REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS

BOARD MEETING DATE:  March  13, 2018
CATEGORY:  Consent - Health and Human Services-7.

SUBJECT:

Annual Agreement Funding Application for the Maternal, Child, and Adolescent Health Program in HHSA Public Health Branch.

Supervisorial District No. :  All

DEPARTMENT CONTACT:  Terri Fields Hosler, MPH, RD-Public Health Branch Director, (530) 245-6861

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

RECOMMENDATION

Approve and authorize the: (1) Chairman to sign a retroactive California Department of Public Health Maternal, Child, and Adolescent Health Agreement Funding Application in an amount not to exceed $411,342 that will allow Health and Human Services Agency (HHSA) - Public Health to continue services to protect and improve the health of mothers, adolescents, children, and their families as directed by state and federal law for the period July 1, 2017 through June 30, 2018; and (2) HHSA Director, or any HHSA Branch Director or Deputy Branch Director, as designated by the HHSA Director, to sign prospective and retroactive amendments during the term of the agreement that result in a net change in maximum compensation of no more than $41,000, and other documents related to the agreement that do not result in a substantial or functional change to the original intent of the agreement, and that otherwise comply with Administrative Policy 6-101, Shasta County Contracts Manual.

SUMMARY

Shasta County has received Maternal, Child, and Adolescent Health (MCAH) funding since 1982 to assist in providing the mandated public health service of improving maternal and child health through collaborative efforts, community education, outreach, and referral. Approval of the MCAH Agreement Funding Application (AFA) will allow HHSA - Public Health to continue receiving MCAH funds through June 2018, including federal matching funds for fiscal year 2017-18.

DISCUSSION

A five-year community needs assessment specific to MCAH performed by the HHSA-Public Health Branch in Fiscal Year (FY) 2013-14 with community stakeholder input, identified specific priority needs in the areas of access to health care including dental health care, partner and family violence, adolescent and perinatal mental health, substance use, overweight and obesity, child abuse, oral health, and poverty and educational attainment. The funding from this agreement will support FY 2017-18 activities to address those priorities by: promoting screening for intimate partner violence; screening for substance abuse and maternal depression during and after pregnancy; increasing awareness of Adverse Childhood Experiences (ACEs), their impact on health, and tools to address them; increasing awareness of health data and social conditions that contribute to obesity and poor

birth outcomes; increasing awareness of risk reduction measures for Sudden Infant Death Syndrome (SIDS) through education, outreach and support for families experiencing SIDS; and, improving access to appropriate health, psychosocial and preventive care services overall.

Additionally, this funding helps support the Comprehensive Perinatal Services Program which is an enhanced Medi-Cal program that provides comprehensive obstetric care, including health and nutrition education, and psychosocial services for low-income women from conception through 60 days postpartum to improve birth outcomes.

An important benefit of the MCAH program funding is the ability to leverage HHSA - Public Health realignment and local and state funds to claim additional federal financial resources, enhancing services for Shasta County families.

ALTERNATIVES

Alternatives include not approving the AFA or modifying the proposed activities for FY 2017-18.

OTHER AGENCY INVOLVEMENT

County Counsel has approved the agreement as to form. Risk Management has reviewed and approved the agreement. This recommendation has been reviewed by the County Administrative Office.

HHSA - Public Health collaborated with other local MCAH stakeholders to develop a five-year plan which included the prioritized activities which were reviewed with the Public Health Advisory Board in July 2014. The Strengthening Families Collaborative has developed a multi-sector collaborative effort to support the prevention of ACEs as well as improving protective factors for families. Mercy Maternity Center, Shasta County Child Abuse Prevention Coordinating Council, First 5 Shasta, Shasta County Office of Education, and other local stakeholders collaborate with HHSA-Public Health staff through the Healthy Babies Program to address perinatal substance abuse and maternal depression.

FINANCING

This agreement is funded through Federal Title V and Title XIX funds. The County match is funded with other local and state funds as available. The HHSA FY 2017-18 Adopted Budget includes sufficient appropriation authority for the activities described in this agreement. No additional County General Funds are requested with approval of these recommendations.