REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS

BOARD MEETING DATE:  September  19, 2017
CATEGORY:  Consent - Health and Human Services-5.

SUBJECT:

Agreement with Shasta Family Young Men’s Christian Association (YMCA) to establish and provide the evidence-based YMCA Diabetes Prevention Program (YDPP) in Shasta County.

Supervisorial District No. :  ALL

DEPARTMENT CONTACT:  Terri Fields Hosler, MPH, RD – Public Health Branch Director. (530) 245-6869

STAFF REPORT APPROVED BY:  Terri Fields Hosler, MPH, RD – Public Health Branch Director

RECOMMENDATION

Approve and authorize the Chairman to sign an agreement with the Shasta County Young Men’s Christian Association (YMCA) in an amount not to exceed $166,467 to provide the YMCA Diabetes Prevention Program from date of signing through September 30, 2018.

SUMMARY

Approval of this agreement will provide funding to implement, and sustain, the evidence-based Centers for Disease Control and Prevention (CDC)-approved YMCA Diabetes Prevention Program (YDPP), and to promote the program to local health care providers and persons at high risk for developing Type II diabetes in Shasta County.

DISCUSSION

In Shasta County, one in ten adults have diabetes and approximately half of adults have prediabetes. Chronic diseases such as Type II diabetes, heart disease, and stroke are leading causes of death and are of growing concern in Shasta County. Many people with hypertension and prediabetes do not know they have these conditions. Identifying people with these conditions and linking them to resources to improve their health can greatly improve health outcomes and prevent costly complications.

In 2015, the Health and Human Services Agency-Public Health Branch (HHSA-PH) was awarded a $1.6 million multi-year grant from the California Department of Public Health to establish a Lifetime of Wellness: Communities in Action (LWCA) program. LWCA focuses on evidence-based prevention measures to improve overall health and reduce chronic disease in Shasta County with a particular emphasis on reducing diabetes through an evidence-based, Centers for Disease Control and Prevention (CDC)-approved, diabetes prevention program. CDC-approved diabetes prevention programs are designed to help people at high risk for diabetes make lifestyle changes shown to lower the risk of acquiring diabetes. There are currently no CDC-approved diabetes prevention programs operating in Shasta County.

In March 2017, HHSA-PH released a Request for Proposals (RFP) in search of a local provider capable of implementing a CDC-approved diabetes prevention program for county residents. Two applications were received and reviewed in collaboration with Shasta County Support Services Department-Purchasing Unit staff. The Shasta County YMCA was selected.

Through the contract with Shasta County YMCA, CDC will provide funding to plan, implement, and sustain the CDC-approved YDPP and promote the program to local health care providers and persons at high risk for developing Type II diabetes. Specific activities to be funded through this agreement include hiring and training staff sufficient to implement the program; offering the program in locations throughout Shasta County; increasing awareness of and participation in the YDPP among health care providers and county residents through systematized referral networks; seeking coverage from third party payers; participating in community health events; marketing and advertising the program to the public; establishing and maintaining a multi-disciplinary steering committee; applying for recognition by the CDC; and engaging in continuous quality improvement efforts aimed at sustaining the program.

This agreement also authorizes the HHSA Director or HHSA Branch Director to approve, in writing and in advance, changes in any amount listed in the agreement budget, provided the increase in any single line item shall not exceed 10 percent over the original amount during the entire term of this agreement and provided further that the increase does not increase the total compensation payable under this agreement.

ALTERNATIVES

The Board could choose not to approve this agreement or may direct staff to modify terms of the agreement.

OTHER AGENCY INVOLVEMENT

Staff from the Support Service Department-Purchasing Unit assisted HHSA-PH staff in preparing and publishing the RFP and reviewing submitted applications. County Counsel has approved the agreement as to form. Risk Management has approved the agreement. The recommendation has been reviewed by the County Administrative Office.

FINANCING

Funding for this project is provided by the Centers for Disease Control and Prevention through the California Department of Public Health. Revenue and expenditures associated with this agreement were included in Public Health’s Fiscal Year 2017-18 Adopted Budget. No additional County General Funds are requested.