DATE: July 13, 2021
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Interim Director, Department of Public Health
SUBJECT: Retroactive Second Amendment to Agreement with Valley Health Team, Inc.
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive Second Amendment to Agreement No. 19-386 with Valley Health Team, Inc., to adjust the effective date of the Agreement from August 6, 2019 to March 1, 2019 to align with the date the provider began providing services with no change to the expiration date or compensation maximum of $1,199,997.
REPORT
There is no additional Net County Cost associated with the recommended action which will adjust the effective date of the Agreement from August 6, 2019 to March 1, 2019 to align with the date Valley Health Team, Inc. (VHT) began to provide services, and shift unspent FY 2019-20 funds in the amount of $99,276 to FY 2020-21 to allow completion of deliverables including implementation of a new training curriculum in FY 2020-21 to ensure hypertension patients are referred to the correct program and available resources. This item is countywide.
ALTERNATIVE ACTION(S):
If the Board does not approve the recommended action, the effective date of this agreement would not change resulting in VHT not getting adequately compensated for work done and the Department of Public Health Collaborating for Wellness program would not be able to implement all program goals, which would jeopardize future funding.
RETROACTIVE AGREEMENT:
The recommended action is retroactive to March 1, 2019 to adjust the effective date of the Agreement to align with the date VHT began providing services to the Department.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. Maximum compensation in the amount of $1,199,997 is revised as follows:
Year 1 $100,296 March 1, 2019 - September 29, 2019 (no change)
Year 2 $250,428 September 30, 2019 - September 29, 2020 (decrease $99,276)
Year 3 $349,275 September 30, 2020 - September 29, 2021 (increase $99,276)
Extension I $249,999 September 30, 2021 - September 29, 2022 (no change)
Extension II $249,999 September 30, 2022 - September 29, 2023 (no change)
Sufficient appropriations and estimated revenues are included in the Department's Org. 5620 FY 2021-22 Recommended Budget and will be included in future budget requests.
DISCUSSION:
On August 6, 2019 the Board approved a five-year agreement with VHT to provide services that contribute to the reduction of hypertension rates and increase prevention, detection, and management of heart disease. On February 4, 2020 the Board approved a first amendment with VHT to revise the scope of work activities removing medication therapy management and adding clinical quality measures, a tool to help manage and track patient health outcomes.
Approval of the recommended action will revise the effective date of the Agreement from August 6, 2019 to March 1, 2019 to align with the date VHT began the collaboration to provide program services and allow VHT to shift unspent year two funds into the third year budget. This will redistribute funding to add a third full-time Health Educator (HE) position and a Director of Health Education programs at 10%, as well as increase operating expenses to purchase blood pressure cuffs to be used during the four-month new curriculum titled “Check, Change, Control”. The blood pressure cuffs will allow HE’s to provide education to all hypertension patients and teach them how to self-manage their blood pressure. In addition, VHT will identify on-going training opportunities for providers and non-physician team members in blood pressure control or cholesterol management. VHT will submit quarterly performance measure reports to the Department to determine the effectiveness of the program and participate in national and state meetings, webinars, and conferences as appropriate to increase local knowledge and capacity of their programs as well as other similar programs.
REFERENCE MATERIAL:
BAI #36, February 4, 2020
BAI #44, August 6, 2019
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Second Amendment with Valley Health Team, Inc.
CAO ANALYST:
Ron Alexander