HomeMy WebLinkAboutPR 19501: INTER-LOCAL AGREEMENT WITH TEXAS HEALTH AND HUMAN SERVICES COMMISSION, NURSE FAMILY PARTNERSHIP PROGRAM, EXTENTION - ---'. Fnarry -
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DATE: August 26, 2016
To: Brian McDougal, City Manager
From: Judith A. Smith, RN, BSN
RE: Authorization to Approve Amendment One, the Inter-Local Agreement Between the
Health and Human Services Commission and the City of Port Arthur for The Nurse-
Family Partnership Program FY 2017 Agreement, Extending the Agreement Until August
31, 2017.
Nature of the Request: This is to amend the FY 2016 contract between the State of Texas, by
and through the Texas Health and Human Services Commission (HHSC) and the City of Port
Arthur to expire August 31, 2017. The Nurse Family Partnership Program provides educational,
health, guidance, and other resources for low-income, Medicaid eligible, first-time pregnant
women during pregnancy, and during the first two years of their infant's life through visits by
highly trained registered nurses.
Analysis, Considerations: The original Agreement will remain in effect except the Agreement
will expire 08/31/2017. There is a requirement of a 10% cash match of$58,063.00 for FY 2017.
This grant covers salaries, fringe, travel, and supplies for 6 employees.
Recommendations: It is recommended that the City Council approve the Amendment between
Texas Health and Human Services Commission and the City of Port Arthur, NFP program, P.R.
No. 19501 for FY 2017.
Budget Considerations: Total payments received from this contract will be $580,633.00.
"REMEMBER WE ARE HERE TO SERVE THE CITIZENS OF PORT ARTHUR"
P.O.BOX 1089•PORT ARTHUR,TX 77641-1089.409/983-8101•FAX 409/982-6743
P.R. No. 19501
08/26/2016-js
RESOLUTION NO.
A RESOLUTION AMENDING THE FY 2016 INTER-LOCAL
AGREEMENT BETWEEN THE TEXAS HEALTH AND HUMAN
SERVICES COMMISSION AND THE CITY OF PORT ARTHUR
FOR THE NURSE FAMILY PARTNERSHIP PROGRAM TO
EXTEND THE CONTRACT PERIOD TO AUGUST 31, 2017,
INCREASING FUNDS IN THE AMOUNT OF $580,633.00
WHEREAS, the State of Texas, by and through the Texas Health and Human
Services Commission (HHSC) awarded grant funds to eligible entities to support the
establishment and operation of local Nurse-Family Partnership (NFP) programs to
provide educational, health, guidance, and other resources for low-income, first-time
pregnant women during pregnancy, and during the first two years of their infant's life
through visits by highly trained registered nurses; and,
WHEREAS,this Amendment provides for six (5) full-time registered nurses, one
(1) full-time clerical support person, and will allow for a caseload of 100 families; and,
WHEREAS, HHSC will award grant funds for approximately 90% of the total
annual base budget for the Nurse-Family Partnership grant and the City is expected to
contribute the remaining 10% from local match funds.
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 authorizes
the extension of the Inter-Local Agreement between Texas Health and Human Services
Commission and the City of Port Arthur for the Nurse-Family Partnership Program grant
P.R. No. 19501
Page 2-08/26/16
award in the amount of$580,633.00 as delineated in Exhibit "A", with the understanding
that the grant requires a 10% local match of$58,063.00.
