04-C Health Contract 2006 CO #1
DRAFT
F:A TTORNEY\RESWORK\CURRENT\ Health Contract change Order No.1, Att 02 - 2006
September 14,2005
RESOLUTION NO.
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS,
PARIS, TEXAS, APPROVING AND AUTHORIZING THE EXECUTION OF
CONTRACT CHANGE ORDER NOTICE NO. 01 FOR PUBLIC HEALTH
SERVICES, DSHS DOCUMENT NO. 7560022067-2006 (A TT ACHMENT NO.
02) IMMUNIZATION BRANCH - LOCALS; MAKING OTHER FINDINGS
AND PROVISIONS RELATED TO THE SUBJECT; AND PROVIDING AN
EFFECTIVE DATE.
WHEREAS, the State of Texas is a funding partner with the County of Lamar and the
City of Paris for the Paris-Lamar County Health Department; and,
WHEREAS, the Contract for Public Health Services, Contract Change Notice No. 01,
DSHS Document No. 7560022067-2006(Attachment No. 02) ,Immunization Branch - Locals
is the conduit through which the state funds are received; and,
WHEREAS, it is appropriate that the form of said Contract Change Notice No. 01,
attached hereto as Exhibit A, be approved, and that the City Manager be authorized to execute
the same on behalf of the City of Paris, which is the authorized contracting entity for the
performing agency, the Paris-Lamar County Health Department; NOW, THEREFORE,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PARIS, PARIS,
TEXAS:
Section 1. That the findings set out in the preamble to this resolution are hereby in all
things approved.
Section 2. That the form of the Contract for Public Health Services, Contract Change
Notice No. 01 DSHS Document No. 7560022067-2006 (Attachment No. 02) Immunization
Branch - Locals, attached hereto as Exhibit A, be, and the same is hereby, approved.
Section 3. That the City Manager be, and he is hereby, authorized and directed to
execute, on behalf of the City of Paris, which is the authorized contracting entity for the
performing agency, the Paris-Lamar County Health Department, the Contract for Public Health
Services, Contract Change Notice No. 01, under the terms and conditions and in the form shown
in Exhibit A, attached hereto.
Section 4. That this resolution shall be effective from and after its date of passage.
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PASSED AND APPROVED this 19th day of September, 2005.
Curtis Fendley, Mayor
ATTEST:
Janice Ellis, City Clerk
APPROVED AS TO FORM:
Larry W. Schenk, City Attorney
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DEPARTMENT OF STATE HEALTH SERVICES
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
ST ATE OF TEXAS
COUNTY OF TRAVIS
DSHS Document No. 7560022067 2006
Contract Change Notice No. 01
The Department of State Health Services, hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in
writing with PARIS-LAMAR COUNTY HEALTH DEPARTMENT hereinafter referred to as PERFORMING AGENCY. The
arties 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 hereb amended remain in full force and effect.
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
CITY OF PARIS
Authorized Contracting Entity (type above if different
from PERFORMING AGENCY) for and in behalf of:
PERFORMING AGENCY:
RECEIVING AGENCY:
P ARIS- LAMAR COUNTY HEALTH D EP AR TMENT
DEPARTMENT OF STATE HEALTH SERVICES
By:
(Signature of person authorized to sign)
By:
(Signature of person authorized to sign)
(Name and Title)
Bob Burnette, Director
Client Services Contracting Unit
(Name and Title)
Date:
Date:
DB CSCU - Rev. 6/05
Cover Page 1
EXHIBIT Å.
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DETAILS OF A TT_ACHMENTS
AttJ DSHS Program illl Term Financial Assistance Direct Total Amount
Amd DSHS Purchase Assistance (DSHS Share)
No. Order Number Begin End Source of Amount
Funds *
01 RLSSILPHS 09/01/05 02/28/06 60,259.50 0.00 60,259.50
02 IMMILOCALS 09101/05 08/31/06 State 93.268 50,023.00 0.00 50,023.00
0000309169
DSHS Document No.7560022067 2006 Totals $110,282.50 $ 0.00 $110,282.50
Change No. 01
*Federal funds are indicated by a number from the Catalog of Federal Domestic Assistance (CFDA), if applicable. REFER TO
BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS.
