HomeMy WebLinkAbout32123std.213a Continuation
Fresno County
14-10501 A01
Page 2
III.Exhibit A,Scope of Work,Attachment 1,is hereby replaced in its entirety.
IV.Exhibit B-Page 2,paragraph 4, and page 6 -paragraph 11,are amended as follows:
4.Amounts Payable
A. The maximum amount payable under this agreement shall not exceed the total
sum of $4,508,724.00 $4,625,956.00.Financial year individual fund limits are:
1) FinancialYear July 1, 2014 through June 30, 2015.Funds added pursuant
to this amendment must be expended by June 30,2015 and will be
liquidated first.
1.$629,121.00,CDC PHEP Base Funds.
2.$260,246.00,Laboratory Funds.
3.$0.00,Laboratory Trainee Funds.
4.$0.00,Laboratory Training Assistance Funds.
5.$197,577.00,Cities Readiness Initiative Funds.
6.$323,875.00 441,107.00,HPP Funds.
7.$92,089.00,State General Funds Pandemic Influenza Funds.
2) Financial Year July 1, 2015 through June 30, 2016
1.$629,121.00,CDC PHEP Base Funds.
2.$260,246.00,Laboratory Funds.
3.$0.00,Laboratory Trainee Funds.
4.$0.00,Laboratory Training Assistance Funds
5.$197,577.00,Cities Readiness Initiative Funds
6.$323,875.00,HPP Funds.
7.$92,089.00,State General Funds Pandemic Influenza Funds.
3) Financial Year July 1,2016 through June 30, 2017
1.$629,121.00,CDC PHEP Base Funds.
2.$260,246.00,Laboratory Funds.
3.$0.00,Laboratory Trainee Funds.
4.$0.00,Laboratory Training Assistance Funds
5.$197,577.00,Cities Readiness Initiative Funds
6.$323,875.00,HPP Funds.
7.$92,089.00,State General Funds Pandemic Influenza Funds.
V.Paragraph 11,Advance Payment Authority and Limitation isamended to read as follows:
11.Advance Payment Authority and Limitation
B. Each fiscal year, upon the submission ofan application forfunding by the
administrativebody of a local health jurisdiction,the department shall make the
firstquarterly payment to each eligible local health jurisdiction.Subsequent
payments will be made pursuant to thisAgreementor an amendment tothis
agreement, and those payments would not be advance payments, they would
be quarterly allocations as detailed in Attachment 1 -Payment Criteria.
VI.Paragraph 4 (incorporated exhibits)Exhibit B.Attachment1- Payment Criteria is hereby
revised and replaced in its entirety.
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Hospital Preparedness Program (HPP)
HPP Capability 1:Healthcare System Preparedness
Objective:Strengthen the ability of a community's healthcare system to prepare, respond, and recover from incidents that have a publichealth and medical
impact in the short and long term. The healthcare system role in community preparedness involves coordination with emergency management,public health,
mental/behavioral health providers, community and faith-based partners,state,local, and territorial governments to do the following:1) Provide and sustain a
tiered,scalable,and flexible approach to attain needed disaster response and recovery capabilities while not jeopardizing services to individuals in the community;
2) Provide timely monitoringand management of resources;3)Coordinate the allocation of emergency medical care resources;and 4) Provide timely and relevant
information on the status of the incident and healthcare system to key stakeholders.Healthcare system preparedness is achieved through a continuous cycle of
planning,organizing and equipping,training,exercises,evaluations and corrective actions.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
M Function 1:Develop,refine,or sustain Healthcare Coalitions
[X]Function 2: Coordinate healthcare planning to prepare the
healthcare system for a disaster
03 Function 3:Identify and prioritize essential healthcare assets
and services
[X]Function 4: Determine gaps inthe healthcare preparedness
and identify resources for mitigation of these gaps
•Function 5: Coordinate trainingto assist healthcare
responders to develop the necessary skills in order to respond
• Function6: Improve healthcare response capabilities through
coordinated exercise and evaluation
[X]Function 7: Coordinate withplanning for at-risk individualsand
those with special medical needs
7/1/14-
6/30/17
Consultant
-TBD
1.Maintain Hospital Preparedness Coordinator and HPP
Partnership Coordinator.
2.Support Operational Area Healthcare Coalition by
providing resources to participating healthcare facilities
for planning and other preparedness activities.
3.For each selected function,develop work plan activities
for each budget year according to annual Local
Application Guidance.Revise work plan as directed by
CDPH.
4.Submit mid-year and year-end progress reports to
CDPH according to guidelines within the Local
Application Guidance.
5.Complete and submit specific deliverables (response
plans,After-Action Reports,meeting minutes,training
schedules)as described in approved work plan under
each selected function for each budget year.Submit
annual performance measure data as required by the
federal government.
6.Test capability in annual statewide medical and health
exercise and/or other drills,exercises or real events.
Page 1 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Hospital Preparedness Program (HPP)
HPP Capability 2:Healthcare System Recovery
Objective:Collaborate with Emergency Management and other community partners,(public health,business,education and other partners)to develop efficient
processes and advocate for the rebuilding of public health,medical,and mental/behavioral health systems to at least a level of functioning comparable to pre-
incident levels and improved levels where possible.The focus is an effective and efficient return to normalcy or a new standard of normalcy for the provision of
healthcare delivery to the community.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
[>3 Function 1:Develop recovery processes forthe
healthcare delivery system
IE!Function 2: Assist healthcare organizations to
implement Continuity of Operations (COOP)
7/1/14-
6/30/17
1.Support healthcare facility and operational area recovery
planning.
2.For each selected function,develop work plan activities for
each budget year according to annual Local Application
Guidance.
3.Revise work plan as directed by CDPH.
4.Submit mid-year and year-end progress reports to CDPH
according to guidelines within the Local Application
Guidance.
5.Submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as
described in approved work plan under each selected
function for each budget year.
6.Submit annual performance measure data as required by
the federal government.
7.Test capability in annual statewide medical and health
exercise and/or other drills,exercises or real events.
Page 2 of 27
Exhibit A -Attachment 1
Fresno County Scope of Work
Hospital Preparedness Program (HPP)
Fresno County
14-10501 A01
HPP Capability 3:Emergency Operations Coordination
Objective:Strengthen ability for healthcare organizationsto engage with incident management at the EmergencyOperationsCenter or with on-scene incident
management duringan incidentto coordinate information and resource allocation for affected healthcare organizations. This is done through multi-agency
coordination representing healthcare organizations or by integrating this coordination into plans and protocols that guide incident management to make the
appropriate decisions. Coordination ensures that the healthcare organizations, incident management,and the publichave relevant and timely information about
the status and needs of the healthcare delivery system in the community. This enables healthcare organizations to coordinate their response with that of the
community response and according to the framework of the National Incident Management System (NIMS).
Activities to Support the Objective
[x]Function 1:Healthcare organization
multi-agency representation and
coordination with emergency
operations
[X]Function 2:Assess and notify
stakeholders of healthcare delivery
status
£<]Function 3:Support healthcare
response efforts through coordination
of resources
[x]Function 4: Demobilize and
evaluate healthcare operations
Timeline
7/1/14 -
6/30/17
Staff Evaluation/Deliverables
1. Maintain HPP Coordinator,Partnership Coordinator,and Healthcare Coalition
and maintain operational area response plans to ensure coordination across
healthcare providers,emergency management,emergency medical services,
and public health.
