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HomeMy WebLinkAboutSTATE DPH-Maternal Child Adolescent Health and Black Infant Health Programs_A-22-513.pdf COU County of Fresno Hall of Records, Room 301 2281 Tulare Street Fresno,California & '' Board of Supervisors 93721-2198 O 1s5G O Telephone:(559)600-3529 FRE`5 Minute Order Toll Free: 1-800-742-1011 www.co.fresno.ca.us November 8, 2022 Present: 5- Supervisor Steve Brandau,Supervisor Nathan Magsig, Supervisor Buddy Mendes, Chairman Brian Pacheco,and Vice Chairman Sal Quintero Agenda No. 33. Public Health File ID: 22-0906 Re: Approve and authorize the Chairman to execute a retroactive revenue Agreement with California Department of Public Health for the Maternal, Child and Adolescent Health and Black Infant Health programs, effective July 1, 2022 through June 30, 2023 ($9,001,351) APPROVED AS RECOMMENDED Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero Agreement No. 22-513 County of Fresno Page 36 coU�� > Board Agenda Item 33 O 1$56 O FR�`'� DATE: November 8, 2022 TO: Board of Supervisors SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health SUBJECT: Retroactive Revenue Agreement with California Department of Public Health RECOMMENDED ACTION(S): Approve and authorize the Chairman to execute a retroactive revenue Agreement with California Department of Public Health for the Maternal, Child and Adolescent Health and Black Infant Health programs, effective July 1,2022 through June 30, 2023 ($9,001,351). There is no additional Net County Cost associated with the recommended action. Approval of the recommended action will provide the Department of Public Health (Department)continued funding support from the California Department of Public Health (CDPH)for the Maternal, Child and Adolescent Health (MCAH)and Black Infant Health (BIH) programs. MCAH uses local funding ($4,660,055) including funding from various partner agencies as a local match to draw down Federal Financial Participation (FFP)Title XIX funds. The funding will support salary and benefits, operational, indirect, and subcontract costs to execute the required services. The programs provide outreach, home visitation, health education and linkage to community resources for pregnant and parenting women and their families. This item is countywide. ALTERNATIVE ACTION(S): There are no viable alternative actions. Should your Board not approve the recommended action, the Department would not be able to accept the program specific CDPH funds, resulting in staff and critical program service reduction. RETROACTIVE AGREEMENT: The recommended agreement is retroactive to July 1, 2022. The MCAH and BIH programs have been CDPH supported programs for over three decades. The process for receiving a yearly ongoing allocation requires a submittal of an Agreement Funding Application (AFA). The Department received the CDPH MCAH Fiscal Year(FY)2022-23 Agreement Funding Application (AFA)on June 1, 2022 and was given an extension for the submittal of the AFA packets to August 12, 2022.After submittal of the AFA packets, CDPH requested the Chairman's signature for one of the required documents. However, the AFA packets require CDPH's approval first before the Chairman's signature can be obtained. Due to requiring CDPH's approval and the time required to prepare the recommended agreement, it did not allow presentation to your Board at an earlier date. FISCAL IMPACT: There is no increase in Net County Cost associated with the recommended action. CDPH approved a non-competitive allocation ($4,341,296)to the County for the MCAH and BIH programs which include funding from: County of Fresno Page 1 File Number:22-0906 File Number:22-0906 • FFP (Federal Title XIX) (MCAH $2,892,862 and BIH $291,331) • Federal Title V(MCAH $210,795 and BIH $259,379), • State General Fund (BIH $679,557), • Sudden Infant Death Syndrome (MCAH $7,372). The local match ($4,660,055) includes funding from: • Children and Families Commission of Fresno County($1,896,148), • Fresno County Superintendent of Schools ($490,000), • Department of Behavioral Health ($281,637), • Health Resources and Services Administration (HRSA) Babies First($980,000), • Health Realignment($1,012,270). The Department's indirect cost rate of 18.816%will be fully covered with the above mentioned resources. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2022-23 Adopted Budget. DISCUSSION: For over three decades, CDPH funding has supported the Department's MCAH and BIH programs in providing outreach, home visitation, health education and linkage to community resources for pregnant and parenting women and their families. Some of these programs include Nurse-Family Partnership (NFP), Sudden-Infant Death Syndrome/Fetal-Infant Mortality Review(FIMR), Child Care Health Linkages (CCHL), Nurse Liaison, High-Risk Infant Program (HRIP), Comprehensive Perinatal Services Program (CPSP), Community Health Teams (CHT)and Babies First. The recommended action will accept continued funding for staff salaries and benefits, operational expenses, subcontracts, and indirect costs for the MCAH and BIH programs to continue their work towards: • reducing infant mortality; • improving the health and safety of children attending childcare programs; • reducing maternal morbidity and mortality; • supporting the physical and cognitive development of children; • promoting exclusive breastfeeding; and, • optimizing the health and well-being of the client populations across their life span. In FY 2021-22,these programs continued to provide a wide range of services to the community. Nurse Liaison provided case management services to 235 pregnant/parenting teens, high-risk children, and their families. The NFP program served 149 pregnant and parenting women, helped 93%of women initiate breastfeeding after birth and ensured 92% of infants served were current on immunizations at 6 months of age. CHT provided intensive home visitation services using research-based models and curriculum to 240 families with children 0-5. The CCHL program provided health/safety consultation and training to 939 child care providers. The SIDS program disseminated guidelines on infant sleep and SIDS risk reduction to 258 medical providers and 341 community members through community presentations. Ongoing grief support was provided to 17 SIDS families. The FIMR program established the Case Review Team (CRT) consisting of community providers, advocates, physicians, and nurses from local hospitals and neonatal intensive care units. One CRT meeting was held and 2 FIMR cases were reviewed in the last fiscal year. Due to limited funding and S.B.65, there is currently no funding dedicated for FIMR activities. Ongoing FIMR case reviews will be absorbed through Health Realignment. The BIH program served 106 women through an 18-group series, with 77 women served through the Group/Life Planning Model and 29 women were served through the Case Management Only Model. The recommended agreement is based on the submitted Agreement Funding Application budget and scope of work, as reviewed and approved by CDPH. The recommended agreement deviates from the County's County of Fresno page 2 File Number:22-0906 File Number:22-0906 standard indemnification language and requires the County(or County's contractors receiving this funding) to indemnify the State in the event of any exceptions (i.e., not following procedures or maintenance of documents)found as a result of a federal audit, in connection with the performance of the agreement. REFERENCE MATERIAL: BAI #49, November 16, 2021 BAI #36, November 3, 2020 ATTACHMENTS INCLUDED AND/OR ON FILE: On file with Clerk-Agreement with CDPH CAO ANALYST: Ron Alexander County of Fresno Page 3 File Number:22-0906 Agreement No.22-513 CALIFORNIA DEPARTMENT OF PUBLIC HEALTH MATERNAL, CHILD AND ADOLESCENT HEALTH (MCAH) DIVISION FUNDING AGREEMENT PERIOD FY 2022-2023 AGENCY INFORMATION FORM Agencies are required to submit an electronic and signed copy (original signatures only) of this form along with their Annual AFA Package. Agencies are required to submit updated information when updates occur during the fiscal year. Updated submissions do not require certification signatures. IDENTIFICATIONAGENCY • , • Any program related information being sent from the CDPH MCAH Division will be directed to all Program Directors. Please enter the agreement or contract number for each of the applicable programs 202210 202210 MCAH BIH AFLP Update Effective Date (only required when submitting updates) Federal Employer ID#: 94-6000512 Complete Official Agency Name: County of Fresno Business Office Address: 1221 Fulton Street, Fresno, CA, 93721 Agency Phone: (559) 600-3330 Agency Fax: (559)455-4705 Agency Website: www.fcdph.org Revised 3/2/22 Page 1 of 5 AGREEMENT FUNDINGAPPLICATION POLICY COMPLIANCE AND CERTIFICATION Please enter the agreement or contract number for each of the applicable programs 202210 202210 MCAH BIH AFLP The undersigned hereby affirms that the statements contained in the Agreement Funding Application (AFA)are true and complete to the best of the applicant's knowledge. I certify that these Maternal,Child and Adolescent Health (MCAH) programs will comply with all applicable provisions of Article 1, Chapter 1, Part 2, Division 106 of the Health and Safety code (commencing with section 123225), Chapters 7 and 8 of the Welfare and Institutions Code (commencing with Sections 14000 and 142), and any applicable rules or regulations promulgated by CDPH pursuant to this article and these Chapters. I further certify that all MCAH related programs will comply with the most current MCAH Policies and Procedures Manual, including but not limited to, Administration, Federal Financial Participation (FFP) Section. I further certify that the MCAH related programs will comply with all federal laws and regulations governing and regulating recipients of funds granted to states for medical assistance pursuant to Title XIX of the Social Security Act(42 U.S.C. section 1396 et seq.) and recipients of funds allotted to states for the Maternal and Child Health Service Block Grant pursuant to Title V of the Social Security Act (42 U.S.C. section 701 et seq.). I further agree that the MCAH related programs may be subject to all sanctions, or other remedies applicable, if the MCAH related programs violate any of the above laws, regulations and policies with which it has certified it will comply. Official authorized to commit the Agency to an MCAH Agreement Name (Print) Title Brian Pacheco Chairman of the Board of Supervisors of the County of Fresno ATTEST: BERNICE E.SEIDEL Original �jgna' ture Date 1 Clerk of the Board of Supervisors County of Fresno,State of California k�� O/ By Deputy MCAH/AFLP Director Name (Print) Title Ge Vue MCAH Director Original Signature Date WAPY G e Vue M-PUW,pnaCrOaVue OH'.-G•Vu•,••US,c•F.—Gant/OPH, �// /1//1/1 aJ•PuNlc Ha.ia Nunlny 'I L L L omtl•gawa®fn•na:•unlyca vw an:xoxz.oe.iz t+.n:se.aroo Revised 3/2/22 Page 2 of 5 MCAH Program # Contact First Name Last Name Title Address Phone Email Address Program 1 AGENCY EXECUTIVE DIRECTOR David Luchini Public Health Director 1221 Fulton Street,Fresno,CA, (559)600-3200 dluchini@fresnocountyca.gov 93721 MCAH 2 MCAH DIRECTOR Ge Vue Division Manager 1221 Fulton Street,Fresno,CA, (559)600-3330 gevue@fresnocountyca.gov MCAH 93721 3 MCAH COORDINATOR(Only Lillarose Bangs Supervising Public 1221 Fulton Street,Fresno,CA, (559)600-3330 bangsl@fresnocountyca.gov MCAH complete if different from#2) Health Nurse 93721 4 MCAH FISCAL CONTACT Chashua Lor Staff Analyst 1221 Fulton Street,Fresno,CA, (559)600-3330 chlor@fresnocountyca.gov MCAH 93721 5 FISCAL OFFICER Bruna Chavez Public Health Business 1221 Fulton Street,Fresno,CA, (559)600-3200 blchavez@fresnocountyca.gov MCAH Manager 93721 6 CLERK OF THE BOARD or Bernice Seidel Clerk of the Board of 2281 Tulare Street,Room 301, (559)600-1601 bseidel@fresnocountyca.gov MCAH Supervisors Fresno,CA,93721 7 CHAIR BOARD OF SUPERVISORS Brian Pacheco Chairman of the Board 2281 Tulare Street,Room 301, 1(559)600-1000 districtl@fresnocountyca.gov MCAH of the Supervisors of Fresno,CA,93721 i the County of Fresno 8 OFFICIAL AUTHORIZED TO COMMIT Brian Pacheco Chairman of the Board 2281 Tulare Street,Room 301, (559)600-1000 districtl@fresnocountyca.gov MCAH AGENCY j of the Supervisors of Fresno,CA,93721 the County of Fresno ----— — -- --- - - ......... —- 9 FETAL INFANT MORTALITY REVIEW Linda Hicks Public Health Nurse 1221 Fulton Street,Fresno,CA, j(559)600-3330 Ihicks@fresnocountyca.gov FIMR (FIMR)COORDINATOR 93721 i 10 SUDDEN INFANT DEATH SYNDROME !Linda Hicks Public Health Nurse 1221 Fulton Street,Fresno,CA, (559)600-3330 Ihicks@fresnocountyca.gov SIDS (SIDS)COORDINATOR/CONTACT 93721 Linda Griffith Public Health Nurse 1221 Fulton Street,Fresno,CA, CPSP 11 PERINATAL SERVICES (559)600-3330 Igriffith@fresnocountyca.gov COORDINATOR 93721 Revised 3/2/22 Page 3 of 5 BIH Program # Contact First Name Last Name Title Address Phone Email Address Program 1 AGENCY EXECUTIVE DIRECTOR David Luchini Public Health Director 11221 Fulton Street,Fresno,CA, (559)600-3200 dluchini@fresnocountyca.gov BIH 93721 2 BLACK INFANT HEALTH(BIH) Sabrina Beavers Health Educator 142 E California Ave,Fresno, (559)600-3330 sbeavers@fresnocountyca.gov I BIH COORDINATOR CA,93706 I Chashua Lor Staff Analyst 1221 Fulton Street,Fresno,CA, 559 600-3330 chlor fresnocount ca. 3 BIH FISCAL CONTACT 93721 ( ) @ Y gov BIH 4 FISCAL OFFICER ��Bruna {Chavez Public Health Business 1221 Fulton Street,Fresno,CA, (559)600-3200 blchavez@fresnocountyca.gov BIH 1 Officer 93721 I 5 CLERK OF THE BOARD or Bernice Seidel Clerk of the Board of 2281 Tulare Street,Room 301, (559)600-1601 bseidel@fresnocountyca.gov BIH Supervisors Fresno,CA,93721 6 CHAIR BOARD OF SUPERVISORS Brian Pacheco Chairman of the Board 2281 Tulare Street,Room 301, (559)600-1000 districtl@fresnocountyca.gov BIH of the Supervisors of the Fresno,CA,93721 County of Fresno 7 OFFICIAL AUTHORIZED TO COMMIT Brian Pacheco Chairman of the Board 2281 Tulare Street,Room 301, (559)600-1000 districtl@fresnocountyca.gov BIH AGENCY of the Supervisors of Fresno,CA,93721 the County of Fresno 1 Revised 3/2/22 Page 4 of 5 AFLP Program Program# Contact First Name Last Name Title Address Phone Email Address 1 AGENCY EXECUTIVE DIRECTOR AFLP Z AFLP DIRECTOR AFLP I I 3 AFLP COORDINATOR or AFLP SUPERVISOR/COORDINATOR j 4 AFLP FISCAL CONTACT AFLP I i I 5 FISCAL OFFICER AFLP 6 CLERK OF THE BOARD or AFLP 7 CHAIR BOARD OF SUPERVISORS AFLP 8 OFFICIAL AUTHORIZED TO COMMIT AFLP AGENCY Revised 3/2/22 Page 5 of 5 *y-� ORIGINAL P IJDIIC Health. I•II M% .I.ChM Ma A4o4sc.m NUM as BUDGET SUMMARY FISCAL YEAR BUDGET BUDGET STATUS BUDGET BALANCE 2022-23 ORIGINAL ACTIVE o.00 v.raion 7D-,w Gw.., 4zD.zo PrDgram: Matemal Child and Adolescent Health MCAH Agency. 202210 Fresno, UNMATCHED FUNDING MATCH NG(SOE50) MATCHINGC(7SI25) SubK: MCAH-N MCAH SIDS AGENCYFUNDS MOAN.-Cory NE MCAH-cnryE Itl R) (J) (41 (5) (B) (71 14) (9) (10) (il) (,I) (IJ) (14) (15) TOTAL FUNDING % MCAH-N °/. MCAHSIDS k Agmcy Funds' % om ne Combined V om Ile Combined FedlSlaie F FeNStete F lA ALLOCATION(S) -' 21o,795.00 7,372.00 fIVALUEI EXPENSE CATEGORY (I)PERSONNEL 5.377,282.D5 210,795.00 7,372,0D 1,478,9D3,47 o.DO 2,493,856.87 D.DD 1,156,354.72 (11)OPERATING EXPENSES 242,95D.01 0.0o 0.00 1D5,207.36 Doc 137.742.65 D.00 D.DD (111)CAPITAL EXPENDITURES o.00 O.DD 0.00 0.0D 0.00 D.00 Boo O.DO (IV)OTHER COSTS 1,138,548.00 D.DD ODD 456,870.69 ODD 681.977.31 0.D0 Moo (V)INDIRECT COSTS 1Al2,004.48 0.00 0.00 319,398.61 0.00 692,615.87 O.DO 0.00 BUDGET TOTALS' 7,771,064.54 2.71x 210,795.00 Dwx 7,372.00 X. 2.,360,370.13 ow% O.DO 5,.s% 4,006,192.70 o.mz 0.00 ,s.n% 1.186,354.72 BALANCE(S) -� 0.00 0.00 TOTAL MCAH-TV z1o,795.00 -> 210795.00 TOTAL MCAH-SIDS 7s7z.00 7,37z.00 TOTAL TITLE XIX 2,892,862.41 0.00 Iso%l 2,003,096.37 0,00 P5%) 889,766.04 TOTAL AGENCY FUNDS a ss0 Oss.1 a 2,360,370.13 Ro%l 2,003,096.33 r2S%I 296,588.68 $ 3,111,029.41 Maximum Amount Payable from State and Federal resources WELERTIF TTHISBUDGETHAS BEEN C ONSTRLCTED IN COM PLIANC E WITH A LL MCAH AOMINISTRATNE A NO PROD RAM-IC IES �o LAHPROJECT DIRECTORS Sg1NTURE DATE AGENCY FISCAL AGENTS SXINATURE WTE Thee ulou,Rs ronlain lwalrMnw submv.tl I.,iniw,r naM m-,Ichnq purpmes MCAH tlws.1 l.imhrsa A—conlrbulwns. STATE USE ONLY-TOTAL STATE AND FEDERAL REIMBURSEMENT MCAH-TV MCAH-SIDS AGENCY FUNDS MCAH-CnIy NE MCAHLntyE PCA Codes 53107 53112 53118 53117 (1) PERSONNEL 21D,795.00 7,372.00 D.Do 1.246,928.44 0,00 889,766.04 (11) OPERATING EXPENSES 0.00 D.00 0.Do 68,871.33 O,DO 0.00 (III) CAPITAL EXPENSES 0.00 D.Do 0.00 O.Go 0.00 0.00 (IV) OTHER COSTS O.DO O.00 0.00 340,988.66 O.DO Doc (V) INDIRECT COSTS O.On O.DO 0.D0 346,307.94 0.00 0.D0 ToWsfor PCA Codes 3,111,1329.41 210,795.OD 7,372.0o DOG 2,DD3,D96.37 0.OD 889,766.04 202210 MCAH 5 Budget Template FY22-23 9.26.22.tlsx 1 015 Printed'.1Oil Ot2022 9,D4 AM ORIGINAL Public Health 4 1,II Marmnal clxl4 andAewe•.m H.ah wwe,pn Program: Matemal,Child and Adolescent Health MCAH UNMATCHED FUNDING NON-ENHANCED ENHANCED Agency: 202210 Fresno MATCHING(50150) MATCHING(75125) SubK: MGM-TV MC-SIDS AGENCY FUNDS I MCAN-Cary NE MCAH-CnryE IA R) P) - (5) (67 m (a) (a) n01 It t) (12) (1J) (u) ry>7 TOTAL FUNDING % MDAH-N % MCAHSIDS Ye I Agency Funds' % Co. ne % Comdnetl Y om rro % Cgmbinetl FeNStaie FeNSfale v' (II) OPERATING EXPENSES DETAIL ^"� _� oEgao�-^ 49.79% rqa 10.38% 68.54% TOTAL OPERATING EXPENSES 242,950.01 0.00 0.00 105,207.36 0.00 137,742.65 0.00 0.00 TRAVEL 62,538.DD 0.00% 0,00 0,00 32.20% 20,137.24 0.00 67.80% 42,400.76 000 0.00 M �0.37% TRAINING 38,560.00 0,00% 0.00 0.00 31,46% 12,130.98 0.00 68.54% 26.429.02 0,00 O.DO 0.00% 1 Communications 40.596.00 0.00% O.DO 0.00 31.46% 12,771-50 0.00 68,54% 27.824.50 D.OD% 2 Office Supplies 16,850.DO 0.00% O.DO 0.00 31.46% 5.301.01 0.00 65,54% 11548,99 0.1111% 3 Postage 1.460.00 0.00% 000 0.00 31.46% 45912 0 DO 68.54% 1,000.68 O.DO% 4 Duplication 63BOO 0.00% 0.00 0.00 31,46% 200.71 0.00 68.54% 437.29 0.D0% 5 Conference Charges 150000 0.00% 0.00 0.00 31.46% 47190 0.00 68.54% 1.028.10 0..% 6 Toll-Free Hotline 1,OD0.00 D.00% D.00 0,00 100.00% 1.000.00 0.00 090 68.54% 7 Software 2,400.DO 0.00% 1 D00 0.00 31.46% 755.D4 0.00 68.54% 1.644,96 0.00% 8 Minor Equipment 8450DOO 0.00% 0.00 MOD 31.46% 2,674.10 0.00 68 54% 5.525.90 O.W% 9 Medical Supplies 4,220.00 0.00% O.OD 0.D0 100.00% 4,220.00 0.00 0,00 68.54% 10 Interpreters 15,520.00 000% 0.00 D.DO 100.00% 15.520.00 0.00 0,00 68,54% 11 Nurse-Family Partnership 20.56800 0,00% 0,00 O.DO 100.00% 20.565.00 0.00 0.00 68.54% 12 Archiving a Digitang 28,600.01 0,00% 0.00 0,00 31.45% 8.997.55 0.. .11 19,60245 O.W% 13 0,00 0,00 0,00 0.00 D00 14 0.00 0.00 0.00 0.00 0.00 15 0.00 0.00 0.00 0.00 0.00 ""Unmatched Operating Expenses are note W,oIe for Federal matermq fulls(Tkre XIX).Eecenses may-1,be ch-e,1 to Unmatched 74k V(Cel.31.State General Funds(Col.5),antra Aoency(Cd.7)funds. (111) CAPITAL EXPENDITURE DETAIL TOTAL CAPITAL EXPENDITURES O.DO 0.00 0.00 0.00 000 (IV) OTHER COSTS DETAIL �°"'E`M"1CN 68.4Y. TOTAL OTHER COSTS 1,138,948.00 0.00 0.00 456,870.69 0.00 681,977.31 0,00 0.00 SUBCONTRACTS 1 Exceptional Parents Unlimited 275.000.00 0,00% 0.00 D.00 35,88% 96.601.37 0.00 64.12% 176.318631 1 0.00 1 000 2 Centro La Familie Advocacy Services 211.229.00 0,00% 1 0.00 0.00 44.83% 117,107.11 0.00 55.17% 144,121,89 0.01) 0.00 3 Central Valley Children's Services Network 274.448.00 0,00% 0.00 0.00 7d.20% 93,861.21 0.00 65.80% 180,58679 0.00 0.00 4 Fresno County Economic Opp,,Iumlies Commission 275,000,00 0.00% 0,00 0.00 34.20% 94.050,00 000 5.8 60% 180.950.00 0.00 0.00 5 D.OD 0.00 0.00 0.00 0.00 ODD D.00 OTHER CHARGES 1 Books B Publicahons 64930 DO 0 00% 0.00 0.00 100.00% 6,930.00 0.00 090 M69.54%� 2 Client Support Materials 46.241.00 U.00% 0.00 O.DO 100.00% 46,241.00 0,00 0.00 68.54% 3 000 0.00 0,00 0.00 0.00 4 0.00 0 00 0,00 0.00 0.00 5 000 0,00 0.00 0.00 D.DO 6 0.00 0.00 0.00 0.DO 0.0D 7 0,00 D00 0.00 0.00 0.00 8 0.00 0.00 0.00 0.00 D,00 (V) INDIRECT COSTS DETAIL TOTAL INDIRECT CO5T5 1,012,004.48 0.00 0,00 319,388.61 0.00 692,815.87 18.82% lofTotalWages+Fringe Benefits 1,012,0G4.48 0.DO% 0.00 0.00 1 31 56%1 319.38661 0.00 1 68.44%1 692,615.87 202210 MCAH 5 Budget Template FY22-23 9.26+22.xlsx 2 of 5 Printed:10/10/2022 9.D4 AM Public Heollh•l�.ltl M.t«Nl.cma.a-:rem Heah o,.... ORIGINAL Program: Matemal,Child and Adolescent Health MCAH UNMATCHED FUNDING NON-ENHANCED ENHANCED Agency: 202210 Fresno MATCHING(SDISO) MATCHING(75125) SubK: MCAH-N MCAH-5105 AGENCY FUNDS MCAH-Croy NE MCAH-DroyE In czl f41 a) Is) (51 m ce1 (9) 1 oo) I D1) D2) (,3) nn ns) TOTAL FUNDING % Ill I % mcmX s US % A Funds' % om ne Combined om Comblrted Agency Fed/State % 5' Fedlstate % (1) PERSONNEL DETAIL TOTAL PERSONNEL COSTS 5,3T7,282.05 210,795.00 1,312.00 1,478,90347 1 a.- 2493,856.87 DAD 1,186,354.72 FBINDE aErffFrt AAIE 76.30% 2,327,259.OS 91,230.95 3,190.56 640,061.55 0.00 1D79,327.98 0.0o 513448,01 TOTALWADES 3,050,023,DD 119,564.05 4,181.44 838,841.92 O.DO 1414,528.89 0.00 672.906.71 FULL NAME TITLE OR CLASSIFICATION ANNUAL ) (No Acronyms) SALARY (Flrst Name Last Name %FTE TOTAL WAGES 1 Ge Vue Division Manager 2D.00% 1391308 DO 27,862.00 0.00% 0.00 95.00% 26,468.90 O.DD 5.DD% 1,393.10 o.00 ODD% D.Do 658% NX 2 Ge Vue MCAH Director SO.00% 139,3oa.00 69,654.00 O.DD% coo 0.00 43.00% 29,951.22 O.DD 55.D0% 38.309.70 0.00 2.DD% 1,393.08 65.8% x 3 Sera Gutierrez Administrative Assistant 70.Do% 45,358DO 31,751.013 ODD% coo o.00 35D0% 11,11Z85 O.DD 65.00% 20.638.15 0.00 0.00% DDO 65.8% x 4 Chashua Lor Staff Analyst I 100.00% 56,15D.D0 56,150.DD 0,00% 0,00 ODD 60,00% 33,690.D0 DDO 40.00% 22,46D00 coo c00% 0.00 65.5% 5 Dalglt Martinez Account Clerk 30,1313% 47,992.00 14,398.DO D.00% 0.0D D.00 35,00% 5,039.3D 0.o0 65.D0% 9,358,7D O.DO 0.Go% O.DO 65.8% X 6 Linda Griffith Public Health Nurse II-Perinatal Services Coordinator 100.00% 105,016.00 105,D76D0 0.00% 0.00 35.00% 36,755.6D 0.D0 58.00% 6D.909.28 DDO 7.00% 7.351.12 65.8% x 7 Linda Hick¢ Public Health Nurse 11-Sudden Infant Death Syndrom IOD.00% 98.833.00 98,833.DD 26.48% 26.17338 423% 4,181.44 69,29% 68,478,18 O,DO O.DO% DOO O.oD D_00% coo 65B% x 8 Jennifer Pino-Xiong Medical Social Worker III 85.00% 78,664.0. 