Agenda Item   

AGENDA STAFF REPORT

 

                                                                                                                        ASR Control  17-000375

 

MEETING DATE:

05/09/17

legal entity taking action:

Board of Supervisors

board of supervisors district(s):

All Districts

SUBMITTING Agency/Department:

Health Care Agency   (Approved)

Department contact person(s):

Donna Fleming (714) 834-2980 

 

 

David Souleles (714) 834-3882

 

 

Subject:  Memorandum of Understanding for Public Health Nursing Services

 

      ceo CONCUR

County Counsel Review

Clerk of the Board

Concur

Approved Agreement to Form

Discussion

 

 

3 Votes Board Majority

 

 

 

    Budgeted: N/A

Current Year Cost: N/A

Annual Cost: N/A

 

 

 

    Staffing Impact:

No

# of Positions:

Sole Source: N/A

    Current Fiscal Year Revenue: See Financial Impact Section

  Funding Source: State: 100% (Proposition 10)

County Audit in last 3 years: No

 

 

    Prior Board Action: 3/10/2015 # 21, 5/22/2012 #61

 

RECOMMENDED ACTION(S):

 

 

1.

Approve the Memorandum of Understanding with the Children and Families Commission of Orange County for the provision of Public Health Nursing Services in the Bridges Maternal Child Health Network, in the amount of $1,500,000 for the period of July 1, 2017, through June 30, 2018, and in the amount of $1,500,000 for the period of July 1, 2018, through June 30, 2019, and in the amount of $1,500,000 for the period of July 1, 2019, through June 30, 2020 for a total of $4,500,000.

 

2.

Authorize the Health Care Agency Director, or designee, to execute the Memorandum of Understanding.

 

 

 

 

SUMMARY:

 

The Health Care Agency requests approval of the Memorandum of Understanding for the receipt of funding from the Children and Families Commission of Orange County for Public Health Nursing Services supporting healthy birth outcomes and healthy early childhood development.

 

 

 

 

BACKGROUND INFORMATION:

 

The Health Care Agency (HCA) is requesting the Board’s approval of a Memorandum of Understanding (MOU) with the Children and Families Commission of Orange County (CFCOC) which provides funding to HCA for the provision of Public Health Nursing services in partnership with the Bridges Maternal Child Health Network (Bridges Network).  The Bridges Network is comprised of hospitals, community-based programs, and Public Health Nursing services focused on developing strategic and responsive services that promote healthy early childhood development of young children from birth through age five.

 

On May 22, 2012, the Board approved the MOU with CFCOC for the provision of Public Health Nursing Services for the period of July1, 2012 through June 30, 2014, and again on March 10, 2015, for the period of July 1, 2014, through June 30, 2017.  The proposed memorandum includes the provision of funds in the amount of $1,500,000 for the period of July 1, 2017, through June 30, 2018; $1,500,000 for the period of July 1, 2018, through June 30, 2019; and $1,500,000 for the period of July 1, 2019, through June 30, 2020, for a total of $4,500,000 to HCA’s Public Health Nursing program. This Agreement directly funds 8.25 existing Public Health Nursing full time equivalent (FTE) positions and allows HCA to leverage additional Targeted Case Management funding for nurses that support the following four programs:

 

Medically High Risk Infant Program provides support and intensive case management services for up to 36 months to families with medically at-risk infants who reside in Orange County.

 

Nurse Family Partnership (NFP) provides home-based comprehensive case management services to low-income women who are pregnant for the first time with priority given to pregnant teenagers, 12 to 19 years of age.

 

Perinatal Substance Abuse Services provides health care coordination, health education, and case management services to pregnant women with histories of substance abuse and/or HIV infection to ensure that their newborns are born healthy and drug-free. 

 

Health Access and Promotion Services provides services to high risk families with young children such as families living in motels and shelters to improve access to health services and family support services.

 

Each funded program measures specific indicators supporting optimal growth and development such as: the percentage of children born healthy; immunization and breastfeeding rates; number of families linked to needed medical, social, educational and other resources; and increase knowledge and skills of parents.  As an example of success in 2013, 100% of NFP infants at age two were fully immunized compared to California’s rate of 72%. Additionally in 2013, the Perinatal Substance Abuse Services program provided case management to 250 pregnant clients with history of substance abuse. Also noteworthy is that 97% of babies born to these clients tested negative for illicit drugs and alcohol at birth.

 

This MOU contains a mutual indemnification provision, which varies from the County’s standard of sole indemnification. CEO/Office of Risk Management has approved the indemnification provisions and determined the risk to be acceptable for these services.

 

 

 

FINANCIAL IMPACT:

 

Revenue related to this Agreement is included in HCA’s FY 2017-18 Requested Budget and will be included in the budgeting process for future years. 

 

This Agreement contains language allowing the Department to terminate the contract without penalty, with or without cause, in the event that funding is reduced and/or not available to continue funding the Agreement.

 

 

 

 

STAFFING IMPACT:

 

N/A

 

 

 

ATTACHMENT(S):

 

Attachment A - Memorandum of Understanding FCI-HCA-12 with the Children and Families Commission of Orange County
Attachment B - Risk Assessment Form