2.Maintain emergency operation centers within Healthcare Coalition member
facilities and train healthcare staff in emergency response activities including
ICS (Hospital Incident Command,Nursing Facility Incident Command,and
Clinic Incident Command).For each selected function,develop work plan
activities for each budget year according to annual Local Application
Guidance.
3.Attend CDPH annual workshop,healthcare provider related workshops,
Homeland Security,other approved emergency preparedness workshops,
and CDC and ASPR sponsored workshops.
4.For each selected function,develop work plan activities for each budget year
according to annual Local Application Guidance.Revise work plan as directed
by CDPH.Submit mid-year and year-end progress reports to CDPH
according to guidelines within the Local Application Guidance.
5.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved work
plan under each selected function for each budget year.
6.Submit annual performance measure data as required by the federal
government.
7.Test capability in annual statewide medical and health exercise and/or other
drills,exercises or real events.
Page 3 of 27
HPP Capability 5:Fatality Management
Exhibit A -Attachment 1
Fresno County Scope of Work
Hospital Preparedness Program (HPP)
Fresno County
14-10501 A01
Objective:Coordinate with organizations (e.g., lawenforcement, healthcare,emergency management,and medical examiner/coroner)to ensure the proper
recovery, handling,identification,transportation,tracking,storage,and disposal of human remains and personal effects; certify cause of death; and facilitate
access to mental/behavioral health services for family members,responders,and survivors of an incident.Coordination also includes the proper and culturally
sensitive storage of human remains during periods of increased deaths at healthcare organizations during an incident.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
• Function 1:Coordinate surges of deaths
and human remains at healthcare
organizations with community fatality
management operations
7/1/14-
6/30/17
1.
2.
Maintain HPP Coordinator,HPP Partnership Coordinator,and
Healthcare Coalition.
For each selected function,develop work plan activities for each
budget year according to annual Local Application Guidance.
• Function 2: Coordinate surges of
concerned citizens with community agencies
responsible for family assistance
• Function 3:Mental/behavioral support at
the healthcare organization level
3.
4.
5.
6.
7.
Revise work plan as directed by CDPH.
Submit mid-year and year-end progress reports to CDPH according
to guidelines within the Local Application Guidance.
Complete and submit specific deliverables (response plans,After-
Action Reports,meeting minutes,training schedules)as-described in
approved work plan under each selected function for each budget
year.
Submit annual performance measure data as required by the federal
government.
Test capability in annual statewide medical and health exercise
and/or other drills,exercises or real events.
Page 4 of 27
HPP Capability 6:Information Sharing
Exhibit A -Attachment 1
Fresno County Scope of Work
Hospital Preparedness Program (HPP)
Fresno County
14-10501 A01
Objective:Conduct multijurisdictional,multidisciplinary exchange of public health and medical related information and situational awareness between the
healthcare system and local, state, Federal, tribal,and territorial levels of government and the private sector. This includes the sharing of healthcare information
through routine coordination with the Joint Information System fordissemination to the local,state, and Federal levels ofgovernment and the community in
preparation for and response to events or incidents of public health and medical significance.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
[x]Function 1:Provide healthcare situational
awareness that contributes to the incident
common operating picture
[X]Function 2: Develop, refine, and sustain
redundant,interoperable communication
systems
7/1/14-
6/30/17
1.Maintain HPP Coordinator,Partnership Coordinator,and Healthcare
Coalition and maintain communications plan and communication
equipment for Local HPP Entity and Healthcare Coalition members.
2.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
3.Revise work plan as directed by CDPH.
4.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
5.Complete and submit specific deliverables (response plans,After-
Action Reports,meeting minutes,training schedules)as described in
approved work plan under each selected function for each budget year.
6.Submit annual performance measure data as required by the federal
government.
7.Test capability in annual statewide medical and health exercise and/or
other drills,exercises or real events.
Page 5 of 27
HPP Capability 10:Medical Surge
Exhibit A -Attachment 1
Fresno County Scope of Work
Hospital Preparedness Program (HPP)
Fresno County
14-10501 A01
Objective:Strengthen ability to provide adequate medical evaluation and care during incidents that exceed the limitsof the normal medical infrastructure within
the community.This encompasses the ability of healthcare organizations to survive an all-hazards incident,and maintain or rapidly recover operations that were
compromised.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
[x]Function 1:The Healthcare Coalition
assists with the coordination of the
healthcare organization response during
incidents that require medical surge
&\Function 2: Coordinate integrated
healthcare surge operations with pre-hospital
Emergency Medical Services (EMS)
operations
[x]Function 3:Assist healthcare
organizations with surge capacity and
capability
• Function 4: Develop Crisis Standards of
Care guidance
•Function 5:Provide assistance to
healthcare organizations regarding
evacuation and shelter in place operations
7/1/14-
6/30/17
1.Maintain HPP Coordinator,Partnership Coordinator,and Healthcare
Coalition.
2.Purchase,store and/or maintain medical supplies and equipment to
ensure operational readiness to respond to a public health or medical
emergency.Items may be purchased for healthcare coalition members.
3.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
4.Revise work plan as directed by CDPH.
5.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
6.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
7.Submit annual performance measure data as required by the federal
government.
8.Test capability in annual statewide medical and health exercise and/or
other drills,exercises or real events.
Page 6 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Hospital Preparedness Program (HPP)
HPP Capability 14:Responder Safety and Health
Objective:Strengthenthe ability ofhealthcare organizationsto protectthe safety and healthofhealthcare workers from a variety ofhazards during emergencies
and disasters.This includes processes to equip, train, and provide other resources needed to ensure healthcare workers at the highest riskfor adverse exposure,
illness, and injuryare adequately protected from all hazards during response and recovery operations.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
D Function 1:Assist healthcare
organizations with additional pharmaceutical
protection for healthcare workers
•Function 2:Provide assistance to
healthcare organizations with access to
additional Personal Protective Equipment
(PPE)for healthcare workers during
response
7/1/14-
6/30/17
1.Maintain HPP Coordinator,Partnership Coordinator,and Healthcare
Coalition.
2.Healthcare Coalition members should maintain policies and procedures to
ensure healthcare worker safety and purchase and maintain protective
equipment for healthcare coalition member staff.
3.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
4.Revise work plan as directed by CDPH.
5.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
6.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
7.Submit annual performance measure data as required by the federal
government.
8.Test capability in annual statewide medical and health exercise and/or other
drills,exercises or real events.
Page 7 of 27
HPP Capability 15:Volunteer Management
Exhibit A -Attachment 1
Fresno County Scope of Work
Hospital Preparedness Program (HPP)
Fresno County
14-10501 A01
Objective:Strengthen the ability to coordinate the identification,recruitment, registration, credential verification,training,engagement,and retention of
volunteers to support healthcare organizations with the medical preparedness and response to incidents and events.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
M Function 1:Participate with volunteer
planning processes to determine the need for
volunteers in healthcare organizations
£3 Function 2:Volunteer notification for
healthcare response needs
E3 Function 3: Organization and assignment
of volunteers
• Function 4:Coordinate the demobilization
of volunteers
7/1/14-
6/30/17
1.Maintain access to Disaster Healthcare Volunteers system.
2.Each Healthcare Coalition member should maintain policies and
procedures for incorporating volunteers into operations during public health
and medical emergencies.
3.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
4.Revise work plan as directed by CDPH.
5.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
6.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
7.Submit annual performance measure data as required by the federal
government.
8.Test capability in annual statewide medical and health exercise and/or other
drills,exercises or real events.