56,864.DO 0,00% ODO 0.00 16.D0% 10,698.24 0.130 B6.00% 56,165.76 0.00 0.00% D.DO B6.6% x 9 Bas Vang Epidemiologist 25.DO% 90DD9.00 22.5O2.DO 0.00% D.DO 0.00 35.00% 7,875.70 0.D0 65.00% 14.62630 BAD o.00% 0.00 65.8% x 10 Ana Cmbajel Health Education Assistant F75,DD% 47.148 23P574.DO O.DO% O.00 O,DO 48,00% 11,315.52 O.DD 52.00% 12.25848 O.OD O.OD°A 0.00 65.8% % 11 Nang Th.. Health Education Assistant 48.076 24,D38.00 0 Do% O.OD OZI) 47.00% 11,297.86 0.D0 53,DO% 12,74D.14 coo EDo% D.DO 65.8% x 12 Rebekah Kiddish Health Education Specialist 50,531 40,425.00 D.Oo% D.DO O DO 75.00% 30.318.75 0.00 25.00% 10,1D6.25 0.00 O.00% O.DO 65.8% x 13 Quentin Paramo Health Education Specialist 50,531 5D,531.00 0900-A O.DO 0.00 75.00% 37.898,25 D,00 25.00% 12.63275 O.00 ODD% D.DD 65.8% x 14 Ah Vang Health Educator 68,716 51,53TO-0 D.00% 0.00 0.00 49.00% 25.253.13 O.Do 51.D0% 26.28387 o.o0 D.00% D.DO 65.8% X 15 Valerie Wells Supervising Omce Assistant 55.447 55447.D0 D,gO% D.00 D.00 35.00% 19,406.45 DDD 65.OD% 36.040,55 D.00 O,00% DDO 65.8% % 16 VACANT Office Assistant l 34,614 34,614.D0 D.00% IDO 0.00 20.00% 6.922.80 o.DO B0.o0% 27.691.20 o.00 ODD% 000 86.8% x 17 Diana Colin Office As.alant ll 41,628 41,628.00 0.00% D.OD ..Do 15.00% 6,244.20 0.00 85.00% 35,3133.80 D.00 0.00% 0,DO B6.8% x 18 Linda Willome Office Assistant ll IDO.00% 41,268 41,268.DD 0Do% D.Do 0.00 15.OD% 6,19020 0.00 85.o0% 35,07T80 0,DO 0.DO% O.DO 86.8% x 19 Sophia Radriguez Office Assistant ll 1DO.DO% 41,62E 41,628.00 0.00% DDo Doo 15.00% 6,244.20 o.00 85.D0% 35.383.80 DDO ODD% Doo 56.8% x 20 Martha Garcia Office Assistant ll 10o.00% 41628 41,628.OD O.DO% o.00 D00 15.00% 6,244.2D 000 65,OD% 35.383.80 D.DD 0.00% O.DO 86.8% x 21 Lynette Yamanaka Office Assistant ll 1DD.00% 41.628 41,628.00 O.GD% O.OD 0.00 20.DO% 8.325 so o.00 Bo.00% 33.302.40 D.DD 0.o0% coo 86.8% x 22 Christina Wyrick Program Technician ll 1D0.0a% 54,480 54,480.0D 3.00% 1.63440 0.00 16.DD% 8.716.80 o.o0 81DD% 44.128,80 0.0D 0.00% 0.00 $6.8% x 23 Yvonne Lopez Public Health Nurse 11(1677) 10o.00% 934751 93,751.00 O.00% 0.0o O.DO 75.00% 7D,313.25 D.DO 24.OD% 22,5Do.24 o.00 1.Oo% 937.51 65.8% It 24 Fred Toshimxsu Public Health Nurse 11(1677) 100.00% 105,019 1D5,1319.00 0.D0% 0.00 0.0D 72.00% 75,613.68 O.OD 25DO% 26.254.75 0.00 3.OD% 3.150.57 65.8% X 25 Megan Gunn Supervising PubI,,Health Nurse(1615) 7D.00% 124.852 87,396.00 D.00% O.DD O.DD 12.00% 10,487.52 o.00 49.DO% 42,824.04 0.0o 39.DO% 34,084.44 90.4% % 26 Gabriel VNazquez Public Health Nurse 1(1615) 1DO20% 7316D6 73,606.00 D.DO% MOO 18400% 13,249.08 0.00 13.00% 9.568.78 O.DD 69,00% 50.78814 90.4% X 27 Eileen Murry Public Health Nurse 11(1615) lo0,00% 103,373 10.373DD D,DO% (0.00) O.DD 10.00% 10.337.30 O.DO 1D.00% 10,337.30 0,0o 8a.D0% 62.698.40 90.4% It 28 VACANT Public Health Nurse 1(1615) 100,00% 73,6D6 73 606.110 D.00% (coo) O.Do 16.o0% 11,776.96 O.DD 3ZDO% 23.553.92 O.OD 52.00% 38.275.12 90.4% % 29 Lynnette Lorch Public Health Nurse 1(1615) t00.DD% 8D,822 Bo,8220o DDO% 0,00 22.00% 17.78094 O.DD 36.0o% 29.095,92 0.00 42.00% 33.94524 90.4% % 30 Megan Gunn Supervising Public Health Nurse(1670) 30.DD% 124,858 37,457.DD Dog% O.00 18,00% 6.742.26 O.DD 57.00% 21,35D.49 o.00 25.0016 9.364,25 $2.9% % 31 Julia Caraceni Public Health Nurse 1(1670) 100.D0% 79.485 79,485.DO 0.D0% D.oO D.00 3D0D% 23,845.50 0.00 35.00% 27.819,75 O.oD 35,o0% 27.819.75 82.9% x 32 Pon Chin Public Heald,Nurse ll l0000% 105.D19 1054o19,o0 o.DO% D.00 0.00 26.00% 27,304.94 0.00 32.DO% 33,61)1 0.00 42.00% 44.107.95 B68% x 33 Llllarose Bangs Supervising Public Health Nurse-MCAH Coord 85.00% 124,858 1D64129,130 938% 1D,377.48 0.00 7.22% 7.664,45 ODD BCDO% 67,922.56 o.00 19.00% 20,164.51 86,8% x 34 Deborah Omolaye Public Health Nurse It 7D.DO% 105,024 73,517.Do 17D0% 12.497,89 D.00 D.OD O.OD 46.00% 33,817,82 o.00 37.00% 27.201.29 86.8% X 35 Erin An Public Health Nurse l 7D.DO% 82,68D 57.676.00 15.1313°b 8,681AD D,Oo O,Do 0.D0 53.00% 36.46188 D.DD 22,DO% 12.732.72 B6B% x 36 VACANT Public Health Nurse l 70.00% 73,606 51,524000 O.OD% O.00 ODO 35,DD% 18,D33,4D D.00 4D.DD% 2D6D96D O.DO 25.00% 12,881,DO 86,8% x 37 VACANT Public Health Nurse 1(1720) loo.00% 73,6D6 73606,00 D.OD% D.00 D.00 30.00% 22.081.80 O.00 60DO% 44,163.60 O.00 1o.0O% 7,360.60 86.8% X 38 Kuljeet Sanghera Public Health Nurse 1(1720) 10o,00% 81,498 81,49B4OD O,OD% (0.00) 0.Do 31.Go% 25264.38 O.00 56.00% 45.638.88 0,00 13.OD% 1D,594.74 86.8% x 39 86-no Harker Public Health Nurse 1(1720) loo.00% 89,B59 09,859.00 o.DO% O.DO 22.DD% 19.768.98 O.DO 31.D0% 27,856.29 0,00 47.0G% 42,233,73 BOA% x 4D Lorraine Hardy Supervising Public Health Nurse 40.00% 126,124 SO,450.Oo 11.DO% 5,549.5D 0.00 0.00 0.00 45D0% 22.702.50 D.00 4ll 22.198.OD 89.6% % 41 Lorraine Hardy Supervising Puhlic Health Nurse(1719) 15.OD% 125,124 18919.00 D.DO% DOD 0.G0 12.DO% 2,270.28 0.00 43,DD% 8,135.17 D.DO 45.00% 8,513.55 89.6% X 42 Kayla Marcinkevi¢ Public Health Nurse 1(1719) 1GD00% 53,472 83,472.DD D.DO% O.DO O.DD 11.DD% 9,181.92 D.00 e6Do% 71,785.92 0.00 3,DD% 2,504.16 896% X 43 Jaynie Orfiz Public Health Nurse 1(1719) 100.DD% 89.859 89859.11 0.00% O.DO 21.00% 18,870.39 D.OD 41.DD% 36,B4219 O.Do 38.DD% 34.146,42 89.6% x 44 Melanie Data Public Health Nurse 11 70.00% 103,778 72,645.00 12.DO% 8,717AG 0.00 O,00 D.00 4D.DD% 29,058.00 0.00 48.DO% 34.869.60 89Z% x 45 Mal Vang Public Health Nurse ll 7D.DD% 1o5,020 73.514.D0 15.00% 11,027.10 0.00 o.00 D.00 45.DD% 33,081.30 0.OD 4D.DD% 29,405.60 89.6% x 46 Bridget Ballesteros Public Health Nurse II 70.00% 105,2D4 73,643.00 25.00% 18,410.75 O.DD o.o0 DDO 40,DD% 29.457.20 DDO 35.DD% 25,775.D5 896% x 47 RachN N-rez Public Health Nurse II 7D.00% m.DOa 73,506.DO 17.00% 12.496.02 O.DD ODD D00 40.00% 29,402.40 DDO 43.Oo% 31,6D7,58 89.6% x 48 Da Vangyi Public Health Nurse 11 100,o0% 1o5,016 105,O16 Do 3,81% 3,995,73 0 DO 32.19% 33,807.03 D.DO 48.00% 50,407.69 0.00 16.DD% 16,BO256 65.8% It 49 DOO 0.00 O.DD O.DO o.00 O.00 ODD 0.00 0.0% x 50 o.00 0.o0 o.00 o.00 D.OD 0.00 ODD DOo 0.0% 51 D.DO D.00 O.DD 0,00 oZo ODD o.00 O.DO D,o% 52 O.DO D.00 D.DD DOD D.DO O.Oo O.OD 0.0o D.o% 53 D,00 O.Oo D00 D.00 O.DO o.DO 0.00 o.00 D.o% 54 O.DO D.DO DOo o.00 O.DD O.DD 0.D0 D,DO D.D% 55 O.00 111 111 1,00 0,11 D.OD O.DD 1,11 D,D% 56 D.Oo O.Do D.OD 0.00 O.DD o.00 D.00 0.o0 D.D% 57 O.Do 0 DO Moo DDO o.o0 O.00 o.00 D.DO o.0% 58 D.DD O.Do D.DD D.DO o.00 ODD coo D,00 D.D% 59 O.Oo O.DO O.oO 0.D0 D.00 O,OD coo 0.00 0.0% so O.oO ODD o.00 O.DO o.00 DOD ODO O.DO I D.D% 20221D MCAH 5 Budget Template FY22-23 9.26.22.xlsv 3 015 Printed'1011D2022 9:04 AM .-.- ORIGINAL Public Health.11."1',1 M««n.t Ch,W-ml.-Hw2h D-s Program: Matemal,Child and Adolescent Health MCAH ANCED ENHANCED Agency: 202210 Fresno UNMATCHED FUNDING MATCHNOWEING(50 50) MATCHING(525) SubK: MLAX-ry Ml'AHSIDS AGENCY FUNDS MCAXLnry NE MLAX-L E My It) (21 (sl (x) (5) (67 (>) !e) !s) (tol (11) 02) (13) (14) (15) TOTAL FUNDING % MCAH-TV •/. MCAHSIDS % Agency Funds' % om ne % Com Elned % om ne % Combined Fed/State p FeWState F A nc 67 0.DO 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.0% 62 0.00 0.00 0.00 0.00 000 0.00 0.00 D.DD 0.0% 63 0.00 0.00 000 o.00 ROD 0.00 0.00 0.00 0 0% 64 0.00 0.00 000 0.00 0 DO O.OD 0.00 0.00 0.0% 65 0.00 0.00 D.00 0.00 0.00 0.00 DDO 0.00 0.0% 66 0.00 0.00 000 goo 0.00 0.00 0.00 O.OD O.D% 67 0.00 0.00 0,00 0-00 0.00 000 0.00 000 0.0% 69 D.00 0.00 O.OD O.DO 0.00 0.00 0.00 D.00 0.0% 69 0.00 O.oO g.0o 0.00 0.00 0DO 0.00 000 0.0% 70 O.DO 0.00 000 D.00 000 0.00 0.00 0.00 D,O% 71 0,00 0.00 O.OD 0.00 goo 0.00 0.00 0,00 0.0% 72 DDO 0.00 0.00 O.DO 0.00 goo 0,00 D00 0.0% 73 0.00 D.00 0.00 0.00 0.00 0.00 0.00 0,00 0.0% 74 1 0.00 0.00 D.00 0.00 0.00 0.00 000 0.00 0.0% 75 0.00 1 ODD 0.00 0.00 0.00 0,00 O.OD 000 0.0% 76 0.00 0.00 000 0.00 0.00 0.00 O.DO Ono 0.0% 77 0.00 0.00 0.00 0.00 000 0.00 D.OD 0DO 0.D% 79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 O.DO 0.0% 79 g.DO D.00 0.00 0.00 0.00 0,00 0.00 O.DO 0.0% 80 O.DO 0.00 0.00 D.00 D.00 D,00 0.00 0.00 0.0% a1 O.Do 0,00 goo 0.00 0.00 0.00 0.00 0.00 0.0% 92 O.Do O.OD 0 DO 0.00 0,00 0.00 0.00 0,00 0.0% 83 1 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0,00 0.0% 64 0.00 Moo 0.00 goo O.DO 000 D.DO D.00 0.0% 95 D.00 O.DO 000 0.o0 O.DO 0,00 O.00 0-00 0.0% 66 Goo 0,00 D.00 goo, 0.00 O.Oo MOO D,00 0.0% 67 0.0o O.DO 0.00 0.00 O.DO 000 0.00 0.00 0.0% 98 0.00 0.00 0.00 0.00 O.ao 0.00 0.00 0,00 0.0% 69 0.00 0.00 00o 0.00 O.DO O.OD D.00 0.00 0.0% 90 0.00 DDo 0.00 0.00 0.00 000 000 goo 0.0% 91 0.00 Ono 0.00 0.00 0.00 0.00 ODO goo 0,0% 92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 93 0.00 0.00 0.00 0.00 0,00 0.00 O.OD 0.00 0.0% 94 GDO 0,00 goo 0.00 0.00 000 0.00 0.00 0.0% 95 0.00 0.00 O.DO 000 0.00 0.00 0.00 0-00 0.0% 96 0.00 0,00 0.00 D.00 0.o0 0.00 0.00 0.00 a0% 97 0.00 0.00 O.DD O.DD 0_00 0,00 0.00 0,00 0.0% 98 0,00 0.00 O.DO 0.00 0.00 DOD 0.00 0.00 O.D% 99 0.00 O.DO 0.00 0.0D 0.00 a00 0.00 goo 0.0% 100 0.00 O.OD ago O.DO 0.00 0.00 0.00 O.DO O.o% 101 Goo O.DO 0.00 O.DO 0.00 ODD 0.00 0.00 0.0% 102 0.00 O.Oo D.00 0.00 0-00 0.00 OXO 0.00 0.0% 103 0.00 O.Oo 0.00 0.00 0.00 0.00 0.00 O.OD 0.0% 104 O.DO 0.00 0,00 0.00 0.00 0.00 0.00 0.00 00% 105 0.00 0.00 0.00 goo 0.00 OAO 0.00 ODD 0.0% 1D6 O.DO 000 0.00 0 DO 0.00 goo 0.00 0.00 0.0% 107 0.00 0,00 0.00 0,00 1.01 0.00 D.DO O.DO O.D% 108 0.00 D 00 O.Do 0.00 NO 0.00 0.00 0.00 0 0% 1D9 0.00 0.00 O.DO 0.00 O.DO 0,00 0.00 0.00 0.0% 110 0.00 000 O.OD 0.00 0.00 0.00 0.00 D.00 0.0% 111 o.00 0.00 0.00 O.GO 0.00 DAD 0.00 D 00 0 0% 112 0.00 1 0,00 O.DD 0.00 0.00 0.00 0.00 0.00 0.0% 113 0.00 1,00 0.00 D.D. O.00 0.00 0.00 Goo 0.0% 114 MOO 0.00 000 0.00 0.00 0.00 D.00 0.00 0.0% 115 0.00 0.00 0.o0 0,00 0.00 0-00 goo D.00 0.0% 116 D.00 0.00 0.00 0.00 O.Do 0.00 goo 0,00 0.0% 117 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 11a goo 0.00 0.00 0.00 0.00 0.00 goo DDO 0.0% 119 O0o 0.00 O.DO 0.00 0.00 0.00 0.00 0.00 0,0% 120 o.00 0.00 0.00 0.00 0,DO 0,00 0,00 0.00 0.0% 121 O.OD 0.00 0.00 0.00 0.00 DDO 0.00 0.00 0,0% 122 0.00 0.00 0.00 0.00 0.00 O.DO 0.00 0.00 D.0% 123 0.00 0.00 D.00 0.00 0.00 0,00 0,00 O.DO 0.0% 124 000 0.GO 0.00 0.00 0,00 0,0o 1,00 1,10 0.D% 121 0.00 0,00 0.D0 0.00 O.DO NO 0.00 0.00 D.O% 126 D.00 0.00 0.00 0.00 0.00 1.00 u,00 O.aO 0.09. 127 0.00 0.00 0.00 0.00 O.DD No 0.00 O.DO OD% 128 0.00 0.00 0.00 0.00 goo, 0.00 0.00 0,00 0.0% 129 O.OD O.DO 0.00 0.00 O.DO 0.00 o.Oo P1 0.00 0.0% 202210 MCAH 5 Budget Template FY22-23 9.26 22.x1sx 4 0(5 Printed:10/102022 9:04 AM ORIGINAL Public Health�l'n MMmW,cma.naAmw:o.m H.,m U:.a�, Program: Maternal,Child and Adolescent Health MCAH UNMATCHED FUNDING NON-ENHANCED ENHANCED Agency. 202210 Fresno MATCHING(5015o) MATCHING(75f25) SubK: MCAH-N Mc-sloa AGENCY FUNDS MC-my NE MCAH-CMYE (+) (2) D) (1) l51 (e) (7) (a) (9) ow (11) (12) (13) n4) (15) TOTAL FUNDING % MCAH-TV % MCANSIDS % Agency Funds' % om ne % Combined Y om tx Combined FedlSlate F A FedfState A G 130 Doo Doo o.o0 0.00 0.00 0.00 oDo 0.0o D.o% 131 0.00 D.00 Moo oDo Doo 0.0o O.OD ODDD.0% 132 Doo Doo D.o0 oDo Duo Doo 0.00 0.00 0.0% 133 0.00 0.0o DDO Doo o.00 moo o.00 oDo D o% 134 0.00 0.00 0-0o D.00 Doo Doo o.00 o.00 o.o% 135 Doo o.00 0.00 0.00 0,0o D.Oo o.00 0,00 DD% 136 0.00 0.00 0.0o Doo 0.0o D.DO o.OD o.00 DD% 137 0.00 00o O.Do o.00 oDo Doo DDD o.00 o.o% 138 0.00 Doo, o.DD o.00 o.DD D.00 o.00 D.Do oD% 139 D.00 Doo o.00 o.00 o.Do Doo Doo oDo O.D% 14D D.OD o.o0 ODD Doo o.Oo oDD Doo D.Do 0.0% 141 0.00 0.00 DDO o.00 Doo Doo o.00 Doo Do% 142 0.00 Doo D.00 D.o0 0.00 Doo DDO o.00 o.o% 143 Doo D.00 Doo D.00 Doo D.Oo Doo o.00 DD% 144 Doo D.00 0.00 0.00 0.0o D.DD Doo Doo Do% 145 0.0o D.00 DAO DDII DDO 0.00 1.00 0,01 1,111 146 0.0o D.0o o.00 0.00 D.oO D.00 ODD aol) 0.0% 147 DDO D.00 o.OD o.Do 0.00 o.DD Doo Doo o.o% 14a Doo o.00 Doo Doo ozo 0.00 O.Oo o.00 o.o% 149 ODD 0.00 o.D0 0.00 o.DD O.o0 0.00 0.00 0.0% 15D O.DD o.00 D.Oo Doo 0.00 Doo 0.0o ODD 0.0% 202210 MCAH 5 Budget Template FY22-23 9.26.22.slu 5.15 Pnntetl.10110/2022 9'.04 AM Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 California Department of Public Health (CDPH) Maternal, Child and Adolescent Health (MCAH) Division Local MCAH Scope of Work (SOW) The Local Health Jurisdiction (LHJ), in collaboration with the CDPH/MCAH Division, shall strive to develop systems that protect and improve the health of California's women of reproductive age, infants, children, adolescents and their families. The development of the Local MCAH SOW was guided by several public health frameworks including the ones listed below. Please consider integrating these approaches when conceptualizing and organizing local program, policy, and evaluation efforts. o The Ten Essential Services of Public Health and Toolkit o The Spectrum of Prevention o Life Course Perspective o Social Determinants of Health o The Social-Ecological Modelhttp://www.cdc.gov/violenceprevention/overview/social-ecologicalmodel.htmI o Strengthening Families All Title V programs must comply with the MCAH Fiscal Policy and Procedures Manual and the Local MCAH Program Policy and Procedures Manual. Certification by Name: Ge Vue MCAH Director: Title: PHN, Division Manager/MCAH Director Date: 8/2/2022 1 certify that I have seen and reviewed this Scope of Work for compliance with CDPH/MCAH Program Policies and Procedures. Note: The Title V Maternal and Child Health Block Grant is the federal program that provides core funding to California to im prove the health of mothers and children. The Title V Block Grant is federally administered by the Health Resources and Services Administration. CDPH/MCAH may post SOWS on the CDPH/MCAH website. 1 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 2 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Section A: General requirements and activities for all LHJs Aligns With General Required Local Activities Time Frame Deliverable Description Requirement(s) CDPH/MCAH Annual Report Al Annually, each fiscal year The Annual Report will report on progress of Requirement Complete and submit an Annual Report each fiscal year to report on Scope of Work program activities and the extent to which activities. the LHJ met the SOW goals and deliverables and how funds were expended. Title V Toll-Free Line A2 Annually, each fiscal year Include on Local MCAH budget during the Requirement Provide a toll-free telephone number or"no cost to the calling party' number(and AFA cycle. other appropriate methods) which provides a current list of culturally and linguistically appropriate information and referrals to community health and human resources for Report in Annual Report: the public regarding access to prenatal care. • List toll-free telephone number Title V MCAH Website A3 Annually, each fiscal year Report in the Annual Report: Requirement Share link, if available,to the appropriate Local MCAH Title V Program website. • List the URL for the Local MCAH Title V program website Title V Workforce A4 Annually, each fiscal year Report attendance in Annual Report: Requirement Development and Attend required trainings/meetings as outlined in the MCAH Program Policies and • MCAH Director's meeting CDPH/MCAH Training Procedures. • SIDS Coordinators meeting Requirement CDPH/MCAH MCAH Director AS Ongoing The LHJ must submit an MCAH Director Requirement Maintain required MCAH Director position and recruit and retain qualified Title V verification form annually during the AFA program staff by as outlined in the MCAH Policies and Procedures. process and resubmit with any changes. CDPH/MCAH Community A6 By end of 2025 Report in Annual Report: Requirement Resource and Develop a comprehensive MCAH resource and referral guide of available health, • Submit/upload a copy or link to the Referral Guide mental health, emergency resources, and social services. existing resource and referral guide Intern will start. Title V Conduct Local A7 Once in five-year cycle Complete Local Needs Assessment Requirement Needs Assessment Conduct a Local Needs Assessment to acquire an accurate,thorough picture of the documents provided by CDPH/MCAH. strengths and weaknesses of the local public health system. 3 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Section B: Domain specific requirements and activities CDPH/MCAH Infant— B1 Annually, each fiscal year Report on SIDS/SUID services and supports in Requirement Sudden Infant Required for Infant Domain -all LHJs the Annual Report. Death Provide SIDS/SUID grief and bereavement services and supports through home visits Syndrome/Sudden and/or mail resource packets to families suffering an infant loss. Unexpected Infant Death (SIDS/SUID) CDPH/MCAH Infant— B2 Annually, each fiscal year Report on safe sleep activities in the Annual Requirement Safe Sleep Required for Infant Domain -all LHJs Report. Promote the latest AAP Safe Sleep guidance and implement Infant Safe Sleep Interventions to reduce the number of SUID related deaths. CDPH/MCAH Child Health - B3 Annually, each fiscal year Report on developmental screening activities Requirement Developmental Required for Child Domain-all LHJs in the Annual Report. Screening Partner with CDPH/MCAH to identify, review and monitor local developmental screening rates. CDPH/MCAH Child Health— B4 Annually, each fiscal year Report on family economic support activities Requirement Family Economic Required for Child Domain-all LHJs in the Annual Report. Supports Link and refer families in MCAH programs to safety net and public health care programs such as Family Planning, Access, Care, and Treatment (PACT), Medi-Cal, and Denti-Cal. CDPH/MCAH Children and B5 Annually, each fiscal year Report on screening and referral activities in Requirement Youth with Special Required for CYSHCN Domain -all LHJs the Annual Report. Health Care needs Link and refer children in families served by Local MCAH programs to services if results (CYSHCN) of a developmental or trauma screening indicates that the child needs follow-up. CDPH/MCAH Children and B6 Annually, each fiscal year Report on outreach activities in the Annual Requirement Youth with Special Required for CYSHCN Domain -all LHJs Report. Health Care needs Outreach to and connect with your local or regional family resource center to (CYSHCN) understand needs of CYSHCN and their families and the resources available to them. http://www.frcnca.org/frcnca-directory/ (CVRC) CDPH/MCAH Infant— B7 Annually, each fiscal year Report on FIMR activities in the Annual Requirement Fetal Infant Required for FIMR funded LHJs only Report. Mortality Review LHJs funded for FIMR will implement FIMR activities in accordance with Local MCAH (FIMR) Program Policies and Procedures. 