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HomeMy WebLinkAboutAgreement A-17-018-1 with CDPH.pdfState of California – Health and Human Services Agency – California Department of Public Health CDPH 1229A (Rev. 10/2016) Page 1 of 3 CALIFORNIA SEXUALLY TRANSMITTED DISEASES PROGRAM Awarded By THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, hereinafter “Department” TO County of Fresno, hereinafter “Grantee” Implementing the project “Core STD Program Management,” hereinafter “Project” AM ENDED GRANT AGREEMENT NUMBER 16-10713, A01 The Department amends this grant and the Grantee accepts and agrees to use the grant funds as follows: AUT HORITY: The Department has authority to grant funds for the Project under Health and Safety Code Section 131085(a). PURPOSE: The purpose of the grant amendment is to increase the funding by $75,111. These funds were appropriated in the Governor’s Fiscal Year 2018/2019 budget to support sexually transmitted disease outreach, screening, and other core services by enhancing STD prevention services already provided by the local health jurisdiction. Amendments are shows as: Text additions are displayed in bold and underline . Text deletions are displayed as strike through text (i.e., Strike). AMENDED GRANT AMOUNT: This amendment is to increase the grant by $75,111 and is amended to read: $153,666 $228,777 (One Hundred Fifty-Three Thousand, Six Hundred Sixty-Six Two Hundred Twenty-Eight Thousand, Seven Hundred Seventy-Seven Dollars ). Exhibit A, Scope of Work is hereby replaced in its entirety and amended to read Exhibit A, A01, Scope of Work. PROJECT REPRESENTATIVES: The Project Representatives during the term of this grant will be: California Department of Public Health Grantee: County of Fresno Name: Christine Johnson Grant Manager Name: Stephanie Garcia Mario Hernandez Supervising Communicable Disease Specialist Staff Analyst I Address: P.O. Box 997377, MS 7320 Address: 1221 Fulton Mall City, Zip: Sacramento, CA 95899-7377 City, Zip: Fresno, CA 93721 Phone: (916) 552-9796 Phone: (559) 600-3434 9307 Fax: (916)440-5361 636-6454 Fax: (559)600-7601 Email: Christine.Johnson@cdph.ca.gov Email: stephaniegarcia@co.fresno.ca.us mariohernandez@fresnocounty.ca Agreement No. 17-018-1 State of California – Health and Human Services Agency – California Department of Public Health CDPH 1229A (Rev. 10/2016) Page 2 of 3 D irect all inquiries to: California Department of Public Health STD Control Branch Grantee: County of Fresno Attention: Christine Johnson STD Control Branch Name: Stephanie Garcia Mario Hernandez Supervising Communicable Disease Specialist Staff Analyst I Address: P.O. Box 997377, MS 7320 Address: 1221 Fulton Mall City, Zip: Sacramento, CA 95899-7377 City, Zip: Fresno, CA 93721 Phone: (916) 552-9796 Phone: (559) 600-3434 9307 Fax: (916)440-5361 636-6454 Fax: (559) 600-7601 Email: Christine.Johnson@cdph.ca.gov Email: stephaniegarcia@co.fresno.ca.us mariohernandez@fresnocounty.ca Either party may change its Project Representative upon written notice to the other party. All payments from CDPH to the Grantee shall be sent to the following address: Grantee: County of Fresno Attention “Cashier:” Bruna Chavez, DPH Business Manager Address: P.O. Box 11800 City, Zip: Fresno, CA 93775 Telephone: (559) 600-6438 Fax: (559) 600-7692 Email: dphboap@fresnocounty.ca All other terms and conditions of this grant shall remain the same. County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 1 of 17 1.Service Overview The Grantee will implement evidence-based public health activities to proactively address Sexually Transmitted Diseases (STD) within the local health jurisdiction. Particular emphasis should be placed on the prevention and control of infectious syphilis, congenital syphilis (CS), gonorrhea (GC), and chlamydia trachomatis (CT) infection. Key strategic targets for STD prevention and control are: implementation of case-based surveillance; assurance of timely access to quality clinical services ; verification of appropriate STD treatment; investigation of reported cases, unusual diseases, or outbreaks; identification of a STD patient’s sexual and social network contacts and referral for examination and/or treatment to prevent further disease transmission or complications; and health education and health promotion activities to prevent STD s and enhance awareness of individuals at risk for STD, medical providers , and other service providers within the community. Funding for the grantees are from a one-time Fiscal Year 2016/2017 appropriation which can be expended or encumbered until June 30, 2019 per 4265-111-0001, Provision 6 of the Budget Act 2016/2017, Senate Bill 826, Chapter 23. The additional one -time augmentation funds for the grantees are from a one -time Fiscal Year 2018/2019 appropriation which can be expended or encumbered until June 30, 2019 per 4265-111-0001, Provision 5 of the Budget Act 2018/2019, Senate Bill 840, Chapter 29. These funds must be used to enhance STD prevention services already provided and cannot be used to replace existing services and monies appropriated at the local level for these services. 