therapy
within 365 days or less.*Exclude TB cases 1) diagnosed at death, 2)who die during therapy, 3)who are
resistant to Rifampin,4)who have meningeal disease, and/or 5)who are younger than 15 years with either
miliary disease or a positive blood culture for TB. For FY17 reporting, data will cover all cases from calendar
year 2016 (1/1/2016-12/31/2016).A compliance percentage of not less than 87% is required. If data indicates
a compliance percentage for this Performance Measure of less than 87%, then DSHS may(at its sole
discretion)require additional measures be taken by Contractor to improve that percentage, on a timeline set by
DSHS.
7. Increase the proportion of culture-confirmed TB cases with a genotyping result reported. For FY17 reporting,
data will be drawn from calendar year 2016 (1/1/2016-12/31/2016).A compliance percentage of not less than
94.2% is required. If data indicates a compliance percentage for this Performance Measure of less than
94.2%,then DSHS may(at its sole discretion)require additional measures be taken by Contractor to improve
that percentage,on a timeline set by DSHS.
8. TB cases with initial cultures positive for Mycobacterium tuberculosis complex shall be tested for drug
susceptibility and have those results documented in their medical record. For FY17 reporting, data will be
drawn from calendar year 2015 (1/1/2015 -12/31/2015). A compliance percentage of not less than 97.8% is
required. If data indicates a compliance percentage for this Performance Measure of less than 97.8%,then
DSHS may(at its sole discretion)require additional measures be taken by Contractor to improve that
percentage, on a timeline set by DSHS.
9. Newly-reported TB patients with a positive AFB sputum-smear result shall have at least three contacts
identified as part of the contact investigation that must be pursued for each case. For FY17 reporting, data will
be drawn from calendar year 2016 (1/1/2016 -12/31/2016). A compliance percentage of not less than 92% is
required. If data indicates a compliance percentage for this Performance Measure of less than 92%,then
DSHS may(at its sole discretion) require additional measures be taken by Contractor to improve that
percentage, on a timeline set by DSHS.
10. Newly-identified contacts, identified through the contact investigation,that are associated with a sputum
AFB smear-positive TB case shall be evaluated for TBI and disease. For FY17 reporting, data will be drawn
from calendar year 2015 (1/1/2015-12/31/2015). A compliance percentage of not less than 82.5% is required.
If data indicates a compliance percentage for this Performance Measure of less than 82.5%, then DSHS may
(at its sole discretion)require additional measures be taken by Contractor to improve that percentage, on a
timeline set by DSHS.
11. Contacts, identified through the contact investigation, that are associated with a sputum AFB
smear-positive case and that are newly diagnosed with TBI shall be started on timely and appropriate
treatment. For FY17 reporting, data will be drawn from calendar year 2015 (1/1/2015-12/31/2015).A
compliance percentage of not less than 70% is required. If data indicates a compliance percentage for this
Performance Measure of less than 70%, then DSHS may(at its sole discretion)require additional measures
be taken by Contractor to improve that percentage, on a timeline set by DSHS.
12. Contacts, identified through the contact investigation, that are associated with a sputum AFB
smear-positive case that are newly diagnosed with TBI and that were started on treatment shall complete
08/22/2016
Corpus Christi-Nueces County Public Health District(City) DCPS FY17 TB/State RENEWAL
Signature Page DCPS-2017-TB!PC-ST-00013
treatment for TBI as described in Targeted Tuberculin Testing and Treatment of Latent TB Infection (LTBI),
Morbidity and Mortality Weekly Report, Vol.49, No. RR-6, 2000; according to timelines given,therein. For
FY17 reporting, data will be drawn from calendar year 2016 (1/1/2016-12/31/2016). A compliance percentage
of not less than 50% is required. If data indicates a compliance percentage for this Performance Measure of
less than 50%, then DSHS may (at its sole discretion) require additional measures be taken by Contractor to
improve that percentage, on a timeline set by DSHS.
13. For Class B immigrants and refugees with abnormal chest x-rays read overseas as consistent with TB,
increase the proportion who initiate a medical evaluation within 30 days of arrival.Arrival is defined as the first
notice or report;whether that is by fax, phone call,visit to the health department or EDN notification. For FY17
reporting, data will be drawn from calendar year 2016 (1/1/2016-12/31/2016).A compliance percentage of not
less than 62%is required. If data indicates a compliance percentage for this Performance Measure of less
than 62%, then DSHS may(at its sole discretion) require additional measures be taken by Contractor to
improve that percentage, on a timeline set by DSHS.
14. For Class B immigrants and refugees with abnormal chest x-rays read overseas as consistent with TB,
increase the proportion who initiate and complete a medical evaluation within 90 days of arrival. For FY17
reporting data will be drawn from calendar year 2016 (1/1/2016-12/31/2016).A compliance percentage of not
less than 60%is required. If data indicates a compliance percentage for this Performance Measure of less
than 60%, then DSHS may (at its sole discretion)require additional measures be taken by Contractor to
improve that percentage, on a timeline set by DSHS.
15. For Class B immigrants and refugees with abnormal chest x-rays read overseas as consistent with TB and
who are diagnosed with TBI during evaluation in the US, increase the proportion who start treatment. For FY17
reporting, data will be drawn from calendar year 2016 (1/1/2016-12/31/2016).A compliance percentage of not
less than 64% is required. If data indicates a compliance percentage for this Performance Measure of less
than 64%, then DSHS may(at its sole discretion) require additional measures be taken by Contractor to
improve that percentage, on a timeline set by DSHS.