4 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 CDPH/MCAH Black Infant B8 Annually, each fiscal year Report on BIH activities in the Annual Report. Requirement Health (BIH) Required for BIH funded LHJs only Program LHJs funded for BIH will implement the BIH Program in accordance with BIH Policies and Procedures. CDPH/MCAH Adolescent Family B9 Annually, each fiscal year Report on AFLP activities in the Annual Requirement Life Program Required for AFLP funded LHJs only Report. (AFLP) LHJs funded for AFLP will implement the AFLP Program in accordance with AFLP Policies and Procedures. (EOC) 5 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Section C: Local Activities by Domain At least one activity must be selected or the LHJ must develop at least one activity of their own in the Women/Maternal Health Domain M Women/Maternal Health a Women/Maternal Priority Need: Ensure women in California are healthy before, during and after pregnancy. Women/Maternal Focus Area 1:Reduce the impact of chronic conditions related to maternal mortality. Performance Measures NPM 1: Well-woman visit(Percent of women with a preventive medical visit in the past year). (National/State Performance Measures and Evidence-Based Strategy Measure) Women/Maternal State Objective 1: By 2025, reduce the rate of pregnancy-related deaths (up to 1 year after the end of pregnancy) from 12.8 deaths per 100,000 live births (2013 CA-PMSS) to 12.2 deaths per 100,000 live births. Women/Maternal State Objective 1:Strategy 1: Women/Maternal State Objective 1: StrategV 2: Lead surveillance and investigations of pregnancy-related deaths (up to 1 year after the end of Partner to translate findings from pregnancy-related mortality surveillance and research into pregnancy) in California. recommendations for action to improve maternal health and perinatal clinical practices. Local Activities for Women/Maternal Objective 1: Strategy 1: Local Activities for Women/Maternal Objective 1:Strategy 2: w 1.1.1 ❑X Partner with RPPC, CDPH/MCAH on dissemination of recommendations to improve maternal health and ❑Partner with CDPH/MCAH on dissemination of data findings, guidance, and education to the perinatal clinical practices, including quality improvement toolkits. public and local partners, including perinatal obstetric providers. • CPSP collaborate with RPPC and CHC to distribute Postpartum Preeclampsia Resource What is your anticipated outcome? Toolkits to perinatal practitioners/clinicians and hospitals in Fresno County. • Provide Cal Viva and Anthem Blue Cross managed care plans a Postpartum Preeclampsia Resource Toolkit to share with their health care providers. • Make SUD brochures available to perinatal practitioners/clinicians and hospitals in Fresno County. • Provide CPSP providers with a variety of a validated SUD screening tools and assessment resource materials. Screening and Assessment Tools Chart I National Institute on Drug Abuse (NIDA) 05-10-22 SUD Brochure.pdf 6 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 What is your anticipated outcome? • Perinatal practitioners/clinicians will inform all pregnant women, with a history of hypertension, regarding the risk of developing preeclampsia during pregnancy. • Perinatal practitioners/clinicians will inform all pregnant women regarding the risk of developing postpartum preeclampsia/hypertension, even if they had no prior history of hypertension. • Perinatal practitioners/clinicians will provide a Postpartum Preeclampsia Resource Toolkit to every pregnant woman diagnosed with gestational hypertension and/or preeclampsia. • Perinatal practitioners/clinicians will review the contents of the toolkit with each client and highlight the warning signs, immediate personal health risks, potential long-term complication/chronic medical conditions if untreated, and the necessity of seeking immediate medical attention. • Perinatal practitioners/clinicians will screen pregnant women for substance use during the health assessment using a validated SUD screening tool. • If confirmed, perinatal practitioners/clinicians will discuss the following information with the client: define what SUD is; discuss its impact on pregnancy; provide local treatment options; and link client to local resources and support services. How will impacts be measured? Providers receiving the Postpartum Preeclampsia Resource Toolkit will complete a pre-intervention education survey& post intervention impact survey. PSC will share the CMQCC,AWHONN,ACOG, and Postpartum Preeclampsia Resource Toolkit contents with the PHN nurse home visitor programs. CMQCC-CVD Risk CMQCC-CVD Signs CMQCC Discharge Preeclampsia and AWHONN Post-Birth Infographic.pdf Symptoms.pdf Sheet For Preeclamps Pregnancy.pdf Warning Signs.pdf 7 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 w 1.1.2 w 1.2.2 ❑Other local activity(Please Specify/Optional): ❑Other local activity (Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 8 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Women/MaternalDomain Priority Need: Ensure women in California are healthy before,during and after pregnancy. Women/Maternal Focus Area 2: Reduce the impact of chronic conditions related to maternal morbidity. Performance Measures NPM 1: Well-woman visit(Percent of women with a preventive medical visit in the past year). (National/State Performance Measures and Evidence-Based Strategy Measure) Women/Maternal State Objective 2: By 2025, reduce the rate of severe maternal morbidity from 93.5 per 10,000 delivery hospitalizations (2018 PDD) to 88.8 per 10,000 delivery hospitalizations. Women/Maternal State Objective 2:Strategy 1: Women/Maternal State Objective 2: Strategy 2: Women/Maternal State Objective 2: Strategy 3: Lead surveillance and research related to maternal morbidity in Lead statewide regionalization of maternal care to ensure women Partner to strengthen knowledge and skill among health care California. receive appropriate care for childbirth. providers and individuals on chronic conditions exacerbated during pregnancy. Local Activities for Women/Maternal Objective 2:Strategy 1 Local Activities for Women/Maternal Objective 2:Strategy 2 Local Activities for Women/Maternal Objective 2:Strategy 3 w 2.1.1 w 2.2.1 w 2.3.1 El Partner with CDPH/MCAH on dissemination of data findings, El Partner with local Regional Perinatal Programs of California (RPPC) El Partner with CDPH/MCAH to pilot test educational materials guidance, and education to the public and local partners. Director to understand and promote efforts to establish Perinatal addressing chronic health conditions during pregnancy and Levels of Care. disseminate to consumers and providers. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? w 2.1.2 w 2.2.2 w 2.3.2 ❑Other local activity (Please Specify/Optional): El Partner with CDPH/MCAH, RPPC, and Comprehensive Perinatal El For Black Infant Health (BIH) funded sites only, develop and Services Program (CPSP)to coordinate resources and quality disseminate statewide media campaigns to inform Black women on improvement efforts. chronic health conditions. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? 9 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 w 2.1.3 w 2.2.3 w 2.3.3 ❑Other local activity (Please Specify/Optional): ❑Perinatal Service Coordinator(PSC)will partner with Women Infant ❑Other local activity (Please Specify/Optional): Children (WIC), RPPC, CDPH/MCAH, Medi-Cal, and other key stakeholders to ensure a coordinated delivery system for women during and after pregnancy. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? w 2.1.4 w 2.2.4 w 2.3.4 ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 10 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Woman/Maternal Health Domain Priority Need: Ensure women in California are healthy before,during and after pregnancy. Women/Maternal Focus Area 3:Improve mental health for all mothers in California. Performance Measures (National/State Performance Measures and Evidence-Based Strategy NPM 1:Well-woman visit (Percent of women with a preventive medical visit in the past year). Measure) Women/Maternal State Objective 3: By 2025, increase the receipt of mental health services among women who reported needing help for emotional well-being or mental health concerns during the perinatal period from 49.6% (provisional 2018 MIHA) to 52.1%. Women/Maternal State Objective 3: Strategy 1: Women/Maternal State Objective 3: Strategy 2: Women/Maternal State Objective 3: Strategy 3: Partner with state and local programs responsible for the Partner to strengthen knowledge and skill among health care Partner to ensure pregnant and parenting women are screened provision of mental health services and early intervention providers, individuals, and families to identify signs of maternal utilizing standardized and validated tools and linked to needed programs to reduce mental health conditions in the perinatal mental health-related needs. services for mental health conditions in the perinatal period. period. Local Activities for Women/Maternal Objective 3:Strategy 1 Local Activities for Women/Maternal Objective 3:Strategy 2 Local Activities for Women/Maternal Objective 3:Strategy 3 w 3.1.1 w 3.2.1 w 3.3.1 XOPartner with local programs responsible for the provision of ❑X Perinatal Service Coordinators (PSCs) will provide technical ❑X Implement and utilize standardized and validated mental health mental health services and early intervention programs to assistance on new requirements for provider screening of mental screening tools for pregnant and parenting women in MCAH programs. promote mental health services in the perinatal period. health. How will this activity be tracked and measured by the LHJ? Track referrals received from Perinatal Wellness Center for What is your anticipated outcome? MCAH Home Visitation clients served in MCAH programs What is your anticipated outcome? 75%of women served in FCDPH MCAH program will be screened for perinatal mood and anxiety disorders All pregnant women served by CPSP will receive at least three New PPG (PHQ9) Evaluating implementation of the PPG. What is your anticipated outcome? psychosocial assessments during pregnancy, more if needed.Those Provide health education materials and resources during the identified with maternal mental health conditions will be screened perinatal period for better birth outcomes. and scheduled for a consultation with a mental health clinician for follow-up. CPSP providers,who have been trained in ACES Aware screening, will utilize the tool in conjunction with the PHQ-9 and GAD-7 mental health screening tools/instruments. Ongoing most providers transitioned to EHR 11 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 w 3.1.2 w 3.2.2 w 3.3.2 ❑Partner with local mental health service providers to improve ❑Partner with local Mental Health Services Act (MHSA)/Prop. 63 ❑Lead the development of a county maternal mental health algorithm referral and linkages to mental health services. funded programs to increase available services to women during that outlines a referral system and the services available to address perinatal period. maternal mental health. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? w 3.1.3 w 3.2.3 w 3.3.3 ❑Other local activity(Please Specify/Optional): ❑Partner with CDPH/MCAH to disseminate mental health El Other local activity(Please Specify/Optional): promotional messages that educate women and families to recognize early signs and symptoms of mental health disorders. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? Provide supportive services to home visitation participants during linkage to mental health services/programs. w 3.1.4 w 3.2.4 w 3.3.4 ❑Other local activity (Please Specify/Optional): ❑Other local activity(Please Specify/Optional): Other local activity(Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 12 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 13 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Woman/Maternal Health Domain Priority Need: Ensure women in California are healthy before,during and after pregnancy. Women/Maternal Focus Area 4: Ensure optimal health before pregnancy and improve pregnancy planning and birth spacing. Performance Measures NPM 1: Well-woman visit (Percent of women with a preventive medical visit in the past year). (National/State Performance Measures and Evidence-Based Strategy ESM:The number of Local Health Jurisdictions (LHJs)that report developing or adopting a protocol to link clients (women 22-44)to a Measure) provider to access a preventive visit. Women/Maternal State Objective 4: By 2025, increase the percent of women who had an optimal interpregnancy interval of at least 18 months from 73.6% (2017 CCMBF) to 76.4%. Women/Maternal State Objective 4: Strategy 1: Women/Maternal State Objective 4: Strategy 2: Women/Maternal State Objective 4: Strategy 3: Women/Maternal State Objective 4: Strategy 4: Partner to increase provider and individual Lead a population-based assessment of mothers Lead the implementation of the Comprehensive Fund the DHCS Indian Health Program (IHP) to knowledge and skill to improve health and health in California,the Maternal and Infant Health Perinatal Service Provider(CPSP) program to administer the American Indian Maternal Support care before and between pregnancies. Assessment Survey (MINA),to provide data to ensure access to comprehensive prenatal care for Services (AIMSS)to provide case management and guide programs and services. Medi-Cal Fee-for-Service clients. home visitation program services for American Indian women during and after pregnancy. Local Activities for Women/Maternal Objective Local Activities for Women/Maternal Objective Local Activities for Women/Maternal Objective 4: No Local Activities 4:Strategy 1 4:Strategy 2 Strategy 3 w 4.1.1 w 4.2.1 w 4.3.1 El Partner with CDPH/MCAH to disseminate and El Partner with CDPH/MCAH in the development El Partner with Perinatal Service Coordinators promote best practices and resources from key of the Maternal Infant Health Assessment (MIHA) (PSCs)to identify and recruit providers in medically preconception initiatives. Survey. underserved areas to increase access to care. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? w 4.1.2 w 4.2.2 w 4.3.2 ❑Coordinate with CDPH/MCAH to identify ❑Partner with CDPH/MCAH to disseminate El Lead in implementing the local CPSP program uninsured populations and conduct outreach and MIHA data findings and guidance to the public and provide monitoring and oversight of awareness of health insurance options. and local partners. providers to ensure quality of care for CPSP clients. 14 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? 4M w 4.1.3 w 4.2.3 w 4.3.3 ❑Partner with CDPH/MCAH to promote ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): preconception/inter-conception health programs. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? w 4.1.4 w 4.2.4 w 4.3.4 ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 15 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Woman/Maternal Health Domain Priority Need: Ensure women in California are healthy before,during and after pregnancy. Women/Maternal Focus Area 5: Reduce maternal substance use. Performance Measures NPM 1: Well-woman visit (Percent of women with preventive medical visit in the a past year). (National/State Performance Measures and Evidence-Based Strategy Measure) Women/Maternal State Objective 5: By 2025, reduce the rate of maternal substance use from 20.7 per 1,000 delivery hospitalizations (2018 PDD) to 19.7 per 1,000 delivery hospitalizations. Women/Maternal State Objective 5: Strategy 1: Women/Maternal State Objective 5:Strategy 2: Lead research and surveillance on maternal substance use in California. Partner at the state and local level to increase prevention and treatment of maternal opioid and other substance use. Local Activities for Women/Maternal Objective 5:Strategy 1 Local Activities for Women/Maternal Objective 5:Strategy 2 w 5.1.1 w 5.2.1 ❑Coordinate with CDPH/MCAH to disseminate data findings, guidance, and education to the public and ❑X Identify county specific resources on treatment and best practices to address substance use and local partners. collaborate to improve referral and linkages to services. Dr. Linscheid has connections with the CA Bridge Navigator Program.Two Substance Abuse What is your anticipated outcome? Navigators (SAN) at Community Regional Medical Center(CRMC) emergency department are point persons to assist patients in accessing medical assisted treatment and mental health services. Dr. Linscheid will assist in distributing the Perinatal Substance Use Disorder(SUD) brochures to OB and Family Practice colleagues. What is your anticipated outcome? Every local hospital will encourage their perinatal staff to utilize California Maternal Quality Care Collaborative (CMQCC's) interactive online Mother& Baby Substance Exposure Initiative Toolkit to learn the best practices for improving outcomes for substance exposed mothers and babies. Regional Perinatal Programs of California (RPPC)will assist in distribution of the Perinatal SLID brochures to local hospitals and as needed, review the following information with staff: a) reporting guidelines, referral process, and plan of safe care; b) local treatment options; and c) linkage to community resources. 16 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Number of attendees at Perinatal SUD Training w 5.1.2 w 5.2.2 ❑Other local activity(Please Specify/Optional): ❑Partner with CDPH/MCAH to disseminate a social media campaign on maternal opioid use. What is your anticipated outcome? What is your anticipated outcome? w 5.1.3 w 5.2.3 ❑Other local activity (Please Specify/Optional): ❑Disseminate the Association of State and Territorial Health Officials (ASTHO) Public Health Perinatal Opioid Toolkit. What is your anticipated outcome? What is your anticipated outcome? w 5.1.4 w 5.2.4 ❑Other local activity (Please Specify/Optional): ❑X Other local activity(Please Specify/Optional): Collaborate with Fresno County Jail and Jail Medical Services to allow Public Health Nurse to meet with pregnant inmates weekly to provide health information, resources, and linkage to MCAH. What is your anticipated outcome? How will this activity be tracked and measured by the LHJ? 17 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Number of pregnant women seen at the jail and the number of referrals to MCAH programs will be tracked in the electronic medical record system. What is your anticipated outcome? 75% of all pregnant women in Fresno County Jail will receive a visit by a Public Health Nurse If you have additional local activities, please add a row. 18 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Section C: Local Activities by Domain At least one activity must be selected or the LHJ must develop at least one activity of their own in the Perinatal/Infant Health Domain rinatal/infant Health Perinatal/Infant Priority Need: Ensure all infants are born healthy and thrive in their first year of life. Perinatal/Infant Focus Area 1:Improve healthy infant development through breastfeeding. Perinatal/Infant Focus Area 2:Improve healthy infant development through caregiver/infant bonding. NPM 4a: Percent of infants who are ever breastfed. Performance Measures NPM 4b: Percent of infants breastfed exclusively through 6 months. (National/State Performance Measures and Evidence-Based Strategy Measure) ESM 4.1: Number of online views/hits to the "Lactation Support for Low-Wage Workers". Perinatal/Infant State Objective 1: By 2025, increase the percent of women who report exclusive in-hospital breastfeeding from 70.2% (2018 GDSP) to 72.5%. Perinatal/Infant State Objective 1:Strategy 1: Perinatal/Infant State Objective 1:Strategy 2: Perinatal/Infant State Objective 1:Strategy 3: Perinatal/Infant State Objective 1:Strategy 4: Lead surveillance of breastfeeding practices and Lead technical assistance and training to support Partner to develop and disseminate information and Partner with birthing hospitals to support assessment of initiation and duration trends. breastfeeding initiation, including the resources about policies and best practices to caregiver/infant bonding. implementation of the Model Hospital Policy or promote breastfeeding duration, including lactation Baby Friendly in all California birthing hospitals by accommodation within all MCAH programs. 2025. Local Activities for Perinatal/Infant Objective 1: Local Activities for Perinatal/Infant Objective 1: Local Activities for Perinatal/Infant Objective 1: Local Activities for Perinatal/Infant Objective 1: Strategy 1 Strategy 2 Strategy 3 Strategy 4 p 1.1.1 p 1.2.1 p 1.3.1 p 1.4.1 X❑Monitor and track breastfeeding initiation and ❑Promote breastfeeding education to prenatal ❑X Partner to develop and disseminate information El Partner with Regional Perinatal Program of duration rates and disseminate data to women in local MCAH programs. and resources about policies and best practices to California (RPPC) Directors to work with local community and local partners. promote extending breastfeeding duration, birthing hospitals on messaging related to infant including lactation accommodation within local bonding with an emphasis on a client-centered What is your anticipated outcome? What is your anticipated outcome? MCAH programs. approach. Increase available breastfeeding information What is your anticipated outcome? Information will be shared with MCAH programs, What is your anticipated outcome? participants, outreach events and on the program website 19 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 p 1.1.2 p 1.2.2 p 1.3.2 p 1.4.2 ❑Other local activity (Please Specify/Optional): El Partner to disseminate information to the ❑Other local activity (Please Specify/Optional): El Partner with community leaders to promote community regarding evidence-based infant bonding, skin to skin training and outreach breastfeeding initiation guidance. activities to dads, partners, and caretakers. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? p 1.1.3 p 1.2.3 p 1.3.3 p 1.4.3 ❑Other local activity (Please Specify/Optional): El Partner with Regional Perinatal Programs of ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): California (RPPC) Directors to track and assess implementation and technical assistance needs of birthing hospitals related to the implementation of What is your anticipated outcome? Model Hospital Policy or Baby Friendly. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? p 1.1.4 p 1.2.4 p 1.3.4 p 1.4.4 ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? 20 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 If you have additional local activities, please add a row. 21 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 DomainPerinatal/Infant Health Perinatal/Infant Priority Need: Reduce infant mortality with a focus on eliminating disparities. Perinatal/Infant Focus Area 3:Reduce Black Infant Mortality. Performance Measures (National/State Performance Measures and Evidence-Based Strategy EsPm : Preterm birth rate among infants born to non-Hispanic Black women. Measure) Perinatal/Infant State Objective 2: By 2025, reduce the rate of infant deaths from 4.2 per 1,000 live births (2017 BSMF/DSMF) to 4.0. Perinatal/Infant State Objective 2:Strategy 1: Perinatal/Infant State Objective 2:Strategy 2: Perinatal/Infant State Objective 2:Strategy 3: Lead research and surveillance related to fetal and infant mortality Support local fetal infant review (FIMR) programs by expanding and Lead the California SIDS Program to provide grief and bereavement in California. implementing infant safe sleep strategies and engaging community support to parents,technical assistance, resources, and training on action team members in efforts to reduce the number of sudden infant safe sleep to reduce infant mortality. unexpected infant deaths. Local Activities for Perinatal/Infant Objective 2:Strategy 1 No Local Activities Local Activities for Perinatal/Infant Objective 2:Strategy 3 p 2.1.1 p 2.3.1 X❑Monitor and track fetal and infant mortality and disseminate X❑Promote and disseminate information and resources related to data to community and local partners. SIDS/SUID risk factors and reduction strategies. What is your anticipated outcome? What is your anticipated outcome? Shared with community partners and stakeholders such as Babies New staff will receive training on safe sleep to increase understanding First (Healthy Start) Community Advisory Network, County Medical of SIDS and other sleep related infant deaths. Providers, CPSP Providers, PEI/BIH Community Advisory Board, Staff will use teaching materials to promote safe sleep and share sub-contracted MCAH providers. resources to promote safer sleep in the community How will impacts be measured? Pretest and Posttest will be conducted for new staff to measure increased understanding p 2.1.2 p 2.3.2 ❑Other local activity (Please Specify/Optional): ❑X Disseminate Safe to Sleep° campaign and Safe Sleep strategies that address SIDS and other sleep-related causes of infant death. 