Page 8 of 27
HPP Capability 16:Program Management
Exhibit A -Attachment 1
Fresno County Scope of Work
Hospital Preparedness Program (HPP)
Fresno County
14-10501 A01
Objective:Support Hospital Preparedness Program activities including application,progress reporting,invoicing, fiscal monitoring,and coordination across
multiple capabilities including alignment with Hospital Preparedness Program (HPP).
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
7/1/14-Public 1.Maintain local HPP Coordinator,Partnership Coordinator and Healthcare
[x]Function 1:Coordination across multiple 6/30/17 Health Coalition to coordinate activities across capabilities.
Capabilities Nurse
2.Support staff to prepare application,progress reports,fiscal reports,
[x]Function2: Fiscal Monitoring and HPP invoicing,performance measures and other data reporting.
Tracking Coordinator
3.Support program operations including office supplies and equipment,
[x]Function 3: Grants Management LEMSA
Coordinator
communications,laptops,cell phones,fax machines,satellite phones,
and other forms of communication necessary for daily operations or
[X]Function4: Reporting on Performance emergency response.
Measures Fresno
County
Public
Works
Page 9 of 27
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
PHEP Capability 1:Community Preparedness
Fresno County
14-10501 A01
Objective:The abilityof communities to prepare for,withstand,and recover — in both the short and long terms — from public health incidents.By engaging and
coordinating with emergency management,healthcare organizations (private and community-based),mental/behavioral health providers,community and faith-
based partners,state,local,and territorial,public health's role in community preparedness is to do the following: 1)Support the development of public health,
medical,and mental/behavioral health systems that support recovery;2)Participate in awareness training with community and faith-based partners on how to
prevent,respond to,and recover from public health incidents;3)Promote awareness of and access to medical and mental/behavioral health resources that help
protect the community's health and address the functional needs of at-risk individuals;4)Engage public and private organizations in preparedness activities that
represent the functional needs of at-risk individuals 5) Identify those populations that may be at higher risk for adverse health outcomes;and 6)Receive and/or
integrate the health needs of populations who have been displaced due to incidents that have occurred in their own or distant communities.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
[X]Function 1:Determine risks to the
health of the jurisdiction
IE!Function 2:Build community
partnerships to support health
preparedness
[X]Function 3: Engage with community
organizations to foster public health,
medical,and mental/behavioral health
social networks
[X]Function 4: Coordinate training or
guidance to ensure community
engagement in preparedness efforts
7/1/14-
6/30/17
Health
Education
Specialist (3)
Resources for
Independence,
Central Valley
(RICV)
1.Maintain Public Health Emergency Preparedness Coordinator and staff
trained in emergency preparedness outreach.
2.For each selected function,develop work plan activities for each
budget year according to annual Local Application Guidance.
3.Revise work plan as directed by California Department of Public Health
(CDPH).
4.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
5.Complete and submit specific deliverables (response plans,After-
Action Reports,meeting minutes,training schedules)as described in
approved work plan under each selected function for each budget
year.
6.Submit annual performance measure data as required by the federal
government.
7.Test capability in annual statewide medical and health exercise and/or
other drills,exercises or real events.
Page 10 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
PHEP Capability 2:Community Recovery
Objective:Strengthen capabilityto collaborate withcommunity partners (e.g.,healthcare organizations,business,education, and emergency management)to
plan and advocate forthe rebuilding of publichealth, medical, and mental/behavioral health systems to at least a level offunctioning comparable to pre-incident
levels,and improved levels where possible.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
• Function 1:Identify and monitorpublic
health,medical,and mental behavioral health
system recovery needs
• Function 2: Coordinate community public
health,medical,and mental behavioral health
system recovery operations
Q Function 3: Implementcorrective actions
to mitigate damages from future incidents
7/1/14-
6/30/17 1.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
2.Revise work plan as directed by CDPH.
3.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
4.Complete and submit specific deliverables (response plans,After-Action
Reports/Improvement Plans,meeting minutes,training schedules)as
described in approved work plan under each selected function for each
budget year.
5.Submit annual performance measure data as required by the federal
government.
6.Test capability in annual statewide medical and health exercise and/or other
drills,exercises or real events.
Page 11 of 27
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
PHEP Capability 3:Emergency Operations Coordination
Fresno County
14-10501 A01
Objective:Maintain Emergency operations coordination:the ability todirectand supportan event or incident with public healthor medical implications by
establishing a standardized,scalable system of oversight,organization,and supervision consistent with jurisdictional standards and practices and with the National
Incident Management System.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
[X]Function 1: Conduct preliminary
assessment to determine need for public
activation
[x]Function 2:Activate public health
emergency operations
[X]Function 3: Develop incident response
strategy
M Function 4: Manage and sustain the
public health response
[K]Function 5:Demobilize and evaluate
public health emergency operations
7/1/14-
6/30/17
DOC
phone
lines
1.Maintain staff trained in emergency response activities.
2. Maintain or maintain access to emergency operations center for local public
health and medical response with the health department or county.
3. Attend CDPH annual workshop,healthcare provider related workshops,
Homeland Security,other approved emergency preparedness workshops,
and CDC and ASPR sponsored workshops.
4. For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
5.Revise work plan as directed by CDPH.
6. Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
7.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules,emergency operations center
maintenance and software)as described in approved work plan under each
selected function for each budget year.
8.Submit annual performance measure data as required by the federal
government.
9.Test capability in annual statewide medical and health exercise and/or other
drills,exercises or real events.
PHEP Capability 4:Emergency Public Information and Warning
Page 12 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
Objective:Maintain ability to develop, coordinate, and disseminate information,alerts, warnings, and notificationsto the publicand incident management
responders.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
E3 Function 1:Activate the emergency
public information system
IE!Function 2:Determine the need for a
joint public information system
[X]Function 3: Establish and participate in
information system operations
£3 Function 4: Establish avenues for public
interaction and information exchange
• Function 5:Issue publicinformation,
alerts,warnings and notifications
7/1/14-
6/30/17
Health
Education
Specialist
1.Maintain access to trained public information staff.
2.Attend training specific to the PIO function during an emergency
response.
3.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
4.Revise work plan as directed by CDPH.
5.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
6.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
7.Submit annual performance measure data as required by the federal
government.
8.Test capability in annual statewide medical and health exercise and/or
other drills,exercises or real events.
Page 13 of 27
PHEP Capability 5:Fatality Management
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
Fresno County
14-10501 A01
Objective:Coordinate with other organizations (e.g., law enforcement,healthcare,emergency management,and medical examiner/coroner)to ensure the
proper recovery, handling,identification,transportation,tracking,storage,and disposal of human remains and personal effects; certify cause of death; and
facilitate access to mental/behavioral health services to the family members,responders,and survivors of an incident.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
• Function 1:Determine role for public
health in fatality management
7/1/14-
6/30/17
1.
2.
Maintain staff with expertise in data collection and dissemination.
Maintain partnership with local fatality management lead.
• Function2: Activate publichealth fatality
management operations
3.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
•Function 3:Assist in the collection and
dissemination of antemortem data
• Function4: Participate insurvivor
mental/behavioral health services
• Function 5: Participate in fatality
processing and storage operations
4.
5.
6.
7.
Revise work plan as directed by CDPH.
Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
Submit annual performance measure data as required by the federal
government.