Section 3. 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 September 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
APPROVED AS TO FORM:
_ row ' 6hiu , Ltral 66)
Val Tize�. City Attorney
P. R. No. 19501
Page 3—08/26/16
APPROVED FOR ADMINISTRATION:
u,dildv ,c tib x ' bsty
Brian McDougal, City Manager dith Smit , RN, BSN,
irector of Health Services
APPROVED FOR AVAILABILITY OF FUNDS:
Jerry W. I ale, CGFO/CPA, Director of Finance
(10% Local Match Funds) t 4 Ill�b
EXHIBIT "A"
HHSC 529-16-0003-00005A
STATE OF TEXAS
COUNTY OF TRAVIS
AMENDMENT ONE
TO THE
INTER-LOCAL AGREEMENT
BETWEEN THE
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
AND
CITY OF PORT ARTHUR
FOR
NURSE-FAMILY PARTNERSHIP PROGRAM
ARTICLE I. INTRODUCTION 2
ARTICLE II.AUTHORITY AND OBJECTIVES 2
SECTION 2.01 AUTHORITY. 2
SECTION 2.02 OBJECTIVES. 2
SECTION 2.03 MODIFICATIONS TO AGREEMENT 2
SECTION 2.04 EFFECTIVE DATE. 3
ARTICLE III.AMENDMENT TO THE OBLIGATIONS OF THE PARTIES 3
SECTION 3.01 MODIFICATIONS. 3
ARTICLE IV.AUTHORITY TO EXECUTE 4
Exhibit A: Additional Contract Requirements
Exhibit B: Reporting Requirements
Exhibit C: Performance Measures
Exhibit D: Contract Budget
1
HHSC 529-16-0003-00005A
STATE OF TEXAS
COUNTY OF TRAVIS
AMENDMENT ONE
TO THE
INTER-LOCAL AGREEMENT
BETWEEN THE
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
AND
CITY OF PORT ARTHUR
FOR
NURSE-FAMILY PARTNERSHIP PROGRAM
Article I. INTRODUCTION
Contractor acknowledges the transfer;pursuant to applicable provisions of Senate Bill 200, 84th Regular
Session(2015); of this contract from the Texas Health and Human Services Commission(HHSC)to the
Texas Department of Family and Protective Services(DFPS).HHSC or DFPS will,as deemed necessary
by HHSC or DFPS,provide Contractor with any contract-related information changed or revised as a
result of the transfer.
This Amendment One to the HHSC Contract No 529-16-0003-00005 (the"Agreement")is between the
Health and Human Services Commission("HHSC"),an administrative agency within the executive
department of the State of Texas,having its principal office at 4900 North Lamar Boulevard,Austin,
Texas,78751,and City of Port Arthur("CONTRACTOR"),having its principal office at 449 Austin Ave,
Port Arthur,Texas, 77641. HHSC and CONTRACTOR may be referred to in this Amendment
individually as"Party"and collectively as the"Parties."
The Parties intend to modify the Agreement subject to the following terms and conditions. The Parties
agree that the modified terms and conditions will apply to the Services and Deliverables to be provided by
CONTRACTOR unless further modified or amended by the Parties. This amendment may be referred to
as"Amendment"or"Amendment One"herein.
Article II. AUTHORITY AND OBJECTIVES
Section 2.01 Authority.
In accordance with Section 6.02 of the Agreement,the Parties execute this Amendment One.
Section 2.02 Objectives.
It is the intent of HHSC to support the Nurse-Family Partnership Program in Jefferson County,Texas
through the Agreement.CONTRACTOR is considered a recipient of state grant funds for the purposes of
the Agreement. The purpose of this Amendment is to modify certain terms of the original Agreement.
Section 2.03 Modifications to Agreement.
The Agreement is modified for the following purposes:
o To modify Section 2.07(a)"Term of the Agreement";
o To modify Section 4.01 "Total Cost";
o To modify Section 4.02(a)"General Payment Terms";
2
o To incorporate"Additional Contract Requirements"(Exhibit A to this Amendment);
o To incorporate"Reporting Requirements"(Exhibit B to this Amendment);
o To incorporate"Performance Measures"(Exhibit C to this Amendment); and
o To incorporate"Contract Budget"(Exhibit D to this Amendment).
Section 2.04 Effective Date.
This Amendment is effective September 1,2016.
Article III. AMENDMENT TO THE OBLIGATIONS OF THE PARTIES
Section 3.01 Modifications.
