DATE: July 12, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Revenue Agreement with Marjaree Mason Center
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive revenue Agreement with Marjaree Mason Center to provide Public Health Nurse home visitation and case management services, effective July 1, 2022, not to exceed four consecutive years, which includes a two-year base contract and two optional twelve (12) month extensions, total not to exceed $300,000.
REPORT
Approval of the recommended action will allow the Department of Public Health (DPH) to partner with Marjaree Mason Center (MMC) who has recently received funding from Anthem Foundation to provide Public Health Nurse (PHN) home visitation and case management services to pregnant and/or postpartum mothers and their infants receiving services at their site. The funding will support the salary and benefits of a PHN at 0.45 full-time equivalent (FTE), with no increase in Net County Cost. 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 provide public health nursing services to pregnant and/or postpartum mothers and their infants served at MMC.
RETROACTIVE AGREEMENT:
The recommended agreement was originally scheduled to come before your Board on June 21, 2022. However, the agenda item had to be pulled due to an additional revision requested from MMC after County Counsel had approved the agreement to legal form. The revised agreement wasn’t received until June 2, 2022 and required County Counsel to review and approve to legal form once more.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum amount of the revenue agreement through June 30, 2024 is $150,000, and $75,000 per each twelve-month optional renewal (FY 2024-25 and FY 2025-26). The contract will offset salary and benefit costs for a PHN at 0.45 FTE in FY 2022-23 and 0.44 FTE in FY 2023-24. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2022-23 Recommended Budget and will be included in future budget requests.
DISCUSSION:
Anthem Foundation awarded MMC with funding to serve pregnant and postpartum women who are affected by domestic violence. MMC assists families fleeing domestic violence and seeking refuge at their Safe Houses, participating in their Family Stabilization Program, or utilizing programs through their Children’s Enrichment Center. MMC also facilitates parent education, individual and group counseling, developmental screenings, and home-based support for families.
After providing PHN services to MMC families on an exploratory basis, the Department found there was a greater need for more PHN services among pregnant and/or postpartum mothers and their infants. The recommended agreement will allow the Department to provide PHN home visitation and case management services to pregnant and/or postpartum mothers and their infants residing in the Safe Houses and those involved with the Family Stabilization Program. Services will include:
• PHN visitation to stabilize high risk pregnant women through nursing assessment, health education and linkage to community resources that are outside the scope of services at MMC. This service will lessen the likelihood of abuse and improve birth outcomes; and
• Training to MMC staff as well as education on applicable health/safety topics to improve client outcomes.
With your Board’s approval, these services will bring stability to high-risk families with infants affected by domestic violence to lessen the likelihood of abuse and neglect and prevent or minimize developmental disabilities or delays.
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Agreement with Marjaree Mason Center
CAO ANALYST:
Ron Alexander