DATE: October 11, 2016
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Retroactive Revenue Agreement with The Regents of the University of California
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive revenue Agreement with The Regents of the University of California to implement the Financial Empowerment Program with Fresno County Black Infant Health program participants, effective July 15, 2016 through November 30, 2016, total not to exceed $14,027.
REPORT
Approval of the recommended action will allow the Department of Public Health to participate in the University of California, San Francisco (UCSF) Kellogg Project: Implementing a Supplementary Financial Empowerment Program (FEP) with Fresno County Black Infant Health (BIH) program participants. Funding will provide training and supply costs associated with enrollment and administering FEP group sessions for BIH clients regarding financial principles. The proposed Agreement is funded with a grant from the W.K. Kellogg Foundation (WKKF) through The Regents of the University of California (UC), with no increase in Net County Cost.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the Department would be unable to enhance the BIH program to include UCSF FEP activities for clients such as money management.
RETROACTIVE AGREEMENT:
The recommended Agreement is retroactive to July 15, 2016. The Department received the first version of the contract from UC on July 12, 2016 and after revisions were accepted, the final recommended retroactive revenue Agreement was received on August 12, 2016. The Department was unable to bring the Agreement to the Board sooner due to the time required to prepare and review the recommended Agreement.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum amount of the four-and-a-half-month revenue Agreement with UC is $14,027, funded with a grant from WKKF and will cover training, preparation, recruitment, enrollment, implementation and follow-up. Sufficient appropriations and estimated revenues are available in the Department Org 5620 FY 2016-17 Adopted Budget.
DISCUSSION:
The BIH program focuses on reducing African-American infant mortality and improving maternal health through community outreach and education, prenatal and postpartum group interventions, referral and linkage to community services, and complementary case management with in-depth health education and information. Approval of the recommended Agreement will allow the Fresno County BIH program to incorporate the UCSF FEP into the BIH group sessions. Funding will provide for BIH staff to receive FEP training and supply costs associated with enrollment and administering FEP group sessions to BIH clients.
Clients will learn financial principles such as money management and receive education on savings accounts, checking accounts and insurance. Implementing the FEP with BIH participants would be a great addition to BIH services because financial security is one of the clients’ biggest stressors. Educating BIH participants about these principles will ultimately aid in reducing infant mortality disparities by addressing the social determinants of health.
The recommended Agreement will require BIH staff to:
• attend a mandatory FEP training to understand and follow the procedures for implementing the FEP;
• recruit and enroll eligible BIH clients for FEP using materials and procedures developed by the UCSF project team;
• conduct four weekly group sessions for a prenatal and postpartum group with two follow-up sessions approximately 30 and 60 days later; and,
• provide UCSF with a detailed summary of how funds were allocated.
With your Board’s approval of the recommended action, BIH staff will receive training on financial principles that will be shared with clients to reduce one of the biggest stressors thereby reducing infant mortality disparities.
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Agreement with The Regents of the University of California
CAO ANALYST:
Sonia De La Rosa