The original Agreement remains in effect except as modified as listed below in this Amendment One.
(a) Section 2.07(a)"Term of Agreement"is deleted in its entirety and replaced with the following
language:
The term of this Agreement begins September 1,2015 and will expire on August 31,2017(the
"Expiration Date")unless terminated sooner or extended pursuant to the terms and conditions of
this Agreement.
(b) Section 4.01 "Total Cost"is deleted in its entirety and replaced with the following language:
Under Amendment One,DFPS will add$580,633.00 to the previous contract amount of
$580,633.00. The total cost of Services and Deliverables supplied by CONTRACTOR to DFPS
during the Term of the Agreement will not exceed$1,161,266.00.
(c) Section 4.02(a)"General Payment Terms"is deleted in its entirety and replaced with the
following language:
DFPS will reimburse actual costs of CONTRACTOR, based on approved performance,an
amount up to but not to exceed$580,633.00 for the term of the funding period beginning
September 1,2016 and ending August 31,2017. Payments will be made on a monthly cost
reimbursement basis,in response to an invoice and purchase voucher and monthly deliverables
being received and approved by DFPS. DFPS shall pay the CONTRACTOR an amount not to
exceed the total agreed upon amount in the CONTRACTOR's approved budget as represented in
Exhibit D of this Amendment.
(d) Exhibit E to the Agreement,"Additional Contract Requirements,"is replaced in its entirety by
Exhibit A,"Additional Contract Requirements,"to this Amendment.
(e) Exhibit F to the Agreement,"Reporting Requirements,"is replaced in its entirety by Exhibit B,
"Reporting Requirements,"to this Amendment.
(f) Exhibit G to the Agreement,"Performance Measures,"is replaced in its entirety by Exhibit C,
"Performance Measures,"to this Amendment.
(g) Exhibit D to this Amendment incorporates the modified"Contract Budget"into the Agreement.
3
Article IV.AUTHORITY TO EXECUTE
The Parties have executed this Amendment in their capacities as stated below with authority to bind
their organizations on the dates set forth by their signatures.
TEXAS DEPARTMENT OF FAMILY AND CITY OF PORT ARTHUR
PROTECTIVE SERVICES
SASHA RASCO BRIAN MCDOUGAL
PREVENTION AND EARLY CITY MANAGER
INTERVENTION(PEI)ASSISTANT
COMMISSIONER
DATE: DATE:
4
AMENDMENT ONE
TO THE
INTER-LOCAL AGREEMENT
BETWEEN THE
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
AND
CITY OF PORT ARTHUR
FOR
NURSE-FAMILY PARTNERSHIP PROGRAM
EXHIBIT A
ADDITIONAL CONTRACT REQUIREMENTS
The CONTRACTOR is responsible for and must ensure that each of the contract requirements stated
below are met:
CONTRACTOR will implement the evidence-based home visiting program model(s)outlined in its
approved budget according to the national model elements and requirements for each. Curricula,
assessments,screening tools,data collection and home visit guidelines required by the program model(s)
must be used.
CONTRACTOR's implementing Nurse-Family Partnership must contract directly with the Nurse-Family
Partnership National Service Office(NFPNSO)and pay all applicable fees directly to NFPNSO.
CONTRACTOR's implementing Nurse-Family Partnership assumes responsibility for knowledge of and
compliance with the Texas Nurse Practice Act,state laws,regulations, and licensing requirements
pertaining to nursing practice and state laws and regulations pertaining to mandatory reporting.
CONTRACTOR must use the recommended data collection system required by the model developer.All
required data must be entered directly into the applicable system and the CONTRACTOR must perform a
quality check to ensure all data required by Texas Home Visiting(THV)is included and the data is
accurate.This quality check must include timely review and response to THV-generated quality assurance
reports. Data must be entered each month according to the program model(s)requirements and THV's
guidance.
