Agenda Item   

AGENDA STAFF REPORT

 

                                                                                                                        ASR Control  23-000253

 

MEETING DATE:

05/23/23

legal entity taking action:

Board of Supervisors

board of supervisors district(s):

1, 2

SUBMITTING Agency/Department:

Health Care Agency   (Approved)

Department contact person(s):

Regina Chinsio-Kwong (714) 834-2729 

 

 

Clayton Chau (714) 834-2830

 

 

Subject:  Contract for Proposition 99 Public Opinion Survey 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: FY 2023-24 $157,625

 

 

 

    Staffing Impact:

No

# of Positions:            

Sole Source:   Yes

    Current Fiscal Year Revenue: N/A

   Funding Source:     State: 100% (Proposition 99/56 and Tobacco Settlement Revenue)

County Audit in last 3 years: No

   Levine Act Review Completed: Yes

 

    Prior Board Action:         N/A

 

RECOMMENDED ACTION(S):

 

 

1.

Approve the Contract with CSU Fullerton Auxiliary Services Corporation for provision of Proposition 99 Public Opinion Survey Services, for the term of July 1, 2023, through June 30, 2024, in an amount not to exceed $157,625.

 

2.

Authorize the County Procurement Officer or Deputized designee to execute the Contract as referenced in the Recommended Action above.

 

 

 

SUMMARY:

 

Approval of the Contract with CSU Fullerton Auxiliary Service Corporation to conduct a State required Proposition 99 Public Opinion Survey in specific Orange County communities will provide key insights and actionable guidance to drive Tobacco Use Prevention Program efforts to reduce health impacts of exposure to secondhand smoke and tobacco product waste.

 

 

 

 

 

BACKGROUND INFORMATION:

 

The Health Care Agency’s (HCA) Tobacco Use Prevention Program (TUPP) is the Local Lead Agency for tobacco control in Orange County. TUPP receives funding from the California Tobacco Control Program, through Proposition 99 and Proposition 56. TUPP has developed a comprehensive tobacco control plan for Orange County. This plan includes allocating resources, including public opinion surveys, to help reduce tobacco disparities in Orange County, such as reducing secondhand smoke exposure and tobacco product waste. 

 

TUPP will target three jurisdictions, which include Cypress, Garden Grove, and Westminster - to reduce secondhand smoke exposure at parks and other outdoor recreational areas through environmental change strategies. TUPP will be collecting data about community knowledge, attitudes, and perceptions in the three targeted jurisdictions regarding secondhand smoke exposure and tobacco product waste. The public opinion survey, under the proposed contract, will allow TUPP to gather information to inform project planning and implement effective strategies specific to each jurisdiction. 

 

Scope of Services

A sampling of 382 surveys, to adults ages 18 and older, will be completed throughout each of the targeted jurisdictions of Cypress, Garden Grove and Westminster, for a total of 1,146 surveys. Sample size calculations were based on city adult populations and estimated prevalence levels with a 95 percent confidence level, or 5 percent margin of error. These three jurisdictions were selected for targeting in 2022 because they showed significant disparities in tobacco-related behaviors, health outcomes and environments, while also lacking both significant tobacco control policies and the operational presence of tobacco control partners as noted in the California Health Interview Survey, Web-Interface 2017-18. Results of this survey showed all three jurisdictions had higher adult smoking prevalence rates (9.5 percent to 10.1 percent) than that observed countywide (9.1 percent). Furthermore, these jurisdictions demonstrated chronic obstructive pulmonary disease death rates of 34.6 to 38.2 per 100,000 which was higher than the Orange County average of 24.6 per 100,000 according to the Orange County Healthier Together, Web-Interface 2015-2017, suggesting residents in these communities suffered significant downstream health effects from smoking. Furthermore, 86 percent of Cypress residents, 68 percent of Westminster residents and 44 percent of Garden Grove residents live within a 10 minute walk to a park, making it important to focus on parks and their impact on residents’ health given the proximity of parks and their potential use by residents for outdoor recreational activities.   

