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HomeMy WebLinkAboutIGA Amend - Various Health ProgramsDeschutes County Board of Commissioners 1300 NW Wall St., Suite 200, Bend, OR 97701-1960 (541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org AGENDA REQUEST & STAFF REPORT For Board Business Meeting of May 7, 2008 Please see directions for completing this document on the next page. DATE: April 24, 2008 FROM: Dan Peddycord Health Department 322-7426 TITLE OF AGENDA ITEM: Consideration and signature of Document # DC -2008-208 — the Intergovernmental Agreement # 121008 Revision 8 between the State Dept. of Human Services (DHS) and the Deschutes County Health Department. PUBLIC HEARING ON THIS DATE? No. BACKGROUND AND POLICY IMPLICATIONS: The Oregon Department of Human Services administers Federal Public Health Grant Funds, pools these funds with some State Funds and then allocates these to local Health Departments. This is the primary means State and Federal Public Health funds are delivered to the local Health authority. Document # DC -2008-208 Agreement # 121008 Revision 8 references the following revenue from the State Dept. of Human Services: 1) $ 4,200. — STARS (Students Today Aren't Ready for Sex) Program — for printing and training costs. The program coordinator goes out to the schools to talk to the students and distribute information. 2) $13,000. — Tobacco Related Chronic Disease. This is for 4 months (March — June 30, 2008). This money was awarded to Deschutes County from the State of Oregon Department of Health Services. It is a grant that serves to pay for additional FTE, as well as resources to get our current staff equipped to develop and facilitate a local coalition in order to build the capacity in our community to address Chronic Disease prevalence and prevention. The coalition will be led by Deschutes County and will focus primarily on policy development within our community to reduce the barriers to health and chronic disease prevention. 3) $ 3,229. — Women, Infants and Children (WIC) — This supplemental program for Women, Infants and Children in Deschutes County is experiencing continued growth. The State has recognized this and has increased our caseload funding by 76 participants. This amount represents funding for March 1 - June 30, 2008 for these additional clients. Funding for these additional clients will be ongoing. 4) $ 458. — Maternal Child Health (MCH) Program - Title V Flexible Funds received this increase in funding which represents Department of Human Services reimbursement of funds expended for Deschutes County Health Department MCH Program Manager to attend Statewide Perinatal Planning retreat. This reimbursement covers mileage, lodging and meals for the two-day conference held in Portland in September 2007. FISCAL IMPLICATIONS: As these are reimbursement funds, at the time the County provides documentation to the grantor, showing it has expended resources up to the grant amount allowable, the County will receive the grant resources. RECOMMENDATION & ACTION REQUESTED: Approval and signature of Document # DC -2008-208, Intergovernmental Agreement # 121008 Rev, 8 between the Local Public Health Dept. and the Oregon State Department of Human Services is requested. ATTENDANCE: Dan Peddycord, Health Department DISTRIBUTION OF DOCUMENTS: Connie Thies, Dept. of Human Services (DHS), Office of Contracts & Procurement, 500 Summer St., E-03, Salem, OR 97301-1080, ph: 503-945-6372, FAX: 503-378-4324; and to Jill Fox Health Dept., 2577 NE Courtney Dr., Bend, OR 97701, 322-7478. DESCHUTES COUNTY DOCUMENT SUMMARY (NOTE: This form is required to be submitted with ALL contracts and other agreements, regardless of whether the document is to be on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board agenda, the Agenda Request Form is also required. If this form is not included with the document, the document will be returned to the Department. Please submit documents to the Board Secretary for tracking purposes, and not directly to Legal Counsel, the County Administrator or the Commissioners. In addition to submitting this form with your documents, please submit this form electronically to the Board Secretary.) Please complete all sections above the Official Review line. Date: April 24, 2008 Department: Contact Person: DAN PEDDYCORD Contractor/Supplier/Consultant Name: HEALTH DEPARTMENT Phone #: 322-7426 Oregon Department of Human Services (DHS)/ Connie Thies, Contracts & Procurement, (503) 945-6372. Goods and/or Services: Consideration and signature of Document # DC -2008-208 — the Intergovernmental Agreement # 121008 Revision 8 between the State