Page 14 of 27
PHEP Capability 6:Information Sharing
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
Fresno County
14-10501 A01
Objective:Maintain capability to conduct multi-jurisdictional, multidisciplinary exchange of health-related information and situational awareness data among
federal,state,local,territorial,and tribal levels of government,and the private sector.This capability includes the routine sharing of information as well as issuing
of public health alerts to federal,state,local,territorial,and tribal levels of government and the private sector in preparation for,and in response to,events or
incidents of public health significance.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
[x]Function 1:Identify stakeholders to be
incorporated into information flow
[X]Function2:Identify and develop rules
and data elements for sharing
[X]Function 3:Exchange informationto
determine a common operating picture
7/1/14-
6/30/17
Health
Education
Specialist
Verizon
Sprint
1.Maintain Health Alert Network Administration functions (CAHAN or
CAHAN Replacement system)
2.Maintain Epidemiologist or other staff with expertise in data collection and
dissemination.
3.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
4.Revise work plan as directed by CDPH.
5.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
6.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules,software/system costs for
information sharing/redundant communications)as described in approved
work plan under each selected function for each budget year.
7.Submit annual performance measure data as required by the federal
government.
8.Test capability in annual statewide medical and health exercise and/or
other drills,exercises or real events.
Page 15 of 27
PHEP Capability 7:Mass Care
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
Fresno County
14-10501 A01
Objective:Maintain abilityto coordinate with partner agencies to address the public health, medical, and mental/behavioral health needs of those impacted by
an incident at a congregate location.This capability includes the coordination of ongoing surveillance and assessment to ensure that health needs continue to be
met as the incident evolves.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
E3 Function 1: Determine publichealth role
in mass care operations
• Function 2:Determine mass care needs
of the impacted population
• Function 3: Coordinate public health,
medical,and mental/behavioral health
services
• Function 4:Monitor mass care population
health
7/1/14-
6/30/17 1.Maintain partnership with local mass care lead.
2.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
3.Revise work plan as directed by CDPH.
4.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
5.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
6.Test capability in annual statewide medical and health exercise and/or other
drills,exercises or real events.
Page 16 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
PHEP Capability 8:Medical Countermeasure Dispensing
Objective:Maintain ability to provide medical countermeasures (including vaccines,antiviraldrugs, antibiotics, antitoxin, and any others needed.)in support of
treatment or prophylaxis (oral or vaccination)to the identified population in accordance with public health guidelines and/or recommendations.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
7/1/14-Epidemiologist 1.Maintain Public Health Emergency Preparedness Coordinator and staff
E3 Function 1:Identify and initiatemedical 6/30/17 trained in emergency response activities.
countermeasure (MCM)dispensing Resources for
strategies Independence,
Central Valley
2.For each selected function,develop work plan activities for each
budget year according to annual Local Application Guidance.
[x]Function 2:Receive medical (RICV)
countermeasures
Verizon
3.Revise work plan as directed by CDPH.
[X]Function 3: Activate dispensing 4.Submit mid-year and year-end progress reports to CDPH according to
modalities guidelines within the Local Application Guidance.
Kl Function 4:Dispense medical
countermeasures to identified population
5.Complete and submit specific deliverables (response plans,Rand drills
as required,After-Action Reports,meeting minutes,training schedules)
as described in approved work plan under each selected function for
• Function5: Report adverse events
6.
7.
each budget year.
Meet annual MCM distribution requirements including inventory system
drill and facility call down drill.
Participate in annual statewide medical and health exercise.
Page 17 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
PHEP Capability 9:Medical Materiel Management and Distribution
Objective:Maintain abilityto acquire,maintain (e.g., cold chain storage or other storage protocol)transport,distribute, and track medical materiel (e.g.,
pharmaceuticals,gloves,masks,and ventilators)during an incident and to recover and account for unused medical materiel,as necessary,after an incident.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
[x]Function 1:Direct and activate medical
materiel management and distribution
IEl Function2: Acquire medical materiel
M Function 3:Maintain updated inventory
management and reporting system
[x]Function 4:Establish and maintain
security
[X]Function 5: Distribute medical materiel
•Function 6:Recover medical materiel and
demobilize distribution operations
7/1/14-
6/30/17 1.Purchase,store,and/or maintain medical supplies and equipment to ensue
operational readiness to respond to a public health or medical emergency.
2.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
3.Revise work plan as directed by CDPH.
4.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
5.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
6.Submit annual performance measure data as required by the federal
government.
7.Participate in annual statewide medical and health exercise.
Page 18 of 27
PHEP Capability 10:Medical Surge
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
Fresno County
14-10501 A01
Objective:Maintain the ability to provide adequate medical evaluation and care during events that exceed the limits of the normal medical infrastructure of an
affected community,encompassing the ability of the healthcare system to survive a hazard impact and maintain or rapidly recover operations that were comprised.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
• Function 1:Assess the nature and scope
of the incident
7/1/14-
6/30/17
Peninsula
Courier 1.Maintain partnership with County Hospital Preparedness Program to align
activities and goals.
£<J Function 2:Support activation of medical
surge
2.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
D Function 3: Support jurisdictional medical
surge operations
• Function 4:Support demobilization of
medical surge operations
3.
4.
5.
6.
7.
8.
Revise work plan as directed by CDPH.
Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
Purchase,store,and/or maintain medical supplies and equipment to
ensure operational readiness to respond to a public health or medical
emergency.
Submit annual performance measure data as required by the federal
government.
Participate in annual statewide medical and health exercise.
Page 19 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
PHEP Capability 11:Non-Pharmaceutical Interventions
Objective:Maintain abilityto recommend to the applicable local lead agency (ifnot local public health) and implement,if applicable,strategies for disease,injury
and exposure control.Strategies include:isolation and quarantine;restrictions on movement and travel advisory/warnings;social distancing;external
decontamination;hygiene;and precautionary protective behaviors.
Activities to Suppoitthe Objective Timeline Staff Evaluation/Deliverables
•Function 1: Engage partners and identify
factors that impact non-pharmaceutical
interventions
•Function 2:Determine non-
pharmaceutical interventions
•Function 3: Implement non-
pharmaceutical interventions
• Function4:Monitor non-pharmaceutical
interventions
7/1/14-
6/30/17
1.Maintain Public Health Emergency Preparedness Coordinator and staff
trained in emergency response activities.
2.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
3.Revise work plan as directed by CDPH.
4.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
5.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
6.Submit annual performance measure data as required by the federal
government.
7.Participate in annual statewide medical and health exercise.
Page 20 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
PHEP Capability 12:Public Health Laboratory Testing
Objective:Maintain abilityto conduct rapid and conventional detection,characterization,confirmatory testing,data reporting,investigative support,and
laboratory networking to address actual or potential exposure to all-hazards.Hazards include chemical,radiological,and biological agents in multiple matrices that
may include clinical samples,food,and environmental samples (e.g.,water,air,and soil).This capability support routine surveillance,including pre-event or pre-
incident and post-exposure activities.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
£3 Function 1: Manage laboratory activities
S Function2: Perform sample
management
[3 Function 3: Conduct testing and
analysis for routine surge capacity
O Function 4: Support public health
investigations
•E3 Function 5: Report laboratoryresults
7/1/14-
6/30/17
Public Health
Microbiologist
Peninsula
Courier
New Life
Technologies
1.Maintain Public Health Laboratory or access to Public Health
Laboratory and maintain list of laboratory contacts.
2.Purchase and/or maintain laboratory supplies needed for a surge in
laboratory testing including items such as reagents and other testing
items.
