HomeMy WebLinkAboutLetter from CA Dept of Public Health 11.30.08 - Agree #2008-04-FY08-09 State of California—Health and Human Services Agency
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California Department of Public Health
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MARK B HORTON,MD,MSPH ARNOLD SCHWARZENEGGER
Director Governor
October 30, 2008
Ann Dickman, PHN
MCAH Director
Butte County Public Health Department t;COUNTY
695 Oleander Avenue BUTT'I RXCION
AVA
hico, CA 95926 R'�tiz41 s. ,
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Dear Ms. Dickman: -Rff11 T. pc nTa1 cTlarTtA,
APPROVAL OF ALTERNATE YEAR AGREEMENT FUNDING APPLICATION (AFA)
FOR AGREEMENT # 2008-04 — FY 08/09
The Maternal, Child and Adolescent Health (MCAH) Division of the California
Department of Public Health (CDPH) approves your Agency's Alternate Year 08/09
AFA, including the attached Scope(s) of Work (SOW) and Budget(s) for administration
of MCAH related programs.
To carry out the program(s) outlined in the enclosed SOW(s) and Budget(s), during the
period of July 1, 2008, through June 30, 2009, the MCAH Division will reimburse
expenditures up to the following amounts:
Maternal, Child and Adolescent Health $ 191,052
The availability of Title V Funds and State General Funds is contingent upon funds
appropriated in the final FY 08/09 Budget Act. Reimbursement of invoices is subject to
compliance with all federal and state requirements pertaining to CDPH MCAH related
programs and adherence to all applicable regulations, policies and procedures. CDPH
MCAH policies and procedures can be accessed at www.cdph.ca.gov/programs/mcah.
Please ensure that all necessary individuals within your Agency are notified of this
approval and that the enclosed documents are carefully reviewed. This approval letter
constitutes a binding agreement.
Maternal, Child and Adolescent Health Division, Center for Family Health
1615 Capitol Avenue, MS 8300, P.O. Box 997420 Sacramento, CA 95899-7420
(916)650-0300
Internet Address: www.cdph.ca.gov
Ann Dickman, PHN
Page 2
If any of the information contained in the enclosed SOW(s) and Budget(s) is incorrect or
different from that negotiated, please contact your Contract Manager, Toni Ballenger at
(916) 650-0351 or by email at Toni.Ballenger(a-)cdph.ca.gov within 14 calendar days
from the date of this letter. Non-response constitutes acceptance of the enclosed
documents.
Sincerely
" /Z
Shabbir Ahmad, DVM, MS, PhD, Acting Chief
Maternal, Child and Adolescent Health Division
Enclosure(s)
cc: Curt Josiassen, Chair
Board of Supervisors
Butte County Public Health Department
25 County Center Drive
Oroville, CA 95966
Elise Parnes, RN MSN
Program Consultant
Maternal, Child and Adolescent Health Division
Toni Ballenger
Contract Manager
Maternal, Child and Adolescent Health Division
Central File
Appendix
Agency: Butte County Public Health Department Fiscal Year- 2008- 2009
Agreement Number: 2008-04
MATERNAL, CHILD AND ADOLESCENT HEALTH (MCAH)
SCOPE OF WORK (SOW)
The local health jurisdiction (LHJ) must work toward achieving the following goals and
objectives by performing the specified activities, evaluating the results and focusing on
process and/or outcome.
Goal 1: All children are born healthy tmhealthy mothers.
Goal 2: No health status disparities among nacia|/ethnic, gender, economic
and regional groups.
Goal 3: ^4safe and healthy environment for women, children and their
families.
Goal 4: Equal access for all women, children and their families to
appropriate and needed care within mn integrated and seamless
system.
Timelines: All Ufthe implementation activities identified iOthis SOW are tobe
conducted within the term Ofthis Agreement's fiscal year.
FM MCAH Programs in the LHJ operate under the direction of an approved MCAH
Director in accordance with the MCAH/OFP Branch Policies and Procedures.
Implementation Activities
1.1 The LHJ must have a MCAH Director who meets the professional qualifications
and time commitment as specified in the current MCAH Policies and Procedures
K8snue|. (See MCAH/{)FP Branch Policies and ProCedV[eS, Key Personnel)
Evaluation Process or Outcomes
1.1.1 The local K8CAHDirector must submit 8copy OfaDapproval letter O[ 8
waiver with the annual Agreement Funding Application (AFA).