CONTRACTOR is required to participate in HRSA-required evaluation activities administered through
THV and any contracted partners(if applicable).
CONTRACTOR is prohibited from engaging in research on program staff and/or client population
without prior written authorization from THV, and the program model(s). This excludes THV required
program evaluation.
CONTRACTOR will take all appropriate steps to maintain client confidentiality and obtain any necessary
written client consents for data analysis or disclosure of protected health information,in accordance with
applicable federal and state laws,including,but not limited to,authorizations,data use agreements,and
business associate agreements,as necessary.
CONTRACTOR must provide flexible schedules to Home Visitors and Supervisors to allow for evening
and weekend work to accommodate clients'schedules.
5
CONTRACTOR will monitor subcontractors according to program model(s)and/or THV guidance
to ensure that subcontractors are adhering to the essential elements as it relates to this Agreement.
All CONTRACTOR staff that interacts with clients is required to complete the THV-approved training on
reporting child maltreatment within 30 days of date of hire. CONTRACTOR is also responsible for
ensuring that all staff is aware of their duty to report as outlined in the Texas Family Code,Chapter 261.
Records acknowledging successful completion of the training by each staff member must be maintained
by CONTRACTOR.
CONTRACTOR's staff vacancies must be filled within three months. Vacancies of over three(3)months
will require a staffing plan approved by THV.
In order to ensure client health and safety, CONTRACTOR must follow THV requirements regarding
conducting criminal background checks and maintaining records.
CONTRACTOR must complete ongoing trainings or meetings that are required by the program model(s)
and/or THV.
CONTRACTOR must implement and complete Continuous Quality Improvement(CQI)projects as
defined by THV guidance requirements.
If the CONTRACTOR is receiving HRSA funding they are required to use the following
acknowledgement and disclaimer on all products produced by HRSA/THV grant funds: "This project
is/was supported by the Health Resources and Services Administration(HRSA)of the U.S. Department
of Health and Human Services(HHS)under grant number and title for grant amount(specify grant
number,title,total award amount and percentage financed with nongovernmental sources). This
information or content and conclusions are those of the author and should not be construed as the official
position or policy of,nor should any endorsements be inferred by HRSA,HHS or the U.S. Government."
CONTRACTORS are required to use this language when issuing statements,press releases,requests for
proposals,bid solicitations,and other HRSA supported publications and forums describing projects or
programs funded in whole or in part with HRSA funding. Examples of HRSA supported publications
include,but are not limited to,manuals,toolkits,resource guides,case studies and issues briefs.
CONTRACTOR is prohibited from using the DFPS name, logo or insignia on forms or other materials
related to THV funded services. This includes forms(e.g. consent forms)and materials that are
distributed to the CONTRACTOR's clients.
CONTRACTOR's match goal for this budget period is 10%(cash match)of their total reimbursable
expenditures. Full reimbursement is dependent on reaching this match goal.
Corrective Action:
Texas Home Visiting staff will provide continued support and consultation to CONTRACTOR
throughout the term of the Agreement.At the discretion of the THV Program Manager,Corrective Action
Plans may be requested if the CONTRACTOR fails to meet contract requirements.
All Corrective Action Plans must be approved by THV,prior to being implemented by the
CONTRACTOR.
If the CONTRACTOR fails to implement their approved Corrective Action Plan, all or part of their
monthly payment may be withheld.
6
AMENDMENT ONE
TO THE
INTER-LOCAL AGREEMENT
BETWEEN THE
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
AND
CITY OF PORT ARTHUR
FOR
NURSE-FAMILY PARTNERSHIP PROGRAM
EXHIBIT B
REPORTING REQUIREMENTS
The reports listed below are due to your THV Project Manager by the last day of the month for the prior
month. If the last day of the month falls on a weekend or holiday,all Reporting Requirements will be due
on the next business day. Reports should be sent to the Texas Home Visiting mailbox at:
Homey isiting(aidfps.state.tx.us.