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DOCUMENT NO. 7560022067-2006
ATIACIDvŒNTNO.02
PURCHASE ORDER NO. 0000309169
PERFORMING AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: IMMUNIZATION BRANCH
TERM: September 01,2005 THRU: August 31,2006
SECTION I. SCOPE OF WORK
The goal of RECEIVING AGENCY Program is to prevent, control, and eliminate
. vaccine-preventable diseases by providing and administering biologicals, promoting
immunizations, conducting vaccine-preventable disease surveillance, assessing vaccine
coverage levels, and applying principles of epidemiology and outbreak control measures
within budgetary constraints.
PERFORMING AGENCY will provide essential public health services as specified in
PERFORMING AGENCY'S approved 2004 Interlocal Application for Immunization
Services, ILA 104 0003.1, dated June 16, 2003, and subsequent renewal applications,
incorporated herein by reference and made part of this contract Attachment. Any
revisions to these documents shall be approved by RECEIVING AGENCY Program and
transmitted in writing to PERFORMING AGENCY.
PERFORMING AGENCY 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). PERFORMING AGENCY shall incorporate traditional and non-traditional,
systematic approaches designed to eliminate barriers, expand immunization delivery, and
establish uniform policies.
PERFORMING AGENCY shall report all reportable conditions as specified in 25 Texas
Administrative Code (TAC) Part I §§97.1 - 97.6 and §§97.101 - 97.102.
PERFORMING AGENCY shall report all vaccine adverse event occurrences in
accordance with the National Childhood Vaccine Injury Act of 1986.
PERFORMING AGENCY shall inform and educate the public about vaccines and
vaccine-preventable diseases.
PERFORMING AGENCY shall develop policies and plans that support individual and
community-based immunization strategies and evaluate effectiveness, accessibility, and
quality of personal and population-based immunization services and program activities.
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PERFORMING AGENCY shall ensure a health care workforce that is knowledgeable
about vaccines, vaccine safety, vaccine-preventable diseases, and deli very of
immunization services.
PERFORMING AGENCY shall comply with written policies and procedures provided
by RECEIVING AGENCY Program in managing state-supplied vaccines, including
guidelines for proper storage and handling of vaccines.
PERFORMING AGENCY shall not deny vaccinations to recipients because they do not
reside within PERFORMING AGENCY'S jurisdiction.
PERFORMING AGENCY shall maintain an accurate, up-to-date list of clinics and sites
where public sector (free or low cost) immunization services are offered in
PERFORMING AGENCY'S local area.
PERFORMING AGENCY shall not charge a fee for vaccines provided by RECEIVING
AGENCY Program. All vaccines obtained from RECEIVING AGENCY Program shall
be used solely for purposes of this contract Attachment and shall not be sold to agencies
or individuals.
PERFORMING AGENCY shall not collect vaccine administration fees from Medicaid
recipients. Vaccine administration fees collected from non-Medicaid patients shall be
kept within guidelines established by RECEIVING AGENCY. In accordance with 25
T AC § 1.91, no one shall be denied immunization services in public clinics because of
inability to pay the administration fee. Fee schedules shall not be based on vaccine type,
formulation, or dose in series. A copy of PERFORMING AGENCY'S fee schedule shall
be submitted to RECEIVING AGENCY Program by April 1 st.
All equipment and vaccine used by PERFORMING AGENCY which are provided by
RECEIVING AGENCY Program, shall be accounted for as public property.
RECEIVING AGENCY Program will investigate equipment or vaccine loss, destruction,
spoilage, or other waste and may require PERFORMING AGENCY to replace or
reimburse RECEIVING AGENCY Program.
