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STATE DPH-Maternal Child Adolescent Health_Black Infant Health_Perinatal Equity Initiative Programs_A-24-624.pdf
COtj County of Fresno Hall of Records, Room 301 2281 Tulare Street Fresno,California 601 Board of Supervisors 93721-2198 O� 1$56 O Telephone: (559)600-3529 FRV,t' Minute Order Toll Free: 1-800-742-1011 www.fresnocountyca.gov December 3, 2024 Present: 5- Supervisor Steve Brandau, Chairman Nathan Magsig,Vice Chairman Buddy Mendes, Supervisor Brian Pacheco, and Supervisor Sal Quintero Agenda No. 60. Public Health File ID: 24-0875 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, Black Infant Health, and Perinatal Equity Initiative programs, effective July 1, 2024 through June 30, 2025 ($5,659,804) APPROVED AS RECOMMENDED Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero Agreement No. 24-624 County of Fresno Page 61 co Board Agenda Item 60 O 1856 O FRE`'� DATE: December 3, 2024 TO: Board of Supervisors SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health SUBJECT: Retroactive Agreement Funding Application 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, Black Infant Health, and Perinatal Equity Initiative programs, effective July 1, 2024 through June 30, 2025 ($5,659,804). 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), Black Infant Health (BIH), and Perinatal Equity Initiative (PEI) programs. MCAH uses local funding ($5,850,181) 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 MCAH and BIH programs provide outreach, home visitation, health education and linkage to community resources for pregnant and parenting women and their families. The PEI funding will support local perinatal equity activities to fill gaps in current services and assist with development of a collective impact blueprint to reduce African American infant mortality. 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, 2024. 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, BIH, and PEI Fiscal Year(FY)2024-25 Agreement Funding Application (AFA) on May 29, 2024. The AFA required the State's pre-approval of the budgeted amount and submitted documents before the item could be presented to your Board for approval. The Department received all required documents and approvals and is submitting this item in accordance with agenda item processing timelines. FISCAL IMPACT: There is no increase in Net County Cost associated with the recommended action. CDPH approved a County of Fresno Page I File Number.24-0875 File Number:24-0875 non-competitive allocation ($5,064,160)to the County for the MCAH and BIH programs which include funding from: • FFP (Federal Title XIX) (MCAH $3,332,171 and BIH $398,391) • Federal Title V (MCAH $422,226 and BIH $150,627), • State General Fund (BIH $753,373), • Sudden Infant Death Syndrome (MCAH $7,372). The local match ($5,850,181) includes funding from: • Children and Families Commission of Fresno County($1,500,000); • Fresno County Superintendent of Schools ($300,000); • Department of Behavioral Health ($298,881); and • Health Realignment($3,751,300). CDPH allocated $595,644 to fund community activities and contract costs related to PEI implementation. The Department's indirect cost rate of 24.43%will be fully covered with the above-mentioned resources. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2024-25 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 2024-25, these programs continued to provide a wide range of services to the community. Nurse Liaison provided case management services to 181 pregnant/parenting teens, high-risk children, and their families. The NFP program served 193 pregnant and parenting women, helped 97.1% of women initiate breastfeeding after birth and ensured 89.2% 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 233 families with children 0-5. The CCHL program provided health/safety consultation and training to 241 child care providers. The SIDS program disseminated guidelines on infant sleep and SIDS risk reduction to 147 medical providers and 265 community members through community presentations. Ongoing grief support was provided to 16 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. There were 7 CRT meetings held and 18 FIMR cases reviewed in the last fiscal year. The BIH program served 138 women through an 18-group series, with 75 women served through the Group/Life Planning Model and 63 women served through the Case Management Only Model. The County's mortality rate for African American infants continues to be 2.5 times higher than the statewide County of Fresno Page 2 File Number.24-0875 File Number:24-0875 rates and 2.21 times higher than the national rates for other groups. While the Department's BIH program continues to work toward reducing African American infant mortality, gaps in services still exist. CDPH awarded funding to 11 local county health departments with BIH Programs to establish the PEI and support implementation of perinatal health interventions to reduce the disparities in infant mortality rates and fill gaps in current services. The PEI funding will help continue PEI's activities and collaboration including, but not limited to: • CBO collaboration to implement legislated PEI interventions that include fatherhood and doula services; • oversee administration of the PEI to ensure program implementation, planning evaluation and fiscal management in compliance with CDPH-MCAH Guidelines; • partner with local community-based organizations to implement legislated PEI interventions; • incorporate Results Based Accountability using the Clear Impact Scorecard to monitor program performance; • continue the support of a local Perinatal Health Equity Community Advisory Board effort's to engage local leaders and stakeholders in discussing the needs and opportunities to reduce African American infant mortality; and • Public Health Awareness Campaign to inform the community about African American birth outcome inequities and/or drivers of these inequities. The recommended action 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 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. CDPH will issue the award letter for each program once the AFA is approved. REFERENCE MATERIAL: BAI #45, October 24, 2023 BAI #69, June 20, 2023 BAI #33, November 8, 2022 BAI #49, November 16, 2021 BAI #36, November 2, 2021 BAI #36, November 3, 2020 BAI #48, May 26, 2020 ATTACHMENTS INCLUDED AND/OR ON FILE: On file with Clerk- FY 2024-25 Agreement Funding Application with CDPH CAO ANALYST: Ron Alexander County of Fresno Page 3 File Number.24-0875 Agreement No. 24-624 State of California—Health and Human Services Agency . California Department of Public Health I)CDPH ; TOMAS J.ARAGON,M.D.,DrRH GAVIN NEWSOM Director and State Public Health Officer Governor MAY 29, 2024 TO: MATERNAL, CHILD, AND ADOLESCENT HEALTH (MCAH) DIRECTORS, MCAH COORDINATORS, BLACK INFANT HEALTH (BIH) COORDINATORS, AND PERINATAL EQUITY INITIATIVE (PEI) COORDINATORS SUBJECT: STATE FISCAL YEAR (SFY) 2024-2025 AGREEMENT FUNDING APPLICATION (AFA) ANNOUNCEMENT This letter announces the SFY 2024-2025 AFA process that provides allocation and contract funding updates for the California Department of Public Health, Maternal, Child, and Adolescent Health Division's Local MCAH, California Fetal Infant Mortality Review Plus (CA FIMR+), BIH, and PEI programs. SFY 2024-2025 funding for Local MCAH, CA FIMR+, BIH, and PEI programs are as follows: • Local MCAH - Title V (TV) funding allocations will remain the same as SFY 2023-2024. • CA FIMR+ — Local Health Jurisdictions (LHJs) selected for the CA FIMR+ TV funding will receive the same allocation amount as SFY 2023-2024. The CA FIMR+ funding is included in the Local MCAH TV allocations for Fresno and San Bernardino counties. Each LHJ will be required to track the FIMR funding separately in order to demonstrate the agency's ability to perform the activities and associated costs to implement the CA FIMR+ Scope of Work. • BIH - TV and State General Funds (SGF) allocations have been updated to account for the expansion to the BIH program and to utilize SGF in accordance with prior year's Request for Supplemental Information and individual county contract negotiations to meet the needs of the LHJs. The total allocations for each county remain unchanged, except those with contract negotiations. TV has been calculated utilizing a per-service area approach and each service area will receive $150,627. SGF has been updated to compensate for any shortfall in TV compared to the previous year. o``EO{[AL fll Op"f CDPH Maternal, Child and Adolescent Health Division/Center for Family Health ` MS 8300 • P.O. Box 997420 • Sacramento, CA 95899-7420 (916) 650-0300 • (916)650-0305 FAX a Internet Address:www.cdph.ca.gov � yf'" Acxcor°�, • PEI — SGF allocations will remain the same as SFY 2023-2024; however, we will be moving to a quarterly invoicing format. Additionally, Title XIX (TXIX) funding is now available for PEI programs. TXIX Funding (if applicable) - LHJs can request any amount with the understanding that the agency must have the State General Funds and/or additional agency funds to match TXIX and that their spending plan reflects the agency's ability to spend all their TXIX request. Due to new FI$Cal requirements, budget revisions that are requesting an increase in TXIX funding must be received after your Q2 invoice has been submitted but no later than March 31, 2025. AFA Timeline/Important Dates: MAY 29, 2024 Release of MCAH SFY 2024-2025 AFA Notification. The following AFA forms are located at MCAH, FIMR+, BIH, & PEI Agreement Funding Applications • AFA Checklist • Agency Information Form • MCAH Attestation of Compliance with the Sexual Health Education Accountability Act of 2007 Form • ICR Certification Form • Annual Inventory Form • Subcontract Agreement Transmittal Form • Use of Certified Public Funds Form • Government Agency Taxpayer ID Form • TXIX Attestation Form Note: The Scope of Work templates (MCAH/BIH/PEI), MCAH Director Verification form, MCF Justification example letter, NFR- CRS form, and budget template are attached to this email. Page 2 of 4 June 7, 2024 Last Day to Register for your AFA Development Support and Budget Training Meeting — Optional budget meetings can be provided for technical assistance necessary to complete local agency budgets. Please reach out to your CL and PC via email to request a Budget Training Meeting. If a meeting is requested, Local MCAH/BIH/PEI Programs and Fiscal representatives with decision making authority are required to attend. MCAH/BIH/PEI AFA budget meetings will be offered via TEAMS. Meetings will be scheduled on a first-come, first-served basis between June 10 - 21, 2024. June 10-21, 2024 MCAH/BIH/PEI AFA Development Support and Budget Training Meetings (Optional) June 28, 2024 AFA Packages Due Back to MCAH. If needed, please contact our Contract Liaison CL for any extensions. June 29, 2024 Start of MCAH CL/PC AFA Package Review and Approval AFA Submission: Packages are due via email to MCAHFinAct(a-cdph.ca.gov by June 28, 2024. Please refer to the AFA Checklist instructions for guidance on how to submit your AFA packet. If you have any questions about the AFA process, please contact your CL as soon as possible. In previous years, LHJs were required to submit budgets for two years. For this AFA cycle and ongoing, instead of requiring two years' worth of budgets, we are only requesting one budget for the current year. Invoice Submission: All invoices and supporting documentation must be submitted via email to the MCAH invoice inbox: MCAHlnvoices(a)_cdph.ca.gov. To ensure appropriate processing, please use the following invoice naming protocol for the signed invoice PDF and Excel files as well as the subject line of the email: Agreement Number, Agency Name, Fiscal Year, and Invoice Quarter and Number - Example: 202401 Alameda FY 24-25 Q1. Invoice submission must include: Signed cover letter noting invoice amount, invoice period, remit to address, and any personnel changes Page 3 of 4 • Signed invoice • Excel version of the invoice • Signed and completed TXIX Cover Sheet (if applicable) • Signed and completed TXIX Attestation form (if applicable) • TV and/or TXIX time studies (if applicable) • Below is the Invoice Submission Timeline for your reference: Invoice Submission Timeline Due date Quarter 1 (July- September 30) November 15, 2024 Quarter 2 (October- December 31) February 15, 2025 Quarter 3 (January - March 31) May 15, 2025 Quarter 4 (April - June 30) August 15, 2025 Approved Supplemental Final Invoice September 30, 2025 Thank you for your assistance and timely submission of your AFA package. If you have any questions or concerns, please contact your Contract Liaison. Sincerely, Angelica Jimenez-Bean Contract Management and Allocation Process Section Chief Maternal Child and Adolescent Health Division Center for Family Health California Department of Public Health Page 4 of 4 CALIFORNIA DEPARTMENT OF PUBLIC HEALTH MATERNAL, CHILD AND ADOLESCENT HEALTH (MCAH) DIVISION FUNDING AGREEMENT PERIOD FY 2024-2025 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 MCAH 2O2410 BIH 2O2410 AFLP PEI 24-1 0 Update Effective Date (only required when submitting updates) Federal Employer ID#: 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•fcd p h.o rg Revised 3/1/2024 Page 1 of 6 APPLICATIONAGREEMENT FUNDING POLICY COMPLIANCECERTIFICATION Please enter the agreement or contract number for each of the applicable programs MCAH 2O2410 BIH 2O2410 AFLP PEI 24-1 Q 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.). 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 Nathan M a g s ig Chairman of the Board of Supervisors of the County of Fresno Original Signature Date MCAH/AFLP Director Name(Print) Title Ge Vue MCAH Director Original Signature Date /21 Revised 3/1/2024 ATTEST: Page 2 of 6 BERNICE E.SEIDEL Clerk of the Board of Supervisors County of Fresno,State of California BycjS— ''�W""f"—rnDeputy MCAH Program ■ 1 AGENCY EXECUTIVE DIRECTOR I David LUChini Public Health Director 1221 Fulton Street,Fresno, (559)600-3200 diuchini@fresnocounty�,govI MCAH —----------- i 'CA 93721 2 MCAH DIRECTOR I Ge Vue Division Manager 1221 Fulton Street,Fresno, 559 600-3330 -- CA 93721 ( ) gevue@fresnocountyca.gov MCAH 3 MCAH COORDINATOR(Only Llilarose Bangs Supervising Public 1221 Fulton Street,Fresno, (559)600-3330 bangsl@fresnocountyca.gov complete if different from 112) I v - Health Nurse CA 93721 MCAH 4 MCAH FISCAL CONTACT Chashua Lor Staff Analyst 1221 Fulton Street,Fresno, (559)600.3330 chior Fresno I CA 93721 countyca.gov MCAH S FISCAL OFFICER Irene Parada Depanment of Public 1221 Fulton Street,Fresno, (559)600-3200 iparada@fresnocoun ca, m Health Business CA 93721 tY 9 MCAH 6 CLERK OF THE BOARD or Bernice Seidel Clerk of the Board 2281 Tulare Street,Room - (559)800-1801 bseidel@fresnocountyca.got MCAH of Supervisors 301,Fresno,CA 93721 7 CHAIR BOARD OF SUPERVISORS Nathan- �Ma si Chairman of the Board -- -- — - - -- -__ 9 9 2281 Tulare Street,Room (559)600-5000 districts fresnocountyca.goe'MCAH Of Supervisors of the County of Fresno 301,Fresno,CA 93721 8 OFFICIAL AUTHORIZED TO COMMIT Nathan Magsig Chairman of the Boord -- AGENCY of Supervisors of the 2281 Tulare Street,Room (559)600-5000 distrct5@fresnocountyca.go� MCAH County of Fresno 301,Fresno,CA 93721 9 SUDDEN INFANT DEATH SYNDROME Linda Hicks Public Health 1221 Fulton Street,Fresno, (559)600-3330 (hicks@fresnocountyea.gov SIDS (SIDS)COORDINATOR/CONTACT Nurse CA 93721 10 PERINATAL SERVICES -- — -----__-__ COORDINATOR CPSP Revised 3/1/24 Page 3 of 6 BIH Program 1 AGENCY EXECUTIVE DIRECTOR David Luchini Public Health 1221 Fulton Street,Fresno, (559)600-3200 dluchini@fresnocountyca,gov BIH Director CA 93721 I 2 BLACK INFANT HEALTH(BIH) Sabrina Beavers Health Educator 1221 Fulton Street, (559)600-3330 sbeavers@fresnocountyca.go% BIH COORDINATOR Fresno,CA 93721 j 3 BIH FISCAL CONTACT Chashua Lor Staff Analyst 1221 Fulton Street,Fresno, (559)600-3330 chlor@fresnocountyca.gov BIH CA 83721 4 FISCAL OFFICER Irene Parada Department of 1221 Fulton Street,Fresno, (559)600-3200 iparada@fresnocountyca.gov BIH Public Health CA 93721 Business Manager 5 CLERK OF THE BOARD or Bernice Seidel Clerk of the Board 2281 Tulare Street,Room (559)600.1601 bseidel@fresnocountyca.gov BIH of Supervisors 301,Fresno,CA 93721 6 1 CHAIR BOARD OF SUPERVISORS Nathan Magsig Chairman of the Board 2281 Tulare Street,Room (559)600-5000 districts@fresnocountyca.gov BIN of Supervisors of the 301,Fresno,CA 93721 County of Fresno 7 OFFICIAL AUTHORIZED TO COMMIT Nathan Magsig Chairman of the Board 2281 Tulare Street,Room (559)600-5000 districts@fresnocountyca.gov BIH AGENCY of Supervisors of the 301,Fresno,CA 93721 County of Fresno Revised 3/1/24 Page 4 of 6 PEI t' Address Phone Email Address 1 AGENCY EXECUTIVE DIRECTOR David Luchini Public Health 1221 Fulton Street,Fresno,�(559)600-3200 dluchini@fresnocounlyca.gov PEI Director CA 93721 2 COORDINATOR EQUITY INITIATIVE(PEI) Gifty Kwofle Health Educator 1C/2n211 Fulton Street,Fresno,�'(559)600-3330 gkworie@fresnocountyca.govl PEI 3 PEI FISCAL CONTACT Chashua Lor Staff Analyst 1221 Fulton Street,Fresno,I(559)600-3330 chlor@fresnocountyca.gov PEI CA 93721 4 FISCAL OFFICER Irene Parada Department of 1221 Fulton Street,Fresno, (559)600-3200 iparada@fresnocountyca.gov PEI Public Health CA 93721 Business Manager 5 CLERK OF THE BOARD or Bernice Seidel Clerk of the Board 2281 Tulare Street,Room (559)600-1601 bseidel@fresnocountyca.gov PEI i of Supervisors 301,Fresno,CA 93721 6 CHAIR BOARD OF SUPERVISORS than Magsig Chairman of the Board 2281 Tulare Street,Room (559)600-5000 district5@fresnocountyca.gov PEI of Supervisors of the 301,Fresno,CA 93721 County of Fresno 7 OFFICIAL AUTHORIZED TO COMMIT Nathan Magsig Chairman of the Board 2281 Tulare Street,Room (559)600-5000 district5@fresnocounlyca.gov PEI AGENCY of Supervisors of the 301,Fresno,CA 93721 County of Fresno Revised 3/1/24 Page 5 of 6 AFLP Program -It Contaa First Name Last Name Title /rIPhone Email Address Program 1 AGENCY EXECUTIVE DIRECTOR I AFLP 2 AFLP DIRECTOR AFLP 3 AFLP COORDINATOR or -_- --------_--- - _---- _ AFLP SUPERVISOR/COORDINATOR ,4 I AFLP FISCAL CONTACT AFLP 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 3/1/24 Page 6 of 6 ORIGINAL Public He011h 'c I Lla-,,.