Okaloosa County BOCC — October 15, 2013 — Health Dept Annual Contract — reading text

Green, Laura T From: Chapman, Karen A . Sent: Tuesday, July 02, 2013 2:31 PM To: Ziegler, Carolyn H; Green, Laura T Ce: Harty, Donna L Subject: Standing Delegation The situation with my Dad is deteriorating and | think | better nave a standing delegation since | don't know when I'll have to leave. So here it is: Carrie Ziegler is the delegated authority including signatory in the event of my absence from work due to this family medical emergency. In the event Carrie is out of the office or off, Laura Green is the delegated authority including signatory. ‘T'll keep you posted. Keren A. Chapman, MD, MPH Director Florida Department of Health Okaloosa County www.HealthyOkaloosa.com 221 Hospital Drive, NE Fort Walton Beach, FL 32548 office (850) 833-9245 fax (850) 833-9252 LIKE US on Facebook FLDeparimentofHeailth FOLLOW US on Twitter @Healthyfla DOH Online Newsroom htfo://newsroom.don. state. fl. us Please note: FL has a very brocd public records law. Most written communication to or from state officials regarding state business are public records available to the public and the rhedia upon request. Your email communication may therefore be subject to public disclosure. Rick Scott i n: Missio Governor To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. John H. Armstrong, MD, FACS State Surgeon General & Secretary Vision: To be the Healthiest State in the Nation BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST DATE: August 21, 2013 TO: Honorable Chairman and Members of the Board FROM: Karen A. Chapman, M.D., M.P.H. Director, Okaloosa County Health Department SUBJECT: Approval of the Annual Contract between BCC and FDOH for the Operations of the OCHD for Contract Year 2013-2014 DISTRICT: All REQUESTING DEPARTMENT: Health Department STATEMENT OF ISSUE: Approval of Annual Contract between Okaloosa County Board of County Commissioners and the Florida Department of Health for the Operation of the Okaloosa County Health Department for Contract Year 2013-2014. BACKGROUND: Annually, pursuant to Chapter 154, F.S., a contract is prepared to outline the services to be offered by the County Health Department along with funding for the operation. RECOMMENDATIONS: Board approval and Chairman signs three sets of the contract for the operation of the Okaloosa County Health Department for contract year 2013-2014. The three signed sets should be returned to the Okaloosa County Health Department to the attention of Laura Green. Okaloosa County Health Department will obtain signatures from the State Surgeon General of the Florida Department of Health and return a signed original to the Board of County Commissioners. ENCLOSURE: Contract for,Fiscal Year 2013-2014 COUNTY MANAGER Niiire. 8-20-13 DATE: Sep Okaloosa County TWITTER:HealthyFLA 221 NE Hospital Drive, Fort Walton Beach, FL 32548 FACEBOOK:FLDepartmentofHealth Florida Department of Health www.FloridasHealth.com PHONE: 850/833-9240 * FAX 850/833-9252 YOUTUBE: fldoh CONTRACT BETWEEN OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS AND STATE OF FLORIDA DEPARTMENT OF HEALTH FOR OPERATION OF THE OKALOOSA COUNTY HEALTH DEPARTMENT CONTRACT YEAR 2013-2014 This agreement (‘Agreement’) is made and entered into between the State of Florida, Department of Health (“State”) and the Okaloosa County Board of County Commissioners (“County”), through their undersigned authorities, effective October 1, 2013. RECITALS A. Pursuant to Chapter 154, Florida Statutes, the intent of the legislature is to “promote, protect, maintain, and improve the health and safety of all citizens and visitors of this state through a system of coordinated county health department services.” B. County Health Departments were created throughout Florida to satisfy this legislative intent through “promotion of the public's health, the control and eradication of preventable diseases, and the provision of primary health care for special populations.” C. Okaloosa County Health Department (“CHD”) is one of the County Health Departments created throughout Florida. -D. It is necessary for the parties hereto to enter into this Agreement in order to ensure coordination between the State and the County in the operation of the CHD. NOW THEREFORE, in consideration of the mutual promises set forth herein, the sufficiency of which are hereby acknowledged, the parties hereto agree as follows: 1. RECITALS. The parties mutually agree that the forgoing recitals are true and correct and incorporated herein by reference. 2. TERM. The parties mutually agree that this Agreement shall be effective from October 1, 2013, through September 30, 2014, or until a written agreement replacing this Agreement is entered into between the parties, whichever is later, unless this Agreement is otherwise terminated pursuant to the termination provisions set forth in paragraph 8, below. 3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD shall provide those services as set forth on Part Ill of Attachment II hereof, in order to maintain the following three levels of service pursuant to Section 154.01(2), Florida Statutes, as defined below: a. “Environmental health services” are those services which are organized and operated to protect the health of the general public by monitoring and regulating activities in the environment which may contribute to the occurrence or transmission of disease. Environmental health services shall be supported by available federal, state and local funds and shall include those services mandated on a state or federal level. Examples of environmental health services include, but are not limited to, food hygiene, safe drinking water supply, sewage and solid waste disposal, swimming pools, group care facilities, migrant labor camps, toxic material control, radiological health, and occupational health. b. “Communicable disease control services” are those services