TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Jennifer Ivancie, Staff Services Analyst I
SUBJECT: Agreement No. 240165B with St. Helena Hospital Foundation
RECOMMENDATION
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Director of Health and Human Services Agency (HHSA) requests approval of and authorization for the Chair to sign Agreement No. 240165B with St. Helena Hospital Foundation (SHHF) for the term December 1, 2023 through May 31, 2024 for a contract maximum of $99,600 to conduct mobile community clinics to administer COVID-19 vaccines.
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EXECUTIVE SUMMARY
Approval of today’s requested action allows the County to host mobile vaccination clinics to all eligible community members through SHHF. Targeted outreach clinics hosted at schools, businesses, churches, community centers, and home visits extend the outreach to the most vulnerable and at-risk in the community.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health and Human Services Agency, Public Health division |
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Is it Mandatory or Discretionary? |
Discretionary |
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Discretionary Justification: |
While there is no mandate to contract with this provider, this agreement will community clinics and in-home services to administer COVID-19 vaccines to all eligible community members. |
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Is the general fund affected? |
No |
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Future fiscal impact: |
None, this agreement terminates on May 31, 2024. Appropriations have been included in the approved Fiscal Year 2023-2024 budget. |
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Consequences if not approved: |
If this agreement is not approved, the imminent shift of COVID-19 vaccines to the commercial market will pose significant cost and access barriers for individuals, particularly for those who are underinsured or face difficulties in accessing regular health care. |
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County Strategic Plan pillar addressed: |
Healthy, Safe, and Welcoming Place to Live, Work, and Visit |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.
BACKGROUND AND DISCUSSION
Since January 2020, SHHF has been instrumental in the outreach, education, and immunization (IZ) services for community members, particularly those who are at-risk, underinsured or face difficulties in accessing regular health care.
To minimize the impact of impending commercialization of COVID-19 vaccines, the California Department of Public Health (CDPH) has approved the use of Epidemiology and Laboratory Capacity (ELC) Enhancing Detection (ED) Expansion funding to further support COVID-19 outreach, education, and vaccination delivery efforts.
Qualified clinical staff, including nurses, paramedics, and emergency medical technicians (EMT) administer vaccines to hard-to-reach areas, high-risk groups, and rural communities that would otherwise have limited access.
SHHF’s mobile unit minimizes the impact of commercialization on residents with a high rank on the Social Vulnerability Index (SVI), such as but not limited to, vaccine inequities, health disparities, housing instability, marginalized, and vulnerable community members who would otherwise not have access to vaccines.
There are no other nonprofit entities in Napa County that provide mobile COVID-19 vaccination services.
SHHF is a local vendor.