(CmWeMAtln.m 114 a hl)r BUDGET SUMMARY FISCAL YEAR BUDGET BUDGET STATUS BUDGET BALANCE 2024-25 ORIGINAL ACTIVE 0.00 Verson i 0 150 Ouannl a ZO 7C Program: Maternal,Child and Adolescent Health(MCAH) NON-ENHANCED ENHANCED Agen4y: 202410 Fresno UNMATCHED FUNDING MATCHING(S01SO) MATCHING(7SF25) SubK: MCAH.TV MCAHSIDS AGENCY FUNDS MCAH Cr,NE LICAHtr4,E 01 R) (3) (a) (5) (6) 17) 19) 191 1r 01 Itll 1121 1131 flat (Ist TOTAL FUNDING •/. MCAH-TV •/. MCAHSIDS % Agency Flndi om rrM Y Combined x om Inc Combinetl Fedf5latc A FeNSlale ALLOCATION(S) -' 422.226-00 7,372.00 NVALUEI EXPENSE CATEGORY (1) PERSONNEL 6,420,536.35 422.226.00 7.372.00 1,830961.50 I 0.00 2,9D0,418.08 0.00 1,259.558.76 (11) OPERATING EXPENSES 435,93600 0.00 0.00 191530.03 0.00 244,405.97 0.00 0.00 (111) CAPITAL EXPENDITURES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 (IV) OTHER COSTS 1,18G,940.00 0.00 0.00 567,83963 O.DO 619,10D.47 0.00 0.00(VI INDIRECT COSTS 1.568.53703 0.00 0.00 55745e06 0,00 1011.078.97 0.00 0.00 BUDGET TOTALS' 9,611.949.38 439% 422.226OO 008x 7372.00 1 3275x 3,147,78912 am% 0.00 1 4965x 4,775,003.49 am% 0.00 131DX 1.259.558.76 BALANCE(S) -� 0.00 0.00 TOTAL MCAH-TV 422.226.00 -> 422.226.00 TOTAL MCAH-SIDS 7,372.00 737z.00 TOTAL TITLE XIX 3,332,170.83 0.00 150%I 2,387,SO1,7G 0.00 1T5x) 944,669.07 TOTAL AGENCY FUNDS sBso.leD.sa 3,147,7B9.12 t5 xl 2,387,501.73 15%1 314,BB9.69 $ 3,761,768.83 Fmaximum Amount Payable from State and Federal resources WECERTIF WITTHISOUDGETHAS51INCONSTRUCTEDINCOMPLIANCEIVITH ILL'CAN AOMINISiRATNE AND PROGRA"POLICIES* n - 7�1CA111P ROJECT DIRECTOR'S 51GHgTDRE / DATE GENGYYnSCALAGENTSSIGNATURE I DATE J'TM1 ono 1con;Tnb 1 for el--match"Pw.MCAH4 MrnmWu .,ny[nv. STATE USE ONLY-TOTAL STATE AND FEDERAL REIMBURSEMENT MCAH-TV MCAH-SIDS AGENCY MCAHLrAy NE MCAHCrrty E FUNDS PCA Catles 53107 53112 53118 57117 (1) PERSONNEL 422.226.00 7.372.00 0.00 1.450.209.D4 000 944 66907 (11) OPERATING EXPENSES 0.00 0.00 0.00 122,2D2.99 0.00 0.00 (III) CAPITAL EXPENSES 0.00 000 0.00 0.00 0.00 0,00 IN) OTHER COSTS 0.00 0.00 0.00 309550.24 0.00 0.001 (V) INDIRECT COSTS 0.00 0.00 0.00 505.539.44 1 0.00 0.00I Totals ror PCA Codes 3,761.768.83 1 422.226 00 7.372.00 0.00 2,387.501.76 0.00 544,069.07 202410 MCAH 5 MCAH 6udgel Template 7.30.24.Asx 1 VS Print,&77302024 11:51 AM ORIGINAL Puhlic Heallh •i ! s�,:e,,,,l.eh,u,m Advleacem -.ho- Pra9nm: Malema 1,Child and Adolescent Health(MCAH) UNMATCHED FUNDING NON-ENHANCED ENHANCED Agency: 202410 Fresno MATCHING SO/50 ( ) MATCHING(752s) Sub K: A:CAH-TV MCAKSIDS AGENCY FUNDS IIC-y NE MCAH-CniyE NI (2) (3) NI Is) 16) 171 191 191 (10) f,ll (12) 113) (11) I 11s) TOTAL FUNDING % MCAH-N e/. MCAHSIDS •/, pgenry Funds' y, omDNS Inc % Combined y om rnv Y Combined Ftate edlAa Fcdl5 L31e I F IA n Y (11) OPERATING EXPENSES DETAIL ,- •fCvxV v„u 1,=sasan�v,m. 16.47% a•14.07%va'd 65.09% TOTAL OPERATING EXPENSES 435,936.00 000 0.00 191,530.03 0.00 244,4D5.97 0.00 O.DO °t+�•�° TTRAVEL . 50,326.00 0,00% 0.00 OGO 39.46% 19,859A4 0,00 60.54% 30,466.86 0.00 0.00 vo.0o%� TRAINING 48.080.00 GOD% 0.00 0.00 34.91% 16,764.73 D.00 65.09% 31,295.27 0.00 0.00 0.00% I Communicalivns 144,585.00 0.00% 0.00 0.00 34,91% 50,474.62 000 65.09% 94,il0.38 O.DO% 2 OI(iee Supplies 11.000.00 0.00% 0.00 000 34.91% 3.840.10 0 DO 65.09% 7.159.90 D.00% 3 Paslage 4,292.c0 0.011 0.00 000 31.91% 1498.34 0.00 65,09% 2.793.66 0.1)0% 4 Printing(Dupkcatian) 2,205.00 0,00% 0.00 0.00 34,91% 769.77 0.00 65.09% 1.435.23 0.00% 5 Minor Equipmem 5.000.00 0.00% 0.00 0.01) 34.91% 1.74550 0.00 65.09% 3.254.50 0.00% 6 Faciwie.,ULlities,S-A- 117 520.00 0.00% 0.00 0.00 34.91% 39.629.83 0.00 65.09% 73.890.17 0.D0% 7 Nu,se Family Partnership 56,928.00 0.00% 0.00 0.00 100.00`/° 56.928.00 0.00 000 65.D9% 8 0.00 000 0.00 0.00 0.00 9 0.00 000 0.00 0.00 0.00 10 GOO 000 0.00 000 000 I 000 0.00 0.D0 0.00 D.00 12 D.Do 000 o.oD o.DD 0.00 1] 0.00 a.a0 0.00 0.00 0.00 14 0.00 0 DO 0.00 0.00 O.OD 15 0 00 DOD 0.00 O.CO 0.00 Unmatched Ooeraim.E,oenses ale not et.0.lot Federal-eh.h.lands ITFl4 XIXI menses m,v only be charoed to Unmatched Tree V Cot 3),Stale General Funds IGOI 51 anNor AvenN ICot 1 funds (Itt) CAPITAL EXPENDITURE DETAIL TOTAL CAPITAL EXPENDITURES 0.00 ODD 0.00 0.00 0.00 (IV) OTHER COSTS DETAIL °"= 's65.095:1- TOTAL OTHER COSTS 1,186,940.00 0.00 0.00 S67,839.53 0.00 619,100.47 0.00 0.00 SUBCONTRACTS 1 E..eplgnal Parents Unhmited 275,000.00 0.00% coo 000 52.32% 143.976.23 0.00 47.68% 131.123.77 0.00 0.00 2 CenDo La Fam,ra Adva13ry Services 261.229.00 0.00% 0.00 0,00 52.94% 138.297.46 0.00 47.06% 122,931.54 0.00 C.D0 3 Ccnllal Valley Ct ldren's Services Network 274 446.00 0.00% 0.00 0.00 45.32% 124.391.13 0.00 S4.68% 150.056.87 0.00 0.00 4 Re-Cowrly Economic OppoOunilies Commission 275,000.00 0.00°!° 0,00 000 45.70% 125.670.30 0.00 54.70Y. 1/9,329.70 0.00 0,03 5 TBD(Dr.Linscheid Cons0ing Smices) 55,000.00 0.00% 0.00 0.00 35.30°% 22.945.00 0.00 64.70`y. 42.055.00 GOD 0.00 6 0.OD 0,00 O.DO 0.00 0.D0 0.00 O.DO 7 0 00 0.00 0.00 0,00 0.00 0.00 0.00 B 0.00 0.00 0.00 0.00 O.Do 0.00 0.00 OTHER CHARGES - 1 Books 6 Publiealions 4,930.00 0.00% O.OD D00 34.91°% 1.721.06 0.00 65.09% 3,2Da.94 ce0.D0Xv, 2 Behavioral Motivational Maletials 31.333.00 0.00% 0.00 DOD 34.91% 10.938.35 0.00 65.09% 20394.65 3 0.00 0000.00 0.00 0.00 4 0.00 D.CO 0.00 0.00 0.00 5 0.00 0 co 0.00 0.00 0.00 6 0.00 0.00 O.DO 0.00 0.00 7 0.00 0.00 O.DO 0.00 0.00 8 0.00 1 0.00 1 1 0.00 0.00 0.00 (V) INDIRECT COSTS DETAIL TOTAL INDIRECT COSTS 7,568,5]7.03 O.aD D.DD 557,458.D6 D.DD 1,011,07 a.97 24.43% of T. W.B.L l s.Fringe Benelils 1.566 537 03 0.00% 0.00 0.00 35.54% 557,458.D6 0.00 64.46% 1 011 079.97 202410 MCAH 5 MCAH Budget Template 7 70.24.!s3 2 ol5 primed:7/302024 11:51 AM HeDl ORIGINAL PUblie lh .•'.I r.+armtEl.wamAe>k:<eMHexnw,Rbn program: Maternal,Child and Adolescent Health(MCAH) UNMATCHED FUNDING NON-ENHANCED ENHANCED Agency. 2024'IO Fr@Sn0 MATCHING(50150) MATCHING(75725) SubR: MCAH-N MCAH AGENCY FUNDS hICAH Cniy NE 41CAH-CnyE nl (2) (a) (O IS) IG) (7) IBI 191 (,a) Itt) It2) It]) ILO (ts) TOTAL FUNDING % MCAH-TV % MCAH-SIDS % Agoncy Frills• % era r� Combirctl % om tnc % Combined Fed/S We % JA v' FccVSlalo IF dlAn (1) PERSONNEL DETAIL TOTAL PERSONNEL COSTS c,1I0,s16.a3 422226.00 7,372.00 1,630,951.50 I 0.00 2,900,418.OB 0.00 1259,SSa-76 FRINGE BENEFIT RATE 71.54% 2.677,656.35 1760B7.49 3,07446 763,594.41 0,00 1,209,606.56 0.00 111.211.42 TOTAL WAGES 3,742,860.00 246,138,51 4197.54 1067,'67,09 0.00 1.690.811.52 0.00 734265.34 FULL NAME IT OR CLASSIFICATION ANNUAL (First No Last Name) (No Acronyms) .A FTE SALARY TOTAL WAGES 1 Go Vue DivisionM-ger 20.00% I62,14D.00 32428.00 O.CO% 0.00 000 36,66% 11.808.10 0.00 63.34% 20,539.90 0.00 O.DO 64.70%. mx 2 Ge Vue LILAH DirectoNFItAR Director 50.00% 162.140.00 81,070.00 0.00% 0.00 0.00 36,00% 29,185.20 O.DO 54.83% 44.531.75 0.00 9.07% 7.3 53.05 64.70% x 3 Melinda Meza Administrative Assislanl 70.DO% 57B58.00 37,701.00 000% 0.00 00D 353m/. 13,30B45 0.00 64.70% 24.392.55 0.00 O.GO 64.70% x 4 Chasllua for Stall Analyst 111 100.00% 75,536.00 75,536.00 0.00% 0.00 0.00 35.30°!. 266E-0.21 000 64.70% 48,677.79 0.0G 0.00 64.70% x 5 Dalgil Martinez Fccounl Llctkl 30.00% 51,922.00 15,577,00 0.00% 0.00 0.00 7530% 5,496.6E 0.00 64.70% 10,078.72 0.00 0.00 64.70% x fi Yvonne Lopez Public Health Nurse ll-Perinatal Service 100.00% 120411.00 120,414.00 0.00% 0,00 0.00 4].10"/. 51,098.43 0.00 48 659S 58,56I.41 O.CO 8.25% 9,9N.16 64.70% x 7 Linda Hicks Public Health Nurse 11-Sudden Want D, 50.00% 127,373.00 63.687.00 0.00% 0.00 6.75% 4.29754 93.25% 59,3B9.46 000 0.00% 0.00 0.00 0,00 B Jenmlel Pino.xiong Medical Social Worker 111 75.11% 92,866.00 69,770.00 0.00% 0.00 0.00 33.07% 23,07294 000 66.93% 46697.GG 0.00 0.DO 90.90% x 9 Bee Vang Epidemialog'sl 20.00:; 99,944.00 19.969.00 0.00% 0.00 0.00 35.30°/ 7,056.12 0.00 6<70% 12,9329E 0.00 U.00 64.70% x 10 Quentin Paramo Health Educalmn Specialist 90.00% 59,284.00 53.356.00 0.00°l. 0.00 0.00 35.30% 18.834.67 000 64.7D/ 3<.521.]1 0.00 0.00 64.70X x I I V.-I Health Ed...lion Specialist 100.00% 52,323.00 52 323.00 0 00% 0.00 0.00 35.30% 18,470.02 0.00 64.70% 33,852.98 0.00 000 64 70X x 12 Sochcala PA- Pro9lam Technician l 10G 00% 53.346.00 53.346.00 0.OD% 0.00 0,00 ]5.30% 18,831.14 0.00 64.7O% 34.514.86 0.00 0.00 64.70% x 13 Vacant Pro9mm Technician I 100.00% 42,242.00 42.242.00 0.00% 0.DO a DO ]$.30% 14.911 43 0.00 64.70% 27.130.57 0.00 0.OD 64 70% x 14 Chlktma Wydrk Program Techrdcian ll(1501) 100.00% 60270.00 60.270.00 0.00% 0.00 0DO 35.J056 27,275.31 0.00 64.70% 38.994.69 D.00 O00 64.70%I % 15 J.lad,,IcmcYakoub Program Techrucian11 75.00% 4635000 34.763,00 0.00% 0.00 0.00 3530% 12271.34 0.00 64.70% 22491.GG 0.00 0.W 64.70%I x 16 Vacant 01f eAss'stanl1 100.00% 37,306.00 37,306.G0 000% 0.00 0.00 15.10% 5.745.12 0.00 84.60% 31,56018 000 0.- 85.29%i x 17 Linda WJlamc Off-Assislanl ll 10000% 52,423.03 52423.00 000% 000 000 18.10% 9,488.SG 0.00 81.90% 42.3144 0.00 G.aG 85.29?GI x Ill rm Sophia Aenla 11 01fce Asak1an111 100.00% 52.123,03 52423.00 0.00% 0.00 0.00 16,15% 3466.31 0.00 83.85% 43.956.69 0.00 ODD 85.29% x 19 Lynelb,Yamanaka O1fce Assislanl ll W000% 52,423.00 52423.00 0.00% 0.00 000 16.35%. 8.571.16 0.00 83.65% 47,a51.84 0.00 0.00 8529%I x 20 Vacant IP,blic Health Nurse l-Felallnlanl Mon: 50.00% 88.131.00 44066,00 100,00% 44,066.00 ODD 0.DO% 0.00 0.00 0.00% O.DO 0.00 O.CO 6<7n%, x 21 Nalalic Adolph IS,pemming Public Heahh Nurse(1615) 70.00% 155469.00 to8.B28 00 0.00% 0.00 000 24.61% 27 00023 0.00 61.04% 66428.61 00 tK 0 14.15% 15.399.16 90.9,I x 22 Vacant Public Health Nursel(IG77) 100.00% 88.131.00 88,131.00 0.00% OXI) D00 atm/. - 72055.91 0.00 17.81% 15.696.13 0.00 0.43°ia 378.96 64.70% x 23 Fred To N-Isu I Public Heahh Nurse 11(1677) 100.00% 129,407.OD 129.407.00 0.00% (0.00) 0.00 84.93% 109,905.37 0.00 14,83% 19.191.D6 0.00 024% 310.58 64.70%I x 24 Ga1,ri.1Velazquez Public H-Ith N.se I(1615) IOO.DO% 102.1 D6.OD 102,106.00 0.00% 0.00 0.00 4122% 42.088D9 0DO 2641/ 26.966.19 O.DD 32.37% 33.05171 96.70% x 25 Tammy Hess Pubhc Health Nurse 1(1615) 1CO-00°/ 111,328.00 111.328.00 0.00% 0.00 46.08% 51.299 94 0.00 15.54% 17.300.37 0.00 38 38% 42,727.69 86.70% x 26 Ehwheth Tobiasen Public Hcallh Nurse 1(1615) 100.00% 93,339.00 93.338.00 0.00% 0.00 0,00 40.00% 37735.2a 0.00 2500% 23,334.50 000 ]5.00% 32.658.30 N-70% x 27 Chance Gray Public Heahh Nurse 1(1615) 100.0G% 94.SB2.0G 94,Sa2.00 0.00% 0.00 000 40.00% 37.632.80 Duo 25.0D% 23645.50 0.00 ]S.OGX 37,/07.70 86.70%, x 20 Natalie Adolph Supervising Public Hcahh Nurse(17G6) 30.00%I 155,469.00 46,641.00 10.00% 4.664.10 0.00 7.10% 3.311.51 0.00 72.23%. 33.95979 0,00 10.67% 4.976.59 8529% x 29 Pon Chin Public Hcahh Nurse ll 100.00%1 129407.00 129.407.00 15.CD% 19.411.05 0.00 9.03Y. 11.68545 O.GO 35.03% 45.331.27 0.00 40.94% 52,979.23 85.29% x 30 Lillarase Bangs Supervising Pubic Hcallh Nurse-A1CAH 100,00%1 155469.00 155469.00 10.00% 15546.90 0.00 E25% 9.716.81 0.00 65.60/ 101.987.66 0.00 vaT15./. 28.217.62 85.2951. x 31 Deborah Omolayo Public Hcahh Nurse ll 100,00%1 129.407.00 129,407.00 5.Mi 6,509.31 000 11.40% 14.752.26 0,00 47.16% 61028.34 O.DD 36.411% 47,117-09 95.29% x 32 Erin An Public Heahh Nurse ll 100.00% 116,599.00 116,599.00 0.00% 0.DO 000 16,24X 10.935.68 0.00 50.36% 58,719.26 D.00 33.40X 38,94407 8529% x 33 Vacant Public Heahh Nurse l 100,00% BB,131.00 88,131.00 0.00% (0.00) 0.00 16.007. 14.100.95 0.00 5000% 44,065,50 0.00 34.00% 29.964.54 85.29% x 34 Laloya Woods Public Health Nurse 11(1720) 100.00% 120.638,00 120,636.00 000% (0.00) 0.00 22.10% 26661.00 0.00 5800% 69.970.04 D.00 19.90% 24.006.96 85.295; x 35 86-na Hatker public Heahh Nurse 11(1720) 100.00% 125271.00 125.271.00 0,00% O.DO 0.00 30.07% 37.668.99 O= 34.96% 43,794.74 D.00 3<97.; 43607.27 85.29% x 36 Vacant Public Heallh Nurse 1(1720) 100.00;; 68,131.00 86,131.00 O.00X 0.00 0.00 25.00% 22.032.75 0.00 40.00% 35.25240 0.00 15.DD% 30.845,B5 8529% x 37 Lorriane Hardy Supervising Public Health Nurse 55.00% 155469.00 85508.00 0.00% (0.00) 0.00 1079% 9.226.31 0.00 61,15% 52258.14 0.00 2756°/. 27993.54 92.10%I x 38 Lorriane Hardy Supervising Public Health Nurse(1719) 15.00% 155,469.00 23,320.GO 0.00/ 0.00 10.90X 2541.8E 0.00 44.73% 10.431.04 0.00 4437%. 10,347.05 91 10% jx 39 Rayla hlarcinkevitz blle Hlth Nursell(1719) 100.00°: 11 B,152.00 118,152.00 0.00%. (0.00) 0,00 25.19% 29,76249 0.00 42.57% 50297,31 0.00 3224% 38.092.20 9210%40 Jaynie Ortiz Public Health Nurse II(1719) 100.00% 112.46300 112.483.00 0.00% (000) 0.00 20.34% 22,579.04 0.00 12.79% 48,1314a 0.00 ]6.87/. 41472.48 92.10`/. 41 Malanic Dole IPublie Health Nurse ll 100.00% 129407.00 129.407.00 1E0-0 19.41105 0.00 12.06% 15.60648 0.00 29.65% 35,369.18 0.00 4329% 56.020.29 85.29% x 42 Mai Vang Pubfiie Heahh Nurse ll 0.00% 129407.00 0,00 0.00 000 0.00% 0.00 0.00 0.00% 0.00 0.00 O.CO 0.00°% x 43 Bridgel Balleslcras Public Hcallh Nurse II 100,00% 129.407.00 129,407.00 15,00% 19411.05 000 16.89% 21,856 04 0.00 39.14% 49,355.83 O.DD 29.97% 38.783.28 85.29% x 44 Rachel Nev.- Public Health Nuts,11 100,00% 129,407,00 129,407.00 15.00% 19,411.05 0.00 11.77% 15.23120 0.00 34.77% 44,994.81 o.CG 38.46% 49.769.93 85.29% x 45 Lia Vangyi Pubhe Hcallh Nurse ll 40.00% 129,407.00 51.763,00 000% 0.00 0.00 ]5.30% 18.27234 0.00 64,70% 33490.66 0.00 0.00 64.70% x 46 Linda Hicks Public Health Nurse 11-Fetal Infant Mon. 50,00% 127.37]00 63.687.00 100,00% 63,687.DO DDO 0.00% 00D 0,00 0.00% 0.00 0.00 0.00 64.70% x 47 Jenniler Pino-xi119 Medical Social Worker 111 24.87%1 92,866.00 23,096 00 100.D0% 23 096.GO 000 0.00% 0.00 0,00 0 D0% 0.00 0.00 0.00 G4.70% x 48 Bec Vang Epidemiologist 5.00% 99.944.00 4.997.00 IOODO% 4.997.00 000 0.00% 0GO 0.00 000% 0.00 D,00 0.00 6470% x 49 Quentin Paramo Hcxlth Education Specialist 10.00% 59,284.00 5,928.00 100.001. 5,928.00 n.00 0.00% OGO O.DO 0.00% 0.00 0.00 0.00 64.70%i x 50 Vacant Senior Stall Anarysl 100.00% 87.198.00 87.19B.00 0.00% 0.00 0,00 3530% 30.780.89 O.DO 6470'/. 56117.11 0.00 O.DO 64.7055 x 51 O.OD 0.00 0.00 0.00 O.GO O.DO 0.00 0.00 0.00% 52 I OGD 0.00 0.00 000 0.00 0.00 0.00 0.00 000'.6 53 0.00 O.DG 0.00 0.00 0.00 0.0D O.DO 0.00 0.00% 54 0.00 0 00 0.00 0.00 0.00 0,00 0.03 0.00 0.00% ss o.00 G.GG 0.00 ODO 0.00 0.00 0.00 D.DD D.GG% 202410 MCAH 5 MCAH Budget Template 7.30.24.akx 3 of 5 Printed:7nO12024 11.51 AM 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 and Social Determinants of Health o The Social-Ecological Model All Title V programs must comply with the MCAH Fiscal Policy and Procedures Manual and the Local MCAH Program Policies and Procedures Manual. Certification by Name: Ge Vue MCAH Director: Title: MCAH Director/Division Manager Date: 6/28/2024 l certify that l have reviewed and approved this Scope of Work. Note: The Title V Maternal and Child Health Block Grant provides core funding to California to improve 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 02/15/2024 Section A: General requirements and activities for all LHJs Aligns With General Required Local Activities Time Deliverable Description Requirement(s) Frame CDPH/MCAH Local MCAH Al Annually, The Annual Report will report on progress Requirement Annual Report Complete and submit an Annual Report each fiscal year to each fiscal of program activities and the extent to report on Scope of Work activities. year which the LHJ met the SOW goals and deliverables and how funds were expended. Title V Toll-Free Line A2 Annually, Include on Local MCAH budget during the Requirement Provide a toll-free telephone number or"no cost to the each fiscal AFA cycle. calling party" number (and other appropriate methods) year which provides a current list of culturally and linguistically Report in Annual Report: appropriate information and referrals to community health • List toll-free telephone number and human resources for the public regarding access to prenatal care. Title V MCAH Website A3 Annually, Report in the Annual Report: Requirement Share link, if available,to the appropriate Local MCAH Title each fiscal • List the URL for the Local MCAH V Program website. year Title V program website Title V/ Workforce A4 Annually, Report attendance in Annual Report: CDPH/MCAH Development and Attend required trainings/meetings as outlined in the MCAH each fiscal • MCAH Directors' meeting(s) Requirement Training Program Policies and Procedures. year • SIDS Coordinators' meeting CDPH/MCAH MCAH Director AS Ongoing The LHJ must submit a Local MCAH Director Requirement Maintain required MCAH Director position and recruit and Verification form annually during the AFA retain qualified Title V program staff by as outlined in the process and resubmit with any changes. MCAH Policies and Procedures. CDPH/MCAH Community A6 By end of Report in Annual Report: Requirement Resource and Develop a comprehensive MCAH resource and referral 2025 • Submit/upload a copy or link to the Referral Guide guide of available health, mental health, emergency existing resource and referral guide resources, and social services. CDPH/MCAH Protocols A7 Annually, Report on protocols in the Annual Report. Requirement Develop and adopt protocols to ensure that MCAH clients each fiscal are enrolled in health insurance, are linked to a provider and year access preventive visits. 2 02/15/2024 Title V Conduct Local A8 Once in Complete Local Needs Assessment Requirement Needs Assessment Conduct a Local Needs Assessment to acquire an accurate, five-year deliverable documents provided by thorough picture of the strengths and weaknesses of the cycle CDPH/MCAH. local public health system. 3 02/15/2024 Section B: Domain specific requirements and activities CDPH/MCAH Infant— B1 Annually, Report on SIDS/SUID Requirement Sudden Infant Death Required for Infant Domain -all LHJs each fiscal services and supports in Syndrome/Sudden Unexpected Provide SIDS/SUID grief and bereavement services and supports year the Annual Report. Infant Death (SIDS/SUID) through home visits and/or mail resource packets to families suffering an infant loss. CDPH/MCAH Infant— B1.a. Annually, Requirement Sudden Infant Death Submit Public Health Services Report Form of a sudden, each fiscal Syndrome/Sudden Unexpected unexpected infant death to the CDPH/MCAH. year Infant Death (SIDS/SUID) CDPH/MCAH Infant— B2 Annually, Report on safe sleep Requirement Safe Sleep Required for Infant Domain -all LHJs each fiscal activities in the Annual Promote the latest AAP Safe Sleep guidance and implement year Report. Infant Safe Sleep Interventions to reduce the number of SUID related deaths. CDPH/MCAH Child Health - Developmental B3 Annually, Report on developmental Requirement Screening Required for Child Domain-all LHJs each fiscal screening activities in the Partner with CDPH/MCAH to identify, review and monitor local year Annual Report. developmental screening rates. CDPH/MCAH Child Health— Family Economic B4 Annually, Report on family Requirement Supports Required for Child Domain-all LHJs each fiscal economic support Link and refer families in MCAH programs to safety net and year activities in the Annual public health care programs such as Family Planning,Access, Report. Care, and Treatment (PACT), Medi-Cal, and Denti-Cal. CDPH/MCAH Children and Youth with B5 Annually, Report on screening and Requirement Special Health Care needs Required for CYSHCN Domain -all LHJs each fiscal referral activities in the (CYSHCN) Link and refer children in families served by Local MCAH year Annual Report. programs to services if results of a developmental or trauma screening indicates that the child needs follow-up. CDPH/MCAH Children and Youth with B6 Annually, Report on outreach Requirement Special Health Care needs Required for CYSHCN Domain -all LHJs each fiscal activities in the Annual (CYSHCN) Outreach to and connect with your local or regional family year Report. resource center to understand needs of CYSHCN and their families and the resources available to them. Get Connected - Family Resource Centers Network of California (frcnca.org 4 02/15/2024 CDPH/MCAH Infant— B7 Annually, Report on activities in the Requirement Infant Mortality Reviews Required for funded LHJs only each fiscal Annual Report. LHJs funded for infant mortality reviews will implement year activities in accordance with Local MCAH Program Policies and Procedures. CDPH/MCAH Black Infant Health (BIH) B8 Annually, Report on BIH activities in Requirement Program Required for BIH funded LHJs only each fiscal the Annual Report. LHJs funded for BIH will implement the BIH Program in year accordance with BIH Policies and Procedures. CDPH/MCAH Adolescent Family Life Program B9 Annually, Report on AFLP activities Requirement (AFLP) Required for AFLP funded LHJs only each fiscal in the Annual Report. LHJs funded for AFLP will implement the AFLP Program in year accordance with AFLP Policies and Procedures. 