1. CONTRACTOR will submit a Monthly Program Report using the template and guidance provided
by THV.
2. CONTRACTOR will submit a monthly expenditure report using the format provided by THV for
allowable expenses that includes an invoice and a scanned purchase voucher with an original
signature.
3. CONTRACTOR will work with THV during that last month of the fiscal year to submit accurate
year-end expenditures as soon as possible.
CONTRACTOR will report additional data elements as requested by THV.
CONTRACTOR will make all reasonable efforts to assure that all data elements are collected and
reported to THV upon its request,or as soon as reasonably possible.Templates and data element requests
will not constitute the entirety of deliverables and requirements required for submission by this
Agreement.
AMENDMENT ONE
TO THE
INTER-LOCAL AGREEMENT
BETWEEN THE
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
AND
CITY OF PORT ARTHUR
FOR
NURSE-FAMILY PARTNERSHIP PROGRAM
EXHIBIT C
PERFORMANCE MEASURES
These performance measures assess operational components and indicate compliance with services
required under the Texas Home Visiting Program. These measures were selected as critical elements in
progress towards positive program outcomes.
OUTPUT MEASURES
CONTRACTOR shall meet all of the following outputs once program implementation has begun:
Output#1: The expected number of families served annually.
Indicator: The number of unduplicated families served in the 12-month budget period by all program
models under which CONTRACTOR operates.
Target: 100
Data Source: THV database and/or program model databases.
Methodology: Count of the number of unduplicated mothers served by NFP or families served by other
program models under which CONTRACTOR operates that received a minimum of one home visit
during the 12-month budget period.
OUTPUT#2: Staff members are trained to deliver the evidence-based model.
Indicator: The percentage of staff that are trained in the evidence-based model within the timeframes
required by the evidence-based models.
Target: 100%.
Data Source: Monthly reports.
Methodology: Total number of staff who are trained according to model requirements and timelines
divided by the total number of staff providing services under this Agreement.Multiply by 100 and state
as a percentage.
OUTPUT#3: Program will maintain family capacity throughout the contract term.
Indicator: The number of families served at any given point compared to the number of funded slots
(Output#1).
Target: 100%with an allowable variance of 15%.
Data Source: THV database and/or program model databases.
Methodology: Total number of families served at each point in time divided by the total number of
families that are funded under the Agreement.Multiply by 100 and state as a percentage.
8
OUTPUT#4: Families will remain engaged in the program for a minimum of one year.
Indicator: The percentage of families that leave the program prior to receiving 10 or 12-months of
services(as applicable),and have not completed the program or aged out.
Target: 50%
Data Source: THV database and/or program model databases.
Methodology: Number of families who left the program prior to completing 10 or 12 months of services
(as applicable based on program model)who have not completed the program,divided by the total
number of families who have an enrollment date greater than 10 or 12 months in the past(as applicable
based on model).Multiply by 100 and state as a percentage.
OUTPUT#5: If applicable,CONTRACTOR will lead or participate in a local early childhood
coalition.
Indicator: The number of coalition activities that include appropriate cross-sector partners.
Target: 8
Data Source: Quarterly reports.
Methodology: Count of the number of coalition meetings or engagement activities that include
appropriate cross-sector partners. Cross-sector partners will be established in partnership with THV.
OUTPUT#6: If applicable,the Early Development Instrument(EDI)will be used to identify
community needs.
Indicator: The number of children by school in targeted neighborhoods that are assessed using the Early
Development Instrument(EDI).
Target: Number equal to 70%of children in two targeted neighborhoods assessed.
Data Source: Reports prepared by the University of California Los Angeles.
Methodology: Count of the number of children by school in each targeted neighborhood that are assessed
using the EDI.
OUTCOME MEASURES
CONTRACTOR shall meet two or more of the following outcome measures once program
implementation has begun:
OUTCOME#1: Women will breastfeed for at least six months postpartum.
Indicator: Children receiving any breast milk at six months postpartum.