2.Service Location The services shall be performed at applicable facilities in the County of Fresno. 3.Service Hours The services shall be primarily provided Monday through Friday, from 8:00 a.m. to 5:00 p.m. and include evenings, weekends, and holidays as needed. 4.Project Representatives A.The project representatives during the term of this agreement will be: California Department of Public Health Matt Ayson Karlo Estacio Chief, Business Operations Support Section STD Control Branch Telephone: (916) 552-9819 9820 Fax: (916) 440-5106 Email: Matt.Ayson@cdph.ca.gov Karlo.Estacio@cdph.ca.gov County of Fresno Stephanie Garcia Mario Hernandez Supervising Communicable Disease Specialist Staff Analyst I County of Fresno Telephone: (559) 600-3434 9307 Fax: (559) 600-7601 Email: stephaniegarcia@co.fresno.ca.us mariohernandez@fresnocountyca.gov County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 2 of 17 B.Direct all inquiries to: California Department of Public Health STD Control Branch Attention: Christine Johnson Grant Manager 1616 Capitol Avenue, MS 7320 P.O. Box 997377 Sacramento, CA 95899-7377 Telephone: (916) 552-9796 Fax: (916) 440-5361 636-6454 Email: Christine.Johnson@cdph.ca.gov County of Fresno Stephanie Garcia Mario Hernandez Supervising Communicable Disease Specialist Staff Analyst I County of Fresno 1221 Fulton Mall Fresno, CA 93721 Telephone: (559) 600-3434 9307 Fax: (559) 600-7601 Email: stephaniegarcia@co.fresno.ca.us mariohernandez@fresnocountyca.gov C.All payments from CDPH to the Grantee shall be sent to the following address: Remittance Address County of Fresno Attention “Cashier:” Bruna Chavez, DPH Business Manager P.O. Box 11800 Fresno, CA 93775 Telephone: (559) 600-6438 Fax: (559) 600-7692 Email: dphboap@fresnocountyca.gov C.D. Either party may make changes to the information above by giving written notice to the other party. Said changes shall not require an amendment to this agreement. Subgrantees must comply with the State Contracting Manual Volume I, 3.17.2.D. County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 3 of 17 5.Services to be Performed G oal: To provide local assistance funding to local health jurisdictions (LHJs) to build local infrastructure and workforce capacity to conduct STD surveillance and implement evidence-based, effective interventions to reduce the transmission and negative health effects of sexually transmitted infections. Core STD program management is focused on the prevention of CT, GC, and syphilis through health education; promotion and outreach; assurance of quality local STD clinical services; disease investigation; and policy development and communication. Part I: Core STD Program Management Assure quality case -based surveillance for syphilis, GC, and CT. The Grantee is responsible for completing the activities that have been selected by the placement of an “X” in the check box. A number of these activities are mandatory requirements for funding, indicated with an “X”. Other activities are optional, based upon local program need and resources. Please indicate which of these additional activities your local health jurisdiction will pursue by placing an “X” in the appropriate check box. End-of-Year reports should be submitted to STDLHJContracts@cdph.ca.gov by July 31 following the end of each fiscal year during the term of this contract. The report for the period of July 1, 2016 through June 30, 2019 will be due on June 30, 2019. Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline I.Assure quality case-based surveillance for syphilis, GC, and CT. A.Adhere to all data security standards and guidelines in accordance with state and federal guidance. (Required activity). Data security standards and guidelines are in compliance with state and federal guidance. 7/1/16 - 6/30/19 B.Provide case-based data to the California Department of Public Health (CDPH) through the use of the California Reportable Disease Information Exchange (CalREDIE). If CalREDIE is not available, provide case-based data through other means per agreement between the local STD Control Officer and the STD Control Branch (STDCB) Chief of the Surveillance and Epidemiology Unit. (Required activity). Completion and closure of syphilis, GC and CT cases diagnosed in January – June by August 30 of that year in CalREDIE* in surveillance system within 45 days after the lab or provider case report is first received by the local health department. Reports will be reviewed monthly by the 15th of the following month Completion and closure of syphilis, GC, and CT cases diagnosed in July – December by February 28 of that year in CalREDIE. 