5 02/15/2024 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 Do 1 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. NPM 1: Well-woman visit(Percent of women with a preventive medical visit in the Performance Measures past year). ESM 1.1: Percent of local health jurisdictions that have adopted a protocol to ensure (National/State Performance Measures and Evidence-Based Strategy that all persons in MCAH Programs are referred for enrollment in health insurance Measure) and complete a preventive visit. Women/Maternal State Objective 1: By 2025, reduce the rate of pregnancy-related deaths (up to 1 year after the end of pregnancy) from 18.6 deaths per 100,000 live births (2020 CA- PMSS) to 12.2 deaths per 100,000 live births. Women/Maternal State Objective 1:Strategy 1: Women/Maternal State Objective 1: Strategy 2: Lead surveillance and investigations of pregnancy-related deaths(up to Partner to translate findings from pregnancy-related mortality investigations into 1 year after the end of 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 w 1.2.1 ❑Partner with CDPH/MCAH on dissemination of data findings, ❑ Partner with CDPH/MCAH on dissemination and translation of recommendations guidance, and education to the general public and local partners, to improve maternal health and perinatal clinical practices, including quality including perinatal obstetric providers. improvement toolkits to reduce disparities. What is your anticipated outcome? What is your anticipated outcome? 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? 6 02/15/2024 If you have additional local activities, please add a row. 7 02/15/2024 • D• 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. NPM 1:Well-woman visit (Percent of women with a preventive medical visit in the past year). Performance Measures ESM:The number of Local Health Jurisdictions (LHJs)that report developing or (National/State Performance Measures and Evidence-Based Strategy adopting a protocol to link clients (women 22-44)to a provider to access a Measure) preventive visit. (Objective 4) Women/Maternal State Objective 2: By 2025, reduce the rate of severe maternal morbidity from 110.5 per 10,000 delivery hospitalizations (2021 PDD) to 88.8 per 10,000 delivery hospitalizations. Women/Maternal State Objective 2: Women/Maternal State Objective 2: Strategy 2: Women/Maternal State Objective 2: Strategy Strategy 1: Lead statewide regionalization of maternal care to ensure women 3: Lead surveillance and research related receive appropriate care for childbirth. Partner to strengthen knowledge and skill to maternal morbidity in California. among health care providers and individuals on chronic conditions exacerbated during pregnancy. Local Activities for Women/Maternal Local Activities for Women/Maternal Objective 2: Strategy 2 Local Activities for Women/Maternal Objective Objective 2: Strategy 1 2: Strategy 3 8 02/15/2024 w 2.1.1 w 2.2.1 w 2.3.1 El Partner with CDPH/MCAH on ©Partner with local Regional Perinatal Programs of California ❑Partner with CDPH/MCAH to pilot test dissemination of data findings, (RPPC) Director to understand efforts to establish Perinatal Levels educational materials addressing chronic health guidance, and education to the of Care and quality improvement efforts. conditions during pregnancy and disseminate to general public and local partners. consumers and providers. Activities: • Attend and participate in the Central Valley Regional What is your anticipated outcome? Perinatal Programs of California (RPPC) Leadership What is your anticipated outcome? Meetings and corresponding workgroups. • Partner with Central Valley RPPC in planning and participation in the Central Valley Perinatal Symposium. • Engage in collaborative quality improvement efforts with Central Valley RPPC to address such issues as Preeclampsia and Gestational Diabetes. • Engage Central Valley RPPC leaders in efforts to eliminate disparities in infant and maternal morbidity and mortality through there participation in the Fetal and Infant Mortality Case Review Team/Community Action Team. What is your anticipated outcome? • Increased community awareness,targeted quality improvement actions, and access to the appropriate Perinatal levels of Care to ultimately reduce adverse maternal,fetal, and infant outcomes. 9 02/15/2024 w 2.1.2 w 2.2.2 w 2.3.2 ❑Other local activity (Please ❑ Perinatal Service Coordinator(PSC)will collaborate with Women ❑ For Black Infant Health (BIH) funded sites Specify/Optional): Infant Children (WIC), RPPC, CDPH/MCAH, Medi-Cal, and other key only, disseminate culturally responsive materials partners to ensure integration of resources and a coordinated to inform Black women on chronic health delivery system for women during and after pregnancy. conditions. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? w 2.1.3 w 2.2.3 w 2.3.3 ❑Other local activity (Please ❑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? If you have additional local activities, please add a row. 10 02/15/2024 Woman/MaternalDomain 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. NPM 1:Well-woman visit(Percent of women with a preventive medical visit in the past year). Performance Measures ESM:The number of Local Health Jurisdictions(LHJs)that report developing or (National/State Performance Measures and Evidence-Based Strategy Measure) adopting a protocol to link clients (women 22-44)to a provider to access a preventive visit. (Objective 4) 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 54.2% (2021 MIHA) to 56.9%. 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 to Partner to strengthen knowledge and skill among Partner to ensure pregnant and parenting women disseminate information and resources to reduce health care providers, individuals, and families to are screened and referred to mental health mental health conditions in the perinatal period. identify signs of maternal mental health-related services during the perinatal period. needs. Local Activities for Women/Maternal Objective 3: Local Activities for Women/Maternal Objective 3: Local Activities for Women/Maternal Objective 3: Strategy 1 Strategy 2 Strategy 3 w 3.1.1 w 3.2.1 w 3.3.1 lPartner with local programs responsible for the ❑ Perinatal Service Coordinators (PSCs)will ensure ❑Implement and utilize standardized and provision of mental health services and early providers, local health plans, and other partners in validated mental health screening tools for intervention programs to promote mental health their communities are aware of mental health pregnant and parenting women in MCAH services in the perinatal period. requirements at roundtable discussions or through programs. other communications. What is your anticipated outcome? What is your anticipated outcome? Provide health education materials and resources What is your anticipated outcome? during the perinatal period for better birth outcomes. w 3.1.2 w 3.2.2 w 3.3.2 ❑Lead the development of a county maternal mental health algorithm that outlines a referral 11 02/15/2024 El Partner with local mental health service El Partner with local Mental Health Services Act system and the services available to address providers to improve referral and linkages to (MHSA)/Prop. 63 funded programs to increase maternal mental health and identify systems gaps. mental health services. available services to women during perinatal period. 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): El Partner with CDPH/MCAH to disseminate mental ❑Other local activity (Please Specify/Optional): health 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? 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 02/15/2024 Woman/MaternalDomain 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 protoc( Measure) provider to access a preventive visit. (Objective 4) Women/Maternal State Objective 4: By 2025, increase the percent of women who had an optimal interpregnancy interval of at least 18 months from 73.1% (2021 CCME Women/Maternal State Objective 4: Strategy 1: Women/Maternal State Objective 4: Strategy 2: Women/Maternal State Objective 4: Strategy 3: Women Partner to increase provider and individual Lead a population-based assessment of mothers Lead efforts to improve local perinatal health Fund the knowledge and skill to improve health and health in California,the Maternal and Infant Health systems utilizing morbidity and mortality data and administer care before and between pregnancies. Assessment Survey (MINA),to provide data to implement evidence-based interventions to Services (A guide programs and services. improve the health of pregnant individuals and home vis their infants. Indian Local Activities for Women/Maternal Objective Local Activities for Women/Maternal Objective Local Activities for Women/Maternal Objective 4: 4:Strategy 1 4:Strategy 2 Strategy 3 w 4.1.1 w 4.3.1 ❑Partner with CDPH/MCAH to disseminate and El Partner with Perinatal Service Coordinators promote best practices and resources from key (PSCs)to identify barriers in access to care in preconception initiatives. medically underserved areas and collaborate with local health plans to reduce barriers. What is your anticipated outcome? What is your anticipated outcome? w 4.1.2 w 4.2.2 w 4.3.2 ❑ Outreach coordination to underserved ❑Coordinate with CDPH/MCAH to identify El Partner with CDPH/MCAH to disseminate populations and provide information and uninsured populations and conduct outreach and MIHA data findings and guidance to the public education on topics to improve health outcomes awareness of health insurance options. and local partners. for parents, infants, and their families (e.g., social media, resource fairs). What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? 13 02/15/2024 w 4.1.3 w 4.2.3 w 4.3.3 El Partner with CDPH/MCAH to promote ❑Other local activity (Please Specify/Optional): ❑ Monitor the health status of the MCAH preconception/inter-conception health programs. population including disparities and social determinants of health and work with local leadership to address identified issues. 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. 14 02/15/2024 Woman/MaternalDomain 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 ESM:The number of Local Health Jurisdictions (LHJs)that report developing or adopting a protocol to link Evidence-Based Strategy Measure) clients (women 22-44)to a provider to access a preventive visit. (Objective 4) Women/Maternal State Objective 5: By 2025, reduce the rate of maternal substance use from 20.8 per 1,000 delivery hospitalizations (2021 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 Partner at the state and local level to increase prevention and treatment of maternal opioid and other substance use in California. substance use. Local Activities for Women/Maternal Objective 5: Local Activities for Women/Maternal Objective 5:Strategy 2 Strategy 1 w 5.1.1 w 5.2.1 ❑Coordinate with CDPH/MCAH to disseminate X❑Identify county specific resources on treatment and best practices to address substance use and data findings, guidance, and education to the collaborate to improve referral and linkages to services. general public and local partners. Dr. Linscheid has connections with the CA Bridge Navigator Program.Two Substance Abuse 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. What is your anticipated outcome? 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. 15 02/15/2024 w 5.1.2 w 5.2.2 ❑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. 16 02/15/2024 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 Dom erinatal/infant Health Domain 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 ESM 4.1: Number of online views/hits to the "Lactation Support for Low-Wage Workers". Evidence-Based Strategy Measure) SPM 1: Preterm birth rate among infants born to non-Hispanic Black women. Perinatal/Infant State Objective 1: By 2025, increase the percent of women who report exclusive in-hospital breastfeeding from 69.2% (2021 GDSP) to 72.5%. Perinatal/Infant State Perinatal/Infant State Objective 1: Perinatal/Infant State Objective 1:Strategy Perinatal/Infant State Objective 1: Objective 1:Strategy 1: Strategy 2: 3: Strategy 4: Lead surveillance of Lead technical assistance and training to Partner to develop and disseminate Partner with birthing hospitals to breastfeeding practices and support breastfeeding initiation, information and resources about policies and support caregiver/infant bonding. assessment of initiation and including the implementation of the best practices to promote breastfeeding duration trends. Model Hospital Policy or Baby Friendly in duration, including lactation accommodation all California birthing hospitals by 2025. within all MCAH programs. Local Activities for Local Activities for Perinatal/Infant Local Activities for Perinatal/Infant Local Activities for Perinatal/Infant Perinatal/Infant Objective Objective 1:Strategy 2 Objective 1:Strategy 3 Objective 1:Strategy 4 1: Strategy 1 p 1.1.1 p 1.2.1 p 1.3.1 p 1.4.1 ❑Monitor and track ❑Promote breastfeeding education to ❑X Partner to develop and disseminate ❑Partner with Regional Perinatal breastfeeding initiation and prenatal women in local MCAH information and resources about policies and Program of California (RPPC) duration rates and programs. best practices to promote extending Directors to work with local birthing disseminate data to breastfeeding duration, including lactation hospitals on messaging related to community and local accommodation within local MCAH infant bonding with an emphasis on partners. What is your anticipated outcome? programs. a client-centered approach. Activities: What is your anticipated • Partner and participate in Fresno What is your anticipated outcome? outcome? County Breastfeeding Collaborative. 17 02/15/2024 • Plan and participate in the Annual Breastfeeding Conference. • Plan and attend annual Breastfeeding Walk. • Link and send appropriate home visiting staff through Certified Lactation Counselor Training. • Partner with WIC Regional Breastfeeding Liaison to develop and disseminate educational materials on breastfeeding and lactation accommodations. • Distribute information and resources through home visiting programs, at outreach events, and community- based organizations. What is your anticipated outcome? • Increased provider and public awareness and understanding on the benefits of breastfeeding and lactation accommodations. • Greater reach and engagement of the target population, including expectant mothers,families, and communities, through multiple channels of communication and in- person interactions. 18 02/15/2024 p 1.1.2 p 1.2.2 p 1.3.2 p 1.4.2 ❑Other local activity El Partner to disseminate information to ❑Other local activity (Please ❑Partner with community leaders (Please Specify/Optional): the community regarding evidence- Specify/Optional): to promote infant bonding, skin to based breastfeeding initiation guidance. skin training and outreach activities to dads, partners, and caretakers. What is your anticipated outcome? What is your anticipated What is your anticipated outcome? 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 ❑Partner with Regional Perinatal ❑Other local activity (Please ❑Other local activity (Please (Please Specify/Optional): Programs of California (RPPC) Directors Specify/Optional): Specify/Optional): to track and assess implementation and technical assistance needs of birthing hospitals related to the implementation What is your anticipated outcome? What is your anticipated of Model Hospital Policy or Baby What is your anticipated outcome? outcome? Friendly. What is your anticipated outcome? p 1.1.4 p 1.2.4 p 1.3.4 p 1.4.4 ❑Other local activity ❑Other local activity (Please ❑Other local activity (Please ❑Other local activity (Please (Please Specify/Optional): Specify/Optional): Specify/Optional): Specify/Optional): What is your anticipated outcome? What is your anticipated What is your anticipated outcome? What is your anticipated outcome? outcome? 19 02/15/2024 If you have additional local activities, please add a row. 20 02/15/2024 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. 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 ESM 4.1: Number of online views to the "Lactation Support for Low-Wage Measure) Workers Report" SPM 1: Preterm birth rate among infants born to non-Hispanic Black women. Perinatal/Infant State Objective 2: By 2025, reduce the rate of infant deaths from 4.1 per 1,000 live births (2021 BSMF/DSMF) to 4.0. *Note:Even though the objective has been surpassed, California has chosen to keep the target at the some level(4.0)for now because this might have been a statistical fluctuation and we want to ascertain if it is an actual stable trend. Perinatal/Infant State Objective 2: Strategy 1: Perinatal/Infant State Objective 2: Perinatal/Infant State Objective 2:Strategy 3: Lead research and surveillance related to fetal and Strategy 2: Lead the California SIDS Program to provide grief and infant mortality in California. Lead planning and development of bereavement support to parents, technical assistance, evidence-based practices and resources, and training on infant safe sleep to reduce infant lesson learned for reducing infant mortality. mortality rates. Local Activities for Perinatal/Infant Objective 2: No Local Activities Local Activities for Perinatal/Infant Objective 2: Strategy 3 Strategy 1 p 2.1.1 p 2.2.1 p 2.3.1 X❑ Monitor and track fetal and infant mortality utilizing ❑Other local activity(Please ❑X Promote and disseminate information and resources related the National Fatality Review-Case Reporting System (NFR- Specify/Optional): to SIDS/SUID risk factors and reduction strategies. CRS) and disseminate data to community and local partners. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated New staff will receive training on safe sleep to increase Shared with community partners and stakeholders such outcome? understanding of SIDS and other sleep related infant deaths. as Babies First (Healthy Start) Community Advisory Staff will use teaching materials to promote safe sleep and Network, County Medical Providers, CPSP Providers, share resources to promote safer sleep in the community. PEI/BIH Community Advisory Board, sub-contracted MCAH providers. New MCAH home visiting staff will receive training on Cribette distribution and distribute cribettes to clients as needed. Provide MCAH home visitors Safe Sleep flipbooks with updated 2022 21 02/15/2024 AAP Guidelines. 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. 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 Provide updated Safe Sleep flipbooks to CBO's who teach Safe Sleep. p 2.1.3 p 2.3.3 ❑Other local activity (Please Specify/Optional): ❑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) What is your anticipated outcome? risk reduction information to parents or guardians of newborns upon discharge. What is your anticipated outcome? p 2.1.4 p 2.3.4 ❑Other local activity (Please Specify/Optional): ❑X Partner with local childcare licensing, birthing facilities, clinics, Women Infant Children (WIC) sites, and medical providers to provide SIDS/SUID and Safe Sleep education. What is your anticipated outcome? 