Dept. of Human Services (1)HS) and the Deschutes County Health Department. Background & History: The Oregon Department of Human Services administrates Federal Public Health Grant Funds, pools these funds with some State Funds and then allocates these to local Health Departments. This is the primary means State and Federal Public Health Funds are delivered to the local Health authority. Document # DC -2008-208 Agreement # 121008 Revision 8 references the following revenue from the State Dept. of Human Services: 1) $ 4,200. — STARS (Students Today Aren't Ready for Sex) Program — for printing and trairing costs. The program coordinator goes out to the schools to talk to the students and distribute. information. 2) $13,000. — Tobacco Related Chronic Disease. This is for 4 months (March — June 30, 2008). This money was awarded to Deschutes County from the State of Oregon Department of Health Services. It is a grant that serves to pay for additional FTE, as well as resources to get our current staff equipped to develop and facilitate a local coalition in order to build the capacity in our community to address Chronic Disease prevalence and prevention. The coalition will be led by Deschutes County and will focus primarily on policy development within our community to reduce the barriers to health and chronic disease prevention. 3) $ 3,229. — Women, Infants and Children (WIC) — This supplemental program for Women, Infants and Children in Deschutes County is experiencing continued growth. The State has recognized this and has increased our caseload funding by 76 participants. This amount represents funding for March 1 - June 30, 2008 for these additional clients. Funding for these additional clients will be ongoing. 4) $ 458. — Maternal Child Health (MCH) Program - Title V Flexible Funds received this increase in funding which represents Department of Human Services reimbursement of fur ds expended for Program Manager to attend Statewide Perinatal Planning retreat. This reimbursement covers mileage, lodging and meals for the two-day conference held in Portland in September 2007. 4/28/2 )08 Starting Date: July 1, 2007 Ending Date: June 30, 2008 Total: $ 20,887 Fiscal Implications: As these are reimbursement funds, at the time the County provides documentation to the grantor, showing it has expended resources up to the grant amount allowable, the County will receive the grant resources. n Insurance Certificate Received (check box) N/A Insurance Expiration Date: Check all that apply: ❑ RFP, Solicitation or Bid Process ❑ Informal quotes (<$150K) X Exempt from RFP, Solicitation or Bid Process (specify — see DCC §2.37) Funding Source: (Included in current budget?) X Yes ❑ No If No, has budget amendment been submitted? ❑ Yes ❑ No Departmental Contact: DAN PEDDYCORD Phone #: 322-7426 Title: DIRECTOR Department Director Approval:/,(06:4' �� .��� 414•Z%(02- Signature ,I Date Distribution of Document: Connie Thies, Dept. of Human Services (DHS), Office of Contracts & Procurement, 500 Summer St., E-03, Salem, OR 97301-1080, ph: 503-945-6372, FAX: 503-378-4324; and a copy to Jill Fox Health Dept., 2577 NE Courtney Dr., Bend, OR 97701, 322-7478. Official Review: County Signature Required (check one): El BOCC El Department Director (if <$25K) El Administrator (if >$25K but <$150K; if >$150K, BOCC Order No. Legal Review Date Document Number 4/28/2008 In compliance with the Americans with Disabilities Act, this document is available in alternate formats such as Braille, large print, audiotape, oral presentation, and electronic format. To request an alternate format, call the State of Oregon, Department of Human Services, Office of Forms and Document Management at (503) 945-7021, Fax (503) 373-7690, or TTY (503) 947-5330. Agreement #121008 EIGHTH AMENDMENT TO DEPARTMENT OF HUMAN SERVICES 2007-2008 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF PUBLIC HEALTH SERVICES This Eighth Amendment to Department of Human Services 2007-2008 Intergovernmental Agreement for the Financing of Public Health Services, effective July 1, 2007 (as amended the "Agreement"), is between the State of Oregon acting by and through its Department of Human Servicei ("Department") and Deschutes County, acting by and through its Deschutes County Human Service ("LPHA"), the entity designated, pursuant to ORS 431.375(2), as the Local Public Health Authority for Deschutes County. RECITALS WHEREAS the Department and LPHA wish to modify the set of Program Elements located in Exhibit B "Program Element Descriptions" of the Agreement WHEREAS, the Department and LPHA wish to modify the Financial Assistance Award set forth in Exhibit C of the Agreement. NOW, THEREFORE, in consideration of the premises, covenants and agreements contained herein and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows AGREEMENT 1. Exhibit B "Program Element Descriptions" is hereby modified as follows: Program Element (PE) #14 named "Tobacco Related Chronic Disease Program" is added as set forth in Exhibit 1 "Program Element Descriptions" to this Amendment and thereby incorporated into the Agreement by this reference. 