7/1/16 - 6/30/19 Case closures due monthly Semi-annual case closure County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 4 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline C.Assure completeness and accuracy of key variables through local review of surveillance reports and provider follow-up of select GC and early syphilis cases. (Required activity). Proportion of GC and early syphilis cases with complete data for the following key variables in CalREDIE : •Treatment Date* •Medication and Dosage* •Race/Ethnicity * •Patient Address * •Provider Name and Address * •Gender of Sex Partners * •HIV Status * •Partner Treatment* P roportion of female syphilis cases with complete provider-confirmed pregnancy status*. 7/1/16 - 6/30/19 D.Assure provider reporting of syphilis and GC cases in accordance with state regulations. (Required activity). Case reporting by providers within 14 days of specimen collection for syphilis and GC*. 7/1/16 - 6/30/19 E.Utilize case-based surveillance data through, at a minimum, routine examination of rates and trends by age, gender, race/ethnicity, and other key variables. (Required activity). Description of activities will be included in the End-of-Year report . 7/1/16 - 6/30/19 F.Conduct enhanced surveillance for all priority syphilis cases using medical record data and case interviews as necessary. (Required activity). Completed interview records for enhanced surveillance on priority syphilis cases: •Early syphilis * •Congenital syphilis * Completion and closure of cases as described in I.B. 7/1/16 - 6/30/19 Semi-annual case closure G.Conduct enhanced surveillance on GC cases as part of an investigation of a strain with resistance or decreased susceptibility to antibiotics. (Required activity). Completed interview records for CA -GISP assigned GC cases*. Completion and closure of cases as described in I.B. 7/1/16 - 6/30/19 Semi-annual case closure County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 5 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline Optional Activity H. G. Conduct enhanced surveillance on GC cases as part of an outbreak or unusual occurrence investigation and/or as part of a geo-targeted assessment and intervention. Completed interview records for GC cases*. Completion and closure of cases as described in I.B. 7/1/16 - 6/30/19 Semi-annual case closure Optional Activity I.H.Conduct enhanced surveillance on GC cases as part of the California Gonorrhea Surveillance System (CGSS 2.0). Completed timely and CalREDIE -entered interview records for CGSS -sampled GC cases*. Completion and closure of cases as described in I.B. 7/1/16 - 6/30/19 Semi-annual case closure Optional SOW Narrative: LHJ has new or innovative tasks that are not part of current Section I activities. Describe the specific methods and approaches t hat will be used to complete the activities selected for this objective. Briefly describe the anticipated scope of the proposed activities, deliverables, and a projected timeline, including the approximate beginning and ending month and year for each major activity. Not applicable. Part II: Conduct health promotion activities for youth at risk of STDs to increase STD/sexual health awareness and conduct primary prevention. Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline II.Conduct health promotion activities for youth at risk of STDs to increase STD/sexual health awareness and conduct primary prevention. A.Utilize STD data to define local priority populations and/or geographic areas for targeting health promotion efforts , with an emphasis on youth and underserved populations. (Required activity). Description of activities will be included in the End-of-Year report . 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 6 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline B.Describe existing community resources and identify potential gaps related to STD prevention and education. (Required activity). Description of activities will be included in the End-of-Year report . 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 Optional Activity C.Provide technical assistance, training, resources , and referrals to school districts and other school - based partners on delivering quality sexual health education and confidential sexual health services in accordance with state regulations.1 Description of activities will be included in the End-of-Year report . 