22 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 What is your anticipated outcome? What is your anticipated outcome? Wide-spread community awareness and knowledge of safe sleep strategies and dissemination of safe sleep materials in the community p 2.1.3 p 2.3.3 ❑Other local activity (Please Specify/Optional): X❑Partner with Regional Perinatal Programs of California (RPPC)to work with birthing hospitals to disseminate Sudden Infant Death Syndrome/Sudden Unexpected Infant Death (SIDS/SUID) risk What is your anticipated outcome? reduction information to parents or guardians of newborns upon discharge. What is your anticipated outcome? Provide posters and flyers to birthing hospitals to add to postpartum discharge package p 2.1.4 p 2.3.4 ❑Other local activity (Please Specify/Optional): ❑X Partner with local childcare providers, birthing facilities, clinics, Women Infant Children (WIC) sites, and medical providers to provide SIDS/SUID and Safe Sleep education. What is your anticipated outcome? What is your anticipated outcome? Promotion of best practices for Safe Sleep education beginning in the prenatal period. SIDS coordinator will participate in the Central Valley Safe Sleep Coalition meetings whose goal is to standardize and promote Safe Sleep education in the Central Valley 23 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 p 2.1.5 p 2.3.5 ❑Other local activity (Please Specify/Optional): DOther local activity(Please Specify/Optional): • Participate in trainings on Grief/Loss and support for families • Attend CA SIDS council meetings and trainings, Northern CA What is your anticipated outcome? SIDS meetings and National SIDS meetings • Work closely with Fresno Angel Babies to link families for grief support What is your anticipated outcome? Collaboration with other state and national SIDS coordinators. Increased access to latest SIDS research and education materials. Improved grief support for parents. If you have additional local activities, please add a row. 24 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 DomainPerinatal/infant Health Perinatal/Infant Priority Need: Reduce infant mortality with a focus on eliminating disparities. Perinatal/Infant Focus Area 3: Reduce preterm births. Performance Measures SPM 1: Preterm birth rate among infants born to non-Hispanic Black women. (National/State Performance Measures and Evidence-Based Strategy Measure) Perinatal/Infant State Objective 3: By 2025, reduce the percentage of preterm births from 8.7% (2017 BSMF) to 8.4%. Perinatal/Infant State Objective 3: Strategy 1: Perinatal/Infant State Objective 3: Perinatal/Infant State Objective 3:Strategy 3: Perinatal/Infant State Objective 3: Lead research and surveillance on disparities Strategy 2: Lead the implementation of the Perinatal Equity Strategy 5: in preterm birth rates in California. Lead the implementation of the Black Infant Initiative (PEI)to increase perinatal equity in Lead the development and dissemination of preterm Health (BIH) Program to reduce the impact of California. birth reduction strategies across California. stress due to structural racism to improve Black birth outcomes. Local Activities for Perinatal/Infant Objective Local Activities for Perinatal/Infant Objective 3: Local Activities for Perinatal/Infant Objective 3: Local Activities for Perinatal/Infant Objective 3: 3:Strategy 1 Strategy 2 Strategy 3 Strategy 5 p 3.1.1 p 3.2.1 p 3.3.1 p 3.5.1 ❑Monitor and track local preterm birth rates ❑Other local activity (Please Specify/Optional): ❑Other local activity(Please Specify/Optional): ❑Partner with local birthing hospitals, and community and disseminate data to community and local stakeholders to disseminate social media campaigns partners. about preterm birth reduction strategies. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? 25 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 p 3.1.2 p 3.2.2 p 3.3.2 p 3.5.2 ©Other local activity: ❑Other local activity (Please Specify/Optional): El Other local activity ❑x Develop and disseminate preterm birth reduction Monitor and track local preterm birth rates materials and resources to the Black community and disseminate data to community and local (moms, fathers, grandparents, community leaders, and partners. What is your anticipated outcome? churches) and agencies providing services to Black What is your anticipated outcome? moms and babies. (PEI/BIH Community Advisory Board What is your anticipated outcome? (PEI/BIH CAB), UCSF Preterm Birth Initiative,African Shared with community partners and American Infant Mortality Council (AAIM), Faith Based stakeholders Community, Medical Providers, and Medi-cal Managed Care Plans. What is your anticipated outcome? Partner with leadership members who work within the Black community to reach at minimum 100 families, (breakout families and partners separately). p 3.1.3 p 3.2.3 p 3.3.3 p 3.5.3 ❑Other local activity (Please ❑Other local activity (Please Specify/Optional): ❑Other local activity(Please Specify/Optional): ❑Other local activity(Please Specify/Optional): Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 26 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 27 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Section C: Local Activities by Domain At least one activity must be selected or the LHJ must develop at least one activity of their own in the Child Health Domain Child Priority Need: Optimize the healthy development of all children so they can flourish and reach their full potential. Child Focus Area 1:Expand and support developmental screening. (National/State Performance Measures and Evidence-Based NPM 6: Percentage of children, ages 9 through 35 months, who received a developmental screening using a parent-completed screening Strategy Measure) tool in the past year. ESM 6.1: Percent of children enrolled in CHVP with at least one developmental screen using a validated instrument within AAP-defined age range (10 months, 18 months, or 24 months'time points) during the reporting period. Child State Objective 1: By 2025, increase the percentage of children, ages 9 through 35 months, who received a developmental screening from a health care provider using a parent-completed screening tool in the past year from 25.9% (NSCH 2O17-18) to 32.4%. Child State Objective 1:Strategy 1: Child State Objective 1:Strategy 2: Child State Objective 1:Strategy 3: Child State Objective 1:Strategy 4: Partner to build data capacity for public health Partner to improve early childhood systems to Partner to educate and build capacity among Support implementation of Department of Health surveillance and program monitoring and support early developmental health and family providers and families to understand Care Services (DHCS) policies regarding child health evaluation related to developmental screening well-being. developmental milestones and implement best and well-being, including developmental screening. in California. practices in developmental screening and monitoring within MCAH programs. No Local Activities Local Activities for Child Objective 1:Strategy 2 Local Activities for Child Objective 1:Strategy 3 Local Activities for Child Objective 1: Strategy 4 ch 1.2.1 ch 1.3.1 ch 1.4.1 ❑Partner with CDPH/MCAH, Statewide ❑X Partner with CDPH/MCAH and early childhood ❑ Screening Collaborative, and local stakeholders, and family-serving programs to assess current What is your anticipated outcome? such as the local First 5 program or Help Me policies and practices on developmental screening Improved Developmental screening rates by Grow system,to identify key local resources for and monitoring of developmental milestones to providers with appropriate referral to early developmental screening/linkage. determine whether additional monitoring or intervention services. screening can be incorporated into the programs. What is your anticipated outcome? What is your anticipated outcome? 250 children ages 2 to 60 months of age will receive a developmental screening(ASQ 3 or ASQ SE 2). Staff will attend collaborative meetings to discuss 28 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 use of the ASO.and standardizing policies and procedures for administration to increase number of children screened. ch 1.2.2 ch 1.3.2 ch 1.4.2 ❑Lead the development of a community resource map that links referrals to services. ❑Partner with providers to educate families in ❑Track county Medi-Cal managed care health plan MCAH programs about specific milestones and developmental screening data. developmental screening needs. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? ch1.2.3 ch1.3.3 ch1.4.3 ❑Develop a social media campaign or other 0 Partner with Help Me Grow(HMG) and other key ❑Other local activity(Please Specify/Optional): outreach activity for families who missed well- partners to educate providers and families about child visits and/or developmental screening due developmental screening recommendations and to COVID-19 to educate families on the tools. importance of resuming preventive services. What is your anticipated outcome? What is your anticipated outcome? Improved awareness and education on Help Me What is your anticipated outcome? Grow and the centralized access point to refer families. Increased call volume from families and providers on developmental screening recommendations and tools. ch1.2.4 ch1.3.4 ch1.4.4 ❑Other local activity(Please Specify/Optional): 29 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 ❑Other local activity(Please Specify/Optional): ❑Partner with Women Infant Children (WIC) and other stakeholders to disseminate developmental milestone information, educational resources, and tools. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? ch 1.2.5 ch 1.3.5 ch 1.4.5 ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 30 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Child Health Domain Child Priority Need: Optimize the healthy development of all children so they can flourish and reach their full potential. Child Focus Area 2:Raise awareness of adverse childhood experiences and prevent toxic stress through building resilience. Performance Measures NPM 6: Percentage of children, ages 9 through 35 months, who received a developmental screening using a parent-completed screening tool in the past year. (National/State Performance Measures and Evidence-Based ESM 6.1: Percent of children enrolled in CHVP with at least one developmental screen using a validated instrument within AAP-defined age Strategy Measure) range (10 months, 18 months, or 24 months'time points) during the reporting period. Child State Objective 2: By 2025, increase the percentage of children, ages 0 through 17 years, who live in a home where the family demonstrated qualities of resilience (i.e., met all four resilience items as identified in the NSCH survey) during difficult times from 82.0% (95% Cl: 78.2-85.3%) to 84.5%. Child State Objective 2:Strategy 1: Child State Objective 2:Strategy 2: Child State Objective 2:Strategy 3: Partner with CDPH Essentials for Childhood and other stakeholders Partner to build capacity and expand programs and practices to build Support the California Office of the Surgeon General and DHCS' to build data capacity to track and understand experiences of family resiliency by optimizing the parent-child relationship, ACES Aware initiative to build capacity among communities, adversity and resilience among children and families. enhancing parenting skills, and addressing child poverty through providers, and families to understand the impact of childhood increasing access to safety net programs within MCAH-funded adversity and the importance of trauma-informed care. programs. Local Activities for Child Objective 2: Strategy 1 Local Activities for Child Objective 2: Strategy 2 Local Activities for Child Objective 2:Strategy 3 ch 2.1.1 ch 2.2.1 ch 2.3.1 ❑Identify and examine local county data sources for childhood ❑Assess current MCAH program practices to promote healthy, safe, ❑X Participate and promote the California Surgeon General's adversity, childhood poverty, and social determinants of health stable, and nurturing parent-child relationships. Adverse Childhood Experiences (ACES) Aware trainings within local affecting child health and family resilience. county agencies. Trainers will train all staff. What is your anticipated outcome? Will follow up with Network of Care and Maternal Wellness What is your anticipated outcome? Collision (MWC) or train the trainer course What is your anticipated outcome? FCDPH MCAH program staff and Home Visitors will increase their knowledge of ACES and impacts on families being served by MCAH programs. ch 2.1.2 ch 2.2.2 ch 2.3.2 ❑Other local activity(Please Specify/Optional): 31 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 ❑Partner with CDPH/MCAH to understand statewide initiatives that ❑Identify resources and training opportunities on ACEs and address social determinants of health and strengthen economic trauma-informed care for local programs. supports for families. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? ch 2.1.3 ch 2.2.3 ch 2.3.3 ❑Other local activity(Please Specify/Optional): ❑Other local activity (Please Specify/Optional): ❑Other local activity(Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 32 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Child Priority Need: Optimize the healthy development of all children so they can flourish and reach their full potential. Child Focus Area 3:Support and build partnerships to improve the physical health of all children. Performance Measures NPM 6: Percentage of children, ages 9 through 35 months, who received a developmental screening using a parent-completed screening tool in the past year. (National/State Performance Measures and Evidence-Based ESM 6.1: Percent of children enrolled in CHVP with at least one developmental screen using a validated instrument within AAP-defined age Strategy Measure) range (10 months, 18 months, or 24 months'time points) during the reporting period. Child State Objective 3: By 2025,increase the percentage of children,ages 1 through 17 years,who had a preventive dental visit in the past year from 80.2%(95%Cl:76.0-83.9) [NSCH 2O17-18]to 82.6%. Child State Objective 3:Strategy 1: Support the CDPH Office of Oral Health in their efforts to increase access to regular preventive dental visits for children by sharing information with MCAH programs. Local Activities for Child Objective 3:Strategy 1 ch 3.1.1 ❑Other local activity (Please Specify/Optional): What is your anticipated outcome? If you have additional local activities, please add a row. 33 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Child Health Domain Child Priority Need:Optimize the healthy development of all children so they can flourish and reach their full potential. Child Focus Area 3:Support and build partnerships to improve the physical health of all children. Performance Measures NPM 6: Percentage of children, ages 9 through 35 months, who received a developmental screening using a parent-completed screening tool in the past year. (National/State Performance Measures and Evidence-Based Strategy ESM 6.1: Percent of children enrolled in CHVP with at least one developmental screen using a validated instrument within AAP-defined age Measure) range (10 months, 18 months, or 24 months'time points) during the reporting period. Child State Objective 4: By 2025, decrease the percentage of 5t" grade students who are overweight or obese from 40.5% (2018) to 39.3%. Child State Objective 4:Strategy 1: Child State Objective 4:Strategy 2: Partner to enable the reporting of data on childhood overweight and obesity in California. Partner with WIC and others to provide technical assistance to local MCAH programs to support healthy eating and physically active lifestyles for families. Local Activities for Child Objective 4:Strategy 1 Local Activities for Child Objective 4:Strategy 2 ch 4.1.1 ch 4.2.1 ❑Other local activity(Please Specify/Optional): ❑Partner with Women Infant Children (WIC), local healthy community programs and initiatives, CDPH/MCAH programs, stakeholders to identify resources, best practices, and tools on healthy eating to share with families in MCAH programs. What is your anticipated outcome? What is your anticipated outcome? ch 4.1.2 ch 4.2.2 ❑Other local activity (Please Specify/Optional): ❑Partner with Women Infant Children (WIC), and other local programs to refer and link eligible families to WIC and other healthy food resources. What is your anticipated outcome? What is your anticipated outcome? 34 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 ch 4.1.3 ch 4.2.3 ❑Other local activity (Please Specify/Optional): ❑Partner with CDPH/MCAH to utilize the Policies, Systems, and Environmental Change Toolkit to improve physical activity, nutrition, and breastfeeding within the local health jurisdiction. What is your anticipated outcome? What is your anticipated outcome? ch 4.1.4 ch 4.2.4 ❑Other local activity (Please Specify/Optional): ❑Share the child MyPlate and related messaging with families and providers to promote healthy eating in children. What is your anticipated outcome? What is your anticipated outcome? ch 4.1.5 ch 4.2.5 ❑Other local activity (Please Specify/Optional): ❑Other local activity(Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 35 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Section C: Local Activities by Domain At least one activity must be selected or the LHJ must develop at least one activity of their own in the CYSHCN Health Domain NeedsAthildren and Youth with Special Health Care D. CYSHCN Priority Need 1: Make systems of care easier to navigate for CYSHCN and their families. CYSHCN Focus Area 1:Build capacity at the state and local levels to improve systems that serve CYSHCN and their families. NPM 12: Percent of adolescents with and without special health care needs who receive services necessary to make transitions Performance Measures to adult health care. (National/State Performance Measures and Evidence-Based Strategy Measure) ESM 12.1: Percentage of local MCAH programs that implement a Scope of Work objective focused on CYSHCN public health systems. CYSHCN State Objective 1: By 2025, maintain the number of local MCAH programs that chose to implement a Scope of Work objective focused on CYSHCN public health systems and services during FY 21-22. CYSHCN State Objective 1:Strategy 1: CYSHCN State Objective 1: Strategy 2: CYSHCN State Objective 1:Strategy 3: Lead state and local MCAH capacity-building efforts to improve Lead program outreach and assessment within State MCAH to ensure Partner to build data capacity to understand needs and health and expand public health systems and services for CYSHCN. best practices for serving CYSHCN are integrated into all MCAH disparities in the CYSHCN population. programs. Local Activities for CYSHCN Objective 1:Strategy 1 Local Activities for CYSHCN Objective 1:Strategy 2 No Local Activities cy 1.1.1 cy 1.2.1 ❑Conduct an environmental scan focused on children and youth ❑Create or update a resource guide or diagram to help families, with special health care needs and their families, including needs, providers, and organizations understand the landscape of available gaps, and resources available in your county or region. local resources in the community. What is your anticipated outcome? What is your anticipated outcome? cy 1.1.2 cy 1.2.2 D Improve coordination of emergency preparedness and disaster DOther local activity (Please Specify/Optional): Collaborate with relief support for Children and Youth with Special Health Care FCDPH CCS division on mutual clients to improve quality of case management services and care coordination 36 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Needs (CYSHCN) and their families (COVID-19,wildfires, earthquakes, etc.) What is your anticipated outcome? What is your anticipated outcome? Increased number of children in MCAH FCDPH children's home Improved Coordination with Emergency Preparedness, MCAH, visitation programs who are enrolled in CCS will receive a joint CMS and CH(CDI)to provide support and relief for CYSHCN and consultation with CCS staff and MCAH PHN case manager. families impacted by an emergency. cy 1.1.3 cy 1.2.3 ❑Conduct a local data/evaluation project focused on CYSHCN. ❑Other local activity (Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? cy 1.1.4 cy 1.2.4 El Create or join a public health taskforce focused on the needs of ❑Other local activity (Please Specify/Optional): CYSHCN in your county or region. What is your anticipated outcome? What is your anticipated outcome? cy 1.1.5 cy 1.2.5 ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): 37 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 38 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Children and Youth with Special - • Domain CYSHCN Priority Need 1: Make systems of care easier to navigate for CYSHCN and their families. CYSHCN Focus Area 2: Increase access to coordinated primary and specialty care for CYSHCN. Performance Measures NPM 12: Percent of adolescents with and without special health care needs who receive services necessary to make transitions to adult (National/State Performance Measures and Evidence-Based health care Strategy Measure) ESM 12.1: Percentage of local MCAH programs that implement a Scope of Work objective focused on CYSHCN public health systems CYSHCN State Objective 2: By 2025, increase the percent of adolescents with special health care needs, ages 12 through 17, who received services necessary to make transitions to adult health care from 18.4%to 20.2%. (NSCH 2O16-20) CYSHCN State Objective 2:Strategy 1: CYSHCN State Objective 2: Strategy 2: CYSHCN State Objective 2:Strategy 3: Partner on identifying and incorporating best practices to ensure Fund DHCS/ISCD to assist CCS counties in providing necessary care Fund DHCS/ISCD to increase timely access to qualified providers for that CYSHCN and their families receive support for a successful coordination and case management to CCS clients to facilitate timely CCS clients to facilitate coordinated care. transition to adult health care. and effective access to care and appropriate community resources. Local Activities for CYSHCN Objective 2: Strategy 1 No Local Activities No Local Activities cy 2.1.1 ❑Conduct an environmental scan in your county and/or region to understand needs, strengths, barriers, and opportunities in the transition to adult health care, supports, and services for youth with special health care needs. What is your anticipated outcome? cy 2.1.2 ❑Develop a communication and/or outreach campaign focused on transition from pediatric care to adult health care, including supports and services for youth with special health care needs. What is your anticipated outcome? 