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  Consent Agenda Item     3. B.    
Regular BOS Meeting
Meeting Date: 08/07/2018  
Submitted For: Michael O'Driscoll Submitted By: Josh Beck, EM/PHEP Manager
Department: Health & Emergency Management Division: Health Services

Information
Request/Subject
Approval of Intergovernmental Agreement (IGA) Amendment No. 7 to Contract  No. ADHS16-098369 with the Arizona Department of Health Services (ADHS) to integrate multiple grants into one IGA titled "Healthy People Healthy Communities".
Background Information
The ADHS has integrated multiple grants into one IGA and the title of the new integrated contract is called "Healthy People Healthy Communities." Implementation of this IGA was completed in three (3) phases.  

Phase 1:  The Tobacco Free, Chronic Disease, and Health in Arizona Policy Initiative (HAPI) grants were integrated and implemented on July 1, 2015;

Phase 2: The Public Health Services block grants were integrated and implemented on October 1, 2015; and,

Phase 3: The Teen Pregnancy Prevention, Family Planning, and the Maternal and Child Health grants was integrated and completed on June 30, 2016. 

The original Contract No. ADHS15-094962 was signed by the Board of Supervisors on June 9, 2015, and then due to a system change at ADHS, the contract number was changed to No. ADHS16-098369 and approved by the Board of Supervisors on
September 15, 2015.

Amendment No. 1 was approved by the Board at its December 1, 2015, regular meeting.  It integrated the Phase 3 grants into one contract entitled "Healthy People Healthy Communities."  The total amount of the new contract is $360,682 and is being administered by the Gila County Public Health Department. 

Amendment No. 2 was approved by the Board at its February 16, 2016, regular meeting. It increased the total grant award by $13,124, raising the total contract to $373,806.  This additional funding allowed Gila County to assist ADHS in administering a survey to more clearly understand the experience of families in meeting their children's special needs across the state. 

Amendment No. 3 was approved by the Board at its May 3, 2016, regular meeting. It continued the integration of grant funding into one contract and replaced several sections, exhibits, and price sheets in the original contract to those identified in this amendment. This allowed the Gila County Health and Emergency Services Division to continue to provide essential services to our communities.

Amendment No. 4 was approved by the Board on October 18, 2016, this increased the contract amount with Arizona Department of Health Services (ADHS) in the amount of $47,090 to continue preparing for national accreditation.

Amendment No. 5 was approved by the Board on July 18, 2017, which initiated participation in Healthy Arizona Worksite Program (HAWP). This amendment allowed the Gila County Public Health Department implementation of influenza vaccinations at the Gila County Division of Health and Emergency Management worksite.  

Amendment No. 6 was approved by the Board on December 5, 2017, and included a revision to the IGA price sheet for the Preventive Health and Health Services Block grant in the amount of $36,630.00. This allowed the Gila County Division of Health and Emergency Management to continue working towards national accreditation.
Evaluation
Amendment No. 7 IGA to Contract  No. ADHS16-098369 includes a revision to the scope of work to reflect adding Chronic Disease to the HAPI portion of the contract. Additionally, the price sheet reflects the addition of one quarter of $12,210 for the accreditation program.
Conclusion
Approval of Amendment No. 7 IGA to Contract  No. ADHS16-098369 which changes the scope of work to reflect adding Chronic Disease to the HAPI portion of the contract. Additionally, the price sheet reflects the addition of one quarter of $12,210 for the accreditation program.
Recommendation
It is the recommendation of the Health and Emergency Management Division Director that the Board of Supervisors approve Amendment No. 7 to Contract No. ADHS16-098369 which reflects the addition of one quarter of $12,210 for the accreditation program and an updated scope of work. This will allow the Gila County Division of Health and Emergency Management to continue working towards national accreditation.
Suggested Motion
Approval of Amendment No. 7 to an Intergovernmental Agreement (Contract No. ADHS16-098369) between the Arizona Department of Health Services and Gila County Health Department to replace the scope of work and the price sheet.

Attachments
Amendment No. 7
Amendment No. 6
Amendment No. 5
Amendment No. 4
Amendment No. 3
Amendment No. 2
Amendment No. 1
Revised Original Contract
Original Contract
Approved as to Form

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