2. Section 1 of Exhibit C entitled "Financial Assistance Award" of the Agreement is hereby superseded and replaced in its entirety by Exhibit 2 attached hereto and incorporated therein the Agreement by this reference. Exhibit 2 must be read in conjunction with Section 4 of Exhibit C, entitled "Explanation of Financial Assistance Award" of the Agreement. 3. LPHA represents and warrants to Department that the representations and warranties of LPHA set forth in Section 2 of Exhibit E of the Agreement are true and correct on the date hereof with the same effect as if made on the date hereof. 2007-2008 Intergovernmental Agreement for the Financing of Public Health Services Page 1 of 10 pages 121008-8 pgm.DOC - Deschutes County 4. Capitalized words and phrases used but not defined herein shall have the meanings ascribed thereto in the Agreement. 5. Except as amended hereby, all terms and conditions of the Agreement remain in full force and effect. 6. This Amendment may be executed in any number of counterparts, all of which when taken together shall constitute one agreement binding on all parties, notwithstanding that all parties are not signatories to the same counterpart. Each copy of this Amendment so executed shall constitute an original. 7. This Amendment becomes effective on the date of the last signature below. THE REMAINDER OFTHIS PAGE ISINTENT/ONdLYLEFFRLANX. 2007-2008 Intergovernmental Agreement for the Financing of Public Health Services Page 2 of 10 pages 121008-8 pgm.DOC - Deschutes County IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of the dates set forth below their respective signatures. APPROVED: STATE OF OREGON ACTING BY AND THROUGH ITS DEPARTMENT OF HUMAN SERVICES (DEPARTMENT) By: Name: William J. Coulombe Title: Deputy Public Health Director Date: DESCHUTES COUNTY ACTING BY AND THROUGH ITS DESCHUTES COUNTY HUMAN SERVICES (LPHA) By: Name: IJC?.1\1 0) • V tCird Title: Q l'( 2kA-or Date: F-oP DEPARTMENT OF JUSTICE — APPROVED FOR LEGAL SUFFICIENCY Exempt from legal sufficiency review and approval per DOJ Class Exemption letter from Stephanie Smythe, Senior Assistant Attorney General, re: 2007-2008 Intergovernmental Agreement for the Financing of Public Health Services; DOJ File No. 100007-GTO3 16-0 (May 18, 2007) REVIEWED: DEPARTMENT OF HUMAN SERVICES, PUBLIC HEALTH DIVISION By: Name: Matthew C. Groves Title: Program Support Manager Date: DEPARTMENT OF HUMAN SERVICES, OFFICE OF CONTRACTS & PROCUREMENT By: Name: Phillip G. McCoy, OPBC Title: Contract Specialist Date: 2007-2008 Intergovernmental Agreement for the Financing of Public Health Services Page 3 of 10 pages 121008-8 pgm.DOC - Deschutes County EXHIBIT 1 Program Element Descriptions Program Element #14: Tobacco -Related and Other Chronic Disease Programs (TROCD): Phase I — Building Capacity 1. Description. Funds provided under the Financial Assistance Agreement for this Program Element may only be used, in accordance with and subject to the requirements and limitations set forth below, to build capacity in support of tobacco -related and other chronic disease prevention, early detection, and management within a county. 2. Local Activities in Support of Phase I. Local Public Health Authorities (LPHA's) will focus efforts on the activities described in subsections 2.a. through 2.e. below. Together, these activities will support participating LPHA's in the development of a work plan to address the local burden of chronic diseases related to tobacco use, physical inactivity, and poor nutrition. a. Participating in a Chronic Disease Training Institute. The Training Institute is a series of required trainings on best -practice interventions that address tobacco use reduction and other health promotion strategies known to decrease the burden of chronic diseases through a population -based approach. During the training participants will review current policy and environmental changes that best support chronic disease prevention, early detection, and management where people, live, work, play, learn, and receive health care. At the conclusion of the training, local public health authorities will have the knowledge and skills required to assess and evaluate