TO: Board of Supervisors
FROM: Jennifer Yasumoto, Health & Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Amendment No. 2 to Revenue Agreement with the California Department of Public Health (Immunization Coordination for State Vaccine for Children Program)
RECOMMENDATION
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Director of Health and Human Services requests approval of and authorization for the Chair to sign Amendment No. 2 to Revenue Agreement No. 180334B with the California Department of Public Health increasing the maximum by $1,954,276 for a new maximum of $2,309,970 for the term April 1, 2021 through June 30, 2022 to provide funding for the prevention and control of disease.
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EXECUTIVE SUMMARY
Approval of the recommended action will enable the County to accept $2,309,970 in funding from the California Department of Public Health, Immunization Branch, to support the Vaccine for Children (VFC) program, which is mandated by the State of California.
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 & Human Services Public Health |
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Is it Mandatory or Discretionary? |
Mandatory |
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Is the general fund affected? |
No |
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Future fiscal impact: |
This Agreement terminates June 30, 2022. The State has allocated an additional $1,954,276 for Fiscal Year 2021-2022. Appropriations were included in the approved Fiscal Year 2021-2022 budget. |
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Consequences if not approved: |
If this Agreement is not approved, then the Public Health division will have to fund mandated services in the immunization program and perform vaccination planning and implementation with HHSA General Fund and/or Realignment. |
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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
The Vaccine for Children (VFC) program is mandated by the State of California. The State provides the vaccine, and with the funding obtained from this revenue agreement, the Agency’s Public Health Division is able to coordinate activities relating to the immunization of school-aged children. If the recommended agreement is not approved, Napa County will not receive funding from the State to offset the cost of coordinating the mandated services in the immunization program. The subvention funds include provision for the salary of the Immunization Coordinator who operates the County’s VFC immunization program.
This amendment is to increase funding by $1,954,276 to allow the county to continue performing the same services identified in Exhibit A, Grant Application, to provide funding for the prevention and control of disease.
The money from this grant funding provides oversight by the Immunization (IZ) Coordinator for eight mandated services: Vaccine Accountability and Management; Improving Vaccine Access and Coverage Rates; Immunization Information Systems; Perinatal Hepatitis B Prevention; Education, Information, Training and Partnerships; Prevention, Surveillance and Control of Vaccine Preventable Disease; Assess and Improve Compliance with Childcare and School Immunization Entry; and Improve and Maintain Preparedness for an Influenza Pandemic.
Through these activities, the IZ Coordinator provides education and guidance for county staff and community providers to ensure that all are compliant with storage and handling of vaccines. Community flu clinics, as well as special clinics, allow access to vaccines without incurring a charge. The IZ Coordinator assists providers with the California Immunization Registry (CAIR) information system in recording patient immunizations, helping with implementation for new providers and providing trainings and updates. Reports from CAIR help to identify gaps in immunization coverage.
The IZ Coordinator also sends information about hepatitis B screening guidelines yearly to prenatal providers and local hospitals to ensure that all pregnant women test and babies receive a vaccination at birth to mothers who have hepatitis B. There is collaboration with community groups and assistance given to help community organization/facilities with flu vaccinations to help increase coverage rates and to operate and support mass flu clinics. The IZ Coordinator also participates in obtaining vaccine in the event there is an outbreak specific to a vaccine-preventable disease.
In coordination with the California Department of Public Health (CDPH) IZ Branch, the IZ Coordinator also provides guidance and encourages compliance with vaccinations for entry into childcare and schools, as well as doing selective site visits identified by the CDPH IZ Branch.