Title
a. Approve and Authorize the Contracts/Purchasing Officer or Contracts/Purchasing Supervisor to sign License Agreement with the National Training Institute Upstream “NTI” for the provision of a PDF copy of the 4P’s Plus Screening Tool, in the annual amount of $1,000, for the period of June 1, 2017 through June 30, 2018; and
b. Accept the Non-Standard Contract Provisions and Indemnification Language as recommended by the Director of Health; and
c. Authorize the Contracts Purchasing Officer to approve up to three future NTI Agreements in the amount of $1,000 each with National Training Institute Upstream, one agreement for each of Fiscal Year (“FY”) 2018-19, FY 2019-20, and FY 2020-21, in substantially the same form as that which has been presented to the Board, subject to approval by County Counsel and County Auditor-Controller, and so long as an appropriation for the costs of each of these Agreements is included in the county approved budget.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Supervisor to sign License Agreement with the National Training Institute Upstream “NTI” for the provision of a PDF copy of the 4P’s Plus Screening Tool, in the annual amount of $1,000, for the period of June 1, 2017 through June 30, 2018; and
b. Accept the Non-Standard Contract Provisions and Indemnification Language as recommended by the Director of Health; and
c. Authorize the Contracts Purchasing Officer to approve up to three future NTI Agreements in the amount of $1,000 each with National Training Institute Upstream, one agreement for each of Fiscal Year (“FY”) 2018-19, FY 2019-20, and FY 2020-21, in substantially the same form as that which has been presented to the Board, subject to approval by County Counsel and County Auditor-Controller, and so long as an appropriation for the costs of each of these Agreements is included in the county approved budget.
SUMMARY/DISCUSSION:
The goal of Maternal Child Adolescent Health Program (MCAH) is to develop systems that protect and improve the health of Monterey County’s women of reproductive age, infants, children, adolescents, and their families. Monterey County Health Department’s MCAH Program will incorporate a substance abuse screening tool into their comprehensive assessments for pregnant women during their home visits.
NTI’s 4Ps Plus Screening Tool (4Ps Plus) is used by several California counties, meets CDPH requirements as a valid evidence-based screening tool designed specifically for pregnant women and was specifically identified as the tool to be used in the MCAH Agreement between the County and CDPH.
The 4Ps Plus (a copyrighted instrument) is a questionnaire that screens for alcohol, tobacco, illicit drug use, depression, and domestic violence. Based on the answers given by the client, analysis of the questionnaire will help identify risk factors for these listed areas of concern. MCAH will utilize the 4Ps Plus and collect data to determine its future usefulness, as well as to track the number of short interventions and types of referrals staff will provide clients as a result of their “positive” screening(s). Clients will be given the option to opt out of the use of the 4Ps Plus, during the home visit by MCHD staff.
This work supports the MCHD 2011-2015 Strategic Plan Initiative(s): Enhance community health and safety by emphasizing prevention; and Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one of more the ten essential public health services, specifically: Inform, educate, and empower people about health issues; link people to needed personal health services and assure the provision of health care when otherwise unavailable; assure competent public and personal health care workforce; evaluate effectiveness, accessibility, and quality of personal and population-based health services; and research for new insights and innovative solutions to health problems.
The proposed Agreement is a non-standard Agreement for the County and it is recommended to seek Board of Supervisors approval. The start date for this Agreement is retroactive to June 1, 2017 due to the length of time it took to negotiate with the vendor and make recommended changes their Agreement.
This work supports the Monterey County Health Department 2011-2015 strategic plan initiatives: 1. Empower the community to improve health through programs, policies, and activities; 3. Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one of the ten essential public health services, specifically: 9) Evaluate effectiveness, accessibility, and quality of personal and population-based health services.
OTHER AGENCY INVOLVEMENT:
County Counsel and the Auditor-Controller have reviewed the Agreement as to legal form and fiscal provisions respectively. Risk Management has not approved as to legality or risk due to the non-standard risk provisions within the Agreement.
FINANCING:
This Agreement is fully funded by the Maternal, Child and Adolescent Health Grant. There are sufficient appropriations included in the Health Department’s (HEA003-8124) Adopted Budget for FY 2017-18.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Patricia D. McFadden, Management Analyst II, 4726
Approved by: Elsa Jimenez, Director of Health, 4526
Attachment:
Agreement is on file with the Clerk of the Board