HomeMy WebLinkAboutPR 19451: AUTHORIZING A CONTRACT WITH THE DEPARTMENT OD STATE HEALTH SERVICES FOR TUBERCULOSIS PREVENTION AND CONTROL a�,x, _ F
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DATE: July 19, 2016
To: Brian McDougal, City Manager
From: Judith A. Smith, RN, BSN I
RE: Approval of a Contract between the City of Port Arthur and the Department of State Health
Services for TB Control and Prevention
Nature of the Request: This is a contract between the City of Port Arthur and the Department
of State Health Services to provide basic services and associated activities for tuberculosis (TB)
prevention and control, and expanded outreach services to individuals of identified special
populations who have TB or who are at high risk of developing TB.
Staff Analysis, Considerations: There are currently two employees working in the Tuberculosis
(TB) clinic. These grant funds will cover a percentage of salaries and travel for the two
employees working in the Tuberculosis (TB) clinic.
Recommendations: It is recommended that the City Council approve P.R. No. 19451,
authorizing the City Manager and the City's Health Director to enter into a contract with Texas
Department of State Health Services for TB funds totaling $25,278 to begin September 1, 2016
and end August 31, 2017, and will require a 20% cash match of$5,056.
Budget Considerations: None
"REMEMBER WE ARE HERE TO SERVE THE CITIZENS OF PORT ARTHURP.O.BOX 1089•PORT ARTHUR, TX 77641-1089-
409/983-8101-FAX
7641-1089•409/983-8101•FAX 409/982-6743
P.R. NO. 19451
07/19/2016-j s
RESOLUTION NO.
A RESOLUTION AUTHORIZING A CONTRACT BETWEEN THE CITY
OF PORT ARTHUR AND THE DEPARTMENT OF STATE HEALTH
SERVICES FOR FUNDS IN THE AMOUNT OF $25,278.00 FOR
TUBERCULOSIS PREVENTION AND CONTROL
WHEREAS, this contract between the City of Port Arthur and the Department of State
Health Services will provide financial assistance to the Port Arthur City Health Department,
basic services and associated activities for tuberculosis (TB) prevention and control, and
expanded outreach services to individuals of identified special populations who have TB or who
are at high risk of developing TB; and,
WHEREAS,the contract is for $25,278 and will cover a portion of salaries and travel for
the TB clinic in the health department; and,
WHEREAS, the contract will begin 09/01/2016 and end 08/31/2017, and will require a
20% cash match of$5,056.
NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF PORT ARTHUR:
Section 1. That, the facts and opinions in the preamble are true and correct.
Section 2. That, the City Council of the City of Port Arthur hereby accepts and
approves the contract between the City of Port Arthur and the Department of State Health
Services for tuberculosis prevention and control services in the amount of$25,278.
Section 3. That, the City Council deems it is in the best interest of the City to approve
and authorize the City Manager and the Director of the City's Health Department to execute the
P.R. NO. 19451
Page 2
contract between the Department of State Health Services and the City of=Port Arthur as
delineated in Exhibit"A".
Section 4. That, a copy of the caption of this Resolution be spread upon the Minutes of
the City Council.
READ,ADOPTED, AND APPROVED,this day of July,2016 A.D., at a
Regular Meeting of the City Council of the City of Port Arthur, Texas by the following Vote:
AYES: Mayor:
Councilmembers:
NOES:
Derrick Freeman, Mayor
ATTEST:
Sherri Bellard, City Secretary
APPROV D AS TO FORM:
Val Tizeno, Cit ttorney
P.R. NO. 19451
Page 3
APPROVED FOR ADMINISTRATION: pn
Ua d1)II - a/ Z 14/1( oSi I
Brian McDougal, City Manager JAdith A. Smith, RN, BSN
Director of Health Services
APPROVED AS TO AVAILABILITY OF FUNDS:
1112 4494( pfe''/de e
Jerry Dale, CGFO/CPA 70.4
Director of Finance
DCPS FY17 TB PC STATE RENEWAL
Organization: Port Arthur Health Department DCPS-2017-TB/PC-ST-00001
Proposal Overview
Procurement ID: GST-2016-Solicitation-00022
Procurement Name: DCPS FY16 TB PC STATE
NEW CONTRACT
Business Entity
Organization Name: Port Arthur Health Department
Department:
Address: 449 Austin Avenue
Port Arthur,TX 77640
Payee
Vendor ID/Mail Code: 17460018850 011
Mail Code: 011
Payee Name: Port Arthur City Health Dept
Address: 449 Austin Ave
City: Port Arthur State: TX Zip Code: 77640-0000
DUNS Number: 137134909
Type of Entity: Governmental
Entity Sub-Type:
Contract Information
Contract Period Start Date: 9/1/2016
Contract Period End Date: 8/31/2017
Counties to be served:
Jefferson County
Amount Requested: $25,278.00
07/15/2016
Page 1 of 1
DCPS FY17 TB PC STATE RENEWAL
DCPS-2017-TB/PC-ST-00001
Other Category Detail
Organization Name: Port Arthur Health Department Program ID: TB/PC-STATE
Contract Number: 2016-003790-01 Procurement ID: GST-2016-Solicitation-00022
Proposal ID: DCPS-2017-TB/PC-ST-00001 Procurement Name: DCPS FY16 TB PC STATE NEW CONTRACT
Description of Item I Purpose&Justification I Funding Source I Total Cost
Registration Fees Registration fees for workshops or conferences for two TB Cash $200
employees.