Target: 15%
Data Source: THV data collection system and/or program model databases.
Methodology:Number of children receiving any breast milk at six months postpartum divided by the
total number of children six months postpartum. Multiply by 100 and state as a percentage.
OUTCOME#2: Children will attend recommended well-child visits.
Indicator: Percentage of children enrolled in home visiting who received the last recommended well-
child visit based on the American Academy of Pediatrics(AAP)schedule.
Target: 80%
Data Sources: THV data collection system and/or program model databases.
Methodology:Number of children that received the last recommended well-child visit divided by the
total number of children enrolled. Multiply by 100 and state as a percentage.
9
OUTCOME#3: Babies will be born at full term.
Indicator: Percentage of babies in the program that are born full term(after 37 weeks).
Target: 87%
Data Sources: THV data collection system and/or program model databases.
Methodology: The number of babies in the program born full term(after 37 weeks)divided by the total
number of babies born. Multiply by 100 and state as a percentage.
OUTCOME#4: Primary caregiver(s)and/or family members will read,tell stories, or sing songs
daily to or with their child(ren).
Indicator: Percentage of primary caregivers and/or family members reading,telling stories,or singing to
or with their child(ren)daily at six months post enrollment or post birth.
Target: 80%
Data Sources: THV data collection system and/or program model databases.
Methodology: The number of primary caregivers and/or family members reading,telling stories, or
singing to or with their child(ren)daily at six months post enrollment or post birth divided by the total
number of primary caregivers who have been enrolled at least six months or post birth. Multiply by 100
and state as a percentage.
OUTCOME#5: Parent-child interaction will improve.
Indicator: Percentage of primary caregivers who show an increased parent-child interaction score on the
Parenting Interactions with Children: Checklist of Observations Linked to Outcomes(PICCOLO)from
enrollment to 12-months post enrollment,or the end of the program year for HIPPY.
Target: 80%
Data Sources: THV data collection system and/or program model databases.
Methodology: Subtract the overall score at enrollment from the overall score taken at 12-months post
enrollment(or at the end of the program year for HIPPY)for each individual to get the measure of
improvement. Count any individual with a measure of improvement greater than zero and divide by the
total number of individuals assessed at 12-months post enrollment(or at the end of the program year for
HIPPY). Multiply by 100 and state as a percentage.
OUTCOME#6: Primary caregiver(s)will exit the program working and/or attending an
educational program.
Indicator: Percentage of primary caregivers exiting the program working and/or attending an educational
program.
Target: 60%
Data Sources: THV data collection system and/or program model databases.
Methodology: Number of primary caregivers who exit the program working and/or attending an
educational program divided by the number of primary caregivers exiting the program. Multiply by 100
and state as a percentage.
to
AMENDMENT ONE
TO THE
INTER-LOCAL AGREEMENT
BETWEEN THE
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
AND
CITY OF PORT ARTHUR
FOR
NURSE-FAMILY PARTNERSHIP PROGRAM
EXHIBIT D
CONTRACT BUDGET
Texas Department of Family and Protective Services Form
1 2030
May 31,
2016
Budget for Purchase of Service Contracts
Contractor: City of Port Arthur
Contract# 529-16-0003-00005A
SUMMARY Funding 9/01/2016 to 08/31/2017
Period:
PAC# 38500
Program: Texas Home Visiting
Original Approved 2030
(A.)
Cost Categories Reimbursable
(1A)Personnel-Salaries $350,253.00
(IB)Personnel-Fringe Benefits-by
$0.00
Employee
(1C)Personnel-Fringe Benefits-by Type $172,337.00
(2) Travel $19,635.00
(3) Supplies and Controlled Assets $24,925.00
(4) Capital Equipment(greater than$5K) $0.00
(5) Other Costs $13,483.00
(6) Contractual $0.00
Direct Costs Total $580,633.00
Indirect Costs Total $0.00
TOTAL $580,633.00
11