39 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 PF cy 2.1.3 ❑Create/join a local learning collaborative or workgroup focused on the transition to adult health care and supports and services for youth with special health care needs. What is your anticipated outcome? cy 2.1.4 ❑Other local activity(Please Specify/Optional): What is your anticipated outcome? If you have additional local activities, please add a row. 40 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Children and Youth with Special Health Care Needs (CYSHCN) Domain CYSHCN Priority Need 2: Increase engagement and build resilience among CYSHCN and their families. CYSHCN Focus Area 3:Empower and support CYSHCN,families, and family-serving organizations to participate in health program planning and implementation. NPM 12: Percent of adolescents with and without special health care needs who receive services necessary to Performance Measures make transitions to adult health care. (National/State Performance Measures and Evidence-Based Strategy Measure) ESM 12.1: Percentage of local MCAH programs that implement a Scope of Work objective focused on CYSHCN public health systems. CYSHCN State Objective 3: By 2025, maintain the number of local MCAH programs that chose to implement a Scope of Work objective focused on family engagement, social/community inclusion, and/or family strengthening for CYSHCN during FY 21-22. CYSHCN State Objective 3:Strategy 1: CYSHCN State Objective 3:Strategy 2: CYSHCN State Oblective 3:Strategy 3: Partner to train and engage CYSHCN and families to improve CYSHCN- Fund DHCS/ISCD to support continued family engagement in CCS Support statewide and local efforts to increase resilience among serving systems through input and involvement in state and local MCAH program improvement, including the Whole Child Model,to assist CYSHCN and their families. program design, implementation, and evaluation. families of CYSHCN in navigating services. Local Activities for CYSHCN Objective 3:Strategy 1 No Local Activities Local Activities for CYSHCN Objective 3: Strategy 3 cy 3.1.1 cy 3.3.1 ❑Other local activity (Please Specify/Optional): ❑Design and implement a project focused on social and community inclusion for CYSHCN and their families. What is your anticipated outcome? What is your anticipated outcome? 41 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 cy 3.1.2 cy 3.3.2 ❑Other local activity (Please Specify/Optional): ❑Promote trauma-informed practices specific to CYSHCN and families to ensure local MCAH programs such as home visiting and public health nursing have a trauma-informed approach that is inclusive of CYSHCN. What is your anticipated outcome? What is your anticipated outcome? cy 3.1.3 cy 3.3.3 ❑Other(Please Specify/Optional): ❑Other(Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 42 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Section C: Local Activities by Domain At least one activity must be selected or the LHJ must develop at least one activity of their own in the Adolescent Health Domain Adolescent Domain Adolescent Priority Need 1: Enhance strengths,skills and supports to promote positive development and ensure youth are healthy and thrive. Adolescent Focus Area 1:Improve sexual and reproductive health and well-being for all adolescents in California. Performance Measures NPM 10: Percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year. (National/State Performance Measures and Evidence-Based ESM 10.1: Percent of AFLP participants who received a referral for preventive services. Strategy Measure) Adolescent State Objective 1: By 2025, increase the proportion of sexually active adolescents who use condoms and/or hormonal or intrauterine contraception to prevent pregnancy and provide barrier protection against sexually transmitted diseases as measured by: • percent of sexually active adolescents who used a condom at last sexual intercourse from 55% to 58% • percent of sexually active adolescents who used the most effective or moderately effective methods of FDA-approved contraception from 23%to 25%. Adolescent State Objective 1:Strategy 1: Adolescent State Objective 1:Strategy 2: Adolescent State Objective 1:Strategy 3: Lead surveillance and program monitoring and evaluation related to Lead to strengthen knowledge and skills to increase use of protective Partner across state and local health and education systems to adolescent sexual and reproductive health. sexual health practices within CDPH/MCAH-funded programs. implement effective comprehensive sexual health education in California. Local Activities for Adolescent Objective 1: Strategy 1 Local Activities for Adolescent Objective 1: Strategy 2 Local Activities for Adolescent Objective 1:Strategy 3 a 1.1.1 a 1.2.1 a 1.3.1 ❑Utilize California Adolescent Sexual Health Needs Index (CASHNI) ❑Partner with CDPH/MCAH to disseminate education materials and ❑For non-California Personal Responsibility Education Program to target adolescent sexual health programs and efforts to high resources related to effective protective sexual health practices for (CA PREP) and Information and Education Program (I&E)funded need youth. youth,with a focus on reaching local health care professionals and counties, partner with local PREP and I&E agencies and other parents/caregivers. community partners to ensure local implementation of evidence- based and/or evidence-informed sexual health education to high What is your anticipated outcome? need youth. What is your anticipated outcome? What is your anticipated outcome? 43 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 a 1.1.2 a 1.2.2 a 1.3.2 ❑Utilize and disseminate Adolescent Sexual Health County Profiles ❑For Adolescent Family Life Planning(AFLP)-funded counties, promote ❑Other local activity (Please Specify/Optional): to the public and local partners. healthy sexual behaviors and healthy relationships among expectant and parenting youth. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? a 1.1.3 a 1.2.3 a 1.3.3 ❑Utilize and disseminate California's Adolescent Birth Rate (ABR) ❑X Build capacity of local MCAH workforce to promote protective ❑Other (Please Specify/Optional): data report to the public and local partners. adolescent sexual health practices. Collaborate with Local Health Department STD program. (Vending machine project) What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? Trained MCAH Work force in protective adolescent and sexual health practices. Increased understanding of protective sexual and reproductive health for adolescents Utilization of appropriate teaching materials that promote protective sexual and reproductive health in the community 44 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 a 1.1.4 a 1.2.4 a 1.3.4 ❑Other (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): ❑Other local activity (Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. Adolescent Priority Need: Enhance strengths,skills and supports to promote positive development and ensure youth are healthy and thrive. Adolescent Focus Area 2: Improve awareness of and access to youth friendly services for all adolescents in California. Performance Measures NPM 10: Percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year. (National/State Performance Measures and Evidence-Based Strategy ESM 10.1: Percent of AFLP participants who received a referral for preventive services. Measure) Adolescent State Objective 2: By 2025, increase the percent of adolescents 12 through 17 with a preventive medical visit in the past year from 76.2%to 83.8%. Adolescent State Objective 2:Strategy 1: Adolescent State Obiective 2:Strategy 2: Lead to develop and implement best practices in CDPH/MCAH funded programs to support youth with Partner to increase the quality of preventive care for adolescents in California. accessing youth-friendly preventative care, sexual and reproductive health care, and mental health care. Local Activities for Adolescent Objective 2:Strategy 1 Local Activities for Adolescent Objective 2:Strategy 2 a 2.1.1 a 2.2.1 ❑Implement evidence-based screening tools or assessments to connect adolescents in local MCAH ❑Partner with CDPH/MCAH on dissemination of Adolescent Preventive Health Initiative(APHI) programs to needed services. communications platform to health care providers to improve adolescent health care. What is your anticipated outcome? What is your anticipated outcome? 45 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 a 2.1.2 a 2.2.2 ❑Lead the development of a community pathway map that links referrals to services for young ❑Other(Please Specify/Optional): people. What is your anticipated outcome? What is your anticipated outcome? a 2.1.3 a 2.2.3 ❑Partner to disseminate adolescent preventive care recommendations to improve the quality of ❑Other local activity (Please Specify/Optional): adolescent health services. What is your anticipated outcome? What is your anticipated outcome? a 2.1.4 a 2.2.4 ❑Other(Please Specify/Optional): ❑Other local activity (Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 46 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 Adolescent Domain Priority Need: Enhance strengths,skills and supports to promote positive development and ensure youth are healthy and thrive. Adolescent Focus Area 3: Improve social, emotional, and mental health and build resilience among all adolescents in California. Performance Measures NPM 10: Percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year. (National/State Performance Measures and Evidence-Based ESM 10.1: Percent of AFLP participants who received a referral for preventive services. Strategy Measure) Adolescent State Objective 3: By 2025, increase the percent of adolescents aged 12-17 who have an adult in their lives with whom they can talk to about serious problems from 77.2%to 79.7%. Adolescent State Obiective 3: Strategy 1: Adolescent State Objective 3:Strategy 2: Adolescent State Obiective 3:Strategy 3: Lead to strengthen resilience among expectant and parenting adolescents Partner to identify opportunities to build protective factors for adolescents at Partner to strengthen knowledge and skills among providers, to improve health,social,and educational outcomes. the individual,community,and systems levels. individuals, and families to identify signs of distress and mental health related needs among adolescents. Local Activities for Adolescent Objective 3: Strategy 1 Local Activities for Adolescent Objective 3: Strategy 2 Local Activities for Adolescent Objective 3:Strategy 3 a 3.1.1 a 3.2.1 a 3.3.1 El Partner with CDPH/MCAH to utilize evidence-based tools and resources, ❑Utilize the Adolescent Sexual Health Workgroup (ASHWG) Positive ❑Identify local needs and assets relating to adolescent mental such as the Positive Youth Development(PYD)Model,to build youth Youth Development (PYD) Organizational Assessment and Toolkit to health. resiliency to improve health,social,and educational outcomes among build agency capacity to engage and promote youth leadership and expectant and parenting youth. youth development. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? 47 05/01/2022 Local Health Jurisdiction: Fresno Fiscal Year: SFY 2022-23 Agreement Number: 202210 a 3.1.2 a 3.2.2 a 3.3.2 ❑For non-Adolescent Family Life Planning(AFLP)-funded counties, ❑Establish or join a local youth advisory board to incorporate youth ❑Partner with or join a local adolescent health coalition and participate on local AFLP agency's Local Stakeholder Coalition. voice and feedback into local MCAH health programs. develop a strategic plan to improve adolescent mental health. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? a 3.1.3 a 3.2.3 a 3.3.3 ❑Partner with CDPH/MCAH in utilization and dissemination of updated ❑Other local activity(Please Specify/Optional): ❑Partner to disseminate training opportunities and resources physical activity and nutrition guidelines to promote well-being among related to adolescent mental health such as Mental Health First adolescent parents. Aid and Question Persuade Refer(QPR), a suicide prevention training. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? a 3.1.4 a 3.2.4 a 3.3.4 ❑Other(Please Specify/Optional): ❑Other(Please Specify/Optional): ❑Other (Please Specify/Optional): What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 48 05/01/2022 11 ORIGINAL Public Health S1 oril Mnernal,CM1iH and AdoksceM HeaXM1 OivAron BUDGET SUMMARY FISCAL YEAR BUDGET BUDGET STATUS BUDGET BALANCE 2022-23 ORIGINAL ACTIVE 0.00 Verson 7D-150 0-fly 43n.2G Program: Black Infant Health BIH UNMATCHED FUNDING NON�NHANLED ENHANCED Age xr: 2 NO Fresno MATCHING(solso) MATCH (75/25) SubK: BIH-TV BIH-SGF AGENCYFUNDS BIHSGF-NE BIH-Cary NE BIH-SGF-E 01M-CMyE (1) (2) (a) (4) (5) (6) (7) (al 191 (1G) 111) f1]) (1a) (14) (11) TOTAL FUNDING % BIH-N % BIHSGF % Agency funds' % om Ine % CGmbired % om Ire Combined Fed/State FedState ALLOCATION(S) - 259,379.0o 679,557.00 #VALUEI EXPENSE CATEGORY (])PERSONNEL 837,928.72 184.268.07 181,272,91 O.Do 377,997,95 D.DO 94,389.79 o.00 (11)OPERATING EXPENSES 151.771.76 6,400.30 145371.46 O.DD o.00 o.00 0.00 o.00 (111) CAPITAL EXPENDITURES o.00 Goo Dog o.00 D,00 000 o.00 Roo (IV) OTHER COSTS 82,868.29 29,28608 53,582.21 o.00 o.00 0.00 oGo o.00 (V)INDIRECT COSTS 157,698.19 39.424.55 55,194.36 0D0 63,079.27 o.00 0.00 o.00 BUDGET TOTALS* 1,230,266.96 2108% 259,379.Oo 3i39% 435,420.94 0.00% 0.00 1 3s.as% 441,077.22 o.00% O.DD 1 7.67% 94,389.79 1 o.OG% 0.00 —. BALANCE(S) 0.00 0.00 TOTAL BIH-TV 259,379.00 —> 259,379.00 TOTAL BIH-SGF 679,557.00 435,420.94 I5o%I 220,536.61 125%1 23,597.45 TOTAL TITLE XIX 291.330.95 so%] -0.538.61 soxl 0.00 V5%1 70,792.34 [75%1 0.00 TOTAL AGENCY FUNDS o.00 o.00 I�%1 o.00 (251I 0.00 $ 1,230,266.95 Maximum Amount Payable from State and Federal resources ;;fERTI1AT THIS BUDGET HAS BEEN CONSTRUCTED IN COMPLWICE WITH ALL MCAN ADMINISTRATNE ANDP�/1 GRAM POLICIES. f0 to MCAH4'ROJECT DIRECTOR'S SIGNATURE PATE AGENCYFISCALAG NPSSIGNATURE DATE TM1em anvunts co Min bcal revemie suMMed Ipr nlomation aM makM1iip purposes.MCAH does M re-.Agency mntdb4bm. STATE USE ONLY-TOTAL STATE AND FEDERAL REIMBURSEMENT BIH-TV BIHSGF AGENCY BIHSGF-NE BIH-Croy NE BIHSGF-E BIWCn E FUNDS PCA Codes 53113 53127 53124 53100 53125 53102 (1) PERSONNEL 1B4,26B.07 181,272.91 377.997.95 D.00 94,389.79 D.DO (14 OPERATING EXPENSES 6,40o.30 145,371.46 O.Do O.00 o.00 D.DO (1111 CAPITAL EXPENSES 0.00 0.Do o.00 o.00 o.00 o.o0 (IV) OTHER COSTS 29,286.08 53,582.21 D.00 0.00 D.Oo o.00 (VI INDIRECT LOSTS 39,424SS 65,194.36 63,079.27 0.00 D.Oo 0.00 Totals for PCA Codez 1,230,266.95 259,379.00 435,420.94 441077.22 0.00 94,389.79 0.00 202210 BIH 5 Budget Template FY22-23 08 08.22 xlsx 1 015 Panted:10/102G22 9 05 AM Jv ORIGINAL Public Heal}h .1,oln Mmemm.ennaamAapke emHeanDly,� Program: Black Infant Health(BIH) NOWENHANCED ENHANCED Agency: 202210 Fresno UNMATCHED FUNDING MATCHING(SO/SO) MATCHING(75/25) SubK: BIM-TV BIM-SGF AGENCVFUN06 BIH-6GF-NE BIH-Cray NE BIH-SGF-E BIH-CnryE Ol (2) (3) (4) (5) I61 Ill (6) (91 nO) (t t) (12) (13) (14) (15) Combined om I"do Combined TOTAL FUNDING % BIH-TV % BIHSGF % Agency Funds' % Fed/State % /A n % Fed/state % / (11) OPERATING EXPENSES DETAIL %-.1 NoueHH *m -EL ENH- xPER6oL unlw 50.0o% 0.00% 56.25% TOTAL OPERATING EXPENSES 151,771.76 rl'..0650.030 145,371.46 0.00 0.00 0.00 0.00 0.00 A- TRAVEL 2,SDO.00 40.00% 6000% 1,500,00 0.00 0.00 100 0.00 0.00 SO.DO%� TRAINING 3,5D0.DO 30.00% 70,00% 2.450.00 0.00 0.00 000 0.00 0.00 56.25% 1 Ofrlee Supplies 7,500.00 30,00% 70.00% 5,250.00 D.Do 0.00 0.00 56.25% 2 Postage 500.00 30.00% 70.00% 35000 0,00 0.00 0.00 56.25% 3 Duplication 1,000.00 30.00% 7000% 71X).00 O.DO 0.00 O= 56.25% 4 Public Awareness Campaign 131,270.76 0.00% 1DO.00% 131,270.76 0.00 O.DO O.DO 56.2S% 5 Communications 5,501.00 30,00% 70.00% 3,850.70 0.00 0,00 0,00 56.25% 6 0.00 0.00 0.00 DDO 0.00 7 0,00 0.00 0.00 000 0.00 a 000 0,00 O.DO 0,00 0.00 9 0.00 0.00 0.00 0.00 0.00 10 0,00 0.00 0.00 000 O.DO 11 O DO D 00 000 0,00 0.00 12 0.00 0.00 0.00 O.00 0.00 13 D.00 0.00 0.00 0.00 0.00 14 D.00 0.00 D.00FEI 0.00 0.00 15 0.00 0.00 0.00 0.00 0.00 Unmatched Operating E-m..are notelio,bi for Fede21 matchmg funds(Title XIXI Expenses mar only be charged m Unmamind TMe V(Col.3).State General Funds(Col.5).andfor Aoenev(Col.7)tunds. (111) CAPITAL EXPENDITURE DETAIL TOTAL CAPITAL EXPENOrTUREs 000 0,00 0.00 0.00 0.00 (IV) OTHER COSTS DETAIL so 11-T- 56.25% TOTAL OTHER COSTS 82,86B.29 29,286.08 53,58221 O.DO 0.00 0.00 O.DO 0.00 SUBCONTRACTS 1 Reading 8 Beyond 21.308,00 50DO% 10654.00 50.00% 10.654,00 0.00 0.00 0,00 0,00 0,00 2 Kim WiL- 2JUDOO 50.00% 1,350.00 50.00% 1.350,0D 000 O.DO DOD 000 00D 3 O.Do 0.DO 0.00 0,00 0.00 0.00 0.00 LEI 4 D.Do o.Do O.Do o.Do D.00 0.00 0.00 5 0,00 0,00 0.00 0.00 D.o0 0,00 0.00 F] OTHER CHARGES 1 Client Support Materials 32,000.00 40.45% 12.944.00 5955% 19,D56.DO 0.00 0.00 0.00 56.25% 2 Participant Transportation 22.522.21 0.00% 000 100.00% 22,522.21 0.00 0,00 0.00 56.25% 3 Client Refreshments 4.336,08 100.DO% 4,336.08 0.00 0.00 0.00 0.00 56.25% 4 0.00 0.00 0.00 O.DO 0.00 5 0.00 0.00 0.00 0.00 0.00 6 0,00 0.00 0.00 0.00 0.00 7 0.00 0.00 0.00 0.00 0.00 a 0.00 0.00 O.DO MOO O.DO (V) INDIRECT COSTS DETAIL TOTAL INDIRECT COSTS 157,698.19 39.424.55 55.194.36 0.00 63,079.27 0.0a 18.82% of Total Wage,+Fringe B-fits, 157,698.19 25.00% 39,424.55 35.00% 55.194.36 0.00 40D0% 53.079.27 O.OD 202210 BIH 5 Budget Template FY22-23 08.08.22.xhx 2 of 5 Printed:10/102022 9:05 AM ORIGINAL PubliC`Heal}h .)c ern Ma4maI,CM1iltlamAeor.�omHeannDr,o,o„ Program: Black Infant Health BIH UNMATCHED FUNDING NON-ENHANCED ENHANCED A9en°y: 202210 Fresno MATCHING(50150) MATCHING(75125) SubK: BIH-N BIHSGF AGENCY FUN0.5 BIH-SGF-NE BIH-Croy NE BIHSGF-E BIH-CME 10 t2) P) (<) (5) (fi) (7) (9) 19) (10) (11) (12) (13) (14) (15) TOTAL FUNDING % BIH-N %, BIHSGF %, Agency Funda' O°1 1°e Combired om ine Combirtetl % FedlState � % FedlState F (1) PERSONNEL DETAIL TOTAL PERSONNEL COSTS ea7,929.72 la4 258.07 181,272.91 0.00 377,997.95 0.00 1 94,389.79 0.00 FRINGE BENEFITRATE 79.75% 371,762.72 81,753.97 00425.11 0.00 167.70585 0.00 41,877.79 0.00 TOTAL wAc6s 466,166.DO 1D2,514.10 100,847.80 GOD 210,292.10 D00 52,512.00 0,00 L FULL NAME TITLE OR CLASSIFICATION %FTE ANNUAL TOTAL WAGES (Fire Name Last Name) (No Acronyms) SALARY 4 n ~ 9 1 Janel Claybon Public Health Nurse 11 100.00% 10562400 105,024.01) 25.OD% 25,256.00 15.00% 15.753.60 0,00 10.00% 10.502.40 ODD 50.00% 52.512.00 0.00 87.1% Nx 2 Sabrina Beavers BIH Coordinator-Health Educator 100.00% 51,776.00 61,77600 30.00% 18,532.80 20.00% 12,355,20 0.00 50 OD% 30,888.00 0.00 0.00 0.00 87.1% x 3 VACANT FHA Comm.Outreach Liaison-Health 10o.OD% 50,614.00 10.114.00 15.00% 7,59210 25.00% 1265350 0.00 60.D0% 30,388.4. 