DATE: May 26, 2020
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Retroactive Revenue Agreement with California Department of Public Health
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute a retroactive revenue Agreement with California Department of Public Health, for the California Perinatal Equity, effective October 1, 2019 through June 30, 2021, total not to exceed $1,191,288; and
2. Approve and authorize the Director of the Department of Public Health, or designee, to execute the State Contractor’s Release Form for the final invoice.
REPORT
Approval of the first recommended action will provide the Department of Public Health with funding from the California Department of Public Health (CDPH) to continue implementation of the California Perinatal Equity Initiative (PEI) in the County. The funding will support local perinatal equity activities to fill gaps in current services and assist with development of a collective impact blueprint to reduce African-American infant mortality, with no increase in Net County Cost. Approval of the second recommended action will allow the Department Director, or designee, to execute the State Contractor’s Release Form for submittal with the final invoice to the State. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board not approve the recommended action, the Department would not be able to accept the CDPH funds nor implement the PEI in the County.
RETROACTIVE AGREEMENT:
The recommended agreement is retroactive to October 1, 2019. The recommended agreement was received from CDPH on March 13, 2020, the time required to prepare and review the 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 actions. CDPH will provide $1,191,288 to fund community activities and contract costs related to PEI implementation. There are no pending invoices associated with the recommended agreement. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2019-20 Adopted Budget and will be included in the FY 2020-21 budget request.
DISCUSSION:
Approval of the first recommended action will provide the Department with funding from the CDPH to continue implementation of the PEI in the County. The funding will support local perinatal equity activities to fill gaps in current services and assist with development of a collective impact blueprint to reduce African-American infant mortality.
The County’s mortality rate for African-American infants continues to be 2.5 times higher than the statewide rates and 2.21 times higher than the national rates for other groups. While the Department’s Black Infant Health (BIH) Program, an evidenced-informed intervention program focused on social support, stress management, and empowerment, continues to work toward reducing African-American infant mortality, gaps in services still exist. CDPH awarded funding to 13 local county health departments with BIH Programs to establish the PEI and support implementation of perinatal health interventions to reduce the disparities in infant mortality rates and fill gaps in current services.
Approval of the recommended agreement will allow the Department to utilize this CDPH funding to:
• oversee administration of the PEI to ensure program implementation, planning evaluation and fiscal management in compliance with CDPH-MCAH Guidelines,
• partner with local community-based organizations to implement legislated PEI interventions,
• incorporate Results Based Accountability using the Clear Impact Scorecard to monitor program performance,
• conduct local Perinatal Health Equity Community Advisory Board efforts to engage local stakeholders in discussing the needs and opportunities to reduce African-American infant mortality, and
• launch a Public Health Awareness Campaign to inform the community about African-American birth outcome inequities and/or drivers of these inequities.
Approval of the recommended agreement also indicates the County’s agreement to indemnify the State in connection with the performance of the agreement.
Approval of the second recommended action will allow the Department Director, or designee, to execute the State Contractor’s Release Form for submittal with the final invoice to the State.
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Agreement with CA Department of Public Health
CAO ANALYST:
Raul Guerra