Fax Machine To add a personal TB fax machine for incoming faxes Cash $250
Fax Line To add a personal TB fax line in the designated TB area Cash $1,000
software for winzip Secure site for uploading records to DSHS Cash $500
Cash Total: $1,950
In Kind Match Total:
Total Amount Requested for Other: $1,950
07/15/2016
Page 1 of 1
DCPS FY17 TB PC STATE RENEWAL
Organization: Port Arthur Health Department DCPS-2017-TB/PC-ST-00001
Budget Summary
Organization Name: Port Arthur Health Department Program ID: TB/PC-STATE
Contract Number: 2016-003790-01 Procurement ID: GST-2016-Solicitation-0
0022
Proposal ID: DCPS-2017-TB/PC-ST-00001 Procurement Name: DCPS FY16 TB PC
STATE NEW
CONTRACT
Budget Categories
DSHS Funds
Budget Categories Requested Cash Match In Kind Match Category Total
Personnel $20,172 $0 $20,172
Fringe Benefits $0 $0 $0
Travel $1,055 $0 $1,055
Equipment $0 $0 $0
Supplies $2,101 $5,056 $0 $7,157
Contractual $0 $0 $0
Other $1,950 $0 $1,950
Total Direct Costs $25,278 $5,056 $0 $30,334
Indirect Costs $0 $0 $0
Totals: $25,278 $5,056 $0 $30,334
Subcontracting
Subcontracting Percentage: 0.00%
Match Contributions
Applicable Match Amount: $25,278
Required Match Percentage: 20.00%
Required Match Amount: $5,056 Calculated Match Amount: $5,056
Source of Cash Match Funds
Supplies
Source of In Kind Match Funds
Program Income
Projected Earnings: $0
Source of Earnings
07/15/2016 Page 1 of 2
DCPS FY17 TB PC STATE RENEWAL
Organization: Port Arthur Health Department DCPS-2017-TB/PC-ST-00001
Budget Summary
Non DSHS Funding
Direct Federal Funds: $0
Other State Agency Funds: $0
Local Funding Sources: $0
Other Funds: $0
Total Projected Non DSHS Funding: $0
07/15/2016 Page 2 of 2
DCPS FY17 TB PC STATE RENEWAL
DCPS-2017-TB/PC-ST-00001
Personnel Category Detail
Organization Name: Port Arthur Health Department Program ID: TB/PC-STATE
Contract Number: 2016-003790-01 Procurement ID: GST-2016-Solicitation-00022
Proposal ID: DCPS-2017-TB/PC-ST-00001 Procurement Name: DCPS FY16 TB PC STATE NEW CONTRACT
Personnel
Position I Justification FTEs Cost
Functional Title:LVN II Provides assessments and treatment for LTBI Existing:0.2500 Funding Source:Cash
License/Cert.Type:License and TB patients. Proposed: 0.0000 Avg Monthly Salary:$3,985.00
License/Cert:LVN Vacant:0.0000 Number of Months:12
Job Description: Total FTEs 0.25 Salary Requested:$11,955
Functional Title:Admin Clerk II Performs all clerical duties for the TB clinic and Existing:0.2500 Funding Source:Cash
License/Cert.Type:N/A assist with DOT's. Proposed: 0.0000 Avg Monthly Salary:$2,739.00
License/Cert: Vacant: 0.0000 Number of Months:12
Job Description: Total FTEs 0.25 Salary Requested:$8,217
Functional Title: Existing: Funding Source:
License/Cert.Type: Proposed: Avg Monthly Salary:
License/Cert: Vacant: Number of Months:
Job Description: Total FTEs 0 Salary Requested:$0
Functional Title: Existing: Funding Source:
License/Cert.Type: Proposed: Avg Monthly Salary:
License/Cert: Vacant: Number of Months:
Job Description: Total FTEs 0 Salary Requested:$0
