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