22 02/15/2024 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. Continued collaboration with SIDS Coordinators throughout the valley to promote safe sleep. p 2.1.5 p 2.3.5 ❑Other local activity (Please Specify/Optional): X❑ Provide SIDS/SUID grief and bereavement services and supports through home visits and/or mail resource packets to families suffering an infant loss. What is your anticipated outcome? What is your anticipated outcome? Families will report feeling supported and having a better understanding of their grief. Conduct annual reviews of grief materials, adding new resources as needed. p 2.3.6 X Other local activity(Please Specify/Optional): Improve Grief and Loss support for families who have experienced an infant loss by: • Participate in trainings on Grief/Loss and support for families. • Attend CA SIDS council meetings and trainings, Northern Regional CA SIDS meetings and National SIDS meetings. 23 02/15/2024 • 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 02/15/2024 DomainPerinatal/infant Health Perinatal/Infant Priority Need: Reduce infant mortality with a focus on eliminating disparities. Perinatal/Infant Focus Area 4:Reduce preterm births. 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 ESM 4.1: Number of online views to the "Lactation Support for Low-Wage Workers Strategy Measure) Report" SPM 1: Preterm birth rate among infants born to non-Hispanic Black women. Perinatal/Infant State Objective 3: By 2025, reduce the percentage of preterm births from 9.1% (2021 BSMF)to 8.4%. Perinatal/Infant State Perinatal/Infant State Objective 3: Perinatal/Infant State Objective 3: Perinatal/Infant State Objective 3: Objective 3:Strategy 1: Strategy 2: Strategy 3: Strategy 4: Lead research and Lead the implementation of the Lead the implementation of the Lead the development and dissemination of surveillance on disparities in Black Infant Health (BIH) Program state general fund effort, Perinatal preterm birth reduction strategies across California. preterm birth rates in to reduce the impact of stress due Equity Initiative (PEI), to support California. to structural racism to improve local initiatives to support birthing Black birth outcomes. populations of color. Local Activities for Local Activities for Perinatal/Infant Local Activities for Perinatal/Infant Local Activities for Perinatal/Infant Objective 3: Perinatal/Infant Objective Objective 3:Strategy 2 Objective 3:Strategy 3 Strategy 4 3:Strategy 1 p 3.1.1 p 3.2.1 p 3.3.1 p 3.4.1 El Monitor and track local ❑Other local activity (Please ❑Other local activity(Please El Partner with local birthing hospitals, and preterm birth rates and Specify/Optional): Specify/Optional): community stakeholders to disseminate social disseminate data to media campaigns about preterm birth reduction community and local strategies. partners. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? 25 02/15/2024 p 3.1.2 p 3.2.2 p 3.3.2 p 3.4.2 ❑Other local activity ❑Other local activity (Please ❑Other local activity(Please ODevelop and disseminate preterm birth reduction (Please Specify/Optional): Specify/Optional): Specify/Optional): materials and resources to the community and agencies providing services to moms and babies. Anticipated Activities: What is your anticipated What is your anticipated What is your anticipated outcome? • Collaborate with local media outlets, such outcome? outcome? as newspapers, radio stations, and television channels,to feature stories or public service announcements related to preterm birth reduction. • Organize/Participate in community outreach events such as health fairs, workshops and presentations to disseminate preterm birth reduction materials and engage directly with the target population. What is your anticipated outcome? • Increased public awareness and understanding of preterm birth, its risk factors, and prevention strategies through the dissemination of information via local media outlets and community outreach events. • Greater reach and engagement of the target population, including expectant mothers, families, and communities,through multiple channels of communication and in-person interactions. 26 02/15/2024 p 3.1.3 p 3.2.3 p 3.3.3 p 3.4.3 ❑Other local activity ❑Other local activity (Please ❑Other local activity(Please El Other local activity(Please Specify/Optional): (Please Specify/Optional): Specify/Optional): Specify/Optional): What is your anticipated outcome? What is your anticipated What is your anticipated What is your anticipated outcome? outcome? outcome? If you have additional local activities, please add a row. 27 02/15/2024 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 NPM 6: Percentage of children, ages 9 through 35 months, who received a developmental screening using a Evidence-Based Strategy Measure) parent-completed screening 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 25.2% (NSCH 2O22) to 32.4%. *Please note:We are waiting for the incoming NSCH oversample before updating this target. Child State Objective 1: Child State Objective 1:Strategy 2: Child State Objective 1:Strategy 3: Child State Objective 1:Strategy 4: Strategy 1: Partner to improve early childhood Partner to educate and build capacity among Support implementation of Partner to build data systems to support early providers and families to understand Department of Health Care capacity for public health developmental health and family well- developmental milestones and implement best Services (DHCS) policies regarding surveillance and program being. practices in developmental screening and child health and well-being, monitoring and evaluation monitoring within MCAH programs. including developmental screening. related to developmental screening in California. No Local Activities Local Activities for Child Objective 1: Local Activities for Child Objective 1:Strategy 3 Local Activities for Child Objective Strategy 2 1:Strategy 4 ch1.2.1 ch1.3.1 ch1.4.1 ❑ Partner with local stakeholders and Z Partner with early childhood and family- El Build capacity by partnering with partners, such as the local First 5 serving programs (including CHVP, AFLP, BIH) to local Medi-Cal managed care program, Help Me Grow system (if assess current policies and practices on health plans to educate and share available in your jurisdiction), or Home developmental screening and monitoring information with providers about Visiting Community Advisory Board to developmental milestones and determine Medi-Cal developmental screening identify key local resources for whether additional monitoring or screening reimbursement and quality developmental screening/linkage. should be incorporated into the programs. measures. Activities: 28 02/15/2024 • Partner with home visiting community- What is your anticipated What is your anticipated outcome? based organizations (CBO) and outcome? Department of Public Health (DPH) Partners serving families and assess current policies and practices on developmental screening and monitoring developmental milestones to be incorporated into programs. • Provide training and education to CBO, DPHN partners and providers in the community. • Initiate implementation plan to increase the percentage of children who receive developmental screenings and referred to appropriate services. What is your anticipated outcome? • Assessment report on current developmental screenings policies and practices. • Tracking of training and education provided on developmental screenings. • Increased partner and public awareness on the importance of developmental screenings. • Enhanced skills in assessing for developmental delays, early intervention, and referring appropriately amongst all home visiting programs. ch 1.2.2 ch 1.3.2 ch 1.4.2 29 02/15/2024 ❑Lead the development of a ❑Partner with providers to educate families in ❑Track County Medi-Cal managed community resource map that links MCAH programs about specific milestones and care health plan developmental referrals to services. developmental screening needs. screening data. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? ch 1.2.3 ch 1.3.3 ch 1.4.3 ❑ Implement a social media campaign ❑Partner with Help Me Grow (HMG) and other El Other local activity(Please or other outreach to educate families key partners to educate providers and families Specify/Optional): on the importance of well-child and about developmental screening other preventive health visits. recommendations and tools. What is your anticipated What is your anticipated outcome? outcome? What is your anticipated outcome? ch 1.2.4 ch 1.3.4 ch 1.4.4 ❑Other local activity (Please El Partner with Women Infant Children (WIC)to El Other local activity(Please Specify/Optional): disseminate developmental milestone Specify/Optional): 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 30 02/15/2024 ❑Other local activity (Please ❑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? If you have additional local activities, please add a row. 31 02/15/2024 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 (National/State Performance Measures parent-completed screening tool in the past year. and Evidence-Based Strategy Measure) 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 2: By 2025, increase the percentage of children (ages 0 - 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 85.1% (NSCH 2O22) 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 Partner to build capacity and expand programs and Support the California Office of the Surgeon General and and other stakeholders to build data practices to build family resiliency by optimizing the DHCS' ACES Aware initiative to build capacity among capacity to track and understand parent-child relationship, enhancing parenting skills, communities, providers, and families to understand the experiences of adversity and resilience and addressing child poverty through increasing impact of childhood adversity and the importance of among children and families. access to safety net programs within MCAH-funded trauma-informed care. programs. Local Activities for Child Objective 2: Local Activities for Child Objective 2:Strategy 2 Local Activities for Child Objective 2: Strategy 3 Strategy 1 ch 2.1.1 ch 2.2.1 ch 2.3.1 ❑X Participate and promote within local county agencies ❑Identify and examine local county data ❑ Assess current MCAH program practices to the Surgeon General's ACES trainings. sources for childhood adversity, childhood promote healthy, safe, stable, and nurturing parent- poverty, and social determinants of health child relationships within MCAH programs. Trainers will train home visiting staff. affecting child health and family resilience. Train new staff when onboarding to PHN 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? Activities: • Organize a trauma-Informed Care Training for parents and caregivers that utilizes a comprehensive training curriculum that covers the basics of Adverse Childhood Experiences (ACES), the science of the mind, and the importance of trauma-informed care. • Provide parents and caregivers educational materials with practical tips and strategies to boost 32 02/15/2024 their child's growing brain, recognize signs of stress, and address their child's emotional needs. • Conduct pre-and post-training surveys to assess parents and caregivers knowledge, skills, and confidence in applying trauma-informed care principles and use result on survey to improve future curriculums What is your anticipated outcome? • Increased awareness and understanding among parents and caregivers about the impact of Adverse Childhood Experience and the importance of trauma-informed care. • Enhanced knowledge and skills among parents and caregivers to create supportive and loving home environments that promote children's emotional well-being and resilience. • Greater confidence among parents and caregivers in recognizing signs of stress in their children and addressing their emotional needs using trauma- informed approaches. FCDPH MCAH program staff and Home Visitors will increase their knowledge of ACES and impacts on families being served by MCAH programs. Recertify home visiting staff to ACES. ch2.1.2 ch2.2.2 ch2.3.2 ❑ Identify opportunities to expand data ❑ Research and share information on statewide ❑ Share information to support the Surgeon General and collection on key child adversity and family initiatives that address social determinants of health DHCS' efforts on trauma screening and training for health resilience measures. and strengthen economic supports for families. care providers. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? 33 02/15/2024 ch2.1.3 ch2.2.3 ch2.3.3 ❑Other local activity (Please ❑Incorporate policies and practices to strengthen ❑ Identify resources and training opportunities locally on Specify/Optional): economic supports, including improving access to ACEs and trauma-informed care for local programs. safety net programs,for families within MCAH programs. 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. 34 02/15/2024 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. NPM 6: Percentage of children, ages 9 through 35 months, who received a developmental screening using a Performance Measures parent-completed screening tool in the past year. (National/State Performance Measures and ESM 6.1: Percent of children enrolled in CHVP with at least one developmental screen using a validated Evidence-Based Strategy Measure) instrument within AAP-defined age 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 1-17 years)who had a preventive dental visit in the past year from 81.1%(NSCH 2O22)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. 35 02/15/2024 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. NPM 6: Percentage of children, ages 9 through 35 months,who received a developmental screening Performance Measures using a parent-completed screening tool in the past year. (National/State Performance Measures and Evidence- ESM 6.1: Percent of children enrolled in CHVP with at least one developmental screen using a Based Strategy Measure) validated instrument within AAP-defined age range (10 months, 18 months, or 24 months'time points) during the reporting period. Child State Objective 4: By 2025, decrease the percentage of fifth grade students who are overweight or obese from 41.3% (2019)to 39.3%. Child State Objective 4:Strategy 1: Child State Obiective 4:Strategy 2: Partner to enable the reporting of data on childhood Partner with WIC and others to provide technical assistance to local MCAH programs to support overweight and obesity in California. 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 ❑ Contingent upon CDPH/MCAH procuring sub-State- ❑ Partner with local WIC, local Center for Healthy Communities Programs and Initiatives, local level data on child overweight and obesity, utilize Education initiatives, and local CDPH/MCAH programs and initiatives, stakeholders, and partners to guidance to inform local-level prevention initiatives. identify resources and best practices and tools on healthy eating and 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): El 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? 36 02/15/2024 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 MyPlates 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. 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. 37 02/15/2024 NPM 17: Medical home. Performance Measures ESM 17.1: Percent of children enrolled in home visiting who received the last (National/State Performance Measures and Evidence-Based Strategy Measure) recommended visit based on the American Academy of Pediatrics (AAP) schedule. Child State Objective 5: By 2025, increase the percentage of children (ages 1 — 17 years) who had a preventive medical visit in the past year from 70.0% (NSCH 2O22) to TBD% Child State Obiective 5:Strategy 1: Child State Objective 5:Strategy 2: Support local MCAH programs in ensuring children and their families have Partner to build data capacity and program monitoring and evaluation to access to preventive and primary medical care. evaluate availability and access of regular, routine medical care for children and families in California. Local Activities for Child Objective 4: Strategy 1 Local Activities for Child Objective 4:Strategy 2 ch 5.1.1 No Local Activities ❑ 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. What is your anticipated outcome? ch 5.1.2 ❑Other local activity (Please Specify/Optional): What is your anticipated outcome? 38 02/15/2024 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 Children • Youth with Special - • Domain 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 Performance Measures needs who receive services necessary to make transitions to adult health care. (National/State Performance Measures and Evidence-Based Strategy Measure) ESM 12.1: Number 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 (44)that chose to implement a Scope of Work objective focused on CYSHCN public health systems and services. 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 Lead program outreach and assessment within State Partner to build data capacity to improve and expand public health systems and services MCAH to ensure best practices for serving CYSHCN are understand needs and health disparities in for CYSHCN. integrated into all MCAH programs. the CYSHCN population. 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 CYSHCN ❑ Create or update a resource guide or diagram to and their families,which could include strengths, help families, providers, and organizations understand opportunities, needs, gaps, and resources available in the landscape of available local resources for CYSHCN. your county or region. What is your anticipated outcome? What is your anticipated outcome? cy 1.1.2 cy 1.2.2 ❑Other local activity (Please Specify/Optional): 39 02/15/2024 ❑Improve coordination of emergency preparedness and What is your anticipated outcome? disaster relief support for CYSHCN and their families. Increased number of children in MCAH FCDPH What is your anticipated outcome? children's home visitation programs who are enrolled in CCS will receive a joint consultation with CCS staff and MCAH PHN case manager. cy 1.1.3 cy 1.2.3 ❑Conduct a local data/evaluation project focused on ❑Other local activity (Please Specify/Optional): CYSHCN. 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 ❑Other local activity (Please Specify/Optional): needs of CYSHCN in your county or region. What is your anticipated outcome? What is your anticipated outcome? cy 1.1.5 cy 1.2.5 X❑Partner with your county CCS program to improve ❑Other local activity (Please Specify/Optional): connections and referrals between CCS and Local MCAH. Activities: What is your anticipated outcome? 40 02/15/2024 • Collaboration between Fresno County MCAH and CCS on mutual clients including data sharing, plan of care, and case management. • Increase staff resources dedicated to partnership and referral process. What is your anticipated outcome? • Improved quality of data and, case management services, and care coordination between local MCAH and CCS. • Improved navigation and access to systems of care for CYSHCN and their families. If you have additional local activities, please add a row. 41 02/15/2024 Children • 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 (National/State Performance Measures and Evidence-Based services necessary to make transitions to adult health care Strategy Measure) ESM 12.1: Number 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 — 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: Partner on identifying and incorporating best practices to ensure Fund DHCS/ISCD to assist CCS counties in providing Strategy 3: that CYSHCN and their families receive support for a successful necessary care coordination and case management to Fund DHCS/ISCD to increase transition to adult health care. CCS clients to facilitate timely and effective access to timely access to qualified care and appropriate community resources. providers for CCS clients to facilitate coordinated care. 