the community's needs and health outcomes, and provide leadership for integrating chronic disease prevention, early detection, and management into community planning. b. Collaborating with Community Partners. Convene and facilitate partnerships with community and health organizations representing various population groups to promote and support tobacco use prevention, increased physical activity, healthy eating, early detection of risk factors and chronic diseases, and availability of resources for management of chronic diseases and risk factors, primarily through policy and environmental change. c. Completing a Community Needs Assessment. In collaboration with community partners, use the assessment tools provided through the Training Institute to conduct a robust community needs assessment using local data, interviews, and observations (see Gathering and Using Local Data below). (a.) (b.) (c.) Gathering and Using Local Data for the Community Needs Assessment: Use various sources of data that will inform the community about chronic disease prevalence, risk factors, management, quality of life, disparities, morbidity, mortality, and economic burden. Sources may include: survey data (Behavioral Risk Factor Surveillance System and Oregon Healthy Teens) focus group community -generated surveys or data 2007-2008 Intergovernmental Agreement for the Financing of Public Health Services Page 4 of 10 pages 121008-8 pgm.DOC - Deschutes County (d.) (e.) (f.) health insurance claims data clinical data from a disease registry, or electronic medical records, and hospital data. ii. The needs assessment will focus on best practices and population -based approaches to prevention, early detection, and management of chronic diseases in settings where people live, work, play, learn, and receive health care. d. Developing an Implementation Plan for Phase II: Using the community assessment and local data, conduct a planning process that results in a community action plan to implement best -practice interventions addressing prevention, early detection, and management of tobacco -related and other chronic diseases where people live, work, play, or receive care. Components of an implementation plan shall include: i. evaluation ii. policy iii. environmental and system changes, and iv. identifying and addressing disparities. e. Promoting the Quit Line and Other Evidence Based Chronic Disease Self - Management Programs: Integrate the promotion of the Oregon Tobacco Quit Line and other chronic disease self-management programs into prevention, early detection, and management strategies for tobacco -related and other chronic diseases where people live, work, play, learn, and receive health care. 3. Procedural and Operational Requirements. By accepting and using the financial assistance funding provided by Department under the Financial Assistance Agreement and this Program Element, LPHA agrees to conduct TROCD activities in accordance with the following requirements: a. LPHA shall implement its TROCD activities in accordance with this Program Element. b. LPHA must assure that its local TROCD program is staffed at the appropriate level to address subsections 2.a. through 2.e. of this Program Element. Funds for this program element are to be directed to personnel and travel expenses in support of subsections 2.a. through 2.e. c. LPHA must use the funds awarded to LPHA under this Agreement for this Program Element in accordance with its budget as approved by Department and attached to this Program Element as Attachment I and incorporated herein by this reference. Modifications to the budget may only be made with Department approval. Funds awarded for this Program Element may not be used for treatment, or other health-related efforts not devoted to tobacco -related chronic diseases and other risk factors. d. LPHA must attend all TROCD Training Institute Meetings (approximately four, one and a half to two day meetings), and at least two other related Health Promotion and Chronic Disease Prevention meetings or seminars as reasonably required by Department. 2007-2008 Intergovernmental Agreement for the Financing of Public Health Services Page 5 of 10 pages 121008-8 pgm.DOC - Deschutes County e. LPHA must comply with Department's Health Promotion and Chronic Disease Prevention Program Guidelines and Policies. f. LPHA must coordinate its TROCD activities and collaborate with other entities receiving TROCD funds including, Tribes, School Districts, and other LPHAs. g. In the event of any omission from, or conflict or inconsistency between, the provisions of the Budget (as set forth in Attachment 1) and the provisions of the Agreement and this Program Element, the provisions of the Agreement and this Program Element shall control. 