1.2 The K8CAN Director is responsible for programs that improve the health of the
K4CAH population.
Evaluation Process or Outcomes
1.2.1 List all local K8CAHPrograms funded bythe MCAH/OFPBranch inthe
Annual Report.
1.2.2 Identify the K4CAH/OFPBranch and Title V (F8der@|) priority areas with
the corresponding local MC/\HPrograms iOthe Annual Report.
1.3 The K8CAHDirector's responsibilities include the following:
w Develop policies and procedures, standards, and protOCO|S�
* Develop LHJ and/or community infrastructure that promote community
partnerships and provide family-centered, culturally-competent services;
* EDSU[e i0p|808D\SdOD and coordination of local MCAH Programs;
* Ensure hiring and orientation 0fkey personnel, adhering to W1CAH/C)FP
Branch policy personnel requirements;
FA—gency: Butte County Public Health Department Fiscal Year: 2008/2009
K8CAH SOW (Rev 7/O7) Page 1 of�� ��
Appendix A
Agreement Number- 2008-04
• Develop activities and evaluation methods to measure results that relate to
meeting MCAH priorities and the LHJ multi-year plan; and
• Use core public health functions to assure that progress is made toward the
MCAH/OFP Branch and Title V (Federal) goals and objectives and priorities,
Evaluation Process or Outcomes
1.3.1 Submit a duty statement that includes the MCAH Director's
responsibilities identified in the MCAF1/0FP Branch Policies and Procedures with
the annual AFA. When the MCAH Director position changes or the duties
change for the MCAH Director, submit the revised duty statement at the time of
the change.
1.3.2 Complete and submit Form 4 to document the MCAH Director's
participation in MCAH-related Collaboratives with the Annual Report.
Objective 2
The LHJ MCAH Program provides comprehensive outreach activities that may
include case finding, referrals, client education and community awareness that
targets the MCAH population to assist them in accessing and receiving care and
services to improve their health and well being.
Implementation Activities
2.1 The LHJ provides information on community resources, services and referrals to
the MCAH population.
• Provides activities that facilitate early and continuous access to care and services.
• Promotes screening of pregnant women and women of child bearing age.
• Refers to Healthy Families, Medi-Cal, Access for Infants and Mothers (AIM) and
other low cost/no cost health insurance programs for health care coverage.
• Determines high risk populations, targets outreach, case finding and care
coordination activities and gives these high risk populations priority. The high
risk MCAH populations include:
❖ Low income pregnant women.,
❖ Women, children and adolescents who are not linked to a source of
care,
Women of childbearing age who are at risk for adverse perinatal
outcomes including, but not limited to, tobacco exposure and
substance abuse, and
Children with special health care needs.
Evaluation Process or Outcomes
2.1.1 Complete Form 5 for Outreach Activities and keep on file for audit
purposes. Submit three examples for the Annual Report.
2,1.2 Describe the tracking system for referral in the Annual Report.
MCAH SOW (Rev 7/07) Page 2 of (P
Appendix
Agency: Butte County Public Health Department Fiscal Year: 2008=2009
Agreement Number: 2008-04
2.1.3 Report the number of referrals to 1-lealthy Families, Medi-Cal, AIM and
report the number and name other low cost/no cost health insurance programs in
the Annual Report.
2.14 {dcu1ifv the 1orgcVcd high risk populations in ()hio:dve 4.
22 The LHJ promotes community wide collaboration inthe development and
implementation Ofoutreach programs and works bJassure that services are
provided in a culturally sensitive manner with no duplication of services.
Evaluation Process or Outcomes
2.2.1 Complete and submit Form 4with the Annual Report to document
participation in K8CAH-related CoUahoratives by any MCAH staff.
2.3 The LHJ provides @ toll free or no cost telephone |OfO[U0@UOD service.
(Title Vrequirement)
° The telephone number must be disseminated widely throughout the LFIJ by means
ofpamphlets, publications and media publicitv.
* AJminimum, the toll free line cnuo1beoperational during normal business hours
and must linguistically ,efloc1tic LDD`upopulation mix.
• Personnel staffing the toll free line must have cultural sensitivity training.
° After hours messages must be answered byend o[the next business day.
Evaluation Process or Outcomes
23.1 Complete and submit Form O. Toll Free Telephone Report with the
Annual Report.