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? 42 02/15/2024 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. 43 02/15/2024 Children • Youth with Special - • 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. Performance Measures NPM 12: Percent of adolescents with and without special health care needs who receive services necessary to make transitions to adult health care. (National/State Performance Measures and Evidence-Based Strategy ESM 12.1: Number of Local MCAH programs that implement a Scope of Work objective Measure) focused on CYSHCN public health systems. CYSHCN State Objective 3: By 2025, maintain the number of local MCAH programs (17) that chose to implement a Scope of Work objective focused on family engagement, social/community inclusion, and/or family strengthening for CYSHCN. CYSHCN State Objective 3:Strategy 1: CYSHCN State Objective 3:Strategy 2: CYSHCN State Objective 3:Strategy 3: Partner to train and engage CYSHCN and Fund DHCS/ISCD to support continued Support statewide and local efforts to increase resilience among families to improve CYSHCN-serving systems family engagement in CCS program CYSHCN and their families. through input and involvement in state and improvement, including the Whole Child local MCAH program design, implementation, Model,to assist families of CYSHCN in and evaluation. navigating services. Local Activities for CYSHCN Objective 3: No Local Activities Local Activities for CYSHCN Objective 3:Strategy 3 Strategy 1 cy 3.1.1 cy 3.3.1 ❑ Collaborate with a local Family Resource ❑ Implement a project focused on mental health for Center or other CYSHCN-serving community parents/caregivers of CYSHCN (examples: connecting families in the organization to develop a training for LHJ staff NICU to home visiting or other Local MCAH programs, provider on best practices for working with families of outreach to integrate maternal mental health screening into NICU CYSHCN. follow-up visits or other pediatric specialty visits). What is your anticipated outcome? What is your anticipated outcome? 44 02/15/2024 cy 3.1.2 cy 3.3.2 ❑ Provide training to a local Family Resource ❑ Implement a project focused on social and community inclusion Center or other CYSHCN-serving community for CYSHCN and their families (examples: creating a youth with organization on how to access Local MCAH special health care needs advisory group to improve community programs and resources. inclusion, partner with Parks and Rec or other non-traditional partners to make public spaces and events more inclusive). What is your anticipated outcome? What is your anticipated outcome? cy 3.1.3 cy 3.3.3 ❑Other local activity (Please ❑ Partner with child welfare to address health needs (including Specify/Optional): mental health) of children and youth in foster care. What is your anticipated outcome? What is your anticipated outcome? cy 3.1.4 cy 3.3.4 ❑Other local activity (Please ❑ Integrate trauma-informed and resilience-building practices Specify/Optional): specific to CYSHCN and their families into local MCAH programs. What is your anticipated outcome? What is your anticipated outcome? 45 02/15/2024 cy 3.1.5 cy 3.3.5 ❑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. 46 02/15/2024 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 ESM 10.1: Percent of AFLP participants who received a referral for preventive services. Evidence-Based 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 Obiective 1:Strategy 1: Adolescent State Objective 1:Strategy 2: Adolescent State Obiective 1:Strategy 3: Lead surveillance and program monitoring and Lead to strengthen knowledge and skills to Partner across state and local health and education systems to evaluation related to adolescent sexual and increase use of protective sexual health practices implement effective comprehensive sexual health education reproductive health. within CDPH/MCAH-funded programs. in California. Local Activities for Adolescent Objective 1: Local Activities for Adolescent Objective 1: Local Activities for Adolescent Objective 1: Strategy 3 Strategy 1 Strategy 2 a 1.1.1 a 1.2.1 a 1.3.1 ❑Utilize California Adolescent Sexual ❑For non-AFLP funded county agencies, partner ❑ For non-ASH Ed funded county agencies, partner with Health Needs Index (CASHNI) to target with local AFLP agencies and/or other community local ASH Ed funded agencies and/or other community adolescent sexual health programs and partners to promote healthy sexual behaviors and partners to ensure local implementation of sexual health efforts to youth facing the greatest healthy relationships among expectant and education that is aligned with the California Healthy Youth inequities in health and social outcomes. parenting youth. Act (CHYA)to young people facing the greatest inequities in health and social outcomes. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? 47 02/15/2024 a 1.1.2 a 1.2.2 a 1.3.2 ❑Utilize and disseminate California's X❑ Build capacity of local MCAH workforce to ❑Other local activity(Please Specify/Optional): Adolescent Birth Rate (ABR) data report to promote protective adolescent sexual health the public and local partners. practices by disseminating information, resources, and training opportunities. What is your anticipated outcome? What is your anticipated outcome? Activities: • Collaborate with Local Health Department STD program on education, outreach, and targets projects such as increased access to contraception (vending machine project). • Public health nursing, health education, and Comprehensive Perinatal Service Program staff to attend adolescent and sexual health training. 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. • Increased public awareness and access to contraception. 48 02/15/2024 a 1.1.3 a 1.2.3 a 1.3.3 ❑Other(Please Specify/Optional): ❑Other local activity (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. 49 02/15/2024 7 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. NPM 10: Percent of adolescents, ages 12 through 17,with a Performance Measures preventive medical visit in the past year. (National/State Performance Measures and Evidence-Based Strategy Measure) ESM 10.1: Percent of AFLP participants who received a referral for preventive services. Adolescent State Objective 2: By 2025, increase the percent of adolescents 12 -17 with a preventive medical visit in the past year from 59.8% (NSCH 2O20-2021)to 83.8%. Adolescent State Objective 2:Strategy 1: Adolescent State Objective 2:Strategy 2: Lead to develop and implement best practices in CDPH/MCAH funded programs to Partner to increase the quality of preventive care for adolescents in support youth with accessing youth-friendly preventative care, sexual and reproductive California. 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 evidence-informed assessments to ❑ Partner with CDPH/MCAH to disseminate tools and resources to connect adolescents in Local MCAH programs to needed services. improve the quality and accessibility of adolescent health care in their communities. What is your anticipated outcome? What is your anticipated outcome? a 2.1.2 a 2.2.2 ❑Lead the development of a community resources map that links referrals to services for ❑Other (Please Specify/Optional): young people. What is your anticipated outcome? What is your anticipated outcome? a 2.1.3 a 2.2.3 50 02/15/2024 El Partner to disseminate adolescent preventive care recommendations to improve the ❑Other local activity(Please Specify/Optional): quality of adolescent health services. What is your anticipated outcome? What is your anticipated outcome? a 2.1.4 a 2.2.4 ❑Implement referrals to youth-friendly preventive care, mental health care, and sexual ❑Other local activity(Please Specify/Optional): and reproductive health care, including the California's Family Planning,Access, Care and Treatment program. What is your anticipated outcome? What is your anticipated outcome? If you have additional local activities, please add a row. 51 02/15/2024 Adolescent • 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 ESM 10.1: Percent of AFLP participants who received a referral for preventive services. Evidence-Based 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 76.7%(NSDUH 2O18-2019)to 79.7%. Adolescent State Objective 3: Strategy 1: Adolescent State Objective 3: Strategy 2: Adolescent State Objective 3:Strategy 3: Lead to strengthen resilience among expectant and Partner to identify opportunities to build protective factors Partner to strengthen knowledge and skills parenting adolescents to improve health,social,and for adolescents at the individual,community,and systems among providers, individuals, and families to educational outcomes. levels. identify signs of distress and mental health related needs among adolescents. Local Activities for Adolescent Objective 3: Local Activities for Adolescent Objective 3:Strategy Local Activities for Adolescent Objective 3: Strategy 1 2 Strategy 3 a 3.1.1 a 3.2.1 a 3.3.1 El Partner with CDPH/MCAH to utilize evidence-based ❑ Conduct a Positive Youth Development (PYD) ❑Identify local needs and assets relating to tools and resources,such as the Positive Youth Organizational Assessment to build agency capacity adolescent mental health. Development(PYD)Model,to build youth resiliency to to engage and promote youth leadership and youth improve health,social,and educational outcomes development. among expectant and parenting youth. What is your anticipated outcome? What is your anticipated outcome? What is your anticipated outcome? 52 02/15/2024 a 3.1.2 a 3.2.2 a 3.3.2 El Lead or participate on an Adolescent Family Life ❑Establish or join a local youth advisory board to ❑Partner with or join local adolescent health Program's(AFLP)Local Stakeholder Coalition(ifAFLP incorporate youth voice and feedback into local coalitions and co-develop a plan to improve exists in the county). MCAH health programs and initiatives. adolescent mental health and well-being. 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 ❑Other local activity (Please Specify/Optional): ❑Partner with local community agencies to ❑ Partner to disseminate training opportunities understand and promote efforts to improve youth and resources related to adolescent mental engagement and leadership opportunities. health and well-being. 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 El 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. 53 02/15/2024 ORIGINAL P(Jblic Neollh �.1I 1Jrnw.Omle a�a adw.:rm Heam omwn BUDGET SUMMARY FISCAL YEAR BUDGET BUDGET STATUS BUDGET BALANCE 2024-25 ORIGINAL ACTIVE 0.00 en7D-tsDa�d �� ProOnm: 4Black Infant Health(BIH) NON-ENHANCED ENHANCED nge^Ay- 202410 Fresno UNMATCHED FUNDING MATCHING150150) MATCHING 17MS) SubK: BIHN BIHSGF pGENGY FU!!OS BIH.SGF.NE 61Htnry NE DIH.SGF.E BIH.0 N,E It) l2) (3) (F7 (5) 0) (7) (B1 l91 IIDI I (II) (I2) ("1 TOTAL FUNDING Y. BIH-N •/. BIHSGF Ye Agency Fvntls• % Combined Combin4tl % Comb{ned Comb{ned Fed/Slale F lA n v' FedlSlale !Ae n Y ALLOCATION(S) -y 150.627.00 753.373.00 IIVALUEI EXPENSECATEGORY (1)PERSONNEL 1080.533.62 B463341 171,Ba5.63 170.930.93 571,11111 000 71,111,11 000 (II)OPERATING EXPENSES 60.01353 0.00 60.813.53 0.00 0 DO 0.00 0.00 0.00 (III)CAPITAL EXPENDITURES o.w ODD OM 0.00 o.oD 0,00 000 0.00 (IV)OTHER COSTS 63.0.00 000 60,ODO.DO 0.00 DOD 000 Boo O.DD IV)INDIRECT COSTS 263.974,36 55.993.59 92,391.03 000 105,58975 0.00 000 0.00 BUDGET TOTALS' 1,473321.51 max 150.62700 1cex 393,090.19 tlwx 70,970.97 +sux 682,457.85 Doox 0.00 5,171 76.215.55 0o 0.00 BALANCE(S) -e 0.00 C.00 TOTAL BIH-TV 150,627.00 -i 150.627.00 TOTAL BIH-SGF 753,373.00 341.228.92 �xI 9,053.B9 TOTAL TITLE XIX 398,320.59 1 px1 341,228.93 1 o.oa 17sx1 57.161.66 175 : o.00 TOTAL AGENCY FUNDS 170,930.93 170,930.93 1-1 0.00 25x D.00 $ 1,302,390.59 Maximum Amount Payable from State and Federal resources WE CERTIFY TWAT 7HM BUDGET HaS BEEN CONSTRUCTED IN COMPLLLFlCE WRH ALL MCAH ADMINISTRATIVE AND PROGRAM MUCtES. Lai U� y 2�f AJROJECT DIRECTORS SIGNATUIIE DAZE AGENCY FLCAL AGENTS SIGIUITURE OATS nese abgves mNan Ural lertnue aub^A1ed lvnlgmnrn Wmvrlug WPeles.LICAHd�es Mle Lele Ayercy tmbblvu. STATE USE ONLY-TOTAL STATE AND FEDERAL REIMBURSEMENT BIH-TV BIHSGF AGENCY FUNDS BIHSGF-NE BIHCnIy NE BIHSGF{ 8IH-Cn1yE PCA Cedcs 53113 53127 53124 53100 57125 53102 (1) PERSONNEL 64.63341 171.MSS 576.868.10 0.00 76.215.55 0,00 (III OPERATING EXPENSES ODO 50.013.53 0.00 000 0.00 0,00 (III) CAPITAL EXPENSES 0.00 0.00 003 coo a00 0.00 (M OTHER COSTS 0.00 65.000.00 0.03 D.DO 0.01 000 (V) INDIRE CTCOSTS 65,993.59 92,391.03 105.58875 0,00 0.00 0.00 Totals for PCACades 1,302.390.59 1 150.627.00 393.090.19 1 682.457.85 000 76,215.55 000 202410 61H 5 BIH B,dgel Template 9 19.24,11ss T of 5 Plinled:9242024 1:75 PIA y i ORIGINAL Pu61iC'Fieallh •)� •.��w+Hnl.cn:d,w Adde,eem Heann o-�� P,ogcam: Black Infant Health(BIH) UNMATCHED FUNDING NON ENHANCED ENHANCED Age-y. 202410 Fresno MATCHING(SOISO) MATCHING 1751251 Sub K: 81H-TV 81H SGF AGENCY FUN05 8W.SGF-NE SGF-E E 01 m n) (al ls) (GI OI let 191 (101 1++1 Oxl U01 (141 ps1 Combine0 Cgmbirwd Combinctl Combinetl TOTAL FUNDING % BIH-TV '/. BIHSGF % g9ency Fund. x Fed/51a1e � 7q ✓ '� Fetl151a1e �" F tllq n✓ (II) OPERATING EXPENSES DETAIL A�56.67A~rr 7.. D.z4% TOTAL OPERATING EXPENSES 60.813.53 0.00 60,813.53 000 0.00 0.00 0.00 �„tiTRAVEL 11,500DO 0,00% 003 10000% 1I.=00 000 000 01000023%uTRAINING 17.SOODO O.00% ODo 100.00% 17.50000000 0.00 000 000 .24x 1 OttwcSOppl:es 5,00000 0.00% 0.00 100,03% 5,00000 0.00 000 000 .24%2 P0Ma90 56.53 0.00% 000 10000% 5653 0.00 0.00 000 .24% 3 Dopl�ratwn 757.00 0,00% 0.00 10300% 757.00 000 0.00 a00 .24% '0.00000 0.00% 000 100.00% 10.G0000 O.OD 000 0002a% 5 M-,'equipment 5,SOo.DO O.OD% 0.00 10000% 5,500.D0 0.00 0.00 0.00 60.24x 6 P1111 A-,,,,,,Campaigns 10.50000 Om% 000 100.00% 10.500.00 DOD 000 000 60.24% 7 0.00 0.00 0.00 000 0,00 6 0.00 0 DO 0.00 0.00 0.00 9 000 0 DO 000 000 0.00 10 000 0.00 0.00 0.00 0.00 11 000 Goo 0.m 0.00 coo 12 1 0.00 o.DO 000 0 DO 000 13 000 ODD 000 000 0.00 14 000 0.00 0.00 0 00 000 15 0 DO 0.00 0.00 Do 0.00 UnmatActl Ooerayq E,nemes are n01 eteAle l4f Federal ma'SMw IurMs fT Je XIXI.Esoenses maYo Y be wroed to Unma,cluC lrtte V IGoI.]I.Slate General FUWs(Col 51,andor gcenw ICaI 71 Nnes ( ) CAPITAL EXPENDITURE DETAIL TOTAL CAPITAL EXPENOITURES O.CO 000 aCO 000 0.00 (IV) OTHER COSTS DETAIL `K262'"-"""" 0.2a% TOTAL OTHER[O5T5 68,000.00 0.00 63.000.00 O.Oo 0,00 0.00 0.00 000 SUBCONTRACTS 1 so(Chid Watch) 10,00o 00 1 000% f 00 T-iom00%j 10.000001 0.D0 1 0.00 1 0.00 1 1 0.00 1 0.00 2 0.00 100.DO% 0.00 0.00 o.GO 000 00a coo 3 0.00 000 0.00 000 000 000 000 < 0.00 D 00 0.00 0.00 000 0,00 � 0.00 s 0.00 DOD 0.00 0.00 0,00 0.00 0.00 OTHER CHARGES - + Client Support Materials 42.000.00 0,03% 0.DO tD0.00% 42.000.DO 0.00 000 000 z60.24%� 2 PaOicgant Transportation B,So0.00 000% MOO 100.o0% 8.500.00 0.00 0.00 003 60.24% ] Client Relrezhmentz 7.500.00 0 DO% coo 10000% 7.SDO 00 0.00 0.00 000 60.24% 4 1 0.00 0.00 0.00 0.00 000 5 am 0.00 0.00 0.00 000 6 0 00 0.00 000 0.00 0,00 7 0.00 0.00 0.00 000 0.00 e DOD 0.00 0.00 1 0.00 0,00 (V) INDIRECT COSTS DETAIL TOTAL INDIRECT COSTS 263.974.36 65,99].59 92,391.03 0.00 t05,589.75 0.00 24.43% 0f T-I Wages�Fringe Benelits 263,974.36 25.00% 65,993.59 3500% 92.391.00 1 0.00 1 40.00%1 105,589475 1 0.00 202410 BIH 5 BIH Budget Template 9 19.24.slss 205 Printed 9724f2024 1:39 PM ORIGINAL P uhlic�Healfh J`i kuam.t Giw.w A4deaceN Heam om,.d, vre9ra�n ,lack Infant Heallh(,IH UNMATCHED FUNDING NON-ENHANCED ENHANCED 'a9<nry: ZOZ4'ID FTe5n0 MATCHING(SO)SO) MATCHING(75125) SubK: 9111-N 0iH-SGF AGENCY FIN BIH-SGF-uE BIH-C, 4 CAmbined le4mbNmE eaI P 1 B!H.SCGoF_mE1 bi1n ed U1 BIH cNyE R1 n1 (+1 D 51 TOTAL FUNDING BIH-TV % BIHSGF % Ageny Funds• % COmbinetl Fedlslale 1A n FediSlale (1) PERSONNEL DETAIL TOTAL PERSONNEL COSTS 1.Os0,51s.si a4,631Ai 777885.63 170,970.93 576,815HAD 0.00 76,215.55 0.00 FRINGE BENEFIT RATE 84 05% 493.446.62 38,649 49 78.494 91 76.058.92 263.438 00 0 00 34.805 31 000 TOTALWAGES 587,087.00 45,983.92 0 390.73 92.97201 313.30.10 0.00 41,4 1 0.24 00o E FULLNAME TITLE OR CLASSIFICATION ANNUAL ^'^ (Fin)Name Lasl Name) (Nn Acronyms) 'G FTE SALARY TOTAL WAGES 4 n _- Janet Claybon Public Heabh Nurse ll 100.00% 129.407.00 129.407.00 3.D2% 3.912,92 16,26% 21,041.73 18,72% 24.220,01 30.00% 38.822.10 000 32.00% 41i10.24 O.GO 79.50% N; 2 Sabnna Beavns BIH COOrd-tor-Heallh Educator 100 00% 77 940.00 73,940.00 5.Cc% 7 697.00 20 00% 14,796.00 15.00% 11 091.00 60 03% 44.36400 coo 0.00 000 79.5D% I 3 Denise S- Family Health Adwcale Group Fs,awc 100.W96 66.752.00 66.752.00 10.00% 6.675.20 15.00% 10.012AO 15.00% 10,012.90 60.00% 40.051.20 0.00 000 o.DO 79.50% s < Cn<llka Gamble Family Heallh A4-Cate CAmmun4y Out 100.00% 55.093.00 55,09300 10.o0% 5 509,30 15.00% 8.263 95 15 00% 8 253.95 60.00% 37 055.80 0 00 0 00 0 00 79.50% ■ 5 Arturo Pne_ C4mmumly Outreach Liaison-HeallhE 100.00% 64.627.00 64,627,D0 10.00% 6.46270 15.00% 9,69405 1500% 9694.05 60.00% 33.776,20 000 0.00 0.CO 79.50% % 6 K-..6aly Murphy (Family Healln Advocate Group F-1.1aic 100.00%1 54,359.00 54.359.00 1000% 5,435.90 15.00% 8.15385 1500% 8.153.85 60.00% 32.61540 0.00 0.Do 0.00 79,50% It 7 Martha Garua IDala Entry-OKice Assist-111 100.00%1 52,423.00 52.42300 10.00% 5,242.30 1500% 7,863AS 15.001A 7863.45 60.DO% 31,453.80 000 0.00 0,00 79.50% a 8 She.y10rO -D-den (Mental HeaOh Prolessiowl-Medical So 1000056 18,898.00 78698.00 10.00% 7,889.80 1500% 11,834.70 15,00% 11.034.70 60.00% 47.338.80 0.00 D.00 0.D0 79.50% 1t 9 Madeteme Yakoub Program Tech ll 25.00% 46350.00 11,598.00 10.03% 1.15880 15.DO% 1738.20 1500% 1738.20 60.00% 6.952.80 000 0.00 0,00 79.50% It 10 0.00 o.Oo 0.00 0 02) 000 000 0.00 0.00 0.00% 11 000 o n0 000 0 00 0.00 o co 0.00 O.DO 0.00% 12 0.00 0.00 0.00 000 D.00 0.Do 0.00 0.00 000% 13 0.00 0w D00 o.w aDO 0.00 000 0DO D.Oo% +4 0.00 D.00 000 0,00 0DO 0.00 0.00 D.00 0.00% 15 Doo 0 oa D oo a.00 0 00 0.00 000 0.00 0 00% 16 0.00 000 000 0,00 0.00 0.00 0,00 0.00 0.00% 17 0.00 0.00 0.00 am 000 0.00 0,00 0.00 0.00% 16 a o0 000 0.00 0.00 D 00 0.00 0.00 0.00 0.00% 19 0,00 000 om 000 0.00 000 000 000 0.00% 20 0.0. 000 000 D.Do 0.00 0.00 0,00 O.00 0.00% 21 0.00 0.00 000 0.00 0,00 coo 0.00 O.co 0.00% 22 0.00 0DO 000 000 0.00 0.00 000 0.Do 0,00% 23 0.00 0.00 0,00 0.00 0 DO 000 0.00 0.00 0.00% 24 000 0.00 0.00 040 000 0.00 0.00 000 0.Do% 25 ODD o.w 0.00 D.co 0.00 0.00 000 0.00 0.00% 26 000 D.cc 0.00 o eO 000 000 0.00 0,00 0.00% 27 o GO D.OD 0.00 coo 000 0.00 000 000 0.00% 28 o ao O cc 0.00 oeg 000 000 0.00 0.00 0.00% 29 O.DO 000 0.00 000 0.00 0.00 0,00 0.00 0.00% 30 I 0.ca 000 0.00 000 DO0 0.00 O.DD 0,00 0.00% 31 0.00 0,00 0.00 000 oco 0.D0 0OO 0.00 0.00% 32 I 000 000 coo OCO 000 0.DO 0.00 000 0,00% 33 000 0,00 0.00 Do a 0.00 Do 000 0.00 0.00% 34 0 DO o.00 0.00 0.00 0.00 000 O.Do D.00 0.00% 35 coo - 0.00 0.00 0,00 000 D.DO 0.00 0.00 0.00% 36 000 0.00 000 0.00 0.00 0.00 0.00 0.00 000% 37 0,00 000 0,00 0.00 0.00 0.00 0.uo 0,00 0.00% 36 000 10.00 0.00 000 D.Oo D.O o.DO 000 0,00% 39 0.Go 0.00 0.00 0.00 0.00 0.03 O o0 0.00 0,00% 4D 0.Do 0.00 0.00 0.00 0.00 000 O.DO 0 .00 0.00% 41 I o.co O.00 D.00 0,00 o.DO 0.00 0.00 0,00 0.00% 42 0.00 0.00 0.00 000 0.00 000 000 0.D0 0.00% 43 0.00 000 0.00 0.00 0.00 000 0.00 0.00 0.00% qA 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00% 45 0.00 0.00 coo 000 0.00 0.00 000 0.00 D.00% 46 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00% 47 0,00 0.00 000 0.00 0.00 0 D0 0.00 O oa o.00% 48 O.m 000 000 0.00 000 0.00 0.00 0.00 0.00% 49 0.00 0DO 0.00 0.00 0.00 000 a.00 O.D0 0,00% SD 0,00 0,00 0.00 0,00 0.00 D00 D00 0.00 0.00% 5, 0.00 O.00 0.00 goo 0.00 O.Oo 0.00 MOD 0.00% 52 D.00 D.00 coo 0.00 0.00 0.00 0.00 o.oD 0.00% 53 o.oD 0.00 0.00 0.00 0.00 D.o0 goo 000 0.00% 54 D.Do 000 0.00 DDO 0.00 D.00 0.00 o.W 0,00%I 55 o.00 0.00 o.Da 0.00 0.00 0Do ODO 0.00 66 a.DO 000 0,00 0,00 0.00 0.00 0.03 0.00 0.00% 57 0.00 0.00 000 0.0o D.00 D.00 o.DO 0.00 202410 BIH 5 BIH Budget Template 9.19.24•Iss 3.15 Pnnled.5724/1D24 1,29 Phi County of Fresno FY 2023-2026 Exhibit A Scope of Work 1. Black Infant Health Program Service Overview The Contractor agrees to provide to the California Department of Public Health (CDPH) the services described herein. 