DATE: August 23, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Approve Second Amendment to Agreement with The Regents of the University of California, San Francisco
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Second Amendment to Agreement with The Regents of the University of California, San Francisco, to add the provision of conducting screening, vaccination, and treatment of communicable diseases, with no change in the term of April 15, 2021 through April 14, 2023 and increasing the maximum by $1,481,238 to a total of $8,887,042.
REPORT
There is no additional Net County Cost associated with the recommended action. Approval of the recommended action will add the provision of conducting screening, vaccination, and treatment of communicable diseases as well as add additional funding to The Regents of the University of California, San Francisco (UCSF) to accommodate the provision of new and existing services through April 14, 2023. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board choose not to approve the recommended action, UCSF will not be able to screen and treat for other communicable diseases and will not be able to receive additional funding. The Department has projected that UCSF will exhaust all funds by November 2022. Not approving the recommended action will also result in the early termination of all COVID-19 and flu related services offered by UCSF to Fresno County residents, leaving a void during a potential upcoming surge.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The agreement will continue to be funded by the COVID-19 Epidemiology and Laboratory Capacity (ELC) funding, Immunization Cooperative Agreement funding, and any other funding made available through legislative action for COVID-19 response efforts. The recommended action will increase Agreement No. D-21-130 for a maximum payable of $8,887,042 which represents a $1,481,238 increase. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2022-23 Recommended Budget.
DISCUSSION:
On March 15, 2020, pursuant to California Government Code, Section 8630 and Fresno County Ordinance Code Chapter 2.44, due to the imminent and proximate threat of COVID-19, a Local Emergency was proclaimed by the County Administrative Officer acting as the Emergency Services Director. Your Board adopted a Resolution proclaiming and ratifying the Local Emergency on March 17, 2020. Your Board has terminated the proclamation of the local emergency and Fresno County continues to function under the State proclaimed emergency. On December 14, 2021, your Board ratified the Agreement (no. D-21-130) and First Amendment (no. D-21-130-1) with UCSF to serve as an on-call COVID-19 vaccine administration team, added the provision of flu vaccine administration, MAB, and COVID-19 testing services, and increased the maximum compensation to accommodate the provision of new and existing services through April 14, 2022. The Department and UCSF has executed the two (2) additional 6-month extensions, extending the agreement through April 14, 2023.
The Department previously had contracts with ten vendors to provide COVID-19 vaccination and testing services. The Department made the strategic decision to demobilize the COVID-19 response efforts which reduced the number of providers. Along with UCSF, the other partner to remain in response efforts is Pinnacle Training System, LLC. UCSF is the only contractor with Fresno County that provides on-call, as needed services.
Of the two contractors remaining, UCSF has the most flexibility to provide mobile clinics to the County’s vulnerable population in the rural and metropolitan areas. As COVID-19 cases continue to impact our community, it is critical to continue COVID-19 services and make them available to Fresno County residents as potential surge months approach. UCSF continues to open their clinic 5-days a week and since April 14, 2021, has administered more than 75,000 doses of COVID-19 vaccines, including 3,058 doses to ages 5-11 years old. UCSF has also conducted over 86,000 PCR tests, administered 1,551 flu doses, and provided over 500 courses of MAB.
Approval of the recommended action will add the provision to screen and treat for communicable diseases and grant additional funding to UCSF to continue these much-needed services through April 14, 2023. The County and UCSF will continue to work together to assure the maximization of resources and meeting expected goals.
REFERENCE MATERIAL:
BAI #64, December 14, 2021
BAI #2, March 17, 2020
BAI #3, March 17, 2020
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Second Amendment to Agreement with UCSF
CAO ANALYST:
Ron Alexander