Objective 3
The LHJ provides skilled professional expertise to identify, coordinate and expand
services for the MCAH population through collaborative planning and
development to assure quality, evidence based family services.
Implementation Activities
31 The LHJ provides qualified program experts to manage MCAH Programs and
activities consistent with specific program requirements. (See policies and
procedures for individualized pn}grGDlS.)
Evaluation Process or Outcomes
3.1.1 Refer tVthe individualized programs for specific approval and
reporting requirements.
3.2 The LHJ nOUSt provide a Perinatal Service Coordinator (P8C} in accordance with
MCAH/[)FPBranch Policies and Procedures.
Evaluation Process or Outcomes
3,2.1 The LHJ requests approval verification for the Fz6C who meets the
professional qualifications and time commitment specified in the current
M{}AH/(]FPBranch Policies andProcedures, Key Personnel Secti
Agency: Butte County Public Health Department Fiscal Year: 2008-2009
Agreement Number: Butte- 04
/"
��{�AF� ��{}VV (��eV7/O7) Page 3Of�� v/
Appendix
3.2�2 Submit acopy ofthe approval |pMerurthe waiver letter for the PSC with
the AFAand when there isochange inthe PSC position.
33 PSC must carry out the responsibilities and activities detailed inthe MCAH/(JFP
Branch Policies and Procedures.
Evaluation Process or Outcomes
3.3.1 Report specific information 8Srequested iOthe Annual Report.
3.3.2 Maintain documentation on file.
The LHJ addresses their priority needs a) identified through the local Community
Health Assessment and b) includes a specific Sudden Infant Death Syndrome
(SIDS) objective and activities. The LHJ continues to monitor their IVICAH needs
and modify their plan to achieve improved maternal, child and adolescent health.
Implementation Activities
4.1 The LHJ rriust complete this process to address their priority needs and
SIDS o|Jcciivc
* Develop aplan toaddress the LHJ'spriority needs and SIDS byidentifying
i[Op|O[08nt8tiOn strategies and activities consistent with the K8CAHXJFP
Branch and Title Vgoals and objectives.
* Ensure implementation aotiVities, interventions and strategies are eVidence-
b@Sed,
w Implement activities that are specific and measurable.
w Ensure each implementation activity has a method of evaluating the outcome
asitrelates tomeeting the objective.
• EDSun8 Implementation activities, interventions and strategies are evid8DCe-
b8Sed.
° Complete the plan within the fiscal year iOwhich the allocation applies except
if the local priority need is an ongoing issue. These activities may be carried
over tOthe next year.
w Continue to monitor local MCAH needs and modify the local plan to improve
maternal, child and adolescent health,
° Report local trends inMCAHand the impact onimplementing the plan and
meeting the objectives.
Evaluation Process or Outcomes
4.1.1 Report specific information GSrequested OOthe Annual Report.
4.1.2 Maintain documentation DO file.
4.1 Complete local needs and capacity assessment utilizing policies, procedures and
1VO|g created by California Department OfPublic Health Maternal, Child and
Adolescent Branch.
* Create K8CAH Data profile
w Review and update identification Of &qCAHpopulation needs and priorities
through data analysis and stakeholder input
* Engage stakeholders tOassist in assessing Butte County's capacity [Ocarry
out the delivery Ofthe 1Oessential public health services tOthe MCAH
pVpV|8UoO.
o Identify gaps and ways tOaddress gaps
o Identity strengths and ways tOmaximize resources
p COrDDlVOiCate MCAHneeds and capacity assessment with stakeholders and
M[|AH SOW (Rev 7/O7) Page 40f),( ("
Appendix
public health administration.
4.1 Evaluation Process or Outcome:
* Creation ofcomprehensive Title Yneeds assessment for Butte County per
policies and procedures established byCalifornia Department [fPublic
Health Maternal, Child and Adolescent Branch.
w Submit required documents t0C[)PH. K8CAH by June 30. 2009
4.2 |nC[e38e 8vv8F8ne3S OfSIDS risk reduction within the perinatal, EMS and provider
community.
° Assess training needs within the first responder/EMS community and
fGCi|it8Ust[8ining(S) for EMS professionals as needed
* Assess training needs within the childcare cOnlDlUOitv and facilitate tCgiDingS
as needed
° Attend CDRTquarterly meetings toevaluate data related (0local SIDS/SUDS
deaths.
* Distribute safe S|eeo/G|D8 information to providers and parents/caregivers
via home visitation, health fairs and other community events.