4. Reporting Requirements. LPHA must submit the result of the community needs assessment and the implementation plan for Phase II at the end of the training institutes. 5. Performance Measures. LPHA's that complete fewer than 75% of the planned activities in its Local Program Plan for two consecutive calendar quarters in one state fiscal year will not be eligible to receive funding under this Program Element in the next state fiscal year. 2007-2008 Intergovernmental Agreement for the Financing of Public Health Services Page 6 of 10 pages 121008-8 pgm.DOC - Deschutes County Attachment 1 to PE 14 TROCD Phase I — Approved Local Budget 4 mo. Deschutes County Chronic /Tobacco 2008/2009 Budget Worksheet March 2008 -June 2008 FUNDING PERIOD: Completed by: Shannon Dames — program manager (541)322-7410 Total Cost Requested Funding PERSONNEL Position Title • FTE • Annual Salary • # Months Salary Requested Program Assistance/Health Educator, .5FTE, 4 months req uested 6,031 6,031 6,031 6,031 PERSONNEL subtotal FRINGE BENEFITS Fringe Rate • Amount to be Charged ....... ................. 6,031 6,0: 1 4,141 4,141 Program Assistance/Health Educator, .5FTE, 4 months requested. 4,141 4,141 FRINGE subtotal 4,141 4,141 TRAVEL In State (including conference fees) Out of State 250 250 TRAVEL subtotal 51 250 SUPPLIES This includes IT costs as well. 1500 750 CONTRACTS SUPPLIES subtotal 1500 CONTRACTS subtotal FURNITURE & EQUIPMENT Computer supplies — other office equipment expenses FURNITURE & EQUIPMENT subtotal 0 166 166 0 166 166 OTHER OTHER subtotal 403 403 TOTAL DIRECT COSTS INDIRECT Rate: <5% 1364.5 1,259 TOTAL Grant dollars for 4 months = $13,000 2007-2008 Intergovernmental Agreement for the Financing of Public Health Services 121008-8 pgm.DOC - Deschutes County Page 7 of 10 pages EXHIBIT 2 FINANCIAL ASSISTANCE AWARD State of Oregon Page 1 of 3 Department of Human Services Public Health Services 1) Grantee Name: Deschutes County Health Dept. Street: 2577 N. E. Courtney City: Bend State: OR Zip Code; 97701 2) Issue Date March 20, 2008 This Action AMENDMENT FY2008 3) Award Period From July 1, 2007 Through June 30, 2008 4) DHS Public Health Funds Approved Previous Increase/ Grant Program Award (Decrease) Award PE 01 State Support for Public Health 177,886 0 177,886 PE 03 TB Case Management 875 0 875 PE 07 HIV Prevention Services HIV Prevention Block Grant Services 25,403 0 25,403 Ryan White Title II HIV / AIDS Services PE 08 Ryan White --Case Management 71,915 0 71,915 PE 08 Ryan White --Support Services 22,981 0 22,981 PE 11 STARS 16,146 4,200 20,346 PE 12 Bioterrorism - Preparedness / (July & August) 28,270 0 28,270 (b) PE 12 Bioterrorism - Preparedness / (Sept. - June) 106,308 0 106,308 (cwxy) PE 12 Bioterrorism - Pan Flu / (July & August) 8,281 0 8,281 (d) PE 12 Bioterrorism - Pan Flu / (Sept. -June) 28,609 0 28,609 (ewxy) PE 13 Tobacco Prevention & Education 86,575 0 86,575 (A) 5) FOOTNOTES: a) MCH funds will not be shifted between categories or fund types. by more than one fund type, however, federal funds may not be funds ( such as Medicaid ). b) Funds must be spent by 8/30/07 and an expenditure report submitted c) These Preparedness funds are for September through June d) Pan Flu funds are for July -August and must be spent by 8/30/07 e) These Pan Flu funds are for September through June 2008. f) Title X funding is $131,965 ; Title V funding is $67,308. g) July -Sept grant is $138,763 ; must be spent be 9/30/07 and Nutrition Education and $6,397 for Breastfeeding Promotion. h) Oct. - June 08 grant is $371,889 and includes $74,.378 minimum $19,191 for Breastfeeding Promotion. i) July -Sept grant is $9,817 and must be spent by 9/30/07. The same program may be funded used as match for other federal for July -August period. 2008. and an exp. report submitted. includes $27,753 minimum Nutrition Education and 6) Capital Outlay Requested in This Action: Prior approval is required for Capital Outlay. Capital Outlay is defined as an expenditure for equip- ment with a purchase price in excess of $5,000 and a life expectancy greater than one year. PROG. PROGRAM ITEM DESCRIPTION COST APPROV 2007-2008 Intergovernmental Agreement for the Financing of Public Health Services 121008-8 pgm.DOC - Deschutes County Page 8 of 10 pages State of Oregon Page 2 of 3 Department of Human Services Public Health Services 1) Grantee 2) Issue Date This Action Name: Deschutes County Health Dept. March 20, 2008 AMENDMENT FY2008 Street: 2577 N. E. Courtney 3) Award Period City: Bend From July 1, 2007 Through June 30, 