3. For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
4.Revise work plan as directed by CDPH.
5.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
6.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
7.Submit annual performance measure data as required by the federal
government.
8.Participate in annual statewide medical and health exercise.
Page 21 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
PHEP Capability 13:Public Health Surveillance and Epidemiological Investigation
Objective:Ensure ability to create, maintain,support, and strengthen routinesurveillance and detection systems and epidemiological investigation processes,
as well as to expand these systems and processes in response to incidents of public health significance.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
M Function 1:Conduct public health
surveillance and detection
M Function 2: Conduct public health and
epidemiological investigations
M Function 3:Recommend,monitor,and
analyze mitigation actions
IEI Function 4: Improve public health
surveillance and epidemiological
investigation systems
7/1/14-
6/30/17
Epidemiologist
(2)
HMS,Inc.
SAS License
1.Maintain capacity for surveillance and epidemiological investigation.
2.For each selected function,develop work plan activities for each
budget year according to annual Local Application Guidance.
3.Revise work plan as directed by CDPH.
4.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
5.Complete and submit specific deliverables (response plans,After-
Action Reports,meeting minutes,training schedules)as described in
approved work plan under each selected function for each budget year.
6.Submit annual performance measure data as required by the federal
government.
7.Participate in annual statewide medical and health exercise.
Page 22 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
PHEP Capability 14:Responder Safety and Health
Objective:Maintain ability to protect public health agency staff responding to an incident and the ability to support the health and safety needs ofhospital and
medical facility personnel,as requested.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
[X]Function 1:Identify responder safety and
health risks
[x]Function 2:Identify safety and personal
protective needs
[x]Function 3:Coordinate with partners to
facilitate risk-specific safety and health
training
• Function 4:Monitor responder safety and
health actions
7/1/14-
6/30/17 1.Develop procedures to ensure safety of public health workforce and
purchase and maintain protective equipment for employees according to
these procedures.
2.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
3.Revise work plan as directed by CDPH.
4.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
5.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
6.Submit annual performance measure data as required by the federal
government.
7.Participate in annual statewide medical and health exercise.
Page 23 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
PHEP Capability 15:Volunteer Management
Objective:The ability to coordinatethe identification,recruitment,registration,credential verification,training,and engagement ofvolunteers to support the
jurisdictional public health agency's response to incidents of public health significance.
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
• Function 1:Coordinate volunteers
Q Function2:Notify volunteers
• Function 3: Organize,assemble,and
dispatch volunteers
•Function 4:Demobilize volunteers
7/1/14-
6/30/17
1.Maintain local administrative functions to ensure operational readiness of
the Disaster Healthcare Volunteers system.
2.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.
3.Revise work plan as directed by CDPH.
4.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
5.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
6.Submit annual performance measure data as required by the federal
government.
7.Participate in annual statewide medical and health exercise.
Page 24 of 27
Exhibit A -Attachment 1
Fresno County Scope of Work
Public Health Emergency Preparedness (PHEP)
PHEP Capability 16:Program Management
Fresno County
14-10501 A01
Objective:Support publichealth emergency preparedness program activities including application,progress reporting,invoicing,fiscal monitoring,and
coordination across multiple capabilities including alignment with Hospital Preparedness Program (HPP).
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
[53 Function 1:Coordination across multiple
Capabilities
[X]Function 2: Fiscal Monitoring and
Tracking
[X]Function 3:Grants Management
£3 Function4: Reporting on Performance
Measures
7/1/14-
6/30/17
Public Health Nurse
Coordinator
PHEP Coordinator (3)
System Procedure
Analyst
Staff Analyst
Staff Analyst I
Office Assistant
Program Technician
Sr.Public Health
Microbiologist
Lab Assistant
Health Education
Specialist
Lab Assistant 1
Supervising Public
Health Nurse
Office Assistant 1
1.Maintain local Public Health Emergency Preparedness
Coordinator.
2.Support staff to prepare application,progress reports,fiscal
reports,invoicing,performance measures and other data
reporting.
3.Support program operations including office supplies and
equipment,communications,laptops,cell phones,fax
machines,satellite phones,and other forms of
communication necessary for daily operations or emergency
response.
Page 25 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Pandemic Influenza Planning
Pandemic Influenza Capability 1:Planning and Preparedness Activities
Objective:The ability ofcommunitiesto prepare for,withstand, and recover from public health incidents including a potentialpandemic influenza.Byengaging
and coordinating with emergency management, healthcare organizations (privateand community-based), mental/behavioral health providers,community and faith-
based partners, state, local, and territorial,public health's role in preparing for, responding to, and recovering from a publichealth incident such as a pandemic
influenza.
Activities to Support the Objective
[X]Function 1:Develop, maintain and/or
strengthen local pandemic influenza
emergency response plan
^Function 2:Test pandemic influenza
response in drills,exercises,and real
events
[X]Function 3:Engage publicand private
partners to ensure coordinated response
efforts
IEl Function 4: Maintainsurveillance system
for reporting severe and fatal cases of
laboratory confirmed influenza as required
by CDPH
Timeline
7/1/14-
6/30/17
Staff
Public
Health
Nurse
PHEP
Coordinator
Health
Education
Specialist
Flu media
campaign
Evaluation/Deliverables
1.Maintain Pandemic Influenza Coordinator and other trained staff needed to
complete pandemic plans and testing of plans.
2.Maintain pandemic influenza operational response plans including plans for
Government Authorized Alternate Care Sites.Purchase,store,and/or
maintain supplies and equipment for operation of an alternate care site.
3. Hold mass vaccination clinics including the purchase of influenza or
pneumococcal vaccine and other supplies for use in these clinics.Maintain
capacity to store vaccine under refrigeration.
4.For each selected function,develop work plan activities for each budget
year according to annual Local Application Guidance.Revise work plan as
directed by California Department of Public Health (CDPH).
5.Submit mid-year and year-end progress reports to CDPH according to
guidelines within the Local Application Guidance.
6.Complete and submit specific deliverables (response plans,After-Action
Reports,meeting minutes,training schedules)as described in approved
work plan under each selected function for each budget year.
7.Test capability in annual statewide medical and health exercise and/or
other drills,exercises or real events.
Page 26 of 27
Fresno County
14-10501 A01
Exhibit A -Attachment 1
Fresno County Scope of Work
Pandemic Influenza Planning
Pandemic Influenza Capability 16:Program Management
Objective:Support Pandemic Influenza planning and preparedness program activities including application,progress reporting, invoicing, fiscal monitoring, and
coordination across multiple capabilities including alignment with Hospital Preparedness Program (HPP).
Activities to Support the Objective Timeline Staff Evaluation/Deliverables
7/1/14-Public 1.Maintain local Public Health Emergency Preparedness Coordinator.
E3 Function 1:Coordination across multiple 6/30/17 Health
Capabilities Nurse 2.Support staff to prepare application,progress reports,fiscal reports,
invoicing,performance measures and other data reporting.
[3 Function2: Fiscal Monitoring and PHEP
Tracking Coordinator 3.Support program operations including office supplies and equipment,
communications,laptops,cell phones,fax machines,satellite phones,
I3 Function 3: Grants Management Health
Education
Specialist
Flu media
and other forms of communication necessary for daily operations or
emergency response.
