DEPARTMENT: Health
DEPARTMENT HEAD: Dr. Thomas Schlenker
COUNCIL DISTRICTS IMPACTED: City Wide
SUBJECT:
Authorizing Agreements with the University of Texas at San Antonio
SUMMARY:
This Ordinance will authorize the following agreements with the University of Texas at San Antonio (UTSA):
(A) An agreement for evaluation services for the San Antonio Metropolitan Health District's (Metro Health's) Medicaid 1115 Waiver Teen Health project for an amount up to $40,000.00 for a period beginning August 1, 2014 and ending on June 30, 2015; and
(B) An agreement for evaluation services for Metro Health's Centers for Disease Control and Prevention (CDC) Sodium Reduction in Communities grant for an amount up to $50,000.00 for a period beginning August 1, 2014 and ending on July 31, 2015.
BACKGROUND INFORMATION:
Submitted for City Council consideration and action are agreements with UTSA for grant evaluation services. (A) Through the contract for the Medicaid 1115 Waiver Teen Health project, UTSA will provide Pre and Post data analysis for the Draw the Line Respect the Line and It's Your Game curricula and an evaluation of the DreamSA campaign for the Medicaid 1115 Waiver Teen Health project. (B) Pursuant to the contract for the CDC Sodium Reduction in Communities grant, UTSA will provide analysis of Sodium Practices Assessment Tool (SPAT) data and the availability healthy versus unhealthy items across vendors and food sites, survey food service managers and employees, and report on employees' and consumers' food satisfaction.
On January 31, 2013, City Council authorized the submission of six project proposals by the San Antonio Metropolitan Health District (Metro Health) through the Regional Healthcare Partnership Anchor entity, University Health System for consideration and funding in the amount of $43,392,942.00 through the new Delivery System Reform Incentive Payment (DSRIP) arm of the "Texas Healthcare Transformation and Quality Improvement Program" or "Transformation Waiver". Metro Health carefully selected projects in the following areas: diabetes prevention, children's oral health services, HIV and Syphilis prevention, breastfeeding promotion, teen pregnancy prevention and neighborhood health promotion. All six project proposals are in alignment with many community goals set forth by SA2020 and have the overall goal of improving health outcomes.
On September 5, 2013, City Council authorized the acceptance of funds from the CDC Sodium Reduction in Communities grant to support Metro Health's Chronic Disease Program in implementing community-wide efforts to reduce sodium intake.
ISSUE:
Metro Health is requesting approval of agreements with UTSA for evaluation services for Metro Health's (A) Medicaid 1115 Waiver Teen Health project and (B) CDC Sodium Reduction in Communities grant for a cumulative amount of $90,000.00. Authorization of the agreement in (A) will allow Metro Health to move forward with the implementation of goals set forth in the Medicaid 1115 Waiver Teen Health project. The agreement in (B) will fulfill the grant requirement to allocate 15% of funds for evaluation activities and maintain a continuity of evaluation activities that are critical as the first year of the program is finalizing and the second year is beginning.
ALTERNATIVES:
Should the contract in (A) not be approved, Metro Health will have to utilize current staff to evaluate services to meet deliverables set forth in the Medicaid 1115 Waiver project. Without the approval of the agreement in item (B), Metro Health will forgo the use of budgeted and available grant funds to meet the specified grant deliverable.
FISCAL IMPACT:
Funding for the agreement in (A) is available and budgeted in the Medicaid 1115 Waiver. Funding for the agreement in (B) is available and budgeted in the CDC Sodium Reduction in Communities grant. There is no impact to the General Fund.
RECOMMENDATION:
Staff recommends approval of agreements with UTSA for evaluation services for Metro Health's (A) Medicaid 1115 Waiver Teen Health project and (B) CDC Sodium Reduction in Communities grant for a cumulative amount of $90,000.00. Authorization of these agreements will allow Metro Health to move forward with the implementation of goals set forth in the Medicaid 1115 Waiver Teen Health project and meet CDC grant deliverables.