0.00 0.00 0.00 87.1% x 4 Denise Simon FHA Group Facilltalor-Heaxh Educatio 100.00% 59,O97.D0 59,097.00 30.00% 17.729.10 2D.00% 11,Bi9.40 0.00 50.00% 29,548.50 0.00 0.00 0 .00 87.1% x - 5 VACANT Comm.Outreach Liaison-Health Educa 100.00% 50,614.00 50,614.00 10.DO% 5,D61.40 30.00% 15,184.20 O.DO 60.OD% 30,366.40 0,00 0.00 0.00 87.1% x 6 Kimberly Murphy FHA Group Facilitator-Health Educatioi 100.00% 48.082.00 48,082.00 3D.00% 14,424.60 20,00% 9,616.40 0.00 50.DO% 24,041.00 0.00 0.00 0.00 67.1% x 7 Melinda Meta Data Entry-Office Assistant 111 1DO.00% 3B,222.00 38,222.00 20.00% 7.644.40 20.00% 7.64440 0.00 6000% 22,933.20 0.00 0.00 0.00 87.1% x 8 VACANT Mental Health Professional-Medical So 1DO.00% 52.737.00 52,737.00 1 10.00% 5.273,70 30.00% 15,821.10 0,00 60013% 31642.20 ODD 0.00 0.00 87.1% x 9 0.00 0.00 0.00 O.DO 000 0.00 0.00 0.00 O.D% 10 0.00 0,00 0.00 0.00 0.00 0.00 0.00 D.DO O.D% 11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 D% 12 0.00 ODO o.DO 0.00 0.00 0.00 0.00 O.DO 0.0% 13 0.00 0.00 0.00 0.00 0.00 D.00 0.00 0.00 0.0% 14 0.00 0.00 MOO 0.00 0.00 0.00 0.00 0.00 0.0% is 0.00 Goo 0.00 0,00 0.00 ODD 0.00 D.Oo 0.0% 16 0.00 Goo 0.00 0.00 0.00 000 0.00 000 O.O% 17 0,00 000 0.00 0.00 0.00 00D 0.00 000 0.0% 18 0.00 0.00 0.00 O.OD D00 0.00 0.00 D.00 O.D% 19 0.00 Goo 000 0.00 O.DO 0.00 0.00 0.00 0.0% 20 0.00 0.00 0.00 0.00 D.Do 0.00 0.00 0.00 0.0% 21 D.00 0.00 0.00 0.00 0.00 O.Oo 0.00 0.00 0.0% 22 0.00 O.DO DOD 0.00 0.00 0,00 0.00 D.DO DO% 23 O.DO 0.00 0.00 Om 0.00 0.00 0.00 0.00 0.0% 24 0.00 0,00 0.00 O.DO O.DO 0.00 D.00 0.00 O.D% 25 0.00 0.00 0.00 O.DO 0.00 0.00 0.00 O.DO 0.0% 26 0.00 0.00 000 O.DO 0.00 0.00 0.00 0.00 0.0% 27 0.00 0.00 0,00 0.00 DOG) 000 D.DO 0.00 0.0% 28 0.00 D,00 Goo D.DO 0,00 0.00 0.00 0.00 0.0% 29 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.0% 30 0.00 DOO D.OD 0.00 0.00 0.00 DOG 000 DD% 31 0.00 000 D.DD 0.00 0.00 0.00 0.00 0.00 0.0% 32 0.00 O.00 0.00 0.00 0.00 0.00 O.DO 0,00 0.0% 33 0.00 O.GO 0,00 0.00 0.00 0.00 0.00 O.DO 0.0% 34 0.00 000 0.00 0.00 0,00 0.00 0.00 0.00 O.D% 35 0.00 O.OD 0.00 0.00 0.00 000 0.00 0.00 0.0% 36 0.00 0.00 0.00 O.Oo 0,00 0.00 O.GD 0.00 0.0% 37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 38 0.00 0.00 DOO 0.00 D.00 0.00 0.00 0.00 0.0% 39 O.00 000 O.DO 0.00 0.00 0.00 0.00 0.00 0.0% 40 0.00 0.00 0.00 0.00 DOD 0.00 0.00 0.00 0.0% 41 000 0.00 0.00 0.00 0.00 D.00 0.00 0.00 0.0% 42 0.00 000 0.00 D,00 0.00 OGD 0.00 0.00 0.0% 43 0.00 0.00 O.DO 0.00 0.00 0.00 0,00 0.00 0.0% 44 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 45 O.00 0.00 0.00 0.00 0.01) D.00 0.00 0.00 0.0% 46 0.00 0.00 O.DO 0.00 0.00 0.00 0.00 000 0,0% 47 0.00 0.00 0.00 0.00 0.00 0.00 O.DO 0.00 0.0% 48 DOG 0.00 D.00 0.00 0.00 000 O.DO 0,00 0.0% 49 0.00 DOD 0.00 O.OD 0.00 0.00 0.00 0,00 0.0% 50 0.00 0.00 O.DO 0,00 000 0.00 0.00 0.00 OG% 51 0.00 ODD 0.00 0.00 0.00 0.08 0.00 0,00 D.0% 52 0.00 GDO 0.00 0.00 0.00 0.00 0.00 0.D0 O D% 53 0.00 0.00 0,00 0.00 0.00 ODD 0.00 0.00 0.0% 54 0,00 o.DO 0.00 0.00 0.00 0,DO O.GO 0.00 0.0% 55 0.00 0.00 O.OD 0.D0 0.00 O.DO 0.00 0 DO 0.0% 202210 BIH 5 Budget Template FY22-23 08.08.22.xlsx 3 of 5 Printetl:1011=022 9.05 AM ORIGINAL Public Healih •).Oil! M-1 I.ChM and A&k-Heath D-ion Program: Black Infant Health(BIH) UNMATCHED FUNDING NON-ENHANCED ENHANCED Agency: Fresno MATCHING(50/50) MATCHING(75125) SNbK: BIH-TV BIN-SGF AGENCYFUNDS BIH-SGF-NE BIM-Cory NE BIH-SGF-E BIH-CME (1) R) OI (4) I61 (6) (7) (BI (9) (l0) (111 (12) (13) (14) (15) TOTAL FINDING °/. BIH-TV % BIHSGF °/. Ag ency Fumds' % °fn Ire Combined 0m me Combined 56 Fed/State % /p % Fed/State 0,00 0.00 0.00 000 000 O.DD 0.00 0.00 0.0% 57 0.00 0 DO 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 58 0.00 Goo 0.00 0.00 0.00 0.00 000 000 0 0% 59 0.00 0,00 0.00 0.00 0.00 000 0.00 0.00 0.0% 60 0.00 0.00 0.00 0.00 0.00 0.00 0,00 O.OD 0.0% 61 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 62 O.OD 0,00 0.00 0.00 0.00 000 0 DD 0.00 0.0% 63 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 64 0.00 0.00 0.00 0.00 0,00 O.DO 0.00 0.00 0.0% 65 0.00 O.OD 0.00 0.00 0.00 0,00 0.00 0.00 0.0% 66 000 0,00 0.00 O.DO 0,00 O.D0 0.00 0.00 0.0% 67 0.00 0.00 ODD 0.00 0,00 0.00 0.00 0.00 D.D% 68 0.00 0,00 0.00 0.00 O.OD O.OD 0.00 000 00% 69 0.00 0.00 000 Goo 0.00 0.00 0.00 0.00 0.0% 70 0.00 0.00 DAM O.DO 0.00 0.00 0.00 0.00 0.0% 71 0.00 0,00 0.00 0.00 0.00 0.00 0.00 D.00 0.0% 72 0.00 0,00 0,DO 0,00 D,00 0.00 0.00 0.00 0.0% 73 0.00 0.00 0.00 0.00 0.00 0.00 O.Do 0.00 0.0% 74 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 75 0.00 0,00 000 ODD 0.00 0.00 0.00 0,00 0.0% 76 0.00 0.00 ODD 0.00 0.00 0.00 0.00 0,00 0.0% 77 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.0% 78 0.00 0.00 O.OD 0.00 0.00 0.00 O.DD 0.00 0.0% 79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 80 0.00 0.00 0,00 0.00 0.00 0.00 0,00 0.00 0.0% 61 0.00 0,00 0.00 O.DO 0.00 0.00 0.00 O.DO 00% 82 0.00 0.00 0.00 ODO 0,00 0.00 0.00 0.00 0.0% 83 0.00 0,00 0.00 000 0.00 O,DO O.DO 0.00 0.0% 84 0.00 0.00 0.00 O.DO 0OD 0,00 O.DO 000 0.0% 85 0.00 0-00 0.00 0.00 0.00 0.00 0.00 0,00 0.0% 86 0.00 DOD 0,00 0.00 0.00 0.00 0.00 0.00 0.0% 87 0,00 0.00 0.00 D.oD 0.00 O.DO O.DO 0.00 0.0% 88 0.00 DDO 0.00 0.00 0,00 0.00 0.00 0.00 0.0% 89 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.0% 90 0,00 0.00 D.DO 0.00 O.DO 0.00 0.00 0.00 0.0% 91 000 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.0% 92 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 93 U.oO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 94 0.00 0.00 0.00 0.00 0.00 O.OD 0.00 0.00 0.0% 95 0.00 0,00 D.00 0.00 0.00 O,DO GOO 0.00 0.0% 96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 97 0.00 0.00 0.00 0.00 0.00 0.00 0.00 OZO 0.0% 98 0.00 0,00 0.00 0-00 0.00 0.00 0.00 0.00 0.0% 99 0.00 0.00 0OD 0,00 0.00 0.00 0.00 0.00 00% 100 0.00 0,00 0,00 0.00 O.Do 0.00 0.00 0,00 0.0% 101 0.00 0.00 O.DD 0.00 D.00 0.00 0.00 0,00 0.0% 102 D.DO O.DO 0.00 0.00 0.D0 000 0.00 0.00 0.0% 103 0.00 0.00 0.00 O.DO 0.DO 0.00 0.00 O.OD 0.0% 104 0.00 O.DO 0.00 0,00 D.DO 0.00 O.DO 0.00 0.0% 105 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 106 O.OD 0.00 0.00 000 0.00 0.00 0,00 0.00 0.0% 107 0.00 0.00 O.DO 0,00 0.00 ODO 0.00 0.00 0.0% 108 0.00 0.00 0.00 0.00 0.00 0.00 000 0.00 0.0% 109 000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 110 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 111 0.00 D.00 000 O.DO 0.00 0.00 0,00 0.00 0.0% 112 0.00 0.00 0.00 0.00 0.00 0.00 ODD 0.00 0.0% 113 0.00 O.OD 0,00 0.00 000 D.00 0.00 0.00 0.0% 114 0.00 0.00 0.00 O.DO O.DO 0.00 0.00 D.DO 0.0% 115 0.00 0.00 0.00 O.00H 0.00 O.DO 0.00 0.00 0.0% 116 0.00 O.DO O.DO 0,00 0.00 O.DO D.DD 0DO 0.0% 117 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.0% 118 0.00 0.00 0.00 0.00 0.00 0.00 O.OD 0.00 0.0% 119 0.00 0.00 0.00N 0.00 IDO D. 0.00 0.00 0,0% 202210 BIH 5 Budget Template FY22-23 D8.08.22 xlsx 4 05 Printed:10/1=022 9.05 AM Public Health •� ORIGINAL 11 Maternal.CNM aMA ie-H-1,Dmabn Program: Black IMant Health BIH UNMATCHED FUNDING NON-ENHANCED ENHANCED Agency: Fresno MATCHING(50150) MATCHING(75125) SubK: 13IH-71/ BIH-SGF AGENCYFDNDG BIHSGF-NE BIH-CMy NE BIM-SGF.E BIH- 1,E ro R) ]) (4) (5) 6) (7) (a) (9) (10) (11) (12) (13) 9) (15) TOTAL FUNDING °Ja BIH-N % BIHSGF % Agency Funds" % °T 1 State Comblrcd ern 1ne Combined Fed/ % % Fed/State % F edfA 12 0.00 ODD 0.00 0.00 0.00 0.00 0.00 0.00 D.O% 121 0.00 0.00 0,00 0.00 D.00 000 0.00 0-00 00% 122 0.00 0.00 0.00 0.00 0.00 0.00 0.00 O.DO 0.0% 123 O.DO DOD 0.00 0.00 0.00 0.00 O.DO O.00 0.D% 124 0.00 DOD 0 DO 0.00 0.00 0.00 0 DO 0-00 0.0% 125 0.00 0.00 0.00 0.00 0.00 000 0.00 ODD 0.0% 126 O.DO 0.00 0.00 D.00 0.00 0.00 0.00 0.00 00% 127 O.DO 0.00 0.00 0.00 0.00 0.00 0.00 000 0.0% 128 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.0% 129 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 130 0.00 000 0.00 0.00 0 DO 0-00 0.00 0.00 OA% 131 0.00 0.00 0.00 D.00 0 DO 0.00 0.00 0.00 0.0% 132 0.00 O.DO 000 O.DO 0.00 0.00 0.00 OAO OD% 133 0.00 0.00 0.00 0.0G 0.00 0.00 0.00 000 0.0% 134 DDO 0.00 0.00 0.00 o.Dn 0.00 0.00 000 0.0% 135 0.00 0.00 0.00 O.DO O.OD 0.00 O.DO 0.00 0.0% 136 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 137 0.00 000 O.00 O.OD 0.00 0.00 0.00 000 0.0% 138 O.DO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 139 0.00 0.00 ODD 0.00 0.00 0.00 0.00 0.00 0.0% 140 0.00 0.00 0.00 0.00 0.00 0.DO 0.00 0.00 0.0% 141 ODD 000 0.00 0.00 D.DO 0.00 0.00 0.00 0.0% 142 O.DO 0 DO 000 0.00 0.00 0.00 O.DO 0.00 0.0% 143 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 0%' 144 0.00 0.00 0.00 0.00 000 0.00 0.00 0.00 0.0% 145 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 0% 1 46 0.00 0.00 0.00 0.D0 0.00 0.00 0.00 0.00 147 0.00 0.00 DGD O.DO 0.00 0.00 0.00 0.00 D.O% 148 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 149 0.00 0.00 O.DO 0.00 0.00 0.00 0.00 0.00 0.0% 150 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.0% 21)2210 BIH 5 Budget Template FY22-23 08.08.22.x6x 506 Printed.1011M022 9.05 AM Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 California Department of Public Health (CDPH) Maternal, Child and Adolescent Health (MCAH) Black Infant Health (BIH)Scope of Work(SOW) Black Infant Health Program The BIH Program is a specialized CDPH MCAH program under the local MCAH system and helps to address MCAH SOW-Women/Maternal Domain: Focus Areas 1-5: Ensure women in California are healthy before, during and after pregnancy. Perinatal/Infant Domain: Ensure all infants are born healthy and thrive in their first year of life. Focus Area 2: Reduce infant mortality with a focus on reducing disparities. The goals in this SOW incorporate local problems identified by the Local Health Jurisdiction's (LHJs') 5-Year Needs Assessments and reflect the Title V priorities of the MCAH Division. All BIH sites are required to comply with BIH Policy and Procedures (P&P) and the MCAH Fiscal Policy and Procedures Manual https://www.cdph.ca.gov/Programs/CFH/DMCAH/Pages/Fiscal-Documents.aspx in their entirety. In addition, all BIH Sites shall work towards maintaining group model fidelity by adhering to the policies and procedures, delivering services as intended, implementing strategies to maximize participant retention, fulfilling all deliverables, attending required meetings and trainings, and completing other MCAH-BIH reports as required. The CDPH Maternal, Child and Adolescent Health (MCAH) Division places a high priority on outcomes that disproportionately impact the Black Birthing community in California due to systemic racism.The BIH site agrees to implement all activities in this Scope of Work(SOW). Central to the efforts in reducing these disparities, listed below are the goals that are the hallmark of the program: 1. Improve infant and maternal health of Black Birthing People by promoting health knowledge and healthy behaviors 2. Increase the ability of Black Birthing People to develop effective stress reduction strategies 3. Decrease Black-White health disparities and social inequities for Black Birthing People and infants 4. Empower Black Birthing People and build resiliency 5. Promote social support and healthy relationships 6. Connect Black Birthing People with services 7. Engage the community to support Black Birthing families' health and well-being with education and outreach efforts To achieve these goals,the BIH Program is a client-centered, strength-based group intervention with complementary life planning and case management that embraces the life course perspective and promotes social support, empowerment, skill building, stress reduction and goal setting. Each BIH Site shall also make all efforts to implement the program with fidelity, collect, and enter participant and program data into the electronic Efforts to Outcomes(ETO) data system and engage community partner agencies. Page 1 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 All BIH Sites are required to comply with the following tiered staffing matrix per the BIH 2O15 Request For Supplemental Information (RSI) BIH RSI Instructions and Fiscal Year(FY) 2019-20 State General Fund expansion funding requirements to ensure fidelity and standardization across all sites: Staffing Requirement,- Tier _ Fier, Tier 3 Fier Tier 5 Local Health Jurisdiction San Francisco,Santa Clara, Contra Costa, Long San Diego, Sacramento, San Los Angeles Beach, Fresno, San Alameda, Riverside Bernardino Joaquin, Kern BIH Coordinator 1.0 FTE 1.0 FTE 1.0 FTE 1.0 FTE 1.0 FTE FHA/Group Facilitator 2.0 FTE 3.0 FTE 4.0 FTE 6.0 FTE 8.0 FTE Mental Health Professional 1.0 FTE 1.0 FTE 1.0 FTE 1.0 FTE 1.0 FTE Outreach Liaison 1.0 FTE 1.0 FTE 1.0 FTE 1.0 FTE 1.0 FTE Data Entry 1.0 FTE* 1.0 FTE* 1.0 FTE* 1.0 FTE* 1.0 FTE* PHN 1.0 FTE* 1.0 FTE* 1.0 FTE* 1.0 FTE* 1.0 FTE* *Based on approval of FY 22-23 Governor's Budget Approval All BIH Sites are required to and will be held accountable for complying with the following tiered participants served targets per the BIH 2O15 Request For Supplemental Information (RSI) BIH RSI Instructions to ensure fidelity and standardization across all sites RSI Served Target Tier; rier 2 Tier 3 Tier 4 Tier 5 Local Health Jurisdiction San Francisco,Santa Clara Contra Costa, Long San Diego, Sacramento, San Los Angeles Beach, Fresno, San Alameda, Riverside Bernardino Joaquin, Kern 64 96 "28 240 All BIH Sites are required to and will be held accountable for complying with the following additional tiered BIH Model or Case Management (CM) participant served targets per the FY 2019-20 BIH State General Fund expansion-funding requirements: Additional Target for Tier 3 Tier 4 Tier 5 Expansion Funding to be served through BIH Model or Case Management Local Health Jurisdiction San Francisco,Santa Clara, Contra Costa, Long San Diego, Sacramento,San Los Angeles Beach, Fresno, San Alameda, Riverside Bernardino Joaquin, Kern Page 2 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Additional Target for Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 Expansion Funding to be served through BIH Model or Case Management Served Target 40 50 66 90 208 Local Health Jurisdiction Solano Served Target 8 Per the BIH P&P,the following criteria applies to participants enrolled in the Case Management-Only intervention: Eligibility: • Black or Black Ancestry • 16 years of age or older • Pregnant through 6 months postpartum Services: • For those 18 years of age and older,they are offered BIH Group model services before consenting to the BIH CM Only Intervention. • Has been provided with her rights and responsibilities for program participation, completed Assessment 1 or postpartum entry assessment, documentation of a case management interaction, received 1 referral for services. • May receive services until infant is 1 year of age. Contained within the BIH SOW, under the Measures (Process and Outcome) cells,there are Source Keys that are designed to provide a reference for reporting purposes. The "E" Source Key refers to information that is based on participant-level program data included and maintained in ETO.The "N" "Source Key refers to narrative information provided in quarterly reports or site surveys. It is the responsibility of the LHJ to meet the goals and objectives of this SOW. Agencies that enter into agreement with the division to provide MCAH-related services, and accept the division funding, are legally required to provide the full level of services, outlined in the program SOW, regardless of the proportion of funding provided by the division.The LHJ shall strive to develop systems that protect and improve the health of California's women of reproductive age, infants, children, adolescents, and their families. All sites should have policies that facilitate the promotion of health equity. It is the responsibility of an LHJ to solicit technical assistance and guidance from MCAH if performance issues arise. If a program does not meet the goals and objectives outlined in this SOW and the implementation measures for accountability, and if the tier compliance standards are not met in a timely manner, the LHJ may be placed on a Corrective Action Plan (CAP). After implementation of the CAP, if the LHJ does not demonstrate substantial growth,or fails to successfully meet the goals and objectives of this SOW, MCAH may temporarily withhold cash payment pending correction of the deficiency; disallowing all or part of the cost of the activity or action out of compliance;wholly or partly suspending or terminating the award;or withholding further awards." Continued participation in the BIH program beyond the current fiscal year is also subject to successful performance in meeting caseload requirements and implementing the agreed upon activities. Page 3 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 The development of this SOW is a collaborative process with BIH Program Coordinators and was guided by several public health frameworks including the Ten Essential Services of Public Health and the three (3) core functions of assessment, policy development, and assurance; the Spectrum of Prevention; the Life Course Perspective; the Social-Ecological Model, and the Social Determinants of Health. Please consider integrating these approaches when conceptualizing and organizing local program, policy, and evaluation efforts. o The Ten Essential Services of Public Health and Toolkit o The Spectrum of Prevention o Life Course Perspective AMCHP o Social Determinants of Health o The Social-Ecological ModeIhttp://www.cdc.gov/violenceprevention/overview/social-ecologicaImodel.html o Strengthening Families All activities in this SOW shall take place within the fiscal year. For each fiscal year of the contract period, the LHJ shall submit the deliverables identified below. All deliverables shall be submitted to the MCAH Division to your designated Program Consultant in accordance with the BIH P&P Manual and postmarked or emailed no later than the due date. Deliverables for each FY Due Date for each FY Annual Progress Report August 15 Coordinator Quarterly Report: Reporting Period From To Due Date First Report July 1, 2022 September 30, 2022 October 15, 2022 Second Report October 1, 2022 December 31, 2022 January 15, 2023 Third Report January 1, 2023 March 31, 2023 April 15, 2023 Fourth Report(WAIVED) April 1, 2023 June 30, 2023 August 15, 2023 Information during this reporting period will be included in the Annual Progress Report See the following pages for a detailed description of the services to be performed. Page 4 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Part II: Black Infant Health (BIH) Program Goal 1: BIH local staff will assure program implementation, staff competency,data management, and maintain program fidelity and fiscal management to administer the program as required by the Program's Policy and Procedures (P&P's)and Scope of Work(SOW)guidelines. Local staff will also support,as their capacity allows, activities related to the revisions of the BIH model. Evaluation/Performance Measures Intervention Activities to Meet Process, Short and/or Intermediate Measures Short and/or Intermediate Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) IMPLEMENTATION 1.1 1.1 1.1 1.1 BIH Coordinator, under the • Implement the program • Define and describe MCAH • Submit BIH Annual report by guidance and leadership of the activities as defined in the Director and BIH Coordinator August 15. MCAH Director will provide SOW. responsibilities as they relate • Submit BIH Quarterly Reports oversight, maintain program • Annually review and revise to BIH. (N) as directed by MCAH. (See fidelity, fiscal management and internal local policies and • Provide organization chart page 4) demonstrate that BIH activities procedures for delivering that designates the are conducted as required in the services to eligible BIH delineation of responsibilities BIH P&Ps, SOW, Data Collection participants. of MCAH Director and BIH Manual, BIH data collection forms, • BIH Coordinator will Coordinator from MCAH to Group Curriculum, and MCAH coordinate and collaborate the BIH Program in AFA Fiscal P&Ps. with MCAH Director to packet. complete, review, and • Describe collaborative approve the BIH budget process between MCAH prior to submission. Director and BIH Coordinator • Submit Agreement Funding related to BIH budget prior to Application (AFA)timely. AFA submission. (N) • Submit BIH Annual report by August 15. • Submit BIH Quarterly Reports as directed by MCAH. 1.2 1.2 1.2 1.2 Recruit, hire and maintain staff • Maintain culturally • Describe process of recruiting • Percent of key staffing roles at that reflect the community being competent staff to perform and hiring staff at each site that site filled by personnel who meet served to implement a BIH program services that are filled by personnel reflective qualifications in the P&P. (N) Page 5 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) Program that is relevant to the honors the unique of the community being served . Percent of direct contact roles cultural heritage of Black history/traditions of Black that meet qualifications in the that reflect the population being Birthing People, and the Birthing People as outlined P&P. served. (N) community. in the P& P. • Include duty statements of all • At a minimum,the following staff with submission of AFA key staffing roles are packet. required: • Submission of all staff changes • 1.0 FTE BIH Coordinator per guidelines outlined in BIH • 3.0 FTE Health Education P&P. Specialist (HES)/Family Health Advocates (FHA)/Group Facilitators (GF) based on MCAH-BIH designated tier level. • 1.0 FTE Health Education Assistant (HEA)/Community Outreach Liaison (COL) • 1.0 FTE Data Entry • 1.0 FTE Medical Social Worker (MSW)/Mental Health Professional (MHP) • 1.0 FTE Public Health Nurse (PHN) • Utilization of a staff-hiring plan. TRAINING 1.3 1.3 1.3 1.3 All BIH staff will maintain and • Develop a plan to assess the • List new staff training • Maintain records of staff increase staff competency. ability of staff to effectively activities in quarterly report. attendance at trainings. (N) perform their assigned (N) • Number of trainings and tasks, including regular • Describe improved staff conferences (both state and observations of group performance and confidence local) attended by staff during facilitators. in implementing the program FY 2022-23. (N) Page 6 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) • Identify staff training needs model due to participating in • Completion of at least two (2) and ensure those needs are staff development activities group observation feedback met, notifying MCAH of any and/or trainings. (N) forms by the BIH Coordinator training needs. • List gaps in staff for every pair of group • Ensure that all key BIH staff development and training in facilitators during FY 2022-23. participates in on-going quarterly report. (N) (E) training or educational • Describe plan to ensure that opportunities designed to staff development needs are enhance cultural sensitivity met in quarterly report. (N) and responsiveness through • Describe how cultural webinars,trainings and/or sensitivity training has conferences. enhanced LHJ staff • Ensure that all new and key knowledge and how that BIH staff attend the Annual knowledge is applied. (N) MCAH Sudden Infant Death • Describe how staff utilized Syndrome (SIDS) Conference information from the MCAH to receive the latest AAP SIDS conference with guidelines on infant safe participants. sleep practices and SIDS risk . Document strategies and reduction strategies. action plans related to SIDS • Establish local SIDS risk reduction strategies collaborative workgroups developed from SIDS with community partners to collaborative workgroup enhance awareness of Black meetings. SIDS rates and to develop • Recommend training topic SIDS risk reduction suggestions for statewide strategies. meetings. (N) • Require that all key BIH staff (i.e., BIH Coordinator, and ALL direct service staff) attend mandatory MCAH Division-sponsored in- person or virtual trainings, Page 7 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) conference calls, meetings and/or conferences as scheduled by MCAH Division. • Quarter 1: Annual 2-day Basic Training Annual COL Meeting • Quarter 2: Annual Advanced FHA/GF Meeting • Quarter 3: Annual MHP/Public Health Nurse (PHN) Meeting • Quarter 4: Annual Coordinator Meeting Annual 2-day Statewide Meeting • Ensure that the BIH Coordinator and all direct service staff attend mandatory MCAH Division- sponsored training(s) prior