Cash Total: $20,172
In Kind Match Total:
Salary Wage Total: $20,172
07/15/2016 Page 1 of 2
DCPS FY17 TB PC STATE RENEWAL
DCPS-2017-TB/PC-ST-00001
Personnel Category Detail
Fringe Benefits
List the types of costs that comprise your organizations fringe benefits:
Total Fringe Benefit Rate(%): 0%
Fringe Benefit Amounts
Cash:
In Kind Match:
Fringe Benefits Total: $0
07/15/2016 Page 2 of 2
DCPS FY17 TB PC STATE RENEWAL
DCPS-2017-TB/PC-ST-00001
Travel Category Detail
Organization Name: Port Arthur Health Department Program ID: TB/PC-STATE
Contract Number: 2016-003790-01 Procurement ID: GST-2016-Solicitation-00022
Proposal ID: DCPS-2017-TB/PC-ST-00001 Procurement Name: DCPS FY16 TB PC STATE NEW CONTRACT
Indicate Policy Used:` .0 Organization's Travel Policy Attach travel policy if using organization's travel policy
State of Texas Travel Policy https://egrants.dshs.texas.gov/_Upload/54373-TravelPolicy_CityofPortArthur.pdf
Conference I Workshop Travel Costs
Description or Conference/Workshop J Justification* Destination/Details Cost
For attendance to the tB Conference in Austin To receive updates on TB information. City and State:"Austin,TX Funding Source:"Cash
#of Employees:*2 Mileage:*$0
#of Days:*2 Airfare:*$0
Meals:*$177
Lodging:*$480
Other Costs:*$128
Total:$785
City and State:* Funding Source:"
#of Employees:* Mileage:*
#of Days:* Airfare:*
Meals:"
Lodging:*
Other Costs:*
Total:$0
City and State:* Funding Source:*
#of Employees:* Mileage:*
#of Days:* Airfare:"
Meals:*
Lodging:"
Other Costs:*
Total:$0
City and State:* Funding Source:*
07/15/2016 Page 1 of 2
DCPS FY17 TB PC STATE RENEWAL
DCPS-2017-TB/PC-ST-00001
Travel Category Detail
#of Employees:" Mileage:*
#of Days:* Airfare:*
Meals:"
Lodging:"
Other Costs:*
Total
Total Cash for Conference/Workshop: $785
Total In Kind Match for Conference/Workshop:
Total for Conference/Workshop Travel: $785
Other/Local Travel Costs
Mileage Number of Mileage Cost Other Costs" Total Cost
Justification" Reimbursement Rate Miles" Funding Source'
Direct observe therapy $0.540 500 $270 $0 Cash $270
$0 $0
$0 $0
$0 $0
Total Cash for Other/Local Travel: $270
Total In Kind Match for Other/Local Travel:
Total for Other/Local Travel: $270
Conference/Workshop Travel Costs: $785
Other/Local Travel Costs: $270
Total Travel Costs: $1,055
07/15/2016 Page 2 of 2
DCPS FY17 TB PC STATE RENEWAL
DCPS-2017-TB/PC-ST-00001
Supplies Category Detail
Organization Name: Port Arthur Health Department Program ID: TB/PC-STATE
Contract Number: 2016-003790-01 Procurement ID: GST-2016-Solicitation-00022
Proposal ID: DCPS-2017-TB/PC-ST-00001 Procurement Name: DCPS FY16 TB PC STATE NEW CONTRACT
Description of Item I Purpose&Justification Funding Source 1 Total Cost
Office Supplies Supplies needed for TB clinic Cash $1,000
Educational Pamphlets TB Pamphlets for TB patients Cash $851
Medical Supplies Medical supplies needed for the TB clinic Cash $2,000
TB Supplies TB table cloth for health fairs and presentations,Presentation Cash $1,500
Tri-fold boards,home visits carrying cases(DOT's)or homebound.
