DATE: June 20, 2023
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Second Amendment to Agreement with Avenal Community Health Center dba, Aria Community Health Center
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute second Amendment to Agreement with Avenal Community Health Center dba Aria Community Health Center extending the term by one year from July 1, 2023 to June 30, 2024 and increasing the maximum compensation by $227,000 to a total of $727,198.
REPORT
There is no additional Net County Cost associated with the recommended action. The recommended action will increase Avenal Community Health Center dba Aria Community Health Center’s (Aria) total compensation by $227,000 to be used during an extension term of July 1, 2023 through June 30, 2024 to continue to promote community health support and provide health intervention activities for the County’s Advancing Health Literacy Intervention Program. This item pertains to Districts 1 and 4.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board not approve the recommended action, the County will not be able to contract with Aria for an extension year and Fresno County’s Advancing Health Literacy Intervention Program services will end.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum compensation of the agreement with Aria will increase by $227,000 to $727,198 for the initial and extension terms. The recommended action is fully funded by the Department’s realignment fund. Sufficient appropriations and estimated revenues will be included in the Department’s Org 5620 FY 2023-24 Recommended Budget.
DISCUSSION:
On May 3, 2022, your Board approved agreement No. 22-182 which allowed the County to partner with Aria to promote community health support and to provide health intervention activities for implementation of Fresno County’s Advancing Health Literacy Intervention Program. On March 28, 2023, your Board approved agreement No. 23-138 to amend agreement No. 22-182 to allow for an option to extend the Agreement dependent on satisfactory performance, service need, and approval from both parties. Since the execution of the agreement, Aria has provided health literacy interventions to over 280 community members, a majority of which are low-income agricultural workers, in underserved rural areas of west Fresno County. Intervention activities include providing resources, education, and connecting community members to a primary healthcare provider. Aria’s partnership is critical in bridging the gap between rural community members and the healthcare system through community health worker interventions, while improving health literacy. Approval of the recommended action will allow for the total compensation of the Agreement to be increased by $227,000 and adoption of a year 3 budget to allow for an extension of the Agreement by 12-months from July 1, 2023 through June 30, 2024.
REFERENCE MATERIAL:
BAI #50, March 28, 2023
BAI #42, May 3, 2022
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Second Amendment to Agreement with Avenal Community Health Center dba, Aria Community Health Center
CAO ANALYST:
Ron Alexander