7/1/18 - 6/30/19 Report due annually by 7/31 6/30/19 Optional Activity D.Provide technical assistance and training for building capacity among youth-serving community - based organizations to ensure youth have access to medically accurate information, prevention tools, and sexual and reproductive health clinical services.1 Description of activities will be included in the End-of-Year report . 7/1/18 - 6/30/19 Report due annually by 7/31 6/30/19 Optional Activity E.Act as a local resource to plan and implement the California Youth Risk Behavioral Survey (YRBS) in CDC-selected schools (selection by CDC to be determined). Examples of this include contacting local school districts to encourage participation, promoting the survey with parent and teacher groups, or having local staff trained to administer the survey in selected schools. Proportion of local schools participating in YRBS among schools selected for Y RBS (number and locations vary between survey cycles , which occur every other year beginning in 2016). Every other year, beginning in 2016. 7/1/16 - 6/30/19 F.Act as a local resource for school districts, partnering with CDPH on the Division of Adolescent Sexual Health (DASH)-funded activities. Description of activities will be included in the End-of-Year report. 7/1/16 – 6/30/19 Report due annually by 7/31 County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 7 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline Optional Activity G. F. Support local implementation and expansion of statewide health promotion activities, such as : implementing the “I Know” project (select LHJs only); recruiting new Condom Access Project (CAP) sites (minimum 3 per LHJ; maximums apply).1 Description of activities will be included in the End-of-Year report, including the number of CAP sites and, if applicable, a description of “I Know” promotion activities and outcomes. 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 Optional Activity H. G. Promote web-based sexual health promotion programs (e.g., Hook Up, Teensource.org, TalkWithYourKids.org) with local schools, parents, providers, community -based organizations, and other key stakeholders serving at -risk populations.1 Description of activities will be included in the End-of-Year report, including methods of promoting resources. 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 I.H. Utilize available promotional materials and outreach opportunities during STD Awareness Month (April) to promote the national Get Yourself Tested (GYT) campaign.1 Description of activities will be included in the End-of-Year report . 7/1/16 – 6/30/17 Report due annually by 7/31 6/30/19 Optional: Place a checkmark in the box only if Grantee plans to subcontract. J.I. Subcontract with community -based or other organizations to ensure success of core STD program functions (check box if conducting this activity).1 Subcontract with community or other organizations , if needed. 7/1/16 - 6/30/19 County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 8 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline Optional SOW Narrative: LHJ has new or innovative tasks that are not part of current Section II activities. Describe the specific methods and approaches that will be used to complete the ac tivities selected for this objective. Briefly describe the anticipated scope of the proposed activities, deliverables, and a projected timeline, including the approximate beginning and ending month and year for each major activity. Not applicable. Part III: Assure high quality STD screening and treatment services are available in the LHJ. Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline III.Assure high quality STD screening and treatment services are available in the LHJ. A.Assess major sources of STD clinical care and characterized by patient census, clinic type (reference list to be provided by STDCB), and location and population served to identify potential gaps in access to STD services. (Required activity). Description of activities will be included in the End-of-Year report . 