DATE: November 28, 2023
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Retroactive Revenue Agreement with Fresno County Superintendent of Schools
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive revenue Agreement with Fresno County Superintendent of Schools for participation in the organized Home Visitation Network, effective July 1, 2023 through June 30, 2024, total not to exceed $10,000.
REPORT
There is no Net County Cost associated with the recommended action. Approval of the recommended action will provide the Department of Public Health (Department) with $10,000 from the Fresno County Superintendent of Schools (FCSS) to participate in the organized Home Visitation Network (HVN) under the FCSS Cradle to Career (C2C). The proposed Agreement will support cross-program services coordination and integration utilizing the HVN. The work will further support integrated information data sharing activities that will serve to evaluate the benefits of home visitation services and the outcomes across service sectors. This item has a countywide impact.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board not approve the recommended action, the Department would be unable to accept the funds and participate in the integrated information data sharing activities of the HVN, which evaluates the benefits of home visitation services and service outcomes across service sectors.
RETROACTIVE AGREEMENT:
The recommended agreement is retroactive to July 1, 2023. The recommended agreement was received from FCSS on August 29, 2023. The time required to prepare and review the recommended agreement did not allow presentation to your Board at an earlier date.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum amount of funding from FCSS for the County’s participation is $10,000. The payment will be made through two invoices of 50% ($5,000) each. The first invoice will be due by January 30, 2024 and the second invoice will be due by July 31, 2024. Payment will be processed upon receipt of the Fingerprinting Criminal Background Check Certificate, Insurance Certificate, and the Tuberculosis Certificate. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2023-24 Adopted Budget.
DISCUSSION:
On November 29, 2022, your Board approved a retroactive revenue agreement with FCSS for the Home Visitation Support and Referral System Screener for assessing incoming referrals for network dissemination and care coordination. The project was funded by FCSS C2C as part of the Fresno Developing the Region’s Inclusive and Vibrant Economy (D.R.I.V.E) initiative for the purpose of developing an inclusive and vibrant economy in Fresno County. The Fresno D.R.I.V.E adopted a theory of change (TOC) with three main operational components:
• Shared analysis and understanding racism;
• Continuous community engagement of racial minority communities; and
• Explicit programmatic priorities to promote racial equity toward a long-term goal of inclusive economic mobility for families.
The first two operational components will be identified in a subsequent funded amendment that may include strategies for incorporating the TOC components of race/equity, community engagement, and participation in meetings and trainings. The FCSS C2C funding for the Home Visitation Support and Referral System Screener addressed the third operational component; the explicit programmatic priorities toward the integration of home visitation for county-wide growth and impact.
Over the last two years, the Department and Exceptional Parents Unlimited (EPU) have worked together with FCSS to successfully build a foundation of coordinated work and established a baseline of data outcomes. While most communities across California are struggling to track data beyond activity, the County has been able to report on the connection of work completed, reducing pre-term births, maternal depression, and sharing a more exact percentage of necessary developmental screening referrals.
The agreement is funded by FCSS C2C for the County’s participation in the organized HVN, which includes monthly meetings, trainings, building on the data baseline established between 2021-23, and impact results at a de-identified person level. The County will also share success stories twice per year through check-in calls from the HVN Project Coordinator or during two HVN meetings. The Agreement will support cross-program services coordination and integration utilizing the HVN.
Approval of the recommended agreement will allow the Department to accept the funds from FCSS to participate in the HVN and further support cross-program services coordination and integration. The recommended agreement deviates from the County’s standard service agreement as the recommended agreement contains mutual indemnification language.
REFERENCE MATERIAL:
BAI #48, November 29, 2022
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Agreement with Fresno County Superintendent of Schools
CAO ANALYST:
Ron Alexander