PERFORMING AGENCY shall provide the parent, managing conservator, or guardian
of each patient with a form that is approved by RECEIVING AGENCY Program in
compliance with 25 T AC, Chapter 100 to authorize participation in the statewide
immunization registry (ImmTrac).
PERFORMING AGENCY shall provide to RECEIVING AGENCY Program periodic
data transfers of all vaccines administered in a format that is compatible for inclusion in
the statewide immunization registry, ImmTrac, and in accordance with the schedule
provided by RECEIVING AGENCY.
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PERFORMING AGENCY shall comply with all applicable federal and state laws, rules,
regulations, standards, and guidelines in effect on the beginning date of this contract
Attachment unless amended. The following documents are incorporated by reference and
made a part of this contract Attachment.
. PERFORMING AGENCY'S approved 2004 Interlocal Application for
Immunization Services, and any revisions or subsequent renewal applications;
. Human Resources Code §42.043, VTCA;
. Education Code §§38.001-38.002, VTCA;
. Health and Safety Code §§81.023 and 161.001-161.009, VTCA;
. 25 TAC Chapter 97;
. 25 T AC, Chapter 96;
. 25 TAC, Chapter 100;
. 42 USC §§247b and 300 aa-25;
. Omnibus Budget Reconciliation Act of 1993, 26 USC §4980B;
. RECEIVING AGENCY'S Standards for Public Health Clinic Services, revised
August 31,2004;
. RECEIVING AGENCY'S Vaccine-Preventable Disease Surveillance guidelines,
http://www . tdh. state. tx. us/immunize! docs! guide.htm;
. RECEIVING AGENCY'S Pharmacy guidelines;
. Centers for Disease Control and Prevention's Advisory Committee on
Immunization Practices (ACIP) guidelines, including the statement:
"Immunization of Health-Care Workers"; 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.
Within thirty (30) days of receipt of an amended standard(s) or guideline(s),
PERFORMING AGENCY shall inform RECEIVING AGENCY Program, in writing, if
it will not continue performance under this Attachment in compliance with the amended
standard(s) or guideline(s). RECEIVING AGENCY may terminate the contract
Attachment immediately or within a reasonable period of time as determined by
RECEIVING AGENCY.
PERFORMANCE l\.1EASURES
All activities shall be performed in accordance with PERFORMING AGENCY'S Annual
Plan and detailed budget as approved by RECEIVING AGENCY Program based on the
2004 Interlocal Application for Immunization Services, ILA 104 0003.1, dated June 16,
2003 and any subsequent renewal applications. The following performance measure(s)
will be used, in part, to assess PERFORMING AGENCY'S effectiveness in providing the
services described in this contract Attachment to the service area, without waiving the
enforceability of any of the terms of the contract Attachment.
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PERFORMING AGENCY shall submit to RECEIVING AGENCY Program the -
monthly reports of doses administered and the monthly biological order form in a
format provided by RECEIVING AGENCY and in accordance with the schedule
provided to PERFORMING AGENCY by RECEIVING AGENCY Program.
PERFORMING AGENCY 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 mail or telephone contacts.
PERFORMING AGENCY shall complete 100% of annual assessments in sub-
contracted entities and local Women, Infant and Children (WIC) clinics using the
Assessment, Feedback, Incentives, and eXchange (AFIX) methodology as assigned
by RECEIVING AGENCY. PERFORMING AGENCY shall submit assessment
results to RECEIVING AGENCY Program within two (2) weeks after completion.
PERFORMING AGENCY shall recruit and enroll providers into the Texas Vaccines
for Children (TVFC) program.