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 (Agency's') 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. Certification Name: Ge Vue, RN, PHN by MCAH Director: Title: MCAH Director Date: 7/1/2024 I certify that 1 have reviewed and approved this Scope of Work 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 Women and/or Birthing People by promoting health knowledge and healthy behaviors 2. Increase the ability of Black Women and/or Birthing People to develop effective stress reduction strategies 3. Increase awareness of the Black-White health disparities and social inequities for Black Women and/or Birthing People and infants 4. Empower Black Women and/or Birthing People and build resiliency 5. Promote social support and healthy relationships 6. Connect Black Women and/or Birthing People with services 7. Engage the community to support Black Birthing families' health and well-being with education and outreach efforts Page 1 of 30 County of Fresno FY 2023-2026 Exhibit A Scope of Work 2. Service Location (s) The services shall be performed at [Enter Contractor address or description of the service area]. West Fresno Regional Center (142 E. California Ave, Fresno, CA 93706) 3. Service Hours The services shall be provided during normal Contractor working hours, Monday through Friday, and evenings or weekends as needed to meet the needs of participants except for official holidays. 4. Services to be Performed The Contractor agrees to provide the services presented in this Scope of Work (SOW) from the California Department of Public Health, Maternal, Child and Adolescent Health Division (CDPH/MCAH) for implementation of the BIH Program. The funded Contractor is referred to as "Agency" in this SOW. Page 2 of 30 Agency Name: Click or tap here to enter text. Fiscal Year: 2023-2026 To achieve its goals, the BIH Program is a client-centered, strength-based group intervention with complementary 1:1 support 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. Black Infant Health Program 2023 Model Components The Black Infant Health (BIH) Program will provide services in designated sub-county service areas throughout the 14 counties with the greatest number of Black women and/or birthing people in California. A service area is defined as a contiguous geographical area with a minimum of 440 eligible Black women and/or birthing people. MCAH will fund up to 26 service areas. Each service area will be required to provide a minimum of 9 in-person prenatal group series and 4 in-person postpartum group series per fiscal year. No virtual groups should be conducted without utilizing the virtual guidance in the policies and procedures. Agencies may also serve participants through 1:1 support. Each service area is required to provide services to a minimum of 160 participants, with a maximum of 35% in 1:1 support. Model Components • Minimum Required Groups per Fiscal Year (nine prenatal and four postpartum per service area) • Minimum Participant Reach (160 participants served; 72 prenatal, 32 postpartum, and 56 1:1 support per service area) • Minimum Population Size (440 Black women and/or birthing persons per service area) All BIH Sites are required to comply with the following staffing matrix per service area according to the BIH 2O23 Request For Supplemental Information (RSI) BIH RSI Instructions to ensure fidelity and standardization across all sites: Staffing Requirements IBIH Coordinator/Program Manager 1.0 FTE I FHA/Group Facilitator 3.0 FTE I Mental Health Professional 1.0 FTE I Outreach Liaison 1.0 FTE I Data Entry 1.0 FTE I Public Health Nurse 1.0 FTE Child Watch 1.0 FTE Page 3 of 30 Effective 07/01/2023 Agency Name: Click or tap here to enter text. Fiscal Year: 2023-2026 Per the BIH P&P, the following criteria applies to participants enrolled in the 1:1 support intervention: Eligibility: • African-American • 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 1:1 support 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/1:1 support intervention, 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 Agency 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 Agency 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 Agency 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, the Policies and Procedures (P&P) and the implementation measures for accountability*, and if the compliance standards are not met in a timely manner, the Agency may be placed on a Performance Improvement Plan (PIP). After implementation of the PIP, if the Agency 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 participant reach requirements and implementing the agreed upon activities. Page 4 of 30 Effective 07/01/2023 Agency Name: Click or tap here to enter text. Fiscal Year: 2023-2026 *BIH Implementation Accountability Measures: • Minimum staffing pattern is not adhered to • Number of prenatal groups started is less than the required number in a four-month interval • Number of prenatal group series started with less than 8-12 participants • Average number of days to enter data (all forms) is greater than 10-12 business days or 90% percent of all forms are not entered on time • LHJs that fall below the 80% number served by the end of a fiscal year The development of this SOW is a collaborative process 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 Modelhttp://www.cdc.gov/violenceprevention/overview/social-ecologicalmodel.html o Strengthening Families All activities in this SOW shall take place from receipt of funding beginning July 1, 2023, to June 30, 2026, contingent on availability of funds and spending authority. Page 5 of 30 Effective 07/01/2023 Agency Name: Click or tap here to enter text. Fiscal Year: 2023-2026 For each fiscal year of the contract period, the Agency 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, 2024 September 30, 2024 October 30, 2023 Second Report October 1, 2024 December 31, 2024 January 30, 2025 Third Report nor uary o January 1, 2025 March 31, 2025 April 30, 2025 Fourth Report (this will serve April 1, 2024 June 30, 2024 August 29, 2024 as annual report) See the following pages for a detailed description of the services to be performed. Page 6 of 30 Effective 07/01/2023 Agency Name: Click or tap here to enter text. FY 2023-2026 Exhibit A Scope of Work Goal 1: Effectively administer and oversee the BIH Program. 1.1 Meet BIH implementation activities and reporting requirements by completing and submitting required reports. Major Functions,Tasks,and Time Line Staff Performance Measure and/or Deliverables Activities Responsibility 1.1.1. Implement program activities as Annually, Director, 1.1.1. Submit Agreement Funding Application defined in the BIH P&Ps, SOW, Data each fiscal Coordinator/ (AFA) timely. (N) Collection Manual (DCM), data year Program collection forms, Group Curriculum and Manager MCAH Fiscal P&Ps. 1.1.2. Complete a Quarterly Report that Quarterly Coordinator/ 1.1.2. Submit as directed by complies with MCAH/BIH guidance. Program MCAH/BIH (N) The fourth quarter report will serve as Manager the annual report. 1.1.3. Coordinate to complete, review and Annually, Director, 1.1.3. Submit Agreement Funding Application approve the BIH budget prior to each fiscal Coordinator/ (AFA) withini 45 days of release. (N) submission. year Program Manager Page 4 of 21 Agency Name FY 2023-2026 Exhibit A Scope of Work 1.2. Establish Agency infrastructure and capacity to meet BIH requirements by meeting hiring needs and timelines. Major Functions,Tasks,and Activities Time Line Staff Performance Measure and/or Deliverables Responsibility 1.2.1. Meet staffing pattern and minimum Ongoing, Director, 1.2.1. Submit organization chart and duty qualification requirements for all Annually, Coordinator/ statements with AFA and as requested staff roles. each fiscal Program by MCAH/BIH to year Manager BlacklnfantHealth@cdph.ca.gov. Quarterly Complete required staff profiles on SharePoint and keep up to date. (N) 1.2.2. Recruit, hire and maintain culturally Ongoing Director, 1.2.2. Percent of direct contact staff that competent staff that reflect Coordinator/ reflect the population being served. the community being served to Program (N) implement a BIH Program that is Manager relevant to the unique traditions/heritage of Black Birthing People, and the community. 1.2.3. Report all BIH staff changes. Within five Director, 1.2.3. Notify MCAH/BIH within five (5) (5) Coordinator/ business day of any staff vacancy and business Program five (5) days before hire of days of Manager Coordinator/Program Manager by staffing submitting an email to change BlacklnfantHealth@cdph.ca.gov. 1.2.4. Develop, implement, and update, as Ongoing, Director, 1.2.4. Submit Professional Development Plan requested by MCAH/BIH, a Annually Coordinator/ to MCAH/BIH upon request. (N) Professional Development Plan to Program support and build the capacity of all Manager staff through assessment, supervision, and professional development Page 6 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work 1.3 Ensure staff capacity to implement the BIH Program by facilitating and tracking attendance at all required trainings. Major Functions,Tasks,and Activities Time Line Staff Performance Measure and/or Deliverable Responsibility 1.3.1. Ensure all required staff complete By end of year Director, 1.3.1 Maintain records of staff refreshed curriculum training. 1 Coordinator/ attendance at trainings and submit Program to MCAH/BIH upon request. (N) Manager 1.3.2. Attend mandatory MCAH/BIH Ongoing, Staff as 1.3.2. Maintain records of staff sponsored in-person or virtual Monthly, required by attendance at trainings and trainings, conference calls, meetings Quarterly, MCAH/BIH submit to MCAH/BIH upon and/or conferences as scheduled by Annually request. (N) MCAH Division. 1.3.3. Attend non-mandatory trainings that As needed Staff as 1.3.3. Maintain staff attendance records support the goals of BIH. directed by of all trainings and submit to Coordinator MCAH/BIH upon request. (N) or Program Manager 1.3.4. Develop plan to assess the ability of At least twice Coordinator/ 1.3.4. Maintain completion records of at staff to effectively perform their per fiscal year Program least of at least two (2) group assigned tasks, including regular Manager observation feedback forms by observations of group facilitators BIH Coordinator for every pair of group facilitators. (N) 1.3.5. Perform regular observations of Quarterly Coordinator/ 1.3.5. Maintain completion records of assessments conducted by FHAs, MHPs Program observations conducted for FHAs, and/or PHNs. Manager MHPs and PHNs. (N) 1.3.6. Identify staff training needs and ensure Quarterly Coordinator/ 1.3.6. Describe plan to ensure that staff those needs are met Program development needs are met in Manager quarterly report. (N) Page 7 of 30 Agency Name FY 2023-2026 Exhibit A Sco e of Work 1.3.7. Ensure that all key BIH staff Ongoing, Coordinator/ 1.3.7. Describe how cultural sensitivity participates in on-going training or Annually Program training has enhanced Agency educational opportunities designed to Manager staff knowledge and how that enhance cultural sensitivity and knowledge is applied in Annual responsiveness through webinars, report. (N) trainings and/or conferences. 1.3.8. Ensure that all new and key BIH staff Ongoing, Coordinator/ 1.3.8. Describe how staff utilized attend the Annual MCAH Sudden Annually Program information from the MCAH SIDS Infant Death Syndrome (SIDS) Manager conference with participants in Conference to receive the latest Annual report. (N) American Academy of Pediatrics (AAP) guidelines on infant safe sleep practices and SIDS risk reduction strategies. 1.3.9. Attend local SIDS collaborative Ongoing, Coordinator/ 1.3.9. Document strategies and action workgroups with community partners Annually Program plans related to SIDS risk to enhance awareness of Black SIDS Manager reduction strategies developed rates and to develop SIDS risk Core staff from SIDS collaborative reduction strategies. workgroup meetings in Annual report. (N) Page 8 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work 1.4 Meet BIH data collection requirements by facilitating access to data collection system, SharePoint, software, security, and proper oversight of data entry and core personnel. Major Functions,Tasks,and Activities Time Line Staff Performance Measure and/or Deliverables Responsibility 1.4.1. Ensure all direct Agency and Ongoing, Director, 1.4.1. Submit request for access to ETO and subcontractor service staff have Within five Coordinator/ SharePoint for direct staff to access to BIH Efforts to Outcomes (5) Program BlacklnfantHealth@cdph.ca.gov (ETO) Data Management System business Manager and SharePoint site by submitting days of request to MCAH/BIH. any staffing change 1.4.2. Collect and enter all BIH participant Enter data Staff as 1.4.2. BIH PA: Timeliness of data entry report program information and outcome within ten required by (E) data timely and accurately per (10) business MCAH/BIH guidance in the Data Collection days of Manual (DCM) using BIH required collection forms at required intervals. 1.4.3. Ensure all staff receive updates Ongoing Coordinator/ 1.4.3. Maintain attendance records of BIH related to ETO changes and forms. Program data calls, receipt of data alerts and Manager, Data other guidance via email or posted on Entry Lead SharePoint. Page 9 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work 1.4.4. Ensure that a staff member with Ongoing Coordinator/ 1.4.4. Maintain attendance records of advanced knowledge of the BIH Program participation in role-specific Program, data collection, and ETC) is Manager calls/trainings for the Data Entry Lead. selected as the BIH Site's Data Entry lead and participates in all data and evaluation calls and works to ensure timeliness of data entry and data quality. 1.4.5. Store participant level data forms on Ongoing Coordinator/ 1.4.5. Maintain Participant level Data forms paper or scanned copies per security Program for a minimum of four years (prior three guidelines in P&P for a minimum of Manager years plus current FY). four years (prior three years plus current FY). 1.4.6. Conduct and report on audits of Quarterly Coordinator 1.4.6. Maintain verification of data in paper recruitment, enrollment, and service and Data Entry forms matches information in ETO for delivery paper forms against ETO Lead all samples. records. Audit sample must include at least 10%of recruitment records and 10%of enrollment records and should include all staff collecting data. 1.4.7. Ensure that all staff that collect and Ongoing Coordinator/ 1.4.7. Maintain attendance records of enter data into the BIH data system Program participation in ETO training video have completed the ETO training Manager series for all staff. video series available in the BIH SharePoint site. Page 10 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work 1.4.8. Ensure that all staff that have ETO Quarterly Coordinator/ 1.4.8. Completion of QRA on SharePoint. access are currently in the SharePoint Program roster by completing the Quarterly Manager Roster Assessment (QRA). 1.4.9. Ensure all data collection and Ongoing Daily Director, 1.4.9. Maintain record of information privacy reporting processes comply with Coordinator/ and security policies from CDPH. CDPH information privacy and Program security policies as directed in the Manager BIH Policies and Procedures (P&Ps) before installing and using ETO. Page 11 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work Goal 2: Establish and maintain a structure to support recruitment, outreach, referrals and enrollment in designated service areas of Black women and Birthing People. Eligibility for Group Services: • Black, 18 years of age and older, and less than 30 weeks pregnant for prenatal group services, or up to six months postpartum for postpartum group services. Eligibility for Case Management/1:1 Support Services: • Black, 16 years of age, pregnant or up to 6 months postpartum. • Group attendance is not required. All Participants will attend in-person group or 1:1 support services All Participants may receive services up to 1 year postpartum 2.1. Target services to areas where there is demonstrated need and Agency capacity to implement BIH. Major Functions,Tasks, and Activities Time Line Staff Performance Measure and/or Deliverables Responsibility 2.1.1. Define geographical service area for 06/19/23 Director, 2.1.1. Submit the defined geographical program recruitment for in-person Coordinator/ service area and justification to services. Program MCAH/BIH for approval. Manager 2.1.2. Develop and implement a Participant Ongoing, Coordinator/ 2.1.2. Number and percent of recruited and Recruitment Plan (standardized intake Annually Program referred women that were eligible for process) according to the target Manager Group (based on age and pregnancy population and eligibility guidelines in status) based on their recruitment MCAH/BIH P&P and submit upon date, in FY 2023-24. € Quarterly request. Implementation Dashboard 2.1.3. Develop and implement a Participant Ongoing, Coordinator/ 2.1.3. Number and percent of recruited and Recruitment Plan (standardized intake Annually Program referred women that were eligible for process) according to the target Manager Case Management (based on age and population and eligibility guidelines in pregnancy status) based on their MCAH/BIH P&P and submit upon recruitment date, in FY 2023-24. € Page 12 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work request. Quarterly Implementation Dashboard 2.1.4. Identify and establish formal and Ongoing, Coordinator/ 2.1.4. Total number of service providers that informal collaborative relationships Annually Program made referrals to the BIH Program in with local Medi-Cal Managed Care, Manager FY 2023-24. € BIH PA: Recruitment Commercial Health Plans, WIC, and during a specified time period report. local agencies in the community to support recruitment and referral processes. 