Page 27 of 27
1st
Quarter
Payment
2nd
Quarter
Payment
Exhibit B,Attachment 1 -Payment Criteria
Fresno County
14-10501 A01
2014-15 CDC Public Health Emergency Preparedness (PHEP),State General Fund (GF)
Pandemic Influenza and HHS Hospital Preparedness Program (HPP)Funding
2014-15 Allocation Agreement
Criteria
Payment
Criteria
Payment
CDC PHEP and
Cities Readiness Initiative (CRI)
CDPH must receive the following:
•Signed Allocation Agreement Contract
•Receipt of all required application documents
•Approved PHEP/CRI Work Plan
•Approved PHEP/CRI Budget
.Submission of FY13 14 PHEP Year End Progress
Report
Advance payment of 25% of initial FY14-15 CDC PHEP
Base and/or CRI Fund
CDPH must receive the following:
•1st Quarter Payment Criteria must be met
.Rocoipt of FY13 14 PHEP Year End Expenditure
Report
•Approved Carry Forward amount
. Signed Agreement Amendment,includes Carry
Forward
. Ifroquirod,submission of FY13 14 Supplemental
Work Plan Progress Report
. Rocoipt of PHEP Supporting Documontation
demonstrating unique oxpondituros for a minimum of
25%of Initial PHEP Base and/or CRI to cover the Q1
advance payment.
Contractor submits an invoice for unique
approvable PHEP/CRI expenditures for a
minimum of 25%of their initial allocation enough
to cover the Q1 advance payment.
If receipt of moro than the 25% minimum requirement,
first pay carry forward, ifapplicable, matching PHEP
Supporting Documontation submission up to the carry
forward total.Second pay 25% of PHEP allocation, if
thoro is stillPHEP Supporting Documontation remaining
will be 25%of tho total CDC PHEP Baso and/or CRI
Fund.
Receipt of an invoice equivalent to the Q1 advance
payment,is a no payment.
Reference Lab Funds
($260,246 total to each Reference Lab)
CDPH must receive the following:
•Signed Allocation Agreement Contract
•Receipt of all required application documents
.Approved PHEP Lab Work Plan
.Approved PHEP Lab Budget
.Submission of FY 13 14 Yoar End Progress Report
Advance payment of 25% of initial FY14-15 Lab Fund
(not including lab trainees)
CDPH must receive the following:
•same as PHEP as it Applies to Lab
same as PHEP/CRI as it applies to Lab
Any expenditures exceeding the Q1 advance payment
will be paid from funds expiring June 30.2015,in the
appropriate category,first.
Page 1 of 4
3rd
Quarter
Payment
Final
Payment
Exhibit B,Attachment 1 -Payment Criteria
Fresno County
14-10501 A01
2014-15 CDC Public Health Emergency Preparedness (PHEP),State General Fund (GF)
Pandemic Influenza and HHS Hospital Preparedness Program (HPP)Funding
2014-15 Allocation Agreement
Criteria
Payment
Criteria
Payment
1st &2nd Payment Criteria must be met
Receipt of FY 14-15 PHEP/CRI Mid-Year reports
if required,completed PHEP/CRI Supplemental
Work Plan and final report
Rocoipt of PHEP Supporting Documontation
demonstrating unique expenditures for a minimum of
25%of Initial Allocation.
Contractor Submits an invoice for unique
approvable PHEP/CRI expenditures.
If roooipt of more than the 25% minimum requirement,
first pay carry forward, ifapplicable, matching PHEP
Supporting Documontation submission up to the carry
forward total.Second pay 25% of PHEP allocation, if
thoro is still PHEP Supporting Documentation remaining
will be 25%of the total CDC PHEP Baso and/or CRI
Fund.
Additional expenditures will be paid from funds
expiring June 30.2015.in the appropriate category
first.
1st,2nd &3rd Payment Criteria must be met
Receipt of required Performance Measure reports
Rocoipt of PHEP Supporting Documontation
demonstrating unique expendituros for a minimum of
25%of Initial Allocation.
Contractor Submits an invoice for unique
approvable PHEP/CRI expenditures.
If rocoipt of more than tho 25% minimum requirement,
first pay carry forward, if applicable matching PHEP
Supporting Documentation submission up to tho carry
forward total.Socond pay 25% of PHEP allocation, if
thoro is still PHEP Supporting Documentation remaining
will bo 25%of the total CDC PHEP Baso and/or CRI
Fund.
Additional expenditures will be paid from funds
expiring June 30.2015.in the appropriate category
first.
•1st &2nd Payment Criteria must be met
•same as PHEP/CRI as it applies to Lab
same as PHEP/CRI as it applies to Lab
•1st,2nd &3rd Payment Criteria must be met
•same as PHEP/CRI as it applies to Lab
same as PHEP/CRI as it applies to Lab
Page 2 of 4
1st
Quarter
Payment
2nd
Quarter
Payment
3rd
Quarter
Payment
Final
Payment
1st
Quarter
Payment
Exhibit B,Attachment 1 -Payment Criteria
Fresno County
14-10501 A01
2014-15 CDC Public Health Emergency Preparedness (PHEP),State General Fund (GF)
Pandemic Influenza and HHS Hospital Preparedness Program (HPP)Funding
2014-15 Allocation Agreement
Criteria
Payment
Criteria
Payment
Criteria
Payment
Criteria
Payment
Criteria
Payment
Lab Trainee Funds
CDPH must receive the following:
•Signed Allocation Agreement Contract Amendment,
includes Lab Trainee Funds
•Receipt of all required Trainee application documents
• Approved Lab trainee(s)must be included in the
approved Work Plan and Lab budget
•same as PHEP/CRI as it applies to Lab Trainee
Advance payment of 25% of initial FY 14-15 PHEP
Trainee initial allocation
N//\
same as PHEP/CRI as it applies to Lab Trainee
|v|//\
same as PHEP/CRI as it applies to Lab Trainee
N/A
same as PHEP/CRI as it applies to Lab Trainee
N/A
same as PHEP/CRI as it applies to Lab Trainee
|S|//\
same as PHEP/CRI as it applies to Lab Trainee
N//\
same as PHEP/CRI as it applies to Lab Trainee
HPP
CDPH must receive the following:
•Signed Allocation Agreement Contract
•Receipt of all required application documents
. Five Letters of Support (Refer to the FY 14-15
Application Guidance)
.Approved HPP Work Plan
•Approved HPP Budget
•Submission of Health Care Facility (HCF) Form
. Rocoipt of FY 13 14 HPP Year End Progress Report
Advance payment of 25% of HPP Initial Allocation
Lab Training Assistance Funds
LHP must:CDPH must receive the following:
•Signed Allocation Agreement Contract
Amendment,includes Lab Trainee Funds
•Receipt of all required Training Assistance
application documents
•Approved Lab Training Assistance must be included
in the approved Work Plan and Lab budget
•same as PHEP/CRI as it applies to Lab Trainee
Assistance
Advance payment of 25% of initialFY 14-15 PHEP
Training Assistance initial allocation
same as PHEP/CRI as it applies to Lab Trainee
Assistance
same as PHEP/CRI as it applies to Lab Trainee
Assistance
N/A
same as PHEP/CRI as it applies to Lab Trainee
same as PHEP/CRI as it applies to Lab Trainee
Assistance
N/A
same as PHEP/CRI as it applies to Lab Trainee
Assistance
same as PHEP/CRI as it applies to Lab Trainee
Assistance
State GF
CDPH must receive the following:
•Signed Allocation Agreement Contract
•Receipt of all required application documents
. Rocoipt of FY 13 14 GF Pan Flu Year End Progress
Report
•Approved GF Pan Flu Work Plan
•Approved GF Pan Flu Budget
Advance payment of 25% of State GF Pandemic
Influenza Initial Allocation.
