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Regular Agenda Item 2. C.
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| Regular BOS Meeting |
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| Information |
| Request/Subject |
| Revised Amendment Nos. 2 and 3 to an Intergovernmental Agreement (Contract No. ADHS18-177678) with the Arizona Department of Health Services (ADHS). |
| Background Information |
An Intergovernmental Agreement (IGA) (Contract No. ADHS13-041539) with the ADHS expired on December 31, 2017. A new IGA (Contract No. ADHS18-177678) replaced the previous IGA and it was fully executed by the Board of Supervisors and the ADHS on February 1, 2018, which allows the Gila County Health Division to continue to operate an immunization program for the residents of Gila County from January 1, 2018, to December 31, 2022. Amendment No. 1 was approved by the Gila County Board of Supervisors on July 23, 2019.
Revised Amendment No. 2 to the IGA revises and replaces the Price Sheet, and revises the Scope of Work as follows: ADHS changed the order of the items changed. The new order is:
1.1Scope of Work - Page 19, Provision 4.12, Item 4.12.2 is added as follows: Provide Supplemental Flu activities as defined by the County Health Department and approved by the Immunization Program Office to increase the flu vaccination rates for adults, especially high-risk adults, within the county. These efforts are intended to help keep hospitalization rates for flu down during the COVID-19 pandemic.
1.2 The Price Sheet is revised and replaced by the Price Sheet of this Amendment Two
Amendment No. 3
1.1 Scope of Work, Page Nineteen (19), Provision 4.12, VPD Outbreak and Pandemic Preparedness, added items 4.12.3 and 4.12.4 that are hereby revised in this Amendment Three (3) to read:
4.12.3 Improve vaccine cold storage capacity, to include the purchase of storage units (refrigerator, freezer [NOT ultra-cold freezer]), generators, portable refrigeration units. These efforts are intended to help keep vaccines viable during the COVID-19 pandemic.
4.12.4 Increase capacity for data entry and reminder recall activities, to include but not limited to additional staffing, or purchase of hardware and software equipment to accomplish this task. These efforts are intended to help track immunization data during the COVID-19 pandemic. |
| Evaluation |
| By continuing with our immunization program, the Health Division can continue to administer the Vaccines for Children Programs (VFC) and all publicly-purchased vaccines; assess and improve immunization coverage levels; assure access to vaccines for eligible populations in Gila County, and prevent and control vaccine-preventable diseases. Amendment No. 2 will provide Supplemental Flu activities as defined by the County Health Division and approved by the Immunization Program Office to increase the flu vaccination rates for adults, especially high-risk adults within the County. These efforts are intended to help keep hospitalization rates for flu down during the COVID-19 pandemic. Amendment No. 3 will allow improvement of the vaccine cold storage capacity to keep COVID-19 vaccines viable. Increase capacity for data entry and reminder recall activities to help track immunizations during the COVID-19 pandemic. |
| Conclusion |
| It is important that this amendment to the IGA be approved by the Board of Supervisors in order to allow the Gila County Health Division to continue to operate the Immunization Program for the residents of Gila County. |
| Recommendation |
| It is the recommendation of the Health and Emergency Management Department Director that the Board of Supervisors approves Amendment No. 2 and Amendment No. 3 to the IGA (Contract No. ADHS18-177678) with the ADHS for additional funding in the amount of $202,500 as needed by June 30, 2021. |
| Suggested Motion |
| Information/Discussion/Action to approve Amendment Nos. 2 and 3 to an Intergovernmental Agreement (Contract No. ADHS18-177678) between Gila County and the Arizona Department of Health Services to replace the Price Sheet which includes funding for an additional $202,500 as needed through June 30, 2021, and to revise the Scope of Work. (Michael O'Driscoll) |
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