Medical supplies Collection kits for blood drawing,blood pressure cuffs(pedi..and Cash $1,806
obese cuffs)
Cash Total: $7,157
In Kind Match Total:
Total Amount Requested for Supplies: $7,157
07/15/2016 Page 1 of 1
DCPS FY17 TB PC STATE RENEWAL
DCPS-2017-TB/PC-ST-00001
Supplies Category Detail
Organization Name: Port Arthur Health Department Program ID: TB/PC-STATE
Contract Number: 2016-003790-01 Procurement ID: GST-2016-Solicitation-00022
Proposal ID: DCPS-2017-TB/PC-ST-00001 Procurement Name: DCPS FY16 TB PC STATE NEW CONTRACT
Description of Item Purpose&Justification Funding Source Total Cost
Office Supplies Supplies needed for TB clinic Cash $1,000
Educational Pamphlets TB Pamphlets for TB patients Cash $851
Medical Supplies Medical supplies needed for the TB clinic Cash $2,000
TB Supplies TB table cloth for health fairs and presentations,Presentation Cash $1,500
Tri-fold boards,home visits carrying cases(DOT's)or homebound.
Medical supplies Collection kits for blood drawing,blood pressure cuffs(pedi..and Cash $1,806
obese cuffs)
Cash Total: $7,157
In Kind Match Total:
Total Amount Requested for Supplies: $7,157
07/19/2016 Page 1 of 1
DCPS FY17 TB PC STATE RENEWAL
Organization: Port Arthur Health Department DCPS-2017-TB/PC-ST-00001
Signature Pacie
DEPARTMENT OF STATE HEALTH SERVICES
Amendment#01
The Department of State Health Services (DSHS) and Port Arthur Health Department (Contractor) agree to
amend Contract No. 2016-003790-00 (Contract), which was effective on September 1, 2015. This Contract
has been not been amended prior to this Amendment.
I. The Parties agree to amend Section II of this Contract to add TWENTY-FIVE THOUSAND TWO HUNDRED
SEVENTY-EIGHT DOLLARS ($25,278.00)to increase the total amount that the Contract will not exceed to
FIFTY THOSAND FIVE HUNDRED FIFTY-SIX DOLLARS ($50,556.00).
II. The Parties agree to amend Section IV this Contract to extend the end of the Contract term to August 31,
2017.
III. The Parties agree that the amended Contract will be denominated Contract No. 2016-003790-01 for
administrative purposes.
IV. The Parties agree to amend Section 7-A PROVISION OF SERVICES of this Contract by adding the
following:
The Contractor may, at its discretion, elect to provide directly observed therapy (DOT) using a video platform.
To the extent Contractor elects to utilize DOT using a video platform, it comply with the requirements outlined in
the Requirement and Recommendation Guidance Document for Video DOT located at http://www.texastb.org.
V. The Parties agree to delete in its entirety Section 7-C MEDICATIONS AND SUPPLY INVENTORY
MANAGEMENT of this Contract and replace it with the following:
Contractor shall order TB medications through DSHS-enabled pharmacy ordering system. Contractor shall
ensure that TB medications purchased with DSHS TB Branch funds are used in a prudent manner that
contributes to disease control in their service area and shall not be distributed to other entities.
Contractor shall monitor and manage its usage of medications and testing supplies furnished by DSHS in
accordance with first-expiring-first-out (FEFO) principles of inventory control to minimize waste for those
products with expiration dates and set maximum stock levels at a 1-month supply and based on the number of
patients receiving treatment.
Between the first and the seventh working day of every month, the Contractor shall perform a physical count of
its inventory of medications and supplies furnished by DSHS and appropriately reconcile the quantities by
product and lot number in the Inventory Tracking Electronic and Asset Management System (ITEAMS). Failure
to reconcile in (TEAMS may prohibit release of medications. All DSHS-purchased medications shall be stored
properly and securely, in accordance with manufacturer's instructions (refer to TB Work Plan, Section V).
Products that have not been used in nine (9) months, or will not be used in nine (9) months shall be returned to
DSHS Pharmacy or transferred to another TB program where the demand may be greater and recorded in
(TEAMS.