Page 3 of 4
2nd
Quarter
Payment
3rd
Quarter
Payment
Final
Payment
Exhibit B,Attachment 1 -Payment Criteria
Fresno County
14-10501 A01
2014-15 CDC Public Health Emergency Preparedness (PHEP),State General Fund (GF)
Pandemic Influenza and HHS Hospital Preparedness Program (HPP)Funding
2014-15 Allocation Agreement
Criteria
Payment
Criteria
Payment
Criteria
Payment
•1st Payment Criteria must be met
.Receipt of HPP FY13 14 Year End Expenditure
Report
• An invoice for unique HPP expenditures for a
minimum of 25%of Initial Allocation to cover the Q1
advance payment
•If required,submission of completed FY 13 14
Supplemental Work Plan
•Contractor submits an invoice for unigue
approvable HPP expenditures for a minimum of
25%of initial allocation to cover the Q1 advance
payment.
HPP for unique expenditures loss the advance payment
of 25%of HPP Initial Allocation.
Receipt of an invoice equivalent to the Q1 advance
payment,is a no payment-
Any expenditures exceeding the Q1 advance payment
will be paid from funds expiring June 30,2015,in the
appropriate category,first.
• 1st &2nd Payment Criteria must be met
• An invoice for unique HPP expenditures for a
minimum of 25%of Initial Allocation
•Contractor Submits an invoice for unigue
approvable HPP expenditures.
HPP for unique oxponditures
Additional expenditures will be paid from funds
expiring June 30.2015.in the appropriate category
first.
•1st,2nd &3rd Payment Criteria must be met
•Receipt of required Performance Measure reports
• An invoice for unique HPP expenditures for a
minimum of 25%amount of Initial Allocation
•Contractor Submits an invoice for unigue
approvable HPP expenditures.
HPP for uniquo oxponditures
Contractor Submits an invoice for unigue approvable
HPP expenditures-
•1st Payment Criteria must be met
.Rocoipt of GF Pan Flu FY13 14 Year End
Expenditure Report
m An invoice for unique GF Pan Flu expenditures for a
minimum of 25%of Initial Allocation to cover the Q1
advance payment
If required,submission of completed FY 13 14
Supplemental Work Plan
Contractor submits an invoice for unigue
approvable GF Pan Flu expenditures for a
minimum of 25%of initial allocation to cover the
Q1 advance payment.
GF Pandemic Influenza for unique oxpendituros less the
advance payment of 25% of Stato GF Pandemic
Influenza Initial Allocation.
Receipt of an invoice equivalent to the Q1 advance
payment,is a no payment.
Receipt of an invoice for more than the Q1 advance
payment,is a payment of expenditures less the Q1
advance payment.
•1st &2nd Payment Criteria must be met
• An invoice for unique GF Pan Flu oxponditures for a
minimum of 25%of Initial Allocation
•Contractor Submits an invoice unigue
approvable GF Pan Flu expenditures.
GF Pandemic Influenza for unique expenditures
Additional expenditures will be paid out of the
appropriate category.
1st,2nd &3rd Payment Criteria must be met
An invoice for unique GF Pan Flu expenditures for a
minimum of 25%of Initial Allocation
Contractor Submits an invoice unique
approvable GF Pan Flu expenditures.
GF Pandemic Influenza for unique oxponditures
Additional expenditures will be paid out of the
appropriate category.
Page 4 of 4
Exhibit B - Attachment 2
Fresno County Budget Cost Sheet - Year 1
Fresno County
14-10501 A01
2014 - 2015 PROJECT BUDGET
Personnel
Position Title and Number of each FTE Salary Cost FTE Salary Cost FTE Salary Cost FTE Salary Cost FTE Salary Cost FTE Salary Cost FTE Salary Cost
Public Health Nurse (1)30%74,890$ $22,467 -$ $0 -$ $0 -$ $0 20%76,138$ $15,228 25%74,890$ $18,723 15%74,890$ $11,234 #######$67,651
Coordinator (1)19%67,188$ $12,766 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 67,188$ $12,766
PHEP Coordinator (3)138%28,416$ $39,215 -$ $0 -$ $0 -$ $0 45%2,093$ $942 -$ $0 15%2,093$ $314 32,603$ $40,471
Health Education Specialist (4)96%32,515$ $31,214 -$ $0 -$ $0 -$ $0 60%15,963$ $9,578 -$ $0 90%16,307$ $14,676 64,784$ $55,468
Epidemiologist (2)130%65,646$ $85,340 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 65,646$ $85,340
System Procedure Analyst (1)10%70,079$ $7,008 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 70,079$ $7,008
Staff Analyst (1)91%49,898$ $45,407 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 49,898$ $45,407
Staff Analyst I (1)100%42,330$ $42,330 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 42,330$ $0
Office Assistant (1)30%1,745$ $523 -$ $0 -$ $0 -$ $0 70%1,745$ $1,221 -$ $0 -$ $0 3,490$ $1,745
Program Technician (1)16%32,253$ $5,160 -$ $0 -$ $0 -$ $0 26%33,288$ $8,655 -$ $0 -$ $0 65,541$ $13,815
Suvpervising Public Health Nurse (1)$0 -$ $0 -$ $0 -$ $0 12%28,616$ $3,434 $0 -$ $0 28,616$ $3,434
Office Assistant I (1)$0 -$ $0 -$ $0 -$ $0 50%10,923$ $5,462 $0 -$ $0 10,923$ $5,462
Sr Public Health Microbiologist (1)$0 65%67,179$ $43,666 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 67,179$ $43,666
Public Health Microbiologist (1)$0 24%39,215$ $9,412 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 39,215$ $9,412
Lab Assistant (1)$0 11%29,328$ $3,226 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 29,328$ $3,226
Lab Assistant I (1)$0 50%10,492$ $5,246 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 10,492$ $5,246
HPP Coordinator (1)$0 -$ $0 -$ $0 -$ $0 -$ $0 75%68,685$ $51,514 -$ $0 68,685$ $51,514
LEMSA Coordinator (1)$0 -$ $0 -$ $0 -$ $0 -$ $0 50%28,064$ $14,032 -$ $0 28,064$ $14,032
$249,101 $61,550 $0 $0 $44,519 $84,269 $26,224 $465,662
Fringe Benefits %%%%%%%
76.79%$191,292 77.23%$47,538 #DIV/0!$0 #DIV/0!$0 75.05%$33,412 65.76%$55,418 73.37%$19,240 $346,899
