DATE: November 28, 2023
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: First Amendment to the Revenue Agreement with the California Department of Public Health
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute First Amendment to revenue Agreement with the California Department of Public Health for enhanced Congenital Syphilis Prevention activities, extending the term by twenty-five months from January 1, 2024 through January 31, 2026 and increasing the maximum compensation by $280,000 to a total of $980,000.
REPORT
There is no additional Net County Cost associated with the recommended action. Approval of the recommended action will extend the existing grant term and provide funding for the extended term from the California Department of Public Health (CDPH) to enhance Department of Public Health Congenital Syphilis Prevention (CSP) activities to address the rise of cases within the County, with no increase in Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board not approve the recommended action, the agreement will expire on December 31, 2023 resulting in the loss of funding to continue to be able to enhance strategies and activities aimed at reducing the rise of congenital syphilis cases in the County.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The amendment to the revenue agreement will provide an additional $280,000 to offset costs associated with providing CSP services from January 1, 2019 through January 31, 2026. The existing agreement allows full indirect cost recovery currently at 18.314% of salaries and benefits. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2023-24 Adopted Budget for estimated expenses and will be included in subsequent budget requests.
DISCUSSION:
On July 9, 2019 your Board approved the Revenue Agreement (A-19-324) with CDPH to provide funding for the Department’s Congenital Syphilis Case Management Program for staff to provides CSP services to clients.
In 2018, the Department, in collaboration with CDPH, conducted a pilot program to address the rising instances of Congenital Syphilis in the County. The pilot addressed the rise through various activities including:
• follow up with pregnant mothers to ensure continued pre-natal care;
• syphilis treatment and follow up until newborns were determined non-infected;
• conducting morbidity and mortality reviews;
• conducting quality improvement reviews;
• evaluating county jail’s syphilis screening protocol; and
• educating local providers.
The recommended agreement builds upon some activities conducted during the pilot.
Through the recommended agreement, the Department will receive support from CDPH to enhance and implement robust case management for pregnant females with congenital syphilis; conduct morbidity and mortality reviews of congenital syphilis cases to identify missed opportunities for prevention. Additionally, the funding will support collaboration with correctional facilities to continue evaluating and enhancing the county jail’s syphilis screening protocol, and conduct medical provider education to enhance screening and treatment practices.
The recommended agreement contains non-standard termination language as it allows CDPH to terminate with or without cause, cancel immediately for cause, or upon 30 days written notice. CDPH may, at its discretion, require the County to cease portions of its scope of work while completing other components prior to the termination date of the proposed agreement.
REFERENCE MATERIAL:
BAI #60, July 9, 2019
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment to Agreement with CDPH
CAO ANALYST:
Ron Alexander