Contractor shall obtain a TB expert physician consultation and approval from the TB Branch prior to ordering
the following second-line medications:
•Injectable Agents: capreomycin, kanamycin, amikacin, streptomycin;
•Fluoroquinolones: levofloxacin (Levoquin), ciprofloxacin, moxifloxacin, ofloxacin;
•Bacteriostatic Agents: ethionamide, para-aminosalicylic acid, cycloserine; and
•Other Agents: clofazamine, linezolid, bedaquiline, clarithromycin, amoxicillin.
Contractor may distribute Purified Protein Derivative (PPD) and syringes for TB skin testing to correctional
facilities that meet Texas Health and Safety Code, Chapter 89 requirements. Contractor shall monitor
distribution of these items in accordance with screening activities submitted on the correctional monthly report.
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DCPS FY17 TB PC STATE RENEWAL
Organization: Port Arthur Health Department DCPS-2017-TB/PC-ST-00001
Signature Page
VI. The Parties agree to delete in its entirety Section 7-D
USE OF INTERFERON GAMMA RELEASE ASSAY TESTS of this Contract and replace it with the following:
I. Perform tuberculosis screenings using DSHS-supplied interferon gamma release assays (IGRA). DSHS
reserves the right to select either T-SPOT®.TB and/or QuantiFERON®-TB Gold in-tube tests for the following
populations in accordance with DSHS-approved age requirements:
a. TB suspects;
b. TB cases;
c. Contacts to TB suspects and cases-Consultation with the TB Branch is required for contact investigations
in which 50 or more persons are targeted for screening;
d. Targeted testing except screening in correctional facilities- Monthly screening reports shall be submitted in
accordance with reporting schedule; and
e. Routine screening of employees providing TB services.
2. IGRA testing products/supplies supported by DSHS funds shall not be provided to any organization or
establishment without documented approval from the TB Branch.
VII. The Parties agree to amend Section 7-F REPORTING of this Contract by adding the following:
1. Provide a complete and accurate Annual Progress Report covering the period from January to December
2016, in the format provided by DSHS, demonstrating compliance with requirements of the contract during that
time period. The report shall include, but is not limited to, a detailed analysis of performance related to the
performance measures (see Section II FY16 Performance Measures).
2. The Contractor's Annual Progress Report shall not be combined with another Contractor's or health service
region's Annual Progress Report. The report is due March 15, 2017, and shall be sent to the TB Reporting
Mailbox at TBContractReporting@dshs.state.tx.us (refer to TB Work Plan, Section IX, 0). Any individual-level
patient data must be sent via the PHIN. Contractors can mail the Annual Progress Report to their DSHS Health
Service Region (HSR)thereby authorizing them to submit the report on their behalf. If the Contractor sends the
report to a DSHS HSR, the deadline for submission to the TB Branch remains unchanged.
VIII. The Parties agree to amend Section 7- Performance Measures of this Contract by adding the following:
1. For FY17 reporting, data will be drawn from calendar year 2016 (1/1/2016 -12/31/2016). A compliance
percentage of not less than 82.9% is required. If fewer than 82.9% of newly reported TB cases have a result of
an HIV test reported, then DSHS may(at its sole discretion) require additional measures be taken by
Contractor to improve that percentage, on a timeline set by DSHS.
2. Cases, and suspected cases, of TB under treatment by Contractor shall be placed on timely and appropriate
Directly Observed Therapy (DOT).
For FY17 reporting, data will cover all cases from calendar year 2016 (1/1/2016 -12/31/2016). A compliance
percentage of not less than 91.6% is required.
If data indicates a compliance percentage for this Performance Measure of less than 91.6%, then DSHS may
(at its sole discretion) require additional measures be taken by Contractor to improve that percentage, on a
timeline set by DSHS.
3. Newly-reported suspected cases of TB disease shall be started in timely manner on the recommended initial
4-drug regimen. For FY17 reporting, data will be drawn from calendar year 2016 (1/1/2016 -12/31/2016). A
compliance percentage of not less than 93.4% is required. If fewer than 93.4% of newly-reported TB cases are
started on an initial 4-drug regimen in accordance with this requirement, then DSHS may (at its sole discretion)
require additional measures be taken by Contractor to improve that percentage, on a timeline set by DSHS.
4. Newly-reported TB patients that are older than 12-years-old and that have a pleural or respiratory site of
disease shall have sputum acid-fast bacilli (AFB)-culture results reported to DSHS according to the timelines
for reporting initial and updated results given herein.