PERFORMING AGENCY will perform the following applicable required activities:
1. Implement a plan to improve vaccination coverage levels;
2. Work with the local WIC agencies for referral of under-vaccinated WIC
enrollees;
3. Ensure that expired, wasted, and unaccounted for vaccines do not exceed 5%
for DTaP, Rib, hepatitis B, IPV, MMR, PCV7, and varicella vaccines for
Local Health Department clinics;
4. Decrease the proportion of duplicate records or questionable matches in
ImmTrac;
5. Increase the percentage of children less than six (6) years of age participating
in ImmTrac;
6. Increase the number of registered provider sites for ImmTrac;
7. Increase TVFC provider enrollment;
8. Increase the number of educational opportunities on vaccine-preventable
diseases available to public and private providers;
9. Complete 100% of assigned TVFC follow-up site visits;
10. Promote and ensure immunization services are provided for all age groups
with emphasis on pockets of need;
11. Increase the reporting of varicella cases;
12. Complete 90% of vaccine-preventable disease investigations within thirty (30)
days from date reported;
13. Identify all infants born to hepatitis B surface antigen (HBsAG)-positive
pregnant women. PERFORMING AGENCY shall investigate 100% of
suspected hepatitis B infections in pregnant women to ensure appropriate
treatment and follow-up as directed by Health and Safety Code §81.090 and
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RECEIVING AGENCY'S Vaccine-Preventable Disease Surveillance
Guidelines;
14. Ensure all reported infants born to HBsAg positive women receive hepatitis B
vaccine and Hepatitis B Immune Globulin (HBIG) within seven (7) days of
birth;
15. Complete 100% of assigned childcare facility assessments or surveys; and,
16. Complete 100% of assigned public or private school assessments or surveys.
Activities may be subsequently amended as directed by the Centers for Disease
Control and Prevention and RECEIVING AGENCY Program. RECEIVING
AGENCY Program must approve, in writing, any revisions to PERFORMING
AGENCY'S Annual Plan.
SECTION II. SPECIAL PROVISIONS
PERFORMING AGENCY 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 RECEIVING AGENCY Interlocal Application for
Immunization Services, dated June 16,2003 and any subsequent renewal applications.
Travel expenses shall be reimbursed according to current state travel regulations and shall
not exceed the reimbursement for mileage allowed under the Appropriations Act.
Monthly billings must be submitted on a State of Texas Voucher Request form no later
than the close of the following month.
PERFORMING AGENCY is required to complete and submit the following reports
utilizing a format provided by RECEIVING AGENCY Program:
Re ortin Period
9/1/05 - 12/31/05
1/1/06 - 4/30/06
5/1/06 - 8/31/06
9/1/05 - 8/31/06
Re ort Due Date
1/30/06
5/30/06
9/30/06
10/30/06
For immunization activities performed under this contract Attachment, General
Provisions, Overtime Compensation Article is not applicable. In addition,
PERFORMING AGENCY shall comply with the following paragraphs:
PERFORMING AGENCY is authorized to pay employees who are not exempt
under the Fair Labor Standards Act (FLSA), 29 USC, Chapter 8, §201 et seq., for
overtime or compensatory time at the rate of time and one-half per FLSA.
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PERFORMING AGENCY is authorized to pay employees who are exempt under
FLSA on a straight time basis for work performed on a holiday or for regular
compensatory time hours when the taking of regular compensatory time off would
be disruptive to normal business operations.
Authorization 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. PERFORMING AGENCY shall document proper
authorization or approval for any work performed by exempt or non-exempt
employees in excess of forty (40) hours per work week.
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SECTION III. BUDGET:
PERSONNEL
FRINGE BENEFITS
TRAVEL
EQ UIPMENT
SUPPLIES
CONTRACTUAL
OTHER
$29,248.00
7,612.00
1,000.00
0.00
8,663.00
500.00
3,000.00
TOTAL DmECT CHARGES
INDIRECT CHARGES
TOTAL
$50,023.00
$0.00
$50,023.00
Total reimbursements will not exceed $50,023.00.
Financial status reports are due the 30th of December, 30th of March, 30th of June, and the 30th
of November.
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