16. For Class B immigrants and refugees with abnormal chest x-rays read overseas as consistent with TB and
who are diagnosed with TB infection during evaluation in the US and started on treatment, increase the
proportion who complete treatment for TB infection. For FY17 reporting, data will be drawn from calendar year
2015 (1/1/2015-12/31/2015). A compliance percentage of not less than 70% is required. If data indicates a
compliance percentage for this Performance Measure of less than 70%, then DSHS may(at its sole discretion)
require additional measures be taken by Contractor to improve that percentage, on a timeline set by DSHS
If Contractor fails to meet any of the performance measures, Contractor shall furnish in the Annual Progress
Report, due March 15, 2017, a written narrative explaining the barriers and the plan to address those barriers.
This requirement does not excuse any violation of this Contract, nor does it limit DSHS as to any options
available under the contract regarding breach
X.The Parties agree to amend Section 16 of this Contract to add the following:
General Provisions,ARTICLE XXI. PROGRAM OPERATIONS, Section 21.05, Contractor's Notification of
Change to Certain Contract Provisions to replace it with the following:
Subject to the following restrictions,without prior approval, Contractor may transfer money between budget
categories and must provide the System Agency Contract Manager with prior notification of this transfer. No
budget category transfer or cumulative transfers may exceed 25% of the total contract value or$100,00,
whichever is less. If the budget transfer(s) exceeds$100,000, alone or cumulatively, prior written approval from
the System Agency is required. If the budget transfer(s)exceeds 25%of the total contract value, alone or
cumulatively, a formal contract amendment is required.
X. Except as provided in this Amendment, all other terms and conditions in the Contract will remain and be in
full effect.
08/22/2016
1
Corpus Christi-Nueces County Public Health District(City) DCPS FY17 TBIState RENEWAL
Signature Page DCPS-2017-TB/PC-ST-00013
XI. 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.
Contractor Signature
By signing this Amendment, the undersigned certify that they have the authority to bind their
respective party to this Amendment's terms and conditions.
Signed By: Date: 10/t 9 11.0
RA-431)
DSHS Signature
By signing this Amendment, the undersigned certify that they have the authority to bind their
respective party to this Amendment's terms and conditions.
Signed by: Date:
Iprwed as to fo
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For City Attorney
ATTEST: ► ' c
REBECCA HUERTA
CITY SECRETARY
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FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT(FFATA1 CERTIFICATION
The certifications enumerated below represent material facts upon which DSHS relies when reporting information to the federal government required
under federal law.If the Department later determines that the Contractor knowingly rendered an erroneous certification,DSHS may pursue all available
remedies in accordance with Texas and U.S.law.Signor further agrees that it will provide immediate written notice to DSHS if at any time Signor learns
that any of the certifications provided for below were erroneous when submitted or have since become erroneous by reason of changed circumstances If
the Signor cannot certify all of the statements contained in this section,Signor must provide written notice to DSHS detailing which of the below
statements it cannot certify and why,
Organization Name Corpus Christi-Nueces County Public Health District(City)
Address 1702 Home Road
City Corpus Christi State Texas Zap Code(9 digit) 78416
Payee Name City of Corpus Christi
Address PO BOX 9277
City Corpus Christi Stale TX Zip Code(9 digit) 78469-9277
Vendor identification No. 17460005741 MailCode 027
Payee DUNS No.' L+1 069457786
1.Did your organization have a gross income,from all sources,of more than$300,000 In your prev.ous tax year?
4 Yes • No
Identify contact persons for FFATA Correspondence '
FFATA Contact Person#1
Name' Constance Sanchez
Email' Constancep@cotexas.com
Telephone' (361)826-3227
FFATA Contact Person#2
Name' Blandina Costley
Email' BlandlnacC cctexas.corn
Telephone' (361)826-7252
As the authorized representative of the Organization,I hereby certify that the statements made by me in th's certification form are true,complete and
correct to the best of my knowledge.
E-Signature Date
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10/27/2016 Executed TB State Contract(9/1/2016 to 9/1/2017)-William Uhlarik
Executed TB State Contract (9/1/2016 to 9/1/2017)
William Uhlarik
Thu 10/27/2016 4:57 PM
To:Graciela Ruiz <GracielaR@cctexas.com>; Blandina Costley <BlandinaC@cctexas.com>; Rocky Barrera <RockyB@cctexas.com>;
Cc:Antwine Charles <AntwineC@cctexas.com>;Annette Rodriguez <annetter@cctexas.com>; Dina Chavez <DinaC@cctexas.com>;Judy
Sandroussi <JudyS@cctexas.com>;
d 1 attachments (566 KB)
DCPS FY17 TB-State Executed Grant Contract No. 2016-001398-01 (Amend. No.01) 9-1-2016 to 9-1-2017.pdf;
Folks:
FYI and your file, I have attached a copy of the executed TB State Grant Contract for the period 9/1/2016 to
9/1/2017. I also filed a copy in:
K:\Health Shared 1\Grant Contracts\TB\TB State\TB State Grant (9-1-2016 to 9-1-2017)
Via interoffice I also sent a hard copy of the contract to Monique Lerma for the records of the City Secretary.
Questions, let me know. Thanks.
Bill
William Milan Uhlarik, M.B.A., A.R.M.
Assistant Director of Public Health
Corpus Christi-Nueces County Public Health District
1702 Horne Road
Corpus Christi, TX 78416
Office: 361-826-1348
Fax: 361-826-1343
Cell: 361-739-3167
E-mail: williamu2@cctexas.com
O rat/et L c rarw.
NOTICE: This email message is for the sole use of the intended recipient(s) and may contain confidential and
privileged information or work product. You are hereby notified that any unauthorized review, use, disclosure,
copying or distribution of this e-mail message or any information contained herein is strictly prohibited. If you are
not the intended recipient, please contact the sender by reply email or telephone at (361) 826-1348, and destroy all
copies of the message immediately. Thank you
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