2008 State: OR Zip Code: 97701 4) DHS Public Health Funds Approved Previous Increase/ Grant Program Award (Decrease) Award PE 14 Tobacco Related Chronic Disease Program 0 13,000 13,000 PE 28 Chronic Care Model Implementation 59,927 0 59,927 (m) PE 40 Women, Infants and Children 507,423 3,229 510,652 FAMILY HEALTH SERVICES ghoprsvBCEF PE 40 WIC -- PEER Counseling 20,417 0 20,417 FAMILY HEALTH SERVICES (ijquz ) PE 40 WIC -- Fruit & Veggies 8,256 0 8,256 FAMILY HEALTH SERVICES (kJ) PE 41 Family Planning Agency Grant 199,273 0 199,273 FAMILY HEALTH SERVICES (f,n ) PE 42 MCH-TitleV -- Flexible Funds 41,653 458 42,111 FAMILY HEALTH SERVICES (a,t,D ) PE 42 MCH-TitleV -- Child & Adolescent Health 16,550 0 16,550 FAMILY HEALTH SERVICES (a ) PE 42 MCH/Perinatal Health -- General Fund 5,652 0 5,652 FAMILY HEALTH SERVICES (a ) PE 42 MCH/Child & Adolescent Health -- General Fund 10,604 0 10,604 FAMILY HEALTH SERVICES (a ) PE 42 Babies First 17,735 0 17,735 FAMILY HEALTH SERVICES PE 42 School Based Health Centers 122,861 0 122,861 FAMILY HEALTH SERVICES 5) FOOTNOTES: j) Because of uncertainity in the Federal grant, this award ony covers the july through sept. period. A grant adjustment will be made to the contract in about three months for this grant. k) July -Sept. 07 grant is $2,064 ; It must be spent by 9/30/07. I) Oct. 07 - June 08 grant is $6,192 . m) $59,927 is federal funds, with a 60/40 matching funds requirement met by a budgeted match of $71,372 , for a total budget of $131,299 . n) $5,202 is for Chlamydia ; $3,901 is for RX Contraceptives ; $27,000 is for MARS project. o) $5,581 is one-time funds to local agencies that choose to receive it in July and spend by 9/30/07. p) $7,442 represents one-time funds to be spent by September 30, 2007. q) $871 is for IBCLE exam fee and related travel expenses. r) $500 is one-time funds for autodialer maintenance and purchase costs by 9/30/07. s) $342 is for travel to OWCA meeting held on August 3, 2007 in Lincoln City, OR. t) $3,036 is one-time supplemental funds for Maternal & Child Data Entry under ORCHIDS program. 6) Capital Outlay Requested in This Action: Prior approval is required for Capital Outlay. Capital Outlay is defined as an expenditure for equip- ment with a purchase price in excess of $5,000 and a life expectancy greater than one year. PROG. PROGRAM ITEM DESCRIPTION COST APPROV 2007-2008 Intergovernmental Agreement for the Financing of Public Health Services 121008-8 pgm.DOC - Deschutes County Page 9 of 10 pages State of Department of Public Hea Oregon Page 3 of 3 Human Services th Services 1) Grantee Name: Deschutes County Health Dept. Street: 2577 N. E. Courtney City: Bend State: OR Zip Code: 97701 2) Issue Date March 20, 2008 This Action AMENDMENT FY2008 3) Award Period From July 1, 2007 Through June 30, 2008 4) DHS Public Health Funds Approved Previous Increase/ Grant Program Award (Decrease) Award PE 42 Oregon MothersCare FAMILY HEALTH SERVICES 15,883 0 15,883 PE 43 Immunization Special Payments FAMILY HEALTH SERVICES 39,776 0 39,776 TOTAL 5) FOOTNOTES: u) $2,660 represents the new quarterly (Oct. -Dec. 2007) funding v) $2,294 is for travel to Advanced Breastfeeding Training held w) Previous award for July -August must have been spent by August x) Base, PanFlu and CRI funding streams must be tracked and y) Funding should be expended by the end of the Financial Assistance z) $3,535 Represents the new quarterly funding(Jan.-March) for A) Revised awards are based on 1/2 the original award plus the for Jan. -June 08. Both the original one-year budget and the new B) $341 is for travel to the OWCA meeting held in Portland on C) $506 is for travel to USBC 2nd Conference on Breastfeeding D) $458 increase reflects the reimbursement for pre -approved E) $76 Represents the additional caseload award to local agencies F) $3,152 Represents additional NSA to local agencies as a result 1,639,259 20,887 1,660,146 for FFY 2008. on Sept. 10-14, 2007 in Portland. 30, 2007 and reported. reported separately. Agreement (June 30, 2008). FY2008. amount indicated on the new budget six month budget are attached. January 18, 2008. Coalition 1/24-28/08 in Arlington VA. expenses at the MCH Retreat. effective 3/1/2008. of additional caseload award. 6) Capital Outlay Requested in This Action: Prior approval is required for Capital Outlay. Capital Outlay is defined as an expenditure for equip- ment with a purchase price in excess of $5,000 and a life expectancy greater than one year. PROG. PROGRAM ITEM DESCRIPTION COST APPROV 2007-2008 Intergovernmental Agreement for the Financing of Public Health Services 121008-8 pgm.DOC - Deschutes County Page 10 of 10 pages