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 Optional Activity B.Assess quality of care among providers in high volume clinics or serving high morbidity areas including competency providing services to youth; diverse racial/ethnic groups; and lesbian, gay, bisexual , and transgender (LGBT) patients, as appropriate. Description of activities will be included in the End-of-Year report . A s applicable, description of: •STD s creening practices •Adherence to STD treatment recommendations •Cultural competency to service at -risk groups 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 9 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline Optional Activity C. Work with the highest level of local clinic leadership for public and private providers in the community to establish policies related to clinical quality improvement (QI) activities focused on expanded screening, diagnosis , and presumptive treatment ; public health reporting; timely and effective management ; partner treatment ; and repeat testing. Provide technical assistance related to implementation of clinical QI activities. Description of activities will be included in the End-of-Year report , including tools and protocols that may be shared with other LHJs, as applicable. 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 Optional Activity D. Work with the highest level of local clinic leadership for public and private providers in the community , including STD clinic settings, to establish policies related to clinical QI activities focused on HIV screening among syphilis and gonorrhea cases . Proportion of early syphilis cases with known HIV status (positive or tested negative within 30 days of STD diagnosis)*. Proportion of GC cases with known HIV status (positive or tested negative within 30 days of STD diagnosis)*. 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 Optional Activity E. Establish protocols and implement provider feedback mechanisms for management of inadequate or delayed treatment. Develop protocol to monitor provider treatment practices and for targeting int erventions at low- performing providers. For GC and early syphilis, proportion with recommended treatment documented in CalREDIE , and proportion who received recommended treatment within 7 days and within 14 days of specimen collection*. 7/1/16 - 6/30/19 Optional Activity F. Implement public health detailing programs targeted to providers in high volume clinics or serving high morbidity areas (e.g., family planning settings, HIV care providers, Federally Qualified Health Centers, s chool-based health c enters, obstetrics/gynecology offices, pediatric offices, family practice Description of activities will be included in the End-of-Year report . Measures include total number of provider visits/trainings, number and types of providers visited/trained, and number and types of resources disseminated. 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 10 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline and primary care, and prenatal care providers). Programs may include training, dissemination of resources, and technical assistance.1 Optional Activity G.Monitor quality of local health department STD clinical services including screening rates, treatment, HIV testing of STD cases, partner referral/treatment, epidemiologic treatment of Disease Intervention Specialist (DIS)-referred c ontacts, and repeat testing rates. (Required activity for local health jurisdictions with health department based STD clinical services.) Description of activities will be included in the End-of-Year report . P ercent of patients diagnosed with GC and early syphilis in STD clinics who were tested for HIV within 30 days prior to or after STD diagnosis *. P ercent of those tested (above) who are newly - diagnosed as HIV -infected*. P roportion of GC cases that are ret ested in 3 months. 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 Optional Activity H.Monitor quality of local health department STD clinical services, including linkage to HIV care for newly identified patients with HIV and re-engagement in HIV care for those out of care. Description of activities will be included in the End-of-Year report . P ercent of those newly diagnosed (above) who are linked to HIV care within 90 days of the date of HIV test*. 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 Optional Activity I.Assess availability of and promote or provide patient -delivered partner therapy (PDPT) for patients diagnosed with CT/GC. Description of activities will be included in the End-of-Year report . 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 Optional: Place a checkmark in the box only if Grantee plans to subcontract. J.S ubcontract with community - based or other organizations to ensure success of core STD program functions (check box if conducting this activity).1 Subcontract with community or other organizations , if needed. 