 

TUPP’s public opinion survey shall be administered to maximize representation of key demographic groups. This information will help guide TUPP’s efforts to address secondhand smoke exposure and tobacco product waste more effectively in parks and outdoor recreational areas in Cypress, Garden Grove and Westminster. The data analysis and results will be used in educational presentations to residents, city staff and other key stakeholders in each jurisdiction to show the category and degree of challenges, identify priorities and provide intentional strategies to address identified issues. Surveys shall be conducted in English, Vietnamese, Spanish and Korean, based on the individual’s stated language preference. The County’s 1-866-NEW-LUNG cessation helpline will also be promoted in the survey questionnaire to the 1,146 survey respondents to expand awareness of the availability of free smoking and vaping cessation services in Orange County.

 

The timeline for CSU Fullerton Auxiliary Service Corporation (ASC) to conduct this public opinion survey in the three targeted jurisdictions is as follows:

 

 

 

Timeline

Activities

7/1/2023 – 7/15/2023

Draft and finalize survey questionnaire and protocol.

7/16/2023 – 8/1/2023

Translate questionnaire into Spanish, Vietnamese, and Korean.

8/2/2023 – 9/1/2023

Obtain Internal Review Board approval.

Program survey instrument in both languages into Computer Assisted Telephone Interviewing.

9/2/2023 – 9/15/2023

Pilot test survey.

9/16/2023 – 9/25/2023

Provide TUPP team results of pilot test and make modifications to survey if necessary.

9/26/2023 – 12/15/2023

Administer survey to 382 residents 18 years of age and older in each jurisdiction (Cypress, Garden Grove, and Westminster) for a total of 1,146 collected.

12/16/2023 – 1/31/2024

Clean and analyze data by city.

Provide TUPP team with data file, methodological brief, and complete set of summary tables for all survey variables by city.

 

The proposed Contract is a Sole Source Contract. CSU Fullerton ASC is the only vendor capable of conducting this survey due to their prior experience in implementing telephone-based public opinion surveys in Orange County to support public health projects. CSU Fullerton ASC has access to telephone databases not available to the TUPP. Current approved County vendors that were provided the opportunity to submit a proposal to conduct this survey chose not to do so or did not have the qualifications needed to implement the services as required. CSU Fullerton ASC possesses the language capabilities needed to successfully conduct the scope of work for the threshold languages identified which HCA TUPP staff cannot directly implement independently. Additionally, this vendor has the capacity and infrastructure needed for the large scope of the project collecting a representative sample of sufficient size for each jurisdiction in the needed languages and within the State’s required timeline.   

 

This Contract contains a mutual indemnification provision, which varies from the County standard of sole indemnification. CEO/Risk Management has approved the indemnification provision, and determined the risk to be acceptable for these services. See Attachment C for Risk Assessment Form.

 

HCA has verified there are no concerns that must be addressed with respect to Contractor's ownership/name, litigation status or conflicts with County interests. The Orange County Preference Policy is not applicable to this contract award.

 

This Contract does not currently include subcontractors or pass through to other providers. See Attachment B for Contract Summary Form.

 

HCA requests that your Honorable Board approve the Contract with CSU Fullerton ASC as referenced in the Recommended Actions.

 

 

FINANCIAL IMPACT:

 

Appropriations for the Contract is included are Budget Control 042 FY 2023-24 Budget.

 

Should services need to be reduced or terminated due to lack of funding, the Contracts contains language that allows HCA to give 30 days' notice to either terminate or renegotiate the level of services to be provided. The notice will allow HCA adequate time to transition or terminate services to clients, if necessary.

 

 

STAFFING IMPACT:

 

N/A

 

ATTACHMENT(S):

 

Attachment A - Contract MA-042-23011373 with CSU Fullerton Auxiliary Services Corporation for Proposition 99 Public Opinion Survey Services
Attachment B - Contract Summary Form
Attachment C - Risk Assessment Form