DATE: April 27, 2021
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, 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. for services to improve prevention and management of heart disease and stroke through clinic-based strategies and community clinical linkages, with no change to the term of August 6, 2019 through September 29, 2023, or compensation maximum of $1,199,997.
REPORT
There is no additional Net County Cost associated with the recommended action, which will shift unspent FY 2019-20 funds in the amount of $99,276 to FY 2020-21 to allow Valley Health Team, Inc. (VHT) to complete unfinished FY 2019-20 activities and implement 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 Collaborating for Wellness program would not be able to implement all program goals and risk future funding.
RETROACTIVE AGREEMENT:
The recommended action is retroactive to September 29, 2020 in order to adjust budget years two and three accordingly, without exceeding maximum compensation. The time required to work through the details of the recommended amendment with VHT did not allow presentation to your Board at an earlier date.
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 August 06, 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 2020-21 Adopted 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.
If approved, the recommended action will allow VHT to redistribute unspent year two funds into year three to add a third full-time Health Educator (HE) position, fund Director of Health Education programs at 10%, and increase operating expenses to purchase blood pressure cuffs to be used during the 4-month new curriculum, 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 on their programs or 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