7/1/16 - 6/30/19 County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 11 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline Optional SOW Narrative: LHJ has new or innovative tasks that are not part of current Section III activities. Describe the specific methods and approaches that will be used to complete the activities selected for this objective. Briefly describe the anticipated scope of the proposed activities, deliverables, and a projected timeline, including the approximate beginning and ending month and year for each major activity. Not applicable. Part IV: Conduct disease intervention activities, including partner services, for priority STDs to prevent further transmission in the community or from mother-to-child. Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline IV.Conduct disease intervention activities, including partner services, for priority STDs to prevent further transmission in the community or from mother-to-child. A.Process incoming syphilis reactors to determine prioritization for public health action, conduct record searching, and data entry. (Required activity). Median number of days between report and initiation of reactors, stratified by priority alert value. 7/1/16 - 6/30/19 B.For priority syphilis reactors (Alert codes red and orange): Contact providers and patients , as needed, to ve rify diagnosis and treatment and refer untreated patients to care. For females of child-bearing age (ages 15-44) with reactive serological tests, determine pregnancy status and assure timely and appropriate treatment. (Required activity). Proportion of early syphilis cases , stratified by gender, treated within 14 days of specimen collection*. P roportion of female syphilis cases with complete provider-confirmed pregnancy status*. P roportion of pregnant females with syphilis treated greater than 30 days prior to delivery*. 7/1/16 - 6/30/19 C.For early syphilis cases with unknown or negative HIV status: Conduct confirmation of HIV status or facilitation of HIV testing and linkage or re-engagement to care. (Required activity). Proportion of early syphilis cases with documented HIV test within 30 days before or after syphilis diagnosis*. Of those early syphilis cases tested and newly diagnosed with HIV from above, proportion with a confirmed HIV care medical visit within 90 days of HIV tes t*. 7/1/16 - 6/30/19 County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 12 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline D.For early syphilis cases that are HIV -infected: Confirm engagement in HIV care or facilitate re- engagement to care. (Required activity). Proportion of early syphilis/HIV co-infected cases with confirmation of current HIV medical care visit*. Of patients who are known to be HIV -infected and are out of HIV care, proportion who are re- engaged in care through confirmed HIV care medical visit within 90 days of STD diagnosis*. 7/1/16 - 6/30/19 E.For all early syphilis cases: Conduct client interview and case management including collection of medical information and client risk information; risk reduction counseling; elicitation of sexual and social network partners; and referral for other services as relevant. (Required activity). Proportion of early syphilis cases interviewed within 14 and 30 days of specimen collection*. P roportion of early syphilis cases interviewed with at least one partner initiated for notification of exposure*. 7/1/16 - 6/30/19 F.For partners of all early syphilis cases: Assure testing and appropriate treatment of sexual and social network partners including notification of exposure to syphilis and HIV and facilitate STD and HIV testing, treatment and linkage or re-engagement to HIV care, as relevant. (Required activity). Proportion of initiated partners of early syphilis cases that are: •Newly tested for syphilis (among initiated partners)*. •Preventative/prophylactic treated within 14 days of test (among syphilis tested above with negative test and recent exposure)*. •Newly diagnosed with syphilis (among syphilis tested above)*. •Confirmed syphilis treatment within 14 days of syphilis test (among newly diagnosed above)*. •Newly tested for HIV (among initiated partners)*. •Newly identified HIV positive (among HIV tested above)*. •Confirmed HIV medical care visit within 90 days of HIV test (among newly diagnosed with HIV)*. •Re-engaged in care through confirmed HIV care medical visit within 90 days of STD test/diagnosis (among initiated partners known to be HIV -infected and out of HIV care)*. 7/1/16 - 6/30/19 County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 13 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline G.For early syphilis cases among females of child-bearing age (ages 15-49): In addition to interview and case management, provide partner services to assure testing and appropriate treatment of partners. (Required activity). Proportion of female syphilis cases ages 15-49 with at least one partner who was : •Preventative/prophylactic treated within 14 days of test (among syphilis tested above with negative test and recent exposure)*. •Treated as a new case of syphilis within 30 days before or after specimen collection of the original patient*. 