For FY17 reporting, data will be drawn from calendar year 2016 (1/1/2016 -12/31/2016). A compliance
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DCPS FY17 TB PC STATE RENEWAL
Organization: Port Arthur Health Department DCPS-2017-TB/PC-ST-00001
Signature Page
percentage of not less than 91.5% is required.
If data indicates a compliance percentage for this Performance Measure of less than 91.5%, then DSHS may
(at its sole discretion) require additional measures be taken by Contractor to improve that percentage, on a
timeline set by DSHS.
5. Newly-reported cases of TB with AFB positive sputum culture results will have documented conversion to
sputum culture-negative within 60 days of initiation of treatment. For FY17 reporting, data will be drawn from
calendar year 2015 (1/1/2015-12/31/2015). A compliance percentage of not less than 95% is required. If data
indicates a compliance percentage for this Performance Measure of less than 95%, then DSHS may (at its
sole discretion) require additional measures be taken by contractor to improve the percentage, on a timeline
set by DSHS.
6. Newly diagnosed TB cases that are eligible*to complete treatment within 12 months shall complete therapy
within 365 days or less.*Exclude TB cases 1)diagnosed at death, 2)who die during therapy, 3)who are
resistant to Rifampin, 4) who have meningeal disease, and/or 5)who are younger than 15 years with either
miliary disease or a positive blood culture for TB. For FY17 reporting, data will cover all cases from calendar
year 2016 (1/1/2016 -12/31/2016). A compliance percentage of not less than 87% is required. If data indicates
a compliance percentage for this Performance Measure of less than 87%, then DSHS may (at its sole
discretion) require additional measures be taken by Contractor to improve that percentage, on a timeline set by
DSHS.
7. Increase the proportion of culture-confirmed TB cases with a genotyping result reported. For FY17 reporting,
data will be drawn from calendar year 2016 (1/1/2016 -12/31/2016). A compliance percentage of not less than
94.2% is required. If data indicates a compliance percentage for this Performance Measure of less than
94.2%, then DSHS may (at its sole discretion) require additional measures be taken by Contractor to improve
that percentage, on a timeline set by DSHS.
8. TB cases with initial cultures positive for Mycobacterium tuberculosis complex shall be tested for drug
susceptibility and have those results documented in their medical record. For FY17 reporting, data will be
drawn from calendar year 2015 (1/1/2015 -12/31/2015). A compliance percentage of not less than 97.8% is
required. If data indicates a compliance percentage for this Performance Measure of less than 97.8%, then
DSHS may (at its sole discretion) require additional measures be taken by Contractor to improve that
percentage, on a timeline set by DSHS.
9. Newly-reported TB patients with a positive AFB sputum-smear result shall have at least three contacts
identified as part of the contact investigation that must be pursued for each case. For FY17 reporting, data will
be drawn from calendar year 2016 (1/1/2016 -12/31/2016). A compliance percentage of not less than 92% is
required. If data indicates a compliance percentage for this Performance Measure of less than 92%, then
DSHS may (at its sole discretion) require additional measures be taken by Contractor to improve that
percentage, on a timeline set by DSHS.
10. Newly-identified contacts, identified through the contact investigation, that are associated with a sputum
AFB smear-positive TB case shall be evaluated for TBI and disease. For FY17 reporting, data will be drawn
from calendar year 2015 (1/1/2015 -12/31/2015). A compliance percentage of not less than 82.5% is required.
If data indicates a compliance percentage for this Performance Measure of less than 82.5%, then DSHS may
(at its sole discretion) require additional measures be taken by Contractor to improve that percentage, on a
timeline set by DSHS.
11. Contacts, identified through the contact investigation, that are associated with a sputum AFB
smear-positive case and that are newly diagnosed with TBI shall be started on timely and appropriate
treatment. For FY17 reporting, data will be drawn from calendar year 2015 (1/1/2015 -12/31/2015). A
compliance percentage of not less than 70% is required. If data indicates a compliance percentage for this
Performance Measure of less than 70%, then DSHS may (at its sole discretion) require additional measures
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DCPS FY17 TB PC STATE RENEWAL
Organization: Port Arthur Health Department DCPS-2017-TB/PC-ST-00001
Signature Page
be taken by Contractor to improve that percentage, on a timeline set by DSHS.