which protect the health of the general public through the detection, control, and eradication of diseases which are transmitted primarily by human beings. Communicable disease services shall be supported by available federal, state, and local funds and shall include those services © mandated on a state or federal level. Such services include, but are not limited to, epidemiology, sexually transmissible disease detection and control, HIV/AIDS, immunization, tuberculosis control and maintenance of vital statistics. c. “Primary care services” are acute care and preventive services that are made available to well and sick persons who are unable to obtain such services due to lack of income or other barriers beyond their control. These services are provided to benefit individuals, improve the collective health of the public, and prevent and control the spread of disease. Primary health care services are provided at home, in group settings, or in clinics. These services shall be supported by available federal, state, and local funds and shall include services mandated on a state or federal level. Examples of primary health care services include, but are not limited to: first contact acute care services; chronic disease detection and treatment; maternal and child health services; family planning; nutrition; school health; supplemental food assistance for women, infants, and children; home health; and dental services. 4. FUNDING. The parties further agree that funding for the CHD will be handled as follows: a. The funding to be provided by the parties and any other sources are set forth in Part Il of Attachment Ii hereof. This funding will be used as shown in Part | of Attachment II. i, The State's appropriated responsibility (direct contribution excluding any state fees, Medicaid contributions or. any other funds not listed on the Schedule C) as provided in Attachment Il, Part Il is an amount not to exceed $ 3,446,428 (State General Revenue, State Funds, Other State Funds and Federal Funds listed on the Schedule C). The State's obligation to pay under this contract is contingent upon an annual appropriation by the Legislature. iii The County’s appropriated responsibility (direct contribution excluding any fees, other cash or local contributions) as provided in Attachment II, Part Il is an amount not to exceed $601,661 (amount listed under the “Board of County Commissioners Annual Appropriations section of the revenué attachment). b. Overall expenditures will not exceed available funding or budget authority, whichever is less, (either current year or from surplus trust funds) in any service category. Unless requested otherwise, any surplus at the end of the term of this Agreement in the County Health Department Trust Fund that is attributed to the CHD shall be carried forward to the next contract period. c. Either party may establish service fees as allowed by law to fund activities of the CHD. Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee schedule. d. Either party. may increase or decrease funding of this Agreement during the term hereof by notifying the other party in writing of the amount and purpose for the change in funding. If the State initiates the increase/decrease, the CHD will revise the Attachment II and send a copy of the revised pages to the County and the Department of Health, Bureau of Budget Management. If the County initiates the increase/decrease, the County shall notify the CHD. The CHD will then revise the Attachment Il and send a copy of the revised pages to the Department of Health, Bureau of Budget Management. e. The name and address of the official payee to who payments shall be made is: County Health Department Trust Fund Okaloosa County 221 Hospital Dr NE Fort Walton Beach, FL 32548 5, CHD DIRECTOR/ADMINISTRATOR. Both parties agree the director/administrator of the CHD shall be a State employee or under contract with the State and will be under the day-to-day direction of the Deputy Secretary for Statewide Services. The director/administrator shall be selected by the State with the concurrence of the County. The director/administrator of the CHD shall ensure that non-categorical sources of funding are used to fulfill public health priorities in the community and the Long Range Program Plan. A report detailing the status of public health as measured by outcome measures and similar indicators will be sent by the CHD director/administrator to the parties no later than October 1 of each year (This is the standard quality assurance “County Health Profile” report located on the Office of Planning, Evaluation & Data Analysis Intranet site). 6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that the following standards should apply in the operation of the CHD: a. The CHD and its personnel shall follow all State policies and procedures, except to the extent permitted for the use of county purchasing procedures as set forth in subparagraph b., below. All CHD employees shall be State or State-contract personnel subject to State personnel rules and procedures. Employees will report time in the Health Management System compatible format by program component as specified by the State. b. The CHD shall comply with all applicable provisions of federal and state laws and regulations relating to its operation with the exception that the use of county purchasing procedures shall be allowed when it will result in a better price or service and no statewide Department of Health purchasing contract has been implemented for those goods or services. In such cases, the CHD director/administrator must sign a justification therefore, and all county-purchasing procedures must be followed in their entirety, and such compliance shall be documented. Such justification and compliance documentation shall be maintained by the CHD in accordance with the terms of this Agreement. State procedures must be followed for all leases on facilities not