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Health and Human Services Agency (HHSA) recommending the Board:
1) Make findings that the provision of Public Health immunization services for the purposes of preventing and controlling vaccine-preventable diseases provided by Contractor are in the public's best interest due to “limited timeframes, temporary or occasional nature, or schedule for the project or scope of work, the ongoing aggregate of work to be performed is not sufficient to warrant addition of permanent staff” in accordance with El Dorado County Ordinance Code, Chapter 3.13.030(C), El Dorado County Charter, Section 210(b)(6), and/or Government Code Section 31000;
2) Approve and authorize the Chair to sign Funding Out Agreement 6593 with Marshall Medical Center for the purposes of preventing and controlling vaccine-preventable diseases within the County, with a not-to-exceed amount of $350,000, and for the term of upon execution through June 30, 2023, with the option to extend for one (1) additional one-year term with no increase to the maximum obligation; and
3) Authorize the HHSA Director, or Public Health Director, to execute further documents relating to Funding Agreement 6593, including amendments that do not increase the maximum dollar amount or extend the term of the Agreement beyond June 30, 2024, contingent upon approval by County Counsel and Risk Management.
FUNDING: 100% California Department of Public Health Immunization Funding.
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DISCUSSION / BACKGROUND:
The Health and Human Services Agency (HHSA,) as the primary recipient of the California Department of Public Health (CDPH) Immunization Grant Agreement 17-10315 (Grant), has identified service needs that fall within the scope and purpose of the grant, and has submitted a budget and work plan to CDPH to sub award funds to a community partner for the purposes of helping to prevent and control vaccine-preventable diseases within the County. Marshall Medical Center (MMC) is a community partner identified in the CDPH budget and work plan, currently providing community services within El Dorado County.
On January 21, 2022, Amendment 3 to the CDPH Grant Agreement 17-10315 was fully executed, increasing the payable amount to the County from $435,138 to $2,528,074 as authorized by Board Resolution 044-2021 on May 11, 2021. While the CDPH Immunization Grant Agreement 17-10315 had a term ending June 30, 2022, CDPH has since stated the funds will be carried over to FY 2022-23 and FY 2023-24.
To meet the scope and purpose of the Grant, the proposed subrecipient Funding Out Agreement 6593 with MMC agrees to furnish personnel, equipment, supplies, travel, and other materials as needed to (1) Provide access to immunizations for vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) to protect the local population; (2) Assist in detecting, reporting, and controlling vaccine-preventable diseases in its service area; and (3) Continue Vaccine For Children (VFC) Provider status, including vaccine management, storage and handling requirements, and data submission to the state vaccine registry, the California Immunization Registry (CAIR).
The initial term of the subrecipient Funding Out Agreement 6593 is limited by the term of the current CDPH Immunization funding agreement. Should the CDPH Immunization funding be carried into FY 2023-24, the option to extend the term of this subrecipient agreement will be exercised, not to extend beyond June 30, 2024.
In accordance with Board of Supervisors Procurement Policy C-17, Section 7.11, the contractor selection process for service contracts in excess of $100,000 must include a review of the scope of services and contractor’s professional qualifications by a group of individuals (including at least one representative from outside the department requesting the services) qualified to judge the contractor’s ability to perform the services. HHSA has documentation on file that such a review was performed.
ALTERNATIVES:
Should the Board decline to approve this recommendation, HHSA would continue to provide vaccine-preventable disease mitigation activities to both children and adults through the established Vaccine for Children Program and those mandates historically associated with Title 17 communicable disease response, mitigation, and control. While services would continue, capacity of response, volume of intervention, and efficiency mitigation/control would all be diminished, thereby increasing and prolonging disease exposure within the public. There is also the possibility of defaulting on the agreement with the State resulting in a loss of revenue and potentially jeopardizing future funding awards.
PRIOR BOARD ACTION:
1) 06/28/2022, 22-0695 HHSA FY 2022-23 Annual Signature Authority
2) 04/12/2022, 22-0506 HHSA Barton Healthcare Systems 6419 Immunization
3) 05/10/2022, 22-0588 HHSA #6498 El Dorado County Community Health Center - Immunization
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel and Risk Management.
The Auditor-Controller has been notified per Policy B12.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no net county cost associated with this Agenda item. Sufficient appropriations were included in the Fiscal Year 2022-23 Budget and will be included in future budgets for the term of the Agreement, if extended.
CLERK OF THE BOARD FOLLOW UP ACTIONS
Clerk of the Board to obtain signature of Chair on one (1) original Funding Agreement 6593
STRATEGIC PLAN COMPONENT:
Healthy Communities: Improved health, well-being and self-sufficiency of El Dorado County communities, residents, and visitors.
CONTACT
Evelyn Schaeffer, Director, Health and Human Services Agency