2.1.5. Obtain rights and responsibilities form Ongoing, Coordinator/ 2.1.5. Number and percent that has a and provide signed or verbal Annually Program recruitment and a rights and acknowledgement for all participants. Manager responsibilities (consent) touchpoint in ETO in FY 2023-24. € Quarterly Implementation Dashboard 2.1.6. Conduct outreach activities and build Ongoing, Coordinator/ 2.1.6. Total number (overall and by type) of collaborative relationships with local Quarterly, Program outreach activities completed by all WIC providers, CPSP Coordinators, Annually Manager, COL staff during FY 2023-24. (N) social service providers, health care providers, the faith-based community and other community-based partners and individuals to increase and maximize awareness opportunities to ensure eligible women are referred to BIH. 2.1.7. All BIH Agencies will establish referral Ongoing, Coordinator/ 2.1.7. Maintain list of partner agencies and mechanisms that will facilitate Annually Program submit with Annual Report. (N) reciprocity with partner agencies as Manager appropriate. Page 13 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work 2.1.8. All BIH Agencies will utilize social media Ongoing, Coordinator/ 2.1.8. Maintain list of social media platforms campaigns developed by local agencies Annually Program and submit with Annual Report. (N) and/or MCAH to increase community Manager awareness while conducting outreach activities during community events and participant engagement activities. 2.1.9. For BIH Group Sessions, all BIH Ongoing, Coordinator/ 2.1.9. Number and percent of recruited and agencies will recruit Black women 18 Annually Program referred women that were eligible for years of age and older, and less than 30 Manager Group (based on age and pregnancy weeks pregnant for in-person prenatal status) based on their recruitment group services, or up to six months date, in FY 2023-24. (E) Quarterly postpartum for in-person postpartum Implementation Dashboard group services. 2.2.0. Enroll participants in a group within 45 Ongoing Coordinator/ 2.2.0. Number and percent of enrolled days of enrollment. Program women who attended a prenatal Manager, BIH group session within 30- 45 days of Staff enrollment. (E) —BIH PP: Prenatal Group Dose Report, BIH PP: Postpartum Group Dose Report 2.2.1. Begin groups with the minimum Ongoing Coordinator/ 2.2.1. Percent of prenatal group sessions in a required number of participants per Program series that were attended by at least 5 the BIH P&P. Manager, BIH participants, ideally 8-12. (E) - BIH PP: Staff Group Attendance by Session. 2.2.2. All BIH participants (enrolled in BIH Ongoing Coordinator/ 2.2.2. Number and percent of active Group) will receive services outlined in Program participants that are served during the the BIH P&P to be considered served. Manager, BIH FY 23-24(E). Quarterly Staff Implementation Dashboard 2.2.3. For 1:1 support, all BIH Agencies will Ongoing, Coordinator/ 2.2.3. Number and percent of recruited and recruit Black teens at least 16 years Annually Program referred women that were eligible for of age and adult women, pregnant or Manager 1:1 support (based on age and up to 6 months postpartum. pregnancy status) based on their recruitment date, in FY 2023-24. (E) Page 14 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work Quarterly Implementation Dashboard 2.2.4. All BIH participants (enrolled in the BIH Ongoing, Coordinator/ 2.2.4. Number and percent of active 1:1 support intervention) will receive Annually Program Participants that are served during the services outlined in the BIH P&P to be Manager FY (E). Quarterly Implementation considered served. Dashboard Page 15 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work Goal 3: All BIH Agencies will ensure participant retention strategies are in place. 3.1 Develop participant retention strategies as they relate to program implementation components. Major Functions,Tasks, and Activities Time Line Staff Performance Measure and/or Deliverables Responsibility 3.1.1. All BIH Agencies will develop Ongoing BIH Staff 3.1.1. Submit Participant Retention participant retention strategies in the Strategies with Quarterly and Annual areas of outreach/recruitment, Report. (N) BIH PP: Prenatal Group enrollment, 1:1 support, group Dose Report; BIH PP: Postpartum sessions and program completion. Group Dose Report (E) 3.1.2. Ensure location of group services is Ongoing BIH Staff 3.1.2. Describe process to ensure that within the designated service area, location for group services meet safe, accessible, culturally affirming, MCAH/BIH guidelines and submit with and have dedicated child watch staff Annual Report. (N) and space when group sessions are conducted. 3.1.3. Ensure participants have access to Ongoing BIH Staff 3.1.3. Number and percent of enrolled transportation assistance via Uber/Lyft women who have been dismissed or other door-to-door services. from BIH with a completed participant satisfaction survey during the FY. (E) BIH PP: Participant Satisfaction Report 3.1.4. Ensure all group sessions include full Ongoing BIH Staff 3.1.4. Number and percent of enrolled meals for participants. women who have been dismissed from BIH with a completed participant satisfaction survey during the FY. (E) BIH PP: Participant Satisfaction Report Page 16 of 30 Agency Name FY 2023-2026 Exhibit A Sco e of Work 3.1.5. Ensure group motivators including but Ongoing BIH Staff 3.1.5. Submit participant retention strategy not limited to gift cards, pack and successes and challenges with Annual plays, items to support fitness, infant Report. (N) feeding supplies, breastfeeding supplies, diapers, etc. are provided to program participants. 3.1.6. Designated staff will conduct Ongoing BIH Staff 3.1.6. Number and percent of enrolled participant satisfaction surveys after women who have been dismissed group sessions and at program from BIH with a completed participant completion to obtain feedback related satisfaction survey during the FY. (E) to improvement of retention BIH PP: Participant Satisfaction Report strategies. Page 17 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work Goal 4: All BIH Agencies will increase and expand community awareness of BIH. 4.1 Collaborate with other BIH Agencies regarding outreach activities including the use of social media. Major Functions,Tasks,and Activities Time Line Staff Performance Measure and/or Deliverables Responsibility 4.1.1. All BIH Agencies will increase and Ongoing BIH Staff 4.1.1. Total number (overall and by type) of expand community awareness of BIH outreach activities completed by all by collaborating with other BIH staff during FY 2023-24. (N) agencies and individually as an agency on communication outreach activities, including the use of social media. 4.1.2. Conduct outreach activities and build Ongoing BIH Staff 4.1.2. Describe the types of community collaborative relationships with local partner agencies contacted by Agency WIC providers, CPSP Coordinators, staff. (N) social service providers, health care providers, the faith-based community and other community-based partners and individuals to increase and maximize awareness opportunities to ensure eligible women are referred to BIH. 4.1.3. All BIH Agencies will establish referral Ongoing BIH Staff 4.1.3. Describe outreach activities mechanisms that will facilitate performed to reach target population. reciprocity with partner agencies as (N) appropriate. 4.1.4. All BIH Agencies will utilize social media Ongoing BIH Staff 4.1.4. Document type, frequency and campaigns developed by MCAH to number of social media activities increase community awareness while conducted and submit with Quarterly conducting outreach activities. and Annual Report. (N) Page 18 of 30 Agency Name FY 2023-2026 Exhibit A Sco e of Work 4.1.5. Develop and update, as needed, a local Ongoing Coordinator/ 4.1.5. Maintain service referral and resource service referral and resource directory. Program directory and submit to MCAH/BIH Manager, BIH upon request. Staff Ensure referral sources are up to date in ETO. 4.1.6. Increase information sharing with other Ongoing COL 4.1.6. Number of agencies where the COL has local agencies providing services to a documented point(s) of contact and Black Birthing People and children in with whom information is regularly the community and establish a clear exchanged. Submit with Annual point of contact. Report. (N) Page 19 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work Goal 5: Engage the Black community to support Black Birthing families' health and well-being with education and outreach efforts. 5.1 Increase and expand community awareness of Black Birth outcomes and the role of the Black Infant Health Program. Major Functions,Tasks,and Activities Time Line Staff Performance Measure and/or Deliverables Responsibility 5.1.1. All BIH Agencies will coordinate with Ongoing Coordinator/ 5.1.1. Submit CAB meeting materials (roster, the Perinatal Equity Initiative (PEI) Program stakeholder types, attendance, agenda, (where applicable) to implement a Manager, BIH minutes) with BIH quarterly report. (N) Community Advisory Board (CAB) to Staff Inform the community about disparate birth outcomes among Black Birthing People by delivering standardized messages describing how the BIH Program addresses these issues. 5.1.2. Create partnerships with community Ongoing Director, 5.1.2. Number, format, and outcomes and referral agencies that support the Coordinator/ associated with community outreach broad goals of the BIH Program, Program activities conducted by BIH Coordinator through formal and informal Manager and/or MCAH Director during FY 2023- agreements. Ensure efforts are 24 (E/N) focused on Black birthing people and families in the community in need of services and are confronting disparities caused by systematic oppression and marginalization, implicit bias, and discrimination. 5.1.3. Develop and implement a community Ongoing BIH Staff 5.1.3. Document type, frequency and awareness plan that outlines how number of social media activities community engagement activities will conducted and submit with Quarterly be conducted. and Annual Report. (N) Page 20 of 30 Agency Name FY 2023-2026 Exhibit A Sco e of Work 5.1.4. Develop and implement activities Ongoing Coordinator/ 5.1.4. Maintain service referral and resource related to multi-level community Program directory and submit to MCAH/BIH engagement and awareness with Manager, BIH upon request. referral partners to identify service Staff gaps in the Agency target area. 5.1.5. Collaborate with local MCAH programs Ongoing Coordinator/ 5.1.5. Document collaborative activities with and other partners such as Medi-Cal to Program local MCAH programs and other identify strategies, activities and Manager, BIH partners and submit with Annual provide technical assistance to: Staff Report. (N) • Improve access to health care services • Increase utilization of well-woman and postpartum visits • Identify Preterm Birth (PTB) reduction strategies • Increase the utilization of preconception health services. 5.1.6. Collaborate with local MCAH programs Ongoing Coordinator/ 5.1.6. Document collaborative activities with and Regional Perinatal Programs to Program local MCAH programs and Regional improve maternal and perinatal Manager, BIH Perinatal Programs and submit with systems of care. Staff Annual Report. (N) 5.1.7. Participate in collaboratives with Ongoing Coordinator/ 5.1.7. Document collaborative activities that community partners to review data Program address social determinants of health and develop strategies and policies to Manager, BIH and disparities and submit with Annual address social determinants of health Staff Report. (N) and disparities. Page 21 of 30 Agency Name FY 2023-2026 Exhibit A Sco e of Work 5.1.8. Produce flyers or educational materials Ongoing Coordinator/ 5.1.8. Maintain MCAH/BIH approval on file as needed using BIH funds to support Program for all flyers, education, and outreach community awareness efforts, ensuring Manager, BIH materials, including community materials are properly branded with Staff awareness efforts developed. the State BIH log and funding tagline "Funded by the California Department of Public Health." Page 22 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work Goal 6: All BIH Agencies will provide resources to assist in improving the health of pregnant and parenting Black Women and/or birthing people and their infants, including the management of chronic stress. 6.1 Provide all participants with additional services that support health and wellness while enrolled in the BIH Program. Major Functions,Tasks, and Activities Time Line Staff Performance Measure and/or Deliverables Responsibility 6.1.1. Assist participants in understanding Ongoing, BIH Staff 6.1.1. Document additional activities (e.g., behaviors that contribute to overall Quarterly Champions for Change cooking good health, including: demonstrations) conducted that • Stress management promote health and wellness of BIH • Sexual health participants and their infants at least • Healthy relationships once per quarter. (N) • Nutrition • Physical activity 6.1.2. Ensure that participants are enrolled in Ongoing BIH Staff 6.1.2. Number and percent of enrolled health insurance and are receiving participants that have received a risk-appropriate perinatal care. referral for health insurance. (E) BIH PA: Referral Status Report (New) 6.1.3. Provide participants with health Ongoing BIH Staff 6.1.3. Describe collaborative efforts with information that supports a healthy March of Dimes, MotherToBaby and pregnancy. other agencies that provide health education, preterm birth reduction materials and resources. (N) 6.1.4. Provide participants with health Ongoing BIH Staff 6.1.4. Describe collaborative efforts with education materials that address March of Dimes, MotherToBaby and preterm birth reduction strategies, other agencies that provide health such as the MCAH-BIH prematurity education, preterm birth reduction awareness and Provider sheet tip materials and resources. (N) sheet. Page 23 of 30 Agency Name FY 2023-2026 Exhibit A Sco e of Work 6.1.5. Identify participants' health, dental and Ongoing BIH Staff 6.1.5. Number and percent of enrolled psychosocial needs and provide women who have a known referral referrals and follow-up as needed to status for every documented referral at health and community services. time of exit from the program (among women dismissed from BIH). (E) BIH PA: Referral Status Report NEW 6.1.6. Provide information and health Ongoing BIH Staff 6.1.6. Number and percent of enrolled education to participants who report participants that have received a drug, alcohol and/or tobacco use. referral for drug, alcohol and/or tobacco use. (E) 6.1.7. Assist participants with completion of Prior to BIH PHN 6.1.7. Number and percent of active the birth preference form that outlines delivery participants with a birth preference specific labor/delivery and birthing form (relative to number of days requests to be conveyed to their enrolled in the program). (E) Quarterly prenatal care provider. Implementation Dashboard 6.1.8. Promote and support a reproductive Ongoing BIH Staff 6.1.8. Number and percent of enrolled life plan and family planning by participants that have discussed providing information and education reproductive life planning during 1:1 on birth spacing and interconception support meetings. (E) health during group sessions and 1:1 support Meetings. 6.1.9. Ensure that participants are attending Ongoing BIH Staff 6.1.9. Number and percent of participants postpartum visits and well-woman who attend a 4-6 week postpartum check-ups as scheduled. checkup with a medical provider. (E) Page 24 of 30 Agency Name FY 2023-2026 Exhibit A Sco e of Work 6.2.0. Help participants understand the Ongoing BIH Staff 6.2.0. Describe collaborative efforts with characteristics of healthy relationships Violence Prevention Organizations and provide resources that can help such as Futures without Violence to participants deal with abuse, determine service capacity to reproductive coercion, or birth control adequately meet needs identified by sabotage. participants and Agency staff providing case management services. (N) 6.2.1. Ensure that all BIH participants will be 6-8 weeks BIH MHP 6.2.1. Number and percent of active screened for Perinatal Mood and postpartum participants with an EPDS (relative to Anxiety Disorders (PMAD) and those and as number of days enrolled in the with positive screens will be given a necessary. program). (E) Quarterly referral to mental health services. Implementation Dashboard 6.2.2. Assist participants with increasing Ongoing BIH Staff 6.2.2. List and describe health education knowledge of infant safe sleep materials provided to participants practices, SIDS, Sudden Unexplained related to safe sleep practices and SIDS Infant Death (SUID) risk reduction. reduction. (N) 6.2.3. Provide participants with health Ongoing BIH Staff 6.2.3. Number and percent of enrolled education materials addressing the participants that have discussed benefits of breastfeeding. breastfeeding/infant feeding during 1:1 support meetings. (E) Number and percent of enrolled participants that have received a referral for breastfeeding or lactation. (E) BIH PA: Referral Status Report(New) 6.2.4. Assist participants with completing Prior to BIH PHN 6.2.4. Number and percent of active home safety checklist. delivery participants with a safety checklist (relative to number of days enrolled in the program). (E) Quarterly Implementation Dashboard Page 25 of 30 Agency Name FY 2023-2026 Exhibit A Sco e of Work 6.2.5. Teach participants about the Ongoing BIH Staff 6.2.5. Summarize participant successes and importance of stress reduction and challenges in utilizing stress reduction guide them in applying stress reduction techniques. (N) techniques (yoga, deep breathing, or meditation). 6.2.6. Facilitate the administration of the Ongoing BIH Staff 6.2.6. Number and percent of active stress scale and ask questions about participants with a baseline and follow- stress management focused on the up assessment (relative to number of participant's ability to be resilient and days enrolled in the program). (E) manage chronic stressors presenting during pregnancy. Page 26 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work Goal 7: 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). 7.1 Create and/or maintain a statewide public awareness campaign to inform the State about Black birth outcome inequities and/or the root causes of these inequities. Major Functions,Tasks, and Activities Time Line Staff Performance Measure and/or Deliverables Responsibility 7.1.1. Develop public awareness materials Ongoing BIH Staff, 7.1.1. Provide a report that describes that are focus tested with targeted Coordinator/ outreach engagement plan in the community. Program community. Manager Share ongoing progress in developing/maintaining the campaign during quarterly BIH Statewide Media Campaign meetings/reports. Agency Program Coordinator to review all staff/contractor/subcontractor deliverables and methodologies to ensure materials: • honor the unique history/traditions of people of Black descent • reflect/include the targeted community • are culturally responsive and engaging applicable to all Black birthing people, regardless of enrollment status in the CDPH- Page 27 of 30 Agency Name FY 2023-2026 Exhibit A Scope of Work BIH program • Agency to share final campaign deliverables and methodologies with the State for final review and approval. (N) 7.1.2. Hire and maintain culturally Ongoing Coordinator/ 7.1.2. Describe process of recruiting and competent Program hiring staff/contractors/subcontractors to Manager staff/contractors/subcontractors. (N) develop campaign materials that are relevant and respectful to the cultural Include resumes of heritage of Black women and the staff/contractors/subcontractors with community. submission of AFA packet. (N) Submit all staff/contractor/subcontractor changes to the State for review (N) Page 28 of 30 ORIGINAL Public HeGllh seal hWerlul,Chdd and AdoefelM Meats Dmswn BUDGET SUMMARY FISCAL YEAR BUDGET BUDGET STATUS BUDGET BALANCE 2024-25 ORIGINAL ACTIVE 0.00 VenunTO-ISO OuvI ip70 v�9.am: Perinatal Equity Initiative PEI A en UNMATCHED FUNDING NON-ENHANCED ENHANCED 9 �r 24-TO Fresno SubH: MATCHING(50150) MATCHING(751251 AGENCY FUNDS PEI.SGF-NE PEI-Cory NE PEI�SGF�E PEI.GmyE��JPEI (6) (IJI (Iil Its)TOTAL FUNDING % A9onry Funds• F Combined Fd/Stale •/. Combined X. Comb netl � Cemhined/A FN/Stale F IAALLOCATIONS) 9VALUEI EXPENSE CATEGORY (1)PERSONNEL 129.450.92 129,450.92 0.00 0.00 0.00 0.00 0.00 (11)OPERATING EXPENSES 9.368.22 9.368.22 0.00 0.00 0.00 0.00 0.00 (111)CAPITAL EXPENDITURES 0.00 0.00 0.00 0.00 0.00 D,00 0.00 (IV)OTHER COSTS 425.200.00 425.200.00 0.00 0.00 0.00 0.00 0.00 (V)INDIRECT COSTS 31,624.66 31.924.R6 0.00 0.00 0.00 0.ao 0.00 BUDGET TOTALS' 595.644.00 I apx 595,644.00 ow% 0.00 a.. 0.00 O.00z 0.00 000x 0.00 000% 0.00 BALANCE(S) TOTAL PEI-SGF 595,644-00 595,644.00 ISGxI o.00 Iz5x1 a.00 TOTAL TITLE XIX 0.00 s I5Dx1 o.oD Soxl o.DD 175x1 o.DD i,x% o,DD TOTAL AGENCY FUNDS 0.00 o.00 IS�1 0.00 lazl o.00 $ 595,644.00 Maximum Amount Payable from State and Federal resources WECERTfY TTHI6 BUDGET HAS BEEN GOVSTRUGT IN COMPWWGE WITII ALL MOAN ADMImS TNEANDPROGRAMPOLKIES. z� 7( ZiF PROTECT DIRECT00.'