7/1/16 - 6/30/19 H.For congenital syphilis cases : Contact provider to assure needed clinical evaluation, case reporting, and correct treatment. Involve subject matter experts, as needed. (Required activity). Proportion with appropriate case management documentation (e.g., congenital syphilis case report) and documented treatment, where appropriate*. P roportion of confirmed and probable congenital syphilis cases where neonate was •Appropriately medically evaluated within 14 days •Appropriately treated within 14 days* 7/1/16 - 6/30/19 I.Conduct follow-up for suspected drug-resistant GC cases : Known or suspected treatment failures and/or decreased susceptibility to treatment (i.e., high MIC). (Required activity). Number and proportion of cases with suspected treatment failures that were interviewed. Number and proportion of cases with high MICs that were interviewed and brought to care for test-of-cure. 7/1/16 - 6/30/19 Optional Activity J.Conduct follow up for selected GC cases : Persons with increased risk of transmission (e.g., repeat cases, HIV- infected cases) and/or pregnant females. Proportion of GC cases that are retest ed in 3 months. Number and proportion of GC cases with documented GC testing and/or appropriate treatment for at least one partner. P roportion of initiated partners of GC/HIV co- infected cases that are: •Newly tested for HIV •Newly identified HIV positive •Confirmed linkage to HIV care within 90 days of HIV -positive test* 7/1/16 - 6/30/19 Optional Activity K.Conduct follow-up for selected GC cases: Persons located in geo- targeted areas with concentrated morbidity. Number and proportion of GC cases interviewed from geo-targeted locations. Number and proportion of GC cases with at least one partner that was tested and/or treated appropriately for GC. 7/1/16 - 6/30/19 County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 14 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline L.Conduct disease investigation for clusters or outbreaks of less common STDs, such as chancroid or lymphogranuloma venereum (LGV). (Required activity). Description of activities will be included in the End of Year Report. 7/1/16 - 6/30/19 as needed Report due annually by 7/31 6/30/19 M.Ensure data entry in CalREDIE to reflect disease intervention and partner services activities for syphilis, GC, and other STDs determined a priority for public health action. 1.Enter client level demographic, laboratory, clinical, and case investigation activities on relevant CalREDIE systems tabs to ensure they are recorded. 2.Enter client interview records with enhanced surveillance data, including syphilis interview record and CGSS provider report and patient interview forms . 3.Enter congenital syphilis case report forms, according to guidance and algorithm. 4.Enter sexual and social network partner information and investigation/notification outcomes. (Required activity). Completion and closure of case report forms, interview records, and partner investigation outcomes in CalREDIE .* 7/1/16 - 6/30/19 Ongoing data entry Case closures as described in I.B. Optional: Place a checkmark in the box only if Grantee plans to subcontract. N.S ubcontract with community - based or other organizations to ensure success of core STD program functions (check box if conducting this activity). Subcontract with community or other organizations , if needed. 7/1/16 - 6/30/19 County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 15 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline Optional SOW Narrative: LHJ has new or innovative tasks that are not part of current Part IV activities. Describe the specific methods and approaches that will be used to complete the activities selected for this objective. B riefly describe the anticipated scope of the proposed activities, deliverables, and a projected timeline, including the approximate beginning and ending month and year for each major activity. Not applicable. The Grantee will subcontract with a marketing company to run a media campaign regarding STD’s focus towards teens and youth, with an emphasis on syphillis and congenital syphillis. Part V: Assure that local STD policies and communications are effective. Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline V.Assure that local STD policies and communications are effective. A.Promote the presence, relevancy, and accuracy of webpage(s) on health department website with data, links to provider resources, and sexual and reproductive health education materials. (Required act ivity). Presence on website, social media, etc. 7/1/16 - 6/30/19 B.Identify and respond to opportunities to educate community partners, policy makers, and the media. (Required activity). Description of activities will be included in the End-of-Year report . 