to implementing the BIH Program. • 2-day Abbreviated Training —scheduled by MCAH based on LHJ needs. • 2-day Basic Training Quarter 1 • Ensure that the BIH Coordinator and/or MCAH Director perform regular observations of GFs and Page 8 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) assessments of FHAs, MHPs and/or PHNs case management activities. DATA COLLECTION AND ENTRY 1.4 1.4 1.4 1.4 All BIH participant program • Ensure that all direct service • Review ETO and other data • Number and percent of information and outcome data staff participate in data reports, discuss during calls required forms that were will be collected and entered collection, data entry, data with BIH State Team. entered within ten (10) days timely and accurately using BIH quality improvement, and • Enter all data into ETO within of collection. (E) BIH PA: required forms at required use of data collection ten (10) working days of Timeliness of data entry report intervals. software determined by collection. • Maintain records of the four MCAH. • Review of the BIH Data chart audits conducted in FY • Ensure that all Collection Manual by all staff. (N). subcontractor agencies • Completion of ETO training providing direct service by all staff. enter data in the ETO as . Participation in periodic determined by MCAH. MCAH-Data calls. • Ensure accuracy and . Read data alerts or other completeness of data input data guidance sent via email into ETO system. or posted on SharePoint. • Ensure that all staff receives • Participation in role-specific updates about changes in trainings for the Data Entry ETO and forms. Lead. • Ensure that a selected staff . Review of MCAH and ETO member with advanced data quality reports by the knowledge of the BIH BIH Coordinator and Data Program, data collection, Entry staff on a regular basis. and ETO is selected as the . The Coordinator and Data BIH Site's Data Entry lead Entry lead conduct and and participates in all data report on audits of and evaluation calls. recruitment, enrollment, and service delivery paper forms Page 9 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) • Accurately and completely against ETO reports once collect required participant every quarter.Audit sample information as outlined in must include at least 10%of the data collection manual, recruitment records and 10% with timely data input into of enrollment records and the appropriate data should include all staff system(s). collecting data.The audits • Work with MCAH to ensure should verify that the data in proper and continuous the paper forms matches the operation of the MCAH-BIH- information in ETO for that ETO. sample. • Store Participant level Data forms on paper or scanned copies per security guidelines in P&P for a minimum of four years (prior three years plus current FY). • Define a data entry schedule for staff and monitor for adherence. • Ensure that all staff that collect data and enter data into the BIH data system have completed the ETO training video series available in the BIH SharePoint site. • Ensure that all staff that have ETO access are currently in the SharePoint roster by completing the Page 10 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) Quarterly Roster Assessment. OUTREACH 1.5 1.5 1.5 1.5 All BIH LHJs will increase and • All BIH LHJs will conduct • Describe the types of • Total number(overall and by expand community awareness of outreach activities and build community partner agencies type) of outreach activities BIH by collaborating with other collaborative relationships contacted by LHJ staff. (N) completed by all staff during BIH counties and individually as a with local Women, Infants, . Describe outreach activities FY 2022-23. (N) county on communication and Children (WIC) performed to reach target outreach activities, including the providers, Comprehensive population. (N) use of social media. Perinatal Services Program • Describe deviations in (CPSP) Perinatal Service outreach activities, noting Coordinators, social service changes from local providers, health care recruitment plan. (N) providers, the Faith-based • Document type, frequency community, and other and number of social media community-based partners activities conducted on the and individuals to increase BIH Primary Contact Table and maximize awareness and submit with Quarterly opportunities to ensure that and Annual Report. (N) eligible women are referred to BIH. • All BIH LHJs will establish referral mechanisms that will facilitate reciprocity with partner agencies as appropriate. • At a minimum, all BIH LHJs will utilize social media campaigns developed by MCAH to increase community awareness while Page 11 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) conducting outreach activities. Black or Black Ancestry • Black or Black Ancestry • Black or Black Ancestry Black or Black Ancestry 1.6b 1.6b 1.6b 1.6b For Case Management Only, all • Develop and implement a • Track and document progress • Number and percent of BIH LHJs will recruit Black or Black Participant Recruitment Plan in meeting goals of the recruited and referred women Ancestry teens at least 16 years (standardized intake Participant Recruitment Plan, that were eligible for Case of age and adult women, process) according to the review annually and update Management(based on age pregnant or up to 6 months target population and as needed. and pregnancy status) based postpartum. eligibility guidelines in on their recruitment date, in MCAH-BIH P&P and submit FY 2022-23. (E) BIH PA: upon request. Recruitment during a specified • Site uses social media time period report. strategies (Facebook, Twitter, Instagram)for distribution of BIH materials, community events, engagement of former and current participants. • Staff will complete a recruitment for all people recruited and referred to the Program. PARTICIPANT REFERRAL 1.7 1.7 1.7 1.7 All BIH LHJs will establish a • Develop collaborative • Describe process for ensuring • Total number of service network of referral partners. relationships with local that referral partner agencies providers that made referrals Medi-Cal Managed Care, are referring eligible women to the BIH Program in FY Commercial Health Plans, to BIH in quarterly reports 2022-23. (E) BIH PA: WIC, and local agencies in Page 12 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) the community that provide and during technical Recruitment during a specified services to Black Birthing assistance calls. (N) time period report. People and children,to establish strong resource linkages for recruitment of potential participants and for referrals of active participants. • Provide referrals to other MCAH programs for women who cannot participate in group intervention sessions. PARTICIPANT ENROLLMENT 1.8a BIH Coordinator, under the 1.8a 1.8a 1.8a guidance and leadership of the • Enroll women that are Black • Visual inspection of all • Number and percent of MCAH Director will ensure the or Black Ancestry. recruitment eligibility fields participants that agree to following: • Enroll women that will on incoming referral forms enroll among those recruited • All participants enrolled in participate in the group for completeness. and eligible in FY 2022-23. BIH the BIH group model will intervention. • Inclusion of eligibility criteria PP: Recruitment and be Black or Black Ancestry with materials used for enrollment report • All participants will be referral and recruitment. • Number and percent that has enrolled during pregnancy a recruitment and a rights and or postpartum. responsibilities (consent) • All participants will receive touchpoint in ETO in FY 2022- a rights and 23. (E) BIH PP:Recruitment responsibilities (Consent) and enrollment report form and provide signed or verbal acknowledgement. • All women will participate in virtual or in-person prenatal and/or Page 13 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) postpartum group intervention. • Participants may receive services until infant is 1 year of age. 1.8b 1.8b 1.8b 1.8b BIH Coordinator, under the • Enroll women that are Black • Visual inspection of all • Number and percent of guidance and leadership of the or Black Ancestry. recruitment eligibility fields participants that agree to enroll MCAH Director will ensure the • Enroll women during on incoming referral forms among those recruited and eligible following: pregnancy through 6 for completeness. in FY 2022-23. BIH PP: • All participants enrolled in months postpartum. • Inclusion of eligibility criteria Recruitment and enrollment report Case Management-Only • Enroll women to participate with materials used for • Number and percent that has a intervention will be Black or in the Case Management- referral and recruitment. recruitment and a rights and Black Ancestry Only intervention. responsibilities (consent) • Participants will be enrolled in touchpoint in ETO in FY 2022-23. virtual or in-person Case (E) BIH PP: Recruitment and Management-Only during enrollment report pregnancy through 6 months postpartum. • Participants enrolled in Case Management-Only intervention are not required to attend BIH Group sessions. • Participants may receive services until infant is 1 year of age. PROGRAM PARTICIPATION 1.9.1 1.9.1 1.9.1 1.9.1 BIH Coordinator, under the • Assign participants to a • Describe barriers, challenges, • Number and percent of guidance and leadership of the prenatal or postpartum and successes of enrolling enrolled women who MCAH Director will ensure the women in a group within 30- attended a prenatal group Page 14 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) following: group as part of enrollment 45 days of first successful session within 30-45 days of • All women will participate in a process. contact during technical enrollment. (E)—BIH PP: prenatal or postpartum group. • Schedule groups to allow assistance calls. (N) Group Dose Report • All women will participate in a participants to attend within • Describe barriers, challenges, • Percent of prenatal group group within 30-45 days of 30-45 days of enrollment. and successes of beginning sessions in a series that were enrollment. • Enroll participants in a groups with the minimum attended by at least 5 • All groups will be group within 45 days of required number of participants. (E) -BIH PP: implemented according to the enrollment participants during technical Group Attendance by Session 10-group intervention model • Begin groups with the assistance calls. (N) as specified in the P&P. (see minimum required number 1.9.3) of participants per the BIH P&P. 1.9.2a 1.9.2a 1.9.2a 1.9.2a BIH Coordinator, under the • Assign participants to an • Collect and record service • Number and percent of active guidance and leadership of the FHA as part of enrollment delivery activities for enrolled participants that are served MCAH Director will ensure the process. women into ETO. during the FY 22-23(E). BIH following: • Conduct services that align • Describe successes and/or PP:Served during a specified • All BIH participants (enrolled with Life Plan activities (goal challenges in assisting timeframe—Group NEW Note: in BIH Group)will receive an setting). participants with setting If not all active appear as assessment#1 or postpartum • Collect completed self- short and long-term goals served provide a narrative of entry assessment and will assessment administered during Life Planning why this is the case is needed. attend at least one group to scaled questions as meetings. (N) • Number and percent of be considered active and will described in P&P. • Describe program enrolled women who received receive other services to be . Collect the required number improvements resulting from at least one case conference considered served: of assessments per participant satisfaction at any point in their subsequent group sessions, timeframe outlined in P&P. survey findings at least participation-(E) BIH PA Case life planning, referrals, birth . Develop and implement a quarterly. (N) Conferences plan, EPDS, or safety checklist Life Plan based on goal • Number and percent of during the FY. setting during Life Planning enrolled women who have a • All BIH participants (enrolled meetings for each BIH known referral status for in BIH Group)will receive at participant; complete all every documented referral at least one case conference. prenatal and postpartum time of exit from the program assessments; provide (among women dismissed Page 15 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) • All BIH participants(enrolled ongoing identification of her from BIH). (E) BIH PA:Referral in BIH Group)will receive specific concerns/needs and Status Report NEW door-to-door transportation referral to services outside • Number and percent of assistance as needed to of BIH as needed based on enrolled women who have attend group sessions and Life Life Planning meetings. been dismissed from BIH with Planning meetings. • Ensure participant referrals a completed participant • All BIH locations will include a are generated and satisfaction survey during the space dedicated for Child completed for all services FY. (E) BIH PP:Participant Watch during group sessions. identified. Satisfaction Report • All group sessions will include • Ensure participants have full meals for participants. access to transportation • All BIH active participants will assistance via Uber/Lyft or be provided with necessary other door-to-door services tools for participation in to attend group sessions virtual services as necessary. and Life Planning meetings. • Ensure location of group services have dedicated child watch staff and space when group sessions are conducted. • Ensure participants have access to necessary tools to participate in virtual services. • Conduct participant dismissal activities. • Conduct participant satisfaction surveys. • Submit complete and accurate reports in the timeframe specified by MCAH. Page 16 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) 1.9.2b 1.9.2b 1.9.2b 1.9.2b BIH Coordinator, under the guidance • Assign participants to an • Collect and record service • Number and percent of active and leadership of the MCAH Director FHA, MHP and/or PHN as delivery activities for enrolled participants that are served will ensure the following: part of enrollment process. women into ETO. during the FY(E). BIH PP: • Case Management • Conduct case management • Describe program Served during a specified participants will receive BIH services that align with improvements resulting from timeframe—CM Note: If not Case Management support as identified needs of each participant satisfaction all active appear as served defined in the P&P. participant. survey findings at least provide a narrative of why this • All BIH participants (enrolled • Collect required quarterly. (N) is the case is needed. in BIH Case Management) will assessments per timeframe • Number and percent of receive an assessment#1 or outlined in P&P. enrolled women who received postpartum entry assessment . Develop and implement a at least one case conference - to be considered active and Care Plan based on (E) BIH PA Case Conferences will receive at least one other participant needs during service to be considered case management meetings served: case management for each BIH participant; meetings, referrals, birth plan, complete all prenatal and EPDS, or safety checklist postpartum assessments; during the FY. provide ongoing identification of her specific concerns/needs and referral to services outside of BIH as needed based on case management meetings. • Ensure participant referrals are generated and completed for all services identified. • Conduct participant dismissal activities. • Conduct participant satisfaction surveys. Page 17 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) • Submit complete and accurate reports in the timeframe specified by MCAH. • BIH Case Management support will be provided until the child turns one year of age. 1.9.3a 1.9.3a 1.9.3a 1.9.3a BIH Coordinator, under the • Schedule Group • Collect and record Group • Number of Group Intervention guidance and leadership of the Intervention Sessions with Intervention Session Sessions entered in ETO that MCAH Director will ensure that guidance from State BIH attendance records for all began during FY 2022-23. (E) all BIH participants will Team. enrolled women into ETO. BIH PP: Group Attendance by participate in virtual or in-person . All participants will have the • Submit FY 2022-23 Group Session Group Intervention Sessions. opportunity to enroll in Intervention Sessions • Number and percent of Group Intervention Sessions Calendar to MCAH-BIH enrolled women who attend within 30-45 days of the first Program with submission of at least one prenatal or successful contact. AFA and upon request. postpartum Group • Conduct and adhere to the • Describe participant Intervention Session. (E) BIH 10-group intervention successes or challenges with PP: Group Attendance by model as specified in the completing seven (7) of ten Session P&P. (10) prenatal and/or • Number and percent of • Participants enrolled in the postpartum Group enrolled women who BIH Group model may Intervention Sessions. (N) attended the expected switch to the BIH Case number of Prenatal or Management-Only postpartum Group intervention on a case-by- Intervention Sessions based case basis. upon the number of days in program (E)—BIH PP Group Dose Report • Number and percent of enrolled women who Page 18 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) attended the expected number of life planning meetings based upon the number of days in program (E) —BIH PA Life Planning Report 1.9.3b 1.9.3b 1.9.3b 1.9.3b BIH Participants enrolled in • Schedule case management • Describe participant successes or • Number and percent of enrolled the Case Management only meetings per guidance in the challenges with completing case women who complete case intervention are not required BIH P&P. management services. management meetings at the to attend BIH group sessions. • Participants enrolled in the BIH P&P-designated time intervals. (E) Case Management only intervention may switch to the BIH Group model on a case-by- case basis. PARTICIPANT RETENTION 1.9.4 1.9.4 1.9.4 1.9.4 BIH Coordinator, under the • Discuss and develop • Discuss participant retention • Submit Participant Retention guidance and leadership of the participant retention strategies during technical Strategies with Quarterly and MCAH Director will ensure that strategies during team assistance calls. (N) Annual Report. (N) participant retention strategies meetings. • Review participant retention are in place. • Plan participant retention strategies quarterly and strategies as they relate to update as needed. (N) program implementation • Document participant components retention strategies in ETO (outreach/recruitment, and in Quarterly Reports. enrollment, Life Planning, (E/N) group sessions, program • Submit participant retention completion). strategy successes and • Ensure participants have challenges with Annual access to transportation Report. (N) assistance via Uber/Lyft or other door-to-door services in order to attend group Page 19 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process, Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) sessions and Life Planning meetings. • Ensure location of group services is accessible, culturally affirming, and have dedicated child watch staff and space when group sessions are conducted. • Ensure participants have access to necessary tools to participate in virtual services. • Designated staff will conduct participant satisfaction surveys after group sessions and at program completion to obtain feedback related to improvement of retention strategies. • Ensure group motivators including but not limited to gift cards, pack and plays, items to support fitness, infant feeding supplies, breastfeeding supplies, diapers, etc. are provided to program participants. • Ensure full meals are provided at each group session. Page 20 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Goal 2: Engage the Black or Black Ancestry community to support Black Birthing families' health and well-being with education and outreach efforts. Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objective(s) Objectives (Describe the steps of the (Report on these measures in the Annual Report) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) 2.1 2.1 2.1 2.1 BIH Coordinator under the • Implementation of a Convene and document efforts of • Submit CAB meeting guidance and leadership of the Community Advisory Board Community Advisory Board, materials (roster, stakeholder MCAH Director will increase and (CAB) to: collaborations or other similar types, attendance, agenda, expand community awareness of . Inform the community about formal or informal partnerships minutes) with BIH quarterly Black Birthing outcomes and the disparate birth outcomes to address maternal and infant report. (N) role of the Black Infant Health among Black Birthing People health disparities, social • Number, format, and Program. by delivering standardized determinants of health, well- outcomes associated with messages describing how the woman visits and postpartum community outreach BIH Program addresses these visits at least once per quarter. activities conducted by issues. (N) BIH Coordinator and/or • Create partnerships with • Submit quarterly reports that MCAH Director during FY community and referral describe outreach activities 2022-23. (E/N) agencies that support the electronically using ETO in a BIH PA Community Contacts broad goals of the BIH timely manner. (N) report. Program,through formal and • Document the local plan for informal agreements. community linkages, including an • Ensure that efforts are effective referral process that will focused on Black birthing be reviewed on an annual basis people and families in the and updated as needed. (N) community who need • Document successes and barriers services and are confronting to community education disparities caused by activities or events at least once systematic oppression and per quarter through quarterly marginalization, implicit bias, reporting. (N) and discrimination. • List and maintain current • Develop and implement a documentation on the nature of community awareness plan formal and informal partnerships that outlines how community with community and referral engagement activities will be agencies at least once a quarter; conducted. record referral relationships in Page 21 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) • Develop and implement the ETO service provider details activities related to multi- form. (E/N) level community engagement • Document inclusion of BIH and awareness with referral participant (past or current) partners to identify service participation on CAB roster to gaps in the LHJ target area. provide the lived experience of • Develop performance Black birthing people and the role strategies with local of the BIH program in addressing organizations that provide maternal and infant health services to Black birthing outcomes. people and infants to • Enter all outreach activities in the improve referrals and linkage Community Contacts Log in ETO. to BIH services. • Document collaborative efforts • Collaborate with local MCAH with local MCAH programs and programs and other partners Regional Perinatal Programs such as Medi-Cal to identify describing strategies to improve strategies, activities and maternal and perinatal systems provide technical assistance of care at least quarterly. (N) to: • Maintain current lists of o Improve access to health care community providers and Service services Provider details in ETO. o Increase utilization of well- woman and postpartum visits o Identify Preterm Birth (PTB) reduction strategies o Increase the utilization of preconception health services. • Collaborate with local MCAH programs and Regional Perinatal Programs to improve maternal and perinatal systems of care. Page 22 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) • Participate in collaboratives with community partners to review data and develop strategies and policies to address social determinants of health and disparities. • Collaborate with agencies providing services to Black Birthing People to develop and disseminate tangible Reproductive Life Planning training materials (e.g., power point presentation, webinars,toolkits, etc.)to focus on Before, During, and Beyond Pregnancy for dissemination and integration in their service delivery protocols. 2.2 2.2 2.2 2.2 BIH COL will increase information • Develop a clear point(s) of • Enter all outreach activities in • Number of agencies where sharing with other local agencies contact with collaborating the Community Contacts Log the COL has a documented providing services to Black Birthing community agencies on a in ETO. point(s) of contact and with People and children in the regular basis as it relates to • Maintain current lists of whom information is community and establish a clear outreach, enrollment, community providers and regularly exchanged. (N) point of contact. referrals, care coordination, Service Provider details in • Total number of agencies etc. ETO. with outreach records during • Assess referrals from partner • Describe materials used to FY 2022-23. (N) agencies to determine inform community partners enrollment points of entry about BIH. (N) quarterly. • List and describe barriers, challenges and/or successes related to establishing Page 23 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) community partnerships and point(s) of contact at least quarterly. (N) Page 24 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Goal 3: Increase the ability of Black Birthing People to manage chronic stress. Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objective(s) Objectives (Describe the steps of the (Report on these measures in the Annual Report) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) 3.1 3.1 3.1 3.1 BIH Coordinator under the • Implement the prenatal and • Provide FY 2022-23 group • Number and percent of guidance and leadership of the postpartum group intervention schedules upon active participants with a MCAH Director will ensure that intervention with fidelity to request. (N) baseline and follow-up all BIH participants will have their the P&P. • Document results from group assessment(relative to social support measured at • Encourage participants to session information form, number of days enrolled in baseline and after attending the attend and participate in including description of the program). (E) prenatal and/or postpartum group sessions. participant engagement in • Number and percent of group intervention and • Support clients in fostering group activities for each enrolled women who completing Life Planning activities healthy interpersonal and group session. attended the expected using the Social Provisions Scale— familial relationships. number of Prenatal Group Short (SPS-S). Intervention Sessions based upon the number of days in program (E)—BIH PP Group Dose Report • Number and percent of enrolled women who attended the expected number of prenatal life planning meetings based upon the number of days in program (E)—BIH PA Life Planning Report 3.2 3.2 3.2 3.2 BIH Coordinator under the • LHJ staff will facilitate the • Summarize participant • Number and percent of guidance and leadership of the administration of the stress successes and challenges in active participants with a MCAH Director will ensure that scale and ask questions utilizing stress reduction baseline and follow-up all BIH participants will have their about stress management as techniques. (N) assessment(relative to perceived stress and use of stress outlined in the P&P, focused number of days enrolled in management techniques (yoga, on the participant's ability to the program). (E) deep breathing, or meditation) be resilient and manage Page 25 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) measured at baseline and after chronic stressors presenting attending prenatal and/or during pregnancy. postpartum group intervention • All activities are delivered and completing Life Planning with an understanding of the activities. Black Birthing culture and history. • Assist participants in identifying and utilizing their personal strengths. • Develop and implement a Life Plan with each participant. • Teach and provide support to participants as they develop goal-setting skills and create their Life Plans. • Teach participants about the importance of stress reduction and guide them in applying stress reduction techniques. • Support participants as they become empowered to take actions toward meeting their needs. • Teach participants how to express their feelings in constructive ways. • Help participants to understand societal influences and their impact on Black Birthing Peoples' health and wellness. Page 26 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Goal 4: Improve the health of pregnant and parenting Black or Black Ancestry women and their infants. Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objective(s) Objectives (Describe the steps of the (Report on these measures in the Annual Report) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) 4.1 4.1 4.1 4.1 BIH Coordinator under the • Assist participants in • List and document additional • Number and percent of guidance and leadership of the understanding behaviors that activities (e.g., Champions for enrolled women who have a MCAH Director will ensure that all contribute to overall good Change cooking known referral status for BIH participants will be linked to health, including: demonstrations) conducted every documented referral at services that support health and Stress management that promote health and time of exit from the wellness while enrolled in the BIH Sexual health wellness of BIH participants program (among women Program. Healthy relationships and their infants at least once dismissed from BIH). (E) BIH Nutrition per quarter. (N/E) PA:Referral Status Report Physical activity • Describe collaborative efforts NEW • Ensure that participants are with March of Dimes, • Number and percent of enrolled in health insurance MotherToBaby and other enrolled participants that and are receiving risk- agencies that provide health have received a referral for appropriate perinatal care. education, preterm birth health insurance. (E) • Ensure that a healthy reduction materials and nutritious full meal is resources. (N) available during group sessions. • Provide participants with health information that supports a healthy pregnancy. • Provide participants with health education materials that address preterm birth reduction strategies, such as the MCAH-BIH prematurity awareness and Provider sheet tip sheet. • Identify participants' health, dental and psychosocial Page 27 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) needs and provide referrals and follow-up as needed to health and community services. • Provide information and health education to participants who report drug, alcohol and/or tobacco use. • Assist participants with completion of the birth plan that outlines specific labor/delivery and birthing requests to be conveyed to their prenatal care provider. • Provide information on the benefits and importance of delivering a full-term baby. • Provide information related to the risks associated with delivering via cesarean section in order to make an informed decision related to their delivery. 4.2 4.2 4.2 4.2 BIH LHJ staff will coordinate with • Promote and support family • Summarize • Number and percent of State MCAH and BIH staff to assist planning by providing challenges/barriers of birth enrolled participants that BIH Participants with increased information and education control usage among have discussed reproductive knowledge and understanding of a on birth spacing and enrolled women who have life planning during life Reproductive Life Plan and Family interconception health delivered. (N) planning or case Planning services by providing during group sessions and • Document collaborative management meetings. (E) culturally and linguistically Life Planning Meetings. activities with local MCAH appropriate tools for integration • Help participants understand programs and other partners into existing program materials. and value the concept of such as Medi-Cal Managed Page 28 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) reproductive life planning as Care and CPSP Provider Life Plans are completed and networks to identify discussed with Family Health strategies, activities and Advocates during Life provide technical assistance Planning Meetings and Group to improve access to health Facilitators during group care services and increase sessions. utilization of the postpartum • Provide referrals and visit. (N) promote linkages to family • Describe collaborative efforts planning providers including with Violence Prevention Family Planning,Access, Organizations such as Futures Care, and Treatment (Family without Violence to PACT). determine service capacity to • Help participants understand adequately meet needs the characteristics of healthy identified by participants and relationships and provide LHJ staff providing case resources that can help management services. (N) participants deal with abuse, reproductive coercion, or birth control sabotage. 4.3 4.3 4.3 4.3 BIH Coordinator under the • Local staff will work with or • Summarize successes and • Number and percent of guidance and leadership of the support participants to: challenges in addressing active participants with an MCAH Director will ensure that all o Understand how mental mental health issues, EPDS(relative to number of BIH participants will be screened health contributes to overall including mental health days enrolled in the for Perinatal Mood and Anxiety health and wellness, referrals at least once per program). (E) Disorders (PMAD) and those with o Recognize the connection quarter. (N) • Number and percent of positive screens will be given a between stress and mental enrolled participants that referral to mental health services. health and practice stress have received a referral for reduction techniques, mental, behavioral health, or o Help participants understand substance use treatment. (E) the connection between Page 29 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) physical activity and mental health, o Understand the symptoms of postpartum depression. • Local staff will administer the Edinburgh Postpartum Depression Screen (EPDS)to every participant 6-8 weeks after she gives birth; and • Provide referrals and follow- up to mental health services when appropriate. 4.4 4.4 4.4 4.4 All BIH participants will report an • Assist participants in • List and describe additional • Number and percent of increase in parenting skills and understanding and applying activities that enhance active participants with a bonding with their infants and effective parenting parenting and bonding. (N) birth plan (relative to number other family members. techniques. • Provide of days enrolled in the • Assist participants with anecdotes/participant program). (E) completing home safety success stories about • Number and percent of checklist. improved parenting/bonding active participants with a • Assist participants with with submission of BIH safety checklist (relative to increasing knowledge of Quarterly Reports. number of days enrolled in infant safe sleep practices, • Provide participants with the program). (E) SIDS, Sudden Unexplained health education materials • Number and percent of Infant Death (SUID) risk related to safe sleep enrolled participants that reduction. practices and SIDS reduction. have discussed • Assist participants with • List and describe additional breastfeeding/infant feeding completion of the birth plan activities on infant safe sleep during life planning or case that outlines specific practices/SIDS/SUID risk management meetings. (E) labor/delivery and birthing reduction. (N) • Number and percent of requests to be conveyed to • Provide enrolled participants that their prenatal care provider. anecdotes/participant have received a referral for success stories about infant breastfeeding or lactation. (E) Page 30 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) • Provide participants with safe sleep practices and health education materials SIDS/SUID risk reduction with addressing the benefits of submission of BIH Quarterly breastfeeding. Reports. (N) • Assist participants with • Document collaborative identifying and using bonding activities with State MCAH strategies, including Programs used to identify breastfeeding, with their strategies, provide technical newborns. assistance, and disseminate resource materials that address the benefits of breastfeeding. (N) • Provide anecdotes/participant success stories about breastfeeding practices with submission of BIH Quarterly Reports. (N) Page 31 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Goal 5: Improve interconception health by decreasing risk factors for adverse life course events among Black Birthing people of reproductive age. Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) 5.1 5.1 5.1 5.1 BIH Coordinator under the • Ensure that participants are • Describe collaborative • Number and percent of guidance and leadership of the enrolled in prenatal care and activities with Text 4 Baby to participants who attend a 4— MCAH Director will ensure that all are receiving risk-appropriate deliver health education 6-week postpartum checkup BIH participants are linked to perinatal care. messages to pregnant with a medical provider. (E) services that support timely • Provide participants with women about the prenatal care, postpartum visits health education materials importance of postpartum and well-woman check-ups while and messages including but visits. (N/E) enrolled in the BIH Program. not limited to the importance • Document collaborative of attending prenatal care activities with March of visits; recognizing the signs Dimes (MOD), MotherToBaby and symptoms of preterm and other agencies that labor; safe sleeping practices. provide preterm birth • Provide participants with reduction and health health information that education resources and supports a healthy messaging. (N) pregnancy. • Describe collaborative efforts • Ensure that participants are with local MCAH programs attending postpartum visits and other partners such as and well-woman check-ups Medi-Cal Managed Care and as scheduled. CPSP to identify strategies, • Increase knowledge of and activities and provide facilitate collaboration with technical assistance to local MCAH programs to improve access to health care improve perinatal and post- services and increase partum referral systems for utilization of the postpartum high-risk participants. visit. (N) Page 32 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Goal 6:Assist in reducing Infant morbidity and mortality by decreasing the percentage of preterm births. Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objective(s) Objectives (Describe the steps of the (Report on these measures in the Annual Report) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) 6.1 6.1 6.1 6.1 BIH Participants will be provided • Provide participants with • Participate in MOD webinars • Maintain records of staff with strategies and interventions health education materials and trainings that provide attendance at trainings. (N) they can utilize to reduce the that address preterm birth LHJ staff with opportunities • Maintain attendee records of occurrence of preterm births. reduction strategies and to increase their knowledge trainings/Webinars hosted by breastfeeding including those of preterm birth reduction LHJ. (N) from MCAH-BIH and MOD. strategies and other • Maintain a list of local • LHJ staff will distribute any approaches for having a medical providers LHJ staff customized preterm birth healthy pregnancy. (N) distribute preterm birth resources to local medical • Distribute and encourage resources to. (N) providers. MCAH programs to integrate • LHJ staff will support, the following preterm birth promote, and attend preterm resources to educate women birth educational webinars and providers on preventing for medical providers. preterm births: (N) • Increase knowledge of infant o Reducing Preterm Birth: safe sleep practices, SIDS, What Black Women Need to SUID risk reduction by Know Tip Sheet participating in local SIDS o Reducing Premature Birth: collaborative meetings and What Providers Need to trainings. Know Tip Sheet o Reducing Premature Birth Discussion Points—guidance to encourage conversation with women about preterm birth reduction strategies • Provide participants with health education materials related to safe sleep practices and SIDS reduction. (N) Page 33 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Evaluation/Performance Measures Short and/or Intermediate Intervention Activities to Meet Process,Short and/or Intermediate Measures Objectives (Describe the steps of the (Report on these measures in the Annual Report) Objective(s) intervention) Process Description and Measures Short and/or Intermediate Outcome Measure(s) • Conduct and document collaborative activities with State MCAH Programs used to identify strategies, provide technical assistance, and disseminate resource materials that address the benefits of breastfeeding. (N) Page 34 of 35 Effective 07/01/2022 Agency: County of Fresno Fiscal Year: 2022-23 Agreement Number: 202210 Goal 7:To educate the public about the factors leading to the disparities in Black maternal and infant birth outcomes by providing consistent and culturally responsive information. and promoting enrollment in the California Department of Public Health- Black Infant Health Program (CDPH-BIH). Objectives Activity Evaluation/Deliverables 7.1 7.1 7.1 Create and/or maintain a statewide public Develop public awareness materials that are • Provide a report that describes outreach awareness campaign to inform the State about focus tested with targeted community. engagement plan in the community. Black or Black Ancestry birth outcome inequities • Share ongoing progress in and/or the root causes of these inequities. developing/maintaining the campaign during quarterly BIH Statewide Media Campaign meetings/reports. • LHJ Program Coordinator to review all staff/contractor/subcontractor deliverables and methodologies to ensure materials: o honor the unique history/traditions of people of Black or Black Ancestry descent o reflect/include the targeted community o are culturally responsive and engaging o applicable to all Black birthing people, regardless of enrollment status in the CDPH- BIH program • LHJ to share final campaign deliverables and methodologies with the State for final review and approval. 7.2 7.2 7.2 Hire and maintain culturally competent • Maintain culturally competent • Describe process of recruiting and hiring staff/contractors/subcontractors to develop staff/contractors/subcontractors to staff/contractors/subcontractors. campaign materials that are relevant and perform media campaign services that • Include resumes of respectful to the cultural heritage of Black or honors the unique history/traditions of staff/contractors/subcontractors with Black Ancestry women and the community. people of Black or Black Ancestry descent submission of AFA packet. • Submit all staff/contractor/subcontractor changes to the State for review Page 35 of 35 Effective 07/01/2022 Agreement Between the County of Fresno and the California Department of Public Health Name/No.: CDPH Maternal, Child and Adolescent Health (MCAH) Division Agreement Funding Application (AFA). Agreement — Agreement No. 202210 MCAH and Agreement No. 202210 Black Infant Health (BIH) Fund/Subclass: 0001/10000 Organization #: 56201700; 56201706 Revenue Account #: 4380, 3530