Subtotal Personnel and Fringe $440,393 $109,088 $0 $0 $77,930 $139,687 $45,464 $812,561
Operating Expenses $31,537 $21,401 $0 $0 $28,325 $36,657 $24,275 $142,196
Equipment (Minor)Quantity Unit Price Total Quantity Unit Price Total Quantity Unit Price Total Quantity Unit Price Total Quantity Unit Price Total Quantity Unit Price Total Quantity Unit Price Total
Folding Chairs 24 52.47 $1,259 $0 $0 $0 $0 $0 $0 $1,259
Folding Stacked Chair Cart 1 235.66 $236 $0 $0 $0 $0 $0 $0 $236
Crowd Control Barricade 2 227.27 $455 $0 $0 $0 $0 $0 1 $227 $227 $682
Epson Powerlite 1700 projector 1 672.07 $672 $0 $0 $0 $0 $0 $0 $672
Fujitsu scanner 1 8150 $8,150 $0 $0 $0 $0 $0 $0 $8,150
Victor X4 $0 1 $30,408 $30,408 $0 $0 $0 $0 $0 $30,408
Laptop/Tablet $0 1 $1,500 $1,500 $0 $0 5 $2,500 $12,500 $0 2 $2,500 $5,000 $19,000
GeneXpert Dx $0 1 $8,329 $8,329 $0 $0 $0 $0 $0 $8,329
Door chime $0 1 $78 $78 $0 $0 $0 $0 $0 $78
Kyocera copier $0 1 $4,278 $4,278 $0 $0 $0 $0 $0 $4,278
16' Storage Trailer $0 $0 $0 $0 $0 3 $7,146 $21,437 $0 $21,437
Gamma Scout Hand Held Geiger Counter $0 $0 $0 $0 $0 1 $670 $670 $0 $670
Shelter 20x10 ft $0 $0 $0 $0 $0 1 $481 $481 $0 $481
Motorola XPR6550 Portable Radio $0 $0 $0 $0 $0 3 $981 $2,942 $0 $2,942
HICS Vests $0 $0 $0 $0 $0 1 $440 $440 $0 $440
Delineator $0 $0 $0 $0 $0 30 $21 $615 $0 $615
Coleman 5 gallon water jug $0 $0 $0 $0 $0 10 $16 $157 $0 $157
Swan Element hose $0 $0 $0 $0 $0 1 $34 $34 $0 $34
Brunton Lantern $0 $0 $0 $0 $0 58 $24 $1,383 $0 $1,383
Headlamp $0 $0 $0 $0 $0 67 $39 $2,610 $0 $2,610
iPhone chargers $0 $0 $0 $0 $0 4 $20 $80 $0 $80
Lockable storage cart $0 $0 $0 $0 $0 1 $1,129 $1,129 $0 $1,129
HICS command board $0 $0 $0 $0 $0 1 $649 $649 $0 $649
HICS vest upgrades $0 $0 $0 $0 $0 1 $854 $854 $0 $854
JOBCOM 2-way radio $0 $0 $0 $0 $0 17 $236 $4,018 $0 $4,018
Motorola MOTOTRBO city-wide radio $0 $0 $0 $0 $0 1 $26,030 $26,030 $0 $26,030
Chemshield Terra Tank bladder $0 $0 $0 $0 $0 1 $4,872 $4,872 $0 $4,872
Safe Babies infant evacuation apron $0 $0 $0 $0 $0 5 $235 $1,173 $0 $1,173
Lithium battery pack $0 $0 $0 $0 $0 4 $254 $1,016 $0 $1,016
3M Littmann electric stethoscope $0 $0 $0 $0 $0 1 $465 $465 $0 $465
Light Tower Towable $0 $0 $0 $0 $0 1 $8,653 $8,653 $0 $8,653
NorthStar portable generator $0 $0 $0 $0 $0 1 $2,868 $2,868 $0 $2,868
T5 surgical helmet $0 $0 $0 $0 $0 2 $244 $487 $0 $487
T4 multi-station battery charger $0 $0 $0 $0 $0 1 $1,701 $1,701 $0 $1,701
Thermometer $0 $0 $0 $0 3 $400 $1,200 $0 $0 $1,200
Portable Generator $0 $0 $0 $0 2 $4,842 $9,684 $0 1 $4,842 $4,842 $14,526
Equipment Subtotal $10,772 $44,593 $0 $0 $23,384 $84,764 $10,069 $173,581
In State Travel/Per Diem (Be sure travel is referenced in the SOW)$3,760 $4,112 $0 $0 $2,519 $7,762 $500 $18,653
Out of State Travel/Per Diem (Be sure OST is referenced in the SOW)$0 $3,000 $0 $0 $0 $0 $0 $3,000
Subcontracts
Resources for Independence, Central Valley (RICV)$0 $0 $0 $0 $20,000 $0 $0 $20,000
HMS, Inc.$10,250 $0 $0 $0 $0 $0 $0 $10,250
Verizon $3,193 $0 $0 $0 $0 $0 $0 $3,193
Sprint $3,307 $0 $0 $0 $0 $0 $0 $3,307
DOC phone lines $3,090 $0 $0 $0 $0 $0 $0 $3,090
SAS License $2,410 $0 $0 $0 $0 $0 $0 $2,410
Peninsula Courier $0 $2,500 $0 $0 $0 $0 $0 $2,500
Consultant - TBD $0 $0 $23,500 $0 $23,500
New Life Technologies $0 $18,320 $0 $0 $18,320
Fresno County Public Works $0 $23,938 $0 $0 $23,938
Flu media campaign $0 $0 $0 $3,000 $0
$0 $0 $0 $0
Subcontract Subtotal $22,250 $44,759 $0 $0 $20,000 $23,500 $0 $110,509
Other Costs
Software and Licenses $35,734 $0 $0 $0 $0 $541 $0 $36,275
Training $4,190 $0 $0 $0 $15,000 $91,765 $0 $110,955
Exercise Materials $0 $0 $0 $0 $5,142 $31,920 $5,000 $10,142
Maintenance Agreements $0 $0 $0 $0 $0 $0 $0 $0
$0 $0 $0 $0 $0 $0 $0 $0
$0
Other Costs Subtotal $39,924 $0 $0 $0 $20,142 $92,306 $0 $152,372
Total Direct Costs $548,636 $226,952 $0 $0 $172,300 $384,675 $80,308 $1,412,872
Total Indirect Costs $80,485 $33,294 $0 $0 $25,276 $56,432 $11,781 $207,268
(14.67% of Total Direct Costs)
Total Costs $629,121 $260,246 $0 $0 $197,577 $441,107 $92,089 $1,620,140
Out of State Travel: LRN Training, Richmond Virginia
Supplies means: consumables office supply these are item that may be destroyed, dissipated, wasted are products that consumers buy recurrently i.e., items which "get used up" or discarded.
For example consumable office supplies are such products as paper, pens, file folder, binders, post-it notes, computer disks, and toner or ink cartridges..etc..
Note: Supplies do not include capital goods such as computers, fax machines, and other business machines or office furniture these would need to be set up in there own line item.
Note: Budget should link back to the SOW i.e. subcontractors/conferences/meeting/training/travel/printing/major equipment etc.... these types of services must be identified in the SOW (who/what/when and where)
TOTALSCDC PHEP Base Funds Laboratory Funds Laboratory Trainee
Funds
Laboratory
Training
Assistance Funds
GFPFCities Readiness
Initiative Funds HPP Funds
AGREEMENT BETWEEN THE COUNTY OF FRESNO AND THE STATE OF CALIFORNIA
No.:California Department of Public Health Term:July 1,2014 -June 30,2017
Public Health Emergency Preparedness/
Hospital Preparedness Program
Amendment I (14-10501,A01)
APPROVED AS TO LEGAL FORM:
COUNTY COUNSEL ^^Q
By (fmYny/0i<
APPROVED AS TO ACCOUNTING FORM:
VICKI CROW,C.P.A.,AUDITOR-CONTROLLER/
TREASURER -TAX COLLECTOR
By Cfa^«^r^—
REVIEWED AND RECOMMENDED FOR APPROVAL:
David Pomaville
Director
Department of Public Health
Fund/Subclass:0001/10000
Organization #:56201619, 1621, 1623, 1626,1691
Revenue:4380
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