.StGNATIrpE OATS AGENCY FMCAL AGENT'S SIGNATURE PATE alrouYi eeNan leeil,eren»suhl>uled In vdanvtien and malrlung pvpeua MGAN does l�d,e�nduu Ageelry eeNrihuYass. STATE USE ONLY-TOTAL STATE AND FEDERAL REIMBURSEMENT PEI-SGF AGENCY FUNDS PEISGF-NE PEI-Cnty NE PEISGF-E PEl�Cnly E PCA Cede. 53115 12 (11 PERSONNEL TBO TBD TBD TTOE)(II) OPERATING EXPENSES 9,368,366.22 0.00 0.00 0.00 0.00 .22 0.00 0.00 000 0.00 (III( CAPITAL EXPENSES 0.00 0.00 0.00 0.00 0.00 (IV1 OTHER L0575 425,200.00 0.00 0.00 0.00 0.00 (V1 INDIRECT COSTS 31,624,66 0.00 0.00 O.Do 0.00 Totals fer PCA Codes 595,6<q.00 595,644.Oo 000 0.00 0.00 000 24-10 PEI 5 Budget Template 06.2624 Asx 1 of 5 P-led:711212024 2'31 PM ORIGINAL Public-Health .14 o;11 wlaw,enad.nd Aaw,e.n Heau Omslm Program: Perinatal E uity Initiative(PEI) NON-ENHANCEDAge"ey: 24-tO Fresno UNMATCHED FUNDING MATCHING(501501 ENHANCED MATCHING(75/25) SubR: PEI-SGF AGENCYFUNDS PEISGF-NE PEj1.d PEI SGF-E PEI-CnlyE 111 (21 1]) IfiI ITl le) l91 II"1 (121 (1]) (14) (15) TOTAL FUNDING •/. PEI-SGF % Agency Funds• x Co- Comhlncd % Combined Combined Fed/State Fed/Slalo F d/o nO� (II) OPERATING EXPENSES DETAIL PAVElu7tr£uruArpl .,,,,,,k1E„ ;a D.00x 0.00x P TOTAL OPERATING EXPENSES 9,768.22 9,76 .0% 9.22 0.00 0.00 0.00 GO p.00 TRAVEL 5,000.00 100.00% 5,000 0o 0.00 pop 0.00 o.00 o oa u 0-0.%�p TRAINIf4G SO0.00 100.00% 500.00 O.OD O,OD% 0.00 0,00 0.00 0.00 0.0". 1 Off-S-Fptie, 3,718272 100.00% 3.71822 0,00 0.00% 0.00 0.00 0.00% 2 Pnlage 50.00 loo.a0% 50,00 OGO 0.00% 0.00 0.00 0.00% 3 Dupli-4ttan 100.00 100,00% 100.00 0.00 0,00% 0.00 0.00 0.00% 4 0.00 000 0.00 0.00 5 0.00 000 0.00 0.00 6 000 O OO 0.00 0.00 7 0.00 000 0.00 0.00 a 0.00 0.00 0.00 000 9 0.00 000 0.00 0,00 10 0.00 O GO 0.00 0.00 11 0.00 000 0.00 0.00 12 0.00 O GO COO 000 13 0.GO OCO 000 0,00 14 000 O.CO 0.00 0.00 15 0.00 0 CO 0.00 0.00 --t auuted Ooerarna Eeuenses me not eaoEle W Fedoral main--ands(T41e%IXI Eanenses may oNy be Wfeed la UnmalNed TNe V(Gal]I.Slate General Funds(GO 51.amuor AGO-(COL 71 fund& (III) CAPITAL EXPENDITURE DETAIL TOTAL CAPITAL EXPENDITURES 0.00 0.00 0.00 000 (IV) OTHER COSTS DETAIL anpnspmlEL eA1cII 0.00% TOTAL OTHERCO5T5 425.200.00 425.200.00 0.00 0.00 0.00 0.00 0.00 SUBCONTRACTS 1 TBD(Ceule Services) 189,OD0.00 1o0.00% 189,00000 000 0.00% 000 0.00 0DO 0.00 2 TBO(Fathelhood) 1113,000.00 100.00% la3,DD0.00 0,00 0.00% 0.00 000 0.Do 0,00 3 Two O,Inc 31,0DO.00 Ima0% 31,GOO.00 0.00 0.00% Ono DDO 0.00 0.00 4 0.00 000 0.GO 0.00 0 co 0.00 5 0.00 0 00 ❑00 a.DO 0.0a 0.00 6 000 O'co 000 000 000 0.00 7 0.00 000 0.00 am ODo O.OD a 0.09 O.Oo 0.00 0.00 0.00 0.00 OTHER CHARGES 1 Program Materials 12.000.00 100.00% 12,00D.00 0.00 000% 0.00 0.00 u,0.00'/.�k 2 Community Advisory Board 10.20000 100.00% 10.200.00 000 0.00% 0.00 0.00 0.00% 3 000 000 0.00 0.00 4 0.00 000 0.00 0.00 5 000 0.00 0.00 0.00 6 0.00 0,00 0.00 000 7 a.00 0.00 0.00 0.00 a 0.00 000 0.00 a.GG (V) INDIRECT COSTS DETAIL TOTAL INDIRECT COSTS 31,524.e6 J1,624.Bfi 0.GO 0.00 p,0p 24.43% of Total Wages♦Fringe Benefits 31,624.86 100.00% 31 624.86 1 000 0.00% 0.00 0.00 24-10 PEI 5 Budget Template 06.26 24.alsx 2 of 5 Printed.7/122024 2:31 PM Public 11ealfh -l��L::l r4u.m.l,clmwAdm.:<.r4 N.abh oms>a, ORIGINAL Pto9ra^': Perinatal E Lit Initia�'P-E-!'- _1.AgOe°Y 24 Fresno UNMATCHED FUNDING NON-ENHANCED SubK: MATCHING(SO/SO) ENHANCED MATCHING(75125) PEI-SGF AGENCY FUNDS PEI-SGF-NE FEI.Cn NE H PE'-F-E PEI.CMyE t1) R) o) (•1 M (5) (91 1 °01 (u) I (21 (1a) (10 I 115) TOTAL FUNOWG(1) PERSONNEL DETAIL % PEI-SGF % Ag.n ry Fend.- X Cembincd Combined Combined Combined Fed/State /A n X FEdlState � F IA e TOTAL PERSONNEL COSTS iMAJd.f2 129.450.92 000 o.GG a.oG a.oa 0.00 FRINOE 6ENEFR RATE 79.28% 57,294.92 57,24492 000 O00 000 0.00 0.00 TOTAL WAGES 72.206.00 72,206.00 0.00 0,00 0.00 0.00 0.00 FULL NAME TITLE OR CLASSIFICATION ANNUAL 7- zi (Firtt Nama Last Name) INa Aronyms) X FTE SALARY TOTAL WAGES1 GiOy Kwv6e Hcallh Educator100 00% 72,206.0a 72,206.00 1OG..% 72,206.00 0,00 0.00 0.00 0.00 0.00 79.50% 2 0.00 0.00 0.00 Goo 000 J OOD o.00 0.00% 0 0.00 0.G0 0.00% 4 0_00 o.oO a o0 000 o.DO 0 o.00.03 0.00 0.00 O.00% 6 0.03 0.00 0,00 0,00 0.00 0.00 0.00 0.00%0.03 O GG 0,00 0.00 0.00% 7 0,03 0.00 0.00 B D"°° 000 0.00 0.00 0.00 0.00 0.00 0.00% 9 0.00 0.00 0.00 0.00 0.00 0,00 10 0.00 0.0 0.00 0.00 o.00 ao0 0.00 0% 17 D,00 O.oG G.00 0.00 000 0.00% 0.00 0.00 0 00 000 0.03% 12 G.DG o oG 0.G0 0,00 o.DG 0.00 000 ooD% 13 0.00 0.03 0.00 000 0.00 0.00 0,00 0.00% 0 19 0,00 .00 000 0.00 0.00 0.00 0.00 0.00% is 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00% is 0,00 G oGo . . oo aDO ooG 0° o.Oo G.00 o.00% °'0° °.0° D.Go a.o0 0.00 000 0.00% 17 76 0.00 0.00 0.00 000 0.00 000 0.00 0.00% 19 0.00 0.00000 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 0.00 0.00 0.00 0.00 2a G.00 a.o3x 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00% 21 0.00 0.00 22 000 000 0,00 0.00 000 D.03% o.oO 0.0D 0.00 O.w o.00 o.DG D.00 2J 0.00 0.00 0,00 0.00 0.GO 24 0.00 0.00 0.00% G.00 0.00 0.0G 0.00% Z6 o.oG o.DD 0.03 °0,00 o.DOoO coo 0,00 0.00 0.00 O.DO% 27 0.00 o.00 0.03 0.00 D.00 0.00 0_00 000 0.00 000% 000 000 0,00 O.Go 0.00 0.00% za O.Go a.aO G.GG 0.00 0.00 2B 0.00 000 0.00% O00.Go 0.00 0.G0 0.00% JO U.UO O.BU 0,00 O.DO 0.00 0.00 31 0.00 0.00 0.°° 0 00 0.00 0.00% 32 0.00 °'0° 0.00 000 000 0 00 0.00 0.00 0.00 33 0 0.00 0,00 0.00 0 0..000 000 0.00 000 0.00 0.00 D.00 34 000 G.GG 0.00 35 0.00 000 0.00 0.00 0.00% 36 0.00 0.00 0 0.00 0.000.0°0.00 0.00 0.00 .00 000 0.00 0.00% J7 o.oa o0o 0.00 o.00x 000 0 0.00 coo 0.00% Ja o.Oo D.00 a.oG 0 0.00 0.00 0.00% J9 0.00 U,UB 0.GO 0.00 0.00 °.°° 0.00 0.00 4o Goo g� G.ao G.oG a 00% 41 0.00 0.00 00 0.00 0.00 0.00% °.0° 0.00 0.00 oao 0,00%i2 0.0o G.00 O,Go 43 0.00 0.00 0.00 0.00 000 0.00 0.00 0.00% 0.00 0.00 0.00 0.00 0.00 0.00% q4 0.00 0.00 O,GD 0.00 0.00 0.00 000 000% 4s 0.00 0.00 46 0.00 0.00 G.00 0.00 47 0.00 0.00 0.00 0.00 0.00 om 0,00% 49 O.DO 000 0.00 0.00 0.00 000 0.00 O,OOx 49 0.00 0,00 0.00 °°° 0.00 0.00 0,00 0.00% 50 0.00 0.00 0.00 0'00 °'0° 0.00 0,00 0.00% a.0o DGo 0.00 o.00 0.00% D.oO 0.00 0.00 st °00 o.Do 52 0.00 0.00 0.00 0.00 0.00 O.DO% 53 0,00 0.00 000 °.0° 000 000 0.00 0.00% 00 0,0054 0.00 0.00 0.00 D 0.00 0.00 °00 0.00 0 00% 55 0.00 0.00 0.00 0.00 O.DO 0.00% Sfi 0.00 0.00 0.00 0.00 0.00 a. o.Do 00% 57 0.00 0.00 Goo 0.00 0.00 0.00 0.00 0.00% o.ao o.Do o.00 oD0 �00 °0° 0.00 0.00% 0.00 0.00 0.00 0.00 O.DO% 24-10 PEI 5 Budget Templm.06 26.24..1z< 3 oI5 Prinled:7/12/2024 2.31 PM Exhibit A County: County of Fresno Workplan Agreement Number: 24-10 For each fiscal year (FY) of the contract period, the Local Health Jurisdictions (LHJ) shall submit the deliverables identified below. All deliverables shall be submitted to the Maternal, Child and Adolescent Health (MCAH) Division to your designated Program Consultant in accordance with Perinatal Equity Initiative (PEI) guidelines and emailed or uploaded to SharePoint no later than the due date. PeriodReporting From To Due Date 1) First Implementation Reporta January 1, 2023 June 30, 2023 July 31, 2024 2) Second implementation Report July 1, 2023 June 30, 2024 July 31, 2025 3) Third Implementation Report July 1, 2024 June 30, 2025 July 31, 2025 4) Fourth Implementation Report July 1, 2025 June 30, 2026 July 31, 2026 a) We are aligning implementation reports with fiscal year funding cycles. As a result,the first implementation period is from the previous grant cycle. See the following pages for a detailed description of the services to be performed. Page 1 of 9 Exhibit A County: County of Fresno Workplan Agreement Number: 24-10 Goal 1: To align services with the Black Infant Health Program, oversee administration of the PEI and ensure program implementation, planning evaluation, program oversight, accurate completion of data entry activities and fiscal management is completed in compliance with CDPH- MCAH Guidelines. Objectives Activity Evaluation Measures/Deliverables (Report on these measures in the Annual Report) 1.1 LHJs will provide oversight, maintain 1. Implement the program activities as defined 1. Submit PEI Reports according to the program fidelity, fiscal management and in the SOW. reporting schedule established by CDPH- demonstrate that PEI activities are MCAH-PEI. conducted as required in the PEI Scope of 2. Local PEI Coordinator will coordinate and collaborate with MCAH Director to complete, Work (SOW), CDPH-MCAH Fiscal Policies review, and approve the PEI budget prior to and Procedures (P&Ps), and PEI P&Ps. submission. cdph.ca.gov/Programs/CFH/DMCAH/Pages/Fiscal- 3. Local PEI Coordinator will coordinate and Documents.aspx collaborate with the MCAH Director to ensure that accurate intervention data is submitted quarterly and as directed by CDPH MCAH-PEI. 4.Ensure the following key staffing roles are filled: • 1.0 Full-time (FTE) PEI Coordinator 5. Notify MCAH-PEI within five (5) business days of any hire (include start date) or staff vacancy (indicate last day in program). 1.2 All local PEI staff will maintain and increase 1. Ensure that all key local PEI staff 1. Submit number of activities, trainings, and staff competency. participates in training or educational conferences (both state and local) attended by local PEI staff and/or subcontractors during each FY according to the reporting schedule. Page 2 of 9 Exhibit A County: County of Fresno Workplan Agreement Number: 24-10 opportunities designed to enhance cultural sensitivity. 2. Ensure that the local PEI Coordinator and all direct service staff attend mandatory MCAH Division-sponsored training(s) and make best efforts to attend optional activities or trainings. 3. Ensure all key local PEI staff and/or their subcontractors participate in available trainings pertinent to the interventions selected in their jurisdiction. 1.3 Complete annual Turn the Curve (TTC) 1. Complete TTC process with PEI learning 1. Submit annual TTC report by July 315t of thinking process. cohorts and with county partners for each each state fiscal year. implemented intervention based on guidance provided by CDPH-MCAH. 2. Complete annual TTC process with learning collaborative cohort for each implemented intervention. 3. Complete TTC process as needed with county partners. Page 3 of 9 Exhibit A County: County of Fresno Workplan Agreement Number: 24-10 Goal 2: Fund county health departments to develop local community grants to reduce Black Maternal and Infant Mortality/Morbidity by expanding the scope of interventions to compliment current Black Infant Health (BIH) Programming. Objectives Activity Evaluation Measures/Deliverables (Report on these measures in the Annual Report) 2.1 To reduce Black Maternal and Infant 1. Attend all learning collaborative cohorts: 1. Provide intervention progress and share Mortality/Morbidity, fund/contract with successes and challenges on monthly or bi- community-based organizations (CBOs) to Monthly calls or meetings for monthly learning collaborative calls. implement at least two (2) of five (5) legislated Community Advisory Board and Public PEI interventions: Awareness Campaign updates. • Monthly or Bi-monthly calls/meetings • Evidence-based or evidence- for legislated PEI interventions. informed group prenatal care 2. See Goal 3 outcomes. program 2. Ensure Results-Based Accountability • Pregnancy intentionality, activities are completed. preconception and/or 3. Ensure there is plan in place to meet the 3. Share your plan for meeting the needs of interconception care program needs of your populations in the event of an your populations in the event of an emergency • Fatherhood or partnership initiative emergency that may disrupt services. that may disrupt services. that supports engagement of partners in pregnancy and 4. Maintain records and other documentation childbearing for auditing purposes. See Audit and Record • Evidence-based or evidence- Retention Section in the CDPH-MCAH Fiscal informed home visitation program P&Ps. • A strategy not described above that 5) Develop and implement unique strategies, is justified based on local needs and activities, and services for each Page 4 of 9 Exhibit A County: County of Fresno Workplan Agreement Number: 24-10 resources, that combines social intervention that address racial health interventions with medical disparities in birth outcomes among Black interventions including but not women as approved by CDPH-MCAH-PEI. limited to: a) Assessment b) Increase patient empowerment c) Doulas d) Patient navigator services 2.2 Conduct site visits (either virtually or in- 1. Develop a schedule for visiting each CBO. 1. Submit schedule to CDPH-MCAH-PEI person) to ensure culturally affirming site for according to the reporting schedule. implementation of services. Page 5 of 9 Exhibit A County: County of Fresno Workplan Agreement Number: 24-10 Goal 3: Incorporate Results-Based Accountability (RBA)to monitor program performance. Objectives Activity Evaluation Measures/Deliverables (Report on these measures in the Annual Report) 3.1 LHJs and their subcontractors will attend 1. County and community-based 1. Submit a list of staff that have attended RBA RBA training(s). organizations will utilize the RBA framework to training (either virtually or in-person). monitor the performance of their interventions. 2. Complete quarterly TfC meetings as needed for each implemented intervention. 2. Ensure that local key county personnel and CBOs participate in and/or review CDPH approved RBA training(s). 3. Learn when and how to implement the TfC process to review and analyze data to measure program performance. 3.2 Maintain and/or establish data collection 1. Develop, identify, or utilize existing 1. Submit name of software used to and management methods for CBOs and Local software to collect and manage data that will collect/manage data for each of your Health Jurisdictions to submit data to CDPH- later be summarized for submission to CDPH- interventions (i.e., evidenced-based, MCAH. MCAH PEI according to the reporting schedule. evidenced-informed, promising practice, public awareness campaign, community- advisory board). 2. Where applicable, ensure CBOs are submitting data to CDPH-MCAH based on current guidance. 2. Share plan for CBOs to submit data, including frequency of data submission to Page 6 of 9 Exhibit A County: County of Fresno Workplan Agreement Number: 24-10 3. Provide technical assistance to CBOs to CDPH-MCAH according to the reporting ensure data submission is accurate and schedule. adheres to CDPH-MCAH guidelines. 3. Share your plan for LHJ review of the data entered by the CBO prior to submission to MCAH according to the reporting schedule. 4. Submit performance data according to CDPH-MCAH reporting schedule. 3.3 Work with CDPH-MCAH to develop and/or 1. Attend learning collaborative cohort 1. Incorporate performance measures based refine performance measures. meeting for performance measures. on LHJ priorities and guidance provided by CDPH-MCAH. 2. Submit County data summary to MCAH by 2. Work with Community Advisory Board (CAB) July with each annual report. and CEOs to ensure measures continue to meet the community needs. 3.4 Participate in technical assistance (TA) calls 1. Attend and participate in quarterly TA calls 1. Update performance measure data based with CDPH-MCAH. to provide program updates and ensure on feedback provided by CDPH-MCAH. accuracy of data. Page 7 of 9 Exhibit A County: County of Fresno Workplan Agreement Number: 24-10 Goal 4: Conduct local public awareness efforts that address birth outcome inequalities to improve prenatal health and birth outcomes for Black women and babies. Objectives Activity Evaluation Measures/Deliverables (Report on these measures in the Annual Report) 4.1 Maintain a local Public Awareness 1. Maintain a Public Awareness Campaign that 1. Share ongoing progress in maintaining Campaign to inform the community about is focus-tested with targeted community campaign in learning collaborative cohort. African-American birth outcome inequities Members. and/or the root causes of these inequities. 2. Incorporate key dates into public awareness 2. Share final and/or updated campaign efforts. For example: components once complete according to the reporting schedule. • National Prematurity Day • Black Infant Mortality Week • Black Breastfeeding Week 3. Track outreach and impact of the awareness campaign via RBA PMs. Goal 5: Conduct local CAB efforts around birth outcome inequalities to improve prenatal health and birth outcomes. Objectives Activity Evaluation Measures/Deliverables (Report on these measures in the Annual Report) Page 8 of 9 Exhibit A County: County of Fresno Workplan Agreement Number: 24-10 5.1 Maintain a local collaborative that focuses 1. Reach out to local partners (i.e., hospitals, 1. Provide a list of CAB members and on Black Maternal and Infant health centers, county clinics, CBOs, etc.) to role/affiliated agency according to the mortality/morbidity. create a network of partnerships. reporting schedule. 2. Ensure coordination/collaboration between 2.Submit number of trainings, activities, and PEI and BIH programs, including conferences attended by CAB members and representation of BIH staff on PEI CAB, PAC role/affiliated agency during each FY according and intervention Learning Collaborative calls. to the reporting schedule. 3. Ensure representation of target population for selected interventions is on CAB. 4. Ensure that CAB members participate in training or educational opportunities designed to enhance cultural sensitivity to advocate for efforts to address racial health disparities. 5.2 Ensure community partners are engaged 1. Hold regularly scheduled CAB meetings. 1. Provide a schedule of CAB meetings during the implementation of the according to the reporting schedule. interventions and are invited to TTC meetings. 2. Document quarterly TTC meetings as needed via the TTC view in your RBA scorecard. Page 9 of 9 Funding Allocation from the California Department of Public Health Allocation Name: CHDP Maternal, Child and Adolescent Health, Black Infant Health, and Perinatal Equity Initiative Fiscal Year 2024-25 Allocation Fund/Subclass: 0001/10000 Organization: 56201615, 56201670, 56201677, 56201700, 56201706, 56201715, 56201719, 56201720 Revenue Account #: 4380, 3530