12. Contacts, identified through the contact investigation, that are associated with a sputum AFB
smear-positive case that are newly diagnosed with TBI and that were started on treatment shall complete
treatment for TBI as described in Targeted Tuberculin Testing and Treatment of Latent TB Infection (LTBI),
Morbidity and Mortality Weekly Report, Vol. 49, No. RR-6, 2000; according to timelines given, therein. For
FY17 reporting, data will be drawn from calendar year 2016 (1/1/2016 -12/31/2016). A compliance percentage
of not less than 50% is required. If data indicates a compliance percentage for this Performance Measure of
less than 50%, then DSHS may (at its sole discretion) require additional measures be taken by Contractor to
improve that percentage, on a timeline set by DSHS.
13. For Class B immigrants and refugees with abnormal chest x-rays read overseas as consistent with TB,
increase the proportion who initiate a medical evaluation within 30 days of arrival. Arrival is defined as the first
notice or report; whether that is by fax, phone call, visit to the health department or EDN notification. For FY17
reporting, data will be drawn from calendar year 2016 (1/1/2016 -12/31/2016). A compliance percentage of not
less than 62% is required. If data indicates a compliance percentage for this Performance Measure of less
than 62%, then DSHS may (at its sole discretion) require additional measures be taken by Contractor to
improve that percentage, on a timeline set by DSHS.
14. For Class B immigrants and refugees with abnormal chest x-rays read overseas as consistent with TB,
increase the proportion who initiate and complete a medical evaluation within 90 days of arrival. For FY17
reporting data will be drawn from calendar year 2016 (1/1/2016-12/31/2016). A compliance percentage of not
less than 60% is required. If data indicates a compliance percentage for this Performance Measure of less
than 60%, then DSHS may(at its sole discretion) require additional measures be taken by Contractor to
improve that percentage, on a timeline set by DSHS.
15. For Class B immigrants and refugees with abnormal chest x-rays read overseas as consistent with TB and
who are diagnosed with TBI during evaluation in the US, increase the proportion who start treatment. For FY17
reporting, data will be drawn from calendar year 2016 (1/1/2016 -12/31/2016). A compliance percentage of not
less than 64% is required. If data indicates a compliance percentage for this Performance Measure of less
than 64%, then DSHS may(at its sole discretion) require additional measures be taken by Contractor to
improve that percentage, on a timeline set by DSHS.
16. For Class B immigrants and refugees with abnormal chest x-rays read overseas as consistent with TB and
Pr
who are diagnosed with TB infection during evaluation in the US and started on treatment, increase the
proportion who complete treatment for TB infection. For FY17 reporting, data will be drawn from calendar year
2015 (1/1/2015-12/31/2015). A compliance percentage of not less than 70% is required. If data indicates a
compliance percentage for this Performance Measure of less than 70%, then DSHS may (at its sole discretion)
require additional measures be taken by Contractor to improve that percentage, on a timeline set by DSHS
If Contractor fails to meet any of the performance measures, Contractor shall furnish in the Annual Progress
Report, due March 15, 2017, a written narrative explaining the barriers and the plan to address those barriers.
This requirement does not excuse any violation of this Contract, nor does it limit DSHS as to any options
available under the contract regarding breach
IX. The Parties agree to amend Section 16 of this Contract to add the following:
General Provisions, ARTICLE XXI. PROGRAM OPERATIONS, Section 21.05, Contractor's Notification of
Change to Certain Contract Provisions to replace it with the following:
Subject to the following restrictions, without prior approval, Contractor may transfer money between budget
categories and must provide the System Agency Contract Manager with prior notification of this transfer. No
budget category transfer or cumulative transfers may exceed 25% of the total contract value or$100,00,
whichever is less. If the budget transfer(s) exceeds $100,000, alone or cumulatively, prior written approval from
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DCPS FY17 TB PC STATE RENEWAL
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Signature Page
the System Agency is required. If the budget transfer(s) exceeds 25% of the total contract value, alone or
cumulatively, a formal contract amendment is required.
X. Except as provided in this Amendment, all other terms and conditions in the Contract will remain and be in
full effect.
XI. This Amendment is effective on September 1, 2016.
By signing this Amendment, the undersigned certify that they have the authority to bind their respective party to
this Amendment's terms and conditions.
Contractor Signature
By signing this Amendment, the undersigned certify that they have the authority to bind their
respective party to this Amendment's terms and conditions.
Signed By: Date:
DSHS Signature
By signing this Amendment, the undersigned certify that they have the authority to bind their
respective party to this Amendment's terms and conditions.
Signed by: Date:
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