4.2 Evaluation Process or Outcome:
�
Utilizing the MCAH Annual Report, in accordance with current fiscal year
Policies and Procedure;
o Gurnnno[ize outreach and evaluate training tnlocal EMS/First
Responders.
o Summarize outreach and evaluate training tVthe childcare
community.
o MCAH Director will attend OliD|nnunn of CORT meetings
• Summary ofC[)RT SIDS/SUDS data
4.3Increase substance abusing women's access todrug and alcohol treatment
p[Og[annS.
w
Participate inthe Child Abuse Prevention Council's (C/\PC) Medical
Subcommittee formerly known 8Sthe First Chance Coalition for Drug and
Alcohol Free Babies bimonthly to determine compliance with local hVSph@|S
regarding S132689. access to Fetal Alcohol Effects (F/\E) diagnostic services
and outreach (oreduce FAE/FA8.
« Participate iOthe Methamphetamine Strike Force's Treatment Subcommittee
to identify treatment needs for MCAH p0pU|@tiOD. services aV8i|@h|e, gaps
and actions tVincrease services tOtarget population.
* Facilitate access tobest practice 1[8iDiUg(8) for field/case manager PHN'SOD
substance abuse, services and treatment options iDour community G8
traiOiOQsopportunities arise.
* Collaborate with community partners to conduct health education outreach to
preconception audiences, pQ[eOtS. C8[8give[S and teens regarding the
harmful effects Ofsmoking, drinking and use ofdrugs during pregnancy.
43Evaluation Process VrOutcome:
*
Utilizing the MCAH Annual R8pVrt, in accordance with current fiscal year
Policies and P[OCedu[8�
o MCAH director shall attend bi-monthly CAPC/K8ediCO| SubCDD1nOitt88
Meetings.
K8CAHSOW (Rev 7/O7) Page 5ofAte
Appendix
C) MCAHDirector shall attend Meth Strikef0DeTreatment meetings 8G
scheduled to F8pP8S8nt O88dS [fK8CAH pOpu|RdOOS.
o Summary of MCAM director activities related to activities designed to
increase access tOdrug and alcohol cessation services,
o Create evaluation tool todocument knowledge gained and changes |D
practice related toattendance tObest practice tr8iDiDgSattended by
MCAH and field PHN staff. All staff attending tra|OiOgS using K4CAH
funding to complete evaluation after training.
o Summary Dfcollaborative educational activities and outreach tOtarget
populations.
4-4Decrease deaths and hospitalizations for children from birth toage 18 due to
unintentional injuries.
~ Facilitate Butte County Safe Kids quarterly collaboration meetings.
~ Work with injury work gnoupa to create and conduct action p|8O activities that
include data collection, identification of target pOpu|31inn, best practice
interventions and evaluation of efforts. (Toddler drowning, home safety, child
passenger safety and bike/pedestrian safety)
° Build capacity within Butte County Public Health Department to continue
facilitating injury prevention activities including grant writing, co||abOr3hOO
with community and state partners.
44 Evaluation Process or {JutConne�
° Utilizing the MCAH Annual Report, in accordance with current fiscal year
Policies and Procedure:
o GVnnnnary of Butte County Safe Kids Dle8dDg activities
o Copy of8C8K action plan and summary of activities completed by
workgroups.
u GUnlnl8ry ofcOmnrnunity/State collaboration accomplished GS well as
grantsVv[itteO/fuOded.
4.5 Increase community awareness regarding Preconception and Interconception
care health.
* Analyze Butte County data related tOentry into prenatal care, adequacy of
prenatal oare. LBV\0VLBVVand preterm delivers to determine target
population(s).
* Identify access to care issues and work to remove barriers to preconception,
early and adequate prenatal and inte[ConCeptiODcare.
° Build capacity within Butte County Public Health Department to C0OtiOUB
facilitating Preconception and |Dte[COnC8pti0Dcare health activities.
4.5 EVa|UGtiVO Process or Outcome:
w Utilizing the MCAH ADOVRl Report, in accordance with current fiscal year
Policies and Procedure:
u GU[D[Oary Ofdata findings:
• Target populations
• Key messages
o Summary 0faccess tOcare barriers and work done t0remove
barriers.
o Summary of capacity building activities conducted.
K8CAH S[}VV (Rev 7/07) Page 6 nf)�, /»
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