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 C.Participate in relevant community coalitions focused on sexual health. (Required activity). Description of activities will be included in the End-of-Year report . 7/1/16 - 6/30/19 Report due annually by 7/31 6/30/19 County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 16 of 17 Activities Performance Indicators/Deliverables * = CDPH will provide biannual reports with indicator Timeline Optional: Place a checkmark in the box only if Grantee plans to subcontract. D.S ubcontract with community - based or other organizations to ensure success of core STD program functions (check box if conducting this activity). Subcontract with community or other organizations , if needed. 7/1/16 - 6/30/19 Optional SOW Narrative: LHJ has new or innovative tasks that are not part of current Part V activities. Describe the specific methods and approaches that will be used to complete the activities selected for this objective. Briefly describe the anticipated scope of the proposed activities, deliverables, and a projected timeline, including the approximate beginning and ending month and year for each major activity. Not applicable. 1.The Grantee may use funds to print or duplicate posters, brochures, pamphlets, and other materials to promote STD awareness, testing, and treatment of at risk populations. County of Fresno 16-10713 A01 Exhibit A Scope of Work Page 17 of 17 6.Summary of Required Reports and Data Frequency Time Frame Deadline Program Report Recipient Once 7/01/16 – 6/30/19 6/30/19 Core STD Program Management STDLHJContracts@cdph.ca.gov Biannual Monthly 7/1/16 – 12/31/16 1/1/17 – 6/30/17 7/1/17 – 12/31/17 1/1/18 – 6/30/18 7/1/18 – 12/31/18 1/1/19 – 6/30/19 7/1/2018 – 7/31/2018 8/1/18 – 08/31/18 9/1/18 – 9/30/18 10/1/18 – 10/31/18 11/1/18 – 11/30/18 12/1/18 – 12/31/18 1/1/19 – 1/31/19 2/1/19 – 2/28/19 3/1/19 – 3/31/19 4/1/19 – 4/30/19 5/1/19 – 5/31/19 6/1/19 – 6/30/19 2/28/17 8/31/17 2/28/18 8/31/18 2/28/19 6/30/19 08/15/18 09/15/18 10/15/18 11/15/18 12/15/18 1/15/19 2/15/19 3/15/19 4/15/19 5/15/19 6/15/19 6/30/19 STD Case Closure CalREDIE data system, or Denise.Gilson@cdph.ca.gov STATE OF CALIFORNIA CALIFORNIA CIVIL RIGHTS LAWS ATTACHMENT DGS OLS 04 (Rev. 01/17) DEPARTMENT OF GENERAL SERVICES OFFICE OF LEGAL SERVICES Pursuant to Public Contract Code section 2010, a person that submits a bid or proposal to, or otherwise proposes to enter into or renew a contract with, a state agency with respect to any contract in the amount of $100,000 or above shall certify, under penalty perjury, at the time the bid or proposal is submitted or the contract is renewed, all of the following: 1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts executed or renewed after January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code); and 2. EMPLOYER DISCRIMINATORY POLICIES: For contracts executed or renewed after January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by the United States government, the Contractor certifies that such policies are not used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section 12960 of the Government Code). CERTIFICATION .-------------------------------------------------------,----------------------, 1 I, the official named below, certify under penalty of perjury under Federal ID Number ! the laws of the State of California that the foregoing is true and I correct. I 94-6000512 I Proposer/Bidder Firm Name (Printed) ! County of Fresno I r--------------------------------------------------------1....----------------------; 1 By (Authorized Signature) 1 I ---:__ -I ~ I--------------------------______________________________________________ j Printed Name and Title of Person Signing 1 I I Nathan Magsig, Chairman, Board of Supervisors ! ~--------------------------------r----------------------------------------------~ 1 Date Executed I Executed in the County and State of 1 I I I ! 5 \, 41 l°t ! Fresno California ! L--------------------------------L----------------------------------------------J ATTEST: BERNICE E. SEIDEL Clerk of the Board of Supervisors County of Fresno, State of California ~y~~ AGREEMENT BETWEEN THE COUNTY OF FRESNO AND THE STATE OF CAIFORNIA California Department of Public Health No./Name: State Grant Agreement No. 16-10713, Amendment A01 / Core STD Program Management Term: July 1, 2016 – June 30, 2